I-Polymenorrhea ichaza ukujikeleza kokuya esikhathini apho owesifazane efumana ukuphuma kwegazi ngexesha elide kwiintsuku ezi-21.
Ukubeka oku ngolu hlobo, umjikelezo oqhelekileyo wokuya esikhathini ukuya kumfazi omdala unentsuku ezingama-21 ukuya kwiintsuku ezingama-37 ubude.
Xa uphando ngegama elithi "polymenorrhea" okanye "umjikelezo omfutshane wexeshana," usenokufumana igama elithi "ukuphuma kwintsholongwane engavamile." Oku kungenxa yokuba i-polymenorrhea yegama (kunye neminye imiqathango ehambelana namaphetheni angavamile).
Ubume obuninzi bokungcoliswa kwe-uterine engavumelekanga
Ngokwe-American College of Obstetricians kunye ne-Gynecologists (ACOG), ukuphuma kwamanzi okungaqhelekanga kuye kuchazwa njengokuphuma kwintsholongwane engavamile ngokwexesha eliqhelekileyo, umthamo, ubude okanye ubude. Ukuphuma kwegazi kunokuba nzima okanye kungapheliyo kwaye kwenzeke kwabasetyhini abangakhulelweyo.
Ngaphandle kwe-polymenorrhea, ezinye izimbangela zokuphuma kwamanzi okungaqhelekanga ziquka:
- I-Oligomenorrhea: Ubude bexesha lokuhamba kwimihla engaphezulu kweentsuku ezingama-37
- Amenorrhea : Akukho nanye kwiinyanga ezintandathu
- I-Menorrhagia: Ukuphuma kwamanzi ngexesha elininzi
- I-Metorrhagia: Ukuhlamba okanye ukuphawula phakathi kwamaxesha akho
- Menometrorrhagia : Ixesha elide lokuphuma kwexesha lokuya esikhathini elithatha ixesha elingalindelekanga
- Ukusuka kwe-Postmenopausal: Ukuhlambuluka okwenzeka ngaphezu kweenyanga ezili-12 emva komjikelezo wesibini wokugqibela wesibini
- Ukuphuma kwe-postcoital : Ukuhlamba okanye ukuphawula emva kwesondo
Iingxaki zePolmenorrhe kunye nezinye iindidi ze-AUB
Kukho ezininzi ezinokubangela ukuphuma kwamanzi okungaqhelekanga, yingakho kubalulekile ukubona ugqirha wakho.
Ukongezelela ekuthatheni imbali yezobugqirha ngokupheleleyo, i-gynecologist yakho iya kwenza uvavanyo olwenyama ukuze uhlolisise ubulili bakho, umlomo wesibeleko, isisu, kunye nama-ovari.
Ngamanye amaxesha iimvavanyo ziya kulawulwa njengesivivinyo sokukhulelwa, iimvavanyo zegazi, i-ultrasound yangaphakathi, i-hysteroscopy, okanye i-biopsy ye-endometrial (xa iqela elincinci leethambo likhutshwa kwisibeleko sakho kwaye lihlolwe phantsi kwe-microscope).
Ezinye izizathu ezenzekayo ze-AUB
Iingxaki zesakhiwo: Imizekelo yeengxaki ze-anatomic ezinokubangela ukuphuma kwexesha lokungaqhelekanga kwimizi kubandakanya i-fibroids, i-polyps, i-endometriosis, i-endometrial hyperplasia, okanye i-cancer (ezithile, umhlaza wesibeletho).
I-Hormone Ukungalingani: I- hormone eyahlukileyo ingakhokelela ku-AUB, njenge-thyroid, i-adrenal, okanye i-pituitary gland ukungasebenzi. I-Polycystic i-ovarian syndrome yinto eqhelekileyo kwaye ibonakala xa i-ovaries yamabhinqa ivelisa inani eliphezulu lamakhomoni angamadoda (abizwa ngokuba yi-androgens).
Ukuphazamiseka kwezibilini : Ukuphazamiseka kwezibilini ezifana nesifo se-von Willebrand okanye iimeko zomongo weethambo (umzekelo, i-leukemia) ngamanye amathuba.
