Izindandatho zokubeletha zingamadivayisi wezokwelapha, okugqoka kuwo okuboniswa abesifazane ezifweni ezithile. Lezi zinsuku, njengombuso, zihlotshaniswa nokuphumula kwemisipha yodonga lwangaphakathi lwe-peritoneum. Mayelana nezinkomba zokusebenzisa indandatho ye-uterine nendlela yokuyisebenzisa kahle, sizoxoxa ngalesi sihloko.
Ukusetshenziswa kwendandatho ye-uterine
I-ring uterine, eyaziwa nangokuthi i-pessary ye-gynecological, inqunywe ochwepheshe kwabesifazane abaye babhekana nezinkinga ngokunciphisa izindonga zesisu nesisu noma ukulahlekelwa kwabo. Ngoba lesi sifo sibonakala ngokungahambi kahle kwe-urethra ne-rectum. Lesi simo sibangelwa ukuphumula kwemisipha yendawo yonke ye-pelvic noma imisipha yodonga lwangaphakathi lwe-peritoneum.
Umsebenzi oyinhloko wezindandatho ze-uterine ukugcina isibeletho nezinye izitho ezithintekile ngesifo endaweni. Ngokuhamba kwesikhathi, uma ithoni lezinsizi libuyiselwa, indandatho ye-uterine isuswe ngokuphelele.
Indandatho yasebukhosini ingahle ibekwe ngesikhathi sokukhulelwa, uma kunikezwe ukuduma kwesisu.
Ukukhethwa kwendandatho ye-uterine
Izinhlobo
Kunezinhlobo eziningana zezindandatho ze-uterine, okukhethwa kukho okuyinto enqunywa isithombe sesifo kanye nezinga lokuphumula kwemisipha yomgogodla.
Ezimweni ezilula futhi ezingenakiwe, udokotela angafaka indandatho yasebukhosini ka-Schulz, eyenziwe ngesibalo sesishiyagalombili, noma i-pessary kaTomas, enefomu lensimbi.
Ngokubonakaliswa okuveziwe okuphawulekayo kwezimpawu zokushiya nokulahlekelwa kwezindonga zesisu nesiswini, insimbi yeGoja isetshenziswa. Ukulungele ukungena emzimbeni, kunesimo se-S.
Izinto zokwakha
Izindandatho ze-uterine zingaba i-rubber noma i-silicone. Kwamanye amamodeli, kusetshenziswe izakhiwo zensimbi, eklanyelwe ukushintsha nokufanisa ukuma kumingcele yamanye umuntu.
Ubukhulu
Omunye umgomo wokukhetha izindandatho zesibindi ubukhulu. Ubukhulu bendandatho ephaketheni buhambisana nobubanzi bayo. Ubukhulu bunqunywa udokotela ngesikhathi sokuhlolwa. Izindandatho zamadayimitha amancane zisetshenziselwa abesifazane abangama-nulliparous, ezinkulu zizala. Endabeni ye-Schultz ring, ubukhulu bomlomo wesibeletho bulinganiswa, ngoba "abayisishiyagalombili" baphelela ekugcineni, futhi okwesibini kufakwa ekupheleni kwesifazane.
Ukufakwa kwendandatho ye-uterine
Ngesikhathi sokuqala indandatho yasebukhosini ifakwe udokotela oya khona, ubonisa nendlela yokwenza kahle. Kamuva, kuye ngokuthi iphethini lesifo, owesifazane ufaka indandatho njalo ekuseni emva kwephupho noma alishintsha kanye njalo ezinyangeni ezimbalwa.
Kunoma yikuphi, uma ususa indandatho, kufanele ihlanjwe ngesisombululo seseva futhi ixiliswe nge-disinfected. Ukuze wenze lokhu, i-pessary incishiswa kwisisombululo se-3% se-hydrogen peroxide futhi igcinwe cishe amahora amathathu. Ngemuva kwalokhu, indandatho ye-uterine ifakwe nge-vaseline futhi ifakwe emuva emzimbeni.
Le nqubo iyadingeka ukuvimbela izinkinga ezingenzeka ngokugqoka indandatho, isibonelo, ukuthuthukiswa kokuvuvukala kanye nenqubo yokulandelela elandelayo.
I-Classic ye-Goja ring ine-back (ingxenye enkulu, eqondwa phezulu uma indandatho ifakwa etafuleni). Indandatho ifakwe ngezandla ezihlanzekile emuva. Kumele kuphume ngokumelene ne-posterior vaginal vaginal. Lapho indandatho isendaweni efanele, umlomo wesibeletho "ubheka" ku-lumen yayo. Uma indandatho ingasethiwe ngendlela efanele, ingabacindezela ubuhlungu i-urethra futhi ibangele ukukhathazeka uma
Ukuqhathaniswa nokusetshenziswa komngcele wesibeletho
Izindandatho zokubeletha ziyaphikisana ngokugqoka abesifazane abanobungozi bokuziphendulela ezintweni ezenziwe kuzo.
Futhi, ama-pessaries awavunyelwe abesifazane ababhekene nezifo ezilandelayo zokugula:
- ukuhlukunyezwa ekuthuthukiseni izitho zangasese;
- ukuguguleka komlomo wesibeletho;
- i-colpitis;
- ukuvuvukala komlomo wesibeletho.