Ngaba umlomo wakho wesibeleko uza kuvulwa ngaphambi kwexesha? (I-Cervix engasebenzi kakuhle) - Musa ukoyika, masiqaphele oku!

Uvuyo oluvayo xa ulindele ukuba ngumama alunakuchazwa. Nangona kunjalo, kuyinto eqhelekileyo ukuziva usoyika kwaye ukhathazekile nangezinto ezincinci. Namhlanje siza kuthetha ngemeko abanye oomama abajongana nayo ngexesha lokukhulelwa, kodwa engathethwa kakhulu ngayo. Oko kukuthi, umlomo wesibeleko uyabuthathaka, ufinyele okanye uvuleke ngaphambi kwexesha. Oogqirha bayibiza le nto ngokuthi `(Incompetent Cervix)` okanye `(Cervical Insufficiency)`. Musa ukoyika xa usiva oku, kuba ukuba unolwazi olufanelekileyo malunga noku kwaye ufumana unyango olufunekayo, uninzi lwexesha unokuzisa umntwana osempilweni kweli hlabathi ngaphandle kweengxaki.

Yintoni umlomo wesibeleko? Kutheni ibaluleke kangaka?

Kulungile, masiqale siqonde ukuba yintoni le cervix. Isibeleko kulapho umntwana wakho akhulela khona esiswini sakho. Inxalenye esezantsi yesibeleko, efana nomlomo webhotile, apho idibana khona nelungu lobufazi, yinto esiyibiza ngokuba yi-cervix.

Cinga ngayo njengomnyango okhuselekileyo . Olu mnyango kufuneka uvalwe kwaye uqiniswe ngexesha lokukhulelwa. Kulapho kuphela apho umntwana anokukhula ngokukhuselekileyo ngaphakathi kwesibeleko kude kube ngumhla wokugqibela. Njengoko umntwana esondela ekuzalweni, oko kukuthi, xa usana lusondela ekuzalweni, lo mlomo wesibeleko uyathamba kancinci kancinci, ufinyele (sikubiza oku ngokuthi 'ukuqhekeka') kwaye uqale ukuvula (oku kubizwa ngokuba 'kukwanda') . Kulapho kuphela apho umntwana anokuphuma khona ngokulula.

Ngoko ke yintoni le `(I-Incompetent Cervix)`?

Ngoku uyaqonda ukuba kubaluleke kangakanani umlomo wesibeleko. Kwimeko ebizwa ngokuba yi-"Incompetent Cervix" okanye "Cervical Insufficiency", loo mnyango wokhuseleko esithethe ngawo, umlomo wesibeleko uba buthathaka, ube mfutshane, okanye uqale ukuvula ngaphambi kwexesha ngaphambi kokuba umntwana akhule ngokupheleleyo, ngaphambi kokuba ixesha lokukhulelwa libe ziiveki ezingama-37.

Oku kufana nokuvula ucango kwangethuba. Kwenzeka ntoni ukuba oku kuyenzeka? Umntwana unamathuba amaninzi okuzalwa ngaphambi kwexesha, oko kukuthi, ukuzalwa ngaphambi kwexesha . Kwezinye iimeko, ingakumbi kwi-trimester yesibini (phakathi kweveki ye-14 neye-27), le meko inokukhokelela ekuphunyelweni yisisu . Oku kunokubangela ukuzalwa komntwana oswelekileyo, okukukulahlekelwa ngumntwana emva kweeveki ezingama-20 zokukhulelwa.

Into ebalulekileyo kukuba ukubonwa kwangoko kunye nonyango olufanelekileyo kunokunciphisa kakhulu le ngozi. Ngoko ke musa ukoyika.

Ixhaphake kangakanani le meko (i-Incompetent Cervix)? Ngubani osengozini enkulu?

Ngokwezibalo, le meko (i-Incompetent Cervix) yenzeka kumntu omnye kwabayi-100 abakhulelweyo. Oko kuthetha ukuba ayiqhelekanga kangako, kodwa ayiyonto yokungayinaki.

Nangona nabani na enokuba nale meko, abanye abantu basengozini enkulu. Jonga ukuba ezi nyaniso ziyasebenza na kuwe:

• Ukuba unesimo esingaqhelekanga sokuzalwa sesibeleko okanye umlomo wesibeleko: Le ngozi inokwenzeka ngenxa yokwahluka kwendlela esikuyo isibeleko okanye umlomo wesibeleko kwabanye abantu.
• Ukuba ukhe waphunyelwa sisisu kwikota yesibini okanye wazala ngaphambi kwexesha kukukhulelwa kwangaphambili: Le yingxaki ebaluleke kakhulu.
• Ukuba umlomo wesibeleko okanye isibeleko sonakele ngexesha lokukhulelwa okanye ukuzala kwangaphambili.
• Ukuba ukhe watyandwa kwisibeleko sakho: Umzekelo, emva kovavanyo okanye unyango olufana ne-`(LEEP)`.
• Iimeko ezithile zemfuza: Abantu abanezifo zemfuza ezenza buthathaka izicubu ezidityanisiweyo, njenge-Ehlers-Danlos syndrome, banokuba neesibeleko ezibuthathaka.
• Ezinye izifundo zibonisa ukuba abafazi abamnyama kunye noomama abakhulelwe amawele okanye amawele amathathu (amawele amaninzi) nabo basengozini enkulu yokuba nale meko.

