Chiberekero cha chiberekero: Ndi chiyani ndipo opaleshoni imachitidwa bwanji kuti mwana agwire
Zamkati
- Kodi opaleshoniyi yachitika bwanji
- Kodi kuchira pambuyo pa cerclage ndi kotani
- Zizindikiro zochenjeza kubwerera kwa dokotala
- Kodi kubereka kuli bwanji pambuyo pa cerclage
Chiberekero cha chiberekero ndi njira yochitidwa kudzera mu opareshoni, momwe mumasoka khomo pachibelekeropo kuti muchepetse kubadwa nthawi isanakwane, ndipo amawonetsedwa kwa azimayi omwe ali ndi vuto lachiberekero, lomwe ndi kutukuka komwe kumatha kuyambabe koyamba kapena kwachiwiri trimester ya mimba, yomwe imatha kuyembekezera kubadwa kapena kuyambitsa mimba.
Kuchita opaleshoniyi kumachitika mchipatala ndipo mayiyo amangofunika kukhala mchipatala kwa masiku amodzi kapena awiri okha. Kuchita opaleshoniyi kumachitika kumaliseche ndipo kumatha kuchitika mwachangu kapena mwadongosolo, ndi azamba.
Kuchira kuchokera ku opaleshoniyi ndichachangu ndipo mayiyu amatha kubwerera kuntchito masiku atatu kapena asanu, ndipo ayenera kupewa kuyesetsa kwambiri. Opaleshoni nthawi zambiri imachita bwino ndipo imalepheretsa kubereka msanga. Dziwani zambiri zakusakwanira kwa khomo lachiberekero.
Kodi opaleshoniyi yachitika bwanji
Kuchita opaleshoniyi kumakhala kosavuta, kumatenga pafupifupi mphindi 20 ndipo kumakhala kusinja khomo lachiberekero ndimitengo ina. Cerclage ya chiberekero imatha kuchitidwa pakati pa masabata 12 ndi 16 atatenga bere, kudzera mu mankhwala ochititsa dzanzi, ndipo nthawi zambiri amachitika kumaliseche, komabe, nthawi zina, adotolo angasankhe kuchita izi ndi laparoscopy.
Njirayi ndi yotetezeka kwa mayi ndi mwana, komabe palinso zoopsa zina, monga kukula kwa matenda opatsirana mu chiberekero, kuphulika kwa ziwalo za aminotic, kutuluka magazi kumaliseche kapena kutsekula kwa khomo pachibelekeropo, mwachitsanzo.
Mayi akakhala ndi pakati kwanthawi yoyamba ndikupeza kuti khomo lachiberekero lake silokwanira kudzera pa ultrasound, adotolo amatha kumumanga mwachangu, koma mkaziyo akakhala ndi mimba ina ndikukhala wopanda chiberekero, adachotsa mimba kapena adachita chiberekero , woperekayo anganene kuti cerclage ya chiberekero yomwe inakonzedweratu ichitidwe, chifukwa pali kuthekera kwakukulu koti kuchitidwe.
Cerclage imatha kuchitidwa panthawi yapakati ndipo sinafotokozedwe kwa azimayi omwe sanatenge mimba, ngakhale atachotsapo kale kale.
Kodi kuchira pambuyo pa cerclage ndi kotani
Pambuyo pa cerclage, adokotala amatha kupereka mankhwala ochepetsa ululu ndi mankhwala monga Utrogestan, kuti ateteze kubereka kwa chiberekero. Posakhalitsa, adotolo amatha kupanga ma ultrasound kuti awone momwe ulusiwo ulili komanso kuti aone ngati mwanayo ali bwino komanso kuti awone ngati njirayo ikuyenda bwino.
Mkazi ayenera kupumula ndikupewa kulumikizana kwakanthawi kwamasiku oyamba. Kuphatikiza apo, sikulimbikitsidwanso kuchita masewera olimbitsa thupi, kunyamula zolemera kapena kuchita khama kwambiri, osachepera masiku atatu oyamba atachitidwa opaleshoni.
Zizindikiro zochenjeza kubwerera kwa dokotala
Zizindikiro zochenjeza monga kutentha thupi, kupweteka m'mimba kwambiri, kukokana, kutuluka magazi kumaliseche kapena kutulutsa konyansa kumatha kuonekera m'masiku ochepa oyambilira ndipo kumatha kuwonetsa matenda, ndipo panthawiyi, thandizo lachipatala liyenera kufunidwa posachedwa, monga matenda Amaika moyo wa mayi ndi mwana pachiwopsezo.
Kodi kubereka kuli bwanji pambuyo pa cerclage
Nthawi zambiri, chovalacho chimachotsedwa pamasabata pafupifupi 37 ali ndi pakati, komabe, ngati munthuyo akudziwa kale kuti kubereka kudzachitika mwa njira yobayira, sikoyenera kuchotsa kantholayo, chifukwa itha kukhala yothandiza pakubereka kwotsatira.
Lingaliro pamtundu wamtundu wobereka liyenera kukambidwa pakati pa mayiyo ndi adotolo, akuwona zisonyezo, zabwino ndi zoyipa za aliyense.