Yini Ebangela Ubuhlungu Bomzimba Kwabesifazane?

-Delile

• Izimbangela
• Isifo sokuvuvukala kwepelvic (PID)
• I-Endometriosis
• Ukuvuthwa
• Ukuya esikhathini
• Isibungu se-Ovarian (adnexal)
• I-ovary cyst
• Isizalo se-fibroids (i-myoma)
• Umdlavuza we-Gynecologic
• Ubuhlungu be-pelvic ekukhulelweni
• Izinciphiso zeBraxton-Hicks
• Ukuphuphuma kwesisu
• Ukusebenza ngaphambi kwesikhathi
• Ukuphazamiseka kweplacental
• Ukukhulelwa kwe-Ectopic
• Ezinye izimbangela
• Ukuxilongwa
• Amakhambi asekhaya
• Ukudla okudlela endlini

Ukubuka konke

Isinqe sinezitho zokuzala. Itholakala esiswini esingezansi, lapho isisu sakho sihlangana khona nemilenze yakho. Ubuhlungu be-pelvic bungafinyelela esiswini esingezansi, okwenza kube nzima ukuhlukanisa nobuhlungu besisu.

Funda ukuze ufunde izimbangela zobuhlungu be-pelvic kwabesifazane, lapho ufuna usizo, nokuthi ungaluphatha kanjani lolu phawu.

Izimbangela

Kunezimbangela eziningi zazo zombili izinhlungu ezibuhlungu nezingapheli ezinqeni. Ubuhlungu obukhulu be-pelvic bubhekisela ebuhlungwini obungazelelwe noma obusha. Ubuhlungu obungapheli buchaza isimo esihlala isikhathi eside, esingahlala sihlala njalo noma sifike sidlule.

Isifo sokuvuvukala kwepelvic (PID)

Isifo sokuvuvukala kwepelvic (PID) ukutheleleka kwezitho zokuzala zabesifazane. Ngokuvamile kubangelwa ukutheleleka okungahlanjululwa ngocansi, njenge-chlamydia noma i-gonorrhea. Abesifazane kaningi ababi nazimpawu lapho betheleleka okokuqala. Uma ishiywe ingalashwa, i-PID ingadala izinkinga ezinkulu, kufaka phakathi ubuhlungu obungapheli, obuhlungu okhalweni noma esiswini.

Ezinye izimpawu zingabandakanya:

• ukopha ngesikhathi sokuya ocansini
• imfiva
• ukukhishwa okukhulu kwesitho sangasese sowesifazane nephunga
• ubunzima noma ubuhlungu ngesikhathi uchama

I-PID idinga ukunakekelwa kwezokwelapha ngokushesha ukugwema izinkinga ezingeziwe, kufaka phakathi:

• ukukhulelwa kwe-ectopic
• izilonda ezithweni zokuzala
• amathumba
• ukungazali

I-Endometriosis

I-Endometriosis ingenzeka nganoma yisiphi isikhathi phakathi neminyaka yakho yokuzala. Kubangelwa ukukhula kwezicubu zesibeletho ngaphandle kwesibeletho. Lesi sicubu siqhubeka nokusebenza ngendlela ebesingenza ngayo uma besingaphakathi kwesibeletho, kufaka phakathi ukuqina nokuchitheka ngenxa yomjikelezo wokuya esikhathini.

I-Endometriosis ivame ukudala izinhlungu ezahlukahlukene, ezisukela ebumnandini, ziye kobukhulu futhi ziyaqeda amandla. Lobuhlungu buvame ukubonakaliswa kakhulu ngesikhathi sokuya esikhathini. Kungenzeka futhi ngesikhathi sokuya ocansini nangokuhamba kwamathumbu noma kwesinye. Ubuhlungu buvame ukugxila esifundeni se-pelvic, kepha bungadlulela esiswini.

I-Endometriosis nayo ingathinta amaphaphu ne-diaphragm, noma kunjalo.

Ngaphezu kobuhlungu, izimpawu zingafaka:

• izikhathi ezinzima
• isicanucanu
• ukuqunjelwa

I-Endometriosis nayo ingaholela ekuzaleni noma ekungazali.

Ukwelashwa kokuphathwa kobuhlungu kungabandakanya imishanguzo ye-over-the-counter (OTC) noma izinqubo zokuhlinzwa, njenge-laparoscopy. Kukhona nezindlela zokwelapha eziphumelelayo ze-endometriosis kanye nokukhulelwa, njengokufakwa kwe-in vitro. Ukuxilongwa kusenesikhathi kungasiza ekwehliseni izimpawu ezingalapheki, kufaka phakathi ubuhlungu nokungazali.

