Nthawi yanu imapezeka pamene chiberekero cha chiberekero chanu chimayambira. Kuti nthawi yanu yachilendo ifike mwezi uliwonse, thupi lanu liyenera kutsegula, zomwe zikutanthauza kuti dzira liyenera kumasulidwa ku ovary. Kawirikawiri, nthawi yanu idzafika patapita masiku 12 mpaka 16 mutapuma, mukuganiza kuti simunatenge mimba.
Kusamba kwachibadwa
Kusamba kwachizolowezi kumatha masiku asanu ndi awiri, ngakhale kuti kwa amayi ambiri omwe amakhala ndi nthawi yokha masiku, nthawi yawo imatenga masiku atatu kapena asanu.
Ndikofunika kuzindikira kuti palibe cholakwika ngati nthawi yanu yayitali kapena yofupika kuposa masiku atatu kapena asanu. M'mawu ena, nthawi yanu ndi yapadera kwa inu, ndi kuchuluka kwa ndalama zomwe mwazizira ndipo chiwerengero cha masiku sichidzakhala chimodzimodzi ndi wina aliyense. Kuwonjezera apo, nthawi yanu ikhoza kusiyanasiyana pang'ono kuchoka kuzungulira mpaka izi ndi zachilendo.
Zinthu Zokhudza Kutalika kwa Nthawi Yanu
Nthawi zina, moyo umasintha, njira zothandizira ana, komanso matenda ena amatha kusintha nthawi yanu. Ichi ndi chifukwa chake n'kofunika kuona dokotala wanu ngati kutuluka kwa magazi kumatenga masiku opitirira asanu ndi awiri. Kutuluka kwakukulu, nayenso, ndi chizindikiro choti muwone dokotala wanu. Zizindikiro za magazi ochuluka ndi awa:
- Kuthamanga kupyolera m'matampu amodzi kapena angapo pamadola ma ola angapo mzere
- Kuvala padothi loposa oposa imodzi kuti muwononge magazi
- Kusintha mapepala kapena matampu usiku
- Nyengo zamagazi zamagazi zomwe zili kukula kwa kotala kapena zazikulu
Tiyeni tiwone bwinobwino zinthu zomwe zingakhudze nthawi ya kutha kwa msambo.
Zochitika Zamankhwala
Pali zifukwa zambiri zamankhwala zomwe zingakhudze nthawi yanu. Mwachitsanzo, nthawi yayitali ndi / kapena yaitali ingakhale chizindikiro cha mapuloteni otchedwa endometrial kapena uterine fibroids. Izi ndi chifukwa chakuti mumasamba kutuluka mumadzi opangidwa ndi uterine (wotchedwa endometrium), komanso magazi kuchokera ku ziwiya zing'onozing'ono zomwe zimawonekera pambuyo pa zitsulo.
Choncho, zomwe zimasintha makulidwe a endometrium kapena chiwerengero cha mitsempha ya magazi zimathandizira masiku angapo kutuluka kwa magazi kwanu.
Zitsanzo zina za thanzi zomwe zingayambitse kupuma kapena kutaya magazi ndizo:
- Matenda osuta kapena mankhwala omwe amapangitsa magazi (mwachitsanzo, aspirin)
- Matenda a Polycystic ovarian kapena hypothyroidism
- Khansa ya chiberekero
- Endometriosis
- Ectopic pregnancy kapena kupititsa padera
- Matenda achifuwa otupa
Zonsezi, kumvetsetsa kukula kwa nthawi yachilendo kumathandiza. Kutuluka mwazi kwa masiku opitirira asanu ndi awiri mwezi uliwonse kapena kusataya magazi nthawi zonse mutatha msinkhu si zachilendo, ndipo muyenera kukambirana izi ndi wothandizira zaumoyo wanu.
Zaka
Pazaka zingapo zoyambirira mutangoyamba kumene kusamba, mukhoza kutenga magazi osadziwika. Izi ndi chifukwa chakuti simuli ovulating nthawi zonse. Popeza kutsekemera kumafuna kugwirizana pakati pa mahomoni opangidwa ndi ziwalo mu ubongo wanu ndi mazira anu, zingatenge nthawi kuti thupi lanu likhale lolondola.
Ichi ndichifukwa chake zimakhala zachilendo pambuyo pa nthawi yoyamba kuti ena azituluka kwa masiku ochulukirapo kapena / kapena kusiya nthawi zingapo mzere. Nkhani yabwino ndi yakuti nthawi zambiri kusamba kumakhala pafupifupi zaka ziwiri.
