Chii chinonzi Cervix Isingashandi? Zviratidzo, Zvinokonzera, & Kurapa

Cervix isingashandi inenge iri apo cervix yako inovhurwa nekukurumidza panguva yekuzvitakura, kazhinji pasina marwadzo kana kuita zvekuzvara. Iyi nyaya inokanganisa vakadzi vanenge 1 pavakadzi 100 vanozvitakura uye inogona kukonzera kurasikirwa nekumutsa kana kuberekwa kwenguva isati yakwana kana isina kutarisirwa zvakanaka.

Fungidzira cervix yako segehena rakasimba rinofanira kuramba rakavharwa panguva yekuzvitakura kuchengetedza mwana wako mukati. Nekuita kwe cervix isingashandi, gehena iri rinotanga kuvhurwa apo rinofanira kuramba rakavharwa zvakasimba kusvika wagadzirira kubereka.

Chii chinonzi cervix isingashandi?

Cervix isingashandi, inonziwo cervical insufficiency, inoitika apo cervix yako inotanga kupfupika uye kuvhurwa panguva yechipiri trimester yekuzvitakura. Izvi zvinowanzoitika pakati pevhiki 16 kusvika ku 24, nguva isati yasvika mwana wako agadzirira kuberekwa.

Cervix yako ndiyo chikamu chepasi pechibereko chako chinobatanidza kuvagina yako. Panguva yekuzvitakura kwakanaka, inoramba yakareba, yakakora, uye yakavharwa zvakasimba kusvika pakutanga kwekuzvara. Apo cervical insufficiency inoitika, cervix haigone kubata uremu hwemwana wako ari kukura nemvura yemwana.

Iyi nyaya inowanzonzi “yakanyarara” nekuti kazhinji haikonzere zviratidzo zvekuzvara senge marwadzo ekuita zvekuzvara. Vakadzi vazhinji havazivi kuti pane chakaipa kusvika vanzwa kumanikidzwa kana kuona kuchinja panguva yekutarisa kwemazuva ose panguva yekuzvitakura.

Ndeapi maratidzo e cervix isingashandi?

Chinhu chinonyengera nezve cervical insufficiency ndechekuti kazhinji haikonzere zviratidzo zvakajeka pakutanga. Ungasazive zviratidzo zvekutanga zvinowanzoitika nezvimwe zvinetso zvekuzvitakura.

Aya ndiwo maratidzo aunogona kuona:

• Kunzwa kumanikidzwa kana kuzara mudumbu
• Kurwadziwa kwakapfava kumashure kunouya nekunoenda
• Kubuda ropa kwakapfava kana kuyerera
• Kuchinja kubuda kwemukati
• Kurwadziwa kwakapfava mudumbu
• Kunzwa sekunge mwana wako ari “kudzvanya pasi”

Muitiro wakakomba, unganzwa sekunge uri kuita zvekuzvara nekukurumidza. Vakadzi vamwe vanonzwawo kuchinja kubuda kwavo kwemukati, kungava kwakakora kana kuve neruvara kana kunhuhwirira kwakasiyana.

Kusavapo kwemarwadzo makuru ndiko kunoita kuti iyi nyaya ive inotyisa. Kusiyana nekuita zvekuzvara kwenguva isati yakwana, cervical insufficiency inowanzofambira mberi zvakanyarara, ndosaka kuongororwa kwemazuva ose panguva yekuzvitakura kuri kukosha pakuzviona nekukurumidza.

Chii chinokonzera cervix isingashandi?

Cervical insufficiency inogona kukura nekuda kwezvikonzero zvakawanda, uye dzimwe nguva chikonzero chaicho hachizivikanwi. Kunzwisisa izvi zvinokonzera kunogona kukubatsira iwe nachiremba wako kuongorora njodzi yako uye kuronga kurapwa kwakakodzera.

Zvinokonzera zvakajairika zvinosanganisira:

• Kuhuvadzwa kwe cervix kubva mukuita kwakadai seLEEP, cone biopsy, kana maitiro akawanda eD&C
• Zvinhu zvemagariro zvinoita kuti collagen ishande zvisina kunaka, zvichiita kuti tishu ye cervix ive yakasimba
• Zvinhu zvisina kunaka zvawakazvarwa nazvo
• Kuberekwa kwenguva isati yakwana kana kurasikirwa nekumutsa muchikamu chechipiri chekuzvitakura
• Kuonekwa neDES (diethylstilbestrol) uri mudumbu amai vako
• Kutemwa kwe cervix kwakakomba panguva yekubereka yapfuura

Zvinokonzera zvisingawanzoitiki zvinosanganisira zvimwe zvirwere zve connective tissue senge Ehlers-Danlos syndrome, izvo zvinoita kuti muviri wako uite collagen. Vakadzi vamwe vanowana cervical insufficiency mushure mekuita maitiro akawanda pachervix yavo kurapa masero asingawanzoitiki.

