Izinyanga zokuqala emva kokukhipha isisu
Kufanele kuqaphele ukuthi isikhathi sokungabi khona kwesikhathi sokuya esikhathini kungenxa yohlobo lwenqubo yokuqeda ukukhulelwa. Kodwa, kungakhathaliseki lokhu, emva kokukhipha isisu kufanele kuhambwe njalo ngenyanga. Kulesi simo, kubalulekile ukuhlukanisa negazi elihoxisiwe esibelethweni, okuvame ukurekhodwa emva kokuphathwa. Zihlala ezinsukwini ezingu-10. Izinsuku ezibucayi ngokuqondile kumele zilungiswe emva kwenyanga.
Izikhathi ziqala nini emva kokukhipha isisu?
Ngokuvamile, amantombazane aphethwe ekuqedeni ukukhulelwa, anesithakazelo kumbuzo wokuthi kungakanani emva kokukhipha isisu kuqala ngenyanga. Ephendula kuye, udokotela ulalele indlela yokuxhaphaza. Kukhona okuvamile: indlela encane yokudabuka indlela yokuqeda umbungu, ngokushesha ukutholakala kwe-endometrium ye-uterine, umjikelezo ubuyiselwa. Ngokwesilinganiso, ukugeleza kokuya esikhathini kubonakala ngemva kwezinsuku ezingu-28-35. Usuku lokukhwabanisa kuthathwa njengendawo yokuqala.
Zingaki izinyanga emva kokukhipha isisu?
Izinguquko zithinta kokubili isikhathi sokuqala kokuya esikhathini nokuhamba kwesikhathi. Ngokuvamile badlula, njengangaphambili. Ukutshela ukuthi zingaki izinsuku ezinyangeni zenyanga ngemuva kokukhipha isisu, izazi zezinzwa zikhuluma ngezinsuku ezingu-3-5. Ngenxa yezizathu ezihlukahlukene, lezi zikhathi ezihleliwe zingashintshwa. Phakathi kwabo kukhona:
- isikhathi esilandelayo sokubuyiselwa kwesizinda se-hormonal;
- izinkinga zenqubo (ukuphazanyiswa okuphelele, ukutholakala kwezinhlayiya ze-fetal esibelethweni);
- ukulimala okukhulu kwi-endometrium yezibeletho ngenkathi kukhishwa.
Izinyanga ezinzima emva kokukhipha isisu
Umthamo omncane ungenxa yokuhluleka kwe-hormone emzimbeni, okubonwa nganoma yiluphi uhlobo lokuyeka ukukhulelwa. Ezimweni ezinjalo intombazane idinga imithi. Ngokuvamile izinyanga ezimbalwa emva kokukhipha izisu ziyeza lapho kwenziwa ngosizo lwemithi. Kulokhu, ukuya esikhathini kuzuza izici ezilandelayo:
- ukukhishwa kwamanzi izinsuku ezingu-1-3;
- ukuxubha okuphindaphindiwe ngemva kwesonto.
Izinyanga eziningi emva kokukhipha isisu
Lesi simo akuvamile ngemva kokusebenza. Izinyanga ezinamandla emva kokukhipha isisu kunalolu hlobo lokuqeda ukukhulelwa, njengoba ukuhlunga kungenxa yalokhu, ukuhlukunyezwa okukhulu kwesendlalelo se-endometrial lesibeletho. Kwezinye izimo, ukulimala emigqeni ejulile, kuze kube yimisipha, kungalungiswa. Izindleko eziningi zibizwa ngokuthi lezo:
- unomthamo we-80 ml noma ngaphezulu (amaphuthi enhlanzeko ahluka njalo emahoreni angu-1-2);
- ubude bungaphezulu kwezinsuku ezingu-7.
Kungani kungabikho ukukhipha isisu njalo ngenyanga?
Ngokwejwayelekile kuvunyelwe isikhathi sokuhamba kwezinsuku ezingu-25-35 - isikhathi eside emva kokukhipha isisu, azikho izinyanga zenyanga phakathi kwama-35-45% wabesifazane. Uma zingagcinwa emva kwesikhathi esibekiwe - kufanelekile ukuxhumana nodokotela. Phakathi kwezizathu eziyinhloko zokuchaza ukuthi emva kokukhipha isisu isikhathi eside akukho inyanga zonke, odokotela bayabiza:
- Ukuhluleka kwe-Hormonal. Ngokuvamile iqala indlela yokusebenzisa izidakamizwa zokuxhaphaza. Ezimweni ezinjalo, vela izidakamizwa eziqondisa uhlelo lwe-hormonal.
- Izinqubo zokuvuvukala. Ukuphulwa kwemithetho yokuxhaphaza, ukuhlunga kwezinsimbi, kungaholela ekuthuthukiseni inqubo yokuvuvukala ohlelweni lokuzala. Ngenxa yalokho - emva kokukhipha isisu azikho izinyanga zenyanga. Ukuhlolwa okwengeziwe, ukuqokwa kwezokwelapha ezifanele yizidingo ezibalulekile ezimweni ezinjalo.