Ukuvuthwa

Abanye besifazane baba nobuhlungu besikhashana obukhali ngesikhathi se-ovulation lapho iqanda likhishwa esibelethweni. Lobu buhlungu bubizwa ngokuthi i-mittelschmerz. Imvamisa ihlala amahora ambalwa kuphela futhi ivame ukuphendula kumuthi wezinhlungu ze-OTC.

Ukuya esikhathini

Ubuhlungu be-pelvic bungenzeka ngaphambi nangesikhathi sokuya esikhathini futhi kuvame ukuchazwa njengezinhlungu esiswini noma esiswini esingezansi. Ubukhulu bungahluka inyanga nenyanga.

Ubuhlungu ngaphambi kokuya esikhathini kuthiwa yi-premenstrual syndrome (PMS). Lapho ubuhlungu bukhulu kakhulu ukuthi awukwazi ukujabulela imisebenzi yakho ejwayelekile, yansuku zonke, ibizwa ngokuthi yi-premenstrual dysphoric disorder (PMDD). I-PMS ne-PMDD ivame ukuhambisana nezinye izimpawu, kufaka phakathi:

• ukuqunjelwa
• ukucasuka
• ukuqwasha
• ukukhathazeka
• amabele amathenda
• ukushintsha kwemizwelo
• ikhanda
• ubuhlungu obuhlangene

Lezi zimpawu imvamisa, noma kungenjalo ngaso sonke isikhathi, ziyaphela lapho kuqala ukuya esikhathini.

Ubuhlungu ngesikhathi sokuya esikhathini kuthiwa yi-dysmenorrhea. Lobu buhlungu bungazizwa njengezinhlungu esiswini, noma njengobuhlungu obukhathazayo emathangeni nasemhlane. Kungahambisana nalokhu:

• isicanucanu
• ikhanda
• ubumhlophe
• ukuhlanza

Uma ubuhlungu bakho bokuya esikhathini bukhulu, xoxa nokuphathwa kobuhlungu nodokotela wakho. Imithi ye-OTC noma i-acupuncture kungasiza.

Isibungu se-Ovarian (adnexal)

Uma i-ovary yakho isonta ngokuzumayo othini lwayo lokuphotha, uzozwa ubuhlungu obusheshayo, obubukhali, obucindezelayo. Ubuhlungu kwesinye isikhathi buhambisana nesicanucanu nokuhlanza. Lobu buhlungu bungabuye buqale ezinsukwini ezedlule njengokucinana ngezikhathi ezithile.

I-ovarian torsion yisimo esiphuthumayo sezokwelapha esivame ukudinga ukuhlinzwa ngokushesha. Uma uhlangabezana nanoma yini enjengale, funa ukunakekelwa kwezokwelapha ngokushesha.

I-ovary cyst

Ama-cysts esibelethweni kaningi awabangeli zimpawu. Uma zikhulu, ungazizwa noma ubuhlungu obuzwelayo noma obucijile ohlangothini olulodwa lwenqunu noma isisu. Ungase futhi uzizwe ukhukhumele, noma isisindo esiswini sakho esingezansi.

Uma i-cyst iqhuma, uzozwa ubuhlungu obungazelelwe, obubukhali. Kufanele ufune ukwelashwa uma uhlangabezana nalokhu, noma kunjalo, ama-cysts ama-ovari avame ukuzihlakazela ngokwawo. Udokotela wakho angancoma ukukhipha i-cyst enkulu ukugwema ukuqhekeka.

Isizalo se-fibroids (i-myoma)

I-uterine fibroids ukukhula okungahambi kahle esibelethweni. Izimpawu ziyahluka ngokuya ngosayizi nendawo. Abesifazane abaningi abanazo izimpawu nhlobo.

Ama-fibroids amakhulu angadala umuzwa wengcindezi noma ubuhlungu obuzwelayo ethangeni noma esiswini esingezansi. Kungadala futhi:

• ukopha ngesikhathi sokuya ocansini
• izikhathi ezinzima
• inkinga ngokuchama
• ubuhlungu bomlenze
• ukuqunjelwa
• ukuhlungu obusemhlane

Ama-fibroid nawo angaphazamisa ukukhulelwa.

I-Fibroids kwesinye isikhathi idala ubuhlungu obucijile, obukhulu uma iphuma kunikezelo lwegazi labo bese iqala ukufa. Funa usizo lwezokwelapha ngokushesha uma uhlangabezana:

• ubuhlungu obungapheli be-pelvic
• ubuhlungu obukhali be-pelvic
• ukopha okunzima kwesitho sangasese sowesifazane phakathi kwezikhathi
• Inkinga yokuvala isinye sakho

Umdlavuza we-Gynecologic

Umdlavuza ungenzeka ezindaweni eziningi zesikhumba, kufaka phakathi:

• isibeletho
• endometrium
• umlomo wesibeletho
• amaqanda

Izimpawu ziyahlukahluka, kepha zivame ukufaka ubuhlungu obuzwelayo, obuhlungu ethangeni nasesiswini, nobuhlungu ngesikhathi sokuya ocansini. Ukukhishwa okungajwayelekile kwesitho sangasese sowesifazane kungenye yezimpawu ezivamile.

