Ukudweba izinhlungu emathunjini aphansi yisimpawu esingenasimo esijwayelekile sezifo eziningi. Esigabeni sesifuba kukhona ukuqoqwa okukhulu kwezimbambo ezinobuthi obucayi, ngakho-ke impulses ebuhlungu evela ezinzimbeni zomzimba zilukhuni ukubona ngeSikhungo Sezinzwa Eziphakathi. Uma udonsa isisu esingaphansi, udinga ukuthola iseluleko sososayensi bese uhlola. Ngemva kokutadisha i-anamnesis (uhlobo lobuhlungu, indawo yokusabalalisa, izimo zomsuka, indawo yangakini, izimpawu zokuxhumana) kanye nokuhlaziywa kwedatha ye-laboratory, udokotela uzobeka ukuxilongwa okufanele futhi anikeze ukwelashwa okufanele.
Udonsa phansi kwesisu - izimbangela nezimpawu ezicacile ezibonisa izifo ezithile:
- Ukuvuvukala okubhebhethekayo kwezitho zomzimba. Ama-chills, fever, ukuphuma kwe-purulent kusuka kwesifazane, ubuhlungu nokukhululeka esiswini esingaphansi;
- izifo eziqhubekayo zesistimu ye-genitourinary (i-cystitis, i-endometritis, i-salpingitis). Ukusuka kwamagciwane, ubuhlungu obukhulu bezinkinga zokuya esikhathini, ukudweba ubuhlungu emathunjini aphansi;
- isigaba esibucayi se-ovarian pathology (i-tumor neoplasm, i-cyst). Isisu esingaphansi sidonsa ngenxa yokuphuka kwe-ovary / cyst, ukuphuma kwegazi / ukuhlukana kwe-cystic fluid ecasula i-peritoneum;
- isifo sokuvuselela ngokweqile ama-ovari. Ivela kubantu besifazane abahlukumeza izidakamizwa ze-hormonal ezikhuphula ukwanda ngobukhulu be-ovary, okuholela ebuhlungu obukhulu esiswini esingaphansi, ukuqhuma, ukuzuza kwesisindo;
- ukufakwa kwe-appendicitis. Isibonakaliso esithile - ubuhlungu obuningi esiswini esingaphansi kwesokudla, isicashu, ukuhlanza;
- ukukhulelwa kwe-ectopic. Ectopic pregnancy, ubuhlungu besisu bulimaza njengenyanga, ngokunyuka kancane kweso sifo sosizi, uma kwenzeka ukuphuma kwe-tube ne-intra-esiswini kwegazi, kwenzeka ubuhlungu obukhulu.
Kungani udonsa isisu esingaphansi ngaphambi kwenyanga
Izinzwa ezibuhlungu ngaphambi kokuya esikhathini zibonakaliswa ngezindlela ezahlukene: isisu singadonsa, sande, silimale. Konke lokhu kwenzeka ngokubambisana nokwandiswa kwesistimu yesimiso, ukwephulwa komsebenzi wamathambo emathunjini, izinhloko eziphuthumayo.
Izimbangela ezivamile zenzeka:
- izinguquko ngokungazelelwe embusweni wokuphumula, ukulala, umsebenzi;
- ukukhathala okungapheli;
- ukucindezeleka, ukuphazamiseka kwemizwa, ukucindezeleka;
- ukutholakala kwe-foci yokuvuvukala ezingxenyeni zesikhumba esincane;
- ukusetshenziswa kokungafundile kokukhulelwa kwe-hormonal;
- ukukhipha isisu, imisebenzi yokuhlinza ngezidakamizwa;
- ukwehluleka kwe-neural lipid metabolism;
- ukuqoqwa kwamanzi emzimbeni;
- ukuntuleka kweprogesterone nokukhiqizwa kwe-estrogen ngokweqile esigabeni sokugcina somjikelezo.
