Kukuthini ukuphuma kwegazi kwaye kutheni kusenzeka nje?

Umxholo

• Inokwenzeka nini?
• Ke ibangelwa yintoni?
• 1. Utshintshele kwipilisi entsha yolawulo lokuzalwa okanye kolunye ucwangciso lwamahomoni
• 2. Unesifo esosulela ngokwabelana ngesondo okanye enye imeko yokukrala
• 3. Unomlomo wesibeleko onovakalelo
• 4. Uneshematoma ye-subchorionic ngexesha lokukhulelwa
• 5. Uhlangabezana nokuphuphuma kwesisu okanye ukukhulelwa kwe-ectopic
• 6. Unayo i-fibroids okanye i-fibrous mass
• Ngaba kukuqhekeza ukuphuma kwegazi okanye ukufakela igazi?
• Iingcebiso kulawulo
• Uza kubona nini ugqirha wakho

Yintoni ukuphuma kwegazi?

Ukopha ngokuphuma kwayo nayiphi na into yokopha okanye yokubona onokufumana phakathi kwamaxesha akho okuya esikhathini okuqhelekileyo okanye ngexesha lokukhulelwa. Kubalulekile ukuba unikele ingqalelo kulo naluphi na utshintsho kwiipateni zakho eziqhelekileyo zokopha inyanga nenyanga. Abasetyhini abatshayayo, umzekelo, basemngciphekweni wokufumana ukuphuma kwegazi.

Nazi ezinye malunga nendlela yokuchonga ukuphuma kwegazi okanye ukubonwa, yintoni enokubangela, kwaye nini ukubona ugqirha wakho.

Inokwenzeka nini?

Umjikelo oqhelekileyo wokuya exesheni ziintsuku ezingama-28 ubude. Eminye imijikelo inokuba mfutshane nje ngeentsuku ezingama-21, ngelixa ezinye inokuba ziintsuku ezingama-35 okanye ngaphezulu kweentsuku ubude.

Ngokubanzi, usuku lokuqala luqala ngokuqala kwexesha lakho kwaye luhlale malunga neentsuku ezintlanu. Emva koko, iihormones ezisemzimbeni wakho zivelisela ukuvelisa iqanda elinokuthi okanye lingabinakho ukuchumisa xa utyhutyha usuku lwe-14 kumjikelo wakho.

Ukuba iqanda lichumisiwe, kunokubangela ukuba ukhulelwe. Ukuba akukhange kubenjalo, iihormone zakho ziya kuphinda zilungelelanise ukuchitha umbilini wesibeleko sakho kwaye zikhokelele kwelinye ixesha leentsuku ezintlanu. Abasetyhini baphulukana neepunipuni zegazi ezi-2 ukuya kwezi-3 ngexesha lokuya exesheni.Amaxesha athambekele ekubeni made kwaye abenzima kulutsha nakwabasetyhini abakufutshane nokuyeka ukuya exesheni.

Ukopha ngokuphuma kwayo nayiphi na into eyophayo eyenzeka ngaphandle kwexesha eliqhelekileyo lokuya exesheni. Oku kunokuphelela-ekuphumeni kwegazi-ilahleko yegazi eyoneleyo yokuqinisekisa itampu okanye iphedi-okanye ukubonwa.

Ke ibangelwa yintoni?

Zininzi izizathu ezahlukeneyo zokuba ukopha phakathi kwexesha. Ingabangelwa yiyo nayiphi na into ukusuka kulungelelwaniso lomzimba wakho ukuya kuthintelo lokukhulelwa kwehomoni ekukhulelweni kwesisu. Nangona amanye amatyala wokopha anokuzisombulula ngokwawo ngaphandle konyango, licebo elilungileyo ukunika ingxelo ngalo naluphi na utshintsho kugqirha wakho.

