Ingabe nawe ukhathazwa yizinhlungu zokuya esikhathini? Ake sifunde nge-Dysmenorrhea!

Njengentombazane noma owesifazane, kuyinto evamile ukuba sesikhathini sakho njalo ngenyanga. Kodwa kwabanye abantu, lezi zinsuku zibuhlungu kakhulu. Kunezikhathi lapho kunzima khona ukwenza imisebenzi yansuku zonke enezinhlungu zesisu kanye nobuhlungu bomhlane. Ingabe wake waba nokuhlangenwe nakho okunjalo? Lokhu kungaba ngawe. Kwisayensi yezokwelapha, igama elinikezwe lobu buhlungu bokuya esikhathini yi -dysmenorrhea .

Kuyini i-dysmenorrhea?

Kalula nje, i-dysmenorrhea ibhekisela ebuhlungwini obuvela ngesikhathi sakho sokuya esikhathini, noma ubuhlungu bokuya esikhathini. Ngaphezu kwalokhu buhlungu besisu, ungase ube nezimpawu ezifana nokucasuka, ukukhathala, futhi ngezinye izikhathi uhudo. Kwabaningi, lobu buhlungu buqala ngosuku olungaphambi noma ngosuku lokuya esikhathini kwabo. Kodwa-ke, lezi zimpawu ziyaphela ngemva kwezinsuku ezimbili kuya kwezintathu.

Kuvamile ukuba nobuhlungu noma ukungakhululeki ngesikhathi sokuya esikhathini. Kodwa kwabanye abantu, ubuhlungu bukhulu kangangokuthi buphazamisa imisebenzi yabo yansuku zonke futhi bubavimbele ekwenzeni izinto abazithandayo. Cabanga nje, kwabanye abantu, lobu buhlungu abugcini nje ngokubavimbela ukuya esikoleni noma emsebenzini, kodwa futhi bubavimbela ekwenzeni imisebenzi yasekhaya evamile. Kunezikhathi lapho kufanele bahlale embhedeni. Kodwa izindaba ezinhle ukuthi kunemithi kanye nezinye izindlela zokwelapha lokhu.

Ingabe zikhona izinhlobo ze-dysmenorrhea?

Yebo, kunezinhlobo ezimbili eziyinhloko ze-dysmenorrhea.

1. I-Dysmenorrhea Eyinhloko

Lolu uhlobo oluvame kakhulu. I-Primary dysmenorrhea ubuhlungu obuvela ngesikhathi sakho sokuya esikhathini, kodwa abubangelwa yinoma yisiphi esinye isimo sezokwelapha esiyisisekelo. Ubuhlungu buvame ukuqala ngosuku noma ezimbili ngaphambi kwesikhathi sakho sokuya esikhathini, noma lapho isikhathi sakho sokuya esikhathini siqala. Ungase uzizwe ubuhlungu obuncane kuya kobunzima esiswini sakho esingezansi, emhlane, futhi ngezinye izikhathi emathangeni. Lobuhlungu buvame ukuphela zingakapheli izinsuku ezimbili kuya kwezintathu.

2. I-Dysmenorrhea yesibili

Uma unesikhathi esibuhlungu ngenxa yesimo sezokwelapha noma ukutheleleka ohlelweni lwakho lokuzala (njengesibeletho sakho noma ama-ovari), kubizwa ngokuthi i-secondary dysmenorrhea. Lolu hlobo lobuhlungu luqala kusenesikhathi futhi luhlala isikhathi eside kunobuhlungu obuvamile bokuya esikhathini. Isibonelo, ungase ube nobuhlungu obuqala ezinsukwini ezimbalwa ngaphambi kokuya esikhathini futhi buqhubeke kuze kube yilapho isikhathi sakho siphela. Lokhu akuvamile kakhulu kune-primary dysmenorrhea.

Ingabe kuyinto evamile ukuba ne-dysmenorrhea?

