Yinto eqhelekileyo, kodwa enye idinga ukuhlolwa kogqirha
Ukufumana ukuphuma kwexesha elinzima okanye elide ixesha elide-eli gama lonyango li-menorrhagia-linokubangela ukwesabisa nokukhuseleka. Nangona eli lililo liva, ukuphuma kwexesha lokunyuka komzimba kunokunyanzela ukutyelela ugqirha wakho, ngokukhethekileyo umgulane wakho wezilwanyana .
Ngaba Ndifumana Ukunyuka Kwempahla Enzima?
Indlela elula yokwazi ukuba ufumana ukuphuma kwexesha elinzima kukuba uqaphele ukuba uhlala ungena ngaphaya kwidatha okanye i-tampon.
Ukuba ixesha lakho linzima ngokwaneleyo ukufuna ukutshintsha i-pad okanye itampu nganye kwiiyure eziliqela, okanye ukuba unayo ukuphuma kwegazi elihlala ixesha elingaphezulu kweveki epheleleyo, ufumana ukuphuma kwexesha elinzima.
Ngaphandle kwezi zimbini, ezinye iimpawu zokuphuma kwexesha elinzima ukuhamba kwakhe ziquka:
- Ukugqithisa ngaphezu kwedatha enye ngexesha ukwenzela ukulawula ukuphuma kwegazi
- Ukuba utshintshe i-tampon okanye udibanise phakathi kobusuku
- Ukuba igazi lakho lokuya esikhathini liqulethe iingubo ezibukhulu bekota okanye ezinkulu
Ukuxilongwa
Ukuchonga imbangela yokuphuma kwindoda enzima kunokuba yinkqubo enzima, ngoko kukulungele ukulungiswa. Ngaphambi kokuba uqeshwe, zama ukuhlawula iphethini yexesha lakho kwiinyanga ezimbalwa zokugqibela. Ngokomzekelo, ungaphila iintsuku nganye ngenyanga? Zingaphi iipasiti okanye iifampu ohamba ngazo kwiintsuku zakho ezihamba phambili kakhulu?
Ukongezelela, yinto efanelekileyo yokwenza uluhlu lwawo onke amayeza akho, kuquka ukulawulwa kwama-hormonal, nayiphi na unyango lwe-hormone, kunye nawaphi na amavithamini okanye izongezelelo ezingaphezulu kwee-counter.
Xa ucinga ukuba kutheni ugaye kakhulu, ungamangaliswa ukuba ugqirha wakho uyalela uluhlu lweemvavanyo, ngaphezu kokuqhuba uvavanyo lwe-pelvic. Ezi mvavanyo zingabandakanya:
- Uvavanyo lokukhulelwa (ukuba i-premenopausal)
- Ukuhlolwa kwegazi (umzekelo, inani elipheleleyo legazi, amanqanaba esinyithi kunye nehomoni ye-thyroid)
- I-ultrasound ye-pelvis yakho
Ugqirha wakho unokukwenza nenkqubo eofisi ebizwa ngokuba yi- hysteroscopy ukuze ukhangele ngaphakathi ngaphakathi kwesibeleko sakho. Ingathatha isampuli yezicubu zakho ze-uterine, ezibizwa ngokuba yi-biopsy endometrial, kuxhomekeke kwiminyaka yakho kunye neempawu zakho.
Izizathu
Kukho izimbalwa ezihlukahlukeneyo zokuphuma kwexesha lokunyuka komzimba-ezinobungozi (ezingekho komhlaza) ezifana ne-fibroids, kunye nezinye ezinzulu ezifana nomhlaza wesibeleko okanye umlomo wesibeleko. Ezinye izizathu azikho izakhiwo kodwa zijongene neenguqu ze-hormone okanye iingxaki zegazi kumzimba wakho.
I-Ovulatory Dysfunction
Ukungasebenzi kwe-ovulatory ngexesha lokusukela ebuntwaneni okanye ukuphela kwexesha yimbangela eqhelekileyo yokuphuma kwindoda enzima. Ngeli xesha, ibhinqa liyakunqumla (ukukhulula iqanda) ngokungavumelekanga, oku kuthetha ukuba akuyiyo inyanga okanye akukho. Oku kukhokelela ekunyukeni kwimbumba ye-uterine kunye namaxesha anzima.
I-dysfunction ye-ovulatory inokuthi ivele kunye neemeko ezithile zonyango ezifana ne-hypothyroidism, i-polycystic ovarian syndrome, kunye nokungaphumeleli kwe-ovarian. Ukunyanga ingxaki engundoqo (umzekelo, i-thyroid engasebenzi) ibalulekile ekubuyiseleni i-ovulation evamile kunye nokuqhelanisa amaxesha omfazi.
Ukuba ukungavunyelwanga ngokungaqhelekanga kuyingxenye yesigqibo esisigxina somzimba (umzekelo, ukutshatyalaliswa kwintsholongwane okanye ukuphela kwexesha), iindlela zokulawula ukuzalwa okanye unyango lwe-hormone, ngokulandelanayo, luyakwazi ukunciphisa ukuphuma kwegazi.
I-Uterine Fibroids
I-Fibroids idla ngokukhula (okungengomhlaza) okukhula okuvela kumsizi wesisu somfazi kwaye ixhaphake kakhulu ngexesha lomama wama-30s okanye ama-40. Nangona i-imbangela ye- uterine fibroids ayibonakali kakuhle, iyaziwa ukuba ixhomekeke kwi-estrogen. Yingakho iindlela ezithile zokulawula ukuzalwa kwezilwanyana ezinjengeepilisi zokulawula izibelelo zinganceda ukunciphisa ukuphuma kwexesha lokunyuka kwexesha ukusuka kwi-fibroids. Izixhobo ze-progestin-release of intrauterine (umzekelo, iMirena) zinokunciphisa ukuphuma kwindoda, kodwa ekunciphiseni ubukhulu be-fibroid.
Olunye amayeza ngamanye amaxesha asetyenziselwa ukhathaza i-fibroids yi-horonone ye-gonadotropin-release hormone (GnRH) i-agonist, unyango oluye linciphisa ubukhulu be-fibroids kodwa lunokusetyenziswa kuphela ixesha elifutshane, ngenxa yemiphumo emibi.
Kwakhona, unyango oluninzi lunokufumaneka kunyango lwe-fibroids, kubandakanywa i-myomectomy (ukususwa kwe-fibroid), i- endometrial ablation ye-fibroids encinci (i-bining of uterus ishatywayo), kunye ne- uterine umzobo wokubambisa (igazi linikezelwa kwi-fibroid) . Kwiimeko ezinzima kakhulu, i-hysterectomy inokuqinisekiswa, apho isisu sonke sisuswa kunye okanye ngaphandle kwama-ovari.
Ngokuqhelekileyo, xa iimpawu ezingekho nzima okanye ezinzima, zanele ukuba "zilinde uze ubone" ngendlela ene-uterine fibroids. Kwaye emva kokuphuma kwesisu, izicubu ziyancipha kwaye zinyamalale ngaphandle kwonyango.
Uterine Polyps
Iipolisi kwi- polyps -ebizwa ngokuba yi- endometrial polyps- ngokuqhelekileyo ayinayo umdlavuza, ukukhula kwamagilebhisi afana nokukhula kwimbumba yesisu. Ziyakwenzeka kuzo zombini abafazi be-foremenopausal ne-postmenopausal. Isizathu se-polyps endometrili asicacanga, nangona uphando lubonisa ukuxhuma phakathi kwe- postmenopausal ye-hormone unyango kunye nokukhuluphala.
Unyango lwe-polyps endometrili lungabandakanya ukususwa kwe-polyp. I-lab ye-pathology lab iya kuhlola iipolisi ze-endometriyamu zomhlaza emva kokuba zisuswe.
Uterine Adenomyosis
Kule meko, isibeletho siyakwandiswa kuba iiseli zesibindi zikhula zibe ngodonga lwe-muscular of the uterus, obangela ubuhlungu kunye nokuphuma kwegazi. Nangona ukuphuma kwamanzi kungancitshiswa ngeendlela zokulawula ukuzalwa kwe-hormonal, unyango oluchanekileyo lwe-adenomyosis yi-hysterectomy.
Izifo Ezivuthayo ZePelvic (PID)
I-PID idla ngokubakho ngenxa yesifo esingasetshenziswanga ngesondo, nangona kunjalo, ngamanye amaxesha kunokuvela emva kokubeletha, ukukhipha isisu, okanye ezinye iinkqubo zesisu. Kwi-PID, enye okanye izitho ezininzi zokuzala zisuleleke, njengesibeletho, izibilini ze-fallopian, okanye i-cervix. Uphuhliso olucetyiswayo lwe-PID yonyango lolwabiwo.
Ngomhlaza wesibeleko
Olu hlobo lomhlaza olwenzekayo xa iiseli zomlomo wesibeleko zingavamile, ziphindaphinda ngaphandle kokulawula, ziwonakalise amalungu enempilo yomzimba. I- papillomavirus yabantu (HPV) yimbangela yobuninzi beengcingo zomhlaza wesibeleko. Unyango lomhlaza wesibeleko uquka ukuhlinzwa, i-chemotherapy, kunye / okanye unyango lwe-radiation.
