Ubuhlungu Bekwezi? Izimpawu, Izimbangela, Nokwelashwa

Ubuhlungu bekwezi yizicubu ezibuhlungu zemisipha esibelekweni sakho ezivela phakathi nenkathi yakho. Kuyinto evamile kakhulu kubantu abanamakwezi, kuchaphazela abesifazane abangaba yi-90% ngesinye isikhathi empilweni yabo. Nakuba kungaba nzima futhi kuphazamise, ukuqonda ukuthi kwenzekani emzimbeni wakho kungakusiza ukuba ulawule kangcono futhi wazi ukuthi nini kufanele ucele usizo olwengeziwe.

Ubuhlungu bekwezi yini?

Ubuhlungu bekwezi, oluyaziwa ngokuthi yi-dysmenorrhea ngokwelapha, yizicubu ezibuhlungu noma eziqhuma esiswini sakho esisezantsi nase-pelvis phakathi nenkathi. Isibeleko sakho yimisipha ecindezelayo ukuze isuse ukugqoka kwayo njalo ngenyanga, futhi lezi zicubu zenza ukuzwa kokucindezela okukuzwayo.

Kunezinhlobo ezimbili eziyinhloko zokucindezela kwekwezi. I-Primary dysmenorrhea ibhekisela ekucindezeleni okuvamile okuqala ngezikhathi zakho futhi akusibo yisimo esiphezulu. I-Secondary dysmenorrhea kwenzeka lapho ukucindezela kubangelwa yisimo sempilo yokuzala esiphezulu njenge-endometriosis noma ama-fibroids.

Ubuhlungu ngokuvamile buqala usuku noma amabili ngaphambi kokuba iqale inkathi yakho futhi bungagcina izinsuku ezimbalwa zokuqala zokopha. Kubantu abaningi, ukucindezela kulawuleka ngokunciphisa ubuhlungu bokudayisa nokuzinakekela.

Ziyini izimpawu zokucindezela kwekwezi?

Ubuhlungu bekwezi bungazizwa ngendlela ehlukile kubo bonke, kodwa kunezibonakaliso ezivamile ezibonisa ukuthi umzimba wakho uhamba ngesikhathi sakho senyanga. Ubuhlungu ngokuvamile bukhona esiswini sakho esisezantsi kodwa bungasakazekela nakwezinye izindawo.

Nawa ama-symptom avamile ongawabona:

• Ubuhlungu obuqhumayo noma obucindezela esiswini sakho esisezantsi
• Ubuhlungu obuya emuva nasemadolweni
• Ubuhlungu obuthambile, obuhlala njalo endaweni yakho ye-pelvis
• Ubuhlungu obukhulu, obuqhumayo obuza futhi buhambe
• Ukuphefumula noma isisu esiphazamisekile
• Ukukhishwa okukhululekile noma isifo sohudo
• Izinhlungu zikhanda noma ukukhathala
• Ukukhathala noma ukuzwa ukhuluphuka

Abanye abantu nabo baye baba nezimpawu ezingavamile njengokugabha, ukwehluleka, noma ubuhlungu obungena ezinyaweni. Lezi zimpawu ngokuvamile ziyathuthuka njengoba inkathi yakho iqala futhi amazinga e-hormone aqina.

Yini ebangela ubuhlungu bekwezi?

Ubuhlungu bekwezi buvela ngoba isibeleko sakho sicindezela ukuze sisuse ukugqoka kwaso njalo ngenyanga. Phakathi nenkathi yakho, umzimba wakho ukhulula izinto ezifana ne-hormone ebizwa nge-prostaglandins ezibangela lezi zicubu zemisipha futhi zibangele ukuvuvukala.

Izici eziningi zingathinta ukuthi ukucindezela kwakho kuzwakala kanjani. Amazinga aphezulu e-prostaglandins ngokuvamile aholela ekuqinisweni okukhulu, okubuhlungu kakhulu. Ukuvulwa kwe-cervix (indlela ecinyiwe phakathi kwesisu sakho nesikhumba) kungathinta nokuqina kokucindezela.