Kuvamile ukuba nobuhlungu ngesikhathi sokuya esikhathini. Cishe amaphesenti angama-60 abesifazane abanesibeletho bazwa ubuhlungu ngesikhathi sokuya esikhathini. Futhi, phakathi kuka-5% no-15%Abaningi babika ukuthi banobuhlungu obukhulu obuphazamisa imisebenzi yabo yansuku zonke. Kodwa-ke, odokotela bakholelwa ukuthi leli nani lingase libe phezulu ngoba abantu abaningi abakhulumi ngobuhlungu babo bokuya esikhathini. Ezimweni eziningi, lezi zikhathi ezibuhlungu zingase zehle njengoba ukhula. Futhi isimo singase sithuthuke ngemva kokuthola umntwana.

Kungani lokhu kubuhlungu kokuya esikhathini kwenzeka? Iyini imbangela eyinhloko?

Ukuqaqamba kokuya esikhathini kubangelwa ikhemikhali ebizwa ngokuthi i-prostaglandin ebangela ukuba isibeletho sakho sinciphe (siqine). Ngesikhathi sakho sokuya esikhathini, umzimba wakho unamazinga aphezulu ale prostaglandin. Lokhu kusho ukuthi isibeletho sakho sincipha kakhulu kunokujwayelekile. Yilokhu okubangela ubuhlungu nokungakhululeki okuzwayo. Lokhu kuncipha kusiza ulwelwesi lwesibeletho sakho (okungukuthi, igazi nezicubu zokuya esikhathini) ukuthi kudlule esithweni sakho sangasese sowesifazane. Amazinga e-prostaglandin ayanda eduze kakhulu nokuqala kwesikhathi sakho sokuya esikhathini. Uma isikhathi sakho sokuya esikhathini sesiqalile, la mazinga ayancipha. Yingakho ubuhlungu buphela ngemva kwezinsuku ezimbalwa.

Kungani abanye abantu bezwa ubuhlungu obukhulu kangaka ngesikhathi sokuya esikhathini?

Empeleni uzizwa isibeletho sakho siqina bese uphumula. Imisipha esibelethweni sakho iyafinyela ukusiza ukusunduza ulwelwesi lwesibeletho sakho. Ochwepheshe abaqiniseki ukuthi kungani abanye abantu bezwa lobu buhlungu kakhulu kunabanye. Kodwa bacabanga ukuthi kungenzeka ukuthi kungenxa yokuthi banamazinga aphezulu e-prostaglandin kunabanye . Noma, ngenxa yokuthi umzimba womuntu wonke uhlukile, kungase kungabikho imbangela ecacile.

Ziyini izimpawu zobuhlungu bokuya esikhathini?

Uma unezikhathi ezibuhlungu, ungase ubhekane nezinto ezifana nalezi:

• Ubuhlungu obucindezelayo nobucindezelayo obuvela ngaphakathi esiswini (ngezinye izikhathi lokhu kungaba nzima ukukuthwala).
• Ukuzwa ubuhlungu besisu .
• Ubuhlungu endaweni yesinqe, emhlane ongezansi, nasemathangeni angaphakathi.
• Ezinye izimpawu ezifana nokucanuzela kwenhliziyo , isiyezi , kanye nekhanda elibuhlungu .

Esikhathini esiningi, lobu buhlungu buqala phakathi kwamahora angu-24 kuya kwangu-48 ngaphambi kokuba isikhathi sakho sokuya esikhathini siqale. Ubuhlungu buvame ukuphela zingakapheli amahora angu-48 kusukela esikhathini sakho sokuqala.

I-dysmenorrhea yesibili ibangela kanjani ubuhlungu besisu?

