We yu go to yu dɔktɔ we de mɛn uman dɛn fɔ du tin dɛn lɛk fɔ put IUD insay, we yu si difrɛn tin dɛn we dɛn de yuz fɔ mɛn pipul dɛn, dat kin mek yu fred smɔl. Duya mɛmba se dɛn mek dɛn tul ya spɛshal wan fɔ ɛp yu dɔktɔ fɔ du yu ɛgzam ɔ prosidur wit di ay levul fɔ prɛsishɔn ɛn sef. Tide, na Nirogi Lanka, wi want fɔ waka yu tru wan pan di impɔtant inschrumɛnt dɛn na gaynɛkɔlɔji we yu nɔ go no: di tɛnakul.
Fɔ tɔk am simpul wan, wetin na tɛnakul?
Tɛnakulɔm na spɛshal ɔspitul inschrumɛnt we tan lɛk klem we dɛn kin yuz we dɛn de du di prɔsidyu ɛn we dɛn de du mɛdikal ɛgzamin fɔ ol ɛn ol di tisu ɔ tin dɛn fayn fayn wan. Fɔs, yu go tink se i tan lɛk siza bikɔs di handel gɛt tu ring dɛn we dɛn mek fɔ yu dɔktɔ in finga dɛn.
Bɔt instead fɔ gɛt shap bled dɛn we dɛn kin kɔt, di ɛnd we de wok kin gɛt slɛnd shank dɛn we kin dɔn wit fayn fayn tip dɛn we gɛt huk. Dɛn huk ya de mek yu dɔktɔ ebul fɔ mek di dilik tisu dɛn stebul na wan patikyula pozishɔn ɔl di tɛm we yu de du di wok. Jɔs lɛk aw yu kin yuz tong fɔ ol sɔntin we nɔ izi fɔ yu na os, na so yu dɔktɔ kin yuz dis inschrumɛnt fɔ tek tɛm ol di tin dɛn we de insay di bɔdi ɛn mek dɛn tinap tranga wan.
Dɛn kin mek dɛn wit ay-grɛd stenlɛs stiɛl, pan ɔl we sɔntɛnde dɛn kin yuz ɔda mɛtal ɔ plastic dɛn we dɛn kin yuz fɔ mɛn pipul dɛn. Di we aw dɛn mek am simpul, i de wok fayn, ɛn i rili wok fɔ kia fɔ di wan dɛn we sik.
Difrɛn kayn tɛnakula dɛn de?
Yɛs, fɔ tru. Bikɔs ɔl kayn tisu na yu bɔdi spɛshal—sɔm kin dilik ɛn ɔda wan dɛn kin strɔng—dɔktɔ dɛn kin yuz difrɛn we dɛn fɔ dis inschrumɛnt we dɛn mek fɔ di patikyula wok. Lɛ wi luk di praymar kayn dɛn:
| Tayp fɔ di Tenaculum | Ficha ɛn Yuz dɛn |
|---|---|
| Pozzi Tɛnakulɔm | Di kayn we we dɛn kin yuz mɔ, we gɛt shap ɛnd dɛn we gɛt huk. dεn kin yus am bכku bכku wan fכ grap di sεviks εn di uterin tisu, εn bak fכ jεnarכl כpεrayshכn. |
| Tɛnakulɔm we gɛt wan tut | Dis gɛt wan huk, bɔt i stret ɛn blunter pas di Pozzi. I kin fayn fɔ ol di tisu dɛn we rili dilik we kin pwɛl izi wan. |
| Tɛnakulɔm we gɛt tu tut | as di nem sho, dis gεt tu huk dεm, we de gi fכ grip fכ di dense tisu dεm כ gro lεk polip dεm. |
| Alis Tɛnakulɔm | di tip dεm gεt sכm sכm sεrat tit dεm we lεk saw bled, we de alaw fכ grip fayn fayn wan wit ridyus tisu trauma εn blɔd. |
| Tεnakulכm we de na di sεvikal | dis disayn de fכm wan εnd we shep lכp we dεn spεshal εnjinia fכ mek di sεviks stebul sef wan. |
Ustɛm dɛn kin yuz tɛnakul?
Di men wok na fɔ kip di tisu stedi we dɛn de du ɔpreshɔn ɔ we dɛn de du mɛrɛsin. Fɔ ɛgzampul, yu dɔktɔ kin yuz am fɔ pul di tisu we de nia yu jisnɔ fɔ mek yu si di say we dɛn de du di ɔpreshɔn klia wan. Dɛn kin yuz am bak fɔ ol di blɔd vesel ( blood vessels ) we dɛn de du ɔpreshɔn fɔ ɛp fɔ kɔntrol di blɔd we de kɔmɔt.
di tεnakula dεm dεn kin yuz am mכst fכ gaynεkכlכji εn obstetrik, spεshal wan we i kכnsεn di uman rεprכdaktiv sistεm . na wan tin we i nid fכ mek di sεviks stebul we dεn de du difrεn egzamεn dεm.
di kכmכn prosidכs dεm we nid fכ mek tεnakulכm inklud:
- IUD Insertion: Fɔ put IUD kɔrɛkt wan, dɛn fɔ ol di sɛviks stebul, ɛn na dat di tenaculum de du.
- Bayopsi: We yu dɔktɔ gɛda wan tisu sɛmpul frɔm yu sɛviks ɔ yu uterus, di tɛnakul de ol di eria stedi fɔ mek shɔ se i kɔrɛkt.
- Hysterectomies: We dɛn de du big ɔpreshɔn lɛk dɛn wan ya, dɛn kin yuz am fɔ ol di tisu ɛn ɛp fɔ mek di blɔd kɔntinyu fɔ flɔ.
- Tubal Ligation: Na kɔmɔn pɔrmanent kɔntrasepshɔn ɔpreshɔn usay dɛn nid dis inschrumɛnt bak.
Di kwɛstyɔn we ɔlman kin aks: I go mek pɔsin fil pen?
I nɔmal fɔ lɛ pɔsin wɔri bɔt dis. Fɔ tɔk to yu dairekt wan: Yɛs, yu kin gɛt sɔm prɔblɛm dɛn ɔ yu kin fil pen. Dis kin apin mɔ we dɛn de du tin lɛk fɔ put IUD insay, we dɛn kin du we yu wek ɛn we yu nɔ gɛt dip sɛdɛshɔn.
dis kin apin biכs di tεnakulכm gεt sכm sכm shap tip dεm we de grap di sεvikal tisu jכnt fכ ol am stedi. if dis stεbilizεshכn nכ de, dεn nכ go ebul fכ du di prכsidכs kכrekt wan. Bɔku tɛm di sik pipul dɛn kin tɔk bɔt dis sɛns as "shap pinch" ɔ "strɔng stinging sensation."
Bɔt, yu nɔ nid fɔ jɔs bia dis we yu nɔ tɔk natin. Duya fil se yu gɛt pawa fɔ tɔk to yu dɔktɔ bɔt di tin dɛn we de mɔna yu fɔ fil pen bifo di prɔsidyu bigin.
Sɔm dɔktɔ dɛn kin gi wan lokal anestetik (lɛk lidocaine) fɔ mek di sɛviks nɔ gɛt bɛtɛ trɛnk, pan ɔl we dis nɔto standad fɔ ɛvri klinik. Wan we we rili fayn ɛn we kɔmɔn na fɔ tek wan mɛrɛsin we de mek yu nɔ fil pen (lɛk ibuprofen) lɛk wan awa bifo yu apɔntin, lɛk aw yu dɔktɔ tɛl yu , we kin ɛp fɔ mek yu nɔ fil fayn.
Yu tink se dɛn kin put IUD we nɔ gɛt tɛnakul?
Bɔku dɔktɔ dɛn kin lɛk fɔ yuz wan tin we de mek di IUD tinap tranga wan bikɔs i kin mek dɛn ebul fɔ put di IUD kɔrɛkt wan ɛn sef bay we dɛn de ol di sɛviks stedi. Bɔt if yu de fil bad fɔ wɔri ɔr nɔr de fil fayn, duya tɔk to yu dɔktɔ opin wan bɔt wetin yu de fred ɛn aks us opshɔn ɔ ɔda tin dɛn we yu go ebul fɔ du.
Wetin na di bad tin dɛn ɔ di prɔblɛm dɛn we kin apin?
Di tenaculum na wan standad, sef mɛrɛsin tul. Lɛk ɛni mɛrɛsin, smɔl smɔl prɔblɛm dɛn de we kin apin, we kin bi:
- Smɔl smɔl, fɔ sɔm tɛm spat ɔ layt blɔd .
- Na smɔl tɛm nɔmɔ, di sɛvikal tisu kin irita smɔl .
- Di diskɔmfɔt ɔ pen we wi bin dɔn tɔk bɔt .
If yu de wɔri, duya nɔ shek fɔ aks yu dɔktɔ se, "Ɛni ɔda we dɛn de fɔ du am?" Dɛn de fɔ sɔpɔt yu ɛn dɛn go ɛksplen di prɔses klia wan.
di tenaculum de pank di sεviks? I de yuz smɔl smɔl tin dɛn we tan lɛk tit fɔ ol di tisu fayn fayn wan—na so i de wok. Pan ɔl we i kin lɛf smɔl mak, i nɔto dip wund ɛn i kin wɛl kwik kwik wan fɔ insɛf.
Wetin na di difrɛns bitwin Tenaculum ɛn Speculum?
I izi fɔ mek dɛn kɔnfyus dɛn tu inschrumɛnt dɛn ya.
Speculum na di instrכmεnt we dεn kin yuz fכ opin di vagina wכl dεm jisno so dat di dכkta kin si di sεviks. Yu go mɔs dɔn si dis we dɛn de du Pap smiar ɔltɛm.
Wan Tɛnakulɔmna wan sɛpret tul we tan lɛk pinsa we dɛn kin yuz afta dat fɔ ol di sɛviks stedi we dɛn de put di IUD. Tink bɔt am dis we: di Speculum "de opin di domɔt," ɛn di Tenaculum "de ol di target in ples."
Dɛn dɔn de yuz di tenaculum sef wan fɔ lɔng lɔng tɛm. If yu gɛt IUD insay ɔ ɛni ɔda gaynɛkɔlɔjik ɛgzam we de kam, duya opin yu dɔktɔ na Nirogi Lanka. Wi de ya fɔ mek shɔ se yu fil se dɛn no bɔt yu ɛn gɛt kɔnfidɛns we yu de kia fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- Tenaculum na ɔspitul inschrumɛnt we dɛn kin yuz fɔ mek di tisu dɛn stedi. Nɔ mek yu fred di we aw i tan.
- Dɛn kin yuz am na gyal pikin fɔ du tin lɛk fɔ put IUD ɔ fɔ tek bayɔpsi.
- Yu kin fil shap, pinch senseshɔn we yu put am.
- If yu de wɔri bɔt pen, tɔk bɔt am wit yu dɔktɔ bifo tɛm; dɛn kin advays bɔt di rayt we fɔ mɛn di pen.
- Wan Tenaculum de ol tisu; wan Speculum de opin di vagina kanal. Dɛn de du difrɛn tin dɛn.
- Nɔ ɛva fred fɔ aks kwɛstyɔn bɔt yu mɛrɛsin—yu kɔmfɔt ɛn kolat na wi maynd na di tin we impɔtant pas ɔl.
