Mmamiri nyochaa. Usoro nke

Pregnancy - bụ na-egbuke egbuke na nọworo na-mere ná ndụ nke nwaanyị ọ bụla. N'oge a, m chọrọ inwe na minit ọ bụla nke ga-eme n'ọdịnihu nwa. New echiche nke ọnụnọ na afo nke onye, akpa-akpali akpali nke nwa - ya nwere ike a gaghị echefu, na-echeta n'ihi a ndụ. Ma na-atụ anya nke a obere ọrụ ebube nwere ike ojii mmetụta na-arịa ọrịa, mama ya, ka iji gbochie mmetụta ọjọọ, ọ dị mkpa ka ibido a Ịhazi nnyocha nke ime ndị inyom, ya bụ mmamiri nnyocha, nke ga-enyere nyochaa ọnọdụ nke nwa na ya mmepe.

N'agbanyeghị nke na-akpata ọrịa n'oge ime na e nwere a pụrụ iche na usoro maka nnyocha nke ndị inyom na-bịa n'ụlọ ọgwụ na mkpesa nke agba ọbara, ihe mgbu na afo, malaise na ndị ọzọ nuances. N'isiokwu a anyị ga-enyocha n'ụzọ zuru ezu na ihe niile nkebi nke nnyocha e mere na-ahụ ihe ha mkpa ha.

palpation nke akpanwa

Palpation dị mkpa iji chọpụta na-ala nke akpanwa, n'ihi na ihe atụ, iji chọpụta ma ọ bụ n'ọnọdụ dị mma. Ndị dị otú ahụ a mmamiri nnyocha bụ nanị irreplaceable na-ekpebi ndị guzo elu na udi nke eriri akpa nwa fundus. Onye ọrịa nkịtị na ya azụ, dọkịta bụ onye nwaanyị na-amalite nnyocha. Iji palpation usoro bụ obere na-egbu mgbu, a nwanyị kwesịrị iji zuru ike.

The dọkịta ga-eyi latex uwe maka ọcha. Jiri nwayọọ pushing labia, dọkịta inserts n'ime ikpu na abụọ mkpịsị aka. The mbụ lifts elu, anọ na nke ise presses n'ọbụ aka, si otú ilekwasị anya crotch. A edinam ọkachamara na-enweta ozi na:

• ala nke esịtidem uru nke pelvis;
• mgbidi nke ikpu;
• ya vaults;
• ogologo, udi nke ikpu;
• emechi / emeghe mpụga os.

N'ọnọdụ ụfọdụ, ọ dị mkpa inyocha

Mmamiri ule a ga-rụrụ ọ bụrụ na ọ na-ahụrụ:

• agba ọbara;
• nwa ebu n'afọ na-egbu oge na nwa;
• ngwọju-anya ọbụla ngosi nke nwa ebu n'afọ;
• ihe ize ndụ nke ọnwụ n'oge orùrù nke udo ọgwụgwọ;
• ogologo oge nwa ebu n'afọ ejection;
• mkpa ọrụ;
• eclampsia;
• na-egbu mgbu contractions;
• ihe ịrịba ama nke na akaghi aka detachment;
• intermittent nwa ebu n'afọ na obi otiti.

Nso ke dọkịta tupu ule

• Akwadebe niile dị mkpa na ngwá na ihe maka usoro.
• Ọ bụrụ na ị na-amụ cytological agwa, mbụ ọkachamara ga-agwa gị ihe ọ bụ na ihe ụdị ihe i nwere ike na-enweta site na-ejide ya.
• Tupu usoro, dọkịta nwere ike ịjụ efu eriri afo.
• Ọzọ, ị ga-eyipụ kpam kpam site n'úkwù gbadaa ma na-na gynecological oche.

