Ingabe ukuluma kwelitho langasese lesifazane kuwuphawu lokukhulelwa?

Ukukhulelwa kungaletha izinguquko eziningi emzimbeni wowesifazane, ezinye ezilindelekile, ezinye zimangaze. Esinye isibonakaliso esingabamba abesifazane abaningi bengakulindelanga ukunwayeka kwasesithweni sangasese sowesifazane. Noma kungaxoxwa kakhulu njengesimpawu esivamile sokukhulelwa, kubalulekile ukuqonda ukuthi ingabe singaxhunyaniswa nezimpawu zokuqala zokukhulelwa noma cha. Abesifazane abaningi bayabuza, "Ingabe ukunwayeka kwasesithweni sangasese kuwuphawu lokukhulelwa?"—impendulo ayilula, kodwa kufanelekile ukuphenya ngokujulile.

Yini Ebanga Ukunwayeka Kwesitho Sangasese Sowesifazane?

Ukunwayeka kwasesithweni sangasese sowesifazane kungadalwa izinto eziningi. Kungabangelwa ukucasuka, izifo, ukungezwani komzimba, noma izinguquko zamahomoni. Ngenkathi abanye besifazane bezibuza ukuthi ingabe ukunwayeka kwasesithweni sangasese kuwuphawu lokukhulelwa, kubalulekile ukuqaphela ukuthi akuvamile ukuba uphawu olulodwa lodwa. Ngesikhathi sokukhulelwa, umzimba wowesifazane uba nezinguquko ezinkulu zamahomoni, ezingaguqula ibhalansi yamagciwane nefungus (yeast) esithweni sangasese, okungaholela ekungakhululeki. Ukwanda kokukhiqizwa kwe-estrogen, ngokwesibonelo, kungaholela ezinguqukweni ekutheni kukhiphe malini uketshezi esithweni sangasese, futhi kwezinye izimo lokhu kungabangela ukunwayeka.

Yize ukunwayeka kwesitho sangasese sowesifazane kwesinye isikhathi kungaba uphawu lokukhulelwa, ngokuvamile akulona uphawu olulodwa okufanele uthembele kulo. Uma owesifazane ezwa ukunwayeka kwasesithweni sangasese, kuvame ukuhambisana nezinye izimpawu zokuqala zokukhulelwa ezifana nesicanucanu, ukukhathala, noma ukuncipha kobuhlungu bamabele ekukhulelweni kokuqala. 

Ushintsho Lwamahomoni Nokuzwela Kwesitho Sangasese Sowesifazane

Izinguquko zamahomoni ngesikhathi sokukhulelwa zithinta imisebenzi ehlukahlukene yomzimba, okuhlanganisa nendawo yesitho sangasese sowesifazane. Ukwanda kwamazinga e-estrogen kungadala ukuthi indawo yesitho sangasese sowesifazane ibe sengozini yokucasuka nokoma, okungaholela ekunwayeni. Lokhu kuzwela okwandisiwe kungenza abesifazane babe sengozini yokucasuka imikhiqizo ababekade beyisebenzisa ngaphandle kwenkinga, njengeminye imisebe yokugeza noma izindwangu [1]. Uma usuzibuza manje, ingabe ukoma kwesitho sangasese sowesifazane uphawu lokukhulelwa? Sinelinye i-athikili elinye ngawe.

Kwabanye abesifazane, ukuluma kungaqala ngaphambi kokuphuthelwa yisikhathi sokuya esikhathini, okwenza bazibuze ukuthi ukuluma ngaphambi kokuya esikhathini mhlawumbe kusho ukuthi ukhulelwe yini. Nakuba lokhu kungase kuphakamise ukuthi kukhona ukukhulelwa, kubalulekile ukuqaphela ukuthi kunezinto eziningi ezingahlangene nokukhulelwa, ezifana nengcindezi emphefumulweni noma izifo, ezingabangela ukuluma kwendlala yangasese futhi.