Ukuthola ukuhlolwa njalo nokuhlolwa kwabesifazane kungakusiza ukuthi uthole umdlavuza kusenesikhathi, lapho kulula ukuwelapha.

Ubuhlungu be-pelvic ekukhulelweni

Ubuhlungu be-pelvic ngesikhathi sokukhulelwa ngokuvamile akuyona imbangela ye-alamu. Njengoba umzimba wakho ulungisa futhi ukhula, amathambo nemisipha yakho kuyelula. Lokho kungadala imizwa yobuhlungu noma yokungaphatheki kahle.

Kodwa-ke, noma yibuphi ubuhlungu obukwenza ube novalo, noma ngabe buphansi, kufanele kuxoxwe nodokotela wakho. Ikakhulukazi uma ihambisana nezinye izimpawu ezifana nokuphuma kwegazi esithweni sangasese, noma uma ingapheli noma ihlala isikhathi eside. Ezinye izimbangela zobuhlungu ngesikhathi sokukhulelwa zifaka:

Izinciphiso zeBraxton-Hicks

Lezi zinhlungu zivame ukubizwa ngokuthi ngumsebenzi wamanga futhi zenzeka kakhulu phakathi ne-trimester yesithathu. Bangalethwa ngu:

• ukuzikhandla komzimba
• ukunyakaza kwengane
• ukoma komzimba

Ukuvinjelwa kweBraxton-Hicks kungangakhululeki, kepha akunamandla njengobuhlungu bomsebenzi. Futhi azizi ngezikhathi ezithile noma zikhuphuke ngamandla ngokuhamba kwesikhathi.

Izinciphiso zeBraxton-Hicks akusona isimo esiphuthumayo sezokwelapha, kodwa kufanele wazise udokotela wakho ukuthi unazo lapho uya ekuqokelweni kwakho okulandelayo ngaphambi kokubeletha.

Ukuphuphuma kwesisu

Ukuphuphuma kwesisu ukulahleka kokukhulelwa ngaphambi kwesonto lama-20 lokukhulelwa. Ukuphuphuma kwesisu okuningi kwenzeka phakathi ne-trimester yokuqala, ngaphambi kwesonto le-13. Zivame ukuhambisana nalokhu:

• ukopha kwesitho sangasese sowesifazane noma ukubomvu okukhanyayo
• amajaqamba esiswini
• imizwa yobuhlungu okhalweni, esiswini, noma emhlane ongezansi
• ukuphuma koketshezi noma isicubu esithweni sangasese

Uma ucabanga ukuthi uphuphunyelwa yisisu, shayela udokotela wakho noma uye egumbini lezimo eziphuthumayo ngokushesha.

Ukusebenza ngaphambi kwesikhathi

Umsebenzi owenzeka ngaphambi kweviki lama-37 lokukhulelwa uthathwa njengomsebenzi ongakafiki isikhathi. Izimpawu zifaka:

• ubuhlungu esiswini sakho esingezansi, obungazwakala njengokufinyela okubukhali, okunesikhathi noma njengokucindezela okuncane
• ubuhlungu beqolo
• ukukhathala
• ukukhishwa kwesisu okungaphezulu kokujwayelekile
• ukuminyana esiswini noma ngaphandle kohudo

Ungase futhi udlulise i-plug yakho ye-mucus. Uma ukubeletha kulethwa ukutheleleka, ungahle ube nomkhuhlane.

Ukusebenza ngaphambi kwesikhathi yisimo esiphuthumayo sezokwelapha esidinga ukunakekelwa ngokushesha. Ngezinye izikhathi kungamiswa ukwelashwa ngaphambi kokubeletha.

Ukuphazamiseka kweplacental

I-placenta yakha futhi izinamathele odongeni lwesibeletho ekuqaleni kokukhulelwa. Yenzelwe ukuhlinzeka nge-oxygen nokondleka kwengane yakho kuze kufike lapho ibeletha. Akuvamile, i-placenta iyazihlukanisa nodonga lwesibeletho. Lokhu kungaba iqembu eliyingxenye noma eliphelele, futhi kwaziwa njengokuphazamiseka kweplacenta.

Ukuphazamiseka kweplacental kungadala ukopha esithweni sangasese sowesifazane, kuhambisane nemizwa engazelelwe yobuhlungu noma isisa esiswini noma emuva. Kuvame kakhulu ku-trimester yesithathu, kepha kungenzeka nganoma yisiphi isikhathi ngemuva kweviki lama-20 lokukhulelwa.

Ukuphazamiseka kweplacental kudinga ukwelashwa ngokushesha.

