Hauv cov tshuaj, obstetric pessaries yog siv los tswj lub tsev menyuam thiab zais zis nyob rau hauv lub cev ib txwm muaj thaum cev xeeb tub. Cov khoom no nyob rau hauv lawv cov tsos zoo li zoo tib yam rings txuas rau ib leeg. Pessaries yog ua los ntawm cov khoom siv roj ntsha ntshiab elastic. Cov npoo ntawm cov khoom yog smoothed, yog li nws tsis raug mob hauv cov ntaub so ntswg.
Purpose
Golgi rings (lub npe thib ob rau pessaries) maj mam muab tso rau hauv qhov chaw mos thiab tuav lub ncauj tsev menyuam, tiv thaiv kom tsis txhob qhib. Lawv lub luag haujlwm tseem ceeb yog rov faib cov khoom thauj. Qhov no txo qis qhov siab ntawm tus menyuam hauv plab ntawm caj dab.
Kev piav qhia
Obstetricical pessaries tuaj nyob rau hauv ntau qhov ntau thiab tsawg. Tus kws kho mob muaj peev xwm xaiv cov khoom tsim nyog raws li cov qauv ntawm tus poj niam tsuas yog tom qab kev soj ntsuam ntxaws ntawm tus neeg mob. Lub sijhawm zoo tshaj plaws rau kev qhia cov nplhaib yog 13th-25th lub lim tiam ntawm cev xeeb tub. Hauv kev xyaum kho mob, obstetric pessary "Juno" feem ntau yog siv. Lub teb chaws ntawm keeb kwm yog Belarus. Cov khoom muaj cov duab ntawm ib tug trapezoidnrog loj thiab me hauv paus. Nws yog tsim los ntawm biologically inert polyethylene. Cov ces kaum ntawm lub trapezoid yog sib npaug, thiab muaj cov txuas txuas ntawm lub qhov uas ua rau kom cov rigidity ntawm cov qauv. Obstetric pessary "Arabin" (Lub Tebchaws Yelemees) yog ua los ntawm cov khoom siv kho mob zoo silicone. Cov khoom ntawm lub tuam txhab no yog qhov txawv los ntawm ntau hom qauv thiab ntau thiab tsawg.
khoom taw qhia
Tom qab lub pessary tau teeb tsa los ntawm gynecologist, tus poj niam yuav tsum tsis txhob muaj qhov mob. Nws yuav tsum raug sau tseg tias cov txheej txheem rau kev qhia txog Golgi rings yuav tsum tau npaj. Nws yog ib qho tsim nyog kom dhau qhov kev ntsuam xyuas tsim nyog, kho cov kab mob. Rau German pessaries, lub ntsiab contraindication yog muaj kev puas tsuaj rau hauv pem teb pelvic. Nws yuav tsum nco ntsoov tias lub nplhaib yuav tsum tsuas yog muab tso rau thaum lub zais zis khoob.
Kev qhia
Feem ntau, obstetric pessaries yog siv los kho isthmic-cervical insufficiency. Qhov mob no tshwm sim los ntawm qhov tsis muaj zog ntawm lub ncauj tsev menyuam, uas ua rau nws qhib ntxov ntxov, thiab tom qab ntawd mus rau kev ua haujlwm ntxov. Lawv kuj raug sau rau cov neeg mob rau kev tiv thaiv kev ua tsis tiav tom qab phais kho ICI. Golgi rings kuj tau qhia rau cov poj niam uas muaj keeb kwm ntawm kev yug ntxov ntxov, kev nchuav menyuam lig, kev ua haujlwm ntawm zes qe menyuam, kev hloov pauv ntawm lub ncauj tsev menyuam, suav nrog cicatricial deformity. Qhov taw qhia kuj tseem muaj ntau lub cev xeeb tub. Yog ib tug poj niam ua haujlwm hnyav, nws kujnruab gynecological rings. German pessaries feem ntau yog siv los tshem tawm cov teeb meem ntsig txog hnub nyoog uas cuam tshuam nrog kev prolapse ntawm qee yam kabmob ntawm lub cev xeeb tub lossis kev tsis tuaj yeem. khob thiab retrals feem ntau yog siv los txhawb lub urethra.
YContraindications
Nws yog txwv tsis pub rau nruab obstetric pessaries yog hais tias tus poj niam tau pom nyob rau hauv lub thib ob thiab 3rd trimester ntawm cev xeeb tub. Nws muaj peev xwm tshem tawm cov khoom ua ntej ntawm lub sijhawm yog tias tsim nyog kom xa sai sai, yog tias cov dej ntws tawm, nrog rau cov kab mob chorioamnionitis tshwm sim.
