Isikhathi sakho senzeke lapho uhlaka lwesibindi sakho luhamba. Ukuze isikhathi sakho esijwayelekile size inyanga ngayinye, umzimba wakho kufanele ugcobe, okusho ukuthi iqanda kufanele likhishwe kwi-ovary. Ngokuvamile, isikhathi sakho sizofika ezinsukwini ezingu-12 kuya kwezingu-16 ngemuva kokuvota, ucabanga ukuthi awuzange ukhulelwe.
Isikhathi esivamile
Ukuya esikhathini esijwayelekile kungadlulela ezinsukwini eziyisikhombisa kuya kwezinsuku eziyisikhombisa, nakuba iningi labesifazane abanemijikelezo ejwayelekile yokuya esikhathini, isikhathi sabo silinganisa izinsuku ezintathu kuya kwezinhlanu.
Kubalulekile ukuthi uqaphele ukuthi akukho okungahambi kahle uma isikhathi sakho siyizinsuku ezimbalwa isikhathi eside noma esifushane kunezinsuku ezintathu kuya kwezinhlanu. Ngamanye amazwi, isikhathi sakho sihlukile kuwe, nenani oliphulile futhi inani lezinsuku ngeke lilingane nabanye abantu. Ngaphezu kwalokho, isikhathi sakho singashintsha kancane ukusuka kumjikelezo ukuya kumjikelezo futhi lokhu kuvamile.
Izinto ezithinta ubude besikhathi sakho
Ngezinye izikhathi, izindlela zokuphila, izinguquko zokubeletha, nezinkinga ezithile zezokwelapha zingathinta isikhathi sakho ngokuphawulekayo. Yingakho kubalulekile ukubona udokotela wakho uma ukuphuma kwegazi kuhlala isikhathi esingaphezu kwezinsuku eziyisikhombisa. Ukuphuma kwegazi okukhulu, futhi, kuyinkomba yokubona udokotela wakho. Izimpawu zokugaya kakhulu zihlanganisa:
- Ukuhamba nge-tampons eyodwa noma ngaphezulu noma amaphuzu njalo ngehora amahora ambalwa ngokulandelana
- Ukugqoka izikhathi ezingaphezu kweyodwa ngesikhathi sokulawula ukuphuma kwegazi
- Ukushintsha amathoni noma amathoni ebusuku
- Izikhathi ezinama-blood clots ezilingana nekota noma ngaphezulu
Ake sihlolisise izici ezingathinta isikhathi sokugeleza kokuya esikhathini.
Imibandela Yezokwelapha
Kunezinkinga eziningi zezokwelapha ezingathinta isikhathi sakho seminyaka. Isibonelo, izinkathazo ezinzima / / noma isikhathi eside zingase zibe uphawu lwezintambo ze-endometrial noma i-uterine fibroids. Lokhu kungenxa yokuthi ukugeleza kokuya esikhathini kuyenziwe i-uterine lining (ebizwa ngokuthi i-endometrium), kanye negazi kusuka ezitokisini ezincane ezivezwa ngemuva kwamacu okugqoka.
Ngakho-ke, izici ezishintsha ubukhulu be-endometrium noma inani lemithambo yegazi lidlala indima ezinsukwini eziningana ukuphuma kwegazi.
Ezinye izibonelo zezimpilo zezempilo ezingabangela ukuphuma kwegazi okuqhubekayo noma okunzima zihlanganisa:
- Ukuphazamiseka kwegazi noma imishanguzo enciphisa igazi (isibonelo, i-aspirin)
- I-Polycystic ovarian syndrome noma i-hypothyroidism
- Umdlavuza wesibeletho
- I-Endometriosis
- Ukukhulelwa kwe-Ectopic noma ukukhulelwa kwesisu
- Isifo sokuvuvukala sama-pelvic
Ngokubanzi, ukuqonda ububanzi obuphakathi kwesikhathi esijwayelekile kuyasiza. Ngokuqinisekile ukuphuma kwezinsuku ezingaphezu kwezinsuku eziyisikhombisa noma ukungayeki uma usuqedile ukuhamba kwesikhathi akuvamile, futhi kufanele uxoxe ngalokhu nomhlinzeki wakho wezempilo.
Ubudala
Phakathi neminyaka embalwa yokuqala emva kokuqala kokuya esikhathini, ungase utholakale ngegazi elingalindelekile. Lokhu kungenxa yokuthi awunayo i-ovulating njalo. Njengoba ukuvuthwa kudinga ukuxhumana okuyinkimbinkimbi phakathi kwamahomoni akhiqizwa izakhi ebuchosheni bakho kanye namaqanda akho, kungathatha isikhathi sokuba umzimba wakho uwenze kahle.
Yingakho kungokwemvelo emva kokuqala kokuqala ukuthi abanye baphuze ngaphezu kwenani elijwayelekile lezinsuku kanye / noma beqa izikhathi ezimbalwa ngokulandelana. Izindaba ezinhle ukuthi ukuya esikhathini ngokuvamile kuvamile phakathi neminyaka emibili.
