Indlela Yokumisa Izikhathi Ezisindayo: Amakhambi Asekhaya angu-8 okumele ayeke

Siyakwamukela kubhulogi yethu ebanzi yokuqonda ukuya esikhathini nokuhlola izindlela zokuphatha nokulawula izikhathi ngokuphepha. Ukuya esikhathini kuyingxenye engokwemvelo futhi ebalulekile empilweni yokuzala yowesifazane, futhi nakuba ngezinye izikhathi kungase kuhambisane nokungakhululeki noma ukuphazamiseka, kudlala indima ebalulekile emjikelezweni wokuya esikhathini nasekuvundeni. Nokho, siyaqaphela ukuthi abanye abantu bangase bafune izindlela zokunciphisa izimpawu zokuya esikhathini noma ukulawula ukuya esikhathini ngenxa yezizathu ezithile.

Ngaphambi kokuthi sijule kunoma yiziphi izindlela noma izixazululo, kubalulekile ukugcizelela ukuthi ukuyeka izikhathi ngokuphelele akuwona umkhuba onconyiwe noma ophephile. Ukuya esikhathini kusebenza njengenqubo engokwemvelo, futhi ukuzama ukukumisa ngaphandle kokuqondiswa udokotela kungaba nezingozi ezingase zenzeke empilweni. Okuqukethwe kule bhulogi kuhlose ukuhlinzeka ngolwazi lokulawula izimpawu zokuya esikhathini, ukuqonda umjikelezo wokuya esikhathini, nokuhlola izinketho eziphephile nezisebenzayo ngaphansi kokuqondisa kochwepheshe bezempilo.

Izimbangela Zesikhathi Eside

Izikhathi ezinde, ezaziwa nangokuthi i-menorrhagia, isifo sokuya esikhathini esibonakala ngokopha okukhulu ngokungavamile noma isikhathi eside phakathi nokuya esikhathini. Kunezimbangela ezihlukahlukene ezingabangela isikhathi eside, ezingaba kusukela ekungalinganini kwama-hormone kuya ezimweni zezempilo eziyisisekelo. Ezinye zezimbangela ezivamile zihlanganisa:

1. Ukungalingani kweHormonal: Ukushintshashintsha kwama-hormone, ikakhulukazi i-estrogen ne-progesterone, kungaphazamisa umjikelezo ovamile wokuya esikhathini futhi kubangele ukopha ngokweqile. Ukungalingani kweHormonal kungabangelwa izici ezinjengokucindezeleka, ukuphazamiseka kwe-thyroid, i-polycystic ovary syndrome (PCOS), noma i-perimenopause.
2. I-Uterine Fibroids: Lokhu kukhula okungewona umdlavuza odongeni lwesibeletho kungabangela ukopha okukhulu futhi isikhathi eside sokuya esikhathini. Ubukhulu kanye nendawo ye-fibroids kungaba nomthelela ebucayi bezimpawu.
3. I-Adenomyosis: Lesi simo senzeka lapho izicubu ezigudle isibeletho (endometrium) zikhula zibe izindonga ezinemisipha zesibeletho. Kungaholela ezikhathini ezinzima nezibuhlungu.
4. I-Endometrial Polyps: Lezi izicubu ezithambile olwelweni lwangaphakathi lwesibeletho, futhi zingaba nomthelela ekopheni okukhulu noma okungajwayelekile.
5. I-Pelvic Inflammatory Disease (PID): I-PID ukutheleleka kwezitho zokuzala zabesifazane, ngokuvamile okubangelwa amagciwane asakazwa ngocansi. Kungabangela ukuvuvukala kanye nezibazi, okungase kuthinte ukugeleza kokuya esikhathini.
6. Izinkinga Zokopha: Ukuphazamiseka okuthile kokujiya kwegazi, njengesifo sika-von Willebrand, kungaholela ekopheni ngokweqile ngesikhathi sokuya esikhathini.
7. Ama-IUD (Amadivayisi e-Intrauterine): Nakuba ama-IUD ama-hormone engase anciphise ukopha kokuya esikhathini, ama-IUD angewona ama-hormone ngezinye izikhathi angabangela ukuya esikhathini esinzima kwabanye besifazane.
8. Imithi: Imithi ethile, njengama-anticoagulants noma ama-hormonal therapy, ingathinta ukugeleza kokuya esikhathini futhi iholele esikhathini eside.
9. Umdlavuza noma Izimo Eziyingozi: Kwezinye izimo, ukuhlala isikhathi eside kungase kube uphawu lomdlavuza wesibeletho, womlomo wesibeletho, noma we-ovary noma izimo eziyingozi.
10. Ukungasebenzi Kwe-thyroid Indlala yegilo engasebenzi kahle noma engasebenzi ngokweqile ingaphazamisa umjikelezo wokuya esikhathini futhi ibangele ukopha okungavamile.
11. Izinkinga ze-Coagulation: Izimo ezithinta ukujiya kwegazi zingaholela ekopheni ngokweqile ngesikhathi sokuya esikhathini.
12. Izimo Zokucindezeleka Nendlela Yokuphila: Amazinga aphezulu okucindezeleka, ukungondleki kahle, ukuncipha kakhulu kwesisindo, noma ukuvivinya umzimba ngokweqile kungaba nomthelela emazingeni amahomoni futhi kube nomthelela ekungahambi kahle kokuya esikhathini.

