Xa ukhathazeka malunga nokuhamba okunzima okanye amaqhosha ngexesha legazi
Ubuncinane kanye ngexesha lokuzala kwabo, abaninzi abafazi bafumana ukuphuma kwegazi xa benesithuba okanye i- menorrhagia . Amaxesha aqhelekileyo asemibini kwiminyaka embalwa yokuqala yokuya esikhathini, kwaye kwakhona kwakhona kwiinyanga ezimbini zokugqibela ukuya kwimithathu emithathu ngaphambi kokumisa.
Ixesha elininzi igazi lingasothusayo xa liqulethe iingubo. Kwiimeko ezininzi, nokuba zibomvu, ezibomvu, okanye zizezi zimnyama zamanzi ziqhelekile-zizinto eziqhelekileyo-i-endometrium (umgca wesibeletho) echithwa ngexesha lokuya esikhathini.
Kodwa kukho amaxesha apho i-menorrhagia ibonakalisa ingxaki. Nantsi into omele uyazi malunga nokuphuma kwamanzi okungaqhelekanga kunye nokucima, kuquka oko kunokubangela ukuhamba okukhulu kunye nendlela yokuphathwa ngayo.
Izizathu eziqhelekileyo zexesha elibi
Yintoni ethathwa njengegazi elininzi ngexesha lokuya esikhathini? Ukuba ufumanisa ukuba ufuna ukutshintsha i-pad yakho okanye i-tampon ngokuphindaphindiweyo ngaphezu kweyure okanye njalo, okanye ukuba unayo ixesha eliye laqhubeka iintsuku ezisixhenxe okanye ngaphezulu, unokuthi uphethwe ngumntu ongaqhelekanga .
Ngokuqhelekileyo, ukungalingani kwe-hormonal kubeka ityala. Ezinye izimbangela zokuphuma kwamanzi okungaqhelekanga ziquka:
- izifunu ze-fibroid
- iipervical okanye i- polyps endometri
- lupus
- isifo esivuthayo seplavic (PID)
- nomhlaza wesibeleko
- umdlavuza we-endometri
Abasetyhini abasebenzisa izixhobo ze-intrauterine (IUDs) ngamanye amaxesha banamaxesha amaninzi okanye amaninzi. Ukuba ufumana ukuphuma kwamagciwane okweqile xa usebenzisa i-IUD, kufuneka kususwe kwaye kufuneka uzame enye indlela yokulawula ukuzalwa .
Ukuphazamiseka kweziplatelets, ezifana nesifo sikaV von Willebrand, yizona zixhaphazi zegazi eziqhelekileyo zokuphuma kwexesha ukuya kwimihla. Ezi ziqhelekileyo zifunyaniswa ngokukhawuleza emva kokuba intombazana iqala ukufumana ixesha layo. Abasetyhini abanesifo sikaV von Willebrand ngokuqhelekileyo abayi kuba namaxhala aphezulu ekuphumeni kwindoda, kodwa kunye neengxaki ze-nosebleeds, ukunyunyuza okulula kunye negazi kwisigxina.
Ngokuqhelekileyo, ukuphuma kwamanzi okuninzi kunokunyangwa nge-nonsteroidal anti-inflammatory drug (NSAID) efana ne-ibuprofen aornd naproxen. Ezi ziyobisi zingancedisa ukunciphisa ukuphuma kwegazi, ngaphezu kokunciphisa intlungu yokunyuka kwexesha. Ukuba ufumana i-menorrhagia rhoqo kufuneka uhlolwe ngokusondeleyo ukuze uqinisekise ukuba amazinga akho e-iton adibanisi. Ukuba oko kwenzeka, ungadinga ukuthatha izongezo zesinyithi.
Ukuchonga nokuPhatha ukuHlulwa kwe-Uterine engavumelekanga
Into yokuqala ogqirha uya kuyenza ukuze ufumanise oko kukubangela ukuba uphuphe ukunyuka kokunyuka komzimba kwenziwe uvavanyo lweplavic , kuquka i-Pap smear, iimvavanyo zelabhu kwaye, ukuba kufanelekile, vavanyo lokukhulelwa. Kwakhona unokuyalela i-ultrasound ukujonga izinto ezingaqhelekanga ezifana ne-fibroids okanye ukwenza i-endometrial biopsy, i-D & C, okanye i- hysteroscopy ukuphonononga kwakhona imeko yesisu sakho.
Ukuba kuvela ukuba ube ne-fibroid okanye enye imeko, ugqirha uya kukuphatha ngokufanelekileyo. Xa ukungalingani kwe-hormonal ingxaki, ukuphuma kwegazi kunokulawulwa ngeprogesterone okanye ukuhlanganiswa kweprogesterone kunye ne-estrogen, ngokuqhelekileyo ngendlela yokukhulelwa komlomo.
Ukuphuphuma kwe- Endometrial, okuqhelekileyo kusetyenziswa ukuphatha ukuphuma kwegazi ngokugqithiseleyo kwindoda ekhulileyo yabantwana abafuna ukukhusela i-hysterectomy , sele ithathelwa indawo yonyango olubizwa ngokuba yi-balloon ablation.
Kwiimeko ezininzi, i-balloon ye-ablation iyaphuma ngokutshabalalisa i-bining of the uterus. Ngako oko, kubalulekile kuphela kubafazi abafumana abantwana okanye baqinisekile ukuba abafuni. Nangona kunjalo, le nkqubo ayiqinisekisi ukukhusela ikhulu lepesenti ekukhulelweni. Abasetyhini abanqweneli abantwana kufuneka baqhubeke besebenzisa indlela yabo yokulawula yokuzalwa.
Ngaphandle kokuba ukhulelwe xa ufumana ukuphuma kwamanzi omzimba ongaqhelekanga, isicatshulwa esisodwa sokuphuma kwindoda enzima ngokuqhelekileyo akufunanga unyango. Enye into yokuba ukuphuma kwegazi kuqhubeka ngaphezu kweeyure ezingama-24, apho kufuneka udibanise nodokotela wakho ngokukhawuleza.
> Umthombo:
> Ikholeji yase-American ye-Obstetrics kunye neGynecology. "Imibuzo Ebuzwa Ngokuphindaphindiweyo: Ukunyuka kwe-Uterine engavumelekanga." Mar 2017.