Ukoma kwesini yingxaki abafazi abaninzi abaneentloni zokuyithetha, kodwa inempembelelo enkulu ebomini babo. Namhlanje, siza kuthetha ngokukhululekileyo ngale ntlungu inokuviwa kungekuphela nje ngexesha lokwabelana ngesondo, kodwa naxa umi nje, uhleli, uhamba, kwaye unxibe impahla yangaphantsi. Musa ukucinga ukuba le yinto eyenzeka kuwe kuphela, le yimeko eqhelekileyo. Ngoko ke akukho sizathu sokoyika okanye sokuba neentloni.
Yintoni ukoma kwelungu lobufazi?
Ngamafutshane, ukuze sikuqonde oku, kufuneka siqale siqonde indlela esebenza ngayo i-vagina eqhelekileyo. Iindonga ze-vagina esempilweni zihlala zimanzi ngolwelo oluncinci nolumanzi, oluqinileyo noluthambileyo. Njenge-saliva emilonyeni yethu. Olu mswakama wendalo, okanye ukuthambisa, yiyo egcina izicubu ze-vagina ziphilile kwaye zikhululekile.
Kodwa xa i-vaginal some, le tissue iyoma, ibe ncinci, ize ilahlekelwe bubumanzi. Oku kubangela ukungakhululeki kunye nentlungu kuloo ndawo, ingakumbi ngexesha lokwabelana ngesondo.
Kutheni oku kusenzeka? Zithini izizathu zoku?
Eyona nto iphambili neyona ixhaphakileyo yoku kukuncipha kwehomoni i-estrogen emzimbeni . I-estrogen yihomoni ebaluleke kakhulu emzimbeni wabasetyhini. Le homoni inceda ukugcina iindonga zesini ziphilile, zityebile kwaye zimanzi.
Njengoko sikhula, ingakumbi ngexesha nasemva kokuya exesheni , amanqanaba e-estrogen ayancipha ngokwendalo. Le yeyona nto ibangela ukoma kwelungu lobufazi. Ngokwezonyango, le meko siyibiza ngokuba yiVaginal Atrophy .
Kodwa akupheleli nje ekupheliseni ukuya exesheni, zininzi nezinye izizathu ezinokuchaphazela oku.
| Isizathu sokoma | Ingcaciso elula |
|---|---|
| Ukuncancisa kunye nokuzala | Utshintsho lweehomoni ngeli xesha lunokunciphisa amanqanaba e-estrogen okwethutyana. |
| Ezinye iindlela zokulawula ukuzalwa | Le meko inokwenzeka kwabanye abafazi, ingakumbi ngenxa yeepilisi zokulawula ukuzala okanye ezinye iindlela ezineehomoni. |
| Unyango lomhlaza | Izinto ezifana ne-chemotherapy kunye nonyango lwe-hormone zinokuchaphazela amanqanaba e-estrogen. |
| Isifo seswekile | Iziphumo zesifo seswekile kwimithambo-luvo nakwimithambo yegazi zinokuchaphazela nokufuma kwelungu lobufazi. |
| Amanye amayeza | Amanye amayeza okudakumba, ii-antihistamines zokunganyamezelani, kunye namayeza eemeko ezifana ne-endometriosis zinokubangela ukoma. |
| Utyando lokususa ama-ovari (oophorectomy) | Amaqanda avelisa i-estrogen eninzi. Xa esusiwe, amanqanaba e-estrogen ehla kakhulu. |
| Isifo sikaSjögren | Esi sisifo sokuzikhusela komzimba esichaphazela amadlala avelisa umswakama emzimbeni. Oku kubangela ukoma emlonyeni, emehlweni nakwilungu lobufazi. |
| Isepha enevumba elimnandi kunye neDouching | Iisepha ezinevumba elimnandi, izinto zokuhlamba umzimba, izitshizi ezahlukeneyo, kunye nokuxubha i-douching kunokuphazamisa ulungelelwaniso lwendalo lwesitho sangasese sowesifazane kwaye kubangele ukoma. |
| Ukungabikho kokukhuthaza ngokwesondo | Ukuba awufumani ukukhuthazwa okwaneleyo ngaphambi kokwabelana ngesondo, ukukhutshwa kwezithambiso zendalo kuya kuncipha. |
Zithini iimpawu zale meko?
