Ukuba ufumana ukuphuma kwegazi okwehlukile kwixesha lakho eliqhelekileyo, unokukhathazeka kakhulu.
Emva kokuba usetyenzisiwe kumzekelo womjikelo wakho oqhelekileyo , nayiphi na ukuphuma kwegazi okwenzeka ngaphandle kwexesha lakho eliqhelekileyo kunokungaxakalisi.
Ukuphuma ngegazi ngokungaqhelekanga kwakubizwa ngokuba yi-uterine ephazamisayo. Kodwa ngesigama esitsha sokuxilongwa, iingcali zincoma ukuba i-term dysfunctional uterine bleeding ishintshwe ibe yintsholongwane engafanelekanga yokuphuma kwamanzi.
Ziyiphi i-Uterine yokuqhekeza okungavumelekanga?
Ukuphuma kwintsholongwane engavumelekanga kwimizi yesifo somzimba. Naluphina ukuphuma kwamanzi okungaphandle kwexesha eliqhelekileyo lokuhamba kwindoda kuthathwa njengegazi elingaqhelekanga lokuphuma kwamanzi. Naluphi na utshintsho kwimali okanye ubude bexesha lakho libhekwa njengelingaqhelekanga lokuphuma kwamanzi. Ukuphuma kwintsholongwane engavumelekanga kuphuma kwixesha elingenakwenzekayo lokukhanya okubonakalayo ukuya kwiintsuku ezili-10 zokuphuma kwegazi enqanda ukuhamba kwexesha eliqhelekileyo.
Ngexesha lokuzala kwakho, mhlawumbi uya kuba nohlobo oluthile lwe-uterine ephaphayo okungenani kanye. Ukuphuma kwamanzi okungaqhelekanga okwenzeka kanye kuphela akubonakalisi naziphi na iingxaki ezibalulekileyo. Ukuba unayo iinyanga ezintathu ezilandelelanayo zokuphuma kwegazi ngokuqhelekileyo kunokwenzeka ukuba unengxaki ebangela ukuba uphephe.
Ukuba uqala nje ukuya esikhathini okanye ukuba uneminyaka embalwa edlulileyo yemijikelezo yakho yokuya esikhathini okanye i-perimenopausal, unomngcipheko ophezulu wokufumana igazi eliqhelekileyo.
Ukwenza i-Diagnosis
Ukuxilongwa kwegazi elingavumelekanga lokuphuma kwintsholongwane kusekelwe kwizikhalazo zakho zokutshintsha kwinyanga yakho. Kukho iinguqu ezine eziphambili ezichaza ukuhamba kwexesha:
Uninzi kangakanani igazi?
Uyaphila iintsuku?
Udla ngegazi ngaphi?
Zihlala zihlala phi ixesha phakathi kwamaxesha akho?
Oko ubiza njengenguqu kwimali, ubude, ubude, kunye nokuhlala kwamaxesha akho ulwazi olusetyenziswa ngumboneleli wakho wezempilo ukuze ufumane ukuxilongwa kwegazi elingavamile.
Uluhlu lwakho lwezikhalazo luya kunceda umboneleli wakho wezempilo uyakuqala ukufumanisa oko kubangela ukuba uphephe igazi elingavamile.
Iintlobo ze-Uterine Ukuqhekeza okungavumelekanga
Yilapho izinto zingakudibanisa. Kuze kube kutshanje, siza kunika ukuxilongwa ngokusekelwe kwenkcazo yokuphela kwegazi. Usenokubona le migaqo esetyenziswe ngumboneleli wakho wezempilo okanye kwi-intanethi yakho. Ngaphambi kokuba ndichaze isigama esicetyiswayo sakutshanje, ndiya kuhlola ezinye zeemeko ezithandwayo eziye zinconywa zimele zisetyenziswe kuphela kwiinjongo zophando.
IsiGama esiphelelweyo
- I-Menorrhagia: Eli gama lisetyenziselwa ukuchaza ixesha elinomlinganiselo ogqithiseleyo kunokwesiqhelo. Ngcaciso engaphezulu kwe-80 ml yokulahleka kwegazi ngexesha lokuhamba kwexesha.
- I-Metrorrhagia: Eli gama lichaza nayiphi na ukuphuma kwegazi okwenzeka phakathi kwamaxesha akho rhoqo.
