Pessary zokubelethisa - kuyini? Izibuyekezo abesifazane ekusetshenzisweni pessary

Ngisho 50-40 edlule, abesifazane abakhulelwe ungalahlekelwa izithelo enempilo ekupheleni senyanga yokuqala noma ekuqaleni kuka-wesibili ngenxa ngaphambi kwesikhathi dilatation wesibeletho. Iqiniso liwukuthi ngalezo zinsuku indlela kuphela zokunqanda mkhuba ukuthi Ukuthunga wesibeletho, kanye ukusebenza efanayo engenziwa kuphela ngaphansi izinzwa, khona-ke uhlehlisiwe ukuba usuku. Ngenhlanhla, izimo ezinjalo ezingajwayelekile, njengoba odokotela sebenzisa idivaysi ekhethekile - pessaries azoya. Abenzi lutho edayiswa Pharmacy futhi hhayi Kunconywa ukuba azame ukufaka ngokwakho.

Pessary:-ke

Ukuze ubheke lapho umuntu enezinkinga ezihambisana nisebancane ukuvulwa wesibeletho, igama elithi "ukuhluleka wesibeletho" isetshenziswa kwezokwelapha. Ukuvimbela imiphumela yako emibi, efana kwesisu, odokotela bavame ukutusa kulungiselelwa wehlise pessary. I version zakudala kule divayisi wadala nge izici yokwakheka owesifazane ekwakhekeni nasekumeni komzimba limelela plastic noma abicah izindandatho eziningana oxhumene.

izinhlobo

pessary zokubelethisa, Izibuyekezo zazo ethulwa ekupheleni isihloko, kuba izinhlobo eziningana. Ikakhulukazi, imboni eyenza imithi ukhiqiza zinsizakuphila ngobukhulu ezintathu:

• Okokuqala. pessaries okunjalo efanelekayo kwabesifazane ukuletha okungenani izikhathi 2, kanye nabesifazane abakhulelwe kanye lwesithathu eside engenhla sangasese 55 kuya 65 mm noma ubukhulu wesibeletho 25 kuya ku-30 mm.
• Okwesibili. Amadivayisi lokhu usayizi isethelwe ukhulelwe, abahlangabezana nemfuneko elihambisana esigabeni sokuqala, kodwa yesithathu engenhla sangasese lapho ubude - kusuka 66 kuya 75 mm.
• ubukhulu Okwesithathu. Lona pessaries ngobukhulu okuyinto obstetricians setha mums multiparous, nabesifazane abazenzo obuphelele idlula yesithathu engenhla sangasese 76 noma wesibeletho mm ububanzi uyahluka 30-37 mm.

Ngiqinisekile abantu abaningi abakucabangayo pessary, okuyinto eyodwa noma oxhumene ngaphezulu izindandatho. Nokho, kunezinhlobo eziningi kumadivayisi ezifana uhlobo oluhlukile ngokuphelele. Ngokwesibonelo, abakhulelwe ngezinye izikhathi ifakwe pessary cupped ukunakekela wesibeletho, yawanciphisa fetus ikhanda ingcindezi lokuvimbela ukudalulwa lesizalo emphinjeni. Ngaphezu kwalokho, lapho ukuhluleka wesibeletho kungenziwa idivayisi ukufakwa ngendlela Ungalokothi (tikhatsi tetifundvo obukhulu) eyenziwe polyvinyl chloride. Le nto has property Thermoplastic nokuba ngaphakathi emzimbeni womuntu wesifazane iba ezithambile, ukuthatha ukuma umzimba lapho ibekwe. Futhi ngenxa pessary womshini Balisebenzisa abicah, akusho baxabane nomzimba. Amadivayisi anjalo abizwa ngaphambilini inzalo gamma emisebeni by.

Kwezinye izimo, isethi

pessary zokubelethisa ngesikhathi sokukhulelwa isethi ukubamba kwesibeletho kanye nezinhlaka ezizungezile sikhundla lengiyo. Ngaphezu kwalokho, it is evame ukunikezwa abantu abanesifo endabeni nokukhulelwa izingane eziningi ngasikhathi. Ngaphezu kwalokho, izinhlobo ezihlukahlukene zezindwangu ezingaba pessaries asetshenziselwa isixazululo yezinkinga zempilo abesifazane abakhulelwe. Ikakhulu, amathuluzi asetshenziswayo ziyasebenza endabeni lapho kuyadingeka ukuvimbela ukulahleka izitho zangaphakathi (kwesibeletho) noma ukudambisa isimo lesiguli, lapho kukhona incontinence.

Izimo futhi kungenzeka imiphumela engemihle

Nakuba ngokuvamile zonke ukwesaba obelethisayo abakhulelwe wemfanelo mayelana pessary, okuyinto aphephile, zikhona izimo lapho kungavunyelwe khona ukusetha. Kahle kahle, lokhu ngeke kwenziwe uma:

• esolwa isisu ezingabanjwanga;
• Ezansi nolwelwesi isivele sangasese;
• waphawula zokubona kanye / noma ichor;
• ukuvuvukala wembula kwezitho zobulili.

Uma leli thuluzi kuyakhethwa noma ukufakwa ngendlela engafanele noma ngasizathu simbe uye sigudluke ke okhulelwe angase ukuthuthukisa ukuvuvukala (colpitis), okuyinto luqedwe kahle isikhundla pessary nokusebenzisa imithi.

