Sibanzi
Ukuba unamaxesha abuhlungu ongeyedwa. Kucingelwa ukuba ukuya kuma-90 ekhulwini kwabasetyhini bafumana ubunzima beplavic ngexesha lokuya esikhathini. Kodwa ngamanye amaxesha intlungu ingaba kakhulu.
Ukuba usemncinci wakho okanye usekuqaleni kweminyaka engama-20 kwaye unamaxesha abuhlungu kakhulu ukuba unokufumana imeko eyaziwa njenge-primary dysmenorrhea.
Ixesha elibuhlungu lisizathu esibangeleyo seentsuku zesikolo ezingekhoyo e-US
Iyiphi i-Dysmenorrhea yokuqala?
I-Dysmenorrhea yigama lonyango elisetyenziswe ukuchaza ixesha elibuhlungu.
Kukho iintlobo ezimbini ezihlukeneyo ze-dysmenorrhea. I-dysmenorrhea yesiSekondari ichaza ixesha elibuhlungu elibangelwa yimeko engaphantsi kwe-pelvic njenge- fibroids okanye i- adenomyosis . Olu hlobo lwentlungu buya kukhula emva kweeminyaka ezinzima.
I-dysmenorrhea yeprayimari isetyenziselwa ukuchaza intlungu yokutyumla eyenzeka ngexesha lakho xa kungekho enye imeko ye-pelvic engabangela intlungu. I-dysmenorrhea eyimpumelelo ephambili iqala kunyaka wokuqala okanye emva kokuba uqala ukufumana ixesha lakho rhoqo.
Iimpawu
Intlungu ye-dysmenorrhea eyona nto ihle kakhulu. Ngokuqhelekileyo iqala ngaphakathi kweeyure eziyi-12 ngaphambi okanye malunga neeyure ezingama-6 emva kokuba uqale ixesha lakho. Iintlungu zidla ngokugqithiseleyo kumhla wakho ogqithiseleyo. Kodwa kwezinye iintombi ezincinci, intlungu inokuhlala ifike kwiintsuku ezi-3.
Intlungu ye-dysmenorrhea eyona nto iqhelekileyo iyafana kwaye iqikeleleke kwixesha ukuya kwixesha.
Ngokuqhelekileyo kuthethwa nje ngeentlungu ezityhawulayo eziqala phakathi kwesisu sakho esiphantsi. Intlungu iya kufakelwa kwinqanaba lakho elingaphantsi uze ufike emathangeni akho njengentlungu engapheliyo okanye ehlalayo.
Unokuba nezinye iimpawu ezingathandekiyo ezihamba kunye nentlungu ye-dysmenorrhea ephambili.
Ezi zimpawu zingabandakanya:
- isifo sohudo
- isicupunu kunye nokuhlanza
- ukukhathala
- ukukhanya / ukuphelelwa amandla
- intloko
- ukungcola
- umkhuhlane
Kucatshangelwa ukuba ezi zimpawu zibangelwa ukukhululwa kwe-prostaglandines yendalo yemichiza emzimbeni wakho ojongene nentlungu ye-dysmenorrhea ephambili.
Izizathu
Ingxube yesisu sakho ivelisa iikhemikhali zendalo ezibizwa ngokuthi i-prostaglandins.
Ezinye zala ma- prostaglandin zibangela ukuba imisipha kunye nemithwalo yegazi ebelethini yakho ivumelwano. Xa i-muscle kunye nemithambo yegazi imvumelwano iyanciphisa okwethutyana ukuhamba kwegazi kwi-uterus. Oku kunciphisa ukuhamba kwegazi kuthiwa yi- ischemia . Kwi-uterus, i-ischemia imfutshane kwaye ifika kumaza njengemvumelwano yesibindi. Kodwa ezi nguqu zifana noko kwenzekayo ngexesha lokuhlaselwa kwentliziyo. Ukunciphisa ukuhamba kwegazi kwi-uterus yinxalenye yento ebangela intlungu ye-dysmenorrhea eyintloko.
