一、女性私密處健康自測
1、尿道炎自測
由于女(nv)(nv)性(xing)(xing)的生(sheng)殖器(qi)官跟男性(xing)(xing)不一樣,尿(niao)(niao)(niao)(niao)道(dao)(dao)(dao)(dao)(dao)口是處于敞開式的,加上一直處于包裹的狀態,利于細菌滋(zi)生(sheng),所(suo)以(yi)女(nv)(nv)性(xing)(xing)患(huan)有尿(niao)(niao)(niao)(niao)道(dao)(dao)(dao)(dao)(dao)炎(yan)的比率(lv)也是很高的。臨床上分(fen)為急(ji)性(xing)(xing)和慢性(xing)(xing)、非特異性(xing)(xing)尿(niao)(niao)(niao)(niao)道(dao)(dao)(dao)(dao)(dao)炎(yan)和淋菌性(xing)(xing)尿(niao)(niao)(niao)(niao)道(dao)(dao)(dao)(dao)(dao)炎(yan)。如果女(nv)(nv)性(xing)(xing)發現(xian)(xian)以(yi)下癥(zheng)狀:尿(niao)(niao)(niao)(niao)道(dao)(dao)(dao)(dao)(dao)分(fen)泌物少,稀薄,粘液性(xing)(xing)或粘膜膿性(xing)(xing)。較長時間不排尿(niao)(niao)(niao)(niao)(如晨(chen)起)尿(niao)(niao)(niao)(niao)道(dao)(dao)(dao)(dao)(dao)外口可(ke)溢(yi)(yi)出少量稀薄分(fen)泌物。有時僅表現(xian)(xian)為晨(chen)起痂膜封住尿(niao)(niao)(niao)(niao)道(dao)(dao)(dao)(dao)(dao)口或污(wu)染內褲,就有可(ke)能患(huan)有尿(niao)(niao)(niao)(niao)道(dao)(dao)(dao)(dao)(dao)炎(yan)。檢查時,需由后向(xiang)前按擠前尿(niao)(niao)(niao)(niao)道(dao)(dao)(dao)(dao)(dao)才可(ke)能有少許分(fen)泌物由尿(niao)(niao)(niao)(niao)道(dao)(dao)(dao)(dao)(dao)口溢(yi)(yi)出。
2、陰道炎自測
陰(yin)(yin)(yin)道(dao)炎(yan)主要(yao)分為(wei)滴(di)蟲陰(yin)(yin)(yin)道(dao)炎(yan)、細(xi)菌(jun)(jun)性(xing)陰(yin)(yin)(yin)道(dao)炎(yan)、真菌(jun)(jun)性(xing)陰(yin)(yin)(yin)道(dao)炎(yan)。自測陰(yin)(yin)(yin)道(dao)炎(yan)主要(yao)觀察白(bai)(bai)帶的(de)(de)情況,各(ge)種類型(xing)的(de)(de)陰(yin)(yin)(yin)道(dao)炎(yan)均有(you)(you)白(bai)(bai)帶增多、尿(niao)頻(pin)、尿(niao)急、尿(niao)痛的(de)(de)癥(zheng)狀,外陰(yin)(yin)(yin)有(you)(you)不同(tong)程度的(de)(de)瘙癢(yang)、灼熱或疼痛感(gan),急性(xing)期(qi)會伴(ban)有(you)(you)發熱。不同(tong)類型(xing)的(de)(de)陰(yin)(yin)(yin)道(dao)炎(yan)白(bai)(bai)帶的(de)(de)性(xing)狀不同(tong),可作為(wei)鑒別的(de)(de)依據。常見的(de)(de)細(xi)菌(jun)(jun)性(xing)陰(yin)(yin)(yin)道(dao)炎(yan)表現為(wei)外陰(yin)(yin)(yin)及陰(yin)(yin)(yin)道(dao)瘙癢(yang),分泌物增多,有(you)(you)魚腥臭味(wei),可伴(ban)有(you)(you)輕度外陰(yin)(yin)(yin)瘙癢(yang)或燒灼感(gan)。如果有(you)(you)陰(yin)(yin)(yin)道(dao)炎(yan),需到醫院進(jin)行確定是何種。
3、盆腔炎和附件炎自測
盆腔(qiang)炎(yan)和(he)附件炎(yan)也是(shi)最常見的(de)婦科病,典(dian)型癥(zheng)狀(zhuang)是(shi)發(fa)熱、寒戰,病程(cheng)長(chang)者(zhe)可出現神經衰弱癥(zheng)狀(zhuang),如失眠(mian)、精神不(bu)振、周(zhou)身不(bu)適等。患(huan)者(zhe)常伴(ban)有(you)(you)下腹部(bu)(bu)墜脹疼痛,腰骶部(bu)(bu)酸痛,有(you)(you)時伴(ban)有(you)(you)肛(gang)門墜脹感(gan),在勞累、性(xing)交后月經前期可加重。白(bai)帶增多,呈膿(nong)性(xing)或漿液性(xing),顏色(se)或黃或白(bai),常伴(ban)異味(wei)。痛經或月經量(liang)過多。易造成原發(fa)性(xing)或繼發(fa)性(xing)的(de)不(bu)孕。
二、婦科病健康自測
1、血
指各(ge)種(zhong)不(bu)正常(chang)的(de)陰道出(chu)血(xue)、月經周期紊亂、月經過多(duo)(duo),月經過少(shao)(shao)或閉經。絕經后出(chu)血(xue)是(shi)“危險(xian)的(de)警報(bao)”。不(bu)論(lun)(lun)血(xue)量(liang)多(duo)(duo)少(shao)(shao),哪(na)(na)怕(pa)是(shi)一(yi)點點;不(bu)論(lun)(lun)持續時間多(duo)(duo)久,哪(na)(na)怕(pa)只是(shi)一(yi)天;不(bu)論(lun)(lun)次數多(duo)(duo)少(shao)(shao),哪(na)(na)怕(pa)只有一(yi)次,都要檢(jian)查,以探究(jiu)、明確(que)其來源和原因!因此,也可以說,正常(chang)、規律的(de)月經是(shi)婦女健康的(de)一(yi)個標(biao)志。
2、帶
所(suo)謂(wei)白(bai)(bai)帶是指婦女的(de)陰(yin)道分泌物(wu),白(bai)(bai)色(se)適量(liang),稀薄(bo)或略帶黏液。這種分泌物(wu)“量(liang)”的(de)不正常,包括數量(liang)過多(duo),或過少(shao)干澀。“質”的(de)不正常,包括泡(pao)沫狀(zhuang)、魚腥味,常有陰(yin)道炎(yan)、陰(yin)道病;奶酪狀(zhuang)是念珠菌(以前通稱霉(mei)菌)感(gan)染的(de)特征;水(shui)樣白(bai)(bai)帶要追究輸卵管(guan)問(wen)題。血性白(bai)(bai)帶尤(you)應注意,從陰(yin)道、宮(gong)(gong)頸及(ji)宮(gong)(gong)腔逐一檢查,以定來源部位及(ji)緣由。
3、痛
這(zhe)里指的是下腹部或(huo)(huo)盆腔痛(tong)(tong)(tong)(tong)、腰痛(tong)(tong)(tong)(tong)、肛門會(hui)陰部痛(tong)(tong)(tong)(tong)以及性(xing)交痛(tong)(tong)(tong)(tong)等。盆腔炎以下腹痛(tong)(tong)(tong)(tong)、腰痛(tong)(tong)(tong)(tong)為主,80%的內異癥(zheng)患者有盆腔痛(tong)(tong)(tong)(tong)、腰骶部痛(tong)(tong)(tong)(tong),甚至性(xing)交痛(tong)(tong)(tong)(tong)。生殖(zhi)道(dao)腫(zhong)(zhong)(zhong)瘤(liu)可因壓迫、腫(zhong)(zhong)(zhong)瘤(liu)蒂(di)扭(niu)轉(zhuan)、破(po)裂以及侵犯造(zao)成疼(teng)痛(tong)(tong)(tong)(tong),或(huo)(huo)是腫(zhong)(zhong)(zhong)瘤(liu)發展、惡變。疼(teng)痛(tong)(tong)(tong)(tong)或(huo)(huo)急或(huo)(huo)緩(huan),或(huo)(huo)重或(huo)(huo)輕(qing),但任何疼(teng)痛(tong)(tong)(tong)(tong)都不可小(xiao)視和忍耐(nai)!
4、塊
腫(zhong)塊(kuai)是(shi)實體瘤或婦科腫(zhong)瘤的基本(ben)特征,當然有(you)些炎癥、內異(yi)癥也可以形成腫(zhong)塊(kuai),腫(zhong)塊(kuai)有(you)良性(xing)與惡性(xing)之別。腫(zhong)瘤是(shi)需要(yao)“搜索”和檢查的,能夠(gou)自己摸到(dao)的腫(zhong)塊(kuai)通常就較大了。
三、乳房健康自測
1、對鏡自照
脫(tuo)去上(shang)衣,暴露上(shang)半身,然后將雙臂高舉(ju)過頭(tou),仔(zi)細觀察兩側(ce)乳房的形(xing)狀(zhuang)及輪廓是(shi)(shi)否有變(bian)化。同時(shi),仔(zi)細檢查(cha)皮膚上(shang)是(shi)(shi)否有紅腫、皮疹、褶皺。還要檢查(cha)乳頭(tou)是(shi)(shi)否在(zai)同一水(shui)平(ping)線上(shang),有沒有出現(xian)抬高、回縮、凹陷的現(xian)象。可以輕壓乳頭(tou),觀察是(shi)(shi)否有分泌物(wu)紅潤乳暈顏色有沒有變(bian)化。
2、平躺觸診
脫去衣服,平躺在床上,在右(you)肩下墊一(yi)個小(xiao)枕頭,然后高舉右(you)肩,使(shi)右(you)側乳(ru)腺(xian)變得很(hen)平。這時(shi),用左(zuo)手(shou)三根手(shou)指,食(shi)指、中指、無名指的指腹緩慢(man)、穩定、仔(zi)細(xi)的觸摸(mo)右(you)側乳(ru)房,順時(shi)針或逆時(shi)針從乳(ru)房外圍起(qi),轉動(dong)三圈以上,直至乳(ru)頭來檢查。接(jie)著,檢查腋下淋巴(ba)結(jie)是否(fou)有腫(zhong)大。最后,用拇指和食(shi)指同時(shi)輕擠(ji)壓乳(ru)頭,觀察有無乳(ru)頭排(pai)液(ye)(ye)。如發現有混濁的,微黃色或血性溢液(ye)(ye),應立即(ji)就醫。
四、女性排卵期自測
女性的排卵(luan)(luan)日(ri)期(qi)一般在下次(ci)月(yue)(yue)經來(lai)潮前的14天(tian)(tian)(tian)(tian)左右。下次(ci)月(yue)(yue)經來(lai)潮的第(di)1天(tian)(tian)(tian)(tian)算起(qi),倒(dao)數14天(tian)(tian)(tian)(tian)或減(jian)去(qu)14天(tian)(tian)(tian)(tian)就(jiu)是排卵(luan)(luan)日(ri),排卵(luan)(luan)日(ri)及其前5天(tian)(tian)(tian)(tian)和后(hou)4天(tian)(tian)(tian)(tian)加在一起(qi)稱(cheng)為排卵(luan)(luan)期(qi)。例如,某女的月(yue)(yue)經周期(qi)為28天(tian)(tian)(tian)(tian),本(ben)次(ci)月(yue)(yue)經來(lai)潮的第(di)1天(tian)(tian)(tian)(tian)在12月(yue)(yue)2日(ri),那(nei)么下次(ci)月(yue)(yue)經來(lai)潮是在12月(yue)(yue)30日(ri)(12月(yue)(yue)2日(ri)加28天(tian)(tian)(tian)(tian)),再從12月(yue)(yue)30日(ri)減(jian)去(qu)14天(tian)(tian)(tian)(tian),則12月(yue)(yue)16日(ri)就(jiu)是排卵(luan)(luan)日(ri)。排卵(luan)(luan)日(ri)及其前5天(tian)(tian)(tian)(tian)和后(hou)4天(tian)(tian)(tian)(tian),也就(jiu)是12月(yue)(yue)11-20日(ri)為排卵(luan)(luan)期(qi)。
五、女性肥胖自測
1、身體質量指(zhi)數法
用于(yu)檢測標準體(ti)重(zhong)(zhong)(zhong)最普(pu)通(tong)跟最重(zhong)(zhong)(zhong)要的(de)(de)(de)方(fang)法,是(shi)(shi)(shi)身(shen)(shen)體(ti)的(de)(de)(de)質量(liang)(liang)指(zhi)數(shu),簡稱是(shi)(shi)(shi)BMI。這(zhe)(zhe)是(shi)(shi)(shi)一個在通(tong)過了身(shen)(shen)高跟體(ti)重(zhong)(zhong)(zhong)的(de)(de)(de)比例來進行(xing)判斷身(shen)(shen)體(ti)肥胖(pang)的(de)(de)(de)方(fang)程式。這(zhe)(zhe)也稱是(shi)(shi)(shi)身(shen)(shen)體(ti)的(de)(de)(de)質量(liang)(liang)指(zhi)數(shu),身(shen)(shen)體(ti)的(de)(de)(de)指(zhi)數(shu)大于(yu)或者是(shi)(shi)(shi)等于(yu)28者,我們就稱為(wei)肥胖(pang)癥。身(shen)(shen)體(ti)的(de)(de)(de)質量(liang)(liang)指(zhi)數(shu)是(shi)(shi)(shi)簡稱體(ti)質的(de)(de)(de)指(zhi)數(shu),又稱為(wei)體(ti)重(zhong)(zhong)(zhong)指(zhi)數(shu),計算(suan)公式是(shi)(shi)(shi)體(ti)重(zhong)(zhong)(zhong)(kg)除(chu)以身(shen)(shen)高(m)的(de)(de)(de)平方(fang)。
2、腰圍測量
腰(yao)圍(wei)是(shi)(shi)(shi)中(zhong)心型的(de)(de)肥胖的(de)(de)最重(zhong)要標準之一了(le)(le),在(zai)中(zhong)國的(de)(de)內地目前是(shi)(shi)(shi)還沒有公認的(de)(de)統一數據(ju)。中(zhong)國的(de)(de)肥胖問題(ti)組(zu)的(de)(de)專(zhuan)家(jia)有得出這(zhe)樣(yang)的(de)(de)結(jie)論:成年的(de)(de)女性腰(yao)圍(wei)應該(gai)要去(qu)控制在(zai)80cm以(yi)內,75-80cm之間的(de)(de)腰(yao)圍(wei)數據(ju)是(shi)(shi)(shi)超重(zhong)了(le)(le),80cm以(yi)上腰(yao)圍(wei)數據(ju)則是(shi)(shi)(shi)被判定(ding)為肥胖。