Ukuhlupheka Kwe-Mittelschmerz: Izimpawu, Izimbangela, Nokwelapha

I-Mittelschmerz yigama lezokwelapha elisetshenziswa ukuchaza ubuhlungu bokuqhuma kweqanda - leyo ntshukumo noma ubuhlungu obukhulu abesifazane abaningi ababuzwayo phakathi nenkathi yabo uma iqanda likhishwa e-ovary. Igama livela emazwini esiJalimane asho ukuthi "ubuhlungu obuphakathi," okuchaza kahle ukuthi kwenzeka nini phakathi kwenkathi yakho yenyanga.

Lolu hlobo lobuhlungu luthinta cishe amaphesenti angu-20 wabesifazane ngesikhathi seminyaka yabo yokuzala. Kuhle ngokuphelele futhi ngokuvamile alubi, nakuba kungakubamba ngokungalindelekile uma ungakaze ube nakho.

Iyini i-Mittelschmerz?

I-Mittelschmerz ubuhlungu bokuqhuma kweqanda obuvela cishe izinsuku ezingu-14 ngaphambi kokuba kuqale isikhathi sakho esilandelayo. Kwenzeka uma i-ovary yakho ikhipha iqanda, okuyingxenye yemvelo yomjikelezo wakho wanyanga zonke.

Ubuhlungu ngokuvamile buhlala kuphela imizuzu embalwa kuya emahoreni ambalwa. Abesifazane abathile bayabuzwa yonke inyanga, kanti abanye bayaluqaphela kuphela ngezikhathi ezithile. Ubuhlungu ngokuvamile buhlala buqala ngecala elihlukile inyanga ngayinye, kuye ngokuthi yiliphi i-ovary elikhipha iqanda.

Lesi simo sibizwa nangokuthi i-ovulation syndrome noma ubuhlungu obuphakathi nenkathi. Ingenye yezimpawu ezithembekile kakhulu zokuthi ukuqhuma kweqanda kwenzeka, kungakho abesifazane abathile empeleni bayithola ikusiza ekulandeleni ukukhulelwa kwabo.

Ziyini izimpawu ze-Mittelschmerz?

Impumelelo eyinhloko ubuhlungu obekwe ngecala elilodwa lesisu lakho eliphansi noma i-pelvis. Lolu buhlungu bungazizwa ngokuhlukile kumuntu ngamunye, futhi ngisho nenyanga ngayinye kowesifazane ofanayo.

Nanku engase ube nakho ngesikhathi se-mittelschmerz:

• Ubuhlungu obukhulu, obukhulu ngecala elilodwa le-pelvis yakho
• Ubuhlungu obuthambile obuza futhi buye
• Ubuhlungu obuhlala buqala ngecala elihlukile inyanga ngayinye
• Ukungakhululeki okuhlala kusuka emizuzwini kuya emahoreni
• Ukuphefumula kancane (okungavamile)
• Ukukhishwa okuncane noma ukopha
• Ukukhuluphala noma ukuqina esiswini sakho esiphansi

Ubukhulu bobuhlungu bungaba kusuka kokungabonakali kuya kokungakhululeki kakhulu. Abesifazane abaningi bayichaza njengokulawuleka, nakuba abanye bayithola iphazamisa imisebenzi yabo yansuku zonke isikhathi esifushane.

Kubalulekile ukuphawula ukuthi i-mittelschmerz ngokuvamile ayibangeli ubushushu bomzimba, ukopha okukhulu, noma ubuhlungu obukhulu obukuqeda. Lezi zimpawu zizobonisa ukuthi kukhona okunye okwenzekayo.

Yini ebangela i-Mittelschmerz?

I-Mittelschmerz yenzeka ngenxa yendlela yemvelo yokuqhuma kweqanda emzimbeni wakho. Uma i-ovary yakho ilungiselela ukukhulula iqanda, izinto eziningi zenzeka ezingabangela ubuhlungu.

Izimbangela eziyinhloko zihlanganisa:

• Ukukhula kwe-follicle ngaphambi kokuba iqanda likhishwe
• Umanzi noma igazi elikhishwa uma i-follicle iphuka
• Ukuqina kwe-fallopian tube njengoba zizama ukubamba iqanda
• Ukukhula komphetho we-ovary njengoba i-follicle ikhula

Cabanga ngakho njengebhaluni elincane elikhula ngaphakathi kwe-ovary yakho. Njengoba i-follicle ebanjwe iqanda likhula, liyolula izingxenye ezingaphandle ze-ovary, okuyingakubangela ukungakhululeki.

