Sibutsetelo
Uma unezikhathi ezibuhlungu awusiye wedwa. Kucatshangwa ukuthi abesifazane abangamaphesenti angama-90 bazwa ukuphuza komzimba ngesikhathi sokuya esikhathini. Kodwa ngezinye izikhathi lobu buhlungu bungaba bukhulu kakhulu.
Uma usemusha noma eminyakeni engama-20 futhi unenkathi ebuhlungu kakhulu kungenzeka ube nesimo esibizwa ngokuthi i-dysmenorrhea eyinhloko.
Izikhathi ezibuhlungu yimbangela ehamba phambili yezinsuku zesikole ezingabanjwanga e-US
Iyini i-Dysmenorrhea Primary?
I-Dysmenorrhea yigama lezokwelapha elisetshenziselwa ukuchaza izikhathi ezibuhlungu.
Kunezinhlobo ezimbili ezihlukene ze-dysmenorrhea. I-dysmenorrhea yesibili ichaza isikhathi esibuhlungu esibangelwa isimo esiyisisekelo somzimba njenge- fibroids noma i- adenomyosis . Lolu hlobo lobuhlungu bezinhlungu luyakhula emva kweminyaka eminingi yezikhathi ezinzima.
I-dysmenorrhea eyinhloko isetshenziselwa ukuchaza ubuhlungu obunzima obukwenzeka phakathi nesikhathi sakho uma kungekho esinye isimo se-pelvic esingabangela ubuhlungu.I-dysmenorrhea eyinhloko eyisisekelo iqala phakathi nonyaka wokuqala noma emva kokuba uqale ukuthola izikhathi zakho njalo.
Izimpawu
Ubuhlungu be-dysmenorrhea oyinhloko buhle kakhulu. Kuvame ukuqala zingakapheli amahora angu-12 ngaphambili noma cishe amahora ayisithupha emva kokuqala isikhathi sakho. Ubuhlungu ngokuvamile bubi kakhulu ngosuku lwakho olugeleza kakhulu. Kodwa kwabanye besifazane abasha, ubuhlungu bungaba khona izinsuku ezingaba ngu-3.
Ubuhlungu be-dysmenorrhea eyinhloko ngokuvamile bufana futhi bubikezelwe kusukela esikhathini kuya esikhathini.
Kuvame ukuchazwa ngokuthi ubuhlungu obuqhakazile obuqala phakathi kwesisu sakho esingaphansi. Ubuhlungu buvame ukusabalalisa emuva emhlane wakho ophansi ngisho nasezintweni zakho ezinjengebuhlungu obukhulu futhi obunzima noma obunzima.
Ungase ube nezinye izimpawu ezingathandeki ezihambisana nobuhlungu be-dysmenorrhea eyinhloko.
Lezi zimpawu zingabandakanya:
- isifo sohudo
- isicanucanu nokuhlanza
- ukukhathala
- ikhanda / ukuphelelwa amandla
- ikhanda
- isiyezi
- umkhuhlane
Kucatshangwa ukuthi lezi zimpawu zibangelwa ukukhululwa kwe-prostaglandin imakhemikhali yemvelo emzimbeni wakho obuye ubhekene nobuhlungu be-dysmenorrhea eyinhloko.
Izimbangela
Ukwakhiwa kwesibeletho sakho kuveza amakhemikhali emvelo abizwa ngokuthi i-prostaglandins.
Amanye alawa ma- prostaglandin enza ukuthi imisipha kanye nemithwalo yegazi esiswini sakho kusebenze. Lapho imithwalo yegazi neyegazi ikhipha okwesikhashana ukugeleza kwegazi esibelethweni. Lokhu kwehlisa ukugeleza kwegazi kuthiwa yi- ischemia . Esibelethweni, i-ischemia iphilile futhi ifika kumazayini njengezivumelwano zesikhumba. Kodwa lezi zinguquko zifana nalokho okwenzeka ngesikhathi sokuhlasela kwenhliziyo. Ukunciphisa ukugeleza kwegazi esibelethweni kuyingxenye yalokho okubangela ubuhlungu be-dysmenorrhea eyinhloko.
