Uterine cerclage: he aha ia a pehea e hana ai ke ʻoki e paʻa ai ka pēpē

Anter

• Pehea e hana ai ke ʻoki
• Pehea ke ola ma hope o ka cerclage
• Nā hōʻailona hōʻailona e hoʻi i ke kauka
• Pehea ka hānau hānau ʻana ma hope o ka cerclage

Uterine cerclage kahi hana i hana ʻia ma ke ʻano o ke kaha ʻana, kahi e humuhumu ai ʻoe i ka cervix e pale ai i ka hānau ʻana ma mua o ka manawa i hoʻopaʻa ʻia, a ua hōʻike ʻia no nā wahine i loaʻa ʻole ka lawa ʻole o ka ʻeha, ʻo ia kahi dilation i hiki ke hoʻomaka i ka mua a i ka lua paha. trimester o ka hāpai keiki, kahi hiki ke manaʻo i ka hānau ʻana a i ʻole alakaʻi i ka hanana o kahi hāpai keiki.

Hana ʻia kēia ʻoki liʻiliʻi ma ka haukapila a noho wale ka wahine ma ka haukapila no 1 a 2 mau lā wale nō. Hana ʻia ke ʻoki kino i hiki i ka wahine a hiki ke hana me ka wikiwiki a i ʻole i kahi manawa i hoʻonohonoho ʻia, e ka mea hānau.

He wikiwiki ka hoʻōla ʻana mai kēia ʻoki a hiki i ka wahine ke hoʻi maʻamau i ka hana ma 3 a 5 mau lā, a pono e hōʻalo i ka hana nui loa. Kūleʻa pinepine ke kaha a pale i ka lawe ʻana ma mua. E aʻo hou aʻe e pili ana i ka lawa ʻole o ka haʻi.

Pehea e hana ai ke ʻoki

He maʻalahi ka ʻoki ʻana, mau ma kahi o 20 mau minuke a hoʻopili ʻia i ka suturing o ka cervix me kekahi mau humuhumu. Uterine cerclage hiki ke hana ma waena o 12 a 16 mau pule o ka hāpai ʻana, ma o ka anesthesia epidural, a hana pinepine ʻia i ka maʻi maʻamau, akā naʻe, i kekahi mau hihia, hoʻoholo paha ke kauka e hana ia e ka laparoscopy.

Palekana nā kaʻina hana no ka wahine a me ka pēpē, akā aia nō kekahi mau pōpilikia, e like me ka hoʻomohala ʻana i ka maʻi uterine, ka haki ʻana o nā membrane aminotic, kahe o ka maʻi a me ka laceration o ka cervix, no ka laʻana.

Ke hāpai ka wahine no ka manawa mua a ʻike ʻo ia ʻaʻole lawa kāna cervix ma o ka ultrasound, hiki i ke kauka ke hana i ka cerclage wikiwiki, akā i ka wā i hāpai ai ka wahine i kahi hāpai ʻē aʻe a loaʻa ʻole ka lawa ʻole o ka uterine, ua hoʻopau ʻia kahi keiki a hana paha i ka conusion o ka uterus. , ke kuhi paha ka mea hānau i ka hana ʻia ʻana o kahi cerclage uterine i hoʻonohonoho ʻia, no ka mea, he nui ka hiki ke hana ʻia.

Hiki ke hana i ka Cerclage i ka wā o ka hāpai ʻana a ʻaʻole hōʻike ʻia no nā wahine i hāpai ʻole, ʻoiai inā ua hānau mua lākou.

Pehea ke ola ma hope o ka cerclage

Ma hope o ka cerclage, hiki i ke kauka ke kuhikuhi i nā mea hōʻoluʻolu ʻeha a me nā lāʻau e like me Utrogestan, e pale ai i ka hoʻoliʻiliʻi uterine. Ma hope koke iho, hiki i ke kauka ke hana i kahi ultrasound e ʻike pehea ka humuhumu a no ka nānā inā maikaʻi ke pēpē a nānā i ka kūleʻa o ke kaʻina hana.

Pono ka wahine e hoʻomaha a pale i ka pili pili pili no nā lā mua. Hoʻohui ʻia, ʻaʻole ia e koi ʻia e hoʻoikaika kino, hāpai i nā kaupaona a i ʻole e hana nui i ka hana, ma ka liʻiliʻi no 3 mau lā ma hope o ke kaha ʻana.

Nā hōʻailona hōʻailona e hoʻi i ke kauka

ʻO nā hōʻailona hōʻeuʻeu e like me ke kuni, ka ʻeha o ka ʻōpū nui, ka cramp, ke kahe ʻana o ka pūhuma a i ʻole ka hoʻokuʻu pilau paha e ʻike ʻia i nā lā mua a hōʻike paha i ka maʻi, a i kēia mau hihia, pono ke ʻimi ʻia ke kōkua lapaʻau i ka wā hiki loa, ʻoiai ka maʻi kau i ke ola ma ka paʻa. o ka makuahine a me ka pēpē i ka makaʻu.

Pehea ka hānau hānau ʻana ma hope o ka cerclage

ʻO ka maʻamau, hemo ka cerclage ma kahi o 37 mau pule o ka hāpai ʻana, akā, inā ua ʻike ke kanaka e hoʻokō ʻia ka lawe ʻana e ka ʻāpana cesarean, ʻaʻole pono e hemo i ka cerclage, no ka mea he mea pono paha ia i ka hāpai hou aʻe.

Pono e kūkākūkā i ka hoʻoholo no ke ʻano o ka lawe ma waena o ka wahine a me ke kauka, e nānā ana i nā hōʻike, nā mea maikaʻi a me nā mea maikaʻi ʻole o kēlā me kēia.