Ingxaki abanayo abafazi abaninzi, oodade, kunye neentombi kukuba umjikelo wabo wokuya exesheni awufiki ngexesha. Kwezinye iinyanga kufika kwangethuba, kwezinye iinyanga kufika kade. Ngamanye amaxesha kuhlala iintsuku, kwaye ngamanye amaxesha kukho ukopha okukhulu. Usenokuba uzibuza ukuba oku kuqhelekile okanye yinto ekufuneka uyixhalabele. Ngoko ke ungakhathazeki, siza kuthetha ngale nto ngendlela elula necacileyo namhlanje.
Okokuqala, makhe sijonge ukuba yintoni umjikelo 'oqhelekileyo' wokuya exesheni.
Xa sithetha ngomjikelo 'oqhelekileyo' wokuya exesheni, abantu abaninzi bacinga ukuba kufuneka kube njalo rhoqo kwiintsuku ezingama-28. Kodwa oko akunjalo kuwo wonke umntu. Oku kunokwahluka kumntu nomntu.
Ngamafutshane, umjikelo wexesha lokuya exesheni komfazi osempilweni uthathwa njengoqhelekileyo ukuba uyenzeka phakathi kweentsuku ezingama-21 ukuya kwezingama-35 . Oko kuthetha ukuba ukuba unexesha elinye kwaye kusele iintsuku ezingama-25 ngaphambi kwexesha lakho elilandelayo, uze emva koko emva kweentsuku ezingama-30, ayisiyonto inkulu. Kwakhona, inani leentsuku ezihlala ixesha lakho, oko kukuthi, inani leentsuku ophuma ngazo igazi, lidla ngokuba phakathi kweentsuku ezi-4 ukuya kwezi-7 .
Eyona nto ibalulekileyo kukuqonda ukuba yintoni 'eqhelekileyo' emzimbeni wakho. Ayingomjikelo womntu wonke ofanayo.
Ngoko ke kuthetha ukuthini ixesha 'elingaqhelekanga'?
Kuqhelekile ukuba kubekho utshintsho oluncinci kumjikelo wakho wokuya exesheni. Nangona kunjalo, kukho utshintsho oluthile ekufuneka siluxhalabele kancinci. Ezi meko sizibiza ngokuba 'yi-irregular menstrual'.
Ungafumana umbono olungileyo ngale nto kwitheyibhile engezantsi.
| Uphawu lokungalungelelani | Ingcaciso elula |
|---|---|
| Utshintsho kwixesha lomjikelo | Ukuya exesheni kwenzeka kwiintsuku ezingama-21 ngaphambi kwexesha okanye ngaphezulu kweentsuku ezingama-35 emva kwexesha. |
| Ukungayi exesheni | Ukungabikho kokuya exesheni kangangeenyanga ezintathu okanye ngaphezulu ezilandelelanayo. |
| Utshintsho ekuphumeni kwegazi | Ukopha okungaphezulu okanye okungaphantsi kunesiqhelo. |
| Ulwandiso lwexesha | Ukuya exesheni kuthatha iintsuku ezingaphezu kwesixhenxe. |
| Utshintsho kwixesha phakathi kwemijikelo | Umahluko weentsuku ezingaphezu kwe-9, njengokuthi umjikelo omnye ube ziintsuku ezingama-28, olandelayo ube ziintsuku ezingama-37, kwaye olandelayo ube ziintsuku ezingama-29. |
| Intlungu ebuhlungu | Ukuya exesheni kuhamba neentlungu zesisu ezinganyamezelekiyo, iintlungu zomqolo, isicaphucaphu, okanye ukuhlanza. |
| Ukopha okukhawulezileyo | Ukopha okanye ukukhupha amanzi amdaka phakathi kokuya exesheni, emva kokuya exesheni, okanye emva kokwabelana ngesondo. |
| Ukopha kakhulu | Ukopha okumanzisa ii-sanitary pad ezingaphezulu kwesinye kwiyure enye. |
Ezinye iimeko ezinxulumene nokungalungelelani
Kukho amagama amaninzi ezonyango anxulunyaniswa nokuya exesheni ngendlela engaqhelekanga. Kulungile ukwazi okuncinci ngala magama.
