Yini Ukuhlolwa Kwesitho Sesinqeni? Inhloso, Inqubo & Imiphumela

Ukuhlolwa kwesitho sesinqeni kuyisheke elivamile lezokwelapha lapho udokotela wakho ehlola izitho zakho zokuzala ukuze ahlole izimpawu zesifo noma ezinye izinkinga zempilo. Kucabange njengokuvakasha kwempilo endaweni yakho yesinqeni, njengoba nje ungase uhlolwe umfutho wegazi ngesikhathi sokuhlolwa okuvamile.

Lokhu kuhlolwa kungenye yezinto ezibaluleke kakhulu odokotela abazisebenzisayo ukugcina impilo yakho yokuzala. Ngenkathi kungase kuzizwe kungakhululekile noma kuqeda amandla, ikakhulukazi uma kungokokuqala ngqa, ukuqonda ukuthi kwenzekani kungakusiza ukuthi uzizwe ulungile futhi ukhululekile.

Yini ukuhlolwa kwesitho sesinqeni?

Ukuhlolwa kwesitho sesinqeni kuyisivivinyo somzimba sezitho zakho zangaphandle nezangaphakathi zokuzala. Umhlinzeki wakho wezempilo uhlola ngeso futhi uzizwa ngobumnene lezi zindawo ukuze ahlole ukungajwayelekile, izifo, noma ezinye izinkinga zempilo.

Ukuhlolwa ngokuvamile kufaka izingxenye ezintathu eziyinhloko: ukuhlolwa kwangaphandle kwe-vulva yakho, ukuhlolwa kwangaphakathi kusetshenziswa i-speculum ukubona i-cervix yakho ne-vagina, kanye nokuhlolwa kwe-bimanual lapho udokotela wakho esebenzisa izandla zakhe ukuzwa isibeletho sakho nama-ovari. Inqubo yonke ngokuvamile ithatha imizuzu engu-10-15.

Abesifazane abaningi baqala ukuhlolwa kwesitho sesinqeni cishe eneminyaka engu-21 noma lapho beqala ukuziphatha ngocansi, noma ngabe yikuphi okuqala. Kodwa-ke, udokotela wakho angase ancome eyodwa ngaphambili uma uhlangabezana nezimpawu ezinjengokuphuma kwegazi okungajwayelekile, ubuhlungu, noma ukukhipha.

Kungani kwenziwa ukuhlolwa kwesitho sesinqeni?

Ukuhlolwa kwesitho sesinqeni kunemisebenzi eminingi ebalulekile ekugcineni impilo yakho yokuzala. Basiza ukuthola izinkinga kusenesikhathi, lapho ngokuvamile kulula ukuzelapha nokuphatha ngempumelelo.

Udokotela wakho usebenzisa lokhu kuhlolwa ukuze ahlole umdlavuza womlomo wesibeletho ngama-Pap smears, ahlole izifo ezithathelwana ngocansi, futhi abone izimo ezinjenge-ovarian cysts, ama-fibroids, noma i-endometriosis. Futhi yithuba lokuxoxa ngezinketho zokulawula ukuzalwa, izinkinga zokuya esikhathini, noma yiziphi izimpawu obhekane nazo.

Ngezinye izikhathi, ukuhlolwa kwamathambo e-pelvic kwenziwa ngezizathu ezithile ezingaphezu kokuhlolwa okuvamile. Uma uhlangabezana nobuhlungu be-pelvic, ukuphuma kwegazi okungavamile, ukukhipha okungavamile, noma ubunzima bokuchama, udokotela wakho angase ancome ukuhlolwa ukuze ahlole lezi zimpawu ngokujulile.

Yini inqubo yokuhlolwa kwe-pelvic?

Inqubo yokuhlolwa kwe-pelvic ilandela indlela enobumnene, yesinyathelo ngesinyathelo eyenzelwe ukuba ikhululeke ngangokunokwenzeka. Udokotela wakho uzochaza isinyathelo ngasinye ngaphambi kokuqhubeka, futhi ungenza imibuzo noma ucele ukuphumula nganoma yisiphi isikhathi.

