E wehe koke anei kou cervix? (Incompetent Cervix) - Mai makaʻu, e makaʻala kākou i kēia!

ʻAʻole hiki ke wehewehe ʻia ka hauʻoli āu e manaʻo ai i kou wā e manaʻo ai e lilo i makuahine. Eia nō naʻe, he mea maʻamau ka makaʻu a me ka hopohopo no nā mea liʻiliʻi loa. I kēia lā e kamaʻilio mākou e pili ana i kahi kūlana e kū nei i kekahi mau makuahine i ka wā hāpai, akā ʻaʻole i kamaʻilio nui ʻia. ʻO ia hoʻi, nāwaliwali ka cervix, pōkole a wehe paha i ka wā mua. Ua kapa nā kauka i kēia ʻo `(Incompetent Cervix)` a i ʻole `(Cervical Insufficiency)`. Mai makaʻu i kou lohe ʻana i kēia, no ka mea, inā ʻike pono ʻia ʻoe e pili ana i kēia a loaʻa ka lāʻau lapaʻau e pono ai, hiki iā ʻoe ke lawe mai i kahi pēpē olakino i kēia ao me ka ʻole o nā pilikia.

He aha ka cervix? No ke aha he mea nui loa ia?

ʻAe, e hoʻomaopopo mua kākou i ke ʻano o kēia cervix. ʻO ka uterus kahi e ulu ai kāu pēpē i loko o kou ʻōpū. ʻO ka ʻaoʻao haʻahaʻa o ka uterus, e like me ka waha o ka ʻōmole, kahi e pili ai i ka vagina, ʻo ia ka mea a mākou e kapa nei he cervix.

E noʻonoʻo e like me ka puka palekana . Pono e pani ʻia kēia puka a paʻa i ka wā hāpai. A laila hiki i ka pēpē ke ulu maluhia i loko o ka ʻōpū a hiki i ka lā hānau. Ke kokoke mai ka pēpē i ka hānau ʻana, ʻo ia hoʻi, ke hoʻokokoke mai ka hānau ʻana, palupalu mālie kēia cervix, pōkole (kapa mākou i kēia 'effacement') a hoʻomaka e wehe (kapa ʻia kēia ʻo 'dilation') . A laila hiki i ka pēpē ke puka maʻalahi.

No laila he aha kēia `(Incompetent Cervix)`?

I kēia manawa ua maopopo iā ʻoe ke koʻikoʻi o ka cervix. Ma ke ʻano i kapa ʻia ʻo "Incompetent Cervix" a i ʻole "Cervical Insufficiency", ʻo kēlā puka palekana a mākou i kamaʻilio ai, ʻo ka cervix, lilo i nāwaliwali, pōkole, a hoʻomaka paha e wehe mua ma mua o ka ulu piha ʻana o ka pēpē, ma mua o 37 mau pule o ka wā hāpai.

Ua like kēia me ka wehe ʻana i ka puka i ka wā mua. He aha ka mea e hana ʻia inā hana ʻia kēia? ʻOi aku ka nui o ka hānau ʻia ʻana o ka pēpē me ka wā ʻole o ka manawa, ʻo ia hoʻi, ka hānau mua ʻana . I kekahi mau hihia, ʻoi aku hoʻi i ka lua o ka trimester (ma waena o nā pule 14 a me 27), hiki i kēia kūlana ke alakaʻi i ka hāʻule ʻana o ka pēpē. Hiki i kēia ke kumu i ka hānau ʻana o ka pēpē, ʻo ia hoʻi ka nalowale ʻana o kahi pēpē ma hope o 20 mau pule o ka hāpai ʻana.

ʻO ka mea nui, ʻo ka ʻike mua ʻana a me ka mālama kūpono e hiki ke hōʻemi nui i kēia pilikia. No laila, mai hopohopo.

Pehea ka maʻamau o kēia ʻano (Incompetent Cervix)? ʻO wai ka mea i ʻoi aku ka pilikia?

Wahi a nā helu helu, ʻike ʻia kēia ʻano (Incompetent Cervix) ma kahi o 1 i loko o 100 mau hāpai ʻana. ʻO ia hoʻi, ʻaʻole ia he mea maʻamau, akā ʻaʻole ia he mea e hoʻowahāwahā ʻia.

