Abesifazane abaningi abasheshe bavakashele i-gynecological office. Ngokuvamile lokhu kubangelwa ukuthi sesaba - ngokuzumayo okuthile kuzotholakala ... Ngakho manje uzobona izimpendulo zemibuzo ebuzwa kakhulu kunazo zonke kubantwana bamazinyo, ngenxa yokuthi ungaqonda ukuthi ngabe usadingeka yini ukuvakashela umama wezifo noma uma konke kuhle kuwe.
"Uma ngine-adnexitis engavamile, ingabe kuyiqiniso ukuthi ngidinga ukuzala ngokushesha, kungenjalo ukungabi namandla kungakhula?"
Uma ubeletho lwakho luvuthayo, khona-ke udinga ukuphuthuma ku-gynecologist ukuze anqume imbangela yalesi sifo. Ukuze wenze lokhu, kuzodingeka uhlolwe ukukhomba lokhu noma ukuthi ukutheleleka, ngakho-ke udokotela angakwazi ukunikeza ukwelashwa-physiotherapy noma imithi. Akunakwenzeka ukuthi akakwazi ukukhulelwa uma i-uvass inenqubo yokuvuvukala, ngaphandle kwalokho kungenzeka kube nokukhulelwa okungaphezulu kwebele. Ama-spikes akha emva kokuvuvukala azohlala kuze kube phakade. Futhi inqubo yokubamba iqhaza, ebizwa, ingagcina izibhubhu ze-uterine futhi ithuthukise ukungasebenzi.
"Ngizizwa nginomuzwa ovuthayo futhi ngisondeza eduze kwekhondomu. Ingabe lokhu kusho ukuthi nginezifo eziphuthumayo ku-latex? "
Uma uzizwa uvutha futhi uhlaselwa ngesikhathi sokulala ngokobulili, kungase kubonise ukuthi uthola umuthi we-latex noma u-spermicide, okuyizinye izikhathi lapho ikhondomu iphathwa khona, ukwandisa umphumela wokukhulelwa kwabo. Okokuqala, udinga ukuhlolisiswa ngokuba khona kwezifo ezithathelwana ngocansi ukuze ukwazi kahle ukuthi inkinga yakho ayikho yini ekutheleleni, kodwa ngokuphendula okweqile. Manje ikhondomu zithengiswa ezingenayo i-latex, - i-vinyl, eyenziwe nge-polyurethane. Noma kunjalo, ngaphambi kokushintsha isisu sokubeletha, thintana ne-vet. Mhlawumbe kufanele uzame ukuzivikela nge-contraceptive yama-hormone, i-pharmatex noma i-IUD.
"Ngitholwe ukuthi ngine-chlamydia. Kufanele ngiphathe kanjani?"
Uma sikhuluma nge-chlamydia yesisu, khona-ke kungaba yingozi kakhulu ngoba kungasakazeka emathinini amathumba, umlomo wesibeletho kanye nokungazalwa komzimba kuzokhula. I-Chlamydia ayiphathwa hhayi kuphela ngabajozi bezinkinga zegazi, kodwa yi-idermatologists, abahlinzeki, ama-urologists nama-immunologists-kubalulekile ukuphatha yonke imvelo ngokuphelele. Ekuqaleni, xhumana nodokotela, uzokutshela indlela yokuphulukisa nokubeka izidakamizwa noma ukwelashwa okhethekile.
"Udokotela wezifo zomzimba wathi nginomkhuhlane we-uterine. Ingabe kuyadingeka ukuyiqeda? "
Ukuze aqale, kufanele enze i-colposcopy, futhi aphinde ahlole ukuhlolwa kwe-cytological. Kakade, idatha evela kulezi zinhlolovo izonikeza ithuba lokuthola imbangela yalesi sifo bese iqhuba ukuhlonza okuhlukile. Kodwa indlela yokubhekana nalesi sifo - kuxhomeke ekuqiniseni kwenqubo: ukwelashwa kwelayisensi, ukukhishwa kwamanzi nge-nitrogen enamandla.
"Angikwazi ukuphulukisa i-chlamydia futhi ngikhulelwe. Ngingaqhubeka nokuphulukisa? "
Ukucacisa lo mbuzo ngokuqinisekile, udinga ukwenza izivivinyo ezikhethekile, i-Chlamydia A, Ig, G, M. Uma udinga ukuqhubeka nokwelapha, izidakamizwa zikhethiwe zibheke ngokungahambisani nezinkomba zokuqokwa kwazo, isikhathi sokubeletha ingane. Ungaphatha i-chlamydia kusukela ngesonto lama-14 ngosizo lwezidakamizwa ezikhethekile eziphephile. Ngaphezu kwalokho, kufanele kubonwe yi-obstetrician-gynecologist futhi ulandele zonke izincomo zakhe. Lapho ukhulelwa, ungaba nobulili ngaphandle kwekhondomu ngenyanga yesishiyagalolunye.
"Indlela yokunquma usuku oluhle kakhulu lokukhulelwe?"
Phakathi nomjikelezo phakathi kokuya esikhathini, kunesikhathi esithile lapho iqanda lishiya i-follicle (i-ovulation). Yisikhathi sesikhathi esihle kakhulu ekukhulelweni kwengane. Iqanda lihlala cishe izinsuku ezintathu esimweni esisebenzayo, futhi i-spermatozoa ihlala emzimbeni wesifazane ngezinsuku ezingu-3-5. Ngakho-ke, kufanele kukhunjulwe ukuthi ngenyanga leyo kunezinsuku ezingu-3-4 ezithandekayo kakhulu ekukhulelwe. Ngokuyinhloko, lesi sikhathi sokuphumula sifike cishe amasonto amabili ngaphambi komjikelezo wokuya esikhathini esizayo. Uma unezikhathi ezivamile, ungakwazi ukubala kalula isikhathi esihle kakhulu. Noma sebenzisa izivivinyo ezizwakalayo zokuvota.
"Kungenzeka yini ukwenza uthando ngesikhathi?"
Akunconywa ukuba uthole ubuhlobo obuseduze ngesikhathi sokuya esikhathini, ngoba umlomo wesibeletho uyancipha phakathi nalesi sikhathi, futhi lokhu kusho ukuthi ukutheleleka kungangena ezinhlobonhlobo nezibeletho. Uma ufuna ukulala ocansini, sebenzisa ikhondomu.
"Ngingayenza uma ngine cyst?"
Uma uthola ukuthi i-cyst ye-ovariya, ngakho-ke kuvinjelwe ukwenza ukubunjwa, ngoba kunengozi yokuhlushwa noma ukuphuka komlenze we-cyst. Uma emva kokuthola, ukuvivinya umzimba, hamba ku-gynecologist ngokushesha futhi uzizwe uhle uma uthola ukuhlolwa kwe-ultrasound. I-cyst iyisisu esinesihlungu, isizathu esasuka kuso, singaba nomlingiswa we-hormonal noma wokuvuvukala. Kungenxa yezizathu kuxhomeke endleleni yokwelashwa kwe-cyst - hormonal, operative noma anti-inflammatory.
"Indlela yokuphulukisa i-herpes ye-genital futhi ungakugwema ukuqhuma kwayo?"
Uma uthola ukuthi i-herpes yesisu, kufanele udinga ukwelashwa okukhethekile okulwa negciwane. Gwema ukubuyela emuva kungenziwa ngesikhathi esifanele (izimpawu zokuqala - ukubomvu, ukuvutha, ukubukeka kwebhola, ubuhlungu, ukuvuvukala), ukwelashwa, imithi. Uma ungaphilisi i-herpes, ngaphambi kokuba kuphele isikhathi sokuya esikhathini kuzoba nokucindezela, futhi lokhu kuzokwenza kube nzima ukuphila kwanoma yimuphi owesifazane.
