Yintoni ebangela Ubuhlungu bePelvic kwabaseTyhini?

Umxholo

• Oonobangela
• Izifo ezivuthayo zepelvic (PID)
• Endometriosis
• Ovulation
• Ukuba sexesheni
• I-Ovarian (adnexal) torsion
• Umhlaza wesibeleko
• Uterine fibroids (myoma)
• Umhlaza weGynecologic
• Intlungu yesisu xa ukhulelwe
• Isicatshulwa seBraxton-Hicks
• Ukuphuma kwesisu
• Umsebenzi ngaphambi kwexesha
• Ukuphazamiseka kweplacental
• Ukukhulelwa kwe-Ectopic
• Ezinye izizathu
• Uxilongo
• Unyango lwasekhaya
• Yise kude

Ushwankathelo

Isinqe sinamalungu okuzala. Itholakala kwisisu esisezantsi, apho isisu sakho sidibana nemilenze yakho. Intlungu yepelvic inokuqengqeleka iye emazantsi esisu, yenze kube nzima ukwahlula kwiintlungu zesisu.

Funda ngokufunda izizathu ezinokubangela iintlungu zesisu kubafazi, nini ukufuna uncedo, kunye nendlela yokulawula olu phawu.

Oonobangela

Zininzi izinto ezibangela iintlungu zangasemva kunye nezingapheliyo. Intlungu ebuhlungu ye-pelvic ibhekisa kwintlungu yequbuliso okanye entsha. Iintlungu ezingapheliyo zibhekisa kwimeko ehlala ihleli, enokuhlala ihleli okanye ize kwaye ihambe.

Izifo ezivuthayo zepelvic (PID)

Isifo sokudumba kwepelvic (PID) sisifo samalungu okuzala kwabasetyhini. Ngokuqhelekileyo kubangelwa ukusuleleka ngosulelo olungasetyenziswanga ngokwesondo, njenge-chlamydia okanye i-gonorrhea. Abasetyhini bahlala bengenazo iimpawu xa besosulelwe okokuqala. Ukuba ishiywe inganyangwa, i-PID inokubangela iingxaki ezinzulu, kubandakanya iintlungu ezingapheliyo, ezibuhlungu kwi-pelvis okanye esiswini.

Ezinye iimpawu zingabandakanya:

• ukopha ngexesha lokwabelana ngesondo
• ifiva
• ukukhutshwa okukhulu kwilungu lobufazi kunye nevumba
• ubunzima okanye iintlungu ngexesha lokuchama

I-PID ifuna unyango kwangoko ukunqanda ezinye iingxaki, kubandakanya:

• ukukhulelwa kwe-ectopic
• izilonda kumalungu okuzala
• amathumba
• ukungachumi

Endometriosis

I-Endometriosis inokwenzeka nangaliphi na ixesha ngexesha lokuzala. Kubangelwa kukukhula kwethishu yesibeleko ngaphandle kwesibeleko. Esi sihlunu siqhubeka nokusebenza ngendlela ebesiya kwenza ngayo ukuba besiphakathi kwesibeleko, kubandakanya ukuqina kunye nokuphalaza ekuphenduleni komjikelo wokuya exesheni.

I-Endometriosis ihlala ibangela amanqanaba awahlukeneyo entlungu, aqala ukusuka kubumnene, ukuya kubunzima kwaye buthathaka. Le ntlungu ihlala ichazwa kakhulu xa usexesheni. Inokwenzeka kwakhona ngexesha lokwabelana ngesondo kunye nokuhamba kwamathumbu okanye isinyi. Ubuhlungu buhlala bujolise kummandla we-pelvic, kodwa bunokwanda kwisisu.

I-Endometriosis inokuchaphazela nemiphunga kunye ne-diaphragm, nangona kunjalo.

Ukongeza kwintlungu, iimpawu zingabandakanya:

• amaxesha anzima
• isicaphucaphu
• ukudumba

I-Endometriosis inokubangela ukuba inzalo okanye ukungachumi.

Unyango lolawulo lweentlungu lunokubandakanya amayeza eentlungu ngaphezulu kwe-counter (i-OTC) okanye iinkqubo zotyando, ezinjenge-laparoscopy. Kukwakho nonyango olusebenzayo lwe-endometriosis kunye nokukhulelwa, okunje nge-vitro fertilization. Ukuxilongwa kwangoko kunokunceda ukunciphisa iimpawu ezingapheliyo, kubandakanya iintlungu kunye nokungachumi.

