Nthawi Yowona Ob / Gyn Anu
Kodi munayamba mwakhalapo kwa wodwala matenda opaleshoni / amayi kapena Ob / Gyn kukayezetsa magazi ndi Pap? Ngati yankho lanu liri "ayi" ndipo muli ndi zaka 21 kapena kuposerapo, tengani foni yanu lero ndipo pangani chiwonetsero ndi dokotala wanu kapena chipatala cha kulera kumudzi wanu. Koma, ngati yankho lanu liri "inde," ndiye kuti latha nthawi yanji kuchokera pamene Pap yako yapitayi ndi yoyezetsa magazi?
Akazi onse ayenera kukhala ndi mapepala a Pap omwe ali ndi zaka zitatu pakati pa zaka 21 ndi 29, malinga ndi American College of Obstetricians ndi Gynecologists. Azimayi a zaka zapakati pa makumi atatu ndi makumi asanu ndi awiri (64) aliwonse ayenera kukhala ndi mapepala a pap okhaokha zaka zitatu zilizonse, kapena pap smear ndi mayeso a HPV zaka zisanu zilizonse.
Ndi liti pamene Akazi Amafunika Kuyezetsa Ma ARV?
Atsikana achichepere ayenera kuona OB / GYN pakati pa zaka 13 ndi 15. Pamene mayeso achizungu sapezeka kawirikawiri panthawi yoyamba iyi, ulendowu umathandiza kukhazikitsa chiyanjano ndi dokotala amene mwasankha ndi kupita kuchipatala chanu chachipatala ndi chiwerewere ( ngakhale ngati simunagonepo.) Ino ndi nthawi yabwino kufunsa mafunso okhudza matenda opatsirana pogonana komanso njira zothandizira kulera.
Muyenera nthawi zonse kuona azimayi anu ngati mukukumana nawo:
- Kutaya kwachibadwa kwapakati ndi / kapena kwapakati
- Kusuntha pakati pa nthawi
- Kutsekemera pambuyo pa kugonana
Ngakhale kuti pap smear pachaka sichikuchitika, nthawi zambiri zimafunika pakatha zaka 30, amayi onse amafunabe kuyeza kwapakati pa chaka kuti ayang'anire kusintha kwina kapena matenda ena.
Ngati mwakhala ndi kachilombo ka HPV kamene kanali kolakwika zomwe sizikutanthauza kuti simukusowa kuyesedwa kwa pakhosi chaka chilichonse. ACOG inakhazikitsa malangizo awa ndi chidziwitso chonse kuti HPV imayambitsa kansa ya pachibelekero.
Kodi mukudziwa kuti ndi mwamuna kapena mkazi wanu watsopano yemwe ali ndi chiopsezo chotenga HPV kuwonjezeka ndi 15 peresenti? Izi zikutanthauza kuti kukhala ndi zibwenzi zambiri kumadzetsa chiopsezo chachikulu cha HPV .
Malingana ndi malangizo a ACOG a amayi omwe akuyezetsa magazi a Pap omwe amapezeka kuti ali ndi kachilombo ka HIV kapena matenda ena omwe amachititsa kuti chitetezo chochepa chitetezeke, ayenera kupitiliza kukhala ndi mapepala apamapapaka apaka 30.
Chifukwa chachikulu chomwe chimachititsa kuti khansa ya pachibelekero ichitike sichikhala ndi Pap smears malinga ndi malangizo othandizira. Ambiri mwa amayi omwe ali ndi khansa ya pachibelekero sakhala ndi Pap smear zaka zisanu kapena zisanu. Chomvetsa chisoni n'chakuti amayiwa nthawi zambiri amakhala pa chiwindi chachikulu cha khansa atalandira matenda.
Nthawi Zina Kuwona Mkazi Wanu Wamagulu
Tsopano, zinthu zingapo zingathe kuchitika chaka chonse. Funsani Ob / Gyn wanu nthawi iliyonse mukamawona zizindikiro zosaoneka bwino . Zizindikiro ndi zizindikirozi zikuphatikizapo:
- Kupweteka kwa majeremusi kapena kusamba kwa msambo kwakukulu kwambiri moti kungasokoneze chizoloŵezi chanu cha tsiku ndi tsiku ngakhale masiku angapo pamwezi
- Ngati mwazi wosasintha umachitika, muyenera kusintha mawotchi amadzimadzi, mavitampu, kapena mankhwala ena amodzi nthawi imodzi kapena maola awiri kapena atatu.
- Kusuntha pakati pa nthawi
- Kutaya kwachilendo kosazolowereka, kupweteka, kutupa, kapena kuyabwa kwa inu nkhanza kapena kuchepetsa mimba
Zonsezi zikhoza kusonyeza matenda opatsirana pogonana kapena matenda opatsirana pogonana kapena matenda opatsirana pogonana omwe angakhudze chiberekero chanu cha mtsogolo. Angathenso kuwonetsa matenda ena monga:
- Endometriosis
- Matenda achifuwa otupa
- Kapena zovuta zina zobereka
Inde, ngati mukuganiza kuti muli ndi pakati, penyani wothandizira zaumoyo mwamsanga kuti muthandizidwe kuti mukhale ndi pakati komanso mwana wathanzi.
