Created at:1/16/2025
Question on this topic? Get an instant answer from August.
Ukuqabuka kwesibeletho kuyinkinga yokuvuvukala kwesibeletho, umzila omncane ohlanganisa izitho zakho zokuzala nesikhumba sakho. Cabanga ngesibeletho sakho njengendlela engangena ezingeni lokuvuvukala, ukukhula, noma ukutheleleka, njengoba umlomo wakho ungavuvukala uma unefrilu.
Le nkinga ithonya izigidi zabesifazane futhi ingenzeka kunoma iyiphi iminyaka, nakuba ivame kakhulu phakathi neminyaka yakho yokuzala. Izindaba ezinhle ukuthi ukuqabuka kwesibeletho kuphekwa kalula, futhi abesifazane abaningi bayaphila ngokuphelele ngokunakekelwa okufanele.
Ukuqabuka kwesibeletho kwenzeka lapho izingqimba zesibethelo sakho zivuvukala ngenxa yokutheleleka, ukuvuvukala, noma ezinye izimbangela. Isibethelo sakho ngokuvamile sivelisa ukhulu ukuvikela isimiso sakho sokuzala kubhaktheriya nezinye izinto eziyingozi.
Lapho ukuqabuka kwesibeletho kuvela, leli bheke lokuvikela liyaphuka. Izingqimba zesibethelo zingakhula, zibe bomvu, futhi ngezinye izikhathi zivele izilonda ezincane noma ama-ulcers. Lokhu kuqabuka kungaba okukhulu, okusho ukuthi kuvela ngokuzumayo, noma okungapheli, kuvela kancane kancane ngokuhamba kwesikhathi.
Abesifazane abaningi abane-cervicitis emaphakathi ababonisi zimpawu nhlobo. Kodwa-ke, lapho izimpawu zivele, zingaba ukushintsha okuncane ekukhuleni kuya ekuhluphekeni okubonakalayo ngesikhathi semisebenzi yokuya ocansini.
Izimpawu zokuqabuka kwesibeletho zingaba ezahlukene kakhulu, futhi abanye abesifazane bangase bangaboni nhlobo izinguquko. Lapho izimpawu zivele, ngokuvamile zivela kancane kancane futhi zingaya.
Nazi izimpawu ezivamile kakhulu okufanele uzilinde:
Abanye abesifazane nabo baye baba nezimpawu ezingavamile njengobuningi obuphansi emuva, ukuthamba njalo, noma imizwa yokuthi ibladder ayigcwaliswa ngokuphelele. Lezi zimpawu zingafana nezinye izimo, kungakho ukwelashwa okufanele kudingeka.
Ezimeni ezingavamile, ukuqabuka kwesibeletho okukhulu kungabangela ukushisa, ukugula, noma ubuhlungu obukhulu besisu. Uma uhlangabezana nalezi zimpawu ezinzima, kubalulekile ukufuna usizo lokuthiwa ngokushesha.
Ukuqabuka kwesibeletho kungavela ngenxa yezizathu eziningi ezahlukene, ukutheleleka kuyimbangela evamile. Ukuqonda lezi zizathu kungakusiza uthathe izinyathelo zokuvikela impilo yakho yesibethelo.
Izimbangela ezivamile kakhulu zihlanganisa:
Ngezinye izikhathi ukuqabuka kwesibeletho kuvela ngaphandle kwesizathu esicacile sokutheleleka. Lokhu kubizwa ngokuthi ukuqabuka kwesibeletho okungekho kutheleleka futhi kungaba ngenxa yezinto ezivuvukalayo, ukungalingani kwamahomoni, noma izimpendulo ze-autoimmune lapho isimiso sakho sokugcina somzimba sihlasele izingqimba zesibethelo ezempilo.
Ezimeni ezingavamile, ukuqabuka kwesibeletho kungahlotshaniswa namanye ama-cancers noma izimo ezingaphambi kwe-cancer, nakuba lokhu kungavamile. Udokotela wakho angakusiza uthole imbangela ethile ngokuhlola okufanele nokucubungula.
Kufanele ucabange ukuya kudokotela wakho uma uqaphela izinguquko eziqhubekayo ekukhuleni kwesikhumba sakho, ukuphuza igazi, noma ukuhlupheka kwesisu. Ukucubungula okusheshayo kungasiza ukuthola imbangela nokuvimbela izinkinga.
Hlela i-aphoyintimenti uma uhlangabezana nokukhula okungavamile kwesikhumba okuphila izinsuku ezimbalwa, ikakhulu uma kunencasa enamandla noma umbala ongavamile. Ukuphuza igazi phakathi kwesikhathi noma ngemva kokuthinta kufanele futhi kukhuthaze ukuvakashela udokotela, njengoba lezi zingaba izimpawu zokuvuvukala kwesibeletho.
Funa usizo lokuthiwa ngokushesha uma uthola ukushisa kanye nobuhlungu besisu, ukugcwala okukhulu kwesisu, noma ukuphuza igazi okukhulu kwesikhumba. Lezi zimpawu zingabonisa ukutheleleka okukhulu okudingayo ukwelashwa ngokushesha.
Unganqikazi ukuxhumana nodokotela wakho ngisho noma izimpawu zakho zibonakala zingenazinkinga. Abesifazane abaningi bazizwa behluleka ukuxoxa ngezinkinga zempilo yabo yokuya ocansini, kodwa khumbula ukuthi udokotela wakho ulapho ukusizela ukugcina impilo yakho yokuzala.
Izici eziningi zingandisa amathuba akho okuthola ukuqabuka kwesibeletho, nakuba ukuba nezingozi akusho ukuthi uzokuthola le nkinga. Ukuqonda lezi zici kungakusiza uthathe izinqumo ezilwemi ngempilo yakho.
Izingozi eziyinhloko zihlanganisa:
Iminyaka iphinde idlale indima, njengoba ukuqabuka kwesibeletho kuvame kakhulu kubesifazane abangaphansi kweminyaka engu-25 abazingqimba zesibethelo sabo zisathuthuka. Ukushintsha kwamahomoni ngesikhathi sokukhulelwa, ukuqala, noma ngenkathi usebenzisa izindlela ezithile zokulawula ukubeletha kungakwenza ube sengozini kakhulu.
Izingozi ezingavamile zihlanganisa ukuba nezinye izimo ze-genetic eziqeda umsebenzi wokugcina somzimba noma ukuthatha imithi yokucindezela isimiso sokugcina somzimba ngenxa yezinye izimo zempilo. Udokotela wakho angakusiza ahlole izingozi zakho ngokuya ngezikhathi zokuvakashela impilo.
Nakuba izimo eziningi zokuqabuka kwesibeletho ziyaphela ngokuphelele ngokwelashwa okufanele, ukuqabuka okungaphathwayo ngezinye izikhathi kungabangela izinkinga zempilo ezinzima. Izindaba ezinhle ukuthi izinhlupheko zingavikeleka ngokunakekelwa kwezokwelapha ngesikhathi.
Izinhlupheko ezivamile kakhulu zihlanganisa:
Ezimeni ezingavamile, ukuqabuka kwesibeletho okungaphathwayo kungabangela ukwakheka kwama-abscess esiswini noma ukutheleleka okubanzi kuyo yonke isimiso sokuzala. Lezi zinhlupheko ezinzima zidinga ukungenelela kwezokwelapha ngokushesha nokungeniswa esibhedlela.
Abesifazane abakhulelwe abane-cervicitis babhekene nezingozi ezengeziwe ezihlanganisa amathuba amaningi okulahlekelwa umntwana, ukuqhekeka kwangaphambi kwesikhathi kwama-membranes, noma ukudlulisela ukutheleleka kubantwana babo ngesikhathi sokubeletha. Kodwa-ke, ngokunakekelwa okufanele kokukhulelwa nokwelashwa, lezi zingozi zinganciphisa kakhulu.
Ungathatha izinyathelo eziningi eziwusizo zokunciphisa ingozi yakho yokuthola ukuqabuka kwesibeletho, ugxile ikakhulu ekuvimbeleni ukutheleleka nokuqeda izinto ezivuvukalayo. Lezi zindlela zokuvimbela zilula futhi zingaba yingxenye yomkhuba wakho jikelele wempilo.
Izindlela zokuvimbela ezisebenza kakhulu zihlanganisa ukusebenzisa ukuvikelwa njenge-condoms kuyo yonke imisebenzi yocansi nokulinganisela inani labalingani bakho bocansi. Ukuba nezingxoxo ezivulekile nabalingani ngempilo yocansi nokwenza ukuhlolwa okuvamile kwe-STI ndawonye kudala isisekelo sempilo engcono yokuya ocansini.
Gwema ukugeza noma ukusebenzisa imikhiqizo yokuhlanza yabesifazane enencasa, njengoba lezi zingaphuka ibhalansi yakho evamile yesikhumba futhi zibangele ukuvuvukala. Esikhundleni salokho, hlambulula indawo yakho yocansi ngesepu elithambile, elingenancasa namanzi ngesikhathi somkhuba wakho wokuhlanza.
Yenza ukuhlanzeka okuhle ngokuhlanza kusuka phambili kuya emuva ngemva kokusebenzisa igumbi lokugezela nokushintsha izingubo ezimanzi ngokushesha. Ukugqoka izingubo zokugqoka ezingagqokile nezingubo zokugqoka zekhotini futhi ugweme izingubo ezinamathele endaweni yocansi kungasiza futhi ukuvimbela ukwakheka kokufuma okukhuthaza ukukhula kwamabhaktheriya.
Ukuthola ukuhlolwa okuvamile kwe-gynecological kuvumela udokotela wakho ukuthi abone izimpawu zokuqala zokuvuvukala kwesibeletho ngaphambi kokuba izimpawu zivele. Uma ubhema, ukuyeka kungaqinisa isimiso sakho sokugcina somzimba futhi kunciphisa ingozi yakho yezinkinga ezahlukene zempilo yokuya ocansini ezihlanganisa ukuqabuka kwesibeletho.
Ukuhlola ukuqabuka kwesibeletho ngokuvamile kuhlanganisa ukuxoxa ngezimpawu zakho, ukwenza ukuhlolwa komzimba, nokwenza ukuhlolwa kwelebhu. Udokotela wakho uzosebenza ngendlela ehlelekile ukuthola kokubili ukuba khona kokuvuvukala nesizathu salo.
Inqubo yokuhlola ngokuvamile iqala ngengxoxo eningiliziwe ngezimpawu zakho, umlando wocansi, nanoma yiziphi izinguquko zakamuva empilweni yakho noma emikhumbeni yakho yokuhlanzeka. Udokotela wakho udinga lolu lwazi ukuqonda izimbangela ezingaba khona nezingozi ezikhethekile esimweni sakho.
Ngesikhathi sokuhlolwa komzimba, udokotela wakho uzokwenza ukuhlolwa kwesisu ukuhlola ngeso lesibethelo sakho izimpawu zokuvuvukala, ukukhula, noma ezinye izinto ezingavamile. Bangase basebenzise i-speculum ukuthola umbono ocacile wezingqimba zakho zesibethelo futhi baphawule noma yiluphi ubomvu, ukukhula, noma ukukhula okungavamile.
Ukuhlolwa kwelebhu kudlala indima ebalulekile ekucubunguleni futhi ngokuvamile kuhlanganisa ukuqoqa amasampula okukhula kwesibeletho noma izingqimba zokuhlolwa. La masampula angahlolwa ngezifo ezithathwa ngocansi, ukungalingani kwamabhaktheriya, noma ezinye izimbangela ezingaba khona zokuvuvukala.
Ukuhlolwa okuqhubekayo kungase kuhlanganise i-Pap smear ukuhlola izingqimba zesibethelo ezingavamile, ukuhlolwa kwamathumba ukuqeda ukutheleleka kwe-urinary tract, noma ukuhlolwa kwegazi uma udokotela wakho engabaza izinhlobo ezithile zokutheleleka. Ezimweni ezithile, udokotela wakho angase akhuthaze ukuhlolwa okuqhubekayo ngemva kokwelashwa ukuqinisekisa ukuthi ukuqabuka kuye kwaphela.
Ukwelashwa kokuqabuka kwesibeletho kuncike embangelweni, kodwa izimo eziningi ziphendula kahle ekwelapheni okufanele. Udokotela wakho uzokwenza uhlelo lokwelapha oluhambisana nemiphumela yokuhlola nezimpawu zakho.
Ngokutheleleka kwamabhaktheriya, ama-antibiotics kuyilona kwelashwa eliyinhloko futhi anganikezwa njengemithi yomlomo noma ama-creams athinta. Ama-antibiotics avamile ahlanganisa i-azithromycin, i-doxycycline, noma i-ceftriaxone, kuye ngebhaktheriya ethile ehilelekile. Kubalulekile ukuqeda lonke uhlelo lwama-antibiotics ngisho noma izimpawu ziphucuka ngokushesha.
Ukutheleleka kwamagciwane njenge-herpes kudinga imithi ye-antiviral njenge-acyclovir noma i-valacyclovir. Le mithi ingasiza ekulawuleni izimpawu nokunciphisa ubukhulu bokuqhuma, nakuba ayilula ukwelapha ukutheleleka kwamagciwane.
Uma ukuqabuka kwakho kwesibeletho kubangelwa izinto ezivuvukalayo noma ama-allergens, ukwelashwa kugxile ekutholeni nasekugwemeni lezi zinto ezibangela. Udokotela wakho angase akhuthaze ukushintsha imikhiqizo ye-hypoallergenic noma ukugwema imisebenzi ethile okwesikhashana kuze kube yilapho ukuqabuka kuphela.
Izimbangela zamahomoni zokuqabuka kwesibeletho zingase ziphathwe nge-estrogen therapy, ikakhulu kubesifazane abase-postmenopausal. Lokhu kungasiza ekubuyiseni impilo evamile yezingqimba zesibethelo nokunciphisa ukuqabuka okubangelwa ukushintsha kwamahomoni.
Ezimeni ezingavamile lapho ukuqabuka kwesibeletho kungaphenduli ekwelapheni okuvamile, udokotela wakho angase akhuthaze izinqubo njenge-cryotherapy noma i-laser therapy ukususa izingqimba ezivuvukalayo. Lezi zinqubo ngokuvamile zigcinelwe izimo eziqhubekayo ezingaphucuki ngemithi.
Nakuba ukwelashwa kwezokwelapha kubalulekile ngokuqabuka kwesibeletho, izindlela eziningi zokunakekelwa ekhaya zingakusiza uzizwe ukhululekile futhi usekele ukululama kwakho. Lezi zindlela zisebenza kanye nemithi eyalwe ukuthuthukisa ukululama nokuvimbela ukubuyela.
Ukuthatha izibhamu ezishisayo zingakusiza ukunciphisa ubuhlungu besisu futhi kusize ekuqedeni ukuqabuka. Vele uhlale emanzini afudumele ngamasentimitha ambalwa imizuzu engu-10-15, izikhathi eziningi ngosuku. Ukuhlanganisa ukhulu oluthile lwesihlanu emanzini kungasiza ekuqedeni ubuhlungu.
Gwema ukuya ocansini kuze kube yilapho udokotela wakho eqinisekisa ukuthi ukwelashwa kuphelile nokuqabuka kuphelile. Lokhu kuvimbela ukuvuvukala okwengeziwe ezingqondweni zesibethelo ezicindezelwe futhi kunciphisa ingozi yokutheleleka kabusha noma ukusabalalisa ukutheleleka kumlingani wakho.
Gqoka izingubo ezingagqokile, ezingagqokile nezingubo zokugqoka zekhotini ukuthuthukisa ukuhamba komoya nokuvimbela ukwakheka kokufuma. Gwema ama-jeans ahlanganisiwe, izinto zokugqoka ezithambile, noma izingubo ezibangela ukugqwala endaweni yocansi ngesikhathi sakho sokululama.
Hlala unamanzi ngokuphuza amanzi amaningi usuku lonke, njengoba lokhu kusiza umzimba wakho ukulwa nokutheleleka nokukhipha izinto ezingcolile. Ukudla ukudla okulinganiselayo okunama-nutrients asekelayo njenge-vitamin C ne-zinc kungasiza ekuphileni.
Sebenzisa imithi yokunciphisa ubuhlungu njenge-ibuprofen noma i-acetaminophen uma kudingeka ubuhlungu, ulandela imiyalo yephuketshi ngokucophelela. Le mithi ingasiza ekulawuleni ubuhlungu nokunciphisa ukuqabuka ngenkathi ukwelashwa kwakho okuyalwe kusebenza.
Ukulungiselela i-aphoyintimenti yakho kungasiza uqinisekise ukuthi uthola ukucubungula okuchane kakhulu nohlelo lokwelapha olusebenza kahle. Ukuhlela okuncane kusenza ukuvakashela kube nomphumela futhi kungabi nzima kuwe nodokotela wakho.
Bhala zonke izimpawu zakho, kufaka phakathi ukuthi zaqala nini, zingakanani, nanoma yiziphi izibonelo ozibonile. Faka imininingwane ngombala wokukhula, incasa, isikhathi sokuphuza igazi, nanoma yiluphi ubuhlungu noma ukuhlupheka ozibhekana nakho. Lolu lwazi lusiza udokotela wakho ukuqonda isimo sakho kangcono.
Hlanganisa uhlu lwemithi yonke oyithathayo njengamanje, kufaka phakathi imithi eyalwe, imithi yokuthengwa ngaphandle kwesikripthi, izongezo, nama-vitamins. Eminye imithi ingathinta imiphumela yokuhlola noma ihlangane nemithi engaba khona, ngakho-ke ulwazi oluphelele lubalulekile.
Lungela ukuxoxa ngomlando wakho wocansi ngokukhululekile nangokwethembeka, kufaka phakathi inani labalingani bakamuva, izinhlobo zokulawula ukubeletha ezisetshenziswayo, nanoma yikuphi ukukhishwa okutholakala kwezifo ezithathwa ngocansi. Khumbula ukuthi udokotela wakho udinga lolu lwazi ukunikeza ukunakekelwa okufanele futhi agcine ubumfihlo obuqinile.
Hlela i-aphoyintimenti yakho ngesikhathi ongamenstruating uma kungenzeka, njengoba lokhu kuvumela ukuhlolwa okungcono kakhulu nokucubungula okuchane kakhulu. Kodwa-ke, ungalibeki ukufuna ukunakekelwa uma unezimpawu ezinkulu ngoba uya ocansini.
Gwema ukugeza, ukusebenzisa imithi yesikhumba, noma ukuya ocansini amahora angu-24-48 ngaphambi kwe-aphoyintimenti yakho, njengoba lezi zenzo zingaphuka imiphumela yokuhlola nemiphumela yokuhlola.
Ukuqabuka kwesibeletho kuyinkinga evamile futhi ephekwa kalula ethinta abesifazane abaningi ekuphileni kwabo. Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukutholakala okusheshayo nokwelashwa okufanele kuholela emiphumeleni emihle kakhulu ezimweni eziningi.
Ungawagcini izimpawu eziqhubekayo njengokukhula okungavamile, ukuphuza igazi okungavamile, noma ukuhlupheka kwesisu. Lezi zimpawu zidinga ukunakekelwa kwezokwelapha, futhi ukuzilungisa ngokushesha kungavimbela izinhlupheko futhi kukusize ubuyele empilweni evamile ngokushesha.
Izindlela zokuvimbela njengokwenza ucansi oluvikelekile, ukugwema imikhiqizo yabesifazane enobudlova, nokuhlanza okuhle kunganciphisa kakhulu ingozi yakho yokuthola ukuqabuka kwesibeletho. Ukuhlolwa okuvamile kwe-gynecological futhi kudlala indima ebalulekile ekugcineni impilo enhle yesibethelo.
Khumbula ukuthi ukuba nokuqabuka kwesibeletho akubonisi kabi ukuhlanzeka kwakho komuntu siqu noma izinqumo zakho zokuphila. Le nkinga ingathinta noma yiliphi ibhinca eliya ocansini futhi ngokuvamile ivela ezinye izinto ongenakho ukulawula, njengokushintsha kwamahomoni noma ukukhishwa kwamabhaktheriya avamile.
Ngokunakekelwa okufanele kwezokwelapha nezindlela zokunakekelwa komuntu siqu, abesifazane abaningi abane-cervicitis bayaphila ngokuphelele futhi baqhubeka begcina impilo enhle yokuya ocansini. Hlala unolwazi, xoxa ngokukhululekile nodokotela wakho, futhi unganqikazi ukufuna ukunakekelwa uma ukudinga.
Nakuba izimo ezilula zokuqabuka kwesibeletho ezibangelwa izinto ezivuvukalayo zingase ziphucuke uma into evuvukalayo isiqediwe, izimo eziningi zidinga ukwelashwa kwezokwelapha ukuze ziphele ngokuphelele. Ukutheleleka okubangela ukuqabuka kwesibeletho ngokuvamile akupheli ngokwalo futhi kungabangela izinhlupheko ezinzima uma kungaphathwa. Kuhlale kungcono ukubona udokotela wakho ukuze uthole ukucubungula nokwelashwa okufanele kunokulindela ukuthi isimo sizozilungisa ngokwalo.
Ukuqabuka kwesibeletho ngokwalo akutheleleki, kodwa ukutheleleka okubangela ngokuvamile kuyatheleleka. Uma ukuqabuka kwakho kwesibeletho kubangelwa ukutheleleka okuthathwa ngocansi njenge-chlamydia noma i-gonorrhea, umlingani wakho kufanele ahlolwe futhi aphathwe futhi. Ngisho noma umlingani wakho engenazo izimpawu, bangase babe nokutheleleka futhi bakuthelele kabusha ngemva kokuba ukwelashwa kwakho kuphelile. Udokotela wakho uzokuncoma ukuthi umlingani wakho udinga ukwelashwa.
Izimo eziningi zokuqabuka kwesibeletho ziqala ukuphucuka phakathi nezinsuku ezimbalwa zokuqala ukwelashwa okufanele, ngokululama okuphelele okuvela phakathi kweviki eli-1-2. Kodwa-ke, isikhathi esiqondile sincike embangelweni nobukhulu bokuqabuka. Ukutheleleka kwamabhaktheriya ngokuvamile kuphendula ngokushesha kuma-antibiotics, kuyilapho izimbangela zamagciwane zingase zithathe isikhathi eside ukuze ziphathwe. Udokotela wakho uzokwenza i-aphoyintimenti yokulandelela ukuqinisekisa ukuthi ukwelashwa kuye kwaba nomphumela.
Ukuba ne-cervicitis akumvimbeli ukukhulelwa, kodwa kungathinta ukukhulelwa uma kungaphathwa. Ukuqabuka kwesibeletho okukhulu noma okungapheli kungaphuca ukudlula kwesikhumba esibethelo noma kubangele izinhlupheko ezithinta izitho zakho zokuzala. Uma uzama ukukhulelwa futhi une-cervicitis, kubalulekile ukuthola ukwelashwa okufanele kuqala. Udokotela wakho angakuncoma ngesikhathi esifanele sokuzama ukukhulelwa ngesikhathi nangemva kokwelashwa.
Yebo, ukuqabuka kwesibeletho kungathinta imiphumela ye-Pap smear ngokubangela ukuqabuka okwenza kube nzima ukuhumusha izingqimba zesibethelo ngokuqondile. Udokotela wakho angase akhuthaze ukwelapha i-cervicitis kuqala bese uphinda i-Pap smear uma ukuqabuka kuphelile. Lokhu kuqinisekisa imiphumela echane kakhulu futhi kunciphisa amathuba okudingwa ukuhlolwa okwengeziwe ngenxa yezinguquko zokuvuvukala ezihlanganisa izibonelo ezivamile.