Abafazi abaninzi, ingakumbi xa besondela okanye bedlula exesheni, baqala ukufumana iingxaki ezahlukeneyo ezinxulumene nelungu lobufazi. Cinga ngako, ilungu lobufazi liba lomile, lirhawuzelele rhoqo, kwaye libuhlungu ngexesha lokwabelana ngesondo. Abantu abaninzi bacinga ukuba kuyahlazisa kwaye akukhululeki ukuthetha ngezi zinto ngokukhululekileyo. Kodwa eneneni, le yimeko eqhelekileyo, eqhelekileyo kakhulu kubafazi abaninzi. Ngoko ke le asiyonto yokunyamezela nokubandezeleka kuyo. Yile nto sithetha ngayo namhlanje.
Ngamafutshane, yintoni i-vaginal atrophy?
Ngamafutshane, i-Vaginal Atrophy yimeko apho ulwelo lwelungu lobufazi bakho loma kwaye lubhityile. Isizathu esiphambili soku kukuncipha kwehomoni ye- estrogen emzimbeni. I-estrogen yihomoni ebaluleke kakhulu kumzimba wabasetyhini. Yiyo egcina ilungu lobufazi limanzi, lomelele, kwaye lisempilweni. Lifana ne-moisturizer kulusu lwethu.
Xa kudlula exesheni, amanqanaba e-estrogen emzimbeni ayancipha kakhulu. Ulwelo lwelungu lobufazi luba buthathaka, lome, kwaye lonakale lula.
Oogqirha ngoku basebenzisa igama elitsha lale meko. Yi -Genitourinary Syndrome of Menopause (GSM) . Isizathu sokusebenzisa eli gama kukuba le meko ayichaphazeli kuphela i-vagina, kodwa nenkqubo yomchamo. Oku kuthetha ukuba izinto ezifana nosulelo lomchamo kunye nosulelo lomchamo nazo zidibene noku.
Ixhaphake kangakanani le meko?
Kuqheleke kakhulu kunokuba ucinga. Izifundo zifumanise ukuba ubuncinane umfazi omnye kwababini abadlula ekuyekeni ukuya exesheni uya kuba nohlobo oluthile lwezi mpawu. Rhoqo, uphawu lokuqala kukuba lukhuni kwesibeleko. Lubonakala ngakumbi ngexesha lokwabelana ngesondo. Ngoko ke ukuba uziva uwedwa, khumbula ukuba baninzi abanye abadlula kule meko.
Ziziphi iimpawu eziphambili zoku?
I-GSM inokubangela iimpawu ezinxulumene nelungu lobufazi kunye nenkqubo yomchamo. Ukuze uziqonde ngokucacileyo ezi zinto, jonga itheyibhile engasezantsi.
| Uhlobo lwempawu | Ingcaciso |
|---|---|
| Iimpawu zesini |
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| Iimpawu ezinxulumene nenkqubo yomchamo |
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Kutheni oku kusenzeka? Zithini izinto ezibangela umngcipheko?
Njengoko besikhe sathetha ngaphambili, unobangela oyintloko kukwehla kwe-hormone ye-estrogen . Ukuya exesheni yeyona nto ibangela oku. Nangona kunjalo, kukho ezinye izizathu zokuba i-estrogen inokwehla.
- Unyango lomhlaza: Amanye amayeza okulwa nomhlaza, imitha, okanye i-chemotherapy anokubangela ukungasebenzi kakuhle kwe-ovarian kunye nokwehla kwemveliso ye-estrogen.
- Ukususwa kwamaqanda: Xa amaqanda esusiwe, ukuveliswa kwe-estrogen kuyayeka kwaye iimpawu zokuya exesheni ngequbuliso ziyavela.
- Amayeza athile: Le meko inokubangelwa naziipilisi zokulawula ukuzala okanye amayeza asebenza ngokuchasene ne-estrogen (umz. iTamoxifen).
- Ukuncancisa: Ngeli xesha, amanqanaba e-estrogen emzimbeni aphantsi okwethutyana.
- Ukutshaya: Abafazi abatshayayo banokuba namanqanaba aphantsi e-estrogen, kwaye basengozini yokuya exesheni kwangethuba.
- Ukuncipha kwemisebenzi yesondo: Oku kunokuvakala kumangalisa, kodwa kuyinyani. Imisebenzi yesondo rhoqo inyusa ukuhamba kwegazi ukuya kwilungu lobufazi. Kanye njengokuba umthambo unyusa ukuhamba kwegazi ukuya kwimisipha yethu. Oku kunyuka kokuhamba kwegazi kugcina izicubu zelungu lobufazi ziphilile kwaye ziguquguquka. Xa imisebenzi yesondo iyeka okanye incipha, le nzuzo iyalahleka, kwaye ukoma kunye nokuwohloka kunokubakho ngokukhawuleza.
