Cabanga ukuthi usuyekile ukuya esikhathini sakho sanyanga zonke isikhathi esingaphezu konyaka. Lapho konke sekujwayelekile futhi ngokuzumayo ubona ukuphuma kwegazi okuncane... uzizwa wesaba kakhulu futhi ukhathazekile, akunjalo? "Kungani lokhu?" "Ingabe lokhu kuyingozi?" Imibuzo eminingi ifika engqondweni. Kujwayelekile kakhulu. Kodwa into ebaluleke kakhulu ukungesabi lokhu, kodwa ukuqaphela ngokugcwele nokuthatha izinyathelo ezidingekayo. Namuhla, ake sixoxe ngokuphuma kwegazi ngemva kokunqamuka kokuya esikhathini.
Kalula nje, kuyini ukopha ngemva kokunqamuka kokuya esikhathini?
Lokhu kulula kakhulu ukukuqonda. Ukunqamuka kokuya esikhathini kuwukuphela unomphela komjikelezo wokuya esikhathini kwanyanga zonke kowesifazane. Ngokwezokwelapha sichaza lokhu njengokungathi awukaze uye esikhathini izinyanga ezingu-12 zilandelana, okungukuthi, unyaka wonke. Ngemva kwaleso sikhathi, okungukuthi, unyaka noma ngaphezulu ngemva kokuyeka ukuya esikhathini, uma usenokopha okuthile esithweni sakho sangasese, yilokho esikubiza ngokuthi i-Postmenopausal Bleeding.
Into ebalulekile ukuthi, lokhu akujwayelekile neze. Kungakhathaliseki ukuthi umbala opinki okhanyayo, amabala ansundu kancane, igazi eliningi, noma ukwenzeka kanye nje, ngokuqinisekile kuyinto okufanele uyihlolwe udokotela.
Esikhathini esiningi, lokhu akulona uphawu lokuthi kukhona into engathi sína. Kodwa-ke, kwabesifazane abangaba yi-10 kwabayi-100, kungaba uphawu lokuqala lomdlavuza wesibeletho. Yingakho sithi, "O, kuyinto encane nje," futhi ungakushayi indiva, futhi nakanjani bonana nodokotela wakho .
Kungani lokhu kwenzeka? Ake sibheke izizathu eziyinhloko.
Kunezizathu eziningana ezingathinta lokhu. Ezinye zilula kakhulu futhi akukho okufanele sikhathazeke ngakho. Ezinye ziyizizathu okufanele sikhathazeke ngazo kancane. Ake sibheke kabanzi ukuthi ziyini lezi zizathu.
| Imbangela | Kalula nje, yilokhu okwenzekayo. |
|---|---|
| Ukuwohloka kwesitho sangasese sowesifazane | Lena yimbangela evame kakhulu. Ngemva kokunqamuka kokuya esikhathini, i-hormone ye-estrogen yomzimba iyancipha. Lokhu kubangela ukuthi izindonga zesitho sangasese sowesifazane zibe zincane futhi zome. Bese kuthi, ngisho nento encane kakhulu ingabangela ukopha. |
| Ama-polyp esibeletho | Lezi yizimila ezincane, ezingenawo umdlavuza (akukho okufanele ukhathazeke ngazo) ezakheka odongeni lwesibeletho. Lezi zimila ezinenyama ngezinye izikhathi zingaphuma igazi. |
| Ukuqina kodonga lwesibeletho (i-endometrial hyperplasia) | Uma i-hormone ye-estrogen yomzimba ikhula futhi i-hormone ye-progesterone incipha, ulwelwesi lwesibeletho (i-endometrium) luba lujiyile kakhulu. Lokhu kungabangela nokopha. Ngezinye izikhathi, uma kungelashwa, kungaphenduka umdlavuza. |
| Ukwelashwa kokufaka esikhundleni sama-hormone (HRT) | Abanye abantu bathatha amaphilisi ama-hormone ukuze babhekane nokungakhululeki kokunqamuka kokuya esikhathini. Lezi zinhlobo zama-hormone zingabangela ukopha uma umthamo ushintshwa noma uyekwa. |
| Umdlavuza wesibeletho | Lesi yisona sizathu esesaba kakhulu. Uma kukhona umdlavuza olwelwesini lwesibeletho, uphawu oluyinhloko nolokuqala ukopha kanje. Ezimweni eziningi, uma lokhu kutholakala kusenesikhathi, kungelapheka ngokuphelele. |
Ngaphezu kwalezi zizathu eziyinhloko, kunezinye izizathu eziningana ezingavamile:
- Umdlavuza womlomo wesibeletho: Ngenxa yesimo somdlavuza somlomo wesibeletho.
- Ukutheleleka/Ukuvuvukala Kwesibeletho (i-Cervicitis): Ngenxa yokutheleleka endaweni yesibeletho.
- Ukulimala kwesitho sangasese sowesifazane: Ukulimala kwesitho sangasese sowesifazane ngenxa yengozi noma esinye isizathu.
- Ukopha okuvela kwezinye izitho zomzimba: Ngezinye izikhathi igazi elivela esinyeni noma endukwini lingaphambaniswa nelivela esithweni sangasese sowesifazane.
Ubani osengozini enkulu yalesi simo?
Nakuba ukopha ngemva kokunqamuka kokuya esikhathini kungenzeka kunoma ubani, abanye abantu banamathuba amaningi okuthuthukisa izimbangela eziyinhloko (ikakhulukazi umdlavuza wesibeletho kanye nokuqina kodonga lwesibeletho). Lezi zici eziyingozi yilezi:
- Ukukhuluphala: Lapho amafutha omzimba enyuka, amazinga e-estrogen hormone ayanda.
