Izizathu ezili-16 zokuba ixesha lakho lihlala ixesha elide kunesiqhelo

Umxholo

• Khumbula: Umjikelo womntu wonke uhlukile
• Ezona zinto zixhaphakileyo
• Amayeza athile angaqhelekanga
• Ulawulo lokuzalwa lweHormonal
• Ovulation
• Ukuthintela inzalo okungxamisekileyo
• Ukuqhomfa (ixesha lokuqala emva)
• Ukukhulelwa kwasekuqaleni
• Ukuphuma kwesisu
• Iipolyps zesibeleko okanye i-fibroids
• IHypothyroidism
• I-PCOS
• Endometriosis
• Adenomyosis
• Ixesha lokuphuma
• Kwiimeko ezinqabileyo
• IVon Willebrand ’s
• IHemophilia
• Umhlaza womlomo wesibeleko okanye wesibeleko
• Nini ukubona ugqirha
• Umgca wezantsi

Abantu, ngendalo, zizidalwa ezinomkhwa. Ke inokuziva yothusa xa umjikelo wokuya exesheni ngesiquphe uba yinto engalunganga.

Ukuba ufumana ixesha elide kunesiqhelo, kusenokwenzeka ukuba kukho inkcazo elungileyo.

Ngaphambi kokuba ube nexhala kakhulu, qaphela esinye sezizathu ezingezantsi.

Khumbula: Umjikelo womntu wonke uhlukile

Akukho mijikelo mibini yokuya exesheni efanayo. Amanye amaxesha anokuhlala usuku olunye ngelixa ezinye zihlala iveki, kwaye ixesha eliphakathi kwamaxesha linokwahluka nalo.

Umjikelo ophakathi uhlala kwiintsuku ezingama-28 - nangona kunjalo, oku akuthethi ukuba kukho into engalunganga ukuba eyakho ayihlali ixesha elide.

Imijikelo inokubakho kubude obujikeleze iintsuku ezingama-21 ukuya kuthi ga kwiintsuku ezingama-35.

Imijikelezo emifutshane kuneentsuku ezingama-21 ikhombisa ukuba i-ovulation inokwenzeka ngaphambili kunesiqhelo okanye hayi.

Imijikelezo emide kuneentsuku ezingama-35 ibonisa ukuba i-ovulation ayenzeki okanye yenzeka ngokungaqhelekanga.

Ithuba elide kuneentsuku ezisi-7 linokubonisa ukuba i-ovulation ayenzekanga.

Ezona zinto zixhaphakileyo

Ngoku ukuba uyazi iziseko, mhlawumbi uyazibuza ukuba yintoni ebangela ukuba ixesha lakho libe lide kunesiqhelo. Zininzi izinto ezibangela izizathu, kwaye ziyalawuleka.

Amayeza athile angaqhelekanga

Amanye amayeza e-counter-counter anokuphazamisa ubude bexesha.

Iianticoagulants, ezinje ngeasprini, zinceda ukuthintela amahlwili egazi ngokuthintela iiplatelets ekubeni zidibane. Ithathiwe rhoqo, iyeza linokuthi ngokungazi longeze ixesha okanye libangele ukuhamba okunzima.

Kwelinye icala, amanye amayeza angasebenziyo okulwa nokudumba, afana ne-ibuprofen kunye ne-naproxen, anokuba neziphumo ezichaseneyo kwaye anokwenza ukuba ukuhamba kwexesha kube lula.

Amayeza okulwa noxinzelelo kunye namayeza okuxhuzula anokuphazamisa amaxesha, abangele ukuba bangafani, bade, okanye babe mfutshane. Ezinye izinto ezichasayo zinokubangela ukuhamba okunzima kunye neekram. Ngala mayeza, utshintsho kumjikelo wakho wokuya esikhathini kufuneka luyeke emva kweenyanga ezimbalwa.

Ukuba ngaba amanye ala mayeza aphazamisa ixesha elingaphezulu kweenyanga ezi-3, okanye ukuba unomdla kwindlela ochaphazela ngayo umjikelo wakho, buza ugqirha wezonyango.

