Často kladené otázky gynekológom

Návšteva gynekológa nesmie byť stresom pre ženu, ale prirodzenou súčasťou jej zdravého životného štýlu. Kedy  navštíviť prvýkrát gynekológa, aké otázky majú nastávajúce mamičky  a prečo dodržiavať kontroly aj po radikálnom gynekologickom zákroku, nám zodpovedala MUDr. Radmila Sládičeková, MPH.

dievca v triede

1. Kedy je najvhodnejší vek na absolvovanie prvého gynekologického vyšetrenia?
Prvé gynekologické vyšetrenie by žena mala absolvovať v 18 rokoch a potom pravidelné prehliadky raz ročne.

2. Ako sa treba pripraviť na prvé gynekologické vyšetrenie?
Pred prvou gynekologickou prehliadkou sa treba pripraviť na dôležité otázky, ktoré bude gynekológ klásť:

- Kedy ste mali prvú menštruáciu?
- Je menštruačný cyklus pravidelný?
- Aké ochorenia sa vyskytujú vo vašej rodine – rodinná anamnéza (rakovina prsníkov, vaječníkov a ostatný výskyt onkologických ochorení v rodine, výskyt trombózy a embólie, mozgové príhody, infarkt, cukrovka, prekonané operácie, detské ochorenia – najmä osýpky, príjem transfúzie a fajčenie)?

3. Aký je stupeň ochrany prezervatívu pred otehotnením, ktorý je asi najvhodnejší pre tínedžerov?
Prezervatív je bariérová ochrana a je jediná spoľahlivá pred možným nakazením sa pohlavnými chorobami. Typ prezervatívu si musí vybrať každý muž sám podľa svojich preferencií.

4. Aký máte názor na hormonálnu antikoncepciu pre dievčatá mladšie 18 rokov? Čo by ste im poradili?
Vo všeobecnosti sa nedá radiť. Mladým dievčatám sa predpisuje HAK aj z iných ako z liečebných dôvodov, nielen ako ochrana pred nechceným otehotnením. Sú to napríklad problémy s menštruáciou sprevádzanou silnými bolesťami, nepravidelným cyklom alebo aknóznou pleťou. Vtedy hľadáme spoločne riešenia a volíme najvhodnejší variant, aby bola pacientka spokojná.

 

1. Kedy je najvhodnejší vek na počatie prvého dieťaťa?
Nemožno určiť presný vek, u každej ženy je to individuálne a podmienky sú rozličné. Dôležité je povedať, že na počatie musí byť žena gynekologicky dospelá, dozretá a s pravidelným menštruačným cyklom.

2. Je pravda, že keď je žena tehotná, nesmie prísť do kontaktu s mačkou?
Mačky sú pre tehotné ženy nebezpečné, pretože prenášajú ochorenie nazývané toxoplazmóza. Vplyvom toxoplazmózy môžu u tehotnej ženy nastať vrodené vývojové poruchy plodu. Našťastie, u nás na Slovensku každá tehotná žene absolvuje počas poradne vyšetrenia na toxoplazmózu.
Treba však povedať, že domáce očkované mačky by toto ochorenie nemali mať. Väčšie riziko plynie z domácej neumytej zeleniny a ovocia kvôli výkalom vlastných domácich zvierat. Najlepšie je kontaktovať sa s domácimi zvieratami ešte pred plánovanou graviditou, keď si telo v prípade prekonania toxoplazmózy vytvorí protilátky proti tomuto ochoreniu. Nie je vhodné hladkať cudzie mačky počas gravidity.

3. Ktoré vnútromaternicové teliesko je vhodné pre ženu, ktorá ešte plánuje mať deti?
Novinkou na trhu je vnútromaternicová loptička IUB, ktorá sa vďaka tvaru loptičky prirodzene dobre umiestni v maternici. Je vyrobená z nitinolu, ktorý telo dobre prijíma, keďže sa z neho vyrábajú napríklad aj srdcové chlopne. Táto loptička má ultra tenký aplikátor, vďaka čomu je vhodná aj pre ženy, ktoré ešte nerodili.

4. Podarí sa mi ešte otehotnieť po odstránení nehormonálnej loptičky?
Pokiaľ je žena zdravá a pravidelne absolvuje preventívne gynekologické prehliadky, jej plodnosť bude obnovená po vysadení antikoncepcie – či už pôjde o HAK alebo odstránenie loptičky.

5. Musím sa počas tehotenstva vyhnúť fitnescentru a cvičeniu so závažiami?
Ak je žena zvyknutá na pravidelnú telesnú aktivitu, v tehotenstve sa odporúča 1/3 zaťaženia oproti aktivite netehotnej ženy. Počas návštevy fitnescentra v gravidite nie je vhodné zdvíhanie závaží ani pestovať športy ako bicyklovanie a lyžovanie z dôvodu rizika úrazu. Vhodné sú aktivity typu strečing, dlhá chôdza či gravid joga.

