Ukungasebenzi kakuhle kwe-Isthmicocervical

U-Isthmiko - ukungakwazi ukuvalelwa kwintsholongwane ngumnye wezona zizathu eziqhelekileyo zokuzalwa kwangaphambi kokuqala kunye nokulahleka kwezinto ezilahlekileyo kwi-sibini neyesithathu zokukhulelwa. Le yimeko apho i-ismmus kunye nomlomo wesibeleko ziqala ukuhluleka ukujamelana neengxaki kwaye zityhilwa. Oku kuninzi kwenzeka kwesiqingatha sesibini sokukhulelwa, xa umntwana ekhula ngokukhawuleza ngobukhulu, kwaye i- amniotic fluid iya kuba enkulu. Kuxhomekeke kwizizathu, baya kuchonga i-ICI esebenzayo kunye neyobuhlungu. Ukuqumbisa le nkxalabo:

• Ingxaki yomzimba wesibeleko (ukuhanjiswa, unyango olungenangxaki lwezilwanyana, ukukhipha isisu);
• Iintsholongwane zengqungquthela yomlomo wesibeleko;
• Ukungaphumeleli kokusebenza kweli candelo ngenxa yeengxaki ze-hormone;
• Uxinzelelo olunzulu kwi-cervix ngenxa yokukhulelwa okubanzi, i-polyhydramnios okanye iifubus ezinkulu.

Isthmiko - ukungakwazi ukuzaliseka komlomo: iimpawu

Ngelishwa, i-ischemic-insufficiency incervical almost always proceeds totally inequistomatically, edala umngcipheko omkhulu kubomi kunye nempilo kamama nosana. Kwiimeko ezinjalo, akuqhelekanga ukufumanisa eli rhutyana kakhulu, xa kungenakwenzeka ukutshintsha into engcono.

Ukuba, nangona kunjalo, i-NIH ibonakalisiwe, yisoloko isisongelo sokuphuphuma kwesisu, ubukho bokubamba okanye ukubetha iintlungu kwisisu, ingakumbi kwicandelo elingaphantsi kwayo, ukuvakalelwa kunye nokunyanzeliswa kwiindawo zesini, kunye nokuphuma kwegazi.

U-Isthmiko-inability: intsholongwane

Ubume bonyango luxhomekeka xa i-inchemic-insufficiency engabonakaliyo: Ingaphambi kokukhulelwa okanye sele sele ikhona, yintoni imeko yayo. Ukuba le meko yingozi ifunyenwe ngaphambi kokukhulelwa okucwangcisiweyo, ngamanye amaxesha yenza ukuhlinzwa okhethekileyo kwiplastiki yomlomo wesibeleko. Ukuzala emva kokuba oku kunokwenzeka kuphela ngoncedo lwecesarean section, ukukhusela ukuphuka kwayo. Kunokwenzeka kwaye unyango lwangonyango kwimeko ye-nontraumatic ICI.

Ngexesha lokukhulelwa, unyango lunokudityaniswa, ukuba ukuvela kwesimo esisongelayo kudibaniswa nemvelaphi ye-hormonal. Nangona kunjalo, ngoogqirha, oogqirha kufuneka basebenzise ukuhlinzwa, nangona ngoku kutshanje indlela yokuphulukisa i-ICI isetyenzisiwe ngoncedo lweMeyer ye-piebald-ring, ebeka umlomo wesibeleko. Unyango oluphandwayo, oluqhutywa kuphela esibhedlele, luboniswa kwiveki ye-13-17. Iimpawu eziphakamileyo zimele zikuncede ukuhambisa ukukhulelwa okungenani ukuya kwiiveki ezingama-32 ukuya kuma-33, kunye nokuhlanganiswa ngempumelelo kweemeko kunye nokunye. Xa ngokugqithiseleyo ukusebenza kugqityiwe ngugqirha, ukusukela kwimimandla ethile yowesifazane, ixesha lokukhulelwa, ingozi. Ukuqiniswa kunye nokusetyenziswa kwemigangatho ye-seams ayixhaswanga ngokukhawuleza, njengoko ixesha elide lide, ukutheleleka ngakumbi kwintsholongwane ye-fetal bladder ngexesha lokusebenza. Ewe, kunye nokuphuphuma kwesisu kungafumaneka nanini na. Isibonakaliso sokuhlinzwa ngokukhawulezileyo kukunyuka kwimeko yesifo. Emva kokusebenza, ibhinqa ligcinwa lijongwa yi-gynecologist, ngokuqhelekileyo iziyobisi ezinciphisa umthamo wesithwathwa somfazi wesilwanyana zicetyiswa, ulawulo lwenkcazo luyakuboniswa.

Ugqirha awunakwenziwa xa ukukhulelwa kuyisongelo kwimpilo kunye nobomi bomfazi ngokwawo, kwaye ukuba umntwana ufumaneka ukuba unobungozi obubi. Ukusebenza kuhlehliswa kwimeko apho isifo sephepha lomzimba sifumaneka (de kube yonyango olufanelekileyo lwenziwa).

Ngokubanzi, kunye ne-ICP efunyanwe ngexesha elifanelekileyo, ukuxeliswa kwangaphambili kulungile. Oku akubalulekanga nje kuphela ukugcina zonke iingcebiso ze-gynecologist kwaye ungayinqali (kwaye xa kuyimfuneko ukugxininisa kuyo) kwiimviwo eziqhelekileyo kwi-armchair, kodwa ukubonisana neengcali ngaphambi kokuba ukhulelwe. Isimo sengqondo esinzulu kunye nenkxalabo yempilo yomntu kuya kunceda umfazi ukuba azilungiselele ngokupheleleyo kwisigaba esibalulekileyo ebomini bakhe, yindlela efanelekileyo yokuchaphazela impilo yomntwana.