Ubangela Ubunzima Bokuvela Kwi-Trauma okanye Ukusuleleka kwiCarcer
Ukuphuma kwintsholongwane emva kwesondo (eyaziwa nangokuthi i- postcoital bleeding ) ayikho imeko engaqhelekanga phakathi kwabesifazana beza esikhathini, kwaye kuyaqheleke nakwabesetyhini abasemva. Nangona ukuphuma kwamanye amaxesha kunokubandezeleka, imbangela ibaluleke kakhulu kwiimeko ezininzi. Kuyafana okufanayo nalabo abavahlayo ngexesha lesondo; Zininzi zezimbangela zokuphuma kwegazi emva kwegazi.
Ngokomphando, amaninzi angama-9 ekhulwini abesifazana abaya kwindoda baya kuba negazi lokuphuma kwintsholongwane, kungakhathaliseki ukuba ixesha labo, emva kwesondo. Ngokwahlukileyo, ukusuka kwimizuzu engama-46 ukuya kuma-63 ekhulwini kwabasetyhini abasemasopaopausal baya kuba noomisa, ukubetha, ukunyameka, ukuphaphaza, okanye ukuphaphaza ngexesha okanye emva kwesondo ngenxa yeinguqulelo ze-hormone ezithintela ukunyaniseka kwezicubu zesisu.
Nangona uninzi lwezi zizathu zokukhupha azinakukhathazeka, kukho amaxesha apho ukuphuma kwamanzi kungabonakalisa ingxaki enkulu. Funda ngezinye zezizathu eziqhelekileyo zokukhupha ngexesha nangemva kwesondo.
Izifo ezithathelwana ngesondo
Izifo ezithathelwana ngocansi (i-STI), ezifana ne- chlamydia kunye ne- gonorrhea , zidibene neentlobo zesifo seengxowankulu esivela kwintlungu ye-pelvic, ukutshaya, nokutshisa ukutshatyalaliswa kwesisu kunye nokuvutha okuqhelekileyo. Ukuvuvukala okubangelwa ezi zifo zengqondo kunokubangela ukuba imilambo yegazi iqhube kwaye iqhume ngakumbi, ngokukhawuleza kokuphuma kwamanzi okuxhatshazwa ngokubaluleka kosulelo.
I-Trichomoniasis uhlobo lwe-STI olubangelwa yi-parasite eyodwa. Ukukhulelwa kwintsholongwane kunye nokuphuma kwintsholongwane yesibeleko zimbini zeziganeko eziqhelekileyo zesifo. Njengoko i-chlamydia kunye ne-gonorrhea, isifo soTychomonas vaginalis sithathwa kalula nge-antibiotic.
Amanye ama-STI afana ne- syphilis kunye nama- herpes omzimba angabangela izilonda ezivulekileyo, ezilonda izilonda ezithandwayo ukuphuma kumanzi xa zicaphukile.
Nangona izilonda zivame ukuvela ngaphandle, ngezinye izihlandlo zihlakulela ngaphakathi kwisini kwaye, xa kunjalo isifo se-syphilis ngokukodwa, sinokubuhlungu kwaye singabonakali.
Benign Polyps
Ukukhula kwe-Benign kwi-cervix (i- polyps yomlomo wesibeleko ) okanye i-uterus (i- uterine okanye i-polymer endometrial ) yimbangela eqhelekileyo yokuphaphaza ngexesha okanye emva kwesondo. Iingxobo zeengcongolo zithatha ukuphuhliswa kwabasetyhini kuma-40s kunye no-50s abaye bafumana ukukhulelwa okubanzi. Iipolisi ziqhelekileyo zibomvu okanye i-violet ezinezixhobo ezinjenge-tube ezifana nezithambo ezinokuthi ziphephe kalula xa zichaphazelekayo.
Ii-polyps ze-uterine zincinci, izibonda ezithambileyo zezicubu ezibonakalayo ngaphakathi kwesibeleko. Iipolisi zolu hlobo zilungele ukuphuma kumama phakathi kwexesha, emva kokumisa umva, nangethuba lesini. Baye bathambekele ekuphuhlisweni kwabasetyhini phakathi kweminyaka engama-36 no-55.
Ubuninzi beeplitshi ziyingozi, kodwa ezinye ziyakhula zibe ngumhlaza emva kwexesha. Ngezinye iixesha iiPolps ziyophela ngokukhawuleza, kodwa ukususwa kokukhupha kunokufuneka kwiimeko ezithile.