Indlela ukubeka pessary

Ngaphambi le nqubo, kufanele ahlolwe futhi, uma ukuthola noma iyiphi isifo sphere urogenital, ukwenza ikhambi yabo. Ngaphezu kwalokho, uma ukhulelwe, i anda ithoni kwesibeletho, bese imizuzu 30-60 ngaphambi ukufakwa emasongweni it ovunyelwe antispasmodic, ekupholiseni ukusikwa futhi glycerin yezokwelapha isetshenziswa ukunciphisa ukuhilizisana. Kungaleso sikhathi kuphela lapho Ungayifaka pessary. Lokho kunzima kakhulu kukhungathekise ukuqinisekisa noma yimuphi owesifazane. Nokho, ngezinye izikhathi, le nqubo - indlela kuphela ukugcina sokukhulelwa, ikakhulukazi ezikhathini zokuqala lapho ungeke ukuhlinza wesibeletho, suturing.

Lapho ungakwazi abeke

Ngokuvamile, i-pessary, okuyinto libuyekeza ikakhulukazi omuhle, abopha ngemva kwesonto lama-20 owesifazane ekhulelwe. Nokho, njengoba kuye kwashiwo, ngezinye izikhathi, ngenxa usongo kwesisu, ukuba zenze lokhu uma sebehlanganisa amasonto angu 12-14. Ngesikhathi esifanayo, kungakhathaliseki ukuthi zingaki izikhathi abakhulelwe kakade wabeletha, njalo wasebenzisa ring usayizi kuqala.

Yini edingekayo, futhi yini okungafanele kwenziwe emva ukufakwa pessary

Uma ukhulelwe kwakuklele ku wesibeletho kuyinto isesekeli, owesifazane awuyona into ekhethekile ukukwenza akudingekile. Into kuphela Kunconywa odokotela ngemuva kokufakwa pessary - ngezikhathi ezithile (1 njalo ezinsukwini ezingu-14-21) Pap sesifundo somuntu bacteriological nezitshalo nokuvimbela ukutheleleka njalo emavikini 2-3 sifeze processing sangasese, futhi-ke, uyeke ukuphila ocansini. Futhi iseluleko sokugcina yowesifazane yayingeke kufanele ulandele, ngisho noma abazange nifake indandatho. Phela, uma kuziwa nokufaneleka ukwenza inqubo enjalo, khona-ke leli qiniso ukhombe khona usongo ekunqanyulweni kwesikhathi sokukhulelwa.

lokuzalwa

Ngokuvamile, sisuke sicabanga idivayisi kwesokunxele amasonto 36-38 esesibelethweni. Khona-ke sinenkonzo yokunakekela iziguli emakhaya wezifo zabesifazane noma ukuhoxiswa inpatient wenza pessary. Le nqubo kwenziwa ngaphandle izinzwa, kodwa kuphela ihlala imizuzwana embalwa, ngakho ubuhlungu uma kukhona, ke buhlala kakhulu. Ngezinye izikhathi kwenziwa esibhedlela, eMnyangweni zokugula, futhi ngezinye izikhathi isiguli, edilini ngesikhathi udokotela wezifo zabesifazane. Ukususwa izimbangela pessary ukuthi ephumula wesibeletho nele-fetus ngaphansi kwengcindezi ngokushesha kwenzeka, kulandele ukuthambisa kokunciphisa yayo kanye ukuvezwa. Khona-ke, endaweni ethile e ngesonto (ngezinye izikhathi lesi sikhathi kungase kube inkudlwana), owesifazane uba nemihelo. Nokho, zikhona izimo lapho le divayisi has ukuhoxisa kwesikhathi. Ngokwesibonelo, ingabe kufanele yenziwe yini, uma kukhona uqhekeko of ulwelwesi, isinye fetus ngegcikwane has ukwenza esimweni esiphuthumayo.

pessary zokubelethisa: Izibuyekezo

Namuhla, ukufakwa amadivayisi ezinjalo - kuvamile impela. Ngakho-ke, mayelana impumelelo yabo lapho umuntu enezinkinga ezihambisana ukusetshenziswa pessary, ungezwa eningi imibono. Ikakhulukazi, abesifazane esekhala ukungakhululeki ukuthi ziphakame uma une ukuba lithathe uhambo olude emotweni noma nje isikhathi eside endaweni awulutho kuNkulunkulu. Ngaphezu kwalokho, ukuwohloka is yaphawula smear ukuhlaziywa, imbangela okuyinto kuphuma pessary. Izibuyekezo futhi abonisa ukuthi ukufakwa futhi kususwe izinqubo zingase zilethwe abesifazane ubuhlungu ngempela palpable. Kodwa ezingemnandi neze, ngokuvumelana abesifazane abakhulelwe, okukuyo ngesikhwama esivikelayo iyunithi efana azoya - waba ukwanda okukhulu kwezincwadi inombolo okukhethile e 3-4 amasonto emva kufakwe pessary, okuyinto lihlotshaniswa isifiso wokuqeda emzimbeni nomzimba angaphandle. Ezinye iziguli ngisho bathi kungaba kangangokuba kukhona izinsolo phezu ukudabuka of ulwelwesi kanye kufanele njalo ukugqoka pads.

Manje uyazi ukuthi pessary azoya, izibuyekezo mayelana ongase nizwile kusukela nabangane nabantu obajwayele. Kunoma ikuphi, singasho ngokuqiniseka ukuthi okwamanje akukho ezimweni lapho ukusetshenziswa idivayisi wezokwelapha okukhulunywe ombangela izinkinga zempilo ezingathí sina - noma ngaphambi kokuzalwa noma ngemva kwalokho. Nokho, odokotela baxwayisa ngokuthi ngisho noma a pessary ngezinye izikhathi (nakuba akuvamile) namanje ukuphuphuma kungase kwenzeke. Ngesikhathi esifanayo, izibalo zibonisa ukuthi ngemva at ukuhluleka wesibeletho kusaqalwa efakiwe amadivaysi ezinjalo, inani imiphumela emihle yokukhulelwa wakhula kakhulu.