Ngaba wakha waba nesandi esifana nomoya ophuma kwilungu lakho lobufazi, njengokubhomboloza? Mhlawumbi senzeke ngexesha lesondo okanye ngexesha lokuzilolonga. Enyanisweni yinto eyenzeka kubantu abaninzi, kwaye iyabangela iintloni kwaye ayikhululeki. Kodwa eyona nto ilungileyo kukuba uninzi lwexesha iqhelekile kwaye ayinabungozi kwaphela. Ngoko masithethe ngayo ngokukhululekileyo namhlanje.
Yintoni le nto iphuma kwilungu lobufazi?
Ngamafutshane, oku kulapho umoya ovaleleke ngaphakathi kwilungu lobufazi bakho uphuma ngequbuliso. Asinto onokuyilawula le. Xa lo moya uphuma, ungenza ingxolo efana nomoya ophuma kwi-anus yethu (sidla ngokuthi 'ukukhulula'). Yiyo loo nto abantu abaninzi beneentloni ngayo.
Kodwa umahluko obalulekileyo apha kukuba umoya ophuma kwilungu lobufazi awunavumba. Isizathu kukuba oku akusiyo igesi evela kwinkqubo yethu yokugaya ukutya. Lo ngumoya nje ococekileyo . Ngoko ke akukho mfuneko yokuziva ungonwabanga ngale nto.
Kutheni oku kusenzeka? Zithini izizathu eziphambili?
Khawuthelekelele, i-vagina yityhubhu eyenziwe ngezihlunu. Ngenxa yemisebenzi ethile, umoya ungangena kule tyhubhu. Indlela ekuphela kwayo yomoya ongene ngaphakathi kukungena kwakhona kwi-vagina. Kuxa uphuma apho uva khona eso sandi. Kukho izizathu ezininzi eziphambili ezichaphazela oku.
- Isenzo sokwabelana ngesondo: Le yeyona nto ixhaphakileyo. Ngexesha lokwabelana ngesondo, umoya unokutyhalelwa kwilungu lobufazi xa kufakwa ipenis, ithoyi yokwabelana ngesondo, okanye umnwe. Ikwaxhaphake kakhulu kwiindawo ezithile zesondo.
- Ukusebenzisa iiTampons okanye iiKomityi zokuya exesheni: Ukufaka itampon okanye ikomityi yokuya exesheni kwilungu lobufazi ngexesha lokuya exesheni kunokubangela ukuba umoya uvaleleke. Xa uzisusa, umoya ovalelweyo uya kukhutshwa ngengxolo.
- Imisipha yomgangatho we-pelvic ebuthathaka: Imisipha esezinqeni zethu exhasa amalungu anjengesibeleko kunye nesinyi ibizwa ngokuba yimisipha yomgangatho we-pelvic. Le misipha inokuba buthathaka ngenxa yokuzala, ukuyeka ukuya exesheni, okanye ezinye izizathu. Xa oku kusenzeka, kuba lula ukuba umoya ungene kwaye uphume kwilungu lobufazi. Le meko ikwabizwa ngokuba yi-"pelvic floor dysfunction".
- Uvavanyo lwezifo zabasetyhini: Xa ugqirha ehlola i-vagina yakho, usebenzisa isixhobo esibizwa ngokuba yi-speculum ukujonga ngaphakathi. Umoya ungangena xa ufakwa. Ngoko ke kuqhelekile ukuba lo moya uphume emva kovavanyo.
- Umsebenzi womzimba: Ngexesha lemisebenzi efana neyoga, ukuzilolonga ejimini, kunye nokubaleka, imizimba yethu iyanwebeka, nto leyo enokubangela ukuba isini sivuleke kancinci, nto leyo evumela umoya ukuba ungene.
- I-fistula yesini: Le yimeko enzulu ngakumbi efuna ingqalelo. I-fistula lunxibelelwano olungaqhelekanga (umngxuma) phakathi kwesini kunye nelinye ilungu kwinkqubo yokugaya ukutya okanye yomchamo, njengesinyi, i-rectum, okanye i-rectum. Oku kunokwenzeka ngenxa yotyando, ukwenzakala ngexesha lokubeleka, okanye enye imeko yezonyango.
