Inkinga abesifazane abaningi namantombazane amancane abavame ukubhekana nayo ukuthi ukuya kwabo nyanga zonke akuvamile. Kwezinye izinyanga bafika ngaphambi kwesikhathi esilindelekile, kwezinye izinyanga bafika sekwephuzile ezinsukwini ezimbalwa. Ngezinye izikhathi abafiki izinyanga ezimbili noma ezintathu zilandelana. Ingabe lokhu kuvamile ngempela? Noma kufanele sikhathazeke ngalokhu? Yiziphi izizathu zalokhu? Ake sixoxe ngakho konke lokhu namuhla.
Kuyini ngempela "ukuya esikhathini okungajwayelekile"?
Ukuze sikuqonde kangcono lokhu, ake siqale sibheke ukuthi uyini umjikelezo "ojwayelekile" wokuya esikhathini. Ngokwesilinganiso, umjikelezo wokuya esikhathini wowesifazane ophilile uhlala cishe izinsuku ezingama-28. Kodwa lokhu akufani kuwo wonke umuntu. Sibheka umjikelezo wokuya esikhathini ohlala noma yikuphi kusukela ezinsukwini ezingama-21 kuya kwezingama-35 njengojwayelekile. Ngokwesilinganiso, ukuya esikhathini kuthatha cishe izinsuku ezi-4 noma ezi-5 kuya ezinsukwini ezi-7.
Kodwa uma kuphambuka kule ndlela, sikubiza ngokuthi ukuya esikhathini okungajwayelekile. Kalula nje, kunezimo eziningana lapho ukuya esikhathini kwakho kungaba "okungajwayelekile."
| Isici sokungahambi kahle | Kalula nje... |
|---|---|
| Ushintsho enanini lezinsuku emjikelezweni | Inani lezinsuku phakathi kwemijikelezo emibili yokuya esikhathini lingaphansi kuka-21 noma ngaphezulu kuka-35. |
| Ukweqa ukuya esikhathini | Ukungabikho kokuya esikhathini izinyanga ezintathu noma ngaphezulu zilandelana. |
| Inani lokopha | Ukopha kakhulu noma kancane kakhulu kunokujwayelekile. |
| Isikhathi sokuya esikhathini | Ukuya esikhathini kuthatha izinsuku ezingaphezu kweziyi-7. |
| Umehluko phakathi kwemijikelezo | Kunomehluko omkhulu, njengokuthi umjikelezo owodwa unezinsuku ezingama-28, olandelayo unezinsuku ezingama-37, kanti olandelayo unezinsuku ezingama-29. |
| Ubuhlungu obukhulu | Ukuqaqamba kwesisu okungabekezeleleki, ukuhlanza, noma isicanucanu ngesikhathi sokuya esikhathini. |
| Ukopha okungavamile | Ukuchama noma ukuphuma kwegazi phakathi kokuya esikhathini, ngemva kocansi, noma ngemva kokunqamuka kokuya esikhathini. |
| Ukopha okukhulu | Iphedi elilodwa noma ngaphezulu lamanzi ngokuphelele phakathi nesikhathi esifushane, njengehora. |
Kodwa khumbula, umjikelezo wakho wokuya esikhathini akudingeki ufane ncamashi njalo ngenyanga, njengalowo obhalwe ekhalendeni. Kuvamile ukuthi kube nokushintshashintsha okuncane.
Izimo ezingase zihlotshaniswe nokuya esikhathini okungajwayelekile
Kwezokwelapha, sihlukanisa lezi zikhathi ezingajwayelekile zibe izinhlobo eziningana.
- I-Amenorrhea: Yilapho ukuya kwakho esikhathini kuyeka ngokuphelele. Uma ukuya kwakho esikhathini kuyeka izinsuku ezingu-90 noma ngaphezulu (ngaphandle kokuthi ukhulelwe, uncelisa, noma uke wanqamuka ukuya esikhathini), akuvamile. Kungaba futhi isimo lapho ungakaze uqale ukuya esikhathini sakho uneminyaka engu-15 noma engu-16.
- I-oligomenorrhea: Lokhu kwenzeka lapho ukuya esikhathini kwenzeka kaningi, okusho ukuthi kwenzeka sekwephuzile izinsuku ezingaphezu kuka-35, mhlawumbe izikhathi ezingu-6-8 ngonyaka.
- I-Dysmenorrhea : Leli igama lezokwelapha elisho ubuhlungu obukhulu besisu. Nakuba ubuhlungu besisu obuncane kanye nokungakhululeki kuvamile ngesikhathi sokuya esikhathini, ubuhlungu obukhulu obungabekezeleleki abuvamile.
