Ukuhlolwa kwama-vaginal kuyingxenye ebalulekile yokuhlolwa kwegazi. Emva kokuba udokotela aqeda ukuhlolwa ngezibuko futhi athathe i-swab ukuze ahlolwe ngokucophelela, uqala ukuhlolwa kobulili, okungahle kube yodwa noma okubili (bimanual).
Inhloso yalolu cwaningo ukuveza isimo, isikhundla, ubukhulu besifazane, i-urethra, isibeletho kanye nezinsiza zalo. Ukuhlolwa okunjalo kusiza ukuhlonza ukutholakala kwezifo ezinjenge-myoma ye-uterine, i-endometriosis, i-cysts yama-ovari, ukuvuvukala kwama-appendages , ukukhulelwa kwe-ectopic.
Ikhono lokuhlola ucansi
Ukuhlolwa kwesinye isisu kuyenziwa yizinkomba kanye neminwe ephakathi kwesandla esisodwa, ezifakwe ngaphakathi kwesifazane. Okokuqala, iminwe emikhulu neyinkomba yesandla sokunxele yakha i-labia enkulu, bese iminwe yesandla sokunene (index kanye nendawo) ifakwa ngaphakathi kwesifazane. Isigatshana siqondiswa ku-symphysis, futhi umunwe omncane kanye namagama angenawo wonke umuntu agxiliwe entendeni yesandla.
Ekuhlolweni kwe-bimanual, iminwe emibili yesandla esisodwa ifakwe emgodini wangaphakathi wesifazane, igxilisa umlomo wesibeletho, futhi ngesandla kwesinye isandla udokotela wenza i-palpation yomzimba wesisu ngodonga lwesisu.
Ukuhlolwa kwe-vaginal ekukhulelwe
Ngesikhathi sokukhulelwa, ukuhlolwa kwesisu kuqhutshwa ngu:
- uma owesifazane ebhalisiwe, emavikini angu-28 nama-36 okukhulelwa;
- uma usola isifo socansi;
- uma kutholakala ukuphuma kwegazi kusuka kumgogodla womzimba.
Ukuqhutshwa ngokushesha ngaphambi kokubeletha isifundo esinjalo sikuvumela ukuba uhlole izinga lokuvuthwa komlomo wesibeletho, futhi ngenxa yalokho, ukulungele umzimba wesifazane ngenqubo yokuzalwa kwengane.
Ukuhlolwa kwama-vaginal ekubelethweni
Ngesikhathi sokubeletha lolu hlobo lokuhlolwa komzimba lwenziwa:
- lapho engena esibhedlela sokubeletha, bese-ke njalo ngemva kwamahora amane kusukela ekuqalisweni komsebenzi;
- emva kokuphuma kwamanzi kwenzeka;
- ekuqaleni kwemizamo;
- lapho kwenzeka khona izinkinga zezinhlobo.
Kulezi zimo, ingxenye yesethulo yesethulo, ukuguqulwa kokuvulwa komlomo we-cervix, isimo sezilwane zokuzalwa kanye nendlela ingane eqhubeka ngayo ihlolwe.