Yintoni ebangela amahlwili okuya exesheni kwaye ngaba amaXabiso am aqhelekile?

Umxholo

• Eqhelekileyo ngokuchasene namahlwili angaqhelekanga
• Yintoni ebangela amahlwili okuya exesheni?
• Zintoni izizathu ezibangela amahlwili okuya exesheni?
• Izithintelo zesibeleko
• Iifibroids
• Endometriosis
• Adenomyosis
• Umhlaza
• Ukungalingani kwehormonal
• Ukuphuma kwesisu
• Isifo seVon Willebrand
• Ngaba zikhona iingxaki?
• Unobangela wokuba amahlwili okuya exesheni afunyaniswe njani?
• Aphathwa njani amahlwili okuya exesheni?
• Izinto zokucwangcisa zehormonal kunye namanye amayeza
• Ugqirha
• Ngaba zikhona iindlela zokulawula iimpawu zexesha elinzima lokuya exesheni?
• Imbonakalo

Ushwankathelo

Uninzi lwabasetyhini luya kuba namaxesha okuya exesheni ngaxa lithile ebomini babo. Amahlwili okuya exesheni zii-blobs ezifana ne-gel ezixineneyo, izicwili, kunye negazi eligxothiweyo kwisibeleko ngexesha lokuya exesheni. Zifana nequnube esityiweyo okanye iziqhuma zeziqhamo onokuthi ngamanye amaxesha uzifumane kwijam, kwaye ziyahluka ngombala ukusuka kobomvu oqaqambileyo ukuya kobomvu.

Eqhelekileyo ngokuchasene namahlwili angaqhelekanga

Ukuba amahlwili amancinci - akukho nkulu kunekota - kwaye ngamanye amaxesha, zihlala zingenanto yokuzikhathaza. Ngokungafaniyo namahlwili akhiwe emithanjeni yakho, amahlwili okuya exesheni ngokwawo ayinabungozi.

Ukuhamba rhoqo kwamahlwili amakhulu ngexesha lakho kungabonisa imeko yonyango efuna uphando.

Amahlwili aqhelekileyo:

• zincinci kunekota
• kwenzeka kuphela ngamanye amaxesha, ngesiqhelo ekuqaleni komjikelo wakho wokuya exesheni
• kubonakala umbala oqaqambileyo okanye obomvu ngombala

Amahlwili angaqhelekanga makhulu kunekota ngokobukhulu kwaye aqhubeka rhoqo.

Yiya kugqirha wakho ukuba wopha ngokuya exesheni okanye unamahlwili amakhulu kunekota. Ukopha exesheni kuthathwa njengobunzima xa utshintsha itampon yakho okanye iphedi yokuya exesheni rhoqo emva kweeyure ezimbini okanye ngaphantsi, kangangeeyure ezininzi.

Kuya kufuneka uphinde ufune uncedo lwezonyango kwangoko ukuba udlula amahlwili kwaye ucinga ukuba unokukhulelwa. Oko kunokuba ngumqondiso wokuphuma kwesisu.

Yintoni ebangela amahlwili okuya exesheni?

Uninzi lwabasetyhini abaneminyaka yobudala bokuzala baya kuliphalaza ibala lesibeleko malunga neentsuku ezingama-28 ukuya kwezi-35. Umbane wesibeleko ukwabizwa ngokuba yi-endometrium.

I-endometrium iyakhula kwaye ijiye yonke inyanga ngokuphendula kwi-estrogen, ihomoni yabasetyhini. Injongo yayo kukunceda ukuxhasa iqanda elichumayo. Ukuba ukukhulelwa akwenzeki, ezinye izehlo zehomoni zibonisa umngxunya wokuphalaza. Oku kubizwa ngokuba sexesheni, okwaziwa njengexesha lokuya exesheni okanye ixesha.

Xa ulwelo luphalaziwe, luxubeka kunye:

• igazi
• Imveliso yegazi
• yencindi
• izihlunu

Lo mxube ke uyagxothwa esibelekweni ngomlomo wesibeleko nangaphandle kwelungu lobufazi. Umlomo wesibeleko kukuvulwa kwesibeleko.

Njengoko ulusu lwesibeleko luchithela ngaphandle, lubeka ezantsi esibelekweni, silinde umlomo wesibeleko ukuba ungene kwaye ukhuphe konke okukuwo. Ukunceda ekonakaleni kweli gazi liqinileyo kunye nezicubu, umzimba ukhupha ii-anticoagulants ukuze unciphise loo nto kwaye uyivumele ukuba idlule ngokukhululekileyo. Nangona kunjalo, xa ukuhamba kwegazi kudlula amandla omzimba okuvelisa ii-anticoagulants, amahlwili okuya exesheni ayakhululwa.

