Sekutonga, kwekutanga kokutanga shoko rokuti "pessary" rinonzwiwa nemukadzi panguva yekuzvitakura kune gynecologist akagadzwa. Pessary yakagadzirirwa kutsigira chibereko chechibereko chechivharo, chiropafadzo uye rectum, zvichiita kuti kuderedza kudzvinyirira zvakanyanya kune nhengo dzomukati. Basa rayo guru nderokudzivirira ischemic-cervical kusakwana kwevakadzi vane pamuviri uye kuderedza ngozi yekuberekwa kusati kwaitika. Muzvakawanda zvekubata pamuviri, pessary inokurudzira kuchengetedza kuberekwa uye kubviswa kwekuvandudzwa kwemararamiro emabasa.
Ko amai vepessary vanoita sei?
Kuvhara pessary kuperesa isimbi inogadzirwa nenzira yemhete yakakura yakapoteredzwa nemhete dzakabatana dzeduku duku. Muhupenyu hwezuva nezuva, vanachiremba vanoshandisa shoko rokuti "ring" chete.
Yakagadzirwa nezvinhu zvakagadzikana zvakasununguka, pessaries haisi kukonzera kukuvadza kwezvinyoro zvinyoro uye zvinokonzera kugadzirisa.
Ko chipetric pessary inogadziriswa sei kana chibereko chichiburuka?
Kuiswa kwepessaries kunoratidzika kusina maturo nokuda kwechimiro chayo chakakomberedza. Zvisinei, izvi zvinenge zvisingafadzi kune mukadzi pasinei nekushanda kwekushandisa pessaries.
Pamberi penzira yekuiswa pessary, zvakakosha kurapa zvirwere zvinotapukira zvezvirwere zvekuberekwa kuitira kuti tisave nekuvandudzwa kwematambudziko mukushandiswa kwayo.
Nzira yekupinda pessary inokurumidza zvakakwana:
- Gynecologist inoita rinorapwa ne glycerol kana mafuta anonhuwira clotrimazole.
- Manyore anoisa rin'i mumudzimai wemukadzi uye anoigadzirisa pamuviri.
Zvinofanira kuonekwa kuti pessaries inopesana nehukuru hwavo, iyo inokubvumira kuti usarudze hutano hwemhando yechindori pane imwe neimwe yakadaro. Kune hutatu hukuru hwepessaries:
- yekutanga: kubwinya kwemuviri wechiremera ndeye 25-30 mm, ukuru hwetatu hwepamusoro hwemadzimai huri 55-65 mm, munhoroondo yemukadzi mashoma kupfuura maviri genera;
- yechipiri: kureba kwechirwere chacho 25-30 mm, ukuru hwetatu hwepamusoro hwemadzimai ndewe 66-75 mm, munguva yakapfuura hapanopfuura mairi maviri;
- chechitatu: kureba kwechibereko chemuviri kune 30-37 mm, hukuru hwetatu hwepamusoro hwomukadzi ndeye 76-85 mm, nhamba yevakadzi yaiva 2 kana kupfuura.
Neine pessary yakakura, mukadzi wacho anonzwa akasununguka munguva yose yekushandiswa kwayo.
Nezwi rinowedzera kuwedzerwa kwechibereko, zvinokurudzirwa kuti vakadzi vanoshandisa antispasmodics vasati vaita chirongwa chepessary injection.
Inofanira kuonekwa kuti kushandiswa kwepessary hakusi nguva dzose inogoneka. Kana mukadzi aine ruvara, ane pessaries, anogona kuwedzera, saka kushandiswa kwayo hakuna kukodzera nekuda kwedambudziko rekugumisa pamuviri kwenguva refu.
Nzira yekuchengetedza pessaries?
Kuchengetedzwa kwakanyanya kwepessaries hakudikanwi. Asi vhiki mbiri imwe neimwe mukadzi ane pamuviri anoda kutora mimwezve miedzo ye bacussis. Vaginal zvepabonde nemapessari zvinopesana.
Obstetric pessary kubviswa
Mukadzi wese anotarisira kana zvinorwadza kutora pessary. Zvichienderana nemarwadzo ekurwadziwa kwemukadzi, pane dzimwe nguva, kunzwa kunorwadza kunogona kuitika kwenguva pfupi mushure mekubviswa kwepessary.
Zvichida kubudiswa kwepessaries kwokutanga mukana wekusvitsa mumukadzi we amniotic fluid uye kutanga kwebasa,
Mushure mokubviswa kwechisimbiso chinoputika kusati kwatanga kushanda kunotora kusvika kumavhiki mashoma. Saka, kazhinji pessary inobviswa panguva yevhiki makumi matatu nemasere ekuberekwa.
Dzimwe nguva mukadzi anogona kunzwa kuti pessary yachinja. Muchiitiko ichi, anocherechedza kuonekwa kwekusununguka kwakachena kubva mumukadzi (colpitis).
Obstetrical pessary inoshandiswa, kushandiswa kwayo kakawanda hakugamuchirwi.
Kusvika parizvino, iyo pessary inzira dzakanakisisa dzekudzivirira kuberekwa kusati kwapera, pasina kupindira kwekuvhiya.