Ingabe umlomo wakho wesibeletho uzovuleka ngaphambi kwesikhathi? (I-Cervix Engakwazi) - Ungesabi, ake siqaphele lokhu!

Injabulo oyizwayo uma ulindele ukuba ngumama ayichazeki. Kodwa-ke, kuyinto evamile ukuzizwa wesaba futhi ukhathazekile ngisho nangezinto ezincane kakhulu. Namuhla sizokhuluma ngesimo abanye omama ababhekana naso ngesikhathi sokukhulelwa, kodwa okungakhulunywa ngaso kakhulu. Okusho ukuthi, umlomo wesibeletho uba buthakathaka, ufinyele noma uvuleke ngaphambi kwesikhathi. Odokotela bakubiza lokhu ngokuthi `(Incompetent Cervix)` noma `(I-Cervical Insufficiency)`. Ungesabi uma uzwa lokhu, ngoba uma unolwazi olufanele ngalokhu futhi uthola ukwelashwa okudingekayo, isikhathi esiningi ungaletha umntwana onempilo kuleli zwe ngaphandle kwezinkinga.

Uyini umlomo wesibeletho? Kungani ubaluleke kangaka?

Kulungile, ake siqale siqonde ukuthi iyini le cervix. Isibeletho yilapho ingane yakho ikhula khona esiswini sakho. Ingxenye engezansi yesibeletho, efana nomlomo webhodlela, lapho ixhuma khona nesitho sangasese sowesifazane, yilokho esikubiza ngokuthi i-cervix.

Cabanga ngakho njengomnyango ophephile . Lo mnyango udinga ukuvalwa futhi uqiniswe phakathi nokukhulelwa. Kungaleso sikhathi kuphela lapho ingane ingakhula khona ngokuphephile ngaphakathi kwesibeletho kuze kube usuku lokuzalwa. Njengoba umntwana esondela ekuzalweni, okungukuthi, lapho kusondela ukubeletha, lo mlomo wesibeletho uyathamba kancane kancane, ufinyezwe (lokhu sikubiza ngokuthi 'ukufiphaza') bese uqala ukuvula (lokhu kubizwa ngokuthi 'ukwanda') . Kulapho kuphela lapho umntwana angaphuma khona kalula.

Ngakho-ke kuyini lokhu `(I-Cervix Engakwazi)`?

Manje usuyaqonda ukuthi umlomo wesibeletho ubaluleke kangakanani. Esimweni esibizwa ngokuthi ``Incompetent Cervix'' noma ``Cervical Insufficiency'', lowo mnyango wokuphepha esikhulume ngawo, umlomo wesibeletho, uba buthakathaka, ube mfushane, noma uqale ukuvula ngaphambi kwesikhathi ngaphambi kokuba umntwana akhule ngokugcwele, ngaphambi kokuba isikhathi sokukhulelwa sibe ngisho namasonto angu-37.

Lokhu kufana nokuvula umnyango kusenesikhathi. Kwenzekani uma lokhu kwenzeka? Ingane inamathuba amaningi okuzalwa ngaphambi kwesikhathi, okungukuthi, ukuzalwa ngaphambi kwesikhathi . Kwezinye izimo, ikakhulukazi ku-trimester yesibili (phakathi kwamasonto angu-14 no-27), lesi simo singaholela nasekuphuphumeni kwesisu . Lokhu kungabangela nokuzalwa kwengane ishonile, okuwukulahlekelwa yingane ngemva kwamasonto angu-20 okukhulelwa.

Into ebalulekile ukuthi ukutholakala kusenesikhathi kanye nokwelashwa okufanele kunganciphisa kakhulu le ngozi. Ngakho-ke ungesabi.

Sivame kangakanani lesi simo (i-Incompetent Cervix)? Ubani osengozini enkulu?

