Obstetric pessaries: kev piav qhia thiab indications rau

Nyob rau hauv cov tshuaj, obstetric pessaries yog siv kom muaj lub cev lub xeev ntawm lub tsev menyuam thiab lub zais zis thaum lub sij hawm cev xeeb tub. Cov khoom ntawm interconnected lawv cov tsos reminiscent ntawm lub niaj zaus lub nplhaib. Pessaries no yog ua los ntawm ib tug biologically ntshiab elastic khoom. Ntug khoom uas smoothed, li ntawd nws tsis raug mob lub internal ntaub so ntswg.

destiny

Rings Golgi (lub thib ob lub npe pessaries) maj mam muab tso rau hauv qhov chaw mos thiab lub ncauj tsev menyuam yog muaj tsis cia nws nthuav. Lawv lub ntsiab muaj nuj nqi yog redistribute lub load. Qhov no muaj nuj nqis thiaj li muaj qhov siab ntawm cov me nyuam hauv plab nyob rau ncauj tsev menyuam.

piav qhia

Obstetric pessaries yuav ua tau ib tug ntau yam ntawm ntau thiab tsawg pab. Yuav kom xaiv qhov yog khoom raws li anatomical nta ntawm ib tug poj niam uas muaj peev xwm ntawm tus kws kho mob tsuas yog tom qab ib tug ncauj lus kom ntxaws kev soj ntsuam ntawm tus neeg mob. Cov pom cov sij hawm poob rau cov kev taw qhia ntawm cov rings yog xam tau tias yog 13-25 th lub lim tiam ntawm cev xeeb tub. siv lub "Juno" obstetric pessary yog feem ntau nyob rau hauv kev kho mob xyaum. Lub teb chaws ntawm hauv paus chiv keeb - Belarus. Cov khoom muaj tus duab ntawm ib tug trapezium nrog cov loj thiab me me bases. Nws yog ua los ntawm ib tug biologically inert polyethylene. Lub ces kaum ntawm lub Trapezoid yog npawv, thiab lub qhov yog choj uas ua rau kom rigidity. Obstetric pessary "arabino" (lub teb chaws Yelemees), ua los ntawm cov siab zoo kev kho mob qib silicone. Cov khoom ntawm lub tuam txhab nta ib tug loj ntau ntawm cov qauv thiab ntau thiab tsawg.

khoom Introduction

Tom qab lub pessary yuav tsum ntsia gynecologist, ib tug poj niam yuav tsum tsis txhob muaj muaj mob. Nws yuav tsum tau muab sau tseg tias txoj kev qhia cov Golgi rings yuav tsum tau npaj kom txhij. Koj yuav tsum xeem qhov kev tsim nyog kev ntsuam xyuas, los kho tau tus kab mob. Rau German pessaries loj contraindication yog lub xub ntiag ntawm kev puas tsuaj rau lub pelvic pem teb. Nws yuav tsum tau nco ntsoov tias lub nplhaib yuav tsum tau muab tsuas yog thaum lub muab nchuav ntawm lub zais zis.

zaj lus tim khawv

Feem ntau cov feem ntau obstetric pessary siv rau cov kev kho mob ntawm ncauj tsev menyuam incompetence. Qhov no mob yog tshwm sim los ntawm cov tsis muaj zog ntawm lub ncauj tsev menyuam, uas ua rau yus nws ntxov ntxov qhib, thiab ces mus rau tawm thaum ntxov. Lawv kuj muab rau cov neeg mob rau kev tiv thaiv ntawm weld tsis ua hauj lwm tom qab phais kho ntawm CIN. Golgi rings kuj qhia rau cov poj niam nrog ib tug keeb kwm ntawm ntxov ntxov yug, nchuav menyuam nyob rau hauv lig cev xeeb tub, ib tug ua txhaum ntawm zes qe menyuam muaj nuj nqi, hnyav lub tsev me nyuam cov kev hloov, nrog rau cov caws pliav deformity. Qhov no kuj yog ib tug ntau yam uas cev xeeb tub. Yog hais tias ib tug poj niam yog koom nyob rau hauv hnyav zog, nws kuj muab gynecological nplhaib. German pessaries feem ntau siv los mus tshem tawm muaj hnub nyoog txog teeb meem nrog cov omission ntawm tej yam kabmob ntawm lub tsev me nyuam system los yog urinary incontinence. Retral lauj kaub thiab, raws li ib tug txoj cai, yog siv los pab txhawb lub qhov zis.

Contraindications

Nws yog nruj me ntsis txwv tsis pub tsim obstetric pessaries, yog hais tias tus 2 thiab 3 peb lub hlis uas cev xeeb tub, cov poj niam cai spotting. Prematurely tshem tawm cov khoom ua tau, yog tias tsim nyog, ceev ceev tus me nyuam, nrog rau cov outpouring ntawm dej, raws li zoo raws li cov kev loj hlob ntawm chorioamnionitis.