Havazi vose vakadzi vane pamuviri unofamba zvakanaka uye pasina zvinetso. Vamwe vanaamai vari kumangwana vanotarisana nechinetso chekuzivisa pachena zvechirwere. Mumamiriro ezvinhu akadaro, vakadzi vazhinji vanopiwa pessary kuti varambe vachiita pamuviri.
Obstetric pessary ipurasitiki yakakosha inoshandiswa pakuberekwa kutsigira chibereko, rectum uye chibvinga, nenzira yezvinyorwa zvakasiyana zvemhete zvakabatanidzwa pamwechete. Mheto dzemhete dzakanyatsonaka, kuitira kuti irege kukuvadza tishu. Kune huwandu hukuru hwepessaries. Muchiitiko chimwe nechimwe, hukuru hunosarudzwa nachiremba, uchifunga nezvezvinhu zvakadai sehukuru hwevakadzi, hupamhi hwechirwere, chizvarwa chekuzvarwa.
Kuiswa kwepessaries panguva yekuzvitakura kune imwe nzira yekuchera murumbu. Sezvo chibereko chechivharo chinogona kuiswa pasi peanesthesia, iyo inokanganisa hutano hwechecheche, pessary inova ndiyo nzira yakanakisisa yekuchengetedza pamuviri munguva pfupi.
Zviratidzo zvekuiswa kwechindori chepessary panguva yekuzvitakura
Maererano nemirairo, pessary panguva yekuzvitakura inotangwa:
- uye ischemic-cervical insufficiency (kusanganisira mutsara mutsva wechibereko);
- apo paine michero yakawanda muchibereko cheamai, vachimhanya pamubereki, nokudaro vachiita kuti zvive pachena;
- kuitira kudzivirira ischemic-cervical insufficiency.
Gynecologic pessary panguva yekuzvitakura kunobatsira kuderedza mutoro pamuviri wemukati, kubvisa nzvimbo yekumanikidzwa kweiyo fetal egg. Mushure mekuisa chigadzirwa ichi, chirwere chevhavhasi chinovhara uye mikana yekurasikirwa kwechirwere kunoderera; nepo muchetura muchera unoramba uripo, uye, saka, mukana wekupinda muhutachiona hwehutachiona. Urombo hwomukadzi hunoderera uye, sechigumisiro, chirwere chake chemagariro chinovandudza, mukadzi anorega kunetseka pamusoro pehupenyu hwemwana wake.
Vanoshandisa sei pessaries pamuviri?
Kuiswa kwepessaries hakusi kwakaoma zvikuru. Inoitwa zvose zvachose nekusingaperi. Iyo nzira yakanyatsorambidzwa nevadzimai vane pamuviri. Kana mukadzi ane huwandu hwakanyanya hwekunzwa kwechibereko, ipapo kwema 30-50 maminitsi asati apera, zvinokurudzirwa kuti atore No-shpa piritsi. Nzira yacho inogadzirwa pachirwere chisina chinhu uye inoguma maminetsi mashomanana: kutanga rhete inobatwa nejeri kana mafuta (glycerin kana Clotrimazole) uye yobva yavharwa mukati memukadzi.
Mushure mokunge pessary yaiswa mavhiki maviri ega ega, kuongorora kwebhakitiriya yemakumbo ekuremara kunoitwa, uye masvondo matatu kusvika ku4 - ultrasonography yekucherechedza mamiriro emuviri wechibereko.
Mushure mekugadzirisa mhete yekudzivirira, chirwere chepabonde chinowanzoonekwa kumukadzi ane pamuviri chinopesana.
Kana ukapfeka, zvinobvira kuchinja pessary uye inogona kukura ma mechanical colpitis, inoratidzwa nekuonekwa kwevatsvene. Dambudziko iri rinonyatsobviswa panguva yekuongorora kwevakadzi.
Contraindications kune kuiswa kwepessaries pakuzvitakura
Usaisa pessary panguva yekuzvitakura kana mukadzi akaona muchechi uye chechitatu vatatu. Contraindications ndeyewo mamiriro ekuwedzera kwenguva yekuzvitora kunogona kuva nengozi, kana kuti mukadzi ane kuvhiringidza kwechibereko chemuviri nemukadzi.
Apo pessary inobviswa pakuberekwa?
Bhandi rinoputika rinobviswa panguva yekuita kwemavhiki 36-38. Mune zvimwe zviitiko, pessary inobviswa mberi kwepurogiramu. Izvi zvinoitwa kana zvichidiwa kuendeswa kwekukurumidzira, kubuda kweamniotic fluid, nekukura kwe chorioamnionitis.