Olee otú bụ nnyocha e mere

Mmamiri ule Usoro nwere ya nkebi nke mmejuputa iwu. Na midwife na-ewepụta na a akpali mmasị nkpuchi na ihu, aka emeso pụrụ iche antibacterial ngwọta na-etinye na latex uwe. Mgbe ahụ ọ na-amalite iji kwadebe maka nnyocha kenwe nke onye ọrịa. N'ihi na nke a asa n'ime thighs onwe ha kenwe 2% Lysol ngwọta na mịrị amị dum emeso elu na akwụkwọ akwa nhicha.

Next midwife lubricates ayodiin tincture (5%) bụ a nwaanyị kenwe, ahụ na-ewe anya ya uwe, washes aka ya na ihe na-aba n'anya ngwọta na mgbe ha na-kpam kpam akọrọ, ọ lubricates n'aka nri nke ayodiin. Ọzọ, ndị ọkachamara n'ọrịa ụmụ nwanyị ekpe n'aka pushes labia, na abụọ mkpịsị aka-nri-ya na-etinyere miri n'ime ikpu, ọ bụghị na-emetụ akpụkpọ perineum. Usoro, itinye ya mildly, ọ bụghị a obi ụtọ, ma ọ dị ezigbo mkpa ka o nwere ike inyere-enye ihe ọmụma bara uru banyere ahụ ike nke nne na nwa.

Gịnị na-enye ndị dị otú ahụ nnyocha

Mmamiri cervix na-enye ohere ndị dọkịta na-ekpebi:

• mmamiri esịtidem ala (ma partitions, varicose veins, scars na etuto ahụ);
• Mee otu ihe ahụ na abụọ ahụ size nke pelvic halves, idụhe protrusions na mgbidi ma ọ bụ ndị ọzọ mgbanwe nke ga-gbochie ụzọ ọpụpụ nke nwa ebu n'afọ;
• esịtidem ala nke akpanwa, ya bụ uru na ya, ọnụnọ nke discontinuities na n'ichihịa, nchọpụta nke cancer, n'ókè nke n'olu oghere;
• ala membranes;
• nwa ebu n'afọ na isi (size, ọkpụkpụ njupụta, agagharị).

M chọrọ ịhụ ihe a mmamiri nnyocha na-emepụta nanị na njedebe nke afọ ime. Na ike bleedings si dị otú ahụ a nnyocha e mere na a ga-ahapụ, n'ihi na ọ nwere ike na abawanye ọbara ọnwụ na-eduga mkpa ịwa ahụ aka. Na-anọghị nke kpọmkwem na-egosi maka ihe ngwa ngwa mkpebi nke genera mma ime na bed fọduru, na-eduzi ndị kenyere ọgwụgwọ iji belata ọbara ọgbụgba.

Olee otú ndị bimanual eriri akpa nwa na-amụ

Bimanual pelvic ule ẹkenịmde a obere dị iche iche ka gara aga otu. Mgbe palpation nke n'ime akpanwa dọkịta na-aga abụọ na-eme aka ụzọ. Ekpe aka (mkpịsị aka), o ji nwayọọ nwayọọ na-arụgide ndị abdominal òkè n'ebe obere pelvis kwupụta n'aka nri n'ime ikpu. Emetụ mkpịsị aka ya abụọ, dọkịta palpates n'ime akpanwa na-ekpebi na ya na ọnọdụ, na udi ma na size na-anọgidesi. Mgbe ahụ, ọ ga-amalite na-eduzi nchoputa ọkpọkọ akpanwa na ovaries. Iji mee nke a, dọkịta na-akpali ndị mkpịsị aka nke aka ya abụọ site na otu akụkụ nke akpanwa na mpụta nke pelvis. Maka ịmata ikike na nhazi nke pelvis ọkachamara na-enyocha n'ime ọkpụkpụ, n'akụkụ mgbidi, nakwa dị ka symphysis.

US ime

Iji ụbọchị, ultrasound bụ ihe kasị mma ma dị irè usoro enyocha nwa. Nke a na usoro a rụrụ ọtụtụ ugboro, ma ọ niile na-adabere N'ezie nke ime. Nke a mmamiri nnyocha iji chọpụta bụghị naanị mmekọahụ nke nwa, ma ya anụ ahụ mmepe (e nweghị ntụpọ nke ụbụrụ mmepe nke okpokoro isi ma ọ bụ ihu abdominal mgbidi).

E nwere ụfọdụ na-egosi nke ahụ nwere ike inye ihe unscheduled ultrasound:

• ime bịara na-enyemaka nke IVF;
• amaghị ikpeazụ ịhụ nsọ mgbe ụbọchị;
• onye ọrịa pụtara spotting;
• enwere a n'amaghi ime ọpụpụ;
• mgbu ke ala n'afọ;
• ozugbo m nwere ectopic ime.

cervical nnyocha na mirror

Obstetrician abatakwa nzuzo enyo n'ime ikpu, na-ejide handle ubé n'akụkụ. Mgbe ngwá na ẹkenam gara ọkara ọkachamara atụgharị ya ka ahụ na-tụgharịa isi n'ala. Ọ mgbe ahụ nke ọma na-emeghe flaps nke ya mirror na-enyocha cervix. A kwadebere maka wetara mmetụta, dị ka a na-apụghị izere. Ị ga-enwe ike ikwado ha "na-ata ahụhụ" mgbe iji zuru ike na-ekwe ka dọkịta na-eme ihe niile ngwa ngwa.

The ọkachamara ga-eji nwayọọ ịkpali mirror inyocha na ọnọdụ nke ikpu kpamkpam. Cervical ọmụmụ dọkịta na-adọrọ uche na ya udi (ọ ga-gburugburu), na agba na ire ụtọ. Obere odo cysts, nācha ọbara-ọbara gburugburu mpụga os na uzo oke bụ norm, ma ọ bụrụ na ị hụrụ ụfọdụ imebi, mgbe ahụ, ọ ga-achọ ọgwụgwọ.

Nso ke nnyocha na mirror

Ndị dị otú ahụ ime mmamiri nnyocha na-ekpughe ọtụtụ ọrịa, dị ka:

• mgbaàmà nke vaginitis (mgbe a nwaanyị si kenwe si cheesy agbapụta n'ahụ, nke a na-akpọ thrush);
• ọnyá;
• ozize;
• Genital herpes;
• eriri akpa nwa ọbara ọgbụgba;
• cervicitis;
• cervical cancer.

-Ekweta na ọ na-arụ mmamiri nnyocha dị mkpa, dị ka na ọ na ị nwere ike site na mbụ ogbo mata ọrịa na iwepụ ya na-enweghị ihe ọ bụla nsogbu ahụ. Ke adianade do, ị nwere ike lee ha bu n'afọ nwa na ọbụna mara ya mmekọahụ bụ.

Iji ichikota

Ya mere, ọ bụrụ na ị na mberede-ahụ onwe gị spotting n'oge ime ma ọ bụ na-eche ihe mgbu na afo, ọ bụ ihe amamihe ozugbo ịkpọ onye dọkịta maka ọgwụ ndụmọdụ. Ọ ga-eduzi ihe niile ọ dị mkpa nnyocha ma mata na a nsogbu na-enye gị nsogbu.

Onwe gị na-agbalị inyere onwe ha adịghị mkpa, dị ka nke a pụrụ iduga wetara ya pụta na ọbụna ọnwụ nke nwa. Ọ bụrụgodị na ndị na-atụ aro ị na-enye gị na nne nne ha bu ezi ihe n'obi, na-adịghị ege onye ọ bụla, na-zitere ozugbo na ụlọ ọgwụ. Mgbe niile, naanị ihe ahụmahụ dọkịta nwere ike ime ka a nchoputa. Mgbe niile ntị ya ndụmọdụ, na mgbe ahụ na gị na nwa ga-adị mma.