Umlomo wesibeletho onganele

Umlomo wesibeletho onganele wenzeka lapho umlomo wesibeletho uqala ukuthamba kusenesikhathi lapho ukhulelwe. Lokhu kungadala ukukhulelwa kwesisu noma ukuzalwa ngaphambi kwesikhathi.

Umlomo wesibeletho umkhawulo omncane ophansi wesibeletho ongena esithweni sangasese sowesifazane.

• Ekukhulelweni okujwayelekile, umlomo wesibeletho uhlala uqine, ubude, futhi uvaliwe kuze kube sekupheleni kwe-3 trimester.
• Ku-trimester wesithathu, umlomo wesibeletho uqala ukuthamba, ube mfushane, futhi uvule (uvuleke) njengoba umzimba wowesifazane ulungiselela ukubeletha.

Umlomo wesibeletho onganele ungaqala ukwelula kakhulu ngaphambi kokukhulelwa. Uma kukhona umlomo wesibeletho onganele, lezi zinkinga ezilandelayo kungenzeka zenzeke:

• Ukuphuphuma kwesisu ku-trimester yesibili
• Umsebenzi uqala kusenesikhathi, ngaphambi kwamasonto angama-37
• Isikhwama samanzi siyaphuka ngaphambi kwamasonto angama-37
• Ukulethwa ngaphambi kwesikhathi (ekuqaleni)

Akekho owazi ngokuqinisekile ukuthi yini ebanga umlomo wesibeletho onganele, kodwa lezi zinto zingakhuphula ubungozi besifazane:

• Ukukhulelwa ngaphezu kwengane eyodwa (amawele, amawele amathathu)
• Ukuba nomlomo wesibeletho onganele ekukhulelweni kwasekuqaleni
• Ukuba nomlomo wesibeletho odabukile kusukela ekuzalweni kwangaphambilini
• Ukuba nezisu ezedlule ngenyanga yesine
• Ukuba nesisu esidlule sokuqala noma sesibili esidlule
• Ukuba nomlomo wesibeletho ongazange uthuthuke ngokujwayelekile
• Ukuba ne-cone biopsy noma i-loop electrosurgical excision procedure (LEEP) emgodini wesibeletho esikhathini esidlule ngenxa yePap smear engajwayelekile

Imvamisa, ngeke ube nazimpawu noma izimpawu zomlomo wesibeletho onganele ngaphandle uma unenkinga engase idale. Yileyo ndlela abesifazane abaningi abaqala ngayo ukuthola ngayo.

Uma unezici ezithile zobungozi zomlomo wesibeletho onganele:

• Umhlinzeki wakho wezokunakekelwa kwempilo angenza i-ultrasound ukubheka umlomo wakho wesibeletho lapho uhlela ukukhulelwa, noma ekuqaleni kokukhulelwa kwakho.
• Ungase ube nokuhlolwa komzimba nama-ultrasound kaningi ngesikhathi sokukhulelwa kwakho.

Umlomo wesibeletho onganele ungadala lezi zimpawu ku-trimester yesibili:

• Ukubona okungavamile noma ukuphuma kwegazi
• Ukwandisa ingcindezi noma amajaqamba esiswini nasesinqeni esingezansi

Uma kunosongo lokuzalwa ngaphambi kwesikhathi, umhlinzeki wakho angaphakamisa ukuphumula kombhede. Kodwa-ke, lokhu akuboniswanga ukuthi kuvimbela ukulahleka kokukhulelwa, futhi kungahle kube nezinkinga kumama.

Umhlinzeki wakho angaphakamisa ukuthi une-cerclage. Lokhu ukuhlinzwa ukwelapha umlomo wesibeletho onganele. Ngesikhathi se-cerclage:

• Umlomo wakho wesibeletho uzothungwa uvalwe ngentambo eqinile ezohlala ikhona phakathi naso sonke isikhathi sokukhulelwa.
• Iziqu zakho zizosuswa ngasekupheleni kokukhulelwa, noma ngokushesha uma umsebenzi uqala kusenesikhathi.

AmaCerclages asebenza kahle kwabesifazane abaningi.

Kwesinye isikhathi, kunikezwa imithi efana ne-progesterone esikhundleni se-cerclage. Lokhu kusiza kwezinye izimo.

Khuluma nomhlinzeki wakho ngesimo sakho nezinketho zokwelashwa.

Umlomo wesibeletho ongenamandla; Umlomo wesibeletho obuthakathaka; Ukukhulelwa - umlomo wesibeletho onganele; Umsebenzi ngaphambi kwesikhathi - umlomo wesibeletho onganele; Umsebenzi wokuqala ngaphambi kwesikhathi - umlomo wesibeletho onganele

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UBuhimschi CS, uMesiano S, uMuglia LJ. I-Pathogenesis yokuzalwa okuzenzakalelayo ngaphambi kokuzalwa. Ku: Resnick R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, abahleli. ICreasy neResnik's Maternal-Fetal Medicine: Izimiso kanye Nokuzijwayeza. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2019: isahluko 7.

UKeyhan S, uMuasher L, uMuasher SJ. Ukukhipha isisu okuzenzakalelayo nokulahleka kokukhulelwa okuvela njalo: i-etiology, ukuxilongwa, ukwelashwa. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. I-Gynecology ephelele. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 16.

• Ukuphazamiseka Kwesibeletho
• Izinkinga Zempilo Ekukhulelweni