Ziziphi iingxaki ezinokwenzeka ngenxa yale meko?
Esi asisosifo esisongela ubomi. Nangona kunjalo, sinokuchaphazela umgangatho wobomi bakho.Inokuba nefuthe elikhulu.
Ukurhawuzelela rhoqo, ukutsha, kunye neengxaki zomchamo zinokwenza kube nzima nokwenza imisebenzi yakho yemihla ngemihla. Usenokungakwazi ukulala kakuhle ebusuku. Kwakhona, oku kunokuchaphazela ubudlelwane bakho neqabane lakho, njengoko kunokuba buhlungu ngexesha lokwabelana ngesondo.
Ezi ntlungu zomzimba zinokukuchaphazela nengqondo. Usenokuhlangabezana nezinto ezifana nokuphelelwa ngumdla kwisondo kunye nokuphelelwa kukuzithemba. Zonke ezi mvakalelo ziqhelekile. Eyona nto ibalulekileyo kukuthetha nogqirha wakho ngale nto uze ucele uncedo.
Ugqirha uyixilonga njani le nto?
Ugqirha uqhele ukuxilonga le meko ngokumamela iimpawu zakho aze enze uvavanyo lomzimba (uvavanyo lwe-pelvic). Ngexesha lovavanyo, ugqirha uza kuhlola i-vagina yakho kunye ne-cervix. Ungabona iimpawu ezifana nezi:
- Ilungu lobufazi elifutshane okanye elinciphileyo
- Ukoma, ukuba bomvu, kunye nokudumba okuncinci
- Ukuncipha kokuqina kwezicubu
- Umbala okhanyayo ngaphakathi kwilungu lobufazi
- Imikrwelo emincinci okanye imingxunya kufutshane nomngxuma welungu lobufazi
Ngamanye amaxesha, ugqirha unokwenza uvavanyo oluthile ukuqinisekisa ukuba akukho ezinye iimeko zempilo:
- Uvavanyo lwePap: Uhlola iingxaki kwiiseli zomlomo wesibeleko.
- Isampulu yomchamo: Jonga ukuba kukho usulelo kwindlela yomchamo.
- Iskeni ye-ultrasound: Hlola isibeleko kunye namaqanda.
- Ukulinganisa i-pH yesini.
Kunokuba nzima kwaye kube neentloni ukuthetha nogqirha ngezi zinto. Kodwa kuqhelekile. Nceda ungoyiki okanye ungabi neentloni. Le yimeko echaphazela abafazi abaninzi. Kwaye kukho unyango olusebenzayo kakhulu kuyo. Ugqirha wakho ulapha ukukunceda.
Zithini iindlela zonyango?
Kukho iindlela ezahlukeneyo zokunyanga oku. Ngokuxhomekeke kuhlobo kunye nobukhali beempawu zakho, ugqirha wakho uya kugqiba ukuba loluphi unyango olulungele wena.
Unyango lweHormonal
Ezi zezona ndlela zonyango zisebenzayo kakhulu kule meko.
- I-Estrogen Engaphandle: Oku kuquka ukufaka idosi ephantsi ye-estrogen ngqo kwilungu lobufazi. Oku kuqinisekisa ukuba zizicubu ezikwilungu lobufazi kuphela ezifumana i-estrogen. Ke ngoko, amanqanaba e-estrogen emzimbeni wonke awanyuki kakhulu. Oku kuza ngeendlela ezintathu:
- Ikhrimu (ikhrimu ye-estrogen yesitho sangasese sowesifazane):Ifakwa kwilungu lobufazi kusetyenziswa isixhobo esikhethekileyo sokufaka isicelo.
- Ithebhulethi yesini: Ifakwa kwisini kusetyenziswa isixhobo sokuyila.
- Indandatho yelungu lobufazi: Indandatho eguquguqukayo efakwa kwilungu lobufazi ngugqirha. Ikhupha i-estrogen kancinci kancinci kangangeenyanga ezi-3.
- Unyango Lokutshintshwa Kwehomoni Eqhelekileyo (HRT): Ukuba unezinye iimpawu eziqatha zokuya exesheni (ezifana nobushushu obuphezulu) ukongeza ekomeni kwesitho sangasese sowesifazane, ugqirha wakho unokucebisa olu nyango. Luza ngendlela yeepilisi, iipatches, okanye iijeli. Lunika i-estrogen emzimbeni wakho wonke.
