Obstetric pessary - ndichiyani? Reviews akazi pa ntchito pessary

Ngakhale 50-40 zapitazo, amayi apakati akhoza kutaya zipatso wathanzi kumapeto kwa trimester kapena kumayambiriro wachiwiri chifukwa msanga dilatation khomo lachiberekero. Mfundo ndi yakuti mu masiku amenewo njira yokha kuthana chodabwitsa anali stitching pa khomo pachibelekeropo, komanso ntchito zofanana angathe kuchitidwa kokha pansi mankhwala, ndiye izo zinkayenera kuti kudzachitike ku tsiku la mtsogolo. Mwamwayi, nkhani zotere n'zochepa, monga madokotala ntchito yapadera chipangizo - obstetric pessaries. Iwo chogulitsidwa pharmacies ndipo osavomerezeka amafuna kukhazikitsa nokha.

Pessary: izo

Amatanthauza mavuto kugwirizana ndi msanga kutsegula khomo lachiberekero, mawu akuti "kulephera khomo lachiberekero" amagwiritsidwa ntchito mankhwala. Pofuna kupewa zotsatira zake zoipa, monga kupita padera, madokotala nthawi zambiri amalangiza kolowera kutula pessary. Baibulo tingachipeze powerenga pogwiritsa analengedwa ndi mbali anatomical wa thupi kapangidwe mkazi amayimira angapo pulasitiki kapena silikoni mphete cholukanalukana.

mitundu

Obstetric pessary, ndemanga zimene zimapezeka pa mapeto a nkhani, ndi wa mitundu yambiri. Makamaka, makampani mankhwala umabala makina onga zazikulu zitatu:

• Choyamba. pessaries amenewa oyenera akazi amene kupulumutsa nthawi zosachepera 2, komanso amayi apakati ndi chapamwamba lachitatu yaitali nyini 55 65 mamilimita kapena awiri khomo lachiberekero wa mamilimita 25 mpaka 30.
• Chachiwiri. Zipangizo za kukula Izi ndi pakati, amene amasonkhana i lolingana ndime yoyamba, koma chapamwamba lachitatu la nyini imene kutalika - kuchokera mamilimita 66 75.
• Chachitatu gawo. Izi ndi pessaries waukulu umene Obstetricians anapereka mums multiparous, ndi akazi amene kutalika kuposa chachitatu chapamwamba nyini 76 kapena chiberekero mamilimita awiri zimasiyanasiyana pakati 30-37 mm.

Ine ndikutsimikiza anthu ambiri amaganiza za pessary, ndilo chimodzi kapena zingapo inakula mphete. Komabe, pali mitundu ya makina onga mawonekedwe osiyana kwambiri. Mwachitsanzo, pakati zina anaikapo cupped pessary kukhalabe ndi khomo pachibelekeropo, kuchepetsa yoopsa mutu kuthamanga ndi yopewera Kuwulura pakhosi uterine. Ndiponso, kulephera khomo lachiberekero angathe kuikidwa chipangizo mu mawonekedwe a donati (mphete wandiweyani) zopangidwa polyvinyl mankhwala enaake. Nkhanizi ali ndi katundu wa thermoplastic ndi kukhala m'thupi la mayi amakhala zofewa, natenga mawonekedwe a thupi limene izo aikidwa. Komanso kupanga pessary kambirimbiri silikoni, sayambitsa thupi lawo siligwirizana. zipangizo oterowo kale chosawilitsidwa ndi cheza Popanga madzi a gamma.

Nthawi zina, kuika

Obstetric pessary pa mimba akonzedwa kugwira chiberekero ndi ziwalo ozungulira mu malo olondola. Komanso, nthawi zambiri zotchulidwa mu nkhani ya mimba angapo. Komanso, yosiyanasiyana pessaries ntchito njira za matenda a amayi apakati. Makamaka, iwo mogwira mtima choncho kumene m'pofunika kuteteza imfa ya ziwalo (m'chibelekero) kapena kuchepetsa alili, mmene muli incontinence.

Contraindications ndi zotheka kukumana ndi mavuto

Ngakhale zambiri mantha onse azamba pakati udindo za pessary, amene mwangwiro otetezedwa, pali milandu kumene analetsa kukhazikitsa. Makamaka, palibe chichitike ngati:

• ndi achifwamba a mimba anaphonya
• mmunsi mwa nembanemba ndi kale mu nyini;
• ananena zoonera ndi / kapena ichor;
• anawulula kutupa ziwalo zoberekera.

Ngati chipangizo otere anasankha kapena anaika molakwika kapena zifukwa zina ali ankatembenukira, woyembekezera angathe kutupa (colpitis), amene angathe kuthetsedwa ndi kukonza malo a pessary ndi kugwiritsira ntchito mankhwala.