Iimpawu eziphambili zokoma kwelungu lobufazi ziintlungu kunye nokungonwabi, kodwa kunokubakho nezinye iimpawu ezininzi.
- Ukudumba nokurhawuzelelwa: Ukuvutha okanye ukurhawuzelelwa kwilungu lobufazi nakwindawo engqongileyo (i-vulva).
- Ukopha kancinci emva kokwabelana ngesondo: Udonga oluncinci nolomileyo lwesitho sangasese sowesifazane lunokulimala kancinci ngenxa yokungqubana okubangelwa ngexesha lokwabelana ngesondo, kwaye nokuba ngumkrwelo omncinci unokubangela ukopha.
- Usulelo oluqhelekileyo lwendlela yomchamo (UTIs) okanye usulelo lwe-yeast: Inkqubo yokuzikhusela yendalo yesini ibuthathaka, nto leyo eyenza ukuba ibe sesichengeni sosulelo.
- Ukufuna ukuchama rhoqo.
- Ukuncipha komdla kwisondo: Intlungu ingakhokelela kuloyiko kunye nokungathandi isondo.
- Intlungu yesini (Ubuhlungu).
Oku kungakhululeki akupheleli nje kwilungu lobufazi. Ungaziva ukoma kunye nentlungu kwindawo ejikeleze ilungu lobufazi ngelixa unxibe impahla yangaphantsi, uhamba, okanye uhleli.
Ugqirha uyixilonga njani le nto?
Musa ukuba neentloni zokuthetha ngale nto. Xa usiya kugqirha, uza kukubuza imibuzo embalwa aze, ukuba kuyimfuneko, enze uvavanyo olulula ukuze afumanise esi sifo.
- Ukuthetha ngeempawu zakho: Ugqirha uza kukubuza ngeempawu zakho, amayeza owasebenzisayo, kunye nembali yakho yempilo.
- Uvavanyo lwePelvic: Oku kuquka ukuhlola ingaphakathi lelungu lakho lobufazi. Ugqirha angajonga ukuba iindonga zincinci, zibomvu, okanye zomile na.
- Uvavanyo lwegazi: Uvavanyo lwegazi lunokwenziwa ukuze kubonwe ukuba utshintsho kumanqanaba eehomoni okanye olunye uhlobo lwesifo lubangela oku.
- Uvavanyo lokukhupha ulwelo kwilungu lobufazi: Ngamanye amaxesha isampulu yokukhupha ulwelo kwilungu lobufazi inokuvavanywa ukuqinisekisa ukuba kukho usulelo na.
Zithini iindlela zonyango zoku?
Iindaba ezimnandi zezokuba kukho iindlela ezininzi zonyango ezikhuselekileyo nezisebenzayo zokunyanga oku. Ezi zinokwahlulwa zibe ziindidi ezimbini eziphambili.
Unyango lwe-Prescription
Ezi zisebenza ngokutshintsha i-hormone ye-estrogen okanye into efanayo. Ezi zifanele zithathwe kuphela ngomyalelo kagqirha .
- I-estrogen enesilinganiselo esiphantsi: Ezi ziza njengekhrimu, ithebhulethi, okanye iringi. Ngenxa yokuba zifakwa ngqo kwilungu lobufazi, ihormone ayinakwenzeka ukuba iye kwezinye iindawo zomzimba. Ikhrimu kunye nethebhulethi zihlala zimiselwe ukuba zisetyenziswe yonke imihla ekuqaleni, emva koko kube kanye ngeveki. Iringi ingashiywa kwilungu lobufazi ukuya kuthi ga kwiinyanga ezi-3.
- I-Ospemifene (i-Osphena): Le yipilisi ethathwa ngomlomo esebenza njenge-estrogen emzimbeni kwaye inciphisa iintlungu ngexesha lokwabelana ngesondo.
- I-Dehydroepiandrosterone (DHEA): Le ikwayi-suppository yesini. Ikwanikwa njengonyango lwentlungu yokwabelana ngesondo okubangelwa kukuyeka ukuya exesheni.
