Ukukhulelwa yisikhathi lapho wonke umama enethemba elikhulu, kodwa futhi nokwesaba okuncane. Sihlala sicabanga ngempilo yengane nokuthi konke kuzolunga yini. Ngaleso sikhathi, sikhuluma ngesimo okungenzeka ukuthi awukaze uzwe ngaso, kodwa okufanele ukwazi ngaso. Lokho ukungasebenzi kahle komlomo wesibeletho, noma njengoba odokotela besibiza kanjalo , 'I-Incompetent Cervix' noma 'I-Cervical Insufficiency' . Ungesabi uma uzwa leli gama, uma unolwazi olufanele ngalokhu futhi uthola ukwelashwa okufanele, ungakuphatha ngaphandle kwezinkinga ezimweni eziningi.
Kalula nje, iyini i-cervix engakwazi ukwenza kahle?
Cabanga ngesibeletho sakho (isikhwama lapho ingane yakho ikhona) njengendlu encane. Umlomo wesibeletho ungumnyango oya kuleyo ndlu. Lo mnyango udinga ukuvalwa kahle kuze kube yilapho ingane yakho isikhule ngokugcwele, okuyiminyaka engaba amasonto angu-37-40. Kulapho kuphela lapho ingane yakho ingahlala khona ngokuphephile ngaphakathi kwesibeletho sakho.
Kodwa-ke, esimweni esibizwa ngokuthi 'i-Incompetent Cervix', lo mnyango uqala ukuvuleka ngaphandle kwesizathu noma ubuhlungu, cishe phakathi nokukhulelwa, ngaphambi kokuba umntwana akhule ngokugcwele. Umlomo wesibeletho uba buthakathaka, ube mfushane, futhi uvuleke.
Pho kungani lokhu kuyinkinga?
Cabanga nje, bekuzokwenzekani uma umnyango wengane uvulwa kusenesikhathi? Umntwana bekuzodingeka aphume. Kodwa ngaleso sikhathi, izitho ezibalulekile zomntwana, njengamaphaphu nenhliziyo, zazingakakhuli ngokugcwele. Lokhu kungabangela izinkinga ezimbili ezinkulu:
1. Ukuphuphuma kwesisu kwenyanga yesibili: Ukulahlekelwa ingane ngaphambi kwamasonto angama-20 okukhulelwa.
2. Ukuzalwa ngaphambi kwesikhathi: Ukuzalwa komntwana ngaphambi kwamasonto angu-37.
Lesi simo senzeka cishe koyedwa kwabayi-100 abakhulelwe, ngakho-ke kubalulekile ukuqaphela.
Ubani osengozini enkulu yalesi simo?
Lesi simo singenzeka kunoma ubani, kodwa abanye abantu basengozini enkulu. Udokotela wakho uzokubuza ngomlando wakho wezempilo ukuze abone ukuthi unazo yini lezi zinto eziyingozi.
| Isici sengozi | Incazelo elula |
|---|---|
| Ukuphuphuma kwezisu kwangaphambilini noma ukuzalwa ngaphambi kwesikhathi | Isici esiyinhloko esiyingozi umlando wokuphuphuma kwesisu okungenabuhlungu, ikakhulukazi ku-trimester yesibili (phakathi kwamasonto 14-27) ekukhulelweni kwangaphambilini. |
| Ukulimala komlomo wesibeletho noma kwesibeletho | Uma umlomo wesibeletho wonakele ngenxa yokubeletha kwangaphambilini, inqubo efana nokudabuka komlomo wesibeletho, i-D&C, noma enye imbangela. |
| Ukuhlinzwa komlomo wesibeletho | Ngemva kwenqubo efana ne-LLETZ noma i-cone biopsy yomdlavuza womlomo wesibeletho, umlomo wesibeletho ungase ube mfushane futhi ube buthaka. |
| Ukukhubazeka kokuzalwa kwesibeletho noma umlomo wesibeletho | Abanye besifazane bangazalwa benesimo esingavamile sesibeletho noma somlomo wesibeletho, okungabangela nokuthi umlomo wesibeletho ube buthakathaka. |
| Izimo zofuzo | Uma unezifo zofuzo ezenza buthaka izicubu zomzimba ezixhumeneyo, njenge -Ehlers-Danlos syndrome , umlomo wakho wesibeletho nawo ungase ubuthakathaka. |
| Ukukhulelwa okuningi | Le ngozi inganda nalapho izingane eziningi, njengamawele noma amawele amathathu, zisesibelethweni ngesikhathi esisodwa, njengoba kunengcindezi enkulu esibelethweni nasesibelethweni. |
Into ebaluleke kakhulu ukutshela udokotela wakho yonke imininingwane mayelana nokukhulelwa kwakho kwangaphambilini kanye nokuhlinzwa ngaphandle kokufihla lutho . Lolo lwazi luzomsiza ukuthi akunakekele kahle.
