Uvavanyo lwepelvic lungcono ukufumanisa izinto ezingaqhelekanga
Uvavanyo lwe- pelvic lonyaka lukhuthazwa kuwo onke amabhinqa kwaye lunokubandakanya ezinye okanye zonke iinkqubo ezilandelayo: ukuhlolwa kwesini somzimba, ukuhlolwa kwe-speculum, ukuhlolwa kwe-bimanual, kunye nokuhlolwa kwesisombululo.
I-Gynecologists ngezinye izihlandlo iyakwenza uvavanyo oluphindaphindiweyo ngaphezu kokuhlolwa kwesiqhelo se-pelvic. Ukwenza oku, ugqirha wakho uza kufaka umlenze ogcotyiweyo, onobuncwane kumbhinqa kunye nesinye kwisandla esifanayo kwi-rectum.
Uya kuthi ke i-palpate (hlola ngesimo) isisu ngesandla samahhala.
Kufana nokuhlolwa kwe-bimanual apho ugqirha ufaka iminwe okanye iminwe emibili kwisisu kwaye ucinezele ngokunyanisekileyo isisu esiswini.
Injongo yovavanyo lwe-Recto-Vaginal Exam
Ukuhlolwa kwe-vaginal-recin-vaginal kuvumela oogqirha ukuba bahlolisise baze bachonge ukungalingani kwindawo ye-pelvic, ngokukodwa ezo zibeleko kunye nama-ovari. Ubonelela ngeendlela zokuziva unzulu ngaphakathi kwiplavis ukuze ubone ukuba kwaye zinkulu kangakanani iinxalenye ze-pelvic.
Uvavanyo lokuhlaselwa kwesiswini aluyilo oluchanekileyo lokuhlola i-screening kwaye luvame ukugcinwa kwabasetyhini abanobuhlungu okanye beentlungu ze-pelvic okanye bafumana iimpawu ezinxulumene ne-genitourinary tract (njengentlungu, ukuphuthuma komzimba, ukuphuma kwegazi ngokungavamile).
Ezinye izizathu zingabandakanya:
- ukuchonga ukonakala okanye ubuninzi obunokubonisa umhlaza okanye esinye isifo
- ukufumana isampula yegazi (igazi kwisigxina)
- ukufumanisa i-pelv
- ukuchonga ukungaqhelekanga kwezi- ovari
Ukuhlolwa kwe-Recto-Vaginal kwenziwa njani
Ukuvavanywa kwamathuba omzimba ongaphantsi komzimba kungancinci kodwa akufanele kwenzeke intlungu. Ukuba uziva uvakalelwa intlungu, vumela ugqirha wakho azi. Ukuphefumula ngokujulile kunokukunceda. Njengoko kuhlolwa kweplavic, ukuphumla izihlunu zakho kuya kuvelisa umphumo ochanileyo.
Xa wenza umendo, ugqirha wakho unokuvavanya iisisi phakathi kwesibindi kunye nesisu, ithoni kunye nokulungelelanisa kwimizimba ye-pelvic (kubandakanywa ama-ovari kunye nama-tublopian tubes), kunye nemigaments ebamba isibeleko endaweni.
Uvavanyo luhlala lu ngaphantsi komzuzu kodwa lunokuhlala ixesha elide xa ugqirha efumana into enokukrokra. Ngaphandle kobuhlungu, akukho mingcipheko echaphazelekayo kwinkqubo.
Ngokuqhelekileyo, akukho lungiso olufunekayo. Njengokuba naluphi na uvavanyo lwe-pelvic, akufanele uhlanganyele ngesondo (kuquka u-sex anal) kwiiyure ezingama-24 phambi kokuqeshwa kwakho. Kwezinye iimeko, ugqirha wakho angathanda ukuba uthathe i- laxative kwaye uya kukucebisa kwangaphambili.
Iingcebiso zePelvic
I-American Congress yezilwanyana zezilwanyana kunye ne-Gynecologists (ACOG) icebisa ukuhlolwa kwe-pelvic yonyaka njengenxalenye yoLwendwe lwaKhe loTyelelo loLuntu oluquka izi zikhokelo ezilandelayo:
- Ukusetyenziswa kovavanyo lwangaphandle, i-speculum kunye ne-bimanual kuphakanyiswa kakhulu, ngelixa kufuneka kuhlolwe umhlolo-wesondo emva kokuboniswa.
- Kunyanzeliswa ukuhlolwa kwonyaka rhoqo kubo bonke abasetyhini abangaphezu kweminyaka engama-21.
- Iziganeko zokutheleleka ngocansi (STIs) kufuneka zifunyenwe kumlomo wesibeleko, nokuba yingxenye yokuhlolwa kwe-pelvic okanye kwiisampuli zomchamo okanye iimpawu ze-swab zangasese.
Umthombo
- > I-American Congress yeziBungcali kunye neGynecologists (ACOG). Iingxelo zeKomidi: Ukutyelela kweNdwendwe. EWashington, DC; Agasti 2012; Inombolo 534 (eqinisekisiwe 2016).