Isibeleko sesibeleko: Yintoni na kwaye lwenziwa njani utyando ukubamba umntwana

Umxholo

• Lwenziwa njani utyando
• Ukuphola njani emva kwecerclage
• Iimpawu ezilumkisayo zokubuyela kugqirha
• Unjani ukuzala emva kwecerclage

Isibeleko sesibeleko yinkqubo eyenziwa ngotyando, apho uthunga khona umlomo wesibeleko ukuthintela ukuzalwa ngaphambi kwexesha elimiselweyo, kwaye kubonisiwe kwabasetyhini abanesifo sokungazaleli komlomo wesibeleko, esi sisilumko esinokuqala esokuqala okanye sesibini Iinyanga ezintathu zokukhulelwa, ezinokulindela ukuzalwa okanye zikhokelele kwimeko yokuqhomfa.

Olu tyando luncinci lwenziwa esibhedlele kwaye owasetyhini ufuna ukuhlala esibhedlele kangangeentsuku ezi-1 okanye ezi-2. Olu tyando lwenziwa kwilungu lobufazi kwaye lunokwenziwa ngokungxamisekileyo okanye ngokwesicwangciso, ngugqirha obelekisayo.

Ukubuyela kwimeko yesiqhelo kolu tyando kuyakhawuleza kwaye umfazi uhlala ebuyela emsebenzini kwiintsuku ezi-3 ukuya kwezi-5, kwaye kufanelekile ukunqanda ukwenza umzamo omkhulu. Utyando luhlala luphumelela kwaye luthintela ukuhanjiswa kwangaphambi kwexesha. Funda ngakumbi malunga nokungonelanga komlomo wesibeleko.

Lwenziwa njani utyando

Olu tyando alululanga, luhlala malunga nemizuzu engama-20 kwaye luqulathe umlomo wesibeleko ngentambo ethile. I-cerclage yesibeleko inokwenziwa phakathi kweeveki ezili-12 ukuya kwezi-16 zokumitha, ngokusebenzisa i-anesthesia yesifo, kwaye ihlala isenziwa kwilungu lobufazi, nangona kunjalo, kwezinye iimeko, ugqirha unokuthatha isigqibo sokuyenza nge-laparoscopy.

Inkqubo ikhuselekile kubo bobabini abasetyhini kunye nosana, kodwa kusekho iingozi ezithile, ezinje ngokukhula kosulelo lwesibeleko, ukuqhekeka kweembambo ze-aminotic, ukopha kwilungu lobufazi okanye ukukhutshwa komlomo wesibeleko, umzekelo.

Xa owasetyhini ekhulelwe okokuqala kwaye efumanisa ukuba umlomo wakhe wesibeleko awonelanga nge-ultrasound, ugqirha angenza i-cerclage engxamisekileyo, kodwa xa umfazi eye wakhulelwa kwakhona kwaye engonelanga kwisibeleko, wakhupha isisu okanye wenza ulungelelwaniso lwesibeleko , ugqirha wokubelekisa unokucebisa ukuba kwenziwe i-cerclage yesibeleko ecwangcisiweyo, kuba kukho amathuba aphezulu okuba kwenziwe.

I-Cerclage inokwenziwa kuphela ngexesha lokukhulelwa kwaye ayiboniswanga kwabasetyhini abangakakhulelwa, nokuba sele bekhe baqhomfa.

Ukuphola njani emva kwecerclage

Emva kwecerclage, ugqirha unokuyalela ukuba kupheliswe iintlungu kunye namayeza anje ngeUtrogestan, ukuthintela ukubambana kwesibeleko. Kungekudala emva koko, ugqirha unokukwenza i-ultrasound ukuze abone indlela ezazithungwe ngayo kwaye ajonge ukuba umntwana uphilile na kwaye ujonge impumelelo yenkqubo.

Umfazi kufuneka aphumle kwaye aphephe ukunxibelelana ngokusondeleyo kwiintsuku zokuqala. Ukongeza, akukwacetyiswa ukuba uzilolonge, uphakamise ubunzima okanye wenze iinzame ezinkulu, ubuncinci kwiintsuku ezintathu zokuqala emva kotyando.

Iimpawu ezilumkisayo zokubuyela kugqirha

Iimpawu ezilumkisayo ezinjengomkhuhlane, iintlungu esiswini esibuhlungu, iicramps, ukopha kwilungu lobufazi okanye ukuvuza okunencasa kunokuvela kwiintsuku zokuqala kwaye kungabonisa ukusuleleka, kwaye kwezi meko, kufuneka kufunwe uncedo lwezonyango ngokukhawuleza, ibeka ubomi bumlindile.omama nosana emngciphekweni.

Unjani ukuzala emva kwecerclage

Ngokubanzi, i-cerclage iyasuswa malunga neeveki ezingama-37 zokukhulelwa, nangona kunjalo, ukuba umntu sele esazi ukuba ukuhanjiswa kuya kwenziwa ngecandelo le-cesarean, akukho mfuneko yokuba kususwe i-cerclage, njengoko kunokuba luncedo ekukhulelweni okulandelayo.

Isigqibo malunga nohlobo lonikezelo kufuneka sixoxwe phakathi komfazi nogqirha, siqwalasele izikhombisi, izibonelelo kunye nokungalunganga kulowo nalowo.