Ukoma kwesitho sangasese sowesifazane

Ukoma kwesitho sangasese sowesifazane kukhona lapho izicubu zesitho sangasese zingathanjiswanga kahle futhi zinempilo.

I-atrophic vaginitis ibangelwa ukwehla kwe-estrogen.

I-Estrogen igcina izicubu zowesifazane zithanjisiwe futhi ziphilile. Ngokuvamile, ulwelwesi lwesitho sangasese sowesifazane lwenza uketshezi olucacile noluthambisa umzimba. Lokhu kuketshezi kwenza ucansi lube mnandi. Kuyasiza futhi ukwehlisa ukoma kwesitho sangasese sowesifazane.

Uma amazinga e-estrogen ehla, izicubu zangasese ziyancipha futhi zibe mncane. Lokhu kubangela ukoma nokuvuvukala.

Amazinga e-Estrogen ngokuvamile ehla ngemuva kokuya esikhathini. Okulandelayo kungadala nokuthi amazinga e-estrogen ehle:

• Imithi noma ama-hormone asetshenziswa ekwelapheni umdlavuza webele, i-endometriosis, i-fibroids, noma ukungazali
• Ukuhlinzwa ukususa ama-ovari
• Ukwelashwa ngemisebe endaweni ye-pelvic
• Ukwelashwa ngamakhemikhali
• Ukucindezeleka okukhulu, ukucindezeleka
• Ukubhema

Abanye besifazane baba nale nkinga ngemuva nje kokubeletha noma ngenkathi bebeletha. Amazinga e-estrogen aphansi ngalezi zikhathi.

Isitho sangasese sangasese singabuye sicasulwe ngokwengeziwe kusuka ezinsizeni, okokuhlanza izingubo, okokugcoba, amakha, noma ezitsheni. Imithi ethile, ukubhema, ama-tampon, namakhondomu nakho kungadala noma kubhebhethekise ukoma kwesitho sangasese sowesifazane.

Izimpawu zifaka:

• Ukushisa ngokuchama
• Ukopha okulula ngemuva kocansi
• Ukuya ocansini okubuhlungu
• Ukukhipha kancane kwesitho sangasese sowesifazane
• Ubuhlungu besitho sangasese sowesifazane, ukulunywa noma ukushiswa

Ukuhlolwa kwezitho zangasese kukhombisa ukuthi izindonga zesitho sowesifazane sangasese zincane, ziphaphathekile noma zibomvu.

Ukukhishwa kwakho kwesitho sangasese sowesifazane kungahlolwa ukuze kutholakale ezinye izimbangela zalesi simo. Ungase futhi ube nokuhlolwa kwezinga le-hormone ukuthola ukuthi usesikhathini sokuya esikhathini.

Kunezindlela eziningi zokwelapha zokoma kwesitho sangasese sowesifazane. Ngaphambi kokuba welaphe izimpawu zakho wedwa, umhlinzeki wezokunakekelwa kwempilo kumele athole imbangela yenkinga.

• Zama ukusebenzisa izinto zokugcoba namafutha okuthambisa abesifazane. Zivamise ukumanzisa indawo amahora amaningi, kuze kufike osukwini. Lezi zingathengwa ngaphandle kadokotela.
• Ukusetshenziswa kwesithambisi sangasese esincibilika ngamanzi ngesikhathi sokuya ocansini kungasiza. Imikhiqizo ene-petroleum jelly, uwoyela wamaminerali, noma amanye amafutha ingalimaza amakhondomu e-latex noma i-diaphragms.
• Gwema insipho enamakha, ama-lotion, amakha, noma ama-douches.

I-estrogen kadokotela ingasebenza kahle ukwelapha i-atrophic vaginitis. Itholakala njengokhilimu, ithebhulethi, i-suppository, noma indandatho. Konke lokhu kufakwa ngqo esithweni sangasese. Le mithi iletha i-estrogen ngqo endaweni yangasese. I-estrogen encane kuphela efakwa egazini.

Ungathatha i-estrogen (i-hormone therapy) ngendlela yesikhumba sesikhumba, noma ngephilisi oyiphuza ngomlomo uma uneziqubu ezishisayo noma ezinye izimpawu zokunqamuka kokuya esikhathini. Iphilisi noma i-patch kungenzeka inganikeli nge-estrogen eyanele ukwelapha ukoma kwakho kwesitho sangasese sowesifazane. Ezimweni ezinjalo, kungadingeka ukuthi ungeze nomuthi wehomoni sowesifazane sangasese. Uma kunjalo, khuluma nomhlinzeki wakho ngalokhu.

Kufanele uxoxe ngobungozi kanye nezinzuzo zokwelashwa ngokushintshwa kwe-estrogen nomhlinzeki wakho.

Ukwelashwa okufanele kuzodambisa izimpawu esikhathini esiningi.

Ukoma kwesitho sangasese sowesifazane kunga:

• Kwenze ube sethubeni lokuthola imvubelo noma ukutheleleka ngamagciwane esithweni sangasese.
• Yenza izilonda noma imifantu ezindongeni zesitho sangasese sowesifazane.
• Dala ubuhlungu ngokuya ocansini, okungathinta ubudlelwane bakho nomlingani wakho noma oshade naye. (Ukukhuluma ngokukhululekile nomlingani wakho kungasiza.)
• Khulisa ubungozi bokuthola izifo ezithwala umchamo (UTI).

Shayela umhlinzeki wakho uma ukoma kwesitho sangasese sowesifazane noma ubuhlungu, ukushisa, ukulunywa, noma ukuya ocansini okubuhlungu okungapheli lapho usebenzisa i-lubricant encibilikiswa ngamanzi.

I-Vaginitis - i-atrophic; I-Vaginitis ngenxa ye-estrogen encishisiwe; I-atrophic vaginitis; Ukoma kwesitho sangasese sowesifazane

• I-anatomy yokuzala yabesifazane
• Izimbangela zocansi olubuhlungu
• Isibeletho
• I-anatomy yesizalo ejwayelekile (isigaba esisikiwe)
• I-atrophy yesitho sangasese sowesifazane

I-Ball JW, i-Dains JE, i-Flynn JA, i-Solomon BS, i-Stewart RW. Izitho zobulili zesifazane. Ku: Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW, ama-eds. Umhlahlandlela kaSeidel Wokuhlolwa Komzimba. Umhlaka 9. ISt Louis, MO: Elsevier; 2019: isahluko 19.

UGardella C, u-Eckert LO, uLentz GM. Izifo ezithwala izitho zangasese: isitho sangasese sowesifazane, isitho sangasese sowesifazane, umlomo wesibeletho, i-toxic shock syndrome, i-endometritis, ne-salpingitis. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. I-Gynecology ephelele. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 23.

Lobo RA. Ukunqamuka kokuya esikhathini nokunakekelwa kowesifazane ovuthiwe: i-endocrinology, imiphumela yokushoda kwe-estrogen, imiphumela yokwelashwa kwamahomoni, nezinye izindlela zokwelashwa. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. I-Gynecology ephelele. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 14.

I-Salas RN, Anderson S. Abesifazane ehlane. Ku: Auerbach PS, Cushing TA, Harris NS, eds. Imithi Yasehlane Lase-Auerbach. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2017: isahluko 92.

USantoro N, uNeal-Perry G. Ukunqamuka kokuya esikhathini. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 227.