I-Gynecology iyindaba ebucayi. Futhi ukuze ugweme izinkinga, abesifazane abakwazi ukunganaki ubuhlungu obunzima besisu, indawo ye-crotch, ukopha okuchichimayo ...
Udokotela we-gynecologist, udokotela ohlinzayo we-gynecologist noma i-regrectist - ukuthi ngubani nodokotela nokuthi uzohamba nini
Okokuqala, kufanelekile ukuthi kuqaphele ukuthi ku-Gynecology Ukwahlukaniswa kodokotela ohlinzayo - ama-gynecologists, ama-gynecologists kuphela, kanye nodokotela we-gynecologist-ochwepheshe - izazi zokuzala kuphela. Ngoba, eqinisweni, bonke "ochwepheshe besifazane" kumele babe namakhono okungenelela kokuhlinzwa. Bafundiswa ngenkuthalo ngesixazululo.
Kodwa-ke, ukwahlukana kusekwenzeka. Ikuvumela ukuthi ufeze umzila ocacile weziguli ngephrofayili ethile, ngokushesha okukhulu, ngempumelelo futhi ngokufanelekile ukuze uzinikeze usizo oludingekayo. Ama-gynecologists asebenza esibhedlela futhi asebenza, ama-gynecologists, ehola ukwamukelwa kwamanye amazwe, odokotela, ababandakanyeka enkingeni yokuzala, bamelwe, okungukuthi, okungukuthi, okungukuthi, abakholelwa ekukhiqizeni.
Kufanele ngithinte nini isibhedlela udokotela ohlinzayo-gynecologist? Kunamacala aphuthumayo noma aphuthumayo, njengoba abizwa kanjalo. Futhi kunezimo ezihleliwe, ezidinga ukungenelela okuhleliwe. Okokuqala, cabanga ngowokuqala, ohambisana nokunakekelwa kwezokwelapha okuphuthumayo.
Alexey Skallar
Amacala aphuthumayo ku-gynecology - Kuyini
Izizwe eziphuthumayo "zabesifazane" zifaka izinhlungu ezikhuliswe kakhulu ezansi kwesisu, ezinikeza indawo ye-crotch, kwesinye isikhathi - ezinyaweni. Zingazwakala ngakwesobunxele, kwesokudla, ezansi phakathi, kungaba okukhulu, ukudonsa, ukuqonda. Esimweni esinjalo, kuyaphuthuma ukubhalisela ukwamukelwa kwe-Outpatient kudokotela, ukuze abheke "esihlalweni" futhi anqume ubufakazi bokuthi kwabilwa esibhedlela.
Kwesinye isikhathi isiguli, sihleli esihlalweni, sizwe sengathi sinqunywe ngokoqobo noma sibhoboze. Igazi lingavela ngaphansi kwezingubo zangaphansi. Izimpawu ezinjalo zihambisana nama-cysts we-ovary, ngaphansi kaningi - igebe laso, kwesinye isimo - isichotho sepayipi elinokukhulelwa kwe-ectopic. Akunandaba nembangela, kudingeka ukulaliswa esibhedlela okuphuthumayo. Uma isimo singavumeli, kufanele ushayele ngokushesha "i-ambulensi". Kuyinto engathandeki ukuthatha noma yimaphi ama-painkiller, adle noma aphuze.
Lapho ungena esibhedlela, isimo sibonakaliswa njengesisu esibukhali, ngemuva kwalokho kukhona ukuhlinzwa okuphuthumayo (cishe yonke indawo - ama-punctoscocopic, ama-punctures amathathu noma amane e-ILIAC, kwesinye isikhathi phakathi ), inkinga ihlanzwe, eyavela. Ukulaliswa esibhedlela ngemuva kwalokhu kufushane, ngokuphuma okulandelayo.
Maye, ngesinye isikhathi igazi eliningi kakhulu liqongelela esiswini, futhi isiguli singena esimweni esingazi lutho, esibizwa nge-hemorrhagic sokwethuka kwama-3-4 degrees. Isimo esinjalo sidinga i-laparotomy: yakha ukufinyelela okuvulekile esiswini. Mayelana nanoma iyiphi i-laparoscopy ayikhulumi.
Futhi, izifunda eziphuthumayo, eziphuthumayo zifaka ukopha kwesibeletho, okwenziwe ngama-polyps endometrial, isibeletho, njalonjalo. Njengoba iziguli zingahlali zihumusha kahle isimo sazo, kufanele kuqashelwe ukuthi kunjalo. Ama-decal of geeding we-Uterine ukukhethwa kwegazi kwepheshana lezocansi, kudinga ukufakwa kabusha kwama-gaskets (4-5 izingcezu ngehora). Esimweni esinjalo, kudingeka uye ku-gynecologist futhi ungeniswe esibhedlela kusuka ekutholweni kwe-Outpatient. Uma isimo singavumeli - ukubiza "i-ambulensi".
Izifundazwe eziphuthumayo "zabesifazane" zifaka izinhlungu ezikhuliswe kakhulu ezansi kwesisu.
Photo: Unsplisish.com.
Udokotela uzokwenza i-hysteroscopy futhi ahlukanise ukuklwebheka ukuze adale ukopha, azonquma amanye amaqhinga ekwelashweni.
Cabanga ngolunye uhlangothi oluphuthumayo. Lokhu kukhulelwa kwe-ectopic - ukukhulelwa, lapho ingane yesikhathi esizayo iwela endaweni ethile, hhayi kuphela esibelethweni sesibeletho (ipayipi, i-ovary, izilonda zamathumbu), futhi iqala ukukhula. Ukuhlolwa kokukhulelwa kulungile, kepha i-ultrasound ayikhombisi lutho, futhi iziguli zikhononda ngobuhlungu obukhulu ezansi kwesisu. Isimo siyesabeka impela. Ekugcineni, odokotela bazama ukungakuphuthelwa, banqume izikhonzi ezithile zezokwelapha (i-ultrasound, enquma i-beta-hcg). Futhi, isiguli singase silaliswe esibhedlela futhi sibonwe esibhedlela.
Uma ukukhulelwa kwe-ectopic kusaphuthelwa, amasonto ambalwa kungaphula ipayipi, ukuwa kweqanda lesithelo kulo, kuhambisana nokopha okungavunyelwe futhi kudinga ukungenelela okuvimbela futhi kudinga ukungenelela okuthe xaxa.
Ukungenelela okusebenzayo okuhleliwe - lapho chitha
Eqinisweni, kunezizathu eziningi zokungenelela kokuhlinzwa okuhleliwe. Cabanga ngabo ezinye zazo bese uqala ngezifo ze-endometrial.
Izinqubo ze-HyperPlastic (ukuqina kwe-Uterine Mucosa) zibhekwa kwi-ultrasound esigabeni sokuqala somjikelezo, okungukuthi, lapho isiguli sikhanga udokotela we-gynecologist ngemuva kokuya esikhathini. Ezimweni ezinjalo, kunconywa ama-hysteroscopy ahleliwe (ngaphansi kwama-anesthesia we-intrevenous, kuthatha imizuzu engu-15 ukuya kwe-20, kudinga ukuthi isibhedlela sihlale amahora angama-3-4) futhi sihlukanise ukwelashwa okuqhubekayo (okuvame kakhulu ama-hormonal).
Isimo esilandelayo yi-hyperplasia yendawo noma i-endometrial polyp. Eyakhe, futhi, ibonakala kahle kwi-ultrasound. Yini oyingozi? Ukwenqaba kuthulu elibi, ukuphazamiseka kokukhulelwa noma ukungakwazi ukukhulelwa kwayo, ukwenzeka kokopha kwesibeletho. Isuswa ngokungenelela okuncane kokusebenza.
Inkinga yokugcina, namhlanje esizokhuluma ngayo (kodwa, maye, hhayi okokugcina ohlwini), le yi-mima yesibeletho - isimila (esivame kakhulu) isimila. Izinkomba zokususwa zibe ngosayizi omkhulu wezemfundo (ezingaphezu kuka-5 cm), ukukhula okusheshayo (ngaphezulu kuka-3 cm ngonyaka), kuhambisana nokuya esikhathini ngokulahlekelwa yigazi elikhulu. Ukungenelela kweLaparoscopic kukuvumela ukuthi ususe inkinga ngokuphelele.
Ngakho-ke, uma uthole lezi zimpawu ezingenhla, noma ekuhlolweni okuhleliwe, ukuxilongwa okucacisiwe kwalethwa, kanye nodokotela ohlinzayo-gynecologist, anikeze usuku lokungenelela kokusebenza futhi lube nempilo!