Kutalika kwa chiberekero ndi kofunikira kwambiri pakuberekera mimba, kotero akatswiri a zachipatala amaganizira kwambiri nkhaniyi, panthawi yokonzekera mimba komanso panthawi yonse ya mimba. Kachilombo kofupikitsa kawirikawiri sikakhala congenital anomaly, kusintha kwa kukula kwake kawirikawiri kumabwera chifukwa cha zowawa (kuchotsa mimba, kupopera, kusakaniza ). Mimba yokhala ndi chiberekero chachiberekero cha chiberekero amalembedwa pa zochitika zokhudzana ndi kutha kwa padera. Chotsatira, tiyeni tiwone chomwe chiri chodziwikiratu cha kuyang'anira amayi oyembekezera omwe ali ndi kachilombo kofupikitsa.
Kodi kachilombo kochepa ndi kotani?
Kutalika kwa chiberekero nthawi zambiri kumakhala 4 masentimita, ndipo ngati osachepera 2 cm, amawoneka kuti ndi ochepa. Pakati pa mimba, chiberekero cha chiberekero chimatseka ndipo sichilola kuti mwanayo asamawonekere, komanso samadwala chiberekero. Mkhalidwe umene chiberekero cha chiberekero chimayamba kutsegulidwa msanga amatchedwa kuschemic-chiberekero cholephera. Matendawa amachititsa amayi oyembekezera kuti abereke mimba mwadzidzidzi kapena kubadwa msanga. Ndipo pakubereka, ziwalo zazikulu za m'mimba zimatheka.
Katswiri wamagetsi amatha kudziwa kuchepa kwa chiberekero pa nthawi ya ubenda, koma motsimikizirika kuti matendawa adzapangidwa ndi katswiri yemwe amachita ultrasound ndi mphamvu yamaliseche.
Kachilombo kafupi - mankhwala
Mlingo wofunika kwambiri wochizira ndi kachilombo kafupikitsidwe ndikoletsa kwambiri ntchito. Ngati chochitika cha ischemic-cervical insufficiency chimachitika chifukwa cha kuchepa kwa mahomoni oyembekezera, ndiye kuti vutoli likukonzedwa ndi chithandizo cha mankhwala apadera. Ngati pali pangozi yothetsa mimba musanafike msanga, ndiye kuti mayi woteroyo adzapatsidwa dokotala kugwiritsa ntchito sutures ku chiberekero ndi zakudya. Njirazi zimapweteka kwambiri, choncho zimapangidwa ndi anesthesia. Maso ndi mabala amachotsedwa ndi dokotala pakhomo lakuperekera, pamene mkaziyo anayamba ntchito yothandizira. Njira ina yopezera chiberekero kutsekedwa usanatuluke ndi kuvala mphete yapadera pa pessary, yomwe m'masiku oyambirira ingayambitse mkazi kumverera kovuta.
Tikaganizira za ngozi yomwe chiberekero cha chiberekero chikhoza kunyamula, ndikufuna kuwalangiza amayi amtsogolo kuti akacheze dokotala wa mayi wazimayi pa nthawi yake ndikugwirizana ndi zomwe akukambirana.