Ulawulo lokuzalwa lweHormonal

Ukulawulwa kokuzalwa kwehormonal, njengokudityaniswa (i-estrogen kunye neprogestin), iipilisi ezincinci (iiprogesin kuphela), izinto zokufakelwa, iiringi, iipatches, ii-shots, kunye nee-IUDs, zinokuchaphazela ukuhamba kwexesha kunye nexesha lokujikeleza.

Abanye oogqirha bayamisela ipilisi kwabo bahamba nzima kakhulu, njengoko iihormoni zinokuchaphazela ukukhula komtya wesibeleko ngaphambi kokuya exesheni.

Abanye abantu abaneIUDs baxela ixesha elifutshane okanye bangabikho maxesha. Oku kuyinyani ikakhulu kwii-IUDs eziqukethe iihomoni, ngelixa i-IUD yobhedu inokubangela ixesha elide okanye elinzima.

Ngelixa iindlela ezininzi zokulawulwa kokuzalwa kwehomoni kuthiwa zibangela ukuhamba okukhaphukhaphu okanye imijikelezo emifutshane, ulawulo lokuzalwa lokudubula kunokubangela ukuhamba kwexesha elide (nangona kwabanye abantu, kuchasene).

Ukuba kutshanje utshintshele kwifomu entsha yolawulo lokuzalwa kwehomoni kwaye ukhathazekile malunga nefuthe elinalo kumjikelo wakho, thetha nogqirha okumiselweyo. Kuya kufuneka bakwazi ukuchaza ukuba iziphumo ebezingalindelekanga zibangela ialam.

Ovulation

Ukulibaziseka okanye ukuvuthwa kade kunokuchaphazela ngokuthe ngqo ixesha lakho.

I-Ovulation ihlala ivela kwinqanaba lomjikelo, xa i-ovary ikhupha iqanda eliqolileyo lokuchumisa.

Ukuhamba emva kwexesha kubangelwa zizinto ezahlukeneyo, ezinje ngoxinzelelo, isifo se-thyroid, i-PCOS, ukuncancisa, kunye namanye amayeza.

Oku kulibaziseka kunokubangela ukuba umgca wesibeleko wakheke nzima kunesiqhelo ixesha elinzima, lokulibaziseka.

Ezinye iimpawu zokuhamba emva kwexesha zibandakanya:

• ukunyuka kobushushu bomzimba (okanye ukuphumla)
• icala okanye iintlungu ezisezantsi esiswini
• ukwanda kokukhutshwa komlomo wesibeleko

Landa ixesha lakho ukuze ubone ukuba le ngxaki iyaqhubeka. Ukuba kuyenzeka, thetha nogqirha malunga namanyathelo akho alandelayo.

Ukuthintela inzalo okungxamisekileyo

Ukuba kutshanje uthathe uhlobo lokuthintela ukukhulelwa okungxamisekileyo (ngamanye amaxesha kubizwa ngokuba yintsasa emva kwepilisi), unokuqaphela utshintsho kwixesha lakho lokuqala emva kokungenisa.

Ipilisi ithintela ukukhulelwa ngokulibaziseka kwe-ovulation. Oku kunokuphazamisa ubude bomjikelo wakho wokuya esikhathini, kubangele izitenxo kwixesha lakho elilandelayo kubandakanya:

• ixesha lokuqala
• ixesha emva kwexesha
• ukuhamba nzima
• ukuhamba kancinci
• ukuhamba ixesha elide
• iintlungu ezingaphaya okanye eziqhelekileyo kunesiqhelo

Unokwazi kwakhona ukukhanya okukhanyayo ngaphambi kwexesha lakho elizayo.

Ezi mpawu kufuneka ziphazamise ixesha lokuqala emva kokuba uthathe amayeza. Ukuba bathe baqhubeka, bafune ugqirha.

Ukuqhomfa (ixesha lokuqala emva)

Zombini izisu ezenziwa ngotyando kunye nokuqhomfa okunyanga kunokuchaphazela ukuya exesheni.

Into yokuqala yokwazi kukuba unokufumana ukopha emva kokuphuma kwesisu. Ngelixa kunokubonakala ngathi lixesha lakho, alifani. Oku kuphuma kuphuma kwizicubu ezikhutshwa esibelekweni.

