Obstetric pessary - chii? Anodzokorora vakadzi pamusoro pokushandiswa pessary

Kunyange 50-40 apfuura, vakadzi vane pamuviri anogona kurasikirwa michero utano panguva pakuguma trimester wokutanga kana pakutanga yechipiri nokuda rokusamhanyira remuromo dilatation. Chokwadi ndechokuti mumazuva iwayo chete nzira kurwisa Chiitiko akanga stitching ari cervix, uyewo yakafanana kushanda kunogona kuitwa chete pasi yokutindivadza, ipapo yaifanira kumbosiyiwa kuti zuva pashure. Sezvineiwo, mamiriro ezvinhu akadaro zvisingawanzoitiki, sezvo vanachiremba vanoshandisa inokosha mudziyo - obstetric pessaries. Havana kutengeswa Pharmacies uye zvisina varumbidzwa kuedza kuisa nayo pachako.

Pessary: nayo

Kureva matambudziko chokuita magadzirira remuromo okusuma, shoko rokuti "muromo wechibereko kusaita zvinhu nomazvo" rinoshandiswa mushonga. Kuti asashandiswe Migumisiro, akadai nokupfupfudzika, vanachiremba kakawanda vanokurudzira marongero Kudzikisa pessary. The klassiske shanduro mudziyo uyu vakasikwa anatomical zviri muviri mamiriro mukadzi anomirira dzakawanda mapurasitiki kana silicone zvindori interconnected.

mhando

Obstetric pessary, wongororo iyo dzinoturwa panopera nyaya, zvinokosha pakubhadhara anoverengeka. Kunyanya, mishonga indasitiri unobereka mano kwakadaro hukuru matatu:

• First. pessaries kwakadaro akakodzera nevakadzi kurwira kanenge 2 nguva, uyewo vakadzi nepamuviri refu yokumusoro wechitatu nyinyo 55 kusvika 65 mm kana remuromo dhayamita 25 kusvika 30 mm.
• Second. Mano kukura uyu wakaisirwa kuti nepamuviri, uyo akasangana nzira dzekuziva zvakafanana ndima yokutanga, asi yokumusoro rechitatu nyinyo umo pakureba - kubva 66 kusvika 75 mm.
• Third divi. Ndicho pessaries kupfuura izvo Obstetricians kuisa multiparous mums, uye vakadzi vane urefu akapfuudza yokumusoro rechitatu nyinyo 76 kana kuti cervix mm dhayamita kunosiyana-siyana pakati 30-37 mm.

Ndine chokwadi vanhu vakawanda vanofunga pamusoro pessary, inova imwe kana kupfuura interconnected zvindori. Zvisinei, pane mhando dzakawanda mano akadaro akasiyana zvachose fomu. Somuenzaniso, pamuviri dzimwe nguva akaisa yaiva pessary kuti tiine cervix, achidzikisa nayo fetus musoro kumanikidzwa uye kudzivisa Kuziviswa uterine huro. Uyezve, kana remuromo kusaita zvinhu nomazvo anogona kuiswa mudziyo ari muchimiro doughnut (mhete gobvu) yakagadzirwa polyvinyl chloride. Izvi zvinhu ane zvivako zviri thermoplastic uye kuva mukati muviri mumwe mukadzi anova dzakapfavirira, achitora chimiro muviri nayo anoiswa. Uyewo kuti gadzira pessary anowanzoshandiswa silicone, haakonzeri neutachiona. Kwakadaro mano vari kare sterilized ne wegamma nemwaranzi.

Mune zvimwe zviitiko, yakatarwa

Obstetric pessary panguva pamuviri yakatarwa rokubata dumbu uye akapoteredza nhengo iri yakarurama chinzvimbo. Uyezve, kazhinji nezvaro nyaya pamuviri pevana vakawanda. Uyezve, nekuve pessaries inoshandiswa agadzirise yeutano vakadzi vane pamuviri. Zvikurukuru ndivo vanobudirira panyaya apo zvakakodzera kudzivirira kurasikirwa zvomukati (dumbu) kana kuderedza murwere ezvinhu, umo incontinence.

Contraindications uye zvingangoitwa nemigumisiro

Kunyange Kazhinji ose zvavaityira pamuviri obstetrician anokonzera pamusoro pessary, riri vakachengeteka zvakakwana, pane zviitiko apo nayo hakubvumidzwi kuronga. Zvikurukuru, izvi hazvigoni kuitwa kana:

• iri vaifungidzirwa kurashikirwa pamuviri;
• rezasi chikamu membranes kwatova nyinyo;
• akaona kusvibisa uye / kana ichor;
• kwakaratidza kuzvimba nhengo dzokubereka nadzo.

Kana mudziyo akadaro anosarudzwa kana yakaiswa nepasipo kana kuti zvimwe chikonzero yave haachatauri, ipapo pamuviri anogona kuva kuzvimba (colpitis), izvo zvinogona kupera nokusukwa kururamisa nzvimbo pessary uye nokushandisa mishonga.

