Yini Ebangela Ukungahambi Kokuya esikhathini?

-Delile

• Yini ebangela isikhathi esindayo noma esingajwayelekile sokuya esikhathini?
• Imithi
• Ukungalingani kweHormone
• Izimo zezokwelapha
• I-PID
• I-Endometriosis
• Ukuphazamiseka kwegazi okuzuzwe njengefa
• Ukukhula kwe-Benign noma umdlavuza
• Ezinye izimbangela ezingaba khona
• Ukuvuselelwa
• I-Adenomyosis
• Ukukhulelwa kwe-Ectopic
• Ziyini izimpawu zezikhathi ezinzima noma ezingajwayelekile?
• Kufanele ngilufune nini usizo lwezokwelashwa?
• Zitholakala kanjani izikhathi ezinzima noma ezingajwayelekile zokuya esikhathini?
• I-Pap smear
• Ukuhlolwa kwegazi
• I-pelvic ultrasound
• I-Endometrial biopsy
• I-Sonohysterogram
• Ukuhlolwa kokukhulelwa
• Yiziphi izinketho zokwelashwa zezikhathi ezinzima noma ezingavamile zokuya esikhathini?
• Imithi
• Izinqubo zokwelashwa
• D&C
• Ukuhlinzwa
• Ukukhishwa kwe-Endometrial
• Ukuthengiswa kabusha kwe-Endometrial
• I-Hysterectomy
• Yiziphi izinkinga ezihambisana nezikhathi ezinzima zokuya esikhathini?

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Ukungahambi kahle esikhathini

Isikhathi nobukhulu bokuphuma esikhathini kuyahlukahluka kuye kowesifazane. Uma isikhathi sakho sokuya esikhathini sisinda ngokweqile, isikhathi eside, noma singajwayelekile, saziwa njenge-menorrhagia.

Izimpawu ze-menorrhagia zifaka phakathi

• isikhathi sokuya esikhathini esihlala isikhathi eside kunezinsuku eziyisikhombisa
• Ukopha kusinda kangangokuba kufanele ushintshe itampu yakho noma iphedi ngaphezu kwesisodwa ngehora

Kufanele ubone udokotela wakho uma unezikhathi ezinzima kakhulu noma ezinde zokuya esikhathini eziphazamisa impilo yakho yansuku zonke.

Ukopha ngokweqile kungadala i-anemia, noma ukuntuleka kwensimbi. Kungakhombisa futhi isimo sezempilo esingaphansi. Ezimweni eziningi, udokotela wakho angaphatha ngempumelelo izikhathi ezingavamile.

Yini ebangela isikhathi esindayo noma esingajwayelekile sokuya esikhathini?

Izikhathi ezinzima noma ezingajwayelekile zingaba ngenxa yezici ezahlukahlukene, kufaka phakathi:

Imithi

Eminye imishanguzo elwa nokuvuvukala, ama-anticoagulants, noma imishanguzo ye-hormone ingathinta ukopha kokuya esikhathini.

Ukopha kakhulu kungaba umphumela ohlangothini lwamadivayisi we-intrauterine (IUDs) asetshenziselwa ukulawula ukubeletha.

Ukungalingani kweHormone

Amahomoni i-estrogen ne-progesterone alawula ukwakheka kolwelwesi lwesibeletho. Ukweqiwa kwala mahomoni kungadala ukopha okukhulu.

Ukungalingani kweHormone kuvame kakhulu emantombazaneni aqala ukuya esikhathini ngonyaka odlule nohhafu. Zijwayelekile nakwabesifazane abasondela esikhathini sokuya esikhathini.

Izimo zezokwelapha

I-PID

Isifo sokuvuvukala kwepelvic (PID) nezinye izifo kungadala izikhathi ezingajwayelekile.

I-Endometriosis

I-Endometriosis ngesinye isimo esingaholela ezinkathini ezingajwayelekile. Lesi yisimo lapho izicubu ezigcwala ngaphakathi kwesibeletho ziqala ukukhula kwenye indawo ngaphakathi komzimba. Lokhu kungadala ukopha okukhulu, kanye nobuhlungu.

