Ukuhlukana okuhlukeneyo kwimijikelezo yokuya esikhathini (NMC) ngokuqhelekileyo namhlanje, phantse umfazi ngamnye wesibini uqhelene neengxaki zomjikelo ongaqhelekanga. Ukuxilongwa kwe-NMC kwintlobo yesifo somzimba kubeka ukuba:
- isantya senyanga (ngaphantsi kwama-50-80 ml) okanye ubuninzi (ngaphezu kwe-150 ml);
- Ubungakanani bemijikelezo yokuya esikhathini zingaphantsi kweentsuku ezingama-21 okanye ngaphezulu kweentsuku ezingama-35;
- Ukuphuma kwindoda kuqhubeka iintsuku ezi-3 okanye ngaphezulu kweentsuku ezi-7;
- Ukuhamba kwexesha lokuhamba ngokuhamba kunye neengqungquthela ezinzima kwisisu esezantsi.
Iimbangela kunye unyango lwe-NMCs
Kubalulekile ukukhumbula ukuba ukuxilongwa kwe-NMC kwi-gynecology kuyimpawu zesifo esithile, ubukho bokuba kukho ukungahambi kakuhle kwi-hormonal system.
Izizathu ze-NMC zihluke kakhulu. Ukuphazamiseka kwesikhashana komjikelezo kunokubangelwa ukuxineka kunye nokuxhalabisa, izifo ezithintekayo, ezivuthayo kunye nezifo ezixubileyo zesini kunye nezinye izitho zangaphakathi, ukulimala okubi okanye ukuphazamiseka kwe-endocrine.
Kwizinyathelo zomzimba, kukho ukunyamekela ukuxilonga i-NMCs yamantombazana kunye nabasetyhini abanelungelo lokufa kwesi sifo. Ukungaziphathi kwamalungu omzimba wesini kunye namalungu omzimba wesini kunokwenzeka.
Ubuncinane imilinganiselo emithathu yokuxilonga iyadingeka ukucacisa isizathu kunye nenjongo yokwelashwa okwaneleyo kwe-NMC:
- uphando lwephrofayili ye-hormonal yowesifazane;
- i-bacteriological smear ukusuka kwisini ;
- I-ultrasound - ukuziphatha kwe-ultrasound kwi-NMC kuyimfuneko ukukhuphela i-pathologies yokuzalwa kunye neentlobo zentlalo ye-pelvic.
Unyango lwe-NMC lujoliswe ekupheliseni imbangela yesifo. Ngoko ke, umfazi unokufuna i-hormone therapy, physiotherapy, izondlo kunye ne-vitamin complexes, ukuthatha iziyobisi ezichasayo kunye ne-antibacterial kunye nokuhlinzwa.
I-NMC ngexesha lokuzala lihlala liyingxaki kubafazi abafuna ukukhulelwa. Ngethamsanqa, ngoncedo lwezonyango zamanyango zanamhlanje, uhlobo lwesifundo sexesha lokuya esikhathini liye lenze uhlengahlengiso olukhulu, kwimeko yokuxilongwa kwe-NMC, ukukhulelwa kwimeko ezininzi.
Iintlobo zesitenxo sokuya esikhathini
Iintsholongwane eziqhelekileyo ezifunyanwe rhoqo zengxaki yokuhamba kwimihla zilandelayo:
- I-NMC ngohlobo lwe- oligomenorrhoea . Le ngxaki ayinqabile (ngexesha leentsuku ezingama-40-180) kwaye imfutshane (ukuya kwiintsuku ezimbini) ngenyanga. Uhlobo lwe-NMC u-oligomenorrhea lufunyaniswa kubafazi abathathu ngaphandle kwekhulu, ngokuqhelekileyo isifo sifana nabasetyhini abaselula.
- I-NMC ngohlobo lwe-hyperspolymenorei. Le ngxaki ibonakala ngethuba elifutshane (iintsuku ezili-14 ukuya kwe-20) umjikelezo wesisimo kunye nexesha elide (elingaphezulu kweentsuku ezi-7) ukuphuma kwindoda. Uhlobo lwe-NMC uhlobo lwe-hyperspolymenorei luyingozi ngokulahleka kwegazi kwaye kaninzi luvela kwimvelaphi yezifo ezinzulu zesifo somzimba.
- I-NMC ngohlobo lwe-metrorrhagia. Eyaziwa ngokuphuma ngegazi ngokuthe ngqo, engahambelani nomjikelezo wesini. I-NMC ngohlobo lwe-metrorrhagia mhlawumbi sisifo esiyingozi kakhulu, kuba ihlala ibonisa izifo ezinzulu zesitho somzimba wesini (ukuguguzwa komzimba, i-myome, i-polyps, umdlavuza womlomo wesibeleko, isifo se-ovariya, i-endometritis enzima, njl), nokukhulelwa, uhlobo lwe-metrorrhagia luhamba kunye nokukhulelwa kwesisu nokukhulelwa kwe-ectopic.
- I-NMC ngohlobo lwe-menorrhagia (i-polymenorrhea). Ingxaki eqhelekileyo ehambelana nokugqithisa (ngaphezu kwe-150 ml) kunye nexesha elide (ngaphezulu kweentsuku ezi-7) ukulahleka kwegazi ngexesha lokuya esikhathini,
ngoxa ubude bemijikelezo yokuya esikhathini akupheli. - Ukuphululwa komjikelezo wokuya esikhathini (i-NMC) kwiminyaka yokuqala
- I-NMC ngexesha le-premenopause (i-NMC ngohlobo lwe-oligomenorrhea yomzimba okanye i-menorrhagia) yinto engokwemvelo kwanoma yimuphi umfazi. Ngokweminyaka yobudala, umsebenzi wama-ovari uyaphela, izinga lemveliso ye-hormone liyancipha, emva kweminyaka engama-40 lona wesifazane unenkathi ye-premenopausal (i-premenopausal period). Ngeli xesha, ubude bomjikelezo wesini buya kuncitshiswa, ke ukwanda, kunye nemilinganiselo yokuphuma kwindoda iya kutshintsha. Le meko ihlala iminyaka engama-6 de kube lixesha lokugqibela ukuya esikhathini.