Kuwana Mucheche Mushure meCervical Stenosis
Cervical stenosis inowanzozivikanwa asi inokonzera kukanganisa kwevakadzi . Necervical stenosis, chirungu chemuviri chepachiviri chinopfuvura kupfuura zvazvinofanira kunge uye, mumatambudziko akaoma, chinogona kupera chakavharwa. Izvi zvinogona kukanganisa utachiona hunoenda kuii uye unomanikidzira mishonga inobereka insemination kana mu in vitro fertilization .
Pamusoro peChirvix Yenyu
Kuti unzwisise kuti chibereko chechiervical chinogona sei kukonzera kusakwana, unoda kunzwisisa chibereko chemuviri .
Muchivi chemuviri wako mukova uye munharaunda kubva kumadzimai ako kusvika kumimba yako. Pamugumo wemudzimai wekanaleni ndeye os kunze kana chirungu chekuvhara. Paunenge uine pap smear, masero anotorwa kubva pano. Iwe unogona kunzwa chikamu chechivivi chako neminwe yako. Ichokwadi, vamwe vakadzi vanocherechedza kuchinja kwechibereki senzira yekucherechedza ovulation .
Izvi, zvisinei, ndizvo chete chikamu chekunze chechirwere. Mushonga wechibereki unoenderera mberi uchipfuura nechokunze kwekunze, kuumba mararamiro emudzimai kusvika kumbere. Iyi "tuneni" yemukatidzi inozivikanwa seyo endocervical canal.
Pamugumo wemugwagwa we endocervical is inner os, kana kuvhura mukati memukati. Apa ndipo apo chivharo chako chinoguma uye chibereko chako chinotanga.
Cervical stenosis inogona kuitika kune imwe yenzvimbo idzi, kana kunyange pavari pakarepo. Kazhinji, kazhinji, dambudziko iri rinowanika pane kunze. Muchiziviso chinotamba mashoma mashoma anoita mukubereka uye pamuviri:
- Munguva yokuenda kumwedzi, mishonga yekupedzisira inobva mumuviri mukati memukati.
- Ndiyo nzira yekuti chirume chinamate kubva kumadzimai kusvika pakuzvarwa.
- Iine misi-inobudisa mavara. Kervical mucus inodiwa kubatsira chirwere chemhondi zvinobudirira kusvika mumuviri wechirwere panguva yekuvhota uye kunobatsira kudzivirira utachiona uye kuchengetedza zviduku zvisingadiwi kunze.
- Munguva yepamuviri, chirwere chechivharo chinogadzira mucus plug kudzivirira fetus. Inoramba yakasimbiswa yakavharwa, ichiita sechisimbiso, kusvikira nguva yekuzvarwa.
Ko Cervical Stenosis Inopindirana Sei Nokubereka?
Cervical stenosis inogona kukuvadza kunobatsira kubereka, zvakananga uye zvisingaiti.
Mbeu inopfigirwa kana yakagadziriswa : Kana chirango chemuviri chechivharo chakavharwa kana chakapfupika kupfuura chinenge chichifanira kuva, chirume hachikwanisi kuenda kune fallopian tubes (pavanosangana uye nekudiridza zamai).
Uterine kuvhiringidzika uye endometriosis ngozi : Kubuda kumwedzi kunogona kudziviswa zvachose (mumatambudziko akaoma) kana kubatwa kumashure uye kusagona kubuda nyore nyore kunze. Izvi zvinogona kuita kuti chibereko chizadze neropa, zvichikonzera marwadzo nekuputika. Izvi zvinozivikanwa sehematometra.
Kana hutachiona hukaitika, chibereko chinogona kuzadzwa nepus. Mushonga wezvokurapa nokuda kweiyo iyi pyometra.
Kunyange kana chirwere chechivharo chikavhurika zvishoma uye ropa rinogona kuderera kunze, kumwedzi kwemazuva nguva kunogona kuvhara mumvura. Izvi zvinogona kutungamirira kumakumbo endometrial uye endometriosis.
Pashoma kubereka chibereko chechibereki : Cervical stenosis inowanzokonzerwa nehutachi. Mucherechedzo unogona kupesana nekugadzirwa kwekamukati yemukati. Dzimwe nguva, kuvhiyiwa kwakakonzera kutyisa kwemavara kunobvisa kubviswa kwemishonga yekervical, uye izvozvo zvinowedzera kukanganisa kervical mucus production.
Pasina kukonzera mhondi yakakwana , chirume chinogona kuva nechinetso chichifamba uye chinopona.
Matambudziko panguva yekurapa kwekubereka : IUI nehutachiona hweVIV inoda kuti catheter iiswe mukati memukati. Ndiine IUI, kutengesa katheter kunonyanya kushambidzirwa mbeu. NeAVF, catheter inotakura mazai.
Chero zviitiko zvose, kana chirango chemuviri chechivharo chakavharwa kana chakanyanya kuderera kuti catheter ipfuure, kurapa kunogona kuva kwakaoma. Hazvibviri (kana kurairwa) kumanikidza catheter kuburikidza. Kune, zvisinei, zvisarudzo zvekugadzira nzira. (Zvimwe pamusoro apa iri pasi apa.)
