Lub Pelvic Xeem

Introduction

Kev kuaj mob pelvic yog ib txoj hauv kev tseem ceeb hauv kev kho mob ntawm poj niam uas tso cai rau cov kws kho mob soj ntsuam cov kab mob hauv lub cev xeeb tub thiab kuaj pom qhov txawv txav hauv cheeb tsam pelvic. Txawm hais tias ntau tus poj niam yuav xav tias txhawj xeeb txog qhov kev kuaj mob no, nws yog ib feem tseem ceeb ntawm kev tiv thaiv kev noj qab haus huv. Nws yog siv los ntsuas kev noj qab haus huv ntawm ncauj tsev menyuam, tsev menyuam, zes qe menyuam, thiab qhov chaw mos, nrog rau cov leeg nqaij thiab cov nqaij mos. Cov txheej txheem no yog qhov tseem ceeb rau kev kuaj xyuas cov mob xws li kab mob, mob qog noj ntshav, kab mob plab pelvic inflammatory (PID), thiab lwm yam kev txhawj xeeb txog kev yug me nyuam.

Pelvic Exam yog dab tsi?

Kev kuaj mob hauv plab yog ib txoj kev kho mob uas tus kws kho mob, feem ntau yog ib tus kws kho mob gynecologist lossis tus kws kho mob thawj zaug, tshuaj xyuas tus poj niam lub cev xeeb tub thiab thaj chaw pelvic ib puag ncig. Kev kuaj mob pelvic feem ntau suav nrog peb qhov tseem ceeb: kev kuaj xyuas sab nraud, kev kuaj mob speculum, thiab kuaj bimanual. Txhua feem ntawm qhov kev kuaj mob tso cai rau tus kws kho mob los ntsuas qhov sib txawv ntawm lub plab hnyuv siab raum, kom ntseeg tau tias lub cev xeeb tub muaj kev noj qab haus huv thiab ua haujlwm zoo.

Cheebtsam ntawm Pelvic Exam:

• External Examination: Tus kws kho mob yuav pom qhov pom ntawm qhov chaw mos sab nraud, nrhiav cov tsos mob ntawm tus kab mob, khaus, qhov txhab, lossis qhov txawv txav ntawm qhov chaw mos, labia, thiab perineum.
• Speculum Examination: Lub speculum yog ib qho cuab yeej kho mob tso rau hauv qhov chaw mos kom tus kws kho mob pom lub ncauj tsev menyuam thiab qhov chaw mos. Thaum lub sijhawm kuaj xyuas no, tus kws kho mob tuaj yeem sau cov qauv rau Pap smear (rau kev kuaj mob qog noj ntshav hauv tsev menyuam) lossis kuaj STI (rau kev sib deev sib kis).
• Bimanual Examination: Tus kws kho mob muab ib los yog ob lub hnab looj tes ntiv tes rau hauv qhov chaw mos thaum nias ntawm lub plab nrog rau sab tes. Qhov kev ntsuam xyuas no pab ntsuas qhov loj, zoo li cas, thiab txoj haujlwm ntawm lub tsev menyuam thiab zes qe menyuam. Nws kuj tseem pab txheeb xyuas qhov mob, qhov loj, lossis qhov txawv txav.

Vim li cas thiaj kuaj Pelvic Exam?

Kev kuaj mob pelvic pab ntau lub hom phiaj tseem ceeb thiab feem ntau yog ib feem ntawm kev kuaj gynecological niaj hnub. Hauv qab no yog cov laj thawj feem ntau rau kev kuaj mob pelvic:

• Kev soj ntsuam niaj hnub: Kev kuaj mob plab yog ib feem ntawm kev kuaj xyuas kev noj qab haus huv rau cov poj niam niaj hnub, tshwj xeeb tshaj yog rau cov neeg muaj hnub nyoog 21 xyoos. Nws pab tshawb pom cov tsos mob ntxov ntawm mob qog noj ntshav (cervical, uterine, lossis zes qe menyuam) thiab tej yam mob xws li kab mob pelvic inflammatory (PID) lossis kis kab mob sib deev. (STIs).
• Pap Smear: Thaum lub sij hawm kuaj pelvic, Pap smear feem ntau tau ua los tshuaj xyuas seb puas mob qog noj ntshav lossis hloov pauv hauv lub ncauj tsev menyuam. Qhov kev sim no suav nrog kev coj cov qauv me me ntawm lub ncauj tsev menyuam los kuaj xyuas qhov txawv txav.
• Kev soj ntsuam cov tsos mob: Kev kuaj pelvic raug pom zoo thaum tus poj niam tab tom muaj cov tsos mob xws li qhov txawv txav ntawm qhov chaw mos los ntshav, mob hauv plab, tso zis txawv txav, lossis mob thaum muaj kev sib deev. Kev kuaj xyuas pab txiav txim seb qhov ua rau ntawm cov tsos mob no, xws li kab mob, fibroids, lossis cysts.
• Saib Xyuas Kev Noj Qab Haus Huv Kev Noj Qab Haus Huv: Rau cov poj niam uas paub txog kev yug me nyuam xws li endometriosis, fibroids, los yog polycystic zes qe menyuam syndrome (PCOS), pelvic kuaj pab saib xyuas qhov kev loj hlob ntawm tus mob thiab ntsuam xyuas cov kev kho mob.
• Ntsuas Fertility: Kev kuaj pelvic tuaj yeem yog ib feem ntawm cov txheej txheem ntawm kev ntsuas kev xeeb tub. Nws pab txiav txim siab seb puas muaj teeb meem ntawm lub cev nrog cov kab mob hauv lub cev xeeb tub uas tuaj yeem cuam tshuam kev xeeb tub.
• Kev ntsuam xyuas ua ntej kev phais: Yog tias koj tab tom raug kev phais mob ntsig txog koj lub cev xeeb tub, xws li hysterectomy lossis kev phais ntawm zes qe menyuam, kev kuaj mob plab feem ntau ua ua ntej los ntsuas qhov mob ntawm koj lub cev.

Yuav Npaj Li Cas Rau Kev Xeem Pelvic

Thaum qhov kev kuaj mob plab feem ntau yog ncaj nraim thiab yooj yim, muaj ob peb kauj ruam koj tuaj yeem ua kom ntseeg tau tias cov txheej txheem zoo li yooj yim thiab ua tau zoo. Nov yog yuav ua li cas npaj rau kev xeem:

• Teem sijhawm teem caij: Sim teem sijhawm koj qhov kev kuaj mob plab thaum koj tsis coj khaub ncaws, vim qhov kev kuaj mob yuav tsis xis nyob thaum lub sijhawm no. Yog tias nws yog qhov tsim nyog yuav tsum tau kuaj xyuas thaum koj nyob hauv koj lub sijhawm, qhia koj tus kws kho mob ua ntej.
• Tsis txhob Douching: Tsis txhob douche lossis siv cov tshuaj pleev qhov chaw mos, tshuaj tsuag, lossis tshuaj tsawg kawg 24 teev ua ntej kuaj. Cov khoom no tuaj yeem cuam tshuam nrog cov txiaj ntsig ntawm Pap smear lossis lwm yam kev sim.
• Npua koj lub zais zis: Nws yog ib lub tswv yim zoo los siv chav dej ua ntej kev kuaj mob, vim tias lub zais zis tag nrho tuaj yeem ua rau lub plab zom mov tsis xis nyob thiab tuaj yeem cuam tshuam rau tus kws kho mob lub peev xwm kom hnov ​​​​lub cev zoo thaum kuaj bimanual.
• Qhia rau koj tus kws kho mob txog tej yam tsos mob: Qhia rau koj tus kws kho mob paub yog tias koj muaj cov tsos mob txawv txawv, xws li mob plab, tso zis, lossis los ntshav tsis zoo, yog li lawv tuaj yeem tsom mus rau cov chaw no thaum kuaj.
• Hnav khaub ncaws yooj yim: Hnav khaub ncaws uas yooj yim tshem tawm, raws li koj yuav tsum tau undress ntawm lub duav rov sauv thaum lub sij hawm kuaj. Koj yuav tau muab ib lub tsho los yog drape rau kev ceev ntiag tug.

Yuav Tau Txais Dab Tsi Thaum Kev Xeem Pelvic

Kev nkag siab txog qhov tshwm sim thaum kuaj lub plab tuaj yeem pab koj xis nyob thiab so kom txaus thaum nws yog lub sijhawm rau txheej txheem. Nov yog qhov koj tuaj yeem xav tau:

• Kev sib tham pib: Koj tus kws kho mob yuav pib los ntawm kev sib tham txog koj li keeb kwm kev kho mob, kev coj khaub ncaws, thiab txhua yam tsos mob uas koj tab tom ntsib. Lub sijhawm no yog lub sijhawm los nug cov lus nug lossis kev txhawj xeeb txog kev xeem.
• External Examination: Koj yuav raug hais kom pw rov qab rau ntawm lub rooj tshuaj ntsuam nrog koj txhais taw hauv kev sib tw (ib txoj haujlwm uas tso cai rau kev nkag tau yooj yim rau thaj chaw pelvic). Tom qab ntawd tus kws kho mob yuav pib los ntawm kev tshuaj xyuas qhov chaw ntawm qhov chaw mos rau txhua qhov txawv txav.
• Speculum Examination: Tom ntej no, tus kws kho mob yuav ntxig ib qho speculum rau hauv koj qhov chaw mos. Tej zaum koj yuav hnov ​​​​mob me ntsis los yog tag nrho raws li lub cuab yeej qhib koj lub paum phab ntsa kom pom tseeb ntawm lub ncauj tsev menyuam. Yog tias koj muaj Pap smear, qhov no yog thaum tus kws kho mob yuav sau cov qauv cell ntawm lub ncauj tsev menyuam. Qhov kev xeem no tuaj yeem ua rau tsis xis nyob me ntsis, tab sis nws yuav tsum tsis txhob mob.
• Bimanual Examination: Tus kws kho mob yuav muab ib lossis ob lub hnab looj tes tso rau hauv qhov chaw mos thaum muab ob txhais tes tso rau ntawm koj lub plab. Qhov no tso cai rau tus kws kho mob hnov ​​​​lub tsev menyuam thiab zes qe menyuam rau tej yam txawv txav. Tej zaum koj yuav muaj kev tsis xis nyob me ntsis, tshwj xeeb tshaj yog tias tus kws kho mob nias ntawm qee qhov chaw.
• Kev Xeem Xeem: Tom qab qhov kev xeem tiav lawm, koj yuav tau muab sijhawm rau hnav khaub ncaws. Koj tus kws kho mob yuav tham txog qhov kev tshawb pom nrog koj, thiab yog tias muaj kev sim lossis cov txheej txheem ua raws li qhov tsim nyog, lawv yuav piav qhia seb yuav xav li cas ntxiv.

Txhais cov ntsiab lus ntawm Pelvic Exam

Cov txiaj ntsig ntawm kev kuaj mob plab yog nyob ntawm qhov kev tshawb pom ntawm tus kws kho mob thaum lub sijhawm ua haujlwm. Nov yog yuav ua li cas thiaj txhais tau qee qhov tshwm sim:

• Cov txiaj ntsig qub: Ib qho kev kuaj pelvic ib txwm txhais tau hais tias koj lub cev xeeb tub tshwm sim zoo thiab tsis muaj qhov txawv txav. Yog tias Pap smear ua tiav, cov txiaj ntsig ib txwm yuav qhia tias tsis muaj kab mob qog noj ntshav lossis cov hlwb ua ntej ntawm lub ncauj tsev menyuam.
• Kev tshawb pom txawv txav: Yog tias koj tus kws kho mob pom tias muaj qhov txawv txav, xws li lub zes qe menyuam loj lossis loj, yuav tsum tau kuaj ntxiv, xws li ultrasounds, CT scans, lossis ntshav ua haujlwm. Cov teeb meem tshwm sim thaum kuaj pelvic muaj xws li:
  • Fibroids: Kev loj hlob tsis mob qog noj ntshav hauv tsev menyuam.
  • Cysts: Cov kua dej puv rau hauv lossis ntawm zes qe menyuam.
  • endometriosis: Ib qho mob uas cov ntaub so ntswg zoo ib yam li hauv ob sab phlu ntawm lub tsev menyuam loj hlob sab nraum lub tsev menyuam, feem ntau ua rau mob.
  • Pelvic Inflammatory Disease (PID): Kev kis kab mob ntawm lub cev xeeb tub, feem ntau tshwm sim los ntawm STIs tsis kho.
• Kev saib xyuas tom qab: Yog tias kuaj pom muaj qhov txawv txav, koj tus kws kho mob tuaj yeem pom zoo kom ua raws li cov txheej txheem, xws li kev kuaj pom lossis kuaj ntshav biopsy, txhawm rau sau cov ntaub ntawv ntxiv. Cov kev kho mob yuav nyob ntawm seb qhov xwm txheej twg.

Kev pheej hmoo thiab teeb meem ntawm Pelvic Exam

Kev kuaj mob pelvic feem ntau muaj kev nyab xeeb thiab muaj kev pheej hmoo tsawg lossis teeb meem. Txawm li cas los xij, muaj qee qhov kev pheej hmoo tsawg uas yuav tsum paub txog:

• Tsis xis nyob los yog Mob: Qee tus poj niam yuav muaj kev tsis xis nyob, tshwj xeeb tshaj yog thaum lub sij hawm kuaj mob los yog bimanual. Nws yog ib qho tseem ceeb rau kev sib txuas lus txhua qhov mob lossis tsis xis nyob rau koj tus kws kho mob thaum kuaj.
• Kab mob: Txawm hais tias qhov kev pheej hmoo tsawg, nws muaj feem me me ntawm kev kis kab mob yog tias cov twj paj nruag tsis huv lossis yog qhov kev kuaj mob ua rau raug mob ntawm qhov chaw mos.
• Kev ntxhov siab tsis zoo: Rau qee tus poj niam, qhov kev kuaj mob pelvic tuaj yeem hnov ​​​​qhov cuam tshuam lossis tsis xis nyob ntawm kev xav. Yog tias koj muaj kev ntxhov siab lossis tsis xis nyob, nrog koj tus kws kho mob tham txog txoj hauv kev los ua kom yooj yim dua.

Tus neeg mob FAQs Txog Pelvic Exam

• Kev kuaj pelvic yog dab tsi, thiab vim li cas thiaj tsim nyog?

  Kev kuaj pelvic yog ib txoj kev niaj hnub uas ntsuas kev noj qab haus huv ntawm koj lub cev xeeb tub. Nws yog qhov tsim nyog rau kev kuaj xyuas cov teeb meem xws li kab mob, mob qog noj ntshav, fibroids, thiab lwm yam kev mob ntawm cov menyuam yaus.

• Kev kuaj mob plab puas mob?

  Kev kuaj mob hauv plab yuav tsum tsis txhob mob, txawm hais tias qee tus poj niam muaj kev tsis xis nyob thaum lub sij hawm speculum los yog bimanual qhov chaw ntawm qhov kev kuaj mob. Nws yog ib qho tseem ceeb rau kev sib tham nrog koj tus kws kho mob yog tias koj hnov ​​mob.

• Kuv yuav npaj li cas rau kev kuaj pelvic?

  Koj yuav tsum teem sijhawm koj qhov kev kuaj mob thaum koj tsis coj khaub ncaws, tsis txhob douching lossis siv cov khoom siv hauv qhov chaw mos ua ntej, thiab tso koj lub zais zis ua ntej kuaj. Tsis tas li, qhia rau koj tus kws kho mob txog cov tsos mob uas koj tuaj yeem ntsib.

• Kev kuaj pelvic puas yuav kuaj pom mob qog noj ntshav?

  Yog lawm, kev kuaj mob hauv plab tuaj yeem pab tshawb pom cov tsos mob ntawm cov qog nqaij hlav hauv plab, xws li lub ncauj tsev menyuam, zes qe menyuam, lossis mob qog noj ntshav hauv tsev menyuam, tshwj xeeb tshaj yog tias tau ua Pap smear ua ib feem ntawm kev kuaj mob.

• Kuv puas yuav tsum tau kuaj pelvic txhua xyoo?

  Kev kuaj pelvic tsis tu ncua raug pom zoo rau cov poj niam hnub nyoog 21 xyoos lossis cov neeg uas muaj kev sib deev. Qhov kev kuaj mob ntau zaus yuav nyob ntawm koj keeb kwm kev noj qab haus huv thiab cov lus pom zoo ntawm koj tus kws kho mob.

• Yuav ua li cas yog tias muaj ib yam dab tsi txawv txav thaum kuaj?

  Yog tias pom muaj qhov txawv txav, xws li fibroids lossis cysts, koj tus kws kho mob yuav pom zoo kom kuaj ntxiv, xws li ultrasounds lossis kuaj ntshav, txhawm rau txiav txim siab txog cov kauj ruam tom ntej rau kev kho lossis tshuaj xyuas.

• Kev kuaj mob pelvic siv sijhawm ntev npaum li cas?

  Kev kuaj mob pelvic nws tus kheej feem ntau yuav siv li 10 mus rau 20 feeb. Txawm li cas los xij, yog tias xav tau lwm yam kev sim lossis cov txheej txheem, nws yuav siv sijhawm ntev dua.

• Kuv puas tuaj yeem kuaj pelvic thaum cev xeeb tub?

  Yog lawm, qee zaum kev kuaj mob pelvic yog ua thaum cev xeeb tub los saib xyuas lub ncauj tsev menyuam thiab kuaj xyuas cov xwm txheej xws li kev kis kab mob lossis kev ua haujlwm tsis muaj hnub nyoog. Txawm li cas los xij, lawv tau ua nrog kev ceev faj ntxiv thaum cev xeeb tub.

• Kuv yuav ua li cas yog tias kuv ntxhov siab txog kev kuaj mob plab?

  Yog tias koj ntshai, nrog koj tus kws kho mob tham ua ntej kev kuaj mob. Lawv tuaj yeem pab piav qhia cov txheej txheem kom ntxaws, teb cov lus nug uas koj muaj, thiab xyuas kom meej tias koj xis nyob li sai tau.

• Kev kuaj pelvic puas tuaj yeem kuaj pom muaj kab mob sib kis (STIs)?

  Kev kuaj mob hauv plab nws tus kheej tsis kuaj kab mob STIs, tab sis yog tias tsim nyog, koj tus kws kho mob tuaj yeem coj cov qauv thaum lub sij hawm kuaj xyuas cov kab mob xws li chlamydia, gonorrhea, lossis HPV.

xaus

Kev kuaj mob plab yog ib txoj hauv kev tseem ceeb rau kev ntsuas kev noj qab haus huv ntawm tus poj niam lub cev xeeb tub thiab kuaj pom ntau yam mob, los ntawm kev kis mus rau qog nqaij hlav. Txawm hais tias nws yuav zoo li tsis xis nyob lossis cuam tshuam, kev nkag siab txog qhov kev kuaj mob, yuav ua li cas npaj, thiab xav tau dab tsi tuaj yeem pab txo qis kev ntxhov siab lossis tsis xis nyob. Los ntawm kev paub thiab tswj xyuas kev mus ntsib gynecological tsis tu ncua, cov poj niam tuaj yeem xyuas kom lawv cov kev noj qab haus huv raug saib xyuas thiab saib xyuas zoo. Nco ntsoov sab laj nrog koj tus kws kho mob rau cov lus qhia tus kheej raws li koj qhov kev xav tau kev noj qab haus huv.