Ukuphulukana nokuPhalaza, iiperiode ezingekhoyo, iinguqu zokuhamba, kunye neempembelelo zobuhlungu
Kukho utshintsho oluninzi emzimbeni wakho onokulindela ukuba kwenzeke xa uqala ukuqhuba rhoqo. Unokuba nezihlunu ezinzima, ulahlekelwe isisindo, ulale ngokubhetele, kwaye ufumane amandla. Kodwa into ongenakuyilindela kukuba ukuzilolonga rhoqo kunokudala utshintsho kwimjikelezo yakho yokuya esikhathini. Utshintsho lunokuba lubuqili okanye lube lukhulu kuncike kwiimeko ezininzi ezichaphazela indlela umzimba wakho uphendule ngayo izinga lakho lomsebenzi.
Nazi iziphumo ezine eziqhelekileyo iziphumo zokuba usebenze ngexesha lakho.
I-Random Bleeding Ngaphandle kwexesha lakho eliqhelekileyo
Xa unesifo esiphambene nomzimba ngexesha lokuhamba kwakho kwimizuzu engekho ngeveki yexesha lakho eliqhelekileyo kuthiwa ukuphuma kwegazi. Ngokuqhelekileyo kwenzeka ngenxa yokuba isibeletho sakho sifumana imilayezo ye-hormonal. Ukuphulukana nokuphuma kwegazi luhlobo oluqhelekileyo lwegazi lomzimba olungavamile.
Ukuzivocavoca rhoqo kunokubangela ukuba utshintsho olusenyongweni kumanqanaba akho e-hormone aphazamise ukufakelwa kwe-cyclic kunye nokuchithwa kwimbumba yesisu sakho. Ingxube yesisu sakho iyakwazi ukuphendula kule miqondiso exubekileyo ngokuchithwa ngokukhawuleza, okubangela ukuphuma kwegazi. Ukuphuma kwegazi kungabomvu okanye kubomvu obomvu. Ngokuqhelekileyo ukubonakala nje okanye ukuhamba okugqithiseleyo kunokuba ixesha lakho eliqhelekileyo. Unokufumana ukuphulukana nokuphuma kwegazi ngexesha okanye emva kokuzivocavoca.
Akukho zizathu ezichanekileyo kunye nomphumo wokuphuma kwegazi emva kokuzivocavoca.
Kungaba ngumphumo we-endometrium ephazamisekileyo. Okanye, kungenxa yokuguqulwa kwesakhiwo kwimbali yesisu sakho okanye kwisibeleko sakho somlomo. Kucatshangelwa ukuba ukwanda kwentsholongwane yesisu edibene neentlobo ezithile zokuzilolonga kunokubangela ukuphuma kwi-submucosal uterine fibroids , i-polymer endometrial, kunye neeplasps zomlomo .
2. Iiperiode ezilahlekileyo
Nangona kulungile kuwe, ukuzivocavoca ubeka uxinzelelo emzimbeni wakho. Ukunyamezela komzimba wokuzivocavoca kunokuphazamisa ukulinganisela kwi-hypothalamic-pituitary-ovarian axis. I- hypothalamus isakhiwo kwisifo sakho sengqondo esisebenza njengeziko lokulawula ngexesha lokuya esikhathini. Ithumela imiyalezo ye-hormonal kwi-pituitary gland kunye nama-ovari akho anokubangela ukuhamba.
Ukuba le nxibelelwano iphazamisekile ngenxa yesigxina se-physologic, njengento yokuzivocavoca ngamandla okanye ukulahlekelwa kwindleko ebalulekileyo, awuyi kuguqula. Ukuba awuyikuvuthwa, utshintsho olushukumisela ukuhamba kwakho luya kwenzeka kwaye uya kulahlwa ixesha lakho. Ukungaphumeleli ixesha lakho ngenxa yokuzivocavoca kunzima kuthiwa yi-amenorrhea eyenziwa ngumzimba.