Nakhu okwenzekayo ngesikhathi sokuhlolwa kwakho:

1. Ukuhlolwa kwangaphandle: Udokotela wakho uhlola ngeso lakhe i-vulva yakho, efuna noma yikuphi ukucasuka, ama-cyst, noma ukukhula okungavamile endaweni yangaphandle yezitho zangasese.
2. Ukuhlolwa kwe-speculum: I-speculum (ithuluzi elibushelelezi, lepulastiki noma lensimbi) lifakwa ngobumnene esithweni sakho sangasese ukuze libambe izindonga zihlukene ukuze udokotela wakho akwazi ukubona i-cervix yakho nezindonga zesitho sangasese.
3. I-Pap smear (uma idingeka): Udokotela wakho angase aqoqe amaseli e-cervix yakho esebenzisa ibhulashi elincane noma i-spatula ukuze ahlolisise umdlavuza we-cervical.
4. Ukuhlolwa kwe-Bimanual: Udokotela wakho ufaka umunwe owodwa noma emibili ogqoke amagilavu ​​esithweni sakho sangasese ngenkathi ecindezela esiswini sakho ngesinye isandla ukuze azwe isibeletho sakho, ama-ovari, namashubhu e-fallopian.
5. Ukuhlolwa kwe-Rectovaginal (ngezinye izikhathi): Kwezinye izimo, udokotela wakho angase enze ukuhlolwa okufushane kwe-rectal ukuze ahlolisise indawo ephakathi kwesitho sakho sangasese kanye nendawo yangasese.

Ngesikhathi sokuhlolwa, udokotela wakho uzoxhumana nawe ngalokho akwenzayo futhi akubuze ukuthi ngabe uhlangabezana nanoma yikuphi ukungakhululeki. Inqubo yonke ngokuvamile ithatha imizuzu engu-10-15, ngengxenye yokuhlolwa yangempela ethatha imizuzu embalwa kuphela.

Ungalungiselela kanjani ukuhlolwa kwakho kwe-pelvic?

Ukulungiselela ukuhlolwa kwakho kwe-pelvic kungakusiza ukuthi uzizwe ukhululekile futhi uqinisekise imiphumela enembile kakhulu. Izindaba ezinhle ukuthi ukulungiselela kulula futhi akudingi izinguquko ezinkulu zokuphila.

Nawa amanye amasu alusizo okuzilungiselela okufanele uwacabangele:

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• Hlela ngobuhlakani: Uma kungenzeka, hlela ukuhlolwa kwakho ngesikhathi lapho ungaqali ukuya esikhathini, ngoba lokhu kungenza ukuhlolwa kube lula futhi kube lula.
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• Gwema imikhiqizo ethile: Ungasebenzisi ama-douches, okhilimu besitho sangasese, noma ama-spermicides amahora angu-24-48 ngaphambi kokuhlolwa kwakho, ngoba lokhu kungathinta imiphumela yokuhlolwa.
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• Khipha isinye sakho: Sebenzisa indlu yangasese ngaphambi nje kokuhlolwa kwakho ukukusiza ukuthi uzizwe ukhululekile ngesikhathi senqubo.
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• Gqoka izingubo ezikhululekile: Khetha izingubo okulula ukuzisusa futhi uzibuyisele, njengesiketi noma ingubo enezinqeni ezikhululekile.
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• Lungisa imibuzo yakho: Bhala phansi noma yiziphi izimpawu, ukukhathazeka, noma imibuzo ofuna ukuxoxa ngayo nodokotela wakho.
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Khumbula ukuthi akudingeki ukuthi uqole noma wenze noma yikuphi ukuhlanza okukhethekile ngaphambi kokuhlolwa kwakho. Udokotela wakho ukubonile konke futhi ugxile empilweni yakho, hhayi ekubukekeni kwakho. Uma uzizwa unovalo, yazisa umhlinzeki wakho wezempilo - bangakunikeza isiqinisekiso esengeziwe futhi bathathe isikhathi esengeziwe ukukusiza ukuthi uzizwe ukhululekile.

Ungawafunda kanjani imiphumela yakho yokuhlolwa kwe-pelvic?

Ukuqonda imiphumela yakho yokuhlolwa kwe-pelvic kukusiza ukuthi uhlale unolwazi ngempilo yakho yokuzala. Udokotela wakho ngokuvamile uzoxoxa ngemiphumela nawe ngemuva nje kokuhlolwa, echaza lokho akubonile nokuthi kusho ukuthini empilweni yakho.

Ukuhlolwa okuningi kwe-pelvic kuveza okutholakele okuvamile, okunempilo. Udokotela wakho angase achaze intamo yesibeletho sakho ngokuthi

Uma ukuhlolwa kwakho kufaka phakathi i-Pap smear, imiphumela leyo ivame ukuthatha izinsuku ezimbalwa kuya evikini ukuthi ibuye e-lab. Imiphumela ejwayelekile ye-Pap ivame ukubikwa njenge "negative for intraepithelial lesion or malignancy," okusho ukuthi akutholakalanga maseli angajwayelekile.

