Ukuba ukhulelwe, ithemba lakho elikhulu kukuzala umntwana ophilileyo emhlabeni. Kodwa ngamanye amaxesha, nokuba kungenxa yokuba ukhe waphunyelwa sisisu ngaphambili okanye kuba ugqirha wakho ekuxelele ukuba umlomo wakho wesibeleko ubuthathaka kancinci, usenokuba nexhala lokuba isibeleko sakho siya kuvulwa ngaphambi kokuba umntwana azalwe. Namhlanje, siza kuthetha ngonyango olukhethekileyo olwenziwayo ukuthintela ukuzalwa kwangaphambi kwexesha koomama abasengozini. Oko kubizwa ngokuba yi-cervical cerclage.
Yintoni iCervical Cerclage?
Ngamafutshane, le yi-suture ekhethekileyo egcina umngxuma wesibeleko sakho, okanye umlomo wesibeleko , uvaliwe kakuhle ngexesha lokukhulelwa kwakho . Cinga ngesibeleko sakho njengebhegi encinci. Umntwana wakho ungaphakathi. Umngxuma wesibeleko sakho ngumqolo webhegi. Ngamanye amaxesha, umngxuma wesi sikhwama unokukhululeka. Emva koko into exabisekileyo engaphakathi, umntwana wakho, izama ukuphuma ngaphambi kwexesha.
Ngoko ke, kwi-`(Cervical Cerclage)`, ugqirha usebenzisa intambo eqinileyo ukuvala umlomo webhegi, oko kukuthi, umlomo wesibeleko, onokukhululeka. Oku kuvumela umntwana ukuba ahlale ngokukhuselekileyo ngaphakathi kwesibeleko kude kube malunga neeveki ezingama-37, oko kukuthi, de umntwana akhule kakuhle.
Kutheni kucetyiswa ukuba kwenziwe umthungo wesibeleko?
Ayinguye wonke umfazi okhulelweyo oya kuyidinga le nto. Ugqirha wakho uya kucebisa olu nyango kuphela ukuba kukho izizathu ezithile. Kungoko ke kubaluleke kakhulu ukuba uthethe ngokukhululekileyo nogqirha wakho malunga nokukhulelwa kwakho kwangaphambili kunye notyando.
| Isizathu | Ingcaciso elula |
|---|---|
| I-Cervix engakwaziyo ukusebenza | Ukuba umlomo wesibeleko ubuthathaka ngenxa yotyando lwangaphambili (njenge- LEEP ) okanye ezinye izizathu, umlomo wesibeleko ungavuleka ngokuzenzekelayo ngexesha lokukhulelwa kuba awukwazi ukuthwala ubunzima bomntwana. |
| Ukuphuma kwesisu kwikota yesibini | Ukuba ukhe waphunyelwa sisisu ngaphandle kwentlungu phakathi kokukhulelwa (phakathi kweenyanga ezi-4-6), unobangela usenokuba buthathaka bomlomo wesibeleko. |
| Izinto ezingaqhelekanga kwisibeleko okanye emlonyeni wesibeleko | Ukuba imo yesibeleko itshintshile okanye umlomo wesibeleko wonakele ukususela ekuzalweni, oku kusenokwenzeka ukuba kubangele ukuphuphuma kwesisu kwangaphambili. |
Olu thungo ludla ngokwenziwa phakathi kweeveki ezili-12 ukuya kwezili-14 zokukhulelwa, ngaphambi kokuba umlomo wesibeleko uqale ukubhitya nokuvuleka.
Kwenzeka ntoni ngaphambi nangexesha lotyando?
Kuqhelekile ukuba noloyiko noloyiko xa ujongene nento efana nale. Ngoko ke, buza ugqirha wakho nayiphi na imibuzo onayo.
Ngaphambi kotyando...
Ngaphambi kotyando, ugqirha wakho uza kuthatha imbali epheleleyo yezonyango . Uza kuhlola umlomo wesibeleko sakho esebenzisa i-speculum, efana ne-Pap smear. Usenokuba ne-ultrasound ye-transvaginal . Oku kuya kunceda ukujonga ubude kunye nemeko yomlomo wesibeleko sakho. Ngokwesiqhelo uya kucetyiswa ukuba ungabelani ngesondo iveki ngaphambi kotyando.
Ngexesha lotyando…
Olu lutyando oluncinci oludla ngokwenziwa esibhedlele kwaye aluthathi xesha lide.
- Uza kucelwa ukuba ulale etafileni yokuhlolwa kwaye ucelwe ukuba ubeke imilenze yakho kwizixhobo ezikhethekileyo.
- Emva koko, kufakwa i-anesthetic yendawo ukuze ivale indawo ejikeleze umlomo wesibeleko sakho ukuze ungeva ntlungu . Usenokuva ukuhlaba okuncinci xa inaliti ifakwa, kodwa awuyi kuva ntlungu emva koko.
- Wakuba uphelelwe ngamandla, ugqirha uza kusebenzisa umsonto oqinileyo ukubeka umthungo ojikeleze umlomo wesibeleko, awuqinise aze awuvale kakuhle.
Ingaba oku kubuhlungu? Kwenzeka ntoni emva kotyando?
Kwiintsuku ezimbalwa emva kotyando, unokufumana ukuqaqamba okuncinci kunye namabala esiswini sakho esisezantsi, okufana nokuya kwakho exesheni. Oku kuqhelekile. Intlungu ayisoloko imbi kakhulu. Ukuba ufumana nayiphi na intlungu, ungathatha into efana ne -paracetamol . Nangona kunjalo, ukuba ufumana intlungu enkulu esiswini enganyamezelekiyo , kufuneka ufowunele ugqirha wakho ngoko nangoko.
