Konke Okufanele Ukwazi Ngezitho Zokuzala Zabesifazane

-Delile

• Izitho zokuzala zabesifazane
• Vulva
• Ubulili
• Isibeletho
• Amashubhu we-fallopian
• Amaqanda
• Umsebenzi ngamunye
• Vulva
• Ubulili
• Isibeletho
• Amashubhu we-fallopian
• Amaqanda
• Indima yesibeletho
• Izimo ezingaphakama
• Izifo
• Izindlala zesibeletho
• I-Endometriosis
• I-Polycystic ovary syndrome (i-PCOS)
• Ama-cysts ama-ovari nama-polyp wesibeleko
• Umdlavuza
• Ukungabi nenzalo
• Ukubonana nodokotela nini
• Okubalulekile

Uhlelo lokuzala lwabesifazane luqukethe zombili izingxenye zangaphakathi nezangaphandle. Inemisebenzi eminingana ebalulekile, kufaka phakathi:

• ukukhulula amaqanda, okungenzeka ukuthi avundiswe yisidoda
• ukukhiqiza ama-hormone abesilisa besifazane, njenge-progesterone ne-estrogen
• ukuhlinzeka ngemvelo yeqanda elikhulelwe ukuba likhule ngesikhathi sokukhulelwa
• ukwenza lula ukubeletha nokubeletha

Kodwa zithini izingxenye ngazinye zesistimu yokuzala yowesifazane, futhi zenzani? Qhubeka ufunde njengoba sixoxa ngale mibuzo nokuningi ngezansi.

Izitho zokuzala zabesifazane

Ake sihlole ingxenye ngayinye yohlelo lokuzala lwabesifazane ngemininingwane ethe xaxa.

Vulva

I-vulva yigama elinikezwa izingxenye zangaphandle zesistimu yokuzala yabesifazane. I-vulva empeleni ifaka izakhiwo eziningi ezahlukahlukene, njenge:

• Ama-Mons pubis: I-mons pubis iyindunduma yezicubu ebekwe ngaphezulu kwamathambo e-pubic. Imbozwe ngokwejwayelekile ezinweleni zasesizindeni.
• ULabia majora: Ama-labia majora ayiziqu zesikhumba ezitholakala ngaphansi kwama-mons pubis. Zimboza ezinye izingxenye eziningi zesitho sangasese.
• Labia minora: Lawa amafolda amancane esikhumba amboze i-vestibule yesitho sangasese.
• I-Vestibule: Le yindawo etholakala phakathi kwe-labia minora. Iqukethe ukuvuleka kwesitho sangasese sowesifazane kanye nomchamo.
• Clitoris: Etholakala phezulu kwe-labia minora, i-clitoris iyazwela kakhulu ekuvuseleleni.
• Izindlala zikaBartholin: Lezi yizindlala ezimbili ezincane ezitholakala ngapha nangapha kokuvula kwesitho sangasese sowesifazane.
• Izindlala zikaSkene: Lezi zindlala zitholakala esithweni sangasese sangasese esiseduze nomchamo. Bangaba yingxenye ye-G-spot, futhi badlale indima ekuvukeni kocansi.

Ubulili

Ukuvuleka kwesitho sangasese sowesifazane kutholakala ku-vestibule yesitho sangasese. Isitho sangasese sowesifazane uqobo siyishubhu yemisipha esukela kulokhu kuvulwa iye engxenyeni engezansi yesibeletho (umlomo wesibeletho).

Ukuvulwa kwesitho sangasese sangasese kungambozwa ingxenye ethile yethishu ebizwa ngokuthi yi-hymen. Ingoma ingahle yephulwe ngezinto ezifana nocansi, ukufaka itampon, noma imisebenzi ebonakalayo njengokugibela ibhayisikili.

Isibeletho

Isibeletho siyisitho semisipha, esimise okwepheya esitholakala okhalweni. Yenziwe izingxenye ezimbili ezinkulu:

• Umlomo wesibeletho: Umlomo wesibeletho yingxenye engezansi yesibeletho. Ixhuma umzimba omkhulu wesibeletho nesitho sangasese sowesifazane.
• Corpus (umzimba): Lesi ingxenye enkulu, enkulu yesibeletho.

Amashubhu we-fallopian

Amashubhu we-fallopian axhumanisa isibeletho namaqanda. Ithubhu elilodwa le-fallopian lihlotshaniswa ne-ovary ngayinye.