Ngezinye izikhathi, udokotela wakho angase athole ukungajwayelekile okuncane okudinga ukuqashwa kodwa okungakhathazi ngokushesha. Lokhu kungabandakanya ama-cyst amancane, izinguquko ezincane zomlomo wesibeletho, noma izimpawu zokutheleleka okuvamile. Umhlinzeki wakho wezempilo uzochaza ukuthi lokhu okutholakele kusho ukuthini nokuthi ngabe kudingeka yini ukuqhubeka.

Yiziphi izici eziyingozi zokutholwa okungajwayelekile kokuhlolwa kwe-pelvic?

Izici eziningana zingakhuphula amathuba akho okuba nokutholwa okungajwayelekile ngesikhathi sokuhlolwa kwe-pelvic. Ukuqonda lezi zici eziyingozi kungakusiza ukuthi uthathe izinyathelo zokuvikela impilo yakho yokuzala futhi wazi ukuthi nini okufanele ufune ukwelashwa.

Izici eziyingozi ezivamile ezingaholela ekutholweni okungajwayelekile zihlanganisa:

• Ukwenza ucansi: Ukuba nabalingani abaningi bocansi noma umlingani onabalingani abaningi kwandisa ingozi yakho yokutheleleka ngocansi.
• Ubudala: Izimo ezithile njengokuguquka komlomo wesibeletho noma ama-ovarian cysts ziba njalo uma ukhula.
• Umlando womndeni: Umlando womndeni womdlavuza wama-ovari, umlomo wesibeletho, noma eminye imidlavuza yokuzala ingakhuphula ingozi yakho.
• Ukubhema: Ukusetshenziswa kukagwayi kwandisa kakhulu ingozi yakho yomdlavuza womlomo wesibeletho nezinye izinkinga zempilo yokuzala.
• Ukutheleleka nge-HPV: I-Human papillomavirus iyimbangela ehamba phambili yomdlavuza womlomo wesibeletho kanye ne-Pap smears engajwayelekile.
• Isistimu yokuzivikela komzimba ebuthakathaka: Izimo ezinjenge-HIV noma imithi ecindezela amasosha akho omzimba ingakhuphula ingozi yokutheleleka.
• Imiphumela engajwayelekile yangaphambilini: Uma uke waba ne-Pap smears engajwayelekile noma okunye okutholakele esikhathini esedlule, ungase udinge ukuqashwa okuvame kakhulu.

Ukuba nalezi zici eziyingozi akusho ukuthi nakanjani uzoba nezinkinga, kodwa kusho ukuthi ukuhlolwa kwansukuzonke kwe-pelvic kuba kubaluleke kakhulu empilweni yakho. Udokotela wakho angakusiza ukuthi uqonde izinga lakho eliyingozi ngalinye futhi ancome uhlelo olungcono kakhulu lokuhlola olukufanele.

Ziyini izinkinga ezingaba khona zokutholwa okungajwayelekile kokuhlolwa kwe-pelvic?

Ngenkathi ukuhlolwa okuningi kwe-pelvic kuthola izinto ezijwayelekile, imiphumela engajwayelekile ngezinye izikhathi ingabonisa izimo ezidinga ukunakekelwa. Ukuqonda lezi zinto ezingenzeka kungakusiza ukuthi ubone lapho ukunakekelwa okulandelayo kubalulekile, nakuba kubalulekile ukukhumbula ukuthi okuningi okutholakele okungajwayelekile kuyelapheka.

Izimo ezivamile ezingatholakala ngesikhathi sokuhlolwa kwe-pelvic zihlanganisa:

• I-Cervical dysplasia: Amaseli angajwayelekile emlonyeni wesibeletho angase athuthuke abe umdlavuza uma engelashwa, nakuba le nqubo ivame ukuthatha iminyaka.
• Izifo ezithathelwana ngocansi: Izimo ezinjenge-chlamydia, i-gonorrhea, noma i-HPV ezingabangela izimpawu nezinkinga uma zingelashwa.
• Ama-ovarian cysts: Izikhwama ezigcwele uketshezi kuma-ovari avame ukungalimazi kodwa ngezinye izikhathi zibangele ubuhlungu noma izinkinga.
• Ama-uterine fibroids: Ukukhula okungewona umdlavuza esibelethweni okungabangela ukuphuma kwegazi okuningi noma ukucindezela kwe-pelvic.
• I-Endometriosis: Isimo lapho izicubu zesibeletho zikhula ngaphandle kwesibeletho, okungenzeka sibangele ubuhlungu nezinkinga zokuzala.
• Isifo sokuvuvukala kwe-pelvic: Ukutheleleka kwezitho zokuzala ezingaholela ebuhlungwini obungapheli noma ezinkingeni zokuzala uma kungelashwa.