Ukuphazamiseka kwegazi okuzuzwe njengefa

Ukopha okukhulu kokuya esikhathini kungaba ngenxa yokuphazamiseka kwegazi okuthile okuthinta ukujiya.

Ukukhula kwe-Benign noma umdlavuza

Umdlavuza wesibeletho, owesibelethweni noma wesibeletho konke kungadala ukopha okukhulu, kepha lezi zimo azivamile. Izicubu eziseBenign, noma ezinganomdlavuza esibelethweni zingadala ukopha kakhulu noma isikhathi eside.

Ukukhula kwe-Benign ku-uterine lining (endometrium) nakho kungadala isikhathi esinzima noma esinde. Lokhu kukhula kwaziwa njengama-polyps, lapho ukukhula kwenziwa ngezicubu ze-endometrium. Babizwa ngama-fibroids, lapho ukukhula kwenziwa ngezicubu zemisipha.

Ezinye izimbangela ezingaba khona

Ukuvuselelwa

Ukuntuleka kwe-ovulation, noma ukuvuthwa, kuholela ekushodeni kwe-progesterone ye-hormone, edala izikhathi ezinzima.

I-Adenomyosis

Lapho izindlala ezivela kulwelwesi lwesibeletho zingena emisipheni yesibeletho, ukuphuma kwegazi okunzima kungenzeka. Lokhu kwaziwa njenge-adenomyosis.

Ukukhulelwa kwe-Ectopic

Xhumana nodokotela wakho uma wopha ngesikhathi ukhulelwe. Ukukhulelwa okujwayelekile kuphazamisa ukuya esikhathini. Okunye ukubona ngesikhathi sokukhulelwa, ikakhulukazi phakathi ne-trimester yokuqala, kaningi akuyona into okufanele ukhathazeke ngayo.

Funa usizo lwezempilo ngokushesha uma wopha kakhulu ngesikhathi ukhulelwe. Kungaba wuphawu lokuthi iqanda elikhulelisiwe lifakwe kushubhu lesizalo hhayi esibelethweni, esibizwa ngokuthi yi-ectopic pregnancy. Kungakhombisa nokuthi ukuphuphuma kwesisu.

Udokotela wakho uzokwazi ukukusiza ukuthi unqume ukuthi yini ebangela ukuphuma kwegazi ngesikhathi sokukhulelwa.

Ziyini izimpawu zezikhathi ezinzima noma ezingajwayelekile?

Ubude bomjikelezo wokuya esikhathini kanye nenani lokugeleza kwegazi kwehlukile kowesifazane ngamunye. Kodwa-ke, iningi labesifazane linomjikelezo osukela ezinsukwini ezingama-24 kuye kwezingu-34.

Ukuhamba kwegazi kumaphakathi cishe nezinsuku ezine noma ezinhlanu, ngokulahleka kwegazi okungaba ngu-40 cc (3 wezipuni). Kubalulekile ukukhumbula ukuthi lezi yizilinganiso nje. “Okuvamile” kwakho kungawela ngaphandle kwalezi zingqimba. Ukwehla kwegazi okungama-80 cc (izipuni ezi-5) noma ngaphezulu kubhekwa njengokugeleza okusindayo ngokungavamile.

Izimpawu zokuthi ukuhamba kwakho kokuya esikhathini kungaba nzima ngokweqile kufaka:

• ukugcwala ngaphezu kwetampon eyodwa noma iphedi yokuhlanzeka ngehora ngamahora amaningana ngasikhathi
• ukuvuka ebusuku ngoba udinga ukushintsha ukuvikela
• kudlula amahlule amakhulu egazi ekuhambeni kwakho kokuya esikhathini
• ukuhlangabezana nokugeleza kokuya esikhathini okuhlala isikhathi esingaphezu kwesonto

Futhi, ukugeleza okusindayo ngokungajwayelekile kungadala ukuthi ubhekane nalezi zimpawu ezilandelayo, ezingaba yinkomba yokushoda kwegazi:

• ukukhathala
• isikhumba esiphaphathekile
• ukuphelelwa umoya
• isiyezi

Yize umjikelezo wabo bonke abesifazane uhlukile, ukungajwayelekile njengokuphuma komjikelezo ophakathi noma ukuphuma kwegazi ngemuva kocansi kuyizimpawu ezingajwayelekile.

