Lembani Mimba

Chomwe chimatchedwa mphete (pessary) pa nthawi ya mimba chimagwiritsidwa ntchito kuthetsa kuphwanya koteroko monga kusachiritsika kwa chiberekero (ICS). M'chikhalidwe chomwechi, chifuwa chachikulu chomwe chili ndi chiberekero sichitha kupirira mtolo wolemetsa pa iwo, ndipo chikhoza kutsegulidwa msanga, chomwe chimadzaza ndi kubadwa msanga kapena kusamangika.

Kodi pessary ndi chiyani?

Njira imeneyi, yomwe chiberekero chagona pa nthawi ya mimba, mphete, imatanthawuza ovomerezeka. Amagwiritsidwa ntchito panthawi yomwe amayi akulimbikitsidwa kuchepetsa kuchita masewera olimbitsa thupi, kutsata boma, mankhwala ndi mankhwala, sanabweretse zotsatira.

Mwini wokha, mphete yamtunduwu kwa amayi apakati ndi yopangidwa mosavuta yomwe imapangidwa ndikuganizira momwe zimachitikira ziwalo za m'mimba za akazi. Ntchito yake yaikulu ndi kubwezeretsanso kupsyinjika kwa khosi, zomwe zimathandizira kukhazikitsa kukhulupirika kwa pulasitiki ndi kuchepetsa kuthekera kwa matenda.

Imodzi mwa ubwino wa mtundu uwu wa chithandizo cha ischemic-chiberekero chosavomerezeka ndi chakuti ingagwiritsidwe ntchito patatha masabata 25 a kugonana, pamene seams sakugwiritsanso ntchito pa khosi.

Kodi ndi nthawi ziti pamene pessary yaikidwa?

Zisonyezo zowonjezera pachibelekero cha mphete pa nthawi ya mimba, zomwe ndi zofunika kuti mwana asungidwe, ndi:

• kukhazikitsidwa kwa NSI;
• kupewa kupezeka kwa amayi omwe ali ndi kuperewera kwapadera;
• Mimba mwa amayi okhudzana ndi zaka zomwe zimakhala ndi vuto la ovari;
• kuchepetsa ndi kutsegula khosi la uterine;
• kukhalapo kwa kufooka ndi zipsera pamimba;
• multiple pregnancy.

Ndiyeneranso kuzindikira kuti pali milandu pamene kugwiritsa ntchito pessary sikuvomerezeka. Zina mwa izo ndi:

• Kutaya mwazi kuchokera kumtundu wa chiwerewere mu 2-3 trimesters;
• zotupa za ubini ndi uterine khosi.