1. Utshintshele kwipilisi entsha yolawulo lokuzalwa okanye kolunye ucwangciso lwamahomoni

Ukopha phakathi kwemijikelo kunokwenzeka xa uthatha iipilisi zokulawula ukuzalwa kwehomoni okanye usebenzisa ezinye izinto zokucwangcisa, njengesixhobo se-intrauterine (IUD). Ngokukodwa kunokwenzeka kwiinyanga zokuqala ezimbalwa emva kokuba uqale uthintelo lokuthintela ukukhulelwa okanye ukuba uthatha iintlobo eziqhubekayo nezandisiweyo zomjikelo, njenge ethinyl-estradiol-levonorgestrel (Seasonique, Quartette).

Oogqirha abazi ukuba yintoni kanye kanye ebangela ukuqhekeka kokopha ngelixa bekwiipilisi zokulawula ukuzalwa. Abanye bakholelwa ukuba yindlela yomzimba wakho yokuziqhelanisa neehomoni.

Nokuba kunjalo, unokufumana ukopha ngakumbi xa:

• uphose iipilisi kumjikelo wakho wonke
• qalisa nawaphi na amayeza amatsha okanye izongezo ngelixa usepilisi
• amava okugabha okungapheliyo okanye urhudo, anokuchaphazela ukufunxeka komzimba wakho kwiihomoni

Ngeepilisi zokulawula ukuzalwa ezandisiweyo okanye eziqhubekayo, uthatha iipilisi ezisebenzayo kuyo yonke inyanga ukutsiba ixesha lakho. Le ndlela yenziwa nokuba kukusetyenziswa okwandisiweyo kweenyanga ezimbini ukuya kwezintathu okanye ukusetyenziswa kwendlela eqhubekayo yonyaka wonke. Iziphumo eziqhelekileyo ezichaphazelekayo zokusebenzisa iipilisi zokulawula ukuzalwa ngale ndlela kukuphuma kwegazi kwiinyanga ezimbalwa zokuqala. Usenokude uqaphele ukuba igazi olibonayo limdaka ngombala, nto leyo ethetha ukuba ligazi elidala.

Nge-IUDs, unokufumana utshintsho ekuhambeni kwakho ukuya exesheni de umzimba wakho uhlengahlengise ukungena kwamahomoni amatsha. Nge-IUD yobhedu, azikho iihormoni ezintsha, kodwa usenakho ukutshintsha utshintsho ekuhambeni kwakho ukuya exesheni. Ukopha phakathi kwamaxesha ikwayimpembelelo yecala eliqhelekileyo kuzo zombini ezi ntlobo ze-IUD. Kubalulekile ukuxelela ugqirha wakho ukuba ukuphuma kwegazi kunzima kakhulu okanye ukuba ubona ukubonwa okanye ukopha emva kokwabelana ngesondo.

Ngelixa ukuphuma kwegazi kunokuba yinto eqhelekileyo kwaye kuhambe ngokwakho ekuhambeni kwexesha, kuya kufuneka ubize ugqirha wakho ukuba unamava:

• intlungu zesisu
• iintlungu zesifuba
• ukopha kakhulu
• ukutshintsha kwamehlo okanye umbono
• intlungu yomlenze

2. Unesifo esosulela ngokwabelana ngesondo okanye enye imeko yokukrala

Ngamanye amaxesha izifo ezosulela ngokwabelana ngesondo (njenge chlamydia kunye ne gonorrhea) zinokubangela ukuphuma kwegazi. Ii-STI zizifo ezosulelwa zisuka kwelinye iqabane ziye kwelinye ngokwabelana ngesondo ngokungakhuselekanga.

Ukuphuma kwegazi kunokubangelwa nakwezinye iimeko ezivuthayo, ezifana:

• Unyango
• endometritis
• lobufazi
• Isifo sokudumba kwepelevic (PID)

Ngokudibana nokuphuma kwegazi, unokufumana:

• iintlungu zangasese okanye ukutshisa
• umchamo onamafu
• Ukukhutshwa ngokungaqhelekanga kwilungu lobufazi
• Ivumba elibi

Usulelo oluninzi lunokunyangwa ngamayeza okubulala iintsholongwane, ngoko jonga ugqirha wakho ukuba unempawu. Ukuba ishiywe inganyangwa, izifo zingakhokelela ekungabikho komntwana kunye neminye imiba enzulu yempilo.