ʻOiai hiki i kekahi ke loaʻa i kēia maʻi, ʻoi aku ka nui o ka pilikia o kekahi poʻe. E nānā inā pili kēia mau ʻoiaʻiʻo iā ʻoe:

• Inā he ʻano ʻē ko kou o ka ʻōpū a i ʻole ka cervix: Hiki ke kū mai kēia pilikia ma muli o nā ʻokoʻa o ke ʻano o ka ʻōpū a i ʻole ka cervix i kekahi poʻe.
• Inā ua loaʻa iā ʻoe kahi hāʻule hapai i ka lua o ka trimester a i ʻole ka hānau mua ʻana ma kahi hāpai mua: He mea pilikia nui loa kēia.
• Inā ua hōʻino ʻia ka cervix a i ʻole ka uterus i ka wā hāpai a hānau keiki paha ma mua.
• Inā ua hana ʻia ke ʻoki kino ma kou cervix: No ka laʻana, ma hope o nā hoʻokolohua a i ʻole nā ​​​​lāʻau lapaʻau e like me `(LEEP)`.
• ʻO kekahi mau kūlana genetic: ʻO ka poʻe me nā maʻi genetic e hoʻonāwaliwali i nā ʻiʻo pili, e like me ka Ehlers-Danlos syndrome, hiki ke loaʻa iā lākou nā cervixes nāwaliwali.
• Ua hōʻike ʻia kekahi mau noiʻi he nui iki ka pilikia o nā wāhine ʻeleʻele a me nā makuahine e hāpai ana i nā māhoe a i ʻole nā ​​​​triplets (multiples) i kēia maʻi.

He aha nā hōʻailona o ka `(Incompetent Cervix)`?

Eia kahi e lilo ai i mea huikau iki. I ka hapanui o nā hihia, ʻaʻohe hōʻailona maopopo o ka cervix kūpono ʻole. E like me ka hānau mua ʻana, ʻaʻole paha e ʻike ʻia nā ʻūlū a i ʻole ka haki ʻana o ka wai i ka wā mua.

Akā hiki i kekahi poʻe ke loaʻa nā hōʻailona like me kēia:

• He manaʻo kaumaha a me ke kaomi ma ka ʻōpū lalo.
• ʻeha ka ʻōpū.
• Ka ʻike ʻana i kekahi manawa.
• He loli i ke kahe ʻana o ka ʻōpū (wai, mānoanoa, a koko paha).

No ka mea, he ʻano maʻalahi loa kēia mau hōʻailona, ​​manaʻo paha ʻoe ʻaʻohe mea koʻikoʻi. No laila he mea nui e wehe a ʻoiaʻiʻo me kāu kauka e pili ana i kou mōʻaukala olakino piha, ʻoiai nā hāʻule mua a i ʻole nā ​​hānau mua ʻana. A laila hiki i kāu kauka ke hoʻoholo inā he pilikia ʻoe a lawe i nā hana palekana hou aʻe inā pono.

He aha ke kumu o ka `(Incompetent Cervix)`? I ka manawa hea i ka wā hāpai e hana ʻia ai kēia?

ʻO kaʻoiaʻiʻo, ʻaʻole i ʻike ʻia ke kumu kikoʻī o ka "Incompetent Cervix". Akā, ua ʻike nā kauka he mea kōkua nā kumu pilikia a mākou i kūkākūkā ai ma mua (e like me ka hōʻino ʻana i ka cervix, ke ʻoki ʻana, a me nā kīnā hānau).

ʻOiai hiki ke loaʻa kēia ʻano i kēlā me kēia manawa i ka wā hāpai, ʻoi aku ka maʻamau i ka lua o ka trimester o ka hāpai ʻana, ma waena o nā pule 14 a me 27.

Pehea e hoʻoulu ai ka Cervix Incompetent i kahi hāʻule keiki?