Ovulation

Abanye abantu basetyhini bafumana iintlungu ezibukhali okwethutyana ngexesha le-ovulation xa iqanda likhutshwa kwi-ovary. Le ntlungu ibizwa ngokuba yi-mittelschmerz. Ihlala ihlala kuphela iiyure ezimbalwa kwaye ihlala iphendula kumayeza eentlungu ze-OTC.

Ukuba sexesheni

Iintlungu zepelvic zinokwenzeka ngaphambi nangexesha lokuya exesheni kwaye zihlala zichazwa njengezikram kwi-pelvis okanye emazantsi esisu. Ubunzima bunokwahluka kwinyanga nenyanga.

Ubuhlungu ngaphambi kokuya exesheni kuthiwa yi-premenstrual syndrome (PMS). Xa iintlungu zinzima kangangokuba awukwazi ukonwabela imisebenzi yakho yesiqhelo, yemihla ngemihla, ibizwa ngokuba yi-premenstrual dysphoric disorder (PMDD). I-PMS kunye ne-PMDD zihlala zihamba nezinye iimpawu, kubandakanya:

• ukudumba
• ukucaphuka
• ukuphuthelwa
• ixhala
• amabele athambileyo
• ukuhamba kweemvakalelo
• intloko ebuhlungu
• intlungu edibeneyo

Ezi mpawu zihlala, nangona kungekho rhoqo, ziyaphela kanye xa kuqala ukuba sexesheni.

Intlungu ngexesha lokuya exesheni ibizwa ngokuba yi-dysmenorrhea. Le ntlungu inokuziva ngathi ziinkampu esiswini, okanye njengentlungu eyoyikisayo emathangeni nasemqolo. Isenokuhamba kunye:

• isicaphucaphu
• intloko ebuhlungu
• intloko elula
• ukugabha

Ukuba iintlungu zakho zokuya exesheni zinzima, xoxa ngolawulo lwentlungu nogqirha wakho. Amayeza e-OTC okanye acupuncture anokunceda.

I-Ovarian (adnexal) torsion

Ukuba i-ovary yakho iyajija ngesiquphe kwisixhobo sayo, uya kuziva kwangoko, ubukhali, iintlungu ezibuhlungu. Maxa wambi iintlungu zihamba nesicaphucaphu nokugabha. Le ntlungu inokuthi iqale kwiintsuku ezingaphambi kokuqunjelwa.

I-Ovarian torsion yimeko yongxamiseko yezonyango ehlala ifuna utyando kwangoko. Ukuba ufumana nantoni na enje, khangela unyango ngokukhawuleza.

Umhlaza wesibeleko

Iicyst kwi-ovary zihlala zingabangeli zimpawu. Ukuba zikhulu, unokuziva ubuhlungu okanye iintlungu ezibukhali kwelinye icala lesinqe sakho okanye isisu. Unokuziva ukhululekile, okanye ubunzima kwisisu sakho esezantsi.

Ukuba i-cyst iyaqhekeka, uya kuziva ngequbuliso, iintlungu ezibukhali. Kuya kufuneka ufune unyango ukuba unamava oku, nangona kunjalo, ii-cysts ze-ovari zihlala ziziphelisa zodwa. Ugqirha wakho unokucebisa ukuba ususe i-cyst enkulu ukukhusela ukuphuka.

Uterine fibroids (myoma)

I-uterine fibroids kukukhula okukuko kwisibeleko. Iimpawu ziyahluka ngokobungakanani nendawo okuyo. Uninzi lwabasetyhini alunazo kwaphela iimpawu.

IiFibroids ezinkulu zinokubangela iimvakalelo zoxinzelelo okanye iintlungu ezingathandekiyo kwisinqe okanye kwisisu esisezantsi. Banokubangela:

• ukopha ngexesha lokwabelana ngesondo
• amaxesha anzima
• ingxaki yokuchama
• intlungu yomlenze
• ukuqhina
• umqolo obuhlungu

I-Fibroids nayo inokuphazamisa ukukhulelwa.

I-Fibroids ngamanye amaxesha ibangela iintlungu ezibukhali kakhulu, ukuba zigqithile kwigazi lazo kwaye ziqala ukufa. Funa uncedo lwangoko lwezonyango ukuba unamava:

• iintlungu ezingapheliyo zangasese
• iintlungu ezibukhali zangasese
• ukopha okunzima kwilungu lobufazi phakathi kwamaxesha
• ingxaki yokuvala isinyi sakho

Umhlaza weGynecologic

Umhlaza unokuvela kwiindawo ezininzi zangasese, kubandakanya:

• isibeleko
• endometrium
• umlomo wesibeleko
• amaqanda

Iimpawu ziyahluka, kodwa zihlala zibandakanya buthuntu, iintlungu zentlungu esinqeni kunye nesisu, kunye nentlungu ngexesha lokwabelana ngesondo. Ukukhutshwa okungaqhelekanga kwilungu lobufazi lolunye uphawu oluqhelekileyo.

