Luthini uviwo lomntu olungileyo kwaye kutheni kubalulekile

Imfundo yezeMpilo

Enye yezona zinto zibaluleke kakhulu esinokuzenza ukulawula nokugcina impilo esempilweni kukugcina zonke ezo zinto zihlolwa rhoqo. Oku kuthetha ukuya kugqirha wamazinyo rhoqo ukucoca, ukufumana ukukhangela unyaka nonyaka kwi-ofisi yakho yesikhumba, ukubona ugqirha wakho wokhathalelo oluphambili emzimbeni wakho wonyaka kwaye, kwabafazi, ukufumana uviwo olumnandi lomfazi minyaka le.

Luthini uviwo lomfazi olungileyo?

Ngelixa uvavanyo lomzimba oluqhelekileyo lujolise ikakhulu kwimpilo iyonke , uviwo oluhamba kakuhle lomfazi (okwabizwa ngokuba luvavanyo lwe-gynecological) luyilelwe ukungafikeleli kwimicimbi yezempilo ethe ngqo kwimpilo yokuzala yabasetyhini. Uvavanyo lungenziwa ngumboneleli wokuqala, ugqirha wezonyango, ugqirha ongumongikazi, ugqirha okanye umncedisi umbelekisi oqinisekisiweyo (I-CNM ngumongikazi obhalisiweyo ofumene isiqinisekiso senqanaba lokuthweswa isidanga kubabelekisi; bahlala besebenza kwiiklinikhi ecaleni kwe-OB-GYNs).

Nokuba yeyiphi na ingcali okhetha ukuyibona kuvavanyo lwakho lwamabhinqa, kubalulekile ukuba uqiniseke ukuba ahlaziyiwe izikhokelo zovavanyo kunye neengcebiso , kuba olu tshintsho kuphuma uphando olutsha, utshilo uLexi Garbus, i-CNM kwindawo yabucala eDetroit.

Kwenzeka ntoni kuvavanyo lomfazi olungileyo?

Ekutyelelweni kwakho kwabasetyhini, uya kufumana uvavanyo lwebele lweklinikhi, uvavanyo lwe-pelvic, kunye / okanye Ipapa yokuthambisa, Zonke ziyilelwe ukunceda ukujonga izinto ezingaqhelekanga ezifuna ukuqhubeka kophando (iPap smears, umzekelo, ukubona umhlaza womlomo wesibeleko ). Umboneleli wakho uya kufuna ukuxoxa ngobude kunye nokuphindaphinda kwamaxesha akho, imbali yakho yezesondo kunye nokuzala, kunye nokuba ufumana naziphi na iimpawu ezingaqhelekanga, ezinje ngeempawu zebele, iintlungu, ukopha okunzima, ukukhutshwa kwilungu lobufazi, okanye ukurhawuzelela. Kuxhomekeke kubudala bakho kunye neemfuno zakho, olu vavanyo luya kubandakanya ukuvavanywa kosulelo olosulela ngokwabelana ngesondo, ulawulo lwezitofu ( papillomavirus yabantu isitofu sokugonya ngokukodwa, nangona ezinye iikliniki zinika amayeza ongezelelweyo okugonya), kunye a Ingxoxo malunga nolawulo lokuzalwa kunye nokucwangciswa kosapho .

Kwizigulana ezifikelele kwinqanaba lokuyeka ukuya exesheni okanye ngoku zinengxaki yokuya exesheni (ekwabizwa ngokuba kukuyeka ukuya exesheni), uvavanyo lomfazi olungileyo luza kubandakanya nengxoxo yolawulo lweempawu kunye nonyango.

Abanye iingcali zide zibandakanye nokunye ukuvavanywa kwezempilo kuvavanyo lwabasetyhini abalungileyo, njengokuvavanywa kwempilo yezengqondo, ukuvavanywa kweziyobisi notywala, kunye nokuvavanywa kwegazi ukujonga i-lipids kunye nenqanaba leswekile yegazi. Ekugqibeleni, umboneleli wakho uya kubuza ukuba uziva ukhuselekile ekhaya. Ukuba iimviwo kunye novavanyo luveza nantoni na efuna ukusonjululwa, umboneleli wakho uya kuthi enze isicwangciso sonyango, a-odole ukuvavanywa okuthe kratya (umzekelo, uvavanyo lwebele lunokulandelwa ngemammogram- nokuba awungobuchwephesha ngenxa enye ) okanye ukudlulisela komnye umboneleli wezempilo.

Kuyacetyiswa ukuba [konke] olu vavanyo lubandakanywe, nangona ubunzulu bokuhluzwa kuyahluka, utshilo uGarbus, echaza ukuba iofisi nganye inemigaqo-nkqubo kunye neenkqubo zayo.

