Uma ususele cishe amasonto amabili ngaphambi kokuba uye esikhathini, ungase uzizwe ubuhlungu obuncane, izinhlungu, noma ukuqaqamba esiswini sakho esingezansi, kungaba ohlangothini olulodwa noma phakathi nendawo, akunjalo? Kufana nokuqala kwesikhathi sakho, kodwa ungase ucabange, "O, lesi akusona isikhathi salokho." Lokhu kuvame ukuba yilokho esikubiza ngokuthi 'ubuhlungu bokuvuthwa.' Akuyona into okufanele uyesabe ngempela, kodwa kubalulekile ukuqaphela. Ake sixoxe ngakho ngokuningiliziwe namuhla.
Kuyini Ubuhlungu Bokuvuthwa?
Kalula nje, ubuhlungu bokukhishwa kweqanda bubuhlungu esiswini esingezansi noma ethangeni okwenzeka ngesikhathi sokukhishwa kweqanda esikhathini sakho. Njengoba wazi, ukukhishwa kweqanda kuwukukhishwa kweqanda elivuthiwe kwelinye lama-ovari akho. Lokhu kuvame ukwenzeka maphakathi nomjikelezo wakho wokuya esikhathini, cishe ngosuku lwe-14 kumuntu onomjikelezo wezinsuku ezingu-28. Iningi labantu abazwa ubuhlungu bokukhishwa kweqanda bangakwazi ukububona ngendlela obuzizwa ngayo nokuthi buyenzeka nini.
Ngokwezokwelapha, lokhu kwaziwa nangokuthi 'Mittelschmerz' . Yigama lesiJalimane elisho "ubuhlungu obuphakathi." I-Mittelschmerz ngokuvamile ayilimazi futhi ayidingi ukwelashwa okukhulu kwezokwelapha. Imithi yokunciphisa ubuhlungu engasetshenziswa ngaphandle kwekhawunta (OTC) ingasiza ekulawuleni ubuhlungu. Kodwa-ke, uma ubuhlungu bukhulu, udokotela angase ancome namaphilisi okuvimbela inzalo (izithibela-nzalo zomlomo) ukuze kumiswe ukuvuthwa kwamaqanda.
Buzwakala kuphi lobu buhlungu?
Ngokuvamile uzwa lobu buhlungu esiswini sakho esingezansi kanye nasesinqeni. Sonke sinama-ovari amabili ohlangothini ngalunye lwesibeletho sethu, elinye ngakwesobunxele kanti elinye ngakwesokudla. Ama-ovari akho ayashintshana ngokukhulula amaqanda. Lokhu kusho ukuthi uma i-ovary eyodwa ikhipha iqanda inyanga eyodwa, elinye i-ovary likhipha iqanda ngenyanga elandelayo.
Abesifazane abaningi bathi lobu buhlungu buzwakala kuphela ohlangothini lapho iqanda likhishwa khona . Okusho ukuthi, uma iqanda likhishwa esibelethweni sakho sokunene inyanga eyodwa, uzozwa ubuhlungu ohlangothini lwakho lokunene.
Kodwa kwabanye abantu, lobu buhlungu buvela njalo ngenyanga, kungakhathaliseki ukuthi yiliphi iqanda elikhipha iqanda. Kwabanye, ubuhlungu buvela ohlangothini olulodwa lweqanda, ngakho-ke bangase babe nobuhlungu kusukela ngenyanga kuya kwenye.
Sivame kangakanani lesi simo?
Lesi simo, esibizwa ngokuthi 'iMittelschmerz', singathinta abesifazane abafinyelela ku-40% abakhipha amaqanda. Lokho kusho ukuthi cishe abesifazane abane kwabayishumi bazobhekana naso.
Ziyini izimpawu zobuhlungu be-ovulation?
