Ukuphuka komlomo kubhekisela kwiinkcenkcesho zesisu ezifuna unyango lwezonyango. Xa kungabikho kwayo, isiphumo esibulalayo sinokwenzeka. Makhe siqwalasele ukuphulwa ngokubanzi, ukuchonga izizathu zayo, izinto eziphazamisayo, iindlela zokonyango.
Ukwahlula kwemiphunga yomlomo wesibeleko
Ukuqala, kufuneka kuqatshelwe ukuba i-gap ingafumaneka ngokuzimela, ngezizathu ezahlukeneyo. Kodwa ngokuphindaphindiweyo kwenzeka ngeendlela ezahlukeneyo zokungenelela kwinkqubo yokuzala kunye ngexesha lokunikezelwa. Ukuphuka ngokukhawuleza kunokucatshiswa:
- Ukwelula okunqongqo komlomo wesibeleko kubasebenzi (kwenzeka kwi-primipara emva kweminyaka engama-30 ).
- Ukwelula ngokweqile ngexesha lokubambisa yindawo yokuxhamla ebusweni, ukuhanjiswa ngokukhawuleza, iziqhamo ezinkulu.
- Ukunyanzeliswa okuqhubekayo kwesibeleko ngenxa yecala elincinci - ukugqithiswa kobundlobongela kubangelwa ngenxa yokuhanjiswa kwezilwanyana ezikunceda ukukhawulezisa ukubonakala komntwana:
- ukusebenzisa i-forceps;
- ukukhutshwa kompu .
Ukongezelela ukuhlelwa ngokwemiqathango yohlobo lokuphuhliswa (ulwaphulo-mthetho kunye nokukhawuleza), kukho ukwahlukana ngokwentlupheko ye-pathology. Ngoko, yamkelekile ukunika i-degrees 3 yokuphuka entanyeni yesisu. Ngamnye unomfanekiso wakhe weklinikhi. Kule meko, i-symptomatology ye-disorder ifana. Ngenxa yoko, ugqirha unokukwazi kuphela ukuchonga isiganga, emva kokuvavanya ilungu lomzimba.
Ukuphuka komlomo wesi-1 degree
Ukuqhekeka komlomo wesibeleko se-1st degree ngexesha lokubeletha kukhula rhoqo ngenxa yokungahambisani nomyalelo wegqirha. Ngokuqhelekileyo oku kwenzekayo xa ibhinqa elingafuni ukulwa. Ngelo xesha, kukho ukwanda kwenycinezelo lwangaphakathi, ngenxa yenkqubela yengane kunye nomsele wokuzalwa. Eli nqanaba libekwe ukuba i-gap ayidluli kwi-1 cm. Itholakala ngokuphindaphindiweyo kwelinye icala.
Umfanekiso weklinikhi kwiintlupheko ezincinane zingabonakaliswa buthathaka. Ngokuqhelekileyo oogqirha bakhuluma ngekhondo elingaqhelekanga lolu hlobo lwezilwanyana. Ngokukodwa xa isithuba singagqithisi i-10 mm. Uphawu oluphambili kweli phepha liphuma kumfazi. Ngexesha, umthamo wayo unganda. Eli bhinqa livakalelwa gqitha kwisisu esiswini okanye ngesisu, i-skvatkobrznogo.
Ukuphuka komlomo wesi-2 degree
Ukugqithwa komlomo wesibeleko se-2 degree ngexesha lokubeleka kuvela xa umntwana engafani ngokuhambelana nomthamo we-pelvis. Oku kunokwenzeka ukuba iiparimeter ze-anthropometric zentsana zingasungulwa ngokungafanelekanga ngexesha le-ultrasonography. Ngenxa yoko, oogqirha bakhetha ngokungafanelekanga iindlela zokuhambisa, ezikhokelela ekuphukeni. Kule nqanaba, i-gap ayidluli kwi-2 cm. Kule meko, yendawo kuphela kwindawo yesisu, ngaphandle kokuchaphazela inxalenye yesondo.
Ukuphuka komlomo wesi-3 degrees
Ukugqithwa kokungavunyelwa komlomo wesibeleko kwinqanaba lesithathu kubonakaliswe ngokubandakanyeka kwesini kwisenzo se-pathological. Kule meko, i-gap idibene ngokupheleleyo, akukho mda ocacileyo. Olu hlobo lokuphulaphulwa lubonakaliswe ngokuqinileyo, ukukhupha okukhulu kwindlela yokuzala, ngokuqhelekileyo kunye namaqhosha amakhulu. Ezinye iimpawu ziquka:
- ukukhupha okubandayo;
- ukugqithisa kweembambano kunye neembumbulu ze-mucous;
- ukunciphisa uxinzelelo lwegazi;
- ukwanda kwinani lentliziyo.
