Ukubhangiswa kwexesha kunye nokuSebenza: Yintoni onokuyilindela

Umxholo

• Ukukhutshwa kungatshintsha njani
• Kutheni le nto isenzeka
• I-vaginitis yokuvuvukala okungafunekiyo (i-DIV)
• Uza kubona nini ugqirha wakho
• Yintoni onokuyilindela ngexesha lokuqonda isifo
• Ngaba unyango luyimfuneko?
• Ukulawula ukukhutshwa
  
• Yintoni imbonakalo?

Ushwankathelo

I-Perimenopause lixesha lotshintsho elikhokelela ekuyekeni ukuya exesheni. Ukuyeka ukuya exesheni kuyaboniswa xa ungenawo amathuba unyaka wonke.

Ixesha lokuyeka ixesha eliqhelekileyo liqala ngexesha lama-30s okanye ama-40. Amanqanaba akho e-estrogen ahamba ngeli xesha, elinokubangela ukuba umjikelo wakho wokuya esikhathini wohluke kwinyanga enye ukuya elandelayo.

Njengokuba umzimba wakho uhamba ixesha elide, elifutshane, okanye elityhutyhayo, utshintsho kulungiso lobufazi lunokulandela. Unokufumana ukoma kobufazi njengenkqubela phambili yokuqhubela phambili kunye namanqanaba e-estrogen aqhubeke nokuhla.

Ukukhutshwa kungatshintsha njani

Ngaphambi kokupheliswa kwexesha, ukukhutshwa kwakho kunokuba:

• kucace
• mhlophe
• incangathi
• I-mucus-efana
• manzi
• ithambile, kodwa ayidyobhekanga, ngevumba

Ngexesha lokugqibela lokuphuma, ukuphuma kwakho kungathatha ibala elimdaka. Inokuba icekeceke kwaye inamanzi okanye ityebile kwaye ibumbane. Olu tshintsho ngokwesiqhelo alubangeli nkxalabo.

Kutheni le nto isenzeka

Ngexesha lakho lokuzala, amanqanaba e-estrogen kunye neprogesterone anyuka kwaye awe ngamaxesha aqhelekileyo ngexesha lokuya esikhathini. Ezi hormone zinceda ukulawula ubungakanani bokukhutshwa kwelungu lobufazi bakho.

Kwixesha lokugqibela, amanqanaba akho e-estrogen aya esiba mandundu ngakumbi. I-Estrogen iya kuphakama kwaye iwele ngokungacwangciswanga njengoko umzimba wakho uqala inguquko ukuya exesheni.

Ekugqibeleni, amanqanaba akho e-estrogen aya kuhlala ehla ngokuthe chu. Oku kuncipha kwi-estrogen kunefuthe ngqo kwimveliso yokukhutshwa kwilungu lobufazi. Ukusondela kwakho ekuyekeni ukuya exesheni kuya kuncipha ukukhutshwa komzimba wakho.

I-vaginitis yokuvuvukala okungafunekiyo (i-DIV)

Nangona i-DIV ingaqhelekanga ngokubanzi, ixhaphake kakhulu kubafazi abane-perimenopausal. Ihlala inxulunyaniswa notshintsho kwilungu lobufazi.

Jonga ugqirha wakho okanye omnye umboneleli wezempilo ukuba ukukhutshwa kwakho:

• Ukuncamathela ngokungaqhelekanga
• lubhelu
• luhlaza
• ngwevu

Ukukhutshwa okomileyo kunokubangela ukuba indawo yakho yelungu lobufazi ibe bomvu, irhawuzelele, okanye idumbe.

Akucaci ukuba yintoni ebangela i-DIV. Abanye bacinga ukuba inokuthi ihambelane nokusilela kwe-estrogen, i-lichen planus, okanye intsholongwane.

