Kuyini Ukuhlolwa Kwengozi Yomdlavuza Wamabele? Inhloso, Amazinga/Inqubo & Umphumela

Ukuhlolwa kwengozi yomdlavuza wamabele kuyisilinganiso esibanzi esisiza ukunquma amathuba akho siqu okuthola umdlavuza wamabele phakathi nokuphila kwakho. Kucabange njengesithombe esinemininingwane yezempilo esihlanganisa umlando wakho womndeni, umlando wakho wezokwelapha, nezici zokuphila ukuze udale isithombe esicacile sengozi yakho.

Lokhu kuhlola akukhona ukubikezela ikusasa ngokuqiniseka. Kunalokho, kuyithuluzi elibalulekile elinika amandla wena nethimba lakho lokunakekelwa kwezempilo ukuthi nenze izinqumo ezinolwazi mayelana namashedule okuhlola, izinyathelo zokuvimbela, nezinketho zokuphila ezingazuza impilo yakho yesikhathi eside.

Kuyini ukuhlolwa kwengozi yomdlavuza wamabele?

Ukuhlolwa kwengozi yomdlavuza wamabele kuyinqubo ehlelekile lapho abahlinzeki bezempilo behlola izici eziningi ukuze balinganisele amathuba akho okuthola umdlavuza wamabele. Ukuhlolwa ngokuvamile kukhiqiza iphesenti elimele ingozi yakho ezikhathini ezithile, njengeminyaka emihlanu ezayo noma impilo yakho yonke.

Abahlinzeki bezempilo basebenzisa amamodeli nezinhlu zemibuzo eziqinisekisiwe ukuze babale lezi zilinganiso zengozi. Amathuluzi asetshenziswa kakhulu afaka i-Gail Model, i-Tyrer-Cuzick model, kanye ne-BRCAPRO, ngalinye lenzelwe ukubala izici eziyingozi ezihlukene kanye namaphethini omlando womndeni.

Ukuhlolwa kwengozi yakho kusebenza njengesiqalo sezinqumo zokunakekelwa kwezempilo eziqondene nawe. Kusiza udokotela wakho ukuthi ancome amashejuli okuhlola afanele, axoxe ngezinketho zokuvimbela, futhi abone ukuthi ungazuza yini ekwelulekweni ngezofuzo noma ekuhlolweni.

Kungani kwenziwa ukuhlolwa kwengozi yomdlavuza wamabele?

Inhloso eyinhloko yokuhlolwa kwengozi yomdlavuza wamabele ukwenza ngendlela oyifisayo indlela yakho yokunakekelwa kwezempilo ngokusekelwe kuphrofayili yakho yengozi. Esikhundleni sokulandela indlela eyodwa elingana bonke, lokhu kuhlola kuvumela ithimba lakho lokunakekelwa kwezempilo ukuthi lenze izincomo ngokuqondile kuwe.

Kwabesifazane abasengozini ephakathi nendawo, ukuhlolwa kuqinisekisa ukuthi imihlahlandlela yokuhlola ejwayelekile ilungile. Kodwa-ke, kulabo abasengozini enkulu, kungaholela ekuhlolweni kwasekuqaleni noma okuvamile, izindlela zokuthwebula ezengeziwe njenge-breast MRI, noma izingxoxo ngemithi yokunciphisa ingozi.

Ukuhlolwa futhi kusiza ukuhlonza abesifazane abangazuza ekwelulekweni ngofuzo. Uma umlando wakho womndeni ukhomba izifo zomdlavuza wamabele ezizuzwe ngofuzo, umhlinzeki wakho wezempilo angakuthumela ochwepheshe abangaxoxa ngezinketho zokuhlolwa kwezofuzo kanye nemiphumela yazo.

Ngaphezu kwalokho, ukuqonda izinga lakho lengozi kungashukumisa izinguquko ezinhle zokuphila. Uma wazi ukuthi izinto ezinjengokuphatha isisindo, ukusetshenziswa kotshwala, kanye nomsebenzi womzimba zithonya kanjani ingozi yakho, uhlomele kangcono ukwenza izinqumo eziqaphela impilo.

Yini inqubo yokuhlolwa kwengozi yomdlavuza wamabele?

Inqubo yokuhlolwa kwengozi yomdlavuza wamabele ngokuvamile iqala ngengxoxo enemininingwane nomhlinzeki wakho wezempilo. Uzoxoxa ngomlando wakho wezokwelapha, okuhlanganisa noma yiziphi izicubu zamabele zangaphambilini, ukusetshenziswa kwamahomoni, kanye nomlando wokuzala njengobudala ekuqaleni kokuya esikhathini kanye nokuzala.

Umhlinzeki wakho uzobe eseqoqa ulwazi olubanzi ngomlando wakho womndeni. Lokhu akubandakanyi nje kuphela amacala omdlavuza wamabele, kodwa futhi nomdlavuza wama-ovari, umdlavuza wamabele wabesilisa, kanye neminye imidlavuza ehlobene ezihlotsheni zombili zikababa nezikanina. Ubudala ekutholakaleni kanye nobudala bamanje noma ubudala ekufeni kwamalungu omndeni athintekile imininingwane ebalulekile.

Okulandelayo, umhlinzeki wakho wezempilo uzofaka lolu lwazi kumathuluzi okuhlolwa kwengozi elilodwa noma amaningi. Lawa mamodeli ezibalo acubungula idatha yakho futhi akhiqize izilinganiso zengozi. Ukubala ngokuvamile kuthatha imizuzu embalwa nje, futhi umhlinzeki wakho uvame ukwabelana ngemiphumela yokuqala ngesikhathi esifanayo sokuvakasha.

Ezinye izivivinyo zingase zihlanganise ukuhlolwa okufushane komzimba okugxile ekuqineni kwezicubu zamabele nanoma yiziphi izigaxa ezikhona noma izinguquko. Umhlinzeki wakho angase futhi abuke ama-mammogram asanda kwenziwa noma ezinye izifundo zokucabanga ukuze ahlanganise ulwazi lwamanje lwempilo yamabele.

Isinyathelo sokugcina sihlanganisa ukuxoxa ngemiphumela yakho kanye nemiphumela yayo. Umhlinzeki wakho wezempilo uzochaza ukuthi amaphesenti akho obungozi asho ukuthini ngamazwi angokoqobo nokuthi aqhathaniswa kanjani nezingozi ezijwayelekile zabantu.

Ungalungiselela kanjani ukuhlolwa kwakho kobungozi bomdlavuza wamabele?

Ukulungiselela ukuhlolwa kwakho kobungozi bomdlavuza wamabele kuhilela ukuqoqa imininingwane enemininingwane ngomlando wakho wezokwelapha womuntu siqu nowomndeni. Qala ngokudala isihlahla somndeni esibanzi esihlanganisa ukuxilongwa komdlavuza, iminyaka yokuxilongwa, kanye neminyaka yamanje noma iminyaka yokufa yezihlobo ezinhlangothini zombili zomndeni wakho.

Qoqa imininingwane ngomlando wakho wezokwelapha womuntu siqu, okuhlanganisa izinsuku zanoma yimaphi ama-biopsy amabele, imiphumela yokucabanga kwamabele kwangaphambilini, kanye nemininingwane mayelana nokusetshenziswa kwamahomoni njengamaphilisi okulawula inzalo noma ukwelashwa kwamahomoni. Uma uke waba nezingane, qaphela iminyaka owazala ngayo nokuthi uncelise ngomzimba yini.

Bhala phansi imininingwane yakho yomlando wokuzala, okuhlanganisa iminyaka lapho uqala ukuya esikhathini futhi, uma kusebenza, lapho ungena ekuya esikhathini. Lezi zinto zithonya kakhulu ukubalwa kwakho kobungozi, ngakho izinsuku ezinembile ziyasiza.

Cabangela ukufinyelela kumalungu omndeni ngaphambi kokuhlolwa kwakho ukuze uqinisekise ukuxilongwa komdlavuza kanye neminyaka. Ngezinye izikhathi izindaba zomndeni mayelana nomdlavuza zingaba zingaqondile, futhi ukuthola imininingwane enembile kuthuthukisa ukwethembeka kokuhlolwa.

Lungisa uhlu lwemibuzo ongathanda ukuxoxa ngayo nomhlinzeki wakho wezempilo. Lokhu kungase kuhlanganise imibuzo mayelana nezincomo zokuhlola, izinguquko zokuphila, noma ukuthi izinga lakho lobungozi lisho ukuthini kumalungu omndeni wakho.

Ungakufunda kanjani ukuhlolwa kwakho kobungozi bomdlavuza wamabele?

Imiphumela yakho yokuhlola ubungozi bomdlavuza wamabele ngokuvamile yethulwa ngamaphesenti amele amathuba akho okuba nomdlavuza wamabele ezikhathini ezithile. Ukuvela komdlavuza wamabele eminyakeni emihlanu kukutshela amathuba okuba nomdlavuza wamabele eminyakeni emihlanu ezayo, kuyilapho ubungozi bokuphila bonke buqagela amathuba akho kusukela manje kuze kube seminyakeni engama-90.

Ukuze ubeke lezi zinombolo ngendlela efanele, owesifazane ojwayelekile unengozi yokuphila yonke engaba ngu-12% yokuba nomdlavuza wamabele. Uma ukuhlolwa kwakho kubonisa ingozi yokuphila yonke engu-15%, kusho ukuthi unengozi ephakeme kancane kunamanye, kodwa isencane uma iqhathaniswa.

Izigaba zobungozi zisiza ukuhumusha lezi zinombolo ngendlela esebenzayo. Ngokuvamile, abesifazane abanengozi yokuphila yonke engaphansi kuka-15% bathathwa njengengozi ejwayelekile, labo abanama-15-20% basengozini ephakeme ngokulinganiselwe, futhi labo abangaphezu kuka-20% basengozini enkulu. Kodwa-ke, lezi zigaba zingahluka ngokuya ngokuthi iyiphi ithuluzi lokuhlola elisetshenzisiwe.

Kubalulekile ukuqonda ukuthi lawa maphesenti amele amathuba, hhayi iziqinisekiso. Ingozi yokuphila yonke engu-20% isho ukuthi kwabesifazane abayi-100 abanezici zobungozi ezifanayo, abangaba ngu-20 bangaba nomdlavuza wamabele kanti abangama-80 ngeke babe nawo. Umphumela wakho ngamunye usahlala ungaziwa kungakhathaliseki izinga lakho lobungozi.

Ezinye izilinganiso zihlinzeka ngolwazi mayelana nezici zobungozi ezithile ezinomthelela omkhulu engozini yakho yonke. Lokhu kuhlukaniswa kukusiza ukuthi uqonde ukuthi yiziphi izici ongazishintsha ngezinguquko zokuphila noma ukungenelela kwezokwelapha.

Ungabhekana kanjani nezinga lakho lobungozi bomdlavuza wamabele?

Ukubhekana nobungozi bakho bomdlavuza wamabele kuncike kakhulu ezingeni lakho lobungozi ngamunye kanye nezintandokazi zakho. Kwabesifazane abasengozini ejwayelekile, ukulandela imihlahlandlela yokuhlola ejwayelekile ngama-mammogram anyaka ngamunye kusukela eminyakeni engama-40 noma engama-50 (ngokuya ngemihlahlandlela elandelwayo) ngokuvamile kwanele.

Uma ukuhlolwa kwakho kukhombisa ingozi ephakathi nendawo, umhlinzeki wakho wokunakekelwa kwezempilo angase ancome ukuqala ama-mammogram ngaphambi kwesikhathi noma ukuwahlela njalo. Abanye besifazane abakulesi sigaba bangazuza ezindleleni zokuhlola ezengeziwe njenge-breast MRI noma i-ultrasound eyengeziwe, ikakhulukazi uma benethishu yamabele eminyene.

Kulabo abasengozini enkulu, izinqubo zokuhlola ezinzulu zivame ukunconywa. Lokhu kungabandakanya ukushintshana ngama-mammogram kanye ne-breast MRI njalo ezinyangeni eziyisithupha, ukuqala ukuhlola esemncane, noma ukucabangela imithi yokuvimbela efana ne-tamoxifen noma i-raloxifene.

Ukuguqulwa kwendlela yokuphila kungasiza ukunciphisa ingozi kungakhathaliseki izinga lakho eliyisisekelo. Ukugcina isisindo esinempilo, ukukhawulela ukusetshenziswa kotshwala, ukuzibandakanya emsebenzini womzimba njalo, nokugwema ukusetshenziswa kwamahomoni okungadingekile konke kunomthelela ekunciphiseni ingozi yomdlavuza wamabele.

Abesifazane abasengozini enkulu kakhulu bangase bacabangele izinyathelo zokuvimbela ezinobudlova obuningi, okuhlanganisa ukuhlinzwa kokuvimbela ukususa izicubu zamabele noma ama-ovari. Lezi zinqumo zidinga ukucatshangelwa ngokucophelela kanye nengxoxo nochwepheshe abangakwazi ukusiza ukulinganisa izinzuzo nezingozi zenketho ngayinye.

Yini izinga elingcono kakhulu lengozi yomdlavuza wamabele?

Akukho

Okubaluleke kakhulu ukuba nezinga lobungozi elibalwe ngokunembile futhi eliqondwe kahle nguwe nethimba lakho lezempilo. Lokhu kunemba kunika ukunakekelwa komuntu siqu okungahlaseli kakhulu noma okungagcini kakhulu esimweni sakho.

Khumbula ukuthi amazinga obungozi angashintsha ngokuhamba kwesikhathi njengoba ukhula, uhlangabezana nezehlakalo zempilo ezinjengokukhulelwa noma ukuya esikhathini, noma njengoba imininingwane yomlando womndeni omusha itholakala. Ukuhlola njalo kuqinisekisa ukuthi uhlelo lwakho lokunakekelwa kwezempilo luhlala lufaneleka kuphrofayili yakho yobungozi yamanje.

Ziyini izici eziyingozi zobungozi obukhulu bomdlavuza wamabele?

Ukuqonda izici ezifaka isandla ebungozini obukhulu bomdlavuza wamabele kusiza ukuchaza ukuthi kungani abanye besifazane bethola ukuhlolwa kobungozi obukhulu. Lezi zici zihlukaniswe ezigabeni eziningana, ezinye ongazithonya kanti ezinye ezingaphezu kwamandla akho.

Izici zofuzo zidlala indima ebalulekile ebungozini bomdlavuza wamabele. Ukuba nomlando womndeni oqinile womdlavuza wamabele noma we-ovari, ikakhulukazi ezihlotsheni zokuqala ezinjengomama, odade, noma amadodakazi, kwandisa kakhulu ubungozi bakho. Ukuguqulwa kofuzo oluthile oluzuzwe njengefa, njenge-BRCA1 ne-BRCA2, kungakhuphula kakhulu ubungozi besikhathi sokuphila sibe ngu-45-85%.

Umlando wezokwelapha womuntu siqu uthinta kakhulu ukubalwa kobungozi. Ukuhlolwa kwamabele kwangaphambilini okukhombisa i-atypical hyperplasia, i-lobular carcinoma in situ (LCIS), noma ezinye izilonda eziyingozi eziphezulu zikhuphula amathuba akho okuthuthukisa umdlavuza wamabele ongahlaseli. Izicubu zamabele ezinzima, ezivela zibamhlophe kuma-mammograms, nazo zifaka isandla ebungozini obukhulu.

Izici zokuzala ne-hormonal zithinta ubungozi ngokuchayeka kwe-estrogen ngesikhathi sokuphila kwakho. Ukuqala ukuya esikhathini ngaphambi kweminyaka eyi-12, ukuya esikhathini ngemva kweminyaka engama-55, ukuba nomntwana wakho wokuqala ngemva kweminyaka engama-30, noma ukungabi nabantwana nakancane konke kunomthelela ebungozini obukhulu. Ukusetshenziswa kwemithi yokushintsha ama-hormone yesikhathi eside nakho kukhuphula ubungozi.

Izinto zokuphila ongazishintsha zingabandakanya ukugcina isisindo esiningi, ikakhulukazi ngemva kokuya esikhathini, ukuphuza utshwala njalo, nokuphila impilo yokunganyakazi. Lezi zinto zingase zibonakale zinomthelela omncane ngamunye, kodwa zingaqongelelana ukuze zithinte ngendlela ebalulekile iphrofayili yakho yengozi iyonke.

Izinto ezingavamile kodwa ezibalulekile eziyingozi zihlanganisa ukwelashwa ngemisebe esifubeni, ikakhulukazi ngesikhathi sobuntwana noma ebusheni, kanye nezifo ezithile zofuzo ezingaphezu kokuguquka kwe-BRCA, njenge-Li-Fraumeni syndrome noma i-Cowden syndrome.

Ingabe kungcono ukuba nengozi enkulu noma encane yomdlavuza webele?

Ukwaba nengozi encane yomdlavuza webele kuvamile ukuthi kungcono, kodwa into ebaluleke kakhulu ukuba nokuhlolwa okunembile kwengozi okuqondisa ukunakekelwa okufanele. Ukuhlolwa okuyingozi ephansi kunikeza ukuthula kwengqondo futhi ngokuvamile kudinga ukuhlolwa okungagxili kakhulu kanye nokungenelela okuncane.

Nokho, kungaba khona izinzuzo zokwazi ukuthi unengozi enkulu. Abesifazane abanengozi ephakeme bavame ukuthola ukunakekelwa kwezokwelapha okuningi, okuhlanganisa ukuhlolwa okuthuthukisiwe okungathola umdlavuza ngaphambi kwesikhathi lapho kulashwa kakhulu. Baphinde babe nokufinyelela ekungeneleni kokuvimbela okunganciphisa kakhulu ingozi yabo.

Okubalulekile ukuthi izinga lakho lengozi kufanele libe linembile futhi lisekelwe olwazini olugcwele. Ingozi elinganiswe ngaphansi ingaholela ekuhlolweni okunganele, kuyilapho ingozi elinganiswe ngokweqile ingaholela ekukhathazekeni okungadingekile nasekwenzeni okungadingekile.

Okubaluleke kakhulu indlela wena nethimba lakho lezempilo enisabela ngayo ekuhlolweni kwakho kwengozi. Noma ngabe ingozi yakho iphezulu noma iphansi, ukuba nokuqonda okucacile kukunika amandla okwenza izinqumo ezinolwazi mayelana nokuhlolwa, ukuvimbela, nezindlela zokuphila ezisekela impilo yakho yesikhathi eside.

Ziyini izinkinga ezingaba khona zokuhlolwa okuyingozi ephansi yomdlavuza webele?

Ukuba nokuhlolwa okuncane kobungozi bomdlavuza wamabele ngokuvamile kuqinisekisa, kodwa ngezinye izikhathi kungaholela emuzweni wokuphepha ongamanga. Okukhathaza kakhulu ukuthi abesifazane abanokuhlolwa okuncane kobungozi bangase bangabi qapheli ngempilo yamabele, okungenzeka kulibazise ukuhlolwa okuvamile noma bangazinaki izimpawu ezikhathazayo.

Ukuhlolwa okuncane kobungozi kusekelwe olwazini lwamanje kanye nezibalo zezibalo, ezingaphelele. Ukuqina kwakho kungashintsha ngokuhamba kwesikhathi ngenxa yokuguga, ulwazi olusha lomlando womndeni, noma ukuthuthukiswa kwezinye izimo zempilo. Ukuthembela kakhulu ekuhlolweni okungase kube ngcono kobungozi obuncane kungaholela ekuhleleni okungafanele kokuhlolwa.

Ngezinye izikhathi, ukuhlolwa okuncane kobungozi kungase kuphuthelwe izinto ezibalulekile. Uma imininingwane yomlando womndeni ingaphelele noma ingaqondile, noma uma izici ezithile zofuzo zingathathwa njengento, ukuhlolwa kungase kulinganisele ngaphansi ubungozi bakho bangempela. Lokhu kungaholela ekuhlolweni okuncane uma okuningi kungaba usizo.

Kukhona futhi okungenzeka ukuthi ukugxila kuphela ekuqineni komdlavuza wamabele kungase kukhanyisele ezinye izinkinga ezibalulekile zempilo. Ngenkathi ubungozi obuncane bomdlavuza wamabele buqinisekisa, kubalulekile ukugcina ukunakwa empilweni yonke, okuhlanganisa ezinye izikrini zomdlavuza nempilo yenhliziyo nemithambo yegazi.

Ngaphezu kwalokho, abanye besifazane abanokuhlolwa okuncane kobungozi bangase bazilahle izimpawu ezikhathazayo, becabanga ukuthi ubungozi babo obuncane busho ukuthi ngeke bakwazi ukuthuthukisa umdlavuza wamabele. Noma yiziphi izinguquko ezintsha zamabele kufanele zihlolwe ngokushesha, kungakhathaliseki izinga lobungozi.

Yiziphi izinkinga ezingenzeka zokuhlolwa okuphezulu kobungozi bomdlavuza wamabele?

Ukufunda ukuthi unengozi enkulu yomdlavuza wamabele kungaba inselele ngokomzwelo futhi kungaholela ekukhathazekeni okukhulu noma osizini. Abanye besifazane baba nobunzima bokulala, ukukhathazeka okuqhubekayo ngokuthuthukisa umdlavuza, noma ukwesaba okuthinta ukusebenza kwabo kwansuku zonke kanye nekhwalithi yempilo.

Ukwahlulela okukhulu ngezinye izikhathi kuholela ekuhlolweni okweqile noma ekuphazanyisweni okungadingekile. Ngenkathi ukuhlolwa okuthuthukisiwe kungaba usizo, ukuhlolwa okweqile kungase kuholele emiphumeleni engamanga, ama-biopsies engeziwe, nokwanda kokukhathazeka ngaphandle kokuthuthukisa imiphumela yezempilo.

Kukhona futhi ingozi yokwenza izinqumo eziphuthumayo mayelana nezinyathelo zokuvimbela. Abanye besifazane bangase bazizwe becindezelwa ukuthi balandele izindlela ezinobudlova njengokuhlinzwa kwe-prophylactic ngaphambi kokuqonda ngokugcwele izinketho zabo noma ukufuna imibono yesibili ochwepheshe.

Imiphumela yomshuwalense ingaba nezinselelo kwabanye besifazane. Ngenkathi ukucwasa ngofuzo kungekho emthethweni ezindaweni eziningi, abanye besifazane bakhathazeka ngemiphumela engaba khona kumshuwalense wokuphila noma ukumbozwa kokukhubazeka ngokuya ngesimo sabo sengozi.

Ubuhlobo bomndeni bungase buthathe isikhathi lapho ukuhlolwa okukhulu kwengozi kuveza ulwazi mayelana nezifo zomdlavuza ezizuzwe ngofuzo. Lokhu kungase kubangele icala, ukusola, noma ukukhathazeka phakathi kwamalungu omndeni, ikakhulukazi uma ukuhlolwa kwezakhi zofuzo kuveza izinguquko ezithinta izihlobo eziningi.

Nokho, kubalulekile ukuqaphela ukuthi abesifazane abaningi abanokuhlolwa okukhulu kwengozi baphila impilo ejwayelekile, enempilo. Okubalulekile ukusebenza nethimba lakho lezempilo ukuthuthukisa uhlelo lokuphatha oluzizwa lulungile esimweni sakho futhi lunikeze ibhalansi efanele phakathi kokuqapha nekhwalithi yempilo.

Kufanele ngibone nini udokotela ukuze ngihlolwe ingozi yomdlavuza wamabele?

Kufanele ucabangele ukucela ukuhlolwa kwengozi yomdlavuza wamabele uma unomlando womndeni womdlavuza wamabele noma we-ovari, ikakhulukazi uma izihlobo eziningi ziye zathinteka noma uma imidlavuza yenzeka esemncane. Lokhu kuhlanganisa imidlavuza ezihlotsheni zombili zikagogo nomkhulu, njengoba izifo zomdlavuza ezizuzwe ngofuzo zingavela ohlangothini lomndeni.

Izinto zomlando wakho wezempilo nazo zidinga ukuhlolwa kobungozi. Uma uke waba nokuhlolwa kwamabele okukhombisa izilonda ezinobungozi obukhulu, watshelwa ukuthi unezicubu zamabele eziminyene kakhulu, noma unezinye izimo ezingase zikhuphule ubungozi bakho, ukuxoxa ngokuhlolwa nodokotela wakho kungokufanelekile.

Izinto ezihlobene nobudala zenza ukuhlolwa kobungozi kube yigugu ezigabeni ezithile zempilo. Abesifazane abaningi bayazuza ekuhlolweni kokuqala kobungozi ngasekupheleni kweminyaka yabo yobudala obungamashumi amabili noma ekuqaleni kweminyaka yabo yobudala obungamashumi amathathu, ikakhulukazi uma behlela imindeni noma benza izinqumo mayelana nokusetshenziswa kwamahomoni okuvimbela inzalo noma ezinye izizathu zezokwelapha.

Ushintsho olukhulu empilweni lungase luphoqe ukuhlolwa kabusha. Lokhu kufaka phakathi ukuxilongwa okusha komdlavuza emindenini, ukufinyelela ekuya esikhathini, noma lapho ukuhlolwa kwangaphambilini sekuyiminyaka eminingi futhi kungase kungabonisi iphrofayili yakho yobungozi yamanje.

Uma uhlangabezana nokukhathazeka mayelana nobungozi bomdlavuza wamabele noma ukungaqiniseki mayelana namashedule afanele okuhlolwa, ukuhlolwa kobungozi okusemthethweni kungahlinzeka ngokusobala nokuthula kwengqondo. Ngezinye izikhathi, ukuba nezinombolo eziqondile kanye nengxoxo ehlelekile nodokotela wakho kusiza ukubhekana nezinkathazo ngempumelelo enkulu kunokuqinisekiswa okujwayelekile.

Ngaphezu kwalokho, uma ucabangela izinyathelo zokuvimbela njengemithi yokunciphisa ubungozi noma izinqubo zokuhlolwa ezithuthukisiwe, ukuhlolwa kobungozi okubanzi kunikeza isisekelo sokwenza izinqumo ezinolwazi mayelana nalezi zinyathelo.

Imibuzo evame ukubuzwa mayelana nokuhlolwa kobungozi bomdlavuza wamabele

Q.1 Ingabe ukuhlolwa kobungozi bomdlavuza wamabele kulungile ekuhlolweni komdlavuza ozuza ngofuzo?

Ukuhlolwa kobungozi bomdlavuza wamabele kuyindawo enhle yokuqala yokuhlolwa komdlavuza ozuza ngofuzo, kodwa akuyona yonke into. Lokhu kuhlola kusiza ukukhomba abesifazane abangazuza ekwelulekweni nasekuhlolweni kwezofuzo, kodwa akuthathi indawo yokuhlolwa kwezofuzo kwangempela uma amasistimu omdlavuza ozuza ngofuzo esolwa.

Amathuluzi okuhlola ubungozi alungele ikakhulukazi ukukhombisa amaphethini omlando womndeni asikisela izifo zomdlavuza ezizuzwe ngomlando. Uma ukuhlolwa kwakho kukhombisa ubungozi obukhulu ngokuyinhloko ngokuya ngomlando womndeni, ochwepheshe bezempilo bakho bazokuncoma ukwelulekwa ngofuzo ukuze nixoxe ukuthi ngabe ukuhlolwa ngofuzo kufanele yini isimo sakho.

Umbuzo 2. Ingabe ukuhlolwa kobungozi bomdlavuza wamabele obukhulu kubangela ukukhathazeka?

Ukuhlolwa kobungozi bomdlavuza wamabele obukhulu kungabangela ukukhathazeka, futhi lokhu kuyindlela ejwayelekile yokuphendula ekufundeni ngobungozi obukhulu bezempilo. Abesifazane abaningi baba nokucindezeleka ekuqaleni lapho bethola ukuthi izinga labo lobungozi liphezulu kunamanye, futhi le mizwa iyasebenza futhi iyaqondakala.

Kodwa-ke, abesifazane abaningi bathola ukuthi ukukhathazeka kwabo kuyancipha ngokuhamba kwesikhathi njengoba bethuthukisa uhlelo olucacile lokuphatha ubungozi babo. Ukusebenza nethimba lakho lezempilo ukudala isu lokuhlola nokuvimbela elenziwe ngendlela oyifisayo kuvame ukusiza ukuguqula ukukhathazeka kube umuzwa wamandla nokulawula impilo yakho.

Umbuzo 3. Kufanele ukuhlolwa kobungozi bomdlavuza wamabele kubuyekezwe kangaki?

Ukuhlolwa kobungozi bomdlavuza wamabele kufanele kuvuselelwe njalo eminyakeni emi-3-5, noma nini lapho kwenzeka izinguquko ezinkulu emlandweni wakho wezokwelapha noma womndeni wakho. Njengoba ukhula, ubungozi bakho buyanda ngokwemvelo, futhi imininingwane emisha ngempilo yamalungu omndeni ingathinta kakhulu ukubalwa kwakho kobungozi.

Izenzakalo ezinkulu zempilo ezinjengokukhulelwa, ukuya esikhathini sokuya esikhathini, noma ukuxilongwa komdlavuza omusha emndenini kuyizizathu ezinhle zokucela ukuhlolwa okubuyekeziwe. Ngaphezu kwalokho, uma amathuluzi amasha okuhlola ubungozi etholakala noma uma ochwepheshe bakho bezempilo bencoma ukuhlolwa kabusha, ukuvuselela ukuhlolwa kwakho kuqinisekisa ukuthi ukunakekelwa kwakho kuhlala kufanele izinga lakho lobungozi lamanje.

Umbuzo 4. Ingabe izinguquko zokuphila zinganciphisa isikolo sami sokuhlolwa kobungozi bomdlavuza wamabele?

Yebo, izinguquko ezithile zokuphila zingawuthinta kahle umkhuhlane wakho womdlavuza wamabele, nakuba izinga lomthelela lihluka ngokuya ngezici zakho eziyingozi. Ukugcina isisindo esinempilo, ukukhawulela ukusetshenziswa kotshwala, ukuhlala usebenza ngokomzimba, nokugwema ukusetshenziswa kwama-hormone okungadingekile konke kungaholela ekuqongeleleni ingozi ephansi.

Nokho, kubalulekile ukuqonda ukuthi izici zokuphila ngokuvamile zinemiphumela emincane ekubalweni kwengozi yonke, ikakhulukazi uma ingozi yakho ephakeme ibangelwa ikakhulukazi izici zofuzo noma umlando womndeni oqinile. Nakuba izinguquko zokuphila zizuzisa empilweni yonke futhi zinganciphisa ingozi, zingase zingashintshi kakhulu imiphumela yakho yokuhlola.

Q.5 Ingabe ukuhlolwa kwengozi yomdlavuza wamabele kunembile kuwo wonke amaqembu obuhlanga?

Amathuluzi okuhlola ingozi yomdlavuza wamabele anemingcele uma kukhulunywa ngokunemba kuwo wonke amaqembu obuhlanga ahlukene. Izibonelo ezisetshenziswa kakhulu zakhiwe kusetshenziswa idatha evela ikakhulukazi emiphakathini yaseCaucasia, engathinta ukunemba kwabo kwabesifazane bezinye izinhlanga.

Nokho, amathuluzi okuhlola amasha ayathuthukiswa futhi aqinisekiswa ngabantu abahlukene. Umhlinzeki wakho wokunakekelwa kwezempilo angakusiza ukuthi uqonde ukuthi imvelaphi yakho yobuhlanga ingawuthinta kanjani ukunemba kokuhlolwa kwakho ingozi nokuthi ngabe izinto ezengeziwe noma ezinye izindlela zokuhlola zingase zifanele isimo sakho.