Ukuba unesihlandlo esibuhlungu, unobungqina obuhle. Intlungu yokuya esikhathini okanye i-dysmenorrhea yenye yezona zikhalazo eziqhelekileyo ezibangelwa ngabasetyhini. Oogqirha bahlula i-dysmenorrhea kwiintlobo ezimbini, i-dysmenorrhea eprayimari neyesekondari.
Ukuba uye wahlala unamaxesha abuhlungu kunokwenzeka ukuba unesiseko se-dysmenorrhea. Olu hlobo lwenzondeleko yokuya esikhathini empeleni luyi-contraction ye-muscle eyenziwe yi-prostaglandins ekhishwe yimbumba yesisu sakho.
Ngokuqhelekileyo olu hlobo lwesifo buya kuba ngcono xa ukhula.
Ukuba uhlakulela ixesha elibuhlungu ngexesha lako-30 okanye 40 ubudala, mhlawumbi unesimo sengqondo esiswini esiswini esenza ukuba uqhekeza. Olu hlobo lwe-dysmenorrhea lubizwa ngokuba yi-secondary dysmenorrhea.
Kuyacaca ukuba kukho inxalenye ethile yeengxaki zakho. Abafazi abasetyhini banokufumanisa ukuba bane-dysmenorrhea yesibini kunye nabasetyhini abadala banokuphuhlisa i-dysmenorrhea yeprayimoreus. Kungakhathaliseki ukuba yintoni isizathu, iindlela zokuqala zonyango zifana ngokufanayo.
Izinyango Zonyango
Kukho iindlela ezininzi zokulawula ixesha lakho elibuhlungu, ukusuka kwindlela yokuphila elula ukuya kumayeza e-hormonal. Cinga ngohlobo lokuzama ukuguqula indlela yokuphila. Nangona kunjalo, unokufumanisa ukuba ukudibanisa kwezi zikhetho zonyango kukunika intlungu engcono.
1. Ukutya
Ungalokothi uthobele ukubaluleka kokutya okunokulinganisela okunempilo.
Inxalenye ebalulekileyo yokufezekisa nokugcina impilo enempilo. Ukulandela imigaqo-jikelele yokutya okunempilo kukubalulekileyo kodwa kukho izifundo ezincinci ezibonisa ukuba utshintsho oluthile lunokuba luncedo ekunciphiseni ixesha elibuhlungu:
- Landela ukutya kokutya okunomdli ophantsi.
- Ukwandisa ubisi bakho bokubambisa ubisi kwiintsuku ezi-3-4 zemihla ngemihla.
Nangona uphando olongezelelweyo lufunekayo ukuze wenze iziphakamiso ezipheleleyo ungacinga ukunika ukutshintshwa kokutya kokuzama.
2. Izibonelelo
Kukho idatha encinane ukusuka kwizifundo ezincinci ezijongene nokusetyenziswa kwezibonelelo zokuphucula ixesha elibuhlungu. Iziphumo zezi zifundo zibonakala zikhuthaza. Ngamanye kwezi zixhobo zibonelela ukunika intlungu engcono kune-placebo. Qinisekisa ukuba uxoxe ngokusetyenziswa kwezi zongezelelo kunye nomboneleli wakho wezempilo ngaphambi kokuba uthathe isigqibo sokuqala ukuthatha.
- I-Vitamin E (iiyunithi ezingama-500 kanye ngosuku okanye 250 iiyunithi ezimbini ngosuku)
- I-Vitamin B1 (100 mg yemihla ngemihla)
- I-Vitamin B6 (200 mg imihla ngemihla)
- Supplement Oil Supplement (1080mg EPA / 720 mg DHA nsuku zonke)
3. Ukuzivocavoca
Kanye nokugcina ukutya okunempilo, ukuzivocavoca ngokuqhelekileyo kuyisiluleko esihle kakhulu esihle sempilo enhle. Kwakhona, kukho ubungqina obuncitshiswayo obujonga umphumo wokuzivocavoca kwixesha elibuhlungu kodwa izifundo eziye zenziwe zibonisa ukuba uqeqesho luncedo.
