Isiko lelukhuni yinqubo yemvelo kubantu abanesisu, ngokuvamile ihlala izinsuku ezimalunga nama-28. Inezingxenye eziningana: ukuphuma kwelanga, isigaba se-follicular, ukuvuthwa kwegci, kanye ne-luteal phase. Ukuvuthwa kwegci kubalulekile lapho iqanda likhishwa e-ovary, ngokuvamile phakathi nesigaba. Ngalesi sikhathi, abanye abantu bangase baphawule ukuphuma kwegazi okukhanyayo, okuthiwa ukuphuma kwegazi kokuvuthwa kwegci.
Ungase ubuze, ukuphuma kwegazi kokuvuthwa kwegci yini? Kuyilapho ubona inani elincane legazi noma ukukhishwa lapho iqanda likhishwa. Akuwona wonke umuntu ophila lokhu; abantu abaningi bayazibuza ukuthi bahlanza yini ngesikhathi sokuvuthwa kwegci. Ngenkathi abanye bengase babone ukuphuma kwegazi okuncane, abanye bangase bangaphawuli lutho.
Ngokuvamile, ukuphuma kwegazi okukhanyayo noma ukukhishwa kuyinto evamile, kodwa kungashintsha kuye ngezinto ezahlukene, njengoshintsho lwe-hormonal kanye nokuhlukahluka komuntu siqu. Noma kunjalo, uma uqaphela ukuphuma kwegazi okukhulu ngesikhathi sokuvuthwa kwegci noma uma kungokokuqala ukuthi ubona igazi ngalesi sikhathi, kungaba umqondo omuhle ukukhuluma nodokotela. Ukwazi okwengeziwe ngesigaba sakho selukuni kubalulekile ukuqonda ukuthi yini evamile kuwe nokuqondisa noma yikuphi ukukhathazeka okuvela.
Imbangela | Inkulumo | Amanothi |
---|---|---|
Ukuhlukahluka kwe-Hormonal | Ukuwa kwe-estrogen kanye nokukhuphuka kwe-luteinizing hormone (LH) kungabangela ukuba ukugqoka kwesisu kuphume kancane. | Ukukhishwa okukhanyayo kuyinto evamile futhi ngokuvamile akubi. |
Ukuqhekeka kwe-Follicle | Ukuphuma kwegci ngesikhathi sokuvuthwa kwegci kungabangela ukuphuma kwegazi okuncane njengoba i-follicle iqhekeka. | Kubonakala njengokukhishwa okukhanyayo noma okubomvu okubomvu ngesikhathi sokuvuthwa kwegci. |
Ukukhuluphala Kwegazi | Ukukhuluphala kwegazi kuma-ovary ngesikhathi sokuvuthwa kwegci kungabangela ukuqhekeka kwamagci amancane egazi. | Ukuphuma kwegazi ngokuvamile kuyakhanya futhi kuphila isikhathi esifushane. |
Ukuphathwa Kwegazi Noma Ukwelashwa Kwe-Hormonal | Imithi yokulawula ukubeletha noma ukwelashwa kokuzala kungabangela ukukhishwa njengoba umzimba uqondanisa noshintsho lwe-hormone. | Ngokuvamile kuqeda ngemuva kokusetshenziswa okuqhubekayo kwemithi. |
I-Polycystic Ovary Syndrome (PCOS) | Ukungahambisani kwe-hormonal ku-PCOS kungabangela ukukhishwa okungavamile, kufaka phakathi ngesikhathi sokuvuthwa kwegci. | Kudinga ukuphathwa kwezokwelapha ukuqondisa izinkinga ze-hormonal eziyisisekelo. |
Ukuqina Kwe-Cervix | Ukuqina kwe-cervix ngesikhathi sokuvuthwa kwegci kungabangela ukuphuma kwegazi, ikakhulukazi ngemuva kokuziphatha. | Ukukhishwa ngokuvamile kuncane futhi kuqeda ngokushesha. |
Isimo Esisekelo | Izimo ezinjenge-endometriosis, ama-fibroids, noma ukutheleleka kungabangela ukukhishwa ngesikhathi sokuvuthwa kwegci. | Kungadingeka ukuhlolwa kwezokwelapha uma ukuphuma kwegazi kukhulu noma kuqhubeka. |
Ukuphuma kwegazi kokuvuthwa kwegci kuyinto evamile futhi ngokuvamile akubi kakhulu kwabesifazane abaningi. Kuqanjwe ukukhishwa okukhanyayo noma ukukhishwa okubomvu noma okumnyama phakathi nesigaba selukuni, ngokuvamile ihlala izinsuku eziyi-1-2.
Izimbangela eziyinhloko zihlanganisa ukuhlukahluka kwe-hormonal, njengokuwa kwezinga le-estrogen noma ukuphuma kwegci e-follicle. Lezi zinguquko zingabangela ukushiya okuncane kokugqoka kwesisu, okuholela ekukhishweni.
Akuwona wonke owesifazane ophila ukuphuma kwegazi kokuvuthwa kwegci, futhi ukuvela kwakho kungashintsha kusuka esigabeni siye esigabeni. Izinto ezinjengokucindezeleka, ukushintsha kwendlela yokuphila, kanye nemithi ye-hormonal zingathinta ukuvamile kwakho.
Ukuphuma kwegazi kokuvuthwa kwegci ngokuvamile kuyakhanya futhi kuphila isikhathi esifushane, ngaphandle kokuphefumula okukhulu noma ezinye izimpawu. Ngokuvamile kwenzeka kanye nezimpawu zokuvuthwa kwegci, njengokuhlunguluka okuncane, ukwanda kwe-mucus ye-cervix, noma ukubuthakathaka kwamabele.
Nakuba ngokuvamile akubi, ukuphuma kwegazi okukhulu noma okuqhubekayo, ubuhlungu obukhulu, noma ukukhishwa ngaphandle kwesigaba sokuvuthwa kwegci kungabonisa izinkinga zempilo eziyisisekelo, njengokutheleleka, ama-fibroids, noma ukungahambisani kwe-hormonal, okudinga ukuhlolwa kwezokwelapha.
Ukuphuma Kwegazi Okukhulu Noma Okuqhubekayo: Ukukhishwa okuphenduka ukugeleza okukhulu noma okuhlala isikhathi eside kunizinsuku ezimbalwa kungabonisa inkinga enkulu njenge-uterine fibroids noma ukungahambisani kwe-hormonal.
Ubuhlungu Obubi Be-Pelvic: Ubuhlungu obukhulu ngesikhathi sokuvuthwa kwegci noma ukukhishwa kungaba uphawu lwe-endometriosis, ama-ovarian cysts, noma isifo se-pelvic inflammatory (PID).
Ukuphuma Kwegazi Phakathi Kwezigaba: Ukukhishwa okuvamile ngaphandle kwesigaba sokuvuthwa kwegci kungabonisa ama-polyps, ukutheleleka, noma ukungahambisani kwe-cervix.
Ukukhishwa Okungavamile: Ukukhishwa okuhambisana nokukhishwa okunuka kabi, oluphuzi, noma oluluhlaza kungabonisa ukutheleleka kwesigxobo noma se-pelvic.
Ukuqina Noma Ezinye Izimpawu: Ukuqina, ukukhathala, noma ukungaphili kahle ngokujwayelekile kanye nokuphuma kwegazi kokuvuthwa kwegci kungabonisa ukutheleleka noma isimo sesistimu.
Ukukhishwa Kwegazi Ngemuva Kweminyaka Yokuyeka Ukubeletha: Ukuphuma kwegazi ngemuva kokumisa ukubeletha akuvamile futhi kungabonisa izimo ezinzima, njengomdlavuza wesisu, okudinga ukunakekelwa kwezokwelapha ngokushesha.
Akulona Ukuthuthuka Ngesikhathi: Izimpawu eziqhubekayo noma ezibi, njengokukhishwa okuvamile ngaphandle kwesizathu esicacile, kufanele kuhlolwe yisisebenzi sezokwelapha.
Umbhalo Wezimo Eziyingozi: Abafazi abane-endometriosis, i-PCOS, noma izinkinga zezitho zokuzala kufanele balandele ukuphuma kwegazi kokuvuthwa kwegci eduze futhi babuze udokotela uma kuvela izimpawu ezingavamile.
Ukuphuma kwegazi kokuvuthwa kwegci kuyinto evamile futhi ngokuvamile akubi kakhulu okuqanjwe ukukhishwa okukhanyayo noma okubomvu okubomvu phakathi nesigaba selukuni. Ngokuvamile kubangelwa ukuhlukahluka kwe-hormonal, njengokuwa kwezinga le-estrogen noma ukuphuma kwegci e-follicle, futhi ngokuvamile kuphila isikhathi esifushane, ihlala izinsuku eziyi-1-2. Nakuba akuwona wonke owesifazane ophila lokhu, ukuphuma kwegazi kokuvuthwa kwegci kubhekwa njengokuvamile uma kukhanya, kungavamile, futhi kwenzeka ngaphandle kwezimpawu ezinkulu.
Kodwa-ke, izimpawu ezithile zidinga ukunakekelwa kwezokwelapha. Lokhu kuhlanganisa ukuphuma kwegazi okukhulu noma okuqhubekayo, ubuhlungu obukhulu be-pelvic, ukukhishwa ngaphandle kwesigaba sokuvuthwa kwegci, noma ukukhishwa okungavamile okuhambisana nokuqina noma ezinye izimpawu. Izimo ezinjenge-endometriosis, i-polycystic ovary syndrome (PCOS), ama-fibroids, noma ukutheleleka kungaba ngaphansi kwemizamo yokungahambisani kwegazi.
Abafazi abaphila izimpawu eziqhubekayo noma ezingavamile kufanele babuze umhlinzeki wezempilo ukuze bakhiphe izinkinga ezinkulu. Ngokuqonda izimbangela nokulandela izimpawu, abesifazane bangakwazi kangcono ukuqonda ukuthi nini ukuphuma kwegazi kokuvuthwa kwegci kuyinto evamile futhi nini kudinga ukuhlolwa kwezobungcweti.