Kodi chiberekero chanu chidzatsegulidwa msanga? (Chiberekero Chosakwanira) - Musachite mantha, tiyeni tidziwe izi!

Chisangalalo chomwe mumamva mukayembekezera kukhala mayi sichingathe kufotokozedwa. Komabe, ndi zachilendo kumva mantha komanso kuda nkhawa ndi zinthu zazing'ono kwambiri. Lero tikambirana za vuto lomwe amayi ena amakumana nalo panthawi ya mimba, koma silimanenedwa kwambiri. Izi zikutanthauza kuti, chiberekero chimafooka, chimafupika kapena kutsegulidwa msanga. Madokotala amatcha izi `(Chiberekero Chosakwanira)` kapena `(Kulephera kwa Chiberekero)`. Musachite mantha mukamva izi, chifukwa ngati mwadziwitsidwa bwino za izi ndikupeza chithandizo chofunikira, nthawi zambiri mutha kubweretsa mwana wathanzi padziko lapansi popanda vuto lililonse.

Kodi khomo lachiberekero ndi chiyani? N’chifukwa chiyani lili lofunika kwambiri?

Chabwino, choyamba tiyeni timvetse tanthauzo la chiberekero ichi. Chiberekero ndi komwe mwana wanu amakulira m'mimba mwanu. Gawo la pansi la chiberekero, lomwe lili ngati pakamwa pa botolo, komwe limalumikizana ndi nyini, ndi lomwe timatcha chiberekero.

Taganizirani izi ngati chitseko chotetezeka . Chitsekochi chiyenera kutsekedwa komanso kukhala cholimba nthawi yonse ya mimba. Pokhapokha mwana angakule bwino mkati mwa chiberekero mpaka tsiku lobadwa. Pamene mwana akuyandikira kubadwa, ndiko kuti, pamene kubereka kukuyandikira, chiberekerochi chimafewa pang'onopang'ono, chimafupikitsidwa (timachitcha kuti 'kutuluka') ndikuyamba kutseguka (izi zimatchedwa 'kukulirakulira') . Pokhapokha mwanayo angatuluke mosavuta.

Ndiye kodi `(Chiberekero Chosakhoza)` ichi n'chiyani?

Tsopano mwamvetsa kufunika kwa chiberekero. Pa vuto lotchedwa ``Incompetent Cervix'' kapena ``Cervical Insufficiency'', chitseko chotetezeka chomwe tidalankhula, chiberekero chimakhala chofooka, chachifupi, kapena chimayamba kutseguka msanga mwana asanakule bwino, nthawi ya mimba isanafike milungu 37.

Izi zili ngati kutsegula chitseko msanga. Nanga bwanji ngati izi zitachitika? Mwana amakhala ndi mwayi wobadwa msanga, kutanthauza kubadwa msanga . Nthawi zina, makamaka mu trimester yachiwiri (pakati pa masabata 14 ndi 27), vutoli lingayambitsenso kutaya mimba . Izi zingayambitsenso kubadwa kwa mwana wakufa, komwe ndi kutayika kwa mwana pambuyo pa masabata 20 a mimba.

Chofunika kwambiri ndichakuti kuzindikirika msanga ndi kulandira chithandizo choyenera kungachepetse kwambiri chiopsezochi. Choncho musachite mantha.

Kodi vutoli (Incompetent Cervix) ndi lofala bwanji? Ndani ali pachiwopsezo chachikulu?

Malinga ndi ziwerengero, vutoli (Incompetent Cervix) limapezeka pa mimba imodzi mwa 100. Izi zikutanthauza kuti si lofala kwambiri, koma si chinthu choti munthu anganyalanyaze.

Ngakhale kuti aliyense akhoza kudwala matendawa, ena ali pachiwopsezo chachikulu. Onani ngati izi zikukukhudzani:

• Ngati muli ndi mawonekedwe obadwa nawo a chiberekero kapena chiberekero: Chiwopsezochi chingachitike chifukwa cha kusiyana kwa momwe chiberekero kapena chiberekero chilili mwa anthu ena.
• Ngati munataya mimba mu trimester yachiwiri kapena munabereka msanga pa mimba yapitayi: Ichi ndi chinthu chofunikira kwambiri chomwe chingakubweretsereni chiopsezo.
• Ngati khomo lachiberekero kapena chiberekero chawonongeka panthawi ya mimba kapena kubereka.
• Ngati mudachitidwa opaleshoni pachibelekero chanu: Mwachitsanzo, mutalandira mayeso kapena chithandizo monga `(LEEP)`.
• Matenda ena a majini: Anthu omwe ali ndi matenda a majini omwe amafooketsa minofu yolumikizana, monga Ehlers-Danlos syndrome, angakhalenso ndi chiberekero chofooka.
• Kafukufuku wina akusonyeza kuti akazi akuda ndi amayi omwe akuyembekezera mapasa kapena atatu (ochuluka) nawonso ali pachiwopsezo chachikulu cha vutoli.