Kufanele ngilufune nini usizo lwezokwelashwa?

Kufanele ubone udokotela wezifo zabesifazane njalo ukuze ahlolwe.Kodwa-ke, yenza i-aphoyintimenti ngaso leso sikhathi uma wopha noma ubona ezimeni ezilandelayo:

• phakathi kwezikhathi
• ngemuva kocansi
• ngenkathi ukhulelwe
• ngemuva kokunqamuka kokuya esikhathini

Ezinye izinkomba okufanele uxhumane nodokotela wakho zifaka okulandelayo:

• uma izikhathi zakho zihlala isikhathi esingaphezu kwesonto
• uma udinga itampon engaphezu kweyodwa noma iphedi yokuhlanzeka ngehora, amahora ambalwa ngokulandelana
• ubuhlungu obukhulu
• imfiva
• ukuphuma okungavamile noma iphunga
• ukuzuza kwesisindo esingaqondakali noma ukulahleka
• ukukhula kwezinwele okungavamile
• induna entsha
• Ukukhishwa kwengono

Gcina umkhondo wemijikelezo yakho yokuya esikhathini, kufaka phakathi ukuthi ukuhamba kwegazi kwakho kuthatha isikhathi esingakanani, nokuthi mangaki ama-tampon noma ama-sanitary pads owasebenzisayo phakathi nomjikelezo ngamunye. Lolu lwazi luzosiza ekuqokweni kwakho kwabesifazane.

Gwema imikhiqizo equkethe i-aspirin ngoba ingakhuphula ukopha.

Zitholakala kanjani izikhathi ezinzima noma ezingajwayelekile zokuya esikhathini?

Uma unezikhathi ezingavamile zokuya esikhathini, udokotela wakho mhlawumbe uzoqala ngokuhlolwa kwe-pelvic. Bazocela umlando wakho wezokwelapha. Kufanele ubhale yonke imithi nezithasiselo ozithathayo.

Ngokuya ngezimpawu zakho ezithile, ukuhlolwa kokuxilongwa kungafaka:

I-Pap smear

Lokhu kuhlolwa kubheka izifo ezahlukahlukene noma amaseli anomdlavuza emlomo wesibeletho.

Ukuhlolwa kwegazi

Ukuhlolwa kwegazi kuzosetshenziselwa ukubheka ukushoda kwegazi, izinkinga zokuvala igazi, nokusebenza kwegilo.

I-pelvic ultrasound

I-ultrasound ye-pelvic izokhiqiza izithombe zesibeletho sakho, ama-ovari, ne-pelvis.

I-Endometrial biopsy

Uma udokotela wakho efuna ukuhlola izingqinamba ezingenzeka ngesibeletho sakho, bangahle ba-oda i-endometrial biopsy. Ngesikhathi sale nqubo, kuthathwa isampula lezicubu zakho zesizalo ukuze lihlaziywe.

Bangasebenzisa futhi i-hysteroscopy yokuxilonga ukubuka ngaphakathi kwesibeletho sakho. Ukuze uthole i-hysteroscopy, udokotela wakho uzosebenzisa ithubhu ekhanyisiwe ukubuka isizalo futhi asuse i-polyp.

I-Sonohysterogram

I-sonohysterogram iyi-ultrasound ebandakanya ukujova uketshezi esibelethweni sakho ukusiza ukwenza isithombe sesibeletho sakho. Udokotela wakho uzokwazi ukubheka ama-polyps noma ama-fibroids.

Ukuhlolwa kokukhulelwa

Udokotela wakho angacela ukuhlolwa kokukhulelwa.

Yiziphi izinketho zokwelashwa zezikhathi ezinzima noma ezingavamile zokuya esikhathini?

