Phakathi kweengozi ezininzi ezilindele umfazi ngexesha lokuzala umntwana, kungekhona indawo yokugqibela yesigqirha esinikezelwa kwisibeletho esifutshane sesibeletho, kuba ngexesha lokukhulelwa, le ntsholongwane ingakhokelela ekuphumuleni komzimba okanye ukuzalwa kwangaphambi kokuzalwa.
Iyintoni ingozi yomlomo wesibeletho esifutshane ngexesha lokukhulelwa?
Isiqhelo sobukhulu bomlomo wesibeleko ngexesha lokukhulelwa li malunga ne-4-5 cm.Nokho, ngenxa yezizathu ezithile, kubafazi abathile ubude abugqithanga ngaphezu kwe-2 cm. Kule meko, ubude obude bendiza kubangela ukuphuhliswa kwe-ICSI-iscystic-insufficiency.
Ukungaqiniseki kwe-Isthmico-cowervice kubonakala ukungakwazi kwentamo nentamo ukugcina umntwana okhulayo kwisigxina se-uterine. Intsana ihlala iqhuba uxinzelelo kwiindonga zesibindi, ezikhokelela ekuzalweni kwayo nangaphambi kokubeleka okanye ukuphuphuma komzimba xa umlomo wesibeleko ungaselanga ngokwaneleyo.
Enye ingozi enkulu kukungena ngokulula kwezifo. Intamo emfutshane yentsholongwane ngexesha lokukhulelwa ayikwazi ukukhonza njengesithintelo esithembekileyo sokungena kwamagciwane. Ukongeza, kwanokunikezelwa ngexesha elifanelekileyo, intamo emfutshane ingakhokelela ekusebenzeni ngokukhawuleza. Iziphumo zale nto zingase ziphule umfazi kunye nesisu.
Izizathu zobungakanani obaneleyo bomlomo wesibeleko ekukhulelweni
Esinye sezizathu eziqhelekileyo zokungaphelelanga ubude bomlomo wesibeleko ngexesha lokukhulelwa ngumzimba wesifo esithile sokuzalwa kwesigungu. Isizathu sokuphuhliswa kwesiphene, ngokuqhelekileyo, ukuhlinzwa kwangaphakathi kwe-intrauterine - ukukrazula, ukukhupha isisu, kunye nokuzalwa kwangaphambili. Umsebenzi osebenzayo ulimaza indandatho yomsila. Emva kokuphilisa isilonda kule ndawo, kutshalwa izikrakra, kubangele ukuncipha kwekhono lemihlunu ukuba ivumelane kwaye ityululwe. Ngako oko, umlomo wesibeleko ugocekile kwaye uba mfutshane.
Esinye isizathu somlomo omfutshane ngexesha lokukhulelwa sisifo se-hormonal esenzeka phakathi kwe-15 ne-27 yeveki yentuthuko yesisu. Ngeli xesha, umntwana ozayo usebenze ngumsebenzi weengqungquthela ze-adrenal, ezikhokelela ekuveliseni i-androgens. Ezi hormone ziyakwazi ukunciphisa umlomo wesibeleko kumama. Enye yeempawu zobuninzi be-androgens kukunciphisa umlomo wesibeleko, ophantsi kweempembelelo zabo kuthoba kwaye kuqala ukuqala. Ngamanye amaxesha, ukungaphumeleli kwintsholongwane kungabangela ukwanda kwetoni yesisu. Owesifazane okhulelweyo ngokwabo akanakukrokrela ubukho bentsholongwane.
Ungakuphepha njani ukuphuhliswa kwezilwanyana?
Ngethuba lokuqala, ukungaqiniseki kwintsholongwane kwintsholongwane kufunyanwe ngexesha loviwo olubonwayo ngumjozi wesifo somzimba. Ukuqinisekisa ukuxilongwa, ibhinqa lithatha i-ultrasound isebenzisa isenzi somzimba. I-ICS ifunyaniswa ukuba ubude bentamo abudluli kwi-2 cm, kwaye i-pharynx yangaphakathi ingaphantsi kwe-1 cm ububanzi.
Okokuqala, owesifazane okhulelweyo kufuneka abe phantsi kolawulo lomdlavuza wesifo somzimba okwazi ukubona ukunciphisa umlomo wesibeleko ngexesha kwaye uthathe amanyathelo okukhusela ukuzalwa kwangaphambili okanye ukukhupha isisu. Ngokuqhelekileyo, ukungalingani kwe-hormonal kulungiswe ngempumelelo ngokuthatha iyeza-glucocorticoids.
Ukuba ubude bomlomo wesibeleko ngexesha lokukhulelwa aluqhelekanga emva kwenyanga yonyango ngamachiza, kukho umfazi ocebisayo ukuba enze isicelo suturing to organ. Kwakhona, ingasetyenziswa i-pessary ekhethekileyo, isisombululo esinokunciphisa uxinzelelo lomntwana kwisisu kwaye uyigcine kwindawo efunwayo.