Ixesha lokuqala emva kokukhupha isisu linokuba lifutshane (ukuba ukhuphe isisu ngotyando) okanye ngaphezulu (ukuba ukhuphe isisu ngonyango) ngenxa yenkqubo yomzimba wakho ubuyela kumanqanaba ehomoni aqhelekileyo.

Iihorms zokukhulelwa zinokuncamathela kwiiveki ezimbalwa emva kokukhupha isisu, zibangela ukulibaziseka ekuyeni.

Ezinye iimpawu ngeli xesha zibandakanya:

• ukudumba
• intloko ebuhlungu
• ukuthamba emabeleni nakwimisipha
• ukonwaba
• ukudinwa

Ukuba ixesha lakho alibuyanga iiveki ezisibhozo emva kwenkqubo yakho, bona ugqirha.

Ukukhulelwa kwasekuqaleni

Olunye lweempawu zokuqala zokukhulelwa lixesha elilahlekileyo. Ukukhanya okukhanyayo okanye ukopha kwilungu lobufazi nako kunokubakho, ukuxelisa iimpawu zomjikelo wokuya esikhathini.

Ezinye iimpawu ezinjengexesha ekukhulelweni kwasekuqaleni zibandakanya:

• ukukhanya cramping
• ukudinwa
• ukucaphuka
• iintlungu ezisezantsi

Ukuba ucinga ukuba unokuba kwinqanaba lokuqala lokukhulelwa, thatha uvavanyo lokukhulelwa ekhaya.

Ukuphuma kwesisu

Ukuphuma kwesisu kwangoko, okunokwenzeka ngaphambi kokuba wazi nokuba ukhulelwe, kunokufana nexesha lokuphuma kwegazi eliya lisinda kwaye lihlala ixesha elide kunexesha eliqhelekileyo.

Ezona mpawu zixhaphakileyo zokuphuphuma kwesisu kwangoko ziyacinezela kwaye ziphume egazini, zilingise oko kubonakala ngathi lixesha elinzima.

Ezinye iimpawu zibandakanya:

• isicaphucaphu
• urhudo
• ukuhambisa ulwelo olukhulu, njengamahlwili egazi okanye izicwili, kwilungu lobufazi

Ukuba uva iintlungu nokopha kakhulu, kwaye ucinga ukuba uphunyelwa sisisu, setha idinga nogqirha wakho kuvavanyo lomzimba lomntu.

Iipolyps zesibeleko okanye i-fibroids

Ii-polyps zesibeleko zenzeka xa izicwili ze-endometrium zikhula kuludwe lwesibeleko. I-Fibroids, ngokufanayo, kukukhula kwethishu enemisipha kunye nemisipha eludongeni lwesibeleko.

Zombini i-fibroids kunye neepolyps zinokubangela amaxesha anzima, agcwele amahlwili, kwaye ahlala ixesha elide kuneveki.

Ezi zihlala zivela kubantu abakwiminyaka engama-35 ukuya kwengama-50 ubudala, okanye abo bakwi-perimenopause.

Ezinye iimpawu ze-fibroids zibandakanya:

• uxinzelelo lwe-pelvic
• Ukuchama rhoqo okanye ingxaki yokuchama
• ukuqhina
• umqolo
• intlungu yomlenze

Ezinye iimpawu zeepolyps zibandakanya ukubonwa phakathi kwamaxesha, ukopha kwilungu lobufazi emva kokuyeka ukuya exesheni, kunye nokungachumi.

Unyango olunokukhethwa kunyango lwe-fibroids kunye neepolyps ukusuka kulawulo lwedosi ephantsi yolawulo lokuzalwa ukuya kwii-hysterectomies. Ugqirha uya kuba nakho ukuvavanya kakuhle ukuba kuqhubeka ntoni, kwaye kwezinye iimeko baya kuba nakho ukwenza i-hysteroscopy yokufumana umbono ongcono ngaphakathi kwesibeleko.

IHypothyroidism

Imveliso yehomoni yedlala ephantsi inokubangela ukutshintsha kwexesha kokuya exesheni, ngakumbi kubantu abancinci.

Ingenza amaxesha anzima kwaye aqhubeke rhoqo, kodwa inokubenza bayeke ngokupheleleyo.

