Chii chinonzi Pelvic Exam? Chinangwa, Maitiro & Mhedzisiro

Pelvic exam ndiyo bvunzo yenguva dzose yekurapa apo chiremba wako anoongorora nhengo dzako dzekubereka kuti atarise zviratidzo zvechirwere kana dzimwe nyaya dzehutano. Funga nezvazvo sekushanya kwehutano kunzvimbo yako yepelvic, zvakafanana nekuti ungatarisa sei ropa rako panguva yekutarisa kwenguva dzose.

Bvunzo iyi ndechimwe chezvinhu zvakakosha zvakanyanya zvinoitwa nachiremba kuchengetedza hutano hwako hwekuzvara. Kunyangwe zvichigona kunzwa kusagadzikana kana kutya, kunyanya kana iri nguva yako yekutanga, kunzwisisa zvinoitika kunogona kukubatsira kuti unzwe wakagadzirira uye wakasununguka.

Chii chinonzi pelvic exam?

Pelvic exam ndiyo bvunzo yemuviri yenhengo dzako dzekunze nedzemukati dzekubereka. Mupi wako wehutano anoongorora uye anonzwa zvinyoro nyoro nzvimbo idzi kuti atarise kusagadzikana, zvirwere, kana dzimwe nyaya dzehutano.

Bvunzo iyi inowanzo sanganisira zvikamu zvitatu zvikuru: kuongororwa kwekunze kwevulva yako, kuongororwa kwemukati uchishandisa speculum kuti uone chibereko chako uye beche, uye bimanual exam apo chiremba wako anoshandisa maoko avo kunzwa chibereko chako nemazai. Maitiro ese anowanzo tora maminitsi gumi nemashanu.

Vakadzi vazhinji vanotanga kuita pelvic exams vachitenderera makore makumi maviri nerimwe kana pavanotanga kuita zvepabonde, chero zvichitanga kutanga. Zvisinei, chiremba wako angakurudzira imwe kare kana uri kusangana nezviratidzo zvakaita sekubuda ropa kusinganzwisisiki, kurwadziwa, kana kubuda.

Nei pelvic exam ichiitwa?

Pelvic exams inoshanda zvinangwa zvakawanda zvakakosha mukuchengetedza hutano hwako hwekuzvara. Vanobatsira kuona matambudziko kare, apo anowanzo kuve nyore kurapa uye kubata zvakanaka.

Chiremba wako anoshandisa bvunzo iyi kuti atarise kenza yechibereko kuburikidza nePap smears, tarisa zvirwere zvepabonde, uye uone mamiriro akaita sema ovarian cysts, fibroids, kana endometriosis. Iwo zvakare mukana wekukurukura sarudzo dzekudzivirira kubata pamuviri, nyaya dzemwedzi, kana chero zviratidzo zvawanga uchisangana nazvo.

Dzimwe nguva, kuongororwa kwepelvic kunoitwa nezvikonzero zvakakosha kupfuura kuongororwa kwenguva dzose. Kana uri kusangana nekurwadziwa kwepelvic, kubuda ropa kusinganzwisisike, kubuda kwakasiyana, kana kuoma kwemvura, chiremba wako angakurudzira kuongororwa kuti aongorore zviratidzo izvi zvakadzama.

Ndeipi nzira yekuitisa kuongororwa kwepelvic?

Nzira yekuongorora pelvic inotevera nzira yakapfava, nhanho-ne-nhanho yakagadzirirwa kuti ive yakasununguka sezvinobvira. Chiremba wako achatsanangura nhanho imwe neimwe asati aenderera mberi, uye unogona kubvunza mibvunzo kana kukumbira zororo chero nguva.