Zithini iimpawu ze-`(I-Cervix engasebenzi kakuhle)`?

Apha kulapho ke kubhideka khona. Kwiimeko ezininzi, akukho zimpawu zicacileyo zomlomo wesibeleko ongakwaziyo ukusebenza. Njengakwixesha lokubeleka ngaphambi kwexesha, ukubhitya okanye ukuqhekeka kwamanzi kusenokungabonakali ekuqaleni.

Kodwa abanye abantu banokufumana ezinye iimpawu ezifana nezi:

• Ukuziva ubunzima kunye noxinzelelo esiswini esisezantsi.
• Isisu esibuhlungu.
• Ukubona izinto ngamanye amaxesha.
• Utshintsho ekukhupheni kolwelo oluphuma kwilungu lobufazi (olunamanzi, oluxineneyo, okanye olunegazi).

Ngenxa yokuba ezi mpawu zingabonakali kangako, unokucinga ukuba azinabungozi kangako. Yiyo loo nto kubalulekile ukuba uthethe ngokukhululekileyo nogqirha wakho ngembali yakho yonke yempilo, ingakumbi naziphi na izisu ezidlulileyo okanye ukuzalwa ngaphambi kwexesha. Ugqirha wakho unokufumanisa ukuba usemngciphekweni na aze athathe amanyathelo okhuseleko angakumbi ukuba kuyimfuneko.

Yintoni ebangela `(I-Cervix Engakwaziyo)`? Oku kwenzeka nini ngexesha lokukhulelwa?

Inyaniso kukuba, unobangela ochanekileyo we-"Incompetent Cervix" awukafunyanwa. Kodwa oogqirha bayazi ukuba izinto ezinobungozi esizixubushe ngaphambili (ezifana nomonakalo wesibeleko, utyando, kunye neziphene zokuzalwa) zinegalelo koku.

Nangona le meko inokwenzeka nangaliphi na ixesha ngexesha lokukhulelwa, ixhaphake kakhulu kwikota yesibini yokukhulelwa, phakathi kweveki ye-14 neye-27.

I-Incompetent Cervix ibangela njani ukuba isisu siphume?

Ukuphuphuma kwesisu kukulahlekelwa ngumntwana ngaphambi kweeveki ezingama-20 zokukhulelwa. Cinga ngale ndlela: umlomo wesibeleko ngumngxuma ophakathi kwesibeleko (apho umntwana azalelwa khona) kunye nelungu lobufazi. Lo mngxuma kufuneka uhlale uvaliwe de umntwana azalwe. Kodwa kwimeko ye-"Incompetent Cervix"`, lo mngxuma uvula ngaphambi kwexesha. Emva koko umntwana angaphuma ngaphambi kokuba amalungu namathambo omntwana akhule ngokupheleleyo. Le meko ye-"Incompetent Cervix"` ibangela malunga ne-25% yazo zonke izisu eziphuphumayo kwikota yesibini.

Kodwa, eyona nto ibalulekileyo kukuba unyango loku ludla ngokuba yimpumelelo enkulu. Ngoko ke ungakhathazeki.

Ngaba umntu onomlomo ongakwaziyo ukuzala angafumana umntwana ngexesha lokukhulelwa?

Ewe, ngokuqinisekileyo kunokwenzeka! Ngonyango olufanelekileyo, kunokwenzeka. Injongo ephambili yokunyanga le meko kukuthintela ukuzalwa kwangaphambi kwexesha nokugcina umntwana esibelekweni ixesha elide kangangoko kunokwenzeka, ukuvumela amalungu akhe ukuba akhule ngokufanelekileyo.

Ungayixilonga njani imeko ethi `(Incomplete Cervix)`?

Ngalo lonke ixesha usiya kwikliniki yangaphambi kokubeleka, ugqirha uza kukubuza imibuzo malunga nembali yakho yempilo kunye neempawu zokukhulelwa. Ukuba ukhe waphunyelwa sisisu ngaphambili okanye wenza utyando kwisibeleko sakho, ungalibali ukuxelela ugqirha. Ngokusekelwe kwezi zinto zinobungozi, ugqirha unokugqiba ekubeni anyamekele ngakumbi isibeleko sakho.

