Chido chekusununguka mwana chinoshamisa kumudzimai wese, zvisinei, nhamo, haisi nguva dzose inoitwa. Chikonzero chinowanzoitika chekusununguka kwepachiviriro ndechokushaya kwechibereko chechivharo chekutsungirira basa rayo rinodzivirira: pasi pemubatiro wekuvhara mukati kwepiruterine, inosvibiswa uye inozarurirwa, inokonzera kutyisidzika kwekupera kwekuita pamuviri . Vanachiremba vanoti kudarika kwakadaro kweI ICI, kana kuti isthmico-cervical insufficiency.
Isthmiko-cervical insufficiency - zvikonzero
Kazhinji kazhinji, ischemic-cervical insufficiency inowanikwa mumutambo wechipiri wekuita pamuviri, apo kuwedzera kwekukura kwekuberekwa kunotanga. Vakadzi vane chirwere cheVIV kana kuti vakaora mwoyo chibereko chechirwere panguva yekubvisa pamuviri kana kuberekwa kwepakutanga vari pangozi (somuenzaniso, nekubviswa kwebhuku repa placenta, kuberekwa kwemwana mukuru kana kushandiswa kwemakumbo echikwata).
Mukuwedzera, zvinokonzera ischemic-cervical insufficiency nde:
- kuberekwa kusagadzikana kwechibereko (kechipiri chechibereko, bicorne chiberekero, nezvimwewo);
- infantilism ye chibereko;
- Progesterone kushayikwa uye kudarika kwe androgens;
- maitiro ekutadza kwemuviri wechibereko (kuberekwa kana kuwanikwa);
- yakashandurwa chiyero chezvibatanidza uye mishonga inosuruvara mumuviri wechibereko.
Isthmiko-cervical insufficiency - zviratidzo
Ngozi yeIsthmico-cervical insufficiency pamuviri ndeyokuti haisi kuteverwa nemamwe zviratidzo zvekunze nekunzwa kurwadziwa. Kufungidzira kuti kusununguka kusati kwasvika kwomukati mutsva kunogona kuva nekukurumidza kunyorera (inypical mu yechipiri trimester), minyoro inobatsira (iyo inowanikwa mumapu mucous panguva yekuzvimba ), kusagadzikana mumudzimai.
Pamusoro pekusava nechokwadi kwekushaya kwechirwere-cervical zvinotarisirwa kutarisana nekuchiremba nokukurumidza uye kuchenjerera zvikuru: mumamiriro ezvinhu aya, kubviswa kwepamuviri kunogona kukanganisa kunyange kunyadzisa.
Isthmiko-cervical insufficiency - kuongororwa
Zvinosuruvarisa, ICI inonyanya kuongororwa chete pashure pokunge uchinge uchinge uchinge uchinge uchinge wapona. Usati wava nepamuviri, chirwere chacho chinonyanya kuoma kuziva, kunze kwechiitiko chekuvapo pamucheto wemakumbo akaipisisa.
Asati atanga kuongororwa, chiremba wacho achakumbira kubvunza nezvekuvhiringidzika uye kukuvara kwechirwere, uyewo kuvapo kwezvirwere zve endocrine. Munguva yekuongororwa kwechikadzi, kukwanisa kwe-ischemic-cervical insufficiency inoratidzirwa nekushandura, kupfupisa uye kunyorera kwechirwere, uye dzimwe nguva kuvhura kwayo. Kana pasina kusava nechokwadi, transvaginal ultrasound kana hysterosalpingography (isina kubata) inorayirwa.
Isthmiko-cervical insufficiency - kurapa
Kana mukadzi akaonekwa kuti ane ischemic-cervical insufficiency, zvinokurudzirwa kuti zororo zororo uye zororo rakakwana, kusanganisira zvepabonde, zvionekwe.
Mukurapa kweNIC, chirongwa chekugadzirira uye chenguva dzose chinoshandiswa. Vakadzi vasiri pamuviri, sekutonga, vanoita mapurisa epurasitiki emuviri wechibereko. Kubata pamuviri munyaya iyi kunogona kugadzirirwa mwedzi mitanhatu mushure mekushanda, uye kuberekwa kunoitwa nekubatsirwa nechikamu chekudya.
Kupindira kwokuvhipisa mumadzimai anotarisira ndiko kuisa sutures pamuviri wemukati uye inoitwa kusvikira masvondo 16-18
Nzira yekuchengetedza inogadziriswa inoshandiswa pessaries (zvindori zveGoj, Meyer) - michina yakasiyana-siyana yakagadzirwa nesicone kana plastiki, iyo inoderedza mutoro pamuviri. Iyo pessary inogona kuiswa mukutaurirana kwemukadzi, kazhinji inowanikwa mumatanho ekutanga ekudzivirira uye yabviswa vasati vaberekwa, pamasvondo 37-38.
Pessary haina kukuvadza chirwere chechivharo uye haisi mungozi kumangwana nemwana, asi hazvibatsiri kana chivharox ichivhurwa uye kupera kwechirwere chinoputika.