Uma kuziwa ekuphelelweni kwe-ischemic-insiviva , odokotela bavame ukusebenzisa igama elithi "ukuphindaphinda kwesinyawo". Kuyini, nini futhi kanjani nokuthi kunjani nokuthi yimuphi ingozi ethintekayo okhulelwe nengane, sizobe sitshela esihlokweni sethu.
Ukwandiswa komsele womlomo wesibeletho - izimbangela
Okokuqala, ake sikhumbule ukuthi ngokuhluleka kwe-ischemic ye-cervical, umlomo wesibeletho awukwazi ukubhekana nomsebenzi wayo oyinhloko - ukukhiya ukuphuma esibelethweni bese ugcina ingane ekhulayo esibelethweni. Lokhu kwenzeka ezimweni ezilandelayo:
- ukwehluleka kwe-progesterone noma i-androgens eyengeziwe emzimbeni wesifazane okhulelwe;
- izibazi emzimbeni womlomo wesibeletho, obangelwa ukulimala kwakhe;
- ukukhubazeka kokubeletha kwesibeletho,
- ukukhulelwa okuningi.
I-fetal swelling prolapse - izimpawu
Ngakho-ke, nge-ICS, ukwehlisa nokuvulwa komlomo wesibeletho kuya kancane kancane, futhi lokhu kwenzeka njalo kungabonakali kowesifazane. Uma ukwandiswa komsele womlomo wesibeletho ngesikhathi ukhulelwe kubanzi ngokwanele, khona-ke ukwehla kwesibeletho kungase kwenzeke - ukufaka isikhumba embelethweni wesibeletho. Lesi simo siyingozi kakhulu: okokuqala, ngaphansi kwengcindezi ye-fetus ne-amniotic fluid, ukwandiswa komsele wesibeletho womlomo wesibeletho kusheshayo, futhi okwesibili, uma kukhona isifo esiswini, ukuvuvukala kwamagundane kungenzeka. Kuzo zombili izimo, nganoma yisiphi isikhathi, ukuphuka kwesisu, ukuphuma kwamanzi amniotic, bese kuvele ukukhulelwa kwesisu.
Kungenakwenzeka ukusola ukuthi i-prolapse ye-fetal vestiva - izimpawu ngokuvamile azikho. Into kuphela engabonisa ingozi ukuvuza kwe-amniotic fluid. Kulesi simo, amathuba okuletha ingane nokubeletha ngesikhathi sincane kakhulu. Ngakho-ke, ngokusola kancane kwe-NIC, kuyadingeka ukuba ulandele ngokuqinile imiyalelo kadokotela, hhayi ukuyeka ukwelashwa okusebenzayo noma okunamandla (pessary) nokuhambisana nokuphumula kombhede.