Le theyibhile ingezantsi isinceda siqonde ngokucacileyo umahluko phakathi kwezi zizathu ziqhelekileyo kunye neemeko ezinzulu ezifuna ingqalelo.
| Uphawu / Unobangela | Inkcazo kunye noko kufuneka ukwazi |
|---|---|
| Iimeko ezingafanelekiyo ukoyika | |
| Umsebenzi/ukuzivocavoca ngokwesondo | Kuqhelekile kakhulu ukukhupha igesi ngala maxesha. Akukho vumba. Akukho ntlungu. Oku kuqhelekile ngokupheleleyo. |
| Ubuthathaka bemisipha yepelvic | Ingenzeka emva kokubeleka okanye xa umntwana ekhulile. Ukuba akukho vumba okanye intlungu , akusoloko kukho nto ixhalabisayo. Nangona kunjalo, ukuzilolonga kunokuqinisa izihlunu. |
| Ixesha lokufuna unyango ngokukhawuleza (iimpawu zesifo se-fistula) | |
| Ivumba elinamandla | Ukuba umoya ophumayo unevumba elinamandla , elifana nevumba lendle, kusenokwenzeka ukuba kungenxa yonxibelelwano (i-fistula) phakathi kwelungu lobufazi namathumbu. |
| Umchamo okanye ilindle elivuzayo | Ukuba into efana nomchamo okanye ilindle iphuma kwilungu lobufazi kunye nomoya, luphawu olucacileyo lwe-fistula. |
| Intlungu kunye nosulelo | Ukuba ufumana iintlungu kwilungu lobufazi okanye ezantsi kwesisu okanye usulelo oluqhelekileyo lwendlela yomchamo (UTIs), bona ugqirha ngokukhawuleza. |
Isilumkiso esibaluleke kakhulu: Ungaze, nangasiphi na isizathu, nokuba kukuqhula, uvuthele okanye ufake umoya ngabom kwisini. Oku kunokuba yingozi kakhulu. Ukuba wenza njalo, amaqamza omoya angangena kwimithambo yegazi aze abangele imeko ebulalayo ebizwa ngokuba yi-"air embolism."
Ziziphi iindlela zonyango kunye neendlela zokuthintela oku?
Njengoko kukhankanyiwe apha ngasentla, ukukhupha ulwelo kwilungu lobufazi kuyinto eqhelekileyo, ngoko ke akudingi nyango lukhethekileyo. Nangona kunjalo, ukuba kwenzeka kuwe rhoqo kwaye kuphazamisa ubomi bakho, kukho izinto ezimbalwa onokuzenza.
Ukuqinisa izihlunu ze-pelvic (Ukuzivocavoca komgangatho we-pelvic)
Eyona sisombululo silungileyo koku kukwenza umthambo oqinisa izihlunu zomgangatho we-pelvic. Sikwabiza ezi "Kegels".
Indlela yokwenza umthambo weKegel: Khawuthelekelele ukuba kufuneka uchame kwaye uzama ukuwubamba. Ezi zimisipha oziqinisayo ngelo xesha.
- Bamba ezo zihlunu ziqine imizuzwana emi-5 ukuya kweli-10.
- Emva koko phumza izihlunu ngokupheleleyo.
- Yenza oku izihlandlo ezininzi ngemini, malunga nezihlandlo ezili-10-15 ngexesha.
Ukuba awuqinisekanga ukuba ungawenza njani lo mthambo ngokuchanekileyo, ungabuza ingcali ye-physiotherapist okanye ugqirha wakho.
Ezinye iindlela
- Ukutshintsha izikhundla zesondo: Ukuba uvakalelwa kukuba oku kwenzeka kakhulu ngexesha lesikhundla esithile sesondo, ungakunciphisa ngokuphepha eso sikhundla okanye uzame ezinye izikhundla.
- Unyango lwe-fistula: Ukuba ugqirha wakho uqinisekisa ukuba une-fistula, kuya kufuneka inyangwe ngotyando.
Ndifanele ndimbone nini ugqirha?
Ngokwesiqhelo, oku akudingi ukubona ugqirha. Nangona kunjalo, ukuba unezinye zeempawu ezilandelayo, qiniseka ukuba ubona ugqirha wezifo zabesifazane okanye ugqirha wosapho lwakho.
- Ukuba ulwelo oluphuma kwilungu lobufazi lunevumba elibi (njengevumba lendle).
- Ukuba unentlungu ngaphakathi okanye kufutshane nelungu lobufazi ngexesha lokwabelana ngesondo.
- Ukuba into efana nobovu okanye ilindle iphuma kwilungu lobufazi.
- Ukuba unezifo zomchamo ezixhaphakileyo (UTIs).
- Ukukhupha umoya akunanto yakwenza nesondo okanye umthambo,Ukuba kwenzeka rhoqo.
Ngexesha elinje, ugqirha uza kukuhlola aze ajonge naziphi na iingxaki zempilo ezingabonakaliyo.
Umyalezo Wokuya Ekhaya
- Ukuphuma kwamanzi esithweni sangasese yinto eqhelekileyo kwaye idla ngokuba yinto engenabungozi kwabasetyhini abaninzi. Ixhaphake kakhulu ngexesha lokwabelana ngesondo naxa kuqhutywa umthambo.
- Lo moya awunavumba, kuba awuphumi kwinkqubo yokugaya ukutya, ngumoya nje.
- Ukwenza umthambo weKegel, oqinisa izihlunu ze-pelvic, kunokunceda ekunciphiseni le meko.
- Ukuba ufumana iimpawu ezifana nevumba elibi ekuphumeni kwakho kolwelo, iintlungu, okanye ulwelo olungaqhelekanga oluphumayo kolwelo, funa ingcebiso kagqirha ngoko nangoko kuba oku kunokuba luphawu lwe-fistula.
- Ungaze uvuthele umoya ngabom kwilungu lobufazi. Oku kunokuba yingozi ebomini.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Iipilisi zeQuinidine ziyindlela enamandla kakhulu kwaye zisetyenziswa kakhulu kwesiphi isifo?
Eli asiloyeza eliqhelekileyo! Eli liyeza elidala kakhulu elaziwayo (iClass 1A Antiarrhythmic / elithathwe kwixolo lomthi iCinchona) emhlabeni. Linikwa ukulawula ukubetha kwentliziyo okusongela ubomi, okungaqhelekanga/okukhawulezayo kumagumbi aphezulu entliziyo (Atrial Fibrillation) okanye amagumbi asezantsi (Ventricular Arrhythmias) kunye nokubuyisela intliziyo 'kwisigqi esiqhelekileyo', kunye nokunyanga imalariya.
💬 Xa intliziyo ibetha kakhulu, ungayilungisa njani indlela intliziyo ebetha ngayo ngokunika eli yeza (iQuinidine)?
Intliziyo ibetha ngokukhawuleza ngenxa yombane (Action Potentials)! Kwisigqi sokuqala, amasuntswana 'eSodium' kufuneka angene ukuze atshaje iiseli. Xa le pilisi ingena entliziyweni, ivala kwaye itshixe onke amasango avumela i-sodium ukuba ingene. Ukongeza, yandisa ixesha elithathwayo ukuze iiseli zitshaje kwaye ziphinde zibuyele/ziphumle kwakhona (ngokuvimba i-calcium kunye ne-potassium) kwaye iyilibazise (Yongeza ixesha lesenzo/ixesha le-QT)! Emva koko intliziyo ayikwazi ukubetha ngokukhawuleza kwaye isingqisho siyehla.
💬 Ziziphi izizathu ezinokubakho zeCinchonism kunye 'neSilumkiso seBlack Box' ekufuneka abantu abasebenzisa eli yeza (iQuinidine) baziqaphele?
Eyona ngozi inkulu kukuba oku kubangela ukuphazamiseka kwesingqisho sentliziyo, kwaye kwangoko nje ukuba usele iipilisi ezimbalwa, unokufumana isingqisho sentliziyo esitsha nesibulalayo (iTorsades de pointes / Proarrhythmia) kwaye isigulane sinokufa ngequbuliso (Umngcipheko Wokufa)! Esinye isifo esiphazamisayo sichaphazela umzimba wonke! Xa usela esi, ngokuqinisekileyo unokufumana isifo esibi se-'Cinchonism' esine-'tinnitus', isiyezi, umbono ofipheleyo kunye nokugabha.
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