Ingabe Ukukhishwa Kwe-Leukorrhea Kujwayelekile? Izimpawu Okufanele Uzibheke

Uma kukhulunywa ngempilo yabesifazane, kukhona amagama amaningi angadida noma abonakale esabisa kancane. Elinye lalawo magama i\-leukorrhea, esivame ukuyibiza nje ngokuthi ukuphuma uketshezi esithweni sangasese. 

Noma yize igama layo lingelasezokwelapha, i\-leukorrhea iyingxenye evamile ngokuphelele ekusebenzeni kwendlela yokuzala kowesifazane. Inemisebenzi ethile esekela ukukwazi kukawesifazane ukukhulelwa kanye nempilo yonke yesistimu yakhe yokuzala \[1]. Kulesi sihloko, sizoxoxa ukuthi i\-leukorrhea ibukeka kanjani, kungani ivela, kanye nendima yayo ekuzaleni. Lesi sihloko sikhanyisa nokuthi izinguquko ezahlukene ekuphumeniketshezweni kwe\-leukorrhea zingasho ukuthini kuwena.

Yini I\-Leukorrhea Noma Ukuphuma Uketshezi Esithweni Sangasese?

I\-leukorrhea yigama lezokwelapha elisetshenziselwa ukuchaza uketshezi olumhlophe noma olucacile abesifazane abaningi abalubona luphuma esithweni sabo sangasese. Lolu ketshezi lukhiqizwa ama\-gland esibelethweni (cervix) nasemigodini yezindonga zesitho sangasese, futhi lunezindima eziningi ezibalulekile \[1].

Umthombo Wesithombe: https://sg.theasianparent.com/vaginal-discharge-chart 

Ezimweni eziningi, kujwayelekile ngokuphelele futhi kuyisibonakaliso sokuthi umzimba wakho wenza okufanele. Uhlobo lwalokhu ketshezi lungahluka phakathi kokuba luncane nolukhulu, kuya ngesigaba somjikelezo wokuya esikhathini \[2]. Kungase kumangaze ukufunda ukuthi cishe bonke abesifazane babhekana nokuphuma okuthile koketshezi esithweni sangasese empilweni yabo. Kuyindlela yemvelo umzimba uzihlanza ngayo, ususe amaseli afile, futhi uzivikele ezithelelekeni.

I\-leukorrhea isiza ukugcina ibhalansi enempilo yamagciwane esithweni sangasese sowesifazane, iqinisekisa ukuthi izinhlobo ezilimazayo zigcinwa zilawulwa. Ngaphezu kwalokho, lolu ketshezi lwemvelo lusebenza kakhulu ekugcineni impilo yonke yesistimu yokuzala.

Kungani Kuphuma Uketshezi Esithweni Sangasese Sowesifazane?

Ukukhiqizwa kokuphuma uketshezi esithweni sangasese sowesifazane ikakhulukazi kuyindlela umzimba ozivikela ngayo. Umzimba wakho ukhiqiza lolu ketshezi ukuze ugcine isitho sangasese sihlanzekile futhi singenazo izifo ezingafuneki. Nawa amanye amathonya amakhulu enza kube nokuphuma lolu ketshezi:

1. Ukuvikelwa Ezithelelekeni

Ukuphuma uketshezi esithweni sangasese sowesifazane kudala indawo eyisongelo kumagciwane namagciwane ayingozi. I\-pH yayo\-acidic yosikhishwa isiza ukugcina ibhalansi enempilo yamagciwane esithweni sangasese sowesifazane, ikakhulukazi ama\-lactobacilli \[3].

Leli balance lemvelo lamagciwane litholakala lisebenza kahle ekulweni nokutheleleka. Lesi sivimbeli sokuzivikela singavimba izifo ezifana ne\-bacterial vaginosis nokutheleleka yi\-yeast, kokubili okungadala ukungakhululeki futhi kudinge ukwelashwa kwezokwelapha \[4].

