Luhlolo kwesitho sangasese. su

Ukukhulelwa - umcimbi ezigqame eside elindelwe empilweni salowo nalowo muntu wesifazane. Ngalesi sikhathi, Ngifuna ukujabulela njalo ngomzuzu ingane esizayo. Umuzwa omusha of khona esiswini umuntu, ingane inyakaza lokuqala umntwana - ke ngeke kulibaleke, futhi zikhumbuleke for a lifetime. Kodwa ithemba isimangaliso encane ingase iphazamise uzizwa umama ogulayo, ukuze avimbele yonke imiphumela ebuhlungu, kubalulekile ukwenza kuhlolisiswe ehlelekile abesifazane abakhulelwe, okungukuthi luhlolo lwesitho sangasese sowesifazane, ozokusiza ukuqapha isimo ingane kanye nentuthuko yayo.

Kungakhathaliseki ukuthi izimbangela zokugula ngesikhathi sokukhulelwa kukhona inqubo ekhethekile luhlolo abesifazane abeza esibhedlela izikhalo ukopha, ubuhlungu esiswini, ukucobeka nezinye umehluko wemisindo nemiqondo yamagama. Kulesi sihloko sizohlola ngokuningiliziwe zonke izigaba inhlolovo futhi uthole ukuthi yini abakudingayo.

palpation kwesibeletho

Palpation kuyadingeka ukunquma isimo kwesibeletho, isibonelo, ukubona ukuthi kusemthethweni yini isesimeni esihle. a Ukuzihlola okunjalo sowesifazane sangasese kumane Irreplaceable ekunqumeni ukuphakama ukuma kanye ukuma fundus lesizalo. I wabantu nesineke emhlane wakhe, udokotela umuntu wesifazane uqala ukuhlolwa. Ukuze inqubo palpation kade lingaphansi ubuhlungu, owesifazane kufanele uphumule.

Udokotela kumele bagqoke latex amagilavu inhlanzeko. Ngomusa baphokophelele labia, udokotela ifaka esithweni sowesifazane ngeminwe emibili. Eyokuqala Uphakamisa ukucindezela okusezingeni eliphezulu, lesine nelesihlanu entendeni, ngaleyo ndlela ukugxila ukuxhuma. Lokhu Uchwepheshe isinyathelo ithola ulwazi:

• isimo izicubu zangaphakathi we ukhalo;
• izindonga sangasese;
• vaults yayo;
• ubude, ukuma sangasese;
• ukuvala / kokuvula os zangaphandle.

Kwezinye izimo-ke kuyadingeka ukuze ahlole

luhlolo kwesitho sangasese kufanele kwenziwe uma kutholwa:

• ukopha;
• ukubambezeleka fetus ngesikhathi sokuzalwa;
• emagama isethulo umbungu;
• ingozi ukulahleka ngesikhathi ukudedelwa ukuphathwa intambo;
• yesikhathi eside ejection umbungu;
• isidingo ukusebenza;
• eclampsia;
• Kufinyeta buhlungu;
• izimpawu lamabutho ngaphambi kwesikhathi;
• ngakanye kweso fetus.

Yini udokotela ngaphambi kokuhlolwa

• Ulungisela yonke imishini ezidingekayo kanye izinto inqubo.
• Uma utadisha uhlamvu cytological, onguchwepheshe wokuqala uzokutshela ukuthi kuyini nokuthi uluhlobo luni imiphumela ungathola angamukeli ke.
• Ngaphambi inqubo, udokotela angase acele ukuba athululele esinyeni.
• Landelayo kuzodingeka ukuba bakhumule ngokuphelele kusuka okhalweni kwehle futhi uthole esitulweni izifo zabesifazane.

Kangakanani inhlolovo

Kwesitho sangasese namasu okuhlolwa has ezigabeni kokusebenza. Umbelethisi ugqoka imaski oyinyumba ebusweni, enikela awukudla isixazululo ekhethekile elwa namagciwane futhi agqoke latex amagilavu. Khona-ke uqala ulungiselela ukuhlolwa umthondo isiguli. Ngenxa yalesi ugeza kwamathanga kwangaphakathi ngokwabo umthondo 2% Lysol isixazululo yomiswa lonke ebusweni ziphathwe iphepha amathawula.

umbelethisi Landelayo Athambisa iodine tincture (5%) is umthondo womuntu wesifazane, bese kuqale amagilavu akhe, ugeza izandla zakhe nge isixazululo utshwala lapho eyomile ngokuphelele, Athambisa ngakwesokunene iodine. Okulandelayo, udokotela wezifo zabesifazane kwesokunxele isandla odlulela labia, neminwe emibili ilungelo lakhe bufakwe ezijulile sangasese, hhayi othinta isikhumba perineum. Inqubo, uma sikubeka kahle, hhayi okuhle, kodwa kubaluleke kakhulu njengoba kungasiza inikeza ukwaziswa okuwusizo mayelana impilo kamama nengane.

Yini eyenza ukuhlolwa okunjalo

wesibeletho kwesitho sangasese ivumela udokotela ukunquma:

• isitho sangasese somuntu wesifazane isimo sangaphakathi (kungakhathaliseki ngodonga, emithanjeni varicose, izibazi kanye izimila);
• Yenza okufanayo kuwo womabili ubukhulu neengcezu okhalo, azikho ziboya ezindongeni noma ezinye izinguquko ukuthi kuzovimba ophumayo we-fetus;
• isimo sangaphakathi kwesibeletho, okungukuthi ukubaluleka kwayo, khona unokungaxhumani kanye nezibazi, ukuthola umdlavuza, ubukhulu entanyeni ukuvulwa;
• ulwelwesi isimo;
• ikhanda fetus (usayizi, kwamathambo, ukuhamba).

