Yini Ebangela Ukuchithwa Kwesitho Sangasese Esimnyama futhi Kuphathwa Kanjani?
-Delile
- Ingabe ukukhishwa onsundu kuyimbangela yokukhathazeka?
- Ukuqala noma ukuphela kwesikhathi sakho
- Ukungalingani kweHormonal kumjikelezo wakho wokuya esikhathini
- Ukuvimbela inzalo ngamahomoni
- Ukubonakala kwe-ovulation
- I-ovary cyst
- I-BV, i-PID, noma okunye ukutheleleka
- I-Endometriosis
- I-Polycystic ovarian syndrome (i-PCOS)
- Ukufakelwa
- Ukukhulelwa kwe-Ectopic
- Ukuphuphuma kwesisu
- Lochia
- Isikhathi sokuqeda isikhathi
- Ingabe umdlavuza?
- Ukubonana nodokotela nini
Ingabe ukukhishwa onsundu kuyimbangela yokukhathazeka?
Ukukhishwa kwesitho sangasese sowesifazane onsundu kungabukeka kuyethusa, kodwa akusona njalo isizathu sokukhathazeka.
Ungawubona lo mbala phakathi nomjikelezo wakho, imvamisa ngesikhathi sokuya esikhathini.
Kungani? Lapho igazi lithatha isikhathi esengeziwe ukuphuma emzimbeni kusuka esibelethweni, liyaxhuma. Lokhu kungadala ukuthi ibonakale ikhanya ngokukhanyayo noma nsundu ngombala.
Uma uhlangabezana nokukhishwa onsundu, qaphela isikhathi saso nezinye izimpawu ohlangabezana nazo. Ukwenza kanjalo kungakusiza ukuthola imbangela eyisisekelo.
Ukuqala noma ukuphela kwesikhathi sakho
Ukuhamba kwakho kokuya esikhathini - isilinganiso lapho igazi liphuma khona esithweni sangasese esibelethweni - ngokuvamile kuhamba kancane ekuqaleni nasekupheleni kwesikhathi sakho.
Lapho igazi liphuma emzimbeni ngokushesha, imvamisa kuba umthunzi obomvu. Lapho ukugeleza kuhamba kancane, igazi linesikhathi sokuxhuma. Lokhu kuyenza ibe nsundu noma ibe mnyama ngombala.
Uma ubona igazi elinsundu ekuqaleni noma ekupheleni kwesikhathi sakho, lokhu kuvamile ngokuphelele. Isitho sakho sangasese simane siyazihlanza.
Ukungalingani kweHormonal kumjikelezo wakho wokuya esikhathini
Ngezinye izikhathi, ukukhishwa onsundu kungakhombisa ukungalingani kwe-hormonal.
I-Estrogen isiza ukuzinzisa ulwelwesi lwe-endometrial (uterine). Uma une-estrogen encane kakhulu ejikelezayo, ulwelwesi lungahle lwehle ezindaweni ezihlukene kulo lonke umjikelezo wakho.
Ngenxa yalokho, ungathola ukubonwa okusobala noma okunye ukuphuma kwegazi okungavamile.
I-estrogen ephansi nayo ingadala:
- ukushisa okushisayo
- ukuqwasha
- ukushintsha kwemizwelo noma ukucindezeleka
- ubunzima bokugxila
- izifo zomgudu womchamo
- ukuzuza kwesisindo
Ukuvimbela inzalo ngamahomoni
Ukuvimbela inzalo ngamahomoni, njengamaphilisi okulawula ukubeletha, kungaholela ekuboneni ezinyangeni zokuqala zokusetshenziswa.
Ukuphuma kwegazi kuvame kakhulu uma umuthi wakho wokukhulelwa uqukethe ama-micrograms angaphansi kwama-35 we-estrogen.
Uma kune-estrogen encane kakhulu emzimbeni, udonga lwakho lwesibeletho lungachitheka phakathi kwezikhathi.
Futhi uma leli gazi lithatha isikhathi eside kunokujwayelekile ukushiya umzimba, lingabonakala linsundu.
