Izinhlungu zokuqaqamba ohlangothini olulodwa lwesibeletho: Izimbangela nokuthi ongakulindela

Ukuhlangabezana nokuqunjelwa ohlangothini olulodwa lwesibeletho kungakukhathaza, ikakhulukazi uma kungalindelekile. Ukuqonda izizathu ezisemva kwale mizwa kungakusiza uzizwe unokuthula noma kukukhuthaze ukuthi ufune usizo lwezokwelashwa olufanele lapho kudingeka. Ake siqonde izizathu ezingaba khona ezisekelwe olwazini lwezokwelapha zobuhlungu ohlangothini olulodwa lwesibeletho.

Izimbangela Ezivamile Zokuqunjelwa Ohlangothi Lulodwa Esibelethweni

Ukuqunjelwa ohlangothini olulodwa kungavela ngezizathu ezihlukahlukene, eziningi zazo ezivamile futhi ezingayingozi. Kubalulekile ukuhlukanisa ukuthi nini kuwumsebenzi ojwayelekile womzimba wakho nokuthi nini kungase kube uphawu lwenkinga ejulile.

1. Ukuvuthwa Kweqanda
   

   Enye yezimbangela ezivame kakhulu zokuqunjelwa ohlangothini olulodwa lwesibeletho ukuvuthwa kweqanda. Lokhu kwaziwa ngokuthi i-mittelschmerz, igama elichaza ubuhlungu noma ukungakhululeki ngesikhathi sokuvuthwa kweqanda. Kwenzeka maphakathi nomjikelezo lapho isidoda sakho sikhulula iqanda, okubangela ukuhlaba okuncane kuya kokumaphakathi esibelethweni. Lokhu kuhlaba kuvame ukuba yisikhashana futhi akufanele kukhathaze ngaphandle uma kuhambisana nezinye izimpawu ezikhathazayo ezifana nokopha kakhulu [1].

   Ngaphezu kokuqunjelwa, ukukhathala ngemva kokuvuthwa kweqanda kuyimpawu evamile etholakala kwabanye besifazane, okuvame ukubangelwa ukuguquguquka kwamahomoni phakathi nomjikelezo.

2. Ukuqunjelwa Ngesikhathi Isibungu Sizimisa Esibelethweni
   

   Uma uzama ukukhulelwa, ukuqunjelwa ohlangothini olulodwa lwesibeletho kungase kubonise ukuzimisa kwesibungu. Ukuzimisa kwenzeka lapho iqanda elichumile linamathela odongeni lwesibeletho. Abesifazane abaningi babika ukuthi bazizwa bequnjwa kancane ohlangothini olulodwa lwesisu sabo esingezansi ngalesi sikhathi. Lokhu kungaba ngomunye wemibiko yokuqala yokukhulelwa, okuvame ukuhambisana nokuchitheka kwegazi okuncane okwaziyowa ngokuthi ukuvuvukala kwegazi kokuzimisa isibungu.

Izimbangela Ezivamile Kancane Kodwa Ekhathazayo

Yize imihuzuko ivame ukuba nezincazelo ezingeyona ingozi, kukhona izikhathi lapho imihuzuko ohlangothini olulodwa kuphela ingakhombisa okuthile okungathi sineke. Naka amandla obuhlungu nanoma yiziphi ezinye izimpawu ezihambisana nawo.

Ukukhulelwa Kwe-Ectopic : Ukukhulelwa kwe-ectopic kwenzeka uma iqanda elikhulisiwe linamathela ngaphandle kwesibeletho, ngokuvamile kwenye yamathumbu e-fallopian. Lolu hlobo lokukhulelwa alukwazi ukuqhubeka ngendlela ejwayelekile futhi lungaholela emihuzukweni ebukhali noma ebuhlungu kakhulu, ngokuvamile egxile ohlangothini olulodwa lwe-pelvis. Uma uhlangabezana nemihuzuko ebuhlungu kakhulu ohlangothini olulodwa lwesibeletho sakho kanye nezimpawu ezifana nokudideka ikhanda, ubuhlungu egxalabeni, noma ukopha okuningi kwesitho sangasese sowesifazane, kubalulekile ukufuna usizo lwezokwelapha ngokushesha. [2].

Ama-Ovarian Cysts : Ama-ovarian cysts, okuyizigubhu ezigcwele uketshezi kuma-ovary, avamile. Abesifazane abaningi baba nama-cyst ngaphandle kwezimpawu, kodwa ama-cyst amakhulu angabangela ukungakhululeki, kuhlanganise nemihuzuko ohlangothini olulodwa lwesibeletho. Lolu hlobo lwemihuzuko lungavela lube selunyamalale futhi lungaba bubi kakhulu ngesikhathi sokuya esikhathini. Ezimweni ezingajwayelekile, uma i-cyst iqhuma noma ijikeleza (okwaziwa ngokuthi i-ovarian torsion), ubuhlungu bungaba bukhulu kakhulu, kudingeke ukunakekelwa ngokuphuthumayo. [3].

Ezinye Izimbangela Ezingenzeka

Isifo Sokuvuvukala Kwe-Pelvis (Pelvic Inflammatory Disease, PID) : Lesi sifo siyitheleleko yamathuluzi okuzala kowesifazane, esivame ukubangelwa amagciwane adluliselwa ngokocansi. Lesi simo singabangela imihuzuko eqhubekayo ohlangothini olulodwa, kanye nomkhuhlane, uketshezi olungajwayelekile, nobuhlungu ngesikhathi socansi. Ukutholwa kusenesikhathi nokwelashwa kubalulekile ukuvimbela izinkinga ezifana nokungabi nenzalo. [4].