Kubalulekile ukuthintana nomhlinzeki wezempilo uma uhlangabezana nezikhathi ezinzima noma ezinzima ngokungavamile, njengoba engakwazi ukuhlola kahle, anqume imbangela eyinhloko, futhi atuse izinketho zokwelashwa ezifanele ezihambisana nezidingo zakho ezithile. Ukutholwa kusenesikhathi nokungenelela kungasiza ukulawula isimo futhi kuvimbele izinkinga ezingaba khona.

8 Amakhambi Asekhaya okubhekana Nezikhathi Ezinde

Ukubhekana nezikhathi ezinde kungase kungakhululeki futhi kucindezele. Ukuhlala isikhathi eside kungaba wuphawu lwenkinga yezempilo edinga ukuhlolwa nokwelashwa.

Uma ubhekene nezikhathi ezinde, kubalulekile ukuthintana nochwepheshe bezempilo ukuze uthole imbangela futhi uthole ukwelashwa okufanele. Okwamanje, nanka amakhambi asekhaya angasiza ekulawuleni izimpawu zokuya esikhathini phakathi nezikhathi ezinde:

1. Ukufakwa kwamanzi: Hlala unamanzi amaningi ngokuphuza amanzi amaningi. I-hydration efanele ingasiza ukugcina umthamo wegazi futhi isekele impilo yonke ngesikhathi sokuya esikhathini.

2. Ukudla okunothe nge-ayoni: Yidla ukudla okunothe nge-ayoni, okufana nemifino enamahlamvu, ubhontshisi, nezinhlamvu eziqinisiwe, ukuvimbela ukuntuleka kwegazi emzimbeni okubangelwa ukopha kakhulu.

3. Ama-Herbal Teas: Amanye ama-herbal teas, njengetiye leqabunga lokusajingijolo, angasiza ukuqinisa imisipha yesibeletho futhi anciphise ukopha ngokweqile.

4. Ukwelashwa Kokushisa: Ukufaka i-pad yokushisisa noma i-compress efudumele ezansi kwesisu kungadambisa amajaqamba okuya esikhathini futhi kunikeze induduzo.

5. Uvithamini C: Ukudla okuphezulu kuvithamini C, njengezithelo ezisawolintshi nama-strawberry, kungasiza ukuqinisa imithambo yegazi nokunciphisa ukopha.

6. I-Turmeric: Ukwengeza i-turmeric ekudleni kwakho noma ukuthatha isithasiselo se-turmeric kungase kube nezindawo zokulwa nokuvuvukala ezingasiza ngokungahambi kahle kokuya esikhathini.

7. Uphayinaphu: I-Bromelain, i-enzyme etholakala kuphayinaphu, ingase ibe nemiphumela eqeda ukuvuvukala engadambisa izimpawu zokuya esikhathini.

8. Ukunciphisa Ingcindezi: Ukuzibandakanya kumasu okuphumula, njengokuzindla noma i-yoga, kungasiza ekunciphiseni ukucindezeleka, okungase kube nomthelela omuhle empilweni yokuya esikhathini.

Nakuba la makhambi asekhaya angase anikeze ukukhululeka okuthile ezimpawini zokuya esikhathini, awathathi indawo yokuhlolwa nokwelashwa kwezokwelapha. Uma ubhekene nezikhathi ezinde, kubalulekile ukuthintana nomhlinzeki wokunakekelwa kwezempilo ukuze uthole imbangela eyisisekelo futhi uthole ukunakekelwa kwezokwelapha okufanele. Bangakunikeza izeluleko eziqondene nawe kanye nezinketho zokuphatha ukuze ubhekane nezidingo zakho ezithile futhi uqinisekise inhlalakahle yakho.