Uhlobo olugqithiseleyo lwe-amenorrhea luyaziwa ngokuba yi-female athlete triad. Umqhubi wesithathu umfazi uchaza imeko ethile ebantwaneni kunye nabasemagqatshini abancinci abancinci abandakanya:
- Ukungasebenzi kwexesha
- I-caloric intake
- Ubunzima bezithambo zamanzi
Ukudibanisa kokunyamezela okukhulu kunye nokutya okuphantsi kwe-caloric kubeka uxinzelelo olubalulekileyo kumzimba womdlali osemncinci. Ekuphenduleni ukuxinezeleka kwe-physiologic, i-hypothalamus (isikhungo sokulawula ukuhamba kwindoda ebuchosheni) sichaphazela ukunyusa kwama-ovari.
Ekugqibeleni, i-ovulation ayifaki ukwenzela ukuba ixesha lezembaleli liyeke. Emva kwexesha, ama-ovari ayo aphuhlisa ukuveliswa kwe-hormone. Amanqanaba e-estrogen ahla, obangela ukulahleka kwethambo kunye nezinye iziphumo zempilo ezimbi.
3. Shintsha ekuphumeni kwakho
Musa ukukhathazeka xa uqaphela ukuba amaxesha akho aqala ukukhawuleza xa uqala ukuqhuba rhoqo. Utshintsho olufanayo lwama-hormone olunokumisa amaxesha akho ngokupheleleyo lunokuthi lube nomthelela obuthathaka emzimbeni wakho kwaye lubangele ukuhamba.
Olunye utshintsho olwenzekayo olunokubangela ukuba kuqhutywe ukukhawuleza ukulahleka kokunciphisa umzimba okuza kuvela ngokuzilolonga rhoqo.
I-fat fat okanye i-adipose tissue ivelisa uhlobo lwe-estrogen. Ukugqithisa i-estrogen emzimbeni wakho kunokubangela ukuba umgca wesibeletho sakho sokwakha ngaphezulu kwinqanaba lokuqala lomjikelezo wakho. Ukugqithisa umgca, ubunzima bakho bokuhamba esikhathini. Ngokulahlekelwa kwesisindo, ngokwenene unciphisa inani le-estrogen emzimbeni wakho, oye wanciphisa umjikelezo wecala lomlenze wakho. Ubuncwane obuncinci bubhekiselela ukuhamba okufutshane.
4. Ubuhlungu bexesha lexesha
Kukho iintlobo ezimbini ezahlukeneyo zentlungu. Ingaba umsebenzi wokuncedisa okanye awuyi kuxhomekeke kwimbangela yentlungu yakho.
I-dysmenorrhea yeprayimari yinkqubo ebuhlungu engabonakaliyo. Ngokuqhelekileyo iqala ngexesha lakho lokuqala kwaye intlungu ifika ngexesha elilandelayo. Ngokuphindaphindiweyo ihamba ngexesha eliku-20s yakho. Kungenzeka ukuba umzimba unokunciphisa olu hlobo lwexesha elibuhlungu.
Kucatshangelwa ukuba utshintsho olumngqamaniso lwama-hormonal olubandakanya ukuvuthwa rhoqo kunokunciphisa uxinzelelo lwe-prostaglandin kwimbali yesisu sakho. I-Prostaglandin zizinto ezivuzayo eziveliswa emzimbeni wakho ezijongene nokubangela iziphambano ze-muscle kunye neenkampu. Yingakho amayeza enyango avimbela ukuveliswa kweprostaglandines njenge-ibuprofen yomsebenzi we- NSAID ngokugqithiseleyo ukunyanga imithwalo yexesha. Ukunciphisa ukuxinwa kweprotaglandins kunciphisa ixesha lokunyanyisa. Nangona kunjalo, uphando lweklinikhi yale ngcamango bambalwa kwaye aluzange lukwazi ukufikelela kwisigqibo sokuba ingaba umthambo unceda okanye awunayo.
