Umlomo wesibeleko akanelanga

Umlomo wesibeleko awonelanga xa umlomo wesibeleko uqala ukuthamba kwangethuba kakhulu xa ukhulelwe. Oku kunokubangela ukuphuphuma kwesisu okanye ukuzalwa ngaphambi kwexesha.

Umlomo wesibeleko sisiphelo esincinci esisezantsi sesibeleko esiya kwilungu lobufazi.

• Ekukhulelweni okuqhelekileyo, umlomo wesibeleko uhlala uqinile, umde, kwaye uvaliwe kude kube sekupheleni kwekota yesithathu.
• Kwikota yesithathu, umlomo wesibeleko uqala ukuthamba, ube mfutshane, kwaye uvule (uvuleke) njengoko umzimba womfazi ulungiselela ukubeleka.

Umlomo wesibeleko ongonelanga ungaqala ukukhula ngokukhawuleza kakhulu xa ukhulelwe. Ukuba awonelanga umlomo wesibeleko, ezi ngxaki zilandelayo zinakho ukwenzeka:

• Ukuphuma kwesisu kwinyanga yesibini
• Umsebenzi uqala kwangoko kakhulu, phambi kweeveki ezingama-37
• Ingxowa yamanzi iyaqhekeka ngaphambi kweeveki ezingama-37
• Ukuhanjiswa kwangoko (kwangoko)

Akukho mntu uyazi ngokuqinisekileyo ukuba yintoni ebangela umlomo wesibeleko ongonelanga, kodwa ezi zinto zinokwandisa umngcipheko kumfazi:

• Ukukhulelwa umntwana ongaphezulu kwe-1 (amawele, amawele amathathu)
• Ukuba nomlomo wesibeleko ongonelanga xa ukhulelwe ngaphambili
• Ukuba nomlomo wesibeleko oqhekekileyo ukusuka ekuzalweni kwangaphambili
• Ukuba nokudlula kwesisu kwinyanga yesi-4
• Ukuba nexesha elidlulileyo okanye lesibini lokupheliswa kwesisu
• Ukuba nomlomo wesibeleko ongakhange ukhule ngokwesiqhelo
• Ukuba ne-cone biopsy okanye i-loop electrosurgical excision procedure (LEEP) kwi-cervix kwixesha elidlulileyo ngenxa yePap smear engaqhelekanga

Rhoqo, ngekhe ube nazimpawu okanye iimpawu zomlomo wesibeleko onganelanga ngaphandle kokuba unengxaki enokubangela. Yiloo ndlela abaninzi abafazi baqala ukufumana ngayo.

Ukuba unayo nayiphi na imeko yomngcipheko wesibeleko esaneleyo:

• Umboneleli wakho wezempilo angenza i-ultrasound ukujonga umlomo wakho wesibeleko xa uceba ukukhulelwa, okanye ekuqaleni kokukhulelwa kwakho.
• Unokuba novavanyo lomzimba kunye ne-ultrasounds rhoqo xa ukhulelwe.

Umlomo wesibeleko ongonelanga unokubangela ezi mpawu kwitrimester yesi-2:

• Ukubona okungaqhelekanga okanye ukuphuma kwegazi
• Ukonyusa uxinzelelo okanye iicramps kwisisu esisezantsi kunye nesinqe

Ukuba kukho isoyikiso sokuzalwa ngaphambi kwexesha, umboneleli wakho unokucebisa ukuphumla kwebhedi. Nangona kunjalo, oku akuqinisekiswanga ukuba kuthintela ukulahleka kokukhulelwa, kwaye kunokubangela iingxaki kumama.

Umboneleli wakho unokucebisa ukuba une-cerclage. Olu lutyando lokunyanga umlomo wesibeleko ongonelanga. Ngexesha le-cerclage:

• Umlomo wakho wesibeleko uya kuthungwa uvalwe ngentambo eyomeleleyo eya kuhlala isendaweni ngexesha lokukhulelwa lonke.
• Izibonda zakho ziya kususwa ngasekupheleni kokukhulelwa, okanye ngokukhawuleza ukuba umsebenzi uqala kwangoko.

Iicerclages zisebenza kakuhle kubafazi abaninzi.

Ngamanye amaxesha, amayeza afana neprogesterone amiselwe endaweni yecerclage. Olu ncedo kwezinye iimeko.

Thetha nomboneleli wakho malunga nemeko yakho kunye nokhetho lonyango.

Umlomo wesibeleko ongenabuchule; Umlomo wesibeleko ongenamandla; Ukukhulelwa - umlomo wesibeleko awonelanga; Umsebenzi ngaphambi kwexesha - umlomo wesibeleko awonelanga; Umsebenzi wokuqala-umlomo wesibeleko awonelanga

UBerghella V, uLudmir J, uOwen J. Ukungoneli kwesibeleko. Ku: Landon MB, Galan HL, Jauniaux ERM, et al, ii-eds. Ii-Obstetrics zikaGabbe: Ukukhulelwa okuqhelekileyo kunye neengxaki. Ngomhla we-8. IPhiladelphia, PA: Elsevier; 2021: isahluko 35.

IBuhimschi CS, iMesiano S, iMuglia LJ. I-Pathogenesis yokuzalwa kwangoko ngaphambi kokuzalwa. Ku: I-Resnick R, i-Lockwood CJ, i-Moore TR, i-Greene MF, iCopel JA, iSilver RM, ii-eds. I-Creasy kunye neResnik's Maternal-Fetal Medicine: Imigaqo kunye nokuziqhelanisa. Ngomhla we-8. IPhiladelphia, PA: Elsevier; I-2019: isahluko 7.

U-Keyhan S, u-Muasher L, u-Muasher SJ. Ukuqhomfa okuzenzekelayo kunye nelahleko yokukhulelwa ephindaphindayo: i-etiology, isifo, isifo. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, ii-eds. Gynecology egqibeleleyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 16.

• Iingxaki zomlomo wesibeleko
• Iingxaki zempilo ekukhulelweni