Эх барих эмэгтэйчүүдийн их эмч, Анагаах ухааны магистр Ө.Дэлгэрмаа: Эрдэнэтэд бэлгийн замын халдварт өвчин их байна

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Эрдэнэт хотын эрүүл иргэдийнхээ төлөө энхийн манаанд зогсож байдаг эмч нарын алдрыг бахдахгүй байх аргагүй юм. Орхон аймгийн эмэгтэйчүүдийн үйлчлүүлэх дуртай “Болор” эмнэлэгийн захирал, эх барих эмэгтэйчүүдийн их эмч, анагаах ухааны магистр Ө.Дэлгэрмаатай эмэгтэйчүүдийн үрэвсэлт өвчин ба бэлгийн эрүүл ахуй боловсролын талаар ярилцлаа. Тэрбээр өөрийн амьдралынхаа тэн хагасыг энэ салбартаа зориулж яваа. “Болор” эмнэлгийн хувьд эмэгтэйчүүдийн бүх л зөвлөгөө, жирэмслэлтээс сэргийлэх, бэлгийн замын халдварт өвчнийг оношлох, 3Д 4Д эхо оношилгоог хийдэг юм.

“Болор” эмнэлэг хэдэн онд байгуулагдаж байсан юм бэ? Эрдэнэтийн эмэгтэйчүүдийн эрүүл мэнд болон дийлэнх зонхилон тохиодог өвчний талаарх ойлголтыг манай уншигчдад өгөхгүй юу?
-Манай эмнэлэг 12 дахь жилдээ үйл ажиллагаа явуулж байгаа, Миний хувьд 29 жил эх барих эмэгтэйчүүдийн эмчээр ажиллаж байна. Нөхөн үржихүйн болоод хүн төрүүлэх  шинэ амьдрал бий болгох ийм мэргэжил эзэмшсэндээ баярлаж явдаг. Харьцангуй зарим хүмүүс өөртөө их анхаардаг болж байгаа ч эмэгтэйчүүд болоод БЗХӨ огт буурахгүй байгаад сэтгэл эмзэглэдэг. Эмэгтэйчүүд гэлтгүй эрчүүд тэр дундаа 14-15 насны охид жирэмсэлж бэлгийн замын өвчтэй болоод ирж байна. Эмэгтэйчүүдийн үрэвсэлт өвчнийг үүсгэгчээр нь энгийн болон бэлгийн замаар халдварладаг гэж хоёр хувааж үзэж болно. Үүсгэгчийн хувьд янз бүр байна. Энгийн үрэвсэлт өвчнийг үүсгэгч нь коккын төрлийн микробууд, вирүсийн төрлийн үүсгэгчид байдаг. Бэлгийн замын үрэвсэлт өвчинд заг хүйтэн, трихоминиаз, хламид болон вирүсийн гаралтай үрэвсэлт өвчин ордог.

-Үрэвсэлт өвчний үед ямар зовиур илрэх вэ?
-Сүүлийн үед үрэвсэлт өвчин ихэссэн. Бэлгийн замын халдвараас үүдсэн үрэвсэлт өвчний үед гол зовиур нь загатнах, хорсох, доошоогоо идээтэй, үнэртэй ялгадас гарах байдлаар илэрнэ. Гэхдээ өвчин бүр өөр өөрийн гэсэн өвөрмөц шинж тэмдгээр илэрдэг. Үрэвсэлт өвчин хүндрээд ирэхээр халуурах, хэвлийн доод хэсгээр болон гуя дагаж өвдөх зэрэг хавсарсан шинж тэмдгээр илэрнэ.

-Үр дагаварынх нь талаар?
-Үр дагавар нь архаг хууч өвчтэй болно. Хамгийн гол нь залуу охид, эмэгтэйчүүдэд үрэвслийн улмаас үргүйдэл үүсэх явдал байдаг.

-Хэрхэн урьдчилан сэргийлэх вэ?
-Бэлгийн ариун цэврийг л сахих явдал чухал. Бэлгийн замын халдварт өвчин авахгүй байх хэрэгтэй. Мөн ямар нэгэн үрэвсэлт өвчинтэй боллоо гэхэд мэргэжлийн эмчид хандах хэрэгтэй. Өөрсдөө дур мэдэн эмчилж, дутуу хаях, олон дахин халдвар аваад байх явдал нь үрэвсэлт өвчнийг хүндрүүлнэ. Хэрэв үрэвсэлт өвчтэй бол эмчийн хяналтанд байж, эмчилгээгээ төгс сайн хийлгэх хэрэгтэй. Гэхдээ өвчин дан эмээр эдгэхгүй гэдгийг санах нь зүйтэй юм.

-Үрэвсэлт өвчний эмчилгээг бэлгийн хамтрагч нь хамт хийлгэх ёстой юу?
-Бэлгийн замын өвчинд л хосууд хамтдаа хамрагдах ёстой. Үрэвсэлт өвчинд заавал хамрагдах шаардлагагүй.

-Умайн хүзүүний шархлаа эмэгтэйчүүдийн дунд их элбэг тохиолдох боллоо гэсэн яриа их байдаг?
-Умайн хүзүүний шархлаа нь үрэвсэлт өвчинд орно. Үтрээний шүүрэл ихтэй гэх мэт хүн хүний биеийн онцлогоос шалтгаалаад умайн хүзүүний шархлаа зарим хүнд үүснэ, зарим хүнд үүсэхгүй. Гэхдээ олон удаа үр хөндүүлсэн, цагаан юм их гардаг, төрөлттэй бас холбоотойгоор умайн хүзүүний шархлаа үүснэ. Мөн бэлгийн олон хавьтагчтай хүмүүст илүү их тохиолдоно.

-Жирэмсэн эмэгтэй үтрээний үрэвсэлт өвчнөөр өвчилсөн тохиолдолд яаж эмчлэх ёстой вэ?
-Жирэмсэн эмэгтэй үтрээний үрэвсэлт өвчнөөр өвчилвөл жирэмсэнд хоргүй эмээр л эмчилнэ. Жирэмсний эхний саруудад болгоомжтой хандах хэрэгтэй. Жирэмсний зургаан сараас дээш бол эмчийн хяналтанд хэрэглэнэ. Ер нь жирэмсэн эмэгтэйчүүд эм их хэрэглэхийг хориглоно. Эм хэрэглэснээс болж урагт гажиг үүсч, эх, урагт ямар нэгэн хүндрэл гардаг. Тэгэхээр үнэхээр  хүүхэд төрүүлэх  ээж болохоор зэхэж байгаа бол эхнээсээ жирэмслэхээсээ өмнө биеэ бэлтгэх шаардлагатай байна. Ер нь эмэгтэйчүүдийн төрөх насыг 19-35 насандаа жирэмслэвэл эрсдэлгүй гэж үздэг, мөн эхний 3 сардаа хяаналтанд орох хэрэгтэй ,өөрөө гэр бүлээ төлөвлөж 3 жилийн хугацаатай 5 хүүхэд төрүүлэх ёстой ч гэдэг юмуу, нөхөн үржихүйн ямар ч боловсрол зарим гэр бүлд алга байна. Тэгээд дийлэнх нь 80 хувь нь төрөлтөндөө бэлтгэлгүй байдаг. Бас нэг сэтгэл зовоодог асуудал бол бэлгийн замын бактери, шимэгч хорхойн шинжилгээ огт өгдөггүй зэргээс шалтгаалж урагт гажиг үүсэх, дутуу төрөх, амьгүй төрөлт их болж байна. Тэгэхээр ээжүүд гэлтгүй аавууд төрөлтөнд бэлтгэж сурмаар байна. Аав хүн ч гэсэн эрүүл, ариун цэвэрч биеэ бэлтгэж байж шинэ хүнээ хүлээж авдаг байх хэрэгтэй. Эмэгтэйчүүд гэлтгүй эрчүүдийн бэлгийн замын өвчлөл Эрдэнэтэд их байна. Энэ нь мэргэжлийн  эрчүүдэд зориулсан эмнэлэг байхгүй байгаа учраас хүндрэл учруулж байна гэж харж байгаа. Өөрөөр хэлбэл Эрдэнэтэд эрчүүдэд зориулагдсан мэргэжлийн эмнэлэг байхгүй учраас эрчүүдийн нөхөн үржихүйн асуудалд хүндрэл учраад байгаа юм.

-Сүүлийн үед үрэвсэлт өвчин ихсэх боллоо гэсэн. Яагаад ихсэх болов?
-Бэлгийн замбараагүй хавьталтай шууд холбоотой. Үүнээс үүдээд бэлгийн замын халдварт өвчин ихсэж байна. Хоёрдугаарт антибиотикийн зохисгүй хэрэглээнээс болж байна. Мөн үр хөндөлт ихэссэнтэй холбоотой. Үр хөндөлт хийлгэсний дараа шавхрага дуустал бэлгийн харилцаанд орохгүй байх, даарч хөрөхгүй, хүнд юм өргөхгүй, биеийн хүчний ажил хийхгүй байх гэх мэтээр гам хэрэглэх ёстой байдаг .

-Ярилцлагынхаа төгсгөлд охид эмэгтэйчүүдэд хандаад юу гэж хэлэх вэ?
-Аль болох олон хавьтагчтай байх шаардлагагүй. Мөн бэлгэвч хэрэглэх хэрэгтэй. Зөвхөн үрэвсэлт өвчин биш цаана нь ДОХ гээд аюултай өвчин байна. Хүнийг гаднаас нь хараад мэдэх аргагүй. Бэлгийн замын бусад халдварт өвчин шиг ганц удаагийн хавьтлаар л халдварлана. 14-15 настай өөрөө хүүхэд байж жирэмсэн ирж байна. Бас тэр хүүхдийн ээж аав бэлгийн боловсролын ямар ч мэдээлэл өгөхгүй байгаа нь өсвөр насныханд хүндээр тусаж байгаа. Бэлгийн замын өвчлөл их байгаа нь хаа хаанаа анхаарах асуудал болоод байна.

-Ярилцсанд баярлалаа

Анхааруулга: Уншигчдын бичсэн сэтгэгдэлд www.etzone.mn хариуцлага хүлээхгүй болно. Манай сайт ХХЗХ-н журмын дагуу зүй зохисгүй зарим үг хэллэгийг хязгаарласан тул та сэтгэгдэл бичихдээ бусдын эрх ашгийг хүндэтгэж үзнэ үү. Хэм хэмжээ зөрчсөн сэтгэгдлийг админ устгах эрхтэй.

130 Олон сэтгэгдэлтэй

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