Njengowesifazane, ukuba nomjikelezo wokuya esikhathini wanyanga zonke kuyingxenye yemvelo yokuphila. Kodwa-ke, kwabaningi, lezi zinsuku zingaba buhlungu kakhulu. Njengoba kunezinhlungu zesisu eziqeda amandla kanye nobuhlungu bomhlane, ungase ukuthole kunzima ngisho nokwenza imisebenzi yakho yansuku zonke. Uma uke wabhekana nalokhu, yazi ukuthi awuwedwa. Ngokwezokwelapha, lokhu kuya esikhathini okubuhlungu kubizwa ngokuthi i-Dysmenorrhea .
Kuyini i-Dysmenorrhea?
Kalula nje, i-Dysmenorrhea ibhekisela ebuhlungwini noma ezinhlungwini zokuya esikhathini ezenzeka ngesikhathi sakho sokuya esikhathini. Ngaphandle kobuhlungu besisu, ungase ube nesicanucanu, ukukhathala, noma ngisho nesifo sohudo. Kwabaningi, lokhu kungakhululeki kuqala ngosuku olungaphambi noma ngalo kanye usuku lokuya esikhathini futhi kuvame ukuphela zingakapheli izinsuku ezimbili kuya kwezintathu.
Ukuzwa ukungakhululeki okuncane ngesikhathi sakho sokuya esikhathini kuyinto evamile. Kodwa-ke, kwabanye, ubuhlungu bukhulu kangangokuthi buyakuphazamisa impilo yakho yansuku zonke, bukuvimbela ekwenzeni izinto ozithandayo. Cabanga nje ungakwazi ukuya esikoleni, emsebenzini, noma ngisho nokwenza imisebenzi yasekhaya elula—ngezinye izikhathi uze ulale embhedeni. Izindaba ezinhle ukuthi kunezindlela zokwelapha ezisebenzayo nezixazululo zezokwelapha ezitholakalayo ukukusiza ukuphatha lokhu.
Ingabe kunezinhlobo ezahlukene ze-Dysmenorrhea?
Yebo, kunezinhlobo ezimbili eziyinhloko ze-Dysmenorrhea.
1. I-Dysmenorrhea Eyinhloko
Lolu uhlobo oluvame kakhulu. I-Primary Dysmenorrhea ibhekisela ebuhlungwini obuhambisana nomjikelezo wokuya esikhathini ojwayelekile ongabangelwa yisimo sezokwelapha esiyisisekelo. Ubuhlungu buvame ukuqala usuku noma ezimbili ngaphambi kokuya esikhathini noma uma ukopha kuqala. Ungase uzwe noma yini kusukela ebuhlungwini obuncane kuya kobunzima esiswini sakho esingezansi, emhlane ongezansi, noma emathangeni. Lobu buhlungu buvame ukuphela zingakapheli izinsuku ezimbili kuya kwezintathu.
2. I-Dysmenorrhea yesibili
Uma ukuya kwakho esikhathini okubuhlungu kubangelwa yisimo sezokwelapha noma ukutheleleka ohlelweni lwakho lokuzala (njengesibeletho noma ama-ovari), kubizwa ngokuthi i-Secondary Dysmenorrhea. Lolu hlobo lobuhlungu luvame ukuqala ngaphambi kobuhlungu obujwayelekile bokuya esikhathini futhi luhlala isikhathi eside. Isibonelo, ungase uzwe ubuhlungu ezinsukwini ezimbalwa ngaphambi kokuba ukuya kwakho esikhathini kuqale futhi bungase buqhubeke kuze kube yilapho ukuphuma kwegazi kuphele ngokuphelele. Lolu hlobo aluvamile njenge-primary dysmenorrhea.
Ingabe ukuba ne-Dysmenorrhea kuyinto evamile?
