Kubangelwa Isixazululo Esivela Ku-Trauma noma Ukutheleleka Emdlalweni
Ukusuka kwamagciwane emva kokuya ocansini (owaziwa nangokuthi ukuphuma kwe-postcoital ) akuyona into engavamile kakhulu phakathi kwabesifazane bokuya esikhathini, futhi kuvame kakhulu kubantu besifazane be-postmenopausal. Ngenkathi ukuphuma kwegazi kungase kuphazamise ngezinye izikhathi, imbangela ibhekene nehle kakhulu ezimweni eziningi. Okufanayo kungashiwo kulabo abaphulukana nokulala ngesikhathi socansi; eziningi zezimbangela zokuphuma kwe-postcoital ziyaqhubeka.
Ngokusho kocwaningo, abesifazane abangamaphesenti ayisishiyagalolunye nesishiyagalolunye besifazane abaya esikhathini bayokwazi ukuphuma kwegazi, kungakhathaliseki ukuthi bayaphila, ngemuva kocansi. Ngokuphambene nalokho, kusuka kwamaphesenti angama-46 kuya kumaphesenti angama-63 abesifazane besimo se-postmenopausal bayothola ukoma, ukucheka, ukuzwela, ukuphawula, noma ukuphaphaza ngesikhathi noma emva kocansi ngenxa yokuguquka kwe-hormone ezithinta ukuqina kwezithambo zangasese.
Nakuba iningi lalezi zimbangela zokugaya azikhathazeki ngalutho, kunezikhathi lapho ukuphuma kwamanzi kungaba uphawu lwezinkinga ezinkulu. Funda ngezinye zezimbangela ezivamile zokugaya ngesikhathi nangemva kocansi.
Izifo ezithathelwana ngocansi
Izifo ezithathelwana ngocansi (i-STIs), njenge- chlamydia ne- gonorrhea , zihlotshaniswa nobuningi bezimpawu zangasese ezivela ebuhlungu besisu, ukuhlambalaza, nokushisa ekukhusheni kwamagciwane kanye nokuvuthwa okuvame kakhulu. Ukuvuvukala okubangelwa yizifo ze-STIs kungabangela ukuthi imithanjeni yegazi igxume futhi iqhume kalula, ngokuqina kwegazi okuvame ukuhambisana nokuqina kwesifo.
I-Trichomoniasis uhlobo lwe-STI elibangelwa i-single-celled parasite. Ukukhulelwa komlomo wesibeletho kanye nokwehla komlomo wesibeletho yizici ezimbili ezivame kakhulu zesifo. Njenga-chlamydia ne-gonorrhea, ukutheleleka kwe- Trichomonas vaginalis kuthathwa kalula nge-antibiotic.
Amanye ama-STIs afana ne- syphilis kanye nama- herpes omzimba angabangela izilonda ezivulekile, ezilonda izilonda ezivame ukwelapha uma zicasuliwe.
Ngenkathi izilonda zivame ukuvela ngaphandle, ngezinye izikhathi zingakhula ngaphakathi kwesifazane kanti, ikakhulukazi isifo sofuba singase sibe buhlungu futhi singabonakali.
Benign Polyps
Ukukhula kwe-benign emlonyeni wesibeletho (i- polyps yomlomo wesibeletho ) noma isisu (imbangela ye- uterine noma i-endometrial polyps ) yimbangela evamile yokugaya ngesikhathi noma emva kocansi. Ama-polyps e-cervical athambekele ekukhuleni kwabesifazane kuma-40s no-50 abo abaye bakhulelwa ngokuphindaphindiwe. I-polyps ngokuvamile ibomvu noma i-violet ene-tube-like structure esinezikhondla ezingakwazi ukuphuma kalula uma zithintekile.
Ama-polyps e-uterine amancane, amathanga amancane wezicubu ezivela ngaphakathi kwesibeletho. I-polyps yalolu hlobo ihloswe ukuphuma kwegazi phakathi kwezinkathi, ngemuva kokuqeda ukuphuma esikhathini, nangesikhathi socansi. Baye bathambekele ekuthuthukiseni abesifazane phakathi kweminyaka engu-36 no-55.
Iningi lezintambo ezinamahloni, kodwa ezinye zingaba ngumdlavuza ngokuhamba kwesikhathi. Ngezinye izikhathi ama-Polyps ayanyamalala ngokuzenzekelayo, kodwa ukususwa kokuhlinzwa kungadingeka kwezinye izimo.
