25 lakh+
Iziguli Ezijabule
Abanolwazi futhi
odokotela abanekhono
17
Izikhungo Zokunakekela Ezempilo
Isikhungo Sokudluliswa Okuphezulu kakhulu
Ngokuhlinzwa Okuyinkimbinkimbi
I-Cervical cerclage inqubo yokuhlinzwa eyenziwa ngesikhathi sokukhulelwa lapho odokotela bethunga umlomo wesibeletho uvaliwe. Lokhu kusiza ukuvimbela umlomo wesibeletho ukuthi ungavuleki kusenesikhathi, okungaholela ekuphuphumeni kwesisu noma ukuzalwa ngaphambi kwesikhathi.
Ukuhlinza i-cervical cerclage kunciphisa ingcuphe yokuzalwa ngaphambi kwesikhathi kwabesifazane abasengcupheni enkulu futhi kungase kunciphise ukufa kokubeletha. Ukuhlinzwa ngokuvamile kusiza ekuvimbeleni ukulahleka kokukhulelwa kwe-second-trimester.
Izibhedlela ze-CARE zihlinzeka ngokunakekelwa kokubelethisa, okuhlanganisa:
Odokotela Abahlinzayo Besibeletho Abangcono Kakhulu eNdiya
Ezibhedlela ze-CARE, ochwepheshe bethu bezifo zabesifazane basebenzisa izindlela ezithambile, ezihlasela kancane—njengesitho sangasese sowesifazane noma izindlela ze-laparoscopic-ukuze ukululama kwakho kube bushelelezi, ungakhululeki futhi ube lula ngesikhathi esibucayi ekukhulelweni kwakho. Isibhedlela sihlinzeka ngamayunithi e-HD laparoscopy ukuze uthole izinqubo zokuhlinzwa ezinembile.
Udokotela wakho angase ancome i-cervical cerclage uma une:
Izindlela eziningi ze-cerclage zihlanganisa:
Ngokuvamile, inqubo ithatha cishe imizuzu engama-30 ukuqeda.
Ukulungiselela i-cerclage yomlomo wesibeletho kudinga ukuhlolwa ngokucophelela kwezokwelapha.
Ngaphambi kwenqubo, udokotela wakho uzo:
Tshela udokotela wakho nganoma yimiphi imithi oyiphuzayo, okuhlanganisa amavithamini nezithako zokudla. Yisho noma yikuphi ukungezwani komzimba noma ukusabela kwangaphambilini ku-anesthesia.
Izinyathelo zihlanganisa:
Ukuhlinzwa kusebenzisa i-transvaginal (nge-vagina) noma i-transabdominal (ngesisu).
Ukubuyisela ngokuvamile kuhlanganisa:
Xhumana nodokotela wakho wezifo zabesifazane uma uhlangabezana nokuminyanisa okukhulu, ukopha kakhulu esithweni sangasese sowesifazane, noma izimpawu zokutheleleka njengomkhuhlane noma ukuphuma okungavamile.
Iningi labesifazane alinazo izinkinga. Ezinye izinkinga ezingenzeka ezimweni ezingavamile zihlanganisa:
Inqubo inezinga eliphezulu lempumelelo, ngempumelelo:
Lezi zinzuzo zenza i-cervical cerclage ibe yinketho ebalulekile kwabesifazane abanokukhubazeka komlomo wesibeletho.
Iningi lezinhlelo zomshuwalense zihlanganisa i-cervical cerclage edingekayo ngokwezokwelapha. Khuluma nenkampani yakho yomshwalense ukuze uqinisekise imininingwane yakho futhi uqonde noma yiziphi izindleko eziphuma ephaketheni.
Uma kubhekwa uhlobo olukhethekile lwale nqubo, ukufuna umbono wesibili kuchwepheshe onolwazi kungakusiza wenze isinqumo esinolwazi mayelana nokunakekelwa kwakho.
