Uviwo lwe-vaginal luyingxenye ebalulekileyo yokuhlolwa kwe-gynecological. Emva kokuba ugqirha agqiba uviwo kwiibuko aze athathe i-swab ukuze ahlole i-microscopic, uya kuhlolisisa i-vaginal examination, leyo ingaba yodwa okanye i-bimanual.
Injongo yale sifundo kukuseka imeko, isikhundla, ubungakanani besini, i-urethra, uterus kunye nezixhobo zayo. Uhlolo olunjalo lunceda ukufumanisa ukuba kukho izifo ezinjenge-uterine i-myoma, i-endometriosis, i-ovarian cysts, ukuvuvukala kwee-appendages , ukukhulelwa kwe-ectopic.
I-Technique yokwenza uphando lwangaphantsi
Ukuhlolwa kwesinye isigxina se-vagina kwenziwa ngoluhlu kunye neminwe emibini yesandla esinye, esifakwa kwisini. Okokuqala, iminwe enkulu kunye neenkcukacha zesandla sasekhohlo yakha i-labia enkulu, kwaye iminwe yesandla sokunene (i-index kunye nephakathi) ifakwe kwisini. Isalathiso sijoliswe kwi-symphysis, kunye nomnwe omncinci kunye nabangenamagama bacinezelwa entendeni.
Kwimviwo ye-bimanual, iminwe emibini yesandla esisodwa ifakwe kwisigodlo sangaphakathi se-vagina, ikhupha umlomo wesibeleko, kunye nesandla kwesinye isandla ugqirha wenza i-palpation yomzimba wesisu ngokusebenzisa udonga lwesisu.
Uviwo lwe-vaginal ngokukhulelwa
Ngethuba lokukhulelwa, uvavanyo lwangaphantsi luqhutywa ngu:
- xa ibhinqa ibhaliswe, kwiiveki ezingama-28 neye-36 zokukhulelwa;
- ukuba ukrokrela isifo socansi;
- xa kukho ukuphuma kwegazi kumgama wesisu.
Ukuqhutywa ngokukhawuleza ngaphambi kokubeleka okunjalo ukufunda kukuvumela ukuba uvavanye umlinganiselo wokukhula komlomo wesibeleko, kwaye ngoko, ukulungelelaniswa komzimba wesetyhini kwinkqubo yokuzalwa komntwana.
Uviwo lwevaginal ekuzalweni
Ngethuba lokubeletha lolu hlobo lweemvavanyo ze-gynecological lwenziwe:
- xa kwamkelwa esibhedlele sokubeleka, kwaye emva kweeyure ezine ukusuka ekuqalweni kwabasebenzi;
- emva kokuphuma kwamanzi;
- ekuqaleni kwemizamo;
- kwimeko yeengxaki zeentlobo.
Kule meko, inxalenye ye-fetus, i-dynamics yesivulo sokuvulwa kwe-cervix, imeko yemingxube yokuzalwa kunye nendlela umntwana aqhubela phambili ngayo uvavanywa ngayo.