Uma ukubona kwakho kuqhubeka isikhathi esingaphezu kwezinyanga ezintathu, cabanga ukukhuluma nodokotela ngokushintsha izindlela zokulawula ukubeletha. Ukuvimbela inzalo nge-estrogen eningi kungasiza ukumisa ukubonwa.
Ukubonakala kwe-ovulation
Inani elincane labantu - elizungezile - libona ukubonwa kwe-ovulation maphakathi nemijikelezo yabo yokuya esikhathini. Yilapho iqanda likhishwa khona esibelethweni.
Umbala wokubonwa ungahle ubonakale usubomvu uye kupinki uye nsundu futhi ungaxubaniswa nokukhipha okucacile.
Ezinye izimpawu zokuvuthwa zifaka:
- ukukhipha okuhambisana nokuvumelana okumhlophe kweqanda
- Ubuhlungu besisu obuphansi (Mittelschmerz)
- ushintsho ekushiseni komzimba okuyisisekelo
Khumbula ukuthi uvundile kakhulu ezinsukwini zangaphambilini futhi kufaka phakathi i-ovulation.
I-ovary cyst
Ama-cysts ama-ovari ngamaphakethe agcwele uketshezi noma amasaka akhula ku-ovari eyodwa noma womabili.
Isibonelo, i-cyst follicular ingahle ikhule uma iqanda lingaphumeleli ngempumelelo kusuka esibelethweni ngesikhathi sokuvuthwa. Kungenzeka kungabangeli zimpawu futhi kungahle kuzihambele ngemuva kwezinyanga ezimbalwa.
Kwesinye isikhathi, i-cyst ayixazululi futhi ingakhula ibe nkulu. Uma lokhu kwenzeka, kungadala noma yini kusuka ekubonakaleni nsundu kuya ebuhlungwini noma ekusindiseni okhalweni lwakho.
Ama-cysts anoma yiluphi uhlobo aqhubeka nokukhula engcupheni yokuqhekeka noma ukusonteka i-ovary. Uma usola ukuthi ungaba ne-cyst, bheka udokotela noma omunye umhlinzeki wezokunakekelwa kwempilo.
I-BV, i-PID, noma okunye ukutheleleka
Izifo ezithathelwana ngocansi (ama-STI) zingaholela ekubonakaleni okumpunga noma ekopha.
Ezinye izifo, njenge-gonorrhea noma i-chlamydia, kungenzeka zingabangeli izimpawu ezigabeni zokuqala.
Ngokuhamba kwesikhathi, izimpawu ezingaba khona zifaka phakathi ubuhlungu bokuchama, ukucindezela kwe-pelvic, ukukhishwa kwesitho sangasese sowesifazane, nokubona phakathi kwezikhathi.
I-bacterial vaginosis (BV) okunye ukutheleleka okungenzeka okungadluliselwa ngokuxhumana kocansi.
Esikhundleni salokho, kubangelwa ukugcwala kwamagciwane okungaholela ekuguqulweni kokuthungwa, umbala, noma iphunga lokukhishwa kwakho.
Kubalulekile ukubona udokotela wakho uma usola ukuthi une-STI noma esinye isifo.
Ngaphandle kokwelashwa, ungahlakulela lokho okubizwa ngokuthi isifo se-pelvic inflammatory (PID) futhi ube sengcupheni yokungazali noma ubuhlungu obungapheli be-pelvic.
I-Endometriosis
I-Endometriosis yisimo lapho izicubu ezifana nolwelwesi lwesibeletho zikhula ezindaweni ezingaphandle kwesibeletho. Kungadala noma yini kusuka ezinkathini ezibuhlungu, ezisindayo ukuya ekuboneni phakathi kwezikhathi.
Ngaphandle kwendlela yokuphuma emzimbeni lapho ichithwa, i-endometrium iyavaleleka futhi ingadala ubuhlungu obukhulu, ukukhishwa okunsundu, nezinkinga zokuzala.