Lobuhlungu bungase buzwakale njengokuqaqamba okuncane noma ubuhlungu kwabanye abantu. Kwabanye, kungaba ubuhlungu obuhlabayo obuvela ngokuzumayo. Buvame ukuzwakala kolunye uhlangothi lwesisu esingezansi (uhlangothi lapho iqanda likhishwa khona). Kwabanye, ubuhlungu buhlala imizuzu embalwa bese buphela, kanti kwabanye, buhlala usuku lonke. Kanye nalobu buhlungu, ungase uqaphele ezinye izimpawu eziningana:
- Ukopha okuncane kwesitho sangasese sowesifazane .
- Ukuphuma kwamanzi esithweni sangasese sowesifazane okuncane, okucacile, futhi okufana nomhlophe weqanda.
- Uma ubuhlungu bukhulu, kungase kube nesicanucanu .
- Ubuhlungu emhlane wakho ophansi.
Kungani lokhu kubuhlungu kokuvuthwa kwenzeka?
Ukuze uqonde ubuhlungu bokuvuthwa kweqanda, okokuqala udinga ukuqonda kahle ukuthi kuyini ukuvuthwa kweqanda.
Kalula nje, ukukhishwa kweqanda kusuka kwelinye lama-ovari akho ngesikhathi somjikelezo wakho wokuya esikhathini wanyanga zonke. Amaqanda akhiqizwa esikhwameni esigcwele uketshezi esibizwa ngokuthi i-follicle. Le follicle iyakhula kancane kancane, yeluleke, futhi ekugcineni iyaqhuma, ikhulule iqanda. Lokhu kwelulwa kwe-follicle nokukhululwa kweqanda yikona okubangela ubuhlungu bokukhishwa kweqanda. Cabanga nje ngebhaluni elincane eliqhuma ngokuzumayo.
Lokhu kuyingxenye evamile yomjikelezo wokuya esikhathini kanye nenqubo yokuvuthwa kwamaqanda, ngakho-ke akukho okufanele ukhathazeke ngakho.
Ingabe ubuhlungu bokuvuthwa kweqanda kanye nobuhlungu bokuya esikhathini kuyinto efanayo?
Ubuhlungu bokuvuthwa kweqanda ngezinye izikhathi bungazwakala njengobuhlungu bokuya esikhathini (okwaziwa nangokuthi i-dysmenorrhea). Okusho ukuthi, ungase uzwe ubuhlungu bokuqaqamba noma bomhlane. Kodwa umehluko omkhulu ukuthi ubuhlungu bokuvuthwa kweqanda buvela cishe emavikini amabili ngaphambi kokuya esikhathini. Ngakho ungakugwema ukudideka kokubili ngokuzibeka ngesikhathi.
Sekuyisikhathi esingakanani lobu buhlungu buqhubeka?
Ubuhlungu bokuvuthwa buvame ukuhlala amahora ambalwa, kodwa abanye abantu bangase babe nalobu buhlungu kuze kube amahora angu-48, noma cishe izinsuku ezimbili.
Ungayibona kanjani ubuhlungu ngesikhathi sokuvuthwa kweqanda?
Udokotela wakho uzonquma ukuthi lokhu ubuhlungu bokukhishwa kweqanda bubangelwa yini ukuthi uzizwa nini izinhlungu. Ukukhishwa kweqanda kuvame ukwenzeka cishe emavikini amabili kusukela uqalile ukuya esikhathini. Ngakho-ke uma uzwa ubuhlungu phakathi naleso sikhathi somjikelezo, kungaba ubuhlungu bokukhishwa kweqanda. Udokotela wakho cishe uzokutshela ukuthi ugcine idayari yomjikelezo wakho wokuya esikhathini . Bhala phansi ukuthi uzwa kuphi ubuhlungu nokuthi buvela nini isikhathi ngasinye.
Uwubhala kanjani umjikelezo wakho wokuya esikhathini?
Inani lezinsuku emjikelezweni wakho wokuya esikhathini linani lezinsuku kusukela osukwini lokuqala lwenyanga eyodwa kuya osukwini oqala ngalo ukuya esikhathini kwakho okulandelayo. Isibonelo, uma uqale ukuya esikhathini ngoMashi 1 futhi waqala futhi ngoMashi 30, umjikelezo wakho unezinsuku ezingama-29. Kulesi sibonelo, ukuvuthwa kweqanda cishe kuzokwenzeka cishe ngosuku lwe-15. Ngakho-ke uma uzwa ubuhlungu cishe ngosuku lwe-15 lwalowo mjikelezo, kungaba ubuhlungu bokuvuthwa kweqanda.
