Bukatar sha'awar haihuwar yaro yana da mahimmanci ga kowane mace, duk da haka, rashin alheri, ba a koyaushe ana gudanar da ita ba. Abun mawuyacin rashin haɗuwa maras alawa shine rashin iyawa na cervix don magance aikin tacewa: a ƙarƙashin rinjayar matsa lamba ta intrauterine, yana da laushi da buɗewa, yana haifar da barazanar ƙaddamar da ciki . Doctors kira irin wannan cin zarafi na ICI, ko isthmico-cervical insufficiency.
Isthmiko-Cervical insufficiency - dalilai
Mafi yawancin lokuta, ana iya gano rashin lafiya a ciki a cikin kashi biyu na biyu na ciki, lokacin da tayi girma tayi. Matan da suka sha kashi IVF ko kuma sunyi rauni a lokacin da zubar da ciki ko haihuwa da aka haifa suna cikin hadari (misali, tare da cirewa daga ƙwayar mahaifa, haihuwar babban yaro ko yin amfani da ƙananan ƙwararru).
Bugu da ƙari, abubuwan da ke haifar da ischemic-ƙananan jijiyoyin jiki sune:
- nakasar jiki na cikin mahaifa (sau biyu na mahaifa, bicorne mahaifa, da dai sauransu);
- infantilism na mahaifa;
- Progesterone rashi da wuce haddi na androgens;
- abanormalities na cervix (na ciki ko samu);
- gyare-gyare na haɗin kai da tsoka a cikin cervix.
Isthmiko-cervical insufficiency - bayyanar cututtuka
Halin ƙananan Isthmico-Cervical a ciki shine cewa ba tare da wani alamomi na waje da zafi ba. Don tsammanin bude budewa na kwakwalwa zai iya kasancewa ta hanyar tsinewa (tsinkayye a karo na biyu), saitattun saithi ( ƙuƙwalwar ƙwayar mucous yayin hawan ciki ), rashin tausayi a cikin farji.
A kowane tsammanin rashin cin zarafi na asibiti-wajibi ne ya zama dole ya magance likita a hankali kuma ya zama mai hankali: a cikin wannan hali, ƙaddamar da ciki zai iya haifar da kullun.
Isthmiko-Cervical insufficiency - diagnostics
Abin takaici, ICI mafi yawan lokuta ana bincikarsa ne kawai bayan da bazawar wani abu ba. Kafin daukar ciki, cutar tana da wuyar ganewa, sai dai idan akwai wani abu a kan ƙwayar ƙwayar cuta.
Kafin yin ganewar asali, likita dole ne ya yi tambaya game da ɓarna da raunin da ke cikin ƙwayoyin cuta, da kuma ciwon cututtukan endocrin. A lokacin nazarin gynecology, yiwuwar wani sammaci-cervical insufficiency ya nuna ta nakasa, ragewa da kuma softening na cervix, kuma wani lokacin ta bude. Idan akwai shakku, ana iya yin amfani da duban dan tayi ko kuma hysterosalpingography (wanda ba a ciki ba).
Isthmiko-cervical insufficiency - magani
Idan mace an gano shi tare da ischemic-rashin ƙarfi na mahaifa, an bada shawarar cewa hutawa da hutawa, ciki har da jima'i, za a kiyaye su.
Don maganin NIC, ana amfani da hanyoyi masu mahimmanci da mazan jiya. Mace marasa ciki, a matsayin mai mulkin, suna aiwatar da tilasta filastik na cervix. Ana iya tsarawa a wannan yanayin ne kawai watanni shida bayan aiki, kuma an haifi haihuwar tare da taimakon ɓangaren caesarean.
Taimakon gaggawa a cikin iyaye masu sa ido shine sanya kayan sutures a kan ƙwayar jikin kuma ana gudanar da su har zuwa makonni 16-18
Hanyar mahimmanci na magani shi ne amfani da pessaries (zobba na Goj, Meyer) - na'urori na obstetric na musamman waɗanda aka yi da silicone ko filastik, wanda zai rage nauyin a kan cervix. Za'a iya shigar da pessary a cikin shawara ta mace, yawanci ana aikata shi a farkon matakan ciki da kuma cire kafin a bayarwa, a cikin makon 37-38.
Jigilar bazai cutar da ciwon ciki ba kuma bai sanya hatsari ga mahaifiyar da ke nan gaba ba, amma bata da amfani idan an bude maciji da kuma cigaba da mafitsara.