Kuwedzerwa njodzi yekudzivirira pamuviri uye kuberekwa kusati kwapera : Kuchengetedzwa kweCervical stenosis kunogona kuderedza chirwere chechivharo kana kuti kukonzera kukanganisa kwemishonga yechikanda.
Gare gare, panguva yekuzvitakura, izvi zvinogona kutungamirira kumuromo wechipatara usina kukodzera . Chiremera chemuviri hachisi kana chivharox chisina kubvigwa kana chakasimba zvakakwana kuti kuchengetedza kuberekwa kuve kwakachengeteka. Iko kunogona kutungamirira kumwedzi wechipiri wekutatura pamuviri kana kuberekwa nguva isati yasvika. Pane dzimwe nzira dzokuderedza dambudziko iri, zvisinei. (Ona zvakawanda pasi apa.)
Chii Chinokonzera Cervical Stenosis?
Chikonzero chinonyanya kukosha chekervical stenosis chinobva pakuvhiyiwa kwechibereko chechibereko chechibereko.
Kana pap smear ichiwana masero asina kukwana, chiremba wako angada kubvisa chiduku chezviviri kubva pamuviri wako. Izvi zvinogona kuitwa sezvinonzi cone biopsy kana LEEP (loop electrocautery excision procedure).
Kana muviri wako uchiporesa kubva kuhuputi, ruvara rwechivara runogona kuumbwa pamusoro pemubhedha wemukango. Izvi zvinogona kutungamirira kumudzimai wekervical stenosis.
Zvimwe zvinokonzera kukonzera kervical stenosis zvinosanganisira:
- Congenital (akaberekwa nemukativha wakavharwa kana wakamanikana)
- Cervical dysplasia (precancerous cells)
- Chirwere chechibereki kana chirwere chemumetometri
- Kurwara kwechibereko kana chibereko chechirwere
- Radiation therapy kumunharaunda
- Asherman's syndrome
- Kupera kwepamusoro kwekuvhiya kwepamusoro (kurapwa kwakaitwa kuderedza nguva dzakaoma, kwete kukurudzirwa kune avo vanoronga kuva nevana munguva yemberi)
- Kusvitsa
Kuziva uye Zviratidzo
Zvichienderana nekuoma kwakanyanya, cervical stenosis inogona kuwanikwa painoongorora zviratidzo, kana zvingasaratidzika kusvikira kuedzwa kwekubereka kana kurapwa. Zviratidzo zvinowanikwa zvinosanganisira:
- Kuenda kumwedzi kusina kubuda ropa
- Hapana nguva kana kupenya kwakanyanya
- Kunyanya kunonoka kumwedzi
Kana zviratidzo izvi zvikaitika mushure mekuvhiyiwa kwechibereki, cervical stenosis inonyatsofungidzirwa.
Infertility zvakare chiratidzo chinogoneka chekervical stenosis.
Munguva yekuedzwa kwekuberekwa , cervical stenosis inogona kunge ichifungidzirwa kana kune dambudziko rokuzadzisa HSG. HSG inonzi x-ray inosanganisira kuendesa dhayi kubva mumuviri wechibereko kusvika mumharadzi yekuberekwa kwevakadzi. Kazhinji, catheter inoiswa mukati memukati wekunze wemukati. Dhayi rinobudiswa, uye ipapo, chiremba anotora x-rays. I-ray-ray inofanira kuratidza kana mawere ane mavara akazaruka uye anotarisa maitiro ehutachi uterine.
Zvisinei, kana catheter isingagoni kuiswa, inorwadza kwazvo, kana dae harina kuita kuti rive rakapfuura chibereko chechirwere, cervical stenosis inogona kunge iri dambudziko. Kana izvi zvikaitika, hosteroscopy inowanzorayirwa zvakare. Uyu muedzo wokubereka unogonawo kushandiswa kune yakakodzera yakakwana yekervical stenosis.
Zvinokonzerwa nekervical stenosis kuti iwanikwe panguva yekurapa kwekuita. (Kana iwe uri kushamisika kuti ingarasikirwa sei panguva yekuedzwa, zvinogona kugadziriswa cervical stenosis kuti udzoke shure mushure mekurapa).
Munguva yeIUI kana IVF, kana pane dambudziko rinokonzera catheter kuti rive insemination kana kuberekwa kwechibereko, cervical stenosis inogona kunge iri dambudziko.
Treatment Options
Cervical stenosis inogona kurapwa, kunyange kune ngozi iyo inopisa mhuka inovhara mushure. Pane dzimwe nzira dzokuderedza kuvepo kwekudzokorora zvakare.
Imwe nzira yekurapa inosanganisira kushandiswa kwevanotengesa. Izvo zvinotakura zvinouya seganda rembambo dzakatetepa, iyo inowedzera zvishoma nezvishoma muhukuru. Dzimwe nguva kunyange iyo duku duku ye dilator yakakura kwazvo, pane iyo iyo foni inogona kushandiswa.