Kodi zizindikiro za `(Chiberekero Chosakhoza)` ndi ziti?

Apa ndi pomwe zimasokoneza pang'ono. Nthawi zambiri, palibe zizindikiro zoonekeratu za chiberekero chosagwira ntchito bwino. Monga momwe zimakhalira ndi nthawi yobereka mwana asanakwane nthawi yobereka, kupweteka kwa mimba kapena kusweka kwa madzi sikungawonekere poyamba.

Koma anthu ena akhoza kukhala ndi zizindikiro monga izi:

• Kumva kulemera ndi kupanikizika m'mimba mwanu.
• Kuwawa kwam'mimba.
• Kuwona malo nthawi zina.
• Kusintha kwa kutuluka kwa madzi m'mimba (kokhala ndi madzi, kokhuthala, kapena magazi).

Chifukwa zizindikirozi sizili zoonekeratu, mungaganize kuti sizowopsa. Ndicho chifukwa chake ndikofunikira kukhala womasuka komanso woona mtima ndi dokotala wanu za mbiri yanu yonse ya thanzi, makamaka kutaya mimba kulikonse kapena kubereka msanga. Dokotala wanu amatha kudziwa ngati muli pachiwopsezo ndikuchitapo kanthu kowonjezera ngati pakufunika kutero.

Kodi n’chiyani chimayambitsa `(Chiberekero Chosakwanira)`? Kodi izi zimachitika pa nthawi ya mimba liti?

Kunena zoona, chomwe chimayambitsa ``Chiberekero Chosakwanira'' sichinapezekebe. Koma madokotala akudziwa kuti zinthu zomwe takambirana kale (monga kuwonongeka kwa chiberekero, opaleshoni, ndi zilema zobadwa nazo) zimayambitsa vutoli.

Ngakhale vutoli likhoza kuchitika nthawi iliyonse panthawi ya mimba, limapezeka kwambiri mu trimester yachiwiri ya mimba, pakati pa masabata 14 ndi 27.

Kodi chiberekero chosakwanira chimayambitsa bwanji mimba?

Kutaya mimba ndi imfa ya mwana asanakwanitse milungu 20 ya mimba. Taganizirani izi motere: khomo lachiberekero ndi khomo pakati pa chiberekero (komwe mwana amabadwira) ndi nyini. Khomoli liyenera kukhala lotsekedwa mpaka mwana atabadwa. Koma ngati ``Mbereko Wosakwanira``, khomoli limatseguka msanga. Kenako mwana amatha kutuluka ziwalo ndi mafupa a mwana asanakule bwino. Vuto la ``Mbereko Wosakwanira`` ndi lomwe limayambitsa pafupifupi 25% ya kutayika mimba kwa miyezi iwiri.

Koma chofunika kwambiri ndichakuti mankhwala a izi nthawi zambiri amakhala opambana kwambiri. Choncho musadandaule.

Kodi munthu amene ali ndi ``Incompetent Cervix`` angakhale ndi mwana nthawi yobereka?

Inde, n'zotheka ndithu! Ndi chithandizo choyenera, n'zotheka. Cholinga chachikulu chochiza vutoli ndikuletsa kubadwa msanga komanso kusunga mwana m'mimba kwa nthawi yayitali momwe angathere, zomwe zimathandiza kuti ziwalo zake zikule bwino.

Kodi mungazindikire bwanji vuto la `(Chiberekero Chosakwanira)`?

Nthawi iliyonse mukapita ku chipatala cha amayi oyembekezera, dokotala adzakufunsani mafunso okhudza mbiri yanu ya thanzi komanso zizindikiro za mimba. Ngati mudapitapo padera kapena mudachita opaleshoni pachibelekero chanu, musaiwale kuuza dokotalayo. Kutengera ndi zoopsa izi, dokotalayo angasankhe kusamalira kwambiri khomo lanu lachiberekero.

