Xav txog cov lus qhia siv uterine rings rau prolapse ntawm lub tsev menyuam. Qhov no pathology nyob rau hauv kev kho mob science yog xam raws li ib tug hernial protrusion, uas yog tsim thaum lub pelvic pem teb raug cuam tshuam raws li ib tug kaw apparatus. Raws li cov txiaj ntsig ntawm kev tshawb fawb tau ua nyob rau hauv lub teb ntawm gynecology, uterine prolapse account rau kwv yees li 30% ntawm tag nrho cov gynecological pathologies. Qhov teeb meem no tseem hu ua uterine prolapse. Nws tsis tshua muaj tshwm sim hauv kev sib cais: qhov sib thooj ntawm lub cev thiab kev ncaj ncees ntawm cov cuab yeej txhawb nqa ntawm lub plab hnyuv siab raum, tom qab ntawm qhov chaw mos, ua rau lub zais zis thiab qhov quav.
Kuj tseem muaj qhov tsis tiav (ib feem) ntawm lub tsev menyuam, uas yog qhov txawv txav ntawm lub ncauj tsev menyuam nkaus xwb, thiab ua tiav prolapse, thaum lub tsev menyuam nyob sab nraud ntawm qhov chaw mos. Nrog rau qhov no pathology, elongation (lengthening) ntawm lub caj dab tsim. Feem ntau, tus kab mob yog preceded los ntawm omission ntawm lub cev - ib co displacementstxheeb ze rau ib txwm anatomical theem nyob rau hauv lub pelvic kab noj hniav. Kev tshuaj xyuas ntawm uterine nplhaib rau uterine prolapse yuav raug nthuav tawm nyob rau hauv qhov kawg ntawm tsab xov xwm.
Ua rau uterine prolapse
Lub luag haujlwm tseem ceeb hauv kev txhim kho cov kab mob no yog ua rau cov leeg tsis muaj zog thiab ligaments ntawm diaphragm, anterior plab phab ntsa, pelvic pem teb, uas poob lub peev xwm tuav lub plab hauv plab hauv ib qho chaw anatomical. Nyob rau hauv cov xwm txheej ntawm lub siab intra-abdominal siab, ligaments tsis tuaj yeem muab qhov tsim nyog tiv thaiv, uas maj mam ua rau qis qis ntawm qhov chaw mos ntawm qhov chaw mos.
Kev qaug zog ntawm cov leeg nqaij thiab ligamentous apparatus tsim los ntawm kev raug mob thaum yug, ntau lub cev xeeb tub, perineal ruptures, ntau yam kev yug me nyuam, kev cuam tshuam radical ntawm lub plab hauv plab, yug me nyuam loj. Uterine prolapse kuj tseem ua ntej los ntawm qhov muaj hnub nyoog txog kev txo qis hauv cov tshuaj estrogen, ib qho tsis muaj zog ntawm nws tus kheej lub suab nrov.
Ib qho kev tshaj tawm ntawm cov leeg pob txha loj hlob nrog qhov hnyav dhau, nyob rau hauv cov xwm txheej uas muaj kev nce siab hauv lub peritoneum (hnoos, mob ntsws ntev, ascites, cem quav, mob plab, thiab lwm yam). Qhov ua rau uterine prolapse kuj yog lub cev ua haujlwm nyuaj. Feem ntau, cov kab mob tshwm sim thaum muaj hnub nyoog laus, tab sis nws tuaj yeem txhim kho txawm nyob rau hauv cov poj niam hluas.
Kev piav qhia
Lub nplhaib ntawm lub tsev menyuam silicone tuaj yeem yog roj hmab. Nws muab tso rau hauv qhov chaw mos los txhawb lub plab hauv plab - uterus, qhov quav, zais zis. Ntxiv mus, xws li cov khoom sivyog siv los tiv thaiv kev loj hlob ntawm cov txheej txheem pathological, normalize tus neeg mob txoj kev noj qab haus huv, txo qhov tsis xis nyob. Nyob rau hauv niaj hnub gynecology, cov txheej txheem no kuj yog siv rau prolapse ntawm lub tsev menyuam, nws hloov mus rau qhov chaw mos, thiab rau prolapse. Lub nplhaib uterine rau uterine prolapse, raws li kev tshuaj xyuas, yog ib txoj hauv kev zoo los tiv thaiv cov teeb meem inflammatory.