Ukukhulelwa kwe-Ectopic

Ukukhulelwa kwe-Ectopic kwenzeka ngemuva nje kokukhulelwa uma iqanda elikhulelisiwe lizifaka ngaphakathi kwethubhu noma enye ingxenye yomgudu wokuzala esikhundleni sesibeletho. Lolu hlobo lokukhulelwa alusoze lwasebenza futhi lungaholela ekuqhekekeni kweshubhu le-fallopian nokopha kwangaphakathi.

Izimpawu eziyinhloko zibuhlungu, ubuhlungu obukhulu nokuphuma kwegazi esithweni sangasese. Ubuhlungu bungavela esiswini noma okhalweni. Ubuhlungu bungabuye buqhamuke buye ehlombe noma entanyeni uma ukuphuma kwangaphakathi kwenzeka negazi lihlanganisiwe ngaphansi kwesifafazi.

Ukukhulelwa kwe-ectopic kungahlakazeka ngemithi noma kungadinga ukuhlinzwa.

Ezinye izimbangela

Ubuhlungu be-pelvic bungabangelwa izimo eziningi ezengeziwe kwabesilisa nabesifazane. Lokhu kufaka phakathi:

• ubende obukhulisiwe
• i-appendicitis
• ukuqunjelwa okungapheli
• ukwelashwa
• i-hernias yesifazane kanye nenguinal
• i-pelvic floor muscle spasm
• ukulunywa yizilonda emathunjini
• amatshe ezinso

Ukuxilongwa

Udokotela wakho uzothatha umlando ngomlomo ukuze afunde ngohlobo lobuhlungu onabo, nangezinye izimpawu zakho kanye nomlando wezempilo jikelele. Bangaphinde bancome i-pap smear uma ungazange ube nayo eminyakeni emithathu edlule.

Kunezivivinyo eziningana ezijwayelekile ongazilindela. Lokhu kufaka phakathi:

• Ukuhlolwa ngokomzimba, ukubheka izindawo zesisa esiswini nasesinqeni sakho.
• I-pelvic (transvaginal) ultrasound, ukuze udokotela wakho akwazi ukubuka isibeletho sakho, amashubhu e-fallopian, isitho sangasese sowesifazane, amaqanda, nezinye izitho ngaphakathi kohlelo lwakho lokuzala. Lokhu kuhlolwa kusebenzisa induku efakwe esithweni sangasese, esidlulisa amaza omsindo kusikrini sekhompyutha.
• Ukuhlolwa kwegazi nomchamo, ukubheka izimpawu zokutheleleka.

Uma imbangela yobuhlungu ingatholakali kusuka kulezi zivivinyo zokuqala, ungadinga ukuhlolwa okwengeziwe, okufana nalokhu:

• Iskena se-CT
• i-MRI yokhalo
• laparoscopy okhalo
• ikholoscopy
• cystoscopy

Amakhambi asekhaya

Ubuhlungu be-pelvic buvame ukuphendula emithini yezinhlungu ze-OTC, kodwa qiniseka ukuthi ubuza nodokotela wakho ngaphambi kokuba uthathe noma yiluphi uhlobo lwesidakamizwa ngesikhathi sokukhulelwa.

Kwezinye izimo, ukuphumula kungasiza. Kwabanye, ukunyakaza ngobumnene nokuzivocavoca umzimba okulula kuzoba usizo kakhulu. Zama lezi zeluleko:

• Beka ibhodlela lamanzi ashisayo esiswini sakho ukubona ukuthi kuyasiza yini ukunciphisa amajaqamba noma ukugeza okufudumele.
• Phakamisa imilenze yakho. Lokhu kungasiza ekunciphiseni ubuhlungu be-pelvic nobuhlungu obuthinta emuva noma amathanga akho aphansi.
• Zama i-yoga, i-yoga ngaphambi kokubeletha, nokuzindla nakho okungasiza ekuphathweni kobuhlungu.
• Thatha amakhambi, njengegxolo lomnyezane, elingasiza ukwehlisa ubuhlungu. Thola imvume kadokotela wakho ngaphambi kokuyisebenzisa ngesikhathi sokukhulelwa.

Ukudla okudlela endlini

Ubuhlungu be-pelvic yisimo esivamile kubantu besifazane abanezimbangela ezahlukahlukene. Kungaba okungamahlalakhona noma okunzima. Ubuhlungu be-pelvic buvame ukuphendula ekwelashweni kwasekhaya kanye nemithi ye-OTC. Kodwa-ke, kungadalwa yizimo eziningi ezibucayi ezidinga ukunakekelwa ngokushesha kukadokotela.

Kuhlale kungumqondo omuhle ukubona udokotela wakho uma uhlangabezana nobuhlungu be-pelvic, ikakhulukazi uma kwenzeka njalo. Bangakwazi ukwenza izivivinyo ukuthola imbangela.