Izifo ze-Yeast Nokukhulelwa

Izifo ze-yeast zivamile ngesikhathi sokukhulelwa ngenxa yezinguquko ezingeni le-pH yesitho sangasese sowesifazane. Lokhu kungaholela ezimpawini ezingakhululekile ezinjengokuluma, ukusha, nokuchichima okungajwayelekile. Nakuba isifo se-yeast singasho ngqo ukuthi ukhulelwe, singavela kaningi kwabesifazane abakhulelwe ngenxa yokuguquka kwamazinga amahomoni. Ngakho-ke, kwabanye besifazane, lesi sici sokuluma esithweni sangasese njengophawu lokukhulelwa singase sibe uphawu lokuqala, kodwa kubalulekile njalo ukuqinisekisa ukukhulelwa ngokuhlolwa okufanele [2].

Uma uhlangabezana nokuluma okuqhubekayo futhi usola ukuthi kungenzeka ukhulelwe, kuwumqondo omuhle ukubuza uchwepheshe wezempilo. Hhayi nje ukuze kuhlolwe ukukhulelwa kuphela kodwa futhi ukuze kukhishwe emathubeni ezinye izimbangela zokuluma, ezifana nesifo sofuba lwesitho sangasese (yeast infection), i-bacterial vaginosis, noma izifo ezithathelwana ngocansi (STIs).

Ingabe I-Vulva Elumayo Inguphawu Lokukhulelwa?

Indlala yangasese (vulva), ezungeza ukuvuleka kwesitho sangasese sowesifazane, ingase iphinde ilume ngesikhathi sokukhulelwa ngenxa yezinguquko zamahomoni ezifanayo ezithinta isitho sangasese sowesifazane. Ngakho-ke, uma uzibuza ukuthi ingabe i-vulva elumayo inguphawu lokukhulelwa, impendulo ukuthi ingaba njalo, nakuba imvamisa kuwumphumela ongemuhle wezinguquko zamahomoni ezenzeka emzimbeni. Kwezinye izimo, izinto zangaphandle ezifana nokucasuka okubangelwa izingubo noma imikhiqizo yokuhlanza umzimba zingase futhi ziqale ukuluma kwendlala yangasese okungahlangene nokukhulelwa [3].

Kubalulekile ukuhlukanisa phakathi kokuluma okuhlobene nokukhulelwa nezinye izimbangela. Ukuqhamuka ngokuzumayo kokuluma kwendlala yangasese, ikakhulukazi uma kuhambisana nokuchichima okungajwayelekile noma ubuhlungu, kufanele kuhlolwe uchwepheshe wezempilo, ikakhulukazi uma kusolwa ukukhulelwa.

Ukuluma Kwendlala Yangasese Ngaphambi Kokuphuthelwa Isikhathi Sokuya Esikhathini

Ngaphambi kokuba owesifazane aphuthelwe yisikhathi sakhe sokuya esikhathini, angase aqale ukubona izinguquko emzimbeni wakhe. Akuyona into enga-jwayelekile ukuthi abesifazane babe nokungakhululeki esithweni sangasese, ikakhulukazi ukuluma, bese bayazibuza ukuthi lokhu kungase kube uphawu lokukhulelwa kusenesikhathi. Ezimweni ezingavamile, ukuluma kwendlala yangasese kungavela njengophawu lokukhulelwa kusenesikhathi, nakuba ngokuvamile kuhlotshaniswa nezinye izimo ezifana nokucasuka kwesikhumba noma izifo.

Uma uzibuza, ingabe ukuluma esithweni sangasese sowesifazane kuyuphawu lokukhulelwa, kubalulekile ukukhumbula ukuthi yize kungavela, akusona isibonakaliso esiqinisekile. Abesifazane abaningi abahlangabezana nokuluma baba nenye imbangela, njengokungezwani, izifo, noma ukucasuka okubangelwa imikhiqizo. Ngakho-ke, ukuhlanganisa ukuluma nezinye izimpawu, njengesiyezi (nausea) noma ukuchama kaningi, kungaba uphawu oluqondisa kakhulu ekuboneni ukukhulelwa kokuqala.

