Nguva Yokuona Yako Ob / Gyn
Wati wambove kune chiremba chezvipatara / gynecologist here kana Ob / Gyn yekuongorora kwepachivi uye Pap test? Kana mhinduro yako ichiti "kwete" uye iwe uri 21 kana kupfuura, tora foni yako nhasi uye sarudza nguva yako nachiremba wako kana kliniki yekuronga mhuri munharaunda yako. Kune rumwe rutivi, kana mhinduro yako ichiti "hungu," saka yakave yakareba kwenguva yakareba kubva papi yako yekupedzisira Pap smear uye kuongorora kwepilvic?
Vose vakadzi vanofanira kuva nePap smear makore ose matatu ari pakati pemakore 21 ne29, maererano neAmerican College of Obstetricians uye Gynecologists. Vakadzi vane makore 30 kusvika ku64 vanofanira kuva nep smear voga kwemakore matatu, kana pap smear uye kuongororwa kweHIVV makore ose mashanu.
Apo Vakadzi Vanoda Zviongororwa Zvepelvic?
Vasikana vechidiki vanofanira kuona OB / GYN iri pakati pemakore gumi nemasere kusvika pfumbamwe. Kunyange miedzo yepilvic isingawanzodiwa panguva iyi yekushanya kwekutanga, kushanyira uku kunobatsira kusimbisa ukama nachiremba wesarudzo yako uye kuti uende pamusoro pehutano hwako uye zvepabonde ( kunyange iwe usina kumboita zvepabonde. Iyi inguva yakanaka yekubvunza mibvunzo pamusoro pezvirwere zvepabonde nekudzivirira vana.
Iwe unofanira kugara uchiona gynecologist yako kana iwe uchiona:
- Chero chipi nechipi chisina kujairika uye / kana chinoramba chichibuda kumudzimai
- Kubvambura pakati penguva
- Kuvhima mushure mekuita zvepabonde
Apo gore negore Pap smear haisi, mune dzimwe nguva, inodiwa mushure mezera remakore makumi matatu, vakadzi vose vachiri kuda kuongorora kwegore negore kuti vaongorore chero humwe humwe huri kuchinja kana zvirwere.
Kana iwe wakanga uine kuongororwa kweHIVV yakanga isiri iyo iyo haireve kuti haufaniri kuva nekuongorora kwepilvic gore negore. IAACOG yakagadzirisa mazano aya neruzivo rwakakwana kuti HPV inokonzera chirwere chemumuromo wechikanda.
Waizviziva here kuti nemumwe munhu wega wega wepabonde wepabonde yako njodzi yekuwana HPV inowedzera ne15 muzana? Izvi zvinoreva kuti kuva nevakadzi vakawanda vanoita zvepabonde kunosimudza ngozi yako yeHIVV zvikuru.
Maererano neAACOG mirayiridzo yevakadzi vanoongorora mapepa vane hutachiona hweHIV kana zvimwe zvirwere kana mamiriro ezvinhu anodzivirira kudzivirira anofanira kuramba achiita Pap smears mushure memakore makumi matatu.
Chikonzero chikuru pane chimwe chekuitika kwekenza yemukondombera hauna Pap smears maererano nemitemo inorayirwa. Vakawanda vevakadzi vanoonekwa kuti vane chirwere chemucheche havasati vawana Pap smear mumakore mashanu kana kupfuura. Zvinosuruvarisa kuti vakadzi ava vanowanzotarisana nechirwere chekenza pavanowana kuongororwa.
Dzimwe Nguva Kuona Gynecologist Wako
Iye zvino, mamiriyoni emamiriro ezvinhu anogona kuitika panguva yese yegore. Bvunzai Ob yako Gyn pose paunoona zviratidzo zvisingaiti uye zviratidzo. Aya zviratidzo uye zviratidzo zvinosanganisira:
- Kutambudzika kwepelvic kana kumwedzi kunokonzera zvakakwana kukanganisa tsika yako yezuva nezuva kwemazuva mashomanana pamwedzi
- Kana kubuda ropa kusina kujairika kunofanirwa kuchinja kucheneswa napkins, tamponi, kana zvimwe zvigadzirwa zvemwedzi kakawanda kupfuura kamwe kamwe maawa maviri kusvika ku3.
- Kubvambura pakati penguva
- Chero kusununguka kusina kujairika, kurwadziwa, kupfugama, kana kubatwa nemudzimai kana kuvhara mimba
Chimwe chezviratidzo izvi chinogona kuratidza hutachiwana hwehutachiwana kana chirwere chepabonde kana chirwere chepabonde chinogona kuchinja ramangwana rako rekubereka. Zvinogonawo kuratidza zvimwe zvirwere zvakadai se:
- Endometriosis
- Chipembenene chirwere chinoputira
- Kana zvimwe zvimwe zvinetso zvekubereka
Zvechokwadi, kana iwe uchifunga kuti uri nepamuviri, ona mutengi wako wehutano nokukurumidza nokukurumidza kuti ubatsire kuvimbisa pamuviri wakanaka uye mwana ane utano.
