Yanayin ya danganta da ɗaya a cikin ɓatacciyar ɓata lokaci hudu
Ɗaya daga cikin ƙananan sanannun ƙididdigar asarar hawan lokacin ciki shine yanayin da aka sani da rashin ƙarfi a jikin mahaifa , kuma an kira shi cervix mara kyau . Yanayin yana halin da ba'a dadewa ba da kuma canzawa daga cikin cervix kafin daukar ciki ya kai ga lokaci.
Lokacin da wannan ya faru, mace zata iya haifar da haihuwar haihuwa ko hasara mai ciki kamar yadda cervix ke da wuya sosai don daukar nauyin girma daga cikin mahaifa.
Cikakken rashin isasshen shi ne yawancin lalacewa ta hanyar rashin daidaituwa cikin ƙwayar zuciya ko mahaifa. Wadannan rashin daidaituwa na iya kasancewa a ciki (a halin yanzu a lokacin haihuwar) ko kuma sakamakon cututtuka zuwa cervix (ciki har da ƙwayoyin miki kamar kwayoyin halittu).
Yayinda kimanin kashi 80 cikin dari na hasara na ciki ya faru a farkon farkon watanni uku , ƙananan ƙananan mata zasu sha wahala a karo na biyu ko na uku. Daga cikin abubuwan da suka faru a ƙarshen lokaci, yawancin daya daga cikin hudu zasu kasance sakamakon wani ƙwayar marasa ƙarfi.
Harkokin aikin likita zai iya taimakawa idan an samu matsala ta hanzari.
Kwayoyin cututtuka na Cervical Insufficiency
Cervix mara dacewa na iya zama kalubalanci don gano asali domin yana da cikakkiyar matsala (ma'ana ba tare da bayyanar cututtuka) ba. Zai iya faruwa sau da yawa ba tare da ciwo ko haɓakawa da ake gani ba a wasu nau'o'in ɓacewa ko abubuwan da suka faru.
Idan bayyanar cututtuka sun kasance, suna da sauƙi kuma suna iya hada da:
- Pelvic matsa lamba
- Cramping
- Backache
- Canje-canje a cikin ƙara, launi, ko daidaituwa na fitarwa ta jiki
- M haɓaka
Cervical insufficiency yana faruwa bayan makonni 14 na gestation kuma ba a la'akari da wani abu a cikin farko-batsai ɓata .
Binciken Cervical Insufficiency
Cikakken insufficiency kawai za a iya bincikar lafiya a lokacin daukar ciki kuma har ma da wuya a tabbatar.
A mafi yawancin lokuta, za'a iya bincikar shi ne kawai idan akwai shaida na jiki na dump faruwa ba tare da raguwa mai raɗaɗi, zubar da jini ba, ruptured membranes (watse ruwa), ko kamuwa da cuta.
Cikakken rashin isasshen bincike ne mafi yawancin bincike a cikin mata waɗanda suka kasance suna da tarihin ƙuntataccen mahaifa ko tarihin ƙananan aiki da kuma ci gaba da sauƙi a baya. Idan an yi la'akari da isassun jijiyar jiki, likita na iya gudanar da wasu gwaje-gwajen gwagwarmaya, ciki har da:
- Binciken Pelvic don ganin idan akwai kyakwalwan tayin ne suke shiga cikin tashar mahaifa
- Ƙananan dan tayi , shigar da hankali a cikin farji, don ƙayyade tsawon ƙwayar da kuma hargowar kowane dila
- Amniocentesis (kawar da wani samfurin ruwa na amniotic) don yin watsi da kamuwa da cuta
Duk da yake babu gwaje-gwaje da za a iya amfani dasu kafin daukar ciki don ganin hangen nesa maras dacewa, akwai wasu iya gane ƙananan mahaukaci da suka dace da yanayin. Wadannan jita-jita ana shafar su a mafi yawan lokuta a cikin matan da suka yi maimaita rikici ko tarihin haihuwa.
Yin maganin Cervical Insufficiency
Yayinda aka fuskanci nauyin mahaifa, ayyukan kulawa zai iya bambanta da yawa daga likita zuwa na gaba.
Wannan shi ne saboda gaskiyar cewa babu wata hanyar da aka nuna ta kasance mafi mahimmanci ko kuma mahimmanci wajen hana haihuwa fiye da wasu. Saboda haka, zaɓuɓɓuka na iya haɗawa da:
- Kulawa mai zurfi ba tare da magani ba sai dai idan ciki ya bayyana barazana
- Cigical cerclage , da saka wani suture don taimakawa wajen karfafa cervix
- Cessical pessary, wani nau'in likita ne wanda ke amfani da shi don tallafawa kwakwalwa
- Progesterone kari don taimaka wajen hana bayarwa da wuri
> Source:
> Kwalejin Amirka na Obstetricians da, Gynecologists. "ACOG Yi Shafin Labarun No.142: Cerclage don gudanarwa na rashin ƙarfi na mahaifa." Obstetrics da Gynecology . 2014; 123 (2); 372-9.