I-Secondary dysmenorrhea ubuhlungu bokuya esikhathini obubangelwa yisimo sezokwelapha esithinta izitho zakho zokuzala. Ezinye zezimo ezingabangela lolu hlobo lobuhlungu zifaka:

• I-Endometriosis : Lokhu kwenzeka lapho ulwelwesi lwesibeletho sakho (olubizwa ngokuthi i-endometrium) lukhula esikhundleni solwelwesi lwesibeletho sakho.(okubizwa ngokuthi) ukukhula ngaphandle kwesibeletho. Ngakho-ke ngesikhathi sokuya esikhathini, lezi zingxenye zangaphandle ziphuma igazi, okubangela ukuvuvukala, izibazi , nobuhlungu obukhulu.
• I-Adenomyosis : Kulesi simo, ulwelwesi lwesibeletho lukhula lube yimisipha yesibeletho. Lokhu kungabangela ukuthi isibeletho sibe sikhulu kunokuvamile, kubangele ukopha okungavamile, futhi kubangele ubuhlungu.
• Ama-fibroid: Lawa amahlumela angewona umdlavuza angakhula ngaphakathi kwesibeletho, ngaphandle kwesibeletho, noma odongeni lwesibeletho.
• Isifo Sokuvuvukala Kwesitho Sangasese Sowesifazane (PID): Lesi isifo esibangelwa amagciwane. Siqala esibelethweni futhi singasakazekela kwezinye izitho zokuzala. I-PID ingabangela ubuhlungu besisu noma ubuhlungu ngesikhathi socansi.
• I-Cervical Stenosis: Ukuncipha komlomo wesibeletho sakho ngenxa yokuhlinzwa, ukwelashwa, noma esinye isimo.
• Izimo Zokuzalwa: Ezinye izimo ozalwa nazo zingabangela nokuya esikhathini okubuhlungu. Lokhu kungafaka phakathi isibeletho esingamile ngendlela engavamile noma ezinye izimo ezithinta ama-ovari nama-fallopian tubes.

Ubani onamathuba amaningi okuthola i-dysmenorrhea?

Ungase ube namathuba amaningi okubhekana nezikhathi ezibuhlungu uma:

• Uma ube nesikhathi sakho sokuqala ngaphambi kokuba uneminyaka engu-12 .
• Uma ungaphansi kweminyaka engama-20 ubudala (abantu abasha banamathuba amaningi okukubona lokhu).
• Uma ukuya kwakho esikhathini kukhulu noma kuthatha izinsuku ezingaphezu kweziyisikhombisa .
• Uma ubhema .
• Uma omunye wabazali bakho begazi naye ene-dysmenorrhea .

Ingabe ukuya esikhathini okubuhlungu kungabanga izinkinga?

Ukuqaqamba kokuya esikhathini ngokwako akuvamile ukubangela izinkinga, ngaphandle kokuphazamisa impilo yakho yansuku zonke. Kodwa-ke, uma lezi zikhathi ezibuhlungu zibangelwa yisimo sezokwelapha (okungukuthi i-dysmenorrhea yesibili), khona-ke izinkinga zingavela. Isibonelo, izimo ezifana ne-endometriosis noma isifo sokuvuvukala kwe-pelvic (PID) zingabangela ukungazali noma ukukhulelwa kwe-ectopic (ukukhulelwa ngaphandle kwesibeletho) . Yingakho kubalulekile ukubona udokotela ukuze ubone ukuthi kukhona yini imbangela eyisisekelo yokuqaqamba kokuya esikhathini.

Ubona kanjani umehluko phakathi kokuqaqamba okuvamile kanye ne-dysmenorrhea? Kufanele ubonane nini nodokotela?

Uma unezinhlungu ezinzima noma ezingavamile zokuya esikhathini, noma uma zihlala izinsuku ezingaphezu kwezintathu, qiniseka ukuthi ubona udokotela.Kokubili i-dysmenorrhea eyinhloko neyesibili ingelashwa. Yingakho kubalulekile ukuhlolwa. Okokuqala, udokotela wakho uzokubuza ngezimpawu zakho kanye nomjikelezo wakho wokuya esikhathini. Ngemuva kwalokho , uzokwenza ukuhlolwa kwe-pelvic . Lokhu kuhilela ukufaka iminwe egilavu ​​​​esithweni sakho sangasese sowesifazane nokuhlola isitho sakho sangasese sowesifazane kanye nomlomo wesibeletho. Isampula encane yokukhishwa koketshezi esithweni sangasese sowesifazane nayo ingathathwa ukuze ihlolwe. Umgomo walolu hlolo ukuthola ukuthi kukhona yini isimo sezokwelapha esibangela ukuya kwakho esikhathini okubuhlungu. Uma kungatholakali imbangela ecacile, udokotela wakho cishe uzokuthola ukuthi une-dysmenorrhea eyinhloko. Kodwa-ke, uma udokotela wakho ecabanga ukuthi ungaba ne-dysmenorrhea yesibili (ebangelwa esinye isimo sezokwelapha), kungadingeka ukuthi ube nokuhlolwa okwengeziwe. Lokhu kuhlolwa kwezithombe kanye nokunye ukuhlolwa kokuxilonga kungasiza udokotela wakho ukuthi aqonde kangcono isibeletho sakho kanye nezinye izitho zokuzala. Udokotela wakho angase asikisele ukuhlolwa okufana nalokhu:

• I-Ultrasound: Lokhu kusebenzisa amaza omsindo ukudala izithombe zesibeletho sakho, ama-ovari, kanye nezinye izitho zokuzala.
• I-Hysteroscopy: Kule nqubo, udokotela usebenzisa ithuluzi elincane nelikhanyayo ukuze abheke ngaphakathi kwesibeletho sakho. Leli thuluzi lidlulisela izithombe zesibeletho esikrinini.
• I-Laparoscopy: Kule nqubo, udokotela wenza izimbobo eziningana ezincane esiswini sakho bese efaka i-laparoscope (ipayipi elincane elinekhamera kanye nokukhanya kolunye uhlangothi) ukuze abheke izitho zakho zesisu.

Uma lezi zivivinyo ziqinisekisa ukuthi unesifo esibangela ukuthomba kwakho, udokotela wakho uzokhuluma nawe mayelana nokwelashwa.

Unganciphisa kanjani ubuhlungu bokuya esikhathini?

Kunezinto eziningana ongazenza ukuze unciphise izinhlungu zokuya esikhathini.

Ama-Painkiller (ama-NSAID kanye nabanye)

Ama-painkiller abizwa ngokuthi izidakamizwa ezingezona eze-steroidal anti-inflammatory (NSAIDs) avame ukuba yindlela yokuqala yokwelapha i-dysmenorrhea. Lokhu kufaka phakathi imithi efana ne-ibuprofen noma i-naproxen . Ungayithenga ekhemisi noma esitolo esikhulu. Le mithi isebenza ngokunciphisa inani lamakhemikhali abizwa ngokuthi ama-prostaglandins akhiqizwa ngumzimba wakho. Lokhu kunciphisa ukufinyela okunamandla kwesibeletho sakho, okunganciphisa ubuhlungu. Kungcono ukuthatha le mithi ngokushesha nje lapho uqala ukuba nama-cramps. Uma ungakwazi ukuthatha ama-NSAID, i-acetaminophen ingasiza.Ungathatha omunye umuthi wokuqeda ubuhlungu, njenge-paracetamol. Udokotela wakho angakunikeza nemithi. Bangakunika i-ibuprofen noma omunye umuthi wokulwa nokuvuvukala ngesilinganiso esiphezulu kunaleso ongasithola ekhemisi.

Imithi Yama-Hormonal

Udokotela wakho angase futhi asikisele indlela yokulawula ukubeletha ngama-hormone . Abantu abaphuza imithi yama-hormone banobuhlungu obuncane bokuya esikhathini. Lokhu kungafaka amaphilisi okulawula ukubeletha, ama-patches, noma ama-ring esitho sangasese sowesifazane.

Ezinye izindlela zokunciphisa ubuhlungu besisu

Kunezindlela eziningana zokunciphisa ubuhlungu besikhathi sokuya esikhathini ngaphandle kwemithi:

• Uma unomkhuhlane , beka i-heating pad noma ibhodlela lamanzi ashisayo esiswini sakho esingezansi noma emhlane.
• Phumula kakhudlwana.
• Gwema ukudla ukudla neziphuzo ezine- caffeine (njengekhofi netiye).
• Gwema ukubhema nokuphuza utshwala.
• Hlikihla kancane umhlane wakho ongezansi kanye nesisu.
• Vivinya umzimba njalo. Kutholakale ukuthi abantu abazivocavocayo abanazo izinhlungu eziningi zokuya esikhathini.

Uma ukuhlolwa kuqinisekisa ukuthi une-dysmenorrhea yesibili, udokotela wakho uzokhuluma nawe ngokwelapha isimo esibangela ubuhlungu bakho. Lokhu kungafaka phakathi izithibela-nzalo eziphuzwayo, ezinye izinhlobo zemithi, noma ukuhlinzwa.

Yiziphi ezinye izindlela zokwelapha ezingasiza ngobuhlungu bokuya esikhathini?

Abantu abanezinhlungu zokuya esikhathini bavame ukufuna izindlela zemvelo zokulawula ubuhlungu babo. Izifundo ngezindlela ezihlukile noma ezihambisanayo aziqinisekisi. Kodwa-ke, nansi eminye imithi yemvelo okucatshangwa ukuthi iyasiza ekunciphiseni ubuhlungu bokuya esikhathini:

• I-Yoga
• Ukwelashwa nge-Acupuncture kanye ne-Acupressure
• Ukuzivocavoca kokuphumula noma ukuphefumula
• Ukudla ukudla okunciphisa ukuvuvukala (isib. imifino eluhlaza, isipinashi, i-kale, ijinja, amantongomane) kanye nokuphuza itiye eliluhlaza .
• Ukuthatha izithasiselo ezifana ne -Vitamin D noma i-Magnesium (lezi zingasiza ekunciphiseni ukuvuvukala).

Ngingakwazi yini ukuvimbela i-dysmenorrhea?

Cha, awukwazi ukukuvimbela ngokuphelele. Kodwa-ke, ukudla ukudla okunempilo nokuzivocavoca njalo kungasiza ekunciphiseni ubuhlungu obukhulu.

Kufanele ubonane nini nodokotela wakho mayelana nobuhlungu bokuya esikhathini?

Uma unezikhathi ezibuhlungu kakhulu kangangokuthi awukwazi ukwenza imisebenzi yakho evamile, qiniseka ukuthi ubona udokotela. Izinhlungu ezincane zivamile. Kodwa uma unezinhlungu ezinkulu nezibuhlungu obukhulu kangangokuthi awukwazi ukuya esikoleni noma emsebenzini, ungase udinge ukwelashwa.

Ukuze kukusize, kungumqondo omuhle ukugcina idayari yezinsuku zokuqala kokuya esikhathini kanye nezinsuku lapho ubuhlungu buba bubi kakhulu. Lokhu kuzokwenza kube lula ukutshela udokotela wakho. Uma unezinye izimpawu, njengekhanda elibuhlungu noma ukopha okukhulu, zibhale phansi nazo.

Udokotela wakho cishe uzobuza ukuthi uqale nini ukuya esikhathini, ukuthi usunesikhathi esingakanani unezimpawu, ukuthi uya ocansini, nokuthi abanye abantu emndenini wakho bake baba nezinkinga ngokuya esikhathini.

Ekugcineni, umyalezo okufanele uwuthathe uye ekhaya:

Kujwayelekile ukuzwa izinhlungu ezincane ngesikhathi sokuya esikhathini kwakho kwanyanga zonke. Kodwa uma unezikhathi ezibuhlungu kakhulu – ezaziwa ngokuthi i-dysmenorrhea – akudingeki uhlupheke buthule. Kunezindlela zokunciphisa izinhlungu zakho zokuya esikhathini. Ngakho-ke, khuluma nodokotela wakho ngezikhathi zakho ezibuhlungu. Bangakusiza. Khumbula, awuwedwa, baningi abantu abadlula kulokhu, futhi kunezixazululo!

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Ubuhlungu bokuya esikhathini, i-Dysmenorrhea, Ubuhlungu besikhathi sokuya esikhathini, Ukuqaqamba kwesisu, i-Dysmenorrhea eyinhloko, i-Dysmenorrhea yesibili, i-Endometriosis, ama-Fibroid, Ubuhlungu besibeletho, Izibulali-zinhlungu