- Ukopha Okungavamile Kwesibeletho: Lokhu kuhlanganisa ukopha phakathi kokuya esikhathini, ukopha okukhulu, noma ukopha okuhlala izinsuku eziningana.
Kungani lokhu kwenzeka? Yiziphi izizathu?
Kunezizathu eziningi zokuthi kungani kungase kube nokuya esikhathini okungajwayelekile, kusukela ekucindezelekeni okulula kuya ezimweni zezempilo ezimbi kakhulu. Ake sibheke ezinye zazo.
Izimo Zezokwelapha
- I-Endometriosis :Lokhu kwenzeka lapho izicubu ezingaphakathi kwesibeletho (izicubu ze-endometrial) zikhula ngaphandle kwesibeletho, isibonelo kuma-ovari noma kuma-fallopian tubes. Lokhu kungabangela ubuhlungu obukhulu, ukuqaqamba, kanye nokopha okungavamile ngaphambi nangesikhathi sokuya esikhathini.
- Isifo Sokuvuvukala Kwesitho Sangasese Sowesifazane (PID): Lesi isifo esibangelwa amagciwane esithinta uhlelo lokuzala lwabesifazane. Sivame ukubangelwa ukutheleleka okuthelelwana ngocansi okungalashwanga (STI). Izimpawu zifaka phakathi ukuphuma koketshezi lwesitho sangasese sowesifazane okunuka kabi, ukuya esikhathini okungajwayelekile, kanye nobuhlungu besisu.
- I-Polycystic Ovary Syndrome (PCOS): Lesi yisimo esivame kakhulu kulezi zinsuku. Kulesi simo, ama-ovari akho akhiqiza i-androgen eningi kakhulu ye-hormone yesilisa. Lokhu kungabangela ukuthi ukuvuthwa kweqanda kubambezeleke noma kungabikho. Kungenza ukuthi ukuya kwakho esikhathini kungajwayelekile noma kume ngokuphelele.
- Ukungasebenzi kahle kwe-Ovarian Primary: Lesi yisimo lapho ama-ovaries engasebenzi kahle kwabesifazane abangaphansi kweminyaka engama-40. Kungabangelwa futhi yizinto ezifana ne-chemotherapy yomdlavuza.
- Izinkinga ze-thyroid: Ukungasebenzi kahle (i-hypothyroidism) noma ukusebenza ngokweqile ( i-hyperthyroidism ) i-thyroid gland kungathinta ngqo ibhalansi yakho yama-hormone futhi kuphazamise umjikelezo wakho wokuya esikhathini.
- Umdlavuza wesibeletho noma wesibeletho: Ezinye izinhlobo zomdlavuza zingabangela ukuya esikhathini okungajwayelekile kanye nokopha kakhulu.
Izici Zendlela Yokuphila
Ngisho nezinguquko empilweni yakho yansuku zonke zingathinta umjikelezo wakho wokuya esikhathini.
- Ukucindezeleka : Ukucindezeleka ngokweqile okubangelwa izinto ezifana nokuhlolwa okuzayo, izinkinga emsebenzini, noma izinkinga zasekhaya kungathinta ama-hormone akho futhi kuphazamise umjikelezo wakho wokuya esikhathini.
- Isisindo somzimba: Ukwanda noma ukwehla okukhulu kwesisindo ngokuzumayo.
- Ukuzivocavoca ngokweqile : Abantu abazivocavoca ngokweqile baze babe namazinga aphansi kakhulu amafutha emzimbeni (isib. abagijimi bamabanga amade, abadansi) bangase babe nokuya esikhathini okungajwayelekile.
- Ezinye izifo: Ngisho nesifo sesikhashana njengomkhuhlane ovamile wegciwane singabangela ukuthi isikhathi sakho sokuya esikhathini siphuze ngaleyo nyanga.
Ezinye Izimbangela
- Amaphilisi Okulawula Ukuzalwa : Uma uqala ukuthatha la maphilisi noma uyeka ukuwasebenzisa, ukuya kwakho esikhathini kungase kungabi njalo izinyanga ezimbalwa. Lokhu kuvamile kuze kube yilapho umzimba wakho ujwayela izinguquko zamahomoni.
- Eminye imithi:Imithi ethile, njenge-steroids noma ama-anticoagulant.
- Izinkinga zokukhulelwa: Ngenxa yokuphuphuma kwesisu noma ukukhulelwa okungaphandle kwesisu.
