Kusho Ukuthini Ukuba Nomlomo Wesibeletho Okhuthazayo futhi Uphathwa Kanjani?

-Delile

• Ziyini izimpawu?
• Yini engadala lokhu?
• Izifo ezithathelwana ngocansi (STDs)
• I-atrophy yesitho sangasese sowesifazane
• Ukungalingani kweHormonal
• Ezinye izimbangela
• Kutholakala kanjani?
• Yiziphi izindlela zokwelashwa ezitholakalayo?
• Ingabe kungenzeka izinkinga?
• Umlomo wesibeletho ovuthayo ekukhulelweni
• Umlomo wesibeletho ovuthayo nomdlavuza
• Uyini umbono?
• Kungavinjelwa?

Uyini umlomo wesibeletho ongafutheka?

Umlomo wakho wesibeletho uyingxenye engezansi eyenziwe ngesigaxa sesibeletho sakho. Sisebenza njengebhuloho phakathi kwesibeletho sakho nesitho sangasese sowesifazane. Igama elithi “ukuthukuthela” libhekisele ezicwengweni eziklebhula, zigobhoze futhi ziphume igazi kalula uma zithintwa.

Uma izicubu zakho zomlomo wesibeletho ziba nokuzwela ngokweqile futhi zicasuke kalula, yaziwa njengomlomo wesibeletho othwalayo.

Umlomo wesibeletho ongaxakeki imvamisa kuwuphawu lwesimo esingaphansi esingalashwa.

Qhubeka ufunda ukuze ufunde kabanzi ngezimo ezibanga umlomo wesibeletho ongabekezeleka, ukuthi utholakala kanjani, nokuthi yini ongayilindela ekwelashweni.

Ziyini izimpawu?

Uma une-cervix ekhubekayo, ungahlangabezana:

• ukubona phakathi kwezikhathi
• ukuluma kwesitho sangasese sowesifazane, ukushisa, noma ukucasuka
• ukukhishwa okungavamile
• ukungakhululeki noma ubuhlungu ngesikhathi sokuya ocansini
• ukopha ngemuva kocansi

Izimpawu ezingeziwe zincike kwisizathu esithile. Kubalulekile ukukhumbula ukuthi zonke lezi zimpawu nezimpawu zingadalwa yizinto ngaphandle komlomo wesibeletho othwalayo. Futhi, kungenzeka ukuthi ungabi nazimpawu futhi umlomo wesibeletho ongabekezeleka uzotholwa kuphela ngudokotela wakho ngesikhathi sokuhlolwa okwejwayelekile kwezitho zangasese.

Yini engadala lokhu?

Isizathu asikwazi ukunqunywa ngaso sonke isikhathi, kodwa kunezizathu ezimbalwa ongaba nomlomo wesibeletho ongaxakeki. Ezinye zazo yilezi:

Izifo ezithathelwana ngocansi (STDs)

I-Cervicitis, ukuvuvukala kwesibeletho esithathelwanayo noma okungenasifo, kuvame ukubangelwa i-STD. Izimpawu ze-STD ngokuvamile zifaka ukukhishwa kwesitho sangasese sowesifazane nokopha phakathi kwezikhathi noma ngemuva kocansi. Amanye ama-STD awanazo izimpawu.

Amanye ama-STD angadala i-cervicitis kanye nomlomo wesibeletho othomekayo yile:

• I-Chlamydia: I-Chlamydia ithelela umlomo wesibeletho, ongayenza ibucayi. Izimpawu zifaka phakathi ukukhishwa okungavamile nokopha okubangelwa kalula.
• Isifo sokuvuza ngaphakathi: I-gonorrhea nayo ingathelela umlomo wesibeletho. Izimpawu zifaka phakathi ukukhishwa kwesitho sangasese sowesifazane, umuzwa ovuthayo ngesikhathi sokuchama, nokopha phakathi kwezikhathi.
• I-Herpes: Abanye besifazane babhekana ne-herpes kuphela emlomo wesibeletho. Izimpawu zifaka phakathi ukukhishwa kwesitho sangasese sowesifazane, ukucasulwa isitho sangasese, kanye nezilonda zangasese.
• I-Trichomoniasis: Lesi silokazane sithinta umgudu ongaphansi wesitho sangasese, kuhlanganise nomlomo wesibeletho. Izimpawu zingafaka ukungakhululeki ngesikhathi socansi, ukushisa, nokukhishwa okungavamile.

I-atrophy yesitho sangasese sowesifazane

I-atrophy ye-vaginal yenzeka lapho ulwelwesi lwakho lwesitho sangasese sowesifazane luqala ukuncipha futhi lushwabane. Ekugcineni, isitho sangasese sowesifazane singancipha futhi sifushane. Lokhu kungenza ukuya ocansini kube buhlungu, noma kusondele kungenzeki.

I-atrophy yesitho sangasese sangasese nayo ingaholela ezinkingeni ze-urinary, kufaka phakathi ukutheleleka kwe-urinary tract (UTIs) nokwanda kwemvamisa ye-urinary. I-atrophy yesitho sangasese sowesifazane imvamisa ingenxa yokungalingani kwamahomoni.

Ukungalingani kweHormonal

Ama-hormone amakhulu abesifazane yi-estrogen ne-progesterone, ekhiqizwa kakhulu kuma-ovari. I-Estrogen ibaluleke kakhulu ekulondolozeni impilo yowesifazane.

Ezinye izinto ezingadala ukuguquguquka kwamahomoni noma ukwehla kwe-estrogen yilezi:

• ukukhulelwa
• ukubeletha
• ukuncelisa ibele
• ukukhishwa kokuhlinzwa kwamaqanda
• ukunqamuka kwesikhathi nokuya esikhathini
• imithi ethile nokwelashwa komdlavuza

I-estrogen ephansi ingadala:

• ukoma kwesitho sangasese sowesifazane
• ukuncipha kwezicubu zangasese
• ukuvuvukala kwesitho sangasese sowesifazane
• ukucasuka nokungahambi kahle, ikakhulukazi ngesikhathi nangemva kokuya ocansini

Ezinye izimpawu ze-estrogen ephansi yilezi:

• ukushintsha kwemizwelo
• izinkinga zememori nokugxila
• ukushisa okushisayo nokujuluka ebusuku
• ukukhathazeka nokudangala
• uphuthelwe yizikhathi zokuya esikhathini
• isikhumba esomile
• ukuchama kaningi noma ukungabanjwa umchamo

Ezinye izimbangela

Umlomo wesibeletho othasekayo nawo ungabangelwa:

• I-ectropion yomlomo wesibeletho: Lesi yisimo lapho amaseli wezindlala avela ngaphakathi komsele womlomo wesibeletho asakazeka engxenyeni engaphandle yomlomo wesibeletho. Ngaphezu kokopha kalula, ungahle ubone ukuphuma okukhulu kunokujwayelekile. Ukopha kanye nobuhlungu ngesikhathi sokuya ocansini noma ukuhlolwa kwe-pelvic kungenzeka.
• Ama-polyps omlomo wesibeletho: Lokhu ngokuvamile akulona umdlavuza. Ngaphandle kokopha okuncane nokukhipha, ama-polyps ngokuvamile awabangeli izimpawu.
• I-neoplasia yomlomo wesibeletho (CIN): Lokhu ukukhula okungacabangi kwamangqamuzana angajwayelekile ajwayele ukwenzeka ngemuva kokutheleleka ngegciwane le-human papilloma virus (HPV). Akubangeli zimpawu njalo futhi kuvame ukutholakala ngokuhlolwa okujwayelekile kwePap.

Kutholakala kanjani?

Udokotela wakho uzoqala ngokuhlolwa okuphelele kwe-pelvic ukuze afune izilonda noma okunye okungahambi kahle okungabonakala noma kuzwakale.

Udokotela wakho uzoqala ngokuhlolwa kwe-Pap (Pap smear) ukubheka ukungajwayelekile kwamangqamuzana omlomo wesibeletho. Ukuhlolwa kwePap kufaka phakathi i-swab elula yomlomo wesibeletho ngesikhathi sokuhlolwa kwe-pelvic. Imiphumela ingakhombisa isimo esingaqondile noma umdlavuza womlomo wesibeletho.

Ngokuya ngokutholakele nokuthi yiziphi izimpawu onazo, udokotela wakho futhi angancoma:

• A umbala, okuwukuhlolwa komlomo wesibeletho kusetshenziswa ithuluzi lokukhanyisa elikhanyisiwe elibizwa nge- colposcope. Kungenziwa ngqo ehhovisi likadokotela wakho.
• A i-biopsy yanoma yiziphi izilonda ezisolisayo zokuhlola umdlavuza. Izicubu zingathathwa ngesikhathi se-colposcopy.
• Ukuhlolwa kwe-STD, imvamisa kuhlolisiswa igazi nomchamo.
• Ukuhlolwa kwezinga leHormone, imvamisa kuhlolwa igazi.

Yiziphi izindlela zokwelashwa ezitholakalayo?

Udokotela wakho uzofuna ukuthola imbangela ngaphambi kokwenza isincomo. Ukwelapha isimo esingaphansi kungaxazulula izimpawu zakho.

Okwamanje, buza ukuthi ungazisebenzisa yini izinto zokugcoba noma okhilimu ukuze uzenze ukhululeke ngokwengeziwe.

UChlamydia ingalapheka ngemithi elwa namagciwane. Isifo sokuqhuma singelapheka nangemithi, noma ngabe lesi sifo singadala ukulimala unomphela. Alikho ikhambi i-herpes, kepha ngokwelashwa, unganciphisa izimpawu nobuningi bokuqubuka. I-Trichomoniasis ingelashwa ngemithi.

