Ukukhulelwa yisikhathi esikhethekile kakhulu empilweni kamama. Kodwa-ke, izinkinga eziningi zempilo zingavela phakathi nalesi sikhathi. Kwabanye omama, umlomo wesibeletho uqala ukuvuleka amasonto ambalwa ngaphambi kosuku lokubeletha olulindelekile. Lokhu kungaholela ekuzalweni ngaphambi kwesikhathi. Namuhla, sikhuluma ngokwelashwa okukhethekile odokotela abakuncomayo ngezikhathi ezinjalo zobungozi. Okusho ukuthi, ukubeka umthungo emlonyeni wesibeletho, noma ngokwezokwelapha (Cervical Cerclage) .
Kuyini i-Cervical Cerclage?
Lokhu kulula kakhulu ukukuqonda. Cabanga ngesibeletho sakho njengesikhwama esincane. Ingane ikhula ngokuphephile ngaphakathi kwalesi sikhwama. Umlomo wesibeletho ungumlomo walowo sikhwama. Ngokuvamile, umlomo walesi sikhwama, umlomo wesibeletho, kufanele uhlale uvaliwe kuze kube yilapho umntwana ezalwa.
Kodwa ngezinye izikhathi lo mlomo wesibeletho ungaba buthaka. Bese kuthi, njengoba umntwana ekhula isisindo, umlomo wesibeletho uqale ukuvuleka ngaphambi kwesikhathi. (I-Cervical Cerclage) yilapho umlomo wesibeletho, osuzovuleka, uthungwa ngentambo eqinile futhi uqiniswe. Uma sikhuluma iqiniso, kufana nokubopha isikhwama ngentambo . Lokhu kwenziwa ukuze umntwana agcine ephephile ngaphakathi kwesibeletho kuze kube usuku lokubeletha.
Kungani udinga ukwenza into efana nale?
Udokotela wakho akasikiseli lolu hlobo lokwelashwa ngaphandle kwesizathu. Kungase kube nezizathu eziningana eziqondile zalokho.
- I-Cervix Engasebenzi Kahle: Lena imbangela eyinhloko. Ukuhlinzwa komlomo wesibeletho kwangaphambilini, njengezinqubo ze-LEEP, kungabangela ukuba umlomo wesibeletho ube buthaka.
- Ukuphuphuma kwezisu kwangaphambilini: Uma uke waphuphuma izisu, ikakhulukazi ku-trimester yesibili yokukhulelwa, okungukuthi, phakathi kwezinyanga ezintathu neziyisithupha, imbangela ingaba ubuthakathaka bomlomo wesibeletho.
- Ukungahambi kahle ngesimo sesibeletho: Ngezinye izikhathi lesi simo singabangelwa izinguquko ezithile zokuzalwa esibelethweni.
Ngakho-ke, uma uke waba nezinkinga ngokukhulelwa kwangaphambilini noma uke waphuphuma isisu, kubaluleke kakhulu ukutshela udokotela wakho ngakho konke lokhu.
Lo mthungo uvame ukwenziwa phakathi kwamasonto ayi-12 kuya kwayi-14 okukhulelwa, okungukuthi, ngaphambi kokuba umlomo wesibeletho uqale ukuba mncane.
Kwenzekani ngaphambi nangesikhathi sokwelashwa?
Ngaphambi kwalokhu, udokotela uzobukeza umlando wakho wezempilo ophelele. Ngemuva kwalokho uzokuhlolela.
Ngaphambi kokwelashwa
Umlomo wakho wesibeletho uzohlolwa nge-speculum, efana nokuhlolwa kwe-Pap. Ungase futhi wenze i -ultrasound scan ye-transvaginal . Uzokwaziswa futhi ukuthi ugweme ukuya ocansini cishe isonto ngaphambi kokuhlolwa. Kujwayelekile ukuzizwa ukhathazekile noma ukhathazekile ngaphambi kwalokhu kuhlolwa. Lesi yisikhathi esihle sokubuza udokotela wakho noma yimiphi imibuzo ongase ube nayo.
Ngesikhathi sokwelashwa
Lokhu kuvame ukuphela ngemizuzu embalwa.
1. Uzocelwa ukuba ulale etafuleni lokuhlola bese ubeka imilenze yakho ezisekelweni eziklanywe ngokukhethekile.
2. Ngemuva kwalokho uzonikezwa umuthi wokubulala izinzwa wendawo ukuze uqede indawo . Uzozwa ukugwazwa okuncane lapho ujova, kodwa ngeke uzwe ubuhlungu ngemva kwalokho.
3. Ngemva kokwenza izinzwane zibe buhlungu, udokotela usebenzisa intambo eqinile ukuze abeke umthungo ozungeze umlomo wesibeletho, awuqinise, bese ewubopha.
Ingabe kukhona ubuhlungu ngemva kokwelashwa?
Kujwayelekile ukuzwa izinhlungu ezincane ezifana nokuya esikhathini kanye nokubonakala kwamabala izinsuku ezimbalwa ngemva kokwelashwa. Ungakhathazeki. Ubuhlungu buvame ukulawulwa nge-paracetamol.
Kodwa khumbula, uma uzwa ubuhlungu besisu obungabekezeleleki, kufanele ushayele udokotela wakho ucingo ngokushesha.
