Ukuphuma Kwamafutha Esithweni Sangasese Sowesifazane: Imibala, Izimbangela Nezindlela Zokuphatha

Yini Ukuphuma Koketshezi Okuvela Esithweni Sangasese Sowesifazane?

Ukuphuma koketshezi okuvela esithweni sangasese sowesifazane kuyisimo esingokwemvelo noma kwesinye isikhathi okungaba uphawu lwezinkinga zempilo, okungahlangabezwana nakho empilweni yabesifazane. Izinguquko kumbala, iphunga noma ukujiya koketshezi kungaba uphawu lwesifo sokutheleleka noma ezinye izimo zezokwelapha. Uma kuqapheleka ushintsho olungajwayelekile koketshezi, ikakhulukazi uma kunephunga noma ukubukeka okuhlukile, ukuxhumana nochwepheshe bezempilo kuyindlela ephephile kakhulu.

Yiziphi Izimbangela Zokuphuma Koketshezi Esithweni Sangasese Sowesifazane?

Ukuphuma koketshezi okuvamile kuyinqubo yemvelo ebalulekile ekuhlanzeni nasekuvikeleni isitho sangasese sowesifazane. Ubuningi boketshezi bunganda ngenxa yokuvuswa ngokocansi, isikhathi sokukhululwa kwamaqanda, ukuzivocavoca, ukusetshenziswa kwamaphilisi okulawula inzalo noma ukucindezeleka ngokomzwelo. Kodwa kwezinye izimo, uma ibhalansi yemvelo yamagciwane esithweni sangasese sowesifazane iphazamiseka, kungavela uketshezi olungajwayelekile nolungakhululekile. Izimbangela eziyinhloko ezingathinta le bhalansi yilezi:

• Ukusetshenziswa kwemithi equkethe ama-antibiotic noma ama-steroid

• I-bacterial vaginosis (ivame kakhulu kwabesifazane abakhulelwe noma abanabalingani abaningi bocansi)

• Amaphilisi okulawula inzalo

• Umdlavuza wesibeletho

• Izifo ezithathelwana ngocansi ezifana ne-chlamydia, gonorrhea

• Isifo sikashukela

• Ukusetshenziswa kwezinsipho ezinephunga, ama-lotion, i-bath foam noma ukugeza ngaphakathi kwesitho sangasese sowesifazane

• Ukutheleleka kwendawo ye-pelvis ngemva kokuhlinzwa

• Isifo se-pelvic inflammatory disease (PID)

• Ukutheleleka kwe-trichomonas

• Ukuwohloka nokoma kwezindonga zesitho sangasese sowesifazane ngesikhathi sokungabe kusaveli iminyaka yokuya esikhathini (vaginal atrophy)

• I-vaginitis (ukucasuka esithweni sangasese sowesifazane noma ezungezile)

• Ukutheleleka yisikhunta

Izifo Ezivamile Zesitho Sangasese Sowesifazane Nezimpawu Zazo

I-Bacterial Vaginosis

Inhlobo yokutheleleka okuvame kakhulu esithweni sangasese sowesifazane. Akugcini njalo ngokuba nezimpawu, kodwa uma zivele, kuvame ukuvela iphunga elingathandeki, elibukhali elifana nelinhlanzi, noketshezi olumpunga noma olumhlophe. Ukuba nabalingani abaningi bocansi kwandisa ingozi.

Ukutheleleka kwe-Trichomonas

I-trichomonas vaginitis idalwa i-parasite eyodwa ebizwa nge-Trichomonas vaginalis futhi ivame ukudluliselwa ngocansi. Ngezinye izikhathi ingadluliselwa ngokusebenzisa izinto ezifana nethawula noma i-swimsuit. Ingabangela uketshezi oluphuzi noma oluhlaza, olunephunga elibi; kungahambisana nokuluma, ubuhlungu, ukubomvu nokushisa. Kwezinye izimo azibonakali izimpawu.

Ukutheleleka Kwesikhunta (Candidiasis)

Kule nkinga evame kakhulu kwabesifazane, uketshezi kuvamise ukuba mhlophe, kufane nobisi olushisiwe, kungabi nephunga noma kube nephunga elincane. Ukuluma nokushisa kuvame kakhulu. Ukusetshenziswa isikhathi eside kwama-antibiotic, isifo sikashukela, ukukhulelwa, ukucindezeleka namaphilisi okulawula inzalo kwandisa ingozi yokutheleleka.

I-Gonorrhea ne-Chlamydia

Zombili lezi zifo zithathelwana ngocansi futhi zivame ukuhambisana noketshezi oluphuzi, oluhlaza noma olungacacile.

Isifo se-Pelvic Inflammatory Disease (PID)

Lesi sifo sivame ukubangelwa ukutheleleka kwamagciwane adluliselwa ngocansi, futhi singabangela uketshezi oluningi, olunephunga elingathandeki kanye nobuhlungu endaweni ye-pelvis.

I-Human Papilloma Virus (HPV) Nomdlavuza Wesibeletho

I-HPV yigciwane elingadluliselwa ngokocansi. Ngezinye izikhathi lingadlulela ngaphandle kwezimpawu; uma selidlulele kumdlavuza wesibeletho, kungavela uketshezi olunegazi, olunsundu noma olumanzi, olunephunga elibi elihlukile. Ukuhlolwa njalo kwe-Pap smear kanye ne-HPV kuvumela ukutholakala kusenesikhathi nokuvimbela.

Izinhlobo Zokuphuma Koketshezi Esithweni Sangasese Sowesifazane Nezimo Ezivamile

Ukuphuma koketshezi kungaba nezincazelo ezahlukene ngokuya ngombala, ubuningi kanye nezimpawu ezihambisana nakho:

• Ukuphuma Koketshezi Okumhlophe Futhi Okujiye: Kunganda ekuqaleni noma ekupheleni komjikelezo futhi kuvame ukuba okuvamile; kodwa uma kuhambisana nokuluma noma ukujiya okukhulu, kungaba uphawu lokutheleleka kwesikhunta.

• Ukuphuma Koketshezi Okucacile Futhi Okumanzi: Kuvamile ikakhulukazi ngemva kokuzivocavoca noma ezikhathini ezithile zomjikelezo.

• Ukuphuma Koketshezi Okucacile Futhi Okufana Nomucu: Kuvela ngesikhathi sokukhululwa kwamaqanda, kuyinto yemvelo.

• Ukuphuma Koketshezi Okunsundu Noma OkuneGazi: Kuvamile ngesikhathi noma ngemva kokuya esikhathini. Kodwa uma kuvela ngaphandle kwesikhathi sokuya esikhathini, ikakhulukazi uma kukhona ukusola ukukhulelwa noma kuphindaphindeka, kufanele kuhlolwe. Ngezikhathi ezithile kungaba uphawu lwezifo ezinzima ezifana nomdlavuza wesibeletho noma we-endometrium.

• Ukuphuma Koketshezi Okuphuzi Noma Okuluhlaza, Okunephunga: Kungaba uphawu lwezifo ezifana ne-trichomonas; kuvame ukuhambisana nokuluma, ukushisa uma uchama nokuchama kaningi.

Ezinye Izimpawu Okufanele Uzinake Uma Zihambisana Nokuphuma Koketshezi

Kwezinye izimo, ukuphuma koketshezi kungahambisana nezinye izimpawu eziyixwayiso. Uma zikhona lezi zimpawu ezilandelayo, kufanele uthole usizo lwezokwelapha ngokushesha:

• Izinga lokushisa lomzimba eliphezulu

• Ubuhlungu esiswini esingezansi

• Ukwehla kwesisindo okungachazeki

• Ukukhathala okuqhubekayo

• Ukuchama kaningi

Yiziphi Izivivinyo Ezenziwa Uma Unenkinga Yokuphuma Koketshezi?

Uma uya esikhungweni sezempilo, udokotela wakho uzobuza imininingwane ngezinkinga zakho, umjikelezo wakho wokuya esikhathini kanye nempilo yakho yezocansi. Imininingwane ebalulekile ebuziwe yile:

• Isikhathi sokuqala nokuhlala kokuphuma koketshezi

• Izici ezifana nombala, ukujiya kanye nephunga

• Izimpawu ezihambisana nakho ezifana nokuluma, ubuhlungu, ukushisa

• Inani labalingani bocansi kanye nezindlela zokuzivikela

• Ukuba khona kokugeza ngaphakathi kwesitho sangasese sowesifazane

Ngemva kwalokho, kwenziwa ukuhlolwa kwe-gynecological futhi uma kudingeka kuthathwe amasampula esithweni sangasese sowesifazane, esibelethweni noma koketshezi ukuze kufunwe amagciwane athile. Kwezinye izimo, kwenziwa izivivinyo ze-HPV noma umdlavuza wesibeletho.

Iyini Indlela Yokwelapha Ukuphuma Koketshezi Esithweni Sangasese Sowesifazane?

Ukwelashwa okuzosetshenziswa kuya ngesizathu sokuphuma koketshezi:

• Ekuthelelekeni kwesikhunta kuvame ukusetshenziswa amakhrimu, ama-suppository noma amajeli e-antifungal endaweni.

• Ekulashweni kwe-bacterial vaginosis kungasetshenziswa ama-antibiotic aphuzwayo noma asetshenziswa endaweni.

• Ukutheleleka kwe-trichomonas kwelashwa ngemithi ye-antiprotozoal ephuzwayo.

• Ezifweni ezithathelwana ngocansi, kungadingeka ukuthi bobabili abalingani belashwe ndawonye.

Kubalulekile ukuhlonza isimo esikhona nokuthola ukwelashwa okufanele ngokuhlolwa kwezokwelapha.

Izeluleko Zokuvikela Ukuphuma Koketshezi Esithweni Sangasese Sowesifazane

• Hlanzeka kahle endaweni yesitho sangasese sowesifazane usebenzisa amanzi afudumele kanye nensipho ethambile njalo.

• Gwema izinsipho ezinephunga, ama-lotion noma amafutha anamakha, ama-bath foam kanye nokugeza ngaphakathi kwesitho sangasese sowesifazane.

• Uma uhlanza emva kokusebenzisa indlu yangasese, hlanzeka usuka phambili uye emuva.

• Khetha izingubo zangaphansi ezenziwe ngotshani noma eziphefumulayo futhi ugweme izingubo eziqinile kakhulu.

• Qaphela izindlela zokuzivikela ezifanele ezimeni zezifo ezithathelwana ngocansi.

Ungakhohlwa ukuthi ukuhlolwa kwe-gynecological okuvamile kanye nokuhlolwa kodokotela kubalulekile ekutholeni nasekuvimbeleni izinkinga kusenesikhathi.

Imibuzo Evame Ukubuzwa

1. Ingabe ukuphuma koketshezi esithweni sangasese sowesifazane kujwayelekile?

Ukuphuma koketshezi ngobuningi obuthile futhi okucacile noma okumhlophe kancane kuvame ukuba okuvamile. Kodwa uma umbala, iphunga noma ukujiya kushintsha, ikakhulukazi uma kuhambisana nokuluma, ukushisa noma ubuhlungu, kufanele kuhlolwe.

2. Ukuphuma koketshezi okungajwayelekile kubukeka kanjani?

Uketshezi okungajwayelekile kungaba kuphuzi, okuluhlaza, onsundu noma okumpunga futhi kungaba nephunga elibi.

3. Kungani ukuphuma koketshezi kungaba nephunga elibi?

Ukuphuma koketshezi okunephunga elibi kuvame ukubangelwa i-bacterial vaginosis, ukutheleleka kwe-trichomonas noma ezinye izifo ezithathelwana ngocansi.

4. Kufanele ngibone muphi udokotela uma nginenkinga yokuphuma koketshezi?

Kufanele ubone udokotela wezifo zabesifazane nowokubeletha (gynecologist).

5. Kungani kuphuma uketshezi onsundu ngaphandle kwesikhathi sokuya esikhathini?

Ukukhulelwa, izinguquko zamahomoni, izifo zesibeletho noma zesibeletho sangasese sowesifazane noma ezinye izifo zokutheleleka kungaba yimbangela. Izimbangela ezinzima kodwa ezingavamile ezifana nokungabi nenzalo noma umdlavuza nazo zingaba khona.

6. Ingabe ukusebenzisa ukugeza ngaphakathi kwesitho sangasese sowesifazane kuyingozi?

Ukugeza ngaphakathi kwesitho sangasese sowesifazane kungaphazamisa i-flora yemvelo futhi kwandise ingozi yokutheleleka, ngakho akukhuthazwa.

7. Ingabe ukutheleleka kwesikhunta kungadlula ngokwakho?

Kwezinye izimo ezilula kungadlula ngokwakho, kodwa imvamisa imithi yokwelapha inikeza imiphumela esheshayo nephumelelayo.

8. Ingabe ukuphuma koketshezi esithweni sangasese sowesifazane kungaba uphawu lokukhulelwa?

Ezinsukwini zokuqala zokukhulelwa kungase kube nokwanda kokukhishwa okujwayelekile. Kodwa uma kukhona ukukhishwa okunephunga elingajwayelekile noma umbala ongajwayelekile, kubalulekile ukubonana nodokotela.

9. Ngingazivikela kanjani ekukhishweni kwangaphakathi?

Ukuqaphela imikhuba yokuhlanzeka, ukugwema imikhiqizo enamakha, ukukhetha izingubo zangaphansi ezenziwe ngokotini nokugwema ubudlelwano obungavikelekile kuyizinyathelo zokuvikela.

10. Ingabe ukukhishwa kwangaphakathi kungaba uphawu lomdlavuza?

Yize kungavamile, ikakhulukazi uma ukukhishwa kunegazi noma kunombala onsundu, kungaba uphawu lomdlavuza wesibeletho noma we-endometrium. Lezi zimpawu kufanele zithathwe ngokubaluleka futhi kubonwe udokotela.

11. Kumele ngenzeni uma ukukhishwa kuhambisana nobuhlungu besifuba neshisa?

Lezi zimpawu zingase zibonise ukutheleleka okukhulu; kudinga ukuhlolwa kwezokwelapha ngokushesha.

12. Kumele kwenziweni uma ukukhishwa kwangaphakathi kuphindaphinda njalo?

Ezimweni eziphindaphindayo, kungadingeka ukuhlolwa kwezimbangela ezingaphansi, futhi uma kudingeka, kunconywa ukwelashwa kwesikhathi eside noma ukulandela. Kubalulekile ukubonana nodokotela wakho.

Imithombo

• Inhlangano Yezempilo Yomhlaba (WHO): Izifo ezithathelwana ngocansi (STIs).

• CDC (Izikhungo Zokulawulwa Nokuvimbela Izifo): Ukukhishwa kwangaphakathi - Nini okufanele ubone udokotela.

• American College of Obstetricians and Gynecologists (ACOG): Ukukhishwa kwangaphakathi.

• Mayo Clinic: Ukukhishwa kwangaphakathi – Yikuphi okuvamile, yikuphi okungavamile?