Pessary yokubelekisa - ntoni na? Ukuphonononga abafazi phezu ukusetyenziswa pessary

Nokuba 50-40 kwiminyaka eyadlulayo, abasetyhini abakhulelweyo unokuphulukana iziqhamo nempilo ekupheleni ezintathu okanye ekuqaleni kule yesibini ngenxa dilatation phambi kwexesha wesibeleko kuqala. Inyaniso kukuba ngaloo mihla le ndlela yokulwa isenzeko ke ukuthunga wesibeleko, ngokunjalo umsebenzi ofanayo inokwenziwa kuphela phantsi zomzimba, ngoko ke kwafuneka ukuba elinye ixesha ukuya kumhla kamva. Ngethamsanqa, iimeko ezinjalo zinqabile, njengoko oogqirha basebenzisa isixhobo ezikhethekileyo - pessaries yokubelekisa. Bona akathengiswa ezikhemisti kwaye kucetyiswa ukuba uzama ukufaka kuyo ngokwakho.

Pessary: it

Ukuze ujonge iingxaki ezinxulumene lokuvula ngaphambi kwexesha wesibeleko, ibinzana elithi "kakuhle wesibeleko" lisetyenziswa amayeza. Ukuthintela iziphumo zalo ezimbi, ezifana kwesisu, oogqirha bacebisa isicwangciso ekwehliseni pessary. Uguqulelo ezaziwa esi sixhobo wadala kunye iimpawu yokwakheka yomfazi isakhiwo umzimba imele amakhonkco zeplastiki okanye abicah eziliqela ezihambelanayo.

iintlobo

pessary yokubelekisa, ncomo apho ezinikezwa ekupheleni nqaku, oko kweentlobo eziliqela. Ngokukodwa, ishishini lamachiza uvelisa izixhobo ezifana ngokobungakanani ezintathu:

• Kuqala. pessaries enjalo ifanele abafazi ephindwe ubuncinane-2, kwakunye abasetyhini abakhulelweyo kunye wesithathu elide aphezulu kwinxenye yelungu lobufazi 55 ukuya kuma-65 mm okanye ubudeki wesibeleko ze mm-25 ukuya kwi-30.
• Yesibini. Devices yale ubukhulu imiselwe ukuba ukhulelwe, abazanelisayo iikhrayitheriya ehambelana komhlathi wokuqala, kodwa lesithathu eliphezulu obufazi apho ubude - ukusuka mm 66 ukuya 75.
• ubukhulu wesithathu. Nguwo lo pessaries inkulu leyo Obstetricians kumisa nabondli multiparous, nabafazi ubude ogama kune lesithathu eliphezulu lobufazi 76 okanye mm ubudeki wesibeleko uyahluka 30-37 mm.

Ndiqinisekile abantu abaninzi becinga ngale pessary, leyo amakhonkco abe omnye okanye ezihambelanayo ngaphezulu. Noko ke, kukho iintlobo ezininzi izixhobo ezifana ifomu eyahlukileyo ngokupheleleyo. Umzekelo, wamitha maxa wambi ifakwe pessary otyebileyo yokugcina wesibeleko, ukunciphisa ngayo ingcinezelo intloko ezingekazalwa kunye ekuthinteleni ukubhengezwa zesibeleko umqala. Ngaphezu koko, xa kakuhle wesibeleko ingafakwa isixhobo ngohlobo walifaka (isangqa ubukhulu) ezenziwe Polyvinyl chloride. Le nto iye iimpawu thermoplastic yaye ngaphakathi emzimbeni lomfazi uba ithambile, ukuthatha imilo omzimba apho ibekwe. Kwakhona kuba pessary nokuveliswa rhoqo kusetyenziswa abicah, akubangeli negazi lakho. izixhobo ezinjalo ngaphambili inzalo ngu radiation gamma.

Kwezinye iimeko, iseti

pessary yokubelekisa ngexesha lokukhulelwa iseti ukubamba isibeleko kunye amalungu ezingqongileyo kwindawo echanekileyo. Ngaphezu koko, oko kudla emiselweyo kwimeko ukuba ukhulelwe. Ukongeza, iintlobo ngeentlobo pessaries asetyenziswa isisombululo iingxaki zempilo abafazi abakhulelweyo. Ingakumbi, ukuba aphumelele kwimeko apho kuyimfuneko ukuthintela ukulahleka amalungu angaphakathi (isibeleko) okanye ukunciphisa imeko yesigulane, apho kukho ngumchamo.

Izimo kunye neziphumo ezingalunganga ezinokwenzeka

Nangona ngokuqhelekileyo onke amaxhala obstetrician okhulelweyo uxanduva malunga pessary, leyo ekhuselekileyo ngokugqibeleleyo, kukho iimeko apho akuvumelekanga ukubeka. Ngokukodwa, oku kungenziwa ukuba:

• esolwa isisu waziphosa;
• inxalenye esezantsi inwebu sele ikuku;
• amabala ofunda kunye / okanye ichor;
• ukukrala kutyhilwa amalungu esini.

Ukuba isixhobo eso okhethiweyo okanye ifakelwe ngokungachanekanga okanye ngenxa yesizathu esithile utshintshile, ngoko okhulelweyo aphuhlise ukudumba (colpitis), nto leyo lupheliswe ngokusilungisa indawo pessary nokusebenzisa amayeza.

