Ixesha elihlala iintsuku ezi-1 okanye ezi-2: yintoni enokubangela oku?

Umxholo

• Yintoni ethathelwa ingqalelo umjikelo oqhelekileyo wokuya exesheni?
• Ukukhulelwa
• Ukukhulelwa kwe-Ectopic
• Ukuphuma kwesisu
• Ukuncancisa
• Ulawulo lokuzalwa kunye namanye amayeza
• Izinto zokuphila
• Uxinzelelo
• Ukwehla kobunzima obubalulekileyo
• Ukuzilolonga kakhulu
• Iimeko zonyango
• Isifo se-thyroid
• Isifo sePolycystic ovary syndrome (i-PCOS)
• Izifo ezivuthayo zepelvic (PID)
• Ezinye iimeko
• Ubudala
• Umgca wezantsi

Ubude bexesha lakho bunokutshintsha ngokuxhomekeka kwizinto ezininzi ezahlukeneyo. Ukuba ixesha lakho ngesiquphe lifutshane kakhulu, nangona kunjalo, kuyinto eqhelekileyo ukuba ukhathazeke.

Ngelixa inokuba luphawu lokuqala lokukhulelwa, zininzi ezinye izinto ezinokubangela, kubandakanya izinto zokuphila, ulawulo lokuzalwa, okanye imeko yezonyango.

Funda ukuze ufunde ngakumbi malunga nento enokubangela ukuba ixesha lakho liphele usuku okanye ezimbini.

Yintoni ethathelwa ingqalelo umjikelo oqhelekileyo wokuya exesheni?

Umjikelo oqhelekileyo wokuya exesheni wenzeka kube kanye kwiintsuku ezingama-28, kodwa oku kuhlala kwahluka. Abanye abantu basetyhini banamaxesha rhoqo emva kweentsuku ezingama-21, ngelixa abanye benamaxesha ahlukeneyo ngeentsuku ezingama-35.

Xa kuziwa kumaxesha, wonke umntu wasetyhini wahlukile. Uninzi lwabasetyhini banamaxesha ahlala malunga neentsuku ezintathu ukuya kwezintlanu inyanga nenyanga. Kodwa ixesha elihlala iintsuku ezimbini kuphela, okanye eliqhubeka iintsuku ezisixhenxe, likwajongwa njengesiqhelo.

Ukuba ixesha lakho lihlala iintsuku eziliqela kwaye ngokukhawuleza lifutshane kakhulu, kunokubangelwa zizizathu ezahlukeneyo.

Ukukhulelwa

Ukukhulelwa kunokuba sisizathu se "thuba" elihlala kuphela kusuku olunye okanye ezimbini.

Xa iqanda elichumileyo linamathela kumbindi wesibeleko, ukufakwa kwegazi kunokwenzeka.

Olu hlobo lokopha luhlala lukhaphukhaphu kunexesha eliqhelekileyo. Ihlala ihlala malunga neeyure ezingama-24 ukuya kuma-48. Ngokwesiqhelo ipinki ekhanyayo ngombala omnyama ngombala.

Ukopha kokufaka kwenzeka ngesiqhelo kwiintsuku ezili-10 ukuya kwezi-14 emva kokukhulelwa. Akunabo bonke abafazi abakhulelweyo abaya kuba namava, nangona kunjalo. Ngokwe-American College of Obstetricians kunye neGynecologists, ukufakelwa kwegazi kwenzeka kuphela malunga neepesenti ezili-15 ukuya kwezi-25 zokukhulelwa.

Ukukhulelwa kwe-Ectopic

Ukukhulelwa kwe-ectopic kwenzeka xa iqanda elichumileyo linamathela kwimibhobho yesibeleko, i-ovary, okanye umlomo wesibeleko endaweni yesibeleko. Ngokuqhelekileyo kuthiwa kukukhulelwa kwe-tubal.

Olunye lweempawu zokuqala zokukhulelwa kwe-ectopic kukopha kwilungu lobufazi kunye nentlungu yomqolo.

Ukuba iqanda elichumileyo liqhubeka likhula kwityhubhu, linokubangela ukuba ityhubhu iphuke. Oko kungakhokelela ekopheni kakhulu ngaphakathi esiswini.

