Ukubonisa ubuhlungu kwisisu esisezantsi kungumqondiso ongaqhelekanga wezifo ezininzi. Kwimimandla ye-pelvic kukho ukuqokelela okukhulu kweengxube zentsholongwane, kuba iintlungu ezivela kwizitho zeplavic ziyanzima ukuchonga kwiNkqubo yeNervous Central. Ukuba udonsa isisu esisezantsi, kufuneka ufune ingcebiso yesazi kwaye uphando. Emva kokufunda i-anamnesis (uhlobo lwentlungu, indawo yokusabalalisa, imimiselo yemvelaphi, indawo yokuhlala, iimpawu ezihambelana neziphumo) kunye nokuhlalutya kwedatha yebhubhoratri, ugqirha uya kufaka i-diagnostic eyiyo kwaye achaze unyango olufanelekileyo.
Ikhupha phantsi kwesisu - izizathu kunye neempawu ezicacileyo ezibonisa izifo ezithile:
- Ukutshatyalaliswa okuchaphazelekayo kwimizimba yeplavic. I-Chills, umkhuhlane, umkhuhlane ophuma kumfazi, intlungu kunye nobunzima kwisisu esezantsi;
- Izifo eziqhubekayo ze-genitourinary system (cystitis, endometritis, salpingitis). Ukuphuma kwintsholongwane, isifo esibuhlungu besifo sokuya esikhathini, ukuzala ubuhlungu kwisisu esisiswini;
- isigaba esichukumisayo se-ovarian pathology (i-tumor neoplasm, cyst). Isisu esisezantsi sidonsa ngenxa yokuphuka kwe-ovary / cyst, ukuphuma kwamanzi / ukuhlukana kwe-cystic fluid ephazamisayo i-peritoneum;
- isifo sokuvuselela ngokweqile ama-ovari. Ikhula kubasetyhini abasebenzisa kakubi iziyobisi ze-hormonal ezikhupha ukwanda kwindoda ye-ovary, ekhokelela ekubandezelekeni kwintlungu esezantsi, ukubhubhisa, ukufumana ubunzima;
- appendicitis. Uphawu oluthile - intlungu enzulu kwisisu esezantsi kwicala lasekunene, isisongela, ukuhlanza;
- ukukhulelwa kwe-ectopic. Ngokukhulelwa kwe-ectopic, intlungu yesisu ibuhlungu njengenyanga, ngokunyuka kwenyameko kwintlungu yesifo, xa kwenzeka ukuphuma kwiphubhu kunye nokuphuma kwegazi ngaphakathi, isifo esibuhlungu sisenzeka.
Kutheni uthabatha isisu esingaphantsi ngaphambi kwenyanga
Iimbono ezibuhlungu ngaphambi kokuya esikhathini ziyabonakaliswa ngeendlela ezahlukeneyo: isisu sinako ukutsala, ukunyusa, ukulimaza. Konke okwenzekayo ngokubambisana nokunyuka kobuchule benkqubo ye-nervous, ukuphulwa komsebenzi wesisu esiswini, iintloko ezithintekayo.
Izizathu ezibalulekileyo zenzeke:
- utshintsho olukhawuleza kwi-regime yokuphumla, ukulala, umsebenzi;
- ukukhathala okungapheliyo;
- uxinzelelo, ukuphazamiseka kwemiba, ukudandatheka;
- ubukho be-foci bokuvuvukala kwimizimba ye-pelvis encinci;
- ukusetyenziswa kokungaqali ukufunda nokukhulelwa kwe-hormonal;
- ukudluliswa kwesisu, imisebenzi yokuhlinzwa kwizitho zangasese;
- ukuhluleka kwe-neural lipid metabolism;
- ukuqokelela komzimba emzimbeni;
- ukulahleka kweprogesterone kunye nemveliso engaphezulu kwe-estrogen kwisigaba sokugqibela somjikelezo.
