Nini Ukubona I-Ob / Gyn Yakho
Wake wake waya ku-obstetrician / gynecologist noma u- Ob / Gyn wokuhlolwa kwe-pelvic nohlolo lwe-Pap? Uma impendulo yakho ingu "cha" futhi uneminyaka engu-21 noma ngaphezulu, thatha ifoni yakho namhlanje futhi wenze i-aphoyintimenti nodokotela wakho noma umtholampilo wokuhlela umndeni endaweni yakho. Ngakolunye uhlangothi, uma impendulo yakho ingu "yebo," sekube isikhathi eside kangakanani kusukela kuP ap wakho wokugcina we-pap smear nokuhlolwa kwe-pelvic?
Bonke abesifazane kufanele babe ne-Pap smear njalo eminyakeni emithathu phakathi kweminyaka engama-21 no-29, ngokusho kwe-American College of Obstetricians kanye namaGynecologists. Abesifazane abaneminyaka engama-30 kuya kwengama-64 kufanele babe ne-pap smear yedwa njalo eminyakeni emithathu, noma i- pap smear nokuhlolwa kwe-HPV njalo eminyakeni emihlanu.
Ngabe Bani Abadinga Izivivinyo ZasePelvic?
Amantombazane asebancane kufanele abone i-OB / GYN ephakathi kweminyaka engu-13 kuya kweyi-15. Nakuba izivivinyo ze-pelvic zingavamile ukuvakasha ngesikhathi sokuvakasha kokuqala, lokhu kuhambela kusiza ukwakha ubudlelwane nodokotela ozikhethelayo nokuhamba ngomlando wakho wezokwelapha kanye nocansi ( ngisho noma ungazange ulale ucansi.) Lesi yisikhathi esihle sokubuza imibuzo mayelana nezifo ezithathelwana ngocansi kanye nezibeletho zokukhulelwa.
Kufanele uhlale ubona umama wakho wezinkinga uma uhlangabezana nalokhu:
- Noma yikuphi ukuthuthwa kwesisu okungavamile kanye / noma okuqhubekayo
- Ukuhlwitha phakathi kwezinkathi
- Ukukhipha emva kokulala ngokocansi
Nakuba i-Pap smear yonyaka ingekho, ezimweni eziningi, kuyadingeka emva kweminyaka engu-30, bonke abesifazane basadingeka ukuhlolwa kwe-pelvic ngonyaka ukuze bahlole noma yiziphi ezinye izinguquko noma izifo.
Uma uke wahlola i- HPV eyayingalungile engasho ukuthi akudingeki ukuba ube nokuhlolwa kwe-pelvic ngonyaka. I-ACOG yasungula le mihlahlandlela ngolwazi olugcwele lokuthi i-HPV ibangela umdlavuza wesibeletho.
Uyazi ukuthi ngomlingani wakho omusha ocansini ingozi yakho yokuthola i-HPV ikhuphuka ngamaphesenti angu-15? Lokhu kusho ukuthi ukuba nabalingani abaningi bezocansi kuphakamisa ingozi ye-HPV ngokuyinhloko.
Ngokusho kwemikhombandlela ye-ACOG yokuhlolwa kwePap abesifazane abaxilongwa nge-HIV noma ezinye izifo noma izimo ezithintekayo ukuthi kufanele ziqhubeke nokuba neP Pap smears emva kweminyaka engu-30.
Isizathu esisodwa kunazo zonke sokuthi umdlavuza womlomo wesibeletho awukwenzeki ukuthi awunayo i-Pap smears ngokwemihlahlandlela ephakanyisiwe. Abaningi besifazane abatholwa ukuthi banomdlavuza wesibeletho abazange babe nePap smear eminyakeni emihlanu noma ngaphezulu. Ngokudabukisayo, laba besifazane ngokuvamile basesiteji esiphambili somdlavuza lapho behlushwa.