Indlela ukubeka pessary

Ngaphambi kokuba le nkqubo, kufuneka ihlolwe kwaye, xa kwimeko efumanise naluphi na usuleleko kwisigaba enzala, ukuba benze unyango lwabo. Ukongeza, ukuba umntu okhulelweyo, ukunyuka ithoni isibeleko, ngoko imizuzu 30-60 ngaphambi kokufakwa clock uvunyelwe antispasmodic, zikwenze ucutheko glycerin zonyango isetyenziswa ukunciphisa ukukhuhlana. nawe ke Unokuyifaka pessary. Ukuba kakhulu kuyadandathekisa ukuqinisekisa nawuphi na umfazi. Noko ke, maxa, le nkqubo - ndlela kuphela ukugcina ukukhulelwa, ingakumbi xa usaqala xa ungakwazi ukwenza utyando kwi wesibeleko, suturing.

Xa ungakwazi abeke

Amaninzi, kukho pessary, nto leyo kwakhona becala HIV, ibotshelelwe emva kwiveki yama-20 yokukhulelwa. Noko ke, njengokuba kuthiwe, ngamanye amaxesha, ngenxa ugrogriso kwesisu, ukuba kufuneka wenze oku xa kwiiveki 12-14. Ngelo xesha, nokuba mangaphi amaxesha sele wamitha wazala, usoloko wasebenzisa ubungakanani ngekhonkco lokuqala.

Yintoni efunekayo yaye yintoni na enokwenziwa emva lofakelo pessary

Xa ukhulelwe zazizaliswe kwi umlomo wesizalo njengomncedisi, umfazi nto okhethekileyo ukwenza ukuba akukho mfuneko. Inye kuphela into kucetyiswa ngoogqirha emva ufakelo pessary - amaxesha ngamaxesha (1 yonke imihla 14-21) Pap ukufunda bacteriological enezityalo kunye nokuthintela usulelo zonke 2-3 iiveki ukuze sifeze processing kwinxenye yelungu lobufazi, kwaye, kakade, uyeke ubomi babantu bokwabelana ngesondo. Necebiso yokugqibela yomfazi kufuneka ulandele, nokuba zange nifake umsesane. Ngapha koko, xa kufikwa ukufaneleka nkqubo, ngoko le nto amanqaku ukuba kukho isoyikiso lokuphela kwexesha yokukhulelwa.

ukuzalwa

Ngokuqhelekileyo, sicinga ifowuni ekhohlo ukuya kwiiveki 36-38 sokukhulelwa. Emva koko kwezigulane udokotela okanye ukurhoxiswa izigulane wenza pessary. Le nkqubo lwenziwa ngaphandle zomzimba, kodwa ihlala nje imizuzwana embalwa, ukuze intlungu yaye ukuba kukho, oko kakhulu elifutshane waphila. Maxa wambi kwenziwa esibhedlele, kweli isebe ngezifo, kwaye maxa wambi nomonde, kwindawo yolwamkelo kwindawo ugqirha. Ukususwa izinto pessary ukuba buyasikhulula wesibeleko kunye mbungu phantsi koxinzelelo kungekudala kwenzeka, kulandele okuthambisa kokunciphisa kwayo kunye nokuchazwa. Emva koko, kwindawo ethile ngeveki (ngamanye amaxesha eli thuba isenokuba ngaphezulu kancinane), umfazi ingena zabasebenzi. Nangona kunjalo, kukho iimeko apho esi sixhobo kufuneka arhoxe ngaphambi kwexesha. Umzekelo, oku kufuneka kwenziwe, ukuba kukho komsipha of imifinya, isinyi ezingekazalwa wosulelwe okanye ukwenza unikezelo likaxakeka.

pessary Obstetric: ncomo

Namhlanje, ukufakelwa kwezixhobo ezinjalo - yinto eqhelekileyo. Ngoko ke, ngokubhekisele impumelelo yabo kunye neengxaki ezinxulumene nokusetyenziswa pessary, uyakwazi uve kakhulu izimvo. Ngokukodwa, abafazi akhalaze kabi ukuba kuvela xa kufuneka wenze uhambo olude emotweni okanye nje ixesha elide isikhundla ekuhlaleni. Ukongeza, ukwanda kokungazinzi nayo wabona analysis smear, unobangela apho kuphuma pessary. Ukuphononongwa kwakhona zibonisa ukuba ufakelo nokususwa neenkqubo zayo ukuze ndihlangulwe abafazi yintlungu kakhulu uvalo. Kodwa ezingemnandi kakhulu, ngokutsho abasetyhini abakhulelweyo, ekungekho iyunithi zokhuselo ezinjalo yokubelekisa - esibukhali ukunyuka kwenani ukhetho kwi kwiiveki 3-4 emva kokuba kufakwe pessary, nto leyo ehambisana nomnqweno lokuphelisa umzimba umzimba amazwe. Ezinye izigulane bade bathi babe kakhulu kangangokuba kukho urhano malunga komsipha of inwebu kwaye kufuneka banxibe pads rhoqo.

Ngoku uyazi yintoni pessary yokubelekisa, ukubuyekeza apho Mhlawumbi weva kubahlobo kunye nezihlobo. Enoba kunjalo, singatsho ngokuzithemba ukuba lo mzuzu akukho iimeko apho ukusetyenziswa isixhobo yezonyango libhekisela unobangela weengxaki zempilo ezinkulu - nokuba phambi kokuzalwa okanye emva. Noko ke, oogqirha zithi kwanokuba ukuba pessary amaxesha (nangona kunqabile) nangoku isisu esinokubakho. Kwangaxeshanye, manani zibonisa ukuba emva kwi yezehlakalo wesibeleko kwi zigaba okuqala ifakelwe izixhobo ezinjalo, inani iziphumo ezintle ukukhulelwa lakhula kakhulu.