Ihe ọganihu nke ọmụmụ a mụrụ na-adabere n'ọrụ nke cervix, nke n'aka nke ya na-adabere na ọkwa homonụ na ọbara nke nwanyị ahụ nwere nsogbu. N'ime afọ ime nile, mgbanwe na-ewere ọnọdụ na cervix, ma tupu amalite ọrụ, a ghaghị imechie ya, ma ọ bụrụ na enwere ike imechi ime ime tupu okwu a.
Cervix tupu ịpụta
Tupu a mụọ nwa, n'okpuru nduzi nke hormones prostaglandin, e nwere usoro na cervix nke akpanwa nke a na-akpọ maturation. Enwere ihe ụfọdụ nke na-enye gị ohere ịtụle cervix tupu ị mụọ nwa, mgbe ị na-enyocha ihe atọ dị na ya: ihe nkwụnye, ogologo nke ụbụrụ ahụ, njedebe nke akwara cervical na ebe ọ na-anọ n'ọdụ ụgbọ mmiri pelvis. A na-enyocha nyocha ọ bụla na nyocha nke cervix site na 0 ruo 2 isi:
- otu akara nke 0-2 kwekọrọ na ụbụrụ na-adịghị ahụkebe nke akpanwa tupu ebufee;
- ihe nke 3-4 na-adaba na ndị na-eto eto nke akpanwa;
- akara 5-6 isi - ndị toro eto.
N'iji usoro ime ime ihe, cervix kwesịrị ịmalite site na izu 38-39. N'okpuru nsonaazụ nke homonụ, a na-ebelata nkedo tupu ọbịagha, nkedo ya na njikọ nke eriri azụ nke pelvis. Ogologo oge cervix tupu a mụọ ya eruola 10-15 mm na oghere nke akpịrị mpụta bụ 1-2 cm, ya bụ, ọ na-agafe maka mkpịsị aka nke obstetrician.
Ịgba aghara aghara tupu amụọ nwa
Ọmịghe nke cervix tupu ọmụmụ amị nwayọọ nwayọọ wee ruo 10 cm (ọwa mmiri kwesịrị itinye 5 mkpịsị aka nke obstetrician). A na-ekewapụta ndị na-arụ ọrụ na ụzọ abụọ: latent (oghere ruo 4 cm) ma na-arụsi ọrụ ike (site na 4 cm ruo 10 cm). Oge nkwụsị nke na-anọchi anya na-adịgide ruo awa 6-9, mgbe a ga-amụghachi nwa 3-5 ụbọchị. Kemgbe mmalite nke oge na-arụsi ọrụ ike, ọnụego nke oghere cervix ga-adị 1 cm kwa awa. A na-eji nwayọọ na-eme ka ọkpụkpụ nke eriri afọ na-abanye na ya na nkedo nke eriri afọ nwa ebu n'afọ ya.
Kedu esi enyere aka ngbaputa nke cervical?
Ugbu a, ụmụ nwanyị ole na ole ugbu a nwere ike ịnya isi ike. Ọganihu nke ndụ, nrụgide ndị na-emekarị, nri na-ezighị ezi na ụbụrụ na-adịghị mma nwere ike imebi mmepụta nke prostaglandins na ahu nwanyi, nke usoro nke ịba ụba nke na-eme ka ahụ na-eme ya na mmalite ya na-adabere kpọmkwem. Iji meziwanye oke nke cervix na mmalite ya mgbe ọ na-amụ nwa, e mepụtara ọgwụ ọgwụ ndị dabeere na prostaglandins. Otu okwu mmekorita nke prostaglandin E1 (Saitotec) ma ọ bụ otu okwu nke prost2 na prostaglandin n'ụdị gel (Prepidil) na-akwalite maturation nke cervix ruo ọtụtụ awa. Ma ha na-eji obere ihe n'ihi nnukwu ego. Mgbe ị na-amụ nwa, ị nwere ike iji narcotic na ndị na-abụghị narcotic analgesics (promedol, fentanyl, nalbuphine), ma ha nwere ike ịkpata ịda mbà n'obi na nwa ebu n'afọ mgbe amuchara nwa ma mee ka ọ dị mkpa maka ọgwụgwọ. Usoro nke oma na nke dị mma, nke na-enyere aka meghee akụkụ nke akpanwa bụ ọgwụ nkwụsị. Ọ bụ onye na-agwọ ọrịa na-eduzi ya n'ọnọdụ egwu. Ọ naghị emetụta nwa ebu n'afọ n'ụzọ dị njọ, ebe ọ bụ na ọgwụ ndị a na-enye adịghị abanye n'ọbara, ma ọ bụghị nanị na ọ gbaghere oghere nke ọkpụkpụ, ma ọ na-emekwa ka usoro ahụ ghara ịdị nro.
Ọgba aghara
Ka mma cervix na-ebu oke tutu amu nwa, o yikarịrị ka ọ ga-agbaji n'oge a mụrụ nwa ahụ. Ihe kpatara ọdịiche ahụ
N'ihi ya, a na-agbaji maturation nke cervix maka ihe ndị na-adabere ma ghara ịdabere na nwanyị n'onwe ya. Ya mere, nwanyị ahụ n'onwe ya nwere ike inye aka kwadebe maka ọmụmụ nke ahụ ya, na-ahụ ọchịchị nke ụbọchị, na-eri nri nke ọma ma ghara iche banyere nsogbu.