Okunye ukukhula okungafani nakancane kwegciwane, njenge-hemangioma, kungaholela ekuphumeni kwe-postcoital, nakuba lezi zimbangela ezingavamile kakhulu.
I-Ectropion yesibeletho
I-ectropion yomlomo wesibeletho yisimo esingenayo umdlavuza lapho amangqamuzana avame ukufaka ngaphakathi ngaphakathi komlomo wesibeletho aphuma ngaphandle nge- os yomlomo wesibeletho (ukuvulwa komlomo wesibeletho).
Uma lokhu kwenzeka, ukuvinjwa okungavamile kwezicubu zomlomo wesibeletho kungabangela imithwalo yegazi kakade-elula ukuze ihlaziye futhi ivuke. Ngenxa yalokho, ukuphuma kwegazi kuvamile ngenxa yobungqingili, ukusetshenziswa kwamatamponi, ngisho nokufaka i-speculum ngesikhathi sokuhlolwa kwe-pelvic.
I-ectropion yomlomo wesibeletho ingenzeka kubantwana abasha, abesifazane abaphethe amaphilisi okulawula ukubeletha, nabesifazane abakhulelwe abanezikhukhula zabo ezincane kunazo zonke. Ngokuvamile akudingi ukwelashwa ngaphandle uma kutholakala ukugqunywa kwamagciwane ngokweqile noma ukuphuma kwegazi.
I-Atrophic Vaginitis
Abesifazane be-Postmenopausal bavame ukuphuza ngesikhathi noma emva kokuya ocansini ngoba ukwehlisa amazinga e-estrogen kubangela ukuthi izindonga zangasese zibe mncane futhi zikhiqize umcibisholo ophansi.
Lokhu kubizwa ngokuthi i-atrophic vaginitis , isimo esithinta futhi ukusikhipha kwesisu nokushisa.
I-Atrophic vaginitis nayo ingaphathwa nge-estrogen therapy, ingathathwa ngomlomo ngefomu lesipilisi, njenge-permal patch, noma ukhilimu, noma ifakiwe ngaphakathi kwe-suppository. Ukwelapha okwenziwa nge-oral estrogen kuthatha ingozi, noma kunjalo. Ngokusho kwedatha evela ku-Women's Health Initiative, amaphilisi e-estrogen kuphela angandisa ingozi yomdlavuza we- endometrial futhi, njengoba kunjalo, kufanele isetshenziswe ukwelashwa kwesikhashana noma ishintshwe ngolunye uhlobo lwe-estrogen therapy. Amafutha okugcoba amagciwane anganciphisa ukoma futhi anciphise ubuhlungu.
Ngenkathi abesifazane abasebasha bengase babe ne-vaginitis, ngokuvamile ebangelwa ukutheleleka kwebhaktheriya noma imvubelo, ukuphuma kwe-postcoital kuyisimpawu esingajwayelekile kakhulu.
I-Endometriosis
I-Endometriosis iyenzeka lapho ukwelulwa kwesibeletho (i-endometrium) iphuma ngaphandle kwesibeletho. Uma lokhu kwenzeka, izicubu ze-endometrial zingakwazi ukuxhumeka ezigumbini zezinye izitho, ngokuvamile zibangele ubuhlungu obukhulu futhi, kwezinye izimo, ukungabi namandla. Kuyisimo esithinta noma yikuphi ukusuka kumaphesenti angu-5 kuya ku-10 wamaphesenti abesifazane beseneminyaka yokuzala futhi ahlala engacacisiswanga kokubili ngenxa yalokho kanye nemithi etholakalayo.
Izici ezimbili zezici ze-endometriosis ziyizibuko ezibuhlungu kanye ne-orgasm ebuhlungu, kokubili okubangelwa ukucindezela okungeziwe kanye nokucindezelwa okufakwe kuzicubu ezivele zisengozini. Ukuphuma kwe-postcoital akuvamile uma kwenzeka lokhu.
Ukwelashwa kwamahomoni okusetshenziselwa ukunciphisa amazinga e-estrogen ngokuvamile kusebenza ekunciphiseni ubuhlungu. Ubuhlungu kanye nokuphuma kwegazi kungancishiswa ngokushintsha izikhundla ozisebenzisayo ngesikhathi sokulala. Abanye, njengezikhundla zezithunywa zevangeli, bafaka ukucindezeleka okwenziwe ngesiswini esingase sikhululwe ngesikhundla shlangothi nhlangothi noma ezinye izikhundla.
