Lokhu kutholakala
Ukuze ube nempilo enhle (ngaphandle kokulahlekelwa ikhono lokuzala), owesifazane kufanele abe nesitezi se-pelvic. Iqukethe izingxenye ezintathu zemisipha ezisekela ithini lemisipha ye-vagin kanye ne-anal sphincter, ebaluleke kakhulu ngesikhathi sokubeletha. Enye yezinkombandlela ezintsha zokuxilongwa kwezifo zamasosha zanamuhla ukuhlolwa kwesimo segumbi lesisu. Ezweni lakithi, imitholampilo engavamile isebenza ngale ndlela, naphezu kokuthi cishe ingxenye yesithathu yabesifazane ibhekene nokulimala kulezi zinhlanzi. Ngakho-ke, ochwepheshe bemtholampilo bazisa izindlela ezintsha ze-ultrasound ukunquma isimo se-pelvic bese bekhomba abesifazane abanengozi enkulu yokusebenza kwabasebenzi. Uma wenze ukuxilongwa okulungile, khetha indlela engcono yokuhlinzwa okuvuselelayo.
Umtholampilo uzokusiza uma uhlolisiswa: i-tubal ne-peritoneal infertility (kokuqala - ukungabikho noma ukuvimbela kokubili amashubhu we-fallopian, okwesibili - ukubambisana phakathi kwe-ovary ne-tube). I-Endometriosis (ukwandisa kwezicubu ezingaphezu kwesikhumba sangaphakathi sembele).
I-Adenomyosis (inqubo yokuvuvukala ngamathumba esibelethweni). I-Myoma noma i-uterine fibroids (izicubu ezinobuthi emzimbeni wesibeletho noma emzimbeni). I-hyperplasia yesibeletho (isimo sezicubu zesisu, lapho sikhula khona, umsebenzi wawo uphazamiseka). I-Polycystic i-ovary syndrome (eyaziwa nangokuthi i-Stein-Leventhal syndrome, ekhonjiswe ukungabikho noma ukungahambi kahle kwe-ovulation).
I-Cysts (ukuqoqwa kwamanzi, okuzungezwe ngodonga oluncane kakhulu lwe-capsule, ngaphakathi kwezicubu ezijwayelekile ze-ovary, kungakha izikhathi ezingu-10, kuqhume futhi kuphume uma kungenjalo kahle) kanye nezicubu ze-ovari. Ukukhubazeka kwezitho zangasese zangaphakathi.
Ukukhetha ngokuqondene nomzimba
Izibalo ziyinto enenkani: emisebenzini yendabuko, ingozi yokuthuthukisa ezinye izifo zesifazane zesimiso sokuzala ikhulisa izikhathi eziyi-10. Lokhu kungenxa yokuthi umzimba uthinta ubuhlungu kakhulu ekucatshangweni okukhulu: uchitha umzamo wokunciphisa ubuhlungu nokucindezeleka kokuthunyelwa komzimba, ukunciphisa zonke izinhlelo. Lokhu kungagwenywa kanjani? Faka isicelo somusa esivumela owesifazane ukuba adlulisele ngokungahambi kahle umsebenzi futhi alulame ngokushesha. Lokhu kungaba yi-laparoscopy noma i-laparotomy - amasu okuhlinzeka asetshenzisiwe avumela udokotela ukuba asebenze ngaphakathi kwesisu ("laparo" - kusukela "esibelethweni" sesiGreki), okwenza amancane - 5-10 mm - nadreziki. Ngalesi sikhathi, esikrinini sombala wemishini yezokwelapha enamandla, ungabona ukuthi kwenzekani ezithombeni nasezicukeni. Emtholampilo "Nadia" ngalokhu kukhona yonke imishini edingekayo, ehluke kakhulu kwezinye izikhungo zezokwelapha e-Ukraine. Kodwa into eyinhloko ukuthi bazosiza ukwenza ukhetho olufanele ngokuqondene nempilo nokubeletha.
Ngine-colpitis , ukuvuvukala kwe-mucosa yangasese. Kodwa lo mlingani wayengekho ukubonakaliswa kwalesi sifo kwakungekho. Ingabe lokhu kusho ukuthi uyisithwala sokutheleleka, futhi kufanele yini anikele noma yikuphi ukuhlolwa?
I-Dysbacteriosis, igciwane lesandulela ngculazi lendawo, ukungcola okungcolile kungabangela ukugula kungakhathaliseki ukuthi owesifazane usebenza ngokocansi. Umlingani ezimweni ezinjalo akwenzi lutho, futhi owesifazane kumele aphathwe ngokuzimela. Njengomthetho, ama-antimicrobial and antiseptic agents of a wide spectrum of action anqunyelwe ukwelashwa kwe-colpitis. Ezinye izidakamizwa zisetshenziselwa ukuvimbela ukugula: kunezidakamizwa zangasese zangasese ezingakwazi ukukhipha amagciwane ngama-microorganisms kanye nama-viruses afinyelele emangcwabeni amahora amabili ngemuva kokuxhumana kocansi.
Ngesikhathi esifanayo, i- colpitis ingenzeka ngenxa yezifo zocansi: ureaplasma, mycoplasma, chlamydiosis, trichomoniasis, gardnerella, gonorrhea, i-papillomavirus yabantu, esetshenziselwa ngokocansi. Uma lowo ohlukumezekile ukutheleleka ngokocansi, lo mbhangqwana kumele uphathwe ndawonye. Uma kungenjalo, emva kokuya ocansini okungavumelekile kuzosuselwa igciwane lesandulela ngculaza, futhi lesi sifo singakwazi ukuziqinisa kabusha. Indoda kuleli cala kufanele ivakashele urologist bese idlula urogenital smear.
Ngine-oncogenic kakhulu ye-papillomavirus yabantu (i-HPV). Udokotela wangithumela ekukhunjweni komlomo wesibeletho. Kamuva ngafunda ukuthi ngaphambi kwenkambiso ngadingeka ngenze i-biopsy yezicubu zomlomo wesibeletho. Kubaluleke kangakanani lokhu ukuyeka?
Ngaphambi kokukhwabanisa (indlela yokwelashwa kwesifo somlomo wesibeletho ngokusetshenziswa kwe-nitrogen ye-liquid) izicubu ze-biopsy akudingeki ngaso sonke isikhathi. Iqiniso liwukuthi ngemva kokuthola uhlobo oluhle kakhulu lwe-HPV, i-colposcopy yomlomo wesibeletho nokuhlolwa kwe-cytological we-urogenital smear kwenziwa. Futhi, uma imiphumela yabo ivumela udokotela ukuba enze isiphetho mayelana nezinguquko ezinkulu e-epithelium yomlomo wesibeletho esiqondiswa nomdlavuza, khona-ke ubeka i-biopsy. Uma uchwepheshe engakhathazeki, inqubo ayidingekile. Phela, i-biopsy isifundo se-cervix encane, engavinjelwe ukuba khona kwamangqamuzana omdlavuza. Eqinisweni, yi-microtrauma, futhi ngaphandle kwezizathu ezinzulu akudingeki.