I-cerclage yesibeletho: Kuyini futhi kwenziwa kanjani ukuhlinzwa ukubamba ingane

-Delile

• Kwenziwa kanjani ukuhlinzwa
• Lulama kanjani ngemuva kwe-cerclage
• Izimpawu zokuxwayisa ukubuyela kudokotela
• Ukubeletha kanjani ngemuva kwe-cerclage

I-cerclage yesibeletho inqubo eyenziwa ngokuhlinzwa, lapho uthunga khona umlomo wesibeletho ukuvimbela ukuzala ngaphambi kwesikhathi esibekiwe, futhi kukhonjiswa kwabesifazane abanesifo somlomo wesibeletho, okuwukukhululeka okungaqala namanje kowokuqala noma wesibili i-trimester yokukhulelwa, engalindela ukuzalwa noma iholele ekuveleni kwesisu.

Lokhu kuhlinzwa okuncane kwenziwa esibhedlela futhi owesifazane udinga ukuhlala esibhedlela usuku olungu-1 noma 2 kuphela. Ukuhlinzwa kwenziwa ngokuya ocansini futhi kungenziwa ngokuphuthumayo noma ngendlela ehleliwe, ngudokotela obelethisayo.

Ukululama kulokhu kuhlinzwa kuyashesha futhi owesifazane angahle abuyele emsebenzini ezinsukwini ezi-3 kuye kwezi-5, futhi kufanele agweme ukwenza umzamo omkhulu. Ukuhlinzwa kuvame ukuphumelela futhi kuvimbele ukulethwa ngaphambi kwesikhathi. Funda kabanzi ngokunganele komlomo wesibeletho.

Kwenziwa kanjani ukuhlinzwa

Ukuhlinzwa kulula, kuthatha cishe imizuzu engama-20 futhi kuqukethe ukumunca umlomo wesibeletho ngeziqu ezithile. I-cerclage yesibeletho ingenziwa phakathi kwamasonto ayi-12 kuya kwayi-16 okukhulelwa, ngokusebenzisa i-epidural anesthesia, futhi ivame ukwenziwa ngokuya ocansini, kepha kwezinye izimo, udokotela anganquma ukukwenza nge-laparoscopy.

Inqubo iphephile kubo bobabili abesifazane nasenganeni, kepha kusenezingozi ezithile, njengokukhula kokutheleleka kwesibeletho, ukuqhekeka kolwelwesi lwama-aminotic, ukopha kwesitho sangasese sowesifazane noma ukusikeka komlomo wesibeletho, ngokwesibonelo.

Lapho owesifazane ekhulelwe okokuqala futhi ethola ukuthi umlomo wakhe wesibeletho awenele nge-ultrasound, udokotela angenza i-cerclage ephuthumayo, kepha lapho lona wesifazane esethole okunye ukukhulelwa futhi enesifo sokungakwazi ukungena kwesibeletho, wakhipha isisu noma wenza isisu sesibeletho , udokotela obelethayo angase asikisele ukuthi kwenziwe i-cerclage yesibeleko ehleliwe, ngoba kunamathuba amaningi okuthi kwenziwe.

ICerclage ingenziwa kuphela ngesikhathi sokukhulelwa futhi ayikhonjisiwe kwabesifazane abangakakhulelwa, noma ngabe bake bakhipha izisu ngaphambilini.

Lulama kanjani ngemuva kwe-cerclage

Ngemuva kwe-cerclage, udokotela angahle anikeze ukudambisa izinhlungu nemithi efana ne-Utrogestan, ukuvimbela ukucindezela kwesibeletho. Ngokushesha ngemuva kwalokho, udokotela angenza i-ultrasound ukuze abone ukuthi imithungo ibinjani futhi abheke ukuthi ingane iphilile yini nokuthi ahlole impumelelo yenqubo.

Owesifazane kufanele aphumule futhi agweme ukuxhumana okusondelene ezinsukwini ezimbalwa zokuqala. Ngaphezu kwalokho, futhi akunconywa ukuzivocavoca umzimba, ukuphakamisa izinsimbi noma ukwenza imizamo emikhulu, okungenani ezinsukwini ezi-3 zokuqala ngemuva kokuhlinzwa.

Izimpawu zokuxwayisa ukubuyela kudokotela

Izimpawu eziyisixwayiso ezinjengomkhuhlane, ubuhlungu obukhulu besisu, amajaqamba, ukopha esithweni sangasese sowesifazane noma ukukhishwa okunuka kabi kungavela ezinsukwini ezimbalwa zokuqala futhi kungakhombisa ukutheleleka, futhi kulezi zimo, usizo lwezokwelapha kufanele lufunwe ngokushesha okukhulu, njengokutheleleka kubeka impilo eceleni komama nengane engcupheni.

Ukubeletha kanjani ngemuva kwe-cerclage

Ngokuvamile, i-cerclage iyasuswa cishe emasontweni angama-37 okukhulelwa, kepha-ke, uma umuntu esazi vele ukuthi ukulethwa kuzokwenziwa ngesigaba sokuhlinzwa, akudingekile ukuthi kususwe i-cerclage, ngoba ingasiza ekukhulelweni okulandelayo.

Isinqumo sohlobo lokulethwa kufanele kuxoxwe ngaso phakathi kowesifazane nodokotela, kubhekwe izinkomba, ubuhle kanye nobubi bento ngayinye.