Uza kugcinwa esibhedlele ukuze ujongwe iiyure ezimbalwa emva kotyando kwaye uza kuthunyelwa ekhaya ngaloo mini ukuba akukho ngxaki. Unganikwa nee-antibiotics ukuthintela usulelo.
Eyona nto ibalulekileyo kukuphumla kakuhle ngomhla wotyando. Musa ukuya emsebenzini okanye ukwenza eminye imisebenzi enzima. Ekubeni kuthatha malunga neentsuku ezisi-7 ukuya kwezili-10 ukuba imithungo iphole, kubalulekile ukulandela imiyalelo kagqirha ngelo xesha.
Zithini iingenelo kunye neengozi zokuthunga umlomo wesibeleko?
Le yeyona ndlela ilungileyo nesebenzayo yokuthintela ukuzalwa kwangaphambi kwexesha kumama onomlomo wesibeleko obuthathaka. Olu nyango lunezinga eliphezulu lempumelelo eliphantse libe yi-90%. Nangona kunjalo, njengalo naluphi na unyango lwezonyango, kukho iingozi ezincinci kakhulu. Ugqirha ucebisa olu nyango kuba iingenelo zingaphezulu kakhulu kwezi ngozi.
| Iingozi/Iingxaki Ezibalulekileyo | |
|---|---|
| Usulelo | Kukho ithuba elincinci losulelo lomlomo wesibeleko. |
| Ukopha | Ukopha okuncinci ngexesha okanye emva kotyando. |
| Ukuqhekeka kwangaphambi kwexesha kwee-membranes | Ukuqhekeka kwangaphambi kwexesha kwee-membranes ezijikeleze umntwana. |
| Ukonakala komlomo wesibeleko | Ukonakala okanye amanxeba emlonyeni wesibeleko ngexesha lokufakwa komthungo okanye ukuzalwa. |
| Ukuzala kwangaphambi kwexesha | Kukho ithuba elincinci kakhulu lokuba iintlungu zokubeleka zinokwenzeka ngenxa yotyando ngokwalo. |
Uza kususwa nini lo mthungo?
Xa ukhulelwe iiveki ezingama-37 , oko kuthetha ukuba umntwana ukulungele ukuphuma ekhuselekile, ugqirha wakho uza kuyisusa le mithungo. Oku kulula kakhulu. Uza kubekwa etafileni yovavanyo, njengoko wawunjalo xa imithungo yayibekwa, kwaye imithungo iya kunqunyulwa kwaye isuswe kwimizuzu embalwa. Oku kuthetha ukuba umntwana ukulungele ukuphuma ekhuselekile, ugqirha wakho uza kuyisusa le mithungo.Akukho mfuneko ye -anesthesia .
Nokuba amanzi akho aqhekeka ngequbuliso ngaphambi koko, okanye ukuba iintlungu zokubeleka ziqala, ugqirha uza kuyisusa loo mithungo ngoko nangoko.
Ziziphi iimeko apho kufuneka ufowunele ugqirha ngoko nangoko?
Ukuba ufumana naziphi na kwezi mpawu zilandelayo emva kotyando, kufuneka uqhagamshelane nogqirha wakho ngokukhawuleza ngaphandle kokulibazisa. Ukuba kuyimfuneko, yiya kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
| Iimpawu zesilumkiso ekufuneka uziqaphele | |
|---|---|
| 🌡️ Umkhuhlane ophezulu | Ukuba ubushushu bomzimba bungaphezulu kwama-37.7 degrees Celsius (100 Fahrenheit). |
| 😖 Intlungu eza rhoqo | Ukuba iintlungu zesisu esisezantsi, njengeentlungu zokubeleka, ziyaqhubeka nokuza ngamaxesha afanayo. |
| 👃 Ukuphuma kwamanzi okunevumba elibi | Ukuba kukho ulwelo oluphuma kwilungu lobufazi olunevumba elibi. |
| 💧 Iingxowa zamanzi ziyaphuka okanye ziyavuza | Ukuba kukho into efana namanzi ephuma kwilungu lobufazi. |
| 🩸 Ukopha kakhulu | Ukuba ukopha kukhulu kunesiqhelo. |
Umyalezo Wokuya Ekhaya
- I-cervical cerclage yindlela esebenzayo nekhuselekileyo yokuthintela ukuzalwa kwangaphambi kwexesha kumama onomlomo wesibeleko obuthathaka.
- Oku akuyonto emele yenziwe ngumntu wonke. Oogqirha bacebisa kuphela oomama abaneengxaki ezithile zokukhulelwa .
- Emva kotyandoKubaluleke kakhulu ukulandela imiyalelo kagqirha ngokuchanekileyo (ukuphumla, ukuphepha umsebenzi onzima, kunye nokuphepha ukulala nomntu).
- Thetha ngokukhululekileyo nogqirha wakho malunga naluphi na uloyiko okanye iinkxalabo onokuba nazo. Oku kuya kukunceda wenze izigqibo ezinolwazi kwaye ukhululeke engqondweni.
- Ukuba ufumana naziphi na iimpawu ezilumkisayo (umkhuhlane ophezulu, iintlungu, ukopha kakhulu ) , funa ingcebiso kagqirha ngokukhawuleza.
Ukuzala kwesibeleko, ukuthintela ukuqhomfa, ukuzalwa ngaphambi kwexesha, impilo yokukhulelwa, isibeleko, ukungasebenzi kakuhle kwesibeleko
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