- Ukulimala okwedlulele ekwakhekeni kwangaphakathi kwesibeletho. Ukuze ubuyisele umjikelezo, umzimba uthatha isikhathi. Ubude bale nkathi yizinyanga ezingu-3-5.
Inyanga emva kokukhipha isisu
Ngokuvamile, amantombazane abhekene neqiniso lokuthi emva kokukhipha isisu akukwenyanga inyangazonke isikhathi eside. Lokhu kuyiqiniso ngenxa yesikhathi sokubuyiselwa kwesimiso se-hormonal. Lapho kuqala ukukhulelwa, kunyuke ekukhuleni kwe-hormone progesterone, i-prolactin, evimbela ukuvuthwa nokuya esikhathini. Ukumiswa kokufakelwa kokusebenza kwenziwa ngesikhathi esifanayo, kodwa umzimba udinga isikhathi sokuhlelwa kabusha - ngenxa yalokhu, ngemuva kokukhipha isisu akukho izinyanga zenyanga. Cishe ngemva kwenyanga, ukubuyiselwa kokuya esikhathini nokujikeleza konke kungenzeka. Kwezinye izimo, umjikelezo owodwa ungaba nomzimba ophuzizayo - iqanda aliphumi futhi akukho nokuya esikhathini.
Inyanga emva kokukhipha isisu
Ngemva kokuxhaphazwa okunjalo, intombazane ibona ukubonakala kwegazi okungenakho ukuxhumana nesehlakalo esiyinkimbinkimbi ohlelweni lokuzala. Zihlala ezinsukwini ezingu-10. Kanye negazi lishiya izinsalela zezicubu zomuthi we-uterine ezilimele. Ngokuqondene nesikhathi lapho kufika esikhathini sokuya esikhathini ngemva kokukhipha isisu, ababelethi babona ukuthi lezi zinhlobo azikwazi ukubikezela ngalokhu. Kumantombazane angama-nulliparous, inkathi ye-amenorrhea ingahlala ezinyangeni eziyisithupha. Kubantwana abanabantwana, isikhathi sokuvuselela sinciphisa sibe yizinyanga ezingu-3-4. Ngokuvamile, ukuya esikhathini kufanele kube inyanga kamuva.
Inyanga emva kokukhipha isisu
Le ndlela yokuqeda umbungu ibonakala njengengozi kakhulu, ngakho-ke isetshenziselwa kuphela izinkathi ezide futhi phambi kwezinkomba ezikhethekile. Ngemuva kokusebenza, kufanele uqaphele ngokucophelela isimo nemvamisa yesikhathi sokuya esikhathini. Kumele uqaphele ukuthi ukuvala i-clotting kungalungiswa inyanga kusukela ngesikhathi sokuxhaphazwa. Kudingeka ukuba uqaphele uma ukuphuma kwenqamuka, ngemuva kwezinsuku ezimbalwa. Uma kungekho ukukhipha isisu njalo emva kokukhipha isisu, lokhu kungabonisa i- hematometer - ukuphuma okuvela ku-spasm yomlomo wesibeletho.
Ngokuphathelene nesikhathi sokuqala kwezinsuku ezibucayi, odokotela bathi ukuthi ngenxa yokuphulwa kombuso we-basal we-endometrium, abangekho ezinyangeni ezimbalwa (2-4). Ukuze ugweme lokhu, kufanele ulandele ngokuqinile imiyalelo nodokotela. Ngakho-ke, odokotela baneluleka ukugwema ubuhlobo obuseduze phakathi nenyanga eyodwa. Kuhle uma ubulili buvuselelwa ngemuva kokuphela kwezinkathi zokuya esikhathini.
Kuthiwani uma kungekho ukukhipha isisu njalo?
Iqiniso lokuthi kukhona ukubambezeleka kokuya esikhathini ngemva kokukhipha isisu, odokotela babheka njengendlela ehlukile yokujwayelekile. Umzimba ngamunye wesifazane ungumuntu ngamunye, ukubuyiswa kwenzeka emazingeni ahlukene. Ukukhathazeka okukhulu kakhulu imiphumela yokuphazamisa uhlelo lwe-hormonal - izifo zesimiso sokuzala ( polycystic ovaries, uterine fibroids). Kukhona ukuxhomeka kwamathuba okuthuthukiswa kokuphulwa kusukela esikhathini sokuqedwa kokufakelwa kokubeletha - isikhathi sokubeletha sisele isikhathi eside, ukwephulwa komthetho kukhulunywa kakhulu.
Uma ukuya esikhathini kungenzeki izinsuku ezingama-35 ngemuva kwenqubo, kubalulekile ukuvakashela umjozi wezifo. Udokotela uqhuba ukuhlolwa okuphelele, ngesisekelo somphumela, ubeka imithi yokwelapha. Ihlanganisa:
- ukuhlolwa esikhwameni sesisu;
- I-ultrasound ye-pelvis encane;
- ukuhlolwa kwegazi ngamahomoni;
- ukuqeda ukutheleleka kwesistimu yokuzala (smear-taking).