Yu smɔl titi de kɔmplen se i de it ɔ pen na in vagina? Ɔ yu gyal pikin we dɔn pas 12 ia de kɔmplen se i nɔ de gɛt bɛlɛ ɔltɛm ɔ i de fil pen we i nɔ ebul fɔ bia? Na nɔmal tin fɔ fil fɔ wɔri smɔl pan tɛm lɛk dis. Bɔku mama ɛn papa dɛn kin tink se na fɔ uman dɛn nɔmɔ we de mɛn uman dɛn we dɔn ol. Bɔt nɔto so i bi. Pikin dɛn we de smɔl ɛn smɔl pikin dɛn kin gɛt patikyula prɔblɛm dɛn bak we dɛn kin gɛt pan uman dɛn. Na dat wi de tok abaut tide.
Wetin na Pikin dɛn we dɛn kɔl Pediatric Gynecology?
Fɔ tɔk am simpul wan, dis na ɔda sɔb-spɛshal tin fɔ gaynɛkɔlɔji. Fɔ tɔk klia wan, dɛn kɔl am `Pediatric and Adolescent Gynecology (PAG).` Dɔktɔ dɛn we dɔn gɛt spɛshal trenin pan dis wok kin kia fɔ di riprodaktiv wɛlbɔdi fɔ gyal pikin dɛn frɔm we dɛn bɔn dɛn te dɛn yɔŋ.
Jɔs tink, yu nɔ go ebul fɔ gi pikin di sem tritmɛnt we yu de gi big pɔsin. Semweso, big uman in bɔdi rili difrɛn frɔm smɔl titi ɔ yɔŋ gyal in bɔdi. Di tin dɛn we dɛn nid fɔ mɛn dɛnsɛf difrɛn. So dɛn spɛshal dɔktɔ ya dɔn gɛt spɛshal trenin fɔ wok wit pikin dɛn we gɛt dis ej grup wit rili gud ɛn ɔndastandin.
Dɛn kin trit ɔltin frɔm pen na in vagina, it, ɛn ɛkzema to kɔmpleks prɔblɛm dɛn wit pikin in divɛlɔpmɛnt ɛn riprodaktiv sistɛm. di riprodaktiv sistεm inklud כl di כgan dεm we de na do εn insay we de involv fכ fεtiliti, mεnstral, εn fכ du mami ɛn dadi biznɛs.
Fɔ bi spɛshal pɔsin lɛk dis, afta dɛn dɔn go na mɛdikal skul, dɛn fɔ dɔn spɛshal digri pan Obstetrics and Gynecology ɔ Pediatrics. Afta dat, dɛn kin gɛt spɛshal trenin (Fellowship) pan pikin ɛn yɔŋ pipul dɛn gaynikɔlɔji. We dɛn de tren dɛn, dɛn, .
- Pikin dɛn kin lan fɔ tek tɛst we dɛn nɔ kin fil fɔ fred ɔ nɔ kin fil fayn.
- Lan fɔ no ɛn trit kɔmɔn ɛn rare gaynecological sik dɛm we spɛshal fɔ dis ej grup.
- Lan fכ mεnεj di kכmpleks rεprכdaktiv sistεm abnכmaliti dεm.
- Dɛn kin tren bak fɔ spɛshal ɔpreshɔn we fayn fɔ pikin dɛn.
Ustɛm a fɔ kɛr mi gyal pikin go to dɔktɔ we de mɛn uman dɛn fɔs?
Dis na kwɛstyɔn we bɔku mama ɛn papa dɛn gɛt. Di American College of Obstetrics and Gynecology se yu gyal pikin fɔ du in fɔs gaynekɔlɔjik ɛgzam bitwin 13 ɛn 15 ia .
Bɔt, i rili impɔtant fɔ mɛmba dis. If yu pikin gɛt ɛni prɔblɛm, fɔ ɛgzampul, pen na in vagina, it, infekshɔn, ɔ ɛni kayn aksidɛnt, dɛn kin go to dis spɛshal dɔktɔ ɛnitɛm, ilɛksɛf i ol . Dis min se ivin pikin we dɛn jɔs bɔn kin gɛt dis dɔktɔ advays.
Mɔ yɔŋ gyal pikin dɛn kin gɛt infɛkshɔn ɛn sɔm injury bikɔs dɛn vagina tisu dɛn nɔ gɛt bɛtɛ ɛstrojen . So, dɛn dɔktɔ dɛn ya kin yuz spɛshal, smɔl smɔl tin dɛn we dɛn mek fɔ dɛn fɔ chɛk ɛn trit yɔŋ pikin dɛn. Ɛn ɔl dis kin apin na say we dɛn kin mek padi wit pipul dɛn usay di pikin nɔ kin fred ɔ fred.
Wetin kin apin we yu kɛr yu gyal pikin go chɛk fɔ di fɔs tɛm?
We yu kɛr yu gyal pikin go to dɔktɔ we de mɛn uman dɛn fɔ di fɔs tɛm, i nɔmal fɔ mek in ɛn yu fil fred smɔl ɛn fred. Bɔt fɔ tru, bɔku tɛm dis fɔs mitin kin bi fɔ tɔk to di dɔktɔ ɛn fɔ mek yu gɛt gud padi biznɛs. Di men tin we de na ya na fɔ mek yu gɛt trɔst pan yu pikin so dat i go tɔk fri wan ɛn ɔnɛs wan bɔt in prɔblɛm dɛn.
Dis fɔs apɔntinmɛnt na fɔ ɛdyukeshɔn ɛn fɔ tɔk to pipul dɛn mɔ . Di dɔktɔ go tɔk to di gyal pikin bɔt dɛn tin ya:
- Bɔt di tɛm we i de bɔn : Ɛp yu gyal pikin fɔ ɔndastand se di chenj dɛn we de apin na in bɔdi (lɛk di we aw in bɔdi de gro ɛn di ia we de gro na in prayvet pat) na nɔmal tin ɛn i kin apin to ɔlman, ɛn ɛp fɔ mek i nɔ fred.
- Bɔt di saykl we uman kin gɛt we i de gɛt mɔnt: I de ɛksplen aw di nɔmal saykl we pɔsin kin gɛt we i de si ɛn aw i kin difrɛn frɔm wan pɔsin to ɔda pɔsin.
- Bɔt wɛl bɔdi abit : Tɔk bɔt tɔpik dɛm wae fit yu ej lɛk aw yu fɔ klin yusɛf.
- Fɔ pul di mistek ɛn fred: Ɛni kwɛstyɔn we gyal pikin kin gɛt (bɔt bɔdi chenj, mami ɛn dadi biznɛs) dɛn kin ansa am bay sayɛns ɛn simpul wan, ɛn dis kin mek i nɔ de fred we i nɔ nid fɔ de na in maynd.
Bɔku tɛm, di dɔktɔ go jɔs du ɛksternal ɛgzam. Dat min se, jɔs luk yu gyal pikin in bɔdi ɛn in bɔdi we de na do . If spɛshal mɛdikal rizin de, dɛn nɔ go du intanɛnt ɛgzam di fɔs apɔntinmɛnt. Dis rili impɔtant fɔ mek yu as mama ɔ papa no.
Wetin kin apin we dɛn de du ɛgzam we dɛn kin du ɔltɛm?
Afta di fɔs mitin, if di gyal pikin want, i kin ebulYu kin go to di dɔktɔ. We dɛn de chɛk-ap ɔltɛm lɛk dis, tin dɛn lɛk dis kin apin:
- brεst sεlf -εgzam tichin: di dכkta de tich di gyal pikin bכt di imכpכtant fכ egzamin in כwn brεst εn di kכrekt we fכ du am. Bɔku tɛm, i kin fayn fɔ bigin dɛn ɛgzam dɛn ya afta yu dɔn ol 20 ia.
- Pɛlvik ɛgzam: If yu gyal pikin de fil pen ɔ i gɛt prɔblɛm wit di tɛm we i de bɔn, di dɔktɔ kin chɛk di ɔgan dɛn we de na di bɛlɛ, lɛk di uterus, ovaria, ɛn vagina. Dis ɛgzam nɔ kin nid ɔltɛm.
- Pap smear: Dis na tεst fכ no sεvikal kεnsar כ abnכmal sεl dεm we kin divεlכp to kansa. di fכs Pap smyεr dεn kin du am afta dεn ol 21 ia.
- Gi advays bɔt bɔn kɔntrol: Di dɔktɔ kin tɔk to yu bɔt bɔn kɔntrol ɛn di tin dɛn we yu gyal pikin go ebul fɔ du. Nɔto jɔs fɔ mek uman nɔ gɛt bɛlɛ fɔ kɔntrol di pikin. Dɛn kin yuse am bak fɔ trit pɔrsin wae gɛt pen, wae pɔrsin de blɔd pasmak, akni, ɛn bɔrku ɔda wɛl bɔdi prɔblɛm dɛm.
- Tɔk bɔt ɛnitin we de mɔna am: Di gyal pikin gɛt di chans fɔ tɔk to di dɔktɔ fri wan bɔt ɛnitin we nɔ fayn, pen, ɔ prɔblɛm we i go gɛt na in bɔdi.
- Aks kwɛstyɔn: Di titi kin aks ɛni kwɛstyɔn bɔt in bɔdi, in wɛlbɔdi, ɛn mami ɛn dadi biznɛs.
Wetin na di kɔmɔn prɔblɛm dɛn we dɛn spɛshal pipul ya kin trit?
Prɔblɛm wit uman dɛn kin kam pan gyal pikin dɛn ɛni ej. Na sɔm pan di prɔblɛm ɛn tin dɛn we kin apin to pɔsin.
| Di kayn prɔblɛm we yu gɛt | Ɛgzampul dɛn ɛn diskripshɔn dɛn |
|---|---|
| Prɔblɛm dɛn we kin apin we pɔsin de gɛt mɔnt | |
| We pɔsin nɔ de gɛt mɔnt | Amenorrhea na we pɔsin nɔ de gɛt mɔnt afta i dɔn rich di ej we i dɔn rich di ej, ɔ we i lɛf fɔ gɛt mɔnt afta i bigin fɔ gɛt mɔnt (Amenorrhea). |
| Ebi ebi blɔd we de kɔmɔt | Blɔd we kin ebi pas aw i kin kɔmɔt ɛn we kin te fɔ sɔm dez (Menorrhagia). |
| Menstrueshɔn we kin mek pɔsin fil pen | Bɛlɛ pen we pɔsin nɔ kin ebul fɔ bia ɛn we kin mek i nɔ pɔsibul fɔ du ivin di tin dɛn we pɔsin kin du ɛvride (Dysmenorrhea). |
| Menstrueshɔn we nɔ de ɔltɛm | di mεnstral saykl dεm we de apin pan difrεn de dεm, we de delay fכ mכnt (Irregular periods/Oligomenorrhea). |
| Dilay/ali puberty | Delay puberty ɔ ali puberty. |
| Ɔda tin dɛn we kin apin to pɔsin | |
| Di tin dɛn we nɔ kin apin na di bɔdi | Brest lumps, pen, ɔr prɔblɛm wit grow. |
| Sist dɛn we de na di ovarian | Sist dɛn we de na di ovarian. |
| PCOS kɔndishɔn | Polisistik Ovarian Sindrom (PCOS) - na wan ɔmon imbalans. |
| Infεkshכn dεm na di vagina εn εksternal jεnital infεkshכn | I de it, inflamɛns, ɛn dischaj we de smɛl fayn (Vulvovaginitis). |
| Infekshɔn dɛn we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs | Infεkshכn dεm we dεn kin gεt pan mami ɛn dadi biznɛs (STIs). |
| Di vagina lip adheshon | Labial adhesions, spεshal wan pan yכŋ pikin dεm. |
| Spɛshal tin dɛn we kin mek dɛn nid fɔ du ɔpreshɔn | |
| Endometriosis we de mek pɔsin gɛt sik | siriכs pen we de kכz fכ di tisu we fכ fכ gro insay di uterus we de gro ausayd am. |
| Di tin dɛn we dɛn bɔn we dɛn bɔn | di malfכmeshכn dεm we dεn bכn wit di rεprכdaktiv sistεm. |
| Fɔrin matirial ɛntrapmɛnt | Fɔrin tin dɛn we de stɔp na di vagina we dɛn de ple ɔ we dɛn mek mistek. |
Aw dɛn kin trit ɛn kɔntrol dɛn prɔblɛm ya?
Di we aw dɛn de trit di pikin kin dipen pan di pikin in kɔndishɔn. No wan saiz-fit-ɔl sɔlv nɔ de. Sɔntɛnde, di dɔktɔ kin tek "wet ɛn si" we . Dis min se yu nɔ fɔ trit di pikin ɛn wach di tin we de apin. Sɔm prɔblɛm dɛn kin nid fɔ mek dɛn chɛk mɔ ɛn tɛst dɛn. Na sɔm pan di tritmɛnt ɛn tɛst dɛm we dɛn kin du:
- kolposkopi: dεn kin yuz dis prosidכs fכ chεk di sεviks εn di vagina wכl fכ abnכmal tisu if di rizulεt fכ tεst lεk Pap smyεr nכ nכmal. Dis min se yu fɔ chɛk di say wit spɛshal kamɛra (we dɛn kin mek big big wan).
- Laparoscopic surgery: Dɛn kin kɔl dis bak "keyhole surgery." Na ɔspitul we dɛn kin put kamɛra ɛn inschrumɛnt dɛn tru sɔm smɔl smɔl say dɛn na di bɛlɛ, pas fɔ mek dɛn kɔt big say. Dɛn kin yuz am fɔ chɛk ɛn trit tin dɛn lɛk bɛlɛ tumbu, pen na di bɛlɛ, ɛn ɛndometriɔsis.