Hezvino zvinowanzoitika panguva yekuongorora kwako:

1. Kuongorora kwekunze: Chiremba wako anoongorora maziso ako vulva, achitsvaga chero kutsamwa, cysts, kana kukura kusinganzwisisike panzvimbo yekunze yenhengo dzemuviri.
2. Speculum kuongorora: Speculum (chishandiso chakapfava, chepurasitiki kana simbi) inoiswa zvinyoro-nyoro muvagina yako kuti ibate madziro akaparadzana kuitira kuti chiremba wako aone cervix yako nemadziro evaginal.
3. Pap smear (kana zvichidikanwa): Chiremba wako anogona kuunganidza masero kubva ku cervix yako achishandisa bhurashi diki kana spatula yekutarisa kenza yecervical.
4. Bimanual kuongorora: Chiremba wako anopinza chigunwe chimwe kana zviviri zvine magurovhosi muvagina yako achitsikirira mudumbu rako nerumwe ruoko kuti anzwe chibereko chako, mazai, uye machubhu efallopian.
5. Rectovaginal exam (dzimwe nguva): Mune zvimwe zviitiko, chiremba wako angaita bvunzo pfupi yegwara kuti aongorore nzvimbo iri pakati pevagina yako nerectum.

Munguva yekuongorora, chiremba wako achataurirana newe nezve zvavanenge vachiita uye vachabvunza kana uri kusangana nekusagadzikana. Maitiro ese anowanzo tora maminitsi gumi nemashanu, nepo chikamu chaicho chekuongorora chichingotora maminitsi mashoma.

Maitiro ekugadzirira kuongororwa kwako kwepelvic?

Kugadzirira bvunzo yako yepelvic kunogona kukubatsira kuti unzwe wakasununguka uye uve nechokwadi chemigumisiro yakarurama. Mashoko akanaka ndewekuti kugadzirira kuri nyore uye hakudi chero shanduko huru dzemaitiro ehupenyu.

Heano mamwe matanho anobatsira ekugadzirira ekufunga nezvawo:

\n
• Ronga zvakanaka: Kana zvichibvira, ronga bvunzo yako panguva yausiri kuenda kumwedzi, sezvo izvi zvichigona kuita kuti bvunzo ive nyore uye inonakidza.
\n
• Dzivisa zvimwe zvigadzirwa: Usashandise douches, vaginal creams, kana spermicides kwemaawa makumi maviri nemana-48 usati waita bvunzo yako, sezvo izvi zvinogona kukanganisa mhedzisiro yebvunzo.
\n
• Bvisa dumbu rako: Shandisa chimbuzi usati waita bvunzo yako kuti ikubatsire kunzwa wakasununguka panguva yekuongorora.
\n
• Pfeka mbatya dzinonakidza: Sarudza mbatya dziri nyore kubvisa nekupfeka zvakare, senge siketi kana chipfeko chine hembe dzemukati dzinonakidza.
\n
• Gadzirira mibvunzo yako: Nyora pasi chero zviratidzo, zvinonetsa, kana mibvunzo yaunoda kukurukura nachiremba wako.
\n

Rangarira kuti haufanirwe kuveura kana kuita chero kuchenesa kwakakosha usati waita bvunzo yako. Chiremba wako akaona zvese uye akatarisa hutano hwako, kwete chitarisiko chako. Kana uchitya, zivisa mupi wako wehutano - vanogona kupa kumwe kuvimbiswa uye kutora imwe nguva kuti vakubatsire kunzwa wakasununguka.

Ungaverenga sei mhedzisiro yebvunzo yako yepelvic?

Kunzwisisa mhedzisiro yebvunzo yako yepelvic kunokubatsira kuti urambe uchiziva nezvehutano hwako hwekubereka. Chiremba wako anowanzo kukurukura zvawanikwa newe zvakananga mushure mebvunzo, achitsanangura zvavakaona uye zvinorevei kuhutano hwako.

Bvunzo zhinji dzepelvic dzinoratidza zvakajairika, zvakawanikwa zvine hutano. Chiremba wako angatsanangura chibereko chako se

Kana bvunzo yako ikasanganisira Pap smear, mhedzisiro idzodzo dzinowanzo tora mazuva mashoma kusvika vhiki kuti dzidzoke kubva kulabhu. Mhedzisiro yePap yakajairika inowanzo shumwa se "negative for intraepithelial lesion or malignancy," izvo zvinoreva kuti hapana maseru asina kujairika akawanikwa.