3. Unomlomo wesibeleko onovakalelo

Nakuphi na ukopha xa ungalindelanga kunokukuchaphazela, ngakumbi ukuba kwenzeka ngexesha lokukhulelwa. Ngamanye amaxesha, nangona kunjalo, unokufumana ukubonwa okanye ukuphuma kwegazi phakathi kwemijikelezo okanye ngexesha lokukhulelwa ukuba umlomo wakho wesibeleko uyacaphuka okanye wenzakele. Umlomo wakho wesibeleko ubekwe emazantsi esibeleko sakho, ke nakuphi na ukuphuma kwegazi kumlomo wesibeleko onobuzaza ngenxa yokucaphuka okanye ukwenzakala kunokubangela ukuphuma kwegazi.

Ngexesha lokukhulelwa, umlomo wesibeleko uye uthambe kwaye wophe emva kovavanyo lobufazi okanye emva kokwabelana ngesondo. Isenokuphaphaza kananjalo ukuba unento ekuthiwa kukungoneliseki komlomo wesibeleko, imeko apho umlomo wesibeleko uvuleka kwangoko phambi komhla wokugqibela.

4. Uneshematoma ye-subchorionic ngexesha lokukhulelwa

Ukuphuma kwegazi okanye ukubonwa ngexesha lokukhulelwa kunakho okanye kungangibonisi ngxaki. Imeko enye enokubangela ukopha ngexesha lokukhulelwa ibizwa ngokuba yi-subchorionic hematoma okanye ukuphuma kwegazi.

Kule meko, inwebu ye-chorionic yahlukile kwingxowa, phakathi kweplasenta kunye nesibeleko. Oku kunokubangela amahlwili kunye nokopha. I-Hematomas inokuba nkulu okanye incinci kwaye, ngenxa yoko, ibangele ukuba ibaluleke kakhulu okanye inciphe kakhulu ukopha.

Nangona uninzi lweehematomas lungenabungozi, kuya kufuneka ubone ugqirha wakho ukuze afumane isifo. Baza kwenza i-ultrasound ukuze babone ukuba ingakanani na i-hematoma kwaye bakucebise ngamanyathelo alandelayo.

5. Uhlangabezana nokuphuphuma kwesisu okanye ukukhulelwa kwe-ectopic

Uninzi lwabasetyhini abafumana ukopha ngexesha lokukhulelwa bahambisa abantwana abasempilweni. Okwangoku, ukopha ngexesha lokukhulelwa ngamanye amaxesha kunokuba luphawu lokukhulelwa kwesisu okanye ukukhulelwa kwe-ectopic.

Ukuphuma kwesisu kwenzeka xa umntwana esweleka esibelekweni phambi kweeveki ezingama-20. Ukukhulelwa kwe-ectopic kwenzeka xa ukufakelwa kwenzeka kwityhubhu ye-fallopian endaweni yesibeleko.

Nxibelelana nogqirha wakho ukuba unazo naziphi na ezinye iimpawu zokuphuma kwesisu:

• ukopha kakhulu
• isiyezi
• intlungu okanye ukubamba isisu esiswini sakho, ngakumbi ukuba sinzima

Ukuba ufumana ukuphuphuma kwesisu, ungopha iiveki ezimbini okanye nangaphezulu. Ukuba isibeleko sakho asinanto ngokupheleleyo, ugqirha wakho unokucebisa ukuba ube ne-dilation kunye ne-curettage (i-D & C) okanye enye inkqubo yonyango ukususa izicwili ezisele. Ukukhulelwa kwe-Ectopic kuhlala kufuna utyando.

6. Unayo i-fibroids okanye i-fibrous mass

Ukuba i-fibroids ikhula kwisibeleko sakho, inokukhokelela ekuphumeni kwegazi. Oku kukhula kunokubangelwa yiyo nayiphi na into ukusuka kwimfuza ukuya kwiihomoni. Umzekelo, ukuba umama okanye udade wakho une-fibroids, unokuba semngciphekweni omkhulu wokuziphucula ngokwakho. Abasetyhini abamnyama nabo banomngcipheko ophezulu wokuphuhlisa i-fibroids.

Ngokudibana nokuphuma kwegazi, unokufumana:

• ukopha kakhulu xa usexesheni
• amaxesha ahlala ngaphezulu kweveki enye
• intlungu okanye uxinzelelo kwi-pelvis yakho
• ukuchama rhoqo
• ingxaki yokukhupha isinyi sakho
• ukuqhina
• umqolo obuhlungu okanye iintlungu emilenzeni

Ukuba ufumana naziphi na kwezi mpawu, bona ugqirha.

Ngaba kukuqhekeza ukuphuma kwegazi okanye ukufakela igazi?

Kunzima ukuxelela ukuba ukopha ojamelana nako phakathi kwemijikelo kukuphuma kokopha okanye ukufakelwa kwegazi. Ukomisa ukopha kuko nakuphi na ukopha okanye ukubona ukuba unamava kwiintsuku ezili-10 ukuya kwezi-14 emva kokukhulelwa. Abanye abantu basetyhini banamava oku, kwaye abanye abanako.

Zombini zinokwenzeka phakathi kokuhamba rhoqo kokuya esikhathini. Zombini zinokukhanya ngokwaneleyo ukuba zingadingi itampon okanye iphedi. Oko kwathiwa, ukuphuma kwegazi kunokwenzeka nangaliphi na ixesha, kwaye ukufakelwa kwegazi kwenzeka kuphela kwiintsuku ezimbalwa ngaphambi kwexesha elilahlekileyo.

Eyona ndlela yokuxelela ukuba uziva ukopha kungenxa yokuthatha uvavanyo lokukhulelwa ekhaya okanye undwendwele ugqirha wakho kuvavanyo lwegazi.

Iingcebiso kulawulo

Unako okanye awukwazi ukukhusela ukuphuma kwegazi phakathi kwamaxesha. Konke kuxhomekeke kwinto ebangela ukopha kwakho.

Nokuba ufanele ukunxiba itampon okanye iphedi kuxhomekeke kwisizathu sokopha kwakho. Umzekelo, ukuba uyakholelwa ukuba ukopha sisiphumo solawulo lokuzalwa kwehomoni, kusenokwenzeka ukuba kulungile ukunxiba itampon. Ukuba ukopha kwakho kunokuba sisiphumo sokuphuphuma kwesisu okusondeleyo, kungcono ukusebenzisa iipads.

Kungcono ukubonisana nogqirha wakho ukuze akukhokele ngendlela yokulawula ukopha kwakho. Ukuba kwenzeka rhoqo, kuya kufuneka wenze idinga nogqirha wakho. Ugqirha wakho unokunceda ekuchongeni unobangela wokopha kwaye anyange iimpawu zakho.

Uza kubona nini ugqirha wakho

Ukuphuma kwegazi akusosizathu senkxalabo. Umzekelo, unokufumana ukopha ngaphandle kwexesha lakho eliqhelekileyo lokuya exesheni ngenxa yolawulo lokuzalwa oluthathayo okanye ukucaphukisa umlomo wakho wesibeleko. Kule meko, ukuphuma kwegazi kuya kuhamba ngokwakho ngaphandle konyango.

Ukuba ukrokrela ukuba une-STI, i-fibroids, okanye enye ingxaki yezonyango, qaphela ezinye iimpawu ohlangabezana nazo kwaye ubize ugqirha wakho. Ngokubanzi, kuya kufuneka ubone ugqirha ukuba ukuphuma kwegazi kunzima okanye kuhamba nentlungu okanye ezinye iimpawu ezibi.

Abasetyhini abafikelele kwinqanaba lokuyeka ukuya exesheni kufuneka banikele ingqalelo. Ukuba khange ube nexesha kwiinyanga ezili-12 kwaye uqalise ukuqaphela ukopha okungaqhelekanga, kubalulekile ukuba uxelele ugqirha wakho. Ukopha emva kokuyeka ukuya exesheni kunokuba luphawu lwayo nayiphi na into yosulelo olusuka kwi-hypothyroidism.