Kuperewera kwa chiberekero ndi vuto loopsya la machitidwe ena a mayi, zomwe zimaphatikizapo kuwonongeka kwa khoma la uterine lomwe limadutsa. Chifukwa chake ndi dokotala wosagwirizana ndi njira yothandizira opaleshoni mkati mwa uterine pansi pa njira zotsatirazi:
- chithunzithunzi ;
- kuchotsa mimba;
- kudula uterine cavity;
- pa kuyambitsa njira za kulera za intrauterine.
Kuperewera kwa chiberekero panthawi yopopera ndi koopsa kwambiri chifukwa njirayi imayendetsedwa ndi curette yomwe ili pambali. Mogwirizana ndi zomwe nthawi zambiri zowonongeka ndi ziwalo za mkati. Pankhaniyi, zotsatira za uterine perforation zingakhale zakupha.
Zowopsa ndi zizindikiro
Maonekedwe a chiberekero cha chiberekero si vuto chabe la wogwira ntchito zachipatala. Udindo wofunikira umasewera ndi thanzi labwino komanso maonekedwe a ziwalo za m'mimba. Mwachitsanzo, mndandanda wa zotsatirazi ndizoopsa zomwe zimayambitsa chiberekero:
- retroflexia yakuthwa ya chiberekero;
- njira yotupa mu chiberekero;
- Kukhalapo kwa chilonda pa chiberekero pambuyo pa ntchito yapitayi;
- Mankhwala osokoneza bongo m'masomphenya osaoneka bwino;
- ukalamba - mawonekedwe a ziphuphu amasintha, pali kutaya kwa elasticity;
- opaleshoni kawirikawiri kapena posachedwapa pachiberekero (mpaka miyezi 6).
Dziwani kuti zizindikiro za uterine perforation sizimakhala zosavuta nthawi zambiri, chifukwa kawirikawiri zimakhala zovuta mu chiberekero. Ndipo dokotala akhoza kulingalira za vutoli lomwe limabwera kokha mwa maonekedwe a wodwala komanso mu zomveka zake. Koma ngakhale zizindikiro zoyambirira za chiberekero cha chiberekero n'zotheka kunyamula:
- Kupweteka kosayembekezereka m'mimba pamunsi.
- Kutaya magazi kumagazi a chiberekero.
- Kuchuluka kwa kutentha kwa thupi.
- Kufooka.
- Chizungulire.
- Chifukwa cha kutayika kwa magazi ambiri, kuchepa, kutsika kwa khungu, kuthamanga mofulumira.
Kuperewera kwa chiberekero - mankhwala
Chithandizo cha uterine perforation chimangochitika opaleshoni kudzera mwachipangizo cha laparoscopic kapena laparotomic. Panthawi ya opaleshoni, m'mphepete mwa chilondacho amachotsedwa, mimba ya m'mimba imayang'aniridwa kuti iwonongeke ndipo mimba yamkati imatsukidwa. Ndi matenda opatsirana nthawi ndi nthawi, boma la thanzi silikuvutika, palibe zotsatirapo zoipa.