Izimbangela ze-7 zokuhlikihla esithweni sangasese nokuthi wenzeni

-Delile

• 1. Ukukhulelwa
• 2. Ukuvivinya umzimba
• 3. IVulvodynia
• 4. Izifo ezithathelwana ngocansi
• 5. I-Vaginismus
• 6. Imithambo ye-Varicose esithweni sangasese
• 7. Ama-cysts kaBartholin
• Uzoya nini kudokotela

Ukubhoboza esithweni sangasese kungadalwa yizimo ezithile njengokusebenza kokuvivinya umzimba okweqile, okuphoqa isifunda se-pelvic noma kungavela ngenxa yokwanda kosayizi wengane ngemuva kwe-trimester yesithathu yokukhulelwa.

Ezinye izinkinga zempilo zingaholela ekubonakaleni kwemithungo esithweni sangasese, njenge-vaginismus nemithambo ye-varicose esithweni sangasese, nezinye izimpawu ezinjengokuphuma kwegazi esithweni sangasese sowesifazane esikhathini sokuya esikhathini, ukuvuvukala nokukhishwa kwesitho sangasese sowesifazane nakho kungabonakala, futhi kubaluleke kakhulu Ukubonana nodokotela wezifo zabesifazane ukukhomba isimo esithintekayo bese ukhombisa ukwelashwa okufanele.

Ngakho-ke, izimbangela ezinkulu zokuhlikihla esithweni sangasese yilezi:

1. Ukukhulelwa

Ku-trimester yokugcina yokukhulelwa, ngemuva kweviki lama-27 lokukhulelwa, ingane izuza isisindo esiningi, kanye nokwanda kwevolumu loketshezi olujikelezayo kuyenzeka futhi lokhu kudala ingcindezi futhi kunciphise ukugeleza kwegazi esifundeni sowesifazane. Ngenxa yalokhu, kujwayelekile ukuthi abesifazane abakhulelwe bezwe ngemithungo nokuvuvukala esithweni sangasese, kanye nokushisa okushisayo esifundeni.

Okufanele ngikwenze: lesi simo sivamile ekugcineni kokukhulelwa, kodwa-ke uma kuhlangene nemithungo esithweni sangasese uhlobo oluthile lokopha lwenzeka kubalulekile ukubonisana nodokotela ababelethayo ukuze bahlole izimpawu bese beqala ukwelashwa okufanele kakhulu.

Uma umthungo ungenxa nje yesisindo somntwana, ingcindezi ebandayo ingabekwa esithweni sangasese sokuqeda izinhlungu. Kubalulekile futhi ukugwema ukuma isikhathi eside nokuhlala uphumule, ngoba lokhu kusiza nasekunciphiseni izimpawu.

2. Ukuvivinya umzimba

Ezinye izinhlobo zokuzivocavoca umzimba zingaholela ekubonakaleni kwemithungo esithweni sangasese, ikakhulukazi lezo lapho kudingeka khona ukuthatha isisindo, ukwenza ama-squats futhi okudinga imizamo eminingi emisipheni yezitho zangasese, njengokuphakamisa ukhalo ngebhola.

I-Equestrianism noma ukugibela ihhashi, okuyimisebenzi edinga ukuthi umuntu agibele ihhashi nokuhamba ngebhayisikili nakho kungadala ukuthungwa esifundeni sowesifazane, ngenxa yengcindezi le mithambo ayifaka esifundeni se-vulvar.

Okufanele ngikwenze: umthungo esithweni sangasese obangelwa ukuzivocavoca umzimba ungakhululeka ngokuphumula nokufaka isicindezelo esibandayo khona lapho. Kubalulekile futhi ukugqoka izingubo zikakotini nokuqina okuncane ukuze ungenzi izimpawu zibe zimbi kakhulu.

3. IVulvodynia

I-Vulvodynia, ebizwa nangokuthi i-vulvar vestibulitis, ibonakala ngokunyuka kokuzwela kwezinzwa esifundeni okungenani izinyanga ezintathu, okuholela ekubonakaleni, ebuhlungu, ekushisweni, ekucasukeni nasekulunyweni kule ndawo.

Lezi zimpawu zivele zimane nje uma zithinta izingxenye zangaphakathi noma zangaphandle zesitho sangasese, ngakho-ke, abesifazane abane-vulvodynia bazizwa bethungathwa futhi bezwa ubuhlungu ngesikhathi noma ngemuva kocansi, ngesikhathi sokufakwa kwamathamponi noma ama-tampon, lapho begqoke izingubo eziqinile, ngesikhathi sezivivinyo zabesifazane, lapho begibele ibhayisikili noma ngisho nalapho behlala isikhathi eside.

Ukuxilongwa kwe-vulvodynia kwenziwa ngudokotela wezifo zabesifazane, ngokusebenzisa izikhalazo zowesifazane nangokuhlolwa lapho kuzwakala khona ukuzwela kwendawo lapho udokotela eyithinta ngoswidi wekotini noma enye idivayisi yezokwelapha esifundeni se-vulvar.

Okufanele ngikwenze: ukwelashwa kwe-vulvodynia kukhonjiswa ngudokotela wezifo zabesifazane ngokuhlangana nabanye ochwepheshe abanjengo-neurologist nodokotela wesikhumba, njengoba imbangela ngqo ingaziwa njalo futhi kudingeka uphenyo olubanzi. Kodwa-ke, ukwelashwa imvamisa kuqukethe ukusebenzisa imishanguzo yokuthatha noma yokugcoba ukuqeda izinhlungu, kanye nokuzivocavoca kwe-pelvic kanye ne-transcutaneous electrical neurostimulation, ebizwa nangokuthi yi-TENS, okumele iqondiswe ngumelaphi womzimba.

4. Izifo ezithathelwana ngocansi

Izifo ezithathelwana ngocansi (STIs), ezazaziwa ngokuthi ama-STD, yizifo ezibangelwa amagciwane amancane adluliselwa ngokuxhumana okungavikelekile futhi okungaholela ekubonakaleni kwezimpawu ezahlukahlukene njengokukhishwa okuphuzi noma okuluhlaza, ukushisa, ukushisa, ukuvuvukala, ubuhlungu nokuncinza esikhumbeni .. isitho sangasese sowesifazane.

I-Chlamydia yisifo esithathelwana ngocansi esibangelwa igciwaneI-Chlamydia trachomatis futhi kungenye yezifo eziyinhloko eziholela ezinhlungwini nasekuthungeni esithweni sangasese. Uma lokhu kwelashwa kungalashwa, amabhaktheriya angahlala ohlelweni lwesitho sangasese sowesifazane futhi abangele ukuvuvukala kwesifunda se-pelvic, okukhomba isifo se-Pelvic Inflammatory Disease (PID), okungenzeka futhi ngenxa ye-gonorrhea engalashwa, nayo eyi-STI.

Amanye amagciwane nawo angadluliselwa ocansini futhi abangele ubuhlungu nokuhlabeka esithweni sangasese, ikakhulukazi ngesikhathi sokuya ocansini, njengokutheleleka ngegciwane le-herpes ne-HPV.

Okufanele ngikwenze: lapho kuvela izimpawu, kuyalulekwa ukuthi ufune udokotela wezifo zabesifazane enze ukuhlolwa kwezitho zabesifazane kanye negazi ukuze aqinisekise ukuxilongwa bese wenza izincomo mayelana nokwelashwa ngokuya ngesifo esibonisiwe, esingenziwa ngemithi elwa namagciwane. Kodwa-ke, lezi zifo zingavinjelwa ngokusetshenziswa kwamakhondomu, owesilisa nowesifazane.

Bona izindlela eziningi zokuvikela nokwelapha izifo ezithathelwana ngocansi:

5. I-Vaginismus

I-Vaginismus yisimo esenzeka ngenxa yokuncipha okungazibandakanyi kwemisipha yesifunda sangasese kanye nesitho sangasese sowesifazane, okuholela ebunzimeni bowesifazane ekwenzeni ucansi, njengoba kubangela ubuhlungu obunzima nokuthungwa emseleni wesitho sangasese sowesifazane. Ngokuvamile, i-vaginismus ihlobene nezinkinga ezingokwengqondo, njengokuphikisana ngokocansi, kepha futhi kungavela ngenxa yokuzalwa okuyinkimbinkimbi, ukuhlinzwa kanye ne-fibromyalgia.

Okufanele ngikwenze: ngemuva kokuthi ukuxilongwa kuqinisekiswe ngudokotela wezifo zabesifazane, ukwelashwa okukhonjisiwe kungasuselwa ekusetshenzisweni kwemithi yokwehlisa ukuqubuka kwemisipha esithweni sangasese, ukusetshenziswa kwama-dilators, amasu okuphumula nokwelashwa kwengqondo. Bona kangcono ukuthi ukwelashwa kwe-vaginismus kwenziwa kanjani.