- I-Menometrorrhagia: Eli gama lichaza ukudibanisa kwamaxesha amaninzi kunye nokuphaphaza phakathi kwamaxesha.
- Ukuphuma kwintsholongwane engasebenzi kakubi: Eli gama lisetyenziselwa ngokuqhelekileyo kunegazi eliqhelekileyo lokuphuma kwintsholongwane. Iingcali zincoma ukuba eli gama akufanele lisetyenziswe nonke
Amagama alandelayo achaza ubukhulu begazi lakho.
- I-Polymenorrhea: Eli gama lichaza ixesha eliza rhoqo ngaphezu kweentsuku ezingama-21.
- I-Oligomenorrhea: Eli gama lichaza ixesha eliza kwixesha elingaphezu kweentsuku ezingama-35.
Ixesha elikhoyo
Inkqubo entsha yokwahlula isetyenziswe ukuba isebenzisa i-ambulula ukuxilongwa kwegazi elingavamile okanye u-AUB.
Ngokuxhomekeke kumgangatho wokuphuma kwe-AUB, uchazwa ngakumbi ngoku:
- Ukuphuma kwamanzi okungaqhelekanga ngokuphuma kwexesheni yokuphuma esikhathini (AUB / HMB)
- I-uterine engaqhelekanga yokuphuma kwegazi ngokuphuma kwexesha (AUB / IMB)
Xa usuvavanyo olongezelelweyo kunye nokuvavanya umboneleli wakho wezempilo uya kuba nako ukucacisa isizathu sokuphuma kwegazi kwaye unokukubeka ngokubanzi ukuphuma kwegazi ngenxa yoku:
Ubangela bemeko (utshintsho kwisisu sakho):
- I-Polyps (AUB-P)
- I-Adenomyosis (AUB-A)
- Leiomyoma (AUB-L)
- I-Malignancy kunye ne-hyperplasia (AUB-M)
Izizathu ezingabonakaliyo:
- I-Coagulopathy (AUB-C) - ukuphuma kwegazi ngokungavamile ngenxa yecala lokuphuma kwegazi
- I-oubatric disys function (AUB-O) - ukuphuma kwegazi ngokungavumelekanga ngenxa yokuba awuyi-ovulating rhoqo
- I-Endometrial (AUB-E) - ukuphuma kwegazi ngokungavamile ngenxa yenkathazo kunye nebhebheni yesisu sakho njengesifo
- Iatrogenic (AUB-I) - ukuphuma kwegazi ngokungavamile ngenxa yonyango othabathayo
- Akukabizwa (AUB-N) - umniki-nkonzo wakho wezempilo akanakufumana isizathu esingaphantsi kwegazi
Njengoko ubona, kukho izimbangela ezininzi zokuphuma kwegazi. Ukuba ufumana ukuphuma kwamagciwane okungaqhelekanga kufuneka uxubushe iimpawu zakho kunye neenkxalabo zakho kumboneleli wakho wezempilo njengokuba utshintsho kwixesheni zakho zidla ngokuba ngumqondiso wesimo esiphantsi.
Ukuphuma kwamanzi okungaqhelekanga okunzima kunye / okanye rhoqo kunokukwenza ukuba ube ngumdlavuza. Ukukhulelwa kwegazi okubangelwa ukulahleka kwegazi okungapheliyo kukukwenza ukhathele kwaye ubuthathaka. Ngenxa yokulahleka kwegazi, unokufumana ukuphefumula okufutshane kunye / okanye intliziyo yeentlungu, ukutyhafa, okanye intlungu yesifuba njengoko umzimba wakho uzama ukuhlawula isifo semvelo. Oku kubeka uxinzelelo olubi entliziyweni yakho kwaye kunokuba yingozi kuwe ukuba unesifo sengqondo senhliziyo.
Ukuhlaziywa ngu-Andrea Chisholm MD
> Umthombo:
> I-American Congress yeziZobungcali kunye neGynecologists (2012) Ukuxilongwa kwe-Abnormal Uterine Breeding in Women Age Reproductive (Practice Bulletin # 128) https://www.acog.org/-/media/Practice-Bulletins/Ikomiti-on-Practice-Bulletins ---- Gynecology / pb128.pdf? Dmc = 1 & ts = 20160221T2213468711