Izinga elithile lobuhlungu ngesikhathi sokuya esikhathini libhekwa njengelijwayelekile. Cishe abantu abangama-60% abanesibeletho bazizwa bengakhululekile ngesikhathi sokuya esikhathini. Ngaphezu kwalokho, ama-5% kuya kwayi-15% abika ubuhlungu obukhulu ngokwanele ukuphazamisa imisebenzi yabo yansuku zonke. Nokho, odokotela basola ukuthi lezi zibalo zingase zibe ziphakeme, njengoba abantu abaningi bengakhulumi ngokukhululekile ngobuhlungu babo bokuya esikhathini.
Ezimweni eziningi, izikhathi ezibuhlungu zivame ukuncipha njengoba ukhula. Ngaphezu kwalokho, izimpawu zakho zingase zithuthuke kakhulu ngemva kokuthola umntwana.
Kungani ubuhlungu bokuya esikhathini buvela? Iyini imbangela eyinhloko?
Ukuqaqamba kokuya esikhathini kwenzeka ngoba isibeletho sakho siyaqina (siyaqina) ngenxa yekhemikhali ebizwa ngokuthi i-prostaglandin . Ngesikhathi sakho sokuya esikhathini, amazinga e-prostaglandin emzimbeni wakho ayanda, okwenza isibeletho sakho siqina kakhulu kunokujwayelekile. Yilokhu okubangela ukuqaqamba nokungakhululeki okuzwayo. Lokhu kuqunjelwa kusiza ekukhipheni ulwelwesi lwesibeletho (igazi nezicubu zokuya esikhathini) ngesitho sakho sangasese sowesifazane. Amazinga e-prostaglandin aphezulu kakhulu njengoba isikhathi sakho siqala futhi sehla lapho isikhathi sakho sokuya esikhathini siqala, yingakho ubuhlungu buvame ukuphela ngemva kwezinsuku ezimbalwa.
Kungani abanye abantu bezwa ubuhlungu obukhulu?
Empeleni, uzizwa isibeletho sakho siqinile futhi siyakhululeka. Imisipha yesibeletho iyafinyela ukusiza ekulahleni ulwelwesi. Nakuba ochwepheshe bengaqiniseki ukuthi kungani abanye abantu bezwa lobu buhlungu kakhulu kunabanye, kukholelwa ukuthi labo bantu bangase babe namazinga aphezulu e-prostaglandin . Ngaphandle kwalokho, ngoba umzimba ngamunye uhlukile, kungase kungabi nasizathu esicacile nesiyingqayizivele.
Ziyini izimpawu zokuya esikhathini okubuhlungu?
Uma uzwa ubuhlungu ezikhathini, ungase uzizwe:
- Ubuhlungu obuhlabayo nobuhlungu esiswini sakho (obungabekezeleleki ngezinye izikhathi).
- Umuzwa wokucindezeleka esiswini sakho.
- Ubuhlungu endaweni yakho ye-pelvic, emhlane ongezansi, kanye nasemathangeni angaphakathi.
- Ezinye izimpawu ezifana nokucanuzela kwenhliziyo , isiyezi , noma ikhanda elibuhlungu .
Ngokuvamile, lobu buhlungu buqala zingakapheli amahora angu-24 kuya kwangu-48 ngaphambi kokuya esikhathini futhi buphele zingakapheli amahora angu-48 kusukela ekuqaleni.
I-Secondary Dysmenorrhea ibangela kanjani ubuhlungu besisu?
Ubuhlungu obubangelwa yi-Secondary Dysmenorrhea buvela ezimweni ezithinta izitho zakho zokuzala. Lezi zimo zifaka:
- I-Endometriosis ( i-Endometriosis ): Lokhu kwenzeka lapho izicubu okufanele zizungeze isibeletho sakho (esibizwa ngokuthi i- endometrium ) zikhula ngaphandle kwesibeletho. Njengoba le zicubu ziphuma igazi ngesikhathi sakho sokuya esikhathini, zingabangela ukuvuvukala, izibazi , kanye nobuhlungu obukhulu.