Cov lus qhia rau kev siv
Nplais nplhaib rau lub tsev menyuam raug pom zoo rau cov kev qhia hauv qab no thiab cov kab mob ntawm cov poj niam qhov chaw mos:
- YProlapsed uterus.
- Kev txav ntawm lub tsev menyuam tawm ntawm qhov chaw mos.
- Prolapse ntawm lub tsev menyuam, uas yog ib qho zoo rau cov poj niam hnub nyoog 45-50.
- Kev kho poj niam qhov chaw mos ua ntej kev phais.
- Kev muaj contraindications rau kev ua haujlwm ntawm qhov chaw mos.
- Kev xav kom muaj menyuam, suav nrog ntau lub cev xeeb tub.
- Kev kuaj mob urinary incontinence, uas tshwm sim nyob rau hauv daim ntawv ntev.
- Kev tiv thaiv kev ua haujlwm ntxov ntxov.
- Kev tso zis ntawm cov zis, uas yog nrog los ntawm kev tso zis.
- Kev sib sau ua ke ntawm cov txiaj ntsig kho tau txais thaum lub sijhawm phais.
- Ntshai ntawm lub tsev menyuam uas tso zis tsis muaj zog.
Lub nplhaib uterine nyob rau hauv cov ntaub ntawv ntawm uterine prolapse pab tiv nrog cov pathology txawm nyob rau theem siab tshaj plaws ntawm tus kab mob. Uterine pessaries pab cov neeg mob tsis nco qab txogmob thiab tsis xis nyob, ua rau lub neej ua tiav.
Thaum cev xeeb tub, kev tsim lub nplhaib ntawm lub tsev menyuam yuav tsum tau qhia yog tias muaj cov kev kuaj mob zoo li no:
- Kev ua txhaum ntawm cov ntsuas kev ua haujlwm ntawm zes qe menyuam, uas tshwm sim hauv cov ntaub ntawv hnyav.
- Isthmic-cervical insufficiency, uas txhawb nqa lub ncauj tsev menyuam mos thiab qhib ntxov ntxov.
- Keeb kwm ntawm kev nchuav menyuam, yug ntxov ntxov, rho menyuam.
Raws li prophylactic, uterine pessary tau pom zoo kom siv tom qab kev phais, nrog kev tawm dag zog lub cev ntau dhau.
Tseem ntawm uterine pessaries
Gynecological pessary yog ib qho khoom siv, kev taw qhia uas tso cai rau koj kom lub tsev menyuam nyob hauv txoj haujlwm raug. Rau kev tsim cov nplhaib, cov khoom siv xws li silicone thiab latex yog siv. Lawv yog cov hypoallergenic thiab muaj kev nyab xeeb thiab kev ntsuam xyuas zoo.
Nyob rau hauv khw muag tshuaj niaj hnub no muaj ntau hom gynecological uterine rings. Txhua tus ntawm lawv muaj nws tus yam ntxwv thiab siv nyob rau hauv ntau qhov chaw kho mob:
- urethral rings muaj ib puag ncig zoo thiab tuab rau sab nraud. Xws li pessaries pab txhawb rau kev kho ntawm lub tsev menyuam thiab cov urethra.
- Mushroom - zoo ib yam li lub nplhaib uas muaj ceg. Cov khoom siv no tsuas yog siv rau hauv cov xwm txheej hnyav, thaum lwm yam khoom siv tsis muaj qhov tsim nyog kho. Lub sij hawm siab tshajhnav lub nplhaib no tsis pub dhau ib hnub.
- Cubic rings zoo li lub voos xwmfab, cov phab ntsa uas yog concave sab hauv. Cov ntau yam no tau nruab nrog qhov tshwj xeeb uas tso cai rau koj tshem tawm cov zais zais ntawm qhov chaw mos, thiab siv rau hauv cov neeg mob uas tsis saib xyuas thiab mob hnyav. Tsis tas li ntawd, lub nplhaib uterine cubic muaj lub sijhawm txwv.
- Khob pessaries yog uterine rings uas muaj lub khob zoo li tus yam ntxwv nrog lub qhov nyob hauv nruab nrab. Lawv raug qhia rau kev siv nyob rau hauv cov ntaub ntawv ntawm prolapsed uterus nyob rau hauv thawj zaug los yog nruab nrab theem.
- Lub Hodge Nplhaib yog ib yam khoom siv rau kev siv los ntawm cov neeg mob uas muaj qee qhov anatomical nta, vim tias kev siv lwm lub nplhaib ua rau muaj kev tsis xis nyob. Xws li pessary yog tus cwj pwm los ntawm qhov tsis sib xws, nce elasticity, yoog raws thiab muaj peev xwm lees txais ntau yam kev teeb tsa.
- Urethral khob - rings uas sib txuas cov khoom ntawm urethral thiab khob gynecological pessaries. Lawv hnav yog pom zoo rau me me thiab nruab nrab theem ntawm uterine prolapse nrog concomitant urinary incontinence.
Dhau li ntawm qhov no, lub uterine rings yog tuab thiab nyias. Qhov kev xaiv zoo tshaj plaws yog xaiv los ntawm tus kws kho mob, nyob ntawm seb tus yam ntxwv ntawm qhov chaw kho mob tshwj xeeb.
Uterine nplhaib qhov ntau thiab tsawg
Qhov loj ntawm pessary yog qhov tseem ceeb. Ntxiv mus, nws yuav luag tsis tuaj yeem txiav txim siab qhov tsim nyog ntawm koj tus kheej. Qhov tsim nyog uterine nplhaib loj thiab cov duab yuav tsum nthuav tawmtshwj xeeb yog los ntawm tus kws kho mob uas tuaj koom tom qab cov txheej txheem kuaj mob ua ntej. Qhov loj ntawm lub nplhaib ntawm lub pob sib raug rau nws txoj kab uas hla (los ntawm 55 mus rau 95 hli).
Thaum prolapse lossis me ntsis prolapse ntawm lub tsev menyuam ntawm thawj lossis thib ob, kev siv lub nplhaib txhawb nqa rau lub tsev menyuam. Cov poj niam cev xeeb tub raug sau tseg rau kev siv tshwj xeeb obstetric rings. Nyob rau hauv rooj plaub uas muaj teeb meem nrog tso zis, uterine rings raug pom zoo, uas yog nruab nrog ib tug tshwj xeeb levator. Yog tias cov txheej txheem pathological mus txog theem peb lossis theem plaub, lub khob zoo li gynecological pessary dhau los ua qhov kev xaiv zoo tshaj plaws.
Lub nplhaib gynecological tau teeb tsa li cas?
Xav txog cov neeg siv phau ntawv. Uterine rings nrog prolapse ntawm lub tsev menyuam yuav tsum tau kawm kom nkag mus rau ntawm nws tus kheej, vim tias cov cuab yeej no siv hauv tsev. Thaum pib, cov txheej txheem no yog ua raws li kev saib xyuas ntawm tus kws kho mob tshwj xeeb. Qee hom tau muab tso rau hauv qhov chaw mos los ntawm gynecologist ib zaug thiab tsis tas yuav muab rho tawm thiab rov tso dua.
Yog li, yuav ua li cas ntxig lub nplhaib uterine rau uterine prolapse?
Cov txheej txheem tau ua nyob rau ntau theem:
- Ceev faj tu lub uterine nplhaib nrog xab npum, ntxuav nrog dej thiab tshuaj tua kab mob.
- Ua cov pessary nrog cov roj nplua nyeem tshwj xeeb hauv qhov chaw mos los yog qab zib kom xis nyob thiab txhim kho yooj yim, tiv thaiv kev raug mob rau cov mucous membranes thiab tawv nqaij.
- Tom ntej no, tus pessary yog clamped ntawm koj txhais tes, muab tso rau hauvQhov chaw mos, tom qab uas lub cuab yeej ncaj nraim kom nws nyob rau hauv kev sib cuag nrog lub ncauj tsev menyuam thiab tsis txhob siv zog ntau rau nws. Kev teeb tsa lub nplhaib uterine tsis nyuaj.
Lub sijhawm ntawm kev siv cov cuab yeej gynecological nyob ntawm nws ntau yam, tus neeg mob lub pathologies thiab tus yam ntxwv ntawm tus kheej, suav nrog cov tshuaj anatomical. Feem ntau cov gynecological rings (xws li cubic thiab nceb-zoo li tus) raug tso cai siv rau lub sij hawm ntev heev - txog 1.5 lub hlis. Tom qab li ntawm 1.5-2 lub lis piam, tus neeg mob yuav tsum tuaj ntsib kws kho mob rau kev soj ntsuam xyuas.
Teem sijhawm mus ntsib kws kho mob gynecologist yuav tsum tshwm sim ib hlis tom qab siv pessary, tom qab ntawd - tom qab 3 lub hlis.
Yuav ua li cas ntxig lub nplhaib uterine rau uterine prolapse yog ib lo lus nug ntau vim tias cov khoom siv sib txawv siv ntau txoj hauv kev. Qee hom pessaries yog tsim rau kev hnav mus tas li, uas yuav tsum tau saib xyuas tsis tu ncua los ntawm tus kws kho mob gynecologist. Qee cov qauv siv tshwj xeeb rau kev tawm dag zog lub cev, tab sis feem ntau ntawm cov uterine rings koom nrog niaj hnub hnav. Hauv qhov no, tus pessary yuav tsum tau rub tawm txhua hnub, kho nrog tshuaj tua kab mob thiab rov ua kom rov qab mus rau hauv lub ncauj tsev menyuam.
Contraindications rau kev siv
Kev siv lub nplhaib uterine rau uterine prolapse muaj qee qhov contraindications thiab txwv. Ntawm lawv yog kws kho mobgynecologists paub qhov txawv hauv qab no:
- tus neeg intolerance thiab siab rhiab heev rau cov ntaub ntawv los ntawm lub uterine nplhaib yog ua;
- nce siab los tsim kev ua xua;
- kis kab mob lossis kab mob ntawm qhov chaw mos, uas tshwm sim hauv daim ntawv mob hnyav;
- colpitis;
- yaig lossis kab mob ntawm lub ncauj tsev menyuam;
- kev ua txhaum hauv cov qauv thiab kev loj hlob ntawm poj niam cov plab hnyuv siab raum;
- qog neoplasms (malignant lossis benign) uas nyob hauv thaj chaw pelvic;
- uterine los ntshav;
- noj tshuaj rho menyuam;
- ntau yam kab mob fetal thaum cev xeeb tub yuav tsum rho tawm;
- thaum cev xeeb tub - rupture ntawm amniotic sac.
Gynecological pessaries kuj tsis haum rau cov poj niam uas qhov chaw mos qhov qhib qis dua 50 hli inch.
Cov contraindications saum toj no rau kev siv lub nplhaib uterine yog suav tias yog txheeb ze. Nyob rau hauv cov ntaub ntawv ntawm inflammatory thiab kis pathologies ntawm gynecological sphere, ua ntej kev teeb tsa, tus neeg mob tau pib sau cov kev kho mob, thiab tsuas yog tom qab lub sijhawm mob hnyav ntawm tus kab mob tau raug tso tseg, lub gynecological pessary raug teeb tsa.
Ntxiv rau, cov pessaries tas mus li, uas yog tsim los hnav txhua lub sijhawm, tsis pom zoo rau cov neeg mob uas ua rau lub neej nquag, tsis tu ncua kev sib deev lossis tuaj yeem tsis tuaj yeem mus ntsib kws kho mob gynecologist.kev tshuaj xyuas tas li. Qhov no lees paub cov lus qhia rau lub nplhaib uterine.
Qhov tsis zoo thiab qhov zoo
Gynecological cov cuab yeej hauv daim ntawv ntawm uterine pessaries yog yam ntxwv los ntawm qhov zoo hauv qab no:
- Muaj peev xwm tsim nyog kho cov urethra thiab uterus nyob rau hauv rooj plaub uas kev phais yog contraindicated.
- Kev yooj yim thiab ua haujlwm yooj yim nrog qhov loj thiab zoo ntawm cov khoom siv gynecological.
- Tus nqi ua haujlwm siab ntawm ntau theem ntawm cov txheej txheem pathological.
- Tsis muaj kev raug mob ntawm qhov chaw mos.
- Daim ntawv teev npe tsawg kawg ntawm contraindications thiab ua rau muaj kev phiv tshwm sim.
Txoj kev kho no rau uterine prolapse thiab lwm yam pathologies kuj muaj qee qhov tsis zoo, ntawm cov hauv qab no suav tias yog cov tseem ceeb:
- Teeb meem hauv lub neej kev sib deev.
- Muaj peev xwm txhim kho cov txheej txheem inflammatory.
- Tsis daws qhov teeb meem kiag li, vim tias thaum lub nplhaib uterine tshem tawm, lub plab hauv plab rov qab mus rau qhov tsis ncaj ncees lawm.
- Yuav tsum tau saib xyuas thiab kho nrog tshuaj tua kab mob, nrog rau kev huv ntawm qhov chaw mos.
- Muaj peev xwm nce qhov chaw mos thiab los ntshav ntawm uterine.
Qee tus poj niam, raws li kev tshuaj xyuas, los ntawm lub nplhaib uterine thaum lub sij hawm uterine prolapse muaj kev puas siab puas ntsws tsis xis nyob vim muaj lub cev txawv teb chaws hauv qhov chaw mos.
Yuav rho tawm li cas?
Yuav ua li cas tsouterine nplhaib, gynecologist yuav qhia rau tus neeg mob. Nws tseem yuav piav qhia yuav ua li cas tshem tawm qhov system koj tus kheej thiab nruab nws dua yav tom ntej. Feem ntau ntawm cov khoom siv no yooj yim rau nruab, yog li feem ntau tsis muaj teeb meem thaum lub sijhawm txheej txheem no.
Txhawm rau tshem tawm lub nplhaib gynecological, koj yuav tsum tau squat los yog tsa ib ceg. Nrog rau qhov ntsuas, ntiv tes xoo thiab ntiv tes nruab nrab, lub pessary raug ntes thiab maj mam tshem tawm ntawm qhov chaw mos. Qhov no yuav tsum tsis txhob ua rau poj niam tsis xis nyob. Tom qab ntawd, lub pessary raug ntxuav, raws li cov ntaub ntawv ncaj qha nthuav tawm hauv cov lus qhia rau kev siv. Kev taw qhia ntawm lub nplhaib uterine yuav tsum tau ua nyob rau hauv txoj hauj lwm supine. Ua li no, nws yog ib qho tsim nyog yuav tau lubricate lub gynecological ntaus ntawv nrog ib tug tshwj xeeb cream los yog lubricant kom yooj yim zawv zawg thiab tiv thaiv kev raug mob rau qhov chaw mos mucosa. Qhov no lees paub cov lus qhia rau lub nplhaib uterine.
Thaum lub tsev menyuam prolapses, nyob ntawm seb cov qib ntawm pathology, tus kws kho mob tshwj xeeb teem sijhawm lub sijhawm uas yuav tsum tau siv lub cuab yeej. Nws raug nquahu kom ua qhov no thaum lub sijhawm ua haujlwm ntawm lub cev thiab ua kom tsaug zog. Feem ntau, cov neeg mob raug xaiv los hnav gynecological pessary thaum nruab hnub, thiab tshem tawm thaum yav tsaus ntuj. Tus nqi ntawm kev siv cov cuab yeej no kuj tau txiav txim siab ntawm tus kheej.
Tus kws kho mob gynecologist tuaj yeem sau lub nplhaib uterine rau 1-5 lub hlis lossis pom zoo siv nws lub neej. Nws tseem yuav tsum tau nco ntsoov tias txhua yam ntawm pessaries npaj rau siv nyob rau hauv cov ntaub ntawv ntawm prolapseuterus, ua rau kom muaj peev xwm tsim cov txheej txheem inflammatory hauv qhov chaw mos. Yog li ntawd, txhua tus neeg mob raug pom zoo kom ntxuav lub qhov chaw mos ib ntus nrog kev pab ntawm cov tshuaj tshwj xeeb. Rau cov laj thawj zoo li no, Hexicon tswm ciab lossis tshuaj Miramistin feem ntau siv. Nyob rau hauv cov xwm txheej ntawm cov kab mob sib kis thiab kev hloov pauv hauv cov microflora hauv zos, lwm cov tshuaj rau kev kho mob hauv zos kuj raug sau tseg - tshuaj tua kab mob, tshuaj tua kab mob, tshuaj tua kab mob.
Tus nqi
Tus nqi ntawm gynecological pessary nyob ntawm qhov chaw tsim khoom, cov duab thiab cov khoom siv. Cov tuam txhab nrov tshaj plaws niaj hnub no yog "Juno" thiab "Doctor Arabin". Tus nqi ntawm lub tsev menyuam roj hmab los yog silicone nplhaib pib los ntawm 300 rubles thiab mus txog ntau txhiab.
Yog tus neeg mob yuav mus nruab pessary nyob rau hauv ib lub tsev kho mob ntiag tug, ces qhov no kuj yuav yog ib txoj kev them nyiaj - los ntawm 500 rau 3000 rubles.
Nws yog ib qho tsim nyog los xaiv ib qho kev txhawb nqa gynecological uas coj mus rau hauv tus account theem ntawm uterine prolapse, lub hnub nyoog ntawm tus neeg mob, muaj cov kab mob concomitant thiab tus naj npawb ntawm yug hauv keeb kwm. Nyob rau hauv cov ntaub ntawv ntawm uterine prolapse thiab prolapse ntawm lub zais zis nrog urinary incontinence, nyiam yog muab rau nceb-shaped, cubic thiab urethral uterine pessaries. Tus nqi qeb ntawm cov tshuab no feem ntau yog siab dua.
Tshuaj rau ntawm lub uterine rings
Cov poj niam uas siv cov pessary feem ntau muaj kev xav zoo txog nws. Yeej, cov poj niam txaus siab rau qhov tshwm sim ntawm kev siv. Tom qab txhim kho cov tshuab, lawvKev tshem tawm cov tsos mob tsis zoo hauv qab no tau pom:
- mob hauv perineum;
- cov txheej txheem inflammatory tshwm sim cuam tshuam rau lub ncauj tsev menyuam;
- fecal thiab tso zis tsis muaj zog;
- ntshav tawm ntawm qhov chaw mos.
Koj tuaj yeem hnov tias pessary, thaum ntog lossis tshem tawm, ua rau muaj kab mob ntawm qhov chaw mos, uas yog nrog los ntawm kub hnyiab, khaus thiab tawm ntau dhau. Qhov no muaj tseeb, tshwj xeeb tshaj yog nrog kev siv tsis raug thiab tsis muaj kev huv huv ntawm qhov chaw mos. Nyob rau tib lub sijhawm, cov kab ke gynecological no tuaj yeem tsim cov kev mob zoo rau kev tsim cov kab mob pathogenic microorganisms. Hauv qhov no, cov kws tshaj lij pom zoo kom koj hnav cov cuab yeej no ntev dua li lub sijhawm teev tseg thiab ua tib zoo saib xyuas.
Raws li kev tshuaj xyuas, lub nplhaib uterine nyob rau hauv cov ntaub ntawv ntawm uterine prolapse ua rau nws muaj peev xwm ncua kev phais rau qee lub sij hawm. Qhov no yog qhov tshwj xeeb tshaj yog tsim nyog rau cov neeg mob nrog 3rd thiab 4th theem ntawm txoj kev loj hlob ntawm cov txheej txheem pathological. Cov poj niam kuj hais tias lawv tseem hnav lub nplhaib uterine tom qab kev phais. Lub pessary ho unloads cov nqaij ntshiv ntawm cheeb tsam pelvic thiab tiv thaiv rov tshwm sim ntawm prolapse. Txawm li cas los xij, nyob rau hauv cov ntaub ntawv no, nws yog ib qho tsim nyog yuav tau xaiv lwm lub cuab yeej, txij li rau txhua qhov kev hloov pauv ntawm cov khoom nruab nrog cev, qhov loj thiab cov duab raug xaiv ib tus zuj zus. Cov lus qhia rau kev siv lub nplhaib uterine yuav tsum ua raws li nruj me ntsis.
