Yini i-Vaginal Speculum?

-Delile

• Isetshenziswa kanjani?
• Yini ongayilindela ngesikhathi sokuhlolwa kwe-pelvic
• Yini iPap smear?
• Izimbangela ezingaba khona zemiphumela engajwayelekile noma engacacanga yemiphumela ye-Pap smear:
  
• Ingabe zikhona izingozi ezivela ku-speculum?
• Ukudla okudlela endlini

Ukubuka konke

I-speculum yesitho sangasese sowesifazane iyithuluzi elisetshenziswa odokotela ngesikhathi sezivivinyo zokhalo. Yenziwe ngensimbi noma ngepulasitiki, inamahinji futhi yakhiwe njengebhili ledada. Udokotela wakho ufaka i-speculum esithweni sakho sangasese bese eyivula ngobumnene ngesikhathi sokuhlolwa kwakho.

Ama-Speculum eza ngobukhulu obuhlukile. Udokotela wakho uzokhetha usayizi ozowusebenzisa ngokuya ngeminyaka yakho nobude nobubanzi besitho sakho sangasese.

Isetshenziswa kanjani?

Odokotela basebenzisa ama-speculums angasese ukusabalalisa nokuvula izindonga zakho zangasese ngesikhathi sokuhlolwa. Lokhu kubenza bakwazi ukubona isitho sakho sangasese kanye nomlomo wesibeletho kalula. Ngaphandle kwe-speculum, udokotela wakho ngeke akwazi ukwenza ukuhlolwa okuphelele kwe-pelvic.

Yini ongayilindela ngesikhathi sokuhlolwa kwe-pelvic

Ukuhlolwa kwe-pelvic kusiza udokotela wakho ukuhlola impilo yohlelo lwakho lokuzala. Kungasiza futhi ukuxilonga noma yiziphi izimo noma izinkinga. Ukuhlolwa kwe-pelvic kuvame ukwenziwa kanye nezinye izivivinyo zezokwelapha, kufaka phakathi izivivinyo zamabele, zesisu nezomhlane.

Udokotela wakho uzokwenza ukuhlolwa kwe-pelvic ekamelweni lokuhlola. Imvamisa kuthatha imizuzu embalwa kuphela. Uzocelwa ukuthi ushintshe ube yingubo futhi bangakunika ishidi lokusonga emzimbeni wakho ongezansi.

Ngesikhathi sokuhlolwa, udokotela wakho uzoqala enze ukuhlolwa kwangaphandle ukuze abheke ingaphandle lesitho sakho sangasese nganoma yiziphi izimpawu zenkinga, njenge:

• ukucasuka
• ububomvu
• izilonda
• ukuvuvukala

Okulandelayo, udokotela wakho uzosebenzisa i-speculum ekuhlolweni kwangaphakathi. Ngalesi sigaba sokuhlolwa, udokotela wakho uzohlola isitho sakho sangasese kanye nomlomo wesibeletho. Bangayifudumeza noma bayithambise kancane i-speculum ngaphambi kokuyifaka ukusiza ukukwenza ukhululeke ngokwengeziwe.

Izitho ezifana nesibeletho sakho nama-ovari azikwazi ukubonakala ngaphandle. Lokhu kusho ukuthi udokotela wakho kuzodingeka azizwe ukubheka izingqinamba. Udokotela wakho uzofaka iminwe emibili ethanjisiwe futhi efakwe igilavu ​​esithweni sakho sangasese. Bazosebenzisa esinye isandla ukucindezela esiswini sakho esingezansi ukubheka noma ikuphi ukukhula noma isisa ezithweni zakho ze-pelvic.

Yini iPap smear?

Udokotela wakho uzosebenzisa i-speculum yesitho sangasese sowesifazane lapho uthola iPap smear, isivivinyo esihlola amangqamuzana angajwayelekile emlomo wesibeletho sakho. Amaseli angajwayelekile angaholela kumdlavuza womlomo wesibeletho uma ungalashwa.

Ngesikhathi sePap smear, udokotela wakho uzosebenzisa i-swab ukuqoqa isampula elincane lamaseli emlonyeni wakho wesibeletho. Lokhu kuvame ukwenzeka ngemuva kokuthi udokotela wakho abuke isitho sakho sangasese kanye nomlomo wesibeletho nangaphambi kokususa i-speculum.

I-Pap smear ingahle ingakhululeki, kodwa inqubo esheshayo. Akufanele kube buhlungu.

Uma uphakathi kweminyaka yobudala engama-21 nengama-65, i-U.S. Preventive Services Task Force incoma ukuthola iPap smear njalo eminyakeni emithathu.