- Ukuhlinzwa: Ukuhlinzwa noma ukuvaleka kwesibeletho, ama-ovari, noma amashubhu e-fallopian.
Ukuthola kanjani lokhu, Dokotela?
Uma ubona noma yiziphi izinguquko emjikelezweni wakho wokuya esikhathini, into engcono kakhulu ongayenza ukugcina idayari yezikhathi zakho zokuya esikhathini. Bhala phansi usuku oluqala ngalo ukuya esikhathini, usuku oluphela ngalo, inani legazi oliphisile, kungakhathaliseki ukuthi unezinhlungu, noma ukuthi wopha phakathi kokuya esikhathini. Lolu lwazi luzosiza kakhulu udokotela wakho.
Udokotela wakho uzokubuza ngomjikelezo wakho wokuya esikhathini kanye nomlando wezokwelapha. Uzobe esekwenza ukuhlolwa ngokomzimba kanye nokuhlolwa kwesinqe. Ngaphezu kwalokho, bangenza nezivivinyo ukuze bathole imbangela eqondile.
- I-Ultrasound Yesibeletho: Lokhu kungahlola ama-fibroids esibeletho, ama-polyps, noma ama-cysts esibeletho.
- I-Endometrial Biopsy: Kuthathwa isampula encane yezicubu kusuka ongqimbeni lwangaphakathi lwesibeletho bese ihlolwa. Lokhu kungabona i-endometriosis, ukungalingani kwamahomoni, noma amangqamuzana omdlavuza.
- I-Hysteroscopy: Inqubo lapho kufakwa khona ithuluzi elincane elifakwe ikhamera ngesitho sangasese sowesifazane liye esibelethweni ukuze kuhlolwe ingaphakathi.
Iphathwa kanjani?
Ukwelashwa kuncike embangela eyinhloko yokuya kwakho esikhathini okungajwayelekile.
Ukwelashwa Ngemithi
Ngokuvamile, ukwelashwa kuqala ngemithi.
- Ukulawula ukubeletha ngama-hormone: Ngezikhathi ezingajwayelekile ezibangelwa izimo ezifana ne-PCOS kanye ne-uterine fibroids, amaphilisi okulawula ukuzalwa ngama-hormone, imijovo, noma i-IUD kungasiza ekulawuleni umjikelezo wakho.
- Ama-Painkiller: Uma unezinhlungu ezincane, ungathatha ama-painkiller njenge-paracetamol noma i-ibuprofen. Kodwa-ke, uma unezinhlungu ezinzima, kufanele nakanjani ubone udokotela.
- Ukwelashwa ngama-hormone: Lokhu kwelashwa kungasiza ngezinkinga ezenzeka ngesikhathi sokuya esikhathini.
- Eminye imithi ethile: Imithi efana ne-tranexamic acid yokulawula ukopha ngokweqile noma ama-antibiotic inganikezwa uma kukhona ukutheleleka.
Ukwelashwa Kokuhlinzwa
Lokhu kuvame ukwenziwa kuphela uma kungenakukwazi ukulawulwa ngemithi noma uma imbangela eyisisekelo idinga ukuhlinzwa.
- Ukususwa kwe-Endometrial: Inqubo ebhubhisa ulwelwesi lwesibeletho ukuze kuncishiswe ukopha okukhulu. Kodwa-ke, lokhu kufanelekela kuphela labo abangasafisi ukuba nezingane, njengoba kwenza kube nzima ukuba nezingane ngemva kwale nqubo.
- I-Myomectomy: Ukususwa kwe-fibroids esibelethweni ngokuhlinzwa.
- Ukususwa kwesibeletho: Ukuhlinzwa kokukhipha isibeletho ezimweni ezimbi kakhulu ezingenakukwazi ukulawulwa yinoma yiluphi olunye ukwelashwa.
Yini esingayenza ukuze sivimbele ukuya esikhathini okungajwayelekile?
Nakuba singenakukwazi ukulawula ezinye zezimbangela, singayinciphisa le ngozi ngokushintsha indlela yethu yokuphila.
- Londoloza indlela yokuphila enempilo. Vivinya umzimba njalo futhi udle ukudla okunomsoco. Uma ufuna ukwehlisa isisindo, ungadli ukudla okungazelelwe, kodwa wehlise isisindo kancane kancane.
- Phumula ngokwanele. Lala kahle.
- Lawula ukucindezeleka. Zama izinto ezifana ne-yoga nokuzindla.
- Gwema ukuzivocavoca ngokweqile. Vivinya umzimba wakho ezingeni elingalibekezelela.
- Shintsha ama-sanitary pad njalo emahoreni angu-4-6. Lokhu kungasiza ekuvimbeleni ukutheleleka.
Kunini lapho kufanele nakanjani sibone khona udokotela?
Uma ubona ushintsho emzimbeni wakho, ungesabi ukukhuluma nodokotela ngalo. Ngezinye izikhathi akukubi kangako, kodwa kubalulekile ukuyeka ukwesaba kwakho.
Uma unezinye zezimpawu ezilandelayo, qiniseka ukuthi ubona udokotela wakho ngokushesha okukhulu.
| Naka ngokukhethekile lezi zici. | |
|---|---|
| Ubuhlungu obukhulu | Ubuhlungu obungabekezeleleki ngesikhathi noma ngemva kokuya esikhathini. |
| Ukopha okukhulu | Indwangu yokuhlanza iba manzi ngokuphelele noma kuphume amahlule amakhulu egazi zingakapheli amahora angu-1-2. |
| Ukuphuma koketshezi okunuka kabi | Uketshezi oluphuma esithweni sangasese sowesifazane olunuka kabi (kungaba uphawu lokutheleleka). |
| Isandiso sesikhathi | Ukuya esikhathini kuthatha izinsuku ezingaphezu kweziyi-7. |
| Ukopha okungapheli | Ukopha phakathi kokuya esikhathini noma ngemva kokunqamuka kokuya esikhathini. |
| Ezinye izimpawu | Ukuya esikhathini kuhambisana nezimpawu ezifana nokuhlanza, isicanucanu, umkhuhlane kanye nesiyezi. |
Futhi, uma unezinsolo ezincane kakhulu zokuthi kungenzeka ukuthi ukhulelwe, qiniseka ukuthi ubona udokotela ukuze akuqinisekise.
Umlayezo Wokuya Nawe Ekhaya
- Kujwayelekile ukuba nezinguquko ezincane emjikelezweni wakho wokuya esikhathini. Ungakhathazeki kakhulu ngakho.
- Kubaluleke kakhulu ukulandelela isikhathi sakho sokuya esikhathini ekhalendeni noma kuhlelo lokusebenza. Kuzokwenza kube lula ngawe nodokotela wakho ukuqonda isimo.
- Ukucindezeleka, ukudla okudlayo, kanye nokuzivocavoca kuthinta ngqo umjikelezo wakho wokuya esikhathini.
- Ubuhlungu obukhulu, ukopha okukhulu, noma ukungayi esikhathini isikhathi esingaphezu kwezinyanga ezintathu akuvamile. Uma lokhu kwenzeka, kufanele nakanjani ufune iseluleko sezokwelapha.
- Izimbangela eziningi zokuya esikhathini okungajwayelekile zingelashwa ngokwelashwa, ngakho ungazinaki izimpawu.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 👣 Kungani izintende zami ziphuzi? (Kungani izintende zami ziphuzi?)
Kunezizathu eziningana eziyinhloko ezenza ukuthi amathe ezinyawo abe phuzi. Lokhu kungenzeka kaningi uma udla ukudla okuningi okune-beta-carotene eningi, njengezaqathi kanye nethanga. Kodwa-ke, izimo ezifana ne-hypothyroidism noma i-anemia nazo zingabangela lezi zimpawu.
💬 🧐 Ingabe kukhona ukuxhumana phakathi kokuphuzi kwezinyawo kanye nokuya esikhathini okungajwayelekile?
Yebo, kukhona ukuxhumana okukhona. Ikakhulukazi uma unenkinga ngama-hormone e-thyroid (i-Hypothyroidism), ingaphazamisa inqubo yokukhiqizwa kwe-vitamin A emzimbeni futhi ibangele ukuthi amathe ezinyawo zakho aphenduke aphuzi. Futhi, ngenxa yalokhu kungalingani kwama-hormone e-thyroid, kunethuba elikhulu lokuthi umjikelezo wakho wokuya esikhathini wanyanga zonke nawo uzoba ongajwayelekile.
💬 🩺 Yini okufanele ngikhathazeke ngayo uma nginalezi zimpawu?
Uma izintende zakho ziphuzi futhi unesikhathi esingajwayelekile, kungenzeka ukuthi kungenxa yezinguquko zamahomoni. Ngakho-ke, kubaluleke kakhulu ukwazi ukuthi yini ngempela ebangela lokhu. Kulesi sihloko, sizochaza ngokucacile izimbangela zesikhathi esingajwayelekile nokuthi yini ongayenza ngakho. La maqiniso azokusiza ukuthi wenze izinqumo mayelana nempilo yakho.
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