Lisho ukuthini igama elithi "umjikelezo wokuya esikhathini"? Kanjani kahle ukucacisa ubude bayo nokujwayelekile?
Iphutha elivamile ukubala umjikelezo kusukela ekupheleni kokuya esikhathini. Eqinisweni, umjikelezo wokuya esikhathini yisikhathi kusukela ngosuku lokuqala lokuya esikhathini ukuya osukwini lokuqala olulandelayo. Ukuya esikhathini kuphela ukubonakaliswa komsebenzi wama-ovari, isikhathi lapho kubonakala khona, ngokukhuluma ngokomfanekiso - "izinyembezi zamanzi zesisu se-ovum esingafakiwe." Ingahlala ezinsukwini ezimbili ukuya kweziyisishiyagalombili - kuleso simo ngasinye. Ingqikithi yokulahleka kwegazi ngayinye esikhathini esisodwa kuphakathi kuka 80 ml.
Ngesikhathi sokuya esikhathini, ubuhlungu obukhulu kakhulu esiswini, isicanuche kanye nesisu sephazamiseka. Ingabe lokhu kuvamile?
Ngokujwayelekile ukuya esikhathini akufanele kube buhlungu, nakuba abesifazane abangama-20% kuphela abangena kuleli zinga. Omunye u-20% wabhekana nobuhlungu obukhulu nobuhlungu obukhulu. Bonke abanye bangase bazizwe bengakhululekile. Uma ikhona, izinga layo lokuqina kufanele libhekwe. Ukubuthakathaka okuncane kanye nokuzwa okulula kokusika isisu, okungadingi i-anesthesia futhi akuthinti impilo yansuku zonke, akusona isizathu sokuphakamisa ukwesaba. Into kuphela - ngesikhathi uvakashela umjozi wezifo zogciwane, kudingeka ukhulume ngalokhu. Uma ubuhlungu bubunzima kakhulu, noma bubi kakhulu, ukuphoqelelwa ukuthatha indoda egulayo, kubangele ukuphelelwa amandla, kufanele nakanjani uye kudokotela, futhi ungacabangi ngokuthobeka "ngesimo esiyinkimbinkimbi sowesifazane." Lezi zimpawu ezingathí sina kungaba ubufakazi bokuthi isifo sokuqala: i-endometriosis, i-cysts - noma isibonakaliso sokuthi owesifazane usengozini yokuthuthukiswa. Udokotela wezifo uzoqeda izinkinga ezikhona, kodwa futhi anikeze ukwelashwa (kuye ngokuthi isimo - i-hormonal noma i-nonhormonal), okuzosiza ngesikhathi esisodwa ukususa ukungazinyanga kwenyanga futhi kube ukuvimbela isifo. Ngaphezu kwalokho, ngokuqinisekile uzotusa ama-painkillers ngemithi engeyona i-steroid.
Ezinsukwini ezimbalwa ngaphambi kwenyanga, isifuba siguquke futhi siba buhlungu. Ngaphezu kwalokho, isisindo sanda ngaphandle kwezizathu. Yini exhunyiwe?
I-engorgement yebele nesisindo somzimba esifundeni sesibili somjikelezo kungenzeka futhi sivame kakhulu. Lokhu kungenxa yokugcinwa kwamanzi okubangelwa yisenzo se-progesterone ye-hormone. Umbuzo wokuthi ukukhathazeka kuncike ekutheni izimpawu ziyingozi kangakanani. Uma beveza izinkinga ezizwakalayo nobuhlungu, bephazamisa inkambo evamile yokuphila, kubalulekile ukuthatha izinyathelo: ukubhalisa nomjozi wezifo zogciwane, uthola ukwelashwa ngemithi ekhethekile yokulungisa isimo. Uma lokhu ukuvuvukala kwesifuba, okungeke kuvezwe, akufanele ukhathazeke. Ngemuva kokuhlolwa, udokotela, ngaphandle kwe-pathology, angancoma ukwelashwa kwe-hormone noma ukubeletha kwezingane; Ngaphezu kwalokho, ngezinye izikhathi i-diuretic elula ishiwo.
Phakathi nomjikelezo ngezinye izikhathi kukhishwa isisu. Kungaba yini?