Dzimwe nguva, chiremba wako angawana kusajairika kudiki kunoda kuongororwa asi hakusi kunetesa pakarepo. Izvi zvinogona kusanganisira macyst madiki, shanduko diki dzemucervical, kana zviratidzo zvezvirwere zvakajairika. Mupi wako wehutano achatsanangura zvinoreva izvi zvawanikwa uye kana paine kutevera kunodiwa.

Ndezvipi zvinhu zvinokonzera njodzi zvekuwanikwa kusingajairiki kwekuongororwa kwepelvic?

Zvimwe zvinhu zvinogona kuwedzera mukana wako wekuva nezvawanikwa zvisina kujairika panguva yekuongororwa kwepelvic. Kunzwisisa izvi zvinhu zvinokonzera njodzi zvinogona kukubatsira kutora matanho ekudzivirira hutano hwako hwekubereka uye kuziva kuti ungatsvaga rini rubatsiro rwekurapa.

Zvinowanzoitika njodzi zvinogona kutungamira kune zvawanikwa zvisina kujairika zvinosanganisira:

• Kutaurirana pabonde: Kuva nevabatsiri vakawanda vepabonde kana mumwe ane vadyidzani vakawanda kunowedzera njodzi yako yezvirwere zvinotapuriranwa pabonde.
• Zera: Mamwe mamiriro akaita seshanduko dzemucervical kana ovarian cysts anova akajairika sezvaunokura.
• Nhoroondo yemhuri: Nhoroondo yemhuri yeovarian, cervical, kana mamwe akasiyana emakanseru ekubereka anogona kuwedzera njodzi yako.
• Kusvuta: Kushandiswa kwefodya kunowedzera zvakanyanya njodzi yako yecervical cancer uye mamwe matambudziko ehutano hwekubereka.
• HPV infection: Human papillomavirus ndiyo inokonzera cervical cancer uye abnormal Pap smears.
• Weakened immune system: Mamiriro akaita seHIV kana mishonga inodzvinyirira immune system yako inogona kuwedzera njodzi yekutapukirwa.
• Mhedzisiro isina kujairika yapfuura: Kana iwe wakambove nePap smears isina kujairika kana zvimwe zvawanikwa munguva yakapfuura, ungangoda kuongororwa kakawanda.

Kuve nezvinhu izvi zvinokonzera njodzi hazvirevi kuti zvechokwadi uchava nematambudziko, asi zvinoreva kuti kuongororwa kwepelvic nguva dzose kunova kwakakosha zvikuru kuhutano hwako. Chiremba wako anogona kukubatsira kunzwisisa mwero wako wega wega wenjodzi uye kukukurudzira chirongwa chakanakisa chekuongorora iwe.

Ndezvipi zvingaitika kana zvawanikwa zvisina kujairika pakuongororwa kwepelvic?

Nepo kuongororwa kwepelvic kwakawanda kuchiratidza zvawanikwa zvakajairika, mhedzisiro isina kujairika dzimwe nguva inogona kuratidza mamiriro anoda kutariswa. Kunzwisisa zvingaitika izvi kunogona kukubatsira kuziva kana kutarisirwa kunotevera kwakakosha, kunyangwe zvakakosha kuyeuka kuti zvakawanda zvawanikwa zvisina kujairika zvinorapika.

Mamiriro akajairika anogona kuonekwa panguva yekuongororwa kwepelvic anosanganisira:

• Cervical dysplasia: Masero asina kujairika pamutsipa wechibereko anogona kukura kuita kenza kana akasiiwa asina kurapwa, kunyangwe maitiro aya anowanzo tora makore.
• Zvirwere zvinotapuriranwa pabonde: Mamiriro akaita se chlamydia, gonorrhea, kana HPV anogona kukonzera zviratidzo uye matambudziko kana asina kurapwa.
• Ovarian cysts: Mabhegi akazadzwa nemvura paovaries anowanzoita asina njodzi asi dzimwe nguva anokonzera kurwadziwa kana matambudziko.
• Uterine fibroids: Kukura kusina kenza muchibereko kunogona kukonzera kubuda ropa zvakanyanya kana kumanikidzwa kwepelvic.
• Endometriosis: Mamiriro apo tishu yechibereko inokura kunze kwechibereko, zvichikonzera kurwadziwa uye matambudziko ekubereka.
• Pelvic inflammatory disease: Utachiona hwezvikamu zvekubereka hunogona kutungamirira kurwadziwa kusingaperi kana matambudziko ekubereka kana asina kurapwa.