Uma i-follicle iqhuma ekugcineni ukukhulula iqanda, inani elincane lamanzi futhi ngezinye izikhathi igazi liyachitha e-pelvic cavity. Lolu manzi lungathukuthelisa ukugqoka kwesisu sakho, kubangele ubuhlungu noma ukukhahlela.

Nini okufanele ubheke udokotela nge-Mittelschmerz?

Izigameko eziningi ze-mittelschmerz azibi futhi azidingi ukunakekelwa kwezokwelapha. Noma kunjalo, izimpawu ezithile zidinga ukuxoxa nodokotela wakho.

Kufanele uxhumane nodokotela wakho uma uhlangabezana nalokhu okulandelayo:

• Ubuhlungu obukhulu obuphazamisa imisebenzi yansuku zonke
• Ubuhlungu obuhlala isikhathi esingaphezu kwezinsuku ezintathu
• Ukopha okukhulu noma ukukhishwa okungavamile
• Ubushushu bomzimba kanye nobuhlungu be-pelvis
• Ukuphefumula nokugabha
• Ubuhlungu obuya bukhulu
• Ubuhlungu obukhulu, obukhulu obuphili

Lezi zimpawu zingabonisa ezinye izimo ezinjenge-ovarian cysts, i-appendicitis, noma i-pelvic inflammatory disease. Nakuba lokhu kungavamile, kudinga ukuhlolwa okufanele kwezokwelapha.

Uma ungaqiniseki ukuthi ubuhlungu bakho buvamile yini i-mittelschmerz, kuhlale kulungile ukuhlola nodokotela wakho. Bangakusiza ukuthola ukuthi lokho okubuzwayo yini ubuhlungu obuvamile bokuqhuma kweqanda noma into edinga ukwelashwa.

Ziyini izimbangela zengozi ze-Mittelschmerz?

I-Mittelschmerz ingathinta noma yiliphi owesifazane oqhuma iqanda njalo. Noma kunjalo, izinto ezithile zingakwenza kube lula ukubuzwa lolu hlobo lobuhlungu.

Izimbangela zengozi ezivamile zihlanganisa:

• Ukuba eminyakeni yakho yokuzala (ngokuvamile iminyaka yobusha kuya kweminyaka engu-40)
• Ukuba nemimijikelezo yenyanga evamile
• Ukungasebenzisi ukuphatha ukukhulelwa kwe-hormonal
• Ukuba nomlando womndeni wobuhlungu bokuqhuma kweqanda
• Ukuba unomuzwa oqine kakhulu wobuhlungu ngokuvamile

Ngokuthakazelisayo, abesifazane abathintela ukukhulelwa ngamaphilisi bancane kakhulu ukubuzwa i-mittelschmerz ngoba le miyekezo ivikela ukuqhuma kweqanda. Ngokufanayo, abesifazane abakhulelwe nabanyonyisa ngokuvamile ababuzwa lokhu ngoba abaqhumi iqanda.

Abesifazane abathile bayaphawula ukuthi i-mittelschmerz yabo ibaqaphela kakhulu njengoba bekhula, mhlawumbe ngenxa yokuguquka kwezinga le-hormone noma ukwanda kokuzwa inqubo yokuqhuma kweqanda.

Ziyini izinhlanganisela ezingaba khona ze-Mittelschmerz?

I-Mittelschmerz yeqiniso ayibangeli izinhlanganisela ngokuvamile njengoba iyinqubo yemvelo yokuqhuma kweqanda. Ukukhathazeka okukhulu ukwahlukanisa kweminye imimisebenzi engadinga ukwelashwa.

Noma kunjalo, ezimweni ezingavamile, ukuqhuma kweqanda kungabangela:

• Ukuqhekeka kwe-ovarian cyst ngokopha kwangaphakathi
• I-ovary eguqukile (i-ovarian torsion)
• Ukutheleleka uma kukhona isimo esingaphansi

Lezi zinhlanganisela azivamile kodwa zingabangela ubuhlungu obukhulu obudinga ukunakekelwa kwezokwelapha ngokushesha. Umehluko oyinhloko ukuthi izinhlanganisela ngokuvamile zibangela ubuhlungu obukhulu kakhulu kunokuvamile i-mittelschmerz.

Abesifazane abaningi abane-mittelschmerz baqhubeka benemimijikelezo yabo yokuzala evamile, enempilo. Ubuhlungu ngokwabo abuthinti ukukhulelwa noma abubangeli izinkinga zempilo zesikhathi eside.

I-Mittelschmerz ihlonishwa kanjani?

Ukuhlonishwa kwe-mittelschmerz ngokuvamile kuhilela ukulandelela izimpawu zakho nokukhipha ezinye izimo. Udokotela wakho cishe uzoqala ngokubuza ngomjikelezo wakho wenyanga nangokuthi ubuhlungu buvela nini.