Iimbangela zokuqubuka komlomo
Kwiimeko ezininzi, ukuhlukana komlomo ngexesha lomsebenzi kubangelwa ukuphulwa kwendlela yokwenza isigqi-ukukhululwa kweendlela. Nangona kunjalo, oku kuya kwenzeka ngenxa yeemeko ezinxulumene nemeko yesigxina somzimba. Phakathi kwezimbangela eziphambili zesimo sengqondo sezilwanyana ngaba:
- kuncipha kwi-elasticity yezakhiwo ze-muscular structure - uphawu ngexesha lokubeleka emva kweminyaka engama-30;
- ubukho beemfungo , iinkqubo ezivuthayo, ezibonakaliswa entanyeni;
- ukungasebenzi kwe-laboratisation - engaphelelanga kwintsholongwane yomlomo wesibeleko, ukungalingani kobunzima be-fetal of pelvis;
- Ukuzalwa okukhawulezayo - isigaba sokuthunjwa sithatha imizuzu embalwa nje;
- Ubungakanani bentloko ebusweni, ubunzima bomzimba obungaphezulu kwe-4 kg.
Ukuphuka komlomo ngexesha lokubeletha
Ekuhambisweni kwe-pathology yoluhlobo olufanayo lugqityiweyo. Kwacaphukisa ngokulula ngokubanzi kwiimida ze-pharynx ye-uterus, ukwanda kwenani lokuvula kwangaphandle. Ngenxa yoko, umthwalo entanyeni uyanda, kwaye ingqibelelo yayo iphulwa. Ukupheliswa kokukhawuleza kwezilwanyana kukuphelisa iziphumo ezimbi. Ngokuqhelekileyo, ngesiphakamiso esikhulu, kwenziwa iinqununu malunga nokuqhuba icandelo lexesha elixakekileyo.
Ukukhulelwa kwe-Postpartum yomlomo wesibeleko kuya kuxhomekeka kwi-suturing kwikamelo lokuhambisa. Ukutywinwa kwenziwa ngokusetyenziswa kweemfuno ezikhethekileyo, i-bioresorbable threads. Uncedo olungenakunqwenelekayo lubangele ukuphuhliswa kwegazi lomzimba, okubangakho umphumo wokufa komama ekubelekeni. Ukunciphisa ixesha lokunyamekela, i-anesthesia ayisebenzisi.
Ukuphuka komlomo ngexesha lesondo
Ukukhutshwa kwesibeleko ngexesha lesondo kunokwenzeka, kodwa ngokwenza oku kwenzeke kangako. Kwenzeka xa ubundlobongela, ubudlova obunomdla, obunzulu bokungena. Ukutshatyalaliswa kwentanyeni kukukhokelela ekuphuhlisweni kwegazi. Ngaloo xesha, ibhinqa ivakalelwa ukutshabalalisa okubukhali kwimpilo yakhe, ubuthathaka, isisu, intloko. Iimpawu eziphambili ze-pathology ziquka:
- Ukuqhaqhazela kukubuhlungu kwisisu esisiswini, kumathanga angenayo;
- ukubonakala kwegazi ukusuka kwisini (ngamanye amaxesha kwisixa esingabalulekanga);
- ukuvakalelwa okubuhlungu kwintsimi.
Iimpawu zokuphuka komlomo wesibeleko
Uphulo lomlomo wesibeleko se-2 degree kunye nobukhulu obuncinane abukwazi ukubonakaliswa klinikhi. Kule meko, isigulane sichaza ukungonakaliswa okwenziwe kwintlalo-ntle. Igazi elivela kwindlela yokuzalwa yesisu ayinakudityaniswa, kwezinye iimeko, abafazi banokuphaphaza igazi. Bahlala bedibanisa nabo ngenguqu kwimvelaphi ye-hormonal kwaye ungabandakanyi ukubaluleka kubo. Nangona kunjalo, njengoko imeko iqhubeka, imeko ibuhlungu.
Ukuba isithuba kwisayizi singaphezu kwe-1 cm, kukho ukuphuma kwegazi, okubangela ugqirha ukuba alungise. Kulo lwabiwo lunegazi legazi, elibonisa ukuqokelela okuyingxowankulu kwisigxina samanzi. Ngaphantsi kwefuthe lokushisa komzimba, igazi lixhamla kwaye liphuma ngaphandle kwindlela yegazi. Ukongeza kwi-excretions, ezi zi gulane zirekhodiweyo:
- ubuthathaka obungenakuqondakala;
- ukuwohloka kweentlalo-ntle;
- ukujuluka okukhulu.
