Ukungaqiniseki kwe-Isthmiko-kwesibeletho ngesikhathi sokukhulelwa

Ukungaqiniseki kwe-Isthmicocervical (ICI), okwenzeka ngesikhathi sokukhulelwa, ukwephulwa kwaloluhlobo, lapho kukhona ushintsho ekusebenzeni okujwayelekile kwesimiso nesisindo senhliziyo. Lesi simo siholela ekwakhiweni kokukhipha isisu okuzenzekelayo ku-2rd and 3rd trimester.

Kulesi simo, umlomo wesibeletho njengoba uqala ukuhamba kancane, uba lula futhi udlale, okhethwe kalula ngokuhlolwa komzimba. Ngesikhathi esifanayo, kunciphisa nokuvulwa komsele womlomo wesibeletho, okwenza kube khona ukukhulelwa komzimba.

Ukuhlukumeza kubonakala kanjani?

Ukuxilongwa kwalesi simo kunzima, ngoba lapho izimpawu zokukhulelwa kwe-ischemic-insufficiency (ICS) zifihliwe. Owesifazane angakwazi ukuthola ukuthi ubukhona bakhe kuphela ngesigaba esilandelayo sokuhlolwa kwesisu.

Ezimweni ezingavamile, ngokuyinhloko ekuthuthukiseni izinkinga, izimpawu ezifanayo zingabonwa ngezikhathi ezincane zokugaya, njengokungathi zisongelwa ukukhulelwa kwesisu: ukuphawula, ukuphawula ukuphuma, ukudonsa ubuhlungu esiswini esingaphansi, ukuzwa ukuhlanza ngaphakathi kwesisu.

Ukutholakala kwe-ICI kuyini?

Ukuxilongwa kokungaqiniseki kwesifo senhliziyo, izimpawu zazo ezifihliwe ngaso sonke isikhathi ngesikhathi sokukhulelwa, kusekelwe kwedatha ye-ultrasound. Uma kukhona ukwephulwa, udokotela angacabanga futhi uma ehlola umlomo wesibeletho. Ngesikhathi sokuhlola, ububanzi nobude besiteshi ngokwayo kulinganiswa.

Isifo sisiphathwa kanjani?

Ukwelashwa kokuntuleka kwe-ischemic-umlomo wesibeletho, owaqala ngesikhathi sokukhulelwa, kwenziwa ngezindlela ezintathu eziyisisekelo, okukhethwa kukho okwenziwe kuye ngokuthi imbangela eyabangela ukwephulwa.

Nge-ICI esebenzayo (kwenzeka lapho ukwehluleka kwe-hormonal) ukwelashwa kwe-hormone kunqunywe. Ubude balo buphakathi kwamasonto angu-1-2. Uma ngabe lesi sifo asizange sibolekise ekulungiseni i-hormone, kufakwe i- pessary.

Indlela yesithathu yokwelashwa kwesiyaluyalu ingokwemvelo - ukungenelela kokuhlinzwa. Kususa ukufakwa kwe-suture emgodini wesibeletho, okuholela ekubunjweni kwesakhiwo sensimbi. Ukususwa kwe-suture kwenziwa ngeviki 37-38 lokukhulelwa.