Ukufumana ukuhlolwa rhoqo kunye novavanyo lwegynecological kunokukunceda ufumane umhlaza kwangoko, xa kulula ukunyanga.

Intlungu yesisu xa ukhulelwe

Intlungu yepelvic ngexesha lokukhulelwa ayisoloko ibangela ialam. Njengoko umzimba wakho uhlengahlengisa kwaye ukhula, amathambo akho kunye nemisipha iyolula. Oko kunokubangela iintlungu okanye ukungonwabi.

Nangona kunjalo, nayiphi na intlungu ekwenza ube novalo, nokuba ithambile, kufuneka ixoxwe nogqirha wakho. Ngokukodwa ukuba ihamba kunye nezinye iimpawu ezifana nokuphuma kwegazi kwilungu lobufazi, okanye ukuba ayipheli okanye ihlala ixesha elide. Ezinye zezinto ezinokubangela iintlungu ngexesha lokukhulelwa zibandakanya:

Isicatshulwa seBraxton-Hicks

Ezi ntlungu zihlala zibizwa ngokuba ngumsebenzi wobuxoki kwaye zenzeka ikakhulu kwikota yesithathu. Banokuziswa ngu:

• ukwenza umthambo
• iintshukumo zomntwana
• ukuphelelwa ngamanzi emzimbeni

Ukuqhawulwa kweBraxton-Hicks kungangonwabi, kodwa akunamandla njengentlungu yabasebenzi. Kananjalo azizi rhoqo okanye zonyuke ngamandla ngokuhamba kwexesha.

Ukuqhawulwa kweBraxton-Hicks ayisiyongxamiseko kwezonyango, kodwa kuya kufuneka uxelele ugqirha wakho ukuba unayo xa usiya kwidinga lakho lokubeleka ngaphambi kokuzalwa.

Ukuphuma kwesisu

Ukuphuphuma kwesisu kukuphulukana nokukhulelwa ngaphambi kweveki yama-20 yokukhulelwa. Uninzi lokulahleka kwesisu kwenzeka ngexesha lekota yokuqala, ngaphambi kweveki ye-13. Bahlala behamba kunye:

• ukopha kwilungu lobufazi okanye indawo ebomvu ebomvu
• isisu esiswini
• iimvakalelo zentlungu kwi-pelvis, isisu, okanye umqolo osezantsi
• ukuhamba kolwelo okanye izicwili kwilungu lobufazi

Ukuba ucinga ukuba uphunyelwa sisisu, biza ugqirha wakho okanye uye kwigumbi likaxakeka ngokukhawuleza.

Umsebenzi ngaphambi kwexesha

Umsebenzi owenzeka ngaphambi kweveki yama-37 yokukhulelwa uthathwa njengomsebenzi ngaphambi kwexesha. Iimpawu zibandakanya:

• iintlungu esiswini sakho esisezantsi, ezinokuziva ngathi zibukhali, ixesha elicwangcisiweyo okanye njengoxinzelelo olungelulo
• iintlungu ezisezantsi
• ukudinwa
• ukukhutshwa kwilungu lobufazi elinzima ngaphezu kokuqhelekileyo
• ukuxinana esiswini okanye ngaphandle kurhudo

Unokudlulisa iplagi yakho ye-mucus. Ukuba umsebenzi uziswa sisifo, unokuba nomkhuhlane.

Umsebenzi ngaphambi kwexesha yingxakeko yezonyango efuna ukuhoywa kwangoko. Ngamanye amaxesha inokumiswa ngonyango ngaphambi kokuba ubeleke.

Ukuphazamiseka kweplacental

Iifomenta zeplasenta kwaye zinamathela kudonga lwesibeleko kwasekuqaleni kokukhulelwa. Yenzelwe ukubonelela ngeoksijini kunye nokondla kosana lwakho kude kube kuziswa. Ngokuqhelekileyo, i-placenta iyazibamba ukusuka eludongeni lwesibeleko. Oku kunokuba yinto ekhethekileyo okanye epheleleyo, kwaye yaziwa njengokuphazamiseka kweplacental.

Ukuphazamiseka kweplacental kunokubangela ukopha kwilungu lobufazi, kuhamba neemvakalelo zentlungu okanye ukuthamba kwesisu okanye umqolo. Kuqhelekileyo kwikota yesithathu, kodwa kungenzeka nanini na emva kweveki yama-20 yokukhulelwa.

Ukuphazamiseka kweplacental kufuna unyango kwangoko.