I-dysmenorrhea yesibini yinkqubo ebuhlungu ephuma kwi-pathology engundoqo. Olu hlobo lwentlungu ludla ngokuqhubeka kwexesha kwaye alukwazi ukuqala de kube ngu-20s okanye emva koko. Izimo ezibini eziqhelekileyo ezibangela ukuba lolu hlobo lwentlungu buhlungu:
Ukuzivocavoca kunokuncedisa ukunciphisa amaxesha abuhlungu ngenxa yeempembelelo ze-prostaglandines ukuba unesi-dysmenorrhea yesibini. Njengoko i-dysmenorrhea eyintloko, i-prostaglandin idlala indima enkulu ekwenzeni izicatshulwa ze-uterine kunye nokunyanzeliswa ngentsholongwane.
Nangona kunjalo, ungakhathazeki ukuba unyuke intlungu xa usebenzisa ixesha lakho, ingakumbi ukuba unayo i-uterine fibroids. I-fibroids ye-uterine iimvumi ezikhula ukusuka kwi-muscle ehamba phambili eludongeni lwesisu sakho. I-Fibroid ihlakulela inethiwekhi yemithwalo yegazi kuba (njengamanye onke amaqumrhu emzimbeni wakho) idinga igazi kunye nezondlo ukukhula.
Xa usebenzisa, ujika ukuhamba kwegazi lakho ukuthanda intliziyo yakho, imiphunga, kunye nezihlunu zakho, igazi elingaguqukiyo ukusuka kwezinye izakhiwo ezingabandakanyekanga ekusebenzeni, kuquka ubeletho lwakho. Kwiimeko eziqhelekileyo, isibeleko sakho sivumelane nale nto ngaphandle kwengxaki. Kodwa ukuba unayo i-fibroids, kunokwenzeka ukuba banokunciphisa kakhulu ukuhamba kwegazi ngexesha lokuzivocavoca.
Oku kubangela ukuba imeko eyaziwa njenge-ischemia efana noko kwenzekayo kwisifo senhliziyo ngaphambi kokuhlaselwa kwentliziyo. Xa i-muscular iba ischemic, uvakalelwa kukuba buhlungu. Ukuba unayo i-fibroids ebalulekileyo mhlawumbi uya kuba nokwanda kwintlungu ye-uterine kunye nokuqhaqha xa usebenza ngexesha lakho ngenxa ye-ischemia.
ILizwi
Okona kuninzi, ukuphuma kwegazi okanye ixesha elithile eliphosiweyo alixhalaba kakhulu ukuba uqale usebenzise, ​​usebenzise ngokugqithiseleyo, okanye ulahlekelwe ubunzima obukhulu. Kodwa ukuba unenguqu kumjikelezo wakho oqhubekayo kwiinyanga ezimbini ukuya kwezi ezintathu, ufanele uxoxe ngawo nomboneleli wakho wezempilo.
Ngokubanzi, ukuvavanya kunemiphumo emihle kwithuba lakho. Kuyathakazelisa ukuphawula ukuba abafazi abahlala emadodeni kwaye abaqhelekanga ukuvuthwa ngokuqhelekileyo banesisindo esinzima nakakhulu. Hambisa. Emva koko, ngubani ongeke afune ixesha lokukhanya ngokunciphisa?
> Imithombo:
> Ikholeji yase-American ye-Obstetrics kunye neGynecology. I-ACOG Yenza i-Bulletin no -36: Ulawulo lwe-Abnormal Uterine Bleeding edibeneyo ne-Ovulatory Dysfunction. Gstecol Obstet. 2013; 122 (7): 176-85.
> Ikholeji yase-American ye-Obstetrics kunye neGynecology. I-ACOG Yenza i-Bulletin no-96: Iindlela ezingekho kwi-Hysterectomy ekulawuleni i-Leiomyomas. Gstecol Obstet. 2008; 112 (8): 201-7.
> Brown Brown, Brown S. Ukuzivocavoca kweDysmenorrhoea. I-Cochrane Database yeeNkqubo eziPhezulu . 2017. Ithenda: 10.1002 / 14651858.cd004142.pub3.
> Daly, AJ. Ukuzivocavoca kunye neDysmenorrhea yePrayimari: UkuHlola okuPhezulu nokuBalulekileyo kweeNcwadi. IMid Med. 2008; 38 (8): 659-70.