Zvakanyanya kukomba asi zvishoma zvawanikwa zvinogona kusanganisira zviratidzo zvekenza yekubereka, kunyangwe izvi zvichiwanzova zvisingawanzoitiki, kunyanya kuvakadzi vadiki. Kuonekwa kwekutanga kuburikidza nekuongororwa kwepelvic nguva dzose kunovandudza zvakanyanya mhedzisiro yekurapa mamiriro aya.

Chinhu chakakosha kurangarira ndechokuti kuwana dambudziko nekukurumidza rinenge nguva dzose rinoreva sarudzo dzakanaka dzekurapa nemigumisiro. Chiremba wako achashanda newe kuti vagadzire chirongwa chakakodzera chekurapa kana chero kusanzwisisana kukawanikwa.

Ndingashanyira chiremba rinhi kuti ndiongororwe pelvic?

Kuziva nguva yekuronga kuongororwa kwe pelvic kunokubatsira kuti urambe uchiita proactive nezve hutano hwako hwekubereka. Vakadzi vazhinji vanofanira kutanga kuongororwa nguva dzose kwe pelvic vakatenderedza zera re 21, asi kune mamiriro chaiwo apo unogona kuida nekukurumidza kana kazhinji.

Unofanira kuronga kuongororwa kwe pelvic kana uri kusangana nechero eaya zviratidzo:

• Kubuda ropa kwevagina kusinganzwisisike: Kubuda ropa pakati pemwedzi, mushure mebonde, kana mushure mekuenda kumwedzi
• Kurwadziwa kwePelvic: Kurwadziwa kunoramba kuripo mudumbu rako rezasi, pelvis, kana panguva yebonde
• Kubuda kunoshamisa: Ruvara rusinganzwisisike, hwema, kana kuenderana kwekuzora kwevagina
• Zviratidzo zveUrine: Kugara uchikanda mvura, kupisa panguva yekukanda mvura, kana kuoma kwemudziyo wako
• Mwedzi yakapotsa: Kana wakapotsa mwedzi uye pamuviri wakabviswa
• Kufunganya nezveSTIs: Kana iwe uchifunga kuti ungave wakafumurwa kune hutachiona hunotapuriranwa pabonde

Kuti uongororwe nguva dzose, vanachiremba vazhinji vanokurudzira kuongororwa kwe pelvic gore negore kune vakadzi vanoita zvepabonde kana avo vane makore anopfuura 21. Zvisinei, Pap smears (iyo inowanzoitwa panguva yekuongororwa kwe pelvic) inowanzoitwa makore 3-5 zvichienderana nezera rako uye njodzi.

Usamirira kana uri kusangana nezviratidzo zvinokunetsa. Chiremba wako anoda kukuona nedambudziko diki pane kuti unetseke kana kurega mamiriro anorapika achifambira mberi. Vimba nezvako pamusoro pemuviri wako uye tsvaga kutarisirwa kana chimwe chinhu chisinganzwe zvakanaka.

Mibvunzo inowanzo bvunzwa nezvekuongororwa kwe pelvic

Mubvunzo 1: Kuongororwa kwe pelvic kunorwadza here?

Kuongororwa kwepelvic hakufaniri kurwadza, kunyangwe iwe ungave uchiita dzvinyiriro kana kusagadzikana kudiki. Kuisa speculum kunogona kunzwa kusina kujairika, kunyanya panguva yekuongorora kwako kwekutanga, asi hakufaniri kukonzera kurwadziwa kukuru.