I-Trauma
Nakuba ukuphuma kwe-postcoital kuvame ukuhlotshaniswa nezifo nokungajwayelekile kwesibeletho, ubulili, noma umlomo wesibeletho, ukuphuma kwegazi kungabangela nokuhlukunyezwa okuqondile kulezi zicubu ezisengozini.
Kungase kubangelwe ubulili obukhulu, okungabangela ukusikeka, ukulimaza, noma izinyembezi ebesini. Lokhu kungenzeka kakhulu uma kunomile owomile, njengokungathi kwenzeka ngesikhathi sokuya esikhathini, uma owesifazane ebeletha, noma uma kukhona ukunambitheka ngokweqile.
Ngokucindezeleka okungaphezulu, ukuphuma kwegazi kungenziwa ngenxa yokuhlukunyezwa ngokobulili noma ubudlova. Ukungena okuphoqelelwe kungalimaza kakhulu izicubu zesisu futhi kuholele ekusungulweni kwamafissi, okungaphilisa futhi kuvulwe ngokuphindaphindiwe ngaphandle kokuphathwa ngokwemithi.
I-Cancer
Nakuba umdlavuza kungesizathu esincane sokuphuma kwe-postcoital, kungenye yezimpawu ezibonakalayo zomdlavuza wesibeletho , isisu nesisu sombeletho. Unyaka ngamunye, kuthiwa abesifazane abangaba ngu-14 000 banomdlavuza womlomo wesibeletho e-United States, okuholela ekufeni kwabantu abangaphezu kuka-4 000.
Izicubu zingashintsha kuye ngokuthi uhlobo lomdlavuza luhilelekile, kodwa zivame ukondliwa yi-network enesisindo, imithwalo yegazi emithanjeni yegazi. Njengoba lesi sifo sikhula, lezi zitsha zingakwazi ukuhlushwa futhi zivame ukuqhuma. Ukulala ngokobulili kungase kubangele lokhu.
Ngaphandle noma ngaphandle kocansi, ukuphuma kwegazi kuyisici esivamile somdlavuza wesibeletho. Lokhu kungafaka:
- Ukukhipha isisu ngemva kokuya esikhathini sokuya esikhathini noma phakathi kwezinkathi zokuya esikhathini
- Izinkathi ezinzima noma ezide kunesikhathi esivamile
- Ukukhishwa kwamagagasi kuhamba ngegazi (ngezinye izikhathi liphutha ngokubona i-spotting)
Ukuhlola owesifazane ngomdlavuza womlomo wesibeletho, isazi sokubeletha sizokwenza ukuhlolwa kwe-pelvic, i-Pap smear, futhi ngezikhathi ezithile ukuhlolwa okubukwayo okubizwa ngokuthi i- colposcopy . Uma udokotela esolisa ngomdlavuza, isampula yamathambo ingathathwa yi-biopsy ezohlolwa ngaphansi kwe-microscope.
Izwi elivela
Ukuphuza ngesikhathi noma ngemuva akufanele kubhekwe njengokujwayelekile. Ngisho noma kwenzeka ngenxa yengozi yengozi, kungcono ukuthi ibukwe uma nje ukuthola izindlela zokugwema ukulimala okunjalo esikhathini esizayo.
Uma ungazi ukuthi yini ebangela ukuphuma kwegazi ngesisu, ungakugwema ukubona udokotela ngenxa yokwesaba ukuthola isifo somdlavuza. I-Cancer, empeleni, ingenye yezimbangela ezincane kakhulu. Uma umdlavuza uba yisizathu sokuthi uphepha, ukuxilongwa kokuqala kuhlinzeka ukwelashwa kwangaphambi kwesikhathi futhi kunethuba elikhulu lokuphulukisa ukulimala ngaphambi kokuba kube yingozi.
> Imithombo:
> I-Jyotsna V. Ukwelashwa kwe-hormone yama-Postmenopausal: Isimo samanje. I-Ind J Endocrinol Metab. 2013; 17 (Suppl1): S45-S49; I-DOI: 10.4103 / 2230-8210.119504.
> Kim H, Kang S, Chung Y, et al. Ukubuyekezwa Kamuva Kwe-Genitourinary Syndrome Yokunqamuka Kwesikhashana. J Menopausal Med . 2015; 21 (2): 65-71; I-DOI: 10.6118 / jmm.2015.212.65.
> I-Tarney C, i-Han J. Postcoital Bleeding: Ukubukeza Nge-Etiology, Ukuxilongwa, Nokuphathwa. I-Obstet Gyn Int. 2014; I-ID ye-ID 182087; I-DOI: 10.1155 / 2014/182087.