Kubaluleke kakhulu: Unyango olune-estrogen alufanelekanga kuye wonke umntu. Ingakumbi ukuba ukhe waba nomhlaza webele okanye usemngciphekweni omkhulu wokuwufumana, ngokuqinisekileyo kufuneka uxoxe ngezinto ezilungileyo nezingalunganga ngolu hlobo lonyango nogqirha wakho ngaphambi kokuba wenze isigqibo.
Iimveliso ezithengiswa ngaphandle kwekhawuntara (OTC)
Ezi zingathengwa kwivenkile yemithi okanye kwivenkile enkulu ngaphandle kwemvume kagqirha. Kukho iintlobo ezimbini ekufuneka uzazi apha.
1. Izithambisi-mafutha zeSini: Ezi zifana nesithambisi-mafutha ebusweni bakho. Azenzelwe ukusetyenziswa ngaphambi kokwabelana ngesondo. Zisetyenziswa ngaphakathi kwesini rhoqo emva kweentsuku ezimbalwa ukunceda ukugcina umswakama kunye nokugcina izicubu ziphilile. (Umz: Replens™, Luvena®)
2. Izithambisi zeSini: Ezi zisetyenziswa ngaphambi nje kokuba zilale . Injongo yazo kukunciphisa ukungqubana kunye nentlungu ngexesha lokwabelana ngesondo. Ziza ngeentlobo ezahlukeneyo: ezisekelwe emanzini, ezisekelwe kwisilicone, kunye nezisekelwe kwioyile. (Umzekelo: Astroglide®, KY® Jelly)
Ngaba zikhona izinto zendalo onokuzenza ekhaya?
- Sela amanzi amaninzi: Ukugcina umzimba umanzi ngokwaneleyo kunceda kwimpilo iyonke kunye nokufuma kwezicubu.
- Iioyile zendalo: Iioyile zendalo ezifana neoyile yekhokhonathi kunye neoyile yomnquma zingasetyenziswa njengesithambisi sangaphandle ngaphambi kokwabelana ngesondo. Kodwa khumbula into enye ebaluleke kakhulu . Ukuba usebenzisa izithambisi ezisekelwe kwioyile, zingonakalisa iikhondom . Ke ngoko, ukuba usebenzisa iikhondom ukuthintela ukukhulelwa, kukhuselekile ukusebenzisa isithambisi esisekelwe emanzini .
- Ukudlala Ngaphambili: Zinike ixesha elaneleyo ngaphambi kokuba nenze isondo ukuze nivuselelwe nobabini. Oku kuya kwandisa imveliso yokuthambisa kwendalo. Thetha ngokukhululekileyo neqabane lakho ngale nto.
Ngaba kufuneka ndiye kugqirha?
Oku akusoloko kubonisa imeko yempilo enzulu. Nangona kunjalo, ukuba ichaphazela ubomi bakho, ngokuqinisekileyo kuya kufuneka ufune ingcebiso yezonyango. Ngokuqinisekileyo kuya kufuneka ubone ugqirha ukuba kukho nayiphi na kwezi zilandelayo:
- Ukuba oku kungakhululeki kuchaphazela imisebenzi yakho yemihla ngemihla .
- Ukuba ichaphazela ubomi bakho besondo okanye ubudlelwane bakho neqabane lakho .
- Ukuba unyango olufumana kwikhemesti aluncedi .
- Ukuba uphuma igazi elingaqhelekanga okanye elinzima kwisini sakho .
Umyalezo Wokuya Ekhaya
- Ukoma kwesini yinto eqhelekileyo, ingakumbi xa umntu eyeka ukuya exesheni. Ngoko ke musa ukuba neentloni okanye ubandezeleke wedwa.
- Nangona isizathu esiphambili soku kukwehla kwe-hormone ye-estrogen, nezinye izinto zinokudlala indima.
- Izithambiso ezifumaneka kwikhemesti zinokunceda kakhulu kwintlungu yokwabelana ngesondo.
- Kukho unyango olusebenzayo kakhulu koku, ngoko ungoyiki ukuthetha ngokukhululekileyo ngayo nogqirha wakho.
- Ukuthetha ngale nto neqabane lakho kubaluleke kakhulu kulonwabo lwenu nolwalamano lwenu.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho