Isikhathi Sokukhanya Kungazelelwe? Ukukhathazeka kwe-COVID-19 Kungahle Kusolwe

-Delile

• Ukucindezeleka eminyakeni yobudala be-COVID-19
• Ezinye izimbangela ezivamile
• Ukulawulwa kokuzalwa kwehormonal
• Izinguquko zesisindo
• I-Hypothyroidism
• I-Polycystic ovary syndrome (i-PCOS)
• Ukukhulelwa
• Ukunqamuka kokuya esikhathini
• Ezimweni ezingavamile
• I-Asherman syndrome
• ISheehan syndrome
• I-stenosis yomlomo wesibeletho
• Ukubonana nodokotela nini
• Okubalulekile

Uma uqaphele ukuthi ukuhamba kwakho kokuya esikhathini kuye kwaba lula muva nje, yazi ukuthi awuwedwa.

Kulesi sikhathi esingaqinisekile nesingakaze sibonwe, kungaba nzima ukuzizwa sengathi kunokufana okujwayelekile.

Ukukhathazeka kanye nengcindezi yesimo samanje somhlaba jikelele kungathatha umthwalo emzimbeni wakho ngezindlela eziningi ezahlukahlukene - enye yazo okuwumjikelezo wakho wokuya esikhathini.

Ukucindezeleka eminyakeni yobudala be-COVID-19

Ngisho nangaphambi kokuba i-COVID-19, abacwaningi sebebonile ukuxhumana phakathi kwengcindezi nokuya esikhathini.

Uma ucindezeleke kakhulu kunokujwayelekile, ungahlangabezana nokugeleza okusindayo, ukugeleza okulula, ukugeleza okungavamile, noma ukungayi esikhathini nhlobo.

I-Office on Women’s Health ibika ukuthi labo abanezinkinga zokukhathazeka noma ukusetshenziswa kwezidakamizwa banamathuba amaningi okuba nemijikelezo emfushane yokuya esikhathini noma ukugeleza okulula, okunye okubizwa ngokuthi yi-hypomenorrhea.

Futhi ngokusho kweNational Institute of Mental Health, ubhadane lungadala ukucindezeleka ngezindlela eziningi, kufaka phakathi:

• ukwesaba impilo yomuntu siqu kanye neyabanye
• izinguquko ekudleni nasekulaleni nsuku zonke
• izingqinamba zezempilo ezingapheli
• ukusetshenziswa okwengeziwe kotshwala, ugwayi, noma ezinye izinto

Noma yikuphi kwalokhu kuxineka kungathinta umjikelezo wakho wokuya esikhathini, ikakhulukazi inani noma ubude bokugeleza kwakho.

Ezinye izimbangela ezivamile

Yize kulula ukuthi ukucindezeleka okubangelwa yi-COVID-19 kungahambi kahle kokuya esikhathini, kunezinye izinto okufanele uzicabangele.

Ukulawulwa kokuzalwa kwehormonal

Ukulawulwa kokubeletha kwe-Hormonal, njengokuhlanganiswa (i-estrogen ne-progestin) namaphilisi amancane (ama-progestin-kuphela), angathinta ukugeleza kwesikhathi.

Abanye odokotela empeleni banikeza iphilisi kulabo abanokugeleza okusindayo, njengoba amahomoni angathinta ukukhula kolwelwesi lwesibeletho ngaphambi kokuya esikhathini.

Lokhu kungadala ukuthi isikhathi sikhanye - futhi kwabanye, lokhu kusho ukuthi kukhona ukubonwa kokukhanya noma akukho nkathi nhlobo.

Ngaphezu kwesikhathi esilula, ukulawulwa kokuzalwa kwamahomoni kungadala:

• ikhanda
• ukugcinwa koketshezi
• isisa sebele

Izinguquko zesisindo

Uma usanda kuhlangabezana nokuncipha kwesisindo okungazelelwe noma ukuzuza kwesisindo nganoma yisiphi isizathu, lokhu kungathinta umjikelezo wakho.