Ezinye izikhathi ukuze ubone i-Gynecologist yakho
Manje, izimo eziningana zingenzeka phakathi nonyaka wonke. Bheka i-Ob / Gyn yakho noma nini lapho uthola izimpawu nezimpawu ezingavamile . Lezi zimpawu nezimpawu zifaka:
- Ubuhlungu be-pelvic noma izigumbulu zokuya esikhathini ezinzima ngokwanele ukuphazamisa isimiso sakho nsuku zonke ngisho nezinsuku ezimbalwa ngenyanga
- Uma ukuphuma kwegazi okungavamile kufanele ushintshe ama-napkins ahlanzekile, amathoni, noma iminye imikhiqizo yokuya esikhathini kaningi kunamanye amahora amabili kuya kwangu-3.
- Ukuhlwitha phakathi kwezinkathi
- Noma yikuphi ukukhipha okungavamile, ubuhlungu, ukuvuvukala, noma ukuchithwa kwesifazane noma isisu esiswini
Noma iyiphi yalezi zimpawu zingabonisa ukutheleleka kwesisu noma izifo ezithathelwana ngocansi noma i-STD engathinta ukuzala kwakho esikhathini esizayo. Bangase babonise nezinye izifo ezifana nalezi:
- I-Endometriosis
- Isifo sokuvuvukala sama-pelvic
- Noma ezinye izinkinga eziningi zokuzala
Yiqiniso, uma ucabanga ukuthi ukhulelwe, bheka umhlinzeki wakho wezempilo ngokushesha ngangokunokwenzeka ukuze usize ukuqinisekisa ukukhulelwa okunempilo kanye nengane enempilo.
Bona futhi umjozi wakho wezifo kaningi uma:
- Uhlela ukukhulelwa
- Ucabanga ukuthi ungenayo igciwane lesandulela ngculazi noma unomlingani one-STI
- Unomlando wokugula ngokocansi
- Unomama noma udade owasungula umdlavuza webele ngaphambi kokuya esikhathini
Xhumana nomhlinzeki wakho wezempilo, uma ubona noma yikuphi ukuguquka emabeleni akho njengokuphuza, ukuchofoza, noma ezinye izinguquko esikhumbeni samabele akho; sebenzisa ama-nipples asanda kukhishwa, noma uchithe kusuka ezingeni lakho, ungahlotshaniswa nokubeletha; uma kukhona ushintsho kusayizi lakho lwesifuba noma ukuma; noma uma uthola ukwanda kwezinhlungu zesifuba, ukunganaki noma izinto ezingokomzwelo ngaphambi kwesikhathi sakho.
Indlela Yokulungiselela Ukuhlolwa Kwakho KaPap kanye nokuhlolwa KwamaPelvic
Isikhathi esihle kakhulu sokuhlela ukuhlola kwakho kwe-pelvic ngonyaka futhi uthole imiphumela enembile kunazo zonke ekuhloleni kwakho kokubeletha kanye nePap smear yonyaka yinye noma amaviki amabili ngemuva kwesikhathi sakho.
I-Douching yama-vaginal akuyona into emnandi, ngenxa yengozi yokutheleleka ithola. Kubaluleke kakhulu ukuthi ungabonisi okungenani izinsuku ezimbili noma ezintathu ngaphambi kokubona umgogodla wakho wezifo.
Kufanele futhi ugweme ubulili okungenani amahora angu-24 ngaphambi kokuhlolwa kwakho.
Qinisekisa ukuthi uchithe isambiso sakho ngaphambi kokuba uhlole ukuhlolwa okukhululekile. Ungase futhi ufune ukugcina idayari yezempilo ongahamba ngayo nodokotela wakho ngesikhathi sokuqokwa kwakho. Ungasebenzisa ikhalenda ukuze ulandele izikhathi zakho, noma yibuphi ubuhlungu obutholakala, ukukhishwa noma ezinye izimpawu ezenzeka phakathi nenyanga.
Uma ukuhlolwa kwakho kwe-pelvic ngonyaka kungukuthi udokotela kuphela osibona njalo, njengoba kunjalo ngamaphesenti angu-24 abesifazane, isazi sakho sezinkinga zokubeletha singase sihlele ukuhlolwa kwesimiso, njenge-urinalysis, i-cholesterol, namazinga kashukela egazi, kanye nabanye.
Kwenzekani Ngesikhathi Isivivinyo SePap Yonyaka kanye Nokuhlolwa KwamaPelvic?