 

1. Pred začatím menštruácie ma vždy pobolieva vpravo v podbrušku. Je to normálne?
Pri bolesti v podbrušku je nutné ženu gynekologicky vyšetriť. Pokiaľ lekár nenachádza žiadnu patológiu, vyšetrovací proces pokračuje u gastroenterológa. Ďalej sa uberá podľa nálezov špecialistov.

2. V prípade, že žena neplánuje deti alebo ich z nejakého dôvodu nemôže mať, je lepšie si dať vybrať maternicu, aby sa v budúcnosti vyhla zdravotným problémom?
Jednoznačne nie. Maternicu nemožno odstrániť len tak. Každý orgán v tele človeka má viacero funkcií, ktoré sú prospešné pre celý organizmus. Ak je aj nejaký orgán chorý, lekári ho liečia a snažia sa ho vždy zachrániť. Aby sa žena udržala zdravá a vyhla sa zdravotným problémom, mala by dbať na pravidelné preventívne gynekologické prehliadky.

3. Moja gynekologička mi odporučila vnútromaternicové teliesko, je to bezpečné, keď už mám dve deti?
Áno, je bezpečné a prináša najmä komfort pre užívateľku, keďže je vhodné ho ponechať v maternici až po dobu piatich rokov. Vaša gynekologička pozná najlepšie váš zdravotný stav a na základe vyšetrení vie správne vybrať aj vhodný typ antikoncepcie šitej na mieru práve pre vás.

4. Môžem používať kalíšky a tampóny, ak mám zavedené v maternici nehormonálne teliesko?
Ak máte v maternici zavedený akýkoľvek typ hormonálneho či nehormonálneho telieska, či už v tvare T alebo loptičky, môžete používať všetky pomôcky ako doteraz.

5. Aká antikoncepcia je pre mňa vhodná, keď mám poruchu štítnej žľazy a ešte som nerodila?
Akákoľvek porucha štítnej žľazy nie je prekážkou indikácie antikoncepcie, konkrétny typ posúdi váš gynekológ podľa nálezu.

6. Ako často treba robiť samovyšetrenie pŕs? Stačí samovyšetrenie alebo je lepšie navštevovať preto gynekológa?
Vplyvom hormónov môžu byť pred menzesom prsné žľazy zdurené, a preto sa odporúča samovyšetrovanie prsníkov realizovať 1-krát mesačne, vždy po menštruácii. Ak je žena zdravá, sonografiu prsníkov stačí absolvovať raz ročne.

7. Z akých dôvodov musia chodiť na preventívne vyšetrenia ženy po radikálnej hysterektómii (odstránenie maternice a vaječníkov)?
Ženy aj po hysterektómii musia absolvovať gynekologické prehliadky kvôli predchádzaniu nádorových ochorení. U týchto žien lekár sleduje, či nenastala progresia nádorového procesu.

22 komentárov

  • Komentár Prime Labs Steroids %PM, %20 %936 %2025 %21:%mar napísal Prime Labs Steroids

    For weightlifting shoes, I all the time counsel having a few half inch
    or a thumb’s width of space on the end of your
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    Moreover, the only midfoot strap and canvas higher do a pretty good job of
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    a great "all-in-one" type weightlifting shoe for someone wanting to save tons of.


    Nonetheless, some users recommend ordering a half-size up, because
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    I Might suggest this fashion for experienced or intermediate lifters who are used to
    exercising barefoot, since this will take some adjusting for a novice lifter.
    I wouldn't counsel this style for Olympic lifting because it will not provide the same support an elevated shoe would for
    sure workouts.
    Don't attempt to save $100 for a less expensive pair of Weightlifting shoes, as you'll be changing them with better high quality ones anyway.
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    These Nike sneakers can lock your ft in and keep them stable with out putting any extra stress
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    "Mostly as a end result of I feel like they supply me the identical help as the Metcons. The bonus with these, though, is that I can wear them when I exit with pals later that night too."
    There are even options useful for CrossFit exercises
    with gymnastics movements. The toe bed is reinforced with a protective laminate, which retains the mesh from fraying from the friction of the bar in opposition to your toes
    throughout toe-to-bar. Plus, its wrap-around grip enables you to better clench a rope during rope climbs.
    Norman Cheung is a powerlifting and accredited energy and
    conditioning coach underneath the UKSCA. He has been teaching powerlifting since
    2012 and has been an IPF Staff GB coach since 2016.
    He has experience teaching various lifters, from novices to worldwide medallists
    and worldwide college teams.
    My solely neoprene complaint is that after a number of months, my white ones have began discoloring into a
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    As A Outcome Of of the shoe’s lightness, we were in a position to easily carry out exercises like
    box jumps and jumping ropes. After bringing it to the lab,
    we have been in a place to affirm the underfoot firmness that we experienced.