Okutholakele okungathi sína kodwa okungavamile kungase kuhlanganise izimpawu zomdlavuza wokuzala, nakuba lokhu kungavamile, ikakhulukazi kwabesifazane abasebancane. Ukutholwa kwasekuqaleni ngokuhlolwa kwe-pelvic okuvamile kuthuthukisa kakhulu imiphumela yokwelashwa yalezi zimo.

Into okufanele ukukhumbule ukuthi ukuthola inkinga ngokushesha cishe ngaso sonke isikhathi kusho izinketho zokwelapha ezingcono nemiphumela. Udokotela wakho uzosebenza nawe ukuthuthukisa uhlelo olufanele lokwelapha uma kutholakala noma yiziphi izinto ezingavamile.

Kufanele ngibone nini udokotela ukuze ngihlolwe i-pelvic?

Ukwazi ukuthi nini ukuhlela ukuhlolwa kwe-pelvic kukusiza ukuthi uhlale uqaphela ngempilo yakho yokuzala. Abesifazane abaningi kufanele baqale ukuhlolwa kwe-pelvic njalo cishe eneminyaka engama-21, kodwa zikhona izimo ezithile lapho ungase udinge eyodwa ngokushesha noma njalo.

Kufanele uhlele ukuhlolwa kwe-pelvic uma uhlangabezana nanoma yiziphi lezi zimpawu:

• Ukuphuma kwegazi okungavamile emithanjeni: Ukuphuma kwegazi phakathi nezikhathi, ngemva kocansi, noma ngemva kokuya esikhathini
• Ubuhlungu be-Pelvic: Ubuhlungu obuqhubekayo esiswini sakho esingezansi, i-pelvis, noma ngesikhathi socansi
• Ukuphuma okungavamile: Umbala ongavamile, iphunga, noma ukuqina kokuphuma emithanjeni
• Izimpawu zomchamo: Ukuvama ukuchama, ukusha ngesikhathi sokuchama, noma ubunzima bokukhipha umchamo wakho
• Izikhathi ezingaphuthelwanga: Uma uphuthelwe izikhathi futhi ukukhulelwa sekukhishwe
• Ukukhathazeka nge-STIs: Uma ucabanga ukuthi ungase ube semthethweni wokutheleleka ngocansi

Ukuze uthole ukuhlolwa okujwayelekile, ochwepheshe bezempilo abaningi batusa ukuhlolwa kwe-pelvic minyaka yonke kwabesifazane abenza ucansi noma labo abaneminyaka engaphezu kwengama-21. Kodwa-ke, ama-Pap smears (avame ukwenziwa ngesikhathi sokuhlolwa kwe-pelvic) ngokuvamile adingeka njalo eminyakeni emi-3-5 kuye ngeminyaka yakho kanye nezici eziyingozi.

Ungalindi uma uhlangabezana nezimpawu ezikukhathazayo. Udokotela wakho angathanda ukukubona ngenkinga encane kunokuba ukhathazeke noma uvumele isimo eselaphekayo siqhubeke. Thembela emizweni yakho ngomzimba wakho futhi funa ukunakekelwa lapho okuthile kungazizwa kahle.

Imibuzo evame ukubuzwa mayelana nokuhlolwa kwe-pelvic

Q1: Ingabe ukuhlolwa kwe-pelvic kubuhlungu?

Ukuhlolwa kwe-pelvic akufanele kube buhlungu, nakuba ungase uzwe ukucindezela okuthile noma ukungakhululeki okuncane. Ukufakwa kwe-speculum kungase kuzizwe kungajwayelekile, ikakhulukazi ngesikhathi sokuhlolwa kwakho kokuqala, kodwa akufanele kubangele ubuhlungu obukhulu.