- I-Amenorrhea: Oku kukuyeka ngokupheleleyo ukuya exesheni. Ngaphandle kokuba ukhulelwe, uncancisa, okanye udlule kwixesha lokuya exesheni, akuvamile ukuba ixesha lakho liyeke kangangeenyanga ezi-3 nangaphezulu. Kungaba njalo nokuba awukaqali ukuya exesheni xa uneminyaka eli-15 okanye eli-16 ubudala.
- I-Oligomenorrhea: Kulapho ukuya exesheni kwenzeka rhoqo. Oko kukuthi, kwenzeka ngaphantsi kwesihlandlo esinye rhoqo kwiintsuku ezingama-35, kodwa malunga nezihlandlo ezi-6-8 ngonyaka.
- I-Dysmenorrhea: Eli ligama lezonyango elithetha intlungu enzima ngexesha lokuya exesheni. Nangona iintlungu ezincinci ziqhelekile, ukuba intlungu ayinyamezeleki kwaye ikuthintela ekwenzeni imisebenzi yakho yemihla ngemihla, kufuneka ukhathazeke.
Kutheni oku kusenzeka? Zithini izizathu zokuba umntu angayi exesheni ngendlela engaqhelekanga?
Akukho nto inye ebangela ukuba umntu abe sexesheni ngendlela engacwangciswanga, kodwa zininzi izinto ezinokubangela loo nto. Ezi zinto zinokuqala kuxinzelelo olulula ukuya kwiimeko zempilo ezinzulu.
Ngenxa yezinye iimeko zempilo...
Ezinye izifo zinokubangela ukuba inkqubo yethu yeehomoni ingalingani kwaye ibangele ukuya exesheni okungacwangciswanga.
- I-Polycystic Ovary Syndrome (PCOS): Le yimeko ebonakala ngoku kubasetyhini abaninzi abaselula. Okwenzekayo apha kukuba ama-ovari akho avelisa i-hormone yamadoda eninzi ebizwa ngokuba yi-androgen. Oku kunokubangela ukuba i-ovulation ingabikho okanye ilibazise. Ngoko ke ukuya exesheni kuba yinto engaqhelekanga.
- I-Endometriosis: Oku kuxa izicubu ezingaphakathi kwesibeleko (izicubu ze-endometrial) zikhula ngaphandle kwesibeleko, njengakwii-ovari okanye iityhubhu ze-fallopian. Oku kunokubangela iintlungu ezinzulu kunye nokopha okungaqhelekanga ngaphambi nangexesha lokuya exesheni.
- Isifo Sokudumba Kwesinqe (PID): Esi sisifo sebhaktheriya esichaphazela inkqubo yokuzala. Sidla ngokubangelwa zizifo ezidluliselwa ngesondo ezinganyangwanga (ii-STI). Sinokubangela neempawu ezifana nokuya exesheni ngendlela engaqhelekanga, ukuphuma kwamanzi amaninzi kwisini, kunye nentlungu esezantsi kwesisu.
- Iingxaki ze-thyroid: Ukungasebenzi kakuhle (hypothyroidism) okanye ukusebenza kakhulu (hyperthyroidism) kwe-thyroid gland kunokubangela utshintsho olukhulu kwiihomoni. Oku kuchaphazela ngqo umjikelo wokuya exesheni.
- Umhlaza wesibeleko okanye ama-ovari: Eminye imidla inokubangela iimpawu ezifana nokuya exesheni okungacwangciswanga kunye nokopha kakhulu. Nangona oku kungaqhelekanga, kubalulekile ukuqaphela.
Ngenxa yotshintsho kwindlela esiphila ngayo...
Utshintsho kubomi bethu bemihla ngemihla nakwimikhwa yethu luchaphazela ngokuthe ngqo umjikelo wokuya exesheni.
- Uxinzelelo: Khawuthelekelele ukuba uza kuhlolwa, okanye ingxaki emsebenzini, okanye ingxaki yosapho... Xa uxinzelelo lusanda ngolu hlobo, imisebenzi yehomoni yomzimba wethu iyatshintsha. Ngenxa yoku, umjikelo wakho wokuya exesheni usenokuba kade, ufike kwangethuba, okanye ungenzeki kwaphela ngaloo nyanga.
- Utshintsho lobunzima: Ukunyuka okanye ukwehla kobunzima ngequbuliso kunokuchaphazela iihomoni. Ingakumbi kubantu ababhityileyo kakhulu nabanamafutha amancinci emzimbeni (umz., abagijimi bemigama emide, abadanisi), ukuya exesheni kunokuyeka.
