Azimayi ambiri samafulumira kupita ku ofesi ya amayi. Nthawi zambiri izi zimakhala chifukwa chakuti tikuwopa - mwadzidzidzi chinachake chidzapezeka ... Kotero tsopano mudzawona mayankho a mafunso omwe amafunsidwa kawirikawiri kwa amayi azimayi, chifukwa chomwe mungathe kumvetsetsa ngati mukufunikira kukachezera amayi kapena ngati zonse zili bwino.
"Ngati ndili ndi matenda a adnexitis, kodi ndi zoona kuti ndikufunika kubereka mwamsanga, mwinamwake kusabereka kungapangitse?"
Ngati chiberekero chanu chikuwotcha, ndiye kuti mukufunika kupita kwa mwana wamkazi kuti amvetse chomwe chimayambitsa matendawa. Kuti muchite izi, muyenera kufufuzidwa kuti mudziwe izi kapena matendawa, kotero kuti dokotala akhoza kupereka mankhwala ochiritsa kapena mankhwala. Mulimonsemo sangathe kutenga mimba ngati uvass ali ndi zotupa, pokhapokha pakhoza kukhala mimba yowonjezera. Spikes zomwe zimapanga pambuyo kutupa zidzakhala kosatha. Ndipo ndondomeko yokonzeka, yomwe imatchulidwa, imatha kuika mazira a uterine ndikuyamba kusabereka.
"Ndimamva kupsa mtima komanso kutentha pafupi ndi kondomu. Kodi izi zikutanthauza kuti ndili ndi mankhwala otsekemera kwa latex? "
Ngati mumamva kutentha komanso kuyabwa pa nthawi yogonana, zikhoza kukhala zowonetsa kuti mulibe mankhwala ochedwa latex kapena spermicide, omwe ma kondomu nthawi zina amachiritsidwa, kuti awonjezere kulera kwawo. Poyamba, muyenera kufufuzidwa chifukwa cha kukhalapo kwa matenda opatsirana pogonana kuti muthe kudziwa bwino lomwe momwe vuto lanu silinayambitsidwire, koma poyambitsa matenda. Tsopano makondomu amagulitsidwa omwe alibe latex, - vinyl, opangidwa ndi polyurethane. Komabe, musanasinthe chithandizo chozoloŵera, funsani vet. Mwina muyenera kuyesetsa kudziletsa nokha ndi mankhwala opatsirana pogonana, pharmacx kapena IUD.
"Anandipeza ndi chlamydia. Kodi ndiyenera kuchitanji?"
Ngati tikukamba za chlamydia ya chiwerewere, ndiye kuti zingakhale zoopsa chifukwa zingathe kufalikira ku mazira, chiberekero ndi kusabereka kudzayamba. Chlamydia imachiritsidwa osati ndi azimayi okhaokha, koma ndi idermatologists, opaleshoni, orologists ndi ma immunologist - ndikofunika kuti thupi lonse lizikhala bwinobwino. Poyamba, funsani katswiri, adzakuuzani momwe mungachiritse ndi kupereka mankhwala kapena mankhwala apadera.
"Dokotala wamankhwala anati ine ndili ndi chiberekero cha uterine. Kodi ndikofunikira kuti muwachotsere? "
Poyambira, ayenera kupanga colposcopy, komanso kuyesedwa. Pakali pano, deta kuchokera ku kafukufukuyu idzakupatsani mpata wozindikira chomwe chimayambitsa matenda ndikuyambitsa kusiyana kwake. Koma momwe mungagwiritsire ntchito matendawa - zimatengera kukula kwa njirayi: laser mankhwala, cryodestruction ndi madzi nayitrogeni.
"Sindinathe kuchiza chlamydia ndikutenga mimba. Kodi ndingapitirize kuchiza? "
Kuti muwone bwinobwino funsoli, muyenera kuyesa mayeso apadera, Chlamydia A, Ig, G, M. Ngati mukufuna kupitiriza chithandizo, ndiye kuti mankhwalawa amasankhidwa powatsutsana ndi zizindikiro zowonjezera, nthawi yobereka mwanayo. Mukhoza kuthandizira chlamydia kuchokera sabata la 14 mothandizidwa ndi mankhwala osokonekera apadera. Kuwonjezera apo, muyenera kuti muyang'ane ndi dokotala wodziwa za matenda a maganizo ndikutsatira malingaliro ake onse. Pakati pa mimba, mukhoza kugonana popanda kondomu mwezi wa 8.
"Momwe mungadziwire tsiku lovomerezeka la pathupi?"
Pakati pa nthawi ya kusamba, pali nthawi yomwe dzira limasiya follicle (ovulation). Nthawiyi ndi yabwino kwambiri pa nthawi yomwe mwanayo ali ndi pakati. Dzira limatha pafupifupi masiku atatu mu nthawi yogwira ntchito, ndipo spermatozoa imakhala m'thupi la mkazi kwa masiku ena asanu ndi atatu (3-5). Choncho, tiyenera kukumbukira kuti mwezi uno muli masiku 3-4 omwe ali abwino kwambiri pakubereka. Kwenikweni, nthawiyi imabwera pafupifupi masabata awiri isanafike nthawi yotsatira yamwezi. Ngati muli ndi nthawi yambiri, ndiye kuti mungathe kuwerengera nthawi yabwino. Kapena gwiritsani ntchito mayesero ogwiritsira ntchito ovulation.
