Umnqweno wokubeletha umntwana uyingqayizivele kuwo onke amabhinqa, nangona kunjalo, ngeliso, ayisoloko eqhutywa. Isizathu esisoloko sisenza ukukhulelwa komzimba kungenako ukufumana umlomo wesibeleko ukuba uhlangabezane nomsebenzi wokuvimba: phantsi kwefuthe loxinzelelo lwe-intrauterine, luchotyiswa kwaye luvule, luchukumise isongelo sokupheliswa kokukhulelwa . Oogqirha babiza ukuphula umthetho kwe-ICI, okanye ukungaqiniseki kwintsholongwane.
Isthmiko-intsholongwane engakwazi ukuyenza-izizathu
Uninzi lwamaxesha amaninzi, ukungaqiniseki kwintsholongwane yentsholongwane kuyabonakala kwi-trimester yesibini yokukhulelwa, xa kukhula ukukhula komntwana. Abasetyhini abaye bafumana i-IVF okanye baxhatshazwa ngumlomo wesibeleko ngexesha lokukhipha isisu okanye ukuzalwa kwangaphambili kusengozini (umzekelo, ngokususwa ngokukodwa kwepentecenta, ukuzalwa komntwana omkhulu okanye ukusetyenziswa kwamagqabhagqabha).
Ukongezelela, iimbangela ze-ischemic-insufficiency isifo:
- ukungasebenzi kwentlungu yesisu (ukuphindwe kabini kwesibindi, i-bicorne uterus, njl);
- intsholongwane yesisu;
- Ukulahleka kweprogesterone kunye nokugqithiswa kwama-androgens;
- ukungalingani kwe-anatomiki yomlomo wesibeleko (ukuzala okanye ukufumana);
- utshintshile inani leengxube ezixhamlayo kunye nezihlunu kwi-cervix.
Isthmiko-intsholongwane engakwazi ukuyenza - iimpawu
Ingozi ye-Isthmico-inability to pregnancy in pregnancy is not accompanied by any signs and external sensations. Ukukrokrela ukuvula ngokungenakuzelelwa komlomo wesibeleko kungenziwa ngokuvota ngokukhawuleza (i-atypical kwi-trimester yesibini), izicatshulwa ezinokutshatyalaliswa (ukuhamba kwiplagi ye- mucous ngexesha lokukhulelwa ), ukungathandeki kwisisu.
Naluphi na ukusola ukuhluleka komlomo wesibeleko kuyimfuneko ukulungisa ngokukhawuleza ugqirha kwaye uqaphele kakhulu: kule meko, ukupheliswa kokukhulelwa kunokukhuphaza.
Isthmiko-insufficiency ye-colervical-diagnostics
Ngelishwa, i-ICI isoloko ifunyaniswa kuphela emva kokuphuphuma komzimba. Ngaphambi kokukhulelwa, lesi sifo kunzima kakhulu ukuchonga, ngaphandle kweemeko zobume kwi-cervix yeziqholo ezibi.
Ngaphambi kokufumana ukuxilongwa, ugqirha uya kucela ngokuphathelele ukulahleka kwezinto kunye nokulimala komlomo wesibeleko, kunye nokuba khona kweengxaki ze-endocrine. Ngethuba lokuhlolwa kwe-gynecological, kungenzeka ukuba inkolelo ye-ischemic-incervicity does not indicate a deformation, shortening and softening of the cervix, ngamanye amaxesha ukuvula kwayo. Xa kukho ukungathandabuzeki, i-ultrasound yangaphakathi okanye i-hysterosalpingography (engazange ikhulelwe) imiselwe.
U-Isthmiko-inability - intsholongwane
Ukuba umfazi ufumanisa ukuba akanakho ukuphelelwa kwintsholongwane, kunokucetyiswa ukuba ukuphumla kombhede nokuphumla okupheleleyo, kuquka ukulala ngesondo, kuya kugqitywa.
Ukunyangwa kweNIC, iindlela zokugonywa kunye nezolondolozo zisetyenziswa. Abasetyhini abakhulelweyo, njengomthetho, benza uphando lweplastiki yomlomo wesibeleko. I-Conception kule meko inokucwangciswa nje emva kweenyanga ezintandathu emva kokusebenza, kwaye ukuzalwa kuyenziwa ngoncedo lwecandelo le-caesarean.
Ingenelelo lokutyikitya kulomama olindelekileyo kukunyulwa kwe-sutures kwisibeleko somlomo kwaye kuqhutyelwa ukufikelela kwiiveki ezi-16 ukuya kwe-18
Indlela yokunyango yokulondolozwa yindlela yokwenza imithi (iindandatho zeGoj, Meyer) - izixhobo ezikhethiweyo ze-silicone okanye iplastiki, ezinciphisa umthwalo kwisibeleko somlomo. I-pessary ingasetyenziselwa ukubonisana kwabasetyhini, ngokuqhelekileyo kwenziwa kwinqanaba lokuqala lokukhulelwa kwaye lisuswe ngaphambi kokuziswa, kwiiveki ezingama-37-38.
I-Pessary ayilimazi umlomo wesibeleko kwaye ayifaki ingozi kumama ozayo kunye nosana, kodwa alusebenzi xa i-cervix ivuliwe kwaye i-prolapse ye-bladder prolapses.