    The stack had an excellent mixture of cushioning and
    floor really feel, infused with a bouncy and velvet foam for consolation. Our durometer
    reveals it’s 24.6% softer than common, guaranteeing a zero-pain expertise even if we extend our exercise.
    Our calliper measurements revealed that the platform is 111.5 mm (average
    is 107.1 mm) extensive at the forefoot whereas it’s ninety one.three mm (average is 87.1 mm) extensive on the heel.

    In abstract, discovering the best weightlifting footwear for wide toes includes on the lookout for
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    only improve comfort but in addition enhance lifting efficiency, making them
    an important piece of kit for severe lifters. In this
    complete guide, we’ll take you thru the top contenders
    for one of the best weightlifting footwear for broad feet,
    detailing their options, advantages, and how they stack up in real-world use.
    The Metcon 6’s versatility makes it a top choice
    for athletes who interact in cross-training and different high-intensity workouts.
    The Deadlift Shoes’ unique design and building make them a top choice for athletes who prioritize deadlifts of their coaching.

    Look for shoes that offer a great stability of quality and affordability, and think about the
    features which are most essential to you when making your decision. The match of
    your weightlifting sneakers is crucial for both comfort
    and efficiency. Look for footwear that match snugly however not too
    tight, as this could cause discomfort and even lead to injuries.
    It’s additionally essential to suppose about the shape of your ft, as some sneakers could also be higher suited for certain foot types than others.

    In Accordance to Dr. Costigan, you’ll wish to look
    for styles that ship a cosy feel (though it shouldn’t be too
    tight!), breathable supplies and the proper arch support on your foot.
    And as somebody with barely extensive toes, I’d choose a roomier toe
    box for added comfort, but it does match true to measurement.
    If you’re looking for a versatile, comfort-first coach that checks all
    the fundamental packing containers, the Ghost sixteen is a solid place to begin out.


    Plus, it has a stylish retro design that’s well-suited for workouts or on a daily basis wear.
    The Romaleos 4s do function a compact toe box that’s cosy
    yet not overly constrictive. With that stated, the silhouette
    does come to a point at the toe flap rather aggressively, which can result in some
    excessive strain if the footwear are worn for lengthier durations.

    Per the model, these are "virtually indestructible" due to design elements like stretchy mesh, sidewall guards and toe bumpers, and carbon rubber outsoles.
    In a post-pandemic world, the one gyms the place barefoot training is
    socially acceptable are home gyms, but this pair comes close.

    The Inov-8 Fastlift Energy G 380 is currently Inov-8’s latest premium weightlifting shoe.

    Nevertheless, it is not as costly as those from
    the bigger brands like Nike or Adidas.
    These components aid in lifting with the right kind,
    avoiding slips that may trigger again injuries.

    The Romaleos 4 was arguably the firmest that we’ve tried,
    so underfoot wobbliness easily turned a thing of the past.
    This shoe has not one however two straps that saved our ft securely mounted on the footbed whilst they splayed
    with the burden that we have been lifting. Given all these
    amazing advantages, we are left with no different alternative however
    to suppose about the Nike Romaleos four as one
    of the best shoe for weightlifting. Be prepared to probably have some sizing points with
    these Do-Win profiles, though.
    General, the correct training shoe can enhance your lifting performance while preserving you protected.
    And That I can personally say they'll even provide light protection from falling
    weights. This style tends to be more versatile as a end result of, in distinction to the heeled weightlifting shoe, it can be used for all of your lifts and
    even cardio workout routines. "Nonetheless, these will not allow you to drop right into a squat with no little stretching,"
    Scarfo says. This does not imply it is inconceivable to have the correct ankle flexion wanted to squat without heels.


    This shoe has held up nicely for my needs,
    and the insole has basically shaped my foot which is great for comfort
    beneath heavy loads. The means shoelaces or straps are
    tied can make an enormous distinction for lifters
    who value foot stability. The sneakers we checked out had single straps, double straps, and varied lacing kinds.
    For multiple regions of the foot, every has a different
    stage of safety. Twin straps and BOA lacing had been at the high
    of our listing; nevertheless, single straps are nonetheless enough.

    On the other hand, its design prevents sweat from
    interfering together with your train, leading to a way of freshness that's price considering.
    It additionally features a Velcro fastening that may be adjusted to suit any foot.

    Nevertheless, choosing the best pair may be challenging, with so many variations in the marketplace, each promising to assist along with your lifting.

    The Reebok Nano X3 Adventure weighed 12.forty five ounces or 353g when the common was only 10.79
    ounces or 306 grams. The changes imply the shoe has an excellent combination of comfort
    and tightness. As far because the laces go, every thing is where it should be
    and works as supposed. The sneakers embody fabric eyelets alongside the size of the shoe
    apart from the ultimate set.
    However Weightlifters have their preferences and can typically be seen carrying Nike Romaleos, Adidas
    Adipowers or Adistars, Velaasa Strakes, and even Anta's from the Chinese
    Language Olympic team. Sneakers just like the Velaasa Strake’s
    are designed to have a comfortable toe field to channel as much
    force as potential from the ground to the bar. These are not any totally different
    as they’ve built on their earlier three fashions. If you’re used to the earlier fashions,
    the foot straps on the Romaleo 4 will feel fairly totally different,
    with the second strap sitting slightly larger up the foot.
    The Innov-8 brand came to prominence with the rise of weightlifting and CrossFit.
    For more athletic footwear, check out our guide to the highest basketball shoes
    from our listing. Yes, it is, and actually, Otomix,
    a brand we characteristic in our information, is known for promoting their shoes as both for lifters and for martial artists.

    When it comes to lifting, the Nike Romaleos 4 easily
    rose above different coaching sneakers because of its amazingly
    firm midsole, impressively extensive base, and completely agency
    structure. Our feet have been absolutely stored in place no matter how heavy we have been hoisting above
    our heads. Outdoors of this particular context (and the fit difference talked
    about above), both styles of footwear are similar in some ways and work great for deadlifts.
    When deciding between deadlift shoes and slippers, I’d consider the way you deadlift and the bodily match and
    feel you want.
    The heel top can additionally be perfect, giving the best elevation to enhance squat type.
    We suggest TYR L-1 Lifter as the best weightlifting shoe for extensive feet
    due to its massive toe field, which offers additional area with out sacrificing stability.
    It’s ideal for athletes who want extra
    space with out compromising on performance.
    The advantages of carrying Weightlifting shoes transcend
    just elevating your heels. They are much sturdier than running shoes, so you
    can really feel more "related" with the platform and raise heavier
    hundreds. It has a fully adjustable hook and loop instep strap, a PU-coated leather higher for consolation, and an anti-slip rubber outsole.
    Apart from the absolutely needed exhausting sole, the Adidas Powerlift 3.1 Men’s Weightlifting Footwear
    characteristic an open forefoot construction and a flexible toe for improved comfort
    and breathability. Breathability is also improved
    by the air-mesh tongue, lining, and collar.


    The Nike Savaleos were designed for CrossFit-type exercises,
    the place there could additionally be a mixture of Olympic weightlifting, powerlifting,
    leaping actions, and other dynamic workout routines.
    There is a light toe spring and an outer sole base of the forefoot space
    with a molded surface for flexibility and durability.
    This is important for weightlifters who carry out the split
    jerk, the place they usually need to bend on the entrance of their forefoot.

    The stripey base additionally supplies good friction so weightlifters can get a great
    grip on the floor.
    With a supportive low-top design and inexpensive worth level, Mendeszoon calls these Chuck Taylor sneakers a practical shoe for most
    lifters. "Those who are generally lifting can do very properly with the Converse shoes, as they are flat, have a nice rubber bottom, and are comfy to perform lower leg lifting," he says.
    If you’re on the lookout for a weightlifting shoe with pure comfort
    in mind, think about this Flux Adapt Trainer. "It has little massaging nodes on the inside soles that massage the feet and supply additional cushion as you move," says Judd.

    One Other feature is the Powerlift three.1’s light-weight
    and breathable mesh tongue, which keeps toes cool by enabling sweat to evaporate.
    These footwear are fairly snug, mainly as a end result
    of they embody a cushioned shoulder part that offers every movement an unbelievable tactile sensation. We also provide an Exercise Database containing exercises alongside a Vitamin Hub, that
    can help you attain your objectives. The mid-foot is
    a little light, but it’s just on the border of being too gentle.
    There’s plenty of arch help, which makes up for some of
    the shortcomings.
    That is essential because if you can stretch that Achilles, you'll be able to go deeper into your squat.
    This will result in larger energy and adaptability and, over time, much less likelihood of injury.
    The ft are the muse of any Olympic weightlifting move, and
    that is additionally true for things like standing rows or standing
    barbell curls.

  • Komentár zuzanek18 %AM, %04 %533 %2020 %11:%jún napísal zuzanek18

    kvoli vsetkemu tomuto sme presli na kondomy zo superlove a len ich obmiename - raz svietiace, raz vrubkovane a raz extra tenke a uz pat rokov nas takto pekne chrania pred nezelanym tehu

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