6. Imithambo ye-Varicose esithweni sangasese

Imithambo ye-Varicose ku-vulva, eyaziwa nangokuthi i-vulvar varicosity, ibonakala ngokutholakala kwemithambo ehlanjululwe ezifundeni zezindebe ezinkulu nezincane. Ukuvela kwale nkinga yezempilo kuhlotshaniswa nengcindezi eyandisiwe ebangelwa isisindo sengane ngesikhathi sokukhulelwa, i-venous thrombosis kwezinye izingxenye zomzimba kanye ne-vulvodynia.

Imithambo ye-Varicose esithweni sangasese ayibangeli zimpawu ngaso sonke isikhathi, kubonakala imithambo eminyene kuphela esithweni sangasese, kepha kwabanye besifazane kuvutha, ubuhlungu nokuthungwa kungavela esithweni sangasese noma ethangeni elingaphakathi, okuya kusiba kubi kakhulu uma umile isikhathi eside , ngesikhathi sokuya esikhathini noma ngemuva kobuhlobo obuseduze.

Abesifazane abane-varicose veins ku-vulva, bangaba nezinye izinkinga zempilo ezifana ne-endometriosis, i-fibroids, i-uterine prolapse noma ukungahambisani nomchamo, ngakho-ke ukuxilongwa kufanele kwenziwe ngudokotela wezifo zabesifazane ngemuva kokuhlolwa.

Okufanele ngikwenze: ukwelashwa kwemithambo ye-varicose esithweni sangasese kufaka ukusetshenziswa kwemithi yokuqeda izinhlungu nokunciphisa amahlule egazi nemithi yokuvimbela inzalo ukulawula ama-hormone abesifazane. Ngokuya ngobukhulu balesi simo, ukuhlanganiswa kwemithambo ye-varicose noma ukuhlinzwa ukususa imithambo ethintekile nakho kunganconywa ngudokotela.

7. Ama-cysts kaBartholin

Izilonda esithweni sangasese zingavela ngenxa yama-cysts asendabeni yeBartholin, enesibopho sokuthambisa umsele wesitho sangasese sowesifazane ngesikhathi sokuxhumana okusondelene. Ama-cysts avimba le ndlala futhi lokhu kubangela ukuthi kungabi khona ukuthambisa esithweni sangasese, kubangele ubuhlungu nokuthungwa esithweni sangasese ngesikhathi nasemva kokuhlangana kocansi.

Ama-cyst kaBartholin yizicubu ezinobungozi futhi angaholela ekubonakaleni kwethumba, okuyizigaxa ezine-pus, yingakho kunconywa ukuthi ufune usizo kudokotela wezifo zabesifazane ukuze enze ukuxilongwa futhi akhombise ukwelashwa okufanele kakhulu. Yazi izimbangela zama-cysts kaBartholin.

Okufanele ngikwenze: ukwelashwa kuboniswa ngudokotela wezifo zabesifazane futhi kuya ngosayizi wama-cyth Bartholin akhonjwe, kepha ukusetshenziswa kwama-antibiotic kunganconywa uma kukhona ukutheleleka okuhambisanayo, i-drainage, i-cauterization noma ukususwa kokuhlinzwa kwe-cyst.

Uzoya nini kudokotela

Kubalulekile ukufuna ukwelashwa lapho ngaphezu kokuthungwa kwesitho sangasese sowesifazane, ezinye izimpawu nezimpawu ezifana nokuthi:

• Ubuhlungu nokushisa ukuvuthwa;
• Ukopha ngaphandle kwesikhathi sokuya esikhathini;
• Imfiva;
• Ukukhishwa okuluhlaza okwesibhakabhaka noma okuphuzi;
• Ukulunywa kwesitho sangasese sowesifazane;
• Ubukhona bamabhamuza esithweni sangasese.

Lezi zimpawu zingakhombisa ezinye izifo, njenge-herpes yesitho sangasese, ukutheleleka ngegciwane lomchamo kanye ne-vulvovaginitis, futhi lezi yizimo ezivame ukudluliswa ngocansi yingakho kubalulekile ukuthi ube nomkhuba wokusebenzisa amakhondomu. Bheka ukuthi yini i-vulvovaginitis nokuthi iyini ukwelashwa.