Cervix isina kukwana

Chibereko chechibereko chisina kukwana chinoitika apo muromo wechibereko unotanga kunyevenuka pachiri munguva yepamuviri. Izvi zvinogona kukonzera kusununguka kana kuberekwa nguva isati yakwana.

Cervix ndiwo mupendero wakamanikana wezasi wechibereko unopinda mukati memukadzi.

• Mune nhumbu yakajairika, muromo wechibereko unoramba wakasimba, wakareba, uye wakavharwa kusvika kunonoka mumwedzi mitatu yetatu.
• Mumwedzi mitatu yetatu, muromo wechibereko unotanga kunyevenuka, kupfupika, nekuvhurika (kutambanuka) apo muviri wemukadzi unogadzirira basa.

Chibereko chechibereko chisina kukwana chingatanga kudzika kukasika pakuzvitakura. Kana paine cervix isina kukwana, matambudziko anotevera angangoitika:

• Kuparadzanisa pamuviri mune yechipiri trimester
• Labour inotanga kare kare, pamberi pemasvondo makumi matatu nemanomwe
• Bhegi remvura rinotsemuka pamberi pemasvondo makumi matatu nemanomwe
• A isati yakwana (yekutanga) kuburitsa

Hapana anoziva zvechokwadi chinokonzeresa chibereko chechibereko chisina kukwana, asi zvinhu izvi zvinogona kuwedzera njodzi yemukadzi:

• Kuva nepamuviri pane anopfuura 1 mwana (mapatya, vatatu)
• Kuva nemukondombera usina kukwana mudumbu rekutanga
• Kuva nechibereko chakabvaruka kubva pakuberekwa kwekutanga
• Kuve nekupererwa kwepashure nemwedzi wechina
• Kuve nepfuura yekutanga kana yechipiri semester kubvisa nhumbu
• Kuve nemuromo wechibereko uyo usina kukura zvakajairika
• Kuva nekoni biopsy kana loop electrosurgical excision procedure (LEEP) pamuromo wechibereko munguva yakapfuura nekuda kweasina kujairika Pap smear

Kazhinji, unenge usisina zviratidzo kana zviratidzo zvechibereko chechibereko chisina kukwana kunze kwekunge uine dambudziko chingakonzera. Ndiwo madzimai mazhinji anotanga kuziva nezvazvo.

Kana iwe uine chero ehunhu hunokonzeresa wechibereko chechibereko chisina kukwana:

• Mubatsiri wako wehutano anogona kuita ultrasound kuti atarise pamuromo wechibereko chako paunenge uchironga kuve nepamuviri, kana pakutanga kwekubata kwako.
• Iwe unogona kunge uine bvunzo dzepanyama uye ultrasound kazhinji kazhinji panguva yako yepamuviri.

Cervix isina kukwana inogona kukonzeresa izvi zviratidzo mune yechipiri trimester:

• Kuona zvisina kujairika kana kubuda ropa
• Kuwedzera kumanikidza kana kupwanya mudumbu nepazasi

Kana paine tyisidziro yekuzvarwa nguva isati yakwana, mupi wako anogona kupa zano kuzorora kwemubhedha. Nekudaro, izvi hazvina kuratidzwa kudzivirira kurasikirwa nhumbu, uye zvinogona kukonzera matambudziko kuna amai.

Mupiki wako anogona kukuudza kuti une cerclage. Uku kuvhiya kwekurapa muromo wechibereko usina kukwana. Munguva yecerclage:

• Chibereko chako chinosonerwa chakavharwa neshinda yakasimba iyo icharamba iri panzvimbo panguva yese yepamuviri.
• Tsvimbo dzako dzinobviswa padhuze nepakugara kwemimba, kana nekukurumidza kana basa ratanga mangwanani.

Cerclages anoshanda zvakanaka kune vakadzi vazhinji.

Dzimwe nguva, mishonga yakadai seprogesterone inorayirwa panzvimbo yecerclage. Aya anobatsira mune dzimwe nguva.

Taura nemupi wako nezve ako mamiriro uye nzira dzekurapa.

Cervix isina kukwana; Cervix isina kusimba; Kubata - isina kukwana cervix; Basa risati rasvika - muromo wechibereko hauna kukwana; Preterm labour - isina kukwana cervix

Berghella V, Ludmir J, Owen J. Cervical kusakwana. Mune: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Obstetrics yaGabbe: Yakajairika uye Dambudziko Pamuviri. 8th ed. Philadelphia, PA: Elsevier; 2021: chits. 35.

Buhimschi CS, Mesiano S, Muglia LJ. Pathogenesis yekuzvarwa preterm kuberekwa. Mu: Resnick R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Sirivha RM, eds. Creasy uye Resnik's Maternal-Fetal Mushonga: Misimboti uye Dzidzira. 8th ed. Philadelphia, PA: Elsevier; 2019: chits.

Keyhan S, Muasher L, Muasher SJ. Kubvisa kwepamuviri uye kurasikirwa nekuzvitakura kwepamuviri: etiology, kuongororwa, kurapwa. Mune: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Yakakwana Gynecology. 7th ed. Philadelphia, PA: Elsevier; 2017: chits.

• Cervix Dambudziko
• Matambudziko Ehutano Mukubata