Ukoma Kwesitho Sangasese Sangemva kokubeletha

-Delile

• AmaHormoni nokoma kwesitho sangasese sowesifazane
• I-Postpartum thyroiditis
• Kwenzani konke lokhu esithweni sakho sangasese?
• Ongakwenza
• Ukubonana nodokotela nini

Umzimba wakho wadlula ezinguquko ezinkulu phakathi nesikhathi sokukhulelwa kwakho. Ungalindela ukuqhubeka nokuhlangabezana nezinguquko ezithile njengoba uphulukisa ngemuva kokubeletha, kepha ingabe ulungele izinguquko empilweni yakho yezocansi?

Intshisekelo encane kwezocansi noma ngisho nobuhlungu bokungena kungabonakala kujwayelekile ngemuva kokubeletha. Ukoma kwesitho sangasese sowesifazane nokho? Yebo, kujwayelekile, futhi.

Kholwa noma ungakukholwa, ocwaningweni olulodwa lwango-2018 lwabesifazane abangama-832 ababelethayo, amaphesenti angama-43 abike ukoma kwesitho sangasese sowesifazane ezinyangeni eziyisithupha ngemuva kokubeletha, ngakho-ke uma uhlangabezana nakho, ukude kakhulu.

Ngempela, ukoma kwesisu ngemuva kokubeletha kuyisimo esivamile. Futhi abesifazane abaningi bathola ukuthi lokhu koma kwenza ucansi lungakhululeki noma lubuhlungu. Uma uhlangabezana nakho, ungakhathazeki, kunezindlela zokunciphisa ukungakhululeki.

AmaHormoni nokoma kwesitho sangasese sowesifazane

Mhlawumbe uyazibuza ukuthi kungani kwenzeka ukoma kwesitho sangasese sowesifazane ngemuva kokubeletha, futhi impendulo eyodwa ngamahomoni akho… ikakhulukazi i-estrogen ne-progesterone.

I-Estrogen ne-progesterone zikhiqizwa ikakhulu kuma-ovari akho. Zibangela ukuthomba, kufaka phakathi ukukhula kwamabele nokuya esikhathini.

Zibangela nokwakheka kolwelwesi esibelethweni sakho ngesikhathi sokuya esikhathini. Uma iqanda elikhulelisiwe lingafakwanga kulolwelwesi, amazinga e-estrogen ne-progesterone ayehla, futhi ulwelwesi lwesibeletho luyachitheka njengenkathi yakho.

Amazinga e-Estrogen ne-progesterone akhuphuka ngenkathi ukhulelwe. Esikhundleni sokulahlwa, ulwelwesi lwesibeletho luqala lube i-placenta. I-placenta nayo iqala ukukhiqiza i-estrogen ne-progesterone.

Izinga le-Estrogen ne-progesterone lehla kakhulu ngemuva kokubeletha. Eqinisweni, babuyela emazingeni abo okukhulelwa ngaphambi kwamahora angama-24 ngemuva kokubeletha. (Umzimba wakho ushaya phansi i-estrogen ngisho nalapho usenga ezimithiyo ngoba i-estrogen ingaphazamisa ukukhiqizwa kobisi.)

I-Estrogen ibalulekile ekuvusweni ngocansi ngoba ikhuphula ukugeleza kwegazi liye ezithweni zangasese futhi yenyusa ukuthambisa kwesitho sangasese sowesifazane. Ukushoda kwe-estrogen yikhona okubangela izimpawu eziningi zangemva kokubeletha abantu besifazane ababhekana nakho, kufaka phakathi ukushisa okushisayo, ukujuluka ebusuku nokoma kwesitho sangasese sowesifazane.

Abanye besifazane bakhetha ukusebenzisa isengezo se-estrogen ukumelana nalokhu. Abanye bakhetha ukungathathi eyodwa ngoba kwandisa ingozi yomdlavuza nezinye izindaba, njengamahlule egazi.

Khuluma nodokotela wakho ngobungozi nezinzuzo uma unentshisekelo yokuthatha noma ukusebenzisa isengezo se-estrogen, njengephilisi, isichibi, noma ukhilimu wesitho sangasese sowesifazane. (Ezimweni eziningi, izithasiselo ze-estrogen zisetshenziswa okwesikhashana ngohlobo lukakhilimu.)

I-Postpartum thyroiditis

Ukoma kwesitho sangasese sowesifazane ngemuva kokubeletha nakho kungabangelwa yi-postpartum thyroiditis, ukuvuvukala kwendlala yegilo.

