Akubona bonke abesifazane abakhulelwe abahamba kahle futhi bengenakho ukucindezeleka. Abanye omama abazayo bayabhekana nenkinga yokudalulwa kwesikhashana komlomo wesibeletho. Ezimweni ezinjalo, abesifazane abaningi banikezwa i-pessary ukuze bahlale bekhulelwe.
I-obstetric pessary iyisetshenziswa esikhethekile seplastiki esetshenziselwa ukukhulelwa ukusekela lesi sibeletho, i-rectum nesinye, ngesimo sezinhlamvu ezahlukene zamasongo axhunyiwe ndawonye. Imiphetho yamasongo ihamba kahle, ngakho-ke ayilimazi izicubu. Kunamabanga amaningana ama-pessaries. Esikhathini ngasinye, ubukhulu bakhethwa udokotela, ngokucabangela izinto ezifana nobukhulu besifazane, ububanzi bomlomo wesibeletho, inani lokuzalwa.
Ukufaka ama-pessaries ngesikhathi sokukhulelwa kungenye indlela yokuthunga umlomo wesibeletho. Njengoba umlomo wesibeletho ungagonywa kuphela ngaphansi kwe-anesthesia, okulimaza kakhulu impilo yengane, i-pessary iba yindlela engcono kakhulu yokugcina ukukhulelwa ngesikhathi esifushane.
Izinkomba zokufaka indandatho ye-pessary ngesikhathi ukhulelwe
Ngokomyalelo, i-pessary ngesikhathi sokukhulelwa isungulwa:
- ne- ischemic-insufficiency insufficiency (kubandakanya umlomo wesibeletho omfushane wesibeletho);
- uma kunezithelo eziningana esibelethweni sikamama, ngokucindezela emgodini wesibeletho, ngaleyo ndlela kube lula ukubonakala;
- ukuze kuvimbele ukungeneliseki kwe-ischemic-komlomo.
I-pessary ye-gynecologic ngesikhathi sokukhulelwa kusiza ukunciphisa umthwalo esibelethweni somlomo wesibeletho, ususe indawo yengcindezi yeqanda lomntwana. Emva kokufaka le divayisi, umlomo wesibeletho uvaliwe futhi amathuba okulahleka kwe-fetus ancipha; kuyilapho ipulaki emangcwabeni ihlala, futhi ngenxa yalokho, ingozi yokungena ekutheleleni kwe-fetus. Izinhlungu zabesifazane ziyancipha futhi, ngenxa yalokho, isimo sakhe sengqondo sengqondo sengqondo sithuthukisa, owesifazane uyeka ukukhathazeka ngokuphila kwengane yakhe.
Bafaka kanjani ama-pessaries ekukhulelwe?
Ukufakwa kwama-pessaries akuwona kunzima kakhulu. Yenziwa kokubili ngokugcwele nangaphandle. Inqubo ibekezelela kahle abesifazane besifazane abakhulelwe. Uma owesifazane enezinga eliphezulu lokuzwela kwesibeletho, khona-ke imizuzu engama-30-50 ngaphambi kwenqubo, kutuswa ukuthi athathe iphilomu ye-No-shpa. Inqubo yenziwa esikhwameni esingenalutho futhi ithatha imizuzu embalwa nje kuphela: okokuqala indandatho iphathwa nge-gel noma amafutha (glycerin noma i-Clotrimazole) bese ijova ngaphakathi kwesifazane.
Ngemuva kokuthi i-pessary ifakwe njalo emavikini angu-2-3, ukuhlolwa kwe-bacteriolog of smears okukhulelwe kwenziwa, futhi njalo ngemva kwamasonto amathathu kuya kwangu-4 - i-ultrasonography yokuqapha isimo somlomo wesibeletho.
Emva kokufaka indandatho yokugqoka, ubulili obujwayelekile besifazane kumuntu okhulelwe buphikisana.
Uma ugqoke, kungenzeka ukuthi uguqule i-pessary futhi ungathuthukisa i-colpitis yemishini, ebonakala ngokubonakala kwabamhlophe. Le nkinga isuswa kalula ngesikhathi sokuhlolwa komzimba.
Ukuqhathaniswa nokufakwa kwamapessaries ekukhulelwe
Ungafaki i-pessary ngesikhathi ukhulelwe uma owesifazane ebona ama-trimesters wesibili nowesithathu. Ukuphikisana nakho kuyimibandela lapho ukukhuliswa kokukhulelwa kungaba yingozi, noma owesifazane unesibindi somlomo wesibeletho nesiswini.
Uma i-pessary isuswa ngesikhathi sokukhulelwa?
Indandatho ye-obstetric isuswa ngesikhathi sokubeletha kwamasonto angu-36-38. Kwezinye izimo, i-pessary isusiwe ngaphambi kwesimiso. Lokhu kwenziwa uma kudingekile ukulethwa kwezimo eziphuthumayo, ukuphuma kwe-amniotic fluid, ngokuthuthukiswa kwe-chorioamnionitis.