Okuqukethwe
Kuyini ukubona?
Ukopha okuncane okuvela esibelethweni okwenzeka ngaphandle kwesikhathi sakho kubizwa ngokuthi "i-spotting". Igama lesiNgisi elithi "spotting" lisho "ibala". Lokhu kopha akunzima kakhulu kunesikhathi, ngokuvamile abuhlungu futhi ngokuvamile kuba mnyama ngombala kunesikhathi. Lokhu ikakhulukazi kubangelwa ukuthi lokhu kulahlekelwa kwegazi ngezinye izikhathi kufinyelela ezingutsheni zangaphansi amahora ambalwa noma izinsuku ngemva kokukhishwa komgudu wesitho sangasese. Njengoba lichayeka emgodini wesitho sangasese sowesifazane, igazi liyashintshashintsha futhi lingase libe nsundu kancane.
I-spotting isenzakalo esivamile ekuphileni kowesifazane, futhi ngokuvamile asibi kakhulu. Kodwa ngezinye izikhathi kungase kube uphawu lwe-pathology eyisisekelo.
"Ukubona" kanye "ne-metrorrhagia": akufanele kudideke
I-Spotting isho ukopha okuncane kakhulu, noma ukuphuma okunombala nje, onsundu noma okuphinki. Uma ukukhishwa kubomvu ngokucacile, noma ukopha kwangempela, sikhuluma kakhulu nge-metrorrhagia, okungase kube ngenxa yezimbangela ezifanayo kodwa futhi nezimbangela ezimbi kakhulu.
Ukulahleka kwegazi phakathi nomjikelezo: izimbangela ezihlukahlukene ezingenzeka
Kunezici ezihlukahlukene ezingachaza ukwenzeka kokopha kohlobo lwamabala, njenge:
- ukufakelwa, ngoba umbungu, lapho ufaka, unqamula kancane i-endometrium, noma ulwelwesi lwesibeletho;
- i-ovulation, ngenxa yokuphakama kwe-hormonal;
- ushintsho lwakamuva lokuvimbela inzalo, njengoba umzimba udinga isikhathi sokulungisa
- ukuvimbela inzalo kwe-hormonal okungafanelekile, okungenele noma okunganele;
- ukukhohlwa ngokungabonakali kwephilisi lokuvimbela inzalo, phakathi kwamaphilisi amabili alungile;
- pre-menopause kanye nesabelo sayo sokuhlukahluka kwe-hormonal;
- ukucindezeleka kanye ne-jet lag, ngenxa yemiphumela yabo eyingozi ebhalansi ye-hormonal.
Njengoba sibona lapha, ukubona ngokuvamile kwenzeka ngenxa yoshintsho noma ukungalingani kwamahomoni, okungenzeka kwenze buthaka ulwelwesi lwesibeletho (endometrium).
Qaphela ukuthi ukuthatha i-progestin iyodwa kuvame, ngokuhamba kwesikhathi, kubangele ukulahlekelwa igazi elincane, okubizwa nangokuthi i-metrorrhagia noma i-spotting, ngenxa yokuntenga kolwelwesi lwesibeletho, eseyincane kakhulu ngaphansi kwesenzo salolu hlobo lokuvimbela inzalo.
Ukukhipha amabala ngesikhathi sokukhulelwa
Ukulahleka kwegazi kohlobo oluncane lwamabala kungenzeka kwabesifazane abakhulelwe, ikakhulukazi ngesikhathi besanda kukhulelwa, ngenxa yomlomo wesibeletho ontekenteke. Ukuhlolwa kwesitho sangasese sowesifazane, ukuya ocansini noma nje ukufakwa kweqanda emgodini wesibeletho kungabangela amabala, ukukhishwa okuncane okunsundu noma okuphinki. Lokho kusho, uma nje njengendlela yokuphepha nokuqinisekisa, noma yikuphi ukulahlekelwa kwegazi ngesikhathi sokukhulelwa kufanele kuholele ekubonisaneni udokotela wakhe wokubelethisa-udokotela wabesifazane noma umbelethisi. Ngoba ukopha ngesikhathi sokukhulelwa kungaba kalula nje uphawu lwe-hematoma ye-retroplacental, ukuqala kokuphuphuma kwesisu noma ukukhulelwa kwe-ectopic.
Spotting: nini ukubonisana?
Nakuba ngokuvamile kuyingozi, ukubona amabala kungase kube uphawu lwe-pathology engakaze ibonwe ngaphambili, njengokuba khona kwe-uterine fibroid, i-endometrial polyp, izilonda ezingaphambi komdlavuza emlonyeni wesibeletho noma emlonyeni wesibeletho. i-endometrium, isifo esithathelwana ngocansi (i-endometritis nge-chlamydia noma i-gonococcus ikakhulukazi) noma okunye.
Nakuba ukubona ngesikhathi sokukhulelwa kufanele kuholele ekubonisaneni ngokushesha ngangokunokwenzeka, kunokuphuthuma okuncane lapho ukubonakala kwenzeka ngaphandle kokukhulelwa. Ukolweni ukulahleka kwegazi okuncane kohlobo lwamabala oluhlala isikhathi eside, ziphindaphindiwe emjikelezweni ngamunye noma ngemva kwezinyanga ezingu-3 kuya kwezingu-6 zokuzama ukuvimbela inzalo okusha kufanele kuholele ekuboniseni. Futhi ukuba khona ukopha, ngisho nohlobo lwamabala, kufanele kuholele ekubonisaneni ngokushesha ngemva kokunqamuka kokuya esikhathini, ngoba lokhu akukwazi ke ukuchazwa ngokuhlukahluka kwamahomoni.
Ukulahleka kwegazi kohlobo lwe-spotting: yikuphi ukwelashwa?
Ukwelashwa okufanele kusetshenziswe lapho kukhona ukulahleka kwegazi okuncane noma ukubonakala kwamabala kuncike kumbangela yalokho. Ingahunyushwa ngokuthi ushintsho lwendlela yokuvimbela inzalo uma ukuvimbela inzalo kwamanje kungasafaneleki, ngokuhlinzwa uma kwenzeka i-uterine fibroid noma i-polyp ye-endometrial, ngezidakamizwa eziphikisana nezifo ezithathelwana ngocansi okukhulunywa ngazo, ngokuphumula uma kwenzeka kuba nengcindezi noma i-jet-lag, njll.