Amaqanda

Lezi yizitho ezimbili ezimise okweqanda ezikhona okhalweni lwakho, ngapha nangapha kwesibeletho sakho. Amaqanda axhumene namashubhu, okuthi nawo awaxhumanise nesibeletho.

Umsebenzi ngamunye

Manje ake sihlole ukusebenza kwengxenye ngayinye ehlukene yohlelo lokuzala lwabesifazane.

Vulva

Imisebenzi esemqoka yesitho sangasese sangasese yile:

• vikela izingxenye zangaphakathi zesistimu yokuzala yabesifazane (i-labia majora ne-minora)
• badlale indima ekuvuseleleni ngocansi nasekuvuseleleni (i-clitoris)
• lula ucansi, njengokuhlinzeka ngokuthambisa (izindlala zeBartholin) nokuqinisa (mons pubis)

Ngokwengeziwe, i-urethra yesifazane nayo itholakala ku-vulva. Lesi yisikhala lapho kukhishwa khona umchamo.

Ubulili

Isitho sangasese sowesifazane sinemisebenzi eminingana, engafaka phakathi:

• ukuthola ithoyizi noma umthondo omile ngesikhathi socansi
• isebenza njengomsele wokuzalwa ngesikhathi sokubeletha
• ukuvumela igazi lokuya esikhathini lidlule emzimbeni wakho ngesikhathi sakho

Isibeletho

Isibeletho isitho sowesifazane sokuzala esithola iqanda elikhulelwe futhi sisekele ukukhula kwaso ngesikhathi sokukhulelwa. Sizoxoxa ngesibeletho ngokuningiliziwe ngezansi.

Amashubhu we-fallopian

Amashubhu we-fallopian asebenza ukuhambisa iqanda lisuka emaqandeni liye esibelethweni. Ukuncipha kwemisipha okushelelayo nokushaya ngesigqi kwezakhiwo ezincane ezinjengezinwele ezibizwa ngokuthi i-cilia kusiza ekugcineni iqanda lihambela esibelethweni. Ukuvundisa kuvame ukwenzeka kushubhu lesisu.

Amaqanda

Umsebenzi oyinhloko wamaqanda ukukhipha amaqanda. Lapho uzalwa, amaqanda akho aqukethe wonke amaqanda owakhiphayo phakathi nesikhathi sakho sempilo. Kanye ngenyanga, iqanda elivuthiwe likhishwa kuma-ovari ngenqubo ebizwa nge-ovulation.

Ama-ovari abuye akhiqize izinhlobo ezahlukahlukene zamahomoni ezocansi abesifazane, okubalulekile ekulawuleni umjikelezo wesifazane nokukhulelwa. Lokhu kufaka phakathi i-progesterone ne-estrogen.

Indima yesibeletho

Isibeletho singesinye sezitho ezivelele zohlelo lokuzala lwabesifazane. Kusebenza imisebenzi ebalulekile ngesikhathi sokukhulelwa nokubeletha.

Ulwelwesi lwangaphakathi olugobhoza isibeletho lubizwa ngokuthi i-endometrium. Ubukhulu balolulwelwesi bungahluka ngokuya ngamazinga ama-hormone ahlukahlukene kuwo wonke umjikelezo wokuya esikhathini.

Isibonelo, ngesikhathi somjikelezo wowesifazane, ukwanda kwamahomoni i-estrogen ne-progesterone kubangela ukuthi ulwelwesi lwesibeletho lujiye. Lokhu kusiza ukulungiselela isibeletho ukwamukela nokukhulisa iqanda elikhulelwe ngesikhathi sokukhulelwa.

Uma kungekho manyolo ovelayo, iqanda liqala ukonakala. Izinga le-estrogen ne-progesterone nalo liyancipha. Iqanda lidlula emzimbeni, kanye ne-endometrium, ngesikhathi sakho.

Uma isidoda sivundisa iqanda, ukufakelwa kweqanda kulayini wesibeletho bese kuqala ukukhula. Ngesikhathi sokukhulelwa, isibeletho sikhulisa izikhathi eziningi ubukhulu baso obujwayelekile. Kulinganiselwa ukuthi isibeletho singakhuphuka ngo- (cishe u-0.4 amayintshi) ngesonto.