- Vaginoscopy: Dɛn kin yuz dis we fɔ pul ɛni ɔda tin we dɔn stɔp na pikin in vagina.
- Ɔmon tɛrapi: .Fɔ trit sɔm wɛlbɔdi prɔblɛm dɛn, yu dɔktɔ kin gi yu mɛrɛsin dɛn we gɛt ɔmon. Dɛn tin ya kin kam lɛk pils, injɛkshɔn, pat pan di skin, ɔ tin dɛn we dɛn kin yuz insay di bɛlɛ.
- Ɔda mɛrɛsin dɛn: Dɛn kin gi ɔda mɛrɛsin dɛn lɛk antibayɔtik, antivayral, ɛn pen kil (NSAID) as nid de.
di tin we impɔtant pas ɔl na dat, if yu gyal pikin gɛt ɛni wan pan dɛn prɔblɛm ya we gɛt fɔ du wit uman dɛn, nɔ jɔs tink se na "jɔs tin fɔ ol." Dɛn prɔblɛm ya nɔ go go fɔ dɛnsɛf. So, i impɔtant fɔ go to dɔktɔ we sabi du di wok kwik kwik wan ɛn gɛt di rayt advays ɛn tritmɛnt.
Mɛsej we dɛn kin kɛr go na os
- Pikin ɛn Adolescent Gynecology na spɛshal fild fɔ mɛrɛsin we de pe atɛnshɔn pan di riprodaktiv wɛlbɔdi fɔ gyal pikin dɛn frɔm we dɛn smɔl te dɛn yɔŋ.
- Di bɛst tɛm fɔ kɛr yu gyal pikin go to dɔktɔ we de mɛn uman dɛn fɔ di fɔs tɛm na bitwin 13-15 ia. Bɔt i impɔtant fɔ go to dɔktɔ pan advays pan ɛni ej if ɛni sayn ɔ tin de we de mɔna yu.
- Bɔku tɛm, di fɔs apɔntinmɛnt nɔto sɔntin we yu fɔ fred, bɔt na kɔnsaltetiv mitin usay yu kin tɔk to di dɔktɔ ɛn mek yu gɛt trɔst. Dɛn nɔ kin du intanɛnt tɛst.
- Nɔ ignore prɔblɛm dɛn we yu gɛt we yu de gɛt mɔnt lɛk fɔ fil pen pasmak, fɔ nɔ de ɔltɛm, ɛn fɔ blɔd bɔku bɔku wan lɛk aw i nɔmal. Tritmɛnt dɛn de we rili fayn fɔ dɛn tin ya.
- Di prɔblɛm dɛn we kin apin to pikin dɛn we gɛt uman dɛn nɔ kin go fɔ dɛnsɛf. Ɔltɛm, go to dɔktɔ we sabi du di wok fɔ mek dɛn no di sik ɛn tritmɛnt fayn fayn wan.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 👩 ⚕️ Udat na Gaynekɔlɔjis?
Gaynekɔlɔjis na dɔktɔ we spɛshal pan sik ɛn prɔblɛm dɛn we gɛt fɔ du wit di we aw uman ɛn gyal pikin dɛn de bɔn pikin. Fɔ tɔk am simpul wan, dɛn dɔktɔ ya kin trit ɛni sik we de na di uterus, ovaria, ɛn di ɔgan dɛn we de rawnd am.
💬 👧 Wetin mek yu nid fɔ kɛr smɔl titi go to dɔktɔ we de mɛn uman dɛn?
Bɔku pipul dɛn kin tink se yu fɔ go to dɔktɔ we de mɛn uman dɛn afta yu mared. Bɔt nɔto so i bi. Pediatric and Adolescent Gynecology tritmɛnt impɔtant fɔ prɔblɛm dɛn we kin apin we gyal pikin de bɔn, we i nɔ kin gɛt mɔnt, we i kin fil pen pasmak, ɛn ivin infekshɔn na di prayvet pat dɛn na yɔŋ pikin dɛn.
💬 🩺 Yu tink se fɔ sho gyal pikin to dɔktɔ lɛk dis go mek di pikin fred?
Atɔl. Dɛn dɔn tren di dɔktɔ dɛn we de mɛn pikin dɛn ɛn yɔŋ pipul dɛn spɛshal wan fɔ trit pikin ɛn yɔŋ uman dɛn di kayn we we rili fayn ɛn we nɔ gɛt wanwɔd. Dɛn kin pul di pikin in shem ɛn fred, ɛn du di tɛst dɛn rili sef ɛn izi, so nid nɔ de fɔ fred.
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