Ngifuna ukubona ukuthi kuhlolisiswe sowesifazane sangasese ekhiqizwa kuphela ekupheleni sokukhulelwa. Nge bleedings enamandla evela ezifana ucwaningo kufanele kugwenywe, ngoba kungaba ukwandisa ukopha futhi kuholele isidingo kokungenela kuhlinzwa. In the ukungabikho izinkomba oluthile ukuze isinqumo okuphuthumayo izizukulwane ukuhambisana kangcono nge embhedeni ukuphumula, ukuqhuba ukuphathwa ebekiwe ukunciphisa ukopha.

Kanjani lesizalo cwaningo bimanual

Bimanual luhlolo okhalo labetibambile ngokuhlukile kancane kwalowo odlule. Ngemva palpation we ngaphakathi kwesibeletho udokotela uya izindlela ezimbili ngilambatha. isandla engakwesokunxele (iminwe), yena kancane ngazo ingxenye besisu ngase ukhalo encane maqondana ngakwesokunene ngaphakathi esithweni sowesifazane. iminwe Ukuthinta yezandla kokubili, udokotela palpates ngaphakathi kwesibeletho futhi inquma indawo yayo, umumo kanye nosayizi nokuthi siqine kangakanani. Ngemva kwalokho, uqala ukuqondisa uphenyo amapayipi kwesibeletho futhi ezikhiqiza amaqanda. Ukuze wenze lokhu, lo dokotela ihamba iminwe ngezandla zombili komunye ekhoneni kwesibeletho engxenyeni lateral we ukhalo. Sizibone umthamo kanye ukucushwa kwe ukhalo uchwepheshe uhlola ngaphakathi wethambo, izindonga side, kanye symphysis.

US abakhulelwe

Kuze kube manje, i-ultrasound indlela ephephile kakhulu futhi ephumelelayo sophenyo ingane. Le nqubo Kwenziwa izikhathi eziningana, kodwa konke kuncike inkambo sokukhulelwa. Lokhu luhlolo lwesitho sangasese sowesifazane ukunquma hhayi kuphela ubulili wengane, kodwa futhi ukuthuthukiswa yakhe ngokomzimba (azikho zamehlo kobuchopho Yekhanda noma anterior udonga besisu).

Kukhona izinkomba ezithile ukuthi angaqoka ultrasound unscheduled:

• sokukhulelwa weza ngosizo IVF;
• ezingaziwa zokugcina kokuya esikhathini isikhathi usuku;
• isiguli uvele zokubona;
• kwakukhona kwesisu nokuguqulwa;
• noma yibuphi ubuhlungu esiswini aphansi;
• uma ngingalala ukukhula komntwana ethunjini.

luhlolo wesibeletho esibukweni

Udokotela ingena avaliwe iminyango izibuko ngaphakathi esithweni sowesifazane, ubambe isibambo kancane eceleni. Lapho insimbi yethulwa Uchwepheshe maphakathi uyivule ukuze isibambo okuxovekile. Wabe enezinto evulekile ngokucophelela esibukweni nabo ukuba bahlole wesibeletho. Zilungiselele ngoba unemizwa engemnandi, njengoba lokhu akunakugwenywa. Ungase ukwazi ukwenza lula zabo "nokuhlupheka" okungapheli lapho uphumule futhi kuvumele uhlelo udokotela ukuze wenze yonke into ngokushesha.

Lo chwepheshe ngeke ngobumnene ukuhambisa isibuko ngaso ukuzohlola isimo sangasese ngokuphelele. udokotela cwaningo wesibeletho kuqhakambisa ezakheke (kufanele kube round), umbala olubushelelezi. izinhlumba Small ophuzi, ububomvu emhlabeni os zangaphandle kanye nokwabiwa esobala kuyinsakavukela khona, kodwa uma usuthole ukwephula ezinye, kuyobe zidinga ukwelashwa.

Yini wokuhlola esibukweni

Okunjalo luhlolo abakhulelwe lwesitho sangasese sowesifazane lembula izifo eziningi, njenge:

• Izimpawu ze-lezinkinobho (lapho owesifazane othile umthondo aphume osenyameni nokunjengoshizi, olubizwa nangokuthi thrush);
• izilonda;
• ukuguguleka;
• samabhamuza ezithweni zangasese;
• lesizalo ukopha;
• cervicitis;
• umdlavuza wesibeletho.

Ngiyavuma ukuthi ofeza luhlolo sowesifazane sangasese kuyadingeka, njengoba nalo ungakwazi kusukela esigabeni sokuqala ukuhlonza isifo nekugwema ke ngaphandle kwezinkinga zempilo. Ngaphezu kwalokho, ungakwazi ukubheka ingane babo abangakazalwa ngisho ukuthi ungubani ngokobulili.

Kufinyeta

Ngakho, uma ngokungazelelwe uzithola zokubona ngesikhathi ekhulelwe noma ubuhlungu esiswini, kuyancomeka ukuba ngokushesha xhumana nodokotela lodokotela. Uyolisingatha uphenyo oludingekayo kanye ukukhomba inkinga uyakuhlupha.

Wena uzama ukuzisiza akudingekile, njengoba lokhu kungaholela nemiphumela ebuhlungu ngisho ukulahlekelwa ingane kubangela usizi. Ngisho noma izincomo ukunikeza nogogo wakho zabo ezinhle, ningabalaleli ubani, futhi ithunyelwe ngokuqondile e-esibhedlela. Phela, kuphela udokotela onolwazi kungakwenza lokwenza ukuxilongwa. Njalo silalele nezeluleko zakhe, bese wena kanye nengane yakho kuzolunga.