Unyango olungelulo olwe-hormone
Abanye abafazi abanakukwazi ukuthatha unyango lweehomoni (umzekelo, abo banembali yomhlaza). Kwabo bafazi okanye abo bangafuni unyango lweehomoni, ezi ndlela zingasetyenziswa.
| Indlela yonyango | Inkcazo |
|---|---|
| Izinto zokuthambisa kunye nezinto zokuthambisa | Ungazithenga ezi kwivenkile yezonyango. Izithambisi zisetyenziselwa ukunciphisa iintlungu ngexesha lokwabelana ngesondo. Izithambisi zingasetyenziswa yonke imihla okanye rhoqo emva kweentsuku ezimbini ukuya kwezintathu ukugcina umswakama kwilungu lobufazi. Abanye abantu basebenzisa iioyile zendalo ezifana neoyile yomnquma kunye neoyile yekhokhonathi. |
| Unyango lweLaser | Olu lunyango olutsha olusebenzisa ukukhanya kwe-CO2 laser ukukhulisa kwakhona izicubu zesini. Nangona kunjalo, iziphumo zexesha elide zisaphandwa. |
| Ii-Dilators | Ezi zizixhobo ezisetyenziselwa ukwandisa nokwandisa i-vagina kancinci kancinci, ziqala ngobukhulu obuncinci zize zitshintshele kobukhulu obukhulu kancinci kancinci. |
| I-Ospemifene (Osphena®) | Le yipilisi yemihla ngemihla. Ayina-estrogen, kodwa isebenza njenge-estrogen ukunciphisa ukoma kwelungu lobufazi. |
Ngaba le meko ingathintelwa ukuba ingabi mbi ngakumbi?
Ekubeni ukwehla kwe-estrogen kuyinxalenye yendalo yokwaluphala, akunakwenzeka ukuyithintela ngokupheleleyo le meko. Nangona kunjalo, kukho izinto onokuzenza ukulawula ubukhali bayo.
- Ziphephe izinto ezibangela ukucaphuka: Ziphephe ukusebenzisa isepha, iishampu, izicoci, kunye neziqholo ezinevumba elimnandi kwindawo yangaphantsi. Ezi zinto zinokucaphukisa ngakumbi ulusu oluthambileyo lwenxalenye yangaphantsi.
- Musa ukuhlambulula: Kuphephe ukuhlamba ingaphakathi lelungu lobufazi ngamanzi okanye olunye ulwelo. Oku kutshabalalisa iintsholongwane zendalo nezikhuselayo kwilungu lobufazi kwaye kwandisa umngcipheko wosulelo.
- Isondo esiqhelekileyo: Njengoko besitshilo ngaphambili, isondo esiqhelekileyo (kunye neqabane okanye ngaphandle kwalo) sinyusa ukuhamba kwegazi ukuya kwilungu lobufazi, nto leyo enceda ukugcina izicubu ziphilile.
Ufanele uye nini kugqirha wakho?
Nokuba awukayi exesheni, ukuba ufumana ukoma kwelungu lobufazi, iintlungu, ukurhawuzelelwa, ukutsha, ukopha okanye ukukhupha amanzi ngendlela engaqhelekanga, okanye iingxaki zomchamo, qiniseka ukuba ubona ugqirha.
Ukuba uthenga i-moisturizer kwikhemesti uze uyisebenzise kangangeeveki ezimbalwa kodwa akukho mahluko, eso sisizathu esihle sokuba uxelele ugqirha.
Ngamafutshane, thetha nogqirha wakho ngazo naziphi na iimpawu ezikukhathazayo okanye ezichaphazela ubomi bakho bemihla ngemihla. Ungaze uzityeshele.
Umyalezo Wokuya Ekhaya
- I-Vaginal Atrophy (GSM) yimeko eqhelekileyo eyenzeka xa umntu eyeka ukuya exesheni. Asinguwe wedwa ojongene nale meko.
- Musa ukunyamezela le ntlungu ngenxa yeentloni okanye iintloni. Kukho unyango olusebenzayo nolukhuselekileyo loku.
- Ukuba unengxaki yokoma kwelungu lobufazi, ukurhawuzelelwa, iintlungu, okanye umchamo, qiniseka ukuba uthetha ngokukhululekileyo nogqirha wakho.
- Ngonyango olufanelekileyo, ungaziphepha ezi ngxaki kwaye uphile ubomi bakho ngolonwabo nangokukhululeka.
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