Kuyini Ukoma Kwesitho sangasese sowesifazane? Izimpawu, Izimbangela, & Nokwelashwa Ekhaya

Ukoma kwesitho sangasese sowesifazane kwenzeka lapho izicubu zesitho sangasese sowesifazane zingakhiqizi umswakama noma ukugcotshwa okwanele kwemvelo. Lesi simo esivamile ngokuphelele sithinta izigidi zabesifazane ezigabeni ezahlukene zempilo, kusukela kubantu abadala abasebancane kuya kulabo abadlula esikhathini sokuya esikhathini.

Kuyini Ukoma Kwesitho sangasese sowesifazane?

Ukoma kwesitho sangasese sowesifazane kwenzeka lapho izicubu ezibucayi ngaphakathi esithweni sakho sangasese sowesifazane zintula umswakama nokugcotshwa okwanele. Isitho sakho sangasese sowesifazane ngokwemvelo sikhiqiza uketshezi olusiza ukugcina indawo enempilo nomuzwa okhululekile. Lapho lo mswakama wemvelo wehla, ungase uqaphele ukungakhululeki, ukucasuka, noma ubuhlungu ngesikhathi semisebenzi esondelene.

Lesi simo asikhona nje mayelana nokukhululeka ngokocansi, nakuba lokho kuvame ukuba yisikhathi lapho abesifazane beqala ukukuqaphela. Izicubu zesitho sangasese sowesifazane zincike emazingeni afanele omswakama ukuze zihlale zinempilo, ziguquguquka, futhi zivikelekile ezifweni. Cabanga ngakho njengokuthi isikhumba sakho sidinga umswakama ukuze sihlale sithambile futhi sinempilo.

Kuzizwa Kanjani Ukoma Kwesitho sangasese sowesifazane?

Ukoma kwesitho sangasese sowesifazane kungadala imizwa eminingana engakhululekile ehluka kumuntu nomuntu. Ungase uzwe umuzwa ojwayelekile wokoma noma ukuqina endaweni yakho yesitho sangasese sowesifazane, okufana nendlela umlomo wakho ozizwa ngayo uma uphelelwe amanzi emzimbeni. Abanye besifazane bakuchaza ngokuthi kuzizwa “kunzima” noma “kunzima” ngaphakathi.

Izimpawu ongase uzithole zihlanganisa uhla lwemizwa engokomzimba engathinta induduzo yakho yansuku zonke:

• Ukuluma noma ukusha eduze komgodi wesitho sangasese sowesifazane
• Ukungakhululeki noma ubuhlungu ngesikhathi somsebenzi wocansi
• Ukuphuma igazi okuncane ngemva kokuhlangana ngokocansi
• Ukushisa lapho uchama
• Ukuvama ukuchama noma ukuzwa isidingo esiphuthumayo
• Izifo eziphindaphindayo zomgudu womchamo
• Ukungakhululeki okujwayelekile kwesisu noma ingcindezi

Lezi zimpawu zingahluka ekucasukeni okuncane kuya ekungakhulumeni okukhulu okuthinta izinga lempilo yakho. Khumbula ukuthi okuhlangenwe nakho komuntu ngamunye kwehlukile, futhi okuzwakala kubi kumuntu oyedwa kungase kube lula komunye.

Yini Ebangela Ukomisa Kwesitho sangasese sowesifazane?

Ukomisa kwesitho sangasese sowesifazane kwenzeka lapho amazinga ama-hormone emvelo omzimba wakho eshintsha noma lapho izici ezithile zokuphila zithinta impilo yakho yesitho sangasese sowesifazane. Okubangela kakhulu ukwehla kwe-estrogen, okudlala indima ebalulekile ekugcineni umswakama wesitho sangasese sowesifazane nempilo yezicubu.

Izici eziningana zingaba nomthelela kulesi simo, kusukela ekushintsheni kwempilo yemvelo kuya ekwelashweni kwezokwelapha:

• Ukuyeka ukuya esikhathini kanye ne-perimenopause (iminyaka eholela ekuyekeni ukuya esikhathini)
• Ukuncelisa, okwehlisa amazinga e-estrogen okwesikhashana
• Imithi ethile efana nama-antihistamine, ama-antidepressants, noma amaphilisi okulawula inzalo
• Ukwelashwa komdlavuza okuhlanganisa i-chemotherapy kanye nemisebe
• Ukususwa kwama-ovari ngokuhlinzwa
• Izimo ze-Autoimmune ezifana ne-Sjögren's syndrome
• Ukucindezeleka okungapheli nokukhathazeka
• Ukubhema, okunciphisa ukugeleza kwegazi ezicutshini zesitho sangasese sowesifazane
• Insipho ezinzima, ama-douches, noma imikhiqizo yokuhlanzeka kwabesifazane
• Ukungavuselelwa okwanele ngaphambi komsebenzi wobulili

Ukuqonda izimbangela zakho ezithile kungakusiza kanye nomhlinzeki wakho wokunakekelwa kwezempilo ukuthi uthuthukise uhlelo lokwelapha olusebenzayo kakhulu. Ngezinye izikhathi izici eziningi zisebenza ndawonye ukuze zenze le nkinga.

Iyini Ukomisa Kwesitho sangasese sowesifazane okuyisibonakaliso noma uphawu lwakho?

Ukomisa kwesitho sangasese sowesifazane ngokuvamile kubonisa izinguquko ze-hormonal emzimbeni wakho, ikakhulukazi ukwehla kwamazinga e-estrogen. Lokhu kuvame ukuhlotshaniswa nokuyeka ukuya esikhathini, kodwa kungabonisa ezinye izimo ezithinta ukulinganisela kwama-hormone akho noma impilo yonke.

Izimo ezingaphansi ezingase zibangele ukomisa kwesitho sangasese sowesifazane zihlanganisa izinkinga zempilo ezivamile nezivamile:

• Ukuya esikhathini sokuya esikhathini kanye ne-perimenopause
• Ushintsho lwama-hormone ngemva kokubeletha
• I-Polycystic ovary syndrome (PCOS)
• Izifo ze-Thyroid
• Isifo sikashukela
• Izimo ze-Autoimmune ezifana ne-lupus noma i-rheumatoid arthritis
• I-Sjögren's syndrome (ithinta amaglands akhiqiza umswakama)
• I-Lichen sclerosus (isimo sesikhumba esithinta indawo yangasese)
• I-Endometriosis
• Ezinye izinhlobo zomdlavuza noma ukwelashwa komdlavuza

Ezimweni ezingavamile, ukoma kwesitho sangasese sowesifazane kungase kuxhumeke ezimweni zemvelo ezithinta ukukhiqizwa kwama-hormone noma izifo zesimiso somzimba sokuzivikela. Udokotela wakho angasiza ekutholeni ukuthi izimpawu zakho zikhomba esimweni esingaphansi esidinga ukwelashwa okuthile.

Ingabe Ukoma Kwesitho Sangasese Sowesifazane Kunganyamalala Ngokwako?

Ukoma kwesitho sangasese sowesifazane ngezinye izikhathi kuyazixazulula ngokwemvelo, ikakhulukazi uma kubangelwa izinto zesikhashana ezinjengengcindezi, imiphumela emibi yemithi, noma izinguquko zama-hormone ngemva kokuzalwa. Uma ukuncelisa ibele kuyimbangela, umswakama wakho wemvelo uvame ukubuyela uma uyeka ukuncelisa futhi amazinga akho ama-hormone azinzile.

Kodwa-ke, ukoma okuhlobene nokuya esikhathini sokuya esikhathini noma ezinye izinguquko zama-hormone ezingapheli ngokuvamile akuthuthuki ngaphandle kokwelashwa. Izindaba ezinhle ukuthi kunezinqubo eziningi zokwelapha eziphumelelayo ezingabuyisela induduzo nempilo yesitho sangasese sowesifazane. Ngisho nalapho imbangela engaphansi ingeke iguqulwe, usengathola impumuzo enkulu ngezinketho ezihlukahlukene zokwelapha.

Singelashwa Kanjani Ukoma Kwesitho Sangasese Sowesifazane Ekhaya?

Ukwelashwa okuningi okumnene, okuphumelelayo ekhaya kungasiza ukubuyisela umswakama nenduduzo endaweni yakho yesitho sangasese sowesifazane. Lezi zindlela zisebenza kahle kakhulu ekomeni okulula kuya kokulingene futhi ngokuvamile zingahlinzeka ngempumuzo enkulu ngaphandle kwemithi kadokotela.

Nawa amasu aphephile, afakazelwe ongawazama ekhaya ukuze ulawule ukoma kwesitho sangasese sowesifazane:

• Sebenzisa i-moisturizer yomgwaqo ocansini esezingeni eliphezulu, elilinganiselwe i-pH izikhathi eziyi-2-3 ngesonto
• Sebenzisa ama-lubricant asekelwe emanzini noma asekelwe ku-silicone ngaphambi kokwenza ucansi
• Hlala unamanzi ngokwanele ngokuphuza amanzi amaningi usuku lonke
• Geza ngamanzi afudumele ngamanzi nje (gwema ukugeza ngamabhamuza noma insipho eqinile)
• Gqoka okokugqoka kwangaphansi kukakotini okungenisa umoya futhi gwema izingubo eziqinile
• Sebenzisa insipho ethambile, engenamvini endaweni yakho yangasese
• Cabangela ukwenza ucansi njalo noma ukuzithokozisa ukuze kuthuthukiswe ukuhamba kwegazi
• Qeqesha amasu okunciphisa ukucindezeleka njengokuzindla noma i-yoga
• Gwema ukugeza, okungaphazamisa ukulinganisela kwakho kwe-pH kwemvelo

Lezi zindlela zokwelapha zasekhaya zisebenza kancane kancane, ngakho-ke zinike amasonto amaningana ukuthi zibonise imiphumela ephelele. Uma ungaboni ngcono ngemva kwenyanga yokusebenzisa njalo, sekuyisikhathi sokukhuluma nomhlinzeki wakho wezempilo ngezinketho ezinye.

Yini Ukwelashwa Kwezokwelapha Kokoma Kwesitho Socansi?

Ukwelashwa kwezokwelapha kokoma kwesitho socansi kugxila ekubhekaneni nezimbangela ze-hormonal ezingaphansi futhi kunikeze ukushintshwa komswakama okujulile. Umhlinzeki wakho wezempilo angase ancome ukwelashwa okuyimithi uma izinketho ezingaphandle kwe-counter zingazange zinikeze ukukhululeka okwanele.

Ukwelashwa kwezokwelapha okuphumelela kakhulu kufaka phakathi izinketho eziningana ezenzelwe isimo sakho esithile:

• Ukwelashwa nge-estrogen yomgwaqo ocansini (ama-creams, amaphilisi, noma izindandatho) okusetshenziswa ngokuqondile ezicutshini zomgwaqo ocansini
• Ukwelashwa okuhlelekile kokushintshwa kwe-hormone kwabesifazane abanezimpawu eziningi zokuya esikhathini
• I-Ospemifene (Osphena), umuthi omlomo osebenza njenge-estrogen ezicutshini zomgwaqo ocansini
• I-Prasterone (Intrarosa), i-DHEA suppository esiza ukubuyisela impilo yomgwaqo ocansini
• Ukwelashwa nge-laser noma ukwelashwa nge-radiofrequency ukuze kuvuselelwe izicubu
• Ama-moisturizer kadokotela anamafomula akhethekile

Udktela wakho uzocabangela umlando wakho wezokwelapha, isimo sakho sempilo yamanje, kanye nezintandokazi zakho siqu lapho encoma ukwelashwa. Lezi zinketho zezokwelapha zivame ukunikeza ukukhululeka okukhulu nokuhlala isikhathi eside kunezindlela zokwelapha zasekhaya zodwa.

Kufanele ngibone nini udokotela ngobomile besitho sangasese sowesifazane?

Kufanele uhlele i-aphoyintimenti nomhlinzeki wakho wokunakekelwa kwezempilo uma ukoma kwesitho sangasese sowesifazane kuthinta kakhulu induduzo yakho yansuku zonke noma ubudlelwano obusondelene. Ungalindi kuze kube yilapho izimpawu ziba zimbi - ukwelashwa kwasekuqaleni kuvame ukusebenza kangcono futhi kuvimbele izinkinga.

Izimo ezithile ezidinga ukunakekelwa kwezokwelapha zihlanganisa izimpawu eziqhubekayo eziphazamisa izinga lakho lempilo:

• Ukomela okungathuthuki ngemva kwamasonto angu-4-6 okwelashwa ekhaya
• Ubuhlungu ngesikhathi socansi obenza ukusondelana kube nzima noma kungenzeki
• Ukuphuma kwegazi ngemva kocansi
• Izifo ezingapheli zokutheleleka ngamathumbu omchamo
• Ukuluma okukhulu noma ukusha okuphazamisa imisebenzi yansuku zonke
• Ukuphuma okunenuka okungavamile noma umbala
• Ubuhlungu be-pelvic noma ingcindezi

Ngaphezu kwalokho, uma uhlangabezana nezinye izimpawu ezinjengokuya esikhathini okungajwayelekile, ukushisa okushisayo, noma izinguquko zemizwa, lezi zingase zibonise izinguquko ze-hormonal ezuza ekuhlolweni kwezokwelapha nokwelashwa.

Yiziphi Izici Zengozi Zokuthuthukisa Ukoma Kwesitho Sangasese Sowesifazane?

Izici ezithile zikhuphula amathuba akho okuhlangabezana nokoma kwesitho sangasese sowesifazane, nakuba ukuba nezici eziyingozi akusho ukuthi nakanjani uzothuthukisa lesi simo. Ubudala buyisici esiyingozi esibaluleke kakhulu, njengoba amazinga e-estrogen ehla ngokwemvelo njengoba usondela futhi udlula ekuya esikhathini.

Izici eziyingozi eziyinhloko ezingaba nomthelela ekomeni kwesitho sangasese sowesifazane zihlanganisa izici ezilawulekayo nezingalawuleki:

• Ubudala obungaphezu kweminyaka engama-40, ikakhulukazi lapho usondela ekuya esikhathini
• Umlando wokwelashwa komdlavuza, ikakhulukazi ngomdlavuza webele noma wezitho zokuzala
• Ukususwa kwama-ovari ngokuhlinzwa kunoma iyiphi iminyaka
• Izimo ze-Autoimmune
• Ukubhema, okunciphisa ukugeleza kwegazi ezicutshini zesitho sangasese sowesifazane
• Ukube ungazalanga ngendlela yesitho sangasese sowesifazane
• Ukucindezeleka okungapheli noma ukudangala
• Imithi ethile ehlanganisa ama-antihistamines kanye nama-antidepressants
• Ukungabi khona komsebenzi wezocansi, okunganciphisa ukugcotshwa kwemvelo ngokuhamba kwesikhathi

Ukuqonda izinto eziyingozi ezingakuthinta kungakusiza ukuthi uthathe izinyathelo zokuvimbela futhi ufune ukwelashwa kusenesikhathi uma izimpawu ziqala. Izinto eziningi eziyingozi zingalawulwa noma imiphumela yazo incishiswe ngokunakekelwa okufanele.

Ziyini Izinkinga Ezingase Zibe Khona Zokoma Kwesitho Sangasese Sowesifazane?

Ukomiswa kwesitho sangasese sowesifazane okungelashwa kungaholela ezinkingeni eziningana ezithinta impilo yakho yomzimba kanye nekhwalithi yempilo. Izinkinga ezivame kakhulu zihilela ukwanda kwengozi yokutheleleka nokulimala kwezicubu ngenxa yokucasuka okungapheli.

Izinkinga ezingase zivele uma ukoma kwesitho sangasese sowesifazane kungelashwa zihlanganisa:

• Ukutheleleka kwamathumbu okuvame ukwenzeka ngenxa yezinguquko ku-pH yesitho sangasese sowesifazane
• Izinyembezi ezincane ezicutshini zesitho sangasese sowesifazane ngenxa yokungqubuzana ngesikhathi socansi
• Ubuhlungu obungapheli besinqe noma ukungakhululeki
• Ukutheleleka ngemvubelo okuphindaphindayo noma i-bacterial vaginosis
• Ukuhlangana ngocansi okubuhlungu okuholela ebunzimeni bobudlelwano
• Ukwehla kokwaneliseka ngokocansi kanye ne-libido
• Ukukhathazeka noma ukudangala okuhlobene nezinkinga zempilo yezocansi

Izindaba ezinhle ukuthi lezi zinkinga zivame ukuvikeleka ngokwelashwa okufanele. Ukungenelela kusenesikhathi kuvamile ukuvimbela izinkinga ezinzima futhi kusiza ukugcina impilo yakho yomzimba neyomzwelo.

Yini Ukoma Kwesitho Sangasese Sowesifazane Okungase Kuthathwe Ngayo?

Ukomisa kwesitho sangasese sowesifazane kwabelana ngezimpawu nezinye izimo eziningi, okungase kwenze kube nzima ukuhlonza ngqo imbangela yokungakhululeki kwakho. Izimpawu ezihambisanayo zivame ukubandakanya ukuluma, ukusha, noma ubuhlungu endaweni yesitho sangasese sowesifazane.

Izimo ezingase zididaniswe nokoma kwesitho sangasese sowesifazane zihlanganisa kokubili izifo nezinye izinkinga ze-gynecological:

• Izifo zemvubelo, ezibangela ukuluma nokusha
• I-Bacterial vaginosis, engabangela ukungakhululeki nokukhipha okungajwayelekile
• Izifo ezithathelwana ngocansi njenge-herpes noma i-chlamydia
• Izifo zomgudu womchamo, ezibangela ukusha ngesikhathi sokuchama
• I-Lichen sclerosus, isimo sesikhumba esithinta indawo yangasese
• I-Vulvodynia, ubuhlungu obungapheli endaweni ye-vulvar
• Ukungezwani komzimba nezinto ezifana nensipho, izinto zokuhlanza, noma imikhiqizo yokunakekela umuntu siqu

Umhlinzeki wakho wezempilo angase enze izivivinyo zokuhlukanisa phakathi kwalezi zimo nokoma kwesitho sangasese sowesifazane. Ukuthola ukuxilongwa okunembile kubalulekile ngoba ukwelashwa kuyahlukahluka kakhulu kuye ngembangela eyinhloko.

Imibuzo Evame Ukubuzwa Mayelana Nokoma Kwesitho Sangasese Sowesifazane

Ingabe abesifazane abasebancane bangahlangabezana nokoma kwesitho sangasese sowesifazane?

Yebo, ukoma kwesitho sangasese sowesifazane kungathinta abesifazane bayo yonke iminyaka, hhayi labo ababhekene nokuya esikhathini. Abesifazane abasebancane bangase bakuzwe ngenxa yokulawulwa kokuzalwa ngamahomoni, ukuncelisa, imithi ethile, ukucindezeleka, noma ukungavuselelwa okwanele ngaphambi komsebenzi wocansi. Lesi simo singelapheka kungakhathaliseki iminyaka.

Ingabe kujwayelekile ukuba nokoma kwesitho sangasese sowesifazane ngesikhathi sokukhulelwa?

Abanye besifazane bazwa ukoma kwesitho sangasese sowesifazane ngesikhathi sokukhulelwa, ikakhulukazi ngesikhathi sokuqala lapho amazinga e-hormone eguquguquka ngokushesha. Kodwa-ke, abesifazane abaningi empeleni bazwa ukwanda komswakama wesitho sangasese sowesifazane ngesikhathi sokukhulelwa. Uma uzwa ukoma okuqhubekayo, xoxa ngakho nomhlinzeki wakho wezempilo ukuze uqinisekise ukuthi akuhlobene nesinye isimo.

Ingabe amaphilisi okulawula ukuzalwa angabangela ukoma kwesitho sangasese sowesifazane?

Yebo, ukulawulwa kokuzalwa ngamaphilisi ngezinye izikhathi kungabangela ukoma kwesitho sangasese sowesifazane ngokushintsha amazinga akho emvelo e-hormone. Lokhu kuvamile ngamaphilisi aqukethe ama-hormone okwenziwa okucindezela ukukhiqizwa komzimba wakho kwe-estrogen yemvelo. Uma usola ukuthi ukulawulwa kwakho kokuzalwa kubangela ukoma, khuluma nodokotela wakho ngezinketho ezingezinye noma ukwelashwa okwengeziwe.

Kuthatha isikhathi esingakanani ukuthi ukwelashwa kokoma kwesitho sangasese sowesifazane kusebenze?

Isikhathi siyahluka ngokuya ngendlela yokwelapha oyikhethayo. Ama-moisturizers nama-lubricants athengiswa ngaphandle kwemithi anikeza ukukhululeka ngokushesha ngesikhathi sokusetshenziswa, kanti ukwelashwa kwe-estrogen okuyimithi ngokuvamile kubonisa ukuthuthuka okukhulu kungakapheli amasonto angu-4-6 okusetshenziswa njalo. Amakhambi asekhaya afana nezinguquko zokuphila kungathatha izinyanga ezi-2-3 ukukhombisa imiphumela ephelele.

Ingabe ukoma kwesitho sangasese sowesifazane kungathinta ikhono lami lokukhulelwa?

Ukoma kwesitho sangasese sowesifazane ngokwako akuvimbeli ngokuqondile ukukhulelwa, kodwa kungenza ukuhlangana kocansi kungakhululeki, okungase kuthinte impilo yakho yocansi nesikhathi sokuzama ukukhulelwa. Ngaphezu kwalokho, ezinye izimo eziyisisekelo ezibangela ukoma kwesitho sangasese sowesifazane zingase zithinte nenzalo. Uma uzama ukukhulelwa futhi uhlangabezana nokoma okuqhubekayo, xoxa ngalokhu nomhlinzeki wakho wezempilo.