Muzviitiko zvakawanda, cervical insufficiency inoita kunge iri mumhuri, zvichiratidza kuti ine chikamu chemagariro. Zvisinei, kuva nezvinhu izvi zvinokonzera hazvirevi kuti iwe uchava neichi chirwere - vakadzi vazhinji vane zvinhu izvi vanozvitakura zvakanaka.

Rini unofanira kuona chiremba nekuda kwe cervix isingashandi?

Unofanira kubata nachiremba wako nekukurumidza kana ukaona chero zviratidzo zvisingawanzoitiki panguva yechipiri trimester, kunyanya kana uine zvinhu zvinokonzera cervical insufficiency. Kuona nekukurumidza kunogona kuita musiyano mukuru mukubudirira kwekuzvitakura kwako.

Dana chiremba wako nekukurumidza kana ukaona kumanikidzwa mudumbu kunonzwa sekunge mwana wako ari kudzvanya pasi, kunyangwe kana usingaiti zvekuzvara. Ichi chinhu, kunyanya kana chakabatanidzwa nekurwadziwa kumashure kana kuchinja kubuda kwemukati, chinoda kuongororwa nekukurumidza.

Kana uine nhoroondo yekurasikirwa nekumutsa muchikamu chechipiri chekuzvitakura, kurukura nezve cervical insufficiency nachiremba wako pakutanga kwekuzvitakura kwako. Vanogona kukurudzira kuongororwa kazhinji kana kurapwa kunodzivirira kubatsira kuchengetedza kuzvitakura kwako kwazvino.

Usamirira kuona kana zviratidzo zvichinyanya kuipa. Nekuita kwe cervical insufficiency, nguva kazhinji inokosha, uye kuita nekukurumidza kunogona kubatsira kudzivirira kurasikirwa nekumutsa kana kuberekwa kwenguva isati yakwana.

Ndeapi njodzi dze cervix isingashandi?

Zvinhu zvakawanda zvinogona kuwedzera mikana yako yekuwana cervical insufficiency, kunyangwe kuva nezvinhu izvi hazvirevi kuti uchava neichi chirwere. Kunzwisisa njodzi yako pachako kunobatsira chiremba wako kupa hanya yakanakisa.

Zvinhu zvikuru zvinokonzera njodzi zvinosanganisira:

• Kurasikirwa nekumutsa pakati pevhiki 16-24 pasina chikonzero chakajeka
• Nhoroondo yekuberekwa kwenguva isati yakwana, kunyanya kana cervix yako yakavhurwa pasina kuita zvekuzvara
• Maitiro e cervix akadai seLEEP, cone biopsy, kana cold knife conization
• Kuita zvekuzvitakura kakawanda kana maitiro eD&C
• Kuzvarwa nezvinhu zvisina kunaka zvechibereko kana cervix
• Amai vako vakashandisa DES panguva yekuzvitakura
• Zvirwere zve connective tissue zvinoita kuti collagen ishande zvisina kunaka

Vakadzi vamwe vane zvinotaurwa nachiremba kuti “yakawanikwa” cervical insufficiency, iyo inokura mushure mekuhuvadzwa kwe cervix. Vamwe vane “congenital” insufficiency, zvinoreva kuti vakazvarwa ne cervix yakasimba kana pfupi pane zvakajairika.

Njodzi yako inogonawo kuwedzera kana uri kutakura vakawanda senge mapatya kana triplets, sezvo uremu hwakawanda hunodzvanya cervix yako. Zvisinei, vakadzi vazhinji vane zvinhu zvakawanda zvinokonzera njodzi vanozvitakura zvakanaka nekuongororwa kwakakodzera nekurapwa.

Ndeapi matambudziko anogona kuitika e cervix isingashandi?

Apo cervical insufficiency isina kuonekwa kana kurapwa nekukurumidza, inogona kukonzera matambudziko makuru ekuzvitakura. Kunzwisisa izvi zvinogona kuitika kunobatsira kutsanangura kuti nei kuziva nekukurumidza nekurapwa zvakakosha.