ʻO ka hāʻule ʻana o ka pēpē ka nalowale ʻana o kahi pēpē ma mua o 20 mau pule o ka hāpai ʻana. E noʻonoʻo i kēia ʻano: ʻo ka cervix ka puka ma waena o ka uterus (kahi i hānau ʻia ai ke pēpē) a me ka vagina. Pono e pani ʻia kēia puka a hiki i ka hānau ʻana o ke pēpē. Akā i ke ʻano o kahi "Incompetent Cervix", wehe mua ʻia kēia puka. A laila hiki i ka pēpē ke puka i waho ma mua o ka ulu piha ʻana o nā ʻōpū a me nā iwi o ka pēpē. ʻO kēia kūlana "Incompetent Cervix" ke kuleana no kahi 25% o nā hāʻule ʻana o ka lua o ka trimester.

Akā, ʻo ka mea nui loa, ʻo ia ka holomua nui o nā lāʻau lapaʻau no kēia. No laila, mai hopohopo.

Hiki i kekahi kanaka me ka "Incompetent Cervix" ke hānau keiki i ka wā hāpai?

ʻAe, hiki nō ia! Me ka lāʻau kūpono, hiki nō ia. ʻO ka pahuhopu nui o ka mālama ʻana i kēia maʻi, ʻo ia ka pale ʻana i ka hānau mua ʻana a me ka mālama ʻana i ka pēpē i loko o ka ʻōpū no ka lōʻihi e hiki ai, e ʻae ana i kona mau kino e ulu pono.

Pehea e ʻike ai i ke kūlana `(Incompetent Cervix)`?

I kēlā me kēia manawa āu e hele ai i ke keʻena antenatal, e nīnau ke kauka iā ʻoe e pili ana i kou mōʻaukala olakino a me nā hōʻailona hāpai. Inā ua loaʻa iā ʻoe kahi hāʻule mua a i ʻole ua hana ʻia ke ʻoki ma kou cervix, mai poina e haʻi i ke kauka. Ma muli o kēia mau mea pilikia, hiki i ke kauka ke hoʻoholo e mālama pono i kou cervix.

ʻElua mau ʻano nui i hoʻohana ʻia no ka ʻike ʻana i ke kūlana "Incompetent Cervix":

1. Hoʻokolokolo Pelvic: Nānā ke kauka i ka cervix.

2. Ke nānā ʻana i ka ultrasound transvaginal: Ma kēia, hoʻokomo ʻia kahi mea liʻiliʻi ma o ka vagina a ana ʻia ka lōʻihi a me ka wehe ʻana o ka cervix.

Pehea e mālama ʻia ai ka `(Incompetent Cervix)`?

ʻO ka pahuhopu nui o ka mālama ʻana, ʻo ia ka mālama ʻana i ka hāpai ʻana no ka lōʻihi e hiki ai. ʻOiai he paʻakikī ke ʻike i kēia ʻano, he mea nui e makaʻala i nā mea pilikia. Na kāu kauka e hoʻoholo i ka lāʻau lapaʻau maikaʻi loa ma muli o kou ʻano a me kou mōʻaukala olakino.

Aia kekahi mau ʻano lapaʻau nui:

1. Kaʻapuni ʻana o ka ʻōpū

ʻO kēia ka lāʻau lapaʻau i hoʻohana pinepine ʻia a holomua hoʻi. I ka ʻōlelo maʻalahi, pili ia i ke humuhumu ʻana i kou cervix, e like me ka ʻeke e nakinaki ʻia ana. Hana pinepine ʻia kēia ma waena o 12 a me 14 mau pule o ka hāpai ʻana. A laila, i ka wā e hānau ai ke pēpē, ma kahi o 37 mau pule, wehe ʻia nā humuhumu. A laila hiki iā ʻoe ke hānau maʻamau.

Hiki i kāu kauka ke ʻōlelo aku i kahi Cerclage i nā hihia aʻe:

• Inā ua loaʻa iā ʻoe kahi hāʻule ʻana o ka lua o ka trimester ma mua.
• Inā ua hana ʻia kahi cerclage iā ʻoe i ka wā hāpai mua.

