Okuqukethwe
Mhlawumbe akekho owesifazane ongeke azi ngesidingo sokuhlolwa okuhleliwe ngudokotela wezifo zabesifazane. Njengoba nje kungekho muntu, okungenani ngezikhathi ezithile, ongeke akuhlehlise ukuhambela okunjalo. Kungani senza lokhu ngokulimaza impilo yethu? Sisebenzisana nochwepheshe.
1.Amahloni
Omunye wemizwa eyinhloko evame ukuvimbela abesifazane ukuba bafinyelele ihhovisi likadokotela ihlazo. Nginamahloni okuxoxa ngempilo yami yezocansi: ubukhona noma ukungabikho kwayo, ukuqala kwangaphambi kwesikhathi noma sekwephuzile, inani labalingani. Nginamahloni futhi nginamahloni ngenqubo yokuhlola ngokwayo, nginamahloni ngokubukeka kwami (isisindo esengeziwe, ukuntuleka kwe-epilation), izici zesakhiwo se-anatomical (i-asymmetric, hypertrophied, pigmented labia minora noma enkulu, iphunga elingathandeki).
Kubalulekile ukuqonda ukuthi akekho udokotela wezifo zabesifazane oyedwa ozonaka ukuntuleka kokususwa kwezinwele noma ezinye izici eziphazamisa owesifazane. Udokotela ugxile kuphela ekuxilongweni kwezimo ze-pathological kanye nokuhlolwa kwezempilo okujwayelekile, kodwa hhayi ezingxenyeni zobuhle.
2. Ukwesaba
Umuntu uhlolwa okokuqala futhi wesaba okungaziwa, othile wesaba ubuhlungu ngenxa yesipiliyoni esibi sangaphambilini, othile ukhathazekile ngokuthi uzozwa ukuxilongwa okungemnandi ... Ake sengeze lapha ukwesaba ukuthotshiswa kokuziphatha nangokomzimba. Iziguli eziningi zikhononda ngokuthi injabulo yokukhulelwa nokubeletha igubuzelwa isimo sengqondo esingenanhlonipho esivela kubasebenzi bezokwelapha.
Konke lokhu kwesaba kuvame ukuholela eqinisweni lokuthi abesifazane baya kodokotela abanamacala athuthukile futhi ngesikhathi esifanayo besaba ukuzwa into efana nokuthi "uke waba kuphi ngaphambili", "ungaziletha kanjani esimweni esinjalo". Okusho ukuthi, ekuqaleni isiguli siyakuyeka ukuya kudokotela ngenxa yokwesaba ukuzwa ukuxilongwa, bese - ngenxa yokwesaba ukulahlwa.
3. Ukungathembi
Ngokuvamile kwenzeka ukuthi abesifazane abafuni ukuya emtholampilo kahulumeni ngemigqa emide futhi ngezinye izikhathi isimo sengqondo esibucayi sabasebenzi, futhi akukho ukwethenjwa kodokotela abavela ezikhungweni zezokwelapha ezizimele - kubonakala sengathi udokotela uzophoqa nakanjani ukuthi uthathe ngokungadingekile, kodwa ukuhlolwa okukhokhelwayo, kunqume ukuhlolwa okungadingekile, kuzokwenza ukuxilongwa okungalungile futhi kuzophatha izifo ezingekho.
4. Ukungakwazi ukufunda nokubhala
“Kungani kufanele ngiye kodokotela? Akukho okungizwisa ubuhlungu”, “Angiphili impilo yocansi — lokho kusho ukuthi angidingi ukubonana nodokotela wezifo zabesifazane”, “iminyaka engu-20 kakade ngingenaye umyeni, yini ongayibona”, “Nginomlingani oyedwa wocansi, Ngiyamethemba, kungani ngiya kudokotela ”,“ Ngizwile ukuthi i-ultrasound ingalimaza ingane, ngakho-ke angenzi i-ultrasound ”,“ Ngenkathi ngondla, angikwazi ukukhulelwa — pho kungani ngifika sekwephuzile ? ungafiki lapho wena; Ngisalinde ukuthi kudlule” … Nansi imibono embalwa eyiphutha iziguli eziqondiswa yiyo, kuhlehlisa ukuvakashela kudokotela wezifo zabesifazane okuhleliwe.
Ngokufanelekile, kubalulekile ukufundisa abantu - kokubili abesifazane nabesilisa - esikoleni, kuyadingeka ukwakha isiko lokubheka iziguli ezigulini. Kudingekile ukuya kudokotela wezifo zabesifazane ngendlela ehleliwe, ngaphandle kwezikhalazo, kanye ngonyaka, kanye nemvamisa efanayo yokwenza i-ultrasound yezitho ze-pelvic nezindlala ze-mammary, ama-cytological smears aphuma emlonyeni wesibeletho (ukuhlolwa komdlavuza womlomo wesibeletho) lapho kungekho human papillomavirus, kubalulekile ukuthatha okungenani kanye njalo eminyakeni emithathu kuze kube yiminyaka engama-30 futhi okungenani kanye njalo eminyakeni emihlanu kuze kufike eminyakeni engama-69. Kungakhathaliseki ukuthi owesifazane wenza ucansi futhi usesikhathini, ukuhlolwa okuvamile kuboniswa kuwo wonke umuntu.
5. Ukunganaki kukadokotela
Ngokusho kwe-League of Patient Defenders, "i-90% yezingxabano zivela ngenxa yokungakwazi noma ukungafuni kukadokotela ukuchaza ulwazi mayelana nesimo sempilo esigulini noma ezihlotsheni zaso." Okungukuthi, asikhulumi ngokunakekelwa kwezokwelapha okuphansi, hhayi mayelana nokuxilongwa okungalungile kanye nokwelashwa okunqunyiwe, kodwa mayelana nesikhathi esinganikezwanga isiguli, ngenxa yalokho engalungile noma engaqondi ngokugcwele ukuthi kwenzekani kuye. .
Ngo-79%, odokotela abayichazi incazelo yamagama abawasebenzisayo, futhi iziguli azisho ukuthi zazikuqonda kahle yini ezikuzwile (udokotela ukucacisa lokhu kuphela ku-2% wamacala).
Izici ezihlukile zokusebenzisana kodokotela nesiguli eRussia
Ukuze siqonde ukuthi kungani lokhu kwenzeka, ake sibheke umlando. Ngekhulu lesi-XNUMX, indlela eyinhloko yokwenza ukuxilongwa kwakuwukuthatha umlando ophelele, futhi indlela eyinhloko yokwelashwa kwakuyizwi likadokotela, ingxoxo. Emakhulwini eminyaka angu-XX-XXI, imithi yenza intuthuko enkulu: ithuluzi, izindlela zokuhlola zaselabhorethri zavela, imithi yasungulwa, imithi eminingi, imithi yokugoma yavela, nokuhlinzwa kwathuthukiswa. Kodwa ngenxa yalokho, sasincipha isikhathi sokuxhumana nesiguli.
Eminyakeni eminingi yomsebenzi, odokotela bayayeka ukubona isikhungo sezokwelapha njengendawo ebangela ukucindezeleka, futhi ungacabangi ukuthi lokhu kunjalo ngesiguli. Ngaphezu kwalokho, imodeli yobudlelwano bobaba phakathi kwesiguli nodokotela iye yathuthukiswa ngokomlando eRussia: lezi zibalo azilingani ne-priori, uchwepheshe ukhuluma njengomuntu ophakeme nomuntu osemncane, futhi akahlali ezithoba ukuchaza lokho akwenzayo. Ukushintshela ekubambisaneni, ubudlelwano obulinganayo kwenzeka kancane futhi ngokungathandi.
Izimiso zokuziphatha zezokwelapha zibonakala zifundiswa emanyuvesi aseRussia, kodwa lokhu kuziphatha kuvame ukungokomthetho futhi izinkulumo eziphathelene nalesi sihloko azidumile kubafundi. Ngokuvamile, ezweni lakithi, izimiso zokuziphatha kanye ne-deontology imayelana nobudlelwano phakathi komphakathi wezokwelapha, kunokuba ngaphandle kwawo.
EYurophu, namuhla basebenzisa i-algorithm yokuxhumana komtholampilo - imodeli yaseCalgary-Cambridge yokubonisana nodokotela, ngokusho ukuthi udokotela unesibopho sokwazi amakhono okuxhumana neziguli - isamba esingu-72. Imodeli isekelwe ekwakheni ubudlelwano, ubuhlobo obuthembekile nesiguli, ikhono lokumlalela, ukugqugquzela ( isikhuthazo esingakhulumi noma ukusekelwa ngamazwi), ukwakhiwa kwemibuzo ehilela izimpendulo ezivulekile, ezinemininingwane, uzwela.
Owesifazane uletha ukwesaba kwakhe okujulile, izinkathazo, izimfihlo namathemba ekuqokweni kodokotela wezifo zabesifazane.
Ngesikhathi esifanayo, udokotela akachithi isikhathi, kodwa uhlela ingxoxo, wakha umqondo wengxoxo, ubeka kahle ukugcizelela, ukulawula isikhathi nokunamathela esihlokweni esinikeziwe. Uchwepheshe owazi kahle amakhono adingekayo kumelwe abe nesu lokungacunuli ngokuphathelene nezihloko ezibucayi, ahloniphe ukwesaba kwesiguli ubuhlungu obungokomzimba phakathi nokuhlolwa, futhi amukele imibono nemizwa yaso ngaphandle kokwahlulela. Udokotela kufanele akhiphe imininingwane, ahlole ukuthi isiguli simzwisise kahle yini, futhi akumelwe adlulele ngamagama ezokwelapha.
Ukuma kobuso nobuso, ukubonana kwamehlo, ukuma okuvulekile - konke lokhu kubonwa isiguli njengokubonakaliswa kozwela nokubandakanyeka kukadokotela ekuxazululeni inkinga yakhe. Ochwepheshe bahlonza izingxenye ezintathu zempumelelo: ukwaneliseka kwesiguli ngosizo olunikezwayo, ukwaneliseka kukadokotela ngomsebenzi owenziwe, nobuhlobo phakathi kukadokotela nesiguli, lapho owokuqala echaza, kanti owesibili uyaziqonda futhi azikhumbule izincomo anikezwe zona, okusho ukuthi ukuthi uyazigcwalisa esikhathini esizayo.
I-Obstetrics kanye ne-gynecology ingenye yezobuchwepheshe obuseduze kakhulu bezokwelapha, okusho ukuthi ukuxhumana kulo msebenzi kubaluleke kakhulu kunanoma yimuphi omunye. Owesifazane uletha ukwesaba kwakhe kwangaphakathi, izinkathazo, izimfihlo namathemba ekuqokweni kodokotela wezifo zabesifazane. Ngisho nenqubo yokuhlola owesifazane ngodokotela wezifo zabesifazane iphakamisa ukwethembana okumangalisayo phakathi kwabo. Abancane nabangenalwazi, abavuthiwe futhi abazethembayo, wonke umuntu uziphatha ngendlela efanayo esihlalweni, enamahloni, ekhathazekile futhi sengathi uxolisa ngokubukeka kwabo okungenakuzivikela.
Izinkinga okukhulunywa ngazo ehhovisi likadokotela wezifo zabesifazane zisondelene kakhulu futhi zidinga ukumethemba kwesiguli kudokotela. Ukulahlekelwa kwe-intrauterine yengane, ukwehluleka kokukhulelwa okulindelwe isikhathi eside (noma, ngokuphambene nalokho, ukuqala kokukhulelwa okungafunwa), ukutholakala kwezicubu eziyingozi, inkambo enzima yokuya esikhathini, izimo ezidinga ukususwa kwezitho. yesistimu yokuzala - uhlu olungaphelele lwezinkinga eziza kudokotela wezifo zabesifazane. Ngokwehlukana, kukhona "amahloni", imibuzo engakhululekile ehlobene nokuphila obuseduze (ukoma esithweni sangasese, ukungakwazi ukufeza i-orgasm, nabanye abaningi).
Impilo yomuntu ngamunye wethu, okokuqala, umthwalo wethu wemfanelo, isiyalo sethu, indlela yethu yokuphila, ukunamathela ezincomweni, futhi ngemva kwalokho konke okunye. I-gynecologist ethembekile futhi ehlala njalo ibaluleke kakhulu njengomlingani othembekile. Ungesabi ukubuza, ungesabi ukutshela. Uma ungabaza, funa umbono wesibili. Okuhlangenwe nakho kokuqala okubi kokuvakashela i-gynecologist akusona isizathu sokuyeka ukuvakashela odokotela, kodwa isizathu sokushintsha uchwepheshe futhi uthole umuntu ongamethemba.