2. Ukugcina Impilo Yesitho Sangesese Sowesifazane

Kwesisu sangasese sowesifazane ukuphuma kwangasese kusiza ukugcina izicubu zesitho sangasese zimanzi kahle futhi zondlekile [1]. Lusebenza njenge-moisturizer yemvelo, okubaluleke kakhulu ngoba isitho sangasese siyindawo ebucayi enezicubu ezizwelayo. Ngokugcina izicubu zithambe futhi ziguquguquka, uketshezi luvimbela ukucasuka futhi lukhuthaze ukunethezeka okuphelele.

3. Ukusiza Umsebenzi Wocansi

Ukugcotshwa kwangaphakathi kwesitho sangasese kubalulekile ukuze ucansi lube nokunethezeka. Uketshezi lwemvelo olukhiqizwa umzimba wakho luqinisekisa ukuthi isitho sangasese sihlala simanzi, sinciphise ukungqubuzana ngesikhathi socansi. Lokhu kugcotshwa akukhulisi kuphela injabulo kodwa futhi kwehlisa ingozi yezinyembezi ezincane noma ukucasuka okungaholela ekuthelelekeni.

4. Inkomba Yempilo Yokuzala

Umehluko ekuphumenikeni kwangasese nawo ungaba izimpawu zokuqala zokuxwayisa ngezinguquko empilweni yakho. Isibonelo, ushintsho olungazelelwe kumbala, ebunjeni, noma emunweni lungakhombisa ukutheleleka noma ukungalingani ebhalansini lemvelo yamagciwane esithweni sangasese. Ukuqaphela noma yiziphi izinguquko ezingazelelwe kungakusiza ukuthi ubheke usizo lodokotela ngokushesha uma kukhona okubonakala kungeyinhle.

Kanjani Ukuphuma kwangasese Kosifazane Kusekela Ukuzala Kwabesifazane?

Njengoba uqapha umjikelezo wakho, ungase uqaphele ukuthi ubunjalo kanye nenani lokuphuma kwangasese kungahluka phakathi nenyanga. Lezi zinguquko zithonywa amahomoni alawula umjikelezo wakho wokuya esikhathini, futhi zingakunika amathiphu awusizo mayelana nokuthi nini unethuba elikhulu lokukhulelwa—noma, ngakolunye uhlangothi, nini uba nokuphuma okungazali, okuvame ukuvela ngesikhathi lapho ukukhulelwa kungenzeka kancane. Nansi indlela:

1. Ngaphambi kokuVuthwa kweqanda

Ekuqaleni komjikelezo wakho wokuya esikhathini, uketshezi lwakho lwe-leukorrhea luba luyinqwaba, lunamathele, futhi kwesinye isikhathi lufiphele. Lokhu kuyindlela yomzimba wakho yokwakha udonga lokuzivikela phezu kwesibeletho, okuvimba amagciwane ayingozi ekungeneni esibelethweni [5].

Kulesi sigaba, izinga le-estrogen liyakhuphuka, kodwa ukuvuthwa kweqanda akwenzekanga okwamanje. Uketshezi oluwugqinsi aluhambisani kahle nesidoda, okwenza kube nzima ukuthi isidoda sihambe. Lokhu kusho ukuthi amathuba okukhulelwa aphansi kulesi sigaba.

2. Ngesikhathi sokuVuthwa kweqanda (Ovulation)

Njengoba umzimba wakho ususondela ekuvuthweni kweqanda (ovulation), izinguquko zamahomoni zikhuphula i-estrogen. Lo homoni ubangela ukuthi umucu wesibeletho kanye nokuphuma kwangasese kubeselemanzi futhi kunwebeke kalula — kufane nokumhlophe kweqanda ngobunjalo [6].

Lawa mafinyila esibeletho afana nezikhupha zeqanda elimhlophe aseka ukukwazi kokuzala kowesifazane ngoba adala indawo efanele yokuhamba kwesidoda. Asiza isidoda ukuthi sihambe sidlule esibelethweni singene ohlelweni lokuzala lowesifazane, lapho inhlanyelo ingahlangana neqanda khona.

