Unxibelelwano oluNokwenzeka phakathi kwexesha elibuhlungu kunye neNzala
Ukuba uzama ukukhulelwa , unokuzibuza ukuba ixesha elibuhlungu linokuchaphazela ukuzala kwakho. Iintlanki ngokwazo aziyi kukuyeka ukuba ukhulelwe. Nangona kunjalo, nantoni na ebangela ukuba i-cramps emibi inokuchaphazela ukuzala kwakho.
Yintoni Ebangelwa Iimvula Zamaxesha?
Iintlanzi zibangelwa yi-prostaglandins. I-Prostaglandins yimizimba yendalo kwaye ingafumaneka kwiishubhu kuwo wonke umzimba, kubandakanywa nesisu.
Iprostaglandins ibaluleke kakhulu. Badlala indima kwimimiselo yokuvuvukala, ukukhula kweeseli, ukulawula ukushisa komzimba, kunye nokugqithiswa kwemisipha kunye nokuhluthwa.
Njengoko unokuba uqikelele ngoku, badlala indima ebalulekileyo kwisibeleko.
Ngethuba lokuya esikhathini, baqala ukuxhamla imisipha ye-uterine. Oku kunceda ukukhupha i-uterine bining during period. Kwakhona kubalulekile ekunciphiseni ukuchasana kwabasebenzi kunye nokubeletha.
Ukuba amanqanaba akho e-prostaglandines aphakamileyo kakhulu, angabangela iziphambano ze-uterine ezinamandla kakhulu.
Xa izithintelo ze-uterine zomelele ngakumbi, i-oksijini iyacinywa okwesikhashana kwiindawo zomsizi. Ukungabikho kwe-oksijini kubangela ixesha elibuhlungu leenkampu.
Iintsholongwane zinokujamelana neenkampu ezinzima kakhulu. Oku kuba kuba ngokwemvelo banamazinga aphezulu aseprogagland. Ngokuqhelekileyo, amanqanaba ayahla xa ekhula, kunye neenkampu ziba nzima.
Abasetyhini banokuba namaxesha alula emva kokubeleka.
Ixesha lezonyango kwixesha lentlungu lidysmenorrhea. Iimfampu zexesha elibangelwa ngumsebenzi oqhelekileyo we-prostaglandin ubizwa ngokuba yi-primary dysmenorrhea. Oku akufanele kuthinte kakubi ukuzala kwakho.
Nangona kunjalo, ixesha leenkampu ezibangelwa okanye ezigqithisileyo kwezinye izifo okanye ukungaqhelekanga kwenkqubo yokuzala zibizwa ngokuba yi-secondary dysmenorrhea.
I-dysmenorrhea yesibini engabandakanywa nexesha elinzima lokukhulelwa.
Izidumbu eziMbi kunye neNzala yakho
Iimfampu ezinqamle kakhulu zesini zingabangelwa zizifo ezichaphazela ukuzala. Ezinye zezi zifo zikhula ngokuhamba kwexesha, kwaneminyaka.
Yingakho unokuqala ukufumana iingxaki ngeenkampu xa ungenayo le ngxaki ngaphambili.
Izizathu ezinokuthi zenze iimeko ezinqabileyo zexesha, ezinokuchaphazela ukuzala kwakho, zibandakanya:
I-Endometriosis: I- Endometriosis idume ngokubangela ukuba kungekhona nje ixesha elibi leenkampu kodwa kungabikho ntsholongwane.
Ukuba une-endometriosis, i-endometrium - izicubu eziqhelekileyo zibeka umlenze-zikhula kwiindawo ezingaphandle kwesibeleko. Kuqikelelwa ukuba ukuya kuma-50 ekhulwini kwabasetyhini abanobunzima bokukhulelwa banokuba ne-endometriosis. Abafazi bahlala behamba iminyaka engayifumananga.
I-Fibroids : I-Fibroids isisindo esingaqhelekanga sesishukela esikhula ngaphakathi kwesisu esisisigxina se-uterus. Ziphantse zihlala zingekho komhlaza.
Abasetyhini abaninzi abazange bazi ukuba bane-fibroids. Nangona kunjalo, ngezinye iinkhathi kunokubangela intlungu, ukuzala okuncinci, kwaye mhlawumbi ukwandisa umngcipheko wokukhulelwa kwesisu.