Uma uphakathi kweminyaka engama-30 nengama-65 ubudala, ungafaka i-Pap smear nge-HPV test njalo eminyakeni emihlanu, noma nihlangane ndawonye. Uma uneminyaka engaphezu kwengama-65, khuluma nodokotela wakho mayelana nokuthi usayidinga yini iPap smear. Uma izivivinyo zakho ezedlule bezijwayelekile, ungahle ungazidingi ukuthi ziqhubekele phambili.

Kuthatha cishe isonto elilodwa kuya kwamathathu ukuthola imiphumela kwi-Pap smear. Imiphumela ingaba ejwayelekile, engajwayelekile, noma engacaci.

Uma kungokwemvelo, lokho kusho ukuthi udokotela wakho akazange athole amaseli angajwayelekile.

Uma i-Pap smear yakho ingavamile, lokho kusho ukuthi amanye amaseli awabukeki ukuthi kufanele enze kanjani. Lokhu akusho ukuthi unomdlavuza. Kepha kusho ukuthi udokotela wakho mhlawumbe uzofuna ukwenza ukuhlolwa okwengeziwe.

Uma ushintsho lweseli lincane, bangavele benze enye iPap smear, ngokushesha noma ezinyangeni ezimbalwa. Uma izinguquko zinzima kakhulu, udokotela wakho angancoma i-biopsy.

Umphumela ongacaci usho ukuthi izivivinyo azikwazi ukusho ukuthi amaseli akho omlomo wesibeletho ajwayelekile noma ajwayelekile. Kulokhu, udokotela wakho kungenzeka ukuthi ubuye ezinyangeni eziyisithupha kuya onyakeni uzokwenza enye i-Pap smear noma abone ukuthi udinga yini ukuhlolwa okwengeziwe ukukhipha ezinye izinkinga.

Izimbangela ezingaba khona zemiphumela engajwayelekile noma engacacanga yemiphumela ye-Pap smear:

• I-HPV, okuyiyona imbangela evame kakhulu
• ukutheleleka, njengokutheleleka kwemvubelo
• ukukhula okuyingozi, noma okungenasifo somdlavuza
• izinguquko ze-hormone, njengesikhathi sokukhulelwa
• izingqinamba zokuzivikela komzimba

Ukuthola ama-Pap smear ngokwezincomo kubaluleke kakhulu. I-American Cancer Society ilinganisela ukuthi kuzoba nezigameko ezintsha ezibalelwa ku-13,000 zomdlavuza wesibeletho ongafuneki kanye nokufa kwabantu ababalelwa ku-4,000 ngenxa yomdlavuza womlomo wesibeletho ngonyaka ka-2018. Umdlavuza womlomo wesibeletho uvame kakhulu kwabesifazane abaneminyaka engama-35 kuya kwengama-44.

I-Pap smear iyindlela engcono kakhulu yokuthola umdlavuza wesibeletho ngaphambi kwesikhathi noma ngaphambi komdlavuza. Eqinisweni, kukhombisa ukuthi njengoba ukusetshenziswa kwe-Pap smear kukhuphukile, izinga lokufa komdlavuza wesibeletho lehle ngaphezu kwamaphesenti angama-50.

Ingabe zikhona izingozi ezivela ku-speculum?

Zimbalwa, uma zikhona, izingozi ezihambisana nokusebenzisa i-speculum yesitho sangasese sowesifazane, inqobo nje uma i-speculum iyinyumba. Ingozi enkulu ukungakhululeki ngesikhathi sokuhlolwa kwe-pelvic. Ukuqinisa imisipha yakho kungenza ukuhlolwa kungakhululeki.

Ukugwema ukushuba, ungazama ukuphefumula ngokunensa nangokujulile, ukhulule imisipha kuwo wonke umzimba wakho - hhayi nje indawo yakho yezitho zangasese - bese ucela udokotela ukuthi achaze okwenzekayo ngesikhathi sokuhlolwa. Ungazama futhi enye inqubo yokuphumula ekusebenzelayo.

Yize kungahle kungakhululeki, i-speculum akufanele ibe buhlungu. Uma uqala ukuzwa ubuhlungu, tshela udokotela wakho. Bangakwazi ukushintshela ku-speculum encane.

Ukudla okudlela endlini

Ama-speculums kungenzeka angakhululeki, kodwa ayithuluzi elibalulekile elivumela odokotela ukuthi bakunikeze ukuhlolwa okuphelele kwezitho zangasese. Lokhu kuhlolwa kusiza udokotela wakho ukuthi ahlole izifo ezithathelwana ngocansi - kufaka phakathi i-HPV, okuyimbangela ehamba phambili yomdlavuza womlomo wesibeletho - nezinye izinkinga zempilo ezingaba khona.