Ngemva kokwelashwa, uzogcinwa uqashwe esibhedlela amahora ambalwa, futhi uma kungekho zinkinga, uzothunyelwa ekhaya ngalolo suku. Ungase futhi unikezwe ama-antibiotic ukuvimbela ukutheleleka. Kungcono ukuphumula kahle ngalolo suku. Njengoba kuthatha cishe izinsuku eziyi-10 ukuthi imithungo iphole, udokotela ukweluleka ukuthi ugweme umsebenzi onzima kanye nocansi phakathi naleso sikhathi.
Yiziphi izinzuzo nezingozi zalokhu kwelashwa?
I-Cervical Cerclage iyindlela engcono kakhulu nephumelelayo yokuvimbela ukuzalwa ngaphambi kwesikhathi kumuntu onomlomo wesibeletho obuthakathaka. Izinzuzo zayo zicacile. Kodwa njenganoma yikuphi ukwelashwa kwezokwelapha, nayo inezingozi ezithile. Udokotela uzohlala eyincoma kuphela uma izinzuzo zidlula izingozi.
| Ingozi/Inkinga | Kuchazwe kalula |
|---|---|
| Ukutheleleka | Kunethuba elincane lokutheleleka endaweni yokuthunga noma esibelethweni. |
| Ukulimala komlomo wesibeletho | Kungase kube nomonakalo omncane emlonyeni wesibeletho ngesikhathi sokwelashwa. |
| Ukuqhekeka kwangaphambi kwesikhathi kwe-membranes | Ingane ingaphakathi kwesikhwama samanzi esibizwa ngokuthi i-amniotic fluid. Kunengozi encane yokuthi lokhu kuzoqhuma ngaphambi kwesikhathi. |
| Ukuzalwa ngaphambi kwesikhathi | Ngezinye izikhathi lokhu kwelashwa okufanayo kungabangela ukuzalwa ngaphambi kwesikhathi. |
| Ukuqhekeka komlomo wesibeletho | Uma ukubeletha kuqala ngesikhathi kuthungwa, kunengozi yokudabuka komlomo wesibeletho noma isibeletho. |
Izithungo zisuswa nini?
Lezi zithungo zivame ukushiywa endaweni yazo kuze kube yilapho ukukhulelwa kwakho sekuphelile, okungaba amasonto angama-37 . Ukususa izithungo kulula kakhulu. Kungenziwa khona kanye ehhovisi likadokotela wakho.
Njengoba nje uma kufakwa izithungo, uzolaliswa etafuleni lokuhlolwa, futhi izithungo zizosuswa ngemizuzu embalwa. Lokhu akudingi ngisho nokuhlinzwa kokubulala izinzwa. Ukubeletha kungenzeka nganoma yisiphi isikhathi ngemva kokususwa kwezithungo. Uma ngesizathu esithile amanzi akho ephuka ngaphambi kwalokho, noma uma ukubeletha kuqala, izithungo zizosuswa ngaphambi kwalokho.
Kufanele ushayele udokotela ucingo ngokushesha nini?
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemva kokwelashwa, kufanele uxhumane nodokotela wakho ngokushesha ngaphandle kokulibala .
| Isibonakaliso | Okufanele ukunake |
|---|---|
| Umkhuhlane ophezulu | Izinga lokushisa lomzimba lingaphezu kuka-100°F (37.7°C). |
| Ubuhlungu obufika ngezikhathi ezithile | Uma ubuhlungu esiswini esingezansi, njengobuhlungu bokubeletha, bufika futhi buphele ngesikhathi esibekiwe (ukufinyela). |
| Uketshezi oluphuma esithweni sangasese sowesifazane olunuka kabi | Ukuphuma koketshezi olungcolile esithweni sangasese sowesifazane kungaba uphawu lokutheleleka. |
| Ukuqhekeka kwesikhwama samanzi noma ukuvuza kwamanzi | Ukukhishwa okuqhubekayo koketshezi olunamanzi esithweni sangasese sowesifazane. |
| Ukopha ngokweqile | Hhayi nje amaconsi ambalwa egazi, kodwa ukopha okukhulu. |
Kuvamile ukuzizwa wesaba kancane uma uzwa ngalokhu kwelashwa. Kodwa kuyindlela yokwelapha ephumelela cishe ngo-90% . Uma lesi simo senzeka ekukhulelweni okukodwa, kungenzeka ukuthi singenzeka ekukhulelweni okulandelayo. Ngakho-ke kubalulekile ukukhuluma ngokukhululekile nodokotela wakho bese uhlela ukukhulelwa okunempilo.
Umlayezo Wokuya Nawe Ekhaya
- I-Cervical Cerclage iyindlela yokwelapha ephumelela kakhulu yokuqinisa umlomo wesibeletho obuthakathaka nokuvimbela ukuzalwa ngaphambi kwesikhathi.
- Lokhu kuvame ukwenziwa phakathi kwamasonto ayi-12-14 okukhulelwa.
- Kujwayelekile ukuzwa ubuhlungu obuncane nokopha izinsuku ezimbalwa ngemva kokwelashwa. Kodwa-ke, uma uzwa ubuhlungu obukhulu, umkhuhlane, noma ukopha okukhulu, kufanele ufune usizo lwezokwelapha ngokushesha.
- Kubaluleke kakhulu ukulandela iseluleko sikadokotela wakho, ikakhulukazi mayelana nemikhawulo yokuphumula kanye nemisebenzi.
- Ungalokothi unqikaze ukuxoxa ngokukhululekile nganoma yiziphi izinkinga noma ukwesaba onakho nodokotela wakho.
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