Isamba se-prostaglandins esakhiwe yimbeni yesisu sakho siphezulu kakhulu ngosuku nosuku lokuqala noma ezimbili esikhathini sakho lapho ukugeleza kwakho kokuya esikhathini kunzima kakhulu. Yingakho izimpawu zakho ziyizibi kakhulu kulezi zinsuku.
Nini Ukubona Udokotela
Okokuqala, akufanele uhlupheke ezikhathini ezibuhlungu. Khumbula ukuthi awodwa.
Ucwaningo lubonisa ukuthi cishe amaphesenti angu-15 amantombazane asebasha asebika izikhathi ezibuhlungu kakhulu. Eqinisweni, i-dysmenorrhea eyinhloko iyimbangela ehamba phambili yezinsuku eziphindaphindiwe zesikole phakathi kwamantombazane asemusha e-United States. Asikho isizathu sokuphuthelwa esikoleni, emsebenzini noma eminye imisebenzi ngenxa yezikhathi ezibuhlungu. Kungumqondo omuhle ukuxoxa ngezikhathi zakho nodokotela wakho uma bephazamisa imisebenzi yakho evamile noma ngenxa yobuhlungu, ukuphuma kwegazi noma kokubili.
Okufanele Utshele Udokotela
Ngaphambi kokuba ukhulume nodokotela wakho ngezikhathi zakho ezibuhlungu kungumqondo omuhle ukucabanga ukuthi uzozichaza kanjani izimpawu zakho.
Odokotela abaningi bayokubuza imibuzo ukuze ubasize baqonde ukuthi yini ebangela ubuhlungu bakho ukuze bakwazi ukuhlolwa kahle. Cabanga ngokuthi ungaphendula kanjani imibuzo elandelayo.
- Uneminyaka emingaki uma uqala ukuba nesikhathi sakho?
- Ingabe izikhathi zakho ziza njalo ngenyanga?
- Uziphephe izinsuku ezingaki?
- Iyini inkathi yakho yokugcina?
- Kuze kube nini emva kwesikhathi sakho sokuqala isikhathi sakho sasiba buhlungu?
- Ubuhlungu buqala nini ebuhlotsheni ekuqaleni kwenkathi yakho?
- Uphi ubuhlungu obukhona?
- Ingabe iya emhlane wakho ophansi noma emathangeni akho aphezulu?
- Uphuthelwa esikoleni noma usebenza ngenxa yobuhlungu besikhathi?
- Usuqale ukulala ocansini? Uma kunjalo, ucansi lubuhlungu?
- Ingabe usebenzisa noma yisiphi isisu?
- Unayo yini enye izimpawu ezingathandeki phakathi nezikhathi zakho ezifana nesifo sohudo noma isicanucanu?
- Ingabe umama noma abanye besifazane emndenini wakho banezikhathi ezibuhlungu noma ezinenkinga?
- Kuthiwani uma kukhona okwenza ubuhlungu bungcono?
Mhlawumbe ucabange nokubhala phansi izimpendulo zakho kule mibuzo bese uletha nawe ekuqokweni kukadokotela wakho. Ukuzilungiselela nokusebenza nodokotela wakho kuzokusiza ukuba uthole ukuxilongwa okulungile futhi kukusize uzizwe kangcono kangcono.
Ukuxilongwa
Ngokuphambene nezinkolelo ezivame ukuhlola izivivinyo akuzona ezimbi ngempela. Kodwa ngokuya ngolwazi olunikeze udokotela wakho ungase ungadingeki nokuba nokuhlolwa kwe-pelvic ngodokotela wakho ukuze kutholakale ukuthi i-dysmenorrhea eyinhloko.
Eqinisweni, akunakwenzeka ukuthi uzodinga ukuhlolwa kwe-pelvic uma usemusha, awukaze usebenze ngokocansi futhi izimpawu zakho ziyi-dysmenorrhea eyinhloko.
Uma uqale ukulala ocansini udokotela wakho cishe uzofuna ukwenza ukuhlolwa kwe-pelvic. Kubalulekile ukuqinisekisa ukuthi ukutheleleka kwe-pelvic okubangelwa i-STI njenge-chlamydia noma i-gonorrhea okwenza izikhathi zakho ezibuhlungu zibi nakakhulu.