Yiziphi izivivinyo ezizokwenziwa?
Udokotela wakho uzoqala ahlole isisu sakho kanye nendawo yakho ye-pelvic (`Ukuhlolwa Kwesisu kanye Ne-Pelvic`). Lokhu kuhlolwa kungahlola ezinye izimbangela ezingaba khona, njenge -endometriosis (ulwelwesi lwesibeletho olukhula ngaphandle kwesibeletho) noma ama-cyst esibeletho . Kungadingeka futhi ukuthi wenze i-ultrasound yesisu sakho noma isitho sangasese sowesifazane. Bangase futhi bathathe isampula yoketshezi lomlomo wesibeletho ukuze bahlole ukutheleleka.
Khumbula, udokotela wenza lezi zivivinyo ukuqinisekisa ukuthi uzwa ubuhlungu bokukhiqizwa kwamaqanda noma esinye isimo esibi.
Uma ukuhlolwa kubonisa noma yini esolisayo, noma uma ubuhlungu bakho bukhulu kakhulu, kungase kudingeke ukuhlolwa okwengeziwe ukuze kutholakale imbangela. Udokotela wakho uzokuchazela lokhu.
Indlela yokwelapha ubuhlungu be-ovulation?
Iningi labantu alidingi ukwelashwa okukhethekile kwalesi simo esibizwa ngokuthi 'iMittelschmerz'. Ubuhlungu buvame ukuphela phakathi nosuku. Ungasebenzisa imithi yokwelapha ubuhlungu etholakala ngaphandle kwemithi kadokotela, njengemithi yokulwa nokuvuvukala engeyona i-steroidal (ama-NSAID) (njenge- ibuprofen noma i-naproxen) noma i-acetaminophen ( i-paracetamol).
Futhi, ukusebenzisa i-heating pad noma ukugeza ngamanzi ashisayo kungasiza ekunciphiseni ubuhlungu.
Kodwa-ke, uma ubuhlungu bokukhishwa kwamaqanda bubucayi, ungase ufune ukukhuluma nodokotela wakho mayelana nokuphuza amaphilisi okulawula ukubeletha (`(Imithi Yokulawula Ukuzalwa Yama-Hormonal)`). Izindlela zokulawula ukuzalwa zama-hormonal zivimba ukwenzeka kokukhishwa kwamaqanda. Uma ungakhiphi amaqanda, ngeke ube nobuhlungu bokukhishwa kwamaqanda.
Okubalulekile: Uma uphuza amaphilisi okuvimbela inzalo, ngeke ukwazi ukukhulelwa. Ngakho-ke uma unethemba lokuqala umndeni noma ukuba nomunye umntwana, ungakhohlwa ukukhuluma nodokotela wakho ngalokho futhi.
Kuthiwani uma nami nginayo le 'Mittelschmerz'?
Ubuhlungu bokuvuthwa kweqanda bujwayelekile. Kumane kungumphumela ongemuhle womjikelezo wakho wokuya esikhathini. Akuyona ingozi noma uphawu lokugula okukhulu. Ubuhlungu bokuvuthwa kweqanda abukuthinti ukuzala kwakho. Eqinisweni, bungakusiza wazi ukuthi ukuvuthwa kweqanda nini.
Kodwa-ke, kungakhathaliseki ukuthi ubhekene nobuhlungu obunjani, kungcono ukukhuluma nodokotela ngakho, njengoba udokotela angaqinisekisa ukuthi awunaso esinye isimo esibi esinezimpawu ezifanayo.
Yiziphi ezinye izimo zezokwelapha ezingahlotshaniswa nobuhlungu bokuvuthwa kweqanda?