Into yokuqala evame ukukwenzeka phakathi nokuhlolwa kwakho kwansuku zonke ukuthola ukuhlolwa kwegazi lakho, isisindo, isisindo, futhi njalo umchamo. Yilungele ukunikeza umhlengikazi usuku lwenkathi yakho yokugcina - lolu usuku losuku lokuqala lwenkathi yakho yokugcina. Futhi uphinde ubheke noma yikuphi ukukhathazeka ofuna ukuxoxa nodokotela.
Ngemuva kokuxoxisana kwakho kokuqala nomhlengikazi, uzoqondiswa ukukhipha zonke izingubo zakho (ungashiya amasokisi akho.) Iningi lababelethini linikeza isembatho esifushane sokuhlolwa kanye nephepha lephepha ukuze uzibophezele kuze kuqale ukuhlolwa kwakho. Uma usuqedile, futhi uhlezi etafuleni lokuhlola, i-gynecologist yakho ingena, ephelezelwa nomhlengikazi.
Umhlengikazi kufanele ahlale ekhona ngesikhathi sokuhlolwa kwakho kwonyaka, ikakhulukazi uma umama wakho wesifazane ewesilisa. Ukuba khona komhlengikazi kunikeza ukuvikeleka kokubili wena nomgogodla wakho wezifo. Udokotela wakho uzokulalela inhliziyo yakho namaphaphu, hlola amabele akho nganoma yiziphi izinguquko noma izibhamu , futhi i-palpitate indawo yakho yesisu nganoma yiziphi iziphambeko. Ukuhlolwa okuthembekile kwamabele akho kuthatha cishe amasekhondi angu-30 ngesifuba.
Ngesikhathi uhlolisisa isifuba udokotela wakho kufanele axoxisane nawe ngesifuba sokuzivivinya njalo ngenyanga futhi ahlinzeke nemiyalelo uma ungajwayele ukuthi ungenza kanjani i-BSE.
Uma uneminyaka engama-35 noma ngaphezulu, udokotela wakho kufanele axoxe ngokuhlolwa kwe-mammogram yomdlavuza wesifuba.
Ngesikhathi sokuhlolwa kwe-pelvic / i-Pap smear yokuvakashelwa kwakho, kuzodingeka ubeke phansi etafuleni bese ubeka izinyawo zakho ezinkundleni. Ungadinga ukuhlehlisa phansi ekupheleni kwetafula uphinde usakaze amadolo akho eceleni.
Ngokulandelayo i-speculum ifakwa emlonyeni wakho ukuze ubambe izingodo zakho zangasese ukuze udokotela wakho angabuka ngaphakathi kwezindonga zangasese kanye nomlomo wesibeletho , futhi uqoqe isampula yamathisamu womlomo wesivivinyo sokuhlolwa kwakho kwe-Pap.
Iyini Inqubo Yokuqoqa Isampuli Smear?
Ukuthola i-Pap smear kudinga ukuthi umama wakho wezifo ufake i-swab ende yesikotini ende emkhathini wakho. I-swab yekotini ihlehliswa ngokumelene nomlomo wakho wesibeletho ukuze isampula yamaseli omlomo wesibeletho itholakale ukuze kuhlolwe isifo se-pathologist. Ama-Labs ngokuvamile adinga cishe ngezinsuku ezinhlanu ukuze imiphumela yakho yokuhlolwa ibuyele ku-gynecologist wakho.
Kuthiwani Uma I-Pap My Smear Engavamile?
Esikhathini esingenakwenzeka ukuthi imiphumela yakho yePap ayinqabile, into yokuqala ongayifuni isifinyelele esiphethweni sokuthi unomdlavuza. Eziningi ze-Pap smears ezingavamile, imbangela ayiyona umdlavuza womlomo wesibeletho, kodwa enye yezimbangela ezihlukahlukene ezibandakanya ukuvuvukala, ukutholakala kwegazi noma isidoda, noma ukutheleleka okunjenge- vagin yisilonda sentsholongwane noma i-bacterial vaginosis, futhi ngezinye izikhathi ukutholakala kwezifo ezingasetshenziswanga ngokobulili .