Ukuzivocavoca kwe-Aerobic kukhulula i-endorphins ekunceda ukuvimba amaziko okubuhlungu ebuchosheni bakho. Igalelo elihle linokuba lukhulu kunabesifa abaneendlela zokuphila ezidlulileyo kwaye ngokuqhelekileyo banokungabi ncinci ekusebenziseni okuqhelekileyo kwe-aerobic.
I-Yoga inokufumana inzuzo yokubonelela ukuphucula ixesha elibuhlungu.
Ezinye izikhundla ziyacetyiswa ukuba zifumane ukukhulula kwixesha elibuhlungu.
4. Ukwabelana ngesondo
Ewe, uyifunda ngokuchanekileyo. Kuye kucetyiswa ukuba umsebenzi wesondo (kuquka ukuhlaziya umzimba) unokuphucula ixesha elibuhlungu. Umsebenzi wesondo ukhulisa ukuhamba kwegazi kwisibeleko sakho, oku kucatshangelwa ukuba kuncede ukunciphisa ukutyhafaza. Xa ufezekisa i-orgasm yakho ingqondo ikhupha iikhemikhali ezifana ne-dopamine kunye ne-endorphins ezenza njengentlungu yendalo. Yaye, ekhuselekile ukulala ngesithuba sakho !
5. Ukushisa
Ingaba ibhotile yamanzi yerubha enkulu, ibhafu elifudumeleyo, okanye i-pad yokufudumala, ukufaka ubushushu kwisisu sakho esingaphantsi kunokunceda ukhulule ukunyuka kwexesha.
Akucaci ngokucacileyo ukuba ukushisa kunceda njani kwiimfampu zokuya esikhathini. Abanye abaphandi bayalitshitshisa ukuba kuhambelana nokuhamba kwegazi okuqhutywe kwi-uterus. Kodwa nantoni na indlela, ukufudumala kuyindlela elula yokunceda ukulawula iincampu zakho zokuya esikhathini.
6. I-NSAID (izidakamizwa ezichasayo ezingekho komzimba)
Ii-NSAID ziyanciphisa iintlungu ezisebenzayo kakhulu ekuphatheni i-dysmenorrhea. Basebenza ngokuthintela izinto ezivuthayo ezibizwa ngokuba yi-prostaglandins ezifaka isandla entlungu. Kukho iintlobo ezahlukeneyo ze-prostaglandines kodwa ibuprofen yindawo efanelekileyo yokuqala.
- I-regimen ye-dosing eqhelekileyo ingama-400 ukuya ku-600 mg nganye iiyure ezine-4 ukuya kwe-800 mg nganye iiyure eziyi-8. Ufanele uqale ibuprofen xa uqala ukuphazamiseka okanye xa kuphuma ukuphuma kwegazi.Uya kufuneka ukuba uqhubeke usebenzisa okokuqala kwiintsuku ezimbini okanye iintsuku ezide ziphucule iimpawu zakho.
Kubalulekile ukuba ungathathi ibuprofen kwisisu esingenalutho.
Khumbula ukuxoxa malunga nayiphi na imichiza kunye nomboneleli wakho wezempilo ngaphambi kokuba uqale ukuthatha. Ukuba uye wasebenzisa ibuprofen kwaye awunakho ukuphuculwa kwentlungu yakho yokuya esikhathini, umniki-nkonzo wakho unonophelo lwangomnye uhlobo lwe-NSAID.
7. Ukukhusela iHormonal
Umboneleli wakho wezempilo unokuphakamisa ukuba uzame ukukhulelwa kwe-hormonal ukunceda ukulawula ixesha lakho elibuhlungu.