Inqubo yokuhlola ingase ihlanganise:

• Umbiko wezokwelapha ophelele nokulandelwa kwezimpawu
• Ukuhlolwa komzimba okuhlanganisa ukuhlolwa kwe-pelvis
• I-ultrasound ukuhlola izicubu noma ezinye izinto ezingavamile
• Izivivinyo zegazi ukukhipha ukutheleleka noma ezinye izimo
• Ukugcina idayari yobuhlungu ukulandelela isikhathi nobukhulu

Udokotela wakho angase akucele ukuba ulandele izimpawu zakho izinyanga ezimbalwa. Lokhu kusiza ukumisa iphethini efana nomjikelezo wakho wokuqhuma kweqanda, okuyikhiye ekuqinisekiseni ukuhlonishwa.

Kwezinye izimo, umhlinzeki wakho wezokunakekelwa kwezempilo angase akukhuthaze ukuhlolwa okwengeziwe uma becabanga ezinye izimo. Noma kunjalo, izigameko eziningi ze-mittelschmerz zingahlolwa ngokusekelwe esikhathini nasezimpawu zakho.

Iyini impilo ye-Mittelschmerz?

Ukwelashwa kwe-mittelschmerz kugxile ekuphatheni ubuhlungu nokungakhululeki. Njengoba kuyinqubo yemvelo, umgomo ukukusiza uzizwe ukhululekile kunokumisa ukuqhuma kweqanda ngokuphelele.

Izinketho zokwelapha ezivamile zihlanganisa:

• Amapilisi okuqeda ubuhlungu angathengwa ngaphandle kokubonisana nodokotela njenge-ibuprofen noma i-acetaminophen
• Ukwelashwa ngokushisa ngama-heating pads noma amabhati afudumele
• Ukuphatha ukukhulelwa kwe-hormonal ukuvimbela ukuqhuma kweqanda
• Ukuzivocavoca okuthambile noma ukuthambisa
• Amathiphu okulawula ukucindezeleka

Abesifazane abaningi bathola ukuthi i-ibuprofen isebenza kahle ngoba inquma ukuvuvukala eduze kwe-ovary. Ukuyithatha ekuqaleni kokubonakala kobuhlungu ngokuvamile kunikeza impumuzo engcono kunokulinda kuze kube ubuhlungu bukhulu.

Kwabesifazane ababuzwa i-mittelschmerz ebuhlungu kakhulu yonke inyanga, ukuphatha ukukhulelwa kwe-hormonal kungase kunconywe. Lokhu kuvimbela ukuqhuma kweqanda ngokuphelele, okuqeda ubuhlungu kodwa futhi kuthinta ukukhulelwa uma uzimisele ukukhulelwa.

Indlela yokuphatha i-Mittelschmerz ekhaya?

Amathiphu okuphatha ekhaya angaba nemiphumela emihle kakhulu ebuhlungwini obuvamile be-mittelschmerz. Ikhona ukuba neqembu elikulungele uma ubuhlungu buqala.

Nanku amathiphu awusizo ekhaya:

• Faka ukushisa esiswini sakho esiphansi noma emuva
• Thatha amabhati afudumele ukuphumula imisipha ye-pelvis
• Zama ukuzivocavoca okuthambile noma ukuthambisa
• Hlala unamanzi anele futhi uthole ukuphumula okwanele
• Zama i-yoga ethambile noma ukuthambisa okulula
• Sebenzisa amathiphu okuphumula ukulawula ukungakhululeki

Abesifazane abathile bathola ukuthi ukulandelela imijikelezo yabo kubasiza ukuba balungiselele i-mittelschmerz. Uma wazi ukuthi kufanele uyilinde nini, ungahle uhlele kusengaphambili futhi ube nezindlela zokuqeda ubuhlungu zilungile.

Ukudala ilungiselelo lokududuza kungasiza futhi. Lokhu kungase kuhlanganise ukuba ne-heating pad eseduze, ukugcina imithi yokuqeda ubuhlungu isesandleni, noma ukuhlela imisebenzi elula ngesikhathi sakho sokuqhuma kweqanda.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho yodokotela?

Ukulungiselela i-aphoyintimenti yakho kusiza ukuqinisekisa ukuthi uthola ukuhlonishwa okuchane kakhulu nezincomo zokwelapha ezifanele. Udokotela wakho uzodinga ulwazi oluqondile ngezimpawu zakho nomjikelezo.