Funa uncedo lwezonyango ngokukhawuleza ukuba ufumana iimpawu zokukhulelwa kwe-ectopic, njenge:

• iintlungu zesisu esibuhlungu okanye zesisu, zihlala kwicala elinye
• isiqaqa okanye isiyezi
• ukopha ngokungaqhelekanga kwilungu lobufazi
• uxinzelelo lwexande

Ukuphuma kwesisu

Ukuphuphuma kwesisu kunokubangela ukuphuma kwegazi okunokuthi kuphosakele kangangexesha elithile. Uninzi lwabafazi banokungazi ukuba baphunyelwa sisisu kuba ngekhe bazi ukuba bakhulelwe ukuqala.

Ukopha kunokuba kukukhanya okukhanyayo okanye ukuhamba okunzima. Ubude kunye nenani lokopha kuya kuxhomekeka kubude bokukhulelwa.

Ezinye iimpawu zokuphuphuma kwesisu zibandakanya:

• ukuxinana
• iintlungu zesisu okanye zangasese
• umqolo obuhlungu

Ukuncancisa

Ukuncancisa kunokubangela ukulibaziseka, ukukhanya, okanye ixesha elifutshane.

Iprolactin, ihomoni enceda ukwenza ubisi lwebele, ikwathintela ukuba sexesheni kungenzeki.

Uninzi lwabasetyhini abancancisayo baya kuphinda baqale ixesha labo kwiinyanga ezili-9 ukuya kwezi-18 emva kokuba umntwana ezelwe.

Ulawulo lokuzalwa kunye namanye amayeza

Iipilisi zokulawula ukuzalwa kwehormonal okanye iifoto kunye nezixhobo ze-intrauterine (IUDs) zinokubangela ukuba mfutshane kwaye kube lula ukuya exesheni.

Iihomoni ezikwiipilisi zolawulo lokuzalwa zinokunciphisa umgca wesibeleko. Oku kunokunciphisa kwaye kunciphise ixesha lakho. NgokweKlinikhi yaseCleveland, abasetyhini abathatha iipilisi zeprogesin kuphela banokuopha phakathi kwexesha labo.

Amanye amayeza anokuchaphazela ukuhamba, ubude, okanye ukuhamba kwexesha lakho kubandakanya:

• abacoci gazi
• i-antipsychotic okanye i-anti-depressants
• ii-steroids
• imifuno, njenge-ginseng
• i-tamoxifen (iyeza elisetyenziselwa ukunyanga iintlobo ezithile zomhlaza wamabele)

Izinto zokuphila

Izinto ezahlukeneyo zokuphila zinokuchaphazela ixesha lakho, kubandakanya utshintsho kwindlela yakho yemihla ngemihla.

Masiqwalasele ngokusondeleyo kwezinye zeendlela zokuphila eziqhelekileyo ezinokubangela utshintsho kwixesha lakho.

Uxinzelelo

Amanqanaba aphezulu oxinzelelo anokuchaphazela iihomoni zakho. Oku, kunokuchaphazela ukuhamba kwakho kwexesha.

Ukuba ufumana uxinzelelo olukhulu, unokuba nexesha elingaqhelekanga, elifutshane, okanye elikhanyayo kunesiqhelo. Okanye awunakuba nexesha kwaphela.

Amaxesha akho aya kubuyela esiqhelweni xa amanqanaba oxinzelelo lwakho ebuyela umva.

Ukwehla kobunzima obubalulekileyo

Ukuphulukana nobunzima obuninzi kungakhokelela kumaxesha angaqhelekanga. Ukuphazamiseka kokutya, njenge-anorexia nervosa okanye i-bulimia nervosa, kunokubangela ukuba amaxesha ayeke ngokupheleleyo.

Ukuzilolonga kakhulu

Inani eligqithisileyo lomsebenzi womzimba linokubangela amaxesha angaqhelekanga okanye ukungabikho kwexesha.

Ukuba awulinganisi isixa samandla ositshisayo ngesondlo esaneleyo, umzimba wakho awuyi kuba namandla aneleyo ukugcina zonke iinkqubo zakho zisebenza. Ke iya kuqala ukuhambisa amandla kude neminye imisebenzi, njengokuvelisa kwakhona.