Akā, ʻaʻole hiki i nā kānaka a pau ke loaʻa kahi cerclage. ʻAʻole hana nā kauka i kēia ʻoki kino i nā hihia e like me kēia:

• Inā ʻoe e kali ana i nā māhoe, nā triplets a ʻoi aku paha. (ʻAʻohe hōʻike maopopo e hōʻemi ana ka cerclage i ka pilikia o ka hānau mua ʻana i kēia mau hihia.)
• Inā ua hoʻonui ʻia kou cervix ma kahi o 4 kenimika.
• Inā ua haki kāu ʻeke wai (ua haki nā membrane).

2. Nā mea hoʻohui Progesterone

Inā ʻoe e pilikia ana no ka "Incompetent Cervix," e ʻōlelo paha kāu kauka iā ʻoe e lawe i nā mea hoʻohui (nā pila a i ʻole nā ​​pessaries vaginal) i loaʻa ka hormone "Progesterone" mai ka trimester ʻelua. Kōkua kēia hormone i ka mālama ʻana i ka hāpai ʻana.

3. Hoʻonui ʻia ka nānā ʻana me nā scan ultrasound

Inā he mau kumu pilikia kou no ka `(Cervical Insufficiency)`, hiki i kāu kauka ke nānā i kou cervix me nā scan `(Transvaginal ultrasound)` maʻamau a hiki i kahi o 24 mau pule o ka hāpai ʻana. Inā ʻike ʻia e pōkole ana kou cervix, hiki i kāu kauka ke ʻōlelo aku i kahi `(Cerclage)`. Eia nō naʻe, hiki ke hana ʻia kahi `(Cerclage)` a hiki i kahi o 24 mau pule o ka hāpai ʻana.

He aha nā pilikia e hiki mai ana o ka `(Incompetent Cervix)`?

Hiki i ka cervix kūpono ʻole ke hana i nā pilikia, ʻo ia hoʻi nā hāʻule ʻana a me nā hānau mua ʻana .

ʻAʻole pinepine loa, hiki i ka cerclage ke hana i kekahi mau pilikia. Nā Laʻana:

• Ka haki ʻana o ka ʻōpū
• Ke kahe koko ʻana o loko
• ʻO ka ʻeha ma kou cervix
• Maʻi

Akā, he mau mea kākaʻikahi loa kēia. Hopohopo nui nā kauka no kēia.

Hiki ke pale ʻia ka `(Incompetent Cervix)`?

ʻO ka ʻoiaʻiʻo, ʻaʻohe mea hiki ke pale loa i ka ulu ʻana o kahi cervix kūpono ʻole. Eia nō naʻe, aia kekahi mau mea hiki iā ʻoe ke hana e kōkua ai i ka hōʻoia ʻana i ka hāpai kino olakino. Hiki i kēia mau mea ke kōkua ma ke ʻano ʻole:

• E hele i nā keʻena hāpai keiki i nā lā i hoʻonohonoho ʻia.
• E ʻai i ka meaʻai olakino a kaulike.
• E loaʻa i ka nui kūpono o ke kaumaha i ka wā hāpai.
• E pale loa i ka waiʻona, nā cigarette, a me nā lāʻau lapaʻau ʻē aʻe.
• E lawe i ka huaora prenatal i ʻōlelo ʻia e kāu kauka.
• E nīnau i kāu kauka ma mua o ka lawe ʻana i kekahi lāʻau lapaʻau a mea hoʻohui paha.

He aha kaʻu e manaʻo ai inā loaʻa iaʻu kahi "Incompetent Cervix"?

Mai hopohopo. He 90% ka holomua o ka Cerclage no ka cervix incompetent. ʻO ke ʻano kēia ua hiki i nā makuahine he nui ke hānau i kahi pēpē olakino kokoke i ko lākou lā hānau mahalo i kēia lāʻau lapaʻau.

Inā he "Incompetent Cervix" koʻu ma mua, e hana hou anei ia inā hāpai au?