Ezinye iimpawu ezibonisa ukuba i-hypothyroidism ibandakanya:

• Ukugodola
• ukudinwa
• ukuqhina
• Ukuphelelwa ngumdla wokutya
• ukukhawuleza ukutyeba
• iinwele ezomileyo okanye iinzipho
• ukudakumba

I-PCOS

I-Polycystic ovary syndrome, okanye i-PCOS, yenzeka xa ii-ovari zivelisa inani eligqithisileyo lamahomoni esini abizwa ngokuba yi-androgens.

Oku kunokutshintsha amaxesha, kubangele isitenxo, ixesha lokukhanya, okanye amaxesha aphosiweyo.

Ezinye iimpawu zibandakanya:

• induna
• ukukhawuleza ukutyeba
• uboya obuninzi bomzimba
• amabala amnyama kufutshane nentamo, amakhwapha, okanye amabele

Endometriosis

Esi sifo senzeka xa izicwili zesibeleko zikhula ngaphandle kwesibeleko.

Olunye lweempawu eziqhelekileyo ze-endometriosis ngamaxesha angaqhelekanga. Amaxesha anokuhlala ngaphezulu kweentsuku ezisi-7 ngokuhamba okunzima okufuna iipads okanye iitampon ukuba zitshintshwe rhoqo emva kweeyure eziyi-1-2.

Ezinye iimpawu zoku zibandakanya:

• iintlungu kwisisu esisezantsi, isinqe, okanye umqolo osezantsi
• isini esibuhlungu
• urhudo
• ukuqhina
• ukuchama kabuhlungu
• imfuneko yokuchama rhoqo
• ukungachumi
• ukudinwa

Uninzi lweziganeko ze-endometriosis zinokufunyanwa nge-ultrasound. Ukuba ucinga ukuba unokuba ne-endometriosis, setha idinga nogqirha wakho ukuze uphinde uvavanywe.

Adenomyosis

Le meko yenzeka xa izicwili ze-endometrium ezibeka isibeleko zihamba ziye kwimisipha yesibeleko.

Kweminye, akunakubakho zimpawu ze-adenomyosis okanye kunokubakho ukungonwabi okuncinci.

Kwabanye, kunokubakho ukuphuma kwegazi okunzima, ukubamba kakhulu, kunye nentlungu engapheliyo ye-pelvic.

Ukuba ufumana ukopha okunzima kunye nokuxinana okunzima ngexesha lakho, thetha nogqirha. Baya kuba nakho ukufumanisa ukuba ngaba yi-adenomyosis ngovavanyo lwe-pelvic okanye nge-ultrasound.

Ixesha lokuphuma

Ixesha lePerimenopausal, elenzeka ekupheleni kweminyaka yakho yokuzala, linokuthatha uhlobo lwamaxesha angaqhelekanga, ukuhamba ngokukhanya, okanye ukukhanya.

Njengokuba iihormone zakho ziguquka, kukwaqhelekile ukopha kakhulu. Oku kwenzeka ngenxa yokuba ulwelwesi lwesibeleko luyakha ngamanqanaba aphezulu e-estrogen.

Ixesha lokuphumla liqhelekile kuye nakubani na osexesheni. Oku kwenzeka phakathi kweminyaka engama-45 nama-55.

Ezinye iimpawu zibandakanya:

• kushushu
• ukubila ebusuku
• ubunzima bokuchama
• ubunzima bokulala
• utshintsho kulwaneliseko ngokwesondo
• ukoma kwilungu lobufazi

Kwiimeko ezinqabileyo

Ngezihlandlo ezinqabileyo, ukuphuma kwegazi ixesha elide kunye nokuhamba okunzima kunokuba sisizathu sokukhathazeka.

La matyala alandelayo kufuneka ahlolwe yingcali yezonyango kwangoko.

IVon Willebrand ’s

Esi sifo sinqabileyo sokopha senzeka xa umzimba unamanqanaba asezantsi eVon Willebrand factor kwaye awunakugquma ngokufanelekileyo igazi.

Kubantu abaya exesheni, oku kunokubangela ixesha elide nelinzima elibandakanya amahlwili egazi angaphezulu kwe-intshi enye ubukhulu.