Kana iwe uchiita kurwadziwa panguva yekuongorora, zivisa chiremba wako nekukasira. Vanogona kugadzirisa nzira yavo, kushandisa speculum diki, kana kutora zororo kuti vakubatsire kunzwa wakasununguka. Kusagadzikana kumwe kwakajairika, asi kurwadziwa kwakapinza kana kwakanyanya hakusi kwakajairika uye kunofanirwa kugadziriswa.

Q2: Ndingave nekuongororwa kwepelvic panguva yekuenda kumwedzi here?

Kunyange zvichibvira kuva nekuongororwa kwepelvic panguva yekuenda kumwedzi, kazhinji hazvina kunaka kunze kwekunge uri kuita zviratidzo zvekukurumidza. Ropa remwedzi rinogona kuita kuti zvive zvakaoma kuti chiremba wako aone zvakajeka uye rinogona kukanganisa mhedzisiro yebvunzo.

Kana iwe uine bvunzo yakarongwa uye nguva yako yatanga, fonera hofisi yachiremba wako kuti ukurukure kana kuchinja. Kune zvinonetsa zvekukurumidza sekurwadziwa kwakanyanya kwepelvic kana kubuda ropa zvakanyanya, chiremba wako anogona kuita ongororo inoreva kunyangwe panguva yekuenda kumwedzi.

Q3: Ndingade kuongororwa kwepelvic kana ndisiri kuita zvepabonde here?

Kudiwa kwekuongorora pelvic muvakadzi vasiri kuita zvepabonde kunoenderana nezvinhu zvakati wandei, kusanganisira zera rako, zviratidzo, uye nhoroondo yemhuri. Vazhinji vanopa hutano parizvino vanokurudzira kutanga kuongororwa kwekenza yecervical pazera re21 zvisinei nebasa repabonde.

Zvisinei, kana uri mudiki pane 21 uye usingaiti zvepabonde, unogona kusada kuongororwa kwepelvic kwakazara kunze kwekunge uri kuita zviratidzo zvakaita sekubuda ropa kusingajairiki, kurwadziwa kwakanyanya kwemwedzi, kana zvimwe zviratidzo zvinonetsa. Chiremba wako anogona kubatsira kuona zvakakodzera kune yako yega mamiriro.

Q4: Ndingave nekuongororwa kwepelvic kakawanda sei?

Kuwanda kwemiedzo yepelvic kunoenderana nezera rako, njodzi, uye mhedzisiro dzakapfuura. Vazhinji vanopa hutano vanokurudzira miedzo yegore negore yevakadzi vanoita zvepabonde, kunyangwe dzimwe sangano dzichikurudzira kuti dzingaitwa kazhinji kana uine mhedzisiro yakajairika nguva dzose.

Pap smears, izvo zvinowanzoitwa panguva yemiedzo yepelvic, zvinowanzo kurudzirwa makore matatu ega ega evakadzi vane makore 21-65, kana makore mashanu ega ega kana akabatanidzwa neHPV kuyedzwa. Chiremba wako achakubatsira kuona chirongwa chakanakisa zvichienderana nehutano hwako hwega uye njodzi.

Q5: Ndingaita sei kana ndichinzwa kushushikana nezvekuongororwa kwangu kwepelvic?

Kunzwa kushushikana nezvekuongororwa kwepelvic kwakajairika uye kwakajairika. Vakadzi vazhinji, kunyanya avo vari kuita kuongororwa kwavo kwekutanga, vanonzwa kutya nezve maitiro acho.

Taura nemupi wako wehutano nezvekushushikana kwako - vakajaira kubatsira varwere vanonetseka uye vanogona kupa nzira dzekukubatsira kuzorora. Dzimwe nzira dzinobatsira dzinosanganisira kuunza shamwari inotsigira, kukumbira chiremba wako kuti atsanangure nhanho imwe neimwe sezvavanoenda, kudzidzira kufema kwezororo, kana kukumbira mupi wechikadzi kana izvo zvichikugadzira kuti unzwe wakasununguka. Yeuka kuti chiremba wako anoda kuti unzwe wakasununguka sezvinobvira panguva yekuongororwa kwako.