Uyezve ona gynecologist yako kakawanda kana:
- Iwe unoronga wekutora pamuviri
- Iwe unofunga kuti unogona kuva nehutachiona hwepabonde kana kuva nemumwe munhu ane chirwere chepabonde
- Iwe une nhoroondo yehutano hwepabonde
- Iwe une amai kana hanzvadzi iyo yakave nekenza yebonde kusati yamboguma
Tsvaga mubatsiri wako wehutano, kana iwe uchicherechedza chero kuchinja mazamu ako akadai sepuckering, dimpling, kana zvimwe zvinoshanduka paganda remazamu ako; tora mapepa achangobva kutora, kana kubudiswa kubva pamawere ako, asingabatanidzi nekuyamwisa; kana paine chero shanduko muhombodo yako yemafu kana chimiro; kana kana ukawana kuwedzera mukurwadziwa kwepamuviri, kusagadzikana kana kushushikana mupfungwa zvisati zvaitika.
Nzira Yokugadzirira Sei Pupu Yenyu Yepamu uye Kuongorora Kwepelvic
Nguva yakanakisisa yekugadzirisa muongorori wako wegore negore uye kuwana mhinduro yakarurama yakanyanya kubva pakuongorora kwako kwepabonde uye gore negore Pap smear imwe kana vhiki mbiri mushure mekunge iwe uripo.
Vaginal Douching haisi iyo pfungwa yakanaka, nekuda kwehutachiwana hwehutachiona hunopa. Zvinonyanya kukosha kuti usapfeke kwemazuva maviri kana matatu usati waona gynecologist yako.
Iwewo unofanirwa kurega kuita zvepabonde kwemaawa makumi maviri nemaviri asati apera.
Iva nechokwadi chekuvhara bhanha yako nguva isati yasati wapedza kuongorora kwekuongorora zvakanyanya. Iwe unogonawo kuisa kuchengetedza diary yehutano iwe unogona kuenda nachiremba wako panguva yekugadzwa kwako. Iwe unogona kushandisa kalendari kuti uchengetedze nguva yako, marwadzo chero ipi zvayo akawana, kubudiswa, kana zvimwe zviratidzo zvinowanikwa mumwedzi.
Kana kuongorora kwepilvic yako yegore negore ndiyo chete chiremba iwe unoona nguva dzose, sezvinongova 24 muzana yevakadzi, gynecologist wako anogona kuronga zviitiko zvemuitiro, zvakadai se urinalysis, cholesterol, uye mazinga ehuga eropa, pamwe nevamwe.
Chii Chinoitika Pakati pegore rePag Test Test uye Pecvic Exam?
Chinhu chekutanga chinowanzoitika panguva yekuongorora kwako gore negore kuwana kuongororwa kweropa rako, kuyerwa, kupisa, uye kazhinji urini. Iva akagadzirira kupa mukoti zuva rekupedzisira kwako - rino ndiro zuva rekutanga rekupedzisira kwako. Uyewo enda pane zvinetso zvose zvaunoda kukurukura nachiremba.
Mushure mekutaurirana kwako kwekutanga nekoko, iwe uchaudzwa kuti utore mbatya dzako dzose (iwe unogona kusiya masokisi ako.) Vazhinji vevakadzi vanopa jira rakapfupi rekuongorora uye pepa pepepa kuti uzvifukidze kusvikira iwe uchitanga kuongorora. Pawakapedza, uye uchigara patafura yekuongorora, gynecologist wako anouya, achiendeswa nemureri.
Mumwe mukoti wechikadzi anofanira kugara aripo panguva yekuongorora kwako gore negore, kunyanya kana gynecologist yako ari mukomana. Kuvapo kwemukoti kunopa kuchengetedza iwe uye gynecologist yako. Chiremba wako anoteerera mwoyo wako nemapapu, chengeta mazamu ako chero shanduko kana maruva , uye palpitate nzvimbo yako yepamuviri kune chero kusakanganiswa. Kuongorora kwakakwana mabere ako kunotora anenge masekondi makumi matatu pamapfupa.
Pakati pemazamu ako uongorore chiremba wako anofanirwa kukurukura pamwedzi wekuzvidzivirira mazamu newe uye kupawo mirayiridzo kana iwe usingazivi kuti ungaita sei BSE.
Kana iwe uri 35 kana kupfuura, chiremba wako anofanirawo kukurukura mammogram kuongororwa kwekenza yemazamu.
Munguva yechipupuriro chepilvic / chikamu chepamu chekushanya kwako, iwe uchada kuisa pasi patafura uye kuisa tsoka dzako mumapurisa. Iwe unogona kudiwa kuti uise pasi kusvika pakuguma kwetafura uye kupararira mabvi ako ari oga.
Zvadaro faira inowanikwa mumudzimai wako kuti ibate mazamu ako akazaruka kuitira kuti chiremba wako aone mavari mukati memadziro emadzimai uye chibereko chemuviri , uye shandisai sampu yemishonga yepervical yePe test yako.
Ndeipi nzira yekutora Pap Smear Sample?
