Ukoma kwesitho sangasese sowesifazane kuyinkinga abesifazane abaningi abanamahloni okukhuluma ngayo, kodwa kunomthelela omkhulu empilweni yabo. Namuhla, sizokhuluma ngokukhululekile ngalokhu kungakhululeki okungazwakala hhayi ngesikhathi socansi kuphela, kodwa nalapho umi nje, uhleli, uhamba, futhi ugqoke izingubo zangaphansi. Ungacabangi ukuthi lokhu kuyinto eyenzeka kuwe kuphela, lesi yisimo esivamile kakhulu. Ngakho-ke asikho isizathu sokwesaba noma sokuba namahloni.
Kuyini ukoma kwesitho sangasese sowesifazane?
Kalula nje, ukuze siqonde lokhu, sidinga kuqala ukuqonda ukuthi isitho sangasese sowesifazane sisebenza kanjani ngokujwayelekile. Izindonga zesitho sangasese sowesifazane esinempilo zihlala zimanzi ngoketshezi oluncane nolumanzi, olujiyile futhi olunwebeka kancane. Kufana kakhulu namathe emilonyeni yethu. Lo mswakama wemvelo, noma ukuthambisa, yikho okugcina izicubu zesitho sangasese sowesifazane ziphilile futhi zikhululekile.
Kodwa uma kuvela ukoma kwesitho sangasese sowesifazane, lesi sikhumba siba somile, sibe sincane, futhi silahlekelwe umswakama. Lokhu kubangela ukungakhululeki nobuhlungu kuleyo ndawo, ikakhulukazi ngesikhathi socansi.
Kungani lokhu kwenzeka? Yiziphi izizathu zalokhu?
Imbangela eyinhloko nevame kakhulu yalokhu ukwehla kwe-hormone i-estrogen emzimbeni . I-estrogen iyi-hormone ebaluleke kakhulu emzimbeni wesifazane. Le hormone isiza ukugcina izindonga zesitho sangasese sowesifazane ziphilile, zijiyile futhi zimanzi.
Njengoba siguga, ikakhulukazi ngesikhathi sokunqamuka kokuya esikhathini nangemva kokunqamuka kokuya esikhathini , amazinga e-estrogen ayancipha ngokwemvelo. Lena yimbangela eyinhloko yokoma kwesitho sangasese sowesifazane. Ngokwezokwelapha, lesi simo sibizwa ngokuthi i-Vaginal Atrophy .
Kodwa akukhona nje ukunqamuka kokuya esikhathini, kunezinye izizathu eziningi ezingathinta lokhu.
| Isizathu sokoma | Incazelo elula |
|---|---|
| Ukuncelisa ibele nokubeletha | Izinguquko zama-hormone phakathi nalesi sikhathi zinganciphisa amazinga e-estrogen okwesikhashana. |
| Ezinye izindlela zokuvimbela inzalo | Lesi simo singase senzeke kwabanye besifazane, ikakhulukazi ngenxa yamaphilisi okuvimbela inzalo noma ezinye izindlela eziqukethe ama-hormone. |
| Ukwelashwa komdlavuza | Izinto ezifana ne-chemotherapy kanye nokwelashwa ngama-hormone zingathinta amazinga e-estrogen. |
| Isifo sikashukela | Imiphumela yesifo sikashukela emizweni nasemithanjeni yegazi ingathinta nomswakama wesitho sangasese sowesifazane. |
| Eminye imithi | Eminye imithi yokucindezeleka, ama-antihistamine okwelapha ukungezwani komzimba, kanye nemithi yezimo ezifana ne-endometriosis kungabangela ukoma. |
| Ukususwa kwama-ovari (ukuhlinzwa kokususa ama-ovari) | Ama-ovari akhiqiza i-estrogen eningi kakhulu. Uma esuswa, amazinga e-estrogen ehla kakhulu. |
| Isifo SikaSjögren | Lesi yisifo sokuzivikela komzimba esithinta izindlala ezikhiqiza umswakama emzimbeni. Lokhu kubangela ukoma emlonyeni, emehlweni, kanye nangasese. |
| Insipho Enephunga Elimnandi Nokusula Isikhumba | Insipho enephunga elimnandi, ukugeza umzimba, izifutho ezahlukahlukene, kanye nokugeza kungaphazamisa ibhalansi yemvelo yesitho sangasese sowesifazane futhi kubangele ukoma. |
| Ukuntuleka kokukhuthazwa ngokocansi | Uma ungatholi ukukhuthazwa okwanele ngaphambi kocansi, ukukhiqizwa kwamafutha okugcoba emvelo kuzoncipha. |
Ziyini izimpawu zalesi simo?
Izimpawu eziyinhloko zokoma kwesitho sangasese sowesifazane ubuhlungu nokungakhululeki, kodwa kungaba nezinye izimpawu eziningana.
- Ukuvuvukala nokulunywa: Umuzwa wokushisa noma wokulunywa esithweni sangasese sowesifazane nasendaweni ezungezile (i-vulva).
- Ukopha okuncane ngemva kocansi: Izindonga zesitho sangasese sowesifazane ezomile nezincane zingalimala kancane ngenxa yokungqubuzana okubangelwa ngesikhathi socansi, futhi ngisho nokuklwebheka okuncane kungabangela ukopha.
- Ukutheleleka okuvamile komgudu womchamo (UTIs) noma ukutheleleka kwemvubelo: Uhlelo lokuzivikela lwemvelo lwesitho sangasese sowesifazane lubuthakathaka, okwenza kube lula ukuthi sihlaselwe ukutheleleka.
- Ukudinga njalo ukuchama.
- Ukuncipha kwesithakazelo socansi: Ubuhlungu bungabangela ukwesaba kanye nokuzonda ucansi.
- Ubuhlungu besitho sangasese sowesifazane (Ubuhlungu).
Lokhu kungakhululeki akugcini nje ngesitho sangasese sowesifazane. Ungase uzizwe ukoma nobuhlungu endaweni ezungeze isitho sangasese sowesifazane ngenkathi ugqoke izingubo zangaphansi, uhamba, noma uhleli.
Udokotela uhlonza kanjani lokhu?
Ungabi namahloni okukhuluma ngalokhu. Uma uya kudokotela, uzokubuza imibuzo embalwa futhi, uma kudingeka, enze isivivinyo esilula ukuze athole lesi simo.
- Ukukhuluma ngezimpawu zakho: Udokotela uzokubuza ngezimpawu zakho, imithi oyiphuzayo, kanye nomlando wakho wezempilo.
- Ukuhlolwa Kwesitho Sangasese Sowesifazane: Lokhu kuhilela ukuhlola ingaphakathi lesitho sakho sangasese sowesifazane. Udokotela angahlola ukuthi izindonga zincane, zibomvu, noma zomile.
- Ukuhlolwa kwegazi: Ukuhlolwa kwegazi kungenziwa ukuze kubonakale ukuthi izinguquko emazingeni ama-hormone noma esinye isimo sezokwelapha zibangela lokhu.
- Ukuhlolwa kokukhishwa koketshezi esithweni sangasese sowesifazane: Ngezinye izikhathi isampula yokukhishwa koketshezi esithweni sangasese sowesifazane ingahlolwa ukuqinisekisa ukuthi kukhona yini ukutheleleka.
Yiziphi izindlela zokwelapha lokhu?
Izindaba ezinhle ukuthi kunezindlela eziningi zokwelapha eziphephile nezisebenzayo zalokhu. Lezi zingahlukaniswa ngezigaba ezimbili eziyinhloko.
Ukwelashwa Ngemithi Kadokotela
Lokhu kusebenza ngokufaka esikhundleni se-hormone i-estrogen noma into efanayo. Lokhu kufanele kuthathwe kuphela ngomuthi kadokotela .
- I-estrogen ephansi: Lezi ziza njengokhilimu, ithebhulethi, noma indandatho. Ngenxa yokuthi zifakwa ngqo esithweni sangasese sowesifazane, i-hormone ayivami ukuhamba iye kwezinye izingxenye zomzimba. Ukhilimu nethebhulethi kuvame ukunqunyelwa ukuthi kusetshenziswe nsuku zonke ekuqaleni, bese kuba kanye ngesonto. Indandatho ingashiywa esithweni sangasese sowesifazane kuze kube yizinyanga ezintathu.
- I-Ospemifene (i-Osphena): Leli iphilisi eliphuzwayo elisebenza njenge-estrogen emzimbeni futhi linciphisa ubuhlungu ngesikhathi socansi.
- I-Dehydroepiandrosterone (DHEA): Lokhu futhi kuyi-suppository yesitho sangasese sowesifazane. Iphinde inikezwe njengokwelashwa kocansi olubuhlungu olubangelwa ukunqamuka kokuya esikhathini.
Kubaluleke kakhulu: Ukwelashwa okuqukethe i-estrogen akufanele wonke umuntu. Ikakhulukazi uma uke waba nomdlavuza webele noma usengozini enkulu yokukuthola, kufanele nakanjani uxoxe ngezinzuzo kanye nokungalungi kwalokhu kwelashwa nodokotela wakho ngaphambi kokwenza isinqumo.
Imikhiqizo ethengiswa ngaphandle kwekhawunta (i-OTC)
Lezi zingathengwa ekhemisi noma esitolo esikhulu ngaphandle kwencwadi kadokotela. Kunezinhlobo ezimbili okufanele uziqaphele lapha.
1. Ama-Moisturizers E-Vaginal: Lawa afana ne-moisturizer ebusweni bakho. Awenzelwe ukusetshenziswa ngaphambi kocansi. Asetshenziswa ngaphakathi kwesitho sangasese sowesifazane njalo ezinsukwini ezimbalwa ukusiza ukugcina umswakama nokugcina izicubu ziphilile. (Isibonelo: Replens™, Luvena®)
2. Izithambisi Zesitho Sangasese Sowesifazane: Lezi zisetshenziswa ngaphambi nje kocansi . Inhloso yazo ukunciphisa ukungqubuzana nobuhlungu ngesikhathi socansi. Ziza ngezinhlobo eziningana: ezisekelwe emanzini, ezisekelwe ku-silicone, kanye nezisekelwe ku-oyela. (Isibonelo: Astroglide®, KY® Jelly)
Zikhona yini izinto zemvelo ongazenza ekhaya?
- Phuza amanzi amaningi: Ukugcina umzimba unamanzi anele kusiza empilweni yonke kanye nomswakama wezicubu.
- Amafutha emvelo: Amafutha emvelo afana namafutha kakhukhunathi namafutha omnqumo angasetshenziswa njengesithambisi sangaphandle ngaphambi kocansi. Kodwa khumbula into eyodwa ebaluleke kakhulu . Uma usebenzisa izithambisi ezisekelwe kumafutha, zingalimaza amakhondomu . Ngakho-ke, uma usebenzisa amakhondomu ukuvimbela ukukhulelwa, kuphephile ukusebenzisa isithambisi esisekelwe emanzini .
- Ukudlala Ngaphambili: Zinike isikhathi esanele ngaphambi kocansi ukuze nobabili nivuswe. Lokhu kuzokwandisa ukukhiqizwa kokuthambisa kwemvelo. Khuluma ngokukhululekile nomlingani wakho ngalokhu.
Ingabe kufanele ngibone udokotela?
Lokhu ngokuvamile akulona uphawu lwesifo esingathi sína. Kodwa-ke, uma kuthinta impilo yakho, kufanele nakanjani ufune iseluleko sezokwelapha. Kufanele nakanjani ubone udokotela uma kwenzeka noma yikuphi kwalokhu okulandelayo:
- Uma lokhu kungakhululeki kuthinta imisebenzi yakho yansuku zonke .
- Uma kuthinta impilo yakho yocansi noma ubudlelwano nomlingani wakho .
- Uma ukwelashwa okuthola ekhemisi kungasizi .
- Uma unesifo sokuphuma kwegazi esingavamile noma esinzima esithweni sangasese sowesifazane .
Umlayezo Wokuya Nawe Ekhaya
- Ukoma kwesitho sangasese sowesifazane kuyisimo esivame kakhulu, ikakhulukazi lapho umuntu enqamuka ukuya esikhathini. Ngakho-ke ungabi namahloni ngakho noma uhlupheke wedwa.
- Nakuba isizathu esiyinhloko salokhu ukwehla kwe-hormone i-estrogen, ezinye izici nazo zingadlala indima.
- Izithambisi ezitholakala ekhemisi zinganikeza impumuzo enkulu ebulilini obubuhlungu.
- Kunezindlela zokwelapha eziphumelela kakhulu kulokhu, ngakho ungesabi ukukhuluma ngokukhululekile ngakho nodokotela wakho.
- Ukukhuluma ngalokhu nomlingani wakho kubaluleke kakhulu enjabulweni yenu nobabili kanye nasebudlelwaneni benu.
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