"Kodi n'zotheka kupanga chikondi pa nthawi?"
Sitikulimbikitsidwa kuti mukhale paubwenzi wapamtima pa nthawi ya kusamba, chifukwa kachilombo ka HIV kamapitirira nthawiyi, ndipo izi zikutanthauza kuti kachilombo ka HIV kangathe kulowa muzitsulo ndi chiberekero. Ngati mukufuna kugonana, gwiritsani ntchito kondomu.
"Kodi ndingapange ngati ndikukhala ndi kansalu?"
Ngati mwapeza khungu la ovarian, ndiye kuti saloledwa kupanga, chifukwa pali chiopsezo chothamanga kapena kuchoka pa mwendo. Ngati mutapeza, yesetsani kuchita masewera olimbitsa thupi, pitani kuchipatala mwamsanga ndipo muzimva ngati mutapeza mayeso a ultrasound. Chotupacho ndi chotupa chochititsa manyazi, chifukwa chomwe chinayambira, chingakhale ndi khalidwe la mahomoni kapena yotupa. Zimachokera ku chifukwa chake zimadalira njira yothandizira mankhwalawa, otentha kapena opopera.
"Mmene mungachiritse tizilombo toyambitsa matenda ndipo mungapewe kuwonongeka kwake?"
Ngati mwapeza tizilombo toyambitsa matenda, ndiye kuti mukuyenera kupatsidwa mankhwala apadera odana ndi tizilombo. Pewani kubwereza kumatha kanthawi yake (zizindikiro zoyambirira - kufiira, kuyaka, maonekedwe a bululu, ululu, kutupa), mankhwala, mankhwala. Ngati simukuchiza herpes, ndiye kuti nthawi iliyonse isanakwane, padzakhala zovuta, ndipo izi zidzasokoneza moyo wa mkazi aliyense.
"Nthawi zina ndimamva kupweteka m'mimba, kumene mazira amapezeka. Kodi ndikufunikira kuti ndiyambe kufufuza, ndipo ndi ati? "
Poyambirira, nkofunika kupita ku phwando kwa azimayi komanso kutenga mayesero onse omwe adokotala angapereke. Onetsetsani kuti mukupanga ultrasound ya pelvis. Ululu m'mimba pamunsi ukhoza kukhala chifukwa cha mimba, urological, matenda a mimba, matenda a msana. Chifukwa chake, muyenera kulemba kalata ndi dotolo, gastroenterologist, urologist ndi vertebrologist.
"Anachotsa ovary. Kodi izi zikutanthauza kuti ndikufunika kugwiritsira ntchito mankhwala osokoneza bongo? Mayeso onse ndi abwino, koma sinditha kutenga pakati. "
Ngati mimba imodzi yokha ndi yampiric, ndiye kuti sizitanthauza kuti mukuyenera kupita ku matelojekiti othandizira othandiza. Poyambirira, muyenera kuyang'anitsitsa okwatirana kuti adziwe zomwe zimayambitsa kusabereka. Izi zikhoza kukhala ndondomeko yothandizira, kugwedezeka kwa chubu, kuperewera kwa amuna komanso kuperewera kwa mankhwala. Muyenera kupita ndi mwamuna kwa a urologist ndi azimayi kuti akambirane inu ndi iye.
"Ndili ndi zaka 40, kale ndi theka la chaka ndikukhalira masiku 1-2. Kodi izi zikutanthauza kuti chimaliziro chikuyandikira? "
Ngati kusamba kwa msambo, komwe sikungathe masiku awiri, sikukutanthauza kuti m'badwo uno ndi pachimake, m'malo mwake, uyenera kupita kwa mayi wazimayi ndikupenda. Ndikofunika kufotokozera kuchuluka kwa magazi otaya ntchito, kuchotsa matenda opatsirana a ziwalo zamkati, kufufuza chithandizo cha chithokomiro, chifukwa izi zikhoza kusonyeza kuti mwakhala ndi matenda a hypomenstrual.
"Kodi ndingatenge mimba masabata oyambirira mutachotsa chipangizo cha intrauterine?"
Mutangotha kuchotsa, mutha kutenga mimba. Komabe, mukufunikirabe miyezi ingapo kuti muteteze, kotero kuti mkati mwake chiberekero chikhoza kuchira.
"Ndiuzeni, kodi ndikuyenera kuchita katemera aliyense kwa makolo amtsogolo ndikuyesa?"
Simukusowa kuchita inoculations iliyonse pakulera mimba, chinthu chokhacho ndi chakuti okwatirana ayenera kukhala ndi moyo wathanzi. Kwa miyezi 3-4 ya supplementation muyenera kuyamba kutenga folic acid (kupewa chitukuko chosokonezeka). Inde, pitani kwa mayi wa amayi kuti akakulimbikitseni pa matenda alionse ndipo muyenera kupita ku ultrasound.
"Sindifuna kutetezedwa ndi kondomu ndi mapiritsi. Kodi pali zotsutsana ndi chipangizo cha intrauterine? "
Azimayi amene sanabereke samalangizidwa kuti ayambe kuyika, chifukwa chiopsezo choyamba ndi chitukuko cha njira zotupa zowonongeka zimakula. Palinso njira zina: chiberekero ndi mazimayi, kuganizira za chibadwa, mankhwala, mankhwala osokoneza bongo.