Ukopha ngemva kocansi - izici, izimbangela, ukuxilongwa

Ukopha ngemva kokuya ocansini kwaziwa nangokuthi amabala esithweni sangasese. Kwesinye isikhathi kubizwa ngokuthi ukopha kokuxhumana. Kunezizathu eziningi ezingabangela ukopha ngemva kocansi. Ukopha ngemva kokuya ocansini akubangelwa yisifo ngaso sonke isikhathi, kodwa kungaba yizimo ezingezinhle njengama-polyps. Kodwa-ke, kufanele uhlale ukhumbula ukuthi ukubonakala okuvela esithweni sangasese kungaba uphawu lomdlavuza womlomo wesibeletho. Ziyini izimbangela zayo nokuthi ungabhekana kanjani nale nkinga?

1. Kuyini ukopha ngemva kocansi?

Ukopha ngemva kokuya ocansini akuvamile kwabesifazane abanalokho okubizwa ngokuthi okokuqala. Ubuhlungu, obuvame ukuhlotshaniswa nokopha, buwumphumela we-hymen ephukile kumuntu wesifazane.

Uma ukuphuma kwegazi ngemva kokuya ocansini kungahlobene nokuya esikhathini, kufanele kubangele ukugula okunzima ngaso sonke isikhathi. Lesi sifo sivame ukuhambisana nabesifazane abahlushwa umdlavuza womlomo wesibeletho. Amachashaza angaba umphumela wama-polyps omlomo wesibeletho noma wesitho sangasese sowesifazane. Isikhathi ngasinye lokhu kuwuphawu olushaqisayo okufanele kuboniswane nodokotela wezifo zabesifazane.

Ukopha ngokuyinhloko kuvela ezingqimbeni ezingaphezulu zepheshana lesitho sangasese. Ngokuvamile, ibuye ihambisane nobuhlungu nokungakhululeki ngesikhathi socansi. Kuyafaneleka ukubalula ukuthi kwezinye izimo amabala angabuya ngisho nalapho kungekho ukuxhumana kocansi.

Ukukhipha igazi ngemva kokuya ocansini kuvame ukubonakala njengemikhondo emincane yegazi noma amafinyila omlomo wesibeletho anegazi.

2. Izimbangela zokopha ngemva kocansi

Ukopha ngemva kokuya ocansini kwaziwa nangokuthi amabala esithweni sangasese. Lesi sifo singenzeka ngenxa yezizathu ezilandelayo:

• ukulimala komshini ku-mucosa yangasese ehambisana nokomisa kwayo, okungase kubangelwe ukuntuleka kwe-foreplay noma ukusetshenziswa kwezinto zokuvimbela inzalo, noma kungase kube isici somuntu ngamunye,
• ukungena okujulile kakhulu, okuthi, ngaphezu kokuphuma kwegazi, kungabangela ubuhlungu esiswini esingaphansi,
• isikhathi phakathi kwezikhathi lapho izinguquko ze-hormonal zenzeka
• ukuya esikhathini,
• ukudlwengula noma ukuhlukunyezwa ngokocansi (izisulu zokuhlukunyezwa ngokocansi zingalimaza isitho sangasese sowesifazane noma zidabule i-perineum).

Ukukhipha igazi ngemva kokuya ocansini, ukuphenduka ukopha okuvela kaningi, kungase kubonise izinqubo ezibuhlungu eziqhubekayo. 

Lezi zimo ezilandelayo kufanele zikhulunywe lapha:

• i-endometriosis kanye ne-endometriosis,
• ukuguguleka - lapho, ngaphezu kwegazi, inani elikhulu le-mucus libonwa. Ngaphezu kwalokho, kunezinhlungu esiswini kanye ne-lumbar spine. Ngokuvamile, ukuguguleka akunikezi noma yiziphi izimpawu, ngakho-ke esimweni esinjalo kuyadingeka ukuya ukuhlolwa, futhi ikakhulukazi ukulayisha. i-cytology,
• ama-ovarian cysts - okwenzeka ngenxa yokuphazamiseka kwe-hormonal,
• Ama-polyps omlomo wesibeletho - avela ngenxa yokuthi ulwelwesi lwesibeletho aluhlukani ngesikhathi sokuya esikhathini. Zibonakala ngokuphindaphinda njalo futhi zidinga ukuxilongwa kwe-histopathological,
• i-cervicitis - ibonakaliswa ukuvuvukala komsele oxhuma isitho sangasese sowesifazane emgodini wesibeletho. Lesi simo singabangela ukopha esithweni sangasese.
• i-adnexitis, ebizwa nangokuthi isifo sokuvuvukala kwe-pelvic. Le nkinga ivame ukuphatha abesifazane abenza ucansi (abaneminyaka ephakathi kuka-20 no-30). Iziguli zikhononda ngobuhlungu obubukhali esiswini esingaphansi, ubuhlungu ngesikhathi socansi, isimo se-subfebrile.