Ngesikhathi sokubeletha, izivumelwano zesibeletho. Lezi zingqinamba zisiza ukukhulisa umlomo wesibeletho futhi zisize nasekulethweni kwengane.

Izimo ezingaphakama

Izimo eziningi ezahlukahlukene zingathinta izitho zokuzala zabesifazane. Sizohlola okunye okuvame kakhulu ngezansi.

Izifo

Izinhlobo zezifo ezithathelwana ngocansi (ama-STI) zingathinta izitho zokuzala zabesifazane, kufaka phakathi:

• gonorrhea
• chlamydia
• ugcunsula
• i-human papillomavirus (HPV)
• igciwane le-herpes simplex (HSV)
• I-HIV
• trichomoniasis

Lezi zifo kungenzeka zingabi nazimpawu. Kodwa-ke, kwezinye izimo, ukuvuvukala, ubuhlungu, nokukhishwa okungavamile kwesitho sangasese sowesifazane kungaba khona. Ezinye izifo ezinjenge-HPV ne-HSV, zingadala izilonda ezithweni zangasese.

Ama-STI amaningi angaba nezinkinga ezinkulu. Lokhu kungafaka izinto ezifana nesifo sokuvuvukala okhalo (PID), ukukhula komdlavuza, noma ukudlulisela ukutheleleka enganeni ngesikhathi sokubeletha.

Izindlala zesibeletho

I-uterine fibroids yenzeka lapho ukukhula okuyingozi (okungekho umdlavuza) kwenzeka noma esibelethweni. Lokhu kukhula kungahluka ngosayizi. Owesifazane angaba ne-fibroid eyodwa kuphela noma angaba nama-fibroids amaningana.

Ama-Fibroids awazibangeli njalo izimpawu. Lapho bekwenza, ungahle uhlangabezane nezinto ezinjengokopha kakhulu ngesikhathi sakho, ubuhlungu be-pelvic, nokuchama njalo.

Isikhathi esiningi, i-fibroids ayiyona ingozi. Kodwa-ke, kwesinye isikhathi kungadala izinkinga ezifana ne-anemia noma ukungabi nenzalo.

I-Endometriosis

I-Endometriosis kulapho i-endometrium ikhula kwezinye izindawo ngaphandle kwengaphakathi lesibeletho sakho. Kungathinta ingaphandle lesibeletho, ama-ovari kanye namashubhu we-fallopian, noma ezinye izicubu ezithangeni.

Uphawu oluvame kakhulu lwe-endometriosis ubuhlungu be-pelvic. Lobuhlungu bungase bungapheli noma bube khona ngesikhathi socansi, ngesikhathi sakho, noma ngenkathi uya endlini yangasese. Esinye isibonakaliso esivamile ukuphuma kwegazi phakathi kwezikhathi.

I-Endometriosis ihlotshaniswa nokungazali. Kungase futhi kuxhunyaniswe nezinye izimo ezinjengomdlavuza othile nezimo ezizimele.

I-Polycystic ovary syndrome (i-PCOS)

I-PCOS yisimo esithinta ama-ovari akho. Kubangelwa ukungalingani kwamahomoni okuzala. Ngenxa yalokhu, amaqanda kungenzeka angakhuli kahle noma angahle akhishwe esibelethweni.

Ezinye izimpawu ezingaba khona ze-PCOS yizikhathi ezingajwayelekile, induna nokuzuza kwesisindo. Izinkinga ze-PCOS zingafaka ukungazali, izinkinga ngesikhathi sokukhulelwa, kanye nokukhula kwesifo sikashukela.

Ama-cysts ama-ovari nama-polyp wesibeleko

Ama-cysts ama-ovarian angamaqhubu agcwele uketshezi angavela kuma-ovari futhi imvamisa awazibangeli izimpawu ngaphandle kokuthi aqhume noma avimbe ukugeleza kwegazi liye kuma-ovari. Ngokujwayelekile bazohamba ezinyangeni ezimbalwa ngaphandle kokwelashwa.

