Njengomthetho, okokuqala okokuqala igama elithi "pessary" lizwakala owesifazane ngesikhathi sokukhulelwa ekuqokweni komzimba wezifo zezinkinga. I-Pessary iklanyelwe ukusekela isisu somlomo wesibeletho, isisu nesibeletho, okwenza ukuba kuncishiswe ukucindezelwa ngokweqile ezingxenyeni zangaphakathi. Umsebenzi walo oyinhloko ukuvimbela ukungenwa kwemisipha ye-ischemic kumama abakhulelwe nokunciphisa ingozi yokuzalwa ngaphambi kwesikhathi. Endabeni yokukhulelwa okuningi, i-pessary iphinde ikhuthaze ukulondolozwa kokukhulelwa nokuqedwa kokuthuthukiswa kwamathambo womsebenzi.
Umama we-pessary ubonakala kanjani?
Ukukhishwa kwe-pessary engavamile kuyisisetshenziswa somshini ngesimo sezindandatho ezinkulu ezungezwe izindandatho ezincane ezixhunyiwe. Ekuphileni kwansuku zonke, odokotela basebenzisa igama elithi "ring" kuphela.
Eyenziwe ngezinto zokwakha ezomvelo, ama-pessaries awabangeli ukulimala kwezicubu ezithambile kanye nokuphendula okwenziwe.
I-pessary ye-obstetric ibeka kanjani lapho isibeletho sihla?
Ukwethulwa kwe-pessaries kuyinkinga engenabuhlungu ngenxa yesimo sayo esinqunyiwe. Kodwa-ke, le nqubo ayijabulisi owesifazane naphezu kokulula ukusebenzisa ama-pessaries.
Ngaphambi kwenqubo yokwethulwa kwe-pessary, kubalulekile ukwelapha izifo ezithathelwanayo ezikhona ezenzweni zokuzala ukuze kugweme ukuthuthukiswa kwezinkinga ekusetshenzisweni kwayo.
Inqubo yokungena e-pessary iyashesha ngokwanele:
- Udokotela wezinzwa wenza ukwelashwa kwendandatho nge-glycerol noma i-clotrimazole yamafutha.
- Ukufakelwa ngesandla ngendandatho esiswini lomfazi bese uyilungisa esibelethweni.
Kumele kuqashelwe ukuthi ama-pessaries ahlukile ngobukhulu bawo, okukuvumela ukuba ukhethe imodeli yezinto eziphilayo kakhulu zendandatho esimweni ngasinye. Kunamakhomitha amathathu wezinselele:
- owokuqala: ububanzi bomlomo wesibeletho bungu-25-30 mm, ubukhulu besithathu engaphezulu kwesiguli ngu-55-65 mm, emlandweni wesifazane ongaphansi kwesigamu ezimbili;
- okwesibili: ububanzi bomlomo wesibeletho buyi-25-30 mm, ubukhulu besithathu esezansi kwesisindo ngu-66-75 mm, esikhathini esidlule akukho ngaphezu kwesigamu ezimbili;
- Okwesithathu: ububanzi bomlomo wesibeletho buyi-30-37 mm, ubukhulu besithathu engaphezulu kwesiswini ngu-76-85 mm, inani labesifazane lalingu-2 noma ngaphezulu.
Nge-pessary elingana kahle, lona wesifazane uzozizwa ekhululekile kuyo yonke inkathi yokusetshenziswa kwayo.
Ngezwi elivame ukwanda kwesibeletho, kunconywa ukuthi abesifazane basebenzise i-antispasmodics ngaphambi kokwenza inqubo yokujola umjovo.
Kumele kuqashelwe ukuthi ukusetshenziswa kwe-pessary akusi njalo njalo. Uma owesifazane ekwazi ukubona, enezinsalela, angakhula, ngakho ukusetshenziswa kwayo akufanelekile ngenxa yengozi yokuqeda ukukhulelwa esikhathini eside.
Indlela yokunakekela ama-pessaries?
Ukunakekelwa okukhethekile kwamapessary akudingeki. Kodwa njalo ngemva kwamasonto amabili owesifazane okhulelwe kudingeka athole ukuhlolwa okwengeziwe kwe-bacussis. Ubulili be-vaginal ne-pessaries buya contraindicated.
Ukususwa kwe-pessary obstetric
Wonke owesifazane uyakhathazeka uma kubuhlungu ukuthatha i-pessary. Kuncike emzimbeni wesifazane, kwezinye izimo, izinzwa ezibuhlungu zingase zenzeke isikhashana ngemva kokukhishwa kwe-pessary.
Mhlawumbe ukukhishwa kwasekuseni kwe-pessaries uma kwenzeka kukhishwa owesifazane we-amniotic fluid kanye nokuqala komsebenzi,
Ngemuva kokukhishwa kwendandatho ye-obstetric ngaphambi kokuqala komsebenzi kungathatha amasonto ambalwa. Ngakho-ke, ngokuvamile i-pessary isuswa ngesikhathi samaviki angu-38 wokukhulelwa.
Ngezinye izikhathi owesifazane angabona ukuthi i-pessary ishintshile. Kulesi simo, uyaqaphela ukubonakala kokukhishwa okumhlophe kusuka kwesifazane (i-colpitis).
I-pessary engavunyelwe ilahlwa, ukusetshenziswa kwayo okuphindaphindiwe akuvumelekile.
Kuze kube manje, i-pessary iyindlela enhle kakhulu yokuvimbela ukubeletha ngaphambi kwesikhathi, ngaphandle kokungenela okuhlinzekwayo.