Ngezinye izikhathi udokotela wakho angase akuncome ukuthi uhlolwe ngesitho sangasese sowesifazane, okubizwa ngokuthi i -`(Transvaginal Ultrasound)` . Uma uzwa lokhu, ungase uzizwe wesaba futhi ukhathazekile kancane. Ungase ube nemibuzo eminingi efana nokuthi, 'Kuyini lokhu? Ingabe kuzokulimaza? Kungani lokhu kwenziwa?' engqondweni yakho, akunjalo? Kujwayelekile kakhulu. Ngakho-ke namuhla, sizoxoxa ngale `(Transvaginal Ultrasound)`, ukuhlolwa ngesitho sangasese sowesifazane, ngokuningiliziwe, ngendlela ongayiqonda, nangendlela elula kakhulu.
Iyini i-ultrasound ye-transvaginal?
Kalula nje, lolu uhlobo lwenqubo yokuthwebula izithombe . Kufana nokuthatha isithombe, kodwa kuthatha izithombe zezitho zomzimba ezingaphakathi emzimbeni ezingabonakali ngeso lenyama. Le ndlela isetshenziswa ikakhulukazi ukubheka umgodi we-pelvic wabesifazane, okungukuthi, izitho ezisesiswini esingezansi.
Lolu vivinyo luzotshela udokotela wakho ukuthi:
- Umlomo wesibeletho
- Isibeletho
- Amapayipi e-Fallopian ( amapayipi lapho amaqanda ahamba khona)
- Ama-ovary
Ungazibona ngokucacile izitho ezibalulekile ezifana nokuthi.
Cabanga nje, ngezinye izikhathi uma kukhona ukusola kwesimo esithile esingavamile noma ukukhula okuhlobene nalesi sitho, lokhu kuskena kusiza ukuthola ukuthi siyini ngempela. Futhi, uma ukhulelwe, le `(Transvaginal Ultrasound)` isetshenziselwa ukuqinisekisa ukukhulelwa noma ukuqapha ukukhula komntwana.
Uyini umehluko phakathi kwe-ultrasound ejwayelekile nale ultrasound ye-transvaginal?
Cishe uke wezwa nge-ultrasound yesisu. Lokhu kwenzeka lapho udokotela noma uchwepheshe ehambisa idivayisi encane (ebizwa ngokuthi i-transducer) phezu kwesisu sakho ukuze ithathe izithombe.
Kodwa-ke, kule `(i-Transvaginal Ultrasound)`, ibizwa nangokuthi `(i-Endovaginal Ultrasound)` , idivayisi ebizwa ngokuthi `(i-Transducer)` engikhulume ngayo ifakwa ngaphakathi kwesitho sangasese sowesifazane bese kuthathwa izithombe. Igama elithi "Endo" lisho ngaphakathi, kanti elithi "vaginal" lisho okuhlobene nesitho sangasese sowesifazane. Ngakho igama ngokwalo linencazelo.
Ngenxa yokuthi kwenziwa ngesitho sangasese sowesifazane, kungaveza izithombe ezicacile nezinemininingwane yezitho zomzimba kanye nezicubu ezithambile esiswini esingezansi. Kubonisa imininingwane engcono kakhulu kunokuskena okwenziwe ngesisu.
Kodwa-ke, kunezimo ezithile lapho ukuskena okungenziwa khona ngesitho sangasese sowesifazane kungenzeki. Isibonelo, uma ukhulelwe futhi i-placenta (isitho esondla umntwana) iseduze nomlomo wesibeletho (isimo esibizwa ngokuthi i-placenta previa), khona-ke i-ultrasound engenziwa ngesitho sangasese sowesifazane ingabangela ukopha okungadingekile. Ezimweni ezinjalo, kwenziwa ukuskena okungenziwa ngesitho sangasese sowesifazane.
Lokhu kuskena kwenziwa nini?
Azikho imikhawulo noma izithiyo eziningi zokwenza lokhu (i-Transvaginal Ultrasound). Isibonelo, akunandaba ukuthi uya esikhathini noma cha, noma ukuthi ukhulelwe noma cha. Kungenziwa nganoma yisiphi isikhathi.
Kodwa-ke, uma udokotela wakho encoma uhlobo olukhethekile lwe-Transvaginal Ultrasound, olubizwa ngokuthi i-Saline Infusion Sonohysterography ( Sonohysterogram) , kunemikhawulo ethile. I-Sonohysterogram ihilela ukufaka inani elincane le-saline emgodini wesibeletho ukuhlola ulwelwesi lwesibeletho. Ngakho-ke, akufanele wenze i-Sonohysterogram uma ukhulelwe noma unesifo sokuvuvukala kwe-pelvic (PID).
Kudingeka nini i-ultrasound ye-transvaginal?
Kungase kube nezizathu eziningana eziyinhloko zokuthi kungani udokotela wakho engase acele lokhu kuskena.
- Uma uzwa ubuhlungu be-pelvic .
- Uma unesifo sokopha esingajwayelekile (ukopha).
- Uma udokotela ebona into engavamile ngesikhathi sokuhlolwa kwe-pelvic, thola okwengeziwe ngayo.
- Uma ukhulelwe, qapha ukukhulelwa kwakho .
Lokhu kuskena kungasiza udokotela wakho ukuthi athole izinto ezifana nalezi:
- Ama-Cysts
- Amathumba
- Ama-fibroid (uhlobo lwesimila esikhula esibelethweni)
- Ama-polyp (ukukhula okuncane okubizwa ngokuthi ama-polyp)
- Izimpawu zokutheleleka kwe-pelvic
- Izimpawu Zomdlavuza (Umdlavuza ungatholakala esiteji sokuqala)
- Izimpawu zokukhulelwa okungaphandle kwesibeletho (okusho ukukhulelwa ngaphandle kwesibeletho) noma ukuphuphuma kwesisu
- Izimbangela Zezinkinga Zokuzala
- Hlola ukuthi idivayisi yangaphakathi kwesibeletho (i-IUD) ikhona yini.
Lokhu kuskena kusetshenziswa kanjani ngesikhathi sokukhulelwa?
Lokhu kuskena kuvame ukwenziwa, ikakhulukazi ngesikhathi se-trimester yokuqala (amasonto 1 kuya ku-12) yokukhulelwa. Izizathu zalokhu yilezi:
- Qinisekisa ukuthi ukhulelwe yini .
- Thola ukuthi ukukhulelwa kwakho sekuhambe ibanga elingakanani manje .
- Qapha ukushaya kwenhliziyo kwengane .
- Bheka izimpawu eziyisixwayiso zokuphuphuma kwesisu noma ukuzalwa ngaphambi kwesikhathi .
- Thola izimo ezingathinta uhlelo lwakho lokukhulelwa, njenge-placenta previa.
Ngaphezu kwalokho, uma uhlela ukwenza noma yikuphi ukuhlinzwa, ulwazi olutholakala kule `(i-Transvaginal Ultrasound)` luwusizo futhi.
Ubani owenza le ultrasound ye-transvaginal?
Lokhu kuhlolwa kungenziwa udokotela wakho. Noma, ngumuntu oqeqeshwe ngokukhethekile ngale njongo, okungukuthi,Uchwepheshe we-sonographer noma we-ultrasound angenza lokhu kuhlolwa. Kwezinye izimo, udokotela we-radiologist oqeqeshiwe uzokwenza ukuhlolwa futhi abike imiphumela kudokotela wakho.
Kusebenza kanjani lokhu? Kuzwakala kungokwesayensi kancane, akunjalo?
Kulula kakhulu. Lokhu `(i-Transvaginal Ultrasound)` kusebenzisa amaza omsindo . Lawa maza omsindo asiza ukudala izithombe ze-pelvic cavity yakho kanye nezitho zomzimba futhi azibonise 'esikrinini'.
Ngishilo ngaphambilini ukuthi kukhona idivayisi encane, ende ebizwa ngokuthi `(Transducer)`. Yilokho okufakwa esithweni sangasese sowesifazane. Uma isifakiwe, ikhipha amaza omsindo. Lawa maza omsindo ashaya izakhiwo ezahlukene ngaphakathi kwe-pelvis yakho bese ebuyela emuva. Amaza omsindo abuyayo abanjwa yi-`(Transducer)` uqobo bese eguqulwa abe ``izibonakaliso zikagesi``. Lezo zibonakaliso ziboniswa njenge -``isithombe esibonakalayo sesikhathi sangempela`` esikrinini sekhompyutha. Umuntu owenza ukuhlolwa angabuka lezi zithombe.
Le ultrasound ithatha nezithombe ezingabonakali zezithombe ezibonakala esikrinini. Udokotela wakho angabe esezibheka ngokucophelela bese efinyelela iziphetho. Lesi sithombe esithathwe ku-ultrasound sibizwa ngokuthi i-sonogram .
Kuthatha isikhathi esingakanani ukwenza lokhu kuskena?
I-ultrasound ye-transvaginal ngokuvamile ingathatha noma yikuphi kusukela kumaminithi angu-15 kuya ehoreni , kuye ngokuthi kungani kwenziwa iskeni nokuthi ufuna ukubona imininingwane engakanani.
Ngingakulungiselela kanjani lokhu?
Empeleni, asikho isidingo sokulungiselela okuningi kwalokhu (i-Transvaginal Ultrasound)`. Kuwukuhlolwa okusheshayo, okungenabuhlungu okunemiphumela emibi embalwa kakhulu. Ngakho-ke, akudingeki ukhathazeke ngokudinga othile ukuthi akuthathe noma ukungakwazi ukuya emsebenzini ngemva kokuqeda.
Kodwa, khumbula lezi zinto ezimbalwa:
- Gqoka izingubo okulula ukuzikhumula . Kuzodingeka ukhumule ibhulukwe lakho nezingubo zangaphansi. Ungase unikezwe 'ingubo' ozoyigqoka ngaleso sikhathi.
- Uma usesikhathini, susa i-tampon ngaphambi kokuhlolwa .
- Udokotela wakho uzokunikeza imiyalelo yokuthi kufanele uphuze amanzi nini nokuthi kufanele uchame nini . Landela leyo miyalelo ngqo. Lokhu kungenxa yokuthi izithombe zezitho ezibonwe ku-ultrasound zizoshintsha kuye ngokuthi isinye sakho sigcwele, asinalutho, noma sigcwele ingxenye. Ngakho-ke ungase ucelwe ukuba uze nesinye esingenalutho, isinye esigcwele, noma isinye esigcwele ingxenye.
Ingabe udinga ukushefa ngaphambi kokuya kulokhu?
Cha, akunjalo nhlobo. Ukuba nezinwele zasesithweni sakho sangasese akuyona inkinga yale ultrasound. Zithokozise, unakekele inhlanzeko yakho, futhi ube ojwayelekile. Ungakhathazeki ngakho.
Yini ongayilindela ngesikhathi sokuskena?
Le ultrasound yenziwa ekamelweni le-ultrasound esibhedlela, endaweni yokwelapha nge-radiology yangasese, noma emtholampilo ukuze kuthathwe izithombe ze-obstetric kanye ne-gynecological. Kwezinye izimo, udokotela wakho angase futhi acele i-ultrasound yesisu ngaphambi kwe-ultrasound ye-transvaginal. Kuye ngezimpawu zakho, lokhu kungenziwa ngoba zombili izivivinyo zinganikeza isithombe esiphelele sezitho zakho ze-pelvic.
Uzolaliswa etafuleni lokuhlolwa, njengokuhlolwa kwe-pelvic, amadolo akho agobile futhi izinyawo zakho zingase zibekwe ezinqeni.
Ngemuva kwalokho, udokotela noma uchwepheshe uzofaka ikhondomu ku-transducer, afake ijeli yokugcoba efudumele , bese eyifaka ngobumnene esithweni sakho sangasese sowesifazane.
Uma isingaphakathi emzimbeni wakho, i-transducer isebenzisa amaza omsindo ukudala izithombe zezitho zakho ze-pelvic. Lezi zithombe ziboniswa esikrinini. Uchwepheshe we-ultrasound angakucela ukuthi ulale unganyakazi, noma angakucela ukuthi unyakazise umzimba wakho kancane ukuze i-transducer ikwazi ukuthatha izithombe ze-pelvic cavity yakho ngezindlela ezahlukene.
