Ixesha lokujonga i-Ob / Gyn yakho
Ngaba uke wakwazi ukuya kumgqirha / ugqirha wezilwanyana okanye u- Ob / Gyn ukuvavanya i-pelvic novavanyo lwePap? Ukuba impendulo yakho "ayi" kwaye uneminyaka engama-21 okanye ngaphezulu, thabatha ifowuni yakho namhlanje kwaye wenze isigqibo kunye nodokotela wakho okanye ikliniki yokucwangcisa intsapho kwindawo yakho. Ngakolunye uhlangothi, ukuba impendulo yakho ngu "ewe," sele ibe yithuba elingakanani ukususela kwi-Pap smear yakho yokugqibela kunye novavanyo lwe-pelvic?
Bonke abesifazana mababe nePap smear yonke iminyaka emithathu phakathi kweminyaka engama-21 no-29, ngokwe-American College of Obstetricians kunye namaGynecologists. Abasetyhini abaneminyaka engama-30 ukuya kuma-64 kufuneka babe ne-pap smear yodwa kwiminyaka emithathu, okanye i- pap smear kunye novavanyo lwe-HPV minyaka yonke emihlanu.
Ngaba Abafazi Bayafuna Iimviwo Zamafilosofi?
Amantombazana asetsheni kufuneka abone i-OB / GYN phakathi kweminyaka engama-13 ukuya kwe-15. Nangona uvavanyo lwe-pelvic alufunwa kangangoko ngexesha lokutyelela kokuqala, olu tyelelo lunceda ukuseka ubudlelwane kunye nogqirha ozikhethile kunye nokuhamba kwimbali yakho yonyango kunye nesondo ( nangona awuzange ulale ngesondo.) Eli lixesha elifanelekileyo lokubuza imibuzo malunga nezifo ezithathelwana ngesondo kunye neyeza zokukhulelwa.
Kufuneka uhlale ubona wakho umfokazi xa ufumana:
- Naluphi na umkhuhlane ongaqhelekanga kunye / okanye oqhubekayo
- Ukuhlamba phakathi kwamaxesha
- Ukuhlamba emva kokulala ngesondo
Nangona i-Pap smear yonyaka ingekho, kwiimeko ezininzi, kuyimfuneko emva kweminyaka engama-30, bonke abasetyhini bafuna ukuhlolwa kwe-pelvic yonyaka ukuba bahlole ezinye iinguqu okanye izifo.
Ukuba unayo i- HPV vavanyo eyayiyinto engathandekanga ukuba akudingeki ukuba ube novavanyo lwe-pelvic ngonyaka. I-ACOG ifake izi khokelo ngolwazi olupheleleyo ukuba i-HPV ibangela umdlavuza wesibeleko.
Ngaba uyayazi ukuba kunye nomlingani ngamnye wesondo omtsha umngcipheko wokufumana i-HPV ukwandisa ngama-15 ekhulwini? Oku kuthetha ukuba ukusebenzisana nabantu abathandana ngesondo kukuphakamisa umngcipheko we-HPV ngokubanzi.
Ngokwe-ACOG izikhokelo zovavanyo lwePap abafazi abanesifo se-HIV okanye ezinye izifo okanye iimeko ezikhuselekileyo ezikhuselekileyo kufuneka ziqhubeke neP Pap smears emva kweminyaka engama-30.
Isizathu esona sizathu esona sikhulu sokuba nomdlavuza wesibeleko awunayo i-Pap smears ngokwemiqathango ecetyiswayo. Ininzi yabasetyhini abanokufumana isifo somhlaza wesibeleko abazange babe nePap smear kwiminyaka emihlanu okanye ngaphezulu. Ngokudabukisayo, aba bafazi basoloko besesigxina esiphambili somhlaza xa befumana ukuxilongwa.
