Ndizowoneka bwino kuti muzitha kukhala ndi zofooka zazing'ono panthawi yanu, ndipo uthenga wabwino ndi wakuti zowonongekazi zimatha kuchepetsedwa ndi mankhwala ophweka ngati chipangizo chofewa kapena kupweteka kwapadera.
Komabe, zipsinjo za amayi ena amsinkhu zimakhala zosagwirizana ndi mankhwalawa. Ngati ndi choncho kwa inu, kukonzekera mgwirizano ndi dokotala n'kofunikira.
Mwanjira imeneyi samangotulutsa kupweteka koyenera komanso kutsimikiziranso kuti palibe china chomwe chikuchitika.
Kumvetsetsa Zisamba Zokhazikika
Mawu a zachipatala chifukwa cha ululu wokhudzana ndi nthawi yanu amadzipiritsa, ndipo pali mitundu iwiri: kuyambirira ndi yachiwiri kuyimitsa magazi.
Dysmenorrhea Primary
Malingana ndi American College of Obstetricians ndi Gynecologists (ACOG), amayi oposa makumi asanu mwa onse omwe amatha msambo amamva kupweteka kwa masiku awiri kapena awiri pa miyezi. Mwa kuyankhula kwina, kupunduka kwa msambo kukufala.
Prostaglandin yopanga mkati mwa chiberekero cha chiberekero chanu ndicho chimayambitsa kusamba kwa msambo. Popeza msinkhu wa prostaglandin umatuluka m'chiberekero asanayambe kusamba, amayi amatha kuponderezedwa tsiku loyamba la nthawi yawo. Pamene chiberekero cha chiberekero chawo chimayambanso ndi kutuluka kumapitirira, msinkhu wa prostaglandin umapita pansi ndipo ndizo, kupunduka.
Ndizosangalatsa kuzindikira kuti zipsinjo za msambo zimayambira pamene mayi ayamba kusamba, pamene ali mwana kapena wamng'ono.
Koma m'mayi ambiri, ziphuphu zimakhala zopweteka kwambiri akamakula.
Dysmenorrhea yachiwiri
Kuthamanga kwa sekondi kumatanthauza kuti kusamba kwa mkazi kusamba sikuchokera ku nthenda ya prostaglandin kuwonjezeka mkati mwa chiberekero chake, koma m'malo mwa matenda ena. Zitsanzo za zochitika zomwe zingayambitse kuchepetsa dysmorrhea zimaphatikizapo:
- Endometriosis
- Uterine Fibroids
- Adenomyosis
Mosiyana ndi mazira oyambirira a dysmorrrhea, dysmorrrhea yachiwiri ikhoza kuyamba m'moyo mwathu, ndipo ululu umene umakhala nawo nthawi zambiri umakhala woipira, osati bwino, monga momwe mkazi akulira. Komanso, pamene ululu wa dysmorrrhea woyamba umangokhala tsiku limodzi kapena awiri, dysmorrrhea yachiwiri imakula kwambiri pamene nthawi ikupita. Ndipotu, kupweteka kwa nthawi yazimayi kungapitirize ngakhale atasiya kumaliseche.
Kuyeza Kusamba kwa Mimba
Kuwonjezera pa kufufuza mbiri yachipatala ndikuyesa kufufuza thupi, kuphatikizapo kuyezetsa magazi, dokotala wanu akhoza kulamula ultrasound, kuti ayang'anitsenso ziwalo zanu zobereka (mazira, chiberekero, ndi ziphuphu zakuda). Ultrasound imathandiza makamaka pozindikira fibroids. Kawirikawiri, opaleshoni amafunika kuti dokotala azifufuza ziwalo za m'mimba mwawo.
Kuwonjezera pamenepo, dokotala wanu angalimbikitse kuyeretsa mimba, monga kuphatikiza ndi kupha magazi kungasonyeze kuperewera kwa amayi kapena kutenga mimba.
Kuchiza Mankhwala Okhazikika
Nonsteroidal anti-inflammatories (NSAIDs), monga ibuprofen, amavomerezedwa kuti athetse vuto la kuchepetsa magazi, pamene amachepetsa ma prostaglandin m'thupi. Onetsetsani kuti mutengere kukambirana za NSAID ndi dokotala poyamba, chifukwa zingayambitse mavuto monga magazi, zilonda zam'mimba, ndi mavuto a impso ndi chiwindi.
Kuphatikizidwa kwa kubereka (mwachitsanzo, mapiritsi, chigamba, kapena mphete), komanso njira za progestin zokha (mwachitsanzo, chipangizo cha intrauterine kapena implant), chingathandizenso kuchepetsa kutsegula m'mimba.
Inde, palinso mankhwala opanda mankhwala, monga kugwiritsa ntchito mpweya wotentha kumimba. Chochititsa chidwi n'chakuti maseĊµera olimbitsa thupi apezeka kuti amathandizanso kuthetsa zipsinjo za kusamba.
Ngati mutapezeka kuti muli ndi dysmorrrhea yachiwiri, dokotala wanu adzalandira vutoli kuti athetse msinkhu wanu. Mwachitsanzo, kuteteza kwa mahomoni kungalangizidwe kuti athetse matenda a endometriosis, ndipo ngati fibroids ikupweteka, akhoza kuchotsedwa ndi opaleshoni.
Pomalizira, amayi ena amasankha mankhwala othandizira (mwachitsanzo, kupopera thupi kapena yoga), kaya ali okha kapena kuwonjezera pa mankhwala, kuti athetsere ululu wawo-ngakhale kuti, umboni umene ukuthandizira kuwathandiza uli wochepa.
Mawu Ochokera
Pamapeto pake, ndizomveka kuwona dokotala wanu ngati mukukumana ndi zipsinjo za msambo, makamaka ngati sakuchepetsedwa ndi njira zosavuta, ndi / kapena kupitiriza nthawi yonse ya kusamba.
Inde, nthawi iliyonse pamene mukukumana ndi ululu watsopano kapena wowawa kwambiri m'mimba, musayembekezere kusankhidwa kwa dokotala. Pa nthawiyi, funsani kuchipatala nthawi yomweyo.
> Zotsatira:
> American College of Obstetrics ndi Gynecologists. (2015). Mafunso Ofunsidwa Kawirikawiri: Dysmenorrhea: Nyengo Zowawa.
Smith RP, Kaunitz AM. (2017). Mankhwala akuluakulu abambo akuluakulu: Kachilombo ka HIV ndi matenda. Barbieri RL, ed. Zaposachedwa. Waltham, MA: UpToDate Inc.
> Yu A. Zowonjezereka ndi njira zina zothandizira odwala matenda oyambitsa matenda oyambirira ali achinyamata. Nurse Pract . 2014 Nov 16; 39 (11): 1-12.