Olu lwakhiwo lwe-clot yegazi luxhaphake kakhulu ngeentsuku zokuhamba kwegazi okunzima. Kubafazi abaninzi abanokuhamba okuqhelekileyo, iintsuku zokuhamba okunzima zihlala zenzeka ekuqaleni kwexesha kwaye zihlala ixesha elifutshane. Ukuhamba kwakho kuthathwa njengesiqhelo ukuba ukuphuma kwegazi kuyaqhubeka kwaye kuvelise iipuni ezimbini ukuya kwezi-3 zegazi okanye ngaphantsi.

Kubafazi abanokuhamba okunzima, ukuphuma kakhulu kwegazi kunye nokwakheka kwamahlwili kunokuqhubeka. Isinye kwisithathu sabafazi sihamba zinzima kangangokuba zityibilika ngephedi okanye ngetampu nganye iyure ngeeyure ezininzi.

Zintoni izizathu ezibangela amahlwili okuya exesheni?

Izinto zomzimba kunye neehomoni zinokuchaphazela umjikelo wokuya esikhathini kunye nokudala ukuhamba okunzima. Ukuhamba ngamandla kunyusa amathuba okuba ube namahlwili okuya exesheni.

Izithintelo zesibeleko

Iimeko ezandisa okanye ezincomekayo kwisibeleko zinokubeka uxinzelelo ngakumbi kudonga lwesibeleko. Oko kunokunyusa ukopha exesheni kunye namahlwili.

Izithintelo nazo zinokuphazamisa amandla wesibeleko sokufumana isivumelwano. Xa isibeleko singasebenzi kakuhle, igazi linokudibanisa kwaye lijiye ngaphakathi kumthombo wesibeleko, kwaye lenze amahlwili athi kamva agxothwe.

Izithintelo zesibeleko zinokubangelwa ngu:

• ifibroids
• endometriosis
• adenomyosis
• amathumba anomhlaza

Iifibroids

I-Fibroids zihlala zingenomdlavuza, izihlunu zemisipha ezikhula eludongeni lwesibeleko.Ngaphandle kokopha okunzima ukuya exesheni, banokuvelisa:

• ukuphuma ngokungaqhelekanga sexesheni
• iintlungu ezisezantsi
• intlungu ngexesha lokwabelana ngesondo
• isisu esiphumayo
• Imiba yokuzala

Ukuya kuthi ga kwabafazi baya kuphuhlisa i-fibroids xa sele beneminyaka engama-50. Unobangela awaziwa, kodwa imfuza kunye neehomoni zabasetyhini i-estrogen kunye neprogesterone zinokudlala indima kuphuhliso lwabo.

Endometriosis

I-Endometriosis yimeko apho ulayini wesibeleko ukhula ngaphandle kwesibeleko nakwindlela yokuzala. Ngexesha lokuya esikhathini, inokuvelisa:

• ixesha elibuhlungu, elibuhlungu
• isicaphucaphu, ukugabha kunye norhudo malunga nexesha lakho
• ukungathandeki ngexesha lokwabelana ngesondo
• ukungachumi
• iintlungu zangasese
• ukopha ngokungaqhelekanga, okunokuthi okanye kungabandakanyi ukujiya komzimba

Isizathu esona ngqo se-endometriosis asaziwa, nangona ufuzo, iihormoni, kunye notyando lwangaphambili lwangasese kucingelwa ukuba ludlala indima.

Adenomyosis

I-Adenomyosis yenzeka xa i-uterine lining, ngenxa yezizathu ezingaziwayo, ikhula ibe ludonga lwesibeleko. Oko kubangela ukuba isibeleko sandise kwaye siqinise.

Ukongeza ukopha ixesha elide, okunzima, le meko inokubangela ukuba isibeleko sikhule kabini okanye kathathu kubungakanani obuqhelekileyo.

Umhlaza

Nangona kunqabile, amathumba anomhlaza wesibeleko kunye nomlomo wesibeleko kunokukhokelela ekuphumeni okunzima kokuya exesheni.

Ukungalingani kwehormonal

Ukuze ukhule kwaye ukhule ngokufanelekileyo, ulwelwesi lwesibeleko luxhomekeke kumlinganiso we-estrogen kunye neprogesterone. Ukuba kuninzi okanye kuncinci kwenye okanye kwenye, unokuba nokopha okunzima ukuya exesheni.