Koma, ngati mupitiliza kukhala ndi nthawi zosawerengeka, zikhoza kukhala chizindikiro cha mahomoni kapena matenda, choncho onetsetsani kuti mwayang'anitsitsa ndi dokotala wanu.
Pomaliza, pamene mukuyandikira mapeto a zaka zanu zobereka, kawirikawiri nthawi zina mumakafika zaka 40, mudzayamba kuwona nthawi zosawerengeka. Nthawi imeneyi imatchedwa kusintha kwa thupi kapena kusintha kwa minofu, ndipo ndi nthawi ya kusamvana kwa mahomoni, makamaka pamene opaleshoni ya estrogen imayamba kuchepa. Ndi m'munsimu a estrogen, muli ndizitsulo zochepa za uterine, kotero mumakhalanso ndi nthawi yochepa komanso yofupika, kuphatikizapo nthawi zosawerengeka.
Kugonjetsa
Kugwiritsira ntchito kuteteza kwa mahomoni kumakhudzanso chiwerengero cha masiku anu nthawi.
Ngati mukugwiritsa ntchito njira yothandizira kupanga mahomoni, kuphatikizapo piritsi lakumwa, chilakolako cha kulera, kapena mphete ya kulera, mwinamwake mudzapeza nthawi zofupika, komanso kuyendayenda. Izi ndi chifukwa mahomoni omwe ali ndi mapiritsi oletsa kubadwa amaposa mahomoni opangidwa ndi mazira.
Mwachitsanzo, piritsi lakumwa limakhala ndi estrogen, choncho chiberekero cha chiberekero chimamangirira koma mocheperapo kuposa momwe chingakhalire mwachibadwa. Pulogalamu ya progesterone ya mapiritsi imapangitsa kuti estrogen ikhale yowonjezera, kotero kuti chidebe chotsanulira chimakhala chochepa kwambiri kuposa chachibadwa.
Ichi ndi chifukwa chake kugwiritsa ntchito njira iliyonse yothandizira kulandira mahomoni nthawi zonse , kutanthauza kuti mumachoka pa placebo kapena sabata yopanda mahomoni, zingakuchititseni kusiya nthawi yanu pachaka kapena kuchepetsa chiwerengero cha chaka chomwe muli nacho.
Ngati mukugwiritsa ntchito pulogalamu ya pulogalamu yovomerezeka ya progesterone yokhala ndi nthawi yochepa komanso yofupika. Izi zikuphatikizapo:
- Progesterone yomwe ili ndi IUD (mwachitsanzo, Mirena)
- Kulumikiza njira za kulera (mwachitsanzo, Nexplanon)
- Kachilombo koyambitsa jekeseni (mwachitsanzo, Depo-Provera)
Kawirikawiri, kugwiritsa ntchito njira zimenezi kungapangitse kuti pasakhale nthawi iliyonse. Izi zili choncho chifukwa progesterone imakhudza endometrium.
Popeza kuti njira zonse zothandizira ana amadzimadzi zimasintha nthawi yanu, ngati nthawi yanu yayamba kwambiri kapena mumakhala ndi magazi kwa masiku ambiri, dokotala wanu angagwiritse ntchito njira yowonetsera mazira monga levonorgestrel-release intrauterine chipangizo (Mirena) kuti muthe kuchepetsa kutuluka kwa magazi.
Mawu Ochokera
Chifukwa nthawi yanu ndi zotsatira za mahomoni ovuta mumthupi lanu, pali zinthu zambiri zomwe zimaonedwa ngati zachilendo. Mukangoyamba kusamba, ngati muphonya nthawi yanu, kapena ngati nthawi yanu yayitali kwa masiku asanu ndi awiri, onetsetsani kuti mukukambirana zadongosolo lanu ndi dokotala wanu.
> Zotsatira:
> American College of Obstetrics ndi Gynecologists. (2016). Mafunso Omwe Amadzifunsa Kawirikawiri: Kusamba Kwambiri Kwambiri Kwambiri.
> American College of Othandizira ndi Amayi a Gynecologists. (2015). Maganizo a Komiti No. 651. Kusamba pakati pa atsikana ndi achinyamata: Kugwiritsira ntchito kusamba monga chizindikiro chofunikira. Chosowa Gynecol 126 (6): 1328.
> Bitzer J, Heikinheimo O, Nelson AL, Calaf-Alsina J, Fraser IS. Kusamalidwa kwa zachipatala kwa kubereka koopsa kwakukulu: Kupenda Kwambiri kwa Mabuku. Chosowa Gynecol Surv . 2015 Feb; 70 (2): 115-30.