Ukwelashwa kuzoya ngokuthi:

• impilo yakho yonke
• isizathu sokungajwayelekile kwakho kokuya esikhathini
• umlando wakho wokuzala kanye nezinhlelo zesikhathi esizayo

Udokotela wakho uzodinga futhi ukubhekana nanoma yiziphi izimo zezokwelapha ezingaphansi, njengokukhubazeka kwe-thyroid.

Ukwelashwa kungafaka okulandelayo.

Imithi

Imithi yokwelashwa engenzeka udokotela wakho angayiphakamisa ukuthi ifake:

• Izidakamizwa ezingezona ukuvuvukala (i-NSAIDS), njenge-ibuprofen noma i-naproxen, zinganciphisa ukulahleka kwegazi okuncane.
• Izengezo zensimbi zingelapha ukwelashwa kwegazi.
• Imijovo yokufaka esikhundleni seHormone ingaphatha ukungalingani kwe-hormonal.
• Izindlela zokuvimbela inzalo ngomlomo ingalawula umjikelezo wakho futhi ifinyeze izinkathi.

Ungasebenzisana nodokotela wakho ukuthola ezinye izindlela uma ukungajwayelekile kwakho kungenxa yemithi osuvele uyiphuza.

Izinqubo zokwelashwa

D&C

I-Dilation ne-curettage, eyaziwa nangokuthi i-D & C, inqubo lapho udokotela wakho enweba khona umlomo wakho wesibeletho futhi asike izicubu kulolwelwesi lwesibeletho sakho. Le yinqubo ejwayelekile futhi yehlisa ukopha kokuya esikhathini.

Ukuhlinzwa

Ukuhlinzwa kuyindlela yokwelashwa ejwayelekile kakhulu yezimila ezinomdlavuza. Futhi kuyindlela yokwelapha i-fibroids, kepha akudingekile ngaso sonke isikhathi. Ukususwa kwama-polyps kungenziwa kusetshenziswa i-hysteroscopy.

Ukukhishwa kwe-Endometrial

Ukukhishwa kwe-Endometrial inqubo esetshenziswa kwabesifazane abangazange babe nempumelelo ngemithi esetshenziselwa ukulawula ukopha okukhulu kanye nezimpawu ezihlobene. Le nqubo ifaka phakathi udokotela wakho ekubhubhiseni ulwelwesi lwesibeletho, kusale ukugeleza okuncane kokuya esikhathini.

Ukuthengiswa kabusha kwe-Endometrial

Ukuthengiswa kabusha kwe-Endometrial kususa ulwelwesi lwesibeletho. Le nqubo inciphisa kakhulu amathuba akho okukhulelwa esikhathini esizayo. Uma uhlela ukuba nezingane, ungahle ufune ukuxoxa futhi ubheke ezinye izindlela zokwelashwa.

I-Hysterectomy

I-hysterectomy ukususwa kokuhlinzwa kwesibeletho nomlomo wesibeletho. Udokotela wakho futhi angasusa ama-ovari akho, uma kunesidingo. Lokhu kubangela ukunqamuka kokuya esikhathini ngaphambi kwesikhathi.

Le nqubo kungaba yindlela yokwelashwa oyithandayo uma unomdlavuza noma i-fibroids. Ingaphinde ilaphe i-endometriosis engaphendulanga kwezinye izindlela zokwelapha ezingangenisi kakhulu.

Ukuba ne-hysterectomy kususa amandla akho okuzala izingane.

Yiziphi izinkinga ezihambisana nezikhathi ezinzima zokuya esikhathini?

Ukugeleza kwegazi elinzima akusona njalo isibonakaliso sokuthi kukhona okungahambi kahle. Kodwa-ke, ukulahleka ngokweqile kwegazi kungaqeda ukunikezwa komzimba yensimbi futhi kubangele i-anemia. Icala elincane le-anemia lingadala ukukhathala nobuthakathaka. Icala elibi kakhulu lingaholela kulezi zimpawu ezilandelayo:

• ikhanda
• isiyezi
• ukuphelelwa umoya
• ukushaya kwenhliziyo okusheshayo

Ukugeleza okusindayo nakho kungadala ukuqunjelwa okubuhlungu, noma i-dysmenorrhea, kwesinye isikhathi edinga umuthi.