ʻAe, inā loaʻa iā ʻoe kahi "Incompetent Cervix" i ka hāpai ʻana ma mua, aia ʻoe i ka pilikia o ka loaʻa ʻana o ke ʻano like i kāu hāpai ʻana aʻe. No laila, inā ʻoe e kali ana i kahi pēpē ʻē aʻe, he mea nui loa e ʻike i ke kauka a kamaʻilio e pili ana i kēia ma mua o kou hāpai ʻana. A laila hiki i ke kauka ke hāʻawi iā ʻoe i nā ʻōlelo aʻoaʻo e pono ai a kōkua iā ʻoe e loaʻa kahi hāpai palekana a olakino. Hiki paha iā ʻoe ke hana i kahi "Cerclage" i ka wā mua.

I ka manawa hea e pono ai iaʻu ke ʻike i ke kauka?

ʻO ka hapa pinepine, ʻike nā kauka i kahi cervix kūpono ʻole ma hope o ka hāʻule ʻana o ka lua o ka trimester a i ʻole ka hānau mua ʻana. Eia nō naʻe, inā ʻike ʻoe i nā hōʻailona o ka hāʻule ʻana i ka wā hāpai, e like me ke kahe ʻana o ke koko, ka ʻeha o ka ʻōpū ma lalo, a i ʻole ka ʻūlū ʻana o ka ʻōpū , e ʻike koke i ke kauka.

He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka?

Inā ua ʻike ʻia ʻoe me kahi maʻi "Incompetent Cervix", hiki iā ʻoe ke nīnau i kāu kauka e like me kēia:

• Pehea ka pilikia o ka loaʻa ʻana o kahi "Incompetent Cervix" iaʻu?
• He aha nā hōʻailona o nā pilikia e pono iaʻu e makaʻala?
• Pehea e ʻike ai au inā ua holomua ka lāʻau lapaʻau?
• Hiki iaʻu ke hoʻomau i kaʻu mau hana o kēlā me kēia lā e like me ka maʻamau?

Āhea e hiki ai iaʻu ke hoʻi i kaʻu mau hana maʻamau?

ʻAʻole pono ka hapa nui o ka poʻe me ka cervix hiki ʻole ke kaupalena i kā lākou hana o kēlā me kēia lā i ko lākou hāpai ʻana. Eia nō naʻe, ʻoi aku ka maikaʻi o ke kūkākūkā ʻana i kēia me kāu kauka e hōʻoia ai, ma muli o kou kūlana.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

ʻAe, mai nā mea a mākou i kūkākūkā ai, ke lana nei koʻu manaʻo ua loaʻa iā ʻoe kahi ʻike maikaʻi aʻe o ka `(Incompetent Cervix)` a i ʻole `(Cervical Insufficiency)`.

E hoʻomanaʻo, ʻo ka "Incompetent Cervix" ʻo ia ka wā e nāwaliwali ai ka cervix, pōkole, a hoʻomaka paha e wehe mua. Hiki i kēia ke alakaʻi i nā hāʻule ʻana a me nā hānau mua.

Hiki ke paʻakikī ke ʻike i kēia maʻi no ka mea ʻaʻole i loaʻa i nā kānaka a pau nā hōʻailona maopopo. No laila he mea nui e haʻi i kāu kauka i kāu mōʻaukala olakino piha, ʻoiai nā hāʻule mua a i ʻole nā ​​hānau mua ʻana. Eia kekahi, e haʻi i kāu kauka e pili ana i nā hōʻailona ʻē aʻe āu e ʻike ai i ka wā hāpai. E kōkua kēia ʻike i kāu kauka e hoʻoholo inā he pilikia ʻoe no ka `(Cervical Insufficiency)`.

ʻO ka nūhou maikaʻi, i ka hapanui o nā hihia, hiki ke mālama pono ʻia kēia ʻano me kahi ʻoki kino i kapa ʻia ʻo "Cerclage". No laila, mai makaʻu. E kamaʻilio me kāu kauka e pili ana i nā mea āpau me ka ʻike ākea. I loaʻa iā ʻoe ka ikaika e lawe mai i kahi pēpē olakino i kēia ao!

Nāwaliwali o ka ʻōpū, Cervix kūpono ʻole, ʻAʻole lawa ka ʻōpū, Hāpai, Hānau mua, Hoʻopau ʻana i ka hāpai keiki, Cerclage, Progesterone, Uterus, Ola kino o nā wāhine