- I-Adenomyosis ( i-Adenomyosis ): Lapha, ulwelwesi lwesibeletho lukhula lube udonga lwemisipha yesibeletho. Lokhu kungabangela ukuthi isibeletho sibe sikhulu kunokuvamile, okuholela ekuphumeni kwegazi okungavamile kanye nobuhlungu.
- Ama-fibroid: Lawa amahlumela angewona umdlavuza angakhula ngaphakathi, ngaphandle, noma ngaphakathi kwezindonga zesibeletho.
- Isifo Sokuvuvukala Kwesibeletho (PID): Lesi isifo esibangelwa amagciwane esiqala esibelethweni futhi singasakazekela kwezinye izitho zokuzala, okungase kubangele ubuhlungu besisu noma ubuhlungu ngesikhathi socansi.
- I-Cervical Stenosis: Ukuncipha komlomo wesibeletho okubangelwa ukuhlinzwa, izinqubo zezokwelapha, noma ezinye izimo.
- Izimo Zokuzalwa: Izimo ezithile owazalwa nazo, njengesibeletho esingakahleleki kahle noma izinkinga ezithinta ama-ovari akho noma amashubhu e-fallopian, zingaholela ezikhathini ezibuhlungu zokuya esikhathini.
Ubani osengozini enkulu yokuthola i-Dysmenorrhea?
Ungase ube sengozini enkulu yokuzwa izinhlungu uma:
- Isikhathi sakho sokuqala senzeke ngaphambi kweminyaka eyi-12 .
- Ungaphansi kweminyaka engama-20 (kuvame kakhulu kubantu abasebasha).
- Ukuya esikhathini kwakho kukhulu noma kuthatha isikhathi esingaphezu kwezinsuku eziyisikhombisa .
- Ungumuntu obhemayo .
- Umzali wemvelo naye uke waba ne-Dysmenorrhea .
Ingabe ukuya esikhathini okubuhlungu kungadala izinkinga?
Ngokuvamile, ubuhlungu bokuya esikhathini abubangeli izinkinga ngaphandle kokuphazamisa imisebenzi yakho yansuku zonke. Kodwa-ke, uma ukuya kwakho esikhathini okubuhlungu kubangelwa yisimo sezokwelapha esiyimfihlo (esaziwa ngokuthi i-secondary dysmenorrhea), kungase kuvele izinkinga. Isibonelo, izimo ezifana ne-endometriosis noma isifo sokuvuvukala kwe-pelvic (PID) zingaholela ekungazali noma ekukhulelweni okungaphandle kwesibeletho (ukukhulelwa okwenzeka ngaphandle kwesibeletho). Yingakho kubalulekile ukubonisana nomhlinzeki wezempilo ukuze kutholakale ukuthi kukhona yini imbangela eyisisekelo yobuhlungu bakho bokuya esikhathini.
Ungawubona kanjani umehluko phakathi kokuqaqamba okuvamile kanye ne-dysmenorrhea, futhi kufanele ubonane nini nodokotela?
Uma uzwa ubuhlungu obukhulu noma obungavamile bokuya esikhathini, noma uma ubuhlungu buhlala izinsuku ezingaphezu kwezintathu, kufanele ubonane nodokotela. I-dysmenorrhea eyinhloko neyesibili ingelapheka, okwenza kube kubalulekile ukuthola ukuhlolwa kochwepheshe.
Ekuqaleni, udokotela wakho uzobuza ngezimpawu zakho kanye nomjikelezo wokuya esikhathini. Bangase benze ukuhlolwa kwe-pelvic . Phakathi nale nqubo, udokotela ogqoke amagilavu uzokwenza ukuhlolwa ngesandla kwendawo yakho yesitho sangasese sowesifazane, futhi i- speculum ingasetshenziswa ukuhlola ngokucophelela isitho sakho sangasese sowesifazane kanye nomlomo wesibeletho. Isampula encane yokukhishwa koketshezi lwesitho sangasese sowesifazane nayo ingaqoqwa ukuze ihlolwe. Umgomo walezi zivivinyo ukuhlonza noma yiziphi izimo zezokwelapha eziyisisekelo ezibangela ubuhlungu bakho. Uma kungatholakali imbangela ecacile, udokotela wakho angase akuhlole ukuthi une-dysmenorrhea eyinhloko.
