Ukukhulelwa lixesha apho wonke umama enethemba elikhulu, kodwa kukho noloyiko oluncinci. Sisoloko sicinga ngempilo yomntwana nokuba yonke into iza kulunga na. Ngelo xesha, sithetha ngemeko osenokuba awukaze uve ngayo, kodwa ebaluleke kakhulu ukuyazi. Oko kukungasebenzi kakuhle komlomo wesibeleko, okanye njengoko oogqirha beyibiza , 'Incomplete Cervix' okanye 'Cervical Insufficiency' . Musa ukoyika xa usiva eli gama, ukuba unolwazi olufanelekileyo malunga noku kwaye ufumana unyango olufanelekileyo, unokuyilawula ngaphandle kweengxaki kwiimeko ezininzi.
Kalula nje, yintoni i-cervix engakwaziyo ukuzala?
Cinga ngesibeleko sakho (ingxowa apho umntwana wakho akhoyo) njengendlu encinci. Umlomo wesibeleko ngumnyango oya kuloo ndlu. Olu mnyango kufuneka uvalwe ngokuqinileyo de umntwana wakho akhule ngokupheleleyo, nto leyo ethatha malunga neeveki ezingama-37-40. Kulapho kuphela apho umntwana wakho angahlala ngokukhuselekileyo ngaphakathi esibelekweni sakho.
Nangona kunjalo, kwimeko ebizwa ngokuba yi-'Incompetent Cervix', olu cango luqala ukuvuleka ngaphandle kwesizathu okanye intlungu, malunga nokukhulelwa, ngaphambi kokuba umntwana akhule ngokupheleleyo. Umlomo wesibeleko uba buthathaka, ube mfutshane, kwaye uvuleke.
Kutheni ke le yingxaki?
Khawucinge nje, bekuya kwenzeka ntoni ukuba ucango lomntwana beluvulwa kwangethuba kakhulu? Umntwana bekuza kufuneka aphume. Kodwa ngelo xesha, amalungu abalulekileyo omntwana, njengemiphunga nentliziyo, ayengekakhuli ngokupheleleyo. Oku kunokubangela iingxaki ezimbini ezinkulu:
1. Ukuphuphuma kwesisu kwikota yesibini: Ukulahlekelwa ngumntwana ngaphambi kweeveki ezingama-20 zokukhulelwa.
2. Ukuzalwa ngaphambi kwexesha: Ukuzalwa komntwana ngaphambi kweeveki ezingama-37.
Le meko yenzeka kumntu omnye kwabayi-100 abakhulelweyo, ngoko ke kubalulekile ukuba uyiqaphele.
Ngubani osengozini enkulu yokuba nale meko?
Le meko inokwenzeka nakubani na, kodwa abanye abantu basengozini enkulu. Ugqirha wakho uza kukubuza ngembali yakho yempilo ukuze abone ukuba unayo na enye yezi zinto zinobungozi.
| Into enobungozi | Ingcaciso elula |
|---|---|
| Ukuphuphuma kwesisu kwangaphambili okanye ukuzalwa ngaphambi kwexesha | Eyona nto iphambili ebangela umngcipheko yimbali yokuphuphuma kwesisu okungenazintlungu, ingakumbi kwikota yesibini (phakathi kweveki ye-14 ukuya kweye-27) kukukhulelwa kwangaphambili. |
| Ukonakala komlomo wesibeleko okanye isibeleko | Ukuba umlomo wesibeleko wonakele ngenxa yokubeleka kwangaphambili, inkqubo efana nokukrazuka komlomo wesibeleko, i-D&C, okanye esinye isizathu. |
| Utyando lomlomo wesibeleko | Emva kwenkqubo efana ne-LLETZ okanye i-cone biopsy yomhlaza womlomo wesibeleko, umlomo wesibeleko usenokuba mfutshane kwaye ube buthathaka. |
| Iziphene zokuzalwa kwesibeleko okanye umlomo wesibeleko | Abanye abafazi banokuzalwa benemilo engaqhelekanga yesibeleko okanye yomlomo wesibeleko, nto leyo enokubangela ukuba umlomo wesibeleko ube buthathaka. |
| Iimeko zofuzo | Ukuba unezifo zemfuza ezenza buthathaka izicubu zomzimba ezinxibelelanayo, ezifana ne -Ehlers-Danlos syndrome , umlomo wakho wesibeleko nawo unokuba buthathaka. |
| Ukukhulelwa okuninzi | Le ngozi inokwanda xa abantwana abaninzi, njengamawele okanye amawele amathathu, besesibelekweni ngaxeshanye, njengoko kukho uxinzelelo olungakumbi kwisibeleko nakwisibeleko. |
Eyona nto ibalulekileyo kukuxelela ugqirha wakho zonke iinkcukacha malunga nokukhulelwa kwakho kwangaphambili kunye notyando ngaphandle kokufihla nantoni na . Loo lwazi luya kumnceda ukuba akunyamekele kakuhle.