Uma uzuze isisindo, ukwanda kokuqukethwe kwamafutha emzimbeni wakho kungaholela ekungalingani kwe-hormone okungazelelwe. Lokhu kunganciphisa noma kumise i-ovulation ngokuphelele.

Ngasikhathi sinye, uma usanda kwehlisa isisindo, lokhu kungasho ukuthi kunezinga eliphansi le-estrogen emzimbeni wakho, elinganciphisa noma limise i-ovulation.

I-Hypothyroidism

Ukukhiqizwa kwehomoni ye-thyroid ephansi, eyaziwa nangokuthi i-hypothyroidism, kungadala ukushintshashintsha kokuya esikhathini, ikakhulukazi kubantu abasha.

Kungenza izikhathi zibe nzima kakhulu futhi zivame kakhulu, noma zibenze bayeke ngokuphelele.

Ezinye izimpawu okufanele uzibheke zihlanganisa:

• Ukugodola
• ukukhathala
• ukuqunjelwa
• ukulahlekelwa isifiso sokudla
• ukuzuza kwesisindo okungavamile
• izinwele noma izinzipho ezomile nezaphukayo
• ukudana

I-Polycystic ovary syndrome (i-PCOS)

I-PCOS iba lapho ama-ovari akhiqiza inani eliningi ngokweqile lama-androgens, angama-hormone wesilisa owesilisa.

Lokhu kungaholela ezikhathini ezingajwayelekile, izikhathi ezikhanyayo, noma izikhathi ezingabanjwanga ngokuphelele.

Ezinye izimpawu ze-PCOS zifaka:

• induna
• ukuzuza kwesisindo okungavamile
• izinwele zomzimba ezeqile
• amabala esikhumba amnyama eduze kwentamo, amakhwapha, noma amabele

Ukukhulelwa

Uma lokhu kungokokuqala ukuthi isikhathi sakho sikhanye noma singabikho, enye incazelo kungenzeka kube ukukhulelwa.

Ukukhanya okukhanyayo kuthinta ezungeze abantu ku-trimester yabo yokuqala.

Uma uphuthelwe yisikhathi sakho futhi usanda kuya ocansini lobufazi, kuwumqondo omuhle ukuthatha ukuhlolwa kokukhulelwa.

Ukunqamuka kokuya esikhathini

Njengoba amazinga akho e-hormone ancipha, ungahle ubone izinguquko esikhathini sakho.

Izikhathi zePerimenopausal zingathatha isimo sezikhathi ezingajwayelekile, ukugeleza okulula, noma ukubonwa okukhanyayo.

Lokhu kuvamile kunoma ngubani oya esikhathini futhi kwenzeka kakhulu phakathi kweminyaka yobudala engama-45 nengama-55.

Uma usola ukuqala kokunqamuka kokuya esikhathini, qaphela lokhu okulandelayo:

• ukushisa okushisayo
• ukujuluka ebusuku
• ubunzima bokulala
• ubunzima bokuchama
• ukoma kwesitho sangasese sowesifazane
• izinguquko ekwanelisekeni ngokocansi noma isifiso

Ezimweni ezingavamile

Ezimweni ezingavamile kakhulu, ushintsho lwakho esikhathini lungaba uphawu lwenkinga ebucayi kakhulu.

Uma uhlangabezana nokulandelayo, shayela udokotela wakho noma omunye uchwepheshe wezokunakekelwa kwezempilo ngokushesha.

I-Asherman syndrome

I-Asherman syndrome isifo esingajwayelekile kanye nesifo sabesifazane esinganciphisa noma simise ukuhamba kwakho kokuya esikhathini, sandise ubuhlungu be-cramping kanye nesisu, futhi ekugcineni siholele ekungazali.

Kubangelwa izicubu ezibomvu ezibopha izindonga zesibeletho, okuholele ekuvukeleni.

Ezinye izimpawu zibandakanya ukugeleza kokuya esikhathini okuphazanyiswe okuhambisana nobuhlungu obukhulu noma ukukhulelwa kwesisu okuphindaphindayo.

Uma udokotela wakho esola i-Asherman syndrome, bazoqhuba ukuhlolwa kwegazi futhi ba-ode i-ultrasound ukusiza ukuthola umthombo wezimpawu zakho.

ISheehan syndrome

ISheehan syndrome, eyaziwa nangokuthi i-postpartum hypopituitarism, yisifo esingajwayelekile esenzeka lapho ukulahleka kwegazi ngokweqile ngesikhathi sokubeletha noma ngemuva kokubeletha kuthinta indlala yesibeletho.

Izimpawu zingaqala ngokushesha ngemuva kokubeletha noma zikhuphuke ngokuhamba kwesikhathi, kufaka phakathi izinkathi ezilula noma ukulahleka kwezikhathi ngokuphelele.

Ezinye izimpawu okufanele uzibuke zifaka:

• ubunzima noma ukwehluleka ukuncelisa
• ukukhathala
• kunciphise umsebenzi wokuqonda
• ukuzuza kwesisindo okungavamile
• ukukhishwa kwezinwele zangaphansi noma okomphakathi
• kukhuphuke imigqa emihle ezungeze amehlo nezindebe
• isikhumba esomile
• ukuncipha kwezicubu zesifuba
• kwehle isifiso sobulili
• ubuhlungu obuhlangene

Uma udokotela wakho esola i-Sheehan syndrome, bazoqhuba ukuhlolwa kwegazi bese be-oda i-MRI noma i-CT scan ukusiza ukuthola umthombo wezimpawu zakho.

I-stenosis yomlomo wesibeletho

I-Cervical spinal stenosis isho umlomo wesibeletho onciphisayo noma ovaliwe.

Lesi simo ngokuvamile sivela njengoshintsho oluhlobene nobudala kubantu abadala abaneminyaka engama-50 noma ngaphezulu.

Kodwa-ke, ezimweni ezingavamile kakhulu, umlomo wesibeletho uncishiswa kusukela ekuzalweni ngenxa yendlela amathambo akhiwa ngayo.

Lokhu kuncipha noma ukuvala kuvimbela uketshezi oluya esikhathini ekuvulekeni kwesitho sangasese sowesifazane.

Ezinye izimpawu zifaka:

• ukuya esikhathini okubuhlungu
• ubuhlungu obujwayelekile be-pelvic
• ubuhlungu beqolo obuphansi ngenkathi umile noma uhamba
• ukuba ndikindiki emilenzeni noma ezinqeni
• ubunzima bokulinganisa

Uma udokotela wakho esola ukuthi yi-stenosis, bazokwenza ukuhlolwa komzimba. Bangasebenzisa nokuhlolwa kwe-imaging, njenge-X-ray, ukusiza ukuthola umthombo wezimpawu zakho.

Ukubonana nodokotela nini

Uma kunezinguquko ezingazelelwe esikhathini sakho futhi usola ukuthi kungenzeka ukuthi zihlobene nezimbangela ezingahlobene nokucindezeleka, kufanele ucabange ukubona udokotela.

Yize izimpawu zakho zingase zingazivezi “njengalezo ezimbi,” kungahle kube nokuningi okuqhubekayo.

Udokotela noma omunye uchwepheshe wezokunakekelwa kwempilo uzokwazi ukwenza ukuhlolwa ngokomzimba noma ahlele ezinye izivivinyo zokuxilonga ukuze kutholakale imbangela eyimbangela.

Okubalulekile

Ukucindezeleka kuthinta umzimba ngezindlela eziningi - kufaka phakathi ukuphazamiseka kokuya esikhathini.

Uma ukhathele ukuvuselela iwebhusayithi, ungahle ubheke enye yalezi zindlela ezigxile kubantu zokucindezeleka noma ukukhululeka kokukhathazeka.

Kepha uma izimpawu zakho ziqhubeka - noma ucabanga ukuthi okunye ngaphandle kwengcindezi kungaba yimpande - cabanga ukukhuluma nochwepheshe wezokunakekelwa kwempilo.

Ngaphandle kokuthi bakholelwa ukuthi ukuvakashelwa ubuso nobuso kuyadingeka, umhlinzeki wakho angakwazi ukuthola imbangela eyisisekelo futhi ancome noma yiziphi izinyathelo ezilandelayo ngocingo noma ngevidiyo.

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