Ukwelashwa komdlavuza: ukubhekana nokuqubuka okushisayo nokujuluka ebusuku

Izinhlobo ezithile zokwelashwa komdlavuza zingadala ukushisa nokujuluka ebusuku. Ukushisa okushisayo kulapho umzimba wakho uzizwa ushisa ngokungazelelwe. Kwezinye izimo, ukukhanya okushisayo kungakwenza ujuluke. Izithukuthuku zasebusuku ukushisa okujulukayo nokujuluka ebusuku.

Ukuqhuma okushisayo nokujuluka ebusuku kuvame kakhulu kwabesifazane, kodwa futhi kungenzeka nasemadodeni. Abanye abantu bayaqhubeka nokuthola le miphumela emibi ngemuva kokwelashwa komdlavuza.

Ukushisa okushisayo nokujuluka ebusuku kungaba yinto engathandeki, kepha kunezindlela zokwelapha ezingasiza.

Abantu abelashwa umdlavuza webele noma umdlavuza wendlala yesinye kungenzeka babe nokushisa okujulukayo nokujuluka ebusuku ngesikhathi sokwelashwa noma ngemuva kwaso.

Kwabesifazane, ezinye izindlela zokwelashwa zomdlavuza zingadala ukuthi baye esikhathini sokuqala sokuya esikhathini. Ukuqhuma okushisayo nokujuluka ebusuku yizimpawu ezijwayelekile zokunqamuka kokuya esikhathini. Lezi zindlela zokwelapha zifaka izinhlobo ezithile ze:

• Imisebe
• Ukwelashwa ngamakhemikhali
• Ukwelashwa kweHormone
• Ukuhlinzwa ukususa ama-ovari akho

Emadodeni, ukuhlinzwa kukhipha eyodwa noma womabili amasende noma ukwelashwa ngamahomoni athile kungadala lezi zimpawu.

Ukuqhuma okushisayo nokujuluka ebusuku nakho kungadalwa yimithi ethile:

• I-Aromatase inhibitors. Isetshenziswa njengokwelashwa kwehomoni kwabanye besifazane abanezinhlobo ezithile zomdlavuza webele.
• Ama-opioid. Ukudambisa izinhlungu okunamandla okunikezwa abanye abantu abanomdlavuza.
• I-Tamoxifen. Isidakamizwa esisetshenziselwa ukwelapha umdlavuza webele kwabesifazane nakwabesilisa. Ibuye isetshenziselwe ukuvikela umdlavuza kwabanye besifazane.
• I-Tricyclic antidepressants. Uhlobo lomuthi olwa nokucindezela.
• Ukuphuza ama-steroid. Kusetshenziselwa ukunciphisa ukuvuvukala. Futhi zingasetshenziswa ukwelapha eminye imidlavuza.

Kunezinhlobo ezimbalwa zemithi ezingasiza ekudambiseni ukushisa okujulukayo nokujuluka ebusuku. Kepha futhi kungadala imiphumela emibi noma kube nezingozi ezithile. Khuluma nomhlinzeki wakho wezokunakekelwa kwempilo mayelana nezinketho zakho. Uma umuthi owodwa ungakusebenzeli, umhlinzeki wakho angazama omunye.

• Ukwelashwa kweHormone (HT). I-HT isebenza kahle ukunciphisa izimpawu. Kepha abesifazane badinga ukusebenzisa ukuqaphela nge-HT. Futhi, abesifazane abake baba nomdlavuza webele akufanele bathathe i-estrogen. Abesilisa bangasebenzisa i-estrogen noma i-progesterone ukwelapha lezi zimpawu ngemuva kokwelashwa komdlavuza wesinye.
• Izidambisamagciwane.
• I-Clonidine (uhlobo lomuthi womfutho wegazi).
• Ama-anticonvulsants.
• I-Oxybutinin.

Ezinye izinhlobo zokwelashwa zingasiza ngokushisa okujulukayo nokujuluka ebusuku.

• Amasu okuphumula noma ukunciphisa ukucindezeleka. Ukufunda ukuthi unganciphisa kanjani ukucindezeleka nokukhathazeka kungasiza ekunciphiseni ukukhanya okushisayo kwabanye abantu.
• I-Hypnosis. Ngesikhathi se-hypnosis, umelaphi angakusiza uphumule futhi ugxile ekuzizweni upholile. I-Hypnosis nayo ingakusiza wehlise izinga lokushaya kwenhliziyo yakho, unciphise ukucindezeleka, futhi ulinganise izinga lokushisa komzimba wakho, elingasiza ukunciphisa ukukhanya okushisayo.
• Ukuthoma. Yize ezinye izifundo zithole ukuthi ukutshopa kungasiza ngokushisa okushisayo, abanye abakatholi nzuzo. Uma unesifiso sokutholwa kwesikhumba, buza umhlinzeki wakho ukuthi kungaba yini inketho kuwe.

Ungazama futhi izinto ezithile ezilula ekhaya ukusiza ukukhulula ukujuluka ebusuku.

• Vula amawindi futhi ugcine abalandeli begijima ukuze umoya unyakaze ekhaya lakho.
• Gqoka izingubo zikakotini ezikhululekile.
• Zama ukuphefumula ngokujulile nangokuhamba kancane ukusiza ukunciphisa izimpawu.

Iwebhusayithi yeAmerican Cancer Society. Ukuphatha izinkinga zabesifazane zocansi ezihlobene nomdlavuza. www.cancer.org/content/cancer/en/treatment/treatments-and-side-effects/physical-side-effects/fertility-and-sexual-side-side-effects/sexuality-for-women-with-cancer/problems. html. Kubuyekezwe uFebhuwari 5, 2020. Kufinyelelwe ngo-Okthoba 24, 2020.

Iwebhusayithi yeNational Cancer Institute. Ukuqhuma okushisayo nokujuluka ebusuku (PDQ) - inguqulo yezempilo. www.cancer.gov/about-cancer/treatment/side-effects/hot-flashes-hp-pdq. Kubuyekezwe uSepthemba 17, 2019. Kufinyelelwe ngo-Okthoba 24, 2020.

• Umdlavuza - Ukuphila Nomdlavuza