Esetshenziselwa umkhuba wokuhlolwa kwesitho sangasese sowesifazane ngesikhathi sokubonisana okuvamile, abesifazane abamangazi ukuthi lokhu kuhlolwa kwenziwa ngesikhathi sokukhulelwa kwabo. Ingxenye enkulu ingakuthola kungavamile ukuthi ingenziwa. Kuze kube ngu-1994, nokho, alukho ucwaningo olwenziwa mayelana nokuba wusizo nempumelelo yale nqubo. Phakathi ne-“Inhlolokhono Yababelethisi” *, ebiseParis ngo-2003, izikhulumi eziningana zenanela ucwaningo olwenziwa eminyakeni eyishumi edlule noluholele ekutheni inani elithile lababelethisi nodokotela bezifo zabesifazane abakhulelwe babuyekeze imiphumela yabo. ukuzijwayeza.
Yini ochwepheshe abayigxekayo mayelana nalokhu kuhlolwa kwekhulu leminyaka emithathu, akunjalo hhayi kakhulu ukulimaza kwayo okuyinto ukungabi nalusizo kwayo. Ukuhlola isitho sangasese sowesifazane phakathi nokuvakasha ngakunye kokubeletha akuvumeli ngaso sonke isikhathi, lokho okubizwa ngokuthi ukukhulelwa komzimba (okungukuthi, ukungavezi inkinga ethile), ukuthola usongo lokubeletha ngaphambi kwesikhathi, njengoba kwakukholelwa ngaphambili. manje. Ngokuqondene nokusetshenziswa kwayo okuphindaphindiwe phakathi nomsebenzi, kungase kube, uma kungathathelwa indawo amanye amasu abhekwa njengesebenza kangcono, okungenani ahlukaniswe kakhudlwana.
Iyiphi enye indlela yokuhlolwa kwesitho sangasese sowesifazane?
Ucwaningo lwakamuva lukhombisa lokho i-ultrasound yomlomo wesibeletho kubonakala kusebenza kakhulu kunokuhlolwa kwesitho sangasese sowesifazane ekuhloleni izinsongo zokuzalwa ngaphambi kwesikhathi. Kodwa-ke, akubona bonke abasebenzi bezokwelapha abajwayelene nalokhu kuhlolwa okwenziwa ngaphakathi kwesitho sangasese sowesifazane (sikhuluma nge-endovaginal ultrasound). Ngakho-ke ukwenziwa kwayo jikelele akubonwa kusengaphambili esikhathini esizayo esiseduze.
Ngakho-ke ukuhlolwa okuhlelekile kwesitho sangasese sowesifazane akubonakali kungafanelekile, ikakhulukazi kusukela ngaleso sikhathingokuvamile kuholela kwezinye izindlela eziningi zokwelapha ezingadingekile. Umbelethisi, udokotela wezifo zabesifazane noma udokotela ojwayelekile othola, phakathi nalokhu kuhlolwa, i-anomaly enhle uhlale elingeka ukuba angenele ngendlela yokuvimbela nakuba lokhu kungenasidingo.
Thatha, isibonelo, abesifazane ababili abanokuvuvukala okuncane komlomo wesibeletho ngaphambi kokuphela kokukhulelwa, oyedwa ohlolwa i-pelvic ngokuhlolwa kwesitho sangasese sowesifazane kanti omunye cha. Esokuqala ingozi yokunqunywa a izitatimende eziqinile, okungenani isikhashana, kuyilapho omunye ezoqhubeka nemisebenzi yakhe, ngesivinini esivame ukuncishiswa isimo sakhe, kodwa ngeke kusaba khona. Bobabili cishe bazobona ukukhulelwa kwabo kuphelelwa yisikhathi. Kodwa ekugcineni, owokuqala angase abe nezinkinga zokujikeleza kwegazi ngenxa yokunganyakazi kwakhe kunowesibili wokubeletha ngaphambi kwesikhathi.
Ukuze ugweme ukusetshenziswa ngokweqile kwemithi yokuqapha kwabesifazane abakhulelwe, umkhawulo wokuhlolwa kwesitho sangasese sowesifazane ezimweni ezifanele (okunganqunywa ngezingxoxiswano zangaphambili ezijulile kunalokho eziyikho njengamanje) kungaba ngcono, ngokusho kochwepheshe abaningi. Eqinisweni, imikhuba ingase ishintshe kancane.
* Le ngqungquthela yenzeka ngaphansi kohlaka Lwezingxoxo Ze-Bichat, uchungechunge lwezingqungquthela zaminyaka yonke, ezihanjelwa kakhulu ochwepheshe, bebheka intuthuko yakamuva kanye nokutholwa kolwazi emkhakheni ngamunye wezokwelapha.