Zithini iimpawu zale meko?
Le yeyona ngxaki inkulu apha. Uninzi lwexesha, akukho zimpawu zicacileyo 'zesibeleko esingakwaziyo'. Akukho ntlungu njengaxa uza kubeleka, kwaye amanzi akho awaphuki. Yonke into yenzeka buthule.
Nangona kunjalo, abanye abantu banokufumana iimpawu ezingabonakaliyo ezifana nezi phakathi kweveki ye-14 neye-20:
- Ukuziva uxinezelekile okanye ubunzima esiswini esisezantsi.
- Kuvakala ngathi kukho intlungu encinci emqolo wam.
- Utshintsho ekukhupheni ulwelo kwilungu lobufazi (lunokuba namanzi, lufane nencindi, okanye lube negazi elincinci).
- Ukuchola.
Ezi mpawu azibonakali kangako kangangokuba ngamanye amaxesha zinokungahoywa njengezinto eziqhelekileyo zokungakhululeki xa ukhulelwe. Ngoko ke ukuba uziva into engaqhelekanga, nokuba yinto encinci, ungaze unqikaze ukuxelela ugqirha wakho.
Ugqirha uyifumana njani le nto?
Le meko idla ngokuchongwa ngokujonga ngokusondeleyo umfazi obenengxaki ekukhulelweni kwakhe kwangaphambili. Ukuba unayo nayiphi na kwezi zinto zibalulekileyo ezikhankanyiweyo apha ngasentla, ugqirha wakho uza kukunyamekela ngokukodwa.
Oku kunokuchongwa ngeendlela ezimbini eziphambili:
1. Imbali yempilo: Ugqirha uza kukubuza ngokweenkcukacha malunga nokukhulelwa kwakho kwangaphambili, ukuphuphuma kwesisu, kunye notyando.
2. I-Transvaginal Ultrasound: Le yeyona ndlela ilungileyo yokuxilonga le meko. Kule meko, kufakwa isixhobo esincinci nge-vaginal kwaye ubude bomlomo wesibeleko bulinganiswa ngokuchanekileyo. Olu xikelelo lunokubona ngokucacileyo ukuba umlomo wesibeleko uyafinyezwa okanye uyavuleka njengoko ukukhulelwa kuqhubeka. Kwabo basengozini, ugqirha unokucebisa ukuba kuphindwe olu xikelelo emva kweveki enye okanye ezimbini emva kweveki ye-16 yokukhulelwa kwaye kuphinde kuphindwe emva kweveki yama-24.
Zithini iindlela zonyango kunye nolawulo lwale nto?
Ukuba le meko ifunyenwe, kukho iindlela ezahlukeneyo zonyango ezinokusetyenziswa ukwandisa ixesha lomntwana esibelekweni, nto leyo enokunceda ekuthinteleni ukuzalwa ngaphambi kwexesha. Ugqirha wakho uya kumisela unyango olufanelekileyo kuwe ngokusekelwe kwimeko yakho kunye nembali yempilo yakho.
