Kutheni amabele am ebuhlungu ngexesha lam?
Umxholo
Intlungu yexesha: Yinto nje thina njengabafazi esele siyamkele, nokuba kukuxinana, imiba esezantsi, okanye ukungonwabi ebeleni. Kodwa sesokugqibela-oko kuthantamisa, ukuba buhlungu kunye nokuziva unzima emabeleni ethu ajikeleze njengewotshi-efuna ingcaciso. Kwaye, nkwenkwe, siyifumene. (Okokuqala, IziGaba zakho zoMjikelo wokuya exesheni-zicacisiwe!)
Loo ntlungu ye-cyclical ebeka kuyo nayiphi na into ngaphambi kokuqala kwexesha-okanye kulo lonke ixesha-iyaziwa ngokuba yimeko yebele ye-fibrocystic (FBC), kwaye ichaphazela i-72 ekhulwini yabasetyhini ngokophando lwakutsha nje, uthi u-Lee Shulman, MD, inkosi yokwahlulahlula i-genetics yeklinikhi kwisebe lezokubelekisa kunye ne-gynecology kwisikolo i-Feinberg School of Medicine kwiYunivesithi yaseNyakatho-ntshona. Xa ichaphazela inani eliphezulu lamanenekazi, kuyamangalisa ukuba kunqabile ukuba kuthethwe-uninzi lwabasetyhini aluzange luva ngalo. Nantsi into ekufuneka uyazi ukuze ekugqibeleni ufumane isiqabu.
Yintoni?
I-FBC-AKA PMS Breasts-iza jikeleza njengewotshi, kwaye ukuba ixesha lakho linokuqikelelwa kakuhle, u-Shulman uthi unakho ukukulindela ukuqala kweentlungu. Kwaye asithethi ngento encinci yokuphazamiseka apha naphaya. UShulman uthi inani elininzi labasetyhini lifumana iintlungu eziwohlokayo, ngokwaneleyo ukuba kufuneka beqe umsebenzi. Uphando lwakutsha nje olwenziwe nguHarris Poll egameni le-BioPharmX lufumanise ukuba iipesenti ezingama-45 zabasetyhini ziphepha naluphi na uhlobo lokuzilolonga, iipesenti ezingama-44 ziyala ngesondo, kwaye iipesenti ezingama-22 azinakuhamba. (Idibeneyo: Ubungakanani bePelvic Pain Ngaba buqhelekileyo kwiimpawu zokuya esikhathini?)
Kutheni kusenzeka nje
Utshintsho lwehomoni yendalo ngaphakathi komjikelo wakho wokuya exesheni yeyona nto ibangela iintlungu, ucacisa uShulman, nangona isenokuba ngenxa yotshintsho lwehomoni olwenzekayo ngenxa yolawulo lwakho lokuzalwa. Ezo zikwi-hormonal contraceptives, njengePilisi, iringi ephuma kwilungu lobufazi, kunye nebala lesikhumba, kunokwenzeka ukuba zichaphazeleke ngakumbi kunezo zikwiinketho ezingezo-steroidal kunye nezingezizo iihomoni. (Funda phezulu kwezona ziQhelekileyo zoLawulo lokuZalwa kweZiphumo.)
Kwenziwe ntoni
Ngokudabukisayo, kwa olo phando lufumanise ukuba iipesenti ezingama-42 zabasetyhini abanamava e-FBC abenzi kwanto ngayo kuba becinga ukuba "yinxalenye yokuba ngumfazi." Yithi hayi kuloo mgca wokucinga, kuba wena unako fumana isiqabu. UShulman uthi ukuthatha amayeza eentlungu, njenge-acetaminophen, nokuba kungaphambi kokuba kuqalise iintlungu (ukuba umjikelo wakho uqikelelekile) okanye kanye xa uqala ukuziva unganceda ukunciphisa iimpawu (qiniseka nje ukulandela izikhombisi zedosi kwibhotile ukuze ungathathi kakhulu). Okanye ungathetha ne-ob-gyn yakho ngokutshintsha indlela yolawulo lwakho lokuzalwa. "Into engeyiyo i-steroidal kunye ne-non-hormonal ihlala ingcono ekunciphiseni iintlungu zebele," utshilo. (Le yindlela yokufumana olona lawulo lubalaseleyo lokuzalwa kwakho.)
Emva koko, kukufumana oko kukusebenzelayo. "Abanye abantu basetyhini basabela kakuhle kwi-bra efanelekileyo, ngelixa abanye befumana isiqabu ngokunciphisa inani lokusetyenziswa kwe-caffeine," ucacisa. "Ungazama i-OTC ye-iodine eyongezelelweyo yokuncedisa, ebonisa ukuba uphando lunokunceda, ngakumbi kuba i-World Health Organisation (WHO) iqikelela ukuba abantu abangaphezu kwe-2 billion banesifo se-iodine. " Ukuba izongezo ayisiyonto yakho iyinyani, nangona kunjalo, unokuzama ukonyusa iodine yakho ngokudibanisa ulwandle, amaqanda, kunye nokutya kwaselwandle kukutya kwakho, njengoko zonke zinamanqanaba aphezulu ento.
Kwaye ekupheleni kosuku, uShulman uthi kubalulekile ukukhumbula ukuba i-FBC ihlala inxulunyaniswa kuphela nomjikelo wentlungu onokuxelwa kwangaphambili. Ngoko ukuba ufumana ukukhutshwa kwengono, uziva iqhuma, okanye uqaphele ukuba intlungu itshintshile nangayiphi na indlela (i-FBC idla ngokuvakalelwa kwinyanga enye ukuya kwinyanga, uthi), cwangcisa ukutyelela kunye nogqirha wakho ukulawula eminye imiba. (Sukuyivumela ukuba ibe ngomnye wemibuzo eli-13 oneentloni kakhulu ukuyibuza i-Ob-Gyn yakho!)