Chibereko Chisingakwanisi

Macatsi, mahwende, chisu, chidzitiro nevhunjinyo (chigero chevunjinyo) zvinoita sisitimu yekuberekesa yevakadzi.

Chidzitiro chisina kukwana chinoitika kana tishu yechidzitiro yakasimba ichikonzeresa kana kuita chikamu mukuberekwa kwenguva isati yakwana kana kurasikirwa nekumisa kwakanaka. Chidzitiro chisina kukwana chinonziwo kusakwana kwechidzitiro.

Chidzitiro ndicho chikamu chepasi pechisu chinovhura kuvhunjinyo. Tisati tambomira mimba, kazhinji chinovhara uye chakasimba. Sezvo pamuviri uchifamba uye uchigadzirira kubereka, chidzitiro chinonyanya kuchinja. Chinonyorovesa, chinopfupika uye chinovhura. Kana uine chidzitiro chisina kukwana, chingangotanga kuvhura nekukurumidza zvichikonzera kuti ubereke nekukurumidza.

Chidzitiro chisina kukwana chinogona kuva dambudziko rakaoma kuongorora nekurapa. Kana chidzitiro chako chichivhura nekukurumidza, kana wakambova nekusakwana kwechidzitiro kare, ungabatsirwa nekurapwa. Izvi zvinogona kusanganisira kuitwa kwechirongwa chekuvhara chidzitiro nemisono yakasimba, inonzi cervical cerclage. Unogona zvakare kutora mishonga yekubatsira chidzitiro chisina kukwana uye kuita bvunzo dze ultrasound kuti uone kuti zvinhu zviri kufamba sei.

Kana uine cervix isina kukwana, zvinogona kunge kusina zviratidzo kana zvimwe zvinoratidza pakutanga kwekumisikidzwa. Vakadzi vamwe vane kusagadzikana kuri nyoro kana kuyerera kweropa usati wawana chirwere. Kazhinji, izvi zvinoitika usati wasvika mavhiki makumi maviri nemana ekumisikidzwa. Tarisa izvi:

• Kurwadziwa kwepamuviri kutsva.
• Marwadzo emuviri ari nyoro.
• Kuchinja kwekuyerera kwevaginal.
• Kuyerera kweropa kwenguva pfupi.

Vakadzi vazhinji havazivi chinhu chinokonzera njodzi. Zvinhu zvinokonzera njodzi dzechivhuru chisina kukwana zvinosanganisira:\n\n- Kukuvara kwepa cervix. Kubata kana kuvhiya kwakaitwa kare pachivhuru kungakonzera chivhuru chisina kukwana. Izvi zvinosanganisira kuvhiya kunorapira dambudziko re cervix rakawanikwa panguva yekuongororwa kwePap. Maitiro anozivikanwa se dilation and curettage (D&C) anogonawo kusanganiswa ne chivhuru chisina kukwana. Zvisingawanzoitika, kubvaruka kwepa cervix panguva yekubereka kwakapfuura kunogona kuva chinhu chinokonzera njodzi yechivhuru chisina kukwana.\n- Zvinetso zvaunazvo kubva pazvarwa. Izvi zvinonzi mamiriro ekuberekwa. Zvimwe zvinetso zvechibereko zvinogona kukonzera chivhuru chisina kukwana. Matambudziko ehukuru anokanganisa rudzi rwe protein rinoita tishu dzinobatanidza muviri wako, inonzi collagen, inogona kukonzera chivhuru chisina kukwana.

Chidzanga chisingakwanisi kubata pamuviri chinogona kuva ngozi nepamuviri wako. Zvinetso zvinogona kuitika zvinosanganisira:

• Kuberekwa kwenguva isati yakwana.
• Kurasikirwa nepamuviri.

Haukwanisi kudzivirira cervix isina kukwana. Asi pane zvakawanda zvaunogona kuita kuti uve nepamuviri unogara kwenguva yakazara, une hutano. Semuenzaniso:

• Tsvaga kurapwa kwenguva dzose nepamuviri. Kuongororwa nguva dzose panguva yepamuviri kunogona kubatsira timu yako yekurapa kutarisira hutano hwako nehwemwana wako. Udza chiremba wako nezviratidzo kana matambudziko ano kukufadza, kunyangwe zvingaita sezvitsotso kana zvisina kukosha.
• Idya zvokudya zvine hutano. Panguva yepamuviri, uchada folic acid yakawanda, calcium, iron nezvimwe zvinovaka muviri zvakakosha. Kutora vhitamini yepamuviri zuva nezuva kunogona kubatsira kana usina kudya zvokudya zvine hutano zvakakwana. Vhitamini dzepamuviri dzinogona kutangwa mwedzi mishoma usati wava nepamuviri uye dzichienderera mberi panguva yepamuviri wako.
• Wedzera uremu nenzira yakachenjera. Kuwedzera uremu wakakodzera kunogona kutsigira hutano hwemwana wako. Kuwedzera uremu kwemapaundi makumi maviri nemashanu kusvika makumi matatu nemashanu, kana makirogiramu gumi nerimwe kusvika gumi nematanhatu, kazhinji ndicho chinangwa kana uri kurema kwakanaka usati wava nepamuviri.
• Dzivisa zvinhu zvine ngozi. Kana uchifuma, rega. Doro nemidziyo isina mutemo hazvifanirwe kushandiswa. Tora mvumo yechiremba wako usati watora mishonga kana zvinowedzerwa, kunyange izvo zvinowanikwa pasina chinyorwa. Kana wakambosangana ne cervix isina kukwana panguva yepamuviri rimwe, uri panjodzi yekuzvarwa kwenguva isati yakwana kana kurasikirwa nepamuviri muma pregnancy anotevera. Kana uri kufunga nezvekuva nepamuviri zvakare, taura nachiremba wako kuti unzwisise njodzi uye zvaunogona kuita kuti usimudzire pamuviri une hutano.

Panguva yekutarisa nhumbu nemidziyo inoshandisa mafungu omuzwi (transvaginal ultrasound), nyanzvi yehutano kana mushandi anoshandisa chishandiso chakafanana nehwanda chinonzi transducer. Icho chishandiso chinopinzwa mukati mevhunjinyinyo yako uri kurara mudumbu rako patafura yekutarisa. Icho chishandiso chinoburitsa mafungu omuzwi anogadzira mifananidzo yezvikamu zvemuviri wako zviri mudumbu.

Muromo wechibereko usina simba (incompetent cervix) unowanikwa chete panguva yekuzvitakura. Zvinogona kuva zvakaoma kuziva, kunyanya panguva yekuzvitakura kwekutanga.

Chiremba wako kana nhengo yemhuri yako inokutarisira inogona kukubvunza nezve zviratidzo zvako uye nhoroondo yako yehutano. Iva nechokwadi chekuudza timu yako yekutarisira kana wakambotadza kuzvitakura mune wechipiri trimester yekuzvitakura kwakapfuura kana uine nhoroondo yekubereka mwana asati asvika nguva. Uyewo udza timu yako yekutarisira nezve chero maitiro awakamboitwa pamuromo wako wechibereko.

Chiremba wako angangokuzivisa kuti une muromo wechibereko usina simba kana uine:

• Nhoroondo yekuzvimba kwemukanwa wechibereko pasina kurwadziwa, kunzi dilation, uye kubereka mwana mune wechipiri trimester panguva yekuzvitakura kwakapfuura.
• Kuwedzera kukura kwemukanwa wechibereko uye kushomeka kwekukora (effacement) usati wasvika vhiki rechi 24 rekuzvitakura. Kushomeka kwekukora (effacement) kunoreva kuti muromo wechibereko unowedzera kutetepa uye kunyorovedza. Kuwedzera kukura kwemukanwa wechibereko nekushanduka kwemhando yacho kunogona kuitika pasina marwadzo. Zvinogonawo kuitika nekuyerera kweropa, hutachiona kana kuputika kwemamembranes, izvo zvinoreva kuti mvura yako yaputika.

Kuziva kuti une muromo wechibereko usina simba panguva yechipiri trimester kunogonawo kusanganisira:

• Kuongororwa nemidziyo inoshandisa mafungu omuzwi (ultrasound exam). Panguva yekuongororwa uku, une chishandiso chidiki, chakafanana nehwanda, chinonzi transducer, chinopinzwa mukati mevhunjinyinyo yako. Izvi zvinozivikanwa se transvaginal ultrasound. Icho chishandiso chinoburitsa mafungu omuzwi anochinjwa kuita mifananidzo yaunogona kuona pachiratidziro. Rudzi urwu rwe ultrasound runogona kushandiswa kuongorora kureba kwemukanwa wako wechibereko uye kuona kana kune chero tishu dziri kubuda kubva mumukanwa wechibereko.
• Kuongororwa kwezvikamu zvemuviri zviri mudumbu (pelvic exam). Panguva yekuongororwa kwezvikamu zvemuviri zviri mudumbu, chiremba wako anoongorora muromo wechibereko kuona kana chigunwe chemvura (amniotic sac) chinogona kunzwika kuburikidza nemuromo. Chigunwe chemvura ndicho chinokura mwana. Kana rusvingo rwechigunwe chiri mumukanwa wechibereko kana muvhunjinyinyo, zvinonzi prolapsed fetal membranes, uye zvinoreva kuti muromo wechibereko watanga kuvhura. Chiremba wako anogonawo kuongorora kana uri kuita marwadzo uye kuavhara, kana zvichidiwa.
• Kuongororwa kwemaabara (Lab tests). Kana uine prolapsed fetal membranes, unogona kuda kuongororwa kwekutanga kuti ubvise hutachiona. Muzviitiko zvimwe, izvi zvinogona kusanganisira kutora sampuli yemvura yemwana (amniotic fluid). Izvi zvinonzi amniocentesis. Amniocentesis inogona kushandiswa kuongorora hutachiona mune amniotic sac nemvura.

Hapana miedzo yakavimbika inogona kuitwa usati wazvitakura kuti ufungidzire kana uchave une muromo wechibereko usina simba. Asi miedzo yakati yakaitwa usati wazvitakura, senge ultrasound kana MRI, inogona kubatsira kuwana matambudziko ekuberekwa ane hukama nemuviri wako anogona kukonzera muromo wechibereko usina simba.