Kulimaza futhi kudonsa esiswini esingaphansi ngemuva kokuya esikhathini
Ubuhlungu obukhulu emathunjini aphansi ngesikhathi noma ngaphambi kokuya esikhathini kuyisilinganiso sokuphila. Futhi kungani kudonsa isisu emva kokuya esikhathini? Kunezinguqulo ezimbili zokuthuthukiswa kwezehlakalo: ukuguquguquka kwesimiso sokugula, okusho ukungenelela kokuphuthumayo okuphuthumayo, nokuphambuka okuvumelekile okujwayelekile.
Okuhlukile kokujwayelekile
- I-postovulatory syndrome. Ngesikhathi sokuvuthwa kweqanda, iqanda elilungele ukukhulelwa lishiya i-follicle ye-ovariya emgodini wesisu, lapho "ihlanganisa khona" izinqubo zamatayipi omzimba futhi iqala ukuhambisa esibelethweni. Ngemuva kwezinsuku ezintathu kuya kwezinyanga ezintathu emva kokukhulelwa emgqonyeni we-fallopian, iqanda le-fetal lifakwe emgqonyeni we-uterine mucosa, uma ukukhulelwa kungenzeki, emva kwamahora angu-24 kuya ku-24 kuya ocansini isitholi sobulili sifa. Izazi ze-gynecologists zihlukanisa igama elilodwa - i-postovulyatorny syndrome, okubangelwa izinguquko emlandweni we-hormonal.
Izimpawu:
- isisu esingaphansi sibuhlungu;
- ngokungazelelwe kwandisa libido;
- uhlobo kanye nenani lokuguqulwa kwesisu;
- isimo sombuso jikelele nesimo somzwelo siyaqhubeka.
- Ukukhulelwa. Uma ngemuva kokuvuthwa kwegazi kudoba isisu esingaphansi, kungenzeka ukuthi ukhulelwe. Ukwethulwa kweqanda emdongeni wesibeletho kuhambisana nokukhululwa kwama-enzyme ancibilikisa izibilini zesisu - lokhu kubangela umonakalo emithanjeni yegazi nobuqotho bezincubu, okuchaza ukukhathazeka okuncane esiswini. Isibonakaliso sesibili sokukhulelwa ukuphuma kwegazi (kubonwe kwabesifazane abangu-10-20%), okungukuthi ukukhishwa okubomvu / okubomvu okwenyukayo.
- I-Premenstrual syndrome. Isakhiwo esiyinkimbinkimbi sezimpawu eziqala izinsuku ezingu-3-10 ngaphambi kokuqala komjikelezo. Inezibonakaliso eziningi, kufaka phakathi ukudonsa ubuhlungu emathunjini aphansi, ukuphazamiseka kwe-vegetative-vascular, nokuhlukunyezwa kwengqondo.
Izimpawu zesifo:
- ubuhlungu obukhulu esiswini, esingasuswa yi-analgesics futhi bubuhlungu kakhulu inhlalakahle;
- ukuphuma kwegazi, okuyinto ngezici ezihlukile ekutshalweni;
- ukuphazamiseka kwe-stool, ukuchama;
- ukungezwani kwemisipha yesisu;
- ukungabi nesifiso, umkhuhlane, ukukhanda ikhanda, ukunxanxathela, ukuhlanza, isizungu, ubuthakathaka obukhulu.
Udonsa isisu esingaphansi ngemuva kocansi
Ngemuva kobulili obude obude, ama-20-25% wabesifazane abhekana nezinhlungu ze-episodic / ezivamile esiswini esingaphansi. Abaningi banamahloni ukuvuma lokhu ngisho nongcweti, nokwandisa ukuhlupheka kwabo. Phakathi naleso sikhathi, izazi zezinkinga zomzimba zithi kukhona izindlela eziningi ezingenza ubulili bubuhlungu ngokuphelele.