Izvi zvinogona kuitwa muhofisi yechiremba. A paracervical block inoshandiswa, iyo inoratidzika seanesthetic, kuti kuderedza marwadzo panguva inoitwa. Chiremba wako anotanga ne-thinnest ye dilatator, uye anonyatsotanga kuwedzera huwandu hunotevera, kusvikira ziso raunoda richizoitika.
Dzimwe nguva, hove inogadziriswa kuchengetedza chibereko chemuviri chivhurwe uye kudzivirira kupisa mhuka kubva pakugadzirisa nekuvhara kuvhura. A stent ibasa-sakaita chinhu. Izvo stent yaizobviswa shure kwemavhiki mashoma.
Kana kushambadzira kusingabudiriri kana kusina kukodzera, kuveura ndeyekusimbisa ndekusarudzo. Iyi ndiyo nzira yekuvhiya yakapedzwa panguva yekunyora. Kuchengetedza kwema Laser-apo mavara ane ruvara anoputirwa nerapa-laser-imwe imwe nzira inogona kuitika.
Madzimai asiri kuedza kutora mimba, IUD inogona kuiswa mushure mokurapa chirwere chepervical stenosis. IUD inotarisirwa kuchengetedza zvisikwa zvishoma kubva pakuchinja. Kana iwe uchida kutora pamuviri munguva yemberi, IUD inogona kubviswa ipapo.
Kune mungozi dzinogona kuitika kumushonga wekervical stenosis. Mikana inotarirwa pane nzira ipi yekurapa inoshandiswa, asi zvimwe zvezvinetso izvi zvinosanganisira:
- Uterine puncture
- Kurwara
- Muchiremera chemuviri (panguva yekuzora mimba)
Kuwana Muchembera Zvine Utano Pashure peCervical Stenosis Treatment
Dzimwe nguva, cervical stenosis ndiyo inonyanya kukonzera kusagadzikana. Munyaya iyi, unogona kukwanisa kuzvitora iwe pachako mushure mekurapa. Chiremba wako achapa nguva yekuedza kubata pamuviri wako, zvichida mwedzi mitanhatu. Kana iwe usingakwanisi kubata pamuviri, dzimwe nzira dzokurapa dzinogona kubatwa.
IVF neIUI Treatment
Kana kervical stenosis inowanikwa panguva yehutano hweIUI uye inodzivirira nzira yacho, chiremba wako anogona kuisa semanho inotanga kushambidzika sepedyo nemukiriniki sezvinobvira panzvimbo pekushanda mukati. Kubudirira pamuviri kunenge kusingagoni kuitika. Zvisinei, mushure mekuberekwa kwechibereki stenosis yave yakawanikwa, chiremba wako anofanira kukwanisa kuchibata nekudzokazve imwe IUI.
Uine IVF, zvakakodzera, chiremba wako anofanira kuita shanje yekutengesa mwana asati aenda iwe IVF. Izvi zvicharatidza chero zvinetso zvinogona kuitika, kusanganisira cervical stenosis.
Chii chinoitika kana cervical stenosis inowanikwa munguva yeVIVF, panguva chaiyo yekuendesa mwana? Chiremba wako angasarudza kuedza kervical dilation uye oenderera mberi nekutumira. Kutsvakurudza kwakasanganiswa, zvisinei, kana iyi ichiita kuti mimba yakabudirira kubudirira kana kuti kwete.
Kuderedza Dambudziko rekuberekwa
Sezvataurwa pamusoro apa, kurapa chirwere cheservic stenosis kunogona kuwedzera mungozi yako yechirwere chisina kukwana kana kuberekwa nguva isati yasvika. Imwe inogona kurapwa kuderedza dambudziko iri inozivikanwa sa cerclage . Chireklage apo apo chiremba wako anosunungura chirwere chechivharo chakavharwa musati mimba. Iyo sutures inobviswa mushure mekunge masvika mavhiki makumi mana, saka havaiti kupindira nekunonoka kwechibereko chechibereki uye kubereka mwana.
> Sources:
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> Lin YH1, Hwang JL, Huang LW, Seow KM, Chen HJ, Tzeng CR. "Kubudirira kwehistoscopic cervical resection for cervical stenosis. "J Minim Inowanikwa Gynecol. 2013 Nov-Dec; 20 (6): 836-41. doi: 10.1016 / j.jmig.2013.04.026.
> Singh N1, Gupta P, Mittal S, Malhotra N. "Kurwisana kwekuoma kwebasa pahutachiwana hwekudzivirira ne > muzinga > wechipatara pamuviri. "J Hum Anotsiura Sci. 2012 Sep; 5 (3): 258-61. doi: 10.4103 / 0974-1208.106337.
> Suen MWH1, Bougie O1, Singh SS2. "Hysteroscopic management of stenotic cervix. "Fertil Steril. 2017 Jun; 107 (6): e19. doi: 10.1016 / j.fertnstert.2017.03.027.