Ngenxa yokusebenza kwabo ukukhusela ukukhulelwa, nayiphi na indlela yokukhusela i-hormonal kufuneka ikulethe uncedo kwiinkampu zakho zokuya esikhathini. Kukho iintlobo ezimbini zokukhulelwa kwe-hormonal:
Iindlela ze-estrogen kunye neprogesterone:
- i pilisi yomlomo
- iqhosha lokukhusela
- isithintelo sokukhulelwa
Ezi zindlela zokukhusela zisebenza ngokunciphisa i-ovulation yakho. Oku kuphazamisa isiqingatha sesibini somjikelezo wakho ukwenzela ukuba i-imbini yesibindi sakho ingakhi kwaye ivelise izinto ezinokubumba ezinjenge-prostaglandines ezibangelwa ukunyuka kwexesha. Kwakhona, inxalenye yeprogesterone yalezi ndlela isebenza ngokuzimeleyo ukukhuthaza ukunqanda kwimbumba yesisu. Ukuba unomdla wokubandezeleka phakathi kwexesha xa ugxuma ngaphezu kwexesha elibuhlungu, mhlawumbi uya kufuna ukuzama enye yezi zikhetho.
Kukho uphononongo olunokuthi lufumaneke ukubonisa ukuba enye yezi zikhetho zibhetele kunezinye. Nangona kunjalo, iipilisi sele ifundwe kakhulu kwaye ibonakaliswe ukuba isebenze kakuhle. Olunye uphando oluncinane lubonisa ukuba indandatho ingaba yinto enjengeipilisi kunye nepaki encinci ngaphaya kwepilisi ekunciphiseni ukunyuka kwexesha.
Progesterone kuphela
- ipiritone kuphela ipilisi (mini pilisi)
- Depo Provera
- IMirena
- Nexplanon
Ezi khetho zokukhusela zisebenza ngokuthe ngqo kwimbali yesisu. Benza ukuba utywala lwe-uterine lube luncinci kakhulu. Enyanisweni, uya kubona ukuhla kwezinto ezibalulekileyo ekuhambeni kwakho kokuya esikhathini okanye uyeke ukufumana ixesha lakho xa usebenzisa enye yezi ndlela. Kwakhona, ukuthintela umgca wesibeleko ekwakheni kuvimbela ukukhutshwa kwexesha lokunyuka kwexesha elibangelwa i-prostaglandin.
Ukwenza isigqibo esilungile kuwe
Ngokuqhelekileyo abafazi baya kudibanisa iindlela ezahlukeneyo zonyango ukwenzela ukuba bafumane ukukhululeka kokunyamekela kokuya esikhathini.
Ukuba awufumani ukhululo olwaneleyo kwizonyango zemvelo onokufuna ukucinga ngokufaka enye yeyeza unyango ukuze uncede unciphise intlungu yakho yokuya esikhathini.
Ukuba uthe wazama le ndlela yokwenza unyango kwaye awuzange ubone ukuphuculwa okuninzi kwintlungu yakho kwimeko ebalulekileyo ukuba uxoxe ngale nto kunye nomboneleli wakho wezempilo. Kusenokwenzeka ukuba unesimo esisemgangathweni esiya kufuna ukuvavanywa okongeziweyo kunye nonyango.
ILizwi
Njengokuba ukuphuma kwenyanga nganye akusibi ngokwaneleyo, ixesha elibuhlungu longeza umngeni omtsha wokulawula ukuhamba kwakho kokuya esikhathini. Akukho sizathu sokuba sihlupheke silumkile. Akuqhelekanga ukukhumbula isikolo okanye ukusebenza ngenxa yexesha elibuhlungu. Ukuthetha nogqirha wakho kwaye ufumane ukhetho lwenyango olusebenza kakuhle kakhulu kukuncedisa ukuba uphile kakuhle kunye neenkampu zokuya esikhathini.
Smith, RS kunye al. Unyango lwe-Dysmenorrhea yasePrayimari kwiBafazi abaBantu abadala. Ku: U-UpToDate, PostTW (Ed), UpToDate, Waltham, MA.