Indlala yakho yegilo ikhiqiza ama-hormone abalulekile emisebenzini ehlukahlukene yomzimba, kufaka phakathi imetabolism; noma kunjalo, indlala yakho yegilo ingaveza ama-hormone amaningi kakhulu noma anele lapho ivuvukala.

Izimpawu ze-postpartum thyroiditis zingafaka:

• ukuqhaqhazela
• ukushaya kwenhliziyo
• ukucasuka
• ubunzima bokulala
• ukuzuza kwesisindo
• ukukhathala
• ukuzwela emakhazeni
• ukudana
• isikhumba esomile
• ukoma kwesitho sangasese sowesifazane

Uma uhlangabezana nalezi zimpawu noma ezinye, ungazizwa ududuzeka ngokwazi ukuthi awuwedwa. I-Postpartum thyroiditis kuze kufike kumaphesenti ayi-10 abesifazane.

Uhlobo lwe-postpartum thyroiditis onalo luzocacisa ukwelashwa kwakho. Ukuze uthole i-thyroid ekhiqiza ngokweqile, udokotela wakho angase asikisele ama-beta-blockers ukusiza ukunciphisa izimpawu. Ngaphandle kwalokho, udokotela wakho angancoma ukwelashwa kwehomoni ye-thyroid uma i-thyroid yakho ingakhiqizi.

Uma i-postpartum thyroiditis iyimbangela yokoma kwakho kwesitho sangasese sowesifazane, qiniseka ukuthi ukusebenza kwe-thyroid ngokuvamile kubuyela kokujwayelekile ezinyangeni eziyi-12 kuya kwezingu-18 ngamaphesenti angama-80 abesifazane.

Kwenzani konke lokhu esithweni sakho sangasese?

Ukoma kokubeletha nokubeletha kwangemva kokubeletha kungasho ukuthi izicubu zesitho sakho sangasese ziba mncane, zingabi nokunwebeka, futhi zithambekele ekulimaleni. Imomozi yangasese nayo ingavuvuka, okungadala ukushisa nokunwaya.

Ngenxa yalolu shintsho, ukuya ocansini kwangemva kokubeletha kungaba buhlungu noma ungathola ukopha esithweni sakho sangasese. Kodwa-ke, khuthazeka ukuthi lezi zimpawu kufanele zinyamalale lapho amazinga akho e-estrogen ebuyela kokujwayelekile.

Ongakwenza

Usengaba nempilo emnandi yezocansi yize womile ngemuva kokubeletha. Amathiphu alandelayo anikela ngezindlela ezimbalwa zokuthuthukisa isipiliyoni sakho socansi lwangemva kokubeletha:

• Sebenzisa i-lubricant lapho wenza ucansi. (Uma umlingani wakho esebenzisa ikhondomu, gwema izinto zokuthambisa ezisebenzisa uphethiloli, ezingalimaza amakhondomu.)
• Khuluma nodokotela wakho ngokusebenzisa ukhilimu wesitho sangasese sowesifazane i-estrogen, njenge-conjugated estrogens (Premarin) noma i-estradiol (Estrace).
• Cabanga ukusebenzisa isithambisi sowesifazane sangasese njalo ezinsukwini ezimbalwa.
• Phuza amanzi. Gcina umzimba wakho unamanzi amaningi!
• Gwema amadokodo nezifutho zenhlanzeko yomuntu siqu, ezingacasula izicubu ezibucayi zesitho sangasese sowesifazane.
• Khuluma nomlingani wakho ngezinto ezikukhathazayo.
• Khulisa i-foreplay bese uzama amasu ahlukahlukene nezikhundla.

Ukubonana nodokotela nini

Njalo khuluma nomhlinzeki wezokunakekelwa kwempilo uma kukhona okuzwayo okungalungile ngomzimba wakho. Qiniseka ukuthi ukhuluma ne-OB-GYN yakho noma umbelethisi uma izimpawu zangemva kokubeletha ziqhubeka, uma ubuhlungu bakho bungabekezeleleki, noma ngabe ukhathazekile nganoma iyiphi indlela.

Ukutheleleka, isifo sikashukela, kanye ne-vaginismus (ukuphambana okungazibandakanyi) nakho kungadala ukuya ocansini okubuhlungu, ngakho-ke kubalulekile ukuba nezingxoxo ezithembekile nomhlinzeki wakho wezokunakekelwa kwempilo mayelana nokuthi uhlangabezana nani.

Noma ungazizwa ungakhululekile kanjani ngalezi zingxoxo, khumbula ukuthi awuwedwa kulokho obhekene nakho!