Ngokwezibalo, lesi simo (i-Incompetent Cervix) senzeka cishe koyedwa kwabayi-100 abakhulelwe. Lokho kusho ukuthi akuvamile kangako, kodwa akuyona into okufanele inganakwa.

Nakuba noma ubani engaba nalesi simo, abanye abantu basengozini enkulu. Bheka ukuthi la maqiniso ayasebenza yini kuwe:

• Uma unesimo esingavamile sokuzalwa sesibeletho noma somlomo wesibeletho: Le ngozi ingase ivele ngenxa yokwehluka kwendlela isibeletho noma umlomo wesibeletho esitholakala ngayo kwabanye abantu.
• Uma uke waphuphuma isisu ngekota yesibili noma wabeletha ngaphambi kwesikhathi ekukhulelweni kwangaphambilini: Lokhu kuyisici esibaluleke kakhulu sengozi.
• Uma umlomo wesibeletho noma isibeletho sonakele ngesikhathi sokukhulelwa noma sokubeletha kwangaphambilini.
• Uma uke wahlinzwa umlomo wesibeletho sakho: Isibonelo, ngemva kokuhlolwa noma ukwelashwa okufana nokuthi `(LEEP)`.
• Izimo ezithile zofuzo: Abantu abanezifo zofuzo ezenza buthaka izicubu ezixhumeneyo, njenge-Ehlers-Danlos syndrome, bangase babe nezinsini zomlomo wesibeletho ezibuthakathaka.
• Ezinye izifundo zibonisa ukuthi abesifazane abamnyama kanye nomama abakhulelwe amawele noma amawele amathathu (ama-multiples) nabo basengozini enkulu yokuba nalesi simo.

Yiziphi izimpawu ze-`(I-Cervix Engakwazi Ukwelashwa)`?

Nakhu lapho kuba khona ukudideka okuncane. Ezimweni eziningi, azikho izimpawu ezicacile zomlomo wesibeletho ongakwazi kahle. Njengasekubelethweni kwangaphambi kwesikhathi, ukufinyela noma ukuphuka kwamanzi kungase kungabonakali ekuqaleni.

Kodwa abanye abantu bangase babe nezimpawu ezifana nalezi:

• Umuzwa wokusinda kanye nokucindezeleka esiswini esingezansi.
• Isisu esibuhlungu.
• Ukubona ngezikhathi ezithile.
• Ushintsho ekuphumeni koketshezi lwesitho sangasese sowesifazane (okumanzi, okunobuthi, noma okunegazi).

Ngenxa yokuthi lezi zimpawu zicashile, ungase ucabange ukuthi akuyona into embi kangako. Yingakho kubalulekile ukuvuleleka nokwethembeka kudokotela wakho mayelana nomlando wakho wezempilo ogcwele, ikakhulukazi noma yikuphi ukuphuphuma kwesisu kwangaphambilini noma ukuzalwa ngaphambi kwesikhathi. Udokotela wakho angabe esenquma ukuthi usengozini yini futhi athathe izinyathelo zokuphepha ezengeziwe uma kudingeka.

Yini ebangela `(Isibeletho Esingakwazi)`? Lokhu kwenzeka nini ngesikhathi sokukhulelwa?

Uma ngikhuluma iqiniso, imbangela eqondile "ye-Incompetent Cervix" ayikatholakali okwamanje. Kodwa odokotela bayazi ukuthi izici eziyingozi esixoxe ngazo ekuqaleni (njengokulimala komlomo wesibeletho, ukuhlinzwa, kanye nokukhubazeka kokuzalwa) zibangela lokhu.

Nakuba lesi simo singase senzeke nganoma yisiphi isikhathi ngesikhathi sokukhulelwa, sivame kakhulu ku-trimester yesibili yokukhulelwa, phakathi kwamasonto angu-14 no-27.

I-Cervix Engakwazi Ukubeletha ibangela kanjani ukuphuphuma kwesisu?

Ukuphuphuma kwesisu kuwukulahlekelwa yingane ngaphambi kwamasonto angama-20 okukhulelwa. Cabanga ngale ndlela: umlomo wesibeletho uyisimbobo esiphakathi kwesibeletho (lapho umntwana ezalwa khona) kanye nesitho sangasese sowesifazane. Lesi simbobo kufanele sihlale sivaliwe kuze kube yilapho umntwana ezalwa. Kodwa uma kwenzeka "i-Cervix Engakwazi Ukuzala", lesi simbobo sivuleka ngaphambi kwesikhathi. Ngemuva kwalokho umntwana angaphuma ngaphambi kokuba izitho namathambo omntwana akhule ngokugcwele. Lesi simo "se-Cervix Engakwazi Ukuzala" sibangela cishe u-25% wazo zonke izisu eziphuphumayo zekota yesibili.

Kodwa, into ebaluleke kakhulu ukuthi ukwelashwa kwalokhu kuvame ukuphumelela kakhulu. Ngakho ungakhathazeki.

Ingabe umuntu onomlomo ongakwazi ukubeletha angaba nomntwana ngesikhathi sokubeletha?

Yebo, kungenzeka nakanjani! Ngokwelashwa okufanele, kungenzeka. Umgomo oyinhloko wokwelapha lesi simo ukuvimbela ukuzalwa ngaphambi kwesikhathi nokugcina umntwana esibelethweni isikhathi eside ngangokunokwenzeka, okuvumela izitho zakhe ukuba zikhule kahle.

Ungasithola kanjani isimo `(I-Cervix Engakwazi)`?

Njalo uma uya emtholampilo wangaphambi kokubeletha, udokotela uzokubuza imibuzo mayelana nomlando wakho wezempilo kanye nezimpawu zokukhulelwa. Uma uke waphuphuma isisu ngaphambilini noma wahlinzwa esibelethweni sakho, ungakhohlwa ukutshela udokotela. Ngokusekelwe kulezi zici eziyingozi, udokotela angase anqume ukunakekela kakhulu isibeletho sakho.

Kunezindlela ezimbili eziyinhloko ezisetshenziswayo ukuxilonga isimo esithi ``Incomplete Cervix``:

1. Ukuhlolwa kwe-pelvic: Udokotela uhlola umlomo wesibeletho.

2. Ukuskena kwe-ultrasound okudluliswa esithweni sangasese sowesifazane: Kulokhu, kufakwa ithuluzi elincane ngesitho sangasese sowesifazane bese kulinganiswa ubude nokuvulwa komlomo wesibeletho.

Iphathwa kanjani i-`(Incompetent Cervix)`?

Umgomo oyinhloko wokwelashwa ukugcina ukukhulelwa isikhathi eside ngangokunokwenzeka. Njengoba lesi simo kungaba nzima ukusithola, kubalulekile ukuqaphela izici eziyingozi. Udokotela wakho uzonquma ukwelashwa okungcono kakhulu ngokusekelwe esimweni sakho kanye nomlando wezokwelapha.

Kunezindlela eziningana zokwelapha eziyinhloko:

1. I-cervical cerclage

Lokhu kuyindlela yokwelapha evame ukusetshenziswa futhi ephumelelayo kakhulu. Kalula nje, kuhilela ukuthunga umlomo wesibeletho sakho ngokuhlinzwa, njengokungathi isikhwama siboshelwe sivalwe. Lokhu kuvame ukwenziwa phakathi kwamasonto ayi-12 kuya kwayi-14 okukhulelwa. Bese kuthi lapho umntwana esekhulelwe, cishe amasonto angama-37, kususwe imithungo. Ungabe usubeletha ngendlela evamile.

Udokotela wakho angase ancome i-Cerclage ezimweni ezilandelayo:

• Uma uke waphuphuma isisu esikhathini sesibili sokukhulelwa.
• Uma uke wahlinzwa i-cerclage ekukhulelweni kwangaphambilini.

Kodwa akubona bonke abantu abangaba ne-cerclage. Odokotela abenzi lokhu kuhlinzwa ezimweni ezinjengalezi:

• Uma ulindele amawele, amawele amathathu noma ngaphezulu. (Akukho bufakazi obucacile bokuthi i-cerclage inciphisa ingozi yokuzalwa ngaphambi kwesikhathi kulezi zimo.)
• Uma umlomo wakho wesibeletho usuvele uvulekile ngamasentimitha angu-4.
• Uma isikhwama sakho samanzi siphukile (ama-membrane aqhumile).

2. Izithasiselo ze-progesterone

Uma usengozini yokuthola "i-Cervix Engasebenzi kahle," udokotela wakho angakutshela ukuthi uthathe izithasiselo (amaphilisi noma ama-vaginal pessaries) aqukethe i-hormone ethi "Progesterone" kusukela ku-trimester yesibili. Le hormone isiza ukugcina ukukhulelwa.

3. Ukuqapha okwengeziwe nge-ultrasound scans

Uma unezici eziyingozi zokuthi `(Ukungasebenzi kahle komlomo wesibeletho)`, udokotela wakho angase aqaphe umlomo wesibeletho sakho ngokuskena okuvamile `(i-transvaginal ultrasound)` kuze kube amasonto angama-24 okukhulelwa. Uma umlomo wesibeletho sakho ubonakala ufushane, udokotela wakho angase atuse `(i-Cerclage)`. Kodwa-ke, `(i-Cerclage)` ngokuvamile ingenziwa kuphela kuze kube amasonto angama-24 okukhulelwa.

Yiziphi izinkinga ezingaba khona ze-`(I-Incompetent Cervix)`?

Umlomo wesibeletho ongasebenzi kahle ungabangela izinkinga, ikakhulukazi ukuphuphuma kwesisu kanye nokubeletha ngaphambi kwesikhathi .

Akuvamile kakhulu, i-cerclage ingabangela izinkinga ezithile. Izibonelo:

• Ukuqhekeka kwesibeletho
• Ukopha kwangaphakathi
• Ukuqhekeka komlomo wesibeletho sakho
• Ukutheleleka

Kodwa lezi yizinto ezingavamile kakhulu. Odokotela bakhathazekile kakhulu ngalokhu.

Ingabe `(I-Cervix Engasebenzi)` ingavinjelwa?

Eqinisweni, akekho ongavimbela ngokuphelele ukukhula komlomo wesibeletho ongakwazi ukubeletha. Kodwa-ke, kunezinto ongazenza ukuqinisekisa ukukhulelwa okunempilo. Lokhu kungasiza ngokungaqondile:

• Iya emitholampilo yokukhulelwa ngezinsuku ezihleliwe.
• Yidla ukudla okunempilo nokulinganiselayo.
• Thola isisindo esifanele ngesikhathi sokukhulelwa.
• Gwema ngokuphelele utshwala, ugwayi, nezinye izidakamizwa.
• Thatha i-vitamin yokukhulelwa enconywe udokotela wakho.
• Buza udokotela wakho ngaphambi kokuthatha noma yimuphi omunye umuthi noma isithasiselo.

Yini okufanele ngiyilindele uma ngine-"Cervix Engasebenzi Kahle"?

Ungakhathazeki. I-Cerclage iyindlela yokwelapha ephumelela ngama-90% yomlomo wesibeletho ongakwazi ukubeletha. Lokhu kusho ukuthi omama abaningi bakwazile ukubeletha umntwana onempilo eduze nosuku lwabo lokuzalwa ngenxa yalolu hlobo lokwelashwa.

Uma benginomlomo othi "Incono Cervix" ngaphambili, ingabe kuzophinde kwenzeke uma ngikhulelwa?

Yebo, uma ube ne-"Cervix Engakwazi" ekukhulelweni kwangaphambilini, usengozini yokuba nesimo esifanayo ekukhulelweni kwakho okulandelayo. Ngakho-ke, uma ulindele omunye umntwana, kubaluleke kakhulu ukubona udokotela bese ukhuluma ngalokhu ngaphambi kokuba ukhulelwe. Khona-ke udokotela angakunikeza iseluleko esidingekayo futhi akusize ube nokukhulelwa okuphephile nokunempilo. Ungase ukwazi ngisho nokwenza i-"Cerclage" kusenesikhathi.

Ngingambona nini udokotela?

Ngokuvamile, odokotela baxilonga umlomo wesibeletho ongasebenzi kahle ngemva kokuphuphuma kwesisu kwekota yesibili noma ukubeletha ngaphambi kwesikhathi. Kodwa-ke, uma uhlangabezana nezimpawu zokuphuphuma kwesisu ngesikhathi sokukhulelwa, njengokuphuma kwegazi, ubuhlungu besisu esingezansi, noma ukuqaqamba kwesisu , thintana nodokotela ngokushesha.

Yimiphi imibuzo okufanele ngiyibuze udokotela?

Uma kutholakale ukuthi unesifo esithi "Incompetent Cervix", ungabuza udokotela wakho imibuzo efana nale:

• Kuyingozi kangakanani kimi ukuba ne-"Incompetent Cervix"?
• Yiziphi izimpawu zezinkinga okufanele ngiziqaphele?
• Ngingazi kanjani ukuthi ukwelashwa kuphumelele?
• Ngingaqhubeka nemisebenzi yami yansuku zonke njengokujwayelekile?

Ngingabuyela nini emisebenzini yami evamile?

Iningi labantu abanomlomo wesibeletho ongakwazi ukwenza kahle akudingeki banciphise imisebenzi yabo yansuku zonke ngesikhathi sokukhulelwa kwabo. Kodwa-ke, kungcono ukuxoxa ngalokhu nodokotela wakho ukuze uqiniseke, kuye ngesimo sakho.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke kulokho esikuxoxile, ngithemba ukuthi usuthole ukuqonda okungcono `(I-Incompetent Cervix)` noma `(I-Cervical Insufficiency)`.

Khumbula, "I-Cervix Engasebenzi Kahle" yilapho umlomo wesibeletho uba buthakathaka, ube mfushane, noma uqala ukuvuleka ngaphambi kwesikhathi. Lokhu kungaholela ekuphuphumeni kwezisu nasekuzalweni ngaphambi kwesikhathi.

Lesi simo singaba nzima ukusithola ngoba akuwona wonke umuntu onezimpawu ezisobala. Yingakho kubalulekile ukutshela udokotela wakho umlando wakho ogcwele wezokwelapha, ikakhulukazi noma yikuphi ukuphuphuma kwesisu kwangaphambilini noma ukubeletha ngaphambi kwesikhathi. Futhi, tshela udokotela wakho nganoma yiziphi izimpawu ezingavamile ozizwayo ngesikhathi sokukhulelwa. Lolu lwazi luzosiza udokotela wakho ukuthi anqume ukuthi usengozini yini `(Ukungasebenzi kahle komlomo wesibeletho)`.

Izindaba ezinhle ukuthi ezimweni eziningi, lesi simo singelashwa ngempumelelo ngokuhlinzwa okubizwa ngokuthi ``Cerclage''. Ngakho ungesabi. Khuluma nodokotela wakho ngakho konke obala. Kwangathi ungathola amandla okuletha umntwana onempilo kuleli zwe!

Ubuthakathaka besibeletho , Isibeletho Esingakwazi Ukwenza Kahle, Ukungasebenzi Kahle Kwesibeletho, Ukukhulelwa, Ukuzalwa Ngaphambi Kwesikhathi, Ukukhipha Isisu, Ukubeletha Ngesibeletho, I-Progesterone, Isibeletho, Impilo Yabesifazane