Isamba se-prostaglandines esakhiwe yimbumba yesisu sakho siphezulu kakhulu ngosuku nangaphambi kwosuku lokuqala okanye ezimbini kwixesha lakho xa ukuhamba kwakho kokuhamba kwexesha kukugqithiseleyo. Yingakho iimpawu zakho ezi zibi kakhulu kule mihla.
Nini ukubona iDokotela
Okokuqala, akufanele uhlupheke kwixesha elibuhlungu. Khumbula ukuba awodwa.
Uphando lubonisa ukuba malunga neepesenti ezili-15 zamantombazana asetsheni zibika ixesha elibuhlungu. Enyanisweni, i-dysmenorrhea eyona nto iyona nto ebangela ukuba iintsuku zesikolo eziphosakeleyo zilahleke phakathi kwamantombazana asetsheni eMelika. Akukho sizathu sokuba ulahlekelwe esikolweni, emsebenzini okanye eminye imisebenzi ngenxa yexesha elibuhlungu. Ingcinga efanelekileyo yokuxoxa ngamaxesha akho kunye nogqirha wakho xa bephazamisana nemisebenzi yakho rhoqo okanye ngenxa yeentlungu, ukuphuma kwegazi okanye zombini.
Yintoni Oya Kuxelela Ugqirha
Ngaphambi kokuba uthethe ugqirha malunga neemeko zakho ezibuhlungu kukucinga kakuhle malunga nendlela oza kuchaza ngayo iimpawu zakho.
Uninzi oogqirha baya kukubuza imibuzo ukuze bancede baqaphele oko kubangela intlungu yakho ukuze bakwazi ukuxilongwa ngokufanelekileyo. Cinga ngendlela oya kuphendula ngayo le mibuzo.
- Uneminyaka emingakanani xa uqala ukuba nexesha lakho?
- Ngaba amaxesha akho afika nyanga zonke?
- Uyaphila iintsuku?
- Lilixesha lakho lokugqibela?
- Kude kangakanani emva kwexesha lakho lokuqala ukuba amaxesha akho abe buhlungu?
- Ixesha lini le ntlungu iqala ngobudlelwane ekuqaleni kwexesha lakho?
- Uphi intlungu?
- Ingaba ihamba kumqolo wakho osezantsi okanye emathangeni akho angaphezulu?
- Ngaba uphoswa kwisikolo okanye usebenze ngenxa yentlungu?
- Uqale ukulala ngesondo? Ukuba kunjalo, isondo sibuhlungu?
- Usebenzisa naluphi na ukhuselo?
- Ngaba unayo naziphi iimpawu ezingathandekiyo ngexesha lakho kwixesha elinjenge-diarrhea okanye i-nausea?
- Ngaba unina okanye nawaphi na amabhinqa kwintsapho yakho inexesha elibuhlungu okanye leengxaki?
- Kuthekani ukuba kukho nto eyenza intlungu ibe bhetele?
Mhlawumbi ujonge ukubhalela iimpendulo zakho kule mibuzo uze nazo kunye noqeshwe logqirha wakho. Ukuzilungiselela nokusebenza kunye nogqirha uya kukunceda ufumane ukuxilongwa ngokuchanekileyo kwaye uncede uzive ungcono ngokukhawuleza.
Ukuxilongwa
Ngokuchasene neenkolelo ezithandwayo zokuhlolwa kweeplovic ayikho into embi kakhulu. Kodwa kuxhomekeke kwenkcazelo owanikeze ugqirha wakho ungasadingeki ukuba ube novavanyo lwe-pelvic ugqirha wakho ukwenzela ukuba uhlalutyo lwe-dysmenorrhea ephambili.
Enyanisweni, akunakwenzeka ukuba uya kufuna iimvavanyo ze-pelvic ukuba ungumntwana osemncinci, akazange asebenze ngokwesondo kwaye iimpawu zakho zifana ne-dysmenorrhea ephambili.
Ukuba usuqale ukulala ngesifo sakho ugqirha mhlawumbi ufuna ukuvavanya i-pelvic. Kubalulekile ukuqinisekisa ukuba ukusuleleka kwe-pelvic kubangelwa yi-STI njenge-chlamydia okanye i-gonorrhea eyenza ixesha lakho elibuhlungu libi.
Ukuba intlungu yakho ayihambi emva kweenyanga ezimbalwa zonyango okanye ukuba iimpendulo zemibuzo yakho zibonise kwaye ingxaki yonyango ugqirha wakho uya kubonisa ukuba uvavanyo lwe-pelvic nokuba awuzange uqale ukulala ngesondo.
Akukho vavanyo olongezelelweyo okanye umfanekiso we-pelvic ofunekayo ukuze uhlolisise i-dysmenorrhea ephambili. Nangona kunjalo, ukuba ugqirha wakho ucinga ukuba ixesha lakho elibuhlungu lingaba ngenxa yesimo sengqondo se-pelvic esichazela ukuba unesibini i-dysmenorrhea, ugqirha wakho uya kubonisa ukuba uvavanyo olongezelelweyo.
Unyango
Xa ucinga ngeendlela zokonyango kubalulekile ukuba ukhumbule ukuba iikhemikhali zendalo ezibizwa ngokuthi i-prostaglandins eziveliswa kwisibilini se-uterus zijongene neempawu ze-dysmenorrhea eziphambili.
Injongo yokulawulwa kwezokwelapha kukunciphisa ukuveliswa kweprotaglandines kwisibilini sesisu sakho. Kukho iindidi ezimbini zonyango ezenza oku, iziyobisi ezingekho-steroidal ezichasayo (i-NSAID) kunye nemithi yokukhusela i-hormonal .
Kukho iintlobo ezahlukeneyo ze-NSAID. Uninzi ogqirha bacebisa ukuqala nge-ibuprofen, ekhoyo kwi-counter. Inqanaba eliqhelekileyo elifanelekileyo le-ibuprofen lingama-600 mg kwaye ungathatha loo dosi rhoqo kwiiyure ezingama-6-8. Ngamanye amaxesha kufuneka usebenzise i-NSAID eyahlukileyo okanye enamandla ukuvimba ii-prostaglandines. Kodwa, kufuneka uqaphele xa usebenzisa ii-NSAID kuba zingenza umonakalo kwisibilini sakho esisisu esingakhokelela kwi-gastritis kunye nezilonda zesisu. Akufanele uthathe ii-NSAID kwisisu esingenalutho.
Zonke iinkqubo zokukhusela i-hormonal ziya kuthoba umgca wesisu sakho kwaye ngokwenza njalo kuya kunciphisa ukuveliswa kwe-prostaglandin. Ngokuqhelekileyo, ukusebenzisa enye ye-contraceptive ye-hormone yindlela ephumelelayo yokuphatha amaxesha akho obuhlungu.
Ukongezelela kumachiza kukho ukutshintshwa kwendlela yokuphila enokukunceda ukunciphisa intlungu yokuya esikhathini.
Ukufumana uqeqesho olwaneleyo rhoqo luye lwaboniswa ukunciphisa ixesha elibuhlungu.
Kukho nezinye iinguqu zokutya eziye zaboniswa ukunceda. Kufuneka uzame ukutya ukutya okuninzi kwi-omega -3 e-fatty acids njenge-salmon, i-walnuts kunye ne-avocados. Kwakhona kukho ukutya okucebileyo kwiVithamini B ekuncedeni ukunciphisa ukunyanyiswa kwemizi. Ukuba udla ukutya okunokulinganisela unokufumana i-Vitamin B eyaneleyo. Kodwa ngokuphindaphindiweyo intsha ayinaso ukutya okulungileyo kakhulu ngoko kuthatha isongezelelo se-Vitamin B esinokuxhamla.
ILizwi
Khumbula ukuba akufanele uhlalise ixesha elibuhlungu. Musa ukuhlazeka ukuxoxa ngexesha lakho kunye nogqirha wakho. Ngokwenza ukuguqulwa kwendlela yokuphila kunye nokuzama imishanguzo eyiyo onokuphila kakuhle kunye nokuxilongwa kwe-dysmenorrhea ephambili.
> Umthombo:
> IsiFrentshi, uL. (2015). Dysmenorrhea. WaseMerika ugqirha. 71 (21), 285-291