- Ukubhema.
- Ukuba nesifo sikashukela noma isifo se-thyroid.
- Ukuba ne-polycystic ovary syndrome (PCOS).
- Ukunqamuka kokuya esikhathini sekwephuzile: (ngokuvamile kwenzeka ngemva kweminyaka engu-51).
Udokotela uthola kanjani imbangela?
Uma uya kudokotela, uzokubuza imibuzo embalwa. Isikhathi sakho sokuya esikhathini siyeke nini, imiphi imithi oyiphuzayo, nokuthi unazo yini ezinye izimo zezokwelapha. Ngemuva kwalokho, bangenza okukodwa noma ngaphezulu kwalokhu kuhlolwa ukuze bathole imbangela eqondile.
1. Ukuhlolwa kwe-pelvic: Udokotela uzohlola isitho sakho sangasese sowesifazane kanye nomlomo wesibeletho.
2. I-Pap smear: Kuthathwa isampula encane yamaseli emlonyeni wesibeletho bese kuhlolwa amaseli angajwayelekile.
3. I-ultrasound ye-transvaginal: Lokhu kuhilela ukufaka ithuluzi elincane ngesitho sangasese sowesifazane ukuze kuthathwe izithombe ezicacile zesibeletho nama-ovari. Lokhu kungasiza ekunqumeni ukujiya kodonga lwesibeletho nokuthi ngabe kukhona yini ama-polyp esibeletho.
4. I-biopsy ye-endometrial: Kuthathwa ingxenye encane yezicubu olwelwesini lwesibeletho bese ihlolwa ngaphansi kwe-microscope ukuze kuhlolwe amangqamuzana omdlavuza noma ezinye izinkinga. Lokhu ngokuvamile kuyinqubo encane engenziwa emtholampilo.
Yiziphi izindlela zokwelapha lokhu?
Ukwelashwa kuncike embangeni yokopha kwakho, yingakho kubalulekile ukuthola imbangela eqondile kuqala.
Ukwelashwa ngemithi
- Ama-antibiotic: Uma ukopha kubangelwa ukutheleleka, kunikezwa ama-antibiotic.
- I-estrogen: Uma ukopha kubangelwa ukuncipha kokuqina kwesitho sangasese sowesifazane, kunikezwa okhilimu abaqukethe i-estrogen, amaphilisi, noma amadivayisi amancane (izindandatho) afakwa esitho sangasese sowesifazane.
- I-Progestin: Le hormone inikezwa ukwelapha i-endometrial hyperplasia. Inganikezwa njengephilisi, umjovo, ukhilimu, noma idivayisi yangaphakathi kwesibeletho (i-IUD).
Ukuhlinzwa nezinye izinqubo
- I-Hysteroscopy: Ipayipi elincane elinekhamera lifakwa ngesitho sangasese sowesifazane liye esibelethweni ukuze kuhlolwe ingaphakathi. Uma kukhona okumilayo (ama-polyp), angasuswa ngesikhathi esifanayo.
- Ukwanda Nokuchelela (D&C): Lokhu kuvame ukubizwa ngokuthi "ukuhlanza isibeletho." Umlomo wesibeletho unwebeka kancane bese ulwelwesi lwesibeletho kanye nokuqukethwe kwalo kususwa.
- Ukususwa kwesisu: Uma umdlavuza wesibeletho uqinisekisiwe, isibeletho kanye nomlomo wesibeletho kuzodingeka kususwe ngokuhlinzwa.
- I-ultrasound yokufaka usawoti:Lokhu futhi kuyiskeni. Lapha, isixazululo sikasawoti sigcwaliswa esibelethweni futhi iskeni sivumela umbono ocacile wanoma yikuphi ukukhubazeka okungaphakathi.
Kufanele ngimbone nini udokotela?
Kukhona impendulo eyodwa kuphela kulo mbuzo.
Uma uzwa ukopha kwesitho sangasese sowesifazane , noma ngabe kungosuku olulodwa noma ukubonakala okuncane, ngemva konyaka ogcwele (izinyanga ezingu-12) zokuya esikhathini kwakho kwanyanga zonke, bona udokotela wakho ngokushesha.
Ungakhathazeki. Esikhathini esiningi, lokhu kungaba ngenxa yesizathu esilula. Kodwa udokotela kuphela onganquma ukuthi kuyinto engathi sína noma cha. Ngakho-ke, uma uhlangabezana nento efana nale, ungayizibi. Nakekela impilo yakho.
Umlayezo Wokuya Nawe Ekhaya
- Ngemva kokunqamuka kokuya esikhathini, okusho ukuthi ngemva konyaka uqeda ukuya esikhathini, ukuphuma kwegazi esithweni sangasese sowesifazane akukaze kube yinto evamile.
- Uma lokhu kuyindawo encane, noma ngabe kwenzeka kanye , qiniseka ukuthi ubona udokotela.
- Ngokuvamile, lokhu kungabangelwa yisimo esingesibi kangako (njengokuncipha kwesitho sangasese sowesifazane noma i-thrush).
- Nokho, kuyingozi ukungakunaki lokhu, njengoba kungavamile ukuba uphawu lokuqala lomdlavuza wesibeletho.
- Izimo eziningi ezingathi sína zingavinjelwa noma zelapheke ngokuphelele ngokubona imbangela kusenesikhathi bese uyelapha.
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