"Ngezinye izikhathi ngiba nobuhlungu esiswini, lapho ama-ovari akhona khona. Ingabe ngidinga ukuhamba ngezivivinyo, futhi yiziphi? "
Ekuqaleni, kuyadingeka ukuya ekwamukelweni kumgogeni wezinkinga zomzimba bese uthatha zonke izivivinyo odokotela azonikeza zona. Qinisekisa ukwenza i-ultrasound ye-pelvis. Ubuhlungu besisu esingaphansi kungabangwa ngenxa yesisu, isifo sobuhlungu, isifo sofuba, izifo zomgogodla. Ngakho-ke, udinga ukubhalisela i-aphoyintimenti ne-neurologist, i-gastroenterologist, urologist kanye ne-vertebrologist.
"Basuse i-ovary. Ingabe lokhu kusho ukuthi kudingeka ngisebenzise ekuqothulweni kokufakelwa? Zonke izivivinyo zihle, kodwa angikwazi ukukhulelwa. "
Uma ngabe i-ovary eyodwa kuphela i-vampiric, lokhu akusho ukuthi udinga ukuphendukela kobuchwepheshe obusizo bokusiza ekusizeni. Okokuqala, udinga ukuhlola ngokucophelela abashadile ukuze babone izimbangela zokungasebenzi. Lokhu kungaba inqubo yokubambisana, ukuvinjelwa kwe-tube, ukungasebenzi kwamadoda kanye nokungasebenzi kahle kwe-hormonal. Kumele uhambe nomyeni ku-urologist kanye nomjozi wezifo ukuze bahlolisise bobabili nawe.
"Ngineminyaka engu-40 ubudala, kakade isigamu sonyaka sokuya esikhathini sihlala izinsuku ezingu-1-2. Ingabe lokhu kusho ukuthi isiphetho siseduze? "
Uma ukuya esikhathini, okungapheli izinsuku ezingaphezu kwezinsuku ezimbili, akusho ukuthi lesi sizukulwane siwumvuthwandaba, ngokuphambene nalokho, udinga ukuya kumgogeni wezinzwa futhi uhlolwe. Kubalulekile ukucacisa ivolumu yokulahlekelwa kwegazi kwesicelo, ukukhipha izifo ezingelapheki zezitho zomzimba, ukuze uphenye umsebenzi we-thyroid, ngoba lezi zici zingase zibonise ukuthi usungula i-hypomenstrual syndrome.
"Ngingakwazi yini ukukhulelwa emavikini okuqala ngemva kokukhipha idivayisi ye-intrauterine?"
Ngokushesha ngemva kokususa ukuvunguza, ungakhulelwa. Kodwa-ke, usadinga izinyanga ezimbalwa ukuzivikela, ukuze ungqimba lwangaphakathi lwalubele.
"Ngitshele, ngidinga ukwenza noma yimiphi imigomo yabazali besikhathi esizayo futhi ngizohlolwa?"
Akudingeki wenze noma iyiphi inoculations ngesikhathi uhlela ukukhulelwa, into kuphela ukuthi abashadile kufanele bahole indlela yokuphila enempilo. Ngemuva kwezinyanga ezingu-3-4 zokuxhaswa udinga ukuqala ukuthatha i-folic acid (ukuvimbela ukukhubazeka kokuthuthukiswa). Yiqiniso, hamba kumgogeni wezinzwa ukuze akwazi ukululeka kunoma yikuphi ukutheleleka futhi kungadingeka ukuba uhambe nge-ultrasound.
"Angifuni ukuvikelwa ikhondomu namaphilisi. Ingabe kukhona ukuphikisana kwedivayisi ye-intrauterine? "
Abesifazane abangazange babelethe abavunyelwanga ukubeka, ngoba ingozi yokuqala kanye nokuthuthukiswa kwezinqubo zokuvuvukala zofuzo zenyukile. Kunezinye izindlela: izinhlamvu zezinso zomlomo nezamazinyo, ngokucabangela isigqi sezinto eziphilayo, i-spermicides, i-coitus ephazamisekile.