Okwenza Kungabi Yilokho Okucabangayo
Izivivinyo zama-vaginal. Angazi owesifazane oyedwa oyithandayo.
Kodwa-ke, kunenganekwane eqhutshelwa phambili emphakathini wethu ukuthi izivivinyo zangasese ekupheleni kokukhulelwa ziyasiza. Inkolelo evamile yukuthi ngokwenza ukuhlolwa kwesisindo kungathi utshwala luzoqala maduzane. Lokhu akunjalo. Nakuba, omunye angase athi ukuhlolwa kwesisu ngokuphela kokukhulelwa kuvumela udokotela ukuthi asize ekuchazeni lapho umsebenzi uqala.
Isibonelo kungenzeka ukuthi uma usuyizingqimba ezine ehhovisi futhi ungena ngezingqinamba futhi usengamamentimitha amane, awusasebenzi. Ukuzikhethela ukuhlolwa noma ukungahlolisi ngesisu, noma yiziphi izivivinyo okuba nazo, kuphelele kuwe.
Iningi labadoti lizohlola ukuhlolwa kwesisu ngesikhathi sokukhulelwa ukwenza i-pap smear nezinye izivivinyo. Khona-ke abenzi lutho kuze kube sekupheleni kwamasonto angama-35 kuya ku-37 ngaphandle kokuba kube nezinkinga zokuthi uqhubeke nokuhlolwa noma ukuhlola umlomo wesibeletho. Ngokuvamile bazophinde bahlole i- Group B Strep kuleli phuzu. Uma udokotela wakho efuna ukuhlola ubulili kukho konke ukuvakasha, kufanele ubabuze ukuthi kungani futhi kuyiphi inzuzo.
Yimiphi imizamo yokuhlolwa kwamaVaginal
Izivivinyo zama-vaginal zingalinganisa izinto ezithile:
I-Dilation:
Kude kangakanani umlomo wesibeletho ovulekile. Amamentimitha ayishumi abe yiwona omkhulu kakhulu.
Ukuvuthwa:
Ukuvumelana komlomo wesibeletho. Iqala ukuqina njengephuzu lempumulo yakho, ithambekele kulokho i-lobe yakho indlebe ifana nayo futhi ekugcineni uzizwe njengaphakathi kwehlathi lakho.
Ukuqeda:
Nansi indlela encane ngayo umlomo wesibeletho. Uma ucabanga ukuthi umlomo wesibeletho unjenge-funnel-like futhi ulinganisa ngamasentimitha amabili, uzobona ukuthi ukususwa kwamaphesenti angu-50 kusho ukuthi umlomo wakho wesibeletho usu-1 intshi ubude. Njengoba umlomo wesibeletho unciphisa futhi uyanciphisa ubude buyancipha.
Isiteshi :
Lesi yisimo somntwana ngokuphathelene nesifuba sakho, esilinganiselwe ku-pluses nakumaminithi.
Ingane esesiteshini se-zero kuthiwa ixhunyiwe ngesikhathi ingane ehamba ngezinombolo ezimbi kuthiwa iyahamba. Izinombolo eziqondile ziyindlela yokuphuma!
Isikhundla somntwana:
Ngokuzwa imigqa ye-suture ekhanda lomsana, lapho amapuleti amane amathambo engakafaki okwamanje, umuntu angakutshela ukuthi yikuphi ukuqondana kwengane ebhekene nayo ngoba ama-fontanel anterior naphambili (amabala aphansi) ahlotshaniswa ngokuhlukile. (Lokhu akusetshenzisiwe ehhovisi ngoba kunzima ukutshela ngokuhlenga okuncane kanye nezimbumbulu ezingaguquki.)
Isikhundla somlomo wesibeletho:
Umlomo wesibeletho uzothuthela ekubeni umlomo wesibeletho ophezulu emva komlomo wesibeletho. Abaningi besifazane bangatshela ukuthi umlomo wesibeletho uqala yini ukuhamba ngoba uma ukuhlolwa kwesisu kuyenzeka akusho ukuthi umlomo wesibeletho ukhona eduze kwamathoni akhe.
Yeka ukuthi ukuhlola kwamaVaginal akukwazi ukulinganisa
Lokhu okushiwo yi-equation okufisa ukufisa kuyinto engabonakali ngaso sonke isikhathi. Abantu abaningi bazama ukusebenzisa ulwazi oluqoqwe kusuka ekuhloleni kwesisu ukubikezela izinto ezinjengalezi lapho umsebenzi uzoqala noma uma umntwana eyohlangana phakathi kwekhanda. Ukuhlolwa kwesisindo akukwazi ukulinganisa lezi zinto.
Umsebenzi awugcini nje ngomlomo wesibeletho oye wahlanza , wanciphisa noma yini enye. Umlomo wesibeletho wesifazane ungashuthukiswa kakhulu futhi ungenalo umntwana wakhe ngaphambi kosuku lwakhe olufanele noma ngisho eduze nosuku olufanele.
