Kureba kwechirwere kunokosha zvikuru pakubereka pamuviri, saka vanachiremba-gynecologists vanonyanya kufunga nezveiyi nyaya, zvose panguva yekuronga pamuviri uye pamuviri wese. Chirwere chepfupi chinopfupisa hachiwanzo kuberekwa, kushandiswa muhukuru hwayo kazhinji kacho kunokonzerwa nekupindira kwechisimba (kubvisa pamuviri, kupera, kushaya mutsara ). Kuberekwa nemukati mutsva wechibereki kunowanikwa pane zvinyorwa pamusoro pekutyisidzika kwekuparara kwepamuviri. Zvadaro, ngationei kuti ndezvipi zvinokosha zvekutarisira vakadzi vane pamuviri vane kamuviri kfupi.
Chii chinonzi chibereko chemuviri mutsva?
Iyo yakareba urefu hwechirwere inowanzosvika 4 cm, uye kana isingapfuuri 2 cm, inoonekwa sefupi. Munguva yepamuviri, chirwere chechivharo chechivharo chinomira uye hachibvumi kuti fetus ionekwe isati yabva, uyewo haipfuuri hutachiwana mukati mechibereko. Mamiriro ayo iyo chibereko chechivhadziro chinotanga kusvika nguva isati yazaruka chinonzi ischemic-cervical insufficiency. Iyi mamiriro ezvinhu anotyisidzira amai vari kutarisira nekubvisa pamuviri kana kuti kuberekwa nguva isati yabva. Uye pakuberekwa, kuputika kwakakosha kwechibereko chemuviri kunogona.
Mumwe gynecologist ane ruzivo anokwanisa kugadzirisa kupfupisa kwechirwere panguva yekuongorora kwevakadzi, asi nekunyatsoziva izvi izvi zvinoshandiswa nemumwe nyanzvi anoita ultrasound ane vaginal sensor.
Muchidimbu chechivivi - kurapwa
Nzira inonyanya kukosha yekurapa nemukati mutsva wakaderera ndeyekudzivirira kwakanyanya kwekuita muviri. Kana zviitiko zve ischemic-cervical insufficiency inokonzerwa nekushayikwa kwekuita mahomoni, zvino chirwere ichi chinoruramiswa nekubatsira kwemishonga inokosha. Kana pane dambudziko rekuguma kusati kwamboita pamuviri, ipapo mukadzi akadaro achapiwa chiremba kuti ashandise sutures kumuchivi uye staples. Aya maitiro anorwadza zvikuru, saka anogadzirwa pasi peanesthesia. Kusungirwa uye kusungurudza kunobviswa nachiremba mune imwe nzvimbo yekutakura, apo mukadzi wacho akatanga basa rekushanda. Imwe nzira yekuchengetedza chivharo chevhavha chisati chavharwa ndeyokupfekedza rin'i yakakosha pairi (pessary), iyo mumazuva ekutanga inogona kukonzera mukadzi kunzwa kusuruvara.
Tichifunga nezvechinjodzi chechirwere chemukati mutsva chinogona kutakura, ndinoda kukurudzira vanaamai vekuuya kushanyira chiremba wegynecologist panguva yakakodzera uye vanoteerera pane zvaanofunga.