Mga Kasanayan sa Pangangalaga ng Kalusugan
Mga Kasanayan sa Pangangalaga ng Kalusugan
Mga Kasanayan sa Pangangalaga ng Kalusugan
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
536 <stro<strong>ng</strong>>Mga</stro<strong>ng</strong>> <stro<strong>ng</strong>>Ka<stro<strong>ng</strong>>sa</stro<strong>ng</strong>>nayan</stro<strong>ng</strong>> <stro<strong>ng</strong>>sa</stro<strong>ng</strong>> <stro<strong>ng</strong>>Pa<strong>ng</strong>a<strong>ng</strong>alaga</stro<strong>ng</strong>> <strong>ng</strong> <strong>Kalusugan</strong><br />
Paano gumawa <strong>ng</strong> speculum exam<br />
Mahu<stro<strong>ng</strong>>sa</stro<strong>ng</strong>>y na gamit a<strong>ng</strong> speculum para makita a<strong>ng</strong><br />
cervix at puwerta. Ku<strong>ng</strong> mayroon ka nito, sundin<br />
a<strong>ng</strong> mga hakba<strong>ng</strong> <stro<strong>ng</strong>>sa</stro<strong>ng</strong>> ibaba at pagkatapos ituloy <stro<strong>ng</strong>>sa</stro<strong>ng</strong>><br />
ek<stro<strong>ng</strong>>sa</stro<strong>ng</strong>>minasyon na na<stro<strong>ng</strong>>sa</stro<strong>ng</strong>> susunod na pahina. Ku<strong>ng</strong> wala<br />
ka<strong>ng</strong> speculum, makukuha a<strong>ng</strong> marami <stro<strong>ng</strong>>sa</stro<strong>ng</strong>> pareho<strong>ng</strong><br />
impormasyon ku<strong>ng</strong> susundin a<strong>ng</strong> mga hakba<strong>ng</strong> <stro<strong>ng</strong>>sa</stro<strong>ng</strong>><br />
susunod na pahina.<br />
1. Tiyaki<strong>ng</strong> dumaan <stro<strong>ng</strong>>sa</stro<strong>ng</strong>> disimpeksyon a<strong>ng</strong> speculum<br />
bago ito gamitin (ti<strong>ng</strong>nan a<strong>ng</strong> p. 527). Ba<stro<strong>ng</strong>>sa</stro<strong>ng</strong>>in a<strong>ng</strong><br />
speculum <strong>ng</strong> malinis na tubig bago gamitin.<br />
blade<br />
speculum<br />
hawakan<br />
2. Ipasok a<strong>ng</strong> hintuturo <strong>ng</strong> kamay mo<strong>ng</strong> may guwantes <stro<strong>ng</strong>>sa</stro<strong>ng</strong>> puwerta <strong>ng</strong> babae. Haba<strong>ng</strong><br />
pinapasok a<strong>ng</strong> daliri, mai<strong>ng</strong>at na idiin pababa a<strong>ng</strong> kalamnan na nakapalibot <stro<strong>ng</strong>>sa</stro<strong>ng</strong>><br />
puwerta. (Dahandahanin ito; hintayin na irelaks <strong>ng</strong> babae a<strong>ng</strong> kanya<strong>ng</strong> kalamnan.)<br />
Gamitin a<strong>ng</strong> daliri<strong>ng</strong> ito para hanapin a<strong>ng</strong> cervix, na para<strong>ng</strong> dulo <strong>ng</strong> ilo<strong>ng</strong> <stro<strong>ng</strong>>sa</stro<strong>ng</strong>> kapa.<br />
3. Gamit a<strong>ng</strong> kabila<strong>ng</strong> kamay, hawaka<strong>ng</strong> pa<stro<strong>ng</strong>>sa</stro<strong>ng</strong>>ra a<strong>ng</strong> mga speculum blade <stro<strong>ng</strong>>sa</stro<strong>ng</strong>> pagitan <strong>ng</strong><br />
hintuturo at pa<strong>ng</strong>gitna<strong>ng</strong> daliri. Ipihit patagilid a<strong>ng</strong> mga blade at ipasok <stro<strong>ng</strong>>sa</stro<strong>ng</strong>> puwerta.<br />
(I<strong>ng</strong>ata<strong>ng</strong> hindi madiinan a<strong>ng</strong> butas <strong>ng</strong> ihian o a<strong>ng</strong> ti<strong>ng</strong>gil, dahil napakasensitibo <strong>ng</strong><br />
