Uma uvakashela udokotela wakho wezifo zabesifazane ukuze uthole izinqubo ezifana nokufakwa i-IUD, ukubona izinto ezahlukene zokwelapha kungase kukwesabise kancane. Sicela uqiniseke ukuthi la mathuluzi aklanyelwe ngqo ukusiza udokotela wakho ukuthi enze ukuhlolwa noma inqubo yakho ngezinga eliphezulu lokunemba nokuphepha. Namuhla, eNirogi Lanka, sifuna ukukuqondisa ngenye yezinto ezibaluleke kakhulu kudokotela wezifo zabesifazane okungenzeka ukuthi awujwayelene nayo: i-tenaculum.
Kalula nje, iyini i-tenaculum?
I-tenaculum iyithuluzi lokuhlinza elikhethekile, elifana ne-clamp elisetshenziswa ngesikhathi sezinqubo kanye nokuhlolwa kwezokwelapha ukuze kubanjwe futhi kubanjwe izicubu noma izinto ngokuphephile. Uma uqala ukubheka, ungase ucabange ukuthi lifana nesikele ngoba isibambo sinezindandatho ezimbili ezenzelwe iminwe kadokotela wakho.
Kodwa-ke, esikhundleni sezinsika ezibukhali zokusika, ingxenye yokusebenza inezinsika ezincane eziphela zibe yizicucu ezincane nezixhunyekile. Lawa ma-hook avumela udokotela wakho ukuthi aqinise izicubu ezithambile endaweni ethile phakathi nenqubo. Njengoba nje ungasebenzisa izinti ukuphatha into ethambile ekhaya, udokotela wakho usebenzisa le thuluzi ukubamba nokuqinisa izicubu zomzimba zangaphakathi ngokucophelela.
Ngokuvamile zenziwe ngensimbi engagqwali yezinga eliphezulu, yize ngezinye izikhathi kusetshenziswa ezinye izinsimbi noma amapulasitiki ezinga lezokwelapha. Umklamo ulula, usebenza kahle, futhi usebenza kahle kakhulu ekunakekelweni kweziguli.
Ingabe kunezinhlobo ezahlukene ze-tenacula?
Yebo, impela. Ngenxa yokuthi zonke izinhlobo zezicubu emzimbeni wakho zihlukile—ezinye zithambile kanti ezinye ziqinile—odokotela basebenzisa izinhlobo ezahlukene zalesi sisetshenziswa esenzelwe umsebenzi othile. Ake sibheke izinhlobo eziyinhloko:
| Uhlobo lwe-Tenaculum | Izici kanye Nokusetshenziswa |
|---|---|
| I-Pozzi Tenaculum | Uhlobo oluvame kakhulu, oluneziphetho ezibukhali nezinamathele. Lusetshenziswa kabanzi ukubamba umlomo wesibeletho kanye nezicubu zesibeletho, kanye nasekuhlinzweni okuvamile. |
| I-Tenaculum enamazinyo elilodwa | Lena ine-hook eyodwa, kodwa iqondile futhi icwebezelayo kunePozzi. Ikhethwa kakhulu ekuphatheni izicubu ezithambile kakhulu ezingase zonakale kalula. |
| I-Tenaculum enamazinyo amabili | Njengoba igama lisho, lokhu kunama-hook amabili, okunikeza ukubamba okuqinile ezicutshini eziminyene noma ezikhulayo njenge-polyps. |
| I-Allis Tenaculum | Iziqongo zamazinyo amancane, aqinile afana ne-saw blade, okuvumela ukubamba okuqinile uma ukulimala kwezicubu kunciphile futhi kuphuma igazi. |
| I-Tenaculum yomlomo wesibeletho | Lo mklamo unengxenye emise okweluphu eyenzelwe ngqo ukuqinisa umlomo wesibeletho ngokuphephile. |
Isetshenziswa nini i-tenaculum?
Umsebenzi oyinhloko ukugcina izicubu zizinzile ngesikhathi sokuhlinzwa noma inqubo yezokwelapha. Isibonelo, udokotela wakho angayisebenzisa ukudonsa kancane izicubu eziseduze ukuze abone kahle indawo yokuhlinzwa. Ingasetshenziswa futhi ukubamba imithambo yegazi ( imithambo yegazi ) ngesikhathi sokuhlinzwa ukusiza ukulawula ukopha.
I-Tenacula isetshenziswa kakhulu kwezokwelapha izifo zabesifazane kanye nokubelethisa, ikakhulukazi maqondana nohlelo lokuzala lwabesifazane . Iyithuluzi elibalulekile lokuqinisa umlomo wesibeletho ngesikhathi sokuhlolwa okuhlukahlukene.
Izinqubo ezivamile ezidinga i-tenaculum zifaka:
- Ukufakwa kwe-IUD: Ukuze ufake i-IUD ngokunembile, umlomo wesibeletho kumele ugcinwe uqinile, okuyilokho okwenziwa yi-tenaculum.
- Ukuhlolwa kwe-Biopsies: Lapho udokotela wakho eqoqa isampula yezicubu emlonyeni wesibeletho sakho noma esibelethweni, i-tenaculum igcina indawo iqinile ukuqinisekisa ukunemba.
- Ukuhlinzwa Okufana Nokuhlinzwa: Ngesikhathi sokuhlinzwa okukhulu okufana nalokhu, kusetshenziselwa ukubamba izicubu nokusiza ekulawuleni ukugeleza kwegazi.
- I-Tubal Ligation: Ukuhlinzwa okuvamile kokuvimbela inzalo lapho kudingeka khona leli thuluzi.
Umbuzo wonke umuntu awubuzayo: Ingabe kuzoba buhlungu?
Kujwayelekile ngokuphelele ukuba nokukhathazeka ngalokhu. Ukukhuluma ngqo: Yebo, ungase uzwe ukungakhululeki noma ubuhlungu. Lokhu kuvame kakhulu ngesikhathi sezinqubo ezifana nokufakwa kwe-IUD, ezivame ukwenziwa ngenkathi uvukile futhi ngaphandle kokulala okujulile.
Lokhu kwenzeka ngoba i-tenaculum ineziqongo ezincane, ezibukhali ezibamba ngobumnene izicubu zomlomo wesibeletho ukuze zihlale ziqinile. Ngaphandle kwalokhu kuzinza, inqubo ayinakwenziwa ngokunembile. Iziguli zivame ukuchaza lo muzwa ngokuthi "ukuncinza okubukhali" noma "umuzwa oqinile wokuhlaba."
Kodwa-ke, akudingeki ukuthi ubekezelele lokhu buthule. Sicela uzizwe unamandla okuxoxa nodokotela wakho ngezinkinga zakho zobuhlungu ngaphambi kokuba inqubo iqale.
Abanye odokotela bangase banikeze umuthi wokubulala izinzwa wendawo (njenge-lidocaine) ukuze uqede umlomo wesibeletho, yize lokhu kungeyona into ejwayelekile kuyo yonke imitholampilo. Indlela ephumelela kakhulu futhi evamile ukuthatha umuthi wokunciphisa izinhlungu otholakala ngaphandle kwemithi kadokotela (njenge-ibuprofen) cishe ihora ngaphambi kokuqokwa kwakho, njengoba kuqondiswe udokotela wakho , okungasiza kakhulu ekulawuleni ukungakhululeki.
Ingabe i-IUD ingafakwa ngaphandle kwe-tenaculum?
Odokotela abaningi bakhetha ukusebenzisa ithuluzi lokuzinzisa ngoba livumela ukufakwa kwe-IUD okunembile nokuphephile ngokubamba umlomo wesibeletho ungashintshi. Kodwa-ke, uma uzizwa ukhathazekile noma ungakhululekile, sicela ukhulume nodokotela wakho ngokukhululekile ngokwesaba kwakho bese ubuza ukuthi yiziphi izinketho noma ezinye izindlela ezingatholakala kuwe.
Yiziphi izinkinga noma izingozi?
I-tenaculum iyithuluzi lezokwelapha elijwayelekile neliphephile. Njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezincane, ezivame ukufaka:
- Ukubonakala okuncane, okwesikhashana noma ukopha okuncane .
- Akuvamile kakhulu, ukucasuka okuncane kwezicubu zomlomo wesibeletho .
- Ukungakhululeki noma ubuhlungu okukhulunywe ngabo ngenhla.
Uma ukhathazekile, sicela ungangabazi ukubuza udokotela wakho, "Ingabe zikhona ezinye izindlela?" Bakhona ukukusekela futhi bazochaza inqubo ngokucacile.
Ingabe i-tenaculum iyawubhoboza umlomo wesibeletho? Isebenzisa amathiphu amancane, afana namazinyo ukuze ibambe izicubu ngokuqinile—yileyo ndlela esebenza ngayo. Nakuba ishiya uphawu oluncane, akuyona inxeba elijulile futhi iphola ngokushesha kakhulu ngokwayo.
Uyini umehluko phakathi kweTenaculum neSpeculum?
Kulula ukudida lezi zinsimbi ezimbili.
I- Speculum iyithuluzi elisetshenziswa ukuvula izindonga zesitho sangasese sowesifazane ngobumnene ukuze udokotela akwazi ukubona ngeso lengqondo umlomo wesibeletho. Kungenzeka ukuthi ukubonile lokhu ngesikhathi sokuhlolwa kwe-Pap smear okuvamile.
I- Tenaculumiyithuluzi elihlukile, elifana ne-pincer elisetshenziswa kamuva ukubamba umlomo wesibeletho ungashintshi ngenkathi kufakwa i-IUD. Cabanga ngale ndlela: i-Speculum "ivula umnyango," bese i-Tenaculum "ibamba isisulu endaweni yaso."
I-tenaculum ibilokhu isetshenziswa ngokuphephile amakhulu eminyaka. Uma une-IUD efakiwe noma olunye ukuhlolwa kwabesifazane okuzayo, sicela uvuleleke kudokotela wakho eNirogi Lanka. Silapha ukuqinisekisa ukuthi uzizwa unolwazi futhi uqiniseka ngesikhathi sokunakekelwa kwakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Tenaculum iyithuluzi lokuhlinza elisetshenziselwa ukuqinisa izicubu. Ungesabi ngokubukeka kwayo.
- Ivame ukusetshenziswa kwezokwelapha izifo zabesifazane ezinqubweni ezifana nokufakwa kwe-IUD noma ukuhlolwa kwe-biopsy.
- Ungase uzizwe umuzwa obukhali, ocindezelayo uma usetshenziswa.
- Uma ukhathazekile ngobuhlungu, xoxa ngakho nodokotela wakho kusengaphambili; bangakweluleka ngezinketho ezifanele zokulawula ubuhlungu.
- I-Tenaculum ibamba izicubu; i-Speculum ivula umsele wesitho sangasese sowesifazane. Zifeza izinjongo ezahlukene.
- Ungesabi ukubuza imibuzo mayelana nokunakekelwa kwakho kwezokwelapha—induduzo yakho nokuthula kwengqondo kuza kuqala kithi.