Ukuvimbela Ukuluma Esithweni Sangasese Sombhali Wesifazane Ngesikhathi Sokukhulelwa

Uma ukhulelwe futhi ubhekene nokuluma esithweni sangasese sowesifazane, kukhona izindlela eziningana ongazisebenzisa ukulawula lokhu kungakhululeki:

• Gcina inhlanzeko enhle: Sebenzisa insipho emnene engenaphunga futhi ugweme ukuhlanza ngaphakathi kwesitho sangasese sowesifazane (douching), ngoba lokhu kungaphazamisa ibhalansi yemvelo yamagciwane esithweni sangasese sowesifazane.
• Gqoka izingubo ezikhululekile, ezenzelwe ukuphefumula: Ibhulukwe langaphansi likakotini lingasiza ukunciphisa ukuvuthwa kwamanzi, okungavimbela ukucasuka.
• Hlala uphuza amanzi aneleyo: Ukuphuza amanzi amaningi kungasiza ukugcina umzimba wakho, kuhlanganise nezicubu zesitho sangasese sowesifazane, zimanzi kahle.
• Xhumana nochwepheshe bezempilo: Uma uhlangabezana nokuluma okungapheli, kubalulekile ukufuna iseluleko sezokwelapha ukuze kususwe ukutheleleka noma ezinye izimo.

Ufanele Ukubona Nini Udokotela

Uma uhlangabezana nokuluma esithweni sangasese sowesifazane okungapheli ngezindlela zokuzelapha ekhaya, noma uma kuhambisana nezinye izimpawu ezifana noketshezi olungajwayelekile, ubuhlungu, noma izilonda, kubalulekile ukuya kudokotela. Nakuba abanye besifazane bengabuza, ingabe isitho sangasese esilumayo siyuphawu lokukhulelwa, kubalulekile ukuqinisekisa imbangela eyisisekelo. Ukuluma esithweni sangasese sowesifazane kungase kube uphawu lwezinkinga ezahlukene, ezinye ezihlobene nokukhulelwa kanti ezinye zingahlangene nakho, njengokutheleleka noma ukusabela komzimba ekutheni into ikucasule (allergic reactions).

Ukuluma okuhlobene nokukhulelwa ngokuvamile kuyaphela ngokuhamba kwesikhathi nangokunakekelwa okufanele, kodwa uma ukuluma kuqine kakhulu, ungase udinge ukwelashwa kwezokwelapha ukuze kubhekwane nembangela yakhona eyisisekelo.

Isifinyezo Esiyinhloko

Nakana ukuthi ukuluma esithweni sangasese sowesifazane kungenzeka ngesikhathi sokukhulelwa, kubalulekile ukuqaphela ukuthi akuyona inhloso enkulu noma uphawu oluqinisekile. Abesifazane abaningi baba nokungakhululeki esithweni sangasese ngenxa yokushintsha kwamahomoni, ukuzwela okwandayo, noma izifo ngesikhathi bekhulelwe. Uma uzibuza umbuzo othi "ingabe ukuluma esithweni sangasese sowesifazane kuyuphawu lokukhulelwa?", impendulo ukuthi kungaba kunjalo, kodwa kuhlale kungcono ukuqinisekisa ukukhulelwa ngovivinyo bese uthintana nochwepheshe bezempilo ukuze kususwe ezinye izimbangela ezingaba khona zokuluma.

Ngokufingqa, ukuluma esithweni sangasese sowesifazane kungase kuhlobane nokukhulelwa, kodwa kuvame ukubangelwa ezinye izinto ezifana nokushintsha kwamahomoni, izifo, noma ukuvuvukala. Hlala uthintana nochwepheshe bezempilo uma uhlangabezana nezimpawu ezingapheli ukuze uthole ukuxilongwa nokwelashwa okufanele.

Imithombo

1. NHS UK. Ukuluma nokungasebenzi kahle kwamafutha esibindini ngesikhathi sokukhulelwa (intrahepatic cholestasis of pregnancy). [Kubuyekezwe- 5 January 2023]. Kutholwe 3 Oct 2024: https://www.nhs.uk/pregnancy/related-conditions/complications/itching-and-intrahepatic-cholestasis 
2. Soong D, Einarson A. Ukutheleleka kwesikhunta esithweni sangasese sowesifazane ngesikhathi sokukhulelwa. Can Fam Physician. 2009 Mar;55(3):255-6. PMID: 19282531; PMCID: PMC2654841.
3. Corey Whelan, Kubuyekezwe nguDeborah Weatherspoon. Ngikhulelwe: Kungani nginokuluma esithweni sangasese sowesifazane?. [Kubuyekezwe: 13 May 2019]. Kutholakala ku-inthanethi: https://www.healthline.com/health/pregnancy/vaginal-itching-during-pregnancy