Ukopha Esithweni Sangasese Phakathi Kwezikhathi

Abesifazane bayopha esithweni sangasese inyanga ngayinye phakathi nomjikelezo wabo wokuya esikhathini kusukela ebusheni kuya ekunqamukeni kokuya esikhathini. Ngokuvamile, bonke abantu besifazane banesikhathi sokuya esikhathini kanye ngenyanga, okwenzeka cishe njalo ezinsukwini ezingu-21 kuya kwezingu-35 futhi kuthatha noma yikuphi kusukela osukwini olu-1 kuye kweziyi-7. Ukopha esithweni sangasese okwenzeka phakathi kwalezi zikhathi ezijwayelekile kubhekiselwa kukho 'njengokopha phakathi kokuya esikhathini.' I-Metrorrhagia yigama lezokwelapha lalolu hlobo lokopha futhi ngezinye izikhathi lichazwa ngokuthi indawo yangasese phakathi kokuya esikhathini.

Ukopha phakathi nokuya esikhathini kungase kufane nesikhathi sokuya esikhathini, kube nzima kakhulu ngokulahlekelwa igazi, noma kube lula kakhulu (okuvame ukubizwa ngokuthi 'ukubona'). Ukopha okunjalo kungase kwenzeke ngezikhathi ezithile noma kuqhubeke izinsuku ezimbalwa. Lokhu kuphuma kwegazi akusona isikhathi esivamile futhi kuyafaneleka ukubonana nodokotela. 

Izimbangela zokuphuma kwegazi esithweni sangasese phakathi kokuya esikhathini

Kunezimbangela ezimbalwa zokopha esithweni sangasese phakathi kokuya esikhathini, ezinye zazo ezingenabungozi kanti kwezinye, kungaba uphawu olubi kakhulu. 

Ezinye zezimbangela zokuphuma kwegazi esithweni sangasese phakathi kokuya esikhathini zihlanganisa: 

• Izivimbela-nzalo zeHormonal - Ukopha esithweni sangasese phakathi kokuya esikhathini kuvame ukuhlotshaniswa nezivimbela-nzalo ezingamahomoni. Uma kwenzeka ukopha okungavamile, ngokuvamile kwenzeka phakathi nezinyanga ezintathu zokuqala zokusetshenziswa kokuvimbela inzalo. Ukuthola iseluleko sezokwelapha kuhle uma kunokopha okukhulu esithweni sangasese phakathi kokuya esikhathini noma uma kuqhubeka isikhathi esingaphezu kwezinyanga ezintathu. 
• Ingcindezi, ukwehla kwesisindo, noma ukuhamba nakho kungabangela ukopha esithweni sangasese. 
• Ukuvimbela inzalo okuphuthumayo - Ukopha kungase kwenzeke ngemva kokusebenzisa ukuvimbela inzalo okuphuthumayo, okuhlanganisa kokubili iphilisi lasekuseni emva kwephilisi kanye ne-IUD njengezivimbeli zokukhulelwa eziphuthumayo.
• Ukuphuphunyelwa yisisu - Enye inkomba yokuqala yokuphuphuma kwesisu ukopha phakathi nokuya esikhathini. Owesifazane angase aphuphunyelwe yisisu noma nini lapho ekhulelwe, ngisho nangaphambi kokuba aqaphele ukuthi ukhulelwe.
• Ukunqanyulwa - Ngemva kokuhushula isisu noma ukuhoxiswa, abesifazane bangase bophe okuthile. Ngokulandela inqubo yasemtholampilo noma ukusetshenziswa kwephilisi lokukhipha isisu, ukubona amabala kungase kuqhubeke amasonto ambalwa.
• Izifo ze-Pelvic Inflammatory - Ukopha esithweni sangasese kungase kubangelwe isifo sokuvuvukala kwezitho zangasese (i-PID), ukuvuvukala komgudu wangasese ongenhla ngenxa yokutheleleka kwe-pelvic. 
• Ukopha kokufakelwa - Abanye besifazane babona amabala ngokushesha ngemva kokukhulelwa lapho iqanda elivundisiwe lifaka ulwelwesi lwesibeletho. Lokhu kwaziwa ngokuthi ukopha kokufakelwa.
• Ukulimala kwesitho sangasese sowesifazane - Isitho sangasese sowesifazane singaphuma igazi uma isikhumba noma izicubu zilimele. Lokhu kuvame ukwenzeka ngesikhathi socansi olungena ngaphakathi.
• I-Endometriosis/ Fibroids/ Polyps ingase ibangele ukopha esithweni sangasese. 
• Ukunqamuka kokuya esikhathini noma ukuya esikhathini - Ukunqamuka kokuya esikhathini kuvame ukuvela phakathi kweminyaka engama-45 no-55. Isikhathi esiholela ekunqamukeni kokuya esikhathini saziwa ngokuthi yi-perimenopause. Ngesikhathi se-perimenopause, amazinga e-hormone ngokuvamile awashintshile. Lokhu kungase kubangele ukopha okukhulu, amabala, nokuya esikhathini okungajwayelekile.
• Umdlavuza - Ukubona, ezimweni ezingavamile, kungase kube uphawu lomdlavuza wesistimu yokuzala yangasese, yomlomo wesibeletho, yesibeletho, noma yesibeletho. Isifo esivame kakhulu nesiyelaphekayo sezifo zabesifazane umdlavuza womlomo wesibeletho.