Ngoba i-atrophy yesitho sangasese sowesifazane futhi ukungalingani kwe-hormonal, udokotela wakho angancoma ama-lotions namafutha anganciphisa ukoma. Ungasebenzisa futhi i-dilator, esiza ukukhulisa kancane isitho sangasese, ukwenza kube lula ukuya ocansini ngaphandle kobuhlungu. Ukwelashwa kwama-hormone ngezihloko noma ngomlomo kungadambisa izimpawu, kuqinise izicubu zomlomo wesibeletho kanye nesitho sangasese sowesifazane, futhi kubuyise izilinganiso zebhaktheriya ne-asidi.

I-ectropion yomlomo wesibeletho ingazikhanyela yodwa, kepha indawo ingashayelwa ipayipi uma kunesidingo.

Ama-polyp wesibeletho futhi I-CIN ingasuswa ngesikhathi se-colposcopy. Izicubu zizobe sezithunyelwa elabhorethri ukuyohlolelwa umdlavuza.

Uma umlomo wakho wesibeletho othwalayo ubangelwa yimithi noma ukwelashwa komdlavuza, kufanele kucace lapho ukwelashwa kwakho sekuqedile.

Ingabe kungenzeka izinkinga?

Umlomo wesibeletho othantathayo awubangeli izinkinga ezinkulu. Kepha uma ungalashwa ngezimo ezinjenge-cervicitis kanye nama-STD athile, ukutheleleka kungadlulela esibelethweni sakho noma kumashubhu e-fallopian. Lokhu kungaholela esifweni sokuvuvukala okhalo (PID).

Uma ishiywe ingalashwa, i-CIN ekugcineni ingakhula ibe ngumdlavuza womlomo wesibeletho.

Umlomo wesibeletho ovuthayo ekukhulelweni

Ukukhulelwa kubangela ushintsho emazingeni ama-hormone, ngakho-ke kungenzeka ukuthuthukisa umlomo wesibeletho okhubazekayo ekukhulelweni. Ukubala noma ukopha ngesikhathi sokukhulelwa kufanele kuthathwe ngokungathi sína.

Udokotela wakho uzohlola izimpawu zokutheleleka komlomo wesibeletho, umlomo wesibeletho ovuthayo, noma ukukhula kumlomo wesibeletho.

Umlomo wesibeletho obusabekayo uwedwa awubeki engcupheni ukukhulelwa kwakho. Kodwa udokotela wakho mhlawumbe uzofuna ukuhlola izicubu zomlomo wesibeletho ezibuthakathaka, isimo esibizwa ngokuthi ukungakwazi ukusebenza komlomo wesibeletho (umlomo wesibeletho ongafaneleki).

Lesi simo singenza ukuthi umlomo wakho wesibeletho uvule ngokushesha okukhulu, okuholele ekulethweni ngaphambi kwesikhathi. I-ultrasound ingasiza ukunquma ukuthi ngabe kunjalo. Ukwehluleka komlomo wesibeletho kungelashwa ngemithi.

Umlomo wesibeletho ovuthayo nomdlavuza

Umlomo wesibeletho ovuthayo ungadala ubuhlungu ngesikhathi socansi, ukopha ngemuva kocansi, nokubona phakathi kwezikhathi. Yize lokhu kungabangelwa ukutheleleka, ukungalingani kwamahomoni, noma esinye isimo, lezi futhi kungaba yizimpawu zomdlavuza womlomo wesibeletho. Yingakho kubaluleke kakhulu ukubona udokotela wakho ngaphandle kokulibala.

Ukuhlolelwa umdlavuza wesibeletho kungafaka:

• Ukuhlolwa kwePap
• umbala
• i-biopsy yomlomo wesibeletho

Ukwelashwa komdlavuza womlomo wesibeletho kuncike esigabeni sokuxilongwa futhi kungafaka:

• ukuhlinzwa
• ukwelashwa ngamakhemikhali
• ukwelashwa ngemisebe
• izindlela zokwelashwa eziqondisiwe

Uyini umbono?

Kwezinye izimo, umlomo wesibeletho ongatholakali ungasula konke uwedwa, ngisho nangaphandle kokwelashwa.

Umbono wakho ngamunye unqunywa imbangela kanye nokwelashwa okutholakalayo. Ngokucabangela yonke imininingwane yakho yezempilo, udokotela wakho uzokwazi ukukunikeza umbono wokuthi yini ongayilindela.

Buza udokotela wakho mayelana nokuthi uzolandelwa nini futhi kangaki.

Kungavinjelwa?

Umlomo wesibeletho othasekayo ngokuvamile kuwuphawu lokutheleleka noma esinye isimo. Yize kungekho ukuvinjelwa okuthile ngakho, unganciphisa amathuba akho okuthuthukisa ezinye zezimo eziholela emgodini wesibeletho esithwalayo.

Isibonelo, nciphisa amathuba akho okuthola i-STD ngokusebenzisa amakhondomu nokwenza umkhuba wokuba nomfazi oyedwa.

Uma unezinhlungu noma wopha ngesikhathi noma ngemuva kocansi, bheka udokotela wakho. Ukwelashwa kokuqala kokutheleleka kanye nama-STD kungavimbela ubunzima be-PID.

Futhi qiniseka ukubona udokotela wakho noma udokotela wezifo zabesifazane ukuze akuhlole njalo.