Phakathi kwezingozi eziningi ezilindele owesifazane phakathi nesikhathi sokubeletha umntwana, akuyona indawo yokugcina yesigqebhezana esinikezwa umlomo wesibeletho omfushane wesibeletho, ngoba ngesikhathi sokukhulelwa, lesi sifo singabangela ukukhulelwa kwesisu noma ukubeletha ngaphambi kwesikhathi.
Iyini ingozi yomlomo wesibeletho esifushane ngesikhathi ukhulelwe?
Ukujwayelekile komzimba wesibeletho ngesikhathi sokukhulelwa kungu-4-5 cm.Nokho, ngenxa yezizathu ezithile, kwamanye abesifazane abesifazane ubude bawo abudluli u-2 cm. Kulesi simo, ubude besitho budala ukuthuthukiswa kwe-ICSI-iscystic-insufficiency.
Ukungaqiniseki kwe-Isthmico-komlomo kubonakala ukungakwazi kwentamo nentamo ukugcina ingane ekhulayo emkhunjini we-uterine. Izingane zihlala zicindezela ezindongeni zesisu, eziholela ekuvuleni nasekuzalweni kwangaphambi kwesikhathi noma ukukhulelwa kwesisu uma isibeletho singakabi isikhathi eside.
Enye ingozi enkulu kakhulu ukungena kalula kwezifo. Intamo encane yesibeletho ngesikhathi sokukhulelwa angeke ibe yindlela engathembeki yokungena kwamagciwane. Ngaphezu kwalokho, ngisho nokulethwa ngesikhathi esifanele, intamo encane ingaholela emsebenzini omusha. Imiphumela yalokhu ingase ibe ukuhlukunyezwa kwesifazane nesisu esisodwa.
Izimbangela zokungapheli komlomo wesibeletho ekukhulelweni
Esinye sezimbangela ezivame ukwedlula ubude bomlomo wesibeletho ngesikhathi sokukhulelwa yisakhiwo esithinta isisu somzimba. Isizathu sokuthuthukiswa kwesici, ngokuvamile, ukuhlinzwa kwe-intrauterine - ukukhipha, ukukhipha isisu, ngisho nokuzalwa kwangaphambilini. Umsebenzi wokusebenza ulimaza indandatho yemisipha. Ngemuva kokuphulukiswa kwesilonda kule ndawo, kutholakala izibazi, okwenyuka ukunciphisa amandla emisipha ukuba ivumelane futhi ilulame. Ngakho-ke, umlomo wesibeletho ukhubazekile futhi uba mfushane.
Enye imbangela yomlomo wesibeletho esifushane ngesikhathi sokukhulelwa yisifo se-hormonal esenzeka phakathi kweviki le-15 nelama-27 lokuthuthukiswa komntwana. Kule nkathi, ingane yesikhathi esizayo isebenze ngumsebenzi wezinhlayiya ezingenasisindo, okuholela ekuqalisweni kwe-androgens. La mahomoni akwazi ukunciphisa umlomo wesibeletho kumama. Esinye sezici zesici se-androgens ukunciphisa isisu somlomo wesibeletho, esingaphansi kwesithonya sabo sishintsha futhi ngaphambi kwesikhathi siqala ukuvela. Ngezinye izikhathi, ukuhluleka kwe-itchmico-komlomo akuholeli ukwanda kwezwi lesisu. Owesifazane okhulelwe ngokwabo angeke asole ukuthi kukhona ukukhubazeka.
Ungakugwema kanjani ukuthuthukiswa kwezifo?
Ngokokuqala ngqá, ukungafinyeleleki kwesifo se-ischemic-komlomo kutholakala ngesikhathi sokuhlolwa kokubukwa ngumjozi wezifo. Ukuqinisekisa ukuxilongwa, owesifazane uhamba nge-ultrasound esebenzisa inzwa yesisindo. I-ICS itholakala ukuthi ubude bentamo abudluli u-2 cm, kanti i-pharynx yangaphakathi ingaphansi kuka-1 cm ububanzi.
Okokuqala, owesifazane okhulelwe kudingeka abe ngaphansi kokulawulwa kwesifo somzimba okwazi ukubona ukunciphisa umlomo wesibeletho ngesikhathi futhi uthathe izinyathelo zokuvimbela ukuzalwa kokuqala noma ukukhipha isisu okuzenzekelayo. Ngokuvamile, ukungalingani kwe-hormonal kulungiswe ngempumelelo ngokuthatha imithi - glucocorticoids.
Uma kwenzeka ubude bomlomo wesibeletho ngesikhathi sokukhulelwa kungavamile emva kwenyanga yokwelashwa nemithi, kunconywa owesifazane ukuthi asebenzise isilwane. Futhi, ingasetshenziswa i-pessary ekhethekile ye-obstetric, idivaysi ekwazi ukunciphisa ukucindezelwa kwe-fetal esibelethweni nokuyibeka endaweni efunayo.