Abesifazane abaningi, ikakhulukazi njengoba besondela noma bedlula esikhathini sokuya esikhathini, baqala ukuzwa ukungakhululeki okuhlukahlukene okuhlobene nesitho sangasese sowesifazane. Cabanga ngakho, isitho sangasese sowesifazane siba somile, silume njalo, futhi sibuhlungu ngesikhathi socansi. Abantu abaningi bacabanga ukuthi kuyadumaza futhi kuyacasula ukukhuluma ngalezi zinto obala. Kodwa empeleni, lesi yisimo esivamile, esivamile kakhulu kwabesifazane abaningi. Ngakho-ke lokhu akuyona into okufanele uyibekezelele futhi uyihluphe. Yilokhu esikhuluma ngakho namuhla.
Kalula nje, kuyini ukuwohloka kwesitho sangasese sowesifazane?
Kalula nje, i-Vaginal Atrophy yisimo lapho ulwelwesi lwesitho sakho sangasese sowesifazane luba lomile futhi lube luncane. Isizathu esiyinhloko salokhu ukwehla kwe-hormone i-estrogen emzimbeni. I-estrogen iyi-hormone ebaluleke kakhulu emzimbeni wesifazane. Yiyona egcina isitho sangasese sowesifazane simanzi, sinwebeka, futhi sinempilo. Ifana nomswakama wesikhumba sethu.
Ngokunqamuka kokuya esikhathini, amazinga e-estrogen emzimbeni ehla kakhulu ngokwemvelo. Ulwelwesi lwesitho sangasese sowesifazane luba luncane, lome, futhi lonakale kalula.
Odokotela manje basebenzisa igama elisha lalesi simo. Yi- Genitourinary Syndrome of Menopause (GSM) . Isizathu sokusebenzisa leli gama ukuthi lesi simo asithinti nje kuphela isitho sangasese sowesifazane, kodwa futhi nesistimu yomchamo. Lokhu kusho ukuthi izinto ezifana nokutheleleka komgudu womchamo kanye nokutheleleka komgudu womchamo nazo zihlotshaniswa nalokhu.
Sivame kangakanani lesi simo?
Kuvamile kakhulu kunalokho ocabanga. Ucwaningo luthole ukuthi okungenani owesifazane oyedwa kwababili odlula esikhathini sokunqamuka kokuya esikhathini uzobhekana nohlobo oluthile lwalezi zimpawu. Ngokuvamile, uphawu lokuqala ukoma kwesitho sangasese sowesifazane. Kubonakala kakhulu ngesikhathi socansi. Ngakho-ke uma uzizwa uwedwa, khumbula ukuthi baningi abanye abadlula kulesi simo.
Yiziphi izimpawu eziyinhloko zalokhu?
I-GSM ingabangela izimpawu ezihlobene nesitho sangasese sowesifazane kanye nesistimu yomchamo. Ukuze uziqonde kahle lezi zimpawu, bheka ithebula elingezansi.
| Uhlobo lwesibonakaliso | Incazelo |
|---|---|
| Izimpawu zesitho sangasese sowesifazane |
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| Izimpawu ezihlobene nohlelo lomchamo |
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Kungani lokhu kwenzeka? Yiziphi izinto ezibangela ingozi?
Njengoba sesixoxile ngaphambili, imbangela eyinhloko ukwehla kwe-hormone i-estrogen . Ukunqamuka kokuya esikhathini kuyimbangela eyinhloko yalokhu. Kodwa-ke, kunezinye izizathu ezenza i-estrogen inciphe.
- Ukwelashwa komdlavuza: Eminye imithi yokulwa nomdlavuza, imisebe, noma i-chemotherapy inganciphisa ukusebenza kwama-ovari futhi inciphise ukukhiqizwa kwe-estrogen.
- Ukususwa kwama-ovari: Uma ama-ovari esusiwe, ukukhiqizwa kwe-estrogen kuyayeka futhi izimpawu zokunqamuka kokuya esikhathini zivele ngokuzumayo.
- Imithi ethile: Lesi simo singabangelwa nangamaphilisi athile okuvimbela inzalo noma imithi elwa ne-estrogen (isib. i-Tamoxifen).
- Ukuncelisa: Phakathi nalesi sikhathi, amazinga e-estrogen emzimbeni aphansi okwesikhashana.
- Ukubhema: Abesifazane ababhemayo bangase babe namazinga aphansi e-estrogen, futhi basengozini yokunqamuka kokuya esikhathini ngaphambi kwesikhathi.