Kungani kudonsela isisu emva kocansi - izizathu ngokulandelana kwesikhathi:
- ukuhlunga. Ukwesaba ngesikhathi sokulala ngokocansi kubangela ukuba imisipha yegciwane ivumelane - lokhu kubangela ukukhathazeka;
- I-Vaginismus. Uma isipiliyoni sokuqala socansi singaphumeleli, lo wesifazane wenza ukwesaba okukhulu okwesaba ukuthi kuphazamise umfutho, okuholela ekungenakwenzeka kwe-coitus ephelele;
- ukwephula ubuqotho be-hymen. Uma ukusondelana akuyona eyokuqala, nesisu sithinta njengokwokuqala, kungenzeka ukuthi spin ayiqedi ngokuphelele. Ngezinye izikhathi ubuntombi emkhakheni we-anatomical uqhekeke ngokuphelele kuphela ngesikhathi sokusebenza;
- ukuvuvukala. Inqubo yokuvuvukala iboniswa ngokubamba, ukushisa, ubuhlungu, ukuma emgodini ngenkathi / ngemva kokulala ngokocansi. Kulokhu, awukwazi ukwenza ngaphandle kokuhlolwa kwezifo ezithathelwana ngocansi (candidiasis, trichomoniasis, gonorrhea). Ngesikhathi sokwelashwa, umsebenzi wezocansi kufanele ulinganiselwe futhi kufanele uvikelwe ngekhondomu;
- ama-spikes. Zakhiwe ngenxa yokuvuvukala kwamathumbu noma ama-appendages. Ukuba khona kokunamathela kutholakala kuma-50% wabesifazane abaneminyaka yokubeletha, ngokuvamile abanikezi izimpawu zesifo, kodwa bazibonakalisa ngokwabo. Ukuphela kwendlela yokuphuma kungukuthi ukwenze ukwelashwa futhi ukhethe ukukhululeka kunakho konke okuphathelene nobulili;
- ukuphumula / ukuhlukunyezwa ngemuva kokuhlinzwa nokudiliva. Umbuzo uxazululwa ngendlela yokusebenza, ukuthuthukiswa kwemisipha ejulile nokukhethwa kokuhleleka okulungile;
- ukungqubuzana kwe-venous. Ukuziqeda isikhathi eside, ukuphila okungavamile kocansi, ukungabi nalutho kwe-orgasm kuholela ebuhlungu esiswini esingaphansi ngemuva kokuxhumana kocansi. Ngokuhamba kwesikhathi, ukungqubuzana kwezinambuzane kanye nesimo socansi oluvamile kuyisimo esiyinhloko ekuthuthukiseni izifo ezinzima zesisu - endometriosis, ukungasebenzi kwamathambo ama-ovari, i-mythas ye-uterine, ukukhathazeka;
- i-endometriosis. Kubonakala ubuhlungu be-syndrome, okubi nakakhulu ngaphambi kokuya esikhathini, ukubhekwa ngemuva / njalo ngenyanga, izinzwa ezibuhlungu emva kocansi;
- i-neuralgia yezinzwa ze-pelvic. I-nerve iyavuvukala ngenxa yokutheleleka, ukucindezeleka, i-hypothermia, eyenza ubuhlungu ebukhali emlenzeni;
- ukungalingani kwe-anatomical kwabalingani;
- ukukhululwa okungenele kokugcoba. Yingumphumela wokususwa kwengubo ye-Bartholin, ukuvinjelwa kwengqondo (ukwesaba ukukhulelwa, ukungathandi ukwenza ucansi) noma ukungalingani kwe-hormonal (ukukhipha umkhuba, isikhathi sokuhamba kwesikhathi, ama-hormone).
Ngesikhathi sokukhulelwa, owesifazane kufanele aphathe ubulili ngokucophelela. Ababelethisi abangeke batusa ukulala njalo, ikakhulukazi uma emva kocansi kudonsela esiswini esingaphansi. Isizathu siwukuthi ukukhubazeka okuvamile kungenakukhathazeka ngenxa yezinguquko emisipha yebele kanye nesiswini, ngakho ukunciphisa kwabo kubangela ubuhlungu. Noma yiziphi izimpawu zokuhlunguphazeka, ubuhlungu obude emathunjini aphansi ngemuva kocansi - ithuba lokufuna usizo lwezokwelapha ukuze kuvinjelwe ukuqhubekela phambili kwamathambo agciwane elibi kakhulu.