Ukwephuza ukuqhuma, Izikhathi ezilahlekile, Izinguquko ezihambayo, nemiphumela yezinhlungu
Kunezinguquko eziningi emzimbeni wakho ongalindela ukuzenza uma uqala ukuzivocavoca njalo. Ungase ube nemisipha ebuhlungu, ulahlekelwe isisindo, ulale kahle, futhi uthole amandla. Kodwa lokho ongalindelanga ukuthi ukuzivocavoca njalo kungabangela ushintsho kumjikelezo wakho wokuya esikhathini. Izinguquko zingase zibe ezicashile noma ezimbi kakhulu kuye ngezici eziningi ezithinta indlela umzimba wakho uphendukela ngayo izinga lakho lomsebenzi okhuphukile.
Nazi ezinye izinto ezine ezivame ukuzivocavoca umzimba ongazenza esikhathini sakho.
1. Ukukhipha Okungahleliwe Ngaphandle Kwesikhathi Sakho Esivamile
Uma unesifo sangokwemvelo phakathi nomjikelezo wakho wokuya esikhathini okungesona ngesonto lenkathi yakho ejwayelekile kuthiwa ukuphuma kwegazi. Ngokuvamile kwenzeka ngoba isibeletho sakho sithola imilayezo ye-hormone ehlanganisiwe. Ukuphuma kwegazi kuyindlela ejwayelekile yokuphuma kwamagciwane okungavamile.
Ukuzivocavoca njalo kungabangela izinguquko ezicashile emazingeni akho e-hormone eziphazamisa ukufakelwa kwe-cyclic kanye nokuchithwa kwebhande lesisu sakho. Ukwakheka kwesibeletho sakho kungaphendula kulezi zibonakaliso ezixubekile ngokukhipha ngokungahleliwe, okubangela ukuphuma kwegazi. Lokhu kuphuma kungase kube mnyama noma kubomvu okukhanyayo. Ngokuvamile ukubona nje noma ukukhanya okulula kunesikhathi sakho esivamile. Ungase uhlangane nokuphuma kwegazi ngesikhathi noma ngemuva kokuzivocavoca okunzima.
Ayikho imbangela eqondile nomphumela wokugoma emva kokuzivocavoca.
Kungaba umphumela we-endometrium ephazamisekile. Noma, kungenzeka ngenxa yezinguquko zesakhiwo emgqeni wesibeletho sakho noma esibelethweni sakho somlomo wesibeletho. Kucatshangelwa ukuthi ukunyuka kwengcindezi yesisu okuhlobene nezinye izinhlobo zokuzivocavoca kungabangela ukuphuma kwegazi kusuka ku-submucosal uterine fibroids , i-polymer endometrial, nama- polyps womlomo wesibeletho .
2. Izikhathi ezilahlekile
Yize kukuhle kuwe, ukuzivocavoca kubeka ukucindezeleka emzimbeni wakho. Ukucindezeleka kwe-physiologic yokuzivocavoca kungaphazamisa ibhalansi ku-hypothalamic-pituitary-ovarian axis. I- hypothalamus iyisakhiwo ebuchosheni bakho esisebenza njengesikhungo sokulawula sokuhamba kwakho kokuya esikhathini. Ithumela imilayezo ye-hormonal ku-gland yakho ye-pituitary kanye nama-ovari wakho okwenza u-ovulation wakho.
Uma lokhu kukhulumisana kuphazanyiswa njengomphumela wokucindezeleka we-physiologic, njengokuzivocavoca okunzima noma ukulahlekelwa isisindo esibalulekile, ngeke ususe. Uma ungavumeli, izinguquko ezibangelwa ukuya esikhathini ngeke zenzeke futhi uzolahlekelwa isikhathi sakho. Ukungabi nesikhathi sakho ngenxa yokuzivocavoca okunamandla kubizwa ngokuthi i-amenorrhea eyenziwe ngomzimba.
