Yini Ebangela Izingubo Zokuya Esikhathini Futhi Ingabe Amahlule Ami Ajwayelekile?

-Delile

• Amahlule ajwayelekile ngokujwayelekile
• Yini ebangela amahlule okuya esikhathini?
• Ziyini izimbangela eziyimbangela yamahlule okuya esikhathini?
• Ukuvinjelwa kwesibeletho
• Ama-Fibroids
• I-Endometriosis
• I-Adenomyosis
• Umdlavuza
• Ukungalingani kweHormonal
• Ukuphuphuma kwesisu
• Isifo seVon Willebrand
• Ingabe kukhona izinkinga?
• Itholakala kanjani imbangela yamahlule okuya esikhathini?
• Aphathwa kanjani amahlule okuya esikhathini?
• Izindlela zokuvimbela inzalo zamahomoni neminye imithi
• Ukuhlinzwa
• Ingabe zikhona izindlela zokuphatha izimpawu zezikhathi ezinzima zokuya esikhathini?
• Umbono

Ukubuka konke

Iningi labesifazane lizobhekana namahlule okuya esikhathini esikhathini esithile sempilo yawo. Izindwangu zokuya esikhathini zingama-blobs afana ne-gel egazi elijiyile, izicubu, negazi elikhishwa esibelethweni ngesikhathi sokuya esikhathini. Zifana nama-strawberry ayisitshulu noma iziqu zezithelo ongazithola kwesinye isikhathi kujamu, futhi ziyahlukahluka ngombala kusuka kokukhanyayo kuya kobomvu okumnyama.

Amahlule ajwayelekile ngokujwayelekile

Uma amahlule abe mancane - awekho amakhulu kunekota - futhi ngezikhathi ezithile kuphela, imvamisa awalutho okufanele akhathazeke ngalo. Ngokungafani namahlule akhiwa emithanjeni yakho, amahlule okuya esikhathini ngokwawo awayona ingozi.

Ukudlula njalo amahlule amakhulu ngesikhathi sakho kungakhombisa isimo sezempilo esidinga ukuphenywa.

Amahlule ajwayelekile:

• mancane kunekota
• kwenzeka kuphela ngezikhathi ezithile, imvamisa ngasekuqaleni komjikelezo wakho wokuya esikhathini
• ibonakale ikhanya ngokugqamile noma obomvu ngombala

Amahlule angajwayelekile makhulu ukwedlula ikota ngosayizi futhi avela kaningi.

Bheka udokotela wakho uma uphuma kakhulu esikhathini noma unamahlule amakhulu kunesine. Ukopha kokuya esikhathini kubhekwa njengosindayo uma ushintsha itampon yakho noma iphedi yokuya esikhathini njalo emahoreni amabili noma ngaphansi, ngamahora amaningana.

Kufanele futhi ufune usizo lwezokwelapha ngokushesha uma udlulisa amahlule futhi ucabanga ukuthi ungakhulelwa. Lokho kungaba uphawu lokukhulelwa kwesisu.

Yini ebangela amahlule okuya esikhathini?

Iningi labesifazane abaneminyaka yobudala bokubeletha bazokhipha ulwelwesi lwabo lwesibeletho cishe zonke izinsuku ezingama-28 kuye kwezingu-35. Ulwelwesi lwesibeletho lubizwa nangokuthi i-endometrium.

I-endometrium iyakhula futhi iqina inyanga yonke ngokuphendula i-estrogen, ihomoni yabesifazane. Inhloso yawo ukusiza ukuxhasa iqanda elikhulelwe. Uma ukukhulelwa kungenzeki, eminye imicimbi ye-hormonal ibonisa ukuthi ulayini uzokwehla. Lokhu kubizwa ngokuthi ukuya esikhathini, okwaziwa nangokuthi isikhathi sokuya esikhathini noma isikhathi.

Lapho ulwelwesi luchithwa, luxubana ne:

• igazi
• ukukhiqizwa kwegazi
• amafinyila
• izicubu

Le nhlanganisela bese ixoshwa esibelethweni ngomlomo wesibeletho nangaphandle kwesitho sangasese sowesifazane. Umlomo wesibeletho ukuvulwa kwesibeletho.

Njengoba ulwelwesi lwesibeletho lugeleza, luba echibini elingezansi kwesibeletho, lulinde umlomo wesibeletho ukuthi unqume futhi ukhiphe okuqukethwe ngaphakathi. Ukusiza ekuwohlokeni kwaleli gazi eliqinile kanye nezicubu, umzimba ukhipha ama-anticoagulants ukuze unciphise okokusebenza futhi ukuvumele ukuthi kudlule ngokukhululeka. Kodwa-ke, lapho ukugeleza kwegazi kudlula ikhono lomzimba lokukhiqiza ama-anticoagulants, ukukhishwa kwamahloni kuya esikhathini.