Ezinye iimpawu zibandakanya:

• ukopha kakhulu ekwenzakaleni
• iimpumlo zeempumlo ezingayi kuyeka
• igazi kumchamo wakho
• Iimpawu ezinxulumene ne-anemia ezinje ngokudinwa kunye nokuphefumla kancinci

Unyango lubandakanya amayeza okuzinzisa amahlwili, izinto zokucwangcisa ngomlomo, kunye nonyango oluthatha indawo.

IHemophilia

IHemophilia sisifo esingaqhelekanga semfuza apho umzimba ulahlekileyo okanye unamaqondo asezantsi e-VIII okanye i-factor IX protein clotting.

Nangona bengabonakali kakhulu kubafazi, banokuba "ngabathwali" kwaye iimpawu zisenokwenzeka.

Oku kubandakanya ixesha elide, elinzima, ukudlula amahlwili amakhulu, kwaye ufuna ukutshintsha itampon okanye iphedi rhoqo emva kweeyure ezi-2 okanye ngaphantsi.

Ezinye iimpawu zibandakanya:

• ukuphuma kwegazi okungachazwanga okanye okugqithisileyo kokwenzakala
• ukugruzuka okukhulu
• ukopha emva kogonyo
• intlungu edibeneyo
• igazi kumchamo wakho
• ukuphuma ngeempumlo ngequbuliso

Unyango lwe-hemophilia lubandakanya zombini izinto ezivela kwiplasma kunye nemixube ephindayo.

Umhlaza womlomo wesibeleko okanye wesibeleko

Umhlaza wamanina, kubandakanya nomhlaza womlomo wesibeleko kunye wesibeleko, ziintlobo zomhlaza ezichaphazela amalungu okuzala ababhinqileyo.

Nabani na onamalungu omfazi okuzala usesichengeni somhlaza wamanina, kwaye ukwanda komngcipheko kubudala.

Isitofu sokugonya se-HPV sicetyiswa ukuba sincede sizikhusele kumhlaza womlomo wesibeleko, welungu lobufazi kunye nelomntu obhinqileyo.

Ukopha ngokungaqhelekanga, kubandakanya ukopha kakhulu kunye nokukhutshwa ngokungaqhelekanga, luphawu oluqhelekileyo lomlomo wesibeleko, i-ovari, isibeleko kunye nomhlaza welungu lobufazi.

Intlungu yepelvic okanye uxinzelelo lolunye uphawu lomhlaza wesibeleko.

Unyango lomhlaza wamanina lubandakanya utyando, ichemotherapy, kunye nemitha.

Iimpawu zomhlaza wamanina ziyahluka ngokwendawo yomhlaza kunye nomntu onamava kuyo. Ukopha ngamandla kunokuba luphawu lweengxaki ezininzi, ke le mpawu iyodwa ayibonisi umhlaza.

Nini ukubona ugqirha

Ukuba ixesha lakho lihlala ixesha elingaphezulu kweveki, cinga ukubiza ugqirha ufumane iingcebiso. Ngokuxhomekeke kwiimpawu zakho, banokucebisa ukuseta umntu ukuba aqeshwe kuvavanyo lomzimba.

Ngakolunye uhlangothi, ukuba ucinga ukuba ubonakalisa iimpawu zezinto ezinqabileyo okanye ukuba ukhulelwe, jonga ugqirha ngokukhawuleza.

Ukuba uva ukopha okunzima kakhulu kwaye ufika kwiiphedi ezine okanye nangaphezulu kunye neetamponi kwisithuba seeyure ezi-2, yiya kwigumbi likaxakeka ngoko nangoko.

Umgca wezantsi

Nangona kunokuba yinto eyothusayo ukufumana ukuhamba ngokukhawuleza okanye ixesha elide, zininzi izizathu ezinokuthi zichaze imeko yakho.

Jonga ixesha lakho inyanga nenyanga ukuze ubone ukuba iimpawu zakho ziyaqhubeka.

Njengamaxesha onke, kungcono udibane nogqirha wakho ukuba ucinga ukuba kukho into enokuphakama. Bayakwazi ukuphendula imibuzo, baxoxe ngeempawu, benze iimviwo zangasese, kwaye benze ii-ultrasound xa kufuneka njalo.

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