Uma ukhulelwe, ithemba lakho elikhulu ukuletha umntwana onempilo emhlabeni. Kodwa ngezinye izikhathi, kungakhathaliseki ukuthi uke waphuphuma isisu ngaphambilini noma ngoba udokotela wakho ekutshelile ukuthi umlomo wakho wesibeletho ubuthakathaka kancane, ungase ukhathazeke ngokuthi isibeletho sakho sizovuleka ngaphambi kokuba umntwana azalwe. Namuhla, sizokhuluma ngokwelashwa okukhethekile okwenziwa ukuvimbela ukubeletha ngaphambi kwesikhathi komama abasengozini. Lokho kubizwa ngokuthi i-cervical ...
Kuyini i-Cervical Cerclage?
Kalula nje, lokhu kuyi-suture ekhethekile egcina imbobo yesibeletho sakho, noma i-cervix , ivaliwe kahle phakathi nokukhulelwa kwakho . Cabanga ngesibeletho sakho njengesikhwama esincane. Ingane yakho ingaphakathi. I-cervix yakho iyimbobo yaleso sikhwama. Ngezinye izikhathi, imbobo yalesi sikhwama ingakhululeka. Bese into eyigugu ngaphakathi, ingane yakho, izama ukuphuma ngaphambi kwesikhathi.
Ngakho-ke, ku-`(Cervical Cerclage)`, udokotela usebenzisa intambo eqinile ukuvala umlomo wesikhwama, okungukuthi, umlomo wesibeletho, ongakhululeka. Lokhu kuvumela umntwana ukuthi ahlale ngokuphephile ngaphakathi kwesibeletho kuze kube amasonto angaba ngu-37, okungukuthi, kuze kube yilapho umntwana esekhule kahle.
Kungani kunconywa ukuthungwa kwe-cervical suture?
Akubona bonke abesifazane abakhulelwe abazokudinga lokhu. Udokotela wakho uzoncoma lokhu kwelashwa kuphela uma kunezizathu ezithile. Yingakho kubaluleke kakhulu ukuvuleleka kudokotela wakho mayelana nokukhulelwa kwakho kwangaphambilini kanye nokuhlinzwa.
| Isizathu | Incazelo elula |
|---|---|
| I-Cervix Engakwazi Ukuphatha | Uma umlomo wesibeletho ubuthakathaka ngenxa yokuhlinzwa kwangaphambilini (njenge- LEEP ) noma ezinye izizathu, umlomo wesibeletho ungavuleka ngokuzenzekelayo ngesikhathi sokukhulelwa ngoba awukwazi ukusekela isisindo somntwana. |
| Ukukhishwa kwesisu kwenyanga yesibili | Uma uke waba nokuphuphuma kwesisu okungenabuhlungu phakathi nokukhulelwa (phakathi kwezinyanga ezingu-4-6), imbangela ingaba ubuthakathaka bomlomo wesibeletho. |
| Ukungahambi kahle esibelethweni noma emlonyeni wesibeletho | Uma isimo sesibeletho sishintshile noma umlomo wesibeletho wonakele kusukela ekuzalweni, lokhu kungenzeka ukuthi kubangele nokuphuphuma kwesisu kwangaphambilini. |
Lo mthungo uvame ukwenziwa phakathi kwamasonto ayi-12 kuya kwangu-14 okukhulelwa, ngaphambi kokuba umlomo wesibeletho uqale ukuncipha nokuvuleka.
Kwenzekani ngaphambi naphakathi nalokhu kuhlinzwa?
Kuvamile ukuzizwa wesaba futhi ukhathazekile kancane uma ubhekene nento efana nale. Ngakho-ke, buza udokotela wakho noma yimiphi imibuzo onayo.
Ngaphambi kokuhlinzwa...
Ngaphambi kokuhlinzwa, udokotela wakho uzothatha umlando ophelele wezokwelapha . Uzohlola umlomo wakho wesibeletho esebenzisa i-speculum, efana ne-Pap smear. Ungase futhi wenze i-ultrasound ye-transvaginal . Lokhu kuzosiza ukuhlola ubude nesimo somlomo wakho wesibeletho. Ngokuvamile uzokwelulekwa ukuthi uyeke ucansi isonto lonke ngaphambi kokuhlinzwa.
Ngesikhathi sokuhlinzwa…
Lokhu ukuhlinzwa okuncane okuvame ukwenziwa esibhedlela futhi akuthathi isikhathi eside.
- Uzolaliswa etafuleni lokuhlolwa bese ucelwa ukuthi ubeke imilenze yakho ezisekelweni ezikhethekile.
- Ngemuva kwalokho, kufakwa umuthi wokubulala izinzwa wendawo ukuze uvale indawo ezungeze umlomo wesibeletho sakho ukuze ungezwa ubuhlungu . Ungase uzwe ukuhlaba okuncane lapho inaliti ifakwa, kodwa ngeke uzwe ubuhlungu ngemva kwalokho.
- Uma usuphelelwe amandla, udokotela uzosebenzisa intambo eqinile ukufaka uthungo oluzungeze umlomo wesibeletho, awuqinise futhi awuvale kahle.
Ingabe lokhu kubuhlungu? Kwenzekani ngemva kokuhlinzwa?
Ezinsukwini ezimbalwa ngemva kokuhlinzwa, ungase uzwe ukuqaqamba okuncane kanye namabala esiswini sakho esingezansi, okufana nokuya esikhathini kwakho. Lokhu kuvamile. Ubuhlungu ngokuvamile abubukhulu kakhulu. Uma uzwa ubuhlungu, ungaphuza okuthile okufana ne -paracetamol . Kodwa-ke, uma uzwa ubuhlungu obukhulu besisu obungabekezeleleki , kufanele ushayele udokotela wakho ucingo ngokushesha.