Ama-polyps wesibeletho ngokuvamile yizilonda ezingenasifo somdlavuza ezingakhula engxenyeni yangaphakathi yesibeletho. Imvamisa azibangeli zimpawu, kepha ungahlangabezana:

• ukopha okungajwayelekile
• ukopha kakhulu
• ukuphuma kwe-postmenopausal
• i-prolapse, lapho i-polyp iphuma khona esibelethweni ngomlomo wesibeletho

Umdlavuza

Umdlavuza ungathinta cishe zonke izingxenye zomzimba wokuzala futhi ungafaka:

• umdlavuza we-vulvar
• umdlavuza wangasese
• umdlavuza wesibeletho
• umdlavuza wesibeletho
• umdlavuza we-ovari
• umdlavuza we-fallopian tube

Izimpawu zohlobo ngalunye lomdlavuza zingahluka ngohlobo oluthile lomdlavuza. Kodwa-ke, ezinye izimpawu okufanele uzibheke zingafaka ukopha okungavamile noma ukukhipha, ubuhlungu be-pelvic noma ingcindezi, kanye nezinguquko esikhunjeni somzimba.

Ezinye izinto zingakhuphula ingozi yomdlavuza wokuzala, njenge-HPV, ukubhema, noma ukuba nomlando womndeni womdlavuza wokuzala.

Ukungabi nenzalo

Ukungabi nenzalo kuchazwa njengokuhluleka ukukhulelwa ngemuva konyaka wokuzama. Kubalulekile ukuthi wazi ukuthi zombili izinto zesilisa nezesifazane zinganikela ekungazali.

Kwabesifazane, izinto ezilandelayo zingadala ukungabi nenzalo:

• izimo ezithinta i-ovulation, njenge-PCOS noma ukungakwazi ukusebenza kwe-ovarian ngaphambi kwesikhathi (POI)
• ukulimala kwamashubhu we-fallopian ngenxa yezifo ezithathelana ngokocansi noma isibazi sokuhlinzwa kwangaphambilini
• Izinkinga zesibeletho, njenge-fibroids noma isibeletho esime ngokungajwayelekile

Ezinye izinto zingakhuphula ubungozi besifazane bokuzala. Izibonelo zifaka phakathi ukukhula kweminyaka, ukubhema, kanye nokucindezeleka ngokweqile ngokomzwelo noma ngokomzimba.

Ukubonana nodokotela nini

Kungumthetho omuhle ukwenza isikhathi sokubonana nodokotela wakho ukuxoxa nganoma yimiphi imibuzo noma ukukhathazeka okungenzeka ukuthi ninakho okubandakanya impilo yakho yokuzala noma ukuzala.

Ukwengeza, ezinye izimpawu zokuthi kungaba umqondo omuhle ukubiza udokotela wakho zifaka:

• ukuba ngaphansi kuka-35 futhi angakwazi ukukhulelwa ngemuva konyaka wokuzama
• ukuba neminyaka engama-35 noma ngaphezulu futhi ungakwazi ukukhulelwa ngemuva kwezinyanga eziyisithupha uzama
• izikhathi ezibuhlungu
• ubuhlungu ngesikhathi socansi
• ukopha okungavamile kwesitho sangasese sowesifazane, kufaka phakathi ukopha okunzima ngesikhathi sakho, ukopha phakathi kwezikhathi, noma ukopha ngemuva kokuya esikhathini
• ukukhishwa kwesitho sangasese sowesifazane ngokungavamile, ikakhulukazi uma kunombala noma iphunga elingajwayelekile
• ububomvu, ukuvuvukala, noma ukungaphatheki kahle kwesitho sangasese sowesifazane noma sangasese
• izilonda ezingachazwanga, izilonda, noma izigaxa ezungeze imomozi yakho noma isitho sakho sangasese
• ubuhlungu noma ingcindezi ethangeni lakho elizwakala lihlukile kunobuhlungu obuvamile bokuya esikhathini
• izimpawu zokutheleleka ngomgudu womchamo, njengokuchama kaningi noma umuzwa ovuthayo lapho uchama

Okubalulekile

Uhlelo lokuzala lwabesifazane lwakhiwe izingxenye eziningi. Lezi zingxenye zisebenza ngokubambisana ukwenza izinto eziningi, njengokukhiqiza amaqanda namahomoni, ukugcina ukukhulelwa, nokwenza lula ukubeletha.

Kunezimo ezahlukahlukene ezingathinta izitho zokuzala zabesifazane, ezinye zazo ezingadala izinkinga ezinkulu kakhulu. Uma uhlangabezana nezimpawu ezifana nobuhlungu be-pelvic, ukuphuma kwegazi ngokungajwayelekile, noma izilonda ezingachazeki, yenza i-aphoyintimenti nodokotela wakho.