Izinqubo zokungahlinzeki kanye nokuhlinzwa izikhathi ezinzima

Nazi ezinye izinketho zokungahlinzeki nezokuhlinzwa zokwelapha izikhathi ezinzima:

• Izinqubo zokungahlinzeki:
  • I-High-intensity focused ultrasound (HIFU): Isebenzisa amaza omsindo agxilile ukwelapha i-fibroids yama-uterine okubangela ukopha okukhulu ngokufudumeza nokucekela phansi izicubu ezihlosiwe.
  • I-Uterine artery embolization (UAE): Kubandakanya ukujova izinhlayiya ezincane emithanjeni yegazi okuholela esibelethweni ukuze kuvinjwe ukugeleza kwegazi kuma-fibroids, okubangela ukuthi inciphe futhi yehle. ukuphuma.
  • I-Endometrial ablation: Icekela phansi ulwelwesi lwesibeletho isebenzisa izindlela ezinjengamakhaza amakhulu, uketshezi olushisayo, noma amasu asekelwe kumandla, inciphisa ukopha kokuya esikhathini. Ilungele abesifazane abangafisi ukuba abakhulelwe esikhathini esizayo.
• Imisebenzi Yokuhlinza:
  • I-Myomectomy: Ikhipha i-uterine fibroids ngenkathi ilondoloza isibeletho. Kungenziwa ngokusikwa okuncane kwesisu (i-laparoscopic noma i-robotic) noma ukusika okukhulu (i-laparotomy).
  • I-Endometrial resection: Ikhipha ulwelwesi lwesibeletho kusetshenziswa iluphu yocingo eshisisa ngogesi efakwe emlonyeni wesibeletho nasesithweni sangasese, kunciphisa ukopha kokuya esikhathini.
  • I-Hysterectomy: Ibandakanya ukukhipha sonke isibeletho, okuwukwelashwa okuqinisekile ngezikhathi ezinzima. Kungenziwa ngezindlela ezahlukahlukene, kufaka phakathi i-vaginal, i-laparoscopic, noma izindlela zesisu.

Uhlu Lwemithi Yokumisa Ukopha Esikhathini

Imithi Yokumisa Ukopha Ngokushesha Ihlanganisa:

• Izidakamizwa ezingezona ukuvuvukala (ama-NSAID): Ama-NSAID afana ne-ibuprofen (i-Advil, i-Motrin IB) noma i-naproxen sodium (i-Aleve) isetshenziselwa ukunciphisa ukulahlekelwa kwegazi lokuya esikhathini kanye nokunciphisa amajaqamba okubuhlungu okuya esikhathini.
• I-Tranexamic acid: I-Tranexamic acid (i-Lysteda) ithathwa ngesikhathi sokuya esikhathini ukuze kwehliswe ukugeleza kwegazi lokuya esikhathini ngempumelelo.
• Imithi yokuvimbela inzalo ngomlomo: Ngaphandle kokuvimbela inzalo, ngomlomo izindlela zokuvimbela inzalo ingalawula imijikelezo yokuya esikhathini futhi inciphise ukopha okukhulu noma okudonsa isikhathi eside kokuya esikhathini.
• I-progesterone yomlomo: Iprogesterone, ihomoni yemvelo, noma uhlobo lwayo lokwenziwa (iprogestin) ingalungisa i-hormone ukungalingani kanye nokunciphisa ukopha okukhulu kokuya esikhathini.
• I-Hormonal IUD (i-Mirena, i-Liletta): Le divayisi ye-intrauterine ikhulula i-levonorgestrel, uhlobo lwe-progestin, eyenza ulwelwesi lwesibeletho ibe mncane, inciphise ukugeleza kwegazi lokuya esikhathini, futhi yenza ama-cramping kalula.

Ukuxilongwa nge-Hysterosonography noma i-Hysteroscopy

I-Hysterosonography (SIS) kanye ne-hysteroscopy ukuhlola ukubona ngaphakathi kwesibeletho. I-Hysterosonography isebenzisa u-saline (amanzi anosawoti) kanye ne-ultrasound ukuhlola ukukhula okufana nama-polyps noma ama-fibroids. I-Hysteroscopy isebenzisa ikhamera encane ukuze ibheke ngqo ngaphakathi kwesibeletho futhi ingaphatha izinkinga ezifana nama-polyps phakathi nenqubo. Khetha i-hysterosonography kuqala ukuze uthole isheke eliyisisekelo, kanye ne-hysteroscopy uma ukubukwa okuningiliziwe noma ukwelashwa kuyadingeka.

• I-Hysterosonography (SIS): Isebenzisa i-saline ukuze ikhulise isibeletho ukuze ifane ne-ultrasound. Ayihlaseli futhi ilungele ukubona ama-polyps, fibroids, nezimila ezingavamile ngaphakathi esibelethweni.
• I-Hysteroscopy: Ihilela ishubhu elincanyana, elikhanyayo ukuze libuke ngokuqondile futhi ngezinye izikhathi liphathe izinkinga esibelethweni. Kuyahlasela kakhulu kodwa kunikeza ukuxilonga okunembile futhi kungaphatha izimo ezifana nama-polyps noma ama-fibroids phakathi nenqubo.

Ngesikhathi sokubona udokotela

Bonana nodokotela ngezikhathi ezinzima uma:

• Ukugeleza kwakho kungena kumaphedi noma amathoni njalo ngehora.
• Izikhathi zihlala ngaphezu kwezinsuku ezingu-7 njalo.
• Ukukhipha amahlule amakhulu egazi noma ukujiyisa okopha kakhulu.
• Izimpawu ze-anemia njengokukhathala noma ubuthakathaka.
• Izikhathi ezinzima ziphazamisa impilo yansuku zonke noma umsebenzi.
• Ukushintsha okungazelelwe kokuya esikhathini noma ubuhlungu obukhulu.

Isiphetho

Kubalulekile ukuya esikhathini kanye nempilo yokuya esikhathini ngokucophelela nangokuqonda okukhulu. Nakuba ukuyeka ukuya esikhathini kungatuswa ngokuphelele noma kungaphephile, kunezindlela eziningi eziphephile nezisebenzayo zokuphatha nokulawula izimpawu zokuya esikhathini ngaphansi kokuqondisa kochwepheshe bezempilo. Ibhulogi yethu ihlose ukukunika amandla ngolwazi lokwenza izinqumo ezinolwazi mayelana nempilo yakho yokuya esikhathini nokuphila kahle.

Khumbula, uma uhlangabezana nanoma yiziphi izinkinga eziphikelelayo noma eziphathelene nokuya esikhathini, ukubonisana nomhlinzeki wezempilo kuyinkambo engcono kakhulu yesenzo. Bangakunikeza izeluleko eziqondene nawe futhi benze uhlelo oluhambisanayo lokubhekana nezidingo zakho ezithile, baqinisekise ukuthi uhambo lwakho lokuya esikhathini lunethezekile futhi lunempilo ngangokunokwenzeka.

Imibuzo Evame Ukubuzwa

1. Singakwazi yini ukuhlehlisa/kuhlehlise izikhathi?

Ukuya esikhathini kuyinqubo engokwemvelo futhi ebalulekile empilweni yokuzala yowesifazane, futhi ukuzama ukuyiphazamisa ngisho isikhathi esifushane ngaphandle kwesiqondiso sezokwelapha kungaba nezingozi zempilo ezingaba khona.

Nakuba kunezindlela ezithile zokulawula ukuzalwa ezingamahomoni ezingashintsha umjikelezo wokuya esikhathini, zihloselwe ukusetshenziswa isikhathi eside futhi zidinga ukubonisana nochwepheshe bezempilo. Lezi zindlela, njengamaphilisi ahlanganisiwe okulawula inzalo noma ama-hormonal intrauterine device (IUDs), zingasetshenziswa ukulawula nokulawula ukujikeleza kokuya esikhathini phakathi nezinyanga ezimbalwa.

Uma udinga ukubambezela isikhathi sakho ngesizathu esithile, njengomcimbi okhethekile noma uhambo, kungcono ukuxoxa ngesimo sakho nomhlinzeki wezempilo. Bangakunikeza izinketho ezifanele nezeluleko, ezingase zihlanganise ukulungisa indlela yakho yokulawula inzalo noma ukusebenzisa imithi ethile enqunywe ngokuqondile ukucindezela kokuya esikhathini ezimweni ezingavamile.

Khumbula, kubalulekile ukubeka kuqala impilo nempilo yakho, futhi ukufuna isiqondiso kuchwepheshe wezempilo oqeqeshiwe kubalulekile ngaphambi kokucabangela noma yikuphi ukungenelela okuhlobene nomjikelezo wakho wokuya esikhathini.

2. Yisiphi isikhathi esivamile somjikelezo wokuya esikhathini?

Isikhathi se- Isikhathi, kuhlanganise nokuthi ihlala izinsuku ezingaki, ingahluka kuye ngowesifazane. Ngokuvamile, ukuya esikhathini kungahlala noma kuphi kusukela ezinsukwini ezi-3 kuye kweziyi-7. Abanye besifazane bangase babe nezikhathi ezifushane, kanti abanye bangase babe nezinde.

Ukuya esikhathini kwenzeka ngenxa yokuchithwa kolwelwesi lwesibeletho lapho ukukhulelwa kungenzeki. Umjikelezo wokuya esikhathini ulawulwa ukushintshashintsha kwama-hormone, ikakhulukazi estrogen kanye ne-progesterone. Usuku lokuqala lokopha kokuya esikhathini luphawula ukuqala komjikelezo omusha wokuya esikhathini.

Umjikelezo wokuya esikhathini ungahluka ngobude, futhi isikhathi sokuya esikhathini singahluka kuye ngomjikelezo owodwa kuya komunye. Umjikelezo wokuya esikhathini ojwayelekile ucishe ube yizinsuku ezingama-28, kodwa kuthathwa njengokujwayelekile ukuthi imijikelezo isukela ezinsukwini ezingama-21 kuye kwezingama-35.

Kubalulekile ukulandelela umjikelezo wakho wokuya esikhathini nobude besikhathi njalo. Uma ubona noma yiziphi izinguquko eziphawulekayo emaphethini akho okuya esikhathini, njengokungahambi kahle kungazelelwe, ukopha okukhulu kakhulu, noma izikhathi ezihlala izinsuku ezingaphezu kweziyisikhombisa, kubalulekile ukuthi uthintane nochwepheshe bezempilo. Izinguquko ezinjalo zingase zibonise ukukhathazeka kwezempilo okuyisisekelo okudinga ukuhlolwa nokuphathwa okufanele.

3. Yiziphi iziphuzo eziyeka isikhathi esinzima?

Azikho iziphuzo ezithile ezaziwayo ukuthi zimisa izikhathi ezinzima. Ukuhlala unamanzi amaningi kubalulekile.

4. Ingabe ulamula ungamisa isikhathi esinzima?

Abukho ubufakazi besayensi obusekela ukuthi ulamula ungamisa izikhathi ezinzima.

5. Ingabe ukuya esikhathini esinzima kungabangela i-anemia?

Yebo, izikhathi ezinzima zingaholela ku-anemia ngenxa yokulahlekelwa igazi ngokweqile, okunciphisa amazinga ensimbi emzimbeni ngokuhamba kwesikhathi.

6. Kungani izikhathi ezinzima ziyingozi?

Izikhathi ezinzima zingabangela i-anemia, ukukhathala, futhi kuthinte ukuphila kwansuku zonke. Zingase futhi zibonise izinkinga zempilo eziyisisekelo ezidinga ukunakekelwa kwezokwelapha.

7. Iyiphi i-hormone ebangela ukuya esikhathini esinzima?

Ukungalingani kwe-estrogen ne-progesterone kungaba nomthelela ezikhathini ezinzima, kodwa imbangela yangempela iyahlukahluka futhi kufanele ihlolwe ngumhlinzeki wezempilo.

8. Ingabe isikhathi esinzima esiseduze nokunqamuka kokuya esikhathini sijwayelekile?

Yebo, izikhathi ezinzima zingenzeka njengoba abesifazane besondela ekunqamukeni ngenxa yoshintsho lwamahomoni. Nokho, noma yiziphi izinguquko kufanele kuxoxwe ngazo nodokotela ukuze akhiphe ezinye izimbangela.

9. Yimuphi umuthi ovimba ukuya esikhathini esinzima?

Imithi efana nezidakamizwa ezingezona ukuvuvukala (ama-NSAID), i-tranexamic acid, ngomlomo izindlela zokuvimbela inzalo, i-progesterone, noma ama-IUD ama-hormone (njenge-Mirena) angase anikezwe ukuze kuncishiswe ukopha okukhulu kokuya esikhathini.