- Ukuzilolonga kakhulu: Ukuzilolonga okuphakathi kulungile. Nangona kunjalo, ukuzilolonga kakhulu okanye okunamandla kakhulu kunokubangela imijikelo yokuya exesheni engacwangciswanga kakuhle.
- Ezinye izifo: Isifo sexeshana, njengomkhuhlane oqhelekileyo wentsholongwane, sinokubangela ukuba ixesha lakho lifike emva kwexesha kuloo nyanga.
Ezinye izizathu...
- Iipilisi zokulawula inzala:Xa uqala okanye uyeka ukusebenzisa iipilisi zokulawula ukukhulelwa, kuthatha iinyanga ezimbalwa ukuba amanqanaba eehomoni emzimbeni wakho abuyele esiqhelweni. Ngeli xesha, ukuya kwakho exesheni kusenokungahambelani.
- Amanye amayeza: Amanye amayeza, anjengee-steroids kunye ne-anticoagulants, anokubangela utshintsho kumjikelo wokuya esikhathini.
- Iingxaki ezinxulumene nokukhulelwa: Ukuba kuphunyelwe sisisu okanye ukukhulelwa okungaqhelekanga, ukopha okungaqhelekanga kunokwenzeka.
Yintoni enokwenziwa ngale nto? Ugqirha uyifumanisa njani le nto?
Ukuba ubona naluphi na utshintsho kumjikelo wakho wokuya exesheni, eyona nto ingcono onokuyenza kukugcina idayari yemihla yakho yokuya exesheni. Ziphawule kwikhalenda okanye kwi-app kwifowuni yakho. Bhala phantsi umhla eziqale ngawo, umhla eziphele ngawo, igazi elingakanani (elininzi okanye elincinci), kunye nokuba ubuneziqaqa. Olu lwazi luya kuba lubaluleke kakhulu xa usiya kugqirha.
Ugqirha uza kukuxilonga, akubuze ngomjikelo wakho wokuya exesheni kunye nembali yakho yezonyango, kwaye angenza uvavanyo ukuze abone unobangela ochanekileyo.
- I-Ultrasound yePelvic: Oku kufana nokuskena komntwana osesibelekweni. Kungajonga isibeleko sakho kunye namaqanda ukuba akukho nakuphi na ukukhula (ii-fibroids, ii-polyps, ii-cysts) okanye ezinye izinto ezingaqhelekanga.
- I-Endometrial Biopsy: Oku kuquka ukuthatha iqhekeza elincinci kakhulu lethishu eludongeni lwangaphakathi lwesibeleko sakho uze ulihlolisise. Ungakhathazeki, oku kunokuyibona ngokuchanekileyo into efana nokungalingani kwamahomoni kunye ne-endometriosis.
- I-Hysteroscopy: Kule nkqubo, kufakwa ikhamera encinci ngesitho sangasese sowesifazane iye esibelekweni ukuze kubonwe ngaphakathi.
Luthini unyango?
Unyango luxhomekeke kwisizathu sokuba ufikelele exesheni elingacwangciswanga.
Amayeza
Amaxesha amaninzi, unyango lokuqala lunyango.
- Ulawulo lokuzala lwehomoni: Ezi zisebenza kakhulu xa usiya exesheni ngendlela engaqhelekanga ebangelwa zizifo ezifana ne-PCOS kunye ne-uterine fibroids. Zisebenza ngokulawula amanqanaba akho ehomoni kunye nokulawula umjikelo wakho wokuya exesheni. Ziza ngendlela yeepilisi, iinaliti, iringi yesini, okanye i-IUD.
- I-Tranexamic Acid: Iyeza elisetyenziselwa ukulawula ukopha kakhulu.
- Iintlungu ezibuhlungu: Ukuba unentlungu encinci, ungathatha iintlungu ezibuhlungu ezifana neparacetamol okanye ibuprofen. Nangona kunjalo, ukuba intlungu inzima, bona ugqirha ukuze akunike ingcebiso.
- Unyango lweeHormone: Olu nyango lunokuba luncedo kwiinyanga ezingaqhelekanga ezenzeka ngexesha lokuya exesheni.
- Ii-antibiotics: Ukuba ukungaqheleki kubangelwa lusulelo, kuya kunikwa ii-antibiotics.