Ibuhlungu kwaye idonsa isisu esiswini emva kokuya esikhathini
Intlungu ephantsi kwisisu esingaphantsi ngexesha okanye ngaphambi kokuba ixesha lokuya esikhathini liyimilinganiselo yokuphila. Kwaye kutheni isisu sisemva kokuya esikhathini? Kukho iinguqulelo ezimbini zokuphuhliswa kweemeko: ukuguqulwa kweemeko zesifo, esichazela ukungenelela okukhawulezileyo, kunye nokuphambuka okuvumelekileyo kwimiqathango.
Uhlobo oluqhelekileyo
- I-postovulatory syndrome. Ngexesha lokuvuthwa, iqanda elulungele ukukhulelwa lishiya isilumko se-ovari kwisisu esiswini, apho "sibambelela khona" kwiinkqubo ze-tublopian tubes kwaye siqala ukuhamba kwisibeleko. Emva kweentsuku ezingama-3-6 emva kokuchumisa kwi-tube fallopian, iqanda lomntwana lifakwe kwi-mucosa ye-uterine, ukuba ukuzala kungekhona, emva kweeyure ezingama-24 ukuya kwe-6 ukuya kwe-24 isondo lesini sifayo. Izazi ze-gynecologists zihlukanisa i-term - postovulyatorny syndrome, ngenxa yokutshintshwa kwimizila ye-hormonal.
Iimpawu:
- isisu esezantsi sibuhlungu;
- ngokukhawuleza kwandisa libido;
- uhlobo kunye nenani lokutshatyalaliswa kwamanzi ngesisu;
- Umbuso jikelele kunye neemeko zengqondo zibuhlungu.
- Ukukhulelwa. Ukuba emva kokuba i-ovulation idonsa isisu esezantsi, isenokukhulelwa. Ukuqaliswa kweqanda kumdonga wesibeleko kuhambelana nokukhululwa kwe-enzyme ezinyibilikisayo izibilini zesisu - oku kubangela ukuba umonakalo kwimithambo yegazi kunye neengqibelelo zeethambo, ezichaza ukutyumza kancinci esiswini. Isibini isibonakaliso sokukhulelwa kukuphawulwa kwamanzi (kubonwe kwi-10-20% yabasetyhini), okuyiyo yokutshatyalaliswa okubomvu / okumnyama.
- I-Premenstrual syndrome. Isakhiwo esiyinkimbinkimbi seempawu eziqala iintsuku ezingama-3 ngaphambi kokuqala komjikelo. Unemibonakalo emininzi, kuquka ukutsala intlungu kwisisu esezantsi, ukuphazamiseka kwezityalo, kunye nokuphazamiseka kwengqondo.
Izibonakaliso zempilo:
- intlungu ebuhlungu esiswini, engasuswanga yi-analgesics kwaye ibuhlungu kakhulu;
- ukuphuma kwamanzi, okungafani neempawu ezingafaniyo nokuveliswa;
- ukuphazamiseka kwesigxina, ukucoca;
- uxinzelelo lweemisipha zesisu;
- ukungabi nesidlo, umkhuhlane, intloko, isisongela, ukuhlanza, utywala, ubuthakathaka obunzima.
Ubamba isisu esiswini emva kwesondo
Emva kwesondo sexesha elide, i-20-25% yabasetyhini bafumana iintlungu ze-episodic / eziqhelekileyo kwisisu esisezantsi. Abaninzi banamahloni ukuvuma le nkqubela kwiinkwenkwezi, ukunyusa ukubandezeleka kwabo. Okwangoku, izazi zezilwanyana zithetha ukuba kukho iindlela ezininzi ezenza isondo singabi nabuhlungu.
