ʻO kahi kī nui i ka ninaninau hoʻokolohua hoʻokolohua, hana pinepine ʻia ka ninaninau maʻamau i kēlā me kēia kipa ʻana i ke gynecologist, a i nā manawa maʻamau i ka nānā ʻana o ka hāpai ʻana. Eia nō naʻe, ua nīnau ʻia kona pono a me kona ʻano ʻōnaehana i nā makahiki i hala iho nei.

Hoʻokomo ʻo Gesture i ka hoʻokomo ʻana i ʻelua mau manamana i loko o ka ʻōpala, hiki i ka paʻi puʻupaʻa ke hiki ke auscultate i nā kino pelvic o loko i loko: pūnana, ʻehaʻeha, uterus, ovaries. Me ka speculum e ʻae ai e ʻike i ka cervix, he kī nui ia no ka ninaninau gynecological.

ʻO ka mea lawelawe (ke hele i ke kauka, gynecologist a i ʻole ka palekeahine) pono e loaʻa ʻōnaehana i ka ʻae o ka mea maʻi ma mua o ka hoʻokolokolo ʻana.

Ke moe nei ka mea maʻi ma ka papa ʻaina auscultation, kūlou nā ʻūhā a me nā wāwae i kau ʻia i loko o nā ʻūlū, pelvis maikaʻi ma ka lihi o ka papa. Ma hope o ke kau ʻana i kahi moe o ka manamana a i ʻole kahi mīkina lima i hamo a lubricated, hoʻolauna ka mea hoʻomaʻamaʻa i ʻelua mau manamana i ka lalo o ka lua. Hoʻomaka ʻo ia ma ka haha ​​ʻana i ka ʻōpū, kona mau paia, a laila ka cervix. Me kona lima ʻē aʻe i kau ʻia ma luna o kona ʻōpū, a laila e empalm ʻo ia i ka kōpū mai waho. Hoʻohui ʻia me ka paʻi puʻupaʻa, hiki i kēia palpation ke mahalo i ka nui o ka uterus, kona kūlana, kona ʻano, kona neʻe. A laila ma kēlā me kēia ʻaoʻao, palpates ʻo ia i nā ovaries i ka ʻimi ʻana i kahi manawa kūpono (fibroma, cyst, tumor).

ʻAʻole ʻeha ka hoʻopā ʻana iā lākou i ka puki, akā ʻoluʻolu ʻole, keu hoʻi inā kūpikipiki ka mea maʻi. Pili a komo pū, hopohopo maoli kēia wahine i nā wahine he nui.

Ma ka hoʻokolokolo pelvic

Hana ʻia ka nīnū wīwī i nā kipa gynecological maʻamau e nānā pale aku i ka cervix, uterus a me nā ovaries. Ua nīnau ʻia kona pono i nā ʻōnaehana i kēia mau makahiki e nā noiʻi like ʻole. Ua hoʻopaʻa ʻia kahi noiʻi na ka American College of Physicians (ACP) no ka mea he mea ʻole ka hoʻokolohua ʻōnaehana ʻōnaehana i hana ʻia i ka wā o ka ninaninau ʻia ʻana o nā wahine i ka makahiki, a me ke paipai ʻia e hoʻomaopopo wale ʻia i ke alo o kekahi mau hōʻailona: hoʻokuʻu i ka maʻi ʻōpū, kahe koko ʻole, ʻeha, nā pilikia o ka mimi a me ka hana ʻole o ka wahine.

I nā wahine hāpai

I ka wā o ka hāpai ʻana, ʻae ʻia ka nānā ʻana iā ʻoe e nānā i ka cervix, kona lōʻihi, kūlike a me ka wehe ʻana, a me ka nui, ka neʻe, ke kūlana a me ka palupalu o ka kōpū. No ka manawa lōʻihi, ua hana ʻōnaehana ʻia i kēlā me kēia kipa prenatal i mea e ʻike ai i kahi loli i ka cervix i hiki ke lilo i hōʻailona o kahi hoʻoweliweli o ka lawe manawa ʻole. Akā mai ka nīnau ʻana o kekahi mau noiʻi i ka pilina o kēia ʻano, ua loiloi ka nui o nā loea i kā lākou hana. ʻO nā ʻōlelo aʻoaʻo HAS o 2005 e pili ana i ka nānā ʻana o ka hāpai keiki hele pū i kēia ala.

Kuhi ka HAS i kēlā ” i ke kūlana o ka ʻike i kēia manawa, ʻaʻohe paio no ka hoʻokō ʻana i ka nīele wahine maʻamau. ʻO ka ninaninau ʻōnaehana ʻōnaehana i kahi wahine asymptomat i hoʻohālikelike ʻia i kahi hoʻokolohua i hana ʻia i nā hōʻailona olakino ʻaʻole e hōʻemi i ka makaʻu o ka hānau mua.. ʻO ka ultrasound o ka cervix e ʻoi aku ka kikoʻī e loiloi i ka cervix.

Ma ka ʻaoʻao ʻē aʻe, i ka hanana o nā ʻōuli (hōʻiliʻili ʻo uterine ʻeha), " he mea nui ka nānā ʻana i ka ʻōpū e loiloi i ka cervix e pono ai ke kuhi i kahi hoʻoweliweli o ka hana maʻa mau. Loiloi ʻo ia i ke kūlike o ka cervix, kona lōʻihi, dilation a me kona kūlana. », Hoomanao i ka mana.

Me ka hoʻokokoke ʻana o ka hānau keiki, hiki i ka hoʻokolohua puʻupaʻa ke ʻike i nā hōʻailona o ke kō ʻana o ka pūpū e hōʻike ana i ka hānau keiki kokoke. Hiki iā ia ke kaohi i ke kiʻekiʻe o ka hōʻike fetal (ʻo ia ke poʻo o ka pēpē a i ʻole kāna mau puʻupuʻu i ka hanana breech hōʻike), a me ke alo o ka mahele haʻahaʻa, kahi wahi liʻiliʻi e hōʻike ʻia ma ka hopena o ka hāpai ma waena o ke kino a pāpū

I ka lā hānau, hiki i ka nīnaninau wahine ke hahai i ka wehe ʻana o ka cervix, mai kona holoi ʻia a hiki i kona wehe piha ʻana, ʻo ia hoʻi 10 cm. Hoʻomaʻamaʻa mua ʻia i ka wā o ke komo ʻana i ka hale hānau, a laila kēlā me kēia 1 a i 2 mau hola i ka wā o ka hana, ma 2017 ua hoʻopuka ka HAS i nā ʻōlelo aʻoaʻo hou e pili ana i ka hoʻokele o ka mea maʻi i ka wā hānau hānau maʻamau.

• hāʻawi i ka nīele wahine ma ke komo ʻana inā pili ka wahine i ka hana.
• i ka hanana o ka wā mua o ka haki o nā membrane (RPM), koi ʻia ʻaʻole e lawe ʻōnaehana i ka hoʻokolohua wahine inā ʻaʻohe ʻehaʻeha o ka wahine.
• e hōʻike i kahi ninaninau āpau i kēlā me kēia ʻelua a ʻehā mau hola i ka wā mua o ka hana (mai ka hoʻomaka ʻana o ka hoʻoliʻiliʻi maʻamau a hiki i ka piha o ka cervix), a i ʻole ma mua inā noi ka mea maʻi iā ia, a i ʻole inā he hōʻailona kāhea (hoʻolōʻihi i ka puʻuwai puʻuwai pēpē, etc.).

Ma hope o ka hānau ʻana, hoʻohana ʻia ka ninaninau e kāohi i ka hoʻokomo ʻole ʻana o ka uterine, kahi manawa i loaʻa hou ai ka nui o ka uterus a me kāna potion mua ma hope o ka hānau ʻana.

Inā i ka wā o ka hoʻokolohua maʻamau e ʻike ʻia kahi puʻupuʻu ma ka ninaninau ʻana, e kuhikuhi ʻia kahi ultrasound pelvic.

I ka wā o ka hāpai ʻana, i ke alo o nā ʻehaʻeha ʻeha e pili ana i nā loli o ka cervix, e makaʻu kahi hoʻoweliweli o ka lawe manawa. E hilinaʻi ka hoʻokele i ka pae o ka hāpai ʻana.