saSvilosnos yelis ukmarisoba

cervikaluri ukmarisoba saSvilosnos yelis samedicino mdgomareobaa, romlis drosac yeli iwyebs gafarToebas (dilatirebas) da Txeldeba, manam, sanam orsulobis terminaluri etapi dadgeba. Tu saSvilosnos yelis SigniTa Sesavali dilatirebulia 1 sm-ze metad vidre es normaa, an saSvilosnos yeli sigrZeSi 2 sm-ze naklebia, maSin ismeva saSvilosnos yelis ukmarisobis diagnozi. cervikalurma ukmarisobam SeiZleba gamoiwvios spontanuri aborti an naadrevi mSobiaroba me- 2- me -3 trimestrSi.

yelis dilatacia SeiZleba moxdes tkivilis da saSvilosnos SekumSvebis gareSe. normaluri orsulobis dros saSvilosnos yelis gaxsnas da gafarTovebas Tan axlavs saSvilosnos kumSvebi. saSvilosnos yelis ukmarisoba SeiZleba ganviTardes yelis sisustis gamo, orsulobisas saSvilosnos Sida wnevis matebis gamo. Tu cervikaluri dilatacia ar Sewydeba, sanayhofe garsebi dairRveva da moxdeba naadrevi mSobiaroba.

cervikaluri ukmarisoba qalebis (orsuli) daaxloebiT 1-2 % gvxvdeba.xolo spontanuri abortebis mizezia 20-25 % -Si meore trimestrSi.

diagnozi SeiZleba daisvas histerosalpingogramiT an pediatriuli folies kaTeteriT.

saSvilosnos yelis ukmarisobis risk faqtorebia:
wina orsulobaSi cervikauri ukmarisobis istoria;
warsulSi naadrevad sanayofe garsebis darRvevis istoria;
cervikaluri konizacia (biofsia saSvilosnos yelidan);
dieTilstilbestroli (sinTezuri arasteroidi estrogeni);
saSvilosnos anomaliebi;
travma (mag. samedicino procedurebis dros meqanikuri dilatacia).

mkurnaloba

saSvilosnos yelis ukmarisobis mkurnaloba ar xdeba, Tu is ar qmnis mniSvnelovan risks orsulobis SewyvetisTvis.

SesaZlebelia cervikaluri bandaJireba cervical cerclage (qirurgiulad nakerebis dadeba saSvilosnos yelis gasavlis zeviT, romelic aviwroebs saSvilosnos arxs.

cervikaluri bandaJireba SesaZlebelia rogorc saSodan, aseve muclis ganakveTiT.

bandaJireba umetesad sruldeba orsulobis 14-16 kviraSi. 36 -38 kvirisTvis xdeba nakerebis mocileba. operaciis garTulebebs warmoadgens hemoragiebi venebis kedlis darRvevis gamo