Ingabe intombazane yakho encane ikhala ngokulunywa noma ubuhlungu esithweni sayo sangasese sowesifazane? Noma ingabe indodakazi yakho esencane ikhala ngokuya esikhathini okungajwayelekile noma ubuhlungu obungabekezeleleki? Kuvamile ukuzizwa ukhathazekile ngezinye izikhathi ezinjengalezi. Abazali abaningi bacabanga ukuthi odokotela bezifo zabesifazane bangowesifazane osekhulile kuphela. Kodwa akunjalo. Izingane ezincane nezingane ezincane nazo zingaba nezinkinga ezithile zezifo zabesifazane. Yilokho esikhuluma ngakho namuhla.
Kuyini i-Pediatric Gynecology?
Kalula nje, lokhu kungenye ingxenye ekhethekile ye-gynecology. Uma sikhuluma iqiniso, ibizwa ngokuthi 'i-Pediatric and Adolescent Gynecology (PAG).' Odokotela abathole ukuqeqeshwa okukhethekile kulo mkhakha banakekela impilo yokuzala yamantombazane kusukela ekuzalweni kuya ebusheni.
Cabanga nje, awukwazi ukunikeza ingane ukwelashwa okufanayo nokunikeza umuntu omdala. Ngokufanayo, umzimba wowesifazane omdala uhlukile kakhulu emzimbeni wentombazanyana noma wentombazane encane. Izidingo zabo zezokwelapha nazo zihlukile. Ngakho-ke laba odokotela abangochwepheshe bathole ukuqeqeshwa okukhethekile kokusebenza nezingane zaleli qembu leminyaka ngomusa nangokuqonda okukhulu.
Zelapha yonke into kusukela ebuhlungwini besitho sangasese sowesifazane, ukulunywa, kanye ne-eczema kuya ezinkingeni eziyinkimbinkimbi zokukhula kwengane kanye nohlelo lokuzala. Uhlelo lokuzala luhlanganisa zonke izitho zangaphandle nezangaphakathi ezihilelekile ekuzaleni, esikhathini, kanye nomsebenzi wobulili.
Ukuze babe uchwepheshe onjengalona, ngemva kwesikole sezokwelapha, kumele baqede iziqu ezikhethekile ze -Obstetrics and Gynecology noma Pediatrics. Ngemva kwalokho, bathola ukuqeqeshwa okukhethekile (i-Fellowship) kwezokwelapha zabesifazane zezingane nezentsha. Phakathi nalokhu kuqeqeshwa, bona,
- Izingane zifunda ukubhalisa izivivinyo ngaphandle kokwesaba noma ukungakhululeki.
- Funda ukuxilonga nokwelapha izifo ezivamile nezingavamile zabesifazane eziqondene naleli qembu leminyaka.
- Ukufunda ukuphatha izinkinga eziyinkimbinkimbi zesistimu yokuzala.
- Baqeqesha futhi ngamasu okuhlinzwa akhethekile afanele izingane.
Kufanele ngiqale nini ukuyisa indodakazi yami kudokotela wezifo zabesifazane?
Lona umbuzo abazali abaningi abanawo. I-American College of Obstetrics and Gynecology itusa ukuthi indodakazi yakho ihlolwe okokuqala ngqa phakathi kweminyaka eyi-13 neyi-15 .
Kodwa-ke, kubaluleke kakhulu ukukhumbula lokhu. Uma ingane yakho inenkinga, isibonelo, ubuhlungu endaweni yesitho sangasese sowesifazane, ukulunywa, ukutheleleka, noma yiluphi uhlobo lwengozi, ingabona lochwepheshe nganoma yisiphi isikhathi, kungakhathaliseki ubudala . Lokhu kusho ukuthi ngisho nosana olusanda kuzalwa lungathola lesi seluleko sezokwelapha.
Amantombazane amancane, ikakhulukazi , asengozini enkulu yokutheleleka kanye nokulimala okuthile ngoba izicubu zawo zesitho sangasese sowesifazane zine- estrogen encane . Ngakho-ke, laba odokotela basebenzisa amathuluzi amancane akhethekile aklanyelwe bona ngqo ukuhlola nokwelapha izingane ezincane. Futhi konke lokhu kwenzeka endaweni enobungane lapho ingane ingesabi noma ingesabi.
Kwenzekani uma uyisa indodakazi yakho ekuhlolweni okokuqala?
Uma uyisa indodakazi yakho kudokotela wezifo zabesifazane okokuqala, kuyinto evamile ukuthi yona nawe nizizwe nisaba futhi ninovalo. Kodwa empeleni, lo mhlangano wokuqala uvame ukumayelana nokukhuluma nodokotela nokwakha ubuhlobo obuhle. Isihluthulelo lapha ukwakha ukwethembana enganeni yakho ukuze ikwazi ukukhuluma ngokukhululekile nangokwethembeka ngezinkinga zayo.
Lokhu kuhlangana kokuqala kubaluleke kakhulu ekufundiseni nasekubonisaneni . Udokotela uzoxoxa ngalokhu okulandelayo nendodakazi yakhe:
- Mayelana nokuthomba : Siza indodakazi yakho iqonde ukuthi izinguquko emzimbeni wayo (njengokukhula kwamabele nokukhula kwezinwele ezindaweni zangasese) zivamile futhi zenzeka kuwo wonke umuntu, futhi zisize ekunciphiseni ukwesaba kwayo.
- Mayelana nomjikelezo wokuya esikhathini: Kuchaza ukuthi umjikelezo wokuya esikhathini ojwayelekile unjani nokuthi ungahluka kanjani kumuntu nomuntu.
- Mayelana nemikhuba enempilo : Ukukhuluma ngezihloko ezifanelana nobudala njengokuhlanzeka komuntu siqu.
- Ukususa imibono eyiphutha kanye nokwesaba: Noma yimiphi imibuzo intombazane engase ibe nayo (mayelana nezinguquko zomzimba, ubulili) iphendulwa ngokwesayensi nangokulula, isusa ukwesaba okungadingekile engqondweni yayo.
Esikhathini esiningi, udokotela uzokwenza ukuhlolwa kwangaphandle kuphela. Okusho ukuthi, ubheka nje amabele endodakazi yakho kanye nezitho zangasese zangaphandle. Ngaphandle kokuthi kunesizathu esikhethekile sezokwelapha, ukuhlolwa kwangaphakathi ngeke kwenziwe ngesikhathi sokuqala sokubonana. Lokhu kubaluleke kakhulu kuwe njengomzali ukuthi ukwazi.
Kwenzekani ngesikhathi sokuhlolwa okuvamile?
Ngemva komhlangano wokuqala, uma indodakazi ifuna, ingakwaziUngabona udokotela. Ngesikhathi sokuhlolwa okuvamile okufana nalokhu, izinto ezinjengalezi zingase zenzeke:
- Ukufundisa ukuzihlola amabele : Udokotela ufundisa indodakazi ngokubaluleka kokuhlola amabele ayo kanye nendlela efanele yokukwenza. Ngokuvamile kunconywa ukuthi uqale lezi zivivinyo ngemva kweminyaka engu-20.
- Ukuhlolwa kwe-pelvic: Uma indodakazi yakho inezinhlungu noma izinkinga zokuthomba, udokotela angase ahlole izitho ze-pelvic, njengesibeletho, ama-ovari, kanye nesitho sangasese sowesifazane. Lokhu kuhlolwa akudingeki ngaso sonke isikhathi.
- I-Pap smear: Lokhu ukuhlolwa kokuthola umdlavuza womlomo wesibeletho noma amangqamuzana angajwayelekile angase abe umdlavuza. I-Pap smear yokuqala ivame ukwenziwa ngemva kweminyaka engu-21.
- Ukunikeza iseluleko mayelana nokulawula inzalo: Udokotela angakhuluma nawe mayelana nokulawula inzalo kanye nezinketho ezitholakalayo endodakazini yakho. Ukulawula inzalo akusetshenziselwa nje ukuvimbela ukukhulelwa. Kusetshenziselwa futhi ukwelapha ukuya esikhathini okubuhlungu, ukopha okukhulu, induna, nezinye izimo eziningi zempilo.
- Ukuxoxa nganoma yiziphi izinkinga: Indodakazi inethuba lokukhuluma nodokotela ngokukhululekile nganoma yikuphi ukukhubazeka, ubuhlungu, noma izinkinga engase ibhekane nazo emzimbeni wayo.
- Ukubuza imibuzo: Intombazane ingabuza noma yimuphi umbuzo mayelana nomzimba wayo, impilo yayo, kanye nobulili bayo.
Yiziphi izinkinga ezivamile eziphathwa yilaba ochwepheshe?
Izinkinga zabesifazane zingavela emantombazaneni nganoma yisiphi isikhathi. Nazi ezinye zezinkinga nezimo ezivame kakhulu.
| Uhlobo lwenkinga | Izibonelo nezincazelo |
|---|---|
| Izinkinga ezihlobene nokuya esikhathini | |
| Ukungabikho kokuya esikhathini | I-Amenorrhea ukungabikho kokuya esikhathini ngemva kweminyaka yokuthomba, noma ukuyeka kokuya esikhathini ngemva kokuqala kokuya esikhathini (i-Amenorrhea). |
| Ukopha okukhulu | Ukopha okunzima kakhulu kunokuvamile futhi okuhlala izinsuku eziningana (i-Menorrhagia). |
| Ukuya esikhathini okubuhlungu | Ubuhlungu besisu obungabekezeleleki futhi okwenza kube nzima ukwenza ngisho nemisebenzi yansuku zonke (i-Dysmenorrhea). |
| Ukuya esikhathini okungajwayelekile | Imijikelezo yokuya esikhathini eyenzeka ngezinsuku ezahlukene, ibambezeleka izinyanga (Ukuya esikhathini okungajwayelekile/i-Oligomenorrhea). |
| Ukuthomba okulibazisekayo/okusenesikhathi | Ukuthomba okulibazisekile noma ukuthomba kusenesikhathi. |
| Ezinye izimo ezivamile | |
| Ukukhubazeka kwebele | Amaqhubu amabele, ubuhlungu, noma izinkinga zokukhula. |
| Ama-cyst esibeletho | Ama-cyst esibeletho. |
| Isimo se-PCOS | I-Polycystic Ovarian Syndrome (PCOS) - ukungalingani kwama-hormone. |
| Ukutheleleka kwezitho zangasese zesitho sangasese sangasese kanye nezangaphandle | Ukuluma, ukuvuvukala, kanye nokukhishwa kwephunga elibi (i-Vulvovaginitis). |
| Izifo ezithathelwana ngocansi | Izifo Ezithathelwana Ngocansi (ama-STI). |
| Ukunamathela komlomo wesitho sangasese sowesifazane | Ukunamathela kwe-labial, ikakhulukazi ezinganeni ezincane. |
| Izimo ezikhethekile ezingadinga ukuhlinzwa | |
| I-Endometriosis | Ubuhlungu obukhulu obubangelwa izicubu okwakufanele zikhule ngaphakathi kwesibeletho ezikhula ngaphandle kwaso. |
| Izinkinga zokuzalwa | Ukukhubazeka kokuzalwa kwesistimu yokuzala. |
| Ukubanjwa kwezinto zakwamanye amazwe | Izinto zangaphandle ezibhajwa esithweni sangasese sowesifazane ngesikhathi sokudlala noma ngephutha. |
Ziphathwa futhi ziphathwa kanjani lezi zinkinga?
Indlela yokwelapha incike esimweni sengane. Asikho ikhambi elifanela wonke umuntu. Kwezinye izimo, udokotela angase athathe indlela "yokulinda bese ubona" . Lokhu kusho ukungayiphathi ingane nokungayibheki isimo. Ezinye izinkinga zingadinga uphenyo olwengeziwe nokuhlolwa. Nazi ezinye zezindlela zokwelapha nezivivinyo ezivame kakhulu:
- I-Colposcopy: Le nqubo isetshenziselwa ukuhlola umlomo wesibeletho kanye nodonga lwesitho sangasese sowesifazane ukuze kutholakale izicubu ezingavamile uma imiphumela yokuhlolwa okufana ne-Pap smear ingajwayelekile. Lokhu kuhilela ukuhlola indawo ngekhamera ekhethekile (engakhuliswa).
- Ukuhlinzwa kwe-Laparoscopic: Lokhu kwaziwa nangokuthi "ukuhlinzwa kwe-keyhole." Kuyinqubo yokuhlinzwa lapho kufakwa khona ikhamera namathuluzi ngokusebenzisa izimbobo eziningana ezincane esiswini, kunokwenza isimbozo esikhulu. Kusetshenziselwa ukuhlola nokwelapha izimo ezifana nezimila zesisu, ubuhlungu be-pelvic, kanye ne-endometriosis.
- I-Vaginoscopy: Le ndlela isetshenziselwa ukususa noma iyiphi into yangaphandle ebhajwe esithweni sangasese somntwana.
- Ukwelashwa ngama-hormone:Ukuze welaphe ezinye izifo, udokotela wakho angase akunike imithi equkethe ama-hormone. Lokhu kungafika ngesimo samaphilisi, imijovo, ama-patches esikhumba, noma amadivayisi angaphakathi kwesibeletho.
- Eminye imithi: Eminye imithi efana nama-antibiotic, ama-antiviral, kanye nama-painkiller (ama-NSAID) inganikezwa uma kudingeka.
Into ebaluleke kakhulu ukuthi, uma indodakazi yakho inayo noma iyiphi yalezi zinkinga zabesifazane, ungacabangi nje ukuthi "kuwukukhula nje." Lezi zinkinga ngeke ziphele zodwa. Ngakho-ke, kubalulekile ukubona udokotela ofanelekayo ngokushesha okukhulu bese uthola iseluleko nokwelashwa okufanele.
Umlayezo Wokuya Nawe Ekhaya
- I-Pediatric and Adolescent Gynecology iwumkhakha okhethekile wezokwelapha ogxile empilweni yokuzala yamantombazane kusukela ebuntwaneni kuya ebusheni.
- Isikhathi esingcono kakhulu sokuyisa indodakazi yakho kudokotela wezifo zabesifazane okokuqala siphakathi kweminyaka eyi-13-15. Kodwa-ke, kubalulekile ukufuna iseluleko sezokwelapha kunoma yimuphi ubudala uma kukhona izimpawu noma ukukhathazeka.
- Ukuqokwa kokuqala ngokuvamile akuyona into okufanele uyesabe, kodwa kunalokho umhlangano wokubonisana lapho ungakhuluma khona nodokotela futhi wakhe ukwethembana. Ukuhlolwa kwangaphakathi akuvamile ukwenziwa.
- Ungazinaki izinkinga zokuya esikhathini ezifana nobuhlungu obukhulu, ukungajwayelekile, nokopha kakhulu njengokujwayelekile. Kunezindlela zokwelapha eziphumelela kakhulu kulezi.
- Izinkinga zabesifazane ezinganeni azipheli zodwa. Njalo bona udokotela ofanelekayo ukuze uthole ukuxilongwa okufanele nokwelashwa.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 👩⚕️ Ngubani udokotela wezifo zabesifazane?
Udokotela wezifo zabesifazane udokotela ogxile ezifweni nasezinkingeni ezihlobene nohlelo lokuzala lwabesifazane namantombazane. Kalula nje, laba odokotela belapha noma yisiphi isifo sesibeletho, ama-ovari, kanye nezitho ezizungezile.
💬 👧 Kungani udinga ukuthatha intombazane encane uye kudokotela wezifo zabesifazane?
Abantu abaningi bacabanga ukuthi kufanele uvakashele udokotela wezifo zabesifazane ngemva komshado. Kodwa akunjalo. Ukwelashwa kwezifo zabesifazane ezinganeni nasebancane kubalulekile ezinkingeni eziphakama ngesikhathi sokuthomba entombazaneni, ukuya esikhathini okungajwayelekile, ubuhlungu obukhulu, ngisho nokutheleleka ezithweni zangasese zezingane ezincane.
💬 🩺 Ingabe ukubonisa indodakazi kudokotela onjena kuyothusa ingane?
Lutho neze. Odokotela bezifo zabesifazane bezingane kanye nabasebasha baqeqeshwe ngokukhethekile ukwelapha izingane nabesifazane abasebasha ngendlela enobungane nemnene. Baqeda amahloni nokwesaba kwengane, futhi benza izivivinyo ngokuphepha nangokulula, ngakho-ke asikho isidingo sokwesaba.
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