mga lugar na ito.) Kapag na<strong>ng</strong>a<strong>ng</strong>alahati na a<strong>ng</strong> pasok <strong>ng</strong> speculum, pihitin ito para<br />
nakaturo pababa a<strong>ng</strong> hawakan. Ta<strong>ng</strong>galin a<strong>ng</strong> daliri mo na may guwantes.<br />
4. Mai<strong>ng</strong>at na buk<stro<strong>ng</strong>>sa</stro<strong>ng</strong>>n na<strong>ng</strong> kaunti a<strong>ng</strong> speculum blade at hanapin a<strong>ng</strong> cervix. Galawin<br />
a<strong>ng</strong> speculum na<strong>ng</strong> mabagal at mai<strong>ng</strong>at ha<strong>ng</strong>ga<strong>ng</strong> makita mo a<strong>ng</strong> cervix <stro<strong>ng</strong>>sa</stro<strong>ng</strong>> pagitan <strong>ng</strong><br />
mga blade. Higpitan a<strong>ng</strong> turnilyo <stro<strong>ng</strong>>sa</stro<strong>ng</strong>> speculum para manatili ito <stro<strong>ng</strong>>sa</stro<strong>ng</strong>> puwesto.<br />
5. Suriin a<strong>ng</strong> cervix, na dapat kulay ro<stro<strong>ng</strong>>sa</stro<strong>ng</strong>>s, mabilog at makinis a<strong>ng</strong> hitsura. Ti<strong>ng</strong>nan ku<strong>ng</strong><br />
bukas o <stro<strong>ng</strong>>sa</stro<strong>ng</strong>>rado a<strong>ng</strong> buka<stro<strong>ng</strong>>sa</stro<strong>ng</strong>>n, at ku<strong>ng</strong> may anuma<strong>ng</strong><br />
discharge o pagdurugo. Ku<strong>ng</strong> ineek<stro<strong>ng</strong>>sa</stro<strong>ng</strong>>min<br />
mo a<strong>ng</strong> babae dahil nagdurugo siya<br />
mula <stro<strong>ng</strong>>sa</stro<strong>ng</strong>> puwerta matapos ma<strong>ng</strong>anak,<br />
magpalaglag o makunan, maghanap<br />
ku<strong>ng</strong> may laman na lumalabas<br />
mula <stro<strong>ng</strong>>sa</stro<strong>ng</strong>> buka<stro<strong>ng</strong>>sa</stro<strong>ng</strong>>n <strong>ng</strong> cervix. Ku<strong>ng</strong><br />
<stro<strong>ng</strong>>sa</stro<strong>ng</strong>> ti<strong>ng</strong>in mo maaari<strong>ng</strong> may<br />
impeksyon siya, maghanap <strong>ng</strong><br />
kulay berde o dilaw na discharge,<br />
o pagdurugo mula <stro<strong>ng</strong>>sa</stro<strong>ng</strong>> cervix. Ku<strong>ng</strong><br />
may tumatagas na ihi o dumi<br />
<stro<strong>ng</strong>>sa</stro<strong>ng</strong>> babae, mai<strong>ng</strong>at na pihitin a<strong>ng</strong><br />
speculum para makita a<strong>ng</strong> di<strong>ng</strong>di<strong>ng</strong> <strong>ng</strong><br />
puwerta. Paglapitin a<strong>ng</strong> mga blade para<br />
magawa ito.<br />
6. Para ta<strong>ng</strong>galin a<strong>ng</strong> speculum, mai<strong>ng</strong>at na hatakin ito papunta <stro<strong>ng</strong>>sa</stro<strong>ng</strong>> iyo ha<strong>ng</strong>ga<strong>ng</strong> may<br />
pagitan na a<strong>ng</strong> dulo <strong>ng</strong> blade at cervix. Tapos, pagdikitin a<strong>ng</strong> mga blade at mai<strong>ng</strong>at na<br />
hatakin pabalik. Tiyaki<strong>ng</strong> idaan muli <stro<strong>ng</strong>>sa</stro<strong>ng</strong>> disimpeksyon a<strong>ng</strong> speculum.
![kl/jf/ lgof]hg](https://img.yumpu.com/10041849/1/184x260/kl-jf-lgofhg.jpg?quality=85)
Change language