Izikhathi ezibuhlungu zokuya esikhathini

Izikhathi ezibuhlungu zokuya esikhathini yizikhathi lapho owesifazane enezinhlungu ezingezansi zesisu esiswini, ezingaba bukhali noma zibuhlungu futhi zifike zidlule. Ubuhlungu beqolo kanye / noma ubuhlungu bomlenze bungaba khona futhi.

Obunye ubuhlungu ngesikhathi sakho bujwayelekile, kepha inani elikhulu lobuhlungu alikho. Igama lezokwelapha lezikhathi ezibuhlungu zokuya esikhathini yi-dysmenorrhea.

Abesifazane abaningi banezikhathi ezibuhlungu. Kwesinye isikhathi, ubuhlungu benza kube nzima ukwenza imisebenzi ejwayelekile yasendlini, umsebenzi, noma ehlobene nesikole izinsuku ezimbalwa phakathi nomjikelezo ngamunye wokuya esikhathini. Ukuya esikhathini okubuhlungu kuyimbangela ehamba phambili yesikhathi esilahlekile esikoleni futhi kusebenza phakathi kwabesifazane abasebasha nasema-20.

Izikhathi ezibuhlungu zokuya esikhathini ziwela emaqenjini amabili, kuya ngesizathu:

• I-dysmenorrhea eyinhloko
• I-dysmenorrhea yesibili

I-dysmenorrhea eyinhloko ubuhlungu bokuya esikhathini obenzeka ngesikhathi lapho kuqala ukuya esikhathini kuqala kwabesifazane abasebasha abanempilo. Ezimweni eziningi, lobu buhlungu abuhlobene nenkinga ethile ngesibeletho noma ezinye izitho ze-pelvic. Umsebenzi owandisiwe we-hormone prostaglandin, okhiqizwa esibelethweni, kucatshangwa ukuthi udlala indima kulesi simo.

I-dysmenorrhea yesibili ubuhlungu bokuya esikhathini obukhula kamuva kwabesifazane abake baba nezikhathi ezijwayelekile. Kuvame ukuhlobene nezinkinga esibelethweni noma kwezinye izitho ze-pelvic, njenge:

• I-Endometriosis
• Ama-Fibroids
• I-intrauterine device (IUD) eyenziwe ngethusi
• Isifo sokuvuvukala kwesisu
• I-Premenstrual syndrome (i-PMS)
• Ukuthelelana ngocansi
• Ukucindezeleka nokukhathazeka

Izinyathelo ezilandelayo zingakusiza ukuthi ugweme imishanguzo kadokotela:

• Faka iphedi yokushisa endaweni yakho yesisu engezansi, ngezansi kwenkinobho yesisu sakho. Ungalokothi ulale uphethe iphedi yokushisa.
• Yenza ukusikhipha okuyindilinga okulula ngezandla zakho ezizungeze indawo yakho yesisu engezansi.
• Phuza iziphuzo ezifudumele.
• Yidla ukudla okulula, kepha okuvamile.
• Gcina imilenze yakho iphakanyisiwe ngenkathi ulele noma ulele ngohlangothi uguqe ngamadolo.
• Zijwayeze izindlela zokuphumula, njengokuzindla noma i-yoga.
• Zama umuthi wokulwa nokuvuvukala, njenge-ibuprofen noma i-naproxen. Qala ukuyithatha usuku ngaphambi kokuba isikhathi sakho kulindeleke ukuba siqale futhi uqhubeke nokuthatha njalo ezinsukwini ezimbalwa zokuqala zesikhathi sakho.
• Zama izithasiselo ze-vitamin B6, calcium ne-magnesium, ikakhulukazi uma ubuhlungu bakho buvela ku-PMS.
• Thatha izihlambi ezifudumele noma okugeza.
• Ukuhamba noma ukuzivocavoca umzimba njalo, kufaka phakathi ukuzivocavoca okhalo.
• Yehlisa isisindo uma ukhuluphele ngokweqile. Thola ukuzivocavoca umzimba njalo.

Uma lezi zindlela zokuzinakekela zingasebenzi, umhlinzeki wakho wokunakekelwa kwezempilo angakunikeza ukwelashwa okufana nalokhu:

• Amaphilisi okuvimbela inzalo
• UMirena IUD
• Imithi kadokotela yokulwa nokuvuvukala
• Ukudambisa izinhlungu kadokotela (kufaka phakathi ama-narcotic, okwesikhashana)
• Izidambisi
• Imithi elwa namagciwane
• I-pelvic ultrasound
• Phakamisa ukuhlinzwa (i-laparoscopy) ukukhipha i-endometriosis noma esinye isifo se-pelvic

Shayela umhlinzeki wakho ngokushesha uma une:

• Ukukhishwa kwesitho sangasese okwandisiwe noma okunuka kabi
• Umkhuhlane kanye nobuhlungu be-pelvic
• Ubuhlungu obungazelelwe noma obunzima, ikakhulukazi uma isikhathi sakho singaphezu kwesonto eli-1 sekwephuzile futhi ubukade uhlanganyela ocansini.

Fonela futhi uma:

• Ukwelashwa akubudambisi ubuhlungu bakho ngemuva kwezinyanga ezintathu.
• Unobuhlungu futhi ubeke i-IUD ngaphezu kwezinyanga ezintathu ezedlule.
• Udlulisa amahlule egazi noma ube nezinye izimpawu ngobuhlungu.
• Ubuhlungu bakho buvela ngezinye izikhathi ngaphandle kokuya esikhathini, buqala ngaphezu kwezinsuku ezi-5 ngaphambi kwesikhathi sakho, noma buqhubeke ngemuva kokuphela kwesikhathi sakho.

Umhlinzeki wakho uzokuhlola abuze imibuzo ngomlando wakho wezokwelapha nezimpawu.

Ukuhlolwa nezinqubo ezingenziwa zifaka:

• Qedela ukubalwa kwegazi (CBC)
• Amasiko wokunqanda izifo ezithathelwana ngocansi
• I-Laparoscopy
• I-pelvic ultrasound

Ukwelashwa kuya ngokuthi yini ebangela ubuhlungu bakho.

Ukuya esikhathini - kubuhlungu; I-Dysmenorrhea; Izikhathi - ezibuhlungu; Ama-cramps - ukuya esikhathini; Amajaqamba okuya esikhathini

• I-anatomy yokuzala yabesifazane
• Izikhathi ezibuhlungu (i-dysmenorrhea)
• Ukukhulula i-PMS
• Isibeletho

I-American College of Obstetricians kanye neGynecologists. I-Dysmenorrhea: izikhathi ezibuhlungu. Imibuzo Evame Ukubuzwa www.acog.org/Patients/FAQs/Dysmenorrhea-Painful-Periods. Kubuyekezwe uJanuwari 2015. Ifinyelelwe ngoMeyi 13, 2020.

UMendiratta V, Lentz GM. I-dysmenorrhea eyinhloko kanye neyesibili, i-premenstrual syndrome, kanye ne-premenstrual dysphoric disorder: i-etiology, ukuxilongwa, ukuphathwa. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. I-Gynecology ephelele. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2017: isahluko 37.

UPattanittum P, Kunyanone N, uBrown J, et al. Izithako zokudla ze-dysmenorrhea. ICochrane Database Syst Rev. 2016; 3: CD002124. I-PMID: 27000311 www.pubmed.ncbi.nlm.nih.gov/27000311/.