Umjikelezo wokuya esikhathini ususela kwiintsuku ezingama-21 ukuya kwii-35, ngexesha apho kukho utshintsho olwenzeka emzimbeni, olubangelwa yi-hormone. Ukuqala komjikelo ngowusuku lokuqala lokuphuma kwindoda, okuqhelekileyo akufanele kudlule iintsuku ezi-7. Qhubeka nomjikelezo kude kube yinyanga elandelayo. Isigaba ngasinye somjikelezo sivela phantsi kweempembelelo zamahomoni ahlukahlukeneyo ezibonelela ukusebenza kwenkqubo yokuzala yabasetyhini. Kuwo onke amabhinqa, ubude bomjikelezo wonke kunye nobude bexesha lokuhamba kwakhe ngabanye, kwaye imilinganiselo eyintloko yempilo yisoloko ikhona kunye nokungabikho kovakalelo olubuhlungu. Naluphi na ukuphulwa komjikelezo wesini kwimizimba yokugonywa kwengqondo kubonwa njengeemeko ezifuna ukuxilongwa kunye nonyango. Izizathu zokujikeleza kokuya esikhathini zingahlukahluka, ezivela ekuxininiseni nasekudambiseni amandla okukhusela kunye nokuphela kwezifo ezinzulu. Kwimeko nganye, ukufumanisa ngokukhawuleza kokungaqhelekanga kunokuthintela ukuphuhliswa kwezifo ezinzulu, umzekelo, izicubu ezinzima.
Iimbangela zokungena kwexesha
Iingxaki kunye nokunyangwa kwephulo lomjikelezo wesini kunokumiselwa kuphela yingcali, ngokusekelwe kuphando olubanzi. Iimbangela eziqhelekileyo zokungena kwexesha lokunyuka kwezifo zivuthayo okanye izifo ezithathelwanayo zesitho zomzimba, izifo ezibangelwa yi-hormone, izifo zesifo se-nervous and endocrine. Ngokufanayo, ukuphazamiseka kungabangelwa yizinto zangaphandle, uxinzelelo, ukutshintsha kweemeko zemozulu, ukugqithisa, ukuhla ngokukhawuleza okanye ukwanda kwisindo somzimba, ukuthatha i-oral contraceptive. Kukho iingxaki zokusebenza zomjikelezo, ezivela kwimimandla yobudala okanye umphumo othile emzimbeni. Ngokomzekelo, emva kokubeletha okanye ukukhipha isisu, ukungenelela ngoncedo, ngexesha lokwakheka komjikelo wamantombazana, kunye nexesha le-menopausal kwabesetyhini. Ngexesha lolophulo olunjalo kubalulekile ukunxibelelana nodokotela oya kuthi uya kunceda ekufumaneni ukuba yiyiphi impazamo eyimfuneko kwaye yintoni efuna ukungenelela.
Ngokwahlukileyo kubalulekile ukuba uqaphele ukuba izizathu zokuphulwa komjikelezo wesini kumantombazana azinakunxulumaniswa nokubunjwa komjikelezo. Ngethuba leminyaka emibini yokuqala emva kokuqalisa kokuqalisa (ixesha lokuqala lokuhamba kwimihla), umjikelezo wokuya esikhathini ususelwe kuphela, ngoko ke ukungafani okuhlukeneyo kuvunyelwe. Kodwa emva kokuba umjikelo usungulwe, ukuphulwa kuyisithuba sokutyelela ugqirha. Kwakhona, isizathu sokuba uviwo luvelele kakhulu okanye ludlulile emva kwexesha, i-amenorrhea (ukungabikho kwimihla) ukuya kwiminyaka eyi-16 okanye emva kokuqalisa kokuhamba.
Ukuxilongwa kunye nokunyangwa kwezitenxo zokuya esikhathini kuyafuneka ukuba ufunde imbali yesifo (anamnesis), iimvavanyo eziqhelekileyo, izifundo ze-hormonal, i-endometrial kunye nokuhlolwa komzimba. Unokufuna kwakhona uviwo lwe-endocrinologist, i-neurologist kunye ne-cardiologist. Kwezinye iimeko, izimbangela zokuphulwa zihambelana, kwaye isizathu esibalulekileyo asikwazi ukusekwa. Ngokomzekelo, i-tonsillitis engapheliyo ingathintela inkqubo yokuzala kwaye ibangele ukuvuvukala kwama-ovari, okuya kubachaphazela ukuveliswa kwama-hormone, okuya kubangela umjikelezo kunye nokuchaphazela inkqubo ye-endocrine. Ngaphandle kokuhlolwa okucokisekileyo, kunzima ukuseka oko kwaba yintoni imbangela yeengxaki, kodwa nangona kunjalo ukuphilisa zonke izifo ezikhoyo, kuya kubakho ukuthintela ukuphuhliswa kwe-ovarian inflammation, inkqubo ye-endocrine, kwaye, ngoko ke, kulungelelanisa umjikelezo wesini. Unyango lweengxaki zesisini
Ukuqhelanisa ukulala, ukusetyenziswa ngokulinganayo, kunye nokuphumla okupheleleyo, ukuzivocavoca, ukuhamba ngaphandle, ukutya okunomsoco kunye neivithamini xa kunesidima sokuhamba kwindoda kuza kuncedisa ekuphuculweni kwendalo yonke kunye nokukhawuleza ukuphucula umjikelezo.