Okunye ukukhula okungaqhelekanga kwindlela yokuzala, njenge-hemangioma, kunokukhokelela ekuphumeni kwegazi, nangona ezi zizinto eziqhelekileyo eziqhelekileyo.
ICroctical Ectropion
I-ectropion yomlomo wesibeleko yimizimba engekho nomhlaza apho iiseli eziqhelekileyo zihamba ngaphakathi kwintsholongwane ye-cervix ephuma ngaphandle nge- bone yomlomo wesibeleko (ukuvulwa komlomo wesibeleko).
Xa oko kwenzeka, ukungaqhelekanga okungaqhelekanga kwimizimba yomlomo wesibeleko kunokubangela ukuba imilambo yegazi sele ikhulile ize ihluthe. Ngenxa yoko, ukuphuma kwegazi kuqhelekile ngenxa yobundlobongela, ukusetyenziswa kweetamponi, kunye nokufakwa kwe-speculum ngexesha lokuhlolwa kweplavic.
I-ectropion yomlomo wesibeleko inokuvela kwiintsholongwane, abafazi abaphethe iipilisi zokulawula ukuzala, nabasetyhini abakhulelweyo abanezikhukhula ezincinci kunesiqhelo. Ngokuqhelekileyo ayifuni unyango ngaphandle kokuba kuqhutywe umthambo wesisu okanye ukuphuma kwamanzi.
Atrophic Vaginitis
Abafazi be-Postmenopausal baya kuphuma ngegazi ngexesha okanye emva kwesondo ngenxa yokuba ukuncipha kwamazinga e-estrogen kubangela ukuba iindonga zesisu zibe zincinci kwaye zivelise i-mucus encinci.
Oku kuthethwa ngokuba yi-atrophic vaginitis , imeko echaphazelekayo kunye nokutshiswa komzimba.
I-Atrophic vaginitis nayo ingaphathwa ngonyango lwe-estrogen, okanye ithathwe ngomlomo kwifomu yepilisi, njenge-permal patch, okanye i-cream, okanye ifakwe kwangaphakathi kunye ne-suppository. Ukwelashwa kwe-estrogen ngomlomo kunomngcipheko, nangona kunjalo. Ngokweenkcukacha ezivela kwi-Women's Health Initiative, iipilisi kuphela ze-estrogen zinokunyusa umngcipheko wesifo somhlaza we- endometrial kwaye, njengokuba kunjalo, kufuneka isetyenziswe unyango lwexesha elifutshane okanye lisetyenziswe ngolunye uhlobo lweyeza le-estrogen. Iibluegagantshini zamagciwane zinganciphisa ukoma kunye nokunciphisa intlungu.
Nangona abasetyhini abasebancinci banakho nokuba ne-vaginitis, ebangelwa yi-bacterial okanye imfucu yesifo, isisu sokuphuma kwegazi emva kweyona nto impawu eziqhelekileyo.
Endometriosis
I-Endometriosis iyenzeka xa i-lining of uterus (i-endometrium) iphuma ngaphandle kwesibeleko. Xa oko kwenzeka, izicubu ze-endometriya ziyakwazi ukudibanisa nakwezinye izitho, ezidla ngokubangela intlungu ebalulekileyo kwaye, ngezinye iimeko, ukungabi namandla. Yimimiselo echaphazela nayiphi na iipesenti ezi-5 ukuya kwi-10 ekhulwini yabasetyhini beminyaka yobudala kwaye ihlala ingacaciswanga ngokubambisene nayo kunye nezo kunyango ezikhoyo.
Iimbali ezimbini zeziganeko ze-endometriosis zibuhlungu kunye ne-orgasm ebuhlungu, ezo zibini zibangelwa yinkxalabo eyongeziweyo kunye noxinzelelo olubekwe kwiimfucu ezinokusuleleka. I-postcoital yegazi iqhelekile xa kwenzeka.
I-hormone yokwelapha esetyenziselwa ukunciphisa amanqanaba e-estrogen ihlala isebenza ngempumelelo ekunciphiseni intlungu. Ubuhlungu kunye nokuphuma kwegazi kunokuncitshiswa ngokuguqula izikhundla ohlala usebenzise ngexesha lesondo. Abanye, njengendawo yesithunywa sevangeli, babekezela ingcinezelo kwisini esingaxhaswa yi-side-to-side isikhundla okanye ezinye izikhundla.