3. Ngemva kwe-ovulation

Ngemva kwe-ovulation, amafinyila esibeletho aba makhulu futhi awugqinsi, okuholela ekuphumenikeni kwesitho sangasese okujiye. Lolu shintsho lubangelwa ukwenyuka kwamazinga e-progesterone, okukhombisa ukuthi iwindi lokukhulelwa selivaliwe kuze kube umjikelezo olandelayo.

Lena inhlobonhlobo yemvelo kumafinyila esibeletho, kanti ngenxa yalokho, ekuphumenikeni kwesitho sangasese sowesifazane, efana nomlandeli wokukwazi ukukhulelwa ofakiwe ngaphakathi. Abesifazane abaningi balandela lezi zinguquko—bevame ukuziqhathanisa ne-izithombe zokuphuma ngesikhathi se-ovulation—ukuze bathole ukuthi i-ovulation isenzeka nini, okuyilapho bekhulelwa kalula kakhulu. Ngale ndlela bangakhulisa amathuba okukhulelwa ngokwemvelo noma bakugweme.

Izinhlobonhlobo ekuphumenikeni kwesitho sangasese sowesifazane

Owesifazane angabona izinhlobo ezahlukene zokuphuma kwesitho sangasese ngesikhathi seminyaka yakhe yokuzala. Uma eqonda ukuthi i-leukorrhea ibukeka kanjani ngezinsuku ezijwayelekile nokuthi izinguquko ezingajwayelekile zibonakala kanjani, angakwazi ukwenza izinqumo ezinolwazi kangcono mayelana nokukhulelwa kwakhe nempilo yakhe yokuzala yonke.

Izinhlobonhlobo ezijwayelekile

Nawa amanye amafomu ajwayelekile okuhlukahluka ekuphumenikeni kwesitho sangasese sowesifazane angavamisile ukuba uphawu lwenkinga:

• Ukuphuma okusobala noma okumhlophe: Lokhu yikho abesifazane abaningi abajwayele ukukuzwa. Inani nobukhulu bungahluka kuye ngesigaba somjikelezo wakho wokuya esikhathini. Ukuphuma okusobala noma okumhlophe okungenakho ukuluma, ukushisa, noma iphunga elinamandla kuvamise ukuba kujwayelekile.
• Ukuvumelana okufana nezikhupha zeqanda elimhlophe: Ngasikhathi sokuqubuka kweqanda (ovulation), ukuphuma kungaba manzi kakhulu futhi kudonseke, kufane nezikhupha zeqanda elimhlophe. Lokhu kuwuphawu lokuthi owesifazane usemazingeni aphezulu okukwazi ukukhulelwa. Abesifazane abalandelela imijikelezo yabo bavame ukubona izinsuku zabo ze-ovulation ngosizo lalesi sikhombisi [6].
• Ukubukeka okunjengobisi kancane: Ngezinye izikhathi, ukuphuma kungabonakala kukhanyayo njengobisi kancane. Lokhu kuyingxenye evamile yomjikelezo wakho, ikakhulukazi uma kwenzeka ezigabeni zokuqala nezokugcina.

Izinhlobonhlobo zokuphuma okungajwayelekile okufanele uzibheke

Nakuba iningi lezinguquko ekuphumenikeni kujwayelekile, kukhona ezinye izinhlobonhlobo ezingase zibonise inkinga efihlakele:

• Ukuphuma okuphuzile noma okuluhlaza: Uma uqaphela umbala ophuzi oqhakazile noma oluhlaza okotshani ku-leukorrhea yakho, kungase kube uphawu lokutheleleka. Izimo ezifana ne-bacterial vaginosis noma isifo esithathelwana ngocansi (STI) zingadala lezi zinguquko. Kubalulekile ukubonana nochwepheshe wezempilo uma uqaphela le mibala.
• Ukuthungwa Okufuthumayo noma Okune-Bhamuza: Uketshezi lwesitho sangasese sowesifazane olunokuthungwa okufuthumayo noma okune-bhamuza lungaba uphawu lokutheleleka ngegciwane lesikhunta (yeast). Ngokuhambisana nokuthungwa okungajwayelekile kwe-leukorrhea, ezinye izimpawu ezingase ziqapheleke kwabesifazane abanezifo zesikhunta zifaka phakathi ukuluma noma ukucasuka [7].
• Uketshezi Olujiye, Oluneziqhuqhuva: Ngenkathi amafinyila esibeletho ejwayele ngokwemvelo ukujiya ngemva kokuvuthwa kweqanda, uma uqaphela amaqhuqhuva noma uguquko olukhulu kwinqubo yokuthungwa ngesikhathi sokuvuthwa kweqanda, kungase kube uphawu lokutheleleka noma enye inkinga edinga ukunakwa.
• Iphunga Elingemnandi: Iphunga elinamandla, elibi nalo lingesinye isignali yokuthi kukhona okungenzeka kungahambi kahle. Uketshezi olujwayelekile lwesitho sangasese sowesifazane kufanele lube nephunga elithambile kuphela. Iphunga elingapheli, elingemnandi lingase libonise i-bacterial vaginosis noma olunye uhlobo lokutheleleka.
• Ukuluma, Ukushisa, noma Ukucasuka: Uma uhlangabezana nokungakhululeki, ukuluma, noma imizwa yokushisa kanye nezinguquko eketshezini lakho, kuwumqondo omuhle ukufuna iseluleko kuchwepheshe wezempilo. Lezi zimpawu kwesinye isikhathi zingaba izimpawu zokuqala zokutheleleka noma ukusabela kokungezwani komzimba.

Kubalulekile ukuqaphela ukuthi yize lezi zinguquko zingakhombisa izinkinga ezingase zibe khona, azihlali zikhathaza. Izinto eziningi, okuhlanganisa izinguquko zamahomoni, ukudla, noma ngisho nengcindezi, zingadala ukuguquka okwesikhashana ohlotsheni loketshezi lwakho. Nokho, uma lezi zinguquko ziqhubeka zihambisana nokungakhululeki, kunconywa ukuthi ukhulume nochwepheshe ukuze uthole ukuhlolwa okuningiliziwe mayelana nempilo yakho yokuzala.

Nini Okufanele Uxhumane Nodokotela Wakho Mayelana ne-Leukorrhea?

Yize i-leukorrhea ngokuvamile iyinqubo evamile yomzimba, kukhona izikhathi lapho kufanele ucabangele ukukhuluma nochwepheshe wezempilo.

Isibonelo, uma uqaphela uguquko olukhulu noluhlala isikhathi eside kumbala, ekwakhekeni, noma enanini loketshezi lwakho, kungaba uphawu lokuthi kukhona okungahambi kahle. Izimpawu ezifana nokuluma, ukushisa, ubuhlungu lapho uchamela, noma ukungakhululeki ngesikhathi socansi zingase zikhombise ukutheleleka futhi kufanele kuhlolwe.

Ngokufanayo, iphunga elinamandla, elingemnandi elingapheli ngezindlela zokuhlanza umzimba ezijwayelekile nalo kufanele lihlolwe. Nakuba izinguquko zamahomoni ngemva kokuya esikhathini kokugcina zingaguqula uketshezi lwesitho sangasese sowesifazane, noma yikuphi ukuguquka okuzumayo noma okugqamile kufanele kuxoxwe nodokotela wakho ukuze kukhishwe amathuba okutheleleka noma ezinye izinkinga zempilo.

Futhi, umkhuhlane nobuhlungu besisu kungaba izimpawu zokutheleleka okunzima kakhulu, njengomkhuhlane wamathumbu okuzala (pelvic inflammatory disease, PID), futhi kudinga ukunakwa kwezokwelashwa ngokushesha.

Okubalulekile

Ukuchichima kwe-leukorrhea, okunaziwa kakhulu njengekuchichima kwesitho sangasese sowesifazane, kuyingxenye ejwayelekile ngokuphelele yokusebenza komzimba kowesifazane. Lokhu kuchichima kukhiqizwa amagland esibeletho futhi ukwakheka kwakho nokuthungwa kwako kungashintsha phakathi nomjikelezo wokuya esikhathini.

Ezinye izindima ezibalulekile ze-leukorrhea zifaka ukuvikela umgudu wokuzala ezintweni ezithelelwa amagciwane, ukugcoba izicubu zesitho sangasese sowesifazane nokwenza kube lula ukwenza ucansi. Kunezinguquko ekuchichimeni kwesitho sangasese sowesifazane, okunye okungokujwayelekile kuyilapho kwezinye izikhathi kukhomba inkinga ethile eyisisekelo.

Izimpawu ezifana nombala oluhlaza okotshani noma ophuzi kokuchichima, iphunga elibi, kanye nokuluma noma ukusha kudinga ukuhlolwa okufanele ukuze kukhishwe imbangela eyisisekelo.

Imibuzo Evame Ukubuzwa

1. Ingabe ukuchichima kwe-leukorrhea kungabonisa ukukhulelwa?

Ukwanda kwe-leukorrhea kungaba uphawu lokuqala lokukhulelwa kwezinye izimo. Izinguquko zamahomoni ezihambisana nokukhulelwa zivuselela ukukhiqizwa okukhulu kukamafa wesibeletho, okwenza ukuchichima kubonakale kakhulu emasontweni okuqala okukhulelwa. Nokho, akulona uphawu oluqinisekile futhi kufanele uqinisekise ukukhulelwa ngokusebenzisa i- ihlolo lokukhulelwa lasekhaya.

2. Ngingakugcina kanjani ukuchichima kwesitho sangasese sowesifazane kunempilo?

Ukuze ugcine ukuchichima kwesitho sangasese sowesifazane kunempilo, gcizelela inhlanzeko enhle ngokusebenzisa insipho emnene nokugqoka izingubo zangaphansi zikakotini eziphefumulayo. Ukuhlala uphuza amanzi anele, ukudla ukudla okunempilo okulinganiselayo, nokunciphisa ushukela nakho kungasiza ukugcina konke kulinganiselwe nokunciphisa ingozi yokutheleleka.

Izinsiza Ezisetshenzisiwe

1. Professional, C. C. M. (2025a, March 19). Ukuchichima okuvela esithweni sangasese sowesifazane. Cleveland Clinic. https://my.clevelandclinic.org/health/symptoms/4719-vaginal-discharge 
2. Thiyagarajan, D. K., Basit, H., & Jeanmonod, R. (2024, September 27). I-physiology, umjikelezo wokuya esikhathini. StatPearls - NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK500020/ 
3. Liu, P., Lu, Y., Li, R., & Chen, X. (2023). Ukusetshenziswa kwama-probiotic lactobacilli ekwelapheni ukutheleleka kwesitho sangasese sowesifazane: ucwaningo lwe-in vitro nolwe-in vivo. Frontiers in Cellular and Infection Microbiology, 13, 1153894. https://doi.org/10.3389/fcimb.2023.1153894 
4. Sobel, J. D., & Vempati, Y. S. (2024). Ubudlelwano be-pathophysiologic phakathi kwe-bacterial vaginosis ne-vulvovaginal candidiasis. Microorganisms, 12(1), 108. https://doi.org/10.3390/microorganisms12010108 
5. Hansen, L. K., Becher, N., Bastholm, S., Glavind, J., Ramsing, M., Kim, C. J., Romero, R., Jensen, J. S., & Uldbjerg, N. (2013). I-mucus plug yomlomo wesibeletho ivimba, kodwa ayivali ngokuphelele, ukudlula kwamagciwane akhuphukayo asuka esithweni sangasese sowesifazane ngesikhathi sokukhulelwa. Acta Obstetricia Et Gynecologica Scandinavica, 93(1), 102–108. https://doi.org/10.1111/aogs.12296 
6. Professional, C. C. M. (2025c, March 31). Ukamafa wesibeletho. Cleveland Clinic. https://my.clevelandclinic.org/health/body/21957-cervical-mucus 
7. Institute for Quality and Efficiency in Health Care (IQWiG). (2022, April 4). Uhlolojikelele: ukutheleleka kwesitho sangasese sowesifazane ngegciwane lesikhunta (thrush). InformedHealth.org - NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK543220/