Ngale nto ithethwayo, yazi ukuba ngelixa imibutho iyathanda Ikholeji yaseMelika yoGqirha (ACP) kunye Ikholeji yaseMelika yoNyango kunye neeGynecologists (ACOG) shicilela izikhokelo zovavanyo kunye neengcebiso zezinto ezinje ngePap smears kunye novavanyo lwe-pelvic, ababoneleli ngabanye bathambekele ekuthatheni isigqibo malunga nesidingo salezi nezinye iimvavanyo ezisekwe kumava abo kunye nezimvo zabo kunye b) neemfuno zesigulana esichaphazelekayo , uyacacisa UMary Jane Minkin, MD , Unjingalwazi weklinikhi kwisebe lezonyango, i-gynecology kunye nesayensi yokuzala kwiYale University School of Medicine.

Ke, umzekelo, ngelixa I-ACP ayisaphakamisi iimviwo zepvvic yesiqhelo kubafazi abangenawo amandla , uninzi lwababoneleli bacinga ukuba kububulumko ukubaqhuba njengenyathelo lokuthintela. Sisigqibo esidibeneyo phakathi komnikezeli kunye nesigulana, utshilo uGqirha Minkin, esongeza ukuba yena ngokwakhe ubathatha njengenxalenye ebalulekileyo yoviwo ( njengoko kunjalo ne-ACOG ).

Ungazilungiselela njani iimviwo zakho zowasetyhini olungileyo

Enye yezona zinto zibaluleke kakhulu anokuzenza umfazi ukulungiselela uviwo lomfazi olungileyo kukufumana kwikhalenda. Ababoneleli abaninzi banexesha elide belindile, ngakumbi kwizigulana ezitsha, ke qiniseka ukubiza isebe lokucwangcisela ixesha elide ngaphambi kokuba uvavanywe. Ngethuba nje ukutyelela kwakho kuyinto yesiqhelo, lindela ukuchitha iyure enye ekliniki.

Xa usuku lokuqeshwa kwakho lufika, uGqirha Minkin uthi kubalulekile ukubonisa uluhlu lwemibuzo kunye neenkxalabo zempilo zikulungele ukuze ungalibali ukuzisa nantoni na ofuna ukuyithetha. Unokufumana uluhlu lokutshekisha lokuphila impilo kwiminyaka nganye e iliso.cz .

Nawuphi na umbuzo onawo, ubhale phantsi, utshilo. Oku kunokubandakanya imibuzo malunga neempawu, amayeza, ukuchuma, ukukhulelwa kwixesha elizayo, okanye nohlobo lokuqeshwa ngokwalo.

Kwaye ungakhathazeki malunga nokuba ucinga ukuba umbuzo ulifanele ixesha le-doc yakho. Emva kwayo yonke loo nto, kunjalo eyakho ukuqeshwa, utsho uGarbus. Nawuphi na umbuzo ngumdlalo olungileyo.

Umboneleli akanyanzelekanga ukuba abe nakho ukuqikelela yonke imibuzo, utshilo. Ke ukuba unombuzo okanye unomdla nje ngokungacacanga, ngokuqinisekileyo kufuneka uzive ukhululekile ukubuza.

Ugqirha Minkin ukwacebisa ukuba izigulana zikulungele ukuxoxa ngeendlela zazo zolawulo lokuzalwa, kwimeko apho kufuneka kwenziwe utshintsho (ukuba uhlala ulibale ukuthatha ipilisi yakho, umzekelo, kunokuba lixesha elifanelekileyo ukuzama into eyahlukileyo, njenge-IUD ).

Umboneleli wakho uya kuba nemibuzo nakuwe. Kwaye ngelixa ezinye zazo zibonakala ngathi zezobuqu (okt imibuzo malunga nokwabelana ngesondo kunye namaqabane akho), kubalulekile ukuba uthembeke kwaye ungqale ngqo ukuze ufumane uvavanyo olufanelekileyo kunye nokhathalelo.

Ukuba unoloyiko malunga nokuqeshwa okanye ufuna nje inkxaso ethile yokuziphatha, kulungile ukuzisa umntu kwindawo yakho yokuqeshwa (njengeqabane lakho okanye umhlobo), utshilo uGarbus.

Olu lutyelelo lwakho… kwaye ukuba uziva unaye umntu (omnye umntu) egumbini kunye nawe uya kukwenza uzive ukhululeke ngakumbi ngexesha loviwo, unelungelo lokukucela oko, utsho. Sisoloko samkela nantoni na esinokuyenza ukukunceda uzive ubandakanyeka ngakumbi.

