Imfezeko hymen

I-hymen yimbumba encinci. Ihlala igubungela inxenye yokuvulwa kwelungu lobufazi. I-hymen engacacanga kuxa i-hymen igubungela ukuvulwa kwayo konke kwilungu lobufazi.

Hymen engagqibelelanga lolona hlobo luqhelekileyo lokuvaleka kwelungu lobufazi.

I-hymen engagqibelelanga yinto ezalwa yintombazana. Akukho mntu waziyo ukuba kutheni kusenzeka oku. Akukho nto yenziwe ngumama ukuyibangela.

Amantombazana anokuchongwa ukuba une-hymen engachanekanga nangaliphi na ixesha. Ihlala ifunyaniswa xa izalwa okanye xa ifikisa.

Ekuzalweni okanye ebuntwaneni bokuqala, umboneleli wezempilo unokubona ukuba akukho kuvulwa kwingoma ngexesha lovavanyo lomzimba.

Ngexesha lokufikisa, amantombazana ahlala engenangxaki kwi-hymen engafanelekanga de aqale ixesha labo. Ingoma engathandekiyo ithintela igazi ekuphumeni. Njengoko igazi lixhasa isini, libangela:

• Ubunzima okanye ukugcwala kwinxalenye esezantsi yesisu (ukusuka ekwakhiweni kwegazi elingenakuphuma)
• Intlungu yesisu
• Umqolo obuhlungu
• Iingxaki ngokuchama kunye nokuhamba kwamathumbu

Umboneleli uya kwenza uvavanyo lwe-pelvic. Umboneleli unokwenza izifundo ze-pelvic ultrasound kunye nezifundo zokucinga ngezintso. Oku kwenzelwa ukuqinisekisa ukuba ingxaki ayisiyongoma efanelekileyo kunokuba yenye ingxaki. Umboneleli unokucebisa ukuba intombazana ibone ingcali ukuze iqiniseke ukuba isifo siyingoma engathandekiyo.

Utyando oluncinci lunokulungisa i-hymen engafunekiyo. Ugqirha wenza ukusika okuncinci okanye ukusika kwaye asuse inwebu eyongezelelweyo ye-hymen.

• Amantombazana afunyaniswa ene-hymen engachanekanga njengeentsana zihlala zenziwa utyando xa sele zikhulile kwaye sele ziqalisile ukufikisa. Olu tyando lwenziwa ekufikiseni kwasekuqaleni xa ukukhula kwamabele kunye nokukhula kweenwele esidlangalaleni kuqalile.
• Amantombazana afunyaniswa sele ekhulile enza utyando olufanayo. Olu tyando luvumela igazi eligciniweyo lokuya exesheni ukuba liphume emzimbeni.

Amantombazana achacha kolu tyando kwiintsuku ezimbalwa.

Emva kotyando, intombazana kusenokufuneka ifake izixhobo kwilungu lobufazi imizuzu eli-15 suku ngalunye. Isil dilator ijongeka ngathi yitampu. Oku kugcina ukusikwa kungazivaleli kwaye kugcina ubufazi buvulekile.

Emva kokuba amantombazana echache kutyando, aya kuba namaxesha aqhelekileyo. Bangasebenzisa iitampon, babe neentlobano zesini eziqhelekileyo, kwaye babe nabantwana.

Fowunela umnikezeli ukuba:

• Kukho iimpawu zosulelo emva kotyando, ezinjengentlungu, ubofu, okanye umkhuhlane.
• Umngxunya kwilungu lobufazi ubonakala ngathi uyavalwa. Isil dilator asizukungena okanye zininzi iintlungu xa sifakiwe.

UKaefer M.Ulawulo lokungaqhelekanga kwilungu lobufazi kumantombazana. Ku: UPartin AW, uDmochowski RR, uKavoussi LR, uPeter CA, ii-eds. UCampbell-Walsh Urology. Umhla we-12. IPhiladelphia, PA: Elsevier; 2021: isahluko 47.

I-Sucato GS, uMurray PJ. Ukunyanga kwabantwana kunye nokufikisa kwabafazi. Ku: Zitelli BJ, McIntire SC, Nowalk AJ, ii-eds. UZitelli no-Davis ’Atlas of Pediatric Physical Diagnosis. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2018: isahluko 19.

• Izifo zangaphantsi