Izinguquko zesifuba sangaphambi kokuya esikhathini

Ukuvuvukala kwangaphambi kokuya esikhathini nokuthamba kwawo womabili amabele kwenzeka phakathi nengxenye yesibili yomjikelezo wokuya esikhathini.

Izimpawu zesisa sesifuba sangaphambi kokuya esikhathini zingasukela kokuncane kuya kokubi. Izimpawu ngokuvamile:

• Zinzima kakhulu ngaphambi nje kokuya esikhathini
• Thuthukisa ngesikhathi noma ngemuva kwesikhathi sokuya esikhathini

Izicubu zamabele zingaba nomuzwa ominyene, oneqhubu, "we-cobblestone" eminwe. Lokhu kuzizwa kuvame kakhulu ezindaweni ezingaphandle, ikakhulukazi ngasekhwapheni. Kungaba khona futhi nomqondo ogcwele noma oqhubekayo wokugcwala kwesifuba ngobunzima, ubuhlungu obunzima, nobumnene.

Izinguquko zeHormone ngesikhathi somjikelezo wokuya esikhathini kungenzeka ziholele ekuqhumeni kwesifuba. I-estrogen eningi yenziwa ekuqaleni komjikelezo futhi iphakama ngaphambi nje komjikelezo ophakathi. Lokhu kubangela ukuthi imisele yamabele ikhule ngosayizi. Izinga leprogesterone liphakama eduze kosuku lwama-21 (ngomjikelezo wezinsuku ezingama-28). Lokhu kubangela ukukhula kwama-lobules webele (izindlala zobisi).

Ukuvuvukala kwangaphambi kokuya esikhathini kuvame ukuhlanganiswa ne:

• I-Premenstrual syndrome (i-PMS)
• Isifo sesifuba se-Fibrocystic (izinguquko zesifuba esihle)

Ubumnene besifuba sangaphambi kokuya esikhathini nokuvuvukala kungenzeka kwenzeke ngezinga elithile cishe kubo bonke abesifazane. Izimpawu ezinzima kakhulu zingavela kwabesifazane abaningi phakathi neminyaka yabo yokubeletha. Izimpawu zingase zibe ngaphansi kwabesifazane abaphuza amaphilisi okulawula ukubeletha.

Izici zobungozi zingafaka:

• Umlando womndeni
• Ukudla okunamafutha amaningi
• I-caffeine eningi kakhulu

Amathiphu okuzinakekela:

• Yidla ukudla okunamafutha aphansi.
• Gwema i-caffeine (ikhofi, itiye noshokoledi).
• Gwema usawoti emavikini ayi-1 kuya kwayi-2 ngaphambi kokuqala kwesikhathi sakho.
• Zivocavoce ngamandla nsuku zonke.
• Gqoka ubhodisi ofaneleka kahle imini nobusuku ukuze unikeze ukwesekwa okuhle kwebele.

Kufanele ujwayeze ukuqwashisa ngamabele. Hlola amabele akho ukuthola ushintsho ngezikhathi ezithile.

Ukusebenza kukavithamini E, uvithamini B6, kanye namalungiselelo wamakhambi anjenge-evening primrose oyela kunempikiswano ngandlela thile. Lokhu kufanele kuxoxwe ngakho nomhlinzeki wakho wezokunakekelwa kwempilo.

Shayela umhlinzeki wakho uma:

• Yiba nezigaxa ezintsha, ezingavamile, noma eziguqukayo ezicutshini zamabele
• Yiba nezigaxa ezisemaceleni (ezingahambelani) ezicutshini zamabele
• Angazi ukuthi ungazihlola kanjani kahle amabele
• Ungowesifazane, uneminyaka engama-40 noma ngaphezulu, futhi angikaze ngibe ne-mammogram yokuhlola
• Khipha ingono yakho, ikakhulukazi uma kungukukhishwa okunegazi noma nsundu
• Yiba nezimpawu eziphazamisa ikhono lakho lokulala, futhi ushintsho ekudleni nasekuzivocavoca umzimba akusizanga

Umhlinzeki wakho uzothatha umlando wakho wezokwelapha futhi azihlole ngokomzimba. Umhlinzeki uzohlola izigaxa zamabele, futhi azobheka izimfanelo zesigaxa (esiqinile, esithambile, esibushelelezi, esinamaqhuqhuva, njalonjalo).

I-mammogram noma i-ultrasound yesifuba ingenziwa. Lezi zivivinyo zizohlola noma yikuphi ukutholakala okungavamile ekuhlolweni kwebele. Uma kutholakala isigaxa esingabonakali kahle, ungadinga i-biopsy yebele.

Le mithi evela kumhlinzeki wakho inganciphisa noma isuse izimpawu:

• Imijovo noma amashothi aqukethe i-hormone progestin (Depoprovera). Isibhamu esisodwa sisebenza kuze kube yizinsuku ezingama-90. Le mijovo inikezwa emisipheni yengalo engenhla noma ezinqeni. Zidambisa izimpawu ngokuyeka ukuya esikhathini.
• Amaphilisi okuvimbela inzalo.
• Izidakamizwa (amaphilisi amanzi) aphuzwe ngaphambi kokuya esikhathini. La maphilisi anganciphisa ukuvuvukala kwamabele nobumnene.
• IDanazol ingasetshenziswa ezimeni ezinzima. IDanazol iyi-androgen eyenziwe ngabantu (i-hormone yabesilisa). Uma lokhu kungakusebenzeli, kungenziwa eminye imithi.

Ukuthamba kwangaphambi kokuya esikhathini nokuvuvukala kwamabele; Ubumnene besifuba - ngaphambi kokuya esikhathini; Ukuvuvukala amabele - ngaphambi kokuya esikhathini

• Ibele lesifazane
• Ukuzihlola kwamabele
• Ukuzihlola kwamabele
• Ukuzihlola kwamabele

I-American College of Obstetricians kanye newebhusayithi yamaGynecologists. I-Dysmenorrhea: izikhathi ezibuhlungu. www.acog.org/patient-resource/faqs/gynecologic-problems/dysmenorrhea-painful-periods. Kubuyekezwe uMeyi 2015. Kufinyelelwe kuSepthemba 25, 2020.

Iphaneli yochwepheshe ngokufanekisa amabele; UJokich PM, Bailey L, et al. Indlela yokufaneleka ye-ACR ubuhlungu besifuba. UJ Am Coll Radiol. 2017; 14 (5S): S25-S33. I-PMID: 28473081 pubmed.ncbi.nlm.nih.gov/28473081/.

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.

USandadi S, iDwala DT, i-Orr JW, iValea FA. Izifo zamabele: ukutholwa, ukuphathwa, nokubhekwa kwezifo zesifuba. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. I-Gynecology ephelele. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 15.

USasaki J, Gelezke A, Kass RB, Klimberg VS, Copeland EM, Bland KI. I-Etiology kanye nokuphathwa kwesifo sebele esibi. Ku: Bland KI, Copeland EM, Klimberg VS, Gradishar WJ, ama-eds. Isifuba: Ukuphathwa Okuphelele Kwezifo ZeBenign Nezimbi. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2018: isahluko 5.