Ezinye izimpawu zingafaka:
- ukuqunjelwa
- isicanucanu
- ukukhathala
- ukuqunjelwa
- isifo sohudo
- ukuchama kabuhlungu
- ubuhlungu ngesikhathi socansi lwesitho sangasese sowesifazane
I-Polycystic ovarian syndrome (i-PCOS)
Nge-PCOS, ungahle ube nezikhathi zokuya esikhathini ezingajwayelekile noma ezingavamile.
Ungaba nezikhathi ezimbalwa njengezikhathi eziyisishiyagalolunye ngonyaka, noma ngaphezulu kwezinsuku ezingama-35 phakathi nesikhathi ngasinye sokuya esikhathini.
Ungahle uthuthukise ama-cysts ama-ovari futhi uzwe ukubona okusobala phakathi nezikhathi ngenxa yokweqa kwe-ovulation.
Ezinye izimpawu zingafaka:
- ikhanda
- induna
- ukufiphala kwesikhumba
- ukuncipha kwezinwele noma ukukhula kwezinwele okungafuneki
- ukudana, ukukhathazeka, nezinye izinguquko zemizwa
- ukuzuza kwesisindo
Ukufakelwa
Ukufakelwa kabusha kwenzeka lapho iqanda elikhulelwe lizifaka emgqeni wakho wesibeletho.
Kwenzeka ezinsukwini eziyi-10 kuya kwezingu-14 ngemuva kokukhulelwa futhi kungadala ukopha okukhanyayo kwemibala ehlukahlukene, kufaka phakathi onsundu.
Ezinye izimpawu zokuqala zokukhulelwa zingafaka:
- ukuqunjelwa kwesibeletho
- ukuqunjelwa
- isicanucanu
- ukukhathala
- amabele abuhlungu
Cabanga ukuthatha ukuhlolwa kokukhulelwa ekhaya uma isikhathi sakho sesihambile noma uhlangabezana nokubonwa okusobala endaweni yaso.
Uma uthola imiphumela evumayo yokuhlolwa, yenza i-aphoyintimenti nodokotela noma enye i-HCP ukuqinisekisa imiphumela yakho bese nixoxa ngezinyathelo ezilandelayo.
Ukukhulelwa kwe-Ectopic
Kwesinye isikhathi iqanda elikhulelisiwe lingazifaka kumashubhu e-fallopian noma esibelethweni, esiswini, noma esibelethweni. Lokhu kubizwa ngokuthi yi-ectopic pregnancy.
Ngaphezu kokubona oku nsundu, ukukhulelwa kwe-ectopic kungadala:
- ubuhlungu obukhali esiswini, okhalweni, entanyeni, noma ehlombe
- ubuhlungu obukabili bomgogodla
- isiyezi
- ukuquleka
- ingcindezi emunxeni
Bona udokotela noma omunye umhlinzeki wokunakekelwa kwezempilo ngokushesha uma uhlangabezana nanoma yiziphi zalezi zimpawu eceleni kokubona okusobala.
Ngaphandle kokwelashwa, ukukhulelwa kwe-ectopic kungadala ukuthi ithubhu lakho lokuqhuma liqhume. Ishubhu eliphukile lingadala ukopha okukhulu futhi lidinga ukwelashwa ngokushesha.
Ukuphuphuma kwesisu
Noma ikuphi ukusuka kumaphesenti ayi-10 kuye kwangama-20 okukhulelwa kugcina ngokuphuphuma kwesisu, imvamisa ngaphambi kokuba umbungu ufike emasontweni ayishumi okukhulelwa.
Izimpawu zingavela ngokuzumayo futhi zibandakanye ukuphuma kuketshezi olunsundu noma ukopha okubomvu okusindayo.
Ezinye izimpawu zingafaka:
- ukuqunjelwa noma ubuhlungu esiswini sakho esingezansi
- izicubu ezidlulayo noma amahlule egazi avela esithweni sangasese sowesifazane
- isiyezi
- ukuquleka
Ukopha ekukhulelweni kokuqala kungaba yinto evamile, kodwa kubalulekile ukubika ukukhishwa onsundu noma ezinye izimpawu ezingavamile kudokotela.