Izifo ezivuthayo zi-Pelvic (PID) : Esinye isizathu esinokubangela ukunyuka kokunyuka kokuya esikhathini esinokuchaphazela ukuvelisa isifo sesifo se- pelvic (PID ).
I-PID ibangelwa usulelo kwizitho zokuzala. Ikhokelela ekwakheni izicubu ezibomvu , uhlobo oluthile olubukeka njengebhanki phakathi kwama-ovari, i- fallopian tubes , kunye nesisu. Yona nto ibangelwa yilezi zixhobo ezivaliweyo ze-fallopian tubes .
I-Adenomyosis : I-Adenomyosis yilapho i-endometrium ikhula ngaphakathi kwaye ibe kwisisipha sesisu. Oku kuhlukile kune-endometriosis, apho i-endometrium ikhula ngaphandle kwesibeleko. Kuye kwahluke ngakumbi kune-fibroids, eyona buninzi beethambo ezihluthayo.
I-Adenomyosis ingabangela ixesha elibuhlungu nelinzima. Akucaci nokuba ngaba ayinakuchaphazela ukuzala, kodwa ezinye izifundo zibonisa ukuba kunokwenzeka.
Ubunzima bePelvic kunye noNzala
Ubuhlungu be-pelvic buya kwenzeka xa ungalindelanga ixesha lakho.
Abanye abafazi bafumana intlungu ye-ovulation . Iintlungu zesifo sokuvuthwa ziqhelekile, kunye neepesenti ezingama-50 zithi zibenokubakho ubuncinane kanye kunye no-20 ekhulwini labasetyhini besithi bayifumana njalo nyanga.
Ukuvuthwa akuqhelekanga ukuba kukuphazamisa ubomi bakho bemihla ngemihla, kubangela ubuhlungu bobulili obubuhlungu, okanye bunzima (nokuba mhlawumbi ngokukhawuleza.) Intlungu ye-ovulation ingaba uphawu lwe-endometriosis.
Iintlungu zesifo sokuvuthwa zinokuba nzima kakhulu kwabasetyhini abathile ukuba zibavimbele ukuba balala ngesondo xa banakho ukukhulelwa . Kufuneka uxoxe nodokotela wakho ukuba kwenzeka ntoni kuwe.
Ukuthetha intlungu kunye nesondo, abanye abafazi banamava abuhlungu nangakhathaliseki ixesha lenyanga.
Ubundlobongela abufanelekanga . Ukuba uzama ukukhulelwa, kwaye intlungu ikuthintela ukuba ube nesondo rhoqo, oko kuya kunciphisa ubunzima bakho bokukhulelwa.
Ngaba unyango lweeNyanga ezibuhlungu zibangelwa ukungabikho komzimba?
Ukuba unamaxesha abuhlungu okanye ubuhlungu bentlungu, kubalulekile ukuba uthethe ugqirha wakho . Ukubandezeleka ekuthuleni akudingekile.
Ngamanye amaxesha ukulungiswa kokuzalwa kweHormon kukhuthazwa. Ukuba uzama ukukhulelwa, oku akukhethwa kukho.
Olona unyango oluqhelekileyo lwexesha elibuhlungu lunamayeza amaninzi ngaphezu kwe-ibuprofen (njenge-Advil), i-acetaminophen (njengeTylenol), okanye i-naproxen (njenge-Aleve.) Iziphumo ezingcono, uthatha imithi yengxolo xa iimpawu zakho ziqala nje- ngokuchasene nokulinda de ube eninzi intlungu-iyona nto ibhetele.
Kukho nkxalabo yokuba kwiimvavanyo zepilisi zentlungu zingaphazamisa ukuzala. Ngokuchanekileyo, iziyobisi ezingekho komzimba (anti-inflammatory drugs) (i-NSAID) zikhankanywe ukuba ziphazamise ukuvuthwa.
Nangona uphando olusandul 'uphando lufumene impembelelo engafanelekanga yokuthatha ibuprofen ngexesha lokuqala kwimijikelezo yokuya esikhathini, izifundo ezingaphezulu azifumananga oku. Enyanisweni, kukho ubungqina bokuba ukuphuculwa kwentlungu kunokuphucula kancane izinto ezithile zokuzala.