How kuisa pessary

Asati nzira iyi, unofanira kuongororwa uye, kana kuti kuonekwa chero chirwere ari urogenital bhora, kuita mushonga wavo. Uyezve, kana munhu pamuviri, yakawedzerwa mataurire dumbu, ipapo kwemaminitsi 30-60 asati kuisa pazvindori riri akabvumira antispasmodic, chokubvisa marwadzo uye kurapwa glycerin inoshandiswa kuderedza kukweshera. Chete zvino unogona kuisa pessary. Kuti zviri zvikuru mwoyo kuzosimbisa mukadzi upi. Dzimwe nguva, zvisinei, nzira iyi - chete nzira kuchengeta pamuviri, kunyanya mukutanga mumatanho kana iwe usingagoni kuvhiya pamusoro cervix, suturing.

Kana unogona kuisa

Kakawanda, munhu pessary, iyo akaongororazve zvikurukuru akanaka, yakasungirirwa pashure vhiki yechi20 pamuviri. Zvisinei, sezvo yave akati, dzimwe nguva, nokuda ngozi nokupfupfudzika, kuti kuita izvi vhiki 12-14. Panguva iyoyowo, zvisinei vangani nguva kare nepamuviri akabereka, nguva dzose kushandiswa kutanga mhete kukura iri.

Chii chinodiwa uye chii chinogona kuitwa pashure kugadzwa kuva pessary

Kamwe nepamuviri vakamiswa pamusoro cervix chiri chishongedzo, mukadzi hapana inokosha kuita hazvina zvakakodzera. Chinhu bedzi inokurudzirwa navanachiremba pashure kuisa pessary - nguva nenguva (1 ose 14-21 mazuva) pap kuti bacteriological kudzidza kasvisto uye nokuda kudzivirira chirwere ose 2-3 mavhiki kuita kubudiswa kubva nyinyo, uye, chokwadi, angarega pabonde upenyu. Zvino zano rokupedzisira mukadzi aizofanira kutevera, kunyange kana vasina mhete. Pashure pezvose, kana totaura yakakodzera pane nzira yakadaro, ipapo ichi chokwadi anotaura kune ngozi vakurumidze kugumiswa pamuviri.

pakuberekwa

Kazhinji, tiri kufunga mudziyo chakasara kusvika vhiki 36-38 pamusoro gestation. Zvadaro gayinakorojisiti outpatient kana inpatient kurega akaita pessary. nzira iyi zvinoitwa pasina yokutindivadza, asi chete ndedzoupenyu masekonzi shoma, saka kurwadziwa uye kana varipo, zviri pfupi-akararama chaizvo. Dzimwe kukaitwa muchipatara, weDhipatimendi zvokurwara, uye dzimwe nguva murwere, pane mabiko panguva gayinakorojisiti. Removal pessary zvinokonzera kuti relaxes kuti cervix uye mudumbu zvaoma nokukurumidza kunoitika, ichiteverwa kunyoroveswa kwayo kupfupikisa uye kuburitsa. Zvadaro, kumwe pavhiki (dzimwe nguva iyi angava zvishoma yakakura), mumwe mukadzi anoenda wokubata. Zvisinei, pane mamiriro ezvinhu apo mudziyo uyu ane yokubva nguva isati yakwana. Somuenzaniso, zvinofanira kuitwa, kana paine atsamwira pamusoro membranes, fetus dundira iri utachiona kana ane kuita chimbichimbi pakusununguka.

Obstetric pessary: wongororo

Nhasi, kugadzwa vakadaro mano - iwayo akakurumbira. Naizvozvo, panyaya kubudirira kwavo uye zvinetso chokuita kushandisa pessary, unogona kunzwa yakawanda nemashoko. Zvikurukuru vakadzi chokunyunyuta pamusoro kusagadzikana kuti simuka kana uine kuita refu nzendo mumotokari kana chete kwenguva refu ari nokugara chinzvimbo. Uyezve, kudzikira ari vakacherechedzawo zodzera pachisara mhosva iyo makabuda pessary. Reviews dzinoratidzawo kuti ayo Maitiro chokugadza kubviswa varwirwe vakadzi rakanyatsojeka palpable kurwadziwa. Asi zvikuru kusingafadzi, maererano nevakadzi vane pamuviri, ane yakadaro rwokudzivirira obstetric chikwata - rakapinza kuwedzera kwenhamba pazviridzwa mavhiki 3-4 pashure kupinza munhu pessary, riri chokuita chido kubvisa muviri dzimwe muviri. Vamwe varwere kunyange kutaura kuti vanogona kuva zvokuti pane fungidziro pamusoro atsamwira pamusoro membranes uye kuti nguva dzose kupfeka Mapedhi.

Zvino munoziva kuti obstetric pessary, wongororo pamusoro zvamungadya zvamakanzwa kubva kushamwari uye neshamwari. Chero zvazvingava, tinogona kutaura nechivimbo kuti panguva iyoyo hapana zviitiko apo kushandiswa yezvokurapa mudziyo chaitaurwa chikonzero zvinetso zvakakomba zvoutano - kana asati aberekwa kana pashure. Zvisinei, vanachiremba vanonyevera kuti kunyange kana munhu pessary dzimwe nguva (kunyange Kashoma) achiri nokupfupfudzika zvingaitika. Panguva iyoyowo, nhamba inoratidza kuti pashure panguva remuromo kusaita zvinhu nomazvo pakutanga mumatanho vakanga yakaiswa mano zvakadaro, nhamba zvakanaka zvaitika akazvitakura rakakura yekudyidzana.