Ngaphambi kokuvakashela kwakho, buza le mibuzo:

• Imininingwane ngobubanzi bomjikelezo wakho wenyanga nokuvamile kwabo
• Lapho ubuhlungu buvela khona emjikelweni wakho
• Ubude bobuhlungu nobukhulu bawo
• Ubuhlungu buzizwa kanjani (ubukhulu, ubuthambile, ukukhahlela)
• Imithi oyithathayo njengamanje
• Ukuthi yini eyenza ubuhlungu bube ngcono noma bube sibi

Cabanga ukugcina idayari yezimpawu okungenani umjikelezo owodwa ngaphambi kwe-aphoyintimenti yakho. Qopha usuku, izinga lobuhlungu, nanoma yiziphi ezinye izimpawu ozibona.

Bhala phansi noma yimiphi imibuzo ofuna ukuyibuza udokotela. Lokhu kungase kuhlanganise ukukhathazeka ngokuthi ubuhlungu buphazamisa imisebenzi yansuku zonke noma imibuzo mayelana nezinketho zokwelapha.

Iyini into ebalulekile mayelana ne-Mittelschmerz?

I-Mittelschmerz iyinqubo yemvelo yokuqhuma kweqanda abesifazane abaningi abayibona. Nakuba kungakhululeki, ngokuvamile ayibi futhi ilawuleka ngokwelashwa okulula.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi lobu buhlungu bulandela iphethini ebingakanani - evela phakathi komjikelezo futhi ihlala ihlala ngecala elihlukile. Lesi sikhathi sisiza ukuwahlukanisa kweminye imimisebenzi engadinga ukunakekelwa kwezokwelapha.

Abesifazane abaningi bathola impumuzo ephumelelayo ngemithi yokuqeda ubuhlungu engathengwa ngaphandle kokubonisana nodokotela namaqhinga okududuza ekhaya. Uma ubuhlungu bakho bukhulu noma abulandeli izindlela ezivamile, ungangabazi ukubonisana nodokotela wakho.

Ukuqonda izimpawu zomzimba wakho, kuhlanganise ne-mittelschmerz, empeleni kungakwenza ube namandla. Lokhu kukusiza ukuba ulandele kangcono impilo yakho yokuzala futhi wenze izinqumo ezilwemi ngokunakekelwa kwakho.

Imibuzo evamile mayelana ne-Mittelschmerz

Ingabe i-mittelschmerz ingathinta ikhono lami lokuthola ukukhulelwa?

Cha, i-mittelschmerz ayithinti ukukhulelwa kwakho. Eqinisweni, ingaba yisibonakaliso esisizayo sokuthi uqhuma iqanda njalo. Abesifazane abaningi basebenzisa i-mittelschmerz njengomkhombandlela wemvelo wokukhulelwa ukuze basize isikhathi sokuzama ukukhulelwa.

Kungani ngithola i-mittelschmerz ngecala elilodwa kuphela?

Uzwa ubuhlungu ngecala elilodwa kuphela ngoba i-ovary eyodwa kuphela ikhipha iqanda inyanga ngayinye. Ubuhlungu ngokuvamile buhlala buqala ngecala elihlukile njengoba ama-ovary akho ethatha izikhathi zokuqhuma kweqanda. Uma uhlala uzwa ubuhlungu ngecala elifanayo, kungase kube kuhle ukuxoxa nodokotela wakho.

Ingabe kuyinto evamile ukuthi i-mittelschmerz ihluke ngobuningi bwayo inyanga ngayinye?

Yebo, kuyinto evamile ukuthi ubuhlungu bokuqhuma kweqanda buhluke inyanga ngayinye. Izinto ezinjengokucindezeleka, ukudla, ukuzivocavoca, nokuhlukahluka kwe-hormone konke kungathinta ukuthi uzizwa kangakanani i-mittelschmerz.

Ngingasathola yini i-mittelschmerz uma nginamaphethini angavamile?

Uma unamaphethini angavamile, ungase usathole i-mittelschmerz uma uqhuma iqanda. Noma kunjalo, isikhathi sizobe singakakabi sicacile. Abesifazane abanamaphethini angavamile kakhulu noma izimo ezinjenge-PCOS bangase bazwe ubuhlungu bokuqhuma kweqanda kancane.

Kufanele ngikhathazeke yini uma i-mittelschmerz yami iyeka ngokuzumayo?

Ukuhluka okungazelelwe ekuvamile kwephethini yakho ye-mittelschmerz kungabonisa ukuguquka ekuqhumani kwakho kweqanda. Lokhu kungase kwenzeke ngenxa yokucindezeleka, ukuguquka kwesisindo, imithi emisha, noma ukusondela ekuyeka ukuba nesikhathi. Uma ukhathazekile ngokuguquka emjikelweni wakho, kuhle ukuxoxa nodokotela wakho.