Pakati pezvipingamupinyi zvakawanda zvinomirira mukadzi munguva yekubereka mwana, kwete nzvimbo yekupedzisira yechigunyanisi inopiwa chirwere chidiki chechibereko, nekuti panguva yekuzvitakura, chirwere ichi chinogona kutungamirira kumapfupa ekudzivirira kana kusununguka nguva pfupi.
Ndeipi njodzi yemukati mutsvuku wakapfupiswa panguva yekuzvitakura?
Chimiro chekukura kwechirwere panguva yekuzvitakura inenge 4-5 cm Asi zvakadaro, pane zvimwe zvikonzero, mune vamwe vakadzi hurefu hwacho hahupfuuri 2 cm. Muchiitiko ichi, hurefu hutsva hwechirongwa hunokonzera kukura kwe ICSI-iscystic-cervical kusakwanira.
Isthmico-cervical insufficiency inoratidzika nokusakwanisa kwemutsipa nemutsipa kuchengetedza fetusus iri kukura muuterine cavity. Chicheche chinogara chichinyanya kumanikidza pamadziro echibereko, chinotungamirira pakuvhura kwayo uye kusati kwapera kuberekwa kana kupererwa pamuviri kana chivharox chisina nguva yakakwana.
Imwe njodzi yakakomba ndeyo nyore kupinda mukati mezvirwere. Mutsipa wakapfupiswa wechibereko panguva yekuzvitakura haikwanise kushanda sechidziviriro chechokwadi chekupindira kwezvirwere. Mukuwedzera, kunyange nekutaura panguva yakakodzera, mutsipa mutsva unogona kutungamirira kumabasa ekukurumidza. Zvigumisiro zveizvi zvinogona kunge zviputi zvemukadzi uye chiberekero pachako.
Zvinokonzera kusakwana kwechirwere chepachiviri pakuberekwa
Chimwe chezvinhu zvinowanzokonzera kukwana kusakwana kwechibereko chemuviri panguva yekuzvimba ndiko kuberekwa kwechimiro chechimiro. Chikonzero chekuremara chinowanzoitika, kazhinji, chirwere chinonzi intrauterine - kubvisa, kubvisa pamuviri uye, kunyange, kuberekwa kwakapfuura. Basa rekushanda rinokuvadza rwonzi rwemisi. Mushure mokuporeswa kwevanga panzvimbo ino, zvinopisa zvinoumbwa, zvichiita kuti kuderera kwekwaniso kwemasumbu kugadziriswe uye kutambanudza. Nokudaro, chibereko chechivharo chakasvibiswa uye chinova shoma.
Chimwe chikonzero chemukondombera mutsva panguva yekuzvitakura inonzi hormonal disorder inowanikwa pakati pe15 ne 27 vhiki yekukura kwe fetus. Mune nguva iyi, mwana wemunguva yemberi inoshandiswa nebasa rezvinyorwa zvezere, zvinotungamirira kuhuwandu hwe androgens. Aya mahomoni anogona kukonzera kupfupisa kwechirwere mumamai. Chimwe chezvinhu zvinoshandiswa ne androgens ndiko kupfupisa kwechibereko chechibereko, icho chiri pasi pezvavanoita chinoderedza uye nguva pfupi inotanga kuzarura. Dzimwe nguva, kukanganisa kwechikemico-kondomu hakuiti kuti kuwedzerwa kwekutaura kwechibereko. Mukadzi ane pamuviri pachake haazofungidziri kuvapo kwezvirwere.
Nzira yekudzivirira sei kukura kwehutachiona?
Kwenguva yekutanga, ischemic-cervical insufficiency inowanikwa panguva yekuongorora kunoonekwa nemudzimai wegynecologist. Kuti ave nechokwadi chekuongororwa, mukadzi anosangana ne ultrasound achishandisa gumbo remuviri. ICS inoonekwa kuti kana urefu hwemitsipa hahupfuuri 2 cm, uye pharynx yomukati isingapfuuri 1 masendimita.
Chokutanga, mukadzi ane pamuviri anofanira kunge ari pasi pekutarisira gynecologist uyo anokwanisa kuona kupfupisa kwechibereko chemukondombera nenguva uye kutora matanho ekudzivirira kuberekwa kwekutanga kana kubvisa pamuviri. Kazhinji, kusaenzana kwehomoni kunogadziriswa kuburikidza nokutora mishonga - glucocorticoids.
Kana urefu hwechirwere pahutachiwana husina kumira mushure memwedzi wekurapa nemishonga, mukadzi anonzi aise suturing kune nhengo. Uyewo, pessary inokosha inogona kushandiswa, chigadziriro chinogona kuderedza kusveta kwemucheche pachibereko uye kuchigadzirisa munzvimbo inoda.