Matambudziko makuru anosanganisira:

• Kurasikirwa nekumutsa muchikamu chechipiri chekuzvitakura (miscarriage mushure mevhiki 16)
• Kuberekwa kwenguva isati yakwana (pasati pasvika mavhiki 28)
• Preterm premature rupture of membranes (mvura inoputsika nekukurumidza)
• Kuita kwehutachiona kwemvura yemwana (chorioamnionitis)
• Matambudziko makuru ekuberekwa kwenguva isati yakwana kumwana wako

Vana vanoberekwa vachiri vaduku vanosangana nematambudziko makuru, anosanganisira matambudziko ekufemba, matambudziko ekudya, uye kuita zvinhu zvisina kunaka.

Muzviitiko zvisingawanzoitiki, iyi nyaya inogona kukonzera zvinotaurwa kuti “cervical prolapse,” apo mamembranes anobuda ne cervix yakavhurwa. Iyi mamiriro inoda kutarisirwa nekukurumidza nachiremba uye kazhinji kuita nekukurumidza kuchengetedza kuzvitakura.

Mashoko akanaka ndeawo ekunge nekuongororwa kwakakodzera nekurapwa, matambudziko mazhinji aya anogona kudzivirirwa kana kuita kuti asanyanya kuipa.

Cervix isingashandi inogona kudzivirirwa sei?

Kunyangwe usingakwanisi kudzivirira zviitiko zvese zve cervical insufficiency, pane matanho aunogona kutora kuderedza njodzi yako, kunyanya kana uine zvinhu zvinozivikanwa zvinokonzera njodzi. Kudzivirira kazhinji kunotarisa pakuchengetedza cervix yako kubva mukuhuvadzwa kusina basa uye kuwana hanya yakanaka panguva yekuzvitakura.

Kana uchida maitiro e cervix nekuda kwezvikonzero zvekuchiremba, kurukura nachiremba wako maitiro ekuderedza kukanganisa kunogona kuitika pakuita zvekuzvitakura kwenguva yemberi. Dzimwe nguva kurapwa kwakasiyana kana nzira dzakagadziridzwa dzinogona kuderedza njodzi yekusimba kwe cervix.

Kune vakadzi vane kurasikirwa nekumutsa kare kana zvinhu zvinozivikanwa zvinokonzera njodzi, hanya yekutanga nekukurumidza panguva yekuzvitakura inokosha. Chiremba wako anogona kukurudzira kuongororwa kureba kwe cervix kutanga pavhiki 16 kuona chero kuchinja usati kwava kukomba.

Kudzivirira maitiro e cervix asingakoshi uye kuderedza nhamba yekurasikirwa nekumutsa kunogonawo kubatsira kuchengetedza cervix yako. Kana uchida aya maitiro, ita shuwa kuti anoitwa nevanachiremba vane ruzivo vanonzwisisa maitiro ekuderedza kuhuvadzwa kwe cervix.

Cervix isingashandi inoongororwa sei?

Kuongorora cervical insufficiency kazhinji kunosanganisira kusanganiswa kwenhoroondo yako yekurapa, kuongororwa kwemuviri, uye kuongororwa kwe ultrasound. Chiremba wako acharamba achiona kuchinja kwakakosha mu cervix yako kunoratidza kuti inotanga kuvhurwa nekukurumidza.

Zvishandiso zvikuru zvekuongorora zvinosanganisira transvaginal ultrasound, iyo inoyerera kureba kwe cervix yako uye inoona funneling (apo chikamu chemukati che cervix chinotanga kuvhurwa). Kureba kwe cervix kwakaderera pane 25mm usati wasvika mavhiki 24 kunofungwa kuti kunotyisa uye kunogona kuratidza insufficiency.

Chiremba wako achaitawo kuongororwa kwemuviri kuona kana cervix yako inonzwa yakapfava, pfupi, kana yakavhurwa zvishoma. Vachabvunza mibvunzo yakadzama nezvezviratidzo zvako uye vachiongorora nhoroondo yako yekuzvitakura chero zviratidzo zvinoratidza cervical insufficiency.

Muzviitiko zvimwe, kuongorora kunoitika mushure - zvinoreva kuti vanachiremba vanoona kuti waiva ne cervical insufficiency zvichienderana nezvakaitika pakuita zvekuzvitakura yapfuura. Iyi ruzivo inobva yavabatsira kuongorora nekurapa kuita zvekuzvitakura kwenguva yemberi zvakanyanya.

Kurapa kwe cervix isingashandi chii?

Kurapa kwe cervical insufficiency kunotarisa pakupa rutsigiro rwakawanda kuchengetedza cervix yako yakavharwa kusvika mwana wako agadzirira kuberekwa. Sarudzo huru dzekurapa dzinoenderana nemamiriro ako chaiwo uye kuti uri kure sei pakuita zvekuzvitakura.

Kurapa kukuru kunosanganisira:

• Cervical cerclage - kuita kwemishonga kunoisa stitches kumativi e cervix yako kuichengeta yakavharwa
• Kuwedzera progesterone kubatsira kuchengetedza kuzvitakura
• Kudzivirira kuita zvakawanda kana kuzorora mubhedha
• Kuongororwa kazhinji ne ultrasounds
• Cervical pessary - chishandiso che silicone chinopihwa kutsigira cervix

Cervical cerclage kazhinji ndiyo kurapwa kwakanyanya kushanda uye kazhinji kunoitirwa pakati pevhiki 12-14 yekuzvitakura kana uine nhoroondo ye cervical insufficiency. Iyi mishonga kazhinji inoitirwa pasi pe spinal kana general anesthesia uye inotora anenge maminitsi 30.

Chiremba wako anogonawo kukurudzira kuwedzera progesterone, kana se vaginal suppositories kana injections. Progesterone inobatsira kuchengetedza kuzvitakura uye inogona kusimbisa cervix. Kudzivirira kuita zvakawanda hazvirevi kuzorora mubhedha zvachose asi kudzivisa kutakura zvinorema uye kuita zvinhu zvakaoma.

Chirongwa chako chekurapa chichaenderana nemamiriro ako chaiwo, kusanganisira nhoroondo yako yekuzvitakura, zviratidzo zvacho, uye maitiro e cervix yako pa ultrasound.

Maitiro ekutarisira cervix isingashandi pamba?

Kutarisira cervical insufficiency pamba kunosanganisira kutevera zano rachiremba wako zvakanyatsonaka uchitarisa chero kuchinja muzviratidzo zvako. Chirongwa chako chekutarisira pamba chichagadzirirwa nemamiriro ako chaiwo uye nzira yekurapa.

Kana chiremba wako akakurudzira kudzivirira kuita zvakawanda, izvi zvinoreva kudzivisa kutakura zvinorema, kumira kwenguva refu, uye kuita zvinhu zvakaoma. Haundi kuzorora mubhedha zvachose, asi unofanira kuzvipa nguva uye kuzorora kana uchinetseka kana uchiona kumanikidzwa mudumbu.

Tarisa zviratidzo zvako zuva nezuva uye cherekedza chero kuchinja kubuda kwemukati, kurwadziwa, kana kumanikidzwa mudumbu. Vanachiremba vazhinji vanokurudzira kuchengeta rekodhi yakapfava yekuti unonzwa sei zuva rega rega, izvo zvinogona kubatsira kuziva zviratidzo kana kuchinja.

Ramba wakanyorova uye uchengetedze kudya kwakanaka kutsigira hutano hwako hwese nekuzvitakura. Dzivisa kuvimba nekuita zvekuzvitakura nekudya zvokudya zvine fiber uye kunwa mvura yakawanda, sezvo kunetseka kunogona kudzvanya cervix yako.

Tevedzera zvese zvawakarongwa nazvo, kunyangwe kana uchinzwa zvakanaka. Kuongororwa kazhinji kunokosha pakuzviona chero kuchinja usati kwava matambudziko makuru.

Ungagadzirira sei kuenda kuchiremba?

Kuagadzirira kuenda kuchiremba kunobatsira kuve nechokwadi chekuti unowana hanya yakakwana uye mibvunzo yako yose inopindurwa. uya wakagadzirira kukurukura zviratidzo zvako, zvinokunetsa, uye nhoroondo yekuzvitakura zvakadzama.

Nyora zviratidzo zvako zvese, kusanganisira apo zvakatanga uye zvinhu zvinozviita zvakanaka kana zvakaipa. Cherechedza chero zviratidzo zvawaona, senge zviratidzo zvinoitika panguva dzakasiyana dzezuva kana nemabasa chaiwo.

Uya neruzivo rwakakwana remishonga yako, zvinowedzerwa, uye chero matambudziko ekubereka yapfuura. Kana uine maitiro e cervix kare, uya neaya marekodhi kana kuziva mazuva nemaitiro emaitiro acho.

Gadzira rondedzero yemibvunzo nezve sarudzo dzako dzekurapa, kudzivirira kuita zvakawanda, uye zviratidzo zvekutarisa. Usazengurire kubvunza nezve chero chinhu chisinganzwisisiki - chiremba wako anoda kuti uve neruzivo nezve mamiriro ako.

Funga kuuya nemumwe munhu anokubatsira, kunyanya kana uchinetseka nezve kuongororwa kana sarudzo dzekurapa. Kuva nemumwe munhu anogona kukubatsira kuyeuka ruzivo rwakakosha uye kupa rutsigiro rwemanzwiro.

Chii chinonyanya kukosha nezve cervix isingashandi?

Chinhu chinonyanya kukosha chekuyeuka nezve cervical insufficiency ndechekuti kuona nekukurumidza nekurapwa kwakakodzera kunogona kuvandudza zvakanyanya kubudirira kwekuzvitakura. Vakadzi vazhinji vane iyi nyaya vanozvitakura zvakanaka nehanya yekurapa yakakodzera.

Kana uine zvinhu zvinokonzera njodzi kana wakarasikirwa nekumutsa muchikamu chechipiri chekuzvitakura, usazengurire kukurukura nezve cervical insufficiency nachiremba wako pakutanga kwekuzvitakura. Kuongororwa kwakakodzera nekurapwa kunogona kuita musiyano mukuru.

Yeuka kuti kuva ne cervical insufficiency hazvirevi kuti haugone kuita zvekuzvitakura zvakanaka mune ramangwana. Nehanya yekurapa yakakodzera, vakadzi vazhinji vane iyi nyaya vanobereka vana vane hutano, vakakwana.

Ramba uine hukama nechikwata chako chekurapa, tevera zano ravo, uye usarega chero zviratidzo zvinokunetsa. Kuita kwako kwakakodzera pakutarisira iyi nyaya ndechimwe chezvinhu zvakanakisa zvaunogona kuita kwauri nemwana wako.

Mibvunzo inowanzo bvunzwa nezve cervix isingashandi

Cervix isingashandi inogona kupora zvachose here?

Cervical insufficiency inyaya inokanganisa kuita zvekuzvitakura kwemunhu pane chimwe chinhu chinogona kupora zvachose. Zvisinei, vakadzi vazhinji vanozvitakura zvakanaka kusvika pakubereka ne kurapwa kwakakodzera nekuongororwa. Kuitazve zvekuzvitakura kunofanira kuongororwa zvakasiyana, uye kurapwa senge cerclage kunogona kushanda zvikuru kudzivirira kurasikirwa nekumutsa.

Ndichazo rasikirwa nekumutsa here kana ndine cervix isingashandi?

Kwete, kuva ne cervical insufficiency hazvirevi kuti uchazo rasikirwa nekumutsa. Nekuona nekukurumidza nekurapwa kwakakodzera, vakadzi vazhinji vane iyi nyaya vanobereka vana vane hutano. Chinhu chikuru ndeche kushanda pedyo nachiremba wako kuongorora cervix yako uye kuita kurapwa kana zvichidiwa.

Ndingabereka zvakajairika here mushure me cervical cerclage?

Hungu, vakadzi vazhinji vakaita cervical cerclage vanogona kubereka zvakajairika. Cerclage kazhinji inobviswa pavhiki 36-37 yekuzvitakura, uye unogona kazhinji kubereka zvakajairika mushure meizvozvo. Chiremba wako achakukurukura chirongwa chakanaka chekubereka zvichienderana nemamiriro ako chaiwo uye maitiro ekubereka kwako.

Cervix isingashandi inogona kuonekwa nekukurumidza sei panguva yekuzvitakura?

Cervical insufficiency kazhinji inoongororwa kutanga pavhiki 16-20 yekuzvitakura, sezvo iyi iri nguva iyo kuchinja kwe cervix kunowanzoonekwa. Kana uine nhoroondo yeiyi nyaya, chiremba wako anogona kutanga kuongorora nekukurumidza. Transvaginal ultrasounds inogona kuona cervix yakapfupika usati waona zviratidzo.

Cervix isingashandi inokanganisa kubereka kana kuita zvekuzvitakura here?

Cervical insufficiency kazhinji haikanganisi kugona kwako kuita zvekuzvitakura, sezvo iri nyaya chaiyo inoitika panguva yekuzvitakura pane pakuita zvekuzvitakura. Zvisinei, kana uine maitiro akawanda e cervix akaita kuti uve neichi chirwere, panogona kuva nekuita pane kubereka. Kurukura izvi nachiremba wako paunenge uchironga kuita zvekuzvitakura kwenguva yemberi.