Uma ubuhlungu bakho abuhambi ngemuva kwezinyanga ezimbalwa zokwelashwa noma uma izimpendulo zemibuzo yakho ziphakamisa futhi ziyizinkinga udokotela wakho cishe uzophakamisa ukuhlolwa kwe-pelvic ngisho noma ungazange uqale ukuya ocansini okwamanje.
Ayikho ukuhlolwa okungeziwe noma ukucabangela kwe-pelvic kuyadingeka ukuze kutholakale ukuxilongwa kwe-dysmenorrhea eyinhloko. Kodwa-ke, uma udokotela wakho ecabanga ukuthi izikhathi zakho ezibuhlungu kungenzeka ngenxa yesimo se-pelvic esincane esichaza ukuthi une-dysmenorrhea yesibili, udokotela wakho cishe uzophakamisa ukuhlolwa okungeziwe.
Ukwelapha
Uma ucabanga ngezinketho zokwelapha kubalulekile ukukhumbula ukuthi amakhemikhali emvelo abizwa ngokuthi i-prostaglandins akhiqizwa emgqeni wesibeletho anesibopho sezimpawu zedysmorrhea eyinhloko.
Umgomo wokuphathwa kwezokwelapha ukunciphisa ukukhiqizwa kwe-prostaglandin emgqeni wesibeletho sakho. Kunezinhlobo ezimbili zemithi eyenza lokhu, izidakamizwa ezingezona-steroidal ezilwa nokuvuvukala (ama-NSAID) nemithi yokwelashwa kwe-hormonal .
Kunezinhlobo eziningana ezahlukene zama-NSAID. Odokotela abaningi basikisela ukuqala nge-ibuprofen, etholakalayo phezu kwe-counter. Izinga elivamile le-ibuprofen lingama 600 mg futhi ungathatha lelo dosi njalo ngamahora angu-6-8. Ngezinye izikhathi udinga ukusebenzisa i-NSAID ehlukile noma enamandla ukuvimbela i-prostaglandins. Kodwa, kufanele uqaphele ngempela uma usebenzisa ama-NSAID ngoba angabangela ukulimala emgodini wesisu sakho okungabangela isisu somzimba kanye nezilonda zesisu. Akufanele neze uthathe ama-NSAID ngesisu esingenalutho.
Zonke izindlela zokuvimbela ukwelashwa kwe-hormonal zizociphisa uketshezi lwesisu sakho futhi ngokwenza kanjalo kuzonciphisa ukukhiqizwa kwe-prostaglandin. Ngokuvamile, ukusebenzisa enye yezinzalo zokuvimbela imithi ye-hormone kuyindlela ephumelela kakhulu yokuphatha izikhathi zakho ezibuhlungu.
Ngaphandle kwemithi kunezinye izinguquko zokuphila ezingasiza ekunciphiseni ubuhlungu bokuya esikhathini.
Ukuthola umzimba ovamile we-aerobic kuye kwaboniswa ukunciphisa izikhathi ezibuhlungu.
Kukhona nezinguquko ezithile zokudla eziye zaboniswa ukusiza. Kufanele uzame futhi udle ukudla okungaphezulu okune-omega -3 fatty acids njenge-salmon, ama-walnuts nama-avocados. Futhi ukudla okucebile kuVithamini B kuye kwaboniswa ukusiza ukunciphisa ukunyakaza kokuya esikhathini. Uma udla ukudla okulinganisela kahle cishe uthola u-Vitamin B okwanele. Kodwa ngokuvamile intsha ayinayo yokudla okungcono kakhulu ngakho ukuthatha isithako se-Vitamin B esiyinkimbinkimbi singasiza.
Izwi elivela
Khumbula ukuthi akudingeki ulungise isikhathi esibuhlungu. Ungabi namahloni ukuxoxa ngezikhathi zakho nodokotela wakho. Ngokwenza izinguquko ezilula zokuphila futhi uzame imithi efanele ongaphila kahle ngokuxilongwa kwe-dysmenorrhea eyinhloko.
> Umthombo:
> IsiFulentshi, uL. (2015). I-Dysmenorrhea. I-American Family Physician. 71 (21), 285-291