I-Endometriosis: I-Endometriosis yisimo lapho izicubu ezifana nendwangu yangaphakathi yesibeletho zikhula ngaphandle kwesibeletho, okuvame ukuholela ebuhlungwini nasekungakhululekeni. Kwezinye izimo, abesifazane bangazizwa imihuzuko ebukhali ezindaweni ezithile zesifuba sangasese. Ubuhlungu bungahluka ngamandla futhi bungaba bukhulu kakhulu ngesikhathi sokuya esikhathini. I-Endometriosis idinga ukuxilongwa uchwepheshe wezempilo, kanti kukhona nezinhlobo ezahlukene zokwelashwa ezingasiza ukuphatha izimpawu. [5].

Nini Okufanele Ufunisise Udokotela

Yize izikhathi eziningi zemihuzuko ohlangothini olulodwa lwesibeletho zivame ukuba azinangozi, kubalulekile ukubona ukuthi nini lapho ukungakhululeki kungase kubonise inkinga enkulu. Uma imihuzuko yakho ibuhlungu kakhulu, iqhubeka isikhathi eside, noma ihambisana nezimpawu ezifana nokopha kakhulu, isicanucanu, ukuhlanza, noma umkhuhlane, kuwukuhlakanipha ukubonana nochwepheshe wezempilo.

Ngaphezu kwalokho, uma ubona izinhlungu ezibukhali, ikakhulukazi imihuzuko esibelethweni evela ngokuzumayo noma enamandla kakhulu, kubalulekile ukuqeda amathuba ezimo ezifana nokukhulelwa kwe-ectopic noma ukuzungeza kwe-ovary (ovarian torsion), okungase kudinge ukunakwa ngokushesha.

Ukuphatha Ukujijeka Okuncane Kwemisipha

Ukubhekana nobuhlungu bokubanjwa kwemisipha obuncane, obungasongeli impilo, kunezindlela eziningana zokunciphisa ukungakhululeki:

• Ukwelashwa Ngokushisa: Ukufaka i-heating pad noma i-compress efudumele endaweni ebuhlungu kungasiza ukuphumuzisa imisipha nokunciphisa ubuhlungu.
• Imithi Yokwehlisa Ubuhlungu Engathengwa Ngaphandle Kwe-Resiphi: Imithi engeyona i-steroid yokulwa nokuvuvukala (NSAIDs) efana ne-ibuprofen ingasebenza kahle ekunciphiseni ubuhlungu nokuvuvukala.
• Ukuphumula Nokuphumuzeka: Ngezinye izikhathi, ukuphumula nje nokuvumela umzimba wakho ukuthi ululame kuyisixazululo esingcono kunazo zonke ekubhekaneni nobuhlungu obuncane bokubanjwa kwemisipha.
• Ukuphuza amanzi: Ukuhlala uphuza amanzi okwanele kungasiza ukuvimbela ukuqubuka kwemisipha, okungase kwandise ukubanjwa kwemisipha.

Ngolunye ukusekelwa kokudla okunomsoco phakathi nomjikelezo wakho, ama-supplement aqukethe amavithamini namaminerali afana ne-folic acid, i-magnesium, ne-zinc angasiza ukulinganisa impilo yokuzala, okungenzeka kwehlise ubuhlungu obuncane bokubanjwa kwemisipha futhi kusekele ukuzala okuphelele.

Okubalulekile

Ukujikijela noma ukubanjwa komzimba kolunye uhlangothi lwesibeletho kuvame ukuba yingxenye evamile yomjikelezo wokuya esikhathini, ukuvuthwa kwamaqanda, noma ukukhulelwa kokuqala. Nokho, uma lobu buhlungu buqinile kakhulu noma buhambisana nezinye izimpawu ezikhathazayo, kubalulekile ukufuna iseluleko sezokwelapha ukuze kukhishwe amathuba ezimo ezimbi njengokukhulelwa okungaphandle kwesibeletho noma izinkinga zama-ovari. Ukuqonda umzimba wakho nokubona ngesikhathi lapho kukhona okungahambi kahle kungakusiza ukuthi uthathe izinyathelo ngesikhathi ukuze ugcine impilo nempilo enhle. 

Imithombo:

1. Bann S, Goshtasebi A, Shirin S, Prior JC. Ucwaningo lonyaka owodwa lokubuka iqembu labahlanganyeli mayelana nokubanjwa yizinkomba zokuya esikhathini (menstrual cramps) nokuvuthwa kwamaqanda (ovulation) kwabesifazane abaphilile, abavame ukuvuthwa kwamaqanda ngendlela ejwayelekile. Sci Rep. 2022 Mar 18;12(1):4738. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8933502/
2. Tejal L. Patel, Garima Chouhan. Ucwaningo lwezokwelapha mayelana nokukhulelwa kwesisu okungaphandle kwesibeletho (ectopic pregnancy). Vol. 12 No. 2 (2023): February 2023. [Kushicilelwe 2023-01-25]. https://doi.org/10.18203/2320-1770.ijrcog20230120 
3. InformedHealth.org [Internet]. Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG); 2006-. Uhlolojikelele: Ama-cyst ema-ovari. [Updated 2022 Apr 21]. Kutholakala ku: https://www.ncbi.nlm.nih.gov/books/NBK539572/ 
4. Jennings LK, Krywko DM. Isifo sokuvuvukala kwendawo yesinqe (Pelvic Inflammatory Disease). [Updated 2023 Mar 13]. Ku: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Kutholakala ku: https://www.ncbi.nlm.nih.gov/books/NBK499959/ 
5. Parasar P, Ozcan P, Terry KL. I-Endometriosis: Ukusabalala kwayo, ukuxilongwa nokuphathwa kwayo kwezokwelashwa. Curr Obstet Gynecol Rep. 2017 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5737931/