Ungalufuna nini usizo lwezokwelapha?

Owesifazane kufanele abonane nodokotela uma esopha kakhulu noma okuqhubekayo esithweni sangasese phakathi kokuya esikhathini. Udokotela angakwazi ukuxilonga noma yiziphi izimo zezokwelapha ezingaphansi ngokucabangela noma yiziphi ezinye izimpawu ezihlobene nokubona phakathi kokuya esikhathini. Kwabesifazane abasanda kuqala ukuvimbela inzalo ngamahomoni, ukopha kungase kuphele ngemva kwezinyanga ezintathu kuya kweziyisithupha. Uma kungenjalo, kufanele bavakashele udokotela owabanikeza. Kungase kwenzeke ukulungisa uhlelo lokuvimbela inzalo ukubhekana nalolu daba. Izifo ezithathelwana ngocansi (STIs) zingaholela ezinkingeni zempilo zesikhathi eside futhi ziyathathelana. Uma usola ukuthi i-STI iyimbangela yokopha esithweni sangasese sowesifazane, funa usizo lwezempilo ukuze uxilongwe futhi welashwe. Izifo ezithathelwana ngocansi eziningi zingelapheka ngemithi.

Sifo

Udokotela angabuza ngempilo yesiguli jikelele kanye nezici zemijikelezo yaso evamile. Udokotela angase enze izivivinyo zokuxilonga ukusiza ekuboneni imbangela yokopha. Ukuhlolwa kwe-pelvic ngokuvamile kwenziwa ukuze kutholwe noma yikuphi ukungahambi kahle. Ngaphezu kokuthatha ukuhlolwa kokuhlolwa komlomo wesibeletho ukuze babheke ukuthi akukho yini okungavamile emlonyeni wesibeletho, bangaswayipha isitho sangasese sowesifazane (i-Pap smear test) ukuze bahlole izifo. Ukuhlolwa okwengeziwe okufana ne-Ultrasound, ukuhlolwa kwelebhu okufana nephrofayili ye-hormone yegilo, kanye ne-biopsy kungenziwa. 

Izinketho zokwelapha

Ukopha esithweni sangasese phakathi kokuya esikhathini ngokuvamile akunakho ukwelashwa okuqondile. Inkambo yokwelashwa incike kumbangela eyinhloko, okudingeka ihlonzwe. 
Izinketho zokwelapha zingaba:

• Izinguquko zokuphila: Ukoma nokuwohloka kwesitho sangasese sowesifazane kungaholela ezinyembezini ezincane nokopha. Ukuze uvimbele ukulimala kwesitho sangasese sowesifazane ngesikhathi sokuya ocansini, kuyatuseka ukuthi usebenzise ukugcotshwa kokwenziwa futhi ugcine ukuvuka kwenkanuko ngaphambi kokuya ocansini. Ukukhuluphala ngokweqile noma ukukhuluphala nakho kungabangela ukopha esithweni sangasese sowesifazane, ukuncipha kwesisindo kungasiza ezimweni ezinjalo. 
• Ukwelashwa ngeHormonal: Imithi yokuvimbela inzalo yama-hormone kanye nokwelashwa kwe-metabolic yizindlela zokwelapha ezingase zibe khona ngokusekelwe esimweni esiwumsuka. 

Imiphumela yokuziba ukopha kwesitho sangasese sowesifazane phakathi nokuya esikhathini

Ukopha esithweni sangasese sowesifazane phakathi kwemijikelezo kungase kuzisombulule ngokwako ngezikhathi ezithile. Nokho, ukuyiziba inkinga nokubambezela ukunakekelwa kwezokwelapha kungase kuyibhebhethekise. Uma ukopha kubangelwe isifo, umdlavuza, noma esinye isifo esibi kakhulu, imiphumela ingaba mibi kakhulu. 

Ukuvimbela ukopha kwesitho sangasese sowesifazane phakathi kokuya esikhathini

Ngokuya ngesizathu sokopha, kungase kungenzeki ukukumisa. Nokho, ngezinye izikhathi ukuthatha isinyathelo sokuvimbela kungase kube yinzuzo. Ukukhuluphala ngokweqile kungaholela esikhathini esingajwayelekile, ngakho ukulondoloza indlela yokuphila enempilo nesisindo esikahle kubalulekile. Uma usebenzisa ukulawulwa kokuzalwa, qiniseka ukuthi ulandela imiyalelo ngokucophelela ukuze uvimbele ukungalingani kwama-hormone. Ukuze ulondoloze impilo yakho futhi unciphise ukucindezeleka, vivinya umzimba ngokusesilinganisweni. 

Isiphetho

Imithi yokuvimbela inzalo yamahomoni noma izinguquko ezihlobene nokunqamuka kokuya esikhathini yizona zimbangela ezivame kakhulu zokopha esithweni sangasese phakathi kokuya esikhathini. Bonana nodokotela uma ukopha phakathi kokuya esikhathini kubi kakhulu noma kuqhubeka isikhathi esingaphezu kwezinyanga ezintathu. Ikakhulukazi kwabesifazane abaneminyaka ephakathi kuka-25 no-65, ukuhlolwa komlomo wesibeletho okuvamile kuyisici esibalulekile ekunakekelweni kwezempilo kokuvimbela.