Kukho iindlela ezimbini eziphambili ezisetyenziswayo ukuxilonga imeko ethi ``Incompetent Cervix``:

1. Uvavanyo lwe-pelvic: Ugqirha uhlola umlomo wesibeleko.

2. I-ultrasound scan edluliselwa kwisini: Kule nto, kufakwa isixhobo esincinci ngelungu lesifazane kwaye ubude kunye nokuvulwa komlomo wesibeleko kulinganiswa.

Iphathwa njani i-`(Incompetent Cervix)`?

Eyona njongo iphambili yonyango kukugcina ukukhulelwa ixesha elide kangangoko kunokwenzeka. Ekubeni le meko inokuba nzima ukuyifumanisa, kubalulekile ukuqaphela izinto ezinokubangela umngcipheko. Ugqirha wakho uya kumisela unyango olungcono ngokusekelwe kwimeko yakho kunye nembali yakho yezonyango.

Kukho iindlela ezininzi eziphambili zonyango:

1. I-cervical cerclage

Olu lolona nyango lusetyenziswa kakhulu kwaye luphumelela kakhulu. Ngamafutshane, lubandakanya ukuthunga umlomo wesibeleko sakho ngotyando, njengengxowa ebotshelelwe ivaliwe. Oku kudla ngokwenziwa phakathi kweeveki ezili-12 ukuya kwezili-14 zokukhulelwa. Emva koko, xa umntwana ekhulelwe, malunga neeveki ezingama-37, izithungo ziyasuswa. Emva koko ungabeleka ngendlela eqhelekileyo.

Ugqirha wakho unokucebisa i-cerclage kwiimeko ezilandelayo:

• Ukuba ukhe waphulukana nesisu kwikota yesibini ngaphambili.
• Ukuba ukhe wenziwa i-cerclage kukukhulelwa kwangaphambili.

Kodwa ayinguye wonke umntu onokuba ne-cerclage. Oogqirha abenzi olu tyando kwiimeko ezinje ngezi:

• Ukuba ulindele amawele, amawele amathathu okanye ngaphezulu. (Akukho bungqina bucacileyo bokuba i-cerclage iyanciphisa umngcipheko wokuzalwa ngaphambi kwexesha kwezi meko.)
• Ukuba umlomo wakho wesibeleko sele uvulekile malunga neesentimitha ezi-4.
• Ukuba ingxowa yakho yamanzi iphukile (iinwebu ziqhekekile).

2. Izongezo zeProgesterone

Ukuba usemngciphekweni wokuba ne-"Imperfect Cervix," ugqirha wakho angakuxelela ukuba uthathe izongezo (iipilisi okanye ii-vaginal pessaries) eziqulethe i-hormone ethi "Progesterone" kwi-trimester yesibini. Le hormone inceda ukugcina ukukhulelwa.

3. Ukubeka iliso ngakumbi nge-ultrasound scans

Ukuba unezinto ezinokubangela umngcipheko wokuba `(Ukungabikho kakuhle kwesibeleko)`, ugqirha wakho unokujonga isibeleko sakho rhoqo ngeeskeni eziqhelekileyo `(i-Transvaginal ultrasound)` de kube malunga neeveki ezingama-24 zokukhulelwa. Ukuba isibeleko sakho sibonakala sifutshane, ugqirha wakho unokucebisa `(i-Cerclage)`. Nangona kunjalo, `(i-Cerclage)` inokwenziwa kuphela de kube malunga neeveki ezingama-24 zokukhulelwa.

Ziziphi iingxaki ezinokubakho ze-`(Incompetent Cervix)`?

Umlomo wesibeleko ongasebenzi kakuhle unokubangela iingxaki, ikakhulu ukuphuphuma kwesisu kunye nokuzalwa ngaphambi kwexesha .

Kunqabile kakhulu, i-cerclage inokubangela iingxaki ezithile. Imizekelo:

• Ukuqhambuka kwesibeleko
• Ukopha ngaphakathi
• Ukukrala komlomo wesibeleko sakho
• Usulelo

Kodwa ezi zizinto ezingaqhelekanga kakhulu. Oogqirha baxhalabile kakhulu ngale nto.

Ngaba `(I-Cervix engakwaziyo)` inokuthintelwa?

Enyanisweni, akukho mntu unokuthintela ngokupheleleyo ukukhula kwesibeleko esingakwaziyo. Nangona kunjalo, kukho izinto onokuzenza ukuqinisekisa ukukhulelwa okunempilo. Ezi zinokunceda ngokungathanga ngqo:

• Yiya kwiikliniki zokukhulelwa ngemihla emiselweyo.
• Yitya ukutya okunempilo nokunokulinganisela.
• Fumana ubunzima obufanelekileyo ngexesha lokukhulelwa.
• Ziphephe ngokupheleleyo utywala, icuba, nezinye iziyobisi.
• Sela i-vitamin yokukhulelwa ecetyiswa ngugqirha wakho.
• Buza ugqirha wakho ngaphambi kokuba uthathe naluphi na olunye unyango okanye isongezelelo.