- Ukwehla komsebenzi wocansi: Lokhu kungase kuzwakale kumangalisa, kodwa kuyiqiniso. Umsebenzi wocansi ovamile wandisa ukugeleza kwegazi esithweni sangasese sowesifazane. Njengoba nje ukuzivocavoca kwandisa ukugeleza kwegazi emisipheni yethu. Lokhu kugeleza kwegazi okwandisiwe kugcina izicubu zesitho sangasese sowesifazane ziphilile futhi ziguquguquka. Lapho umsebenzi wocansi uyeka noma wehla, le nzuzo iyalahleka, futhi ukoma nokuwohloka kungenzeka ngokushesha.
Yiziphi izinkinga ezingaba khona ngenxa yalesi simo?
Lesi akusona isifo esisongela impilo. Kodwa-ke, singathinta ikhwalithi yempilo yakho.Kungaba nomthelela omkhulu.
Ukuluma njalo, ukusha, kanye nezinkinga zomchamo kungenza kube nzima ngisho nokwenza imisebenzi yakho yansuku zonke. Ungase ungakwazi ukulala kahle ebusuku. Futhi, kungathinta ubuhlobo bakho nomlingani wakho, njengoba kungaba buhlungu ngesikhathi socansi.
Lokhu kungakhululeki ngokomzimba nakho kungakuthinta ngokwengqondo. Ungase ubhekane nezinto ezifana nokulahlekelwa isithakazelo ocansini kanye nokulahlekelwa ukuzethemba. Yonke le mizwa ivamile kakhulu. Into ebaluleke kakhulu ukukhuluma nodokotela wakho ngalokhu bese ucela usizo.
Udokotela uhlonza kanjani lokhu?
Udokotela ngokuvamile angaxilonga lesi simo ngokulalela izimpawu zakho nokwenza ukuhlolwa ngokomzimba (ukuhlolwa kwe-pelvic). Phakathi nalokhu kuhlolwa, udokotela uzohlola isitho sakho sangasese sowesifazane kanye nomlomo wesibeletho. Ungase ubone izimpawu ezinjengalezi:
- Isitho sangasese sowesifazane esifinyeziwe noma esinciphile
- Ukoma, ukubomvu, nokuvuvukala okuncane
- Ukuncipha kokunwebeka kwezicubu
- Umbala okhanyayo ngaphakathi kwesitho sangasese sowesifazane
- Imihuzuko emincane noma imifantu eduze komgodi wesitho sangasese sowesifazane
Ngezinye izikhathi, udokotela angase enze nokuhlolwa okuthile ukuqinisekisa ukuthi azikho ezinye izimo zezokwelapha, njenge:
- Ukuhlolwa kwe-Pap: Kuhlola ukukhubazeka kwamangqamuzana omlomo wesibeletho.
- Isampula yomchamo: Hlola ukutheleleka komgudu womchamo.
- Iskeni se-Ultrasound: Hlola isibeletho nama-ovari.
- Ukulinganisa ubumuncu besitho sangasese sowesifazane (i-pH yesitho sangasese sowesifazane).
Kungaba nzima futhi kube namahloni ukukhuluma nodokotela ngalezi zinto. Kodwa kuyinto evamile. Sicela ungesabi noma ungabi namahloni. Lesi yisimo esithinta abesifazane abaningi. Futhi kunezindlela zokwelapha eziphumelela kakhulu. Udokotela wakho ulapha ukuzokusiza.
Yiziphi izindlela zokwelapha?
Kunezindlela eziningana zokwelapha lokhu. Kuye ngohlobo kanye nobukhali bezimpawu zakho, udokotela wakho uzonquma ukuthi yikuphi ukwelashwa okungcono kakhulu kuwe.
Ukwelashwa ngama-hormone
Lezi izindlela zokwelapha eziphumelela kakhulu kulesi simo.
- I-Estrogen Engaphandle: Lokhu kuhilela ukufaka umthamo ophansi we-estrogen ngqo esithweni sangasese sowesifazane. Lokhu kuqinisekisa ukuthi yizicubu ezisesandleni sangasese sowesifazane kuphela ezithola i-estrogen. Ngakho-ke, amazinga e-estrogen emzimbeni wonke awakhuphuki kakhulu. Lokhu kuza ngezindlela ezintathu:
- Ukhilimu (ukhilimu we-estrogen wesitho sangasese sowesifazane):Ifakwa esithweni sangasese sowesifazane kusetshenziswa i-applicator ekhethekile.
- Iphilisi lesitho sangasese sowesifazane: Lifakwa esitho sangasese sowesifazane kusetshenziswa i-applicator.
- Indandatho yesitho sangasese sowesifazane: Indandatho egobekayo efakwa esitho sangasese sowesifazane ngudokotela. Ikhipha i-estrogen kancane kancane esikhathini esiyizinyanga ezintathu.