| Indlela yonyango | Inkcazo |
|---|---|
| Umlomo wesibeleko | Le yeyona ndlela isetyenziswa kakhulu kwaye iphumelela kakhulu. Ngamafutshane, umthungo oqinileyo ubekwa ujikeleze umlomo wesibeleko obuthathaka uze uqiniswe ukuze uvalwe. Kufana nebhegi ebopha umlomo wesibeleko. Olu tyando ludla ngokwenziwa phakathi kweeveki ezili-12 neli-14. Emva koko, xa umntwana esondele ekuzalweni, malunga neeveki ezingama-37, umthungo uyasikwa uze ususwe. |
| Unyango lwehomoni yeprogesterone (izongezo zeprogesterone) | Iprogesterone yihormone enceda ukugcina ukukhulelwa. Kwabo banembali yokuzalwa ngaphambi kwexesha, le hormone inokunikwa njengepilisi okanye njenge-suppository yesibeleko ukususela kwi-trimester yesibini. Oku kunceda ukunciphisa ukubhitya kwesibeleko nokugcina umlomo wesibeleko uqinile. |
| Ukubekwa esweni rhoqo | Ukuba kukho umngcipheko, kodwa imeko ayinzima ngokwaneleyo ukuba ingadinga ukuthungwa, ugqirha wakho uya kwenza iiskeni rhoqo ukujonga umlomo wesibeleko sakho ukuba kukho naluphi na utshintsho kubude. Ukuba kukho naluphi na utshintsho olubonakalayo, unyango olufunekayo lunokuqaliswa ngoko nangoko. |
Ngaba wonke umntu angaba ne-cerclage?
Hayi. Kukho iimeko ezithile apho olu tyando lungacetyiswa. Umzekelo:
- Ukuba unamawele okanye ngaphezulu.
- Ukuba umlomo wesibeleko sele ungaphezulu kweesentimitha ezi-4, vula umlomo.
- Ukuba ii-membranes ziqhekekile.
- Ukuba kukho usulelo esibelekweni.
Ngamaxesha anje, ugqirha wakho uya kuthetha nawe ngezinye iindlela onokukhetha kuzo.
Ungacinga ngokukhulelwa kwakho okulandelayo?
Ewe, kunokwenzeka ngokuqinisekileyo. Kodwa ukuba ukhe waba ne-'Incompetent Cervix' ngexesha lokukhulelwa kwakho, usengozini yokuba nemeko efanayo xa ukhulelwe okulandelayo. Ngoko ke, ngaphambi kokuba ucinge ngokuba nomntwana omnye, dibana nogqirha wakho wezifo zabesifazane uze uxoxe ngale nto. Emva koko, ungajongwa ngokusondeleyo ukususela ekuqaleni kokukhulelwa kwakho okulandelayo, kwaye ukuba kuyimfuneko, thatha amanyathelo afana nokubeka i-cerclage kwangethuba.
Iindaba ezimnandi zezokuba i-cerclage iphumelele nge-90%. Oko kuthetha ukuba unethuba elihle lokugcina umntwana wakho kude kube ngumhla wokuzalwa. Ngoko ke ungakhathazeki.
Xa kufuneka ubone ugqirha ngoko nangoko
Nokuba ufumana unyango lwale meko okanye akunjalo, kubalulekile ukufuna ingcebiso yezonyango ngokukhawuleza ukuba ufumana nantoni na engaqhelekanga ngexesha lokukhulelwa. Ingakumbi ukuba uneempawu ezilandelayo, fowunela ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane.
- Ukuba kukho ulwelo olufana negazi okanye amanzi aphuma kwilungu lobufazi.
- Ukuba uziva iintlungu esiswini sakho esisezantsi okanye ukudumba.
- Ukuba ufumana iintlungu ezingaqhelekanga zomqolo.
- Ukuba uziva uxinzelelo esiswini sakho esisezantsi.
Umyalezo Wokuya Ekhaya
- 'I-Incompetent Cervix' kuxa umlomo wesibeleko uba buthathaka uze uqale ukuvuleka ngaphambi kokuba umntwana akhule ngokupheleleyo. Le yeyona nto ibangela ukuzalwa kwangaphambi kwexesha.
- Uninzi lwexesha, akukho zimpawu zicacileyo zale meko, ngoko ke kubaluleke kakhulu ukuxelela ugqirha wakho zonke iinkcukacha malunga nokuphuphuma kwesisu kwakho kwangaphambili kunye notyando.
- I-ultrasound scan ye-transvaginal ingafumanisa ukuvuleka komlomo wesibeleko kwangethuba.
- I-cervical cerclage lunyango olusebenzayo kakhulu koku.
- Ukuba unamathandabuzo okanye uxhalabile ngale nto, ungathandabuzi ukuxoxa ngayo nogqirha wakho. Ukhuseleko lwakho nolomntwana wakho zezona zinto zibalulekileyo.
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