Obstetric pessary - He aha ka mea? Waikiki nā wāhine ma luna o ka waiwai o ka pessary

O 50-40 makahiki aku nei, hapai na wahine ke lilo olakino hua ma ka pau 'ana o ka trimester a kakahiaka nui i loko o ka lua o ka manawa i premature cervical dilatation mua. Ka mea o ia i loko o ia mau lā i ke ala wale i ka hakakā i ka kŰia i stitching ka cervix, me pono me ka like ana hiki ke hana ma lalo o anesthesia wale, a laila ka mea, he ia eʻula a hiki i ka hope lā. Mea pōmaikaʻi, ia wahi, i hiki i pohihihi keia, me kauka hoʻohana he kūikawā mea - obstetric pessaries. Ka mea, i ole kuai i keʻena kūʻai lāʻau lapaʻau, a i ole e waiho i ka ho'āʻo e onoaiiaea ia oe iho.

Pessary: ia

E hoʻohuli i ke pili me ka premature cervical puka o ka pilikia, ua hoʻohana 'ia i ka makahiki "cervical incompetence" ma ka laau lapaau. E ole kona hopena maikaʻi 'ole, e like me miscarriage, kauka pinepine waiho aku okoʻa no ka manawa unload pessary. Ke Classic mana o keia mea i hana ia me ka anatomical hiʻona o ke kino 'ole wahine ho mau ea paha mea pīlali apo interconnected.

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Obstetric pessary, hōʻike manaʻo o ka a i hōʻike mai iā ia i ka hopena o ka 'atikala, ia mea no kekahi mau ano. Ma 'ana, ka mea lāʻau lapaʻau hana produces ia mau manaʻo i loko o ekolu nui like' ole:

• Mua. Oia pessaries kupono no na wahine i hoopakele i liʻiliʻi 2 manawa, e like me hapai wahine me ka lōʻihi maluna hapakolu o ka vagina 55 a hiki i 65 mm o paha cervical anawaena o ka 25 i ka 30 mm o.
• Lua. Manao maalea o keia nui ua hoonoho i ka hapai, ka poe i halawai me nā ana hoʻohālike e like me ka paukū mua, akā, i ka luna kolu o ka vagina ma i ka lōʻihi - mai ka 66 a hiki i 75 mm o.
• Ekolu Ana. 'O kēia ka mea nui loa pessaries a Obstetricians i multiparous mums, a me na wahine nona ka lōʻihi aku i ka luna hapakolu o ka vagina 76 a me ka cervix mm o anawaena loli aʻe ma waena o 30-37 mm o.

I Ka Nani hōʻoia i na kanaka manaʻo e pili ana i ka pessary, i mea hoʻokahi a oi interconnected apo. Eia naʻe, ua nui na ano o ia mau mea i ka loa okoa palapala. No ka laʻana, hapai i kekahi manawa hookomoia cupped pessary no ka malama ana i ka cervix, hoemi ia fetal poo puʻe, a no ka pale i ka hōʻike 'ia' ana o uterine puu. Eia kekahi, i ka wa cervical incompetence hiki ke hoʻouka kekahi mea i loko o ka palapala o ka donut (ke komo lima ka mānoanoa o ia) i ka Tewetewe koloriside. Kēia mea i nā waiwai o ka thermoplastic a me ka i loko o ke kino o ka wahine i ka i palupalu, e lawe ana i ke kinona o ke kino i loko o i ka mea, ua kau. No hoi no ka hana pessary pinepine hoʻohana mea pīlali, 'aʻole i i allergic reactions. Ia mau manaʻo i mua sterilized e gamma pāhawewe.

Ma kekahi mau hihia, i ka ahaaina i

Obstetric pessary hāpai keiki 'ia paha ma e hoopaa i ka uterus, a puni nā loko ma ka pololei kulana. Eia hoʻi, ka mea, ua pinepine koi 'ia ma ka hihia o kekahi mau hāpai keiki. Eia hou, e hoʻohana 'ia nāʻano likeʻole o nā pessaries no ka pāʻoihana ola pilikia o ka hapai wahine o. Ma kekahi, ka mea i mana i loko o ka hihia ma ia mea e pono ke pale emi ana o na nā loko (uterus) ole alleviate i ke ahonui o ka kanawai, ma a he mea incontinence.

Contraindications a hiki io hopena

'Oiai, i hookuu i ka makau a pau o ka hapai obstetrician kuleana e pili ana i ka pessary, i mea wahi aku me ka palekana, eia nā hihia ma ka mea, ua hiki ole i ka hoʻonoho. Ma kekahi, ua hiki ole ke hana inā:

• ua mahuʻi mua o ka lilo abortion;
• ka malalo o na membranes mea ia i loko o ka vagina;
• ae nānā mau puaʻa pūkoʻa a me / ai ichor;
• hoike aat o ka wahine nā loko.

Inā ia he mea ua koho a hoʻouka kekahi incorrectly a no kekahi kumu ua 'oni iki, alaila, hapai e hoʻomōhala li nui (colpitis), i hiki ke eliminated e? Ee i ke kulana o ka pessary a ana ka lapaʻauʻia.

Pehea e waiho i ka pessary

Ma mua o kēia kaʻina hana, e pono e hookolokolo aku la ia, a, ma ka hihia o ka loaʻaʻana o kekahi maʻiʻaʻai o ka urogenital poepoe, e hana lākou daimonio. Eia hou, ina he hapai, he mahuahua leo o ka uterus, alaila, no 30-60 minuke mamua i ka mea hoʻonoho o na apo ka mea, ua 'ae' antispasmodic, hoomahaia i contraction a me ka 'inikua glycerin ua hoʻohana' ia e ho'ēmi i kū'ē. Wale laila, hiki oe i ke pessary. I ka mea, mea nō ole e paa i kekahi wahine. I kekahi manawa, akā naʻe, i kēia kaʻina hana - ka wale ala, e malama i hāpai keiki, o ka oi aku i loko o ke kakahiaka nui kahua o ka hoʻonaʻauao hiki ole ia oe hanaʻoki kino ma ka cervix, suturing.