Amanye amaxesha ukujonga i-Gynecologist yakho
Ngoku, iimeko ezininzi zingenzeka ngexesha lonke unyaka. Buza u-Ob / Gyn wakho xa ufumana iimpawu kunye neempawu ezingavumelekanga . Le miqondiso kunye neempawu zibandakanya:
- Ubuhlungu be-pelvic okanye iintlungu zesikhombisa ezinzima ngokwaneleyo ukuphazamisa inkqubo yakho yemihla ngemihla kwiintsuku ezimbalwa ngenyanga
- Ukuba ukuphuma kwegazi ngokungaqhelekanga kufuneka utshintshe i-napkins yangasese, ii-tampon, okanye ezinye iimveliso zesikhombisa ngokuphindaphindiweyo ngaphezu kweeyure ezimbini ukuya kwiiyure ezintathu.
- Ukuhlamba phakathi kwamaxesha
- Nakuphi na ukukhutshwa okungavamile, intlungu, ukuvuvukala, okanye ukubetha kwakho isini okanye isisu esiswini
Naliphi na le mpawu ingabonakalisa isifo sobhinqa okanye isifo soxhatshazwa ngesondo okanye i-STD enokuchaphazela ukuzala kwakho kwexesha elizayo. Basenokubonisa ezinye izifo ezifana:
- Endometriosis
- Izifo eziphambene nepelvic
- Okanye nenani lezinye iingxaki zokuzala
Ewe, ukuba ucinga ukuba ukhulelwe, jonga umboneleli wakho wezempilo ngokukhawuleza ukuba uncede ukuqinisekisa ukukhulelwa okusemgangathweni kunye nosana oluphilileyo.
Jonga kwakhona i-gynecologist ngokuqhelekileyo ukuba:
- Uceba ukukhulelwa
- Ucinga ukuba unesifo sosulele ngesondo okanye ube nomlingane ophethe i-STI
- Unembali yesifo esichaphazelekayo ngesondo
- Unomama okanye udade oye waqalisa umdlavuza webele ngaphambi kokumisa
Qhagamshelana nomboneleli wakho wezempilo, ukuba uqaphele nayiphi na utshintsho kwiibele zakho ezifana nokubhoba, ukutshitshisa, okanye ezinye utshintsho kwesikhumba samabele akho; zinezikhwebu ezisandul ukuba kukho nayiphi na utshintsho kwisayizi sakho sesifuba okanye ukuma; okanye xa ufumana ukwanda kwintlungu yesisu, ukunganeliseki okanye imiba engqondweni ngaphambi kwexesha lakho.
Indlela yokulungiselela ukuhlolwa kwePap yakho kunye nokuHlola kwePelvic
Ixesha elifanelekileyo lokumisela uvavanyo lwakho lwe-pelvic yonyaka kwaye ufumane iziphumo ezichanekileyo kwiimvavanyo zakho zentsholongwane kunye nePap smear yonyaka unye okanye iiveki ezimbini emva kwexesha lakho.
I-Douching Vaginal ayiyiyo ingcamango enhle, ngenxa yengozi yokusuleleka. Kubaluleke kakhulu ukuba ungabonisi ubuncinane iintsuku ezimbini okanye ezintathu ngaphambi kokuba ubone ugqirha wezinja.
Kufuneka uyeke ukulala ngesondo ubuncinane kwiiyure ezingama-24 phambi koviwo lwakho.
Qinisekisa ukukhupha i-bladder yakho ngaphambi kokuba uviwo lwakho luhlolwe ngokukhululekile. Ungaphinda ufune ukugcina idayari yempilo onokuya nayo nodokotela wakho ngexesha lokuqeshwa kwakho. Ungasebenzisa ikhalenda ukuze ulandele ixesha lakho, nayiphi intlungu ekhoyo, ukukhutshwa okanye ezinye iimpawu ezenzekayo ngenyanga.
Ukuba uvavanyo lwakho lwe-pelvic yonyaka kuphela ngugqirha ozibona rhoqo, njengokuba kukho iipesenti ezingama-24 zabesetyhini, umjobi wakho wezinyunyanzana unokuhlaziya izivivinyo rhoqo, ezifana no-urinalysis, i-cholesterol, kunye namazinga okushukela egazi, kunye nabanye.
