Chiberekero chosakwanira

Khomo lachiberekero losakwanira limachitika khomo pachibelekeropo likayamba kufewetsa msanga ali ndi pakati. Izi zitha kupangitsa kupita padera kapena kubadwa msanga.

Khomo lachiberekero ndilo kumapeto kwenikweni kwa chiberekero komwe kumalowera kumaliseche.

• Pakati pathupi, khomo lachiberekero limakhala lolimba, lalitali, komanso lotseka mpaka kumapeto kwa zaka zitatu.
• Mu 3 trimester, khomo lachiberekero limayamba kufewetsa, kufupikitsa, ndikutseguka (kutambasula) pamene thupi la mkazi limakonzekera kubereka.

Khomo lachiberekero losakwanira limayamba kuchepa molawirira kwambiri ali ndi pakati. Ngati pali khomo lachiberekero losakwanira, mavuto otsatirawa akhoza kuchitika:

• Kupita padera pakati pa trimester yachiwiri
• Ntchito imayamba molawirira kwambiri, milungu isanakwane 37
• Thumba lamadzi limaswa pasanathe milungu 37
• Kutumiza msanga (koyambirira)

Palibe amene akudziwa motsimikiza chomwe chimayambitsa chiberekero chokwanira, koma izi zitha kuwonjezera chiopsezo cha mzimayi:

• Kukhala ndi pakati pa ana opitilira 1 (mapasa, atatu)
• Kukhala ndi chiberekero chosakwanira m'mimba yoyambirira
• Kukhala ndi khomo lachiberekero chobadwa kuyambira kubadwa koyambirira
• Kutaya padera m'mbuyomu mwezi wa 4
• Kukhala ndi mimba yapitayi yoyamba kapena yachiwiri yapitayi
• Kukhala ndi khomo pachibelekeropo lomwe silinakule bwino
• Kukhala ndi kondomu yotsekemera kapena yotsekemera yamagetsi (LEEP) pamimba pachibelekeropo m'mbuyomu chifukwa cha Pap smear yachilendo

Kawirikawiri, simudzakhala ndi zizindikilo za chiberekero chokwanira pokhapokha mutakhala ndi vuto lomwe lingayambitse. Ndi momwe akazi ambiri amadziwira izi.

Ngati muli ndi zifukwa zina zomwe zingayambitse chiberekero chosakwanira:

• Wothandizira zaumoyo wanu akhoza kupanga ultrasound kuti ayang'ane chiberekero chanu pamene mukukonzekera kutenga pakati, kapena kumayambiriro kwa mimba yanu.
• Mutha kuyezetsa magazi nthawi zambiri mukakhala ndi pakati.

Khomo lachiberekero losakwanira lingayambitse zizindikirozi mu trimester yachiwiri:

• Kuwona kapena kutaya magazi modzidzimutsa
• Kuchulukitsa kapena kukokana m'mimba ndi m'chiuno

Ngati pali chiwopsezo cha kubadwa msanga, omwe amakupatsani mwayi akhoza kunena kuti mupumule pabedi. Komabe, izi sizinatsimikizidwe kuti zimalepheretsa kutenga pakati, ndipo zitha kubweretsa zovuta kwa mayiyo.

Wothandizira anu angakuuzeni kuti muli ndi cerclage. Uku ndi kuchitira khomo pachibelekeropo kosakwanira. Pa cerclage:

• Khomo lanu lachiberekero lidzasokedwa ndikulumikizidwa ndi ulusi wolimba womwe ungakhale m'malo mwa mimba yonse.
• Mitsuko yanu idzachotsedwa kumapeto kwa mimba, kapena mwamsanga ngati ntchito ikuyamba msanga.

Cerclages amagwira ntchito bwino kwa amayi ambiri.

Nthawi zina, mankhwala monga progesterone amapatsidwa m'malo mwa cerclage. Izi zimathandiza nthawi zina.

Lankhulani ndi omwe amakupatsani zomwe mukudziwa komanso momwe mungalandire chithandizo.

Chiberekero chosakwanira; Khomo lachiberekero lofooka; Mimba - khomo lachiberekero losakwanira; Ntchito isanakwane - khomo lachiberekero losakwanira; Preterm labor - osakwanira chiberekero

Berghella V, Ludmir J, Owen J. Kulephera kwa chiberekero. Mu: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Obstetrics a Gabbe: Mimba Yachibadwa ndi Mavuto. 8th ed. Philadelphia, PA: Elsevier; 2021: mutu 35.

Buhimschi CS, Mesiano S, Muglia LJ. Pathogenesis yobadwa msanga. Mu: Resnick R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, olemba. Creasy ndi Resnik's Maternal-Fetal Medicine: Mfundo ndi Kuchita. 8th ed. Philadelphia, PA: Elsevier; 2019: mutu 7.

Keyhan S, Muasher L, Muasher SJ. Kutaya mimba kwadzidzidzi ndi kutaya mimba mobwerezabwereza: etiology, matenda, chithandizo. Mu: Lobo RA, Gershenson DM, Lentz GM, Valea FA, olemba. Gynecology Yambiri. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 16.

• Matenda a Chiberekero
• Mavuto azaumoyo Mimba