Cov poj niam feem ntau tsis mob siab mus xyuas qhov chaw ua hauj lwm gynecological. Feem ntau qhov no yog vim qhov tseeb tias peb ntshai - dheev muaj ib yam dab tsi yuav nrhiav tau ... Yog li tam sim no koj yuav pom cov lus teb rau cov lus nug ntau tshaj plaws rau cov kws kho mob ginecologists, ua tsaug uas koj tuaj yeem nkag siab hais tias koj tseem yuav tau mus ntsib ib tus kws kho mob lossis yog tias txhua yam zoo rau koj.
"Yog hais tias kuv muaj adnexitis ntev, nws puas muaj tseeb tias kuv yuav tsum tau yug me nyuam sai sai, lwm yam kev mob ntxiv lawm?"
Yog tias koj lub tsev me nyuam muaj mob, ces koj yuav tsum mob siab mus rau ib tus kws kho mob kom nws thiaj li paub txiav txim qhov mob. Ua li no, koj yuav tsum tau soj ntsuam kom paub qhov no los yog tus kab mob no, tsuas yog tus kws kho mob thiaj li sau tau cov kev kho mob kho tus mob los yog cov tshuaj kho mob. Tsis pub muaj peev xwm xeeb tub yog hais tias uvass muaj kev mob nkeeg, yog tias muaj qee tus cev xeeb tub ntxiv. Spikes uas yog tom qab mob o nyob mus ib txhis. Thiab cov txheej txheem nplaum, uas yog qhia tau, tuaj yeem txhuam cov hlab ntsha thiab tsim kev mob ntxiv.
"Kuv xav tias muaj kev kub nyhiab thiab khaus khaus hauv qhov sib thooj ntawm lub hnab yas looj. Qhov no puas txhais tau tias kuv ua xua rau latex? "
Yog tias koj xav tias kub nyhiab thiab khaus khaus ntawm lub sijhawm kev sib deev, tej zaum nws yuav qhia tau tias koj muaj kev fab tshuaj rau latex lossis tshuaj tua kab mob, uas siv cov hnab yas qee zaus, kho kom zoo dua. Pib, koj yuav tsum tau kuaj xyuas seb puas muaj cov kab mob kev sib deev uas kis los ntawm kev sib deev kom koj paub tseeb tias koj qhov teeb meem tsis yog nyob rau hauv tus kab mob, tab sis nyob rau hauv kev tsis haum tshuaj. Tam sim no cov hnab looj qe muag muag tsis muaj roj, - yas, ua los ntawm polyurethane. Tej zaum koj yuav tsum sim tiv thaiv koj tus kheej nrog hormonal contraceptives, pharmatex los yog IUD.
"Kuv tau raug kuaj nrog chlamydia, Kuv yuav kho li cas?"
Yog tias peb tham txog ntawm qhov chaw mos chlamydia, ces nws yuav yog qhov txaus ntshai rau qhov hais tias nws tuaj yeem kis rau cov hlab ntaws hauv plab, lub ncauj tsev menyuam thiab qhov mob ntxiv lawm. Chlamydia kho tsis tau tsuas yog los ntawm cov kws kho mob pojniam, tabsis cov kws kho mob, cov kws kho mob, cov kws kho mob thiab cov kab mob hauv immunologists - nws yog ib qho tsim nyog yuav tau kho tag nrho cov kab mob kom tag. Thaum xub thawj, tiv tauj ib tus kws kho mob tshwj xeeb, nws yuav qhia rau koj seb yuav kho li cas thiab muab tshuaj los yog kev kho mob tshwj xeeb.
"Tus ginecologist tau hais tias kuv muaj ib qho kev tuaj yeem los ntawm lub cev. Nws puas tsim nyog rau nws cauterize nws? "
Yuav pib, nws yuav tsum ua kev zom zaws, thiab kuj tau mus soj ntsuam cov cytological. Twb tau, cov ntaub ntawv los ntawm cov kev tshawb fawb no yuav muab sij hawm los txheeb xyuas qhov ua rau muaj tus kab mob thiab ua tus cwj pwm txawv. Tab sis yuav ua li cas nrog tus kab mob no - nws nyob ntawm lub heev ntawm tus txheej txheem: laser kho, cryodestruction nrog kua nitrogen.
"Kuv tsis tswj kom kho chlamydia thiab xeeb tub. Kuv tuaj yeem kho puas tau? "
Yog tias koj xav tau kev kho mob ntxiv, ces cov tshuaj yuav raug xaiv coj los siv rau hauv qhov tseeb ntawm cov kev tsis txaus siab thiab cov kev taw qhia rau lawv lub sijhawm, lub sij hawm ntawm kev coj tus me nyuam. Koj tuaj yeem kho chlamydia hauv 14 lub limtiam nrog kev pab tshwj xeeb ntawm kev siv tshuaj tshwj xeeb. Ntxiv mus, koj yuav tsum tau raug cai los ntawm obstetrician-gynecologist thiab ua raws li tag nrho nws cov lus pom zoo. Thaum cev xeeb tub, koj tuaj yeem muaj kev sib deev tsis muaj hnab looj lub 8 hli.
"Yuav ua li cas los txiav txim siab tshaj plaws hnub rau lub tswv yim?"
Nyob rau hauv nruab nrab-kev coj khaub ncaws, muaj xws li ib lub sij hawm thaum lub qe tawm lub follicle (ovulation). Nws yog lub sijhawm no zoo tshaj plaws rau lub cev xeeb tub, lub qe tsuas siv li ntawm peb hnub hauv lub cev, thiab cov phev txiv neej nyob hauv lub cev ntawm 3-5 hnub twg thiaj li yuav tsum nco ntsoov tias lub hli muaj 3-4 hnub uas zoo tshaj plaws rau lub tswvyim. Lub sijhawm no yog pib txog 2 lub lis piam ua ntej lub cev ntas ntu mus ntxiv tom qab yog tias koj muaj cov haujlwm tsis tu ncua, ces koj tuaj yeem xam lub sijhawm zoo. Lossis siv cov kev kuaj pom tseeb rau ntawm ovulation.
"Puas tsim nyog ua kom hlub hauv lub sijhawm?"
Nws tsis pom zoo kom muaj kev sib raug zoo thaum lub caij ua haujlwm, vim tias lub ncauj tsev menyuam mob plab thaum lub sijhawm no, thiab qhov no txhais tau hais tias tus kab mob nkag mus rau hauv lub cev thiab lub tsev menyuam yog tias koj xav pw, siv lub hnab yas looj.
"Kuv puas muaj peev xwm hloov tau yog tias kuv muaj lub cyst?"
Yog tias koj tau kuaj pom tus kabmob ntawm zes qe menyuam, ces nws yog txwv tsis pub ua shaping, vim hais tias muaj feem xyuam ntawm torsion los yog tawg ntawm cyst ceg. Yog tias tom qab koj pom nws, qoj ib ce, mus rau tus kws kho mob ginecologist tam sim ntawd thiab zoo siab yog tias koj tau txais kev kuaj mob ultrasound. Cov cyst yog ib yam kab mob benign, vim li cas nws ho sawv, muaj peev xwm ua tau ib yam tshuaj hormonal lossis inflammatory. Nws yog los ntawm qhov ua rau nyob ntawm txoj kev kho mob ntawm cyst - hormonal, operative los yog anti-inflammatory.
"Yuav ua li cas kho nws qhov chaw mos herpes thiab koj tuaj yeem zam qhov tsis zoo?"
Yog tias koj tau kuaj xyuas koj qhov chaw mos herpes, ces koj yuav tsum tau mus kho tshwj xeeb los tiv thaiv tus kab mob. Tsis txhob rov qab tuaj yeem tuaj yeem tuaj yeem raws sij hawm (thawj qhov cim - liab liab, hlawv, pom ntawm qhov npuas, mob, o), kho, tshuaj. Yog tias koj tsis kho herpes, ces ua ntej txhua lub sijhawm coj mus yuav muaj kev nruj dua, thiab qhov no yuav nyuaj rau lub neej ntawm ib tug poj niam.
"Kuv qee zaus muaj mob rau hauv lub plab, qhov twg yog zes qe menyuam. Kuv puas yuav tsum tau mus hauv cov kev xeem, thiab cov twg? "
Pib, nws yog ib qhov tsim nyog yuav tau mus rau qhov kev txais tos mus rau tus kws kho mob pojniam thiab noj txhua yam kev kuaj mob uas tus kws kho mob yuav muab. Nco ntsoov ua ultrasound ntawm lub plab mog. Qhov mob hauv plab qis dua tuaj yeem yog vim muaj mob gastroenterological, urological, gynecological pathology, kab mob qaum. Yog li, koj yuav tsum tau sau npe rau ib lub sijhawm teem nrog ib tus kws kho mob neurologist, gastroenterologist, urologist and vertebrist.
"Lawv muab tshem tawm ntawm lub zes qe menyuam. Qhov no txhais puas tau hais tias kuv yuav tsum tau mus ncig xyuas kom muab cov khoom ntim tso? Txhua yam kev kuaj yog zoo, tab sis kuv tsis tuaj yeem cev xeeb tub. "
Yog hais tias tsuas yog ib qho kev zes qe menyuam yog vampiric, ces qhov no tsis txhais tau hais tias koj yuav tsum tau tig mus pab cov kws pabcuam yug menyuam. Rau lub caij pib, koj yuav tsum ua tib zoo tshuaj xyuas tus txij nkawm kom pom cov kev ua rau mob ntxiv lawm. Qhov no tuaj yeem ua tus txheej txheem ua ke, tube khaum, txiv neej ntxiv lawm thiab hormonal insufficiency. Koj yuav tsum mus nrog tus txiv mus rau tus kws kho mob thiab tus kws kho mob pojniam kom lawv kuaj xyuas koj thiab nws.
"Kuv yog 40 xyoo, twb ib nrab xyoo muaj menyuam yaus ntev li 1-2 hnub. Qhov no puas txhais tau hais tias qhov chaw khoob khoob no tabtom nce lawm? "
Yog hais tias tus vascoud menstruation, uas kav tsis ntev tshaj ob hnub, nws tsis txhais hais tias lub hnub nyoog no yog qhov kawg, ntawm qhov tsis sib xws, koj yuav tsum mus rau tus kws kho mob pojniam thiab kuaj xyuas. Nws yog qhov yuav tsum tau qhia txog qhov ntim ntawm cov ntshav tawm ntawm daim ntawv thov, kom tsis txhob muaj cov kab mob ntawm cov kab mob pelvic ntev, mus tshawb xyuas cov thyroid ua haujlwm, vim hais tias tej yam zoo li no yuav qhia tau tias koj tau tsim muaj kev mob hlwb.
"Kuv tuaj yeem tau cev xeeb tub hauv thawj lub limtiam tom qab tshem qhov tshuaj ntaus pob hauv lub cav?"
Tam sim ntawd tom qab koj tau tshem tawm muab kauv, koj tuaj yeem cev xeeb tub. Txawm li cas los, koj tseem xav tau ob peb lub hlis los tiv thaiv koj tus kheej, yog li ntawd lub puab txheej ntawm lub tsev menyuam tau zoo.
"Qhia rau kuv, kuv puas yuav tsum tau ua cov ntawv txhaj tshuaj rau cov niam txiv yav tom ntej thiab tuaj xeem?"
Koj tsis tas yuav ua tej yam kev tsis sib haum xeeb thaum lub sij hawm cev xeeb tub, tsuas yog qhov uas tus txij nkawm yuav tsum ua kom muaj kev noj qab nyob zoo. Rau 3-4 lub hlis ntawm supplementation koj yuav tsum pib noj cov tshuaj folic acid (kev tiv thaiv ntawm kev loj hlob anomalies). Ntawm chav kawm, mus rau ginecologist thiaj li hais tias nws tuaj yeem qhia koj rau txhua yam kab mob thiab koj yuav tsum tau mus rau ib qho ultrasound.
"Kuv tsis xav kom muaj kev tiv thaiv los ntawm lub hnab yas thiab cov ntsiav tshuaj. Puas muaj lwm yam contraindications rau cov khoom siv intrauterine? "
Cov poj niam uas tsis yug yog tsis tau qhia kom muab ib tug spiral, vim hais tias qhov kev pheej hmoo ntawm qhov pib thiab kev loj hlob ntawm inflammatory kev ntawm genitalia yog nce. Muaj lwm txoj hau kev: Lub tsev menyuam thiab poj niam lub qhov muag, khom nqi rau kev txheeb raws roj ntsha atherosclerosis, phev tshuaj tua kab mob, ua rau lub cev tsis muaj zog.