Ifomu eyingozi ngokweqile ye-amenorrhea eyaziwayo ngokuzivocavoca iyaziwa ngokuthi i-trimmed female triad. I-female athlete triad ichaza isimo esithile kubantwana abasha kanye nabagijimi besifazane abasha abakhiwe:
- Ukungasebenzi komzimba
- Ukudla okuphansi kwe-caloric
- Ubuncane bamathambo omzimba
Ukuhlanganiswa kokuzivocavoca okunamandla okukhulu nokudla okuphansi kwe-caloric kubeka ukucindezeleka okuphawulekayo emzimbeni womfana osemncane. Ngenxa yokucindezeleka kwe-physiologic, i-hypothalamus (isikhungo sokulawula ukuya esikhathini esibuchosheni) senza ukukhushulwa kwama-ovari.
Ekugcineni, ukuvuthwa okwenziweyo akukwenzeka ukuze izinkathi zomdlali zime. Ngokuhamba kwesikhathi, ama-ovari akhe aphuza ukukhiqizwa kwe-hormone. Izinga lakhe le-estrogen liyehla, okubangela ukulahlekelwa kwethambo kanye nezinye imiphumela emibi yezempilo.
3. Shintsha ku-Flow yakho
Ungesabi uma uqaphela ukuthi izikhathi zakho ziba lula uma uqala ukuzivocavoca njalo. Izinguquko ezifanayo ze-hormonal ezingamisa izinkathi zakho ngokuphelele zingenza umthelela obuthakathaka emzimbeni wakho futhi zibangele ukugeleza okulula.
Enye inguquko engenzeka engabangela ukugeleza okulula ukulinganisa ukulinganiswa okulinganiselwe okungafika ngokuzivocavoca njalo.
Amafutha omzimba noma izicubu ze-adipose empeleni ziveza uhlobo lwe-estrogen. I-estrogen eyengeziwe emzimbeni wakho ingabangela ukwelulwa kwesibeletho sakho ukwakha ngaphezulu phakathi nengxenye yokuqala yomjikelezo wakho. Umfutho wendlala, ukugeleza kokuya esikhathini esibi kakhulu. Uma ulahlekelwa isisindo, empeleni usinciphisa inani le-estrogen emzimbeni wakho, okuyinto ekunciphiseni ukwakhiwa kwe-cyclic kwendwangu yesisu sakho. I-lining thinner kusho ukugeleza okuncane.
4. Ubuhlungu be-Period
Kunezinhlobo ezimbili ezihlukene zobuhlungu besikhathi. Kungakhathaliseki ukuthi ukuvivinya umzimba kusiza noma cha kuxhomeke ekubambeni ubuhlungu bakho.
I-dysmenorrhea eyinhloko iyisikhathi esibuhlungu esingenayo imbangela ebangelwayo. Ngokuvamile kuqala ngesikhathi sakho sokuqala bese ubuhlungu bufika nesikhathi ngasinye esilandelayo. Kuvame ukuhamba ngesikhathi usu-20s. Kungenzeka ukuthi ukuzivocavoca kungasiza ukunciphisa lolu hlobo lwenkathi ebuhlungu.
Kucatshangwa ukuthi izinguquko ezicashile ze-hormonal ezihambisana nokuvivinya umzimba njalo zinganciphisa ukuxilongwa kwe-prostaglandins emgqeni wesibeletho sakho. I-Prostaglandin yizinto ezivuvukala ezikhiqizwa emzimbeni wakho ezibhekene nokubangela ukuhlukunyezwa kwe-muster contractions kanye nama-cramps. Yingakho imithi ebuhlungu evimbela ukukhiqizwa kwe-prostaglandin njenge-ibuprofen umsebenzi we- NSAID ongcono kakhulu wokuphatha izikhwama zesikhombisa. Ukunciphisa ukuhlushwa kwe-prostaglandin kunciphisa isikhathi sokuchofoza. Noma kunjalo, izifundo zokwelashwa zalesi sizathu zimbalwa futhi azizange zikwazi ukufinyelela isiphetho ngokuthi ngabe umsebenzi usiza noma cha.