• i-bacterial vaginosis - lapho uzwa iphunga elifana ne-fishy kanye namaseli abomvu egazi akhona kumafinyila,
• izifo zesikhunta sangasese - okubangelwa ikakhulukazi i-Candida Albicans, i-Candida Glabrata, i-Candida Tropicalis, ebonakala ngokuluma, ukukhishwa kwesitho sangasese kanye nokucasuka kolwelwesi lwamafinyila,
• i-chlamydia - ebonakala ngokuphuma kwegazi esithweni sangasese. I-bacterium Chlamydia trachomatis inesibopho sokuthuthukiswa kwalesi sifo.
• I-gonorrhea - evame ukukhula ngokungabonakali. Izimpawu zivame ukuvela kamuva futhi, ngaphezu kwamabala egazi, ukukhishwa okuphuzi kwesitho sangasese sowesifazane kanye nokuchama okubuhlungu kuvela.
• i-trichomoniasis - ibonakaliswa ngokubona ukuthintana. Lesi sifo senzeka ngenxa yokutheleleka nge-protozoan Trichomonas vaginalis,
• ugcunsula - okubangelwa amagciwane spirochetes. Ngaphandle kokulimaza, izimpawu ezivame kakhulu zihlanganisa: ukulunywa kwamabala apinki noma anemibala yethusi, umphimbo obuhlungu, ikhanda elibuhlungu, ukuqothuka kwezinwele, ukuncipha kwesisindo, nokuvuvukala kwama-lymph nodes.
• i-herpes ye-labia - okuyingozi enkulu kwabesifazane abakhulelwe. Lesi sifo sibangelwa uhlobo 2 lwe-herpes virus (HSV-2). Izimpawu ezijwayelekile ze-herpes labia zifaka: ukulunywa, ukuvutha, ukukhishwa kwesitho sangasese sowesifazane, ukuphuma kwegazi, amabhamuza abuhlungu esithweni sangasese,
• inguinal Hodgkin's - okubangelwa ukutheleleka nge-bacterium Chlamydia trachomatis,
• Umdlavuza ongathinti isitho sangasese sowesifazane kuphela, kodwa ngokuyinhloko izimila ezimetastatic ezikhiqiza amaqanda, umlomo wesibeletho noma ithongo. Ngokwezibalo, cishe u-5% wabesifazane abaphendukela kuchwepheshe abanalesi sifo bathola ukuthi banomdlavuza womlomo wesibeletho. Yiqiniso, ngaphandle kokuhlolwa okufanele, udokotela akakwazi ukusho ukuthi ukopha okuqhubekayo ngemva kokuya ocansini kungenxa yomdlavuza.

3. Ukopha ngemva kokuya ocansini nokuxilongwa

Ngokuphuma kwegazi njalo futhi kwanda ngemva kokuya ocansini, kufanele uthintane ngokushesha nodokotela wezifo zabesifazane. Ngaphambi kokuvakashela udokotela, kubalulekile ukunaka ubude bomjikelezo, kungakhathaliseki ukuthi imijikelezo ivamile. Kuyadingeka ukuhlola ukuthi ukopha kokuya esikhathini kusinda futhi kuthatha isikhathi esingakanani. Usuku lokuya esikhathini kokugcina nalo lubalulekile ukuze kuxilongwe kahle. Owesifazane kufanele azi uma ukopha ngemva kokuya ocansini kwenzeka ngokushesha ngemva kokuya ocansini.

Lapho uxoxisana nesiguli, udokotela kufanele abuze ngenani labalingani kanye nokuhlinzwa kokubeletha okwenziwe esikhathini esidlule. Ukudla kokugcina kwe-cytological nakho kubalulekile. Yiqiniso, ukuphuma kwegazi ngemva kokulala, okungase kube imbangela yalesi sifo, kuhlotshaniswa nezinye izifo, isibonelo, kungase kube nobuhlungu ngaphansi kwesisu, ukukhishwa okushintshiwe, ukushisa noma umuzwa wobunzima esithweni sangasese.

Ngaphezu kwengxoxo evamile, uchwepheshe kufanele aqoke ukuhlolwa kwezifo zabesifazane kanye ne-smear evela esithweni sangasese, kanye nomlomo wesibeletho. Ngaphezu kwalokho, kunconywa i-ultrasound ye-transvaginal. Ngokwenza lokhu kuhlola, udokotela angathola imbangela yanoma yikuphi ukopha okuqhubekayo.

Ngezinye izikhathi kuyadingeka futhi ukwenza ukuhlolwa kwe-hormonal, i-hysteroscopy noma i-colposcopy.

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