Pali njira ziwiri zazikulu zomwe zimagwiritsidwa ntchito pozindikira matenda a ``Incompetent Cervix``:

1. Kuyezetsa m'chiuno: Dokotala amayezetsa khomo lachiberekero.

2. Kujambula kwa ultrasound kwa transvaginal: Mu izi, chida chaching'ono chimayikidwa kudzera mu nyini ndipo kutalika ndi kutseguka kwa chiberekero kumayesedwa.

Kodi `(Chiberekero Chosakhoza)` chimachiritsidwa bwanji?

Cholinga chachikulu cha chithandizo ndikukhala ndi mimba kwa nthawi yayitali momwe zingathere. Popeza vutoli limakhala lovuta kulizindikira, ndikofunikira kudziwa zoopsa zake. Dokotala wanu adzasankha chithandizo chabwino kwambiri kutengera vuto lanu komanso mbiri yanu yachipatala.

Pali njira zingapo zazikulu zochizira:

1. Chitseko cha khomo lachiberekero

Uwu ndi mankhwala omwe amagwiritsidwa ntchito kwambiri komanso opambana. Mwachidule, umaphatikizapo kusoka chiberekero chanu mwa opaleshoni, ngati thumba lomwe limamangidwa. Izi nthawi zambiri zimachitika pakati pa masabata 12 ndi 14 a mimba. Kenako, mwana akafika pa masabata 37, masokisiwo amachotsedwa. Kenako mutha kubereka mwana mwachibadwa.

Dokotala wanu angakulangizeni kuti mugwiritse ntchito cerclage pazochitika zotsatirazi:

• Ngati munali ndi mimba yotaya kale mu trimester yachiwiri.
• Ngati munachitidwapo opaleshoni ya cerclage mu mimba yapitayi.

Koma si aliyense amene angapatsidwe opaleshoni ya cerclage. Madokotala sachita opaleshoni imeneyi pazochitika ngati izi:

• Ngati mukuyembekezera mapasa, ana atatu kapena kuposerapo. (Palibe umboni womveka bwino wosonyeza kuti cerclage imachepetsa chiopsezo chobereka mwana asanakwane nthawi m'matenda awa.)
• Ngati chiberekero chanu chatsegulidwa kale pafupifupi masentimita 4.
• Ngati thumba lanu la madzi lasweka (nembanemba zasweka).

2. Zowonjezera za Progesterone

Ngati muli pachiopsezo cha "Mbereko Wosakwanira," dokotala wanu angakuuzeni kuti mumwe mankhwala owonjezera (mapiritsi kapena vaginal pessaries) okhala ndi hormone ya "Progesterone" kuyambira trimester yachiwiri. Homoni iyi imathandiza kuti mimba ikhalebe.

3. Kuwunika kowonjezereka pogwiritsa ntchito ma ultrasound scans

Ngati muli ndi zinthu zomwe zingakupangitseni kukhala ndi vuto la `(Cervical Insufficiency)`, dokotala wanu angayang'anire chiberekero chanu pogwiritsa ntchito `(Transvaginal ultrasound)` nthawi zonse mpaka milungu 24 ya mimba. Ngati chiberekero chanu chikuoneka kuti chikufupika, dokotala wanu angakulangizeni kuti muyike `(Cerclage)`. Komabe, `(Cerclage)` nthawi zambiri imatha kuchitika mpaka milungu 24 ya mimba.

Kodi ndi mavuto otani omwe angayambitse `(Incompetent Cervix)`?

Chibelekero chosagwira bwino ntchito chingayambitse mavuto, makamaka kutaya mimba ndi kubereka mwana asanakwane nthawi .

Kawirikawiri, cerclage ingayambitse mavuto ena. Zitsanzo:

• Kuphulika kwa chiberekero
• Kutuluka magazi mkati
• Kutupa kwa chiberekero chanu
• Matenda

Koma izi ndi zinthu zosowa kwambiri. Madokotala akuda nkhawa kwambiri ndi izi.

Kodi `(Chiberekero Chosakwanira)` chingapewedwe?

Ndipotu, palibe amene angaletse kukula kwa chiberekero cholephera kugwira ntchito. Komabe, pali zinthu zomwe mungachite kuti mutsimikizire kuti muli ndi mimba yabwino. Izi zingathandize mwanjira ina:

• Pitani kuzipatala zoyembekezera pa masiku omwe akonzedwa.
• Idyani zakudya zopatsa thanzi komanso zopatsa thanzi.
• Pezani kulemera koyenera panthawi ya mimba.
• Pewani mowa, ndudu, ndi mankhwala ena osokoneza bongo.
• Imwani vitamini yoperekedwa ndi dokotala wanu pa nthawi ya mimba.
• Funsani dokotala wanu musanamwe mankhwala ena kapena zowonjezera.

Kodi ndiyenera kuyembekezera chiyani ngati ndili ndi ``Chiberekero Chosakwanira''?

Musadandaule. Cerclage ndi mankhwala opambana 90% a chiberekero chosagwira ntchito bwino. Izi zikutanthauza kuti amayi ambiri atha kubereka mwana wathanzi pafupi ndi tsiku lawo lobadwa chifukwa cha mankhwalawa.

Ngati ndikanakhala ndi ``Incompetent Cervix'' kale, kodi zidzachitikanso ndikatenga mimba?

Inde, ngati munali ndi ``Chiberekero Chosakwanira`` pa mimba yapitayi, muli pachiwopsezo chokhala ndi vuto lomweli pa mimba yanu yotsatira. Chifukwa chake, ngati mukuyembekezera mwana wina, ndikofunikira kwambiri kukaonana ndi dokotala ndikukambirana izi musanayambe kutenga mimba. Kenako dokotalayo angakupatseni upangiri wofunikira ndikukuthandizani kukhala ndi mimba yotetezeka komanso yathanzi. Muthanso kuchita ``Cerclage`` msanga.

Ndiyenera kupita kwa dokotala nthawi yanji?

Kawirikawiri, madokotala amazindikira chiberekero chosagwira ntchito bwino pambuyo pa mimba ya trimester yachiwiri kapena kubadwa msanga. Komabe, ngati mukumva zizindikiro za mimba yapita panthawi ya mimba, monga kutuluka magazi, kupweteka m'mimba, kapena kupweteka m'mimba , pitani kwa dokotala nthawi yomweyo.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala?

Ngati mwapezeka ndi vuto la "Incompetent Cervix", mutha kufunsa dokotala mafunso monga:

• Kodi ndi zoopsa bwanji kwa ine kukhala ndi ``Chiberekero Chosakwanira''?
• Ndi zizindikiro ziti za mavuto zomwe ndiyenera kuyang'anitsitsa?
• Ndingadziwe bwanji ngati chithandizocho chapambana?
• Kodi ndingapitirize ntchito zanga za tsiku ndi tsiku monga mwachizolowezi?

Kodi ndingabwerere liti ku zochita zanga zachizolowezi?

Anthu ambiri omwe ali ndi chiberekero chosagwira ntchito bwino safunika kuchepetsa zochita zawo za tsiku ndi tsiku panthawi ya mimba yawo. Komabe, ndi bwino kukambirana izi ndi dokotala wanu kuti atsimikizire, kutengera momwe zinthu zilili.

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, kuchokera pa zomwe takambiranazi, ndikukhulupirira kuti mwamvetsetsa bwino za `(Incompetent Cervix)` kapena `(Cervical Insufficiency)`.

Kumbukirani, "Mbereko Wosakwanira" ndi pamene khomo lachiberekero limakhala lofooka, lalifupi, kapena limayamba kutseguka msanga. Izi zingayambitse kutaya mimba ndi kubereka msanga.

Vutoli likhoza kukhala lovuta kulizindikira chifukwa si aliyense amene ali ndi zizindikiro zoonekeratu. Ndicho chifukwa chake ndikofunikira kuuza dokotala wanu mbiri yanu yonse yachipatala, makamaka kutaya mimba kulikonse kapena kubereka mwana msanga. Komanso, uzani dokotala wanu za zizindikiro zachilendo zomwe mumakumana nazo panthawi ya mimba. Izi zithandiza dokotala wanu kudziwa ngati muli pachiwopsezo cha `(Kulephera kwa Khomo la M'chiberekero)`.

Nkhani yabwino ndi yakuti nthawi zambiri, vutoli lingathe kuchiritsidwa bwino ndi opaleshoni yotchedwa ``Cerclage''. Choncho musachite mantha. Lankhulani ndi dokotala wanu za chilichonse momasuka. Mupeze mphamvu zobweretsera mwana wathanzi padziko lapansi!

Kufooka kwa khosi, Khomo Losagwira Ntchito, Kusakwanira kwa khosi, Mimba, Kubereka msanga, Kuchotsa Mimba, Kutupa kwa chiberekero, Progesterone, Chiberekero, Thanzi la Akazi