Ukuze uhlolisise ukuhlukana komlomo wesibeleko, umgulane wezilwanyana uqhuba uviwo kwisihlalo. Ngexesha elifanayo, utshintsho kubukhulu kunye nesakhiwo sesisu luyabhalwa. Iqumrhu livuvule, elingaphumelela kwisini. Xa ukuphuka kwenzeka ngexesha lokubeleka, ukulwa okuqhaqhazayo-ukuvelisa, ukuchasana kwexesha elifutshane lombele. Emcinini, igazi lingaba khona, kwaye isigulane ngokwayo ikhononda ngokutsha okukhulu kunye nentlungu kwisisu esezantsi. Ngenxa yoko, intlungu ibangela:
- isicefe
- ukuhlanza;
- khulisa;
- ukugqithisa kwesikhumba;
- ukunciphisa uxinzelelo lwegazi;
- ukujikeleza ngokukhawuleza.
Ukuphulukana komlomo wesibeleko
Kubalulekile ukuba uqaphele ukuba akusoloko kunokwenzeka ukuxilonga ukuphuka komlomo ngexesha. Isizathu salokhu kukungabikho kokuphuma kwamanzi okanye ubuninzi bayo. Kwezinye iimeko, ugqirha akakwazi ukuchonga ukukhulelwa komlomo ngexesha lokubeletha, imiphumo yalo ingaba yile ndlela:
- Ukutshatyalaliswa kwamandla ngenxa yokuphuma kwexesha emva kwexesha lokugqibela;
- ukubunjwa kwezilonda zesifo esasemva, esinika amandla ekuphuhliseni i-neck pathology;
- Ukwakhiwa kwezikrakra;
- i-ectropion - ukuguqulwa komlomo wesibeleko;
- ukuphuhliswa kwesifo sokunyuka - i-endometritis, i-adnexitis;
- I-ICN yinto engenakwaneleyo yomlomo, ngenxa yokungaphumeleli kwezakhiwo ze-muscular of the cervix.
Utyando lwephulo lomlomo wesibeleko
Unyango lwalolu hlobo lokuphulwa lunokwenzeka kuphela. Ukutshatyalaliswa kwephulo lomlomo kuqhutyelwa kuzo zonke iimeko zokugula. Imbango ingaba yimingxuma yomhlaba, apho kungekho ukulahleka kwegazi. Kwiimeko ezibuhlungu, ukuxilongwa kwesisu kuya kwenziwa. Isetyenzisiwe ukususa i-hematoma, eyenziwa ngexesha lokutshintshwa kwephameter (i-adipose tissue).
Ukukhulelwa emva kokuphuka komlomo wesibeleko
Ngokuqhelekileyo ubukho bentsholongwane ka-annesis buba ngumqobo ekuphuculeni ukukhulelwa okulandelayo. Oku kubangelwa inkqubo yokunamathela kwi-pelvis encinci, ekhusela i-ovulation evamile kunye nokuchumisa. Nangona kunjalo ukukhulelwa kokuqala emva kokuphuka entanyeni akusoloko kunokwenzeka ukuphuma. Ukungazi kakuhle kwezihlunu zesisu kungabangela ukuvula kwangaphambili, okubangela ukuba abasebenzi basebenze ngaphambi komhla wokugqibela. Ngenxa yalokhu, kwaneqhekeza elincinci kwisibeleko ngexesha lokukhulelwa liphantsi kokulawulwa nokuqwalaselwa.
Ngokuqhelekileyo ukuphulwa kunokuthintelwa. Ngoko ukuthintela ukuphuka komlomo kubandakanya:
- kwinqanaba elifanelekileyo le-ultrasound;
- ukuphunyezwa kweengcebiso zonyango;
- ukuhanjiswa kweemvavanyo kunye nokupasa uphando.
Ukuzalwa okwesibini emva kokuphuka komlomo
Ukuze kungabikho ukuphulukana kwesibeletho kwi-rumen ngexesha lokubeleka kwemvelo, okwesibini nokuhanjiswa koogqirha kwenziwa ngokugqithiswa. Ukungenelela kokusebenza kulungiselelwe kwangaphambili. Ixesha elifanelekileyo liyi-37-38 iiveki zokukhulelwa. Ukukhutshwa kwe-fetal kuqhutyelwa nge-incision, eyenziwa ngaphantsi kwesisu. Umsebenzi uwenziwa phantsi kwe-anesthesia jikelele.