- Ukwelashwa Kokushintsha Ama-hormone Ohlelo (HRT): Uma unezinye izimpawu ezinzima zokunqamuka kokuya esikhathini (njengokushisa okukhulu) ngaphezu kokoma kwesitho sangasese sowesifazane, udokotela wakho angase akuncome lokhu kwelashwa. Kuza ngesimo samaphilisi, ama-patches, noma ama-gel. Kuhlinzeka nge-estrogen kuwo wonke umzimba wakho.
Ukwelashwa Okungewona ama-hormone
Abanye besifazane abakwazi ukuthatha ukwelashwa ngama-hormone (isibonelo, labo abanomlando womdlavuza). Kulabo besifazane noma labo abangafuni ukwelashwa ngama-hormone, lezi zindlela zingasetshenziswa.
| Indlela yokwelapha | Incazelo |
|---|---|
| Izinto Zokugcoba Nezisusa Umswakama | Ungazithenga ekhemisi. Izithambisi zisetshenziselwa ukunciphisa ubuhlungu ngesikhathi socansi. Izithambisi zingasetshenziswa nsuku zonke noma njalo ezinsukwini ezimbili kuya kwezintathu ukuze kugcinwe umswakama esithweni sangasese sowesifazane. Abanye abantu basebenzisa namafutha emvelo afana namafutha omnqumo namafutha kakhukhunathi. |
| Ukwelashwa Nge-Laser | Lokhu kuyindlela entsha yokwelapha esebenzisa ukukhanya kwe-CO2 laser ukuze kukhuliswe kabusha izicubu zesitho sangasese sowesifazane. Kodwa-ke, imiphumela yesikhathi eside isacwaningwa. |
| I-Dilators | Lawa amadivayisi asetshenziselwa ukwandisa nokwelula kancane kancane isitho sangasese sowesifazane, kuqala ngobukhulu obuncane bese kancane kancane kudlulela kobukhulu obukhulu. |
| I-Ospemifene (Osphena®) | Leli iphilisi lansuku zonke. Alinawo ama-estrogen, kodwa lisebenza njenge-estrogen ukunciphisa ukoma kwesitho sangasese sowesifazane. |
Ingabe lesi simo singavinjelwa ukuthi singabi sibi kakhulu?
Njengoba ukwehla kwe-estrogen kuyingxenye yemvelo yokuguga, akunakwenzeka ukuvimbela lesi simo ngokuphelele. Kodwa-ke, kunezinto ongazenza ukuze ulawule ubukhali baso.
- Gwema izinto ezicasulayo: Gwema ukusebenzisa insipho enephunga elimnandi, ama-shampoo, izihlanzi, kanye neziqholo endaweni yesitho sangasese sowesifazane. Lokhu kungacasula isikhumba esibucayi sesitho sangasese sowesifazane.
- Ungafaki i-douche: Gwema ukugeza ingaphakathi lesitho sangasese ...
- Ucansi oluvamile: Njengoba sixoxile ngaphambili, ucansi oluvamile (noma umlingani noma ungenaye) kwandisa ukugeleza kwegazi esithweni sangasese sowesifazane, okusiza ukugcina izicubu ziphilile.
Kufanele ubonane nini nodokotela wakho?
Ngisho noma ungesiye esikhathini sokuya esikhathini, uma uzwa ukoma kwesitho sangasese sowesifazane, ubuhlungu, ukulunywa, ukusha, ukopha noma ukuphuma kwegazi okungavamile, noma izinkinga zomchamo, qiniseka ukuthi ubona udokotela.
Uma uthenga i-moisturizer ekhemisi bese uyisebenzisa amasonto ambalwa kodwa akukho mehluko, leso futhi yisizathu esihle sokutshela udokotela.
Kalula nje, khuluma nodokotela wakho nganoma yiziphi izimpawu ezikukhathazayo noma ezithinta impilo yakho yansuku zonke. Ungalokothi uzishaye indiva.
Umlayezo Wokuya Nawe Ekhaya
- I-Vaginal Atrophy (GSM) yisimo esivame kakhulu esenzeka ngesikhathi sokunqamuka kokuya esikhathini. Akuwena wedwa obhekene nalokhu.
- Ungabekezeleli lobu buhlungu ngenxa yamahloni noma ukuphoxeka. Kunezindlela zokwelapha ezisebenza kahle futhi eziphephile zalokhu.
- Uma unokoma kwesitho sangasese sowesifazane, ukulunywa, ubuhlungu, noma izinkinga zomchamo, qiniseka ukuthi ukhuluma ngokukhululekile nodokotela wakho.
- Ngokwelashwa okufanele, ungakugwema lokhu kungakhululeki futhi uphile impilo yakho ngenjabulo nangokunethezeka.
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