Utyando
Kwiimeko ezinzima ezingenakulawuleka ngamayeza, utyando lunokufuneka. Esi sigqibo senziwa ngokusekwe kwiminyaka yakho, imeko yempilo, kunye nokuba uceba ukuba nabantwana na kwixesha elizayo.
- Ukususwa kwe-Endometrial: Inkqubo yokususa ulwelo lwesibeleko ukulawula ukopha okukhulu. Oku akufanelekanga kwabo banethemba lokukhulelwa kwixesha elizayo.
- I-Myomectomy: Ukususwa kwee-fibroids zesibeleko.
- Ukususwa kwesibeleko ngokupheleleyo: Ukususwa kwesibeleko ngokupheleleyo njengesisombululo sokugqibela kwiimeko apho isibeleko sonakele kakhulu kwaye singenakunyangeka ngalo naluphi na olunye unyango.
Singenza ntoni ukunciphisa lo mngcipheko?
Kukho izinto ezininzi onokuzenza ukuze umjikelo wakho wokuya exesheni uhlale uhleli rhoqo.
- Gcina indlela yokuphila esempilweni. Yitya ukutya okunesondlo kwaye uzilolonge ngokulinganisela.
- Ukuba ufuna ukunciphisa umzimba, kwenze kancinci kancinci. Musa ukutya ukutya okungqongqo okukuthintela ekutyeni ngexesha elinye.
- Nika umzimba wakho ukuphumla okufunekayo. Lala ngokwaneleyo emini.
- Nciphisa uxinzelelo. Phumla ingqondo yakho ngokwenza izinto ezinje ngokucamngca, i-yoga, okanye ukuzibandakanya kwinto oyithandayo.
- Ziphephe ukwenza umthambo onzima nogqithisileyo.
- Tshintsha iipads okanye ii-tampon zakho rhoqo emva kweeyure ezi-4-6. Oku kunokunceda ekuthinteleni usulelo.
- Qhubeka ubona ugqirha wezifo zabesifazane kunye nogqirha wosapho lwakho ukuze uhlolwe rhoqo.
Ndifanele ndimbone nini ugqirha?
Ukuba unayo nayiphi na kwezi mpawu zingezantsi, nceda ungazityesheli kwaye ngokuqinisekileyo bonana nogqirha. Musa ukuzibekela amangomso.
- Ukuba ufumana iintlungu ezinganyamezelekiyo neziqatha ngexesha okanye phakathi kwexesha lakho lokuya exesheni.
- Ukopha kakhulu ngokungaqhelekanga (ukumanzisa ngaphezu kwephedi enye kwiiyure ezi-2-3) okanye ukuphuma kwamahlwili egazi amakhulu.
- Ukuba kukho ulwelo oluphuma kwilungu lobufazi olunevumba elibi .
- Ukuba ukuya exesheni kuthatha iintsuku ezingaphezu kwesixhenxe .
- Ukuba ufumana ukopha okanye ukukhupha ulwelo olumdaka phakathi kokuya exesheni okanye emva kokuya exesheni.
- Ukuba umjikelo wakho wokuya exesheni oqhelekileyo ngequbuliso uba yinto engaqhelekanga kakhulu .
- Ukuba ufumana isicaphucaphu okanye ukuhlanza ngexesha lokuya exesheni.
- Ukuba ukrokrela ukuba ukhulelwe .
Umyalezo Wokuya Ekhaya
- Kuqhelekile ukuba kubekho utshintsho oluncinci kumjikelo wakho wokuya exesheni. Musa ukukhathazeka kakhulu ngaloo nto. Ayingomzimba womntu wonke ofana.
- Kubaluleke kakhulu ukugcina idayari yomjikelo wakho wokuya exesheni. Kuya kuba luncedo olukhulu kuwe nakugqirha wakho.
- Ungaze ungazihoyi iimpawu ezifana nentlungu eqatha, ukopha kakhulu, okanye ukubona amabala phakathi kokuya esikhathini. Funa ingcebiso kagqirha ngoko nangoko.
- Ukugcina indlela yokuphila esempilweni (ukutya okunempilo, ukuzilolonga, ukulala ngokwaneleyo, impilo-ntle yengqondo) kunokuthintela iingxaki ezininzi.
- Ukuba unemibuzo okanye amathandabuzo malunga nomjikelo wakho wokuya exesheni, ungabi nazintloni zokuthetha ngokukhululekileyo nogqirha ngaloo nto.
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