Uma wenza i-"Saline-infusion sonography" noma i-"Sonohysterogram" engikhulume ngayo ekuqaleni, uchwepheshe uzolandela izinyathelo ezimbalwa ezengeziwe.
Ngemva kokuthathwa kwezithombe ezanele ukuze kuhlaziywe kahle, uchwepheshe uyayisusa i-transducer.
Ingabe lokhu kuyalimaza? Inkinga abantu abaningi abanayo!
Cha, lokhu akulona ukuhlolwa okubuhlungu. I-transducer yenzelwe ukulingana nesimo sesitho sakho sangasese sowesifazane, okwenza ingabi buhlungu ngangokunokwenzeka. Futhi, i-transducer igcotshwa ukuze ifakwe kahle kakhulu.
Kodwa-ke, ungase uzizwe ungakhululekile noma ucindezelekile lapho uchwepheshe efaka i-transducer esithweni sakho sangasese. Lokhu kufana ne-Pap smear. Ngesikhathi se-Pap smear, udokotela usebenzisa i-speculum ukuvula isitho sakho sangasese sangasese futhi abuke umlomo wesibeletho sakho. Ungase uzizwe ungakhululekile, kodwa akulona ubuhlungu obungabekezeleleki.
Ingabe zikhona izingozi ngalokhu?
I-ultrasound ye-transvaginal iyisivivinyo esiphephile kakhulu . Ubuchwepheshe bomsindo obusetshenziswa ukuthatha izithombe ze-pelvis yakho abubeki ingozi kuwe noma enganeni yakho uma ukhulelwe.
Ungase uzizwe ungakhululekile noma ucindezelwe yi-transducer. Futhi, ungase uzwe inani elincane lokukhishwa koketshezi lwesitho sangasese sowesifazane ngenxa yokugcoba okusetshenziswe ngesikhathi sokuhlolwa. Lokhu kuzonyamalala zingakapheli amahora angama-24. Ngaphandle kwalokho, azikho izingozi ezinkulu.
Iyini imiphumela ngemva kokuskena?
Uma udokotela wakho enze ukuhlolwa, cishe uzokhuluma nawe ngemiphumela ngalolo suku . Noma, angathumela izithombe kudokotela oqeqeshiwe we-sonologist ukuze ahlaziye. Udokotela ochwepheshe we-sonologist uzobuyekeza izithombe zakho ze-ultrasound bese ethumela umbiko kudokotela wakho kanye nokutholakele kwakhe.
Imiphumela yakho yokuhlolwa ingakunikeza ulwazi olwanele lokwenza ukuxilongwa okuqondile . Noma, uma kukhona ukungaqiniseki, udokotela wakho angayala ukuhlolwa okwengeziwe. Buza udokotela wakho ukuthi imiphumela yakho izothinta kanjani uhlelo lwakho lokunakekelwa.
Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)
I-ultrasound ye-transvaginal iyisivivinyo esivame kakhulu esingasiza udokotela wakho ukuthola imbangela yanoma yiziphi izimpawu ezingakhululekile ongase ube nazo. Akudingi mzamo omkhulu kuwe, kodwa ulwazi olunikezayo lungaba usizo kakhulu kudokotela wakho ekunqumeni izindlela ezahlukene zokwelapha.
Ngakho-ke, uma uceliwe ukuthi wenze i-`(Transvaginal Ultrasound)`, ungesabi. Ngithemba ukuthi lesi sihloko sikunike ukuqonda okungcono ngaso. Uma uneminye imibuzo, khuluma nodokotela wakho ngokukhululekile ngakho. Khona-ke uzokwazi ukucacisa okwengeziwe.
Ukuskena kwesitho sangasese sowesifazane , i-ultrasound yangaphakathi kwesitho sangasese sowesifazane, isibeletho, ama-ovari, umlomo wesibeletho, ukukhulelwa, umgodi wesitho sangasese sowesifazane











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