Isikhathi sokuphuma kanye nokuchithwa: Ongakulindela

-Delile

• Ukukhishwa kungashintsha kanjani
• Kungani lokhu kwenzeka
• I-vaginitis yokuvuvukala echazayo (i-DIV)
• Lapho uzobona udokotela wakho
• Yini ongayilindela ngesikhathi sokuxilongwa
• Ingabe ukwelashwa kuyadingeka?
• Ukuphatha ukukhishwa
  
• Uyini umbono?

Ukubuka konke

I-Perimenopause yisikhathi sesikhashana esiholela ekunqamukeni kokuya esikhathini. Ukunqamuka kokuya esikhathini kuyaqashelwa uma ungenasikhathi sonyaka ogcwele.

Isikhathi sokuqeda isikhathi ngokuvamile siqala phakathi kweminyaka engama-30 noma engama-40. Amazinga akho e-estrogen ayahamba ngalesi sikhathi, okungadala ukuthi umjikelezo wakho wokuya esikhathini wehluke enyangeni eyodwa kuye kwenye.

Njengoba umzimba wakho uzulazula isikhathi eside, esifushane, noma izinkathi ezeqiwe, izinguquko ekukhishweni kwesitho sangasese zingalandela. Ungase futhi uzwe ukoma kwesitho sangasese sowesifazane njengokuthuthuka kwe-perimenopause namazinga e-estrogen aqhubeka ukwehla.

Ukukhishwa kungashintsha kanjani

Ngaphambi kokuphela kwesikhathi, ukukhishwa kwakho kungaba:

• kucace
• okumhlophe
• okunamathelayo
• kufana namafinyila
• namanzi
• imnene, kepha ayinaphutha, ngephunga

Ngesikhathi sokuphela kwesikhathi, ukukhishwa kwakho kungathatha umbala onsundu. Kungahle futhi kube mncane futhi kube namanzi noma kukhulu futhi kuqubeke. Lezi zinguquko ngokuvamile aziyona imbangela yokukhathazeka.

Kungani lokhu kwenzeka

Phakathi neminyaka yakho yokuzala, amazinga akho e-estrogen ne-progesterone akhuphuka futhi awe ngezikhathi ezijwayelekile phakathi nomjikelezo wakho wokuya esikhathini. La ma-hormone asiza ukulawula inani lokukhipha okukhiqizwa ubulili bakho.

Esikhathini sokugcina, amazinga akho e-estrogen ayaguquguquka. I-Estrogen izovela futhi iwele ngokungahleliwe njengoba umzimba wakho uqala ukuguquka uye ekunqamukeni kokuya esikhathini.

Ekugcineni, amazinga akho e-estrogen azohlala ekwehleni okungaguquki. Lokhu kwehla kwe-estrogen kunomthelela oqondile ekukhiqizweni kokukhishwa kwesitho sangasese sowesifazane. Lapho usondela esikhathini sokuya esikhathini, ukukhipha okuncane okuzokhiqizwa ngumzimba wakho.

I-vaginitis yokuvuvukala echazayo (i-DIV)

Yize i-DIV ingajwayelekile jikelele, kuvame kakhulu kwabesifazane abane-perimenopausal. Ngokuvamile kuhlotshaniswa nezinguquko ekuphumeni kwesitho sangasese sowesifazane.

Bheka udokotela wakho noma omunye umhlinzeki wezokunakekelwa kwezempilo uma ukuphuma kwakho kungu:

• okunamathelayo okungavamile
• ophuzi
• luhlaza okotshani
• mpunga

Ukukhishwa okomile kungadala nokuthi indawo yakho yangasese ibe bomvu, ilume, noma ivuvuke.

Akucaci ukuthi yini ebangela i-DIV. Abanye bacabanga ukuthi kungahle kuhlobene nokushoda kwe-estrogen, i-lichen planus, noma ukutheleleka.