Nawa ama-factor ayinhloko ahilelekile ekubangelweni kokucindezela kwekwezi:

• Amazinga aphezulu e-prostaglandin abangela ukucindezela okukhulu kwesisu
• I-cervix ecinyiwe okwenza kube nzima ukuba umjikelezo wekwezi udlule
• Ubudala obusemusha, njengoba ukucindezela kuvame ukuthuthuka ngokukhula nangemuva kokubeletha
• Izikhathi ezinkulu noma ezingavamile ezidinga ukucindezela okukhulu
• Umlando womndeni wezikhathi ezibuhlungu
• Ukubhema, okungenza ubuhlungu nokuvuvukala kube kubi kakhulu
• Amazinga aphezulu engcindezi angenza ukuzwa ubuhlungu kube kubi kakhulu

Izimbangela eziphezulu zihlanganisa izimo eziphezulu njenge-endometriosis, ama-uterine fibroids, noma isifo se-pelvic inflammatory. Lezi zimo zidinga ukuhlolwa kwezokwelapha nezindlela zokwelapha ezithile.

Kufanele ubona nini udokotela ngenxa yokucindezela kwekwezi?

Ukucindezela okuningi kwekwezi kuyinto evamile futhi kulawuleka ekhaya, kodwa ngezinye izikhathi kubonisa ukuthi kukhona okunye okudingayo ukunakekelwa. Kufanele uxhumane nodokotela wakho uma ukucindezela kwakho kuhlupha kakhulu imisebenzi yakho yansuku zonke noma uma uqaphela izinguquko esimweni sakho esivamile.

Cabanga ngokubeka i-appointment uma uhlangabezana nanoma yiziphi lezi zimo:

• Ubuhlungu obukhulu obungathuthuki ngemithi yokunciphisa ubuhlungu
• Ukucindezela okukuvimbela ukuya emsebenzini, esikoleni, noma emisebenzini evamile
• Ubuhlungu obuya bube kubi kakhulu esikhundleni sokuthuthuka
• Ukucindezela okuqala kamuva ekuphileni (ngemuva kweminyaka engu-25) lapho wawungenawo ngaphambili
• Izikhathi ezingavamile kanye nokucindezela okukhulu
• Ukopha okukhulu okunqamula i-pad noma i-tampon njalo ngehora
• Ubuhlungu ngesikhathi socansi noma phakathi kwezikhathi
• Ukuqhuma, ukugabha, noma ukwehluleka ngokucindezela kwakho

Lezi zimpawu zingabonisa izimo ezinjenge-endometriosis, ama-fibroids, noma ukutheleleka okuzuza ekwelapheni kwezokwelapha. Ukuhlolwa okusheshayo kungakusiza uthole impumuzo futhi uvikele izinkinga.

Ziyini izici ezingozi zokucindezela okukhulu kwekwezi?

Nakuba noma ubani onamakwezi angaba nokucindezela, izici ezithile zenza kube lula ukuba ube nezinsuku ezibuhlungu. Ukuqonda lezi zici ezingozi kungakusiza ukuba ulungiselele futhi ucele ukunakekelwa okufanele uma kudingeka.

Nawa ama-factor andisa amathuba akho okuhlangabezana nokucindezela okukhulu kwekwezi:

• Ukuba ngaphansi kweminyaka engu-30, njengoba ukucindezela kuvame ukuthuthuka ngokukhula
• Ukuqala inkathi yakho eminyakeni engu-11 noma ngaphansi
• Ukuba nezinsuku ezinkulu noma ezihlala isikhathi eside ezihlala izinsuku ezingaphezu kwe-7
• Ukuba nezikhathi ezingavamile
• Umlando womndeni wezikhathi ezibuhlungu noma izimo zokuzala
• Ukuba awukaze ukhulelwe noma ubelethe
• Ukubhema ugebengu noma ukusebenzisa imikhiqizo ye-tobacco
• Ukuba unesisindo esincane noma une-BMI ephansi
• Amazinga aphezulu engcindezi noma izinselele zempilo yengqondo

Ukuba nezici ezingozi akusho ukuthi uzoba nokucindezela okukhulu, kodwa kusiza ukuchaza ukuthi kungani abanye abantu behlangabezana nobuhlungu obuningi kunabanye. Izici eziningi ziguquka ngokuhamba kwesikhathi, yingakho ukucindezela kuvame ukuthuthuka njengoba ukhula.

Ziyini izinkinga ezingase zenzeke ngenxa yokucindezela okukhulu kwekwezi?

Nakuba ukucindezela kwekwezi ngokwakho kungabangeli izinkinga zempilo ezinzima, ubuhlungu obukhulu bungathinta kakhulu ikhwalithi yempilo yakho. Ukukhathazeka okukhulu ukuthi ukucindezela okuqina kangakanani kuchaphazela ikhono lakho lokusebenza ngokujwayelekile phakathi nenkathi yakho.

Ukucindezela okukhulu kwekwezi kungabangela izinkinga eziningi uma kungalawulwa:

• Ukwehluleka ukusebenza, esikoleni, noma emisebenzini ebalulekile njalo
• Ukuphazamiseka kokulala okuchaphazela amandla akho nengqondo yakho
• Ukukhathazeka okwandayo noma ukucindezeleka okuhlobene nokulindelwe ubuhlungu
• Ukuzihlukanisa komphakathi ngokuqeda imisebenzi phakathi nenkathi yakho
• Ukusetshenziswa ngokweqile kwemithi yokunciphisa ubuhlungu okuholela ezinkingeni zesisu
• Ukuqina kobuhlobo ngenxa yezinguquko zengqondo nokulinganiselwa kwemisebenzi

Ezimweni ezingavamile, ukucindezela okukhulu kungabonisa izimo eziphezulu njenge-endometriosis engase ichaphazele ukukhulelwa uma ingalashwa. Kodwa-ke, ngokulawulwa okufanele nokunakekelwa kwezokwelapha uma kudingeka, abantu abaningi bangathola izindlela ezisebenzayo zokulawula ubuhlungu babo futhi baqhubeke bephila impilo yabo evamile.

Ubuhlungu bekwezi bungavikeleka kanjani?

Nakuba ungakwazi ukunciphisa ngokuphelele ubuhlungu bekwezi njengoba kuyinqubo evamile yesikhathi senkathi, ungathatha izinyathelo zokunciphisa ukuqina kwabo. Izinguquko eziningi zokuphila nezinyathelo zokuvikela zingasiza ukwenza izikhathi zakho zibe lula.

Nawa amaqhinga asebenzayo okuthuthukisa ubuhlungu bekwezi:

• Ukuzivocavoca njalo ngenyanga ukuthuthukisa ukujikeleza kwegazi nokunciphisa ukuvuvukala
• Ukugcina ukudla okunempilo okugcwele i-calcium, i-magnesium, ne-vitamin D
• Ukugcina umzimba uthambile, ikakhulukazi phakathi nenkathi yakho
• Ukuthola ukulala okwanele nokulawula amazinga engcindezi
• Ukugwema ukubhema nokulinganisela ukusetshenziswa kotshwala
• Ukugeza amanzi afudumele noma ukusebenzisa ama-heating pads esiswini sakho esisezantsi
• Ukuzivocavoca izindlela zokupumula njengokuphefumula okujulile noma i-yoga
• Ukuqala imithi yokulwa nokuvuvukala usuku ngaphambi kokuba iqale inkathi yakho

Abanye abantu bathola ukuthi izindlela zokulawula ukubeletha kwe-hormonal zisiza ekuvimbeni ukucindezela okukhulu ngokuqondisa amazinga e-hormone nokunciphisa ukukhiqizwa kwe-prostaglandins ebangela ukucindezela. Xoxa nodokotela wakho ukuthi le ndlela ingase isebenze na kuwe.

Ubuhlungu bekwezi buhlolwa kanjani?

Ukuhlola ubuhlungu bekwezi ngokuvamile kuqala ngengxoxo eningiliziwe ngezimpawu zakho nomlando wekwezi. Udokotela wakho uzofuna ukuqonda ukuthi ukucindezela kwakho kwenzeka nini, ukuthi kunzima kangakanani, nokuthi yini esiza noma eyenza kube kubi kakhulu.

Phakathi ne-appointment yakho, udokotela wakho cishe uzobuza ngezindlela zakho zekwezi, ukuqina kobhlungu, nokuthi ukucindezela kuchaphazela kanjani impilo yakho yansuku zonke. Bazobuye benze ukuhlolwa kwe-pelvic ukuhlola noma yikuphi ukungavamile ezingutsheni zakho zokuzala.

Izivivinyo ezengeziwe zingase zinconywe uma udokotela wakho engabaza izimbangela eziphezulu:

• I-Ultrasound ukubuka ama-fibroids, ama-cysts, noma ezinye izinkinga zokwakheka
• Izivivinyo zegazi ukuhlola amazinga e-hormone nokuqeda ukutheleleka
• I-MRI yokwenza isithombe esiningiliziwe sezingutsheni zakho ze-pelvic
• I-Laparoscopy, inqubo encane yokubuka ngqo izingutsheni zakho ze-pelvic

Izigameko eziningi ze-primary dysmenorrhea zingahlolwa ngokusekelwe ezimpawu zakho nokuhlolwa komzimba kuphela. Ukuhlolwa okuningi ngokuvamile kudingeka kuphela lapho ukucindezela kunzima, kungavamile, noma kungaphenduli ekwelapheni okuvamile.

Yikuphi ukwelashwa kokucindezela kwekwezi?

Ukwelashwa kokucindezela kwekwezi kugxile ekuthuthukiseni ubuhlungu nokuvuvukala ngenkathi kukusiza ugcine imisebenzi yakho evamile. Abantu abaningi bathola impumuzo ngokuhlanganiswa kwemithi yokunciphisa ubuhlungu nokunciphisa ubuhlungu nokuzinakekela.

Nawa amaqhinga okwelapha asebenzayo kakhulu:

• Imithi yokulwa nokuvuvukala engasetshenziswanga ngaphambili (NSAIDs) njenge-ibuprofen noma i-naproxen
• Ukwelashwa ngokufudumeza usebenzisa ama-heating pads noma ukugcoba amanzi afudumele
• Ukuzivocavoca okuthambile njengokuhamba noma ukuqina
• Ukuxova esiswini esisezantsi nasemuva
• Ukulawula ukubeletha kwe-hormonal ukuqondisa amazinga e-hormone
• Imithi yokunciphisa ubuhlungu ngokwelapha ezimweni ezinzima
• Imithi ye-antispasmodic ukunciphisa ukucindezela kwemisipha

Nge-secondary dysmenorrhea ebangelwa izimo eziphezulu, ukwelashwa kugxile ekulweni nomsuka. Lokhu kungase kuhlanganise ukwelashwa kwe-hormone nge-endometriosis, izinqubo zokususa ama-fibroids, noma ama-antibiotics ngokutheleleka kwe-pelvic.

Udokotela wakho angakusiza ukuba uthuthukise uhlelo lokwelapha olufanele izimpawu zakho, indlela yakho yokuphila, nomlando wakho wezokwelapha. Abantu abaningi badinga ukuzama izindlela ezahlukene ngaphambi kokuthola okuhambelana nabo.

Ungalawula kanjani ubuhlungu bekwezi ekhaya?

Izindlela zokwelapha zasekhaya zingasebenza kakhulu ekulawuleni ubuhlungu bekwezi futhi ngokuvamile zisebenza kangcono uma zihlanganiswa nemithi yokudayisa. Ukuthola okusebenza emzimbeni wakho nokuqala ukwelashwa ngokushesha uma uzwa ukucindezela kuqala.

Nawa amaqhinga asebenzayo asekelwe ekhaya angasiza ekuthuthukiseni ubuhlungu bakho:

• Faka ubushushu esiswini sakho esisezantsi usebenzisa i-heating pad noma ibhodlela lamanzi afudumele
• Geza amanzi afudumele nge-Epsom salts ukuphumula imisipha yakho
• Xova kancane isisu sakho esisezantsi nomuva
• Zama ukuzivocavoca okukhanyayo njengokuhamba noma i-yoga poses ethambile
• Gcina umzimba uthambile ngokuphuza amanzi amaningi neti yezitshalo
• Zivocavoce ukuphefumula okujulile ukuze usiza ekulawuleni ubuhlungu
• Thola ukulala okwanele futhi ugweme imisebenzi engcindezelayo uma kungenzeka
• Sebenzisa amafutha abalulekile njengelavender noma i-peppermint nge-aromatherapy

Abanye abantu bathola impumuzo ngokushintsha ukudla njengokunciphisa i-caffeine, usawoti, noshukela phakathi nenkathi yabo. Abanye bazuza ngezinye izinto ezinjenge-magnesium noma i-omega-3 fatty acids, nakuba kufanele uxoxe nodokotela wakho ngaphambi kokuqala noma yiziphi izinto ezengeziwe ezintsha.

Kufanele ulungiselele kanjani i-appointment yakho yodokotela?

Ukulungiselela i-appointment yakho kusiza uqinisekise ukuthi uthola ulwazi oluwusizo kakhulu nezincomo zokwelapha. Ukugcina ulwazi lwezimpawu zakho nezindlela zakho zekwezi ngaphambi kokuvakashela kwakho kuzonika udokotela wakho ulwazi oluwusizo ngesimo sakho.

Nawa amaphuzu okufanele uwulungiselele ngaphambi kwe-appointment yakho:

• Landelela umjikelezo wakho wekwezi okungenani izinyanga ezi-2-3, ubhale izinsuku nezimpawu
• Bhala amazinga obuhlungu bakho kwisikali se-1-10 phakathi kwezinsuku ezahlukene zenkathi yakho
• Bala yonke imithi, izinto ezengeziwe, nezindlela ozivivinye
• Qaphela ukuthi yini esiza noma eyenza ukucindezela kwakho kube kubi kakhulu
• Bhala imibuzo ofuna ukuyibuza udokotela wakho
• Letha ulwazi ngomlando womndeni wezinkinga zempilo yokuzala
• Bhala indlela ukucindezela kuchaphazela ngayo imisebenzi yakho yansuku zonke nekhalithi yempilo

Ungazizwa uhluphekile ngokuxoxa ngezimpawu zakho ngokuningiliziwe. Udokotela wakho udinga ulwazi olunembile ukukusiza ngokuphumelelayo, futhi impilo yekwezi ingxenye evamile yokunakekelwa kwezokwelapha abayiqeqeshwe ukuyixazulula.

Iyini into ebalulekile ngokucindezela kwekwezi?

Ubuhlungu bekwezi kuyinqubo evamile futhi ngokuvamile ilawuleka yesikhathi senkathi echasha abantu abaningi abanamakwezi. Nakuba kungaba lukhuni futhi kuphazamise, ukuqonda umzimba wakho nokuba nezindlela ezisebenzayo zokulawula ubuhlungu kungakusiza ugcine imisebenzi yakho evamile phakathi nenkathi yakho.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi ubuhlungu obukhulu obuhlupha imisebenzi yakho yansuku zonke akuyona into okumele uyithwale. Ukwelashwa okuphumelelayo kukhona, kusukela ezindleleni zokwelapha zasekhaya eziqondile kuya ekuhlanganiseni kwezokwelapha, futhi udokotela wakho angakusiza uthole indlela efanele isimo sakho.

Ngokulawulwa okufanele nokunakekelwa, abantu abaningi banganciphisa kakhulu ubuhlungu babo bekwezi futhi baqhubeke bephila impilo yabo ngokugcwele, ngisho naphakathi kwezikhathi zabo. Ungangabazi ukufuna iseluleko sezokwelapha uma ukucindezela kwakho kunzima noma uma uqaphela izinguquko esimweni sakho esivamile.

Imibuzo evamile ebuzwayo ngokucindezela kwekwezi

M1. Ingabe kuyinto evamile ukuba nobuhlungu bekwezi njalo ngenyanga?

Yebo, kuyinto evamile ukuba nokuqina okuthile ngesikhathi senkathi yakho njalo ngenyanga. Abantu abaningi abanamakwezi baba nokuqina okuncane okungenani, futhi lokhu kuyisibonakaliso sokuthi isimiso sakho sokuzala sisebenza kahle. Kodwa-ke, uma ukucindezela kwakho kunzima kangangokuba kuhlupha imisebenzi yakho yansuku zonke, kufanele uxoxe ngezindlela zokwelapha nodokotela wakho.

M2. Ingabe ubuhlungu bekwezi bungaba kubi kakhulu njengoba ukhula?

Eqinisweni, ukucindezela kwekwezi kuvame ukuthuthuka ngokukhula, ikakhulukazi ngemuva kokukhulelwa nokubeletha. Kodwa-ke, uma ukucindezela kwakho kuqala ukuba kubi kakhulu noma kuqala kamuva ekuphileni, lokhu kungase kubonise isimo esiphezulu njenge-endometriosis noma ama-fibroids. Noma iyiphi inguquko ebalulekile esimweni sakho sokucindezela kufanele uxoxe nodokotela wakho.

M3. Ingabe amaphilisi okulawula ukubeletha asisiza ngokucindezela kwekwezi?

Yebo, ukulawula ukubeletha kwe-hormonal kungasebenza kakhulu ekuthuthukiseni ubuhlungu bekwezi. Amaphilisi okulawula ukubeletha, ama-patches, ama-rings, nama-hormonal IUDs angasiza ngokulawula amazinga e-hormone nokunciphisa ukukhiqizwa kwe-prostaglandins ebangela ukucindezela. Abantu abaningi bathola ukuthi izikhathi zabo ziyaba khanyayo futhi zibe lula uma besebenzisa ukuphazamiseka kwe-hormonal.

M4. Ingabe ukuzivocavoca kungenza ubuhlungu bekwezi bube kubi kakhulu?

Ukuzivocavoca okukhanyayo kuya kokulinganiselwe ngokuvamile kusiza ekuthuthukiseni ubuhlungu bekwezi ngokuthuthukisa ukujikeleza kwegazi nokukhulula izinto zokunciphisa ubuhlungu ezingokwemvelo ebizwa nge-endorphins. Kodwa-ke, ukuzivocavoca okunzima kakhulu kungenza ukucindezela kube kubi kakhulu kwabanye abantu. Lalela umzimba wakho futhi unamathele emisebenzini ethambile njengokuhamba, ukubhukuda, noma i-yoga phakathi nenkathi yakho.

M5. Ubuhlungu bekwezi kufanele buhlale isikhathi esingakanani?

Ubuhlungu bekwezi ngokuvamile buhlala izinsuku eziyi-1-3, ngokuvamile bube nzima kakhulu ngosuku lokuqala noma amabili enkathi yakho. Kufanele buthuthuke kancane njengoba inkathi yakho iqala. Uma ukucindezela kwakho kuhlala isikhathi eside kunama-3 noma kuqhubeka phakathi nenkathi yakho yonke, kufanele uxoxe nodokotela wakho ukuqeda noma yiziphi izimo eziphezulu.