Yintoni eyenzekayo ngexesha lovavanyo lwePap yonyaka kunye novavanyo lwePelvic?
Into yokuqala eyenzekayo ngexesha loviwo lwakho lonyaka luhlola i-blood pressure yakho, isisindo, i-pulse, kwaye kaninzi umchamo. Yilungiselele ukunika umongikazi umhla wokugqibela wakho - lo ngumhla wokuqala kwithuba lakho lokugqibela. Kwakhona uye ngaphaya kweengxaki ozifuna ukuxoxa ngazo nogqirha.
Emva kwengxoxo yakho yokuqala nomongikazi, uya kuhanjiswa ukuba uthathe zonke iingubo zakho (ungashiya iisoksi zakho.) Uninzi lwabazali bezintlobo zinikeza isambatho esifutshane kunye nephepha lephepha lokuzifihla ukuze uqale uviwo lwakho. Xa usugqibile, kwaye uhleli etafileni yokuhlola, ugqirha wezinja zakho ungena, uhamba kunye nomongikazi.
Umongikazi wesifazane kufuneka ahlale ekhona ngexesha lokuhlolwa kwakho kwonyaka, ingakumbi ukuba umfokazi wakho wezilwanyana uyindoda. Ukuba khona koongikazi kunika ukhuseleko kubo bobabini kunye ne-gynecologist yakho. Ugqirha wakho uya kuphulaphula intliziyo yakho kunye nemiphunga, hlola amabele akho nayiphi na utshintsho okanye izibonda , kunye ne-palpitate endaweni yakho yesisu nangayiphi na irregularities. Ukuhlolwa okuthembekileyo kwamabele akho kuthatha malunga nemizuzwana engama-30 kwibele.
Ngethuba lokuhlolwa kwakho kwebele , ugqirha wakho kufuneka axoxe kunye nawe kunye nokunika imiyalelo xa ungaqhelekanga ngendlela yokwenza i-BSE.
Ukuba uneminyaka engama-35 okanye ngaphezulu, ugqirha wakho kufuneka axoxe ngeemvavanyo ze-mammogram zesifo somhlaza wesifuba.
Ngethuba lokuhlolwa kweplavic / i-Pap smear inxalenye yokutyelela kwakho, kuya kufuneka ubeke phantsi kwitheyibhile uze ufake iinyawo zakho kwiimvalo. Unokudinga ukuhlawula ukuya ekupheleni kwetafile uze usasaze amadolo akho ngaphandle.
Emva koko i-speculum ifakwe kwisiswini sakho ukuze ubambe iindonga zakho zangasese ukuze ugqirha wakho akwazi ukujonga ngaphakathi kweendonga zesisu kunye ne- cervix , kwaye uqoke isampuli yeethambo zesibindi kwi-test yakho yePap.
Iyintoni Inkqubo Yokuqokelela Isampuli Smear?
Ukufumana i-Pap smear kudinga ukuba i-gynecologist yakho ifake i-swab ende ende kwi-vagin yakho. I-cotton swab idibanisa kakuhle i-cervix yakho ukwenzela ukuba isampuli yamaseli ekhanda afunyanwe ukuhlolwa ngophrologist. IiLabs zifuna ngokumalunga neentsuku ezintlanu kwiziphumo zakho zokuvavanya ukuba ubuyele kwi-gynecologist yakho.
Kuthiwani Ukuba iP Pap Smear Yingavamile?
Kwiimeko ezingenakwenzeka ukuba iziphumo zakho zePap aziqhelekanga, into yokuqala ongayifumani ukuyenza isondela kwisigqibo sokuba unomdlavuza. Kwininzi yamap smears angavumelekanga, imbangela ayiyona mdlavuza wesibeleko, kodwa enye yezinye izizathu ezibandakanya ukuvuvukala, ubukho begazi okanye i-sperm, okanye intsholongwane efana nesisu sesisu sesisu okanye i-bacterial vaginosis, ngamanye amaxesha ubukho bezifo ezingathatywanga ngesondo .
Zama ukukhumbula ukuba i-Pap smear ayikho ithuluzi lokuxilonga - ayifumene nomhlaza okanye nayiphi na esinye isifo. Uphononongo lwePap yindlela yokuhlola ebonisa ukuba ngaba kuqhubeka ukuvavanya.
Ukuba ufumana iziphumo ezingavumelekanga zePap wakho ugqirha wezilwanyana angancoma ukuhlolwa kwePap kwinyanga ezintathu ukuya ezintandathu. Okanye ezinye iindlela zokukhetha iimvavanyo ezifana ne-colposcopy okanye i- LEEP inokuphandwa kwakhona.
Yiyiphi iNkqubo yovavanyo lweBimanual?
Enye inxalenye yesifundo sakho se-pelvic yonyaka ibizwa ngokuba yi- bimanual test. Ukwenza lo vavanyo, umfokazi wezilwanyana ufaka iminwe emibini kwisiswini sakho, ubeke esinye isandla phezu kwesisu sakho esezantsi, kwaye unyanzelisa izicubu phakathi kwezandla zakhe zombini, uzivelele nangaluphi na ukungaqhelekanga okumele kwenzeke ukususela ekuhlolweni kwakho kokugqibela.
Ukuhlolwa kwe-bimanual kuvumela ugqirha wakho ukuba abuke ubungakanani, ukuma kunye nokuhamba kwesisu sakho, ukujonga nayiphi na utshintsho kumaqanda akho, njengama -cyst ovarian , kwaye uzivelele naziphi ezinye izinto ezingaqhelekanga kwisibeleko sakho okanye kwiimvumi ezijikelezayo (ezifana i-endometriosis, i- tummy fibroid , okanye ezinye iimeko eziqhelekileyo zobumbele ).
Isivivinyo se-bimanual sinokungonwabanga, kodwa akufanele kubangele ubuhlungu obukhulu. Ngethamsanqa, le nxalenye yokuhlolwa kwe-gynecological ivame ukuhlala kwimizuzu engaphantsi kwe-30. Ngenxa yokuba kunokunika ulwazi olubalulekileyo ngugqirha, kukufanelekile ukuxhatshazwa kwexeshana.
Ngaphandle kovavanyo lwePelvic
Ukongezelela ekuhlolweni kwegazi ngokwalo, ugqirha wakho kufuneka athathe imbali yonyango. Kubalulekile ukuba ube nechanekileyo kwaye uphelele njengoko unako ukuphendula imibuzo yakhe kwaye uchaza nayiphina impawu onakho.
Kulo xesha ufanele uxelele i-gynecologist yakho malunga nexesha kunye nobukhulu baluphi na uhlobo lwesifo okanye enye imeko onokuyifumana ngayo ukususela ekuqeshweni kwakho kokugqibela.
Qinisekisa ukuba uquka ulwazi malunga nokuba unamaxesha angaqhelekanga okanye ixesha elibuhlungu , okanye nayiphi na enye ingxaki yokuya esikhathini , isifo sesisu , okanye ulwabelana ngesondo .
Eminye imiba yempilo yokuxoxa iquka naluphi na utshintsho olunzima lokuguquka, ukulahleka kweenwele okanye ukuguquka kwesikhumba.
Ekugqibeleni, nangona kungengabandakanyekanga ukuvavanya kwezilwanyana kubalulekile ukuba abafazi abaneminyaka emashumi mane nangaphezulu bahlolwe umhlaza wekoloni. Ngokuqhelekileyo kubandakanya uvavanyo oluphambeneyo, kunye nokuhlolwa kobugqi begazi . Ukuba i-GYN yakho ayenzi nto, kufuneka uyibuze malunga nayo.
Imithombo:
I-Carr SE, iCarmody D. Iziphumo zokufundisa abafundi bezonyango izakhono ezisisiseko kwimpilo yabasetyhini: inkqubo yezemfundo yokuhlola i-pelvic. U-J Obstet Gynecol 2004; 190: 1382.
IKomiti yeZenzo zoGynecologic. Ikomiti yeNqununu ye-Nombolo 534: ukutyelela umfazi. I-Obstet Gynecol 2012; 120: 421.