Nthawi yoyenera kudandaula za kutaya kwambiri kapena kutseka magazi
Nthawi imodzi pakapita nthawi yobereka, amai ambiri amakhala ndi magazi ochulukirapo kwambiri akamakhala ndi nthawi yopuma. Nthawi zambiri zimakhala zaka zingapo zoyamba kusamba, ndipo kachiwiri zaka ziwiri kapena zitatu zisanafike kusamba.
Nthawi yambiri yamagazi ingakhale yoopsa kwambiri ngati ili ndi mazenera. Nthawi zambiri, zofiira, zofiira, kapena zakuda zamagazi zimakhala zachilendo-zokhazokha za endometrium (chiberekero cha chiberekero) chomwe chimakhetsedwa nthawi ya kusamba.
Koma pali nthawi pamene menorrhagia ndi chizindikiro cha vuto. Pano pali zomwe muyenera kudziwa zokhudza magazi osadziwika bwino komanso kutsekemera, kuphatikizapo zomwe zingayambitse kuthamanga kwambiri komanso momwe angachiritsidwe.
Zomwe Zimayambitsa Nthawi Zazikulu
Kodi mukuganiza kuti magazi ambiri amayamba bwanji pakapita kumwezi? Ngati mukupeza kuti mukuyenera kusintha pad kapena nthawi zambiri kuposa ola limodzi kapena apo, kapena ngati muli ndi nthawi yomwe yapitilira masiku asanu ndi awiri kapena kuposerapo, ndiye kuti mukukumana ndi magazi osazolowereka .
Kawirikawiri, kusalinganikirana kwa mahomoni ndilo kulakwitsa. Zina zomwe zimayambitsa magazi ochizira amphongo ndi awa:
- zilonda zam'mimba
- chiberekero kapena mapuloteni otchedwa endometrial polyps
- lupus
- Matenda opweteka kwambiri (PID)
- khansara ya chiberekero
- khansa ya endometrial
Azimayi omwe amagwiritsa ntchito zipangizo za intrauterine (IUDs) nthawi zina amakhala ndi nthawi yochuluka kapena yaitali. Ngati mukumwa magazi ochuluka kwambiri mukamagwiritsa ntchito mankhwala oyenera, muyenera kuchotsedwa ndipo muyenera kuyesa njira ina yoletsa kubereka .
Kusokonezeka kwa mapiritsiti, monga matenda a von Willebrand, ndiwo matenda omwe amapezeka kwambiri m'magazi amagazi ambiri. Kaŵirikaŵiri izi zimapezeka ngati msangamsanga mtsikana atayamba kupeza nthawi. Azimayi omwe ali ndi matenda a von Willebrand kawirikawiri sadzakumana ndi kuchepa kwa msambo wokha, komanso nosebleeds, kuvulaza mosavuta, ndi magazi mu mpando.
Kawirikawiri, kutaya magazi kwakukulu kumatha kuchizidwa ndi mankhwala osagwira ntchito yoteteza thupi (NSAID) monga ibuprofen aornd naproxen. Mankhwalawa amathandiza kuchepetsa kutuluka kwa magazi, kuphatikizapo kuchepetsa kupweteka kwa msana. Ngati mumakhala ndi mimba nthawi zonse muyenera kuyang'anitsitsa kuti muwonetsetse kuti mazenera anu sakuphwanya. Ngati izi zitachitika, mungafunikire kutenga zowonjezera zitsulo.
Kuzindikira ndi Kuchiza Kuchetsa Kwachiberekero Kwachilendo
Chinthu choyamba chimene dokotala wanu angachite kuti mudziwe zomwe zikukuchititsani kuti muyesetse kutuluka kumaliseche, zimayesedwa pamimba , kuphatikizapo mapepala a Pap, ma laboratory, ndipo ngati n'koyenera, kuyesa mimba. Angathenso kulangiza ultrasound kuti ayang'ane zovuta monga fibroids kapena kuchita biopsy, D & C, kapena hysteroscopy kuti muwone momwe chiberekero chanu chikuyendera.
Ngati zikutanthauza kuti muli ndi fibroids kapena matenda ena, dokotala wanu adzachichita bwino. Pamene kusamvana kwa mahomoni ndi vuto, kutuluka kwa magazi kumatha kuyendetsedwa ndi progesterone kapena kuphatikizapo progesterone ndi estrogen, kawirikawiri ngati njira ya kulera.
Kuperekera kwