Ihe ngosi dị mkpa na nyocha ụlọ ọgwụ, a na-eme nyocha nke ime nwa oge mgbe ọ bụla ọ bụla nleta na-ahụ maka gynecology, na mgbe niile n'oge nlekota ime ime. Otú ọ dị, a na-ajụ ajụjụ bara uru ya na usoro nhazi ya n'afọ ndị na-adịbeghị anya.

Mmegharị ahụ gụnyere itinye mkpịsị aka abụọ n'ime ikpu, mmetụ ikpu na-eme ka o kwe omume ịmegharị akụkụ pelvic nwanyị n'ime: ikpu, cervix, akpanwa, ovaries. Site na ntule nke na-enye ohere iji anya nke uche hụ cervix, ọ bụ ihe ngosipụta dị mkpa nke nyocha gynecology.

Onye na-eme ya (dibịa na-abịa, ọkachamara n'ọrịa ụmụ nwanyị ma ọ bụ midwife) ga-enwerịrị nkwenye nke onye ọrịa n'usoro tupu emee nyocha nke ikpu.

Onye ọrịa ahụ na-edina na tebụl auscultation, apata ụkwụ na-ehulata na ụkwụ na-etinye n'ime ihe ndị na-akpali akpali, pelvis nke ọma na nsọtụ tebụl. Mgbe etinyechara akwa mkpịsị aka ma ọ bụ uwe aka na-adịghị mma na mmanụ, onye na-eme ya na-ewebata mkpịsị aka abụọ na ala nke ikpu. Ọ na-amalite site na mmetụta ikpu, mgbidi ya, mgbe ahụ cervix. N'aka nke ọzọ etinye ya n'afọ, ọ ga-akpụkwa akpanwa site n'èzí. Ejikọtara ya na mmetụ ikpu, palpation a na-eme ka o kwe omume ịghọta nha akpanwa, ọnọdụ ya, mmetụta ya, mmegharị ya. Mgbe ahụ, n'akụkụ nke ọ bụla, ọ palpates na ovaries na-achọ a ga-ekwe omume uka (fibroma, cyst, tumor).

Imetụ ha aka na ikpu anaghị adịkarị egbu mgbu, mana ọ na-adịghị mma, ọkachasị ma ọ bụrụ na ahụ adịghị onye ọrịa ahụ. Na-akpachi anya na ntinye aka, ule a na-atụ egwu n'ezie ọtụtụ ụmụ nwanyị.

N'oge nyocha pelvic

A na-eme nyocha nke ikpu n'oge nleta gynecology oge niile iji gbochie igbochi cervix, akpanwa na ovaries. Otú ọ dị, a jụrụ ajụjụ banyere uru ya na nhazi usoro n'afọ ndị na-adịbeghị anya site na nchọpụta dị iche iche. Otu nnyocha nke American College of Physicians (ACP) si otú ahụ kwubiri na usoro nke ikpu nnyocha e mere n'oge kwa afọ gynecological nnyocha nke ụmụ nwanyị bụ ihe na-abaghị uru, ọbụna counterproductive, na-atụ aro ya mmezu nanị na ọnụnọ nke ụfọdụ mgbaàmà: igbapu ikpu, ọbara ọgbụgba na-adịghị mma, mgbu, nsogbu urinary tract na dysfunction mmekọahụ.

N'ime ụmụ nwanyị dị ime

N'oge ime ime, nyocha nke ikpu na-enye gị ohere ịlele cervix, ogologo ya, nkwụsịtụ na oghere, yana nha, njem, ọnọdụ na ịdị nro nke akpanwa. Ruo ogologo oge, a na-eme ya n'usoro n'usoro n'oge nleta ọ bụla nke ịmụ nwa iji chọpụta mgbanwe na cervix nke nwere ike ịbụ ihe ịrịba ama nke iyi egwu nke ịmụ nwa. Mana ebe ọ bụ na ụfọdụ ọmụmụ na-agbagha mkpa nke mmegharị ahụ, ọtụtụ ndị na-eme ihe enyochala omume ha. Ndụmọdụ HAS nke 2005 maka nlekota ime ime na-agakwa na ntụzịaka a.

N'ezie, HAS na-egosi na " na ọnọdụ ihe ọmụma dị ugbu a, ọ dịghị arụmụka maka ịme nyocha nke ime nwa oge. Nyocha nke ikpu na-ahazi na nwanyị asymptomatic ma e jiri ya tụnyere nyocha a na-egosi na ahụike adịghị ebelata ohere nke ịmụ nwa.. Ultrasound nke cervix ga-adịkwa nkenke karịa iji nyochaa cervix.

N'aka nke ọzọ, n'ọnọdụ nke mgbaàmà (mkpụkọ uterine na-egbu mgbu), " nyocha nke ikpu iji chọpụta cervix dị mkpa iji chọpụta ihe iyi egwu nke ime akabeghị aka. Ọ na-enyocha nkwekọ nke cervix, ogologo ya, dilation na ọnọdụ. », Na-echeta ikike.

Na ịbịaru nso nke ịmụ nwa, nyocha nke ikpu na-eme ka o kwe omume ịchọpụta ihe ịrịba ama nke maturation nke cervix na-egosi na ọ ga-amụ nwa. Ọ na-emekwa ka o kwe omume ịchịkwa elu nke ihe ngosi nwa ebu n'afọ (ya bụ isi nwa ma ọ bụ isi ya na ihe omume nke ngosi breech), na ọnụnọ nke akụkụ ala, obere mpaghara na-apụta na njedebe nke ime n'etiti ahụ na cervix.

N'ụbọchị a na-amụ nwa, nyocha nke ikpu na-eme ka o kwe omume ịgbaso oghere nke cervix, site na nkwụsị ya ruo oghere zuru ezu, ntụgharị 10 cm. A na-emebu usoro n'usoro n'oge nnabata na ngalaba ọmụmụ, mgbe ahụ kwa awa 1 ruo 2 n'oge ọrụ, na 2017 ewepụtala ndụmọdụ ọhụrụ gbasara njikwa onye ọrịa n'oge ịmụ nwa:

• nye nyocha nke ikpu na nnabata ma ọ bụrụ na nwanyị ahụ dị ka ime;
• N'ọnọdụ nke mgbawa nke membranes (RPM), a na-atụ aro ka ị ghara ime nyocha nke ọma na ikpu ma ọ bụrụ na nwanyị ahụ enweghị nkwekọrịta na-egbu mgbu.
• na-atụ aro ka a nyochaa ikpu kwa awa abụọ ma ọ bụ anọ n'oge ọkwa mbụ nke ịrụ ọrụ (site na mmalite nke nkwekọrịta mgbe niile ruo nhụsianya nke cervix zuru oke), ma ọ bụ tupu ọ bụrụ na onye ọrịa rịọrọ ya, ma ọ bụ na akara ngosi (ibelata nke ahụ. rhythm obi nwa, wdg).

Mgbe a mụsịrị nwa, a na-eji nyocha nke ikpu chịkwaa mgbanwe nke uterine, bụ oge nke akpanwa na-eweghachi ogo ya na ọgwụ mbụ ya mgbe amuchara nwa.

Ọ bụrụ na n'oge nyocha a na-eme kwa ụbọchị, achọpụtara akpụ na nyocha nke ikpu, a ga-edepụta ultrasound pelvic.

N'oge ime ime, na ọnụnọ nke nkwekọrịta na-egbu mgbu jikọtara ya na mgbanwe nke cervix, ihe iyi egwu nke nnyefe oge aka ka a ga-atụ egwu. Nlekọta ahụ ga-adabere na ọkwa nke afọ ime.