Cishe, sikhuluma nge-ovulatory syndrome - izici zokugeleza kwe-ovulation. Abanye besifazane abazizwa nhlobo, kuyilapho abanye bezwa ubuhlungu obukhulu, ngezinye izikhathi behambisana nokukhishwa okuncane kwegazi. Ukusho ukuthi lokhu kuyinto evamile akulungile, ngaphansi kwezimo ezinjalo kufanelekile ukubonisana nodokotela. Phela, kungaba yinkomba yokuthi kunenqubo yokwelapha emzimbeni, okumele imiswe ekuqaleni.
Ingabe sivumela ubulili ngesikhathi sokuya esikhathini?
Kusuka kokubukwa kwezokwelapha, cha, futhi ngezizathu eziningana. Lokhu kubi kowesifazane yena nomlingani wakhe. Kulezi zinsuku kungabangela izifo ezivuthayo zesifo sangasese. Kulabo besifazane abenza ucansi ngesikhathi sokuya esikhathini, inkambo yokusebenza ngokomzimba, ithoni yesisu, iphukile, igazi lithelelwa emgodini wesisu. Esikhathini esizayo lokhu kungabangela ukuthuthukiswa kwe-endometriosis.
Kungenzeka yini ukubambezela noma ukusheshisa ukuqala kokuya esikhathini?
Ukuphathwa kokuya esikhathini njalo kuyenzeka kangcono ngaphansi kokuqondiswa komzimba wezifo zokwelapha. Kunezinketho eziningi zokwenza lokhu. Isibonelo, kusukela ngosuku lokuqala lwenyanga, qala ukuthatha izisu zokubeletha ngomlomo; Ukwandisa umjikelezo wezinombolo ezifunwayo zezinsuku, kubalulekile ukulondoloza ukufakelwa kwezidakamizwa kule nkathi. Ngakho-ke, ukuze kuphuthumise ukuqala kokuya esikhathini, kuyadingeka ukunciphisa isikhathi sokuthatha isisu sokukhulelwa. Kumele kukhunjulwe njalo ukuthi izakhi zokubeletha ngomlomo zikhethwa ngumjozi wezifo zokwelapha kuphela emva kokubelethwa kwe-hormonogram, i-ultrasound, i-blood coagulogram. Ukhetho lwesibili lokulawula umjikelezo kuthatha amalungiselelo e-progestin kwisigaba sesibili somjikelezo. Ngumuphi udakamizwa okhethwayo, udokotela unquma, ngokusekelwe eminyakeni yobudala besifazane kanye nesimo sempilo. Kunoma yikuphi, ngokuvamile akunakwenzeka ukusebenzisa lezo zindlela, kungaphazamisa umjikelezo.
Ukunakekelwa okudingekayo
Ukwesifazane okungenalutho ukuqonda kahle ukuthi umzimba wakho nomphefumulo wakho udinga yini. Ukuziqonda ngokwakho kuwumsebenzi cishe wonke ukuphila, kodwa ukuqonda izidingo zomzimba wakho kulula. Ifuna nje ukunakekelwa, ikakhulukazi ezindaweni ezibucayi eziseduze. Ngakho-ke, owesifazane ohloniphekile usho ukukhathalela izindawo eziseduze kufanele asinikeze umuzwa wokuhlanzeka nokuhlanzeka, futhi - ukuqeda uma kunesidingo iphunga elimnandi nokusiza ukugcina ukulinganiswa kwe-pH esiswini kulo lonke umjikelezo wanyanga zonke ukuze ugweme ukukhula kwama-bacterial opportunistic. Ngakho-ke, kuthi, phakathi nenyanga ngenyanga izinga le-pH esiswini lifinyelela ezinkomba ze-4.5. Ngakho-ke, sizosebenzisa umkhiqizo wokusetshenziswa nsuku zonke oqukethe i-lactic acid. Isibonelo, ukwakheka kokuhlanzeka kwansuku zonke kwe-Lactacid Femin kubandakanya u-0.07% we-lactic acid, kusiza ukugcina ibhalansi ejwayelekile ye-acid-base. Ungayisebenzisa kokubili ekuseni nakusihlwa.
Ngifuna ukugcina umuzwa wokuhlanza emini?
Khona-ke kufanele usebenzise ama-napkins ukuze uhlanzekile. Kubo, abesifazane bafaka phambili isidingo: kumele babe ababuthakathaka, bangacasuli indawo ye-vulvovaginal futhi bavimbele ukwakheka iphunga elimnandi. Amapayipi okuhlanzeka nsuku zonke I-Lactacid Femina iqukethe u-0.58% we-lactic acid (pH 4.8), ivimbela ukukhula kwamabhaktheriya angama-vaginal angenelayo, okulula kakhulu ukuwasebenzisa uma ubalekile ekhaya. Kukhona izindlela zokuhlushwa okuphakeme kwe-lactic acid. Ngakho-ke, ukuhlanzeka kwe-Lactacidum Femina Plus kufinyelela ku-1%. Kuyafaneleka uma kudingekile ukubuyisela izinga elihle le-pH yesisindo ngesikhathi sokuya esikhathini , ukungena kokubeletha kwe-hormonal, ngesikhathi sokukhulelwa nangemva kokubeletha, ngokuphazamiseka kwegazi, ngesikhathi sokuya esikhathini.
Kungaba nezikhathi ezinyangeni zokuqala zokukhulelwa? Lokhu kuchazwa kanjani?
Ngezinye izikhathi kakade sekukhona ngesikhathi sokukhulelwa, abesifazane bayazibona. Njengomthetho, azibukeli njengenyanga evamile, noma esikhathini eside, ngobuningi, noma esimweni sokukhishwa. Kukhona ubandlululo oluningi ukuthi akuyingozi, kodwa akunjalo. Ngokukhulelwa okuvamile, akumele kube khona ukuphuma kwegazi. Ukubukeka kwabo kubonisa izinkinga ezinkulu: isibonelo, inqola yeqanda le-fetal ekuqaleni kwezigaba noma i-placenta ngosuku oluzayo; ukukhula kwesisu; lokhu kungase kube esinye sezibonakaliso zokukhulelwa kwe-ectopic. Ngakho-ke, uma kukhona ukubona, udinga ukuphuthuma ukuyobona udokotela. Nge ukwelashwa okufika ngesikhathi, ukukhulelwa kungagcinwa.
Uyini ubufakazi bokuvela kwezindwangu zegazi ngesikhathi sokuya esikhathini?
Uma uhlobo lwemfihlo lushintshile - seluvame kakhulu, ama-clots aqale ukuvela, kubalulekile ukuthi ube nokuhlolwa ne-gynecologist kanye ne-ultrasound. Lokhu kungase kube uphawu lokuqala lwe-fibromyoma (ukukhula kwesifo sofuba se-uterine), i-endometrial polyposis (izinguquko zangemuva kusuka ku-uterine mucosa), futhi ngezinye izikhathi kokubili; endometriosis, ukubukeka kwama-cysts ama-ovarian. Ngezinye izikhathi imbangela yezimo ezinjalo ingaba ukulahlekelwa / ukunyuka kwesisindo esibukhali, izindiza ezindala, ushintsho olukhulu lwezulu. Kodwa ngaphandle kokuhlola isazi mayelana nezizathu umuntu angaziqagela, ngakho-ke, ukubonisana kuyadingeka.
Ngesikhathi sokuvuthwa kwegazi, ukuphuma kuvela, kubombala nokuvumelana okufana nomhlophe weqanda. Ingabe lokhu kuvamile?
Izinsuku ezimbili ngaphambi nangesikhathi sokuvuthwa, uketshezi lwesisu kuhlale luvame kakhulu, lubala futhi luvulekile. Lokhu kujwayelekile futhi kuhlotshaniswa nokwanda kwenani le-mucus esiteshini somlomo wesibeletho. Le umsizi usiza isidoda ukuba sidlule emgodini ophuma esiswini ukuya esibelethweni, ukuze uhlangabezane neqanda ngokushesha. Ngakho wakhulelwa ngendlela enengqondo.
Kunombono wokuthi phakathi nenkathi yenyanga noma yikuphi ukusika kuhlala isikhathi eside. Ingabe kunjalo?
Ngenxa yokulungiswa kwama-hormone kushintsha isimo segazi coagulability. Ngempela, kukhona ukuthambekela kokugaya isikhathi eside nokuphulukiswa kwezicubu. Ngakho-ke, ngalesi sikhathi akufanele uvakashele udokotela wamazinyo, wenze noma yikuphi ukuhlela okuhleliwe nokusebenza, okuphakamisa ngisho nokulahlekelwa kwegazi okuncane kakhulu. Lezi zincwadi ezintathu - i-PMS - zifihle ngemuva kwazo ukuthi yini ephenduka i-enchantress ibe yintukuthelo, futhi i-generator-generator engunaphakade ibe yinkomnambulist. Futhi lokhu akulona uhlu oluphelele lwalokho i-premenstrual syndrome eyenziwa nabesifazane. Sabuza ochwepheshe bethu ukuba basho ngaye. Izinguquko zokudideka ngesikhathi se-PMS cishe ema-100% amacala ahlotshaniswa nokushintsha kwe-hormone. Ngakho-ke, lezi zikhathi ezibucayi kufanele zixoxwe nodokotela wamazinyo kanye ne-homeopath. Phela, umzimba - isistimu yobuqotho, ayikho imbangela nomphumela - kunesixhumanisi kuphela. I-Homeopathy, njenge-psychology, izama ukulinganisela lobu buqotho. Isizinda sethu se-hormonal sibhekene nesimo sethu sengqondo, okuyinto futhi, esithinta ama-hormone. Kwenzeka ukuthi imbangela yokungalingani kwe-hormonal inemvelaphi engokwengqondo, ngakho-ke kubalulekile ukusebenza ngalesi siqondiso nomqondo wezengqondo noma kwengqondo. Njengesazi sokusebenza kwengqondo, ngingasho ukuthi amaklayenti anakho konke kahle emkhakheni wezocansi futhi impilo yakhe enemibala enhle ngokomzwelo ayinakwenzeka kakhulu ukukhononda nganoma yiziphi izimpawu ze-PMS. Kubalulekile ukwazi umzimba wakho, cishe ukuqagela lapho le PMS ingaqala, futhi ngesikhathi sokuzixhasa. Kuvela ukuthi esimweni ngasinye ngabanye, ukwelashwa kwe-PMS kungasetshenziswa futhi kufanele kusetshenziswe njengezindlela zokwelashwa ezingaphezulu, njenge-homeopathy nezinye izindlela zokuzinza ibhalansi ye-hormonal, nokusiza kwengqondo. " "Ukukhuluma ngokwesayense, i-premenstrual syndrome (PMS) isethi yezimpawu eziyinkimbinkimbi ezenzeka ezinsukwini ezingu-2-10 ngaphambi kokuya esikhathini. Ukubonakaliswa kwayo kuphazamiseka ngokwengqondo kanye nemifino yemifino yegazi, engamaphesenti angaba ngu-90% wabesifazane! Futhi zihluke kakhulu (ezingaphezu kuka-150!) Futhi esimweni ngasinye ngabanye. Singahlukanisa ubuciko obukhulu kakhulu: ikhanda, ukubhula, ukukhathala, ukuphazamiseka kokulala, ukucasula, ukukhala, ukucindezeleka, ukungabikho kwengqondo, ukwehlisa ukusebenza kahle. Mayelana nokuvela kwe-PMS, kunezinkolelo eziningi, kodwa akekho ochaza isizathu kanye nendlela yokuthuthukiswa kwayo. Ngesikhathi esifanayo, cishe wonke owesifazane okhononda nge-syndrome uyazi kahle ithonya lakhe empilweni. Akunakwenzeka ukusho ukuthi lawa angama-quirks abesifazane kuphela nesifiso sokulungisa isimo sengqondo esibi. Lesi yisimo sangempela abantu abaningi ababhekana nabo. Akusekho isidakamizwa esingaba sisebenza kuzo zonke izibonakaliso ze-PMS. Noma kunjalo, ungakwazi futhi kufanele uphathwe. Ngakho-ke, uma uvakashela umama wezinkinga zokubeletha, kubalulekile ukumxwayisa ngazo zonke izici zokugeleza kwe-PMS. Konke kubalulekile lapha: isimo ngasinye somzimba, ubunzima bokubonakaliswa kwe-syndrome, ngisho nobuso bomlingisi kanye nesimo sengqondo somfazi. Njengomthetho, ukwelashwa kwe-ICP kuyinkimbinkimbi: kuyisizo somqondo wezengqondo, nokushintsha endleleni yokuphila, uhlobo lokudla, isimo sengqondo sokusebenza komzimba. Ungavumeli ukwelapha izidakamizwa: kungasetshenziswa njengezidakamizwa, nezinkimbinkimbi ezingekho ze-hormonal nezama-hormonal. "