Kuyini Ukopha Okuphumelelayo Futhi Kungani Kwenzeka?

-Delile

• Kungenzeka nini?
• Ngakho-ke kubangelwa yini?
• 1. Ushintshele kwiphilisi elisha lokulawula ukubeletha noma enye indlela yokuvimbela inzalo yamahomoni
• 2. Unesifo socansi noma esinye isimo sokuvuvukala
• 3. Unesibeletho esibucayi
• 4. Une- subchorionic hematoma ngesikhathi sokukhulelwa
• 5. Uhlangabezana nokukhulelwa kwesisu noma ukukhulelwa nge-ectopic
• 6. Unama-fibroids noma uquqaba olunemicu
• Ngabe kuphuma ukopha noma ukufakelwa ukufakelwa emzimbeni?
• Amathiphu okuphatha
• Lapho uzobona udokotela wakho

Kuyini ukuphuma kwegazi?

Ukuphuma kwegazi lokuphuma kunoma yikuphi ukuphuma kwegazi noma ukubona okungase kube nakho phakathi kwezikhathi zakho zokuya esikhathini noma ngesikhathi sokukhulelwa. Kubalulekile ukunaka noma yiluphi ushintsho emaphethini akho ejwayelekile wokopha inyanga nenyanga. Abesifazane ababhemayo, ngokwesibonelo, basengozini yokuthola ukuphuma kwegazi.

Nakhu okunye mayelana nokuthi ungabona kanjani ukuphuma kwegazi noma ukubona, ukuthi yini engakubangela, nokuthi uzobona nini udokotela wakho.

Kungenzeka nini?

Umjikelezo ojwayelekile wokuya esikhathini unezinsuku ezingama-28 ubude. Eminye imijikelezo ingaba mfushane njengezinsuku ezingama-21, kanti eminye ingaba izinsuku ezingama-35 noma ngaphezulu izinsuku ubude.

Ngokuvamile, usuku lokuqala luqala ngokuqala kwesikhathi sakho futhi luhlala cishe izinsuku ezinhlanu. Ngemuva kwalokho, amahomoni asemzimbeni wakho akhiqiza ukukhiqiza iqanda elingahle likhule noma lingavundiswa lapho ugcwala usuku lwe-14 lomjikelezo wakho.

Uma iqanda livundiswa, lingaholela ekukhulelweni. Uma kungenjalo, ama-hormone akho azophinde alungise ukukhipha ulwelwesi lwesibeletho sakho futhi kuholele kwesinye isikhathi sezinsuku ezinhlanu. Abesifazane ngokuvamile balahlekelwa yizipuni ezimbili kuya kwezingu-3 zegazi ngesikhathi sokuya esikhathini. Izikhathi zivame ukuba zinde futhi zisinde kwentsha nakwabesifazane abaseduze nokunqamuka kokuya esikhathini.

Ukuphuma kwegazi lokuphuma yinoma yikuphi ukuphuma kwegazi okwenzeka ngaphandle kwesikhathi esijwayelekile sokuya esikhathini. Lokhu kungaba ukulahleka kwegazi okugcwele-okwanele ukuqinisekisa i-tampon noma i-pad - noma ukubona.

Ngakho-ke kubangelwa yini?

Kunezizathu eziningi ezahlukahlukene zokuthi kungani ungathola ukopha phakathi nezikhathi. Kungabangelwa yinoma yini kusuka ekulungisweni komzimba wakho kuya ekukhulelweni kwehomoni ekukhulelweni kwesisu. Yize ezinye izimo zokopha zingazixazululela zodwa ngaphandle kokwelashwa, kuwumqondo omuhle ukubika noma yiziphi izinguquko kudokotela wakho.

1. Ushintshele kwiphilisi elisha lokulawula ukubeletha noma enye indlela yokuvimbela inzalo yamahomoni

Ukopha phakathi kwemijikelezo kungenzeka lapho uthatha amaphilisi wokulawula ukubeletha noma usebenzisa ezinye izinto zokuvimbela inzalo, njengedivayisi ye-intrauterine (IUD). Kungenzeka ikakhulukazi ezinyangeni ezimbalwa zokuqala ngemuva kokuqala umuthi omusha wokuvimbela inzalo noma uma uthatha izinhlobo eziqhubekayo nezinwebekayo, njenge-ethinyl-estradiol-levonorgestrel (Seasonique, Quartette).

Odokotela abazi ukuthi yini ngempela ebangela ukuphuma kwegazi ngenkathi besemaphilisi endabuko okulawula ukubeletha. Abanye bakholelwa ukuthi yindlela yomzimba wakho yokuzivumelanisa namahomoni.

Akunandaba, ungahle uzwe ukuphuma kwegazi okukhulu uma:

• uphuthelwe amaphilisi emjikelezweni wakho wonke
• qala noma imiphi imishanguzo noma izithasiselo ngenkathi usephilisi
• uhlangabezana nokuhlanza okungapheli noma isifo sohudo, okungathinta ukumuncwa komzimba wakho kwamahomoni

Ngamaphilisi wokulawula ukubeletha anwetshiwe noma aqhubekayo, uphuza amaphilisi asebenzayo kuyo yonke inyanga ukuze weqe isikhathi sakho ngempumelelo. Le ndlela yenziwa ngephethini yokusetshenziswa enwetshiwe izinyanga ezimbili kuya kwezintathu noma ngendlela eqhubekayo yokusebenzisa unyaka wonke. Umphumela ovame kakhulu wokusebenzisa amaphilisi wokulawula ukubeletha ngale ndlela ukuphuma kwegazi ezinyangeni ezimbalwa zokuqala. Ungahle uqaphele ukuthi igazi olibonayo linsundu ngokumnyama, okungasho ukuthi yigazi elidala.

Ngama-IUDs, ungahlangabezana nezinguquko ekuhambeni kwakho kokuya esikhathini kuze kube yilapho umzimba wakho ulungisa ukungena kwamahomoni amasha. Nge-IUD yethusi, awekho ama-hormone amasha, kepha usengathola ushintsho ekuhambeni kwakho kokuya esikhathini. Ukopha phakathi kwezikhathi nakho kungumphumela ohlangothini ovamile kuzo zombili izinhlobo zama-IUD. Kubalulekile ukutshela udokotela wakho uma ukuphuma kwegazi kwakho kusinda kakhulu noma uma ubona ukubona noma ukuphuma kwegazi ngemuva kocansi.

Ngenkathi ukuphuma kwegazi kungaba yinto ejwayelekile futhi kuhambe ngokwakho ngokuhamba kwesikhathi, kufanele ushayele udokotela wakho uma nawe uhlangabezana:

• ubuhlungu besisu
• ubuhlungu besifuba
• ukopha kakhulu
• ukubona noma umbono uyashintsha
• ubuhlungu obukhulu bomlenze

2. Unesifo socansi noma esinye isimo sokuvuvukala

Kwesinye isikhathi izifo ezithathelwana ngocansi (ama-STI) - njenge-chlamydia ne-gonorrhea - zingadala ukuphuma kwegazi. Izifo ezithathelana ngokocansi izifo ezidluliselwa zisuka komunye umlingani ziye komunye ngocansi olungaphephile.

Ukuphuma kwegazi kungaphuma nakwezinye izimo zokuvuvukala, njenge:

• i-cervicitis
• i-endometritis
• imomozi
• isifo sokuvuvukala okhalo (PID)

Kanye nokuphuma kwegazi, ungahle uzwe:

• ubuhlungu be-pelvic noma ukushisa
• umchamo onamafu
• ukukhishwa okungavamile kwesitho sangasese sowesifazane
• iphunga elibi

Ukutheleleka okuningi kungelashwa ngama-antibiotic, ngakho-ke bheka udokotela wakho uma uhlangabezana nezimpawu. Uma ishiywe ingalashwa, izifo zingaholela ekutholeni inzalo nakwezinye izinkinga ezinkulu zempilo.

3. Unesibeletho esibucayi

Noma yikuphi ukuphuma kwegazi lapho ungalindelanga kungakuthinta, ikakhulukazi uma kwenzeka ngesikhathi sokukhulelwa. Ngezinye izikhathi, noma kunjalo, ungathola ukubona noma ukuphuma kwegazi phakathi kwemijikelezo noma ngesikhathi sokukhulelwa uma umlomo wakho wesibeletho ucasulwa noma ulimale. Umlomo wakho wesibeletho utholakala ngaphansi kwesibeletho sakho, ngakho-ke noma yikuphi ukuphuma kwegazi emlomo wesibeletho obucayi ngenxa yokucasuka noma ukulimala kungadala ukuphuma kwegazi.

Ngesikhathi sokukhulelwa, umlomo wesibeletho uthamba futhi ungopha ngemuva kokuhlolwa kwesitho sangasese sowesifazane noma ngemuva kokwenza ucansi. Kungaphuma futhi igazi uma unalokho okubizwa ngokuthi ukunganeli komlomo wesibeletho, isimo lapho umlomo wesibeletho uvula khona ngaphambi kwesikhathi ngaphambi kosuku lwakho olubekiwe.

4. Une- subchorionic hematoma ngesikhathi sokukhulelwa

Ukopha noma ukubona ngesikhathi sokukhulelwa kungenzeka noma kungakhombisi inkinga. Isimo esisodwa esingadala ukopha ngesikhathi sokukhulelwa sibizwa ngokuthi yi-subchorionic hematoma noma ukuphuma kwegazi.

Kulesi simo, ulwelwesi lwe-chorionic luhlukane nesaka, phakathi kwe-placenta nesibeletho. Lokhu kungadala amahlule kanye nokopha. Ama-hematomas angaba makhulu noma amancane futhi, ngenxa yalokho, abangele ukopha okuphawulekayo noma okuncane kakhulu.

Yize ama-hematomas amaningi engeyona ingozi, kufanele ubone udokotela wakho ukuze ahlolwe. Bazokwenza i-ultrasound ukubona ukuthi i-hematoma inkulu kangakanani futhi bakweluleke ngezinyathelo ezilandelayo.

5. Uhlangabezana nokukhulelwa kwesisu noma ukukhulelwa nge-ectopic

Iningi labesifazane abathola ukopha ngesikhathi sokukhulelwa baletha izingane ezinempilo. Noma kunjalo, ukuphuma kwegazi ngesikhathi sokukhulelwa kwesinye isikhathi kungaba uphawu lokukhulelwa kwesisu noma ukukhulelwa kwe-ectopic.

Ukuphuphuma kwesisu kwenzeka lapho umbungu ushona esibelethweni ngaphambi kwamasonto angama-20. Ukukhulelwa kwe-ectopic kwenzeka lapho ukufakelwa kwenzeka kushubhu le-fallopian esikhundleni sesibeletho.

Xhumana nodokotela wakho uma uhlangabezana nanoma yiziphi ezinye izimpawu zokukhulelwa kwesisu:

• ukopha kakhulu
• isiyezi
• ubuhlungu noma ukucindezelwa esiswini sakho, ikakhulukazi uma kunzima

Uma uhlangabezana nokuphuphuma kwesisu, ungopha amasonto amabili noma ngaphezulu. Uma isibeletho sakho singaphumi ngokuphelele, udokotela wakho angase asikisele ukuba ne-dilation ne-curettage (D & C) noma enye inqubo yezokwelapha ukususa izicubu ezisele. Ukukhulelwa kwe-Ectopic ngokuvamile kudinga ukuhlinzwa.

6. Unama-fibroids noma uquqaba olunemicu

Uma i-fibroids ikhula esibelethweni sakho, ingaholela ekuphumeni kwegazi. Lokhu kukhula kungabangelwa yinoma yini kusuka kofuzo kuya kumahomoni. Isibonelo, uma umama noma udadewenu ene-fibroids, ungahle ube sengcupheni enkulu yokuzikhulisa ngokwakho. Abesifazane abamnyama nabo bavame ukuba nengozi ephezulu yokuthuthukisa i-fibroids.

Kanye nokuphuma kwegazi, ungahle uzwe:

• ukopha kakhulu ngesikhathi sokuya esikhathini
• izinkathi ezithatha isikhathi esingaphezu kwesonto elilodwa
• ubuhlungu noma ingcindezi okhalweni lwakho
• ukuchama kaningi
• Inkinga yokukhipha isinye sakho
• ukuqunjelwa
• iqolo noma ubuhlungu emilenzeni yakho

Uma uhlangabezana nanoma iyiphi yalezi zimpawu, bheka udokotela wakho.

Ngabe kuphuma ukopha noma ukufakelwa ukufakelwa emzimbeni?

Kunzima ukusho ukuthi ukuphuma kwegazi obhekene nakho phakathi kwemijikelezo kungukuqhamuka kokuphuma kwegazi noma ukufakelwa kokufakwa emzimbeni. Ukufakwa kwegazi ekufakweni noma yikuphi ukuphuma noma ukubona ukuthi uhlangabezana nezinsuku eziyi-10 kuya kwezingu-14 ngemuva kokukhulelwa. Abanye besifazane bayakubona lokhu, kanti abanye kungenzeka bangakutholi.

Kokubili kungenzeka phakathi kwemijikelezo ejwayelekile yokuya esikhathini. Kokubili kungakhanya ngokwanele ukuthi kungadingi itampon noma iphedi. Lokho kusho, ukuphuma kwegazi kungenzeka nganoma yisiphi isikhathi, futhi ukufakwa kwegazi kwenzeka kuphela ezinsukwini ezimbalwa ngaphambi kwesikhathi esilahlekile.

Indlela engcono kakhulu yokutshela uma ubhekene nokuhluma kwegazi ukufakelwa ukukhulelwa ekhaya noma uvakashele udokotela wakho ukuze ahlolwe igazi.

Amathiphu okuphatha

Kungenzeka noma ungakwazi ukuvimbela ukuphuma kwegazi phakathi kwezikhathi. Konke kuncike ekutheni yini ebangela ukopha kwakho.

Ukuthi kufanele ugqoke i-tampon noma iphedi noma cha kuya ngesizathu sokopha kwakho. Isibonelo, uma ukholelwa ukuthi ukuphuma kwakho kwegazi kungumphumela wokulawulwa kokuzalwa kwamahomoni, kungenzeka kuhle ukugqoka itampon. Uma ukopha kwakho kungaba umphumela wokukhulelwa kwesisu okuseduze, kungcono ukusebenzisa amaphedi.

Kungcono ukubonisana nodokotela wakho ukuthola isiqondiso sendlela yokuphatha ukopha kwakho. Uma kwenzeka kaningi, kufanele wenze i-aphoyintimenti nodokotela wakho. Udokotela wakho angakusiza ukukhomba imbangela yokopha nokwelapha izimpawu zakho.

Lapho uzobona udokotela wakho

Ukuphuma kwegazi akusona isizathu sokukhathazeka. Isibonelo, ungahle uzwe ukopha ngaphandle kwesikhathi sakho esijwayelekile sokuya esikhathini ngenxa yokulawulwa kokuzalwa okwenzayo noma ukucasula umlomo wakho wesibeletho. Kulezi zimo, ukuphuma kwegazi kuzozihambela ngokwakho ngaphandle kokwelashwa.

Uma usola ukuthi une-STI, i-fibroids, noma olunye udaba lwezokwelapha, qaphela noma yiziphi ezinye izimpawu obhekene nazo bese ushayela udokotela wakho. Ngokuvamile, kufanele ubone udokotela wakho uma ukuphuma kwegazi kunzima noma kuhambisana nobuhlungu noma ezinye izimpawu ezinzima.

Abesifazane asebefinyelele esikhathini sokuya esikhathini nabo kufanele banake kakhulu. Uma ungazange ube nesikhathi ezinyangeni eziyi-12 bese uqala ukubona ukopha okungavamile, kubalulekile ukutshela udokotela wakho. Ukopha ngemuva kokunqamuka kokuya esikhathini kungaba uphawu lwanoma yini kusuka ekuthelelekeni kuye kwi-hypothyroidism.