Ukukhishwa okunsundu

Wake wakubona ukukhishwa okunsundu futhi wazibuza ukuthi kusho ukuthini? Lesi senzakalo esivamile kwabesifazane singaphakamisa imibuzo nokukhathazeka. Ukukhishwa okunsundu kwenzeka ngenxa yezizathu ezihlukahlukene, kusukela ezinqubweni ezivamile zomzimba kuya ezinkingeni zempilo ezingaba khona. Ukuqonda izimbangela nezimpawu zayo kusiza abesifazane ukuba benze izinqumo ezinolwazi mayelana nempilo yabo yokuzala. 

Nakuba ukukhishwa okunsundu ngokukhanyayo ngokuvamile kungenangozi, ukuphuma okunsundu ngokumnyama kungase kubonise isidingo sokunakekelwa kwezokwelapha. Lesi sihloko sihlola izizathu zokukhishwa okunsundu, ukuthi ukhathazeke nini, futhi uma kuyingxenye evamile ye- umjikelezo wokuya esikhathini. 

Ingabe ukuphuma okunsundu kuwuphawu lokuya esikhathini? 

Ukukhishwa okunsundu kwabesifazane kuvamile. Iqukethe amafinyila esithweni sangasese esigcwele igazi elidala, okuwunikeza umbala wawo onsundu. Lokhu kwenzeka lapho igazi lithatha isikhathi ukuphuma emzimbeni, livumela ukuba i-oxidise futhi ibe mnyama. 

Ukuba khona kokukhishwa okunsundu akubonisi ngaso sonke isikhathi inkinga. Ezimweni eziningi, kumane kuyindlela yomzimba yokususa igazi elidala lesibeletho. Ukukhishwa okunsundu kungahluka ngokuvumelana nomthunzi, kusukela ekukhanyeni kuya kokumnyama. Ingase ibonakale ngezikhathi ezahlukene phakathi nomjikelezo wokuya esikhathini, kuhlanganise ngaphambi, ngemva, noma phakathi kokuya esikhathini. Abanye besifazane bangase babe nokukhishwa okunsundu esikhundleni sesikhathi sabo esivamile. 

Kodwa-ke, uma ezinye izimpawu zihambisana nokuphuma okunsundu noma ziqhubeka isikhathi eside, kungase kubonise inkinga yezempilo ecashile. Ezimweni ezinjalo, kuyatuseka ukuthi uxhumane nodokotela ukuze uthole ukuhlolwa okufanele kanye nesiqondiso. 

Izimbangela Zokukhishwa Okunsundu 

Ukukhishwa okunsundu kunezimbangela ezihlukahlukene, kusukela ezinqubweni ezivamile zomzimba kuya ezinkingeni zempilo ezingase zibe khona. Ngokuvamile kubangelwa igazi elidala elishiya umzimba, okungenzeka ngezindawo ezahlukene emjikelezweni wokuya esikhathini. Ukukhishwa okunsundu ngokukhanyayo ngokuvamile akunangozi, kodwa ukuphuma okunsundu ngokumnyama kungase kudinge usizo lwezokwelapha. 

Lokhu okulandelayo yizimbangela ezivamile: 

• Izinguquko ze-Hormonal 
• Ukopha kokufakelwa ngesikhathi sokukhulelwa kusencane kungase kuholele ekubonakaleni kwamabala ansundu 
• Amaphilisi okulawula ukuzalwa noma izimila nazo zingabangela ukuphuma okunsundu njengoba umzimba ujwayela ukushintsha kwamahomoni. 
• Abanye besifazane baba namabala akhanyayo noma ukukhishwa okunsundu nxazonke nge-ovulation ngenxa yezinguquko ze-hormonal. 
• I-Polycystic ovary syndrome (PCOS) ingabangela izikhathi ezingajwayelekile kanye nokukhishwa okunsundu esikhundleni sesikhathi esivamile. 
• endometriosis (isimo lapho izicubu ezinjengesibeletho zikhula ngaphandle kwesibeletho) zingase ziholele ekuphumeni okunsundu kanye nobuhlungu obukhulu. 
• Amagciwane angabangela nokuphuma okunsundu. Izifo ezithathelwana ngocansi (STIs), isifo sokuvuvukala kwe-pelvic (PID), kanye ne-bacterial vaginosis kungabangela ukukhishwa okunsundu. 
• Kulabo abasondelayo menopause, ukukhishwa okunsundu kungase kwenzeke ngenxa yokushintshashintsha kwama-hormone ngesikhathi sokunqamuka kokuya esikhathini. Lesi sigaba sivame ukwenzeka eminyakeni engamashumi amane kodwa singaqala ngaphambi kwesikhathi kwabanye. 
• Ezimweni ezingavamile, ukuphuma okunsundu kungase kubonise izimo ezimbi kakhulu njengomdlavuza womlomo wesibeletho. Kodwa-ke, lokhu kuvame ukuhambisana nezinye izimpawu, njengobuhlungu ngesikhathi socansi noma ukwehla kwesisindo esingavamile. 
• Ukukhishwa okunsundu kungase futhi kubangele imisebenzi evamile njengocansi olunamandla noma izinqubo zokwelapha ezifana nama-Pap smear. 

