Indima yemfundo enjalo ye-anatomical, njenge-hymen, ohlelweni lwesisu lokubeletha ukuvikela izitho zangaphakathi. Ubulili bokuqala buhambisana nokuhlukana kwayo. Kodwa-ke, kwezinye izimo, imfundo ingaphikelela ngisho nasesigabeni esikhulu.
Kuyini i-hymen?
Umbuzo walokho ama-hymen abukeka, ngokuvamile uzwakala emilonyeni yamantombazane amancane. Lokhu kwakheka kungumphongolo onomuthi owodwa noma ngaphezulu. Yakha ama-hymen of izicubu ezixhumene namagqabunga amancane angena emnyango wesifazane. Ukwakhiwa kwalo kuqhutshwa ngeviki le - 19 lokuthuthukisa intrauterine yamantombazane. Kwezinye izimo, ukwakheka kwalolu hlobo kungase kungabi khona, okubangelwa ukukhethwa kwe-intrauterine.
Imicu ye-muscle, ukuphela kwezibilini, imithwalo yegazi nayo ikhona kuma-hymen - hymen. Baqaphela ubungako bayo, ukufinyeleleka - izimfanelo eziyinhloko zalokhu kwakheka kwezinto eziphilayo. Inombolo nobukhulu bemithwalo yegazi inquma inani lokukhishwa kwamanzi okwenzeka lapho isiphuphu siphulwa ngesikhathi socansi lokuqala intombazane.
Uphi i-hymen?
Lo mbuzo uvame ukuthakazelisa amantombazane angakaze abe nolwazi locansi. Ukuphendula, amaphuzu wezinkinga zomzimba amaphoyinti ekuziphatheni komzimba wesifazane - emantombazaneni ahlukene i-hymen ingashintsha kancane isimo sayo. Ngokuvamile, i-hymen itholakala ku-1-3 cm ngaphansi kwesango sangasese, ngqo emngceleni webibi ezinkulu nezincane. Isebenza njenge-membrane evimbela ukungena kwesistimu yesifazane yokuzala. Kulesi simo, emaphethelweni ama-hymen agijima kahle ezindongeni zesifazane.
Kungani sidinga ama-hymen?
Ukukhuluma ngokuthi kungani ama-hymen emzimbeni wesifazane, izazi ze-physiologists zithuthukisa umsebenzi wokuvikela. I-Hymen isebenza njengesibambiso, ekubeni emngceleni wesistimu yangaphandle nangaphakathi yezinsizwa zomzimba. Lokhu kuvimbela ukungena kwamagciwane ezincane ze-pathogenic ngaphakathi, emgodini wesibeletho kanye nesibindi kuze kube yilapho umzimba wentombazana uqina, futhi isimiso se-hormonal asiqala ukusebenza kahle.
Umsebenzi wesibili we-hymen ungabizwa njengesignali emzimbeni mayelana nokuqala kocansi. Kusukela ezikhathini zasendulo, leli qiniso lalilinganiswa ngamadoda ekwakheni umndeni. Kancane kancane, isimo sengqondo sakhe sashintsha. Kodwa-ke, ngokusho odokotela, ukutholakala kwegazi ngesikhathi socansi akukwazi ukwahlulelwa ngobuntombi . Kwezinye izimo ukuqhuma kwe-hymen akukwenzeki ngenxa yokwazi kwayo okulula.
Izinhlobo ze hymen
Njengoba sithole ukuthi yikuphi ibanga i-hymen elitholakalayo nokuthi iyini emzimbeni, kufanele kuqashelwe ukuthi ingaba nezinhlobo eziningana. Lokhu kuhlanganiswa kwezicubu akuzona okuqhubekayo, kukhona imigodi kuyo. Ngaphandle kokuphuma kwangaphandle kwegazi ngesikhathi sokuya esikhathini. Ngokuqondile ngenombolo yemigodla kanye nefomu langaphandle, lezi zinhlobo ezilandelayo zezinsikazi ezincane ziyaziwa:
- imbobo enemihlobiso iphakathi nendawo;
- semilunar - enye yezingxenye ze-hymen ifakwe ezindongeni zesifazane;
- i-lobular - esakhiweni ingabhekwa njenge-lobules;
- i-dentate - inemiphetho ephakathi;
- I-Latticed - enezimbobo eziningi.
Izinkinga nge-hymen
Kwezinye izimo, ama-hymen emantombazaneni ayengekho. Lesi sici sibhalwa ekuvakasheni kokuqala kumgogeni wezinkinga zegazi futhi kuhlotshaniswa nezici zokuthuthukiswa kwe-intrauterine. Esinye isimo lapho ama-hymen atheleleke kubantu besifazane abavele benesifo socansi ( atresia ). Isixazululo kuphela sale nkinga ukukhipha ama-hymen. Uvame ukwenzeka yedwa ngesikhathi sokulala ocansini okuphindaphindiwe. Ngendlela eqinile ye-hymen nokuhluleka kwayo ukuzihlukanisa, ukwelashwa okuhlinzekwayo kunqunywe.
I-polyp gimena emantombazaneni
Lokhu ukwephula akuvamile. Omama wakhe batholakala ukuthi bayedwa, ngenkathi bephethe indlu yangasese yezitho zangasese kumntwana. Ngaphandle, i-polyp ifana nokukhula okubomvu okuhamba ngemuva kwelabi. Ubukhulu bayo abudluli 1 cm ubude no-5 mm ububanzi. Uma ukwephulwa okunjalo kutholakala emantombazaneni, odokotela banamathela kumaqhinga alindelekile. Njalo ezinyangeni ezingu-6, kumele uvakashele umjozi wezinkinga ukuze uqaphele i-polyp kulezi zintengiselwano. Uma kwenzeka ukukhula kwemfundo, ukwelashwa okuhlinzekwayo kwenziwa. Kulokhu, i-hymen ngokwayo ayiphazamiseki emantombazaneni.
I-Atresia Hymena
Kwezinye izimo, ama-hymen emantombazaneni aphakeme, i-atresia iyaqala. I-Hymen ivala umgodi, ingapheli. Ihlukaniswe ngegazi njalo ngenyanga ngaphakathi emgodini wesifazane. Kulesi simo, intombazane izwa ubuhlungu obunzima esiswini esingaphansi. Ukuxhumana ngokobulili nokuphulwa okunjalo kuyabuhlungu kakhulu. Kuye ngesikhathi sokuthuthukiswa kwesifo, izazi zezinkinga zegazi zihlukanisa:
- i-atresia ebusweni - iqala esigabeni sokuthuthukiswa kwe-intrauterine;
- atholakale - ukwedluleka kwesinye isikhathi se-hymen ngenxa yokusebenza kwe- adhesive ku-pelvis encane kanye nesistimu yokuzala.
Ukuhlaziywa kwe-hymen
Leli gama lisetshenziselwa ukubonisa ukwephula ubuqotho be-hymen. Ngokujwayelekile lokhu kwenzeka ngesikhathi sokulala ngokocansi. Le nqubo ngokwayo ihambisana nokukhululwa kwesilinganiso esincane segazi nesisindo. Ubukhulu balezi zimpawu kuxhomeke ekungenikeni kokunikezelwa kwegazi ku-hymen kanye nenani lezinzwa eziphelile kulo. Kwezinye izimo, ubuhlungu bungasekho, futhi ivolumu yegazi inikezwe kakhulu kangangokuthi akunakwenzeka ukucacisa ukuthi ngabe i-hymen yonakalisiwe.
Kumele uqaphele ukuthi kwezinye izimo, ukunqotshwa kwe-hymen kungenzeka ngaphandle kokwazi kwentombazane. Ngokuvamile lokhu kuphawulwe ngokuhlanza okungenakulungile nokuhlanzeka kwamantombazane. Lapho ehlolwa esikhwameni somzimba esisezintwaneni esesisencane, udokotela ubona ukwephula ubuqotho be-hymen, lapho intombazane ingakaze ibe nobungane. Lokhu kwenzeka kaningi, kodwa, ukuze ungalimazi ama-hymen, kubalulekile ukufeza ukuhlanza ngokufanele: phambi kwe-anus futhi kuphela.
Ukuphuka kwe-hymen
Ukuqedwa kwe-hymena kungenzeki nje kuphela ngenxa yecansi. U-hymen owonakele uvame ukutholwa udokotela nakusakhula. Izimbangela zokwephula ubuqotho bayo zingaba:
- Sexy caresses, imidlalo. Ukwesaba ubuhlobo bokuqala, befuna ukuthola i-orgasm, amantombazane angaphazamisa ubuqotho be-hymen.
