Hymen engaphelele

I-hymen ulwelwesi oluncane. Imvamisa ihlanganisa ingxenye yokuvuleka kowesifazane. I-hymen engaphelele yilapho i-hymen ihlanganisa ukuvuleka konke kwesitho sangasese sowesifazane.

I-hymen engaphelele yilona hlobo oluvame kakhulu ukuvimba kwesitho sangasese sowesifazane.

I-hymen engaphelele yinto intombazane ezalwa nayo. Akekho owaziyo ukuthi kungani lokhu kwenzeka. Akukho okwenziwe ngumama ukuyibangela.

Amantombazane angatholwa ene-hymen engafanele nganoma yisiphi isikhathi. Ngokuvamile kutholakala lapho kuzalwa noma kamuva lapho uthomba.

Lapho kuzalwa noma ebuntwaneni obusencane, umhlinzeki wezokunakekelwa kwempilo angabona ukuthi akukho kuvulwa esihlabelelweni ngesikhathi sokuhlolwa komzimba.

Ngesikhathi sokuthomba, amantombazane ajwayele ukungabi nazinkinga ezivela eculweni elingafanele kuze kube aqala ukuya esikhathini. Ihubo elingadingekile livimba igazi ukuba lingaphumi. Njengoba igazi lisekela isitho sangasese sowesifazane, lidala:

• Imisa noma ukugcwala engxenyeni engezansi yesisu (kusuka ekwakhiweni kwegazi okungaphumi)
• Ubuhlungu besisu
• Ukuhlungu obusemhlane
• Izinkinga ngokuchama nokunyakaza kwamathumbu

Umhlinzeki uzokwenza ukuhlolwa kwe-pelvic. Umhlinzeki angenza futhi i-pelvic ultrasound kanye nezifundo ze-imaging zezinso. Lokhu kwenzelwa ukuqinisekisa ukuthi le nkinga ayilona iculo elifanele kunenye inkinga. Umhlinzeki angancoma ukuthi intombazane ibone uchwepheshe ukuze aqiniseke ukuthi ukuxilongwa kuyiculo elibi kakhulu.

Ukuhlinzwa okuncane kungalungisa i-hymen engafanele. Udokotela ohlinzayo usika noma asike okuncane futhi asuse ulwelwesi olwengeziwe lwe-hymen.

• Amantombazane atholakala eneziculo ezingadingekile njengezinsana avame ukuhlinzwa uma esekhulile futhi asanda kuqala ukuthomba. Ukuhlinzwa kwenziwa ekuqaleni kokuthomba lapho kuqala ukukhula kwebele nokukhula kwezinwele zasesizalweni.
• Amantombazane atholakala ukuthi esekhulile ayahlinzwa ngokufanayo. Ukuhlinzwa kuvumela ukuthi igazi lokuya esikhathini eligciniwe liphume emzimbeni.

Amantombazane ayalulama kulokhu kuhlinzwa ezinsukwini ezimbalwa.

Ngemuva kokuhlinzwa, intombazane kungadingeka ifake izixazululo esithweni sangasese imizuzu eyi-15 usuku ngalunye. I-dilator ibukeka njenge-tampon. Lokhu kugcina ukusikwa kungazivaleki futhi kugcina isitho sangasese sowesifazane sivuliwe.

Ngemuva kokuthi amantombazane elulame ekuhlinzweni, azoba nezikhathi ezijwayelekile. Bangasebenzisa ama-tampon, benze ucansi olujwayelekile, futhi babe nezingane.

Shayela umhlinzeki uma:

• Kunezimpawu zokutheleleka ngemuva kokuhlinzwa, njengobuhlungu, ubomvu, noma imfiva.
• Imbobo esithweni sangasese kubukeka sengathi iyavalwa. I-dilator ngeke ingene noma kunezinhlungu eziningi lapho ifakwa.

UKaefer M. Ukuphathwa kokungajwayelekile kwesitho sangasese emantombazaneni. Ku: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-12. IPhiladelphia, PA: Elsevier; 2021: isahluko 47.

I-Sucato GS, uMurray PJ. I-gynaecology yezingane neyentsha. Ku: Zitelli BJ, McIntire SC, Nowalk AJ, ama-eds. UZitelli noDavis ’Atlas of Pediatric Physical Diagnosis. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2018: isahluko 19.

• Izifo Zangasese