Isthmiko-cervical insufficiency panguva yekuzvitakura

Isthmicocervical insufficiency (ICI), iyo inowanzoitika panguva yekuzvitakura, iko kukanganisa kworudzi urwu, umo kune kuchinja kwekushanda kwechimiro chesthmus uye uterine mutsipa. Izvi zvinokonzera kukurudzirwa kwekubvisa pamuviri kamwechete mukati mechipiri chechitatu uye chechitatu.

Muchiitiko ichi, chirwere chechivharo sezvo chinotanga kuonda, chinova chikafu uye chisingadi, icho chinonyatsogadziriswa nevakadzi vanoongorora. Panguva imwecheteyo, pane kupfupisa uye kuvhura kwechirwere chemuviri, izvo zvinoita kuti pave nemuviri wekusununguka.

Kupesana kuri kuratidzwa sei?

Kuongororwa kwechiitiko ichi kwakaoma, nokuti apo kubata pamuviri zviratidzo zve-ischemic-cervical insufficiency (ICS) yakavanzwa. Mukadzi anogona kuziva nezvekuvapo kwake chete nemutsara unotevera wekuongorora kwechikadzi.

Muzviitiko zvisingawanzoitiki, kunyanya pakugadzirwa kwezvinetso, zviratidzo zvakafanana zvinogona kuonekwa munguva shoma shoma, sezvinongoita dambudziko rekuparara kwepamuviri: kutarisa, kuona nzvimbo yekudzivirira, kubvisa marwadzo mudumbu rezasi, kunzwa kwekurutsira mumudzimai.

Kuzivikanwa kwe ICI kwakadini?

Kuongororwa kwe isthmico-cervical insufficiency, zviratidzo zvaro zvinowanzovanzwa panguva yekuzvimba, inobva pane data ultrasound. Pamusoro pekupo kwekuputsa, chiremba anogona kufunga uye kana achiongorora chivharox. Pakati pekuongorora, hupamhi uye urefu hwechirongwa pachako zvinoyera.

Chirwere ichi chinorapwa sei?

Kurapa kwe-ischemic-cervical insufficiency, iyo yakatanga panguva yekuzvimba, inoitwa nhatu nheyo dzinokosha, kusarudzwa kwezviri kuitwa kunoenderana nechinokonzera kukanganisa.

Nebasa rinoshanda ICI (rinowanikwa apo kutadza kwehomoni) inonzi hormone therapy inorayirwa. Nguva yaro inopera mavhiki 1-2. Mumamiriro ezvinhu apo chirwere chacho hachina kukweretesa kururamiswa kwehomoni, pessary inoiswa.

Nzira yechitatu yekurapa kwechirwere ndeyekunyanya kushandiswa - kupindira kwekuvhiya. Anodzinga kuisa suture pamuviri wechibereko, zvichiita pakuumbwa kwechikonzero chekuita chimiro. Suture kubviswa kunoitwa 37-38 vhiki yekuzvitakura.