Nakuba ubuhlungu bokukhiqizwa kwamaqanda bungeyona into okufanele ukhathazeke ngayo, kufanele ubonane nodokotela uma unesihlungu esinzima, njengoba kungaba uphawu lwesinye isimo esibucayi kakhulu, njengalesi:
- I-Endometriosis : Isimo esibuhlungu esibangelwa izicubu (ulwelwesi) oluhlanganisa ingaphakathi lesibeletho elikhula ngaphandle kwesibeletho, kwezinye izindawo.
- Ukunamathela esiswini ukwakheka kwezicubu zesilonda ngemva kokuhlinzwa kwe-C-section noma olunye ukuhlinzwa kwesisu .
- Izifo Ezithathelwana Ngocansi (ama-STI) : Isibonelo, izifo ezifana ne-Chlamydia zingabangela ukuvuvukala futhi zenze ukukhiqizwa kwamaqanda kube buhlungu.
- Isifo Sokuvuvukala Kwezitho Zangasese (i-PID) : Ukutheleleka okuthinta uhlelo lwakho lokuzala.
- I-Ovarian Cyst : Isikhwama esigcwele uketshezi esakheka esibelethweni.
- Ukugoqana kweqanda : Ukujikijela iqanda elizungezile.
- Ukukhulelwa Kwesibeletho : Ukukhulelwa okuvela ngaphandle kwesibeletho, ngokuvamile epayipini le-fallopian. Lokhu kuyisimo esiphuthumayo.
- I-Appendicitis : Ukutheleleka kwe-appendix.
- Ezinye izinkinga ezihlobene nesisu : Isibonelo, isifo samathumbu esivuvukalayo (IBD).
Ubuhlungu besisu esingezansi bungenzeka ezimweni ezinjengalezi, ngakho-ke uma ubuhlungu bukhulu noma buqhubeka, qiniseka ukuthi ubona udokotela.
Ingabe izinhlungu zokuvuthwa kweqanda ziwusizo kulabo abahlela ukuba nomntwana?
Abanye abantu basebenzisa ubuhlungu bokuvuthwa kweqanda ukuhlela noma ukuvimbela ukukhulelwa. Uma uya ocansini ngesikhathi sokuvuthwa kweqanda, kungenzeka ukuthi uzokhulelwa. Ngakho-ke, uma uzama ukuba nomntwana, ukunaka ubuhlungu bokuvuthwa kweqanda kungakusiza wazi ukuthi ukuvuthwa kweqanda nini.
Kodwa-ke, ungathembeli kuphela ebuhlungwini bokuvuthwa kweqanda ukuze uvimbele ukukhulelwa. Sebenzisa ezinye izindlela zokuvimbela inzalo ezithembekile kakhulu.
Ingabe ubuhlungu bokuvuthwa kweqanda bungavinjelwa?
Ukuphela kwendlela yokuvimbela ubuhlungu bokuvuthwa kweqanda ukuvimbela ukuvuthwa kweqanda. Izindlela zokuvimbela inzalo zama-hormone, njengeziphilisi zokuvimbela inzalo, ziyayekisa ukuvuthwa kweqanda.
Ngingazinakekela kanjani kulesi simo?
Uma uzwa ubuhlungu bokukhishwa kweqanda, zama izindlela zokwelapha zasekhaya. Zama izinto ezifana namanzi ashisayo okugeza, amashawa ashisayo, kanye nemithi yokunciphisa ubuhlungu etholakala ngaphandle kwemithi kadokotela (ama-OTC pain relievers). Uma uzwa ubuhlungu obukhulu bokukhishwa kweqanda, khuluma nodokotela wakho ngezinye izindlela zokwelapha.
Yiziphi izikhathi ezinhle kakhulu zokuya kudokotela?
Uma uphuthelwe ukuya esikhathini ngenyanga edlule, noma uma unezinye zalezi zimpawu ngesikhathi sokuvuthwa kweqanda, qiniseka ukuthi ubona udokotela:
- Umkhuhlane : Umkhuhlane ongaphezu kuka-100.4 Fahrenheit (38 Celsius).
- Uma uzwa ubuhlungu lapho uchama .
- Uma isikhumba sibomvu futhi sivuvukele endaweni lapho ubuhlungu bukhona khona.
