Ukukhulelwa lixesha elikhethekileyo ebomini bomama. Nangona kunjalo, iingxaki ezininzi zempilo zinokuvela ngeli xesha. Kwabanye oomama, umlomo wesibeleko uqala ukuvula kwiiveki ezimbalwa ngaphambi komhla wokuzalwa olindelekileyo. Oku kunokukhokelela ekuzalweni kwangaphambi kwexesha. Namhlanje, sithetha ngonyango olukhethekileyo olucetyiswa ngoogqirha ngamaxesha anjalo omngcipheko. Oko kukuthi, ukubeka umthungo emlonyeni wesibeleko, okanye ngokwezonyango (Cervical Cerclage) .
Yintoni iCervical Cerclage?
Kulula kakhulu ukuyiqonda le nto. Cinga ngesibeleko sakho njengengxowa encinci. Umntwana ukhula ngokukhuselekileyo ngaphakathi kwesi sikhwama. Umlomo wesibeleko ngumlomo waloo ngxowa. Ngokwesiqhelo, umlomo wesi sikhwama, umlomo wesibeleko, kufuneka uhlale uvaliwe de umntwana azalwe.
Kodwa ngamanye amaxesha esi sibeleko sinokuba buthathaka. Emva koko, njengoko umntwana ekhula, isibeleko siqala ukuvula ngaphambi kwexesha. (I-Cervical Cerclage) kuxa isibeleko, esiza kuvulwa, sithungwa ngentambo eqinileyo kwaye siqiniswe. Ukuchaneka, kufana nokubopha ibhegi ngentambo . Oku kwenzelwa ukugcina umntwana ekhuselekile ngaphakathi kwesibeleko kude kube ngumhla wokuzalwa.
Kutheni ufanele wenze into efana nale?
Ugqirha wakho akacebisi olu nyango ngaphandle kwesizathu. Kusenokuba nezizathu ezininzi ezithile zaloo nto.
- I-Cervix Engasebenziyo: Le yeyona nto iphambili. Utyando lwangaphambili lwe-cervix, olufana neenkqubo ze-LEEP, lunokubangela ukuba i-cervix ibe buthathaka.
- Ukuphuphuma kwezisu kwangaphambili: Ukuba ukhe waphuphuma izisu, ingakumbi kwikota yesibini yokukhulelwa, oko kukuthi, phakathi kweenyanga ezi-3 nezi-6, unobangela usenokuba buthathaka bomlomo wesibeleko.
- Ukungaqheleki kwimilo yesibeleko: Ngamanye amaxesha le meko inokubangelwa lutshintsho oluthile oluzalwa nalo kwisibeleko.
Ngoko ke, ukuba ukhe waba neengxaki ngokukhulelwa kwangaphambili okanye wakha waphunyelwa zizisu, kubaluleke kakhulu ukuxelela ugqirha wakho ngako konke oku.
Olu thungo ludla ngokubekwa phakathi kweeveki ezili-12 ukuya kwezili-14 zokukhulelwa, oko kukuthi, ngaphambi kokuba umlomo wesibeleko uqale ukubhitya.
Kwenzeka ntoni ngaphambi nangexesha lonyango?
Ngaphambi koku, ugqirha uza kuhlola imbali yakho yonke yempilo. Emva koko uza kukuhlola.
Ngaphambi konyango
Umlomo wesibeleko sakho uza kuhlolwa nge-speculum, efana novavanyo lwePap. Usenokuba ne- transvaginal ultrasound scan. Uya kucetyiswa ukuba uphephe ukwabelana ngesondo kangangeveki ngaphambi kovavanyo. Kuqhelekile ukuba uzive unovalo okanye uxhalabile ngaphambi kolu vavanyo. Eli lixesha elifanelekileyo lokubuza ugqirha wakho nayiphi na imibuzo onokuba unayo.
Ngexesha lonyango
Oku kudla ngokuphela kwimizuzu embalwa.
1. Uza kucelwa ukuba ulale etafileni yovavanyo uze ubeke imilenze yakho kwizixhobo ezilungiselelwe ngokukodwa.
2. Emva koko uza kunikwa i-anesthetic yendawo ukuze uvale loo ndawo . Uza kuva ukuhlaba okuncinci xa unikwa inaliti, kodwa awuyi kuva ntlungu emva koko.
3. Emva kokwenza ukuba i-nausea ingasebenzi kakuhle, ugqirha usebenzisa umsonto oqinileyo ukuze abeke umthungo ojikeleze umlomo wesibeleko, awuqinise, aze awubophe.
Ngaba kukho iintlungu emva konyango?
Kuqhelekile ukuba nentlungu engathi yi-menstrual efana ne-mension kunye nokuqaqamba okuncinci kangangeentsuku ezimbalwa emva konyango. Musa ukukhathazeka. Iintlungu zihlala zilawulwa nge-paracetamol.
Kodwa khumbula, ukuba ufumana iintlungu zesisu ezinganyamezelekiyo, kufuneka ufowunele ugqirha wakho ngoko nangoko.
Emva konyango, uza kugcinwa phantsi koqwalaselo esibhedlele iiyure ezimbalwa, kwaye ukuba akukho ngxaki, uza kuthunyelwa ekhaya ngaloo mini inye. Usenokunikwa amayeza okubulala iintsholongwane ukuthintela usulelo. Kungcono uphumle kakuhle ngaloo mini. Ekubeni kuthatha malunga neentsuku ezili-10 ukuba imithungo iphole, ugqirha ukucebisa ukuba uphephe umsebenzi onzima kunye nokwabelana ngesondo ngelo xesha.
Ziziphi iingenelo kunye neengozi zale ndlela yonyango?
I-Cervical Cerclage yeyona ndlela ilungileyo nesebenzayo yokuthintela ukuzalwa ngaphambi kwexesha kumntu onomlomo wesibeleko obuthathaka. Iingenelo zayo zicacile. Kodwa njengalo naluphi na unyango lwezonyango, lukwanazo neengozi ezithile. Ugqirha uya kuhlala eyicebisa kuphela ukuba iingenelo zingaphezulu kweengozi.
| Umngcipheko / Ingxaki | Icacisiwe ngokulula |
|---|---|
| Usulelo | Kukho ithuba elincinci losulelo kwindawo yokuthungwa okanye esibelekweni. |
| Ukonakala komlomo wesibeleko | Kusenokubakho umonakalo omncinci emlonyeni wesibeleko ngexesha lonyango. |
| Ukuqhekeka kwangaphambi kwexesha kwee-membranes | Usana lungaphakathi kwingxowa yamanzi ebizwa ngokuba yi-amniotic fluid. Kukho umngcipheko omncinci wokuba oku kuya kuqhuma ngaphambi kwexesha. |
| Ukuzalwa ngaphambi kwexesha | Ngamanye amaxesha olu nyango lunokubangela ukuzalwa kwangaphambi kwexesha. |
| Ukuqhekeka komlomo wesibeleko | Ukuba ukuzala kuqala ngelixa kuthungwa, kukho umngcipheko wokukrazula umlomo wesibeleko okanye isibeleko. |
Zisuswa nini izititshi?
Ezi zithungo zihlala zishiywa endaweni yazo de ukhulelwe, nto leyo ethatha malunga neeveki ezingama-37 . Ukususa izithungo kulula kakhulu. Oku kungenziwa kanye eofisini kagqirha wakho.
Njengaxa kufakwa izithungo, uya kulaliswa etafileni yovavanyo, kwaye izithungo ziya kususwa kwimizuzu embalwa. Oku akudingi ne-anesthesia. Ukuzalwa kunokwenzeka nangaliphi na ixesha emva kokuba izithungo zisusiwe. Ukuba ngesizathu esithile amanzi akho ayaphuka ngaphambi koko, okanye ukuba ubeleka kuqala, izithungo ziya kususwa ngaphambi koko.
Ufanele ufowunele ugqirha nini ngoko nangoko?
Ukuba ufumana naziphi na ezi mpawu zilandelayo emva konyango, kufuneka uqhagamshelane nogqirha wakho ngokukhawuleza ngaphandle kokulibazisa .
| Uphawu | Yintoni ekufuneka uyiqwalasele |
|---|---|
| Umkhuhlane ophezulu | Ubushushu bomzimba obungaphezulu kwe-100°F (37.7°C). |
| Intlungu eza rhoqo | Ukuba intlungu esezantsi kwesisu, njengentlungu yokubeleka, ifika ize iphele ngamaxesha athile (ukudumba). |
| Ukuphuma kwamanzi kwilungu lobufazi okunuka kakubi | Ukuphuma kwamanzi kwilungu lobufazi elinuka kakubi kungaba luphawu losulelo. |
| Ukuqhekeka kwengxowa yamanzi okanye ukuvuza kwamanzi | Ukukhupha ulwelo olumanzi rhoqo oluvela kwilungu lobufazi. |
| Ukopha kakhulu | Akuyonto nje amathontsi ambalwa egazi, kodwa kuphuma igazi elininzi. |
Kuqhelekile ukuba noloyiko xa usiva ngolu nyango. Kodwa lunyango oluphumelele malunga ne-90% . Ukuba le meko iyenzeka kukukhulelwa okukodwa, kusenokwenzeka ukuba ivele kukukhulelwa okulandelayo. Ngoko ke kubalulekile ukuthetha ngokukhululekileyo nogqirha wakho kwaye ucebe ukukhulelwa okunempilo.
Umyalezo Wokuya Ekhaya
- I-Cervical Cerclage lunyango olusebenzayo kakhulu lokuqinisa umlomo wesibeleko obuthathaka nokuthintela ukuzalwa ngaphambi kwexesha.
- Oku kudla ngokwenziwa phakathi kweeveki ezili-12 ukuya kwezili-14 zokukhulelwa.
- Kuqhelekile ukuba nentlungu encinci kunye nokopha kangangeentsuku ezimbalwa emva konyango. Nangona kunjalo, ukuba ufumana iintlungu eziqatha, umkhuhlane, okanye ukopha kakhulu, kufuneka ufune uncedo lwezonyango ngokukhawuleza.
- Kubaluleke kakhulu ukulandela icebiso likagqirha wakho, ingakumbi malunga nokuphumla kunye nemiqathango yokusebenza.
- Ungaze ungathandabuzi ukuxoxa ngokukhululekileyo ngayo nayiphi na inkxalabo okanye uloyiko onalo nogqirha wakho.
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