Kodwa-ke, uma udokotela wakho esola ukuthi i-dysmenorrhea yesibili (ebangelwa inkinga yezempilo eyisisekelo), ungadinga ukuhlolwa okwengeziwe. Izithombe zokuxilonga kanye nezinye izivivinyo kusiza udokotela wakho ukuthi athole umbono ocacile wesibeletho sakho kanye nezitho zokuzala. Udokotela wakho angase asikisele:
- I-Ultrasound: Isebenzisa amaza omsindo ukudala izithombe zesibeletho sakho, ama-ovari, kanye nezinye izitho zokuzala.
- I-Hysteroscopy: Udokotela wakho usebenzisa ithuluzi elincane, elikhanyayo ukuze abuke ingaphakathi lesibeletho sakho, edlulisela izithombe kusiqaphi.
- I-Laparoscopy: Udokotela wenza izimbobo ezincane esiswini sakho bese efaka i -laparoscope —ipayipi elincane elinekhamera nokukhanya—ukuze ahlole izitho zakho zesisu.
Uma lezi zivivinyo ziqinisekisa isimo esiyisisekelo, udokotela wakho uzoxoxa nawe ngezindlela zokwelapha ezifanele.
Ungabhekana kanjani nobuhlungu besisu?
Kunezindlela eziningana ezisebenzayo zokunciphisa izinhlungu zokuya esikhathini.
Izidambisi-zinhlungu (ama-NSAID kanye nabanye)
Imithi Engavimbi Ukuvuvukala (ama-NSAID) ngokuvamile iyindlela yokuqala yokwelapha i-dysmenorrhea. Lokhu kufaka phakathi imithi efana ne-ibuprofen noma i-naproxen , etholakala kabanzi emakhemisi. Isebenza ngokunciphisa amazinga e-prostaglandins emzimbeni wakho, okusiza ukuvimbela isibeletho ukuthi singanciphi kakhulu, ngaleyo ndlela kuncishiswe ubuhlungu. Kungcono ukuthatha le mithi ngokushesha nje lapho ubuhlungu bakho buqala. Uma ungakwazi ukuthatha ama-NSAID, eminye imithi yokunciphisa ubuhlungu njenge -acetaminophen (paracetamol) ingaba yindlela ehlukile.
Udokotela wakho angakunikeza nemithi yokulwa nokuvuvukala enamandla kadokotela uma izinketho ezitholakala ngaphandle kwemithi kadokotela zinganele.
Imithi Yama-Hormonal
Udokotela wakho angase asikisele indlela yokulawula ukubeletha ngama-hormone . Abantu abasebenzisa izindlela zama-hormone bavame ukuzwa ubuhlungu obuncane bokuya esikhathini. Lokhu kungafaka phakathi iphilisi lokulawula ukubeletha, i-patch, noma indandatho yesitho sangasese sowesifazane.
Amanye amathiphu okuzinakekela ngobuhlungu bokuya esikhathini
Kukhona nezindlela ezingenazo izidakamizwa zokuthola impumuzo:
- Beka i-heating pad noma ibhodlela lamanzi ashisayo esiswini sakho esingezansi noma emhlane ongezansi uma uzwa izinhlungu.
- Phumula ngokwanele.
- Gwema i-caffeine (etholakala ekhofini, etiyeni, njll.).
- Gwema ukubhema notshwala.
- Hlikihla kancane umhlane wakho ongezansi kanye nesisu.