- Ukushaya indlwabu. Isingeniso esiswini sangasese sezinto zangaphandle noma iminwe ngenhloso yokwaneliseka kungaholela ekuphukeni kwe-hymen.
- Ukusetshenziswa kwamatampu okuhlanzeka. Izazi ze-gynecologists aziphakamisi ukusebenzisa lemikhiqizo yokuhlanzeka yamantombazane ngenxa yengozi enkulu yokuhlaselwa.
- Ukuqhuba ukuhlolwa kwegazi. Ngaphambi kwenqubo, kubalulekile ukuxwayisa udokotela mayelana nokuntuleka kocansi.
Ingabe ama-hymen agcinwa ngemuva kokudwengula?
Emva kokuxhumana kocansi okokuqala, kukhona ukwephulwa kobuqotho be-hymen, kodwa izinsalela ze-hymen zikhona. Abanqatshiwe, kodwa bahlale bephila, ngokuhlolwa kobuchwepheshe udokotela uyakwazi ukuzibona ngeso lengqondo. Ngokushesha kuzo kuzokwazi ukunquma ukukhona noma ukungabikho kobulili phakathi kwabesifazane. Kodwa-ke, kufanele kukhunjulwe ukuthi ukuqhuma kwe-hymen ngenxa yokuthi ikhono layo lokwelula ngokungahle kwenzeke. Kwamanye abesifazane, ukwephula ubuqotho bayo kwenziwa ngokuhlinzwa ngaphambi kokuzalwa okuzayo.
Ukususwa kwe-hymen
Uma owesifazane onomdlavuza osebenzayo obonisa ukuthi u-hymen ongaphazamiseki, umsebenzi wokuwususa uba yindlela yokuhlinza yokuphoqeleka. Ukuchithwa kokuhlinzwa kwenziwa ngesisekelo sokugula, ngaphandle kokudinga ukulungiselela. I-anesthesia yenziwa endaweni yangakini futhi ikhona isikhathi esifushane. Ukusebenza kukuvumela ukuba ususe ukwephulwa okunjalo, njenge-atresia ye-hymen.
Ukuhlinzwa kungahle kubekwe kulabo besifazane abathi, ngokuzama ukuphindaphinda ukuhlushwa kwe-hymen, akuzange kwenzeke. Kuye kwasungulwa ukuthi amantombazane eneminyaka engu-18-20 ane-compaction ye-hymen: ilahlekelwa ukuqina kwayo, ifinyelele, futhi ihlukumezeke. Lezi zinguquko zibangela izinkinga ngokuhlukumeza: isenzo socansi ngokwawo siba buhlungu. Indlela kuphela yokuphuma kule nkomba yentombazane ukuhlolelwa ukuhlinzwa.
Ukubuyiselwa kwe-hymen
Ukubuyiselwa kwentombazane (hymenoplasty) ukuhlinzwa okuhlinzekwayo ukuhlinzwa lapho i-suture emaphethelweni e-hymen eqhutshwa khona. Kuye ngethonya elilindelekile, kunezinhlobo ezimbili zalokhu ukuphathwa:
- I-hymenoplasty yesikhashana esifushane eyenzelwe labo besifazane abahlela ukuhlaziya izinsuku ezingu-5-14 emva kwenqubo. Ngesikhathi esifanayo, kusetshenzwa izintambo ezithandayo, ezilungisa izicubu izinsuku ezingu-10. Ngemuva kwesikhathi esithile, ukungafani okuzenzakalelayo kwemiphetho ye-hymen kwenzeka.
- I-hymenoplasty yesikhathi eside - ukubuyiselwa kwe-hymen kwenziwa ngosizo lwezicubu ezisemnyango wesifazane. Phakathi nokuhlinzwa, udokotela ohlinzayo udala i-hymen entsha egcina ubuqotho bayo isikhathi eside.
Ngemuva kwalendlela, owesifazane kufanele ahambisane nemibandela eminingi:
- Hlanganisa umsebenzi womzimba izinsuku ezingu-14.
- Ukuziphatha okuhlanzekile ezinsukwini ezingu-7 zokuqala sebenzisa i-antiseptic.