Ngaphandle kokwedlulela, enye yezinkinga ezinkulu kunazo zonke amantombazane asebasha nentombazane yabo ukuhlolwa kokuqala ngumjozi wezifo zezinzwa. Yiqiniso, le nqubo ayimnandi, kodwa kuyadingeka ukuyidlulisa.
Okufanelekile, amantombazane enempilo kufanele ahlole ukuhlolwa ngokwengqondo okungenani kanye ngonyaka, kusukela eneminyaka engu-12-14, noma ngaphezulu, kusukela ngesikhathi sokuqala kwesimiso (ukuqala esikhathini). Futhi uma intombazane ikhathazeka ngaphambili nganoma yiziphi izimpawu ezingathandeki (ubuhlungu esiswini esingaphansi, ukukhishwa, njll), khona-ke ukuvakashela kudokotela akudingeki ukuthi kuhlehliswe kuze kube manje. Kunezinkinga zezinkinga zezingane ezisebenza ikakhulukazi izingane kanye nentsha ekwazi ukusiza kakhulu futhi ngokufanelekile ezimweni ezinjalo.
Eqinisweni, njengoba umthetho, amantombazane aqala ukuya kumjozi wezifo zamasosha eduze kweminyaka engu-18, noma ngokuqala kokusebenza ngokocansi, futhi kaningi, ngeshwa, ngokubonakala kwanoma yiziphi izimpawu zokukhathazeka noma ukuqala kokukhulelwa okungadingeki. Ngenxa yesaba noma amahloni, amantombazane azama ukuhlehlisa ukuvakasha ngalokhu ngangokunokwenzeka. Ngezinye izikhathi besaba ukuthi udokotela bese kubazali bazobona impilo yokuqala ngokocansi. Kodwa ukungabi nokuphathwa kwezempilo okufanele futhi okufike ngesikhathi kungaholela ezinkingeni zempilo ezimbi ngempela.
Emahlombe kamama, njengabafundi abasondelene kakhulu futhi abanolwazi oluningi kakhulu, kuleso simo umsebenzi ukukwenza ukuvakashelwa kokuqala kwendodakazi kumfazi wezifo ngesikhathi esifanele, kuhlelwe futhi ngokukhululekile ngokwengqondo ngokukhululekile.
Eminyakeni yamuva, ukuhlolwa ngokwemvelo kwabantwana abasebasha bevame ukuqala ukufakwa ohlelweni lokuhlolwa kwezempilo esikoleni okuphoqelekile emakilasini aphezulu. Ngakolunye uhlangothi, kususa izinkinga ezithile: Abazali akudingeki benze njenge "izitha" - abaqalile uhambo oluya kudokotela, kanti le ntombazane ingasinda kulolu "test" kanye nalabo abaphila nabo esikhathini esincane lula kunokuba yedwa. Ngakolunye uhlangothi, uma usondelene kakhulu nendodakazi yakho futhi uyazi ukuthi kuye indlela ehlangene nodokotela engatholakali, bese ukhumbula ukuthi unelungelo lokulahla ukuhlolwa kwegazi njengengxenye yokuhlolwa kwezempilo esikoleni.
Ukulungiselela ukuhlolwa kwe-gynecological
Kunoma yikuphi, ngaphambi kokuya kudokotela, qiniseka ukuthi ukhuluma nendodakazi yakho ngalokho okuyikwesabayo, umlethele, umtshele ngalokho okumlindele ehhovisi likadokotela. Chaza ukuthi, nakuba lena akuyona inqubo enhle kakhulu, ayikwazi ukubizwa ngokuthi kubi kakhulu. Ngaphezu kwalokho, kubalulekile ukuthi wonke owesifazane ahambe ngazo njalo ukuze angakhathazeki ngempilo. Zama ukwenza ingxoxo engavamile nendodakazi yakho, noma uma ungabaza amakhono akho noma ngesizathu esithile, kuyoba lula kakhulu, nje umcele ukuthi afunde lesi sihloko. Bese uthatha izinyathelo ezilandelayo:
- Yenza umkhankaso wezemfundo. Zama ukuchazela indodakazi yakho ukuthi awudingi ukubona udokotela njengomuntu ohlola ukuziphatha kwakhe noma izimfanelo zokuziphatha. Ngitshele ukuthi yena (kungcono ukhethe udokotela wesifazane okokuvakasha kokuqala) nje wenza umsebenzi wakhe, ophethe impilo kuphela. Ngakho-ke, kubaluleke kakhulu ukuphendula imibuzo edokotela ababuzwa ngobuqotho. Uma ngabe le ntombazane isivele iphila ngokulala, kungenzeka ukuthi wesabe ukuthi umama uzofunda imininingwane ethile. Njengokuthula ngangokunokwenzeka, mthembise ukuthi ayikho amazwi ehhovisi likadokotela okuyokwenza kube nesimo sengqondo esiphezulu. Futhi okubaluleke kakhulu, ungakhohlwa ukugcina isithembiso sakho. Ukuqapha nokuvimbela kule ndaba kuzokusiza ukuthi uhlele ubuhlobo obethembayo nendodakazi yakho iminyaka eminingi ezayo.