Ziyini izimpawu zalesi simo?
Lena inselele enkulu lapha. Esikhathini esiningi, azikho izimpawu ezisobala 'zesibeletho esingakwazi ukubeletha'. Azikho izinsini njengalapho usuzobeletha, futhi amanzi akho awaphuki. Konke kwenzeka buthule.
Kodwa-ke, abanye abantu bangase babe nezimpawu ezicashile njengalezi phakathi kwamasonto angu-14 no-20:
- Umuzwa wokucindezeleka noma isisindo esiswini esingezansi.
- Kuzwakala sengathi kukhona ubuhlungu obuncane emhlane wami.
- Ushintsho ekuphumeni koketshezi lwesitho sangasese sowesifazane (kungaba namanzi, kufane ne-mucus, noma kube negazi elincane).
- Ukubona.
Lezi zimpawu zicashile kangangokuthi ngezinye izikhathi zingabhekwa njengezingajwayelekile zokukhulelwa. Ngakho-ke uma uzizwa into engavamile, noma ngabe kuyinto encane nje, ungalokothi unqikaze ukutshela udokotela wakho.
Udokotela ukuthola kanjani lokhu?
Lesi simo sivame ukutholakala ngokubheka eduze owesifazane oke waba nenkinga ekukhulelweni kwangaphambilini. Uma unezinye zezinto eziyingozi ezishiwo ngenhla, udokotela wakho uzokunakekela ngokukhethekile.
Lokhu kungabonakala ngezindlela ezimbili eziyinhloko:
1. Umlando wempilo: Udokotela uzokubuza ngokuningiliziwe ngokukhulelwa kwakho kwangaphambilini, ukuphuphuma kwesisu, kanye nokuhlinzwa.
2. I-Transvaginal Ultrasound: Lena yindlela engcono kakhulu yokuthola lesi simo. Kulokhu, kufakwa ithuluzi elincane ngesitho sangasese sowesifazane bese ubude besitho sangasese sowesifazane bulinganiswa ngokunembile. Lokhu kuskena kungabona ngokucacile ukuthi isitho sangasese sowesifazane siyafinyezwa noma siyavuleka njengoba ukukhulelwa kuqhubeka. Kulabo abasengozini, udokotela angase atuse ukuphinda lokhu kuskena isonto elilodwa noma amabili ngemva kwesonto le-16 lokukhulelwa kanye nangemva kwesonto lama-24.
Yiziphi izindlela zokwelapha kanye nokuphathwa kwalokhu?
Uma lesi simo sitholakala, kunezindlela eziningana zokwelapha ezingasetshenziswa ukwandisa isikhathi somntwana esibelethweni, okungasiza ekuvimbeleni ukuzalwa ngaphambi kwesikhathi. Udokotela wakho uzonquma ukwelashwa okufanele kakhulu kuwe ngokusekelwe esimweni sakho kanye nomlando wempilo.
