Izvi zvakagadziriswa hazvizi chinhu chinongova chindori chemusumbu chinenge chiri munharaunda yezasi yechibereko uye chinochibatanidza icho kumudzimai. Pakati payo kune mhara inoshandiswa ropa rinobuda kunze kunowanikwa panguva yekuenda kumwedzi. Mukuwedzera, kuburikidza nehuro yemumuromo wemumumvu inopinda mubereki.
Kazhinji, urefu hwechirwere ndeye 3-4 cm, asi panguva yekuzvitakura iyi parameter inofanana nemavhiki.
Kukura kwechibereko chemuviri kunoshandura sei panguva yekudzivirira kwemavhiki mashoma?
Kuchinja munhengo yakadaro yekubereka sezvo chibereko chinochengetwa mushure memavhiki matatu kubvira panguva yekuberekwa. Saka chinhu chekutanga gynecologist chinogona kuona kana kutarisa pachigaro ndiko kuchinja kwemukasi membrane, iyo inowana bluish tinge. Izvi zvinokonzerwa nekuwedzera uterine ropa nekuyerera nekuwedzerwa kwakasimba kwemidziyo yemutsipa uterine.
Nekudaro, kuchinja kwemashure ehomoni kunotungamirira kune chokwadi chokuti mutsara unotanga kuwedzera mukukura. Somugumisiro, urefu hwechibereko chechibereko chinochinja. Muchiitiko ichi, chibereko chacho pachacho chinowedzera. Nzira yemagetsi inowedzerawo, iyo inobatanidza nekuwedzera kwekugadzirwa kwemasukisi, zvakakosha kudzivirira uterine cavity kubva pakunopinda kwepathogenic microorganisms.
Chiratidzo chinonyanya kukosha, icho chinofungidzirwa nega roga pamuviri, ndiyo urefu hwechirwere. Inosimbiswa munguva ye ultrasound.
Sezvatotaurwa pamusoro apa, urefu hwechivix ndechimwe shanduko inenge yakasiyana mumavhiki ekudzivirira. Saka, maererano nemitemo yakagadziriswa izvi zvinofanira kuitika seizvi:
- 16-20 vhiki - 4-4,5 cm;
- 25-28 vhiki - 3,5-4cm;
- 32-36 vhiki - 3-3.5 cm.
Sezvo zvinogona kuonekwa, urefu hunoderera sezvo nguva yekugwinya inowedzera. Izvi zvinokonzerwa nekuti kune kuwedzerwa kwehukuru hwebereki pachako, pamusana pekuti iyo fetus iri kukura. Mune zviitiko apo chirwere chechivharo chakanyanya kureba kwemavhiki makumi mana nemakumi mana ekuberekwa, vanachiremba vanoita kuti vashandise kuberekwa nekushandisa mishonga.
Kuti uone urefu hwechirwere chemavhiki ekudzivirira, vanachiremba vanowanzoshandisa tafura inoratidza hutano hwechiratidzo ichi munguva yose yekubata.
Ndezvipi zvinetso zvinogona kuwirirana nemukati mutsva?
Zvakasimba kuti mutsi (pasi pe2 cm) inogona kuva chikonzero chezvinetso zvakasiyana panguva yekuzvitakura. Ichi chiitiko chinogona kukonzerwa nekuputsika kwemarimoni.
Mukuvapo kwechirwere chepfupi munguva yekuzvitakura, inowanzoongororwa ne "ischemic-cervical insufficiency." Ichi chiitiko chinoratidzika nekushaya kukwanisa kuchengeta fetus muuterine cavity, iyo inotyisidzira kuberekwa kusati kwapera kana kupererwa.
Mukuwedzera pane kukundikana kwemasimoni, chikonzero chekugadziriswa kwekuchepesa kwechirwere chinogona kuva mapepa akaumbwa mushure mekunge abata pamuviri, kutora kana kubvisa pamuviri. Izvo ndezvekucheka kunopesana, kupfupisa nekurasikirwa kwekukwanisa kukwira kunoitika.
Sezvo mutemo, vakadzi vane rudzi urwu rwekusawirirana vari pasi pekutarirwa kwechiremba kwechiremba. Mumamiriro ezvinhu akadaro, mukadzi anoda kuzorora uye kuderedzwa muviri mumuviri. Mune ngozi yekuparara kwepamuviri kana kuberekwa nguva isati yambozvarwa, chirongo chinokosha chechikadzi chinowanikwa pamuviri wemukati, pessary inoichengetedza panzvimbo yakakodzera.
Nokudaro, chimiro chakadai sehurefu hwechirwere mumusana panguva yekuzvitakura kunosiyana nemavhiki. Ndicho chikonzero vanachiremba vanozvinyatsoteerera pavanoona mukadzi ane pamuviri. Mushure mezvose, kushanduka kwake kunopa nyevero yakakodzera panguva yekubvira kwekuberekwa kusati kwasvika panguva yekupedzisira kana kupererwa - mukutanga.