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Okudingeka ukwazi ngokuphuma kwegazi okungavamile kwesitho sangasese sowesifazane

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📅 Updated: Jul 16, 2026 • ⏱ 6 min read • Inqubomgomo yokuhlela
Okudingeka ukwazi ngokuphuma kwegazi okungavamile kwesitho sangasese sowesifazane
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Kuyesabeka kancane ukubona ithonsi legazi liphuma esithweni sakho sangasese ngosuku ongasayi esikhathini ngalo, akunjalo? Kuvamile ukuzibuza, 'Kuyini lokhu?' Esikhathini esiningi, lokhu akusikho okufanele ukhathazeke ngakho. Kodwa-ke, ngezinye izikhathi kungaba uphawu lokuthi kukhona okungahambi kahle emzimbeni wakho. Ngakho-ke namuhla, ake sixoxe ngalolu hlobo lokopha okwenzeka ngaphandle kwesikhathi sakho esivamile. Lesi yisihloko okufanele wena, njengowesifazane, niqaphele ngaso.

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Kuyini lokhu kuphuma kwegazi okungajwayelekile?

Kalula nje, noma yikuphi ukuphuma kwegazi esithweni sangasese sowesifazane okwenzeka ngaphandle komjikelezo wakho ojwayelekile wokuya esikhathini noma esikhathini kuwela kulesi sigaba. Kwabanye, lokhu kungaba amaconsi ambalwa egazi (ukubona amabala). Kwabanye, kungaba nzima njengokuya esikhathini okuvamile.

Cabanga ukuthi ukuya esikhathini kwakho kufana nebhasi elifika ngesikhathi esijwayelekile kanye ngenyanga. Khona-ke lokhu kuphuma kwegazi okungavamile kufana nebhasi elinamasondo amathathu elifika ngokuzumayo ngesikhathi esingalindelekile, ngosuku lapho lelo bhasi lingafiki. Akunakwenzeka ukusho ukuthi lifika nini ngqo, futhi inani elifikayo lingahluka. Ngezinye izikhathi, ezinye izimpawu, njengobuhlungu besisu esingezansi, zingavela kanye nalokhu.

Ubani onamathuba amaningi okuba nalolu hlobo lwesimo?

Eqinisweni, lesi simo singaba khona kwabesifazane banoma yimuphi ubudala, kodwa sivame kakhulu kula maqembu amabili:

  • Amantombazane amancane asanda kungena ebusheni: Lolu hlobo lokopha okungajwayelekile lungase lwenzeke ezigabeni zokuqala zomjikelezo wawo wokuya esikhathini kuze kube yilapho umsebenzi wawo wama-hormone uzinza.
  • Abesifazane abasondela ekunqamukeni kokuya esikhathini (Perimenopause): Izinguquko zama-hormone zenzeka eminyakeni engaphambi kokuba ukuya esikhathini kuphele ngokuphelele. Lokhu kungabangela izinguquko esikhathini esiphakathi kokuya esikhathini, ukuphuthelwa ezinye izinyanga, kanye nokopha okungavamile.

Yiziphi izimbangela eziyinhloko zokopha okungavamile?

Kunezimbangela eziningi ezingaba khona zalokhu. Yingakho kubalulekile ukuphenya lokhu ngokucophelela uma ubona into efana nale. Ake sibheke izigaba eziyinhloko zezimbangela.