Izimpawu Zokukhipha Okunsundu 

• Esinye sezibonakaliso eziyinhloko ukuvela kwamabala ansundu noma ukuphuma koketshezi esikhundleni sesikhathi esivamile. 
• Abanye besifazane bangase babone ukukhishwa okunsundu okuhambisana nokumhlophe kweqanda ngesikhathi sokuvuthwa, okuvame ukuhambisana nokuncane. ubuhlungu besisu. 
• Kwezinye izimo, ukuphuma okunsundu kungase kube nephunga elinamandla, elingemnandi. 
• Ezinye izimpawu ezihambisana nezifo zihlanganisa ukuzwa ukushisa noma ukulunywa, ubuhlungu lapho uchama, nokungakhululeki ngesikhathi socansi. 
• Ukukhishwa okunamandla okunsundu, ikakhulukazi uma kuhlangene nobuhlungu obukhulu be-pelvic, kungase kubonise i-endometriosis, i-polycystic ovary syndrome (PCOS) nezinye izimo ze-gynecological. 

Sifo 

Ukuthola imbangela yokukhishwa okunsundu kuhilela ukuhlolwa okuphelele kwezimpawu nomlando wezokwelapha. Odokotela bazokubuza ngohlobo lokukhishwa, ubude bayo, nanoma yiziphi izimpawu ezihambisana naso. Ukuhlolwa komzimba kungase kudingeke ukuze kuhlolwe izitho zokuzala. Odokotela bangenza lezi zivivinyo zokuxilonga ezilandelayo ukuze bakhiphe isizathu esiyisisekelo sokukhishwa okunsundu: 

• I-Pap Smear: Kwezinye izimo, odokotela bangase benze i-Pap smear ukuze babone amaseli angavamile emlonyeni wesibeletho. Lokhu kuhlola kunomthelela ekutholakaleni kusenesikhathi umdlavuza womlomo wesibeletho, nakuba kubalulekile ukuqaphela ukuthi lesi simo asivamile. 
• Ukuqoqwa Kwesampula: Ngezifo ezisolwayo, ezifana nezifo ezithathelwana ngocansi (STIs) noma isifo sokuvuvukala kwezitho zangasese (PID), odokotela bangaqoqa amasampula 
• ukuhlolwa kwelabhorethri. Lokhu kuhlola kusiza ukuhlonza amagciwane athile kanye nokuqondisa ukwelashwa okufanele. 
• Ukuhlaziywa Kwegazi: Ukuhlolwa kwegazi ukuhlola amazinga ehomoni, okusiza ukuxilonga izimo ezifana ne-polycystic ovary syndrome (PCOS) noma i-perimenopause. 
• Ukucabanga: Ama-Ultrasound angasiza ukubona ngeso lengqondo izitho zokuzala futhi akhombe izinkinga ezifana nama-ovarian cysts noma i-endometriosis. 

Ukwelashwa Kokukhishwa Okunsundu 

Ukwelashwa kokukhishwa okunsundu kuncike kumsuka wayo. Ukukhishwa okunsundu kuvame ukuba yingxenye evamile yomjikelezo wokuya esikhathini futhi akudingi ukwelashwa okuqondile. Kodwa-ke, ukungenelela kwezokwelashwa kungase kudingeke uma ukutheleleka noma enye inkinga yezempilo ibangela lokho. 

• Imithi: Ngezifo ezithweni zangasese, odokotela bavame ukunikeza ama-antifungal noma ama-antibiotics. Ukukhethwa kwemithi kuncike ohlotsheni lokutheleleka okukhona. Kubalulekile ukuqeda yonke inkambo yemithi ebekiwe ukuze uqinisekise ukwelashwa okusebenzayo. 
• Ukwelapha Nge-Hormonal: Kulabo abakhipha insundu ngenxa yokungalingani kwama-hormone, odokotela bangase batuse ukwelashwa kwama-hormone. Lokhu kungalawula umjikelezo wokuya esikhathini futhi kunciphise amabala. Kwezinye izimo, odokotela bangase banikeze indlela yokulawula inzalo ene-estrogen ephakeme ukuze bayeke ukulokhu kubonakala. 
• Inhlanzeko: Ukugcina inhlanzeko yesitho sangasese sowesifazane kudlala indima ebalulekile ekuvimbeleni nasekulawuleni ukuphuma okunsundu. Ochwepheshe bayeluleka ngokumelene ne-douching, njengoba kungase kuphazamise ibhalansi ethambile yezitshalo zangasese. Kunalokho, ukugeza ngamanzi kwanele ukugcina indawo ihlanzekile. Ukugwema insipho enamakha, izifutho, nezinto zokusula kusiza ukugcina izinga le-pH lemvelo lesitho sangasese sowesifazane futhi kuvimbele ukucasuka. 
• Ukungenelela Kokuhlinzwa: Odokotela bangase baluleke ukuhlinzwa ukuze kukhishwe ama-polyps noma izicubu eziyinkinga. 

Uzoyibona Nini Udokotela 

Nakuba ukukhishwa okunsundu kuvame ukujwayelekile, izimo ezithile zidinga ukunakekelwa kwezokwelapha, njenge: 

• Uma uphuma uketshezi olunsundu oluhlala amasonto ambalwa noma oluvame ukwenzeka ngemva kocansi 
• Uma ukukhishwa kunephunga elingathandeki noma kwenzeka ngemva kokuya esikhathini. 
• Uma ubona ukushintsha okuzumayo kombala, ukuthungwa, noma iphunga ekuphumeni kwakho kwanyanga zonke 
• Uma unokopha kakhulu esithweni sangasese sowesifazane noma ubuhlungu be-pelvic obuhambisana nokuphuma okunsundu 
• Ezinye izimpawu ezenza kudingeke ukuthi uvakashele udokotela zihlanganisa amajaqamba, ukulunywa kwesitho sangasese sowesifazane, ubuhlungu lapho uchama, ukopha okungavamile phakathi nokuya esikhathini, ukuya esikhathini okungajwayelekile kakhulu, noma ukuya esikhathini. 
• Uma usola ukuthi uthola isifo esithathelwana ngocansi (STI), kubalulekile ukukhuluma nodokotela. 

Ukuvimbela 

Nakuba ukukhishwa okunsundu kuvame ukujwayelekile, kunezinyathelo abesifazane abangazithatha ukuvimbela izimbangela ezithile nokugcina impilo yesitho sangasese sowesifazane sangasese, njenge: 

• Imikhuba emihle yenhlanzeko isiza ukuvimbela izifo ezingase ziholele ekuphumeni okunsundu. Ukugcina isitho sangasese sowesifazane sihlanzekile, ukugeza nsuku zonke ngamanzi afudumele kanye nensipho engaxutshiwe kwanele. Kubalulekile ukugwema ukudotshwa, njengoba kuphazamisa ibhalansi yemvelo yebhaktheriya esithweni sangasese. 
• Ukuzijwayeza ucansi oluphephile kubalulekile ukuze kuncishiswe ingozi yokuthola i-bacterial vaginosis (BV) noma izifo ezithathelwana ngocansi (STIs) ezingadala ukukhishwa okunsundu. 
• Ukuhlala ungenawo amanzi ngokuphuza okungenani ilitha elilodwa nengxenye lamanzi nsuku zonke kusiza ekukhipheni amagciwane ayingozi noma izimuncagazi emchameni, okuthuthukisa impilo yesitho sangasese sowesifazane. 
• Ukugqoka izingubo zangaphansi zikakotini eziphefumulayo kanye nokushintsha izingubo ezimanzi noma ezijulukayo ngokushesha nakho kungasiza ekuvimbeleni izifo. 
• Kubantu abaya ocansini abanabalingani abaningi, ukuhlolwa okuvamile kwe-BV kanye ne-STI kuyanconywa okungenani kanye ngonyaka. Uma usola ukuthi unesifo, ukuhlela isikhathi sokuhlangana kubalulekile ukuze ugweme umonakalo wesikhathi eside noma ukudluliselwa kwabanye. 
• Cabanga ngokuthatha ama-probiotics nsuku zonke, aqukethe amagciwane anenzuzo njenge-lactobacilli. Lokhu kungasiza ekulinganiseni kabusha izitshalo zangasese futhi kudambise izimpawu ezihambisana nezifo. 
• Ngokulandela lezi zinyathelo, abesifazane banganciphisa ingozi yokukhishwa okunsundu okungavamile futhi balondoloze impilo yonke yesitho sangasese sowesifazane. 

Isiphetho 

Ukukhishwa okunsundu kuyisenzakalo esivamile esingaba nezimbangela ezihlukahlukene, kusukela ezinqubweni ezivamile zomzimba kuya ezinkingeni zempilo ezingase zibe khona. Ukuqonda izizathu eziyisisekelo kanye nemithelela yezimpawu ezihambisanayo kungasiza abesifazane benze izinqumo ezinolwazi mayelana nempilo yabo yokuzala. Nakuba ukukhishwa okunsundu okukhanyayo ngokuvamile kungenangozi, funa usizo lwezokwelapha uma ukuphuma okunsundu kuqhubeka amasonto ambalwa, kuvame ukuvela ngemva kocansi, kunephunga elinamandla, noma kuhambisana nobuhlungu, ukuminca, noma ukulunywa kwesitho sangasese sowesifazane. 

Ukuhlolwa okuvamile nokuxhumana okuvulekile nodokotela kunomthelela ekutholakaleni kusenesikhathi nokwelashwa kwezinkinga eziwumsuka. Ngokuhlala benolwazi futhi benaka imizimba yabo, abesifazane bangakwazi ukulawula impilo yabo yokuzala futhi balungise noma yiziphi izinkinga ngokushesha. 

FAQ sika 

1. Ingabe ukukhishwa okunsundu kujwayelekile? 

Ukukhishwa okunsundu kuvame ukujwayelekile futhi akusona isizathu sokukhathazeka. Kuvama ukuvela ekuqaleni noma ekupheleni komjikelezo wakho wokuya esikhathini lapho ukugeleza kwegazi kuhamba kancane, okukuvumela ukuba ku-oxidise futhi kube nsundu. Lokhu kukhishwa kungenzeka futhi phakathi nenkathi ngenxa yezinguquko ze-hormonal noma i-ovulation. 

2. Kungani ngiphuma unsundu kodwa ngingayi esikhathini? 

Kunezizathu ezimbalwa zokuthi ungathola ukuphuma okunsundu esikhundleni sesikhathi. Kungaba uphawu lokukhulelwa kusenesikhathi, ikakhulukazi uma kuhambisana nezinye izimpawu ezifana nokungayi esikhathini noma isicanucanu. Izinguquko zeHormonal ezifana nalezo ezihlobene nokulawulwa kokuzalwa kanye nezimo ezingaphansi njenge-polycystic ovary syndrome (PCOS) noma i-endometriosis. 

3. Ingabe ukucindezeleka kungabangela ukukhishwa okunsundu? 

Yebo, ukucindezeleka kungathinta umjikelezo wokuya esikhathini futhi kubangele ukukhishwa okunsundu. Amazinga aphezulu okucindezeleka angabangela ukungalingani emazingeni amahomoni, okungase kushintshe ukugeleza kwakho kokuya esikhathini okuvamile. Lokhu kungafaka amabala akhanyayo noma ukuphuma okunsundu phakathi kwezikhathi. 

4. Ingabe ukukhishwa okunsundu kukhulelwe? 

Ukukhishwa okunsundu kungaba uphawu lokuqala lokukhulelwa. Kungase kwenzeke ngenxa yokopha kokufakelwa, okwenzeka lapho iqanda elivundisiwe (i-ovum) linamathela olwelweni lwesibeletho. Lokhu ngokuvamile kwenzeka emavikini angu-1-2 ngemva kokukhulelwa. Nokho, akubona bonke abesifazane abakhulelwe ababhekana nalokhu. 

5. Uwelapha kanjani ukukhishwa okunsundu? 

Ezimweni eziningi, ukuphuma okunsundu akudingi ukwelashwa njengoba kuyingxenye evamile yomjikelezo wokuya esikhathini. Nokho, ukwelashwa kungase kudingeke uma ukutheleleka noma esinye isimo esicashile sikubangela. Lokhu kungafaka ama-antibiotics okutheleleka kwebhaktheriya noma ukwelashwa kwamahomoni ezimweni ezifana ne-PCOS. 

UDkt. Neha V Bhargava

MS, DNB (obgyn), MNAMS, Fellow (Gynae Oncology)
I-Ganga CARE Hospital Limited, eNagpur

Ukuze Ubhukhe Isikhathi, shayela:

+ 91 40-68106529

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