Kungokwemvelo ukuzwa ama- cramps omnene phakathi nenkathi yakho, futhi izindaba ezinhle ukuthi lezi zinsika zingadambiswa ngezindlela zokwelapha ezilula ezifana ne-hot pad noma ukukhulisa ubuhlungu obukhulu kakhulu.
Kodwa-ke, ezinye izikhwama zezinsikazi zokuya esikhathini zingase zingazizwa zingcono ngalezi zindlela eziyisisekelo. Uma ngabe kunjalo kuwe, ukwenza i-aphoyintimenti nodokotela wakho kubalulekile.
Ngale ndlela awutholi nje kuphela ukukhululeka kobuhlungu obufanele kodwa futhi uqinisekise ukuthi akukho okunye okuqhubekayo.
Ukuqonda izigqoko zokuya esikhathini
Ithimba lezokwelashwa lokubhekana nobuhlungu obuhambisana nesikhathi sakho lidysmenorrhea, futhi kunezinhlobo ezimbili: i-dysmenorrhea eyinhloko neyesibili.
I-Dysmenorrhea eyinhloko
Ngokusho kwe-American College of Obstetricians and Gynecologists (ACOG), abangaphezu kwamaphesenti amahlanu amahlanu abesifazane abaya esikhathini bahlangabezana nobuhlungu ezinyangeni ezilodwa kuya kwezinyanga zonke. Ngamanye amazwi, ukuchithwa kokuya esikhathini kuvamile kakhulu.
Ukukhiqizwa kweprostaglandin ngaphakathi kwimbangela yesisu sakho kungumphumela wezintambo zokuya esikhathini. Njengoba izinga le-prostaglandin liphuma esibelethweni ngaphambi kokuqala kokuya esikhathini, abesifazane bavame ukubhekana nokulimaza ngosuku lokuqala lwenyanga yabo. Njengoba uhlaka lwamagciwane abo luphuma futhi luphuma, izinga le-prostaglandin liyehla futhi ngaleyo ndlela, i-cramping.
Kuyathakazelisa ukuqaphela ukuthi iziqhwa zesisu ziqala lapho owesifazane eqala ukuya esikhathini, ngesikhathi eseneminyaka eyishumi nambili noma esemncane.
Kodwa kulabo besifazane abaningi, ama-cramps aba nobuhlungu obukhulu njengoba bekhula.
I-Dysmenorrhea yesibili
I-dysmenorrhea yesibili isho ukuthi ukunyuka komama kokuya esikhathini akukona ukwanda kwezinga le-prostaglandin ngaphakathi kwesibeletho sakhe, kodwa kunesinye isimo sezokwelapha. Izibonelo zezimiso ezingase zidale i-dysmorrhea yesibili zihlanganisa:
- I-Endometriosis
- Ama-Froid e-Uterine
- Adenomyosis
Ngokungafani ne-dysmenorrhea eyinhloko, i-dysmenorrhea yesibili ingase iqale ngokuhamba kwesikhathi empilweni, futhi ubuhlungu obuhambisana nezinkathi buvame ukuba bubi kakhulu, hhayi kangcono, njengoba owesifazane ekhula. Ngaphezu kwalokho, ngenkathi ubuhlungu be-dysmenorrhea oyinhloko buphela usuku noma ezimbili nje kuphela, lokho kwe-dysmorrrhea yesibili kuyaba kubi nakakhulu njengoba isikhathi siqhubeka. Eqinisweni, ubuhlungu besifazane besifazane bungaphikelela ngisho nangemva kokuthi ukuphuma kwakhe kokuya esikhathini sekuphelile.
Ukuhlola amahlumela okuya esikhathini
Ngaphandle kokuthatha umlando wezokwelapha ngokucophelela nokwenza ukuhlolwa kwangokwenyama, kuhlanganise nokuhlolwa kwe-pelvic, udokotela wakho angalaya i-ultrasound, ukuze ahlolisise izitho zakho zokuzala (ama-ovari, isisu, nama-tublopian tubes). I-Ultrasound iyasiza kakhulu ekutholeni i-fibroids. Ngokuvamile, ukuhlinzwa kuyadingeka ukuze udokotela wakho ahlole izitho ngaphakathi kwesikhumba sakho.
Ukwengeza, udokotela wakho angancoma ukuhlolwa kokukhulelwa, njengoba inhlanganisela yokweqa nokuphuma kwegazi kungabonisa ukukhulelwa kwesisu noma ukukhulelwa kwe-ectopic.
Ukwelapha Amanqamu Okuya esikhathini
Ama-anti-inflammatory (non-anti-inflammatory) (ama-NSAID), njenge-ibuprofen, avame ukunconywa ukuba aphathe i-dysmenorrhea, njengoba ehlisa amazinga e-prostaglandin emzimbeni. Kodwa qiniseka ukuthi ukuxoxa ngokuthatha ama-NSAID nodokotela wakho kuqala, njengoba kungase kubangele imiphumela emibi njengegazi, izilonda zesisu, nezinkinga zezinso nesibindi.
Ukuhlanganiswa kokuzalwa kokubeletha (isibonelo, iphilisi, i-patch, noma indandatho yangasese), kanye nezindlela ze-progestin-kuphela (isibonelo, idivayisi ye-intrauterine noma ukufakelwa), kungasiza ukuphatha i-dysmenorrhea.
Yiqiniso, kunezindlela zokwelapha ezingekho emithi, njengokusebenzisa i-pad yokushisa emathunjini akho aphansi. Kuyathakazelisa ukuthi ukuvivinya umzimba kutholakale futhi kuyasiza ekunciphiseni izikhwama zokuya esikhathini.
Uma uthola ukuthi une-dysmenorrhea yesibili, udokotela wakho uzophatha lesi simo esibucayi ukuze unciphise izikhwama zakho zokuya esikhathini. Ngokwesibonelo, ukulawulwa kokuzalwa kwama-hormone kungabhalwa ukuphatha i-endometriosis, futhi uma i-fibroids ibangela ubuhlungu, ingasuswa ngokuhlinzwa.
Okokugcina, abanye besifazane bakhetha ukwelashwa okuhambisanayo (isibonelo, ukukhishwa kwesikhumba noma i-yoga), kungaba yedwa noma ngaphezu kwemithi, ukuze kunciphise ubuhlungu babo-nakuba ubufakazi obusekela ukusiza kwabo kunciphile.
Izwi elivela
Ekugcineni, kunengqondo ukubona udokotela wakho uma uhlangabezana nezikhwama zokuya esikhathini, ikakhulukazi uma enganciphisi ngamasu alula, futhi / noma ephikelela phakathi nesikhathi sakho sokuya esikhathini.
Yiqiniso, kunoma yisiphi isikhathi lapho ubhekene nobuhlungu obukhulu besisu noma obukhulu besisu, ungalindeli ukuqashwa kukadokotela. Kulesi sibonelo, funa ukwelashwa ngokushesha.
> Imithombo:
> I-American College ye-Obstetrics ne-Gynecologists. (2015). Imibuzo evame ukubuzwa: I-Dysmenorrhea: Izikhathi ezibuhlungu.
> Smith RP, Kaunitz AM. (2017). I-dysmenorrhea eyinhloko kubantu besifazane abadala: izici zemitholampilo nokuxilongwa. I-Barbieri RL, ed. Kusesikhathini. Waltham, MA: UpToDate Inc.
> I-A. A. Ukwelashwa okuhambisanayo kanye nokwelapha okuyisisekelo sokudysmorrhea eyinhloko ebantwaneni. Umhlengikazi Pract . 2014 Nov 16; 39 (11): 1-12.