Uza kubona nini ugqirha wakho

Jonga ugqirha wakho okanye omnye umboneleli wezempilo ukuba unamava:

• Ukukhutshwa okumthubi, oluhlaza, okanye ngwevu
• ukukhupha amagwebu okanye ubumdaka
• ukuphuma kwegazi
• Ivumba elibi
• ukurhawuzelela okuqatha
• ukutshisa okanye ukuthamba
• iintlungu zangasese okanye zesisu
• iintlungu ngexesha lokwabelana ngesondo okanye ukuchama

Ukubanceda baqinisekise ukuxilongwa, ugqirha wakho okanye umboneleli wezempilo uya kukubuza imibuzo malunga nembali yakho yezempilo. Zilungiselele ukubonelela ngolwazi malunga:

• umhla wakho wokugqibela
• ingaba unamaqabane amatsha esini
• nawaphi na amayeza onokuthi uwasebenzise
• ingaba uhlangabezana nentlungu kwi-pelvis yakho, ngasemva, okanye kwisisu
• nokuba ukhe wasebenzisa nantoni na kwilungu lobufazi, njengeemveliso zokuya exesheni ezinje ngeetampon okanye iipads, iidouches, okanye izinto zokuthambisa

Yintoni onokuyilindela ngexesha lokuqonda isifo

Emva kokuxoxa ngeempawu zakho, umboneleli wakho uya kwenza uvavanyo lwe-pelvic.

Ngexesha loviwo, baya kujonga i-vulva yakho ukuba bomvu ngokungaqhelekanga, ukudumba, okanye ezinye iimpawu. Baza kufaka i-speculum kwilungu lakho lobufazi ukuze bahlole ngaphakathi kwilungu lobufazi kunye nomlomo wesibeleko.

Umboneleli wakho unokuthatha isampulu encinci yokukhutshwa ukuyithumela kwilebhu kuvavanyo. Ingcali yeelebhu iya kujonga inqanaba le-pH. Inqanaba le-pH ephezulu lithetha ukuba ukukhutshwa kwakho kubaluleke ngakumbi. Kulula ukuba ibhaktheriya ikhule kwindawo esisiseko. Eli linqanaba le-pH ngaphezulu kwe-4.5.

Banokujonga isampulu phantsi kwemicroscope ukukhangela igwele, ibacteria kunye nezinye izinto ezosulelayo. Usulelo lunokutshintsha ukuthungwa, isixa, okanye ivumba lokukhupha kwakho.

Iziphumo zolu vavanyo ziya kunceda umboneleli wakho wezempilo ukuba abone ukuba ngaba luyimfuneko na unyango, kwaye ukuba kunjalo, loluphi unyango olulungileyo.

Ngaba unyango luyimfuneko?

Ukuhla kwehla kuhlala kubangelwa kukutshintsha kwamanqanaba e-estrogen kwaye akufuneki kunyango.

Ukuba ugqirha wakho uxilonga i-DIV, banokucebisa nge-clindamycin okanye i-hydrocortisone kwiimpawu.

Ukuba iimpawu zakho ziziphumo zentsholongwane yefungal okanye yebhakteria, ugqirha wakho uya kuncomela i-over-the-counter okanye i-presicical topical ukuze unciphise ukucaphuka kwaye ususe isifo.

Ukhetho lonyango lukwakhona kwiimpawu ezibangelwa kukosuleleka ngokwesondo okanye esinye isizathu esingadibaniyo nokupheliswa kwesifo.

Ukulawula ukukhutshwa

• Sebenzisa amanzi afudumeleyo kunye nezinto ezingezizo ezesepha ukuhlamba indawo yakho yelungu lobufazi.
• Nxiba iimpahla zangaphantsi zomqhaphu endaweni yamalaphu okwenziwa.
• Gwema iibhafu ezishushu kakhulu kunye neemveliso zebhafu ezinamakha.
• Kuphephe ukudibana.

Yintoni imbonakalo?

Ukukhutshwa ngesiqhelo kuncipha ngexesha lamanqanaba okugqibela ephelo. Ekugqibeleni iya kudamba xa ufikelela exesheni.

Ngaphandle kokuba uhlangabezana nezinye iimpawu ezingaqhelekanga, olu tshintsho ngokwesiqhelo alubangeli nkxalabo.

Ukuba unemibuzo malunga nokukhutshwa kwilungu lobufazi ngexesha lokuya exesheni okanye emva kokuyeka ukuya exesheni, thetha nogqirha wakho okanye omnye umboneleli wezempilo.