Ngenxa yoko, ihipothalamus, ingingqi kwingqondo yakho, inokucothisa okanye iyeke ukukhutshwa kwehomoni elawula ukuphuma kweqanda.

Iimeko zonyango

Ezinye iintlobo zeemeko zonyango zinokuchaphazela umjikelo wakho wenyanga, kubangele ixesha elifutshane kunesiqhelo.

Isifo se-thyroid

Isifo se-thyroid senza umzimba wakho uvelise i-hormone ye-thyroid eninzi okanye encinci. Le hormone idlala indima ebalulekileyo kumjikelezo wakho wokuya esikhathini.

Xa umzimba wakho ungavelisi isixa esifanelekileyo sale hormone, amaxesha akho anokungahambi kakuhle kwaye ngamanye amaxesha abe mafutshane kunesiqhelo.

Iimpawu zesifo se-thyroid ziyahlukahluka, kuxhomekeke kukuphi uhlobo lwesifo onaso. Kodwa ezona mpawu zixhaphakileyo zibandakanya:

• ukunciphisa umzimba okanye ukuzuza
• unengxaki yokulala, okanye uziva udiniwe
• isantya sentliziyo esikhawulezayo okanye esicothayo kunesiqhelo

Isifo sePolycystic ovary syndrome (i-PCOS)

Nge-PCOS, umzimba wakho uvelisa iihomoni zesilisa ezingaphezulu kwesiqhelo. Olu hlobo lokungalingani kwehomoni lunokumisa i-ovulation ukuba ingenzeki.

Ngenxa yoko, unokuba nexesha elincinci kakhulu nelifutshane, okanye ungabikho xesha kwaphela. Ezinye iimpawu ze-PCOS zingabandakanya:

• iinwele zobuso ezigqithisileyo
• ukudinwa
• ilizwi elinzulu
• ukuhamba kweemvakalelo
• ukungachumi

Izifo ezivuthayo zepelvic (PID)

I-PID luhlobo losulelo olwenzekayo xa intsholongwane ingena kwilungu lobufazi kwaye isasazeka kwisibeleko nakwindlela ephezulu yesini. Olu suleleko luhlala luhanjiswa ngokudibana ngokwesondo.

I-PID inokubangela amaxesha angaqhelekanga, kodwa zihlala zinzima, zinde, okanye zibuhlungu.

Ezinye iimeko

Iimeko eziqhelekileyo ezinokubangela ukungaqhelekanga okanye ixesha elifutshane zibandakanya:

• stenosis yomlomo wesibeleko, ukuhla komgaqo wendlela yomlomo wesibeleko
• ukusilela kwexesha kwe-ovari (POF), ekwabizwa ngokuba kukuyeka ukuya exesheni ngaphambi kwexesha
• Isifo i-Asherman syndrome, esibangelwa kukuqina kwesikhumba okanye ukubambelela ngaphakathi kwesibeleko okanye umlomo wesibeleko
• ianemia
• ukuphazamiseka kwepituitary
• umhlaza wesibeleko okanye womlomo wesibeleko

Ubudala

Abasetyhini abaselula abafikisa ebusheni banokuba namaxesha angaqhelekanga kwiminyaka embalwa yokuqala emva kokuba beqale ukuba sexesheni.

Elinye ixesha xa amaxesha enokuthi abe yinto engafanelekanga ngexesha lokugqibela. Oku kwenzeka kwiminyaka embalwa ngaphambi kokuyeka ukuya exesheni.

NgokweKlinikhi yaseCleveland, abasetyhini banokungena kwi-perimenopause 8 ukuya kwi-10 iminyaka ngaphambi kokuyeka ukuya exesheni, oko kuthetha ukuba kungenzeka kwi-30s okanye 40s yakho.

Ngexesha lokugqibela, amanqanaba e-estrogen aqala ukwehla. Oku kunokubangela amaxesha angaqhelekanga.

Umgca wezantsi

Ukopha kuphela usuku okanye ezimbini kungangumqondiso wokukhulelwa, kodwa zininzi ezinye izizathu ezinokubakho.

Ukuba ukhathazekile malunga nexesha lakho elifutshane kuneliqhelekileyo, yenza idinga lokubonana nogqirha wakho. Banokukunceda ubone ukuba yintoni ebangela utshintsho kwaye uqalise ngonyango, ukuba kukho imfuneko yoko.