Izvi zvinowanzowanikwa chete kana zvanyanyisa
Kervical insufficiency, iyo inonziwo isina chimiro chechirwere, inoreva kuti chibereko chemuviri wechikadzi chinowedzera simba uye chinotanga kuwedzera uye kuzarura zvakare kare munguva yekuzvitakura, izvo zvinogona kutungamirira pakuparara.
Kana izvi zvisingatarisirwi nguva isati yaonekwa munguva, kuberekwa kwechibereki kunogona kukonzera kurasikirwa pamuviri kana kuberekwa kwekutanga kwechecheche. Chigumisiro chekutanga kutaridzika kunobva apo mwana anoberekwa, uye kuberekwa kwekutanga kunowanzoita kuti ave nepamuviri yekurasikirwa.
Zvinokonzera
Kervical insufficiency inogona kukonzerwa nekuparara kwechibereki chekare, zvakadai sekuve nemarwadzo ekuberekwa akaoma kana mamwe maitiro emuchechi, zvakadai seLeEP, laser ablation uye kutonhora makanda conization. (A standard cervical biopsy haisi kukonzera kusakwana.)
Izvo zvinogonawo kuitika kune vakadzi vane hutano hwehutano husina kunaka, zvakadai se bicornuate uterus kana unicornuate chiberekero , uye mune vakadzi vane amai vakabata DES. Imwe tsvakurudzo inoratidza kuti chirwere chechibereki chisina kukwana chinogona kunge chiri nyore kune vakadzi vakambove nedzimwe nzira dzeD & C.
Zviratidzo
Zvinosuruvarisa, chirwere chemuviri chisina kukwana kazhinji hachina zviratidzo mumimba yekutanga inobata pamuviri. Muchiziviso chinodonha kunze kwemukadzi zvichicherechedza zvipikiso zvese, uye ipapo mvura inoputsa uye mwana anoberekwa - dzimwe nguva kare kare kuti ave nekana muhupenyu. Vakadzi vanogona kunge vaine ruvara kana kubuda ropa, asi kazhinji, nenguva iyo mamiriro acho akaonekwa, yakanyanyisa kurega kuberekwa kwekutanga.
Kuongororwa Nzira
Kervical insufficiency haisi yakakurumbira uye vanachiremba havawanzovhenekeri mamiriro ezvinhu panguva yekudzivirira, kunze kwevakadzi vane vane ngozi yakawanda (yakadai sechizivikanwe chekuita uterine malformation kana yapfuura yechipiri-trimester kupererwa kwepamuviri). Madzimai ari pangozi yakakura, vanachiremba vanogona kutarisa chibereko chechivharo kuburikidza nekushandisa vaginal ultrasound, asi ultrasound haisi nguva dzose yakanyatsoona kubatwa kwechibereki.
Kutsungirira
Hazvisi nyore nyore kutarisana nekurasikirwa kwepamuviri, asi mukushaya mitezo nekuda kwechirwere chisina kukwana, mwana wako angave akaberekwa ari mupenyu asati apfuura. Iwe unogona kuzviwana iwe uchirwisana nepfungwa yokuti kurasikirwa kwako kungave kwave kwakadziviswa kana yakange yaonekwa munguva.
Ramba chido chekuzvipa mhosva iwe pachako kana kugadzirisa zvakare chiitiko chako kuti uone kana pane zvimwe zviratidzo zvisipo, uye yeuka kuti chikwata chekushaya chimiro hachiwanzozivikanwi nguva isati yasvika nokuda kwekurasikirwa kwekutanga-nguva. Funga kuwana boka rekutsigira kutaura kune vamwe vane chirwere chisina kukwana, kana kutsvaka rubatsiro rwemupi wezano.
Mishonga inowanikwa Mukurambana Kwekuberekwa
Mushure mokunge kurasikirwa pamuviri kana zvimwe zvinetso nekuda kwekushaya chibereko chemuviri, kune ngozi chaiyo yokuti dambudziko richaitikazve mumimba inotevera. Nokuda kwechikonzero ichi, unofanira kuva nechokwadi chekukurukura nehuwandu hwehutachiwana hwekuita pamuviri kana kuti mumwe muongorori weAIDS / GYN mushure mokunge uchinge uchitakura pamuviri uye zvakanaka pamberi pekubata pamuviri.
Chiremba wako angangokupa mirayiridzo yakakosha mumubatanidzwa wako unotevera. Iwe unogona kudiwa nguva dzose kutarisa kwepabonde kuti uone murwere wako, uye iwe unogona kukurudzirwa kuti usadzivirire kuita zvepabonde kana kuita zvepabonde.
Kana chibereko chechirwere chako chichioneka sechatanga kuputika kare kare mumakondomu ako anotevera, chiremba wako anogona kukurudzira zororo rokurara uye anogona kuita chironga chechibereki.
Vanachiremba vangashandisawo checclage senzira yekuchengeteka kwevakadzi vanofunga kuti vane ngozi yakakura yekutakura pamuviri.
Cervical cerclage chiratidzo chekuvhiya umo chiremba anoisa tsvimbo mumuromo wechibereko pakutanga kwekuzvimba uye anoibvisa apo kuberekwa kwafambira mberi zvakakwana kuti mwana aifanira kuberekwa.
Vatsvakurudzi vasati vasarudza mazano akanaka ayo varwere vangabatsirwa nacho nechikanda uye kana cerclage inogona kuve yakashanda mukudzivirira kutora pamuviri.
Sources:
Ahn, Jennifer T. naJudith U. Hibbard, "Chirwere chepfupi pakuberekwa: Ndeupi mushonga unoderedza kuberekwa kwekutanga?" OBG Management Aug 2003.
March weDimes, "Cervical Insufficiency (Incompetent Cervix) neCerclage". Health Education Centre . June 2006.
Ressel, Genevieve W., "ACOG Inoburitsa Bulletin Mukutarisa Kushanda Kwemhondi." American Family Physician 15 Jan 2004.
University of Illinois Medical Center, "Incompetent Cervix." Oct 2006.