Mina ngokwami nginebafazi abanesifo somlomo wesibeletho esingamamentimitha ayisithupha ahlanjululwe amasonto. Khona-ke kukhona owesifazane odabukisayo ongibizela ukuthi umlomo wesibeletho uphakeme futhi uqinile, utshelwe ukuthi lo mntwana akafiki okwesikhashana, kuphela ukuba abe ohlangothini lwakhe njengoba ebeletha zingakapheli amahora amabili namane. Izivivinyo zama-vaginal akuzona nje izibikezelo ezinhle lapho umsebenzi uzoqala.
Ukusebenzisa ukuhlolwa kwesiswini ukubikezela ukulungelelwa ukubeletha kwesisu kuvame ukungabi nenembile kakhulu, ngezizathu eziningana. Okokuqala kuphelelwa yisizathu sokusebenza nokuma. Ngesikhathi sokubeletha, kungokwemvelo ukuba ikhanda lomntwana libunjwe futhi ikhanda lomama lihambe.
Uma kwenziwa ngesikhathi sokukhulelwa kuqala kususa ulwazi lokuthi yiziphi ama-hormone afana ne-Relaxin azokwenza ukusiza ukwenza i-pelvis, isakhiwo esithintekayo, sibe nezimo eziguquguqukayo. Ukuphela okuwukuphela kweqiniso kulokhu kwenzeka esimweni esingenangqondo esinqunyiwe. Isibonelo, umama owayesengozini yemoto futhi wabhekana nekhanda eliphukile noma othile ongase abe nenkinga ethile yethambo, okuvame ukubonakala lapho kunomsoco okungafanele phakathi neminyaka ekhulayo.
Ngesikhathi izivivinyo zesisu zomzimba ezingenakukwazi ukukutshela kahle ukuthi ungusondele kangakanani, ngakho ukuzigcina okungenani kunomqondo omuhle, ikakhulukazi uma izibungu zakho ziphukile.
Kulungile, ngakho-ke akusona isizathu esihle sokuthi ubulili buhlolwe ngokujwayelekile kubesifazane abaningi. Ngakho-ke zikhona yini izizathu zokungahlolwa kwezivivinyo? Kukhona okuqinisekile ukuthi kukhona.
Izivivinyo zama-vaginal zingandisa izingozi zokutheleleka, ngisho nalapho zenziwe ngokucophelela futhi ngeglavu eziyinyumba, njll. Iqhuma amabhaktheriya avamile atholakalayo esiswini kuya phezulu emtholampilo. Kukhona futhi ingozi eyengeziwe yokweqa izibungu. Abanye odokotela bavame ukukwenza lokho okubizwa ngokuthi ukuqothula izitho zangasese , okuvele kuhlukanise isikhwama samanzi esibelethweni. Umcabango walokhu ukuthi uzogqugquzela ukukhiqizwa kwe-prostaglandins ukusiza abasebenzi ukuqala nokucasula umlomo wesibeletho obangela ukuthi usebenze. Lokhu akubonwanga ukuthi iphumelele kuwo wonke umuntu futhi unayo izingozi ezibalwe ngenhla.
Ekugcineni, nguwe kuphela kanye nodokotela wakho onganquma ukuthi yini efanele ukunakekelwa kwakho ekukhulelwe. Abanye besifazane bayenqaba izivivinyo zangasese, ngakho-ke bacele ukuba bawenze ngemuva kwamasonto angama-40, noma njalo ngesonto noma noma yini enomuzwa wokuthi ukhululekile.
Imithombo:
Bergstrom L, Roberts J, Skillman L, Seidel J. "Uzozwa ngikuthinta u-Sweetie": Izivivinyo zamagagasi esigabeni sesibili sokusebenza . Ukuzalwa kuka-1992; 19 (1): 10-8.
I-Downe S, i-Gyte GML, i-Dahlen HG, i- Singata M. Yonke imibuzo yesisu yokuhlola ukuqhubeka komsebenzi ukuthuthukisa imiphumela yabesifazane nabantwana ngesikhathi. Database Cochrane Yokuhlolwa Okuhlelekile 2013, Issue 7. Art. Cha: CD010088. I-DOI: 10.1002 / 14651858.CD010088.pub2
Huhn KA, Brost BC. Ukunemba kokuhlanjululwa komlomo wesibeletho nokulinganisa phakathi kwabahlinzeki. I-American Journal of Obstetrics and Gynecology 2004; 191 (5): 1797-9.
Lenahan, JP Jr., Ukuhlobana kwe-antepartum ukuhlolwa kwe-pelvic ukuqhekeka ngaphambi kwesikhathi. I-Journal Obstetrics Gynecology 1984, Jan: 63 (1): 33-37.