I-Endometrial Cancer
Lo mhlaza uvela xa iiseli ezingaqhelekanga kwi-endometrium (umgca wesibeletho) zanda ukulawula kwaye ziwonakalisa isisu kunye nezinye izitho. Nangona i- causes yomdlavuza we- endometriya ingaziwa, abafazi abanokufumana olo hlobo lomhlaza bahlala bephakathi kwabo-60. Unyango lokuqala lomhlaza wesifo se-endometrial ngokuqhelekileyo luhlobo lwe-hysterectomy, mhlawumbi lulandelwa yi-chemotherapy kunye / okanye unyango lwe-radiation.
Ukuphazamiseka kwezibilini
Nangona kukho iintlobo ezininzi zokuphazamiseka kwegazi, uhlobo oluqhelekileyo kubasetyhini yi- von Willebrand isifo (VWD). Ukunyangwa kwesifo se-von Willebrand kubandakanya ukukhululwa kwezinto ezigciniwe ezigcinwe egazini okanye, kwiimeko ezinzima, ukubeka endaweni yokucima i-intravenous (nge-vein) unyango okanye nge- spray .
Ezinye iingxaki zokuphuma kwegazi ezifana nokuba ne-platelet ephantsi (iiplatelets zibandakanyeka kwinkqubo yokuqhaqhafaza kwaye ziveliswa kwintolongo yethambo) okanye nokuba segazini elincinci njengeCoumadin (i-warfarin sodium) ingaba yinto ebangelwa ukuphuma kwexesha elinzima lokuphuma kwesisu.
Ezinye izizathu zokukhutshwa kwezifo ezinzima
Ezinye izizathu ezibangelwa ukuphuma kwexesha lokunyuka kokuhamba kwindoda kwabasetyhini abangabandakali zibandakanya i-endometriosis kunye ne- intrauterine device (IUD) njengeMirena, ingakumbi kunyaka wokuqala wokusetyenziswa, kodwa uluhlu alupheli apho. Oku kugxininisa ukubaluleka kokubona ugqirha wakho ukuxilonga nokuhlolwa kakuhle.
Xa Ukunyuka Kwimihla KuyiNyango YezoNyango
Ukuba unesifo esinzima, ukuphuma kwamanzi, kunokufuneka uhambe kwigumbi lexakeka. Isalathiso siza kuba xa uhamba ngemigodi emine okanye ngaphezulu okanye iitamponi ngeeyure ezimbini. Ukuba ukhulelwe, funa unyango lwangoko unyango kunye naluphi na ukuphuma kwegazi.
ILizwi
Ukufikelela kumgangatho wakho wokuphuma kwexesha lokunyuka komzimba kubaluleke nje kuphela kumgangatho wobomi kodwa kwimpilo yakho. Ukulahleka kwegazi okukhulu, kungakhathaliseki ukuba yintoni isizathu, kunokubangela ukukhubazeka kwesinyithi se-iron, oku kunokukuphefumula, ukhathele, kunye ne-dizzy. Xa kokubili ukuphuma kwegazi kunye neengcambu zokuphuma kwegazi kuthethwa kwaye uphathwe, unako ukuqhubela phambili kwaye uzive kakuhle-uyakufanelwe.
> Imithombo:
> Ikholeji yase-American ye-Obstetrics kunye neGynecology. Iingxelo zeKomidi No. 557. Ukulawulwa kwe-Abterial Abnormal Breeding Breeding in Non-Reglied Women-Olded. I-Obstetrics & Gynecology . 2013; 121 (4): 891-896. Uqinisekisiwe ngo-2017. Ithenda: 10.1097 / 01.aog.0000428646.67925.9a.
> Ikholeji yase-American ye-Obstetrics kunye neGynecology. Imibuzo Ebuzwa Ngokuphindaphindiweyo: Ukunyuka Okunyuka Kwisisindo.
> Hauk L et al. I-ACOG ikhupha izikhokelo zoLawulo lwe-Abnormal Utyine Breeding ehambisana ne-Ovulatory Dysfunction. I-Phys Physician. 2014 Juni 15; 89 (12): 987-88.
> Kaunitz AM. Indlela yokwenza igazi eliqhelekileyo lokuphuma kwintsholongwane kumabhinqa angaphantsi kokuzala. Ku: UpToDate, Barbieri RL, Levine D (Eds), UpToDate, Waltham, MA.