Onaninso katswiri wa amayi anu nthawi zambiri ngati:
- Mukukonzekera kutenga mimba
- Mukuganiza kuti mungakhale ndi matenda opatsirana pogonana kapena muli ndi wina yemwe ali ndi matenda opatsirana pogonana
- Inu muli ndi mbiriyakale ya matenda okhudzana ndi kugonana
- Muli ndi mayi kapena mlongo yemwe adayamba khansa ya m'mawere asanafike
Funsani wothandizira zaumoyo wanu, ngati muwona kusintha kwa mawere anu monga puckering, dimpling, kapena kusintha khungu la mabere anu; onunkhirani kumene, kapena kuchotsani ku mawere anu, osakhudzana ndi kuyamwitsa; ngati pali kusintha kulikonse mu chifuwa chanu kapena mawonekedwe anu; kapena ngati mukumva kupweteka kwa kupweteka kwa m'mawere, kukhumudwa kapena kusokonezeka maganizo musanapite nthawi .
Mmene Mungakonzekerere Kuyezetsa Mapu Anu ndi Kuyezetsa Magulu
Nthawi yabwino yothetsera mayeso anu a pachaka ndi kupeza zotsatira zolondola kuchokera ku zoyezetsa magazi zanu ndi Pap smear chaka chimodzi kapena ziwiri mutatha nthawi yanu.
Kuchepa kwachikazi sikuli konse lingaliro loyenera , chifukwa cha chiopsezo cha matendawa. Ndikofunika kwambiri kusapatula masiku osachepera awiri kapena atatu musanawone gynecologist.
Muyeneranso kupewa kugonana kwa maola 24 musanayambe kukayezetsa.
Onetsetsani kuti mutha kutaya chikhodzodzo chanu musanayese kufufuza kwanu kuti muyese bwino. Mwinanso mungafunike kulemba zolemba zaumoyo zomwe mungathe kupita ndi dokotala panthawi yanu. Mukhoza kugwiritsa ntchito kalendala kuti muzindikire nthawi yanu, kupweteka kulikonse, kutuluka, kapena zizindikiro zina zomwe zimachitika mwezi uno.
Ngati kafukufuku wanu wa pachaka ndi dokotala yekhayo omwe mumawawona nthawi zonse, monga azimayi 24 peresenti, amai anu amatha kuyesa mayesero, monga urinalysis, cholesterol, ndi shuga la magazi, komanso ena.
Kodi N'chiyani Chimachitika Pakafukufuku wa Pakale ndi Pambuyo?
Chinthu choyamba chomwe chimakhala chikuchitika pakapita kafukufuku wanu wa chaka ndikutenga kufufuza kwa kuthamanga kwanu kwa magazi, kulemera, kuthamanga, komanso nthawi zambiri mkodzo. Khalani okonzeka kupereka namwino tsiku lanu lomaliza - ili ndi tsiku la tsiku lanu lomaliza. Komanso perekani zodandaula zomwe mukufuna kukambirana ndi adokotala.
Pambuyo pokambirana kwanu koyamba ndi namwino, mudzatengedwa kuchotsa zovala zanu zonse (mukhoza kusiya masokosi anu.) Ambiri amachiberekero amapereka chovala chachifupi ndi pepala kuti mudziwe kuti mutayang'ana. Mukadzatsiriza, ndipo mutakhala pa tebulo yoyezetsa magazi, dokotala wanu amalowa mkati, pamodzi ndi namwino.
Mayi wachikazi ayenera kupezeka nthawi zonse pakapita kafukufuku wanu wapachaka, makamaka ngati azimayi anu ali amuna. Kukhalapo kwa namwino kumapereka chitetezo kwa inu ndi amayi anu a zazimayi. Dokotala wanu amamvetsera mtima wanu ndi mapapo anu, fufuzani mabere anu kuti musinthe kapena kusintha , ndipo muzitsatira malo anu ammimba chifukwa chosayenerera. Kufufuza kodalirika kwa mabere kumatenga pafupifupi masekondi 30 pa bere.
Pakati pa bere lanu muwunike dokotalayo kuti akambirane za mchitidwe wamadzidzidzidzidzidzi pamwezi ndikupatsanso malangizo ngati simukudziwa momwe mungapangire BSE.
Ngati muli ndi zaka 35 kapena zapitazi, dokotala wanu adzalankhulanso za kuyang'anira khansa ya m'mawere.
Pakati pa kuyeza kwanu / mapepala a pape, mudzafunika kugona patebulo ndikuyika mapazi anu m'kati. Mungafunikire kuwerengera kumapeto kwa gome ndikuyala maondo anu pambali.
Kenaka speculum imalowetsedwa m'kati mwa amayi anu kuti mitsempha yanu ikhale yotseguka kuti dokotala wanu ayang'ane mkati mwa makoma a abambo ndi kachilombo ka HIV , ndipo mutenge nyemba za mchiberekero pamaphunziro anu a Pap.
Kodi Ndondomeko Yotani Yokonzekera Zitsanzo za Pap Smear?