Ukukhulelwa kwe-Ectopic

Ukukhulelwa kwe-Ectopic kwenzeka emva nje kokumitha ukuba iqanda elichumayo lifakela kwityhubhu okanye elinye icandelo lendawo yokuzala endaweni yesibeleko. Olu hlobo lokukhulelwa alunakuze lusebenze kwaye kunokubangela ukuphuka kwetyhubhu ye-fallopian kunye nokopha kwangaphakathi.

Iimpawu eziphambili zibukhali, iintlungu eziqatha kunye nokopha kwilungu lobufazi. Intlungu inokwenzeka esiswini okanye esinqeni. Ubuhlungu bunokuphinda buye egxalabeni okanye entanyeni ukuba ukuphuma kwangaphakathi kwenzekile kwaye igazi lidibene phantsi kwesithambisi.

Ukukhulelwa kwe-Ectopic kunokuchithwa ngamayeza okanye kunokufuna utyando.

Ezinye izizathu

Intlungu yepelvic inokubangelwa luluhlu olubanzi lweemeko ezongezelelweyo kumadoda nakwabafazi. Oku kubandakanya:

• ipeni eyandisiweyo
• isihlomelo
• ukuqhina okungapheliyo
• ukuphambuka
• i-hernias yobufazi kunye ne-inguinal
• isinqe somzimba
• ukudumba okwenziwa sisilonda sikabhobhosi
• amatye ezintso

Uxilongo

Ugqirha wakho uya kuthatha imbali yomlomo ukuze afunde malunga nohlobo lwentlungu onayo, kunye nezinye iimpawu kunye nembali yezempilo ngokubanzi. Banokucebisa ngepap smear ukuba khange ube nayo kule minyaka mithathu idlulileyo.

Kukho iimvavanyo ezininzi ezisemgangathweni onokuzilindela. Oku kubandakanya:

• Uvavanyo lomzimba, ukujonga iindawo zethenda esiswini sakho kunye nesinqe.
• I-pelvic (transvaginal) i-ultrasound, ukuze ugqirha wakho ajonge isibeleko sakho, iityhubhu zomzimba, ubufazi, amaqanda, kunye namanye amalungu ngaphakathi kwenkqubo yakho yokuzala. Olu vavanyo lusebenzisa i-wand efakwe kwilungu lobufazi, ehambisa amaza esandi kwiscreen sekhompyuter.
• Uvavanyo lwegazi kunye nomchamo, ukujonga iimpawu zosulelo.

Ukuba unobangela wentlungu awufumaneki kwezi mvavanyo zokuqala, unokufuna iimvavanyo ezongezelelweyo, ezinje:

• Ukuskena i-CT
• I-MRI ye-pelvic
• laparoscopy zangasese
• ikholoscopy
• icystoscopy

Unyango lwasekhaya

Iintlungu zepelvic zihlala ziphendula kumayeza eentlungu ze-OTC, kodwa qiniseka ukuba ujonga nogqirha wakho ngaphambi kokuba uthathe naluphi na uhlobo lweziyobisi ngexesha lokukhulelwa.

Kwezinye iimeko, ukuphumla kunokunceda. Kwabanye, ukuhamba kancinci kunye nokuzilolonga okulula kuya kuba luncedo ngakumbi. Zama ezi ngcebiso:

• Beka ibhotile yamanzi ashushu esiswini sakho ukuze ubone ukuba iyanceda na inkampu okanye uhlambe ngamanzi ashushu.
• Nyusa imilenze yakho. Oku kunokukunceda ukunciphisa iintlungu zentlungu kunye neentlungu ezichaphazela umqolo wakho osezantsi okanye amathanga.
• Zama i-yoga, i-yoga yangaphambi kokubeleka, kunye nokucamngca okunokuba luncedo kulawulo lweentlungu.
• Thatha imifuno, efana ne-willow bark, enokukunceda ukunciphisa iintlungu. Fumana imvume yogqirha ngaphambi kokuba uyisebenzise ngexesha lokukhulelwa.

Yise kude

Intlungu yesisu yimeko eqhelekileyo kwabasetyhini abanezizathu ezahlukeneyo. Inokuba yenganyangekiyo okanye ebukhali. Iintlungu zepelvic zihlala ziphendula kunyango lwasekhaya kunye namayeza e-OTC. Kodwa, kunokubangelwa ziimeko ezininzi ezinzulu ezifuna ukhathalelo kwangoko lukagqirha.

Kuhlala kungumbono olungileyo ukubona ugqirha wakho ukuba unentlungu ye-pelvic, ngakumbi ukuba yenzeka rhoqo. Banokuqhuba uvavanyo ukuze bafumane unobangela.