Bangasiza ukuxilonga imbangela eyisisekelo futhi bakweluleke nganoma yiziphi izinyathelo ezilandelayo.
Lochia
I-Lochia isho isikhathi sokuphuma kwegazi amasonto amane kuya kwayisithupha ngemuva kokubeletha.
Kuqala njengokugeleza okubomvu okusindayo, okuvame ukugcwaliswa ngamahlule amancane.
Ngemuva kwezinsuku ezimbalwa, ukopha kuyehla kancane. Kungaba umbala obomvana noma onsundu ngokwengeziwe.
Ngemuva kwezinsuku ezingaba yishumi, lokhu kukhishwa kuyashintsha futhi kube nombala ophuzi noma o-creamy ngaphambi kokuba usuke ngokuphelele.
Bheka udokotela uma uba nomqubuko onuka kabi noma umkhuhlane, noma udlula amahlule amakhulu. Lokhu kungaba yizimpawu zokutheleleka.
Isikhathi sokuqeda isikhathi
Izinyanga neminyaka ngaphambi kokunqamuka kokuya esikhathini kubizwa ngokuthi yi-perimenopause. Iningi labantu liqala ukuphela kwesikhathi esikhathini seminyaka engama-40.
Isikhathi sangaphambi kwesikhathi sibonakala ngokuguquguquka kwamazinga e-estrogen. Lokhu kungadala ukopha okungajwayelekile noma ibala, okungahle kube nsundu, kupinki noma kubomvu ngombala.
Ezinye izimpawu ezikhona zingafaka:
- ukushisa okushisayo
- ukuqwasha
- ukucasuka nezinye izinguquko zemizwelo
- ukoma kwesitho sangasese sowesifazane noma ukungabambeki
- izinguquko ze-libido
Ingabe umdlavuza?
Ngemuva kokufinyelela esikhathini, ukubona noma ukuphuma kwegazi phakathi kwezikhathi noma ngemuva kocansi - kwanoma imuphi umbala noma ukungaguquguquki - kuyisibonakaliso esivame kakhulu somdlavuza we-endometrium.
Ukukhishwa okungajwayelekile kwesitho sangasese sowesifazane nakho kungumphumela ohlangothini ovamile womdlavuza womlomo wesibeletho.
Izimpawu ezingaphezu kokukhishwa ngokuvamile aziveli kuze kube yilapho umdlavuza uthuthukile.
Izimpawu zomdlavuza osezingeni eliphakeme zingabandakanya:
- ubuhlungu be-pelvic
- ukuzwa isisindo
- ukuncipha komzimba
- ukukhathala okuqhubekayo
- unenkinga yokuchama noma ukuzikhulula
- ukuvuvukala kwemilenze
Ukuhambisana nezivivinyo zaminyaka yonke ze-pelvic kanye nezingxoxo ezivamile nodokotela wakho kuyisihluthulelo sokuthola ngokushesha nokwelashwa ngokushesha.
Ukubonana nodokotela nini
Ezimweni eziningi, ukukhishwa okunsundu kuyigazi elidala okuthatha isikhathi esithe xaxa ukushiya isizalo. Lokhu kuyiqiniso ikakhulukazi uma ulibona ekuqaleni noma ekugcineni kwesikhathi sakho sokuya esikhathini.
Ukukhishwa okuBrown kwamanye amaphuzu kumjikelezo wakho kusengaba okujwayelekile - kepha qiniseka ukuthi uqaphele ezinye izimpawu ohlangabezana nazo.
Kufanele ubone udokotela noma omunye umhlinzeki wezokunakekelwa kwezempilo uma ubona ushintsho ekukhishweni kwakho ngesikhathi sokukhulelwa noma uhlangabezana nezimpawu zokutheleleka.
Funa ukwelashwa ngokushesha uma uphuma igazi ngokungajwayelekile noma ubala ngemuva kokunqamuka kokuya esikhathini.