Ka wā e hiki ke waiho

Loa pinepine, he pessary, i hōʻike manaʻo ka hapanui 'oluʻolu, nākiʻiʻia ma hope o ka hebedoma 20th o ka hāpai keiki. Eia naʻe, e like me ka ua, ua i mai la, i kekahi manawa, ma muli o ia i ka make māinoino o ka miscarriage, e i e hana i kēia mea ma 12-14 pule. I ka Ia manawa, ka nānā 'ana i ka nui o na manawa i ka ua hapai i hanau, ka mea, ua mau hoʻohana' ia ka mea mua apo nui.

He aha ka pono a me ka mea i hiki ke hana ma hope o ka mea hoʻonoho o ka pessary

Once hapai i hoalaala ia ma luna o ka cervix mea he mea kalaima, he wahine mea, aohe mea hana e hana ia mea,ʻaʻole pono. Ka mea wale nō mea e ua pono ia e na kumu ao ma hope o mea hoʻonoho pessary - mai ka manawa i ka manawa (1 kela 14-21 lā) Pap no bacteriological study o flora, a no ka Kāohiʻana o ka maʻiʻaʻai kela 2-3 pule, e lawe mai i ka aaioee o ka vagina, a, o ka papa, mai mea iki aku anal ola. A me ka makemake i ka hope'ōlelo aʻo o ka wahine e hahai mai, a hiki ina ka mea, i ole hookomo i ke komolima. Ma hope o nā mea a pau, i ka wa e hele ai i ka appropriateness o ia ke kaʻina hana, a laila, i kēia mea helu i ke ola ana o ka hoʻoweliweli 'o premature hoopau wale o ka hāpai keiki.

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IeAUPIIe, IAa IO, e noʻonoʻo mākou i ka mea ua haʻalele mai ia 36-38 pule o ka gestation. A laila, gynecologist outpatient a inpatient withdrawal i pessary. Kēia ke kaʻina hana no ua hana me ka anesthesia, akā, ka mea wale nō mau he mau kekona, no laila, me ka eha, a ina he mea, ia mea paʻakikī loa pōkole-noho. I kekahi manawa ka mea, ua hanaʻia i loko o ka haukapila, i loko o ka oihana o ka pathology, a me kekahi manawa hoomanawanui, ma ka hiki aku i ka gynecologist. Removal pessary kumu e relaxes ka cervix a me ka fetus ma lalo o puʻe koke i, i ukali ia e hoopalupalu ana i kona hua'ōleloʻo a me ke kaikoeke. A laila, hanohano i loko o ka hebedoma (kekahi manawa i kēia wā e e kānaka nui), he wahine hele i loko o ka hana. Eia naʻe, he mau wahi, i hiki ai i kēia mea i ke haalele prematurely. No ka laʻana, ka mea, e ke hana, ina he mea rupture o membranes, ua iho mailoko o fetal bladder ole mai, e hana i ka pilikia e hānau ai.

Obstetric pessary: hōʻike manaʻo

I keia la, i ka mea hoʻonoho o ia mau mea - Ua hala loa, he pono ole. Nolaila, me ka pili ana i kā lākou laulā a me ka pili me ka hoʻohana 'ana o kekahi pessary na pilikia, oe ke lohe i ka puu o ka manaʻo. I kekahi, na wahine ohumu o ka discomfort i ka mea e ala mai ia oe i ke e huakaʻi loa i loko o ke kaʻa 'ole pono ka manawa loa i loko o ka noho kūlana. Eia hou kekahi, mea hōʻemi ua pū akula nō hoʻi haukaʻe i Ka Ikepili, i ke kumu o ka a protrudes pessary. Reviews i hōʻike i kona mea hoʻonoho a me ka wehe 'ana i ke kaʻina hana paha e haawi ana i na wahine mea nō palpable eha. Akā, i ka loa kaʻawaʻawa loa, e like me ka hapai wahine, i ka mea he mea ia he aiiay obstetric pa alima - kaʻoi mahuahua ma ka helu o ke koho ana ma 3-4 pule ma hope o hookomo ana o ka pessary, a ua pili i ka makemake, e hoomaemae aku i ke kino o ka haole kino. Kekahi nā mea maʻi i olelo aku i ka mea hiki e nei, ua nui ia aia no he hoʻohuoiʻia ma luna o ka rupture o membranes a me ka i, e mau komo nā pale poʻohiwi.

Ano oe i mea obstetric pessary, hōʻike manaʻo e pili ana i au i i lohe ai, mai hoa a me nā hoalauna. Ma kekahi hihia, ua hiki me ka wiwo ole e olelo aku nei ia ma ka manawa i hihia ma i ke kumu o ka mea ola pilikia i ka hoʻohana 'ana o ka' inikua mea i oleloia i - kekahi ma mua o ka hānau 'ole ma hope. Eia naʻe, kauka e ao ia ai ina he pessary o kekahi manawa (naʻe kākaʻikahi) nō miscarriage ke kānāwai. I ka Ia manawa, 'ikepili helu hōʻike ia ma hope ma cervical incompetence i loko o ke kakahiaka nui kahua o ka hoʻonaʻauao i hoʻouka kekahi mau manaʻo, i ka helu o ka maikaʻi nā haumāna o ka hāpai keiki nui me ka nui loa.