Lokhu kwakhiwa okungokwemvelo akuyona into engaphezu kwendandatho ye-muscular etholakala engxenyeni engezansi yesibeletho futhi ixhuma kumfazi. Phakathi nendawo kukhona umzila lapho ukuphuma kwegazi okuphuma ngaphandle kwenzeka khona ngesikhathi sokuya esikhathini. Ngaphezu kwalokho, ngokusebenzisa umdlana wesibeletho somlomo wesibeletho ungena esibelethweni.
Ngokujwayelekile, ubude bomlomo wesibeletho buyi 3-4 cm, kodwa ngesikhathi sokukhulelwa le parameter ihluka ngamasonto.
Ubukhulu bomlomo wesibeletho buyashintsha kanjani ngesikhathi sokukhulelwa okujwayelekile kwamasonto?
Izinguquko kuleso sitho sokuzala njengoba isibeletho sibonakala ngemuva kwamasonto amathathu kusukela ngesikhathi sokukhulelwa. Ngakho-ke into yokuqala umjozi wesifo sokubeletha angabona uma ubheka isihlalo kunguquko embranini yamangcwaba, okuthola i-bluish tinge. Lokhu kubangelwa ukwanda kwegazi le-uterine nokunyuka okukhulu kwemikhumbi yentambo yebele.
Kanti, ushintsho emlandweni we-hormonal luholela eqinisweni lokuthi uhla lwe-muscle luqala ukwanda ngevolumu. Ngenxa yalokho, ubude bomlomo wesibeletho buyashintsha. Kulesi simo, isibeletho ngokwayo siba lula. I-canal endocervical nayo ikhula, ehlobene nokukhiqizwa okwenyuka kwe-mucus, okudingekayo ukuze kuvikelwe i-uterine cavity kusukela ekungeneni kwama-microorganisms we-pathogenic.
Isibonakaliso esibaluleke kunazo zonke, okucatshangelwa ukukhulelwa ngalunye, ubude bomlomo wesibeletho. It isungulwa ngesikhathi ultrasound.
Njengoba sekukhulunywe ngenhla, ubude bomlomo wesibeletho buyimingcele eguqukayo ehluka emavikini okukhulelwa. Ngakho-ke, ngokwezimiso ezisekelwe lokhu kufanele kwenzeke ngalendlela elandelayo:
- Isonto eli-16-20 - 4-4,5 cm;
- Iviki 25-28 - 3,5-4cm;
- Iviki 32-36 - 3-3.5 cm.
Njengoba kubonakala, ubude buyancipha njengoba isikhathi sokubeletha sanda. Lokhu kungenxa yokuthi kukhona ukwanda kobuchopho ngokwayo, ngenxa yokuthi i-fetus ikhula. Kulezo zimo lapho umlomo wesibeletho ude kakhulu kumaviki angu-38-40 wokubeletha, odokotela benza ukugqugquzela okufakelwayo ngenqubo yokuzalwa ngokusebenzisa imithi.
Ukuze unqume ubude bomlomo wesibeletho amasonto okukhulelwa, odokotela bavame ukusebenzisa itafula elikhombisa amanani ale nkomba phakathi nesikhathi sokukhulelwa.
Iziphi iziphazamiso ezingase zihlotshaniswe nomlomo wesibeletho esifushane?
Ngokuqinile ukuthi intamo (engaphansi kuka-2 cm) ingaba imbangela yezifo ezihlukahlukene ngesikhathi sokukhulelwa. Lesi simo singabangelwa ukuphulwa kwesizinda se-hormonal.
Ngaphambi kokuba umbelevuza omfushane ngesikhathi ukhulelwe, kuvame ukutholakala ukuthi unesifo "sokuntuleka kwengqondo yesischemic." Lesi simo sibonakala ukungakwazi ukugcina ingane yakho emgodini wesibindi, esongela ukubeletha ngaphambi kokuzalwa noma ukukhulelwa kwesisu.
Ngaphezu kwalokhu ukwehluleka kwe-hormonal, imbangela yentuthuko yokunciphisa isisu somlomo wesibeletho ingaba amacembe asungule ngemuva kokukhulelwa kwangaphambili, ukukhipha noma ukukhipha isisu. Kungenxa yokunqanda ukuthi ukuguqulwa, ukuncishiswa nokulahlekelwa kwekhono lokulula kwenzeka.
Njengomthetho, abesifazane abanoluhlobo lwezinkinga bangaphansi kokulawula odokotela njalo. Ezimweni ezinjalo, owesifazane udinga ukuphumula futhi unciphise umzimba ngokomzimba. Uma usongelwa ukukhulelwa kwesisu noma ukubeletha ngaphambi kwesikhathi, indandatho ekhethekile yokugqoka i-cervix, i- pessary eyigcina endaweni edingekayo.
Ngakho-ke, ipharamitha efana nobude bomlomo wesibeletho esimweni esivamile ngesikhathi sokukhulelwa kuyahluka ngamaviki. Yingakho odokotela bakhathalela ngokukhethekile lapho bebuka owesifazane okhulelwe. Phela, ukuguqulwa kwakhe kunikeza isixwayiso esifike ngesikhathi sokuzalwa kokuzalwa ngaphambi kokuzalwa kwesikhathi noma ukukhulelwa kwesisu - ekuqaleni.