Ezinye zezinto ezinokubangela ukungalingani kwehomoni zezi:

• ixesha lokuphumla
• ukuyeka ukuya exesheni
• uxinzelelo
• ubunzima okanye ukulahleka komzimba

Olona phawu luphambili lokungalingani kwehomoni kukuya exesheni ngokungaqhelekanga. Umzekelo, amaxesha akho anokuba mva okanye abe made kunesiqhelo okanye ungaphoswa kwaphela.

Ukuphuma kwesisu

Ngokwe-Matshi ka-Dimes, ubuninzi besiqingatha sabo bonke abakhulelweyo baphela ekuphumleni. Uninzi lwezi lahleko zokukhulelwa zenzeka ngaphambi kokuba umfazi azi nokuba ukhulelwe.

Xa ukukhulelwa kwangoko kulahlekile, kunokukhokelela ekopheni kakhulu, ukucofa, kunye nokugungqa.

Isifo seVon Willebrand

Ukuhamba okunzima kokuya exesheni kunokubangelwa sisifo se-von Willebrand (VWD). Ngelixa i-VWD inqabile, phakathi kwe-5 kunye ne-24 yeepesenti yabasetyhini abanesifo esingapheliyo sokuya exesheni bayachaphazeleka kuyo.

I-VWD inokuba sesona sizathu sokuya exesheni kwakho okunzima ukuba kwenzeka rhoqo kwaye wophe ngokulula emva kokusikwa okuncinci okanye iintsini zakho zophe ngokulula. Yiya kugqirha wakho ukuba uyarhanela ukuba le yeyona nto ibangela ukuba wophe kakhulu. Kuya kufuneka bakwazi ukukunceda ufumane isifo.

Ngaba zikhona iingxaki?

Jonga ugqirha wakho ukuba uhlala unamahlwili amakhulu. Enye yeengxaki eziphambili zokuphuma kwegazi okunzima kukunqongophala kwe-anemia. I-Anemia yimeko eyenzeka xa kungekho yentsimbi eyaneleyo egazini lakho ukwenza iiseli ezibomvu ezisempilweni. Iimpawu zibandakanya:

• ukudinwa
• ubuthathaka
• ubumhlophe
• ukuqhawukelwa ngumphefumlo
• iintlungu esifubeni

Unobangela wokuba amahlwili okuya exesheni afunyaniswe njani?

Ukuchonga oyena nobangela wokuma kwakho kokuya exesheni, ugqirha wakho uya kukubuza malunga nezinto ezichaphazela ukuba sexesheni. Umzekelo, banokubuza ukuba ukhe wenza utyando lwangaphambi kwethambo lomqolo, usebenzise ulawulo lokuzalwa, okanye ukhulelwe. Baza kuphinda bahlole isibeleko sakho.

Ukongeza, ugqirha wakho unokusebenzisa uvavanyo lwegazi ukukhangela ukungalingani kwehomoni. Ukujonga iimvavanyo, ezinjengeMRI okanye i-ultrasound, kunokusetyenziselwa ukukhangela i-fibroids, i-endometriosis, okanye ezinye izithintelo.

Aphathwa njani amahlwili okuya exesheni?

Ukulawula ukuphuma kwegazi okunzima yeyona ndlela yokulawula amahlwili okuya exesheni.

Izinto zokucwangcisa zehormonal kunye namanye amayeza

Izicwangcisi zeHormonal zinokuthintela ukukhula komtya wesibeleko. Iprogestin ekhulula intrauterine isixhobo (IUD) inokunciphisa ukuhamba kwegazi okuya exesheni ngeepesenti ezingama-90, kwaye iipilisi zokulawula ukuzalwa zinokunciphisa ngeepesenti ezingama-50.

Izicwangcisi zeHormonal nazo zinokuba luncedo ekunciphiseni ukukhula kwe-fibroids kunye nolunye udibaniso lwesibeleko.

Kwabasetyhini abangakwaziyo okanye abangafuniyo ukusebenzisa iihomoni, ukhetho oluqhelekileyo lonyango lwe-tranexamic acid (ICyklokapron, iLysteda), echaphazela ukujiya kwegazi.

Ugqirha

Ngamanye amaxesha unokufuna utyando.

Inkqubo yokwanda kunye nonyango (D no-C) ngamanye amaxesha ilandela ukuphuma kwesisu okanye ukubeleka. Kodwa inokusetyenziselwa ukumisela oyena nobangela wokuphuma kwegazi okunzima okanye njengonyango lweemeko ezahlukeneyo.

I-D kunye no-C kubandakanya ukwandiswa komlomo wesibeleko kunye nokukrwela ulusu lwesibeleko. Ihlala isenziwa kulungiselelo lokunyanga ngaphandle kokuthomalalisa. Ngelixa oku kungazukuphilisa ukopha kakhulu, kufanele kukunike ikhefu kwiinyanga ezimbalwa njengoko ulwelwesi luya lusiba nkulu kwakhona.

Kubafazi abanokukhula kwesibeleko njenge-fibroids engaphenduliyo kakuhle kunyango, utyando lokususa ukukhula lunokuba yimfuneko. Uhlobo loqhaqho luya kuxhomekeka kubukhulu nakwindawo ekhulayo.

Ukuba ukukhula kukhulu, unokufuna i-myomectomy, ebandakanya ukwenza isisu esikhulu esiswini sakho ukufikelela kwisibeleko.

Ukuba ukukhula kuncinci, utyando lwe-laparoscopic luhlala lusenzeka. I-Laparoscopy iphinda isebenzise ukusikwa esiswini, kodwa zincinci kwaye zinokuphucula ixesha lakho lokufumana kwakhona.

Abanye abantu basetyhini banokukhetha ukuba isibeleko sabo sisuswe. Oku kubizwa ngokuba sisibeleko.

Thetha nogqirha wakho malunga neenzuzo kunye neengxaki kuzo zonke iindlela zokhetho.

Ngaba zikhona iindlela zokulawula iimpawu zexesha elinzima lokuya exesheni?

Ukuya exesheni okunzima kunokuchaphazela ubomi bakho bemihla ngemihla. Ngaphandle kweengxaki zomzimba ezinokubangela, ezinje nge-cramping kunye nokudinwa, banokwenza imisebenzi yesiqhelo, njengokusebenza ngokwasemzimbeni, ukuqubha, okanye nokubukela imovie, kube nzima ngakumbi.

Ezi ngcebiso zinokukunceda ulawule iimpawu zakho:

• Thatha i-non-steroidal anti-inflammatories (i-NSAID) ezinje nge-ibuprofen (Advil, Motrin) ekuqaleni kwexesha lakho ngeentsuku zakho zokuhamba kakhulu. Ngaphandle kokunciphisa i-cramping, ii-NSAID zinokunceda ukunciphisa ukulahleka kwegazi ngama-20 ukuya kuma-50 ekhulwini. Phawula: Ukuba unesifo se-von Willebrand, kuya kufuneka uphephe ii-NSAID.
• Nxiba itampu kunye nephedi kwiintsuku zakho zokuhamba ezinzima. Unakho ukunxiba iiphedi ezimbini kunye. Iitampon kunye neepads zokufunxa okuphezulu kunokunceda ekubambeni ukuhamba kwegazi kunye namahlwili.
• Sebenzisa iphedi engangeni manzi okanye itawuli ebekwe ngaphezulu kwamashiti akho ebusuku.
• Nxiba iimpahla ezimnyama mnyama ukufihla ukuvuza okanye iingozi.
• Soloko uphatha izinto ezizayo. Gcina istash kwisipaji sakho, imoto, okanye idrowa yedesika yeofisi.
• Yazi ukuba ziphi na izindlu zangasese zikawonke-wonke. Ukwazi apho ikhoyo indlu yangasese kunokukunceda ufikelele kwindlu yangasese ngokukhawuleza ukuba udlula kwiindawo ezininzi ezinkulu.
• Yitya ukutya okusempilweni kwaye uhlale uhlaziyekile. Ukopha ngamandla kunokuthatha impilo yakho emzimbeni. Sela amanzi amaninzi kwaye utye ukutya okunezakha-mzimba okubandakanya ukutya okune-iron, okunje ngequinoa, tofu, inyama, kunye nohlaza olumnyama, imifuno enamagqabi.

Imbonakalo

Amahlwili okuya exesheni yinxalenye eqhelekileyo yobomi bokuzala bomfazi. Ngelixa zinokubonakala zothusa, amahlwili amancinci aqhelekileyo kwaye aqhelekileyo. Nokuba amahlwili amakhulu kunekota awaphawuleki ngaphandle kokuba enzeka rhoqo.

Ukuba uhlala udlula amahlwili amakhulu, zininzi iindlela zonyango olusebenzayo ugqirha wakho anokucebisa ukuba uncede ukulawula ukopha kakhulu kunye nokunciphisa amahlwili.