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October 10, 2025
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Umenorrhagia yigama lezokwelapha elisetshenziswa ekubeni ukuphuma kwegazi okukhulu noma okuphakathi nenyanga. Uma ugcina ukhanyisa iphadi noma itampon njalo ngehora amahora amaningana, noma isikhathi sakho senyanga siphela izinsuku ezingaphezu kwezingu-7, ungase ube noMenorrhagia.
Lesi simo sithinta cishe owesifazane oyedwa kwabayisihlanu ngesinye isikhathi ekuphileni kwabo. Nakuba izikhathi ezinzima zingase zibe nzima futhi zidide, izindaba ezinhle ukuthi kukhona ukwelashwa okuphumelelayo okutholakala ukukusiza ubuyisele ukulawula nokuthula kwakho.
Umenorrhagia usho ukuthi ukugeleza kwakho kwenyanga kukhulu kakhulu noma kude kakhulu kunalokho okucabangwa njengokujwayelekile. Ochwepheshe bezokwelapha bayichaza njengokuphulukana negazi elingaphezu kwama-80 milliliters phakathi nesikhathi sakho, yize ungadingeki ukuthi uzilinganise wena.
Isikhathi sakho senyanga sicatshangelwa njengokukhulu uma udinga ukushintsha iphadi lakho noma itampon njalo ngehora amahora amaningana alandelayo. Futhi yi-menorrhagia uma isikhathi sakho senyanga siphela izinsuku ezingaphezu kwezingu-7, noma uma uphasa ama-clots amakhulu kunekota.
Lesi simo singathuthuka kunoma iyiphi iminyaka ngesikhathi seminyaka yakho yokuzala. Abanye abesifazane bayabhekana nalo ngezikhathi ezithile, ngenkathi abanye bebhekene nalo inyanga yonke. Noma ngabe kunjalo, ufanele uthole ukwesekwa nezinketho zokwelashwa ezisebenza ekuphileni kwakho.
Izimpawu eziyinhloko ze-menorrhagia ziya ngaphezu nje kwenyanga "enzima". Cishe uzobona izinguquko eziningi eziphazamisa umkhuba wakho wansuku zonke nokuthula kwakho.
Nazi izimpawu eziyinhloko okufanele uzilinde:
Ungase futhi uhlushwe yizimpawu ezihlobene nokulahlekelwa igazi. Lezi zihlanganisa ukuzizwa ukhathele ngokungavamile, ubuthakathaka, noma ukuphefumula kancane. Abanye abesifazane baphawula ukuthi izinhliziyo zabo zibetha ngokushesha kunokujwayelekile, ikakhulukazi ngesikhathi somsebenzi womzimba.
Uma ukuphuza igazi okukhulu kuwuphazamisa ubuthongo bakho, umsebenzi, noma imisebenzi yakho yezenhlalo, lokho kuyisibonakaliso esibalulekile. Isikhathi sakho sokuya esikhathini akufanele silawule impilo yakho noma kukwenze uzizwe ukhathazekile ngokuphuma ekhaya.
I-Menorrhagia ingathuthukiswa ezinye izimbangela ezahlukene. Ngezinye izikhathi ihambisana nezinguquko ze-hormonal, kanti ngezinye izikhathi ivele ezinkingeni zesakhiwo ohlelweni lwakho lokuzala.
Izimbangela ezivamile zihlanganisa:
Ngokungavamile, i-menorrhagia ingabonisa izimo ezingathi sína kakhulu. I-Endometrial hyperplasia kwenzeka lapho ukuqala kwesibeletho kuqina kakhulu. Ngokungavamile, umdlavuza wesibeletho noma i-cervix ungabangela ukuphuza igazi okukhulu, nakuba lokhu kuvame kakhulu kubesifazane abangaphezu kweminyaka engu-45.
Ngezinye izikhathi odokotela abakwazi ukubona imbangela ethile, okuthiwa yi-dysfunctional uterine bleeding. Lokhu akusho ukuthi akukho lutho olungenziwa – ukwelashwa kungase kube nemiphumela emihle kakhulu.
Kufanele uxhumane nodokotela wakho uma izikhathi zakho sokuya esikhathini zibe nzima kakhulu noma zide kunejwayelekile. Ungalindi ukubona ukuthi kuzoba ngcono yini ngokwalo, ikakhulu uma kuchaphazela ikhwalithi yempilo yakho.
Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlushwa yinoma yiziphi lezi zimpawu:
Kufanele ufunesekhe ukunakekelwa kwezokwelapha ngokushesha uma uzizwa ukhuluphuka, uthuthumela, noma ubuthakathaka kakhulu. Lezi zimpawu zingabonisa ukulahlekelwa igazi elikhulu okudinga ukunakekelwa okusheshayo.
Uma ubhekene nokuqeda amandla, ukuphefumula okusheshayo, noma ukushaya kwenhliziyo okusheshayo, lokhu kungaba izimpawu ze-anemia evela ekulahlekelweni kwegazi. Nakuba kungabi yingozi ngokushesha, lezi zimpawu zidinga ukuqokwa ngosuku olufanayo noma ngosuku olulandelayo nodokotela wakho.
Izici ezithile zingandisa amathuba akho okukhula kwemenorrhagia. Ukuqonda lezi zici zingozi kungakusiza uhlale uqaphele izinguquko esikhathini sakho senyanga.
Ubudala buwumsebenzi obalulekile ezingeni lakho lokuthola ingozi. Abesifazane abasha abasanda kuqala ukuya esikhathini kanye nabesifazane abasondela ekuqedeni kwesikhathi sabo senyanga banamathuba amaningi okuhlushwa ukopha okukhulu ngenxa yezinguquko ze-hormonal.
Nawa ama-risk factors aphambili okufanele uwaqaphele:
Ukuba nenye noma ngaphezulu kwezici zingozi akusho ukuthi uzokuthola ngokuqinisekile i-menorrhagia. Abesifazane abaningi abanezi zici abakaze bahlushwe ukopha okukhulu, kanti abanye abangenazo izingozi ezaziwayo bayakuthola.
Nakuba i-menorrhagia ngokwayo ingayingozi eyingozi ekuphileni, ingabangela izinkinga ezihlupha impilo yakho nokuthula kwakho. Inkinga evamile kakhulu ukushoda kwa-iron ngenxa yokulahlekelwa igazi okuqhubekayo.
I-anemia yenzeka uma umzimba wakho ungenayo i-red blood cells eziningi ezinempilo ukuze uthwale i-oksijini ngokuphumelelayo. Ungase uzizwe udiniwe njalo, ubuthakathaka, noma ubandayo. Abanye abesifazane baphawula ukuthi isikhumba sabo sibonakala silithambile noma iinzipho zabo ziyagqwala.
Nazi izinkinga eziyinhloko ezingase zenzeke:
Ezimweni ezingavamile, ukuphuma kwegazi okukhulu kakhulu kungabangela izinkinga ezinkulu. I-anemia eqinile ingase idinge ukufakwa kwegazi, nakuba lokhu kungavamile. Abanye abesifazane bathuthukisa izinkinga zenhliziyo uma i-anemia iba yinkulu futhi ingaphathwa isikhathi eside.
Umphumela oqondakalayo awufanele ucatshangelwe kancane. Abesifazane abaningi bazizwa bexakekile, behlongiphile, noma bexakekile ngezikhathi zabo ezingalindelekile. Lokhu kungathinta ubudlelwano, ukusebenza komsebenzi, kanye nekhwalithi yempilo iyonke.
Nakuba ungakwazi ukuvimbela zonke izimbangela ze-menorrhagia, izinqumo zokuphila ezithile zingasiza ekuqedeni ingozi yakho. Ukugcina isisindo esinempilo nokulawula izimo zempilo eziyisisekelo kuyizindlela zokuvimbela ezisebenza kakhulu.
Ukuzivocavoca njalo kungasiza ekuqondiseni ama-hormone akho ngokwemvelo. Hlose okungenani imizuzu engama-30 yomsebenzi ophakathi nsuku eziningi zeviki. Lokhu akudingeki kube nzima - ukuhamba, ukuqubha, noma i-yoga konke kuqala.
Nazi izinyathelo ezingasiza ekuvimbeleni i-menorrhagia:
Uma unezimo ezinjengesiwekile noma isifo se-thyroid, ukuzigcina zilawulwa kahle kungasiza ukuvimbela ukungalingani kwesikhathi sokuya esikhathini. Ukuhlola njalo ngodokotela wakho kungabamba izinkinga ngaphambi kokuba zibe zimbi kakhulu.
Ezinye izimbangela ze-menorrhagia, njengokuhlupheka kwegazi okufuywe yi-genetic noma ukungalingani komzimba, akunakwenzeka ukuzivikela. Noma kunjalo, ukutholakala kwangaphambi kwesikhathi nokuphathwa kunganciphisa umthelela wazo ekuphileni kwakho.
Udokotela wakho uzoqala ngokubuza imibuzo eminingiliziwe mayelana nomlando wakho wesikhathi sokuya esikhathini kanye nezimpawu zakho. Bazofuna ukwazi ukuthi isikhathi sakho sokuya esikhathini sihlala isikhathi esingakanani, sibukhulu kangakanani, nokuthi izinguquko zaqala nini.
Ukugcina idayari yesikhathi sokuya esikhathini izinyanga ezimbalwa ngaphambi kokubonisana kwakho kungasiza kakhulu. Qaphela izinsuku zesikhathi sakho sokuya esikhathini, ukuthi usebenzisa ama-pads noma ama-tampons amaningi kangakanani nsuku zonke, kanye nanoma yiziphi izimpawu ezinjengokuqina noma ukugqwala.
Inqubo yokuhlola ngokuvamile ihlanganisa izinyathelo eziningi:
Kuye ngezimpawu zakho kanye nemiphumela yokuqala yokuhlola, udokotela wakho angakuncoma ukuhlolwa okwengeziwe. I-ultrasound ingabonisa ama-fibroids, ama-polyps, noma ezinye izinkinga zokwakheka esibelekweni nase-ovari.
Ngesinye isikhathi kudingeka ukuhlolwa okukhethekile. Ukuthatha i-biopsy yendometrium kuhilela ukuthatha isampula encane yomugqa wesisu sakho ukuze uhlole izicubu ezingajwayelekile. I-hysteroscopy ivumela udokotela wakho ukuba abone ngaphakathi kwesisu sakho usebenzisa i-scope encane, enezibani.
Ungakhathazeki uma udinga ukuhlolwa okuningi – lokhu kuqaphela kukunika isiqiniseko sokuthi uthola ukwelashwa okuphumelelayo kakhulu. Iningi lezivivinyo liyashesha futhi libonisa ubuhlungu obuncane kuphela.
Ukuphathwa kwemenorrhagia kuncike esizathwini esiyimbangela, iminyaka yakho, nezincomo zakho zokukhulelwa kwesikhathi esizayo. Izindaba ezinhle ukuthi kunezindlela eziningi eziphumelelayo ezitholakalayo, kusukela emithi kuya ekuhlinzweni okungenayo ukuhlinzwa okukhulu.
Udokotela wakho cishe uzoqala ngokwelashwa okungenayo ukuhlinzwa okukhulu kuqala. Imithi inganika impumuzo enkulu ngaphandle kokudinga ukuhlinzwa noma izinqubo.
Nazi izinketho zokwelashwa eziyinhloko:
Uma imithi inganiki impumuzo eyanele, udokotela wakho angakuncoma izinqubo. Ukuqothulwa kwe-endometrial kubhubhisa umugqa wesisu ukunciphisa ukuphuza igazi. Lena inqubo yosuku olulodwa engangenayo ukuhlinzwa okukhulu.
Kubantu besifazane abane-fibroids noma ama-polyps, izinqubo zokususa zingakwazi ukwenziwa ngokusebenzisa isiphuzo ngaphandle kokusika ngaphandle. I-Hysterectomy iyacatshangelwa kuphela uma ezinye izindlela zokwelapha azisebenzi futhi awufuni ukukhulelwa kwesikhathi esizayo.
Ukuphathwa okulungile kuwe kuncike ezintweni eziningi. Udokotela wakho uzohlangana nawe ukuthola indlela efanele indlela yakho yokuphila, imigomo yempilo, nezifiso zakho siqu.
Ngesikhathi usebenza nodokotela wakho ngokwelashwa isikhathi eside, izindlela zokwelapha zasekhaya eziningi zingakusiza ukuba ulawule ukuphuza igazi okukhulu ngokunethezeka. Lezi zindlela azikupheli ukopha okukhulu, kodwa zingenza impilo yakho yansuku zonke ibe lula.
Okokuqala, yenza imali ezintweni zokuthambisa ezingcono kakhulu ezinikeza isivikelo esingcono. Ama-pad obusizi, ama-tampons amakhulu, noma izinkomishi zokuthambisa zingakunika ukuzethemba okukhulu nesivikelo eside.
Nawa amasu okulawula ekhaya asebenza kahle:
Abanye abesifazane bathola ukuthi ukudla okuthile noma izithasiselo zisiza ekuqedeni ukuphuza igazi, yize ubufakazi besayensi bufinyelele. I-Vitamin C ingasiza umzimba wakho ukuba uthathe insimbi kangcono. Ezinye izifundo ziqondisa ukuthi i-sinamoni noma i-ginger ingaba nemiphumela yokulwa nokuvuvukala.
Ukulawula ukucindezeleka nakho kungasiza, njengoba ama-hormone wokucindezeleka angenza izinkinga zokuthambisa zibe zimbi. Zama amasu okuphumula njengokuphefumula okujulile, ukucamngca, noma i-yoga ebushelelezi. Ukulala okwanele kubalulekile ngokulinganayo ngokulinganisela kwama-hormone.
Gcina ulandelela ukuthi yini ekwenza uzizwe kangcono. Lolu lwazi luzoba lubalulekile uma uxoxa ngezinketho zokwelapha nodokotela wakho.
Ukulungiselela i-aphoyintimenti yakho kungakusiza ukuthi uthole okuningi ekuhambeleni kwakho futhi kuqinisekise ukuthi udokotela wakho unemininingwane edingekayo ukuze akusize. Qala ngokuqoqa ulwazi mayelana nemisipha yakho yokuthambisa nezimpawu.
Yenza idayari yokuya esikhathini uma ungakabi nayo. Landelela izinsuku zokuya kwakho esikhathini, amazinga okopha, nanoma yiziphi izimpawu okungenani izikhathi ezimbili ngaphambi kokubonisana kwakho. Lokhu kunika udokotela wakho idatha eqinile yokusebenza nayo.
Nawa amanye amele uwalungiselele ngaphambi kokuvakashela kwakho:
Bhala phansi imibuzo yakho ebaluleke kakhulu kusengaphambili. Kulula ukukhohlwa lokho obufuna ukubuza ngaso uma ususelona endlini yokuhlola. Ungangabazi ukubuza noma yini ekukhathazayo.
Cabanga ukuletha umngane othembekile noma ilungu lomndeni ukuze likusize, ikakhulukazi uma uzizwa ukhathazekile. Bangakusiza ukuba ukhumbule ulwazi olubalulekile futhi banikeze ukwesekwa ngokomzwelo.
Hlela isikhathi sakho sokubonisana ngesikhathi ungapheli esikhathini uma kungenzeka. Lokhu kuvumela ukuhlolwa okuphelele, yize ungalindi ukufuna ukunakekelwa uma ubhekene nezimpawu ezinzima.
I-Menorrhagia iyisimo esivamile kodwa esiphatheka esithinta izigidi zabesifazane. Ukopha okukhulu noma okuphakathi nxesha akuyona into okufanele uyithwale ngokuthula – kukhona ukwelashwa okuphumelelayo okutholakala ukubuyisela induduzo yakho kanye nekwalithi yempilo.
Into ebaluleke kakhulu okumele uyikhumbule ukuthi wena uyazazi kangcono umzimba wakho. Uma isikhathi sakho siye saba nzima kakhulu, sibe side, noma siye saphazamisa kunokujwayelekile, themba izinzwa zakho bese ufuna ukunakekelwa kwezokwelapha.
Ukwelashwa kwasekuqaleni kungavimbela izinkinga ezinjengokuhlupheka kwegazi futhi kukusize ukuthi ubuyisele ukulawula imisebenzi yakho yansuku zonke. Abesifazane abaningi bathola impumuzo enkulu ngokwelashwa kokuqala abalizama, kanti abanye badinga ukuhlola izinketho ezimbalwa ukuze bathole okuhambisana nabo.
Ungavumeli ihlazo noma ukucabanga ukuthi izikhathi ezinzima 'zingavamile' kukuvimbe ukuthola usizo. Umhlinzeki wakho wezempilo unolwazi oluphelele ngezifo zokuba nezinsuku futhi ufuna ukukusiza uzizwe kangcono.
Ngokuhlolwa okulungile nokwelashwa, abesifazane abaningi abane-menorrhagia bangabuyela ekubeni nezinsuku ezilawuleka ezingaphazamisi impilo yabo. Ufanele uzizwe ukhululekile futhi uqinisekile usuku ngalunye lwenyanga.
Uma ushintsha i-pad noma i-tampon njalo ngehora amahora ambalwa ngqo, noma uma isikhathi sakho sihlala izinsuku ezingaphezu kwezingu-7, cishe une-menorrhagia. Ukudlula kwamagciwane amakhulu kunesigamu sesenti noma ukugeleza okuqala ngokuzumayo futhi kuyizimpawu zokopha okukhulu okungavamile.
Awudingi ukulinganisa inani legazi elilahlekile. Gxila ekuqhathaniseni izikhathi zakho nalokho okuye kwaba okuvamile kuwe nokuthi ziyaphazamisa yini imisebenzi yakho yansuku zonke.
I-Menorrhagia ngokwayo ayibangeli ukungakhulelwa, kodwa izimbangela ezithile zingathinta ikhono lakho lokukhulelwa. Isimo ezinjenge-fibroids, i-polyps, noma ukungalingani kwamahomoni ngezinye izikhathi zingaphazamisa ukukhulelwa.
Izindaba ezinhle ukuthi izindlela eziningi zokwelapha i-menorrhagia empeleni zingathuthukisa ukukhulelwa ngokubhekana nalezi zinkinga eziyisisekelo. Uma uzama ukuthola umntwana, xoxa nodokotela wakho lapho ukhetha izinketho zokwelashwa.
Ukuzivocavoca okukhanya kuya kokulinganiselwe kuphephile ngokuvamile futhi empeleni kungasiza ekunciphiseni ukubamba nokuthuthukisa isimo sakho sengqondo phakathi nezinsuku zakho eziningi. Imisebenzi efana nokuhamba, i-yoga ebushelelezi, noma ukubhukuda ingaba usizo.
Lalela umzimba wakho futhi ugweme ukuzivocavoca okukhulu uma uzizwa ubuthakathaka noma ukhwehlela ngenxa yokulahlekelwa igazi. Uma une-anemia eqatha, udokotela wakho angase akukhuthaze ukunciphisa umsebenzi womzimba kwaze kwaba yilapho amazinga akho esinyithi ethuthuka.
Ngezinye izikhathi i-menorrhagia iyaphuka yodwa, ikakhulukazi uma ibangelwa ukuguquguquka kwe-hormonal okwesikhashana. Noma kunjalo, kubalulekile ukungalindelanga futhi uthemba ukuthi kuzothuthuka, ikakhulukazi uma kuchaphazela ikhwalithi yokuphila kwakho.
Ukuphathwa kwasekuqaleni kungavimbela izinkinga futhi kukusize uzizwe kangcono ngokushesha. Izimbangela eziningi eziyisisekelo ze-menorrhagia zidinga ukwelashwa kwezokwelapha ukuze zixazululwe ngokuphelele.
Yebo, ukucindezeleka okuqhubekayo kungenza i-menorrhagia ibe yimbi ngokuphazamisa ibhalansi ye-hormone yakho. Ukucindezeleka kuchaphazela i-hypothalamic-pituitary-ovarian axis, elawula isimiso sakho sokuya esikhathini.
Ukuphatha ukucindezeleka ngezindlela zokupumula, ukulala okwanele, nokuzivocavoca njalo kungasiza ekunciphiseni ubukhulu bokuphuza igazi okukhulu. Noma kunjalo, uma une-menorrhagia, cishe uzodinga ukwelashwa kwezokwelapha ngaphezu kokuphatha ukucindezeleka.
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