Isivivinyo sama-pelvic sikwazi ukubona kangcono ukungahle kwenzeke
Ukuhlolwa kwe- pelvic yaminyaka yonke kunconywa kubo bonke abesifazane futhi kungabandakanya ezinye noma zonke izinqubo ezilandelayo: ukuhlola kwangasese ngokobulili, ukuhlolwa kwe-speculum, ukuhlolwa kwe-specum, nokuhlolwa kwesibindi.
Ngezinye izikhathi ama-gynecologists enza ukuhlolwa okuphindaphindiwe ngaphandle kokuhlolwa okuvamile kwesibeletho. Ukuze wenze lokhu, udokotela wakho uzofaka umunwe ogqwetshiwe, osigcoba ngaphakathi kwesiswini kanti enye isuka esandleni esifanayo ngaphakathi kwe-rectum.
Uzobe ese-palpate (hlola ngomzwelo) isisu ngesandla samahhala.
Kufana nokuhlolwa okungokwemvelo lapho udokotela efakela iminwe eyodwa noma emibili emgodini bese ucindezela ngobumnene isisu esiswini.
Inhloso ye-Recto-Vaginal Exam
Ukuhlolwa okubuyiselwa emzimbeni kuvumela odokotela ukuba bahlole futhi bahlonze okungajwayelekile endaweni yesikhumba, ikakhulukazi lezo zesisu kanye nama-ovari. Ibahlinzekela indlela yokuzizwa ejulile ngaphakathi kwesikhumba ukuze kunqume ukuthi izikhulu zengqondo zikhulu kangakanani nokuthi zingakanani.
Ukuhlolwa kokuhlolisisa ubulili akuyona ukuhlola okuqondile okunembile futhi kuvame ukugcinwa kwabesifazane abanobuhlungu obungama-rectal noma ubuhlungu be-pelvic noma ababona izimpawu ezihlobene ne-genitourinary (njengokubuhlungu, ukuphuthuma komzimba, ukuphuza okungavamile).
Ezinye izizathu zingabandakanya:
- ukukhomba ukubola noma ukukhululeka okungabonisa umdlavuza noma esinye isifo
- ukuthola isampula yegazi (i-blood in the stool)
- ukuhlolisisa isikhumba esiphezulu
- ukukhomba okungavamile kwama- ovari
Yeka ukuthi Ukuhlolwa Kwamuva KwamaVaginal Kwenziwe Kanjani
Ukuhlolwa okubuyiselwa emzimbeni kungase kungakhululekile kodwa akufanele kubangele ukuhlupheka kwangempela. Uma uzizwa uzwa ubuhlungu, ake udokotela wakho azi. Ukuzivocavoca okujulile kungasiza. Njengoba nje ekuhlolweni kwe-pelvic, ukuphumula imisipha yakho kuzoletha umphumela onembile kakhulu.
Ukwenza le nqubo, udokotela wakho angakwazi ukuhlola izicubu phakathi kwesibeletho nesisu, ithoni nokulungiswa kwezitho zomzimba (kufaka phakathi ama-ovari nama-tublopian tubes), kanye nemigudu ebambe isibeletho endaweni.
Ukuhlolwa kuvame ukugcina okungaphansi kweminithi kepha kungase kuhlale isikhathi eside uma udokotela ethola okuthile okusola. Ngaphandle kokungahambi kahle, azikho izingozi ezihilelekile kule nqubo.
Ngokujwayelekile, akukho ukulungiswa okudingekayo. Njenganoma yikuphi ukuhlolwa kwe-pelvic, akufanele uhlanganyele ocansini (okubandakanya ubulili obudala) amahora angu-24 ngaphambi kokuqokwa kwakho. Kwezinye izimo, udokotela wakho angathanda ukuthi uthathe i- laxative futhi uzokwazisa kusengaphambili.
Izincomo zokuhlolwa kwePelvic
I-American Congress of Obstetricians kanye ne-Gynecologists (i-ACOG) batusa ukuhlola kwe-pelvic yonyaka njengengxenye yohlelo lwayo lwe-Well-Woman Visit olufaka imikhombandlela elandelayo:
- Ukusetshenziswa kokuhlolwa kwangaphandle, kwe-speculum kanye ne-bimanual kunconywa kakhulu, kuyilapho ukuhlolwa kwangasese-ubulili kufanele kwenziwe uma kuboniswe.
- Ukuhlolwa kwonyaka kunconywa kubo bonke abesifazane abangaphezu kweminyaka engama-21.
- Imikhuba yezifo ezithathelwana ngocansi (i-STIs) kufanele itholakale emlonyeni wesibeletho, njengokungathi yingxenye yokuhlolwa kwe-pelvic noma kumasampula omchamo noma ama-swab wesifazane wesifazane.
Umthombo
- > I-American Congress of Obstetricians kanye neGynecologists (ACOG). "I-Committee Opinion: Ukuvakashelwa Kulungile." Washington, DC; Agasti 2012; Inombolo 534 (iqinisekisiwe ngo-2016).