Kodwa, uma uqhubeka nokuba nezinkathi ezingavamile, kungaba uphawu lwe-hormone engaphansi noma isimo sezokwelapha, ngakho qiniseka ukuthi uyifinyelele udokotela wakho.
Okokugcina, njengoba usondela ekupheleni kweminyaka yakho yokuzala, ngokuvamile esikhathini esithile kuma-40s wakho, uzoqala ukubhekana nezikhathi ezingavamile futhi. Le nkathi yesikhathi ibizwa ngokuthi i-perimenopause noma ukuguqulwa kwe-menopausal, futhi yisikhathi sokungalingani kwe-hormone, ikakhulukazi uma ukukhiqizwa kwe-estrogen ngama-ovari kuqala ukuhla. Ngala mazinga aphansi e-estrogen, kunezakhi ezimbalwa ze-uterine lining, ngakho-ke ubuzwa nezikhathi ezincane futhi ezimfushane, ngaphezu kwezikhathi ezingavamile.
Ukulawulwa Kwokuzalwa
Ukusebenzisa ukulawula i-hormone kungathinta nenani lezinsuku isikhathi sakho siphelile.
Uma usebenzisa ukukhulelwa kwe-hormonal ehlanganisiwe kuhlanganise nephilisi yokubeletha ngomlomo, i-patch yokukhulelwa, noma indandatho yokukhulelwa, kungenzeka ukuthi uzothola izinkathi ezimfushane, kanye nokugeleza kokukhanya. Lokhu kungenxa yokuthi ama-hormone epilisi yokulawula ukuzalwa aphezulu amahomoni akhiqizwa ama-ovarie akho.
Isibonelo, iphilisi yokubeletha ngomlomo iqukethe i-estrogen, ngakho-ke ukwelulwa kwesibeletho luyakhula kepha kuncane kakhulu kunokuba kungokwemvelo. Ingxenye ye-progesterone yepilisi iphikisana ne-estrogen, ngakho-ke umgodi ozokhipha ungcono kunomuntu ojwayelekile.
Lokhu futhi kungani usebenzisa noma yikuphi ukuvimbela ukuvimbela imithi ye-hormonal ngokuqhubekayo , okusho ukuthi weqa i-placebo noma iviki elingenayo i-hormone, kungenza ubeke isikhathi sakho noma okungenani wehlise inani lezinkathi zonyaka onesikhathi.
Uma usebenzisa ukukhulelwa kwe-progesterone kuphela uzoba nezikhathi ezilula futhi ezimfushane. Lokhu kufaka:
- I-progesterone ene-IUD (isibonelo, i-Mirena)
- Ukufakelwa kwesisu (isibonelo, Nexplanon)
- Ukukhulelwa kokulahla (isibonelo, Depo-Provera)
Ngokuvamile, ukusebenzisa lezi zindlela kungaholela ekungenikeleni nhlobo. Lokhu kungenxa yokuthi i-progesterone inomthelela ovimbela i-endometrium.
Njengoba zonke izinhlobo zokuvimbela ukwelashwa kwe-hormonal zishintsha ukugeleza kokuya esikhathini, uma izinkathi zakho zinzima noma uziphuza izinsuku eziningi kakhulu, udokotela wakho angase asikise ukusebenzisa imithi yokuvimbela i-hormonal njengedivayisi ye-levonorgestrel-release intrauterine (iMirena) ukusiza ukulawula ukuphuma kwegazi.
Izwi elivela
Ngenxa yokuthi isikhathi sakho siwumphumela wenqubo eyinkimbinkimbi ye-hormonal emzimbeni wakho, kunezinhlobo eziningi ezibhekwa njengokujwayelekile. Uma usuqalile ukuya esikhathini, uma ulahlekelwa isikhathi sakho, noma uma isikhathi sakho sithatha isikhathi esingaphezu kwezinsuku eziyisikhombisa, qiniseka ukuxoxa ngalezi zinguquko nodokotela wakho.
> Imithombo:
> I-American College ye-Obstetrics ne-Gynecologists. (2016). Imibuzo Ebuzwa Ngokuphindaphindiwe: Ukweqa Okuyisimiso Okukhulu.
> I-American College yezidakamizwa namaGynecologists. (2015). I-Committee Opinion No. 651. Ukuya esikhathini emantombazaneni nasebancane: ukusebenzisa umjikelezo wokuya esikhathini njengesibonakaliso esibalulekile. I-Obstet Gynecol 126 (6): 1328.
> Bitzer J, Heikinheimo O, Nelson AL, Calaf-Alsina J, Fraser IS. Ukuphathwa Kwezokwelapha Ukuphulukiswa Okukhulu Kwesisindo: Ukubuyekezwa Okuphelele Kwezincwadi. I-Obstet Gynecol Surv . 2015 Feb; 70 (2): 115-30.