Uma uzwa ubuhlungu ngesikhathi sokuhlolwa, yazisa udokotela wakho ngokushesha. Bangashintsha indlela yabo, basebenzise i-speculum encane, noma bathathe amakhefu ukukusiza uzizwe ukhululekile. Ukungakhululeki okuthile kuvamile, kodwa ubuhlungu obukhulu noma obunzima abuvamile futhi kufanele bubhekwane.

Q2: Ngingaba nokuhlolwa kwe-pelvic ngesikhathi sokuya esikhathini?

Ngenkathi kungenzeka ukuba nokuhlolwa kwe-pelvic ngesikhathi sokuya esikhathini, ngokuvamile akulungile ngaphandle uma unezimpawu eziphuthumayo. Igazi lokuya esikhathini lingenza kube nzima ngodokotela wakho ukubona kahle futhi lingase lithinte imiphumela ethile yokuhlolwa.

Uma unokuhlolwa okuhleliwe futhi ukuya esikhathini kuqala, shayela ihhovisi likadokotela wakho ukuze uxoxe ngokuthi kufanele kulungiswe yini. Ngezinkinga eziphuthumayo njengobuhlungu obukhulu be-pelvic noma ukuphuma kwegazi okuningi, udokotela wakho usengakwazi ukwenza ukuhlolwa okunenjongo ngisho nangesikhathi sokuya esikhathini.

Q3: Ngiyadinga ukuhlolwa kwe-pelvic uma ngingahlanganyeli ocansini?

Isidingo sokuhlolwa kwe-pelvic kwabesifazane abangahlanganyeli ocansini sincike ezintweni eziningana, okuhlanganisa iminyaka yakho, izimpawu, nomlando womndeni. Abahlinzeki bezempilo abaningi manje batusa ukuqala ukuhlolwa komdlavuza womlomo wesibeletho eneminyaka engu-21 ngaphandle kokuhlanganyela ocansini.

Nokho, uma uneminyaka engaphansi kwengu-21 futhi ungahlanganyeli ocansini, ungase ungadingi ukuhlolwa okugcwele kwe-pelvic ngaphandle uma unezimpawu ezifana nokuphuma kwegazi okungajwayelekile, amajaqamba aqinile okuya esikhathini, noma ezinye izimpawu ezikhathazayo. Udokotela wakho angasiza ekunqumeni ukuthi yini efanele isimo sakho ngasinye.

Q4: Ngingahamba kaningi kangakanani ukuhlolwa kwe-pelvic?

Ukuvama kokuhlolwa kwamathambo okhalweni kuncike eminyakeni yakho, izici eziyingozi, nemiphumela yangaphambilini. Odokotela abaningi bezempilo batusa ukuhlolwa kwaminyaka yonke kwabesifazane abahlanganyela ocansini, nakuba ezinye izinhlangano zitusela ukuthi kungenziwa kaningi uma unemiphumela ejwayelekile njalo.

Ama-Pap smears, avame ukwenziwa ngesikhathi sokuhlolwa kwamathambo okhalweni, ngokuvamile atuswa njalo eminyakeni emi-3 kwabesifazane abaneminyaka engu-21-65, noma njalo eminyakeni emi-5 uma ihlanganiswe nokuhlolwa kwe-HPV. Udokotela wakho uzokusiza ukuthi unqume uhlelo olungcono kakhulu olusekelwe kuphrofayela yakho yezempilo kanye nezici eziyingozi.

Q5: Kufanele ngenzeni uma ngizizwa ngikhathazekile ngokuhlolwa kwami kwamathambo okhalweni?

Ukuzizwa ukhathazekile ngokuhlolwa kwamathambo okhalweni kujwayelekile ngokuphelele futhi kuvamile kakhulu. Abesifazane abaningi, ikakhulukazi labo abenza ukuhlolwa kwabo kokuqala, baba novalo mayelana nenqubo.

Xoxa nodokotela wakho mayelana nokukhathazeka kwakho - bajwayele ukusiza iziguli ezinovalo futhi bangahlinzeka ngamasu okukusiza uphumule. Ezinye izindlela eziwusizo zihlanganisa ukuletha umngane osekelayo, ukucela udokotela wakho ukuthi achaze isinyathelo ngasinye njengoba benza, ukuzijwayeza ukuphefumula ukuze uphumule, noma ukucela umhlinzeki wesifazane uma lokho kukwenza uzizwe ukhululekile. Khumbula ukuthi udokotela wakho ufuna ukuthi uzizwe ukhululekile ngangokunokwenzeka ngesikhathi sokuhlolwa kwakho.