ʻAʻole lawa ka cervix

ʻAʻole lawa ka cervix ke hoʻomaka ka cervix e palupalu i ka wanaʻao. Hiki i kēia ke kumu i ka hāpai keiki a hānau hānau ʻole paha.

ʻO ka cervix ka hopena haʻahaʻa haʻahaʻa o ka kōpū e hele i loko o ka ʻōpū.

• I ka hāpai maʻamau, paʻa paʻa ka cervix, lōʻihi, a paʻa a hiki i ka hopena o ka 3 trimester.
• I ka trimester ʻekolu, hoʻomaka ka cervix e palupalu, lilo i pōkole, a wehe (dilate) ke hoʻomākaukau ke kino o ka wahine no ka hana.

Hoʻomaka ka diler cervix lawa ʻole e hoʻonui i ka wanaʻao. Inā lawa ʻole ka cervix, ʻoi aku paha nā pilikia e hiki mai ana.

• Hewa i ka trimester ʻelua
• Hoʻomaka mua ka hana, ma mua o 37 mau pule
• Haki ka ʻeke o ka wai ma mua o 37 mau pule
• Hāʻawi mua ʻia (kakahiaka)

ʻAʻohe mea maopopo leʻa ke kumu o ka lawa ʻole o ka cervix, akā ʻo kēia mau mea e hoʻonui i ka makaʻu o ka wahine:

• Hāpai ʻia me ka nui o 1 pēpē (māhoe, ʻekolu pākolu)
• Loaʻa ka lawa ʻole o ka cervix i ka hāpai mua
• Loaʻa i ka cervix haehae ʻia mai ka hānau mua ʻana
• Loaʻa i nā miscarriages i hala e ka mahina 4th
• Loaʻa ka haʻalele ʻana i ke kau mua a ʻelua paha
• Loaʻa i kahi cervix ʻaʻole hoʻomohala maʻamau
• Ke loaʻa nei i kahi biopsy cone a i ʻole loop loop electrosurgical excision kaʻina (LEEP) ma ka cervix i ka wā ma mua ma muli o kahi ʻano ʻole Pap smear

ʻO ka manawa pinepine, ʻaʻohe ou hōʻailona a hōʻailona paha o ka cervix lawa ʻole ke ʻole he pilikia āu e hoʻokumu ai. ʻO ia ka nui o nā wahine e ʻike e pili ana iā ia.

Inā loaʻa iā ʻoe kekahi o nā kumu pilikia no ka lawa ʻole o ka cervix:

• Hiki i kāu mea mālama olakino ke hana i kahi ultrasound e nānā i kāu cervix ke hoʻolālā nei ʻoe i kahi hāpai, a i ʻole ma mua o kou hāpai ʻana.
• Loaʻa paha iā ʻoe kahi hoʻokolohua kino a me nā ultrasounds pinepine i kou hāpai ʻana.

Hiki ʻole i kahi cervix lawa ʻole ke kumu i kēia mau ʻōuli ma ka 2nd trimester:

• Kaha ʻole ke kahe ʻana a kahe paha
• ʻO ka hoʻonui ʻana i ke kaomi a i ʻole ke kuʻi ʻana i ka ʻōpū o lalo a me ka pelvis

Inā hoʻoweliweli i ka hānau mua ʻole, manaʻo paha kāu mea hāʻawi i kahi hoʻomaha moe. Eia naʻe, ʻaʻole i hōʻoia ʻia kēia e pale ai i ka nalo ʻana o ka hāpai ʻana, a e hopena paha i nā pilikia no ka makuahine.

Kuhi paha kāu mea hāʻawi iā ʻoe he cerclage. He ʻoki kino kēia e mālama ai i ka cervix lawa ʻole. Ma kahi cerclage:

• E hoʻopaʻa ʻia kāu cervix me kahi wili ikaika e noho mau i ka wā o ka hāpai ʻana a pau.
• E hoʻoneʻe ʻia kāu mau humuhumu kokoke i ka hopena o ka hāpai ʻana, a i ʻole ma mua koke inā hoʻomaka mua ka hana.

Hana maikaʻi nā Cerclages no nā wahine he nui.

I kekahi manawa, kuhikuhi ʻia nā lāʻau e like me ka progesterone ma kahi o kahi cerclage. Kōkua kēia mau mea i kekahi mau hihia.

E kamaʻilio me kāu mea hoʻolako e pili ana i kāu kūlana a me nā koho lapaʻau.

ʻO ka cervix kūpono ʻole; Puʻupuʻu nāwaliwali; Hāpai keiki - lawa ʻole ka cervix; Ka hana ma mua - lawa ʻole ka cervix; Preterm hana - lawa ʻole ka cervix

Berghella V, Ludmir J, ʻOwen J. Cervical lawa ʻole. I: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Nā Kāpena Gabbe: Nā Pregnancies Maʻamau a me nā Pilikia. 8th ed. Piladelapia, PA: Elsevier; 2021: chap 35.

ʻO Buhimschi CS, Mesiano S, Muglia LJ. ʻO Pathogenesis o ka hānau mua ʻole. I: Resnick R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, nā mea i hana ʻia. ʻO Medicine a Maternal-Fetal a Creasy a me Resnik: Nā Manaʻo a me ka Hoʻomeheu. 8th ed. Piladelapia, PA: Elsevier; 2019: chap 7.

Keyhan S, Muasher L, Muasher SJ. ʻO ka hāpai keiki kūlohelohe a me ka nalo ʻana o ka hāpai hāpai hou ʻana: etiology, diagnose, lapaʻau. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 16.

• Nā maʻi Cervix
• Nā pilikia olakino i ka hāpai keiki