- Xoxa nge "plan plan". Vumelana kusengaphambili ukuthi uzohamba naye ngesikhathi uvakashela udokotela noma akayidingi. Enye intombazane iyathukuthela lapho unina eseduze, abanye bangakwazi ukubhekana nale nkinga. Mhlawumbe indodakazi yakho izovuma ukuthi ulinde naye isikhathi sakhe, kodwa ufuna ukuya ehhovisi yedwa. Hlonipha izifiso zakhe. Kodwa-ke, uma intombazane ingakabi naminyaka engu-15 ubudala, kusengcono uma unayo ehhovisi - awukwazi "ukuma phezu komphefumulo wakho," kodwa ulinde, isibonelo, ngemuva kwesikrini.
- Khetha i-gynecologist. Thatha isinqumo sikadokotela ngokubaluleke kakhulu, kungcono ukukwenza nendodakazi yakho, uxoxe naye. Shayela imitholampilo nemitholampilo ekhokhelwayo, cela ku-inthanethi, phakathi kwabahlobo. Ngokuqinisekile uzothola izibuyekezo mayelana nodokotela futhi uthole isazi esinesimo esihle kakhulu sezimfanelo zobuchwepheshe nezomuntu siqu.
- Yibani konke okudingayo. Qaphela ukuthi unawe wayebheke amagilavu, i-diaper, amasokisi ahlanzekile wokuhlolwa esihlalweni somzimba. Thenga isibuko seplastiki esilahlekile ekhemisini ukuze intombazane ingadingeki ilalele ukuhlanganiswa okwesabekayo kwezibuko zensimbi ezivuselelekayo, ezisetshenziswa odokotela bokubonisana kwabesifazane. Uma uya emtholampilo okhokhelwayo, akudingeki ukuthi ulethe konke lokhu nawe.
- Lungiselela izimpendulo zemibuzo. Ngokuvamile, odokotela benza idatha ekuqaleni kokuqala kokuya esikhathini, umjikelezo, izifo ezedlule noma zamanje, kanye nedatha emisebenzini yezocansi (noma cha) nezindlela zokuvimbela ukukhulelwa.
- Thembela udokotela. Uma ulandele ngokucophelela into engu-3 yalolu hlu, uqinisekile ukuthi uchwepheshe we-ochwepheshe okhethiwe. Kuhlala nje ukuba enze umsebenzi wakhe.
Ukuhlolwa kwegynecological kanjani?
Ukuhlolwa kwamantombazane esikhwameni sezinsizwa ngokuvamile kunezigaba eziningana:
- ukuhlolwa okuyisisekelo kobulili obungaphandle;
- i-palpation yesisu;
- ukuhlolwa ngezibuko;
- okuthiwa ukuhlolwa kwamabili, lapho udokotela efaka iminwe emibili yesandla esisodwa esiswini, kanti isandla sesibili sidlulisa isisu - lokhu kuhlolwa kuyadingeka ukuze kuhlolwe ubukhulu nesimo sezitho zangasese zangaphakathi;
- ukuthatha ama-smears.
Emantombazaneni asencane abangeke ocansini, ukuhlolwa ngezibuko ngeke kwenzeke, futhi ukuhlolwa okuphindwe kabili kuvame ukuthathwa ngokusebenzisa i-anus (lokho kuhlolwa akuyona imininingwane engaphezu kokujwayelekile).
Ngakho ukuhlolwa okungajabulisi kakhulu esihlalweni somzimba - kungapheli imizuzu engaphezu kwengu-2, futhi ukuvakashelwa konke kudokotela kuthatha imizuzu engaba ngu-20 - kufanele uvumelane, akusikwesabeki kakhulu. Kodwa manje impilo yezinsikazi yendodakazi yakho ilawulwa, futhi ungabona lokho okuhlangenwe nakho naye ngezimbili zamaqebelengwane okumnandi endlini yekhofi eliseduzane.