Ukuhlukunyezwa okuhlukahlukene komjikelezo wokuya esikhathini (NMC) kuvamile kakhulu namhlanje, cishe owesifazane wesifazane wesibili uyazazi izinkinga zomjikelezo ongavamile. Ukuxilongwa kwe-NMC ekuthandeni kwegazi kuyabeka uma:
- isisindo senyanga (ngaphansi kuka-50-80 ml) noma esiningi (ngaphezu kuka-150 ml);
- ubude besikhathi sokuya esikhathini kungaphansi kwezinsuku ezingu-21 noma ngaphezulu kwezinsuku ezingama-35;
- Ukuphuma kwesikhashana kungapheli izinsuku ezintathu noma ngaphezulu kwezinsuku ezingu-7;
- Ukugeleza kokuya esikhathini kuhambisana nezibungu ezinzima esiswini esingaphansi.
Izimbangela nokuphathwa kwama-NMC
Kubalulekile ukukhumbula ukuthi ukuxilongwa kwe-NMC ekuguleni komzimba kuyisifo sesifo esithile, okukhona okwaholela ekusebenziseni ukungasebenzi emgomweni we-hormonal.
Izizathu ze-NMC zihlukene kakhulu. Ukuphazanyiswa okwesikhashana komjikelezo kungabangela ukucindezeleka nokukhathazeka, izifo ezithathelwanayo, ezivuthayo nezikhukhumeza zesifo sobulili nezinye izitho zangaphakathi, ukulimala okudabukisayo noma ukuphazamiseka kwe-endocrine.
Ezinzini zokubeletha, kukhona ukuthambekela kokuxilonga i-NMCs yamantombazane nabesifazane abanesifo esiyilungelo lesi sifo. Ukungabikho okweqile kwamalungu omzimba wesifazane nakho kungenzeka.
Okungenani kudingeka izinyathelo ezintathu zokuxilonga ukuthola ukuthi kungani imbangela nenhloso yokwelashwa okwanele kwe-NMC:
- ucwaningo lwephrofayli ye-hormonal yowesifazane;
- i-bacteriological smear kusuka kwesifazane ;
- I-Ultrasound - ukuziphatha kwe-ultrasound ku-NMC kuyadingeka ukuba kungabandakanyi izifo zokubeletha ezitholakalayo nezitholakalayo.
Ukwelashwa kwe-NMC kuhloswe ekuqedeni imbangela ye-disorder. Ngakho-ke, owesifazane angadinga ukwelashwa kwe-hormone, i-physiotherapy, izakhi zokudla okunomsoco kanye ne-vithamini, ukuthatha izidakamizwa ezilwa nokuvuvukala kanye nezidakamizwa ngisho nokuhlinzwa.
I-NMC esikhathini sokuzala ihlale inenkinga yabesifazane abafisa ukukhulelwa. Ngenhlanhla, ngosizo lwezinqubo zesimanje zokwelapha, uhlobo lwenkambo yokuya esikhathini kuholela ekuguqulweni okukhulu, ngisho nalapho kutholakala khona i-NMC, ukukhulelwa ezimweni eziningi kwenzeka.
Izinhlobo zokungena esikhathini
Izinhlobo ezivame ukutholakala ngazo zonke izinkinga zokungena esikhathini uku:
- I-NMC ngohlobo lwe- oligomenorrhoea . Lesi sifo asivamile (sinesikhathi sokuhamba kwezinsuku ezingu-40-180) nesikhashana (kuze kube yizinsuku ezimbili) nyanga zonke. Uhlobo lwe-NMC u-oligomenorrhea luxilongwa kwabesifazane abathathu abangaphezu kwekhulu, ngokuvamile lesi sifo sihambisana nabesifazane abasha.
- I-NMC ngohlobo lwe-hyperspolymenorei. Le ngxabano ibhekwa umjikelezo omfushane (izinsuku ezingu-14-20) esikhathini sokuya esikhathini futhi isikhathi eside (esingaphezu kwezinsuku ezingu-7) sokuphuma esikhathini. Uhlobo lwe-NMC uhlobo lwe-hyperspolymenorei oluyingozi lungahle lwenze ukulahleka kwegazi oluvuthiwe futhi ngokuvamile lwenzeka ngokumelene nesimo sezifo ezinzima zesifo somzimba.
- I-NMC ngohlobo lwe-metrorrhagia. Eyaziwa ngokuphuma kwegazi, hhayi okuhlobene nomjikelezo wesimiso. I-NMC ngohlobo lwe-metrorrhagia mhlawumbe isifo esibucayi kakhulu, ngoba cishe ngaso sonke isikhathi sibonisa izifo ezinzulu zamalungu omzimba wesifazane (ukuguguquka kwamanzi, i-myome, i-polyps, umdlavuza womlomo wesibeletho, i-ovarian tumor, i-endometritis ejulile, njll), nokukhulelwa, uhlobo lwe-metrorrhagia luhambisana nokukhulelwa kwesisu nokukhulelwa kwe-ectopic.
- I-NMC ngohlobo lwe-menorrhagia (polymenorrhea). Isifo esivamile kakhulu esihlotshaniswa nokudlula ngokweqile (ngaphezu kuka 150 ml) kanye nokulahleka kwegazi (izinsuku ezingaphezu kwezinsuku ezingu-7) ngesikhathi sokuya esikhathini,
kuyilapho ubude besikhathi sokuya esikhathini akuphuli. - Ukuphulwa komjikelezo wokuya esikhathini (i-NMC) ku-premopause
- I-NMC ngesikhathi sokuqala kwesimiso (i-NMC ngohlobo lwe-oligomenorrhea yomzimba noma i-menorrhagia) yinto yemvelo yimuphi owesifazane. Njengoba uneminyaka yobudala, umsebenzi wama-ovary uphela, izinga lokukhiqizwa kwe-hormone liyancipha, emva kweminyaka engama-40 owesifazane unenkathi ye-premenopausal (inkathi ye-premenopausal). Kule nkathi, isikhathi somjikelezo wokuya esikhathini siyancipha, bese sikhula, futhi ukuphuma kwezimpawu zokuya esikhathini kuyashintsha futhi. Lesi simo sihlala iminyaka engu-6 kuze kube sesikhathini sokugcina esikhathini.