- Vivinya umzimba njalo. Izifundo zibonisa ukuthi labo abahlala bematasa bavame ukuzwa ubuhlungu obuncane bokuya esikhathini.
Uma ukuhlolwa kuqinisekisa i-dysmenorrhea yesibili, udokotela wakho uzoxoxa ngemithi ethile yesifo esiyimbangela, engase ihlanganise amaphilisi okuvimbela inzalo ngomlomo, eminye imithi ekhethekile, noma ukuhlinzwa.
Kuthiwani ngezinye izindlela zokwelapha ubuhlungu bokuya esikhathini?
Abantu abaningi bafuna izindlela zemvelo zokulawula ubuhlungu. Nakuba izifundo zokwelapha ezinye izindlela noma ezihambisanayo zisaqhubeka, ezinye izindlela ezingasiza ekunciphiseni ukungakhululeki kokuya esikhathini zifaka:
- I-Yoga
- Ukwelashwa nge-acupuncture kanye ne-acupressure
- Ukuzivocavoca kokuphumula noma ukuphefumula
- Ukudla ukudla okulwa nokuvuvukala (isib. imifino eluhlaza, isipinashi, ijinja, amantongomane) nokuphuza itiye eliluhlaza .
- Ukuthatha izithasiselo ezifana ne -Vitamin D noma i-Magnesium (okungasiza ekunciphiseni ukuvuvukala).
Ngingakwazi yini ukuvimbela i-dysmenorrhea?
Cha, awukwazi ukukuvimbela ngokuphelele. Kodwa-ke, ukugcina ukudla okunempilo nokuzivocavoca njalo kungasiza ekunciphiseni ubukhali be-cramps yakho.
Kufanele umvakashele nini udokotela wakho mayelana nobuhlungu bokuya esikhathini?
Uma ubuhlungu bakho bokuya esikhathini bukhulu ngokwanele ukukuvimbela ekwenzeni imisebenzi yakho yansuku zonke, kufanele ubonane nodokotela. Ukungakhululeki okuncane kuyinto evamile, kodwa uma ubuhlungu bakho bukhulu kangangokuthi awukwazi ukuya esikoleni noma emsebenzini, cishe udinga usizo lwezokwelapha.
Ukuze usize udokotela wakho, gcina irekhodi lezinsuku zakho zokuya esikhathini kanye nezinsuku lapho ubuhlungu bakho bube bubi kakhulu. Khuluma nganoma yiziphi ezinye izimpawu ezifana nekhanda elibuhlungu noma ukopha kakhulu.
Udokotela wakho cishe uzobuza ukuthi ukuqala kwakho ukuya esikhathini kuqale nini, ukuthi izimpawu zihlala isikhathi esingakanani, ukuthi uya ocansini yini, nokuthi ngabe kunomlando womndeni wezinkinga zokuya esikhathini.
Umlayezo Wokuya Nawe Ekhaya
Ubuhlungu noma ukungakhululeki okuncane ngesikhathi sokuya esikhathini kwakho kwanyanga zonke kuvamile. Kodwa-ke, uma uhlushwa yizikhathi ezinzima nezibuhlungu—ezaziwa ngokuthi i-Dysmenorrhea —akudingeki uhlupheke buthule. Kunezindlela ezisebenzayo zokuphatha izimpawu zakho. Sicela uxoxe ngezikhathi zakho ezibuhlungu nomhlinzeki wezempilo. Bakhona ukukusiza. Khumbula, awuwedwa; abanye abaningi babhekene nalokhu, futhi kunezixazululo ezitholakalayo.
INirogi Lanka – Ubuhlungu bokuya esikhathini nyanga zonke, i-Dysmenorrhea, ubuhlungu bokuya esikhathini, izinhlungu zokuya esikhathini, i-primary dysmenorrhea, i-secondary dysmenorrhea, i-endometriosis, ama-fibroids, ubuhlungu besibeletho, imithi yokunciphisa ubuhlungu.