Lapho uzobona udokotela wakho

Bheka udokotela wakho noma omunye umhlinzeki wezokunakekelwa kwezempilo uma uhlangabezana:

• okuphuzi, okuluhlaza, noma okumpunga
• ukukhishwa kwe-foamy noma okunamandla
• ukukhishwa kwegazi
• iphunga elibi
• ukulunywa kanzima
• ukuvutha noma isisa
• ubuhlungu be-pelvic noma besisu
• ubuhlungu ngesikhathi socansi noma ukuchama

Ukuze ubasize baqinisekise ukuxilongwa, udokotela wakho noma umhlinzeki wezokunakekelwa kwezempilo uzokubuza imibuzo ngomlando wakho wezempilo. Zilungiselele ukunikeza ulwazi mayelana:

• usuku lwesikhathi sakho sokugcina
• noma ngabe unabalingani abasha ocansini
• noma imiphi imithi okungenzeka uyayisebenzisa
• noma ngabe uzwa ubuhlungu okhalweni lwakho, emuva, noma esiswini
• noma ngabe uke wasebenzisa noma yini endaweni yangasese, efana nemikhiqizo yokuya esikhathini njengama-tampon noma ama-pads, ama-douches, noma ama-lubricants

Yini ongayilindela ngesikhathi sokuxilongwa

Ngemuva kokuxoxa ngezimpawu zakho, umhlinzeki wakho uzokwenza ukuhlolwa kwe-pelvic.

Ngesikhathi sokuhlolwa, bazobheka imomozi yakho ngokubomvu okungajwayelekile, ukuvuvukala, noma ezinye izimpawu. Bazofaka i-speculum esithweni sakho sangasese ukuze bakwazi ukuhlola ngaphakathi kwesitho sangasese sowesifazane kanye nomlomo wesibeletho.

Umhlinzeki wakho angathatha isampula elincane lokukhishwa alithumele elebhu ukuze lihlolwe. Uchwepheshe webhu cishe uzohlola izinga le-pH. Izinga eliphakeme le-pH lisho ukuthi ukukhishwa kwakho kuyisisekelo. Kulula ukuthi amabhaktheriya akhule endaweni eyisisekelo. Leli yizinga le-pH elingaphezu kuka-4.5.

Bangase futhi babuke isampula ngaphansi kwesibonakhulu ukuze babheke imvubelo, amagciwane nezinye izinto ezithathelwanayo. Ukutheleleka kungashintsha ukuthungwa, inani, noma iphunga lokukhishwa kwakho.

Imiphumela yalezi zivivinyo izosiza umhlinzeki wakho wezokunakekelwa kwezempilo ukuthi anqume ukuthi ngabe ukwelashwa kuyadingeka yini, futhi uma kunjalo, yikuphi ukwelashwa okungcono kakhulu.

Ingabe ukwelashwa kuyadingeka?

Ukushintshashintsha kwemvelo kuvame ukuvela ngokushintsha amazinga e-estrogen futhi akudingi ukwelashwa.

Uma udokotela wakho ethola i-DIV, bangancoma i-topical clindamycin noma i-hydrocortisone kwizimpawu.

Uma izimpawu zakho zingumphumela wokutheleleka kwefungal noma ibhaktheriya, udokotela wakho uzoncoma i-over-the-counter noma i-topical kadokotela ukuze unciphise ukucasuka futhi usule ukutheleleka.

Izinketho zokwelashwa ziyatholakala futhi ngezimpawu ezibangelwa ukutheleleka ngocansi noma enye imbangela engahlobene nokuqedwa kwesikhashana.

Ukuphatha ukukhishwa

• Sebenzisa amanzi afudumele nabahlanza insipho ukugeza indawo yakho yangasese.
• Gqoka izingubo zangaphansi zikakotini esikhundleni sezindwangu zokwenziwa.
• Gwema izindawo zokugeza ezishisayo ngokweqile nemikhiqizo yokugeza enamakha.
• Gwema ukuxhuma.

Uyini umbono?

Ukukhishwa ngokuvamile kuyehla phakathi nezigaba zakamuva ze-perimenopause. Ekugcineni izokwehla lapho ufinyelela esikhathini sokuya esikhathini.

Ngaphandle kokuthi uhlangabezana nezinye izimpawu ezingavamile, lezi zinguquko ngokuvamile aziyona imbangela yokukhathazeka.

Uma unemibuzo mayelana nokukhishwa kwesitho sangasese sowesifazane ngesikhathi sokuya esikhathini noma ngemuva kokuyeka ukuya esikhathini, khuluma nodokotela wakho noma omunye umhlinzeki wezokunakekelwa kwempilo.