Isigaba sesizathu Incazelo nezibonelo
Izimo Zezokwelapha
  • Izimo zomdlavuza ezenzeka esibelethweni, emlonyeni wesibeletho, noma emaqanda.
  • Izinhlobo ezivamile zezimila ezenzeka esibelethweni (uterine fibroids) .
  • I-Adenomyosis ukukhula kwamaseli olwelwesi lwesibeletho odongeni lwesibeletho.
  • Ama-polyp esibelethweni noma emlonyeni wesibeletho.
  • Ukungasebenzi kahle kwe-thyroid (i-Hypothyroidism) .
  • Izinkinga zokopha .
  • I-cervicitis enzima .
Amathonya Ama-hormone
  • Ukuvuthwa okungalungile.
  • Imiphumela emibi ebangelwa ukusetshenziswa kwamaphilisi okuvimbela inzalo noma eminye imithi yamahomoni.
  • I-Polycystic Ovary Syndrome (PCOS) .
    • Izinkinga Zokukhulelwa
  • Ukukhulelwa kwesisu .
  • Ukuphazamiseka kwe-placenta .
  • I-placenta previa yisimo lapho i-placenta iphansi, eduze komlomo wesibeletho.
  • Ukuphuphuma kwesisu .
  • Ukubeletha ngaphambi kwesikhathi .
    • Ezinye Izimbangela
  • Izindlela zokuvimbela inzalo njengedivayisi yangaphakathi kwesibeletho (i-IUD) .
  • Ukutheleleka kwesitho sangasese sowesifazane noma kwendlela yomchamo, okuhlanganisa nezifo ezithathelwana ngocansi (ama-STI) .
  • Noma yikuphi ukulimala kwesitho sangasese sowesifazane.
  • Ngemva kwenqubo yezokwelapha efana nokuhlolwa kwegazi .

    • Ingabe ukucindezeleka nakho kungaba imbangela yalokhu?

    Yebo, impela. Ukucindezeleka ngokweqile kuthinta ngqo ibhalansi yamahomoni emzimbeni wethu. Lokhu kungabangela ukuthi umjikelezo wakho wokuya esikhathini ungajwayelekile futhi kubangele ukopha okungajwayelekile kanje.

    Udokotela usithola kanjani lesi sifo?

    Uma uya kudokotela, uzoqala ngokukubuza ngezimpawu zakho kanye nomlando wempilo yakho. Kubaluleke kakhulu ukunikeza ulwazi oluqotho ngalesi sikhathi, ngaphandle kokufihla lutho.

    Kungaba usizo kakhulu kudokotela uma ungagcina idayari yomjikelezo wakho wokuya esikhathini. Bhala phansi izinto ezifana nokuthi isikhathi sakho sokuya esikhathini saqala nini, ukuthi kwathatha izinsuku ezingaki, ukuthi wopha kangakanani, nokuthi yiziphi izinsuku owaphuma ngazo igazi ngendlela engavamile.

    Udokotela angase akubuze imibuzo efana nale:

    • Kuqale nini ukopha kanje?
    • Lokhu kufana kanjani nokuya esikhathini kwakho okuvamile?
    • Uyaphuma igazi ngemva kocansi?
    • Mangaki ama-pad owamanzisa ngosuku?
    • Ingabe ikhona imithi ekhethekile oyithathayo?
    • Ucabanga ukuthi kungenzeka ukuthi ukhulelwe?

    Ngaphezu kwale mibuzo, izivivinyo ezilandelayo zingase zilandelwe ukusiza ukuthola imbangela:

    • Ukuhlolwa kwe-Pap
    • Ukuhlolwa komchamo
    • Ukuhlolwa kwegazi ukuhlola amazinga e-hormone ye-thyroid
    • Inani Eliphelele Legazi (i-CBC)
    • Ukuhlolwa kokukhulelwa
    • Ukuskena nge-ultrasound
    • Mhlawumbe i-MRI scan noma ukuhlolwa okufana ne-hysteroscopy ehlola isibeletho.

    Yiziphi izindlela zokwelapha lokhu?

    Ukwelashwa kuncike embangeni yokopha kwakho, eminyakeni yakho, nokuthi uhlela ukuba nabantwana yini esikhathini esizayo. Uma imbangela kuwukungalingani kwama-hormone, kungenzeka ukuthi uyilawule ngokushintsha indlela yokuphila, njengokudla ukudla okunempilo nokunciphisa ukucindezeleka.

    Kwezinye izimo, imithi noma ukuhlinzwa kungadingeka.

    Indlela yokwelapha Incazelo
    Imithi
    • Ukulawula umjikelezo wokuya esikhathini ngokusebenzisa amaphilisi okuvimbela inzalo, ama-patches, noma amaringi aqukethe ama-hormone.
    • I-IUD (i-IUD) ye-hormone inganciphisa noma imise ukopha.
    • Imithi efana ne- Tranexamic acid yokuvimba ukopha okukhulu.
    • Ama-NSAID anjenge-ibuprofen ukulawula ubuhlungu nokopha ngokweqile.
    • Ama-antibiotic uma kungenxa yokutheleleka(Ama-antibiotic).
    Ukwelashwa Kokuhlinzwa
  • Ukususwa kwe-endometrial: Ukususa ulwelwesi lwesibeletho ukuze kumiswe ukuphuma kwegazi.
  • I-D&C (ukukhulisa nokukhulula izicubu): Ukususwa kwezicubu esibelethweni.
  • I-Myomectomy: Ukususwa kwama-fibroids kuphela ngaphandle kokulimaza isibeletho.
  • Ukususwa kwesibeletho: Ukususwa kwesibeletho ngokuphelele uma ezinye izindlela zokwelapha zehlulekile noma uma kunomdlavuza.

    • Kunini lapho kufanele ufune khona iseluleko sezokwelapha ngokushesha?

    Nakuba lesi simo ngokuvamile singasongeli impilo, uma unezinye zezimpawu ezilandelayo, sicela ubonane nodokotela ngokushesha.

    • Ushintsho oluzumayo endleleni ejwayelekile yokuya esikhathini (isikhathi esiphakathi kwezinyanga ezimbili siba sifushane kakhulu noma sibe side kakhulu).
    • Inani lokulahlekelwa igazi ngesikhathi sokuya esikhathini lingaphezulu kakhulu noma lingaphansi kakhulu kunejwayelekile.
    • Uma uhlala uphuma igazi ngemva kocansi.
    • Kulungile ukuba nokopha okuncane ngaphambi kokuthomba noma ngemva kokunqamuka kokuya esikhathini (ngemva kokuba isikhathi sakho sesiphelile ngokuphelele).
    • Uma ubona ukopha okuncane noma okukhulu ngesikhathi sokukhulelwa .
    • Uma ukuphuma kwegazi kuhambisana nomkhuhlane omkhulu, ukuquleka, ubuthakathaka, noma ubuhlungu obukhulu esiswini esingezansi.

    Khumbula, ikakhulukazi uma wopha kakhulu kangangokuthi kufanele ushintshe iphedi njalo ngehora, ube nobunzima bokuphefumula, noma uzizwa uphelelwe amandla kakhulu, hamba ngokushesha eMnyangweni Wezimo Eziphuthumayo (ETU) .

    Umlayezo Wokuya Nawe Ekhaya

    • Qaphela noma yikuphi ukuphuma kwegazi okwenzeka ngaphandle kwesikhathi sakho esivamile sokuya esikhathini.
    • Kungaba nezizathu eziningi zalokhu. Akuyona into engathi sína ngaso sonke isikhathi, kodwa ungayinaki.
    • Esikhundleni sokwesaba izizathu zakho noma ukufuna imithi ku-inthanethi, qiniseka ukuthi ubona udokotela ofanelekayo futhi ucele iseluleko.
    • Ukubhala phansi umjikelezo wakho wokuya esikhathini kuyasiza kakhulu ekuxilongweni.
    • Ikakhulukazi, noma yikuphi ukuphuma kwegazi okwenzeka ngemva kokunqamuka kokuya esikhathini noma ngesikhathi sokukhulelwa kufanele kuhlolwe ngokushesha.
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    Ingabe ukucindezeleka nakho kungaba imbangela yalokhu?

    Yebo, impela. Ukucindezeleka ngokweqile kuthinta ngqo ibhalansi yamahomoni emzimbeni wethu. Lokhu kungabangela ukuthi umjikelezo wakho wokuya esikhathini ungajwayelekile futhi kubangele ukopha okungajwayelekile kanje.

    🔍 Search Keywords: vaginal bleeding • vaginal bleeding symptoms • vaginal bleeding causes and treatment • vaginal bleeding sri lanka • Okudingeka ukwazi ngokuphuma kwegazi okungavamile kwesitho sangasese sowesifazane

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