Vaginal ninaninau. 'ana i kūpono a

Hāpai keiki - o ka brightest a lōʻihi-kali hanana i loko o ke ola o kela wahine. I keia manawa, au makemake e loaa na minuke o ka wā e hiki mai keiki. New hoohalike o ke alo aku i loko o ka opu o ka kekahi, i ka mua hooeueu ana o ke keiki - ia hiki ole ke hoopoina, a ua hoomanao iho la i ka wā e ola ana. Akā, me ka manao o ka mea uuku mana hiki ke ao e manao ana maʻi makuahine, no laila, e like me ke pale aku i ka ino loa, ka mea i pono, e hana i kekahi kahua hoʻonohonohoʻana ninaninau o ka hapai wahine, o vaginal ninaninau, a e kōkua ai i kanaka hoʻoponopono i ke ano o ke keiki a me kona ulu ana.

Nānā 'ole o nā kumu o ka maʻi puʻuwai i hāpai keiki, he mea he kūikawā kaʻina hana no ka ninaninau ana i na wahine i hele mai i ka haukapila me ka hoopii o ka kahe ana ke koko,ʻeha i loko o ka abdomen, malaise a me nā nuances. Ma kēia 'atikala e nana i au mamuli mākou i nā kahua o ka hoʻonaʻauao a pau o ka anamanaʻo, a loaʻa mai mea e pono ai.

palpation o ka uterus

Palpation mea pono e hooholo i ka moku'āina o ka uterus, no kekahi laʻana, e ike ai i ko ia mea i loko o maikai shape. Oia ka vaginal ninaninau mea wale irreplaceable ma ka hoomaopopo ana i ke kū kiʻekiʻe a me ka kinona o ka uterine fundus. Ke hoʻomanawanui i moe ma luna o kona kua, ke kauka o ke kanaka i ka wahine, a hoomaka nana. I ka palpation kaʻina ua emi eha, nele i ka wahine e hoʻonānea.

Ke kauka, e mae wale pono latex Loan no kou niho. Mālie e hookuke i ka labia, ke kauka inserts i loko o ka vagina me ka manamana lima elua. Ka mea mua e hoʻokiʻekiʻe aʻe i kiʻekiʻe, ka ha, a elima lua kaomi waina i ka lāʻau, pela hoʻomālama ma ka crotch. Kēia hana hoʻomalu launa mai i ka 'ike ma:

• moku'āina o na nāʻiʻo o nā pelvis;
• na paia o ka vagina;
• kona vaults;
• lōʻihi, kinona o ka vagina;
• panina / wehe i ka mawaho'ōnaehana.

Ma kekahi hihia ia mea pono e nānā

Vaginal ninaninau e halihaliia oia iwaho ina mea ua 'akomi i:

• kahe ana ke koko;
• fetal kali hou aku; i hanau;
• ambiguity ka hōʻike o ka fetus;
• pilikia o ke poho ma ka hookuuia ana o kaʻaha lapaau;
• lōʻihi-ʻia fetus ejection;
• i ka pono no ka hana;
• eclampsia;
• ola contractions;
• na hoailona o premature poe;
• intermittent fetal Kal.

He aha ke ano o ke kauka mua o ka hoao ana

• Prepares a pau i ka pono ipu a me ka mea no ke kaʻina hana.
• Inā e hoʻopaʻa haʻawina i ka cytological ano, ka mea mua hoʻomalu, e hai aku oe i ka ia mea a me ke ano o nā hualoaʻa 'oe ke kiʻi mai ka paa ana ia.
• Mamua o ke kaʻina hana, i ke kauka ke noi e ninini i ka bladder.
• Next oe e loaʻa i ka waiwai pio loa, mai ka pūhaka i lalo, a kiʻi ma luna o ka gynecological noho.

Pehea o ke anamanaʻo

Vaginal ka ninaninau 'ana i kūpono i kona kahua o ka hoʻonaʻauao o ka manaʻo. Ke pale keiki hipaʻaʻahu ma luna o ka sterile ea paha ma luna o ka maka, i na lima Hawaii hana antibacterial pāʻoihana, a kau aku ma luna o latex Loan. A laila, ua hoʻomaka e hoomakaukau no ka nana ana i wahine o ka hoʻomanawanui. No keia holoi loko'ūhā ia lakou iho wahine 2% Lysol pāʻoihana a maloʻo a pau ia ili me ka pepa pepa.

Next pale keiki lubricates iodine tincture (5%) o ka wahine ka wahine, alaila lawe ae la i kona mau Loan, washes i kona mau lima me ka waiʻona pāʻoihana a me ia mea, e pau loa ia maloo, ka mea lubricates ka lima akau o ka iodine. Next, ka gynecologist haʻalele lima pushes ka labia, a me nā manamana elua o kona kuleana e e hookomoia hohonu i loko o ka vagina,ʻaʻole no ka ili o ka perineum. Ke Kaʻina Hana, e kau ia lākou naʻau,ʻaʻole he maikai kekahi, akā, e ka mea nui e like me ka mea hiki ke kōkua i waiwai 'ike e pili ana i ke ola kino o ka makuahine a me ke keiki.

He aha e haawi mai ia nana

Vaginal cervix e leie aku ke kauka e hooholo:

• vaginal maloko moku'āina (ina i pohā, varicose aa koko, scars a me ka hikoko);
• Hana i ka ia ma luna o nā i ka nui o ka pelvic halves, eiaʻaʻohe protrusions ma na paia a me nā loli i e pale aku i ka OAAIeOO o ka fetus;
• kipi moku'āina o ka uterus,ʻo kona waiwai, i ke alo o discontinuities a me scarring, ka loaʻaʻana o ka maʻi 'aʻai, i ka nui o ka ai puka;
• moku'āina membranes;
• fetal poo (nui, iwi nuʻa, ka hoʻoneʻe).

Au makemake e ike i ka vaginal ninaninau hua wale nō i ka hopena o ka hāpai keiki. Me kahe ana ke koko ikaika mai ia he anamanaʻo e e käpae ', no ka mea, hiki ke hoonui koko poho, a alakai ai i ka pono no kaʻoki lāʻau lapaʻau' uao. I ka wa e kaawale aku o ka ho'ākāka 'ia i nāʻikepili no i kaʻenaʻena hoʻonā' ana i ka genera oi like me ka moe koena, e alakai i ka hoakakaia iapaau ana e ho'ēmi i kahe ana ke koko.

Pehea e holo ai ka bimanual uterine study

Bimanual pelvic keia hookolokolo ana ua paa i ka uuku okoa ma mua o ka mea mua kekahi. Ma hope o palpation o ka loko o ke uterus ke kauka e hele ai a hiki i elua-hema ki ina hana like. Haʻalele lima (manamana lima), oia lohi lua kaomi waina i ka abdominal hapa ma na pelvis uuku ma ka lima'ākau i loko o ka vagina. No manamana lima o na aoao elua, ke kauka palpates i ka loko o ke uterus a me ka hoʻoholo kona wahi, shape a me ka nui a me ka hana mau. Ma hope iho o ia,ʻo ia i hoʻomaka e kuhikuhi mai hoʻokolokolo 'ana na ohe uterus a me ovaries. E hana i kēia, i ke kauka kolo ana i ka manamana lima o nā lima, mai kekahi kihi o ka uterus a hiki i ke kīloi paʻewa hapa o na pelvis. No nä 'auhau a me ka hoʻonohonohoʻia o nā pelvis akamai hoʻokolokolo ai i ka loko o ka iwi, ma kaʻaoʻao pa, e like me ka symphysis.

US hapai

I ka lā, ultrasound o ka loa palekana pono a me ka hana ana o investigating keiki. Kēia ke kaʻina hana no ua lawe mai kekahi mau manawa, akā, ka mea a pau hilinaʻi nui ma luna o ka papa o ka hāpai keiki. Kēia vaginal keia hookolokolo ana, e hooholo i wale i ka ke keka o ke keiki, akā, i kona physical? Acaeoey (loaʻa nā ole mā o ka lolo? Acaeoey o ka puniu wale no, a me ka anterior abdominal pa).

Aia hoʻi kekahi mau kānaka nā hoailona i e hoonoho i unscheduled ultrasound:

• hāpai keiki, hele mai me ke kōkua o ke IVF;
• ike ole ia hope menstrual elua lā;
• ka hoʻomanawanui ikea puaʻa pūkoʻa a;
• ua he noho'na makaainana i ulu miscarriage;
• kekahi eha i loko o ka lalo abdomen;
• koke aku au i ka ectopic hāpai keiki.

cervical ninaninau i loko o ke aniani

Obstetrician komo paʻa puka aniani keleawe i loko o ka vagina, e paʻa ana i ka 'au iki a hiki i kaʻaoʻao. A hiki aku ka mea ua hoʻolauna ma waenakonu hoʻomalu huli mea no laila, i ke kumu ua huli i lalo ke alo. He laila, pono hamama puapua o kona aniani, e nana i ka cervix. E hoomakaukau no kaʻawaʻawa loa manaʻo, e like me keia hiki ole ke käpae '. Oe i e hiki ke kōkua ai i ko lakou "e loaa ana" ka wā e hoʻonānea a ae i ke kauka e hana na mea a pau koke.

Ke hoʻomalu e mālie ka neʻeʻana i ke aniani e nānā i keʻano o ka vagina loa. Cervical like kauka kokoke mai noonoo ana i kona helehelena (ka mea, e ia a), waihoʻoluʻu a me ka smoothness. Small yellow cysts, redness puni ka mawaho'ōnaehana a me ka aniani moakaka e auaaeaiea nō ke kūmau, akā, inā ua loaʻa 'oe i kekahi' aʻe, a laila ka mea, e hoopai auanei lapaau.

He aha ke ano o ka mea nana i loko o ke aniani

Ua hapai vaginal ninaninau hōʻike he nui maʻi, e like me:

• symptoms o vaginitis (wā i ka wahine, mai na wahine mai cheesy hookuuia, i ua i kapaia o thrush);
• ulcers;
• ka'aʻaiawāʻana;
• wahine herpes;
• uterine kahe ana ke koko;
• cervicitis;
• cervical Ka maʻi 'aʻai.

E hoolaulea i ka mea, ua lawe mai vaginal ninaninau mea pono, like me ka mea e hiki mai i ka loiloi mua ke kahua, e kuhikuhi i ka maʻi, a hoʻopau ia me kekahi ola pilikia. Eia hou, e hiki ke nānā i kā lākou unborn kamaiki, a hiki i kona moe ano pono'ī.

e hōʻuluʻulu

No laila, inā e hiki wawe ka huli ia oe iho puaʻa pūkoʻa a i hāpai keiki a haha aku ka eha i loko o ka abdomen, ia mea kupono e koke nīnau aku i ke kauka no ka 'inikua'ōlelo aʻo. He e hoʻomaka nā mea a pau e pono noiʻiʻana, a kuhikuhi i ka pilikia i ua bothering oe.

Iho ho'āʻo nei e kōkua iā lākou iho mea,ʻaʻole e pono, e like me keia i alakai i kaʻawaʻawa loa hopena, a hiki i ka lilo ana o ke keiki. E like ina na koi e haawi aku i kou grandma lākou maikaʻi manao, mai hoolohe i ka ōlaʻi, a e hoouna pololei i ka haukapila. Ma hope o nā mea a pau, wale i ka hoao ana i kauka hiki e i kaʻike,. Manawa e hoolohe ana i kana olelo, a laila 'oe a me kou kamaiki e e maikai.