Kupeza mapepala a Pap kumatanthawuza kuti dokotala wanu wazinayi aziika nsalu yayitali yaitali ya thonje mukazi. Tsamba la thonje labwino limasokoneza kachilombo ka HIV kuti kachilombo ka mitsempha ya feteleza kamvekedwe kamene kamatulutsidwa kuti ayesedwe ndi munthu wodwalayo. Ma Labs amafunika pafupifupi masiku asanu kuti zotsatira zanu ziyesedwe kuti mubwerere kwa amayi anu.
Bwanji Ngati My Pap Smear Ndi Yodabwitsa?
Pazochitika zosayembekezereka zomwe zotsatira zanu za Pap ndizosazolowereka, chinthu choyamba chimene simuyenera kuchita ndidumpha kumapeto kuti muli ndi khansa. Muzirombo zambiri zosavomerezeka za Pap, zimayambitsa matenda a khansa ya chibelekero, koma chimodzi mwa zifukwa zosiyanasiyana zomwe zimaphatikizapo kutupa, kupezeka kwa magazi kapena umuna, kapena matenda monga vaginisitis, kapena nthawi zina Kukhalapo kwa matenda osapatsirana opatsirana pogonana .
Yesetsani kukumbukira kuti Pap smear si chida chozindikiritsa - sichidziwika ndi khansa kapena matenda ena alionse. Pepala la Pap ndilo chida chowonetsera chomwe chikuwonetsa ngati kuyesa kuli kofunikira.
Ngati mulandira zotsatira zosavomerezeka za Pap , mzimayi wanu angapangire mayeso a Pap pamapeto pa miyezi itatu kapena isanu ndi umodzi. Kapena zina zomwe mungachite kuti muyesedwe ngati colposcopy kapena LEEP ingathenso kuyesedwa.
Kodi Ndondomeko Yopanirira Bimanual?
Gawo lina la mchitidwe wanu wa pachaka wamatenda umatchedwa kuyesa bimanual . Pochita izi, dokotala wa mano amalowetsa zala ziwiri m'mimba mwako, nkuyika dzanja lake pamwamba pa mimba yako ya m'munsi, kenaka amamangiriza minofu pakati pa manja ake awiri, akumva zovuta zomwe zingakhale zikuchitika kuchokera pachiyeso chanu chotsiriza.
Kuyeza kwa bimanual kumapereka dokotala wanu kuti aone kukula kwake, mawonekedwe ake, ndi kuyenda kwa chiberekero chanu, kuyang'ana kusintha kulikonse kwa mazira anu, monga ovarian cysts , ndi kumverera zina zosavuta mu chiberekero chanu kapena zokhudzana ndi chiberekero (monga endometriosis, zotupa zamatumbo , kapena zinthu zina zomwe zimagwiritsa ntchito uterine ).
Kuyeza kwa bimanual kungakhale kosavuta, koma sikuyenera kupweteka kwambiri. Mwamwayi, gawo ili la kuyeza kwa amayi nthawi zambiri limakhala kwa masekondi osachepera 30. Chifukwa chakuti zingapatse dokotala chidziwitso chofunikira, ndibwino kuti mukhale osasangalala kwa kanthaŵi kochepa.
Kupatula kwa Mafupa Odzipenda Okha
Kuphatikiza pa kuyesa kwadzidzidzi nokha, dokotala wanu ayenera kutenga mbiri yodalirika ya zamankhwala. Ndikofunika kuti iwe ukhale wolondola ndi wangwiro momwe ungathere poyankha mafunso ake ndikufotokoza zizindikiro zirizonse zomwe mungakhale nazo.
Izi ndi pamene muyenera kuuza mayi wanu wazinayi za nthawi ndi nthawi ya matenda alionse kapena matenda ena omwe mwakhala mukukumana nawo kuyambira mutumiki wanu womaliza.
Onetsetsani kuti muphatikize zambiri zokhudza ngati mwakhala mukukumana ndi nthawi zosawerengeka kapena nthawi zowawa , kapena vuto lina lililonse lakumwezi , matenda opatsirana , kapena kugonana koopsa .
Nkhani zina zokhudzana ndi thanzi ndizofunika kusintha kwakukulu, kusintha kwa tsitsi kapena khungu.
Pomalizira, ngakhale kuti sizingatheke kuti azimayi azisanthula, ndizofunika kuti amayi makumi anayi ndi makumi asanu azisankhidwa kuti awonetsere khansa ya coloni. Izi nthawi zambiri zimaphatikizapo kuyesa kosavuta, komanso kuyesa magazi mwachinyengo . Ngati GYN yanu sichita izi, muyenera kumufunsa za izo.
Zotsatira:
Carr SE, Carmody D. Zotsatira za maphunziro ophunzitsa a zachipatala luso lofunikira pa umoyo wa amayi: maphunziro a pulogalamu ya pakhosi. Am J Obstet Gynecol 2004; 190: 1382.
Komiti ya Gynecologic Practice. Maganizo a Komiti No. 534: Mkazi wabwino akuchezera. Chotsatira gynecol 2012; 120: 421.