Zama ukukhumbula ukuthi i-Pap smear ayiyona ithuluzi lokuxilonga - alilutholi umdlavuza noma yisiphi esinye isifo. I-Pap test iyithuluzi lokuhlola elibonisa ukuthi ukuhlolwa okwengeziwe kuyadingeka yini.
Uma uthola imiphumela engavamile ye-Pap yakho i-gynecologist ingase iphakamise ukuhlolwa kwePap kokulandela ezinyangeni ezintathu kuya kweziyisithupha. Noma ezinye izinketho zokuhlola okuqhubekayo njenge-colposcopy noma i- LEEP ingabuyekezwa.
Iyini Inqubo Yokuhlolwa Kwe-Bimanual?
Enye ingxenye yokuhlolwa kwakho kwe-pelvic yonyaka ubizwa ngokuthi ukuhlolwa kwe-bimanual . Ukuze wenze lokhu kuhlolwa, ugciwane lomzimba ufaka iminwe emibili esiswini sakho, ubeke esinye isandla phezu kwesisu sakho esingaphansi, bese uqeda izicubu phakathi kwezandla zakhe ezimbili, uzizwa noma yikuphi okungajwayelekile okungenzeka kwenzeke kusukela ekuhlolweni kwakho kokugcina kwe-pelvic.
Ukuhlolwa kwe-bimanual kuvumela udokotela wakho ukuba ahlole ubungako, ukuma, nokuhamba kwesibeletho sakho, ukubheka noma yikuphi ushintsho emaqanda akho, njengama- cysts ama-ovari , futhi uzizwe nganoma yikuphi okungajwayelekile kwesibeletho sakho noma izicubu ezizungezile (ezifana i-endometriosis, izicubu ze-fibroid , noma ezinye izimo ezivamile ze-uterine ).
Ukuhlolwa kwe-bimanual kungase kungakhululekile, kodwa akufanele kubangele ubuhlungu obukhulu. Ngenhlanhla, le ngxenye yokuhlolwa kwesifo somzimba ngokuvamile ihlala imizuzwana engaphansi kwengu-30. Ngenxa yokuthi ingayinika ulwazi olubalulekile lodokotela, kufanelekile ukukhathazeka okwesikhashana.
Ngaphandle Kokuhlolwa KwamaPelvic
Ngaphandle kokuhlolwa kwegazi ngokwalo, udokotela wakho kufanele athathe umlando wezokwelapha ngokucophelela. Kubalulekile ukuthi ube neqiniso futhi uphelele njengoba unamandla ekuphenduleni imibuzo yakhe futhi uchaze noma yiziphi izimpawu ongazithola.
Kulapho kufanele utshele umjozi wakho wezinkinga mayelana nesikhathi nokuvama kwanoma yisiphi isifo noma esinye isimo ongase uhlangabezane nayo kusukela ekuqokwa kwakho kokugcina.
Qinisekisa ukuthi ufaka ulwazi mayelana nokuthi uke wabhekana nezinkathi ezingavamile noma izikhathi ezibuhlungu , noma yiziphi ezinye izinkinga zokuya esikhathini ukuya esikhathini , izifo zangasese , noma ubulili obubuhlungu .
Ezinye izinkinga zezempilo okuzoxoxa ngazo zihlanganisa noma yikuphi ukuguqulwa kwesisindo esikhulu, ukushona kwezinwele noma ukuguquka kwesikhumba.
Okokugcina, nakuba kungeyona ingxenye yokuhlolwa kwabafundi kubalulekile ukuthi abesifazane abangamashumi amane nangaphezulu bahlolwe umdlavuza wekoloni. Lokhu kuvame ukufaka ukuhlolwa okungahleliwe, kanye nokuhlolwa kwesimo segazi se- fecal . Uma i-GYN yakho ingenzi lokhu, kufanele uyibuze yona.
Imithombo:
I-Carr SE, i-Carmody D. Imiphumela yokufundisa abafundi bezokwelapha amakhono ayisisekelo empilo yabesifazane: uhlelo lwezemfundo lokuhlolwa kwe-pelvic. Am J Obstet Gynecol 2004; 190: 1382.
IKomiti Yezokuzivocavoca KwamaGynecologic. Umbono wekomiti No. 534: ukuvakashelwa kahle owesifazane. I-Obstet Gynecol 2012; 120: 421.