Kodi kuika pessary

Pamaso njirayi, inu bwinobwino ndipo ngati kudziwika matenda alionse a dera urogenital, kuchita mankhwala awo. Komanso, ngati pakati, kochulukira kamvekedwe ka chiberekero, ndiye kwa mphindi 30-60 isanafike unsembe mphete izo amaloledwa antispasmodic, akuvutika chidule ndi mankhwala glycerin ntchito kuchepetsa mikangano. Pakumala mungatani ndi pessary. Kuti N'zokhumudwitsa kwambiri kuti atsimikizire mkazi aliyense. Komabe nthawi zina, izi ndondomeko - njira yokhayo kusunga mimba, makamaka mu magawo oyambirira pamene inu simungakhoze kuchita opaleshoni khomo pachibelekeropo, suturing.

Pamene inu mukhoza kuika

Nthawi zambiri, ndi pessary, amene ndemanga makamaka zabwino, womangidwa pambuyo sabata la 20 mimba. Komabe, monga zanenedwa, nthawi zina, chifukwa kuopseza padera, kuti kuchita zimenezi ndi pa masabata 12-14. Pa nthawi yomweyo, kaya kangati kale pakati n'kubereka, izo nthawizonse ntchito woyamba mphete kukula.

Kodi chofunika ndi chiyani sizingakhoze kuchitidwa pambuyo unsembe wa pessary ndi

Kamodzi pakati anali alimbane pa khomo pachibelekeropo ndi chowonjezera, mkazi ndi kanthu wapadera kuchita si koyenera. Chinthu chokha chimene bwino ndi madokotala pambuyo unsembe pessary - nthawi (1 masiku 14-21) Pap phunziro bacteriological wa zomera ndi kupewa matenda pa masabata 2-3 kuti achite processing ku nyini, ndipo, ndithudi, pewani moyo kugonana. Ndi malangizo omaliza a mkazi anayenera kutsatira, ngakhale sanali mpatseni mphete. Ndipotu, pamene izo zifika pa moyenera ndondomeko chotero, ndiye mfundo zoona kuti kuli kuopseza kuchotsa msanga mimba.

kubadwa

Kawirikawiri, timakhala tikulingalira chipangizo wasiyidwa kwa masabata 36-38 ya gestation. Ndiye gynecologist outpatient kapena achire inpatient anapanga pessary. Ndondomeko kuchitidwa popanda mankhwala, koma okha zimatha masekondi angapo, kotero ululu ndipo ngati pali yochepa ankakhala kwambiri. Nthawi zina timachitira mu chipatala, mu dipatimenti ya kudwala, ndi zina wodwala, pa phwando pa gynecologist lapansi. Kuchotsa zoyambitsa pessary kuti relaxes khomo pachibelekeropo ndi mwana wosabadwayo opanikizika posakhalitsa amapezeka, kenako pokonza kufupikitsa ake ndi Kuwulura. Ndiye, kwinakwake mu sabata (nthawizina nthawi imeneyi kungakhale zikuluzikulu pang'ono), mkazi apita ku ntchito. Komabe, pali zochitika zina pamene chipangizo ichi chiyenera kuti mupewe asanakalambe. Mwachitsanzo, muyenera kuchita, ngati pali chotupa cha zimagwira ntchito zosiyanasiyana, chikhodzodzo yoopsa ndi matenda kapena kupanga yobereka mwadzidzidzi.

Obstetric pessary: Ndemanga

Lero, kuika makina onga - ndi zachilendo. Choncho, kulemekeza mogwira awo ndi mavuto kugwirizana ndi ntchito pessary, mukhoza kumva zambiri ndemanga. Makamaka, akazi amadandaula kusapeza kuti mukasiya kupanga maulendo yaitali mu galimoto kapena nthawi yaitali mu malo mosapumira. Komanso, kuwonongeka ndi anatinso kusanthula kuipitsa mbiri, chifukwa cha zomwe mutuluka pessary. Reviews amasonyezanso kuti unsembe ndi kuchotsa ake njira chotimasula kuti akazi ndi palpable ndithu ululu. Koma zoipa kwambiri, malinga ndi amayi apakati amene pali zoteteza obstetric wagawo - kuwonjezeka lakuthwa chiwerengero cha masankhidwe mu masabata 3-4 pambuyo mayikidwe a pessary, amene amagwirizana ndi chikhumbo chofuna kuchotsa thupi la thupi lina. Odwala ena amanena kuti iwo akhoza kukhala kwambiri kuti pali kukayikirana pa chotupa cha nembanemba ndi kuti nthawi zonse muzivala ziyangoyango.

Tsopano inu mukudziwa zomwe obstetric pessary, ndemanga za m'mene ndamva kuchokera kwa anzake ndi anzawo. Mulimonsemo, tikhoza kunena motsimikiza kuti pa nthawiyo palibe nthawi imene ntchito chipangizo dokotala anali kunena chifukwa cha matenda aakulu - kaya asanabadwe kapena pambuyo. Komabe, madokotala kuchenjeza kuti ngakhale pessary ndi zina (ngakhale kawirikawiri) akadali padera angagwe. Pa nthawi yomweyo, Kafukufuku amasonyeza kuti pambuyo pa kulephera khomo lachiberekero mu magawo oyambirira anaikidwa zipangizo zimenezi, chiwerengero cha zotsatira zake zabwino mimba anakula kwambiri.