Kuhlolisiso lwabafazi abangaphezu kwewaka, i-naproxen yafunyanwa ukuba inokwandisa ixesha lokukhulelwa kwabasetyhini abazama ukukhulelwa. Umphumo wawubonakala ukwandisa phezulu umyinge we naproxen. Impembelelo yayincinci kodwa ibalulekileyo.
Ugqirha yindlela enye yokwenza unyango kwintlungu, ukuba intlungu ibangelwa yi-endometriosis, i-fibroids, okanye olunye uhlobo lokubambisana kwangaphakathi. Ngaphambi kokuba uvumelane nolu hlobo lotyando, qiniseka ukuba uqale ubonisane ne-endocrinologist yokuzala. Ufuna uqiniseke ukuba ukuzala kwakho kuhleli kakuhle emva kokuhlinzwa, kwaye ngamanye amaxesha, kunenzuzo kwixesha lokwenza unyango ngokukhawuleza emva kokuhlinzwa okulungisiweyo.
Kwiimeko ezinzima, ukususa isibeleko kunokucetyiswa kwintlungu. Oku akukhethiyo ukuba uzimisele ukuzala abantwana. Kwakhona, ngokumangalisayo, oku akusoloko kuphelisa ngokupheleleyo intlungu yeplavic. Qinisekisa ukuba ufumana umbono wesibini ukuba ugqirha wakho uncoma i-hysterectomy epheleleyo okanye epheleleyo.
Igama elivela kwi-Verywell
Amaxesha akho akufanele awulawule ubomi bakho. Ukuba ubona ubuhlungu be-pelvic, kukho iindlela zokwelapha ezikhoyo, kwaye ugqirha wakho unokukwazi ukukuchazela. Nangona ezinye izifundo zakuqala zifumene impembelelo engavumelekanga yokuzala ukusetyenziswa kwe-ibuprofen, iziphumo ezingakumbi azifumananga oku. I-Naproxen ingaba nefuthe elincinci lokuzala, kodwa oku kucaca.
Ezinye izinto ezibangela ubuhlungu zihlandlo zingakhokelela ekungabikho komntwana. Kubalulekile ukwazi ukuba ezinye zeemeko zibuhlungu ngaphezu kwexesha. Ulwaphulo lwangaphambili lubalulekile. Esi sizathu esinye kufuneka uxoxe nodokotela wakho.
Ngaphandle kokuthembela ekunciphiseni intlungu, ukufumana unyango olusenokuba lunokuthi ulondoloze ukuzala kwakho okanye ukwandise imiphumo yakho yokuphumelela unyango lwexesha elizayo.
Imithombo:
> Matyas RA1, Mumford SL1, Schliep KC1, Ahrens KA1, Sjaarda LA1, Perkins NJ1, Filiberto AC1, Mattison D2, Zarek SM3, Wactawski-Wende J4, Schisterman EF5. "Iimpembelelo zokusetyenziswa kwee-analgesic kwi-hormone yokuzala kunye ne-ovulation kubasetyhini abasemgangathweni, abafazi be-premenopausal. "Uhlambalaza. 2015 Jul; 30 (7): 1714-23. i-doi: 10.1093 / i-humrep / dev099. Epub 2015 Meyi 6.
> McInerney KA1, Hatch EE2, Wesselink AK2, Rothman KJ2,3, Mikkelsen EM4, i-Wisdom LA2. "Ukusetyenziswa kwangaphambili kweentlungu-ukuxilwa kunye nexesha-lokukhulelwa: umntu ozakufunda ngokubanzi. "Uhlambalaza. 2017 Jan; 32 (1): 103-111. Epub 2016 Nov 5.
Ukunyuka kwemizi. Izifo neemeko. MayoClinic.org. http://www.mayoclinic.org/diseases-conditions/menstrual-cramps/basics/definition/con-20025447
Sunkara SK1, Khan KS. "I-Adenomyosis kunye nokuzala komfazi: ukuhlaziywa okubalulekileyo kobungqina. "J Obstet Gynaecol. 2012 Feb; 32 (2): 113-6. i-doi: 10.3109 / 01443615.2011.624208.