Pono ʻoe i kahi hōʻike Pelvic?

Anter

• Nānā no

Inā manaʻo ʻoe ʻaʻole hiki ke mālama i nā ʻōlelo loiloi no ke olakino, e lawe i ka puʻuwai: ʻoiai ʻaʻole hiki i nā kauka ke pololei. Ke nīnau ʻia kahi kauka mālama mua inā pono ka mea maʻi me ka ʻole o nā ʻōuli e pono i kahi hōʻike pelvic makahiki āpau - e nānā ana i kou urethra, ʻona, anus, cervix, uterus, a me nā ovaries - ua ʻōlelo ʻo ia ʻaʻole; ke noi ʻia kahi ob-gyn, ʻae ʻo ia, hōʻike i kahi noi hou i Nā Annals o ka Lapaʻau Kūloko

He aha ka hāʻawi? ʻĀ, ʻo ke Kulanui ʻAmelika o nā kauka i loiloi i ka makahiki i hala i hōʻike ʻia ʻaʻole pono nā hōʻike pelvic iā ʻoe inā ʻaʻohe ou hōʻailona a hiki ke alakaʻi i nā hoʻokolohua pono ʻole a pipiʻi hoʻi. Ma ka ʻaoʻao ʻē aʻe, ke Kulanui ʻAmelika o Obstetrics a me Gynecology e hoʻomau i ke kūlana ʻo ka hoʻokolohua makahiki he mea nui ia o ka mālama olakino wahine.

I mea e huikau ai nā mea, ua loli nā ʻōlelo aʻoaʻo i nā makahiki i hala aku nei e pili ana i nā pap smear (ʻike ʻoe, kēlā swab maikaʻi ʻole o kāu wahine i kahi ʻāpana o ka hoʻokolohua pelvic kuʻuna). Hoʻohana ʻia ka hoʻokolohua i kēlā me kēia makahiki, akā i kēia manawa hiki i kekahi mau wahine haʻahaʻa ke kali i ʻekolu a ʻelima mau makahiki ma waena o ka nānā ʻana i ka maʻi ʻaʻai servic.

No laila he aha kāu e hana ai? ʻĀ, pili kēlā ʻano i kou pilina me kāu ob-gyn. Ma kahi o 44 pākēneka o nā kipa mālama mālama iā ob-gyn, e like me kahi noiʻi i JAMA Lapaau Kuloko, ʻo ia hoʻi he nui nā wahine e hoʻohana i kā lākou ob-gyn ma ke ʻano he kauka mālama mua. (Mai poina e lawe i kēia mau nīnau 13 He hilahila loa ʻoe e nīnau i kāu Ob-Gyn.) No laila inā haʻalele ʻoe i kāu hoʻokolohua makahiki, hiki i kēlā mea ke hoʻopunipuni iā ​​ʻoe mai nā manawa kūpono e kūkākūkā ai i kou olakino me kāu kauka, wahi a Nimesh. ʻO Nagarsheth, MD, he loea hoa o Obstetrics, Gynecology, and Reproductive Science ma ke kula ʻo Icahn School of Medicine ma Mount Sinai ma New York City. , 'Ua pilikia paha kēia iā ʻoe? "" Ua ʻōlelo ʻo ia. "Koke, wehe ia i kahi kūkā kamaʻilio holoʻokoʻa. ʻO ia kahi o nā keu pono o ka nānā ʻana i ka mea maʻi, hoʻomaikaʻi ia i ke kamaʻilio."

Nā pōmaikaʻi ʻē aʻe: Inā ʻo kāu ob-gyn kāu kauka mālama mua, ʻo ka mālama ʻana i kahi kipa makahiki e mālama iā ʻoe i kēia lā me nā loiloi olakino e like me ke kahe o ke koko a me nā vitals ʻē aʻe, i ʻōlelo ʻo ia.

Wahi a Nagarseth e hoʻonāwaliwali nei ka manaʻo ʻana i nā wahine e hōʻalo i nā hōʻike pelvic makahiki. "Ua hana nui mākou i nā makahiki i ka hana ʻana i ka ʻike hou a me ke kamaʻilio e pili ana i nā kanesa gynecologic," i ʻōlelo ʻo ia. "Ke hopohopo nei wau inā e hoʻomaka nā kauka e kāpae i ka hōʻike pelvic makahiki, hiki i nā wahine ke loaʻa ka leka e pili ana nā ʻōuli e pili ana i kēlā ʻāpana o ko lākou kino i mea nui ʻole e like me ka mea e pono ai," i ʻōlelo ʻo ia.

ʻO ka laina lalo: Inā loaʻa iā ʻoe kekahi mau hōʻailona-ʻeha, huhū a i ʻole ke kahe koko ʻole, no ka laʻana-e ʻike i kāu kauka (a mai kali i kāu makahiki). A inā he mau hōʻailona paha kāu a ʻaʻole paha, e hoʻomau i ka ʻike ʻana i kāu kauka mālama mua a i ʻole kou ob-gyn ma ka maʻamau. E noʻonoʻo e mālama pū i kāu hōʻike pelvic makahiki. "ʻOiai aia kahi hopohopo e hana nei mākou i nā hoʻokolohua he nui a hiki iā lākou ke alakaʻi i nā hoʻokolohua pono ʻole a me nā kaʻina hana, ke kāpae ʻana iā lākou āpau ke backfire," wahi a Nagarseth. A ʻike i kēia: wahi a Nagarseth ʻaʻole ke ʻimi nei i nā pilikia koʻikoʻi e like me nā maʻi ʻaʻai, ke ʻano he manawa kūpono lākou e holomua ai, e lilo ana i mea paʻakikī e mālama, a ʻoi aku ka make.

ʻOi aku ka palekana ma mua o ke kala.

Nānā no