| Indlela yokwelapha | Incazelo |
|---|---|
| I-Cerclage yomlomo wesibeletho | Lena yindlela evame ukusetshenziswa futhi ephumelela kakhulu. Kalula nje, kufakwa umthungo oqinile ozungeze umlomo wesibeletho obuthakathaka bese uqiniswa ukuze uvalwe. Kufana nesikhwama esibopha umlomo wesibeletho. Lokhu kuhlinzwa kuvame ukwenziwa phakathi kwamasonto ayi-12 kuya kwayi-14. Bese kuthi, lapho umntwana eseseduze nokuzalwa, cishe amasonto angama-37, imithungo iyasikwa bese isuswa. |
| Ukwelashwa ngama-hormone e-progesterone (izithasiselo ze-progesterone) | I-progesterone iyi-hormone esiza ukugcina ukukhulelwa. Kulabo abanomlando wokubeletha ngaphambi kwesikhathi, le hormone inganikezwa njengephilisi noma njenge-suppository yesitho sangasese sowesifazane kusukela ku-trimester yesibili. Lokhu kusiza ukunciphisa ukufinyela kwesibeletho nokugcina umlomo wesibeletho uqinile. |
| Ukuqapha okuqhubekayo | Uma kukhona ingozi, kodwa isimo singesibi kakhulu kangangokuthi sidinga ukuthungwa, udokotela wakho uzokwenza ukuhlolwa okuvamile ukuze ahlole umlomo wesibeletho sakho ukuze abone noma yiziphi izinguquko ebude. Uma kukhona izinguquko eziphawulekayo, ukwelashwa okudingekayo kungaqalwa ngokushesha. |
Ingabe wonke umuntu angaba ne-cerclage?
Cha. Kunezimo ezithile lapho lokhu kuhlinzwa kunganconywa khona. Isibonelo:
- Uma unezingane ezimbili noma ngaphezulu.
- Uma umlomo wesibeletho usuvele ungaphezu kwamasentimitha angu-4 uvulekile.
- Uma ulwelwesi luqhumile.
- Uma kukhona ukutheleleka esibelethweni.
Ngezikhathi ezinjengalezi, udokotela wakho uzokhuluma nawe ngezinye izindlela ongakhetha kuzo.
Ungacabanga ngokukhulelwa kwakho okulandelayo?
Yebo, kungenzeka nakanjani. Kodwa uma ube ne-'Imperfect Cervix' ekukhulelweni okukodwa, usengozini yokuba nesimo esifanayo ekukhulelweni kwakho okulandelayo. Ngakho-ke, ngaphambi kokuba ucabange ngokuthola omunye umntwana, hlangana nodokotela wakho wezifo zabesifazane bese uxoxa ngalokhu. Ngemuva kwalokho, ungaqashwa eduze kusukela ekuqaleni kokukhulelwa kwakho okulandelayo futhi, uma kudingeka, thatha izinyathelo ezifana nokubeka i-cerclage (i-cerclage) kusenesikhathi.
Izindaba ezinhle ukuthi i-cerclage iphumelela cishe ngo-90%. Lokho kusho ukuthi unethuba elihle lokugcina ingane yakho kuze kube usuku lokuzalwa. Ngakho ungakhathazeki.
Uma kufanele ubonane nodokotela ngokushesha
Kungakhathaliseki ukuthi uthola ukwelashwa kwalesi simo noma cha, kubalulekile ukufuna iseluleko sezokwelapha ngokushesha uma uhlangabezana nanoma yini engavamile ngesikhathi sokukhulelwa. Ikakhulukazi uma unezimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela esiseduze (i-ETU).
- Uma kukhona uketshezi olufana negazi noma amanzi oluphuma esithweni sangasese sowesifazane.
- Uma uzwa ubuhlungu esiswini sakho esingezansi noma ukuminyana.
- Uma uzwa ubuhlungu obungavamile emhlane.
- Uma uzizwa ucindezelekile esiswini sakho esingezansi.
Umlayezo Wokuya Nawe Ekhaya
- 'I-Incompetent Cervix' yilapho umlomo wesibeletho uba buthakathaka bese uqala ukuvuleka ngaphambi kokuba umntwana akhule ngokugcwele. Lokhu kuyimbangela enkulu yokuzalwa ngaphambi kwesikhathi.
- Esikhathini esiningi, azikho izimpawu ezicacile zalesi simo, ngakho-ke kubaluleke kakhulu ukutshela udokotela wakho yonke imininingwane mayelana nokuphuphuma kwesisu kwakho kwangaphambilini kanye nokuhlinzwa.
- Ukuhlolwa kwe-ultrasound kwe-transvaginal kungabona ukuvuleka komlomo wesibeletho kusenesikhathi.
- I-cervical cerclage iyindlela yokwelapha ephumelela kakhulu kulokhu.
- Uma unokungabaza noma ukukhathazeka ngalokhu, ungangabazi ukuxoxa ngakho nodokotela wakho. Ukuphepha kwakho nokwengane yakho kuyinto ebaluleke kakhulu.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho