Ukuvuvukala Kwamabele Ngaphambi Kokuya Esikhathini Nesisa

-Delile

• Izimbangela zokuvuvukala kwangaphambi kokuya esikhathini nokuthamba
• Izimpawu zokuvuvukala kwangaphambi kokuya esikhathini nokuthamba
• Ungabiza nini udokotela
• Ukwelashwa kokuvuvukala kwamabele
• Izindlela zokuphila
• Umbono

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Ukuvuvukala kwangaphambi kokuya esikhathini nokuthamba, noma i-cyclical mastalgia, kuyinto evame ukukhathazeka phakathi kwabesifazane. Lesi sibonakaliso siyingxenye yeqembu lezimpawu ezibizwa nge-premenstrual syndrome, noma i-PMS. Ukuvuvukala kwangaphambi kokuya esikhathini nokuthamba nakho kungaba uphawu lwesifo sesifuba se-fibrocystic. Isifo sesifuba se-Fibrocystic yigama elisetshenziselwa ukuchaza amabele abuhlungu, anamaqhuqhuva ngaphambi kwesikhathi sokuya esikhathini.

Abesifazane abanalesi simo bavame ukubona izigaxa ezinkulu, ezinobungozi (ezinganomdlavuza) emabeleni abo ngaphambi kwesikhathi sabo sanyanga zonke. Lezi zigaxa zinganyakaza lapho zicindezelwa, futhi zivame ukuncipha uma isikhathi sakho sesiphelile.

Ubuhlungu besifuba obuhlobene ne-PMS bungaba bukhulu. Izimpawu zivame ukuphakama ngaphambi nje kokuya esikhathini, bese ziphela phakathi noma ngokushesha ngemuva kokuya esikhathini. Isikhathi esiningi, izimpawu ziyisicefe kunokukhathazeka okungathi sína kwezokwelapha. Noma kunjalo, noma nini lapho ukhathazekile ngoshintsho emabeleni akho, thintana nodokotela wakho. Amabele abuhlungu angaba wuphawu lokunqamuka kokuya esikhathini nezimo ezahlukahlukene zezempilo.

Izimbangela zokuvuvukala kwangaphambi kokuya esikhathini nokuthamba

Amazinga e-hormone aguquguqukayo alandisa ngeziqephu eziningi zokuvuvukala kwangaphambi kokuya esikhathini nokuthamba. Ama-hormone akho ayavuka futhi awe phakathi nomjikelezo ojwayelekile wokuya esikhathini. Isikhathi esiqondile sokushintshwa kwamahomoni siyahlukahluka kowesifazane ngamunye. I-Estrogen ibangela ukuthi imisele yamabele ikhulise. Ukukhiqizwa kweprogesterone kubangela ukuvuvukala kwezindlala zobisi. Yomibili le micimbi ingadala ukuthi amabele akho ezwe ubuhlungu.

I-Estrogen ne-progesterone kuyanda phakathi nengxenye yesibili yomjikelezo - izinsuku eziyi-14 kuye kwezingu-28 kumjikelezo “wezinsuku” ezingama-28. Ukuphakama kwe-Estrogen maphakathi nomjikelezo, kuyilapho amazinga e-progesterone enyuka phakathi nesonto ngaphambi kokuya esikhathini.

Imithi equkethe i-estrogen nayo ingadala ushintsho lwebele njengobumnene nokuvuvukala.

Izimpawu zokuvuvukala kwangaphambi kokuya esikhathini nokuthamba

Ubumnene nobukhulu emabeleni womabili yizimpawu eziyinhloko zobuhlungu bangaphambi kokuya esikhathini nokuvuvukala. Ukuqaqamba kwamabele kungaba yinkinga nakwabanye besifazane. Izicubu zakho zesifuba zingazizwa zikhulu noma ziqine lapho uthinta. Izimpawu zivame ukuvela esontweni ngaphambi kwesikhathi sakho futhi zinyamalale ngokushesha lapho kuqala ukuphuma esikhathini. Iningi labesifazane alibuzwa ubuhlungu obukhulu.

Kwezinye izimo, ukuthamba kwamabele kuthinta izindlela zansuku zonke zabesifazane abaneminyaka yobudala bokubeletha, futhi akuhlobene neze nomjikelezo wokuya esikhathini.

Ngenxa yoshintsho lwemvelo emazingeni ama-hormone avela njengowesifazane ubudala, ukuvuvukala kwangaphambi kokuya esikhathini nokuthamba kuvame ukuba ngcono lapho kusondela ukunqamuka kokuya esikhathini. Izimpawu ze-PMS zingafana ncamashi nalezo zokukhulelwa zisencane; funda ukuthi ungahlukanisa kanjani phakathi kwalokhu okubili.

Ungabiza nini udokotela

Izinguquko zesifuba ezingazelelwe noma ezikhathazayo kufanele kuxoxwe ngazo nodokotela wakho. Ngenkathi izinhlungu zesifuba sangaphambi kokuya esikhathini nokuvuvukala kungenangozi, lezi zimpawu zingaba yizixwayiso zokutheleleka noma ezinye izimo zezokwelapha. Xhumana nomhlinzeki wakho wezempilo uma uqaphela:

• izigaxa zesifuba ezintsha noma eziguqukayo
• ukuphuma engonweni, ikakhulukazi uma ukucucuza kunsundu noma kunegazi
• ubuhlungu besifuba obuphazamisa amandla akho okulala noma ukwenza imisebenzi yansuku zonke
• izigaxa ezibumbene, noma izigaxa ezivela ebeleni elilodwa kuphela

Udokotela wakho uzokwenza ukuhlolwa komzimba, kufaka phakathi ukuhlolwa kwebele, futhi uzocela imininingwane eminingi mayelana nezimpawu zakho. Udokotela wakho angabuza le mibuzo elandelayo:

• Uke wabona noma yikuphi ukukhishwa engonweni?
• Yiziphi ezinye izimpawu (uma zikhona) ohlangabezana nazo?
• Ingabe ubuhlungu besifuba nobumnene kwenzeka esikhathini ngasinye sokuya esikhathini?

Ngesikhathi sokuhlolwa kwesifuba, udokotela wakho uzozizwela nganoma yiziphi izigaxa, futhi azothatha amanothi ngezimfanelo zomzimba zezigaxa. Uma ubuzwa, udokotela wakho angakubonisa nokuthi ungakwenza kanjani kahle ukuzihlola kwesifuba.

Uma udokotela wakho ethola ushintsho olungavamile, bangenza i-mammogram (noma i-ultrasound uma ungaphansi kweminyaka engama-35). I-mammogram isebenzisa i-X-ray imaging ukubuka ingaphakathi lesifuba. Ngalesi sivivinyo, isifuba sifakwa phakathi kwepuleti le-X-ray neplastiki bese sicindezelwa, noma sicabafulelwe, ukwakha isithombe esicacile. Lokhu kuhlolwa kungadala ukungakhululeki kwesikhashana noma ukuzwa ukucinana. Kwezinye izimo, i-biopsy (isampula lesicubu esivela esigaxeni sesifuba) kungadingeka uma izigaxa zibonakala zinobungozi (zinomdlavuza).

Ukwelashwa kokuvuvukala kwamabele

Ubuhlungu besifuba sangaphambi kokuya esikhathini bungelashwa ngempumelelo ngemithi yokulwa nokuvuvukala ye-over-the-counter (i-NSAIDs), efana ne:

• acetaminophen
• ibuprofen
• i-naproxen sodium

Le mithi ingaphinde iqede ukucinana okuhambisana ne-PMS.

Abesifazane abanesifo sokuvuvukala kwamabele ngokulingene kuya kokulingene kufanele bathinte udokotela wabo ngenkambo engcono kakhulu yokwelashwa. I-diuretics inganciphisa ukuvuvukala, isisa, nokugcinwa kwamanzi. Kodwa-ke, imishanguzo yokwelapha isisu ikhuphula ukuphuma kwakho komchamo futhi ingakhuphula nobungozi bokuphelelwa ngamanzi emzimbeni. Sebenzisa imiyalo enjalo ngokucophelela ngaphansi kokuqondisa kukadokotela wakho.

Ukulawulwa kokubeletha kwe-Hormonal, kufaka phakathi amaphilisi omlomo wokuvimbela inzalo, nakho kungathulisa izimpawu zakho zangaphambi kokuya esikhathini. Buza umhlinzeki wakho wezokunakekelwa kwempilo mayelana nalezi zinketho uma uzwa ubuhlungu obukhulu besifuba futhi awunasifiso sokukhulelwa kungekudala.

Uma ubuhlungu bakho bukhulu, udokotela wakho angancoma umuthi iDanazol, osetshenziselwa ukwelapha i-endometriosis kanye nezimpawu zesifo sesifuba se-fibrotic. Lesi sidakamizwa singaba nemiphumela emibi kakhulu ngakho-ke kufanele sisetshenziswe kuphela uma ezinye izindlela zokwelapha zingasebenzi.

Izindlela zokuphila

Izinguquko zendlela yokuphila zingasiza futhi ukuphatha ukuvuvukala kwangaphambi kokuya esikhathini nokuthamba. Gqoka ubhodisi wezemidlalo osekelayo lapho izimpawu zimbi kakhulu. Ungase ukhethe ukufaka ubhodisi nasebusuku, ukuhlinzeka ukwesekwa okwengeziwe ngenkathi ulele.

Ukudla kungadlala indima ebuhlungwini besifuba. I-caffeine, utshwala, nokudla okunamafutha amaningi nosawoti kungakhuphula ukungakhululeki. Ukunciphisa noma ukususa lezi zinto ekudleni kwakho evikini noma amabili ngaphambi kwesikhathi sakho kungasiza ukuphatha noma ukuvimbela izimpawu.

Amavithamini namaminerali athile angasiza ekunciphiseni ubuhlungu besifuba kanye nezimpawu ezihlobene ne-PMS. UMnyango Wezempilo kanye neHhovisi Lezinsizakalo Zabantu e-U.S. On the Women’s Health uncoma ukusetshenziswa kukavithamini E no-400 milligrams we-magnesium nsuku zonke ukusiza ukudambisa izimpawu ze-PMS. Ungathola izinketho ezahlukahlukene lapha. Njengoba izengezo zingabhekwa yi-FDA, khetha kumkhiqizi onedumela elihle.

Khetha izinhlobo ezahlukahlukene zokudla ezicebile kulezi zakhi zomzimba, njenge:

• amakinati
• isipinashi
• amantongomane
• ummbila, umnqumo, u-safflower, namafutha we-canola
• izaqathe
• ubhanana
• i-oat bran
• ukwatapheya
• irayisi elinsundu

Udokotela wakho futhi angancoma izengezo zamavithamini.

Ukuzihlola nakho kungasiza ukuqapha noma yikuphi ukuguqulwa kwezicubu zamabele. Ngokusho kwe-American Cancer Society (ACS), abesifazane abaneminyaka engama-20 nengama-30 kufanele benze izivivinyo zamabele kanye ngenyanga, imvamisa ngemuva kwesikhathi sabo sanyanga zonke, lapho ukuvuvukala nobumnene kuncane. AmaMammograms ayelulekwa ngemuva kweminyaka yobudala engama-45 futhi angacatshangelwa phambilini. Udokotela wakho angancoma ama-mammograms njalo eminyakeni emibili noma ngaphezulu uma kunengozi encane.

Ukuzivocavoca nakho kungathuthukisa ubuhlungu besifuba, amajaqamba nokukhathala okuhambisana ne-PMS.

Umbono

Ukuthamba kwangaphambi kokuya esikhathini nokuvuvukala kuvame ukuphathwa ngempumelelo ngokunakekelwa kwasekhaya nemithi lapho kudingeka. Xoxa ngesimo sakho nomhlinzeki wakho wezokunakekelwa kwempilo uma izinguquko zendlela yokuphila nemithi ingakusizi uzizwe ungcono.