I-Cervical cerclage inikeza inketho yokwelapha ephumelelayo kwabesifazane abanokukhubazeka komlomo wesibeletho. Inqubo inezinga eliphezulu lempumelelo, isiza abesifazane ukuthi bathwale ukukhulelwa kwabo kuze kufike isikhathi esigcwele. Ukubuyisela kudinga ukulandela imiyalelo kadokotela wakho ngokucophelela. Iningi labesifazane lidinga isikhathi esincane sokuphumula ngemuva kwenqubo. Kufanele ugweme imisebenzi ekhandlayo kanye nokuya ocansini ngesikhathi sokuphulukiswa. Le mikhawulo yesikhashana isiza ukuqinisekisa umphumela omuhle kakhulu kuwe nosana lwakho.
Le nqubo inikeza ithemba kwabesifazane abaye babhekana nokukhulelwa ngenxa yokungakwazi kahle komlomo wesibeletho. Ngokunakekelwa okufanele kwezokwelapha kanye nokuqapha, i-cervical cerclage isiza abesifazane abaningi ukuba bafeze ukukhulelwa okuphumelelayo kanye nezingane ezinempilo.
Khuluma nodokotela wakho uma unokukhathazeka mayelana nokungaphumeleli komlomo wesibeletho noma ukulahlekelwa kokukhulelwa kwangaphambilini. Bangahlola isimo sakho futhi baxoxe ngokuthi i-cervical cerclage ingase ikuzuzise yini ukukhulelwa kwakho. Ukubonisana kusenesikhathi kuvumela ukuhlela okufanele kanye nemiphumela engcono kakhulu engenzeka.
Izibhedlela ZeCervical Cerclage Surgery eNdiya
I-Cervical cerclage iyinqubo yokuhlinzwa lapho odokotela bethunga umlomo wesibeletho ngesikhathi sokukhulelwa. Lokhu kuvimbela umlomo wesibeletho ukuthi ungavuleki kusenesikhathi, okungaholela ekuphuphumeni kwesisu noma ukuzalwa ngaphambi kwesikhathi.
Udokotela ngokuvamile uncoma i-cerclage yomlomo wesibeletho uma une:
Abazokhethwa ngokuvamile bahlanganisa abesifazane abana:
Yebo, i-cervical cerclage inezinga eliphezulu lempumelelo. Izinkinga ezihlobene nalokhu kuhlinzwa kungenzeka zenzeke ezimweni ezingavamile.
Inqubo ngokwayo ayibuhlungu ngoba odokotela basebenzisa i-anesthesia. Ungase ube nokuma kancane ngemva kwalokho, okufana nobuhlungu bokuya esikhathini.
Ukuhlinzwa ngokuvamile kuthatha imizuzu engama-30-60 ukuqeda.
Cha, akubhekwa njengenqubo enkulu. Iziguli eziningi ziya ekhaya ngalo lolo suku.
Izingozi ezingaba khona zifaka:
Iningi labesifazane lilulama ngokushesha ngemva kwe-cerclage yomlomo wesibeletho. Lindela ukuminyanisa okumaphakathi kanye namabala alula kufika ezinsukwini ezi-3. Udokotela wakho ngokuvamile uncoma izinsuku ezingu-2-3 zokuphumula kombhede. Ukuqokwa kokulandelela ngokuvamile kwenzeka phakathi kwamaviki angu-1-2 ngemva kwenqubo.
Ucwaningo lukhombisa ukuthi i-cervical cerclage ayinayo imiphumela emibi yesikhathi eside ezinganeni. Inqubo ayiyona ingozi ezimele yezinkinga zemizwa, i-endocrine, ithumbu, noma inhliziyo enzalweni.
Udokotela wakho angase asebenzise izinhlobo eziningana ze-anesthesia:
I-Cervical cerclage ayibafanele abesifazane abane:
Ukuhamba ngokuvamile kuvunyelwe ngemva kwamaviki angu-28. Khetha ukuhamba okushelelayo phezu kwezimoto uma kungenzeka. Uma kufanele uhambe ngemoto, gwema imigwaqo enezihibe futhi uthathe ikhefu njalo.
Yebo. Ukuba ne-cerclage ngaphambilini kungase kubonise isidingo sokukhulelwa okulandelayo.
Gwema le misebenzi:
Ukulethwa okuvamile kungenzeka nge-transvaginal cerclage. Nokho, i-transabdominal cerclage idinga ukuhlinzwa. Udokotela wakho ngokuvamile ususa i-cerclage stitch cishe amasonto angama-36-37.