Kodwa-ke, kuningi lamacala, ukuphuma kwegazi ngaphambi kokuya esikhathini kunesisusa esibalulekile, isb. khuluma ngokukhona emzimbeni wephulwa emsebenzini wesistimu yokuzala. Ake sibuke izifo ezivame kakhulu lapho kungase kube khona indawo encane ngaphambi kokunciphisa kakhulu.
Ngenxa yalokho kungaba khona ukuphuma ngegazi ngaphambi kokuya esikhathini?
Okokuqala, uma uthola imbangela yalolu daba, udokotela ubuza owesifazane uma esebenzisa izisu zomlomo njengendlela yokuzivikela. Into yukuthi le mithi ekubunjwa kwayo iqukethe ama-hormone. Ngakho-ke, ukusebenzisa kwabo isikhathi eside kuvame ukuholela ekuthuthukiseni ukungalingani kwe-hormonal, okubangela ukuthi kuvezwe ukukhishwa kwamanzi nje ngesonto ngaphambi kokulindela njalo ngenyanga.
Kulezo zimo lapho ukukhishwa ngegazi ngaphambi nje kokuya esikhathini kunomthamo omkhulu, cishe kunokwephulwa. Ezimweni ezinjalo, isabelo ngokuvamile sithola umbala omnyama obomvu noma obomvu, obonisa ukugula okufana nalokhu:
- i-endometriosis;
- ukuguguleka kwentamo yebele;
- umdlavuza wesibeletho;
- i-polyps;
- i-hyperplasia ye-endometrium yesibeletho;
- ukutheleleka kocansi (trichomoniasis).
I-Pink spotting ngaphambi kokuqala kokuya esikhathini kungakhuluma ngesifo esinjengesigciwane se-endometritis esingapheli noma i-endocervicitis engapheli.
Ngaphandle kwezimbangela ezingenhla ezingabangela ukubonakala kokukhishwa ngaphambi kokuya esikhathini, kufanele kuthiwa kunezici ezithile ezingasiza ekwenzeni imfihlo ngegazi. Lokhu kufaka:
- ukuphazamiseka kwesistimu ye-endocrine;
- ukucindezeleka njalo kanye nokudlulela ngokweqile;
- ukuntuleka kwamahomoni e-thyroid;
- ukusetshenziswa kokukhulelwa kokuphuthumayo ( Postinor );
- ukusetshenziswa kwezinye izidakamizwa (ikakhulukazi ze-hormonal).
Ukuphuma kwegazi okwenzeka ngaphambi kokuya esikhathini kuyisibonakaliso sokukhulelwa?
Lolu hlobo lwezehlakalo ngokushesha ngaphambi kokuya esikhathini angeke luhlolwe njengesibonakaliso senhloso yokukhulelwa okuqalile. Kodwa-ke, kufanele kuqashelwe ukuthi kaningi ngesikhathi sokufakelwa kweqanda elifakwe emanzini ngaphakathi kwesigqila se-endometrial lesibeletho, ukukhishwa okuncane komzimba wesifazane kungabonwa, okubuye kuhambisane nokudweba imizwa ebuhlungu esiswini esingaphansi. Ezimweni ezinjalo, igazi livela, njengomthetho, izinsuku ezingu-7-9 ngaphambi kosuku olulindeleke njalo ngenyanga.
Kulezo zimo lapho umthamo wegazi olwabiwe ukhululekile, futhi iqiniso lokuthi ukuqala kokukhulelwa kuqinisekiswa udokotela, kungenzeka ukuthi usongelwa ukukhipha isisu noma ukuthuthukiswa kokukhula kwesisu.
Ezimweni ezinjalo, ngaphandle kokukhishwa kwesisu, izimpawu ezilandelayo ziyabonakala:
- isiyezi;
- ikhanda;
- ubuhlungu esiswini esingaphansi;
ukudonsa okubukhali ekucindezeni kwegazi; - isikhala sesikhumba;
- umthamo obuthakathaka;
- ukujuluka okukhulu.
Izimpawu ezinjalo zikhombisa ukuthi kukhona ukulahlekelwa kwegazi elikhulu, okudinga ukunakekelwa okuphuthumayo nokufakela esibhedlela owesifazane okhulelwe.
Ngakho-ke, ukuqonda ngokuzimela ukuthi kungani kubonakala khona ngaphambi kokuya esikhathini, owesifazane akakwazi, ngenxa yombalo omkhulu wezizathu zokuthuthukiswa kwalesi simo. Isixazululo esisodwa esifanele siyoba isikhalazo kumjozi wezifo.