Amachiza: Amanye amayeza anokuchaphazela ukuphuma kwegazi njengama-steroids, i-chemotherapies, abagcini begazi, okanye iimveliso ezithile zemithi. Ezinye iindlela zokulawula ukuzalwa njengezixhobo ze-intrauterine okanye iipilisi zokulawulwa kokuzalwa zingabangela ukuphuma kwamanzi okungavamile.
Izifo: Izifo ezithathelwana ngocansi (umzekelo, i-chlamydia okanye i-gonorrhea) kunokukhokelela ekuvukeni kwesibeleko kunye nokuphaphazeka okungavamile.
Isifo esipheleleyo Isifo : Isibindi okanye isifo sesifo, i-anorexia, ukukhuluphala, okanye ukuguquka kwesisindo esheshayo kunokukhokelela ekuphumeni kokungaqhelekanga kokuya esikhathini.
Ukuqonda iPolmenorrhea
Emva kokuba ugqirha wakho enze uvavanyo olunzulu kwaye uqhuba iimvavanyo eziyimfuneko, akafumani nantoni na engavumelekanga kunye nokwandiswa kwexesha lokuya esikhathini.
Ngamanye amagama, kubafazi abathile, umjikelezo wesigxina kunomlinganiselo wokuba kwakheka ukuya kwimihla, kuyacaca ukuba "kutheni" kuhlale kungacacile.
Ngalesi sihlandlo, unyango alunokuba luyimfuneko, nangona ugqirha wakho angathanda ukukubeka iliso nge-anemia, apho umzimba wakho awukwazi ukuvelisa i-hemoglobin eyaneleyo yokubuyisela iiseli zakho zegazi emva kokulahlekelwa ngumzi wegazi. Iimpawu ze-anemia zibandakanya isikhumba esikhathekayo, ubuthathaka, ukukhathala, ukukhanya okulula kunye nokuphefumula okufutshane.
Ukuba unesifo esivela kwi-polymenorrhea okanye uxhatshazwa yimijikelezo yakho yokuya esikhathini, ugqirha wakho unokuncoma ukukhulelwa kwe-hormonal yokudibanisa ukunyusa ixesha eliphakathi kokuphuma kwegazi.
Enye indlela yokusebenzisa indlela yokukhusela okwenza okwesikhashana ukuhamba kwexesha okanye ukuphaphaza kakhulu, njengeMirena, Depo-Provera , okanye i- Nexplanon .
Ukongeza ekunciphiseni ukuhamba kwakho kokuya esikhathini, ugqirha wakho unokuncoma utshintsho lokutya okanye isongezelelo sesinyithi.
ILizwi
Ekugqibeleni, kubalulekile ukubona ugqirha wakho ukuba ufumana utshintsho kwimjikelezo yakho yokuya esikhathini.
Unokufuna ukuzama ukulandelela ixesha lakho ngaphambi kokuba uqeshwe, usebenzisa i-app kwifowuni okanye kwikhalenda. Kanye nokumakisha imihla yokuphuma kwamanzi, kukunceda ukuphawula ubunzima bokuphuma kwegazi (ukukhanya, okuphakathi, okunzima).
> Imithombo:
> Ikholeji yase-American College of Obstetricians and Gynecologists. (2017). Iingxelo zeKomidi: Ulawulo lwe-Ablemal Uterine bleeding in Non-Reglied Women-Aged.
> Ikholeji yase-American College of Obstetricians and Gynecologists. (2017). Imibuzo Ebuzwa Ngokuphindaphindiweyo: Ukuvuthwa kwe-Uterine engavumelekanga.
> UBradley L. (2010). Iklinikhi yaseCleveland: Ukunyuka kwexesha ukuya kwimihla.
> Kaunitz AM. (2017). Ukuxilongwa ngokucacileyo kwendlela yokuzalwa yentsholongwane yabantwana abasetyhini. Barbieri RL, ed. Isemgangathweno. Waltham, MA: UpToDate Inc.