I-dysmenorrhea yesibili yisikhathi esibuhlungu esibangelwa ukugula okuyisisekelo. Lolu hlobo lobuhlungu bezinhlungu luvame ukuqhubeka ngokuhamba kwesikhathi futhi lungase luqale kuze kube ngu-20s noma kamuva. Izimo ezimbili ezivame ukudala lolu hlobo lobuhlungu besikhathi:
Ukuzivocavoca kungasiza ekunciphiseni isikhathi esibuhlungu ngemiphumela yaso ku-prostaglandin uma une-dysmenorrhea yesibili. Njenge-dysmenorrhea eyinhloko, i-prostaglandin idlala indima ebalulekile ekwenzeni izimbangela ze-uterine futhi ziphazamise ngisho nangokwelashwa okuyisisekelo.
Kodwa-ke, ungesabi uma usubuhlungu obukhulu uma usebenzisa isikhathi sakho, ikakhulukazi uma une-uterine fibroids. I-fibroids ye-uterine yizicubu ezikhula kusuka emisipha ebushelelezi odongeni lwesibeletho sakho. Ama-fibroid ahlakulela inethiwekhi yemithambo yegazi ngoba (njengamanye onke amafomu emzimbeni wakho) adinga igazi nezakhi ukuze zikhule.
Uma usebenzise umzimba, ushintsha ukugeleza kwegazi lakho ukuze uzwe inhliziyo yakho, amaphaphu, nemisipha yakho, igazi eliguquguqukayo eliguquguqukayo kude nezinye izakhiwo ezingabandakanyeki ekuzivocavoca, kuhlanganise nesisu sakho. Ngaphansi kwezimo ezivamile, isibeletho sakho sivumelanisa nalokhu ngaphandle kwenkinga. Kodwa uma une-fibroids, kungenzeka ukuthi babe nokunciphisa okukhulu ekugezeni kwegazi ngesikhathi sokuvivinya umzimba.
Lokhu kubangela isimo esaziwa ngokuthi ischemia esifana nalokho okwenzeka ensikeni yenhliziyo ngaphambi kokuhlaselwa yinhliziyo. Uma imisipha iba ischemic, uzizwa ubuhlungu. Uma une-fibroids ephawulekayo cishe uzoba nokwanda kobuhlungu be-uterine nokuchoboza lapho usebenzisa umzimba ngesikhathi sakho ngenxa ye-ischemia.
Izwi elivela
Ngokuyinhloko, ukuphuma kwegazi noma isikhathi esithile esiphuthelwe ngaso sonke isikhathi akuyona into ebaluleke kakhulu uma usanda kuqala ukuvivinya umzimba, usebenzise kakhulu, noma ulahlekelwe isisindo esiningi. Kodwa uma ushintsho emjikelezweni wakho oqhubeka izinyanga ezimbili kuya kwezintathu ulandelana, kufanele uxoxe ngawo nomhlinzeki wakho wezempilo.
Ngokuvamile, ukuzivocavoca kunemiphumela emihle esikhathini sakho. Kuyathakazelisa ukuqaphela ukuthi abesifazane abahlala emzimbeni futhi bengatholi umzimba njalo banesikhathi esinzima futhi esibuhlungu kakhulu. Thola ukuhamba. Ngempela, ngubani ongafuni inkathi yokukhanya ngokunciphisa kancane?
> Imithombo:
> I-American College ye-Obstetrics ne-Gynecology. I-ACOG Practice Bulletin no.136: Ukuphathwa Kwegazi Lokungavamile Okungavamile Okuhlobene Ne-Ovulatory Dysfunction. I-Obstet Gynecol. 2013; 122 (7): 176-85.
> I-American College ye-Obstetrics ne-Gynecology. I-ACOG Practice Bulletin no-9: Okunye okungafani ne-Hysterectomy ekulawulweni kwe-Leomyomas. I-Obstet Gynecol. 2008; 112 (8): 201-7.
> Brown J, Brown S. Ukuzivocavoca kwe-Dysmenorrhoea. I-Cochrane Database yezibuyekezo ezihleliwe . 2017. ini: 10.1002 / 14651858.cd004142.pub3.
> Daly, AJ. Ukuzivocavoca kanye ne-Dysmenorrhea Eyisisekelo: Ukubuyekezwa Okuphelele Nokubalulekile Kwezincwadi. I-Med Med. 2008; 38 (8): 659-70.