Uzogcinwa esibhedlela ukuze uhlolwe amahora ambalwa ngemva kokuhlinzwa futhi uzothunyelwa ekhaya ngalolo suku uma kungekho zinkinga. Unganikezwa futhi ama-antibiotic ukuvimbela ukutheleleka.
Into ebaluleke kakhulu ukuphumula kahle ngosuku lokuhlinzwa. Ungayi emsebenzini noma wenze eminye imisebenzi enzima. Njengoba kuthatha izinsuku ezingaba ngu-7-10 ukuthi imithungo iphole, kubalulekile ukulandela imiyalelo kadokotela phakathi naleso sikhathi.
Yiziphi izinzuzo nezingozi zokuthunga umlomo wesibeletho?
Lena yindlela engcono kakhulu nephumelela kakhulu yokuvimbela ukubeletha ngaphambi kwesikhathi kumama onomlomo wesibeletho obuthakathaka. Lokhu kwelashwa kunezinga eliphezulu lempumelelo elicishe libe ngu-90%. Kodwa-ke, njenganoma yikuphi ukwelashwa kwezokwelapha, kunezingozi ezincane kakhulu. Udokotela uphakamisa lokhu kwelashwa ngoba izinzuzo zidlula kakhulu lezi zingozi.
| Izingozi/Izinkinga Ezibalulekile | |
|---|---|
| Ukutheleleka | Kunethuba elincane lokutheleleka komlomo wesibeletho. |
| Ukopha | Ukopha okuncane ngesikhathi noma ngemva kokuhlinzwa. |
| Ukuqhekeka kwangaphambi kwesikhathi kwe-membranes | Ukuqhekeka kwangaphambi kwesikhathi kwezicubu ezizungeze umntwana. |
| Ukulimala komlomo wesibeletho | Ukulimala noma ukusha kwenxeba emlonyeni wesibeletho ngesikhathi sokufakwa komthungo noma ukubeletha. |
| Ukubeletha ngaphambi kwesikhathi | Kunethuba elincane kakhulu lokuthi izinhlungu zokubeletha zingase zivele ngenxa yokuhlinzwa ngokwako. |
Lo mthungo uzosuswa nini?
Uma ukhulelwe amasonto angu-37 , okusho ukuthi ingane isilungele ukuphuma iphephile, udokotela wakho uzoyisusa le mithungo. Lokhu futhi kulula kakhulu. Uzobekwa etafuleni lokuhlolwa, njengoba nje wawunjalo lapho imithungo ifakwa, futhi imithungo izosikwa futhi isuswe ngemizuzu embalwa. Ngenxa yalokhuAsikho isidingo sokubulala izinzwa .
Ngisho noma amanzi akho ephuka ngokuzumayo ngaphambi kwalokho, noma uma izinhlungu zokubeletha ziqala, udokotela uzosusa izithungo ngokushesha.
Yiziphi izimo lapho kufanele ushayele udokotela ucingo ngokushesha?
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemva kokuhlinzwa, kufanele uxhumane nodokotela wakho ngokushesha ngaphandle kokulibala. Uma kudingeka, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
| Izimpawu zesixwayiso okufanele uziqaphele | |
|---|---|
| 🌡️ Umkhuhlane ophakeme | Uma izinga lokushisa lomzimba liphakeme kune-37.7 degrees Celsius (100 Fahrenheit). |
| 😖 Ubuhlungu obufika ngezikhathi ezithile | Uma ubuhlungu besisu esingezansi, njengobuhlungu bokubeletha, buqhubeka nokuza ngezikhawu ezifanayo. |
| 👃 Ukuphuma koketshezi okunephunga elibi | Uma kukhona uketshezi oluphuma esithweni sangasese sowesifazane olunuka kabi. |
| 💧 Isikhwama samanzi siyaphuka noma siyavuza | Uma into efana namanzi iphuma esithweni sangasese sowesifazane. |
| 🩸 Ukopha kakhulu | Uma ukopha kukhulu kunokuvamile. |
Umlayezo Wokuya Nawe Ekhaya
- I-cervical cerclage iyindlela ephumelela kakhulu futhi ephephile yokuvimbela ukuzalwa ngaphambi kwesikhathi kumama onomlomo wesibeletho obuthakathaka.
- Lokhu akuyona into okufanele yenziwe yiwo wonke umuntu. Odokotela batusa lokhu kuphela komama abanezici ezithile eziyingozi .
- Ngemva kokuhlinzwaKubaluleke kakhulu ukulandela imiyalelo kadokotela ngqo (ukuphumula, ukugwema umsebenzi onzima, nokugwema ukuya ocansini).
- Khuluma nodokotela wakho ngokukhululekile nganoma yikuphi ukwesaba noma ukukhathazeka ongase ube nakho. Kuzokusiza ukuthi wenze izinqumo ezinolwazi futhi ukhululeke.
- Uma uhlangabezana nanoma yiziphi izimpawu eziyisixwayiso (umkhuhlane ophakeme, ubuhlungu, ukopha okukhulu ) , funa iseluleko sezokwelapha ngokushesha.
Ukuvuvukala kwesisu, ukuvimbela ukukhipha isisu, ukubeletha ngaphambi kwesikhathi, impilo yokukhulelwa, umlomo wesibeletho, umlomo wesibeletho ongakwazi kahle
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