Kuwana pep smear kunoda kuti gynecologist yako iise sarot yakakura yekotoni mumudzimai wako. Iyo swabhota yekotoni inonyatsoputirana nemukati mutsara kuitira kuti sampu yemasero emukondomu adzoreswe kuti aongororwe nehutachiona. Labs kazhinji inoda mazuva mashanu kuti zvive nemigumisiro yako yekuedza kudzokera kune gynecologist yako.
Zvakadini Kana My Pap Smear Isingaiti?
Muchiitiko chisingakanganisi kuti zviwanikwa zvePap hazvina kujairika, chinhu chokutanga chausingafaniri kuita ndechekuti iwe unopedzisira wapedzisa kuti une kenza. Mune zvizhinji zvePas smear zvisingawanzoiti, chikonzero hachisi chirwere chemukondombera, asi chimwe chezvikonzero zvakasiyana-siyana zvinosanganisira kuvhiringidza, kuvapo kweropa kana chirume, kana utachiona hwakadai sechikadzi mbiriso chirwere kana bhakitiriya vaginosis, uye dzimwe nguva kuvapo kwezvirwere zvepabonde zvisingazivikanwi .
Edza kuyeuka kuti Pap smear haisi chigadziro chekuongorora - hachizivikanwi nekenza kana chimwe chirwere chipi zvacho. Pep test ndiyo chigadziro chekuongorora ichi chinoratidza kana kuongorora kumwe kuchidiwa.
Kana iwe ukawana Pap dzisina kukodzera zvigaro gynecologist yako inogona kukurudzira kutevera Pap paya mumwedzi mitatu kusvika kumitanhatu. Kana zvimwe zvingasarudzwa kuti uwedzere kuedzwa zvakadai secolpcopcopy kana kuti LEEP inogona kukurudzirwa zvakare.
Ndeipi nzira yeBimanual Exam?
Chimwe chikamu chekuongorora kwenyu kwegore negore kunonzi " bimanual" . Kuti uite chiyero ichi, gynecologist inowedzera minwe miviri mumudzimai wako, inoisa rumwe ruwoko rwake pamusoro pebamu rako rezasi, uye inomesa mhuka iri pakati pemakumbo ake maviri, inonzwa chero kusakanganisika kungave kwakaitika kubva pakuongorora kwako kwekupedzisira.
Kuongorora kwebimanual kunobvumira chiremba wako kuti aongorore hukura, maitiro, nekufamba kwechibereko chako, kutsvaga kuchinja kupi zvako mavha mavari, akadai seyvarian cysts , uye kunzwa kune zvimwe zvinokanganisa mukati mechiberekwa chako kana mazamu akakomberedzwa (akadai endometriosis, fibroid tumor , kana mamwe maitiro anowanzoita uterine ).
Kuongorora bimanual kunogona kunge kusinganzwisisiki, asi hazvifaniri kukonzera kurwadziwa kunopfuura. Nenzira inofadza, chikamu ichi chekuongorora gynecology chinowanzotora kwemaminitsi makumi matatu. Nemhaka yokuti inogona kupa chiremba wako kukosha ruzivo, zvakakosha zvishoma nezvisingakanganwiki kwenguva pfupi.
Kunze Kubva Kuongorora Kwepelvic Kwako
Mukuwedzera pakuongororwa kwechikadzi pachako, chiremba wako anofanira kutora nhoroondo yekurapa yakangwara. Zvakakosha kuti iwe uve wakarurama uye wakakwana sezvaunogona mukupindura mibvunzo yake uye kutsanangura zviratidzo chero zvaungave nazvo.
Iyi ndiyo apo iwe unofanirwa kuudza gynecologist yako nezve nguva uye nguva yakawanda yehutano chero ipi zvayo ungangodaro wakatarisana kubva pakusangana kwako kwokupedzisira.
Iva nechokwadi chekuisa ruzivo pamusoro pekunge wakamboona nguva dzisina kufanira kana nguva dzinorwadza , kana chero imwe mimwe matambudziko ekuenda kumwedzi , zvirwere zvepabonde , kana kurara kwepabonde kunorwadza .
Zvimwe zvirwere zvehutano zvinokurukura zvinosanganisira chero chinhu chinotyisa kuchinja, kusuruvara kwebvudzi kana kuti ganda rinoshanduka.
Pakupedzisira, asi kwete chikamu chekuongorora gynecological zvakakosha kuti vakadzi makumi mana nevekare vaongororwe nekenza yekoloni. Izvi zvinowanzobatanidza kuongorora kwakanyanya, uyewo kuedza kwechiedza chechivi . Kana GYN yako isingaiti izvi, unofanira kumubvunza nezvayo.
Sources:
Carr SE, Carmody D. Migumisiro yevadzidzi vezvokurapa vadzidzi ruzivo rwehutano hwehutano hwevakadzi: mapurogiramu ekuongorora purogiramu yezvidzidzo. Am J Obstet Gynecol 2004; 190: 1382.
Komiti yeGynecologic Practice. Komiti maonero Nha. 534: zvakanaka mukadzi anoshanyira. Obstet Gynecol 2012; 120: 421.