Nangona kunjalo, umboneleli usazodinga ixesha yedwa kunye nesigulana, uGarbus kunye noGqirha Minkin bathi, ukuqinisekisa ukuba izinto ezinje njenge ubundlobongela obusondeleyo kumaqabane okanye ibhinqa eliselula imfuno yolawulo lokuzalwa musa ukungahoywa. Oko ukutsho kugqirha wakho kuyimfihlo, ke kuya kufuneka uzive ukhululekile ukuvula.

Kufuneka sinike (abaguli) ixesha lokuba bazive bekhuselekile kwaye bekhululekile ukuzityand 'igila kuthi, utshilo uGqirha Minkin.

Ngokumalunga nexesha, uviwo olufanelekileyo lomfazi lunokwenzeka phantse kulo naliphi na ixesha kumjikelo wakho wokuya esikhathini, utshilo uGqirha Minkin. Ngaphandle? Ukuba ufumana ukukhutshwa okungaqhelekanga kuvavanyo lwakho akufuneki kungqinelane nolona suku lunzima lwexesha lakho.

Ukuba umntu wopha kakhulu kunokuba yinto enzima ukutolika [ezo] ziphumo, uGqirha Minkin ucacisa.

Ngokumalunga neendleko, uMthetho woKhathalelo ongenakufikeleleka ugunyazisa oko ukhathalelo lokuthintela iimviwo zokuziphatha kakuhle kwabasetyhini zigutyungelwe ngokupheleleyo zizicwangciso zeinshurensi yezempilo . Oko kuthetha ukuba akukho ndleko iphuma epokothweni kuwe, ukuba nje unayo i-inshurensi. Ukuba u sukuyenza unayo i-inshurensi yezempilo, indleko iya kuxhomekeka kulowo umbonayo kwaye loluphi uhlobo lovavanyo oluyalelwayo. Ukuba awukwazi ukuhlawula iimviwo zakho, ukuhlolwa komhlaza kwasimahla kuyafumaneka kwiNkqubo yeSizwe yokuFumanisa uMhlaza weSibeleko kunye noMhlaza weSibeleko . Ubuzali obucwangcisiweyo bukwabonelela ngovavanyo oluphantsi okanye olungenaxabiso kwabo bafanelekayo , njengokuba.

Kutheni ndifuna iimviwo zokuba ngumfazi olungileyo?

Kuthekani ukuba wonwabile ngendlela yakho yolawulo lokuzalwa, unamaxesha aqhelekileyo, ungacwangcisi ukukhulelwa nangaliphi na ixesha kungekudala, kwaye awufumani zinto zingaqhelekanga okanye malunga neempawu? Uya nangoku Ufuna iimviwo eziqhelekileyo zabasetyhini? Ewe. ISebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu licebisa ukuba bonke abantu basetyhini bazifumane minyaka le .

Awuyi kufuna onke amacandelo oviwo kutyelelo ngalunye, nangona kunjalo. Abasetyhini abangaphantsi kweminyaka engama-21, umzekelo abayifuni kwaphela i-Pap smears, utshilo uGqirha Minkin. Kananjalo uninzi lwabasetyhini lungaphezu kweminyaka engama-60, utsho uGarbus. Inkqubo ye- I-US Preventive Services Task Force yacebisa Abasetyhini bafumana i-Pap smear qho emva kweminyaka emithathu ukuya kwemihlanu. Uvavanyo lwe-Pelvic frequency luyahluka ngokuxhomekeka kumboneleli kunye neemfuno zesigulana, kunye novavanyo lwe-STI kunye nezitofu zokugonya zinikezelwa kwimeko nganye (ngokuxhomekeke kwiimfuno zesigulana ngexesha lotyelelo).

Ngapha koko, iimviwo zamabhinqa alungile azifuneki kwabasetyhini abangaphantsi kweminyaka eyi-18, nangona abo babelana ngesondo okanye benamaxesha abuhlungu (okanye ezinye ezinxulumene neempawu) kufuneka babone umboneleli ngokukhawuleza. Abasetyhini abafikelele kwinqanaba lokuyeka ukuya exesheni kufuneka baqhubeke neemviwo zabo zamabhinqa alungileyo, ngokunjalo. Uluvo, utshilo uGarbus, kukuthintela iingxaki ekungenzeki kunye nokubamba iingxaki esele zikhona kwangethuba.

Uninzi lwale nto, ngamanye amaxesha, lunokuziva luqhelekileyo, utshilo. Kodwa [kuvavanyo] sinokungena kwizinto ezininzi ezinokuthi zehle ngendlela.