Ndeipi Short Cervix uye Inobatwa Sei?
Muchibereko chechibereko , chikamu chekuberekwa kwemukadzi, ndicho chikamu chepakati chechibereko. Muchibereko chemuviri wacho ndeyerefu uye chakaoma uye inofanira kuramba yakareba uye yakaoma panguva yekuzvitakura. Dzimwe nguva, kunyange zvakadaro, chirwere chechivharo chinotanga kupfupisa mwedzi asati mwana azvarwa. Izvi zvinonzi chirwere chepfupi.
Muchibereko chechivharo ine mazarura maviri. Kuzarurira mukati, kana mukati rekunze, uri pamusoro pemubereki, pedyo nekuberekwa.
Kuzarurirwa kwekunze, kana kuti kunze kwekunze, kuri pasi pemukati. Dzimwe nguva apo chivharo chinotanga kupfupisa, mukati rekutanga rinotanga kuwedzera uye chibereko chechivharo chinoshanduka kubva pane "v" kusvika "u". Izvi zvinonzi cervical funneling.
Chirwere chisina kukwana, kana chirwere chisina kukwana, chinogona kukonzera chirwere chechivhadziro uye naizvozvo kusati vaberekwa. Muchibereko chisina kukwana, chirwere chechivharo chakakosha uye chinotanga kuwedzera nguva refu mwana asati azvarwa.
Kana Ndiine Chidimbu Chidiki, Ko Mwana Wangu Achave Akapfuura?
Vakadzi vane kamuviri kfupi, vane kana vasina ruzivo, vanowanzova nevana vasati vasvika pane vakadzi vanochecherwa kwenguva refu uye vakaoma pavanenge vachiita pamuviri. Asi chivharo chidiki hachirevi kuti mwana wako achange achangotanga! Vanachiremba vari nani zvikuru mukurapa chirwere chepfupi - nokudaro kudzivirira kutanga kwebasa - kupfuura ivo vari kumira basa risati rapera kana rinotanga.
Ko Short Cervix Inozivikanwa Sei?
Nzira yakanakisisa yekuongororwa nemukati mutsva ndeye an ultrasound.
Vanachiremba havagone kuongorora mukondombera mutsva kana kufungidzira nemuenzaniso wekuongorora; chete ultrasound ndeyechokwadi.
Mumakonde ane utano hwakanaka, chirwere chechivharo chinowanzova pakati pe30 ne50 mm (3 ne5 cm) yakareba. Zvidzidzo zvinoratidza kuti njodzi yekuberekwa nguva isati yakwana ndiyo yakakura apo chirwere chechivharo chiri pasi pe25 mm kureba.
Kana uine mungozi yekuberekwa kusati kwasvika , bvunza chiremba wako pamusoro pekuwana ultrasound yemukirini wako.
Kana yaonekwa kare, kune mishonga inogona kubatsira kudzivirira kutanga kwekuberekwa muvakadzi vane kamuviri kfupi kana kervical funneling.
Ndeipi Short Cervix Inobatwa?
Nemhaka yokuti chidimbu chechivivhe chinogona kuwedzera mungozi wamai webasa risati rapera, vanachiremba vanowanzopa mushonga kune vamwe vane utano hwakanaka vakadzi vane kamuviri kfupi. Kurapa kwechirwere chepfupi kunogona kusanganisira:
- Progesterone: Progesterone imishonga yakaratidza kuderedza dambudziko rekuberekwa nguva isati yasvika kune vakadzi vane kamuviri kfupi. Progesterone inogona kupiwa semapfupa evhiki nevhiki kana semishonga yepabonde zuva rega rega.
- Cervical cerclage: Chikafu chinokonzerwa mumutsara kuti chibatsire kuti chigare chakavharwa. Mishonga inogona kushandiswa kuvakadzi vane kamuviri kfupi kana kuti musero wakakwana.
- Cervical pessary: A cervical pessary ibhande resilicone rinobata chivharox. Iro cervical pessary inopindira mutsva, asi zvidzidzo zvinoratidza kuti zvinoshanda zvakanaka kudzivirira kutanga kwebasa kune vakadzi vane chirwere chepfupi. Kusiyana nekatclage, kuiswa kwepessary hakusi nzira yekuvhiya.
- Chizorora chebhedha : Basa rinogadziriswa, kusanganisira zororo rokurara , rinogona kurumbidzwa kune vakadzi vari pangozi yekuberekwa vasati vasvika. Zvisinei, zvidzidzo zvinoratidza kuti kushandiswa kwebasa hakuiti kudzivirira kutanga kwebasa kune vakadzi vane kamuviri kfupi.
Kana iwe ukaonekwa kuti une kamuviri kfupi, hausi wega. Mashoko akanaka ndeokuti vanachiremba vari kuwedzera zviri nani pakutsvaga nekurapa chidimbu chechirwere vasati vatanga basa, vachibatsira kudzivirira kuberekwa vasati vasvika. Zvakakosha kuwana nguva refu uye nguva dzose kutarisirwa kwepabonde kuitira kuti mukomana mutsva uye mamwe matambudziko ane pamuviri anogona kuwanikwa uye kurapwa kare.
Sources:
Abdel-Aleem, H., Shaaban, O., & Abdel-Aleem, M. (3013). "Cervical Pessary yekudzivirira Kutanga Kuzvarwa." Cochrane Database yekuongorora kwakagadziriswa , Nyaya 5.
Crane, J., & Hutchens, D. (2008). "Transvaginal Sonographic Measurement of Cervical Length Kufanotangira Preterm Kuberekerwa Mumadzimai Asingaenzaniswi Nengozi Inowedzera: Ongororo Yakarongeka." Kushandisa Ultrasound Gynecol 31: 579-587.
Conde-Agudelo, A. et. al. (January 2013). "Vaginal Progesterone Kupikisana neCervical Cerclage yeKudzivirira Kwepakutanga Kuberekwa Kwevakadzi neA Sonographic Short Cervix, Singleton Gestation, uye Preterm Kuberekwa Kuberekwa: Ongororo Yakagadziriswa uye Kuenzanirana Kwakananga Meta-Analysis." American Journal of Obstetrics uye Gynecology 208 (1) 42.e1-42.e18.
Grobman, W. et. al. (June 2013). "Basa rekudziviswa pakati pevakadzi nekanguva kfupi." Obstetrics & Gynecology 121 (6) 1181-1186.