- Uma unesicanucanu noma ukuhlanza okukhulu .
- Uma ubuhlungu obukhulu obuvela phakathi nomjikelezo wokuya esikhathini buhlala isikhathi esingaphezu kosuku, noma uma buvela cishe njalo ngenyanga.
- Uma imithi yokubulala izinhlungu oyithenga ekhemisi ungayinciphisi ubuhlungu.
- Uma uphuma igazi eliningi kakhulu phakathi kokuya esikhathini.
Uma unalezi zimpawu, kungaba okungaphezu nje kobuhlungu obuvamile bokukhiqizwa kwesibeletho, ngakho-ke kuwukuhlakanipha ukufuna iseluleko sezokwelapha.
Yini enye engingayibuza udokotela wami?
Uma uzwa ubuhlungu ngesikhathi sokuvuthwa kweqanda, ungabuza udokotela wakho ngalokhu okulandelayo:
- Iyini imbangela yalobu buhlungu?
- Yini engingayenza ukuze nginciphise ubuhlungu?
- Ingabe ikhona indlela yokuvimbela ubuhlungu bokuvuthwa kweqanda?
- Ingabe amaphilisi okuvimbela inzalo azosiza ukulawula lobu buhlungu?
Ungesabi ukubuza udokotela wakho noma yimiphi imibuzo onayo.
Ingabe ukuba nobuhlungu bokuvuthwa kweqanda kusho ukuthi ngingakhulelwa maduze?
Cha. Ukuba nobuhlungu ngesikhathi sokuvuthwa kweqanda akusho ukuthi uzokhulelwa ngokushesha kunomuntu ongenabuhlungu ngesikhathi sokuvuthwa kweqanda. Akukuthinti amathuba akho okukhulelwa nganoma iyiphi indlela phakathi nalowo mjikelezo.
Wazi kanjani ukuthi unama-cyst esibelethweni? Ziyini izimpawu?
Izimpawu ze-'Mittelschmerz' ngezinye izikhathi zingadidaniswa neze-cyst yama-ovari. Nazi ezinye zezimpawu ezivame kakhulu ze-cyst yama-ovari:
- Ubuhlungu be-pelvic noma ubuhlungu obubuhlungu emhlane ongezansi.
- Ukuqunjelwa noma umuzwa wokugcwala.
- Ubuhlungu ngesikhathi socansi.
- Ubuhlungu ngesikhathi sokuya esikhathini.
Uma ungaqiniseki ngezimpawu zakho noma ukuthi yini ezibangela, kungcono ngaso sonke isikhathi ukukhuluma nodokotela.
Okokugcina, izinto ezimbalwa okufanele uzikhumbule
Ubuhlungu bokuvuthwa, noma i-'Mittelschmerz', ubuhlungu obubangelwa ukuqaqamba noma obunye ubuhlungu obuzwiwa ngabesifazane ngesikhathi sokuvuthwa. Akuyona ingozi. Ngokuvamile bungalawulwa ngemithi yokunciphisa ubuhlungu etholakala ngaphandle kwemithi kadokotela, amanzi ashisayo okugeza, nezinye izinto ezinjalo.
Kodwa-ke, uma uzwa ubuhlungu obukhulu bokuvuthwa kweqanda, khuluma nodokotela wakho ngakho. Udokotela wakho angase futhi ancome amaphilisi okuvimbela ukukhulelwa ukuze avimbele ukuvuthwa kweqanda.
Kubaluleke kakhulu ukuqaphela umzimba wakho kanye nempilo yakho. Uma uzwa noma yini engavamile, ubuhlungu, noma ukungakhululeki, akukaze kube sekwephuzile ukufuna iseluleko sezokwelapha. Impilo yakho iyona ebalulekile!
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Ubuhlungu bokuvuthwa kweqanda, ubuhlungu bokuvuthwa kweqanda, i-mittelschmerz, ubuhlungu bokuya esikhathini, impilo yabesifazane, ubuhlungu besisu esingezansi, umjikelezo wokuya esikhathini
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