Akunabo bonke abafazi abakhulelweyo abahamba kakuhle kwaye bengenazo iingxaki. Abanye oomama bazayo bajamelana nengxaki yokuchazwa kwangoko kwesibeleko. Kwiimeko ezinjalo, abaninzi abasetyhini banikezwa i-pessary ukuze bahlale bekhulelwe.
I-pessary ye-Obstetric iyisistim esikhethekileyo seplastiki esisetyenziselwa ukukhulelwa ukuxhasa isisu, i-rectum kunye ne-vestile, ngendlela yemida ehlukeneyo yamashishini axhunyiwe kunye. Imijikelo yamacangci ihamba kakuhle, ukuze ingalimazi iifom. Kukho ubungakanani obukhulu beepessaries. Kwimeko nganye, ubungakanani bakhethwa ngugqirha, ngokuqwalasela izinto ezifana nobukhulu besini, ububanzi bomlomo wesibeleko, inani lokuzalwa.
Ukufakwa kwee-pessaries ngexesha lokukhulelwa kungenye indlela yokuthunga umlomo wesibeleko. Ekubeni umlomo wesibeleko unokucetywa kuphela phantsi kwe-anesthesia, echaphazela kakubi impilo yengane, i-pessary iba yinto ekhethekileyo yokugcina ukukhulelwa ngexesha elifutshane.
Iimpawu zokufakela indandatho ye-pessary ngexesha lokukhulelwa
Ngokomyalelo, i-pessary ngexesha lokukhulelwa lisekwa:
- kunye nokungenakusebenza komlomo wesibeleko (kuquka umlomo omfutshane wesibeletho);
- xa kukho iziqhamo ezininzi kwisibeleko somama, ucinezela kwisibeleko, ngaleyo ndlela uququzelele ukubonakala kwayo;
- ukwenzela ukuthintela ukungenakulungelelaniswa kwesifo somlomo.
I-pessary ye-Gynecologic ngexesha lokukhulelwa kunceda ukunciphisa umthwalo emzimbeni wesibeleko, ukususa indawo yoxinzelelo lweqanda lomntwana. Emva kokufaka le fowuni, umlomo wesibeletho uvale kwaye amathuba okulahlekelwa ngumntwana ehla; ngelixa iplagi yomdaka ihlala, kwaye ke, umngcipheko wokungena kwiintsholongwane zomntwana. Iintlungu zowesifazane ziyancipha kwaye, ngenxa yoko, isimo sakhe sengqondo sengqondo siphucula, umfazi uyayeka ukukhathazeka ngobomi bomntwana wakhe.
Bafaka njani iipessaries ekukhulelwe?
Ukufakwa kwee-pessaries akunzima kakhulu. Yenziwa kokubili ngokusisigxina nangokukhawuleza. Inkqubo iyakunyamezela kakuhle ngabafazi abakhulelweyo. Ukuba ibhinqa inomgangatho okhulayo wobubele, ngoko-30 ukuya kwimizuzu engama-50 phambi kwenkqubo, kucetyiswa ukuba athathe ipilisi ye-No-shpa. Inkqubo eyenziwa kwisitya esingenalutho kwaye iphela imizuzu embalwa nje kuphela: okokuqala intonga iphathwa nge-gel okanye ioli (i-glycerin okanye i-Clotrimazole) ize ijojowe kumfazi.
Emva kokuba i-pessary ifakwe rhoqo kwiiveki ezingama-2-3, i-bacteriological examination of smears ekhulelwe iqhutywayo, kwaye zonke iiveki ezi-3 ukuya kwezi-4 - i-ultrasonography yokubeka esweni imeko yomlomo wesibeleko.
Emva kokumisela isithintelo somkhonto, isondo esivamile esiswini esiswini kumfazi okhulelweyo siyachaswa.
Xa ugqoke, kunokwenzeka ukutshintsha i-pessary kwaye unokuhlakulela i-colpitis engummango, ebonakala ngokubonakala kwabahlophe. Le ngxaki ipheliswa ngokukhawuleza ngexesha lokuhlolwa kwegazi.
Ukungqinelana nokufakela iipessaries ekukhulelwe
Ungafaki i-pessary ngexesha lokukhulelwa xa ibhinqa libonakala kwindawo yesibini neyesithathu. Ukuchasana nazo ziimeko xa ixesha lokukhulelwa lingaba yingozi, okanye umfazi unesibindi somlomo wesibeleko kunye nomfazi.
Xa i-pessary isuswa ngexesha lokukhulelwa?
Umtya wesithintelo ususwe ngexesha lokunyuka kweeveki ezingama-36-38. Kwezinye iimeko, i-pessary isuswe ngaphambi kweshedyuli. Oku kwenziwa xa kunikezelwa ngokukhawuleza, ukuphuma kwe-amniotic fluid, kunye nophuhliso lwe-chorioamnionitis.