Ixesha lakho livela xa ubhedu lwesibindi sakho luhamba. Ukuze ixesha lakho eliqhelekileyo lifike nyanga nganye, umzimba wakho kufuneka uguqe, oko kuthetha ukuba iqanda kufuneka likhutshwe kwi-ovary. Ngokuqhelekileyo, ixesha lakho liza kufika kwiintsuku ezili-12 ukuya kwezi-16 emva kokuba uhamba, ucinga ukuba awuzange ukhulelwe.
Isiqhelo
Isiqhelo sesisemgangathweni sinokuhlala kwisinye ukuya kwiintsuku ezisixhenxe, nangona kuninzi lwabasetyhini abanexesha eliqhelekileyo lokuya esikhathini, ixesha labo lihlala eliphakathi kweentsuku ezintathu ukuya ezintlanu.
Kubalulekile ukuba uqaphele ukuba akukho nto iphosakeleyo ukuba ixesha lakho lide ixesha elide okanye elifutshane kuneentsuku ezintathu ukuya ezintlanu. Ngamanye amagama, ixesha lakho lihlukile kuwe, kunye nemali owayilayo kwaye inani leentsuku aliyi kuba lifana nalowo wonke umntu. Ukongeza, ixesha lakho liyakwazi ukuhluka kancinane ukusuka kumjikelezo ukuya kumjikelezo kwaye oku kuqhelekileyo.
Izinto ezichaphazela ubude bexesha lakho
Ngamanye amaxesha, nangona kunjalo, ukuguquka kwendlela yokuphila, iindlela zokulawula ukuzalwa, kunye neengxaki ezithile zonyango kunokuchaphazela ixesha lakho ngokugqithiseleyo. Yingakho kubalulekile ukubona ugqirha ukuba ukuphuma kwegazi kuhlala ngaphezu kweentsuku ezisixhenxe. Ukuphuma kwegazi elininzi, kwakhona, kubonisa ukuba ugqirha ugqirha. Izimpawu zokuphuma kwamanzi ziquka:
- Ukugquma ngeyodwa okanye ngaphezulu kweetamponi okanye ipads nganye ngeyure iiyure eziliqela ngokulandelana
- Ukugqithisa ngaphezu kweyodwa ipakethi ngexesha lokulawula ukuphuma kwegazi
- Ukutshintsha iipads okanye iitamponi ebusuku
- Iiperidi ezineengcezu zegazi ezibukhulu bekota okanye ezinkulu
Masiqwalasele ngokuthe kratya kwiimeko ezinokuchaphazela ixesha lokuhamba kwakho kokuya esikhathini.
Iimeko Zonyango
Kukho imiba yezokwelapha ezinokuchaphazela ixesha lakho lexesha. Ngokomzekelo, ixesha elinzima kunye / okanye ixesha elide lingaba ngumqondiso we-polyps endometrial okanye i-uterine fibroids. Oku kungenxa yokuba ukuhamba kwakho kokuya esikhathini kuyenziwe kwiplastiki yamanzi ebizwa ngokuba yi-endometrium, kunye negazi ukusuka kwiinqanawa ezincinci ezibonakalayo emva kweempahla zentsimbi.
Ngaloo ndlela, izinto eziguqula ubukhulu be-endometrium okanye inani lemithambo yegazi lidlala indima kwiintsuku ezininzi zokuphuma kwegazi.
Eminye imizekelo yeemeko zempilo enokubangela ukuba igazi eliqhubekayo okanye eligazi elininzi libandakanya:
- Iziphazamiso zokuhlamba okanye imishanguzo esondayo igazi (umzekelo, i-aspirin)
- Polycystic ovarian syndrome okanye hypothyroidism
- Umhlaza wesibeleko
- Endometriosis
- Ukukhulelwa kwe-Ectopic okanye ukukhulelwa komzimba
- Izifo eziphambene nepelvic
Ngokubanzi, ukuqonda udidi oluqhelekileyo lwexesha eliqhelekileyo luncedo. Ngokuqinisekileyo ukugaqa iintsuku ezingaphezu kweentsuku ezisixhenxe okanye ukungafihla yonke into emva kokuba usudlulile umyinge akuqhelekanga, kwaye kufuneka uxoxe ngale nto kunye nomboneleli wakho wezempilo.
Ubudala
Ngethuba leminyaka embalwa yokuqala emva kokuqala kokuya esikhathini, unokufumana igazi elingalindelekanga. Oku kungenxa yokuba awunayo i-ovulating rhoqo. Ekubeni i-ovulation idinga ukusebenzisana okunzima phakathi kwama-hormone akhiqizwa kwizakhiwo zakho kwingqondo kunye namaqanda akho, kunokuthatha ixesha elithile ukuba umzimba wakho uphumelele.
Yingakho kuyinto evamile emva kokuqala kwexesha ukuba abanye baphucule ngaphezu kweyonke imihla yeentsuku kunye / okanye beqhekeza amaxesha ambalwa kumqolo. Iindaba ezilungileyo kukuba ukuhamba kwimihla ngemihla kuqhelekile kwiminyaka emibini.
Kodwa, ukuba uyaqhubeka nokuba nexesha elingavumelekanga, ingaba ngumqondiso we-hormonal okanye imeko yezokwelapha, ngoko qi ni sekisa ukuba uhlolwe ngugqirha wakho.
Ekugqibeleni, njengoko usondela ekupheleni kweminyaka yakho yokuzala, ngokuqhelekileyo kwixesha lakho le-40s, uya kuqala ukufumana amaxesha angaqhelekanga kwakhona. Eli xesha libizwa ngokuba yi-perimenopause okanye ukuguquka kwe-menopausal, kwaye lixesha lokungalingani kwe-hormone, ngokugqithiseleyo xa i-estrogen yokuveliswa ngama-ovari iqala ukuhla. Ngala manqanaba angaphantsi kwe-estrogen, kukho i-buildup encinci ye-uterine lining, ngoko ufumana amaxesha amancinane kunye namafutshane, ngaphezu kwexesha elingavumelekanga.
Ukulawula inzala
Ukusebenzisa ulawulo lokuzalwa kwama-hormone kunokuchaphazela nenani leentsuku zakho.
Ukuba usebenzisa i-hormonal contraceptive edibeneyo kuquka nepilisi yokukhulelwa ngomlomo, ipaki yokukhusela, okanye isithintelo sokukhulelwa, mhlawumbi uya kuba namaxesha amancinci, kunye nokuhamba kwebala. Oku kungenxa yokuba i-hormone epilisi yokulawula ukuzalwa iphezulu kumahomoni aveliswa ngamaqanda akho.
Ngokomzekelo, iipilisi zomlomo zomlomo ziqukethe i-estrogen, ngoko i-lining of uterus ikwakhiwa kodwa ingaphantsi kunokuba ingaqhelekanga. Icandelo leprogesterone yepilisi elichasene ne-estrogen yakha, ngoko i-lining to shed shed is more than normal.
Oku kungenxa yokusebenzisa nayiphi na i- contraceptive ye-hormonal ehlangeneyo ngokuqhubekayo , oku kuthetha ukuba unqumla i-placebo okanye i-week-free yeveki, kunokubangela ukuba unqande ixesha lakho okanye ubuncinci ukunciphisa inani lamaxesha unyaka onalo.
Ukuba usebenzisa i-progesterone-contraception kuphela uza kuba nexesha elifutshane kwaye elifutshane. Ezi ziquka:
- Iprogesterone ene-IUD (umzekelo, iMirena)
- Ukufakelwa kokukhulelwa (umzekelo, i-Nexplanon)
- Ukukhulelwa kwe-injection (umzekelo, iDepo-Provera)
Ngokuqhelekileyo, ukusebenzisa ezi ndlela kungakhokelela ekubeni akukho nhlobo. Oku kungenxa yokuba i-progesterone inefuthe eliphazamisa i-endometrium.
Ekubeni zonke izicwangciso zokukhulelwa kwe-hormonal zitshintsha ukuhamba kwakho kokuya esikhathini, ukuba ixesha lakho linzima okanye ugazi ngenxa yeentsuku ezininzi, ugqirha wakho unokubonisa ukuba usebenzisa i-hormonal contraceptive njenge-levonorgestrel-release release intrauterine (iMirena) ukukunceda ukulawula ukuphuma kwegazi.
ILizwi
Ngenxa yokuba ixesha lakho liyimiphumo ye-hormone eyinkimbinkimbi emzimbeni wakho, kukho uluhlu oluninzi lwezinto eziqhelekileyo. Xa usuqalile ukuya esikhathini, ukuba ulahlekelwa ixesha lakho, okanye ukuba ixesha lakho lihlala ixesha elide kuneentsuku ezisixhenxe, qiniseka ukuxoxa ngale nguqu nodokotela wakho.
> Imithombo:
> I-American College ye-Obstetrics kunye neGynecologists. (2016). Imibuzo Ebuzwa Ngokuphindaphindiweyo: Ukunyuka Okunyuka Kwisisindo.
> Ikholeji yase-American College of Obstetricians and Gynecologists. (2015). I-Opinion yekomiti No. 651. Ukuhamba kwintombazana kunye nabaselula: usebenzisa umjikelezo wesisitya njengomqondiso obalulekileyo. I-Obstet Gynecol 126 (6): 1328.
> Bitzer J, Heikinheimo O, uNelson AL, uCalaf-Alsina J, Fraser IS. Ulawulo lwezoNyango lweZindleko zokuSithwa kweziThamo eziPhezulu: UkuHlola okuPheleleyo koLwazi. I-Obstet Gynecol Surv . 2015 Feb; 70 (2): 115-30.