Kutheni kubangela isisu emva kwesondo - izizathu ngokulandelana kwexesha:
- ukuhlaziya. Uloyiko ngexesha lokwabelana ngesondo lubangela ukuba izidumbu zesisu zenze isivumelwano-oku kubangela ukukhathazeka;
- Vaginismus. Ukuba amava olwabelana ngesondo ayengaphumelelanga, lo mfazi wenza i-subconscious fear inokubangela ukuba i-muscle spasm, ekhokelela ekungenakwenzeka kwe-coitus epheleleyo;
- ukuphulwa kweengqibelelo ze-hymen. Ukuba ukufuphi akusiyo yokuqala, kwaye isisu sithatha njengexesha lokuqala, mhlawumbi ukuba i-spittle ayichange ngokupheleleyo. Ngamanye amaxesha ubuntombi kwisicwangciso se-anatomiki sephukile ngokupheleleyo kuphela ngexesha lezemisebenzi;
- ukuvuvukala. Inkqubo yokuvuvukala iboniswa ngokubamba, ukutshisa, iintlungu, ukuma kumfazi ngexesha / emva kwesondo. Kule meko, awukwazi ukwenza ngaphandle kokuvavanya izifo ezidluliselwa ngesondo (candidiasis, trichomoniasis, gonorrhea). Ngethuba lokunyanga, umsebenzi wesondo kufuneka ulinganiselwe kwaye kufuneka ukhuselwe ikhondom;
- spikes. Ziyakhiwa ngenxa yokuvuvukala kwamathumbu okanye izixhobo. Ubukho bokubambelela bufunyaniswa kwi-50% yabasetyhini bexesha lokubeletha, abavumi ukunika iimpawu ezibonakalisa iimpawu, kodwa bazibonakalisa ngokwabo. Indlela yodwa yokuphuma kukuba ufunde unyango kwaye ukhethe ukulungelelanisa kakhulu kwisondo;
- ukuphula / ukuxhatshazwa emva kokuhlinzwa kunye nokuhanjiswa. Umbuzo uphendululwa yindlela yokusebenza, ukuphuhliswa kwezihlunu ezisondeleyo kunye nokukhethwa kwexesha elihle;
- ukudibanisa. Ukuziyeka ixesha elide, ubomi obunqabileyo ngokwesini, ukungabikho kwe-orgasm kubangela intlungu kwisisu esezantsi emva koqhagamshelwano lwezesondo. Kwixesha elidlulileyo, ukuxinwa kweengxubevange kunye neemeko zesondo ngokuqhelekileyo kuba yinto ebangela ukuba kuphuhliswe izifo ezinzulu zesifo-i-endometriosis, ukungasebenzi kwamathambo amaqanda, i-mythas i-uterine, i-mytopas;
- endometriosis. Ubonakaliswe yintlungu yesifo, esona sibi ngakumbi ngaphambi kokuya esikhathini, ukubonakala emva kwenyanga / kwenyanga, ukuvalelwa emva kwezesondo;
- neuralgia yeentsholongwane zeplavic. I-nerve iyavutha ngenxa yentsholongwane, uxinzelelo, i-hypothermia, ivuselela intlungu ebuhlungu emlenzeni;
- ukungahambelani kwama-anatomical amaqabane;
- ukukhululwa okwaneleyo kwegrisi. Yisiphumo sokususwa kweengcambu zeBathoholin, isithintelo sengqondo (ukwesaba ukukhulelwa, ukungafuni ukulala ngesondo) okanye ukungalingani kwe-hormonal (ukuyeka umyeni, ixesha lokuhamba emva kwexesha, amahomoni).
Ngethuba lokukhulelwa, umfazi kufuneka aphathe kakubi ngesondo. Ababelethi be-Gynecologists abacebisi ukulala rhoqo, ngokukodwa xa emva kwesondo kukhangela isisu esezantsi. Isizathu kukuba ukunyamezela okuqhelekileyo akuzange kukhululeke ngenxa yeenguqu kwiimisipha zesisu kunye nesisu, ngoko ukunciphisa kwabo kubangela intlungu. Nayiphi na imiqondiso yeentlungu ezinyantya, ezinde ixesha elide kwisisu emva kwesondo - sisihlandlo sokufuna unyango ukwenzela ukuthintela ukuqhubela phambili kwezilwanyana ezinzulu.