I ngxaki
Nangona i-postcoital bleeding ihlala ihambelana nezifo kunye nokungaqhelekanga kwesisu, isisu, okanye umlomo wesibeleko, ukuphuma kwamanzi kungakhokelela ekubandezelekeni ngokuthe ngqo kwezi zicubu ezinobungozi.
Kungenzeka kubangelwa ngesondo esinamandla, oku kungakhokelela ekutyeni, kwi-scrapes, okanye kwiinyembezi kwizondo. Oku kunokwenzeka ukuba kwenzeke ukuba kukho ukuma komzimba wesisu, njengokuba kunokuthi kwenzeke ngexesha lokuphela kwesisu, xa ibhinqa liyamncelisa, okanye ukuba kukho i-douching excessive.
Okugqithiseleyo, ukuphuma kwamanzi kungenzeka ngenxa yokuxhaphazwa ngokwesondo okanye udlame. Ukungeniswa okunyanzelekileyo kungonakalise kakubi izicubu zesisu kunye nokukhokelela ekubunjweni kweentsimbi, ezinokuphilisa ngokuphindaphindiweyo nokuvuleka ngaphandle kokuba unyango lwamayeza.
Cancer
Nangona umdlavuza ungabangela ukuba kungabikho ukuphuma kwegazi emva kwegazi, enye yeempawu ezibonakalayo zomhlaza wesibeleko, isisu kunye nesifo somhlaza. Kunyaka ngamnye, abafazi abalishumi elinama-14,000 bafumaneka ukuba banomdlavuza wesibeleko e-United States, ekhokelela ekufeni kwabangaphezu kwama-4 000.
Izidumbu ziyahlukahluka ngohlobo lomdlavuza olubandakanyekayo, kodwa zivame ukudliwa ngumnxeba, unxibelelwano olungapheliyo lweemithwalo yegazi. Njengoko ukhula lukhula, le mikhombe ingaba nzima kwaye ilandeleke. Ukwabelana ngesondo ngamanye amaxesha kunokubangela oku.
Ngaphandle okanye ngaphandle kwesondo, ukuphuma ngegazi kuyinto eqhelekileyo yomhlaza wesibeleko. Oku kungaquka:
- Ukuhlamba emva kokumisa umva okanye phakathi kwexesha lokuya esikhathini
- Ixesha elide okanye elide kunexesha eliqhelekileyo
- Ukukhutshwa kwamagciwane kugxininiswe ngegazi (ngamanye amaxesha ukuphosakela nge-spotting)
Ukuvavanya umfazi wesifo somhlaza wesibeleko, umzinzi womzimba uza kwenza uvavanyo lwe-pelvic, i-Pap smear, kwaye ngezinye izihlandlo ebonakalayo ebizwa ngokuba yi- colposcopy . Ukuba ugqirha uyakrokraza ngomhlaza, isampuli yamathambo inokuthathwa yi-biopsy ukuba ihlolwe phantsi kwe-microscope.
ILizwi
Ukuhlamba ngexesha okanye emva koko akufanele kuthathwa njengesiqhelo. Nangona oko kwenzeka ngenxa yengozi yengozi, kuyona nto ibhetele ukuba ikhangele ukuba ifuna kuphela iindlela zokuphepha ukulimala okunjalo kwixesha elizayo.
Ukuba ungazi ukuba yini ebangela ukuphuma kwegazi ngesisu, ungakugwebi ukubona ugqirha ngenxa yokwesaba ukufumana i-diagnostic yomhlaza. I-Cancer, e neneni, enye yezona zimbangela ezincinci. Ukuba umhlaza uphendukela ekubeni isizathu sokuba uphala, ukuxilongwa kwangaphambili kukunika unyango lwangokokudala kunye nethuba elikhulu lokuphilisa ukubola ngaphambi kokuba lukhulu.
> Imithombo:
> I-Jyotsna V. I-postmenopausal ye-hormonal therapy: imeko yangoku. Ind J Endocrinol Metab. 2013; 17 (I-Suppl1): S45-S49; INGXELO: 10.4103 / 2230-8210.119504.
> Kim H, Kang S, Chung Y, et al. Ukuhlaziywa kwakhona kweGenitourinary Syndrome yokuKhulelwa kwexesha. J Menopausal Med . 2015; 21 (2): 65-71; INGXELO: 10.6118 / jmm.2015.212.65.
> UTarney C, u-Han J. Postcoital Bleeding: Ukuphononongwa nge-Etiology, Ukuxilongwa, kunye noLawulo. I-Obstet Gyn Int. 2014; I-ID ye-ID 182087; INGXELO: 10.1155 / 2014/182087.