Lokhu kwakhiwa kwegazi kuvame kakhulu ngezinsuku zokuhamba kwegazi okunzima. Kwabesifazane abaningi abanokugeleza okujwayelekile, izinsuku zokuhamba okunzima zivame ukwenzeka ekuqaleni kwenkathi futhi zihlala isikhathi esifushane. Ukugeleza kwakho kubhekwa njengokujwayelekile uma ukuphuma esikhathini kuyaqhubeka futhi kukhiqize izipuni ezimbili kuya kwezi-3 zegazi noma ngaphansi.

Kwabesifazane abanokugeleza okusindayo, ukopha ngokweqile nokwakheka kwamahlwili kungalulwa. Ingxenye eyodwa kwezintathu yabesifazane inokugeleza okusindayo kangangokuba bacwilisa ngephedi noma nge-tampon njalo ngehora amahora amaningi.

Ziyini izimbangela eziyimbangela yamahlule okuya esikhathini?

Izici zomzimba nezamahomoni zingathinta umjikelezo wakho wokuya esikhathini futhi zenze ukugeleza okusindayo. Ukugeleza okunzima kwandisa amathuba akho okuba namahlule okuya esikhathini.

Ukuvinjelwa kwesibeletho

Izimo ezikhulisa noma eziqinisa isibeletho zingabeka ingcindezi eyengeziwe odongeni lwesibeletho. Lokho kungakhuphula ukuphuma kokuya esikhathini kanye namahlule.

Izithiyo zingaphazamisa namandla wesibeletho okuthola inkontileka. Lapho isibeletho singangeneki kahle, igazi liyakwazi ukubumbana futhi lijiye ngaphakathi komthombo wesibeletho sesibeletho, bese lakha amahlule kamuva axoshwe.

Ukuvinjelwa kwesibeletho kungadalwa ngu:

• i-fibroids
• i-endometriosis
• adenomyosis
• izimila ezinomdlavuza

Ama-Fibroids

I-Fibroids imvamisa ayisiwo umdlavuza, izicubu zemisipha ezikhula odongeni lwesibeletho. Ngaphandle kokopha okukhulu kokuya esikhathini, bangakhipha futhi:

• ukuphuma kwegazi ngokungajwayelekile
• ubuhlungu obuphansi emuva
• ubuhlungu ngesikhathi socansi
• isisu esiphumayo
• izingqinamba zokuzala

Kuze kube kwabesifazane abazothuthuka i-fibroids lapho sebeneminyaka engama-50. Imbangela ayaziwa, kepha izakhi zofuzo namahomoni abesifazane i-estrogen ne-progesterone kungenzeka kudlale indima ekukhuleni kwabo.

I-Endometriosis

I-Endometriosis yisimo lapho ulwelwesi lwesibeletho lukhula ngaphandle kwesibeletho luze lube semgudwini wokuzala. Cishe ngesikhathi sokuya esikhathini, kungaveza:

• izikhathi ezibuhlungu, ezinenkani
• isicanucanu, ukuhlanza, nohudo phakathi nesikhathi sakho
• ukungakhululeki ngesikhathi socansi
• ukungazali
• ubuhlungu be-pelvic
• ukopha okungavamile, okungafaka noma kungabandakanyi ama-clotting

Isizathu esiqondile se-endometriosis asaziwa, yize ufuzo, amahomoni, nokuhlinzwa okwedlule kwezitho zomzimba kucatshangwa ukuthi kudlala indima.

I-Adenomyosis

I-Adenomyosis yenzeka lapho ulwelwesi lwesibeletho, ngenxa yezizathu ezingaziwa, lukhula lube udonga lwesibeletho. Lokho kubangela ukuthi isibeletho sikhulise futhi sishintshe.

Ngaphezu kokopha isikhathi eside, okusindayo, lesi simo esivamile singenza ukuthi isibeletho sikhule ngokuphindwe kabili noma kathathu kunosayizi ojwayelekile.

Umdlavuza

Yize kungavamile, izimila ezinomdlavuza zesibeletho nomlomo wesibeletho zingaholela ekopheni okukhulu kokuya esikhathini.

Ukungalingani kweHormonal

Ukuze ikhule futhi ikhule kahle, ulwelwesi lwesibeletho luthembele kubhalansi ye-estrogen ne-progesterone. Uma kunokuningi noma kuncane kakhulu kokunye noma okunye, ungaba nokopha okunzima kokuya esikhathini.

Ezinye izinto ezingadala ukungalingani kwe-hormonal yilezi:

• ukunqamuka kwesikhathi
• ukunqamuka kokuya esikhathini
• ukucindezeleka
• ukuzuza okukhulu noma ukulahleka kwesisindo

Uphawu oluyinhloko lokungalingani kwe-hormonal ukuya esikhathini okungajwayelekile. Isibonelo, izikhathi zakho zingaba ngemuva kwesikhathi noma zibe zinde kunokujwayelekile noma ungazilahlekelwa ngokuphelele.

Ukuphuphuma kwesisu

Ngokusho kukaMashi kaDimes, cishe isigamu sakho konke ukukhulelwa kugcina ngokuphuphuma kwesisu. Okuningi kwalokhu kulahlekelwa ukukhulelwa kwenzeka ngaphambi kokuthi owesifazane azi ngisho nokuthi ukhulelwe.

Lapho ukukhulelwa kwangaphambi kwesikhathi kulahlekile, kungaholela ekopheni kakhulu, ekubambaneni, nasekucinaneni.

Isifo seVon Willebrand

Ukugeleza okunzima kokuya esikhathini nakho kungabangelwa yisifo se-von Willebrand (VWD). Ngenkathi i-VWD ingavamile, phakathi kwamaphesenti ama-5 nengama-24 abesifazane abanesifo esingapheli sokuya esikhathini bayathinteka kuyo.

I-VWD ingaba yimbangela yokuya esikhathini kwakho okunzima uma kwenzeka njalo futhi wopha kalula ngemuva kokusikwa okuncane noma izinsini zakho zophe kalula. Bona udokotela wakho uma usola ukuthi lokhu kuyimbangela yokuphuma kwakho kwegazi okunzima. Kufanele bakwazi ukusiza ukukuthola ukuxilongwa.

Ingabe kukhona izinkinga?

Bheka udokotela wakho uma uhlala unamahlule amakhulu. Enye yezinkinga ezinkulu zokopha okukhulu kokuya esikhathini ukuswela i-iron anemia. I-anemia yisimo esenzeka lapho kungekho insimbi eyanele egazini lakho ukwenza amangqamuzana abomvu egazi anempilo. Izimpawu zifaka:

• ukukhathala
• ubuthakathaka
• ukuphaphatheka
• ukuphelelwa umoya
• izinhlungu zesifuba

Itholakala kanjani imbangela yamahlule okuya esikhathini?

Ukunquma imbangela eyisisekelo yamahlule akho okuya esikhathini, udokotela wakho cishe uzokubuza ngezinto ezithinta ukuya esikhathini. Isibonelo, bangase babuze ukuthi uke waba nokuhlinzwa okwedlule kwezitho zangasese, wasebenzisa inzalo, noma wake wakhulelwa. Bazophinde bahlole nesibeletho sakho.

Ngokwengeziwe, udokotela wakho angasebenzisa ukuhlolwa kwegazi ukubheka ukungalingani kwamahomoni. Ukuhlola izithombe, njenge-MRI noma i-ultrasound, kungasetshenziswa ukuhlola i-fibroids, i-endometriosis, noma ezinye izithiyo.

Aphathwa kanjani amahlule okuya esikhathini?

Ukulawula ukuphuma kwegazi okunzima kuyindlela engcono yokulawula amahlule okuya esikhathini.

Izindlela zokuvimbela inzalo zamahomoni neminye imithi

Izindlela zokuvimbela inzalo zeHormonal zingavimbela ukukhula kolwelwesi lwesibeletho. Umshini okhipha i-progestin-intrauterine (IUD) unganciphisa ukuhamba kwegazi kokuya esikhathini ngamaphesenti angama-90, kanti amaphilisi okuvimbela inzalo angawanciphisa ngamaphesenti angama-50.

Izindlela zokuvimbela inzalo zamahomoni nazo zingasiza ekunciphiseni ukukhula kwama-fibroids nokunye ukunamathela kwesibeletho.

Kwabesifazane abangakwazi noma abangafuni ukusebenzisa ama-hormone, inketho ejwayelekile umuthi i-tranexamic acid (Cyklokapron, Lysteda), ethinta ukujiya kwegazi.

Ukuhlinzwa

Kwesinye isikhathi ungadinga ukuhlinzwa.

Inqubo ye-dilation ne-curettage (D no-C) kwesinye isikhathi ilandela ukuphuphuma kwesisu noma ukubeletha. Kepha ingasetshenziselwa ukunquma imbangela eyisisekelo yokopha okukhulu kokuya esikhathini noma njengokwelashwa kwezimo ezahlukahlukene.

I-D no-C zibandakanya ukunweba umlomo wesibeletho nokukhuhla ulwelwesi lwesibeletho. Kuvamise ukwenziwa esimweni sokulaliswa kweziguli ngaphansi kokuthomalalisa. Yize lokhu kungeke kulaphe ukopha okukhulu, kufanele kukunikeze ukuphumula izinyanga ezimbalwa njengoba ulwelwesi luyaqina futhi.

Kwabesifazane abaneziqu zesibeletho ezinjenge-fibroids ezingaphenduli kahle emithini yokwelashwa, ukuhlinzeka ukususa iziqu kungadingeka. Uhlobo lokuhlinzwa luzoya ngosayizi nendawo yeziqu.

Uma ukukhula kukhulu, ungadinga i-myomectomy, okubandakanya ukwenza imbobo enkulu esiswini sakho ukufinyelela esibelethweni.

Uma ukukhula kuncane, ukuhlinzeka nge-laparoscopic kuvame ukwenzeka. I-laparoscopy ibuye isebenzise ukusikeka esiswini, kodwa zincane futhi zingathuthukisa isikhathi sakho sokutakula.

Abanye besifazane bangakhetha ukukhishwa isibeletho. Lokhu kubizwa nge-hysterectomy.

Khuluma nodokotela wakho mayelana nobuhle nobubi bazo zonke izinketho zakho zokwelashwa.

Ingabe zikhona izindlela zokuphatha izimpawu zezikhathi ezinzima zokuya esikhathini?

Izikhathi ezinzima zokuya esikhathini zingathinta impilo yakho yansuku zonke. Ngaphandle kwezinkinga zomzimba ezingazibangela, njengokucinana nokukhathala, zingenza nemisebenzi ejwayelekile, njengokuzivocavoca umzimba, ukubhukuda, noma nokubuka ibhayisikobho, kube nzima kakhulu.

Lezi zeluleko zingakusiza ukuphatha izimpawu zakho:

• Thatha ama-anti-inflammatories (ama-NSAID) e-counter-the-counter (i-NSAID) afana ne-ibuprofen (Advil, Motrin) ekuqaleni kwesikhathi sakho ngezinsuku zakho ezinzima kakhulu zokugeleza. Ngaphandle kokunciphisa ukucindezela, ama-NSAID angasiza ukunciphisa ukulahleka kwegazi ngamaphesenti angama-20 kuya kwangu-50. Qaphela: Uma unesifo se-von Willebrand, kufanele ugweme ama-NSAID.
• Gqoka i-tampon nephedi ezinsukwini zakho zokugeleza ezisinda kakhulu. Ungakwazi futhi ukugqoka ama-pads amabili ndawonye. Amathamponi namaphayiphu anama-absorbency aphezulu nawo angasiza ekubambeni ukugeleza kwegazi kanye namahlule.
• Sebenzisa iphedi engangeni manzi noma ithawula elibekwe ngaphezulu kwamashidi akho ebusuku.
• Gqoka izingubo ezinombala omnyama ukufihla noma yikuphi ukuvuza noma izingozi.
• Hlala uphatha izinto zesikhathi. Gcina i-stash esikhwameni sakho semoto, emotweni, noma ekhabetheni ledeski lehhovisi.
• Yazi ukuthi zikuphi izindlu zangasese zomphakathi. Ukwazi ukuthi ikuphi indlu yangasese eseduze kungakusiza ufike ngokushesha ethoyilethi uma udlula amahlule amaningi amakhulu.
• Yidla ukudla okunempilo futhi uhlale unamanzi. Ukopha kakhulu kungayilimaza impilo yakho yomzimba. Phuza amanzi amaningi futhi udle ukudla okunomsoco okubandakanya ukudla okunothe nge-ayoni, njenge-quinoa, i-tofu, inyama, nemifino eluhlaza eluhlaza.

Umbono

Amahlule okuya esikhathini ayingxenye ejwayelekile yempilo yokuzala yowesifazane. Ngenkathi zingabonakala zishaqisa, amahlule amancane ajwayelekile futhi ajwayelekile. Ngisho amahlule angaphezulu kwekota awaphawuleki ngaphandle kokuthi enzeka njalo.

Uma uhlala udlula amahlule amakhulu, kunezindlela eziningi zokwelapha ezisebenzayo udokotela wakho angazincoma ukusiza ukulawula ukopha okukhulu nokunciphisa amahlule.