Yintoni endimele ndiyilindele ukuba ndine-"Incompetent Cervix"?

Ungakhathazeki. I-Cerclage lunyango oluphumeleleyo oluyi-90% kwi-cervix engakwaziyo ukuzala. Oku kuthetha ukuba oomama abaninzi baye bakwazi ukuzala umntwana osempilweni kufutshane nomhla wokuzalwa ngenxa yolu nyango.

Ukuba bendikhe ndane-"Incompetent Cervix" ngaphambili, ngaba oko kuya kuphinda kwenzeke ukuba ndikhulelwe?

Ewe, ukuba ubune "Cervix engasebenzi kakuhle" kukukhulelwa kwangaphambili, usengozini yokuba nemeko efanayo kukukhulelwa kwakho okulandelayo. Ngoko ke, ukuba ulindele omnye umntwana, kubaluleke kakhulu ukubona ugqirha uze uthethe ngale nto ngaphambi kokuba ukhulelwe. Emva koko ugqirha angakunika iingcebiso ezifanelekileyo aze akuncede ube nokukhulelwa okukhuselekileyo nokusempilweni. Usenokukwazi nokwenza "Cerclage" kwangethuba.

Ndifanele ndibonane nogqirha nini?

Amaxesha amaninzi, oogqirha bafumanisa ukuba umlomo wesibeleko awusebenzi kakuhle emva kokuphuma kwesisu kwikota yesibini okanye ukuzalwa ngaphambi kwexesha. Nangona kunjalo, ukuba ufumana iimpawu zokuphuma kwesisu ngexesha lokukhulelwa, ezinje ngokopha, iintlungu zesisu esisezantsi, okanye ukuqaqamba kwesisu , bona ugqirha ngokukhawuleza.

Ndingayibuza yiphi imibuzo ugqirha?

Ukuba ufunyaniswe unemeko ethi "Incomplete Cervix", ungabuza ugqirha wakho imibuzo efana nale:

• Kuyingozi kangakanani kum ukuba ne-"Incompetent Cervix"?
• Zeziphi iimpawu zeengxaki ekufuneka ndiziqaphele?
• Ndingazi njani ukuba unyango luphumelele?
• Ndingaqhubeka nemisebenzi yam yemihla ngemihla njengesiqhelo?

Ndingabuyela nini kwimisebenzi yam yesiqhelo?

Uninzi lwabantu abanesibeleko esingakwaziyo ukwenza kakuhle akufuneki banciphise imisebenzi yabo yemihla ngemihla ngexesha lokukhulelwa kwabo. Nangona kunjalo, kungcono ukuxoxa ngale nto nogqirha wakho ukuqinisekisa, kuxhomekeke kwimeko yakho.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngoko ke ngokwezinto esizithethileyo, ndiyathemba ukuba ufumene ukuqonda okungcono `(I-Incompetent Cervix)` okanye `(I-Cervical Insufficiency)`.

Khumbula, "I-"Incompetent Cervix" iyenzeka xa umlomo wesibeleko uba buthathaka, ube mfutshane, okanye uqala ukuvuleka ngaphambi kwexesha. Oku kunokukhokelela ekuphupheni nasekuzalweni ngaphambi kwexesha.

Le meko inokuba nzima ukuyifumanisa kuba ayinguye wonke umntu oneempawu ezicacileyo. Yiyo loo nto kubalulekile ukuxelela ugqirha wakho imbali yakho epheleleyo yezonyango, ingakumbi naziphi na izisu ezidlulileyo okanye ukuzalwa ngaphambi kwexesha. Kwakhona, xelela ugqirha wakho ngazo naziphi na iimpawu ezingaqhelekanga ozifumanayo ngexesha lokukhulelwa. Olu lwazi luya kunceda ugqirha wakho ukuba aqinisekise ukuba usemngciphekweni wokuba `(Ukungasebenzi kakuhle koMbeleko)`.

Iindaba ezimnandi zezokuba kwiimeko ezininzi, le meko inokunyangeka ngempumelelo ngotyando olubizwa ngokuba yi-"Cerclage". Ngoko ke ungoyiki. Thetha nogqirha wakho ngayo yonke into ngokukhululekileyo. Ngamana ungafumana amandla okuzisa umntwana ophilileyo kweli hlabathi!

Ubuthathaka bomlomo wesibeleko, I - Cervix engasebenzi kakuhle, Ukungasebenzi kakuhle komlomo wesibeleko, Ukukhulelwa, Ukuzalwa ngaphambi kwexesha, Ukukhupha isisu, I-Cerclage, i-Progesterone, Isibeleko, Impilo yabasetyhini