Raws li txoj cai, thawj thawj zaug lo lus "pessary" yog hnov los ntawm ib tug poj niam thaum cev xeeb tub ntawm tus kws kho mob lub sijhawm. Pessary yog tsim los pab txhawb lub ncauj tsev menyuam, zais zis thiab qhov quav, nrog rau kev txo qis ntau lub siab ntawm lub nruab nrog cev. Nws lub ntsiab kev ua haujlwm yog los tiv thaiv qog nqaij hlav hauv tsev menyuam tsis muaj zog hauv cov poj niam cev xeeb tub thiab txo qhov kev pheej hmoo ntawm kev yug ntxov. Nyob rau hauv cov ntaub ntawv ntawm ntau yam kev pabcuam, tus pessary kuj txhawb nqa kev tiv thaiv ntawm cev xeeb tub thiab kev tshem tawm ntawm txoj kev loj hlob ntawm pathologies ntawm kev ua haujlwm.
Tus pessary leej niam zoo li cas?
Kev tshem tawm kev khaus ntawm ob sab pessary yog ib qho khoom ua si hauv daim nplaub tshev loj ncig los ntawm cov hlua sib txuas ntawm me me. Nyob rau hauv txhua txhua hnub lub neej, kws kho mob siv tsuas yog lo lus "nplhaib".
Ua los ntawm cov khoom noj khoom haus zoo nkauj, pessaries tsis ua kev puas tsuaj rau cov nqaij mos thiab kev fab tshuaj.
Qhov obstetric pessary teeb thaum lub tsev me nyuam nqis li cas?
Kev qhia txog cov pessaries yog ib txoj kev mob tsis yog vim nws qhov sib npaug. Txawm li cas los, tus txheej txheem no yog tsis kaj siab rau ib tug poj niam txawm yooj yim ntawm kev siv cov pessaries.
Ua ntej qhov txheej txheem rau kev qhia txog pessary, nws tseem ceeb heev kom kho cov kab mob uas muaj kab mob hauv kev ua me nyuam yaus kom tsis txhob muaj teeb meem hauv kev siv.
Cov txheej txheem rau nkag mus hauv pessary yog yoo txaus:
- Tus gynecologist ua tau lub suab seev kho nrog glycerol los sis roj pleev tshuaj.
- Manually inserts lub nplhaib hauv qhov chaw mos ntawm ib tug poj niam thiab kho nws ntawm lub ncauj tsev menyuam.
Nws yuav tsum tau sau tseg tias pessaries sib txawv hauv lawv qhov loj me, uas tso cai rau koj xaiv feem ntau ntawm tus qauv ntawm lub nplhaib hauv txhua lub rooj sib tham tshwj xeeb. Muaj peb qhov ntau thiab tsawg ntawm pessaries:
- thawj: qhov ntawm lub ncauj tsev menyuam yog 25-30 hli, qhov loj ntawm sab qaum peb ntawm qhov chaw mos yog 55-65 mm, nyob rau hauv keeb kwm ntawm ib tug poj niam tsawg tshaj ob genera;
- ob: qhov ntawm lub ncauj tsev menyuam yog 25-30 hli, qhov loj ntawm peb sab ntawm lub paum yog 66-75 hli, nyob rau hauv lub dhau los tsis muaj ntau tshaj ob genera;
- Qhov thib peb: lub cev ntawm lub ncauj tsev menyuam yog 30-37 hli, qhov loj ntawm sab qaum peb ntawm lub paum yog 76-85 hli, tag nrho cov poj niam yog 2 los yog ntau tshaj.
Nrog ib tus zoo pessary, tus poj niam yuav zoo siab nyob thoob plaws tag nrho nws lub sijhawm.
Nrog rau ntau lub suab ntawm lub tsev menyuam, nws raug pom zoo tias cov poj niam siv antispasmodics ua ntej ua qhov kev txhaj tshuaj tiv thaiv kab mob pessary.
Nws yuav tsum raug sau tseg tias kev siv pessary tsis yog ib txwm ua tau. Yog hais tias ib tug poj niam tau xaj, nrog cov pessaries, lawv muaj peev xwm nce, vim li ntawd nws siv tsis tsim nyog vim qhov kev nyab xeeb ntawm kev noj qab haus huv ntawm cev xeeb tub ntev.
Yuav ua li cas tu xyuas cov pessaries?
Kev tu tshwj xeeb rau cov pessaries tsis tas yuav tsum tau ua. Tab sis txhua ob lub lim tiam tus poj niam cev xeeb tub yuav tsum tau kuaj ntxiv rau cov kab npaws. Qhov poj niam pw ua ke nrog pessaries yog contraindicated.
Obstetric pessary tshem tawm
Txhua tus poj niam zov yog hais tias nws mob siab heev rau kev noj qab haus huv. Nyob ntawm seb tus poj niam pib mob li cas, qee zaum, qhov kev hnov mob heev yuav tshwm sim rau lub sij hawm luv luv tom qab rho tawm ntawm tus pessary.
Kab tias thaum ntxov extraction ntawm pessaries nyob rau hauv cov ntaub ntawv ntawm effusion nyob rau hauv tus poj niam ntawm amniotic kua thiab pib ntawm zog, nrog
Tom qab tshem tawm ntawm obstetric nplhaib ua ntej qhov pib ntawm kev mob yuav siv sij hawm li ob peb lub lis piam. Yog li, feem ntau tus pessary tshem tawm thaum lub sij hawm ntawm 38 lub lim piam ntawm cev xeeb tub.
Qee lub sij hawm ib tug poj niam muaj peev xwm xav tias tus pessary tau hloov lawm. Nyob rau hauv rooj plaub no, nws pom txog cov tsos mob ntawm tus kab mob whitish tawm ntawm lub paum (cov pob liab liab).
Obstetrical pessary yog siv, nws rov qab siv yog tsis tsim nyog.
Txog hnub tim, nws yog tus pessary yog ib qho zoo tshaj plaws ntawm kev tiv thaiv kev yug ntxov, tsis muaj kev phais mob.