Mamiriro acho akabatanidzwa kune rimwe mumana masere ekupedzisira
Chimwe chezvishoma zvinozivikanwa zvinokonzerwa nekupera kwekupedzisira kwekuita kurasikirwa kwemuviri chirwere chinozivikanwa sekuti cervical insufficiency , iyo inonziwo chiremera chemuviri usina kukodzera . Mamiriro acho akafananidzwa nekugadziriswa kusati kwapera uye kuponda kwechibereko chemuviri vasati vasvika pamuviri.
Kana izvi zvikaitika, mukadzi anogona kutarisana nekuberekwa kwepakutanga kana kutapurika pamuviri sezvo chivharocho chiri nyore kwazvo kutakura kuwedzera kukura kubva mukati mechibereko.
Kervical insufficiency inowanzokonzerwa nekusava nekamuviri kana chibereko. Izvo zvisina kukwana zvinogona kunge zviripo (ikozvino panguva yekuzvarwa) kana kuti chikonzero chekuvhiringidzika kumuromo wechibereko (kusanganisira chirwere chinoshandiswa seyiyo biopsies).
Nepo inenge makumi mapfumbamwe kubva muzana yehutachiona wese kurasikirwa kunoitika mukati mekutanga kwemutatu , chikamu chiduku chevakadzi chicharasikirwa mumutsara wechipiri kana wechitatu. Pakati pezviitiko izvi zvekupedzisira-nguva, vazhinji seyese pavana vachava mugumisiro wemukiriniki usina kukodzera.
Kupindira kwezvechiremba kunogona kubatsira kana dambudziko racho rakabatwa nokukurumidza zvakakwana.
Zviratidzo zveCervical Insufficiency
Chirwere chepachivi chisina kukwana chinogona kuva chakaoma kuti chiongorore nokuti inowanzotarisa zvachose (kureva pasina zviratidzo). Inogona kuitika kakawanda pasina marwadzo kana kupesana kunowanzoonekwa mune dzimwe mhando dzekufa kwepamuviri kana zviitiko zvekutanga.
Kana zviratidzo zviripo, zvinowanzova zvinyoro uye zvinogona kusanganisira:
- Pelvic pressure
- Cramping
- Backache
- Kuchinja kwehuwandu, ruvara, kana kusagadzikana kwekubuda kwemudzimai
- Zvinyorwa zvinyoro
Kervical insufficiency inoitika mushure memasvondo gumi nemasere ekuberekwa uye haifaniri kuonekwa sechimwe chekutanga mumatambudziko.
Kuongororwa Kushanda Kusakwanira
Cervical insufficiency inogona kuongororwa chete panguva yekuzvimba uye kunyange ipapo zvakaoma kusimbisa.
Muzviitiko zvakawanda, zvinogona kuongororwa chete apo pane humwe hunoonekwa hwehupenyu huripo hunoitika pasina kupesana kunorwadza, kubuda ropa, kubuda kwemakumbo (kuputsa mvura), kana utachiona.
Kervical insufficiency inowanzoongororwa kuvakadzi vane imwe nhoroondo yekodachi isina kukwana kana nhoroondo yebasa shomanana uye zvishoma nezvishoma kunotanga kununurwa. Kana chirwere chisina kukwana chichifungidzirwa, chiremba angaita mimwe miedzo yekuongorora, kusanganisira:
- Kuongorora kwepelvic kuti uone kana paine mavara e fetal ari kubuda mumugero wemudzimai
- Transvaginal ultrasound , inowanikwa zvinyoronyoro mumudzimai, kuti uone urefu hwechirwere uye chiyero chekudzikisa kupi zvako
- Amniocentesis (kubviswa kwemuenzaniso weamniotic fluid) kutonga kunze kwehutachiona
Kunyange zvazvo pasina hupi hupi hupi hunogona kushandiswa musati mutezo kutaurira chirwere chisina kukwana, pane vamwe vanogona kuona hutachiona husina kunaka hunoenderana nemamiriro acho ezvinhu. Aya maongorori anowanzotarisirwa kuvakadzi vakambove vachidzokorora zvisizvo kana nhoroondo yekutanga kwekuberekwa.
Kurapa Chikamu Chekushaya Kukwana
Paunotarisana nekondomu kusakwana, maitiro ekurapa anogona kusiyana zvikuru kubva kune mumwe chiremba kuenda kune anotevera.
Izvi zvinokonzerwa nekuti hapana imwe nzira inoratidzirwa kuva yakanyanya kana isiri iyo yekudzivirira kutanga kwekutanga kune vamwe. Sezvo zvakadaro, zvisarudzo zvinogona kusanganisira:
- Deredza kutarisa pasina kurapwa kunze kwokunge kuberekwa kuonekwa kutyisidzirwa
- Cervical cerclage , iyo inowanikwa suture kubatsira kubatsira chibereko chechirwere
- Cervical pessary, chirongwa chinonzi intravaginal medical device chinoshandiswa kutsigira murwere
- Progesterone zvinowedzera kubatsira kubatsira kudzivirira kutanga
> Kwakabva:
> American College yeVadzidzi uye, Gynecologists. "ACOG Practice Bulletin N.142: Kuchengetedza kwekutungamirirwa kwekodachi kusakwana." Obstetrics uye Gynecology . 2014; 123 (2); 372-9.