Vaginal baths: indications and contraindications, technique and features of the method. Setting vaginal baths Who do vaginal baths
Vaginal bath (therapeutic) - 500 rubles.
One of the simple but very effective procedures in gynecology is vaginal bath. Due to the direct delivery of the disinfectant to the cervix, it allows you to achieve a good anti-inflammatory effect.
Vaginal bath: when and why?
The cervix, despite its small size, naturally has a special structure. Two types of epithelium coexist here - single-layer cylindrical and stratified squamous. At the border, where the two types of epithelium connect with each other, and most inflammatory diseases occur. What is good for reducing inflammation? – Washing the inflamed area with disinfectants. This goal and helps to achieve a vaginal bath.
The main medical indications for the procedure:
- cervicitis;
- Endocervicitis;
- Cervical erosion;
- Colpitis.
The bath for these pathologies is used in addition to conservative methods of treatment. If a vaginal bath is done before the introduction of a tampon with medicine, this increases the effectiveness of the administered medicine. It is also used before surgery to prepare the cervix, and after it - for more active rehabilitation.
A vaginal bath is not performed when the cervix is dilated, because in this state infection can be introduced into the uterus. That is, during menstruation, after an abortion and childbirth, this procedure is not prescribed.
How it's done?
The procedure takes place on a gynecological chair.
- A speculum is inserted into the vagina. It opens access to the neck.
- The neck is treated with a sterile cotton ball, the mucus is removed.
- The first dose of the drug is administered. It pours out immediately by tilting the mirror down.
- The second portion of the medicine is poured in. The mirror is closed and left in the vagina for 5-10 minutes.
- After this time, the medicine is drained, and the vagina is dried with a sterile swab.
The patient can go home immediately after the procedure. The regularity of the baths is prescribed by the attending physician.
In the center "Medic" all the main medical procedures in the field of gynecology are performed, including a vaginal bath. Sign up and come to the reception. Qualified health workers with great experience will help you quickly and delicately solve problems with women's health.
| Diagnosis and treatment | Price |
|---|---|
| Doctor's appointment (primary) | 1500 rub. |
| Treatment regimen | 2000 rub. |
| Checking the patency of the fallopian tubes under ultrasound control | 6000 rub. |
| Doppler | 1200 rub. |
Read:
|
Equipment: Cusco mirror, long anatomical tweezers (2 pcs.) or forceps (2 pcs.), a medicine prescribed by a doctor, a container for waste material, sterile balls and a napkin, an oilcloth (diaper), disposable gloves, documentation (prescription sheet).
Preparation for manipulation:
1. Inform the patient about the course and purpose of the manipulation.
4. Warm up the drug prescribed by the doctor to t -37-38 0 C.
Performing manipulation:
1. The patient is on a gynecological chair in a typical position, a sterile diaper (oilcloth) is placed under the buttocks.
2. Insert the Cuzco mirror into the vagina with the lock up, open it and fix it.
3. Pour the first portion of the drug, immediately drain into a container and replace with a new portion, so that the cervix is completely immersed in the solution.
4. After 10-15 minutes, pour out the solution by slightly tilting the Cuzco mirror down.
5. Dry the vagina with sterile balls.
6. Remove the Cuzco speculum from the vagina.
End of manipulation:
1. Inform the patient about the completion of the manipulation.
2. Disinfection of reusable equipment: mirror, lifting forceps according to OST in 3 stages (disinfection, pre-sterilization cleaning, sterilization). Disinfection of used gloves: (O cycle - rinse, I cycle - immerse at 60 /) with subsequent disposal class "B" - yellow bags.
3. Disinfection of used dressings with subsequent disposal in accordance with SanPiN 2.1.7. - 2790-10.
4. Treat the gynecological chair with rags soaked in disinfectant. solution twice with an interval of 15 minutes.
5. Wash hands in the usual way and dry. Treat with moisturizer.
6. Help the patient get up from the chair.
8. VAGINA DOUCING.
Equipment:
Gynecological chair, phantom with uterus, Esmarch mug with rubber tube and tip, long tweezers or forceps (2 pcs.), tripod, medicines prescribed by a doctor, sterile pad or oilcloth, gloves, container for collecting waste material, documentation (prescription sheet ).
Preparation for manipulation:
1. Inform the patient about the course and purpose of the manipulation, obtain consent.
2. Warn about the need to empty the bladder and direct the toilet of the external genital organs.
3. Put on sterile gloves.
4. Fill Esmarch's mug with a medicine prescribed by a doctor in an amount of 1.5-2 liters, preheated to a temperature of 36-37 ° C.
5. Fix Esmarch's mug on a tripod, at a height of 70-100 cm from the level of the woman's pelvis.
Performing manipulation:
1. Place the patient on a gynecological chair in a typical position, put a sterile oilcloth (diaper) under the buttocks.
2. With two fingers of the left hand, separate the large and small labia, and with the right hand gently insert the tip into the vagina to a depth of 5-6 cm.
3. While holding the tip with one hand, open the clamp for fluid intake with the other hand and carefully move the tip closer to the vaginal vaults, while treating all the walls of the vagina.
4. Carefully remove the tip from the vagina in an anterior and downward direction.
5. Give the patient a sterile napkin (lining).
End of manipulation:
1. Treat the used handpiece, instruments, gloves (O-disinfection, disinfection, pre-sterilization cleaning, sterilization).
2. Wash hands with soap under running water, dry.
3. Mark the execution of the manipulation in the list of appointments.
Note:
When performing the manipulation, you can use the Simps spoon-shaped mirror.
LITERATURE.
Date added: 2014-11-24 | Views: 5443 |
VAGINA DOUCING
INDICATIONS:
Colpitis
Endocervicitis
Cervical erosion
Chronic disease of the uterine appendages and others.
CONTRAINDICATIONS:
Uterine bleeding
Menstruation
Pregnancy.
EQUIPMENT: Esmarch's mug, vaginal tip, medicinal solution prescribed by a doctor.
TECHNIQUE:
1. Pour 1-1.5 liters of medicinal solution into Esmarch's mug.
2. Hang Esmarch's mug on a stand 70-100 cm above the level of the patient's pelvis.
3. Check the temperature of the liquid in the mug with a water thermometer, wash the external genitalia.
4. Insert the tip into the vagina to a depth of 6-7 cm.
5. Open the faucet, letting the fluid flow at a faster or slower rate.
6. At the end of the procedure, remove the tip.
VAGINAL BATH SETTING TECHNIQUE
INDICATIONS:
Colpitis
Cervicitis.
CONTRAINDICATIONS:
Acute inflammatory processes of the internal genital organs
Uterine bleeding
Menstruation
Pregnancy.
EQUIPMENT: double-wing mirrors, drug solution as prescribed by a doctor
TECHNIQUE:
1. Insert a folding mirror into the vagina, fix it and pour in the solution (the first portion is immediately drained and the water is replaced).
2. The duration of the bath is 10-15 minutes. The patient's pelvis should be raised so that the solution does not spill out.
Cervix- a complex organism with many pathologies. Inside, the cervical canal, consists of cells of a cylindrical single-layer epithelium. The vaginal side of the cervix is covered with a different type of epithelium and inflammatory processes occur on the border between these two epithelium. Vaginal baths help to treat diseases of the cervix most effectively.
vaginal bath is a gynecological procedure that is prescribed to treat the cervix. During manipulation, the vaginal part of the cervix is immersed in a medicinal solution. The duration of the procedure, as a rule, is up to fifteen minutes and is carried out to relieve various inflammatory processes in the cervix as an addition to the main treatment.
Indications for baths
Indications for the appointment of baths of the cervix are the following diseases:As well as in preparation for the examination and preoperative preparation.
Contraindications
The use of vaginal baths is contraindicated:- in the post-abortion period
- in the postpartum period
- during menstruation.
Preparing for vaginal baths
Before the procedure, it is necessary to empty the rectum, bladder, and perform hygiene of the genital organs. The bath is also used before the start of treatment with tampons, vaginal suppositories and tablets, in combination with therapeutic treatment on its own.The method of conducting a vaginal bath
after examination, the gynecologist prescribes the appropriate treatment, including an individual vaginal treatment regimen. The procedure is divided into three inseparable parts:- First stage considered preparatory, it consists in the fact that the patient lies down in a gynecological chair;
- At the second stage the gynecologist inserts a special Cuzco speculum and fixes it. Removes mucus with sterile balls and pours in the first portion of the solution, which immediately merges under the tilt of the mirror. Then the medicinal portion is poured covering the entire vaginal part of the cervix and left for a period of five to fifteen minutes. After that, the mirror tilts down and the solution is drained.
- At the final stage the walls of the vagina are dried with sterile swabs and the mirror is removed.
The instrument used for the vaginal bath is disposable. As a result of manipulation, as a rule, pain decreases and inflammatory processes resolve. You can leave immediately after the procedure.
One of the methods of sanitation of the cervix is the conduct of vaginal baths. They serve to treat the cervix with an antiseptic solution for no more than 15 minutes.
Who gets vaginal baths?
This treatment is carried out as prescribed by the attending physician for women who have a pathology in the cervix. When deciding whether to carry out this procedure, the physician takes into account the general condition of the patient's reproductive system. You can not do baths for women after childbirth or after an abortion, with pathological bleeding. Pregnant women are also not recommended this therapy.
Why do this procedure?
Vaginal baths are used as part of general therapy for various diseases of the cervix.
Namely, indications for their implementation are:
- erosion of the cervix (damage to its epithelium);
- colpitis (inflammatory processes of the vaginal mucosa);
- cervitis (disease of the vaginal part of the cervix);
- endocervitis (inflammation of the cervical canal, which connects the uterine cavity to the vagina).
The result of their implementation is a decrease in pain, suppression of pathological microflora, healing of microtraumas and erosive damage.
In addition, baths can be prescribed for women preparing for surgery or some methods of gynecological examination.
What do vaginal baths do?
Since the main task of this procedure is to relieve inflammation, solutions of antiseptics or antibiotics are used for it.
- medicines (solution of protargol, silver sulphate, furacilin, romazupan, etc.);
- tinctures and decoctions of medicinal plants (chamomile, calendula, eucalyptus).
It should be noted that for this procedure, a heated, warm solution is taken, the temperature of which is close to the temperature of the human body. But first you need to make sure that there is no allergic reaction to the drug used.
How do they do it?
Preparation for the process itself is quite simple. It is necessary to empty the bladder and intestines, and also not to forget about the toilet of the genital organs.
The treatment itself with the help of baths consists of several stages:
- Having placed the patient on a chair, the external genital organs are treated with an antiseptic.
- Inserting a mirror into the vagina, the doctor removes the mucus with a swab. To do this, you can use, for example, soda solution.
- The first portion of the medicinal solution is poured in and immediately drained.
- With the repeated introduction of a therapeutic agent, there should be so much that it covers the entire cervix. It is left in the vagina for 5 to 15 minutes, depending on the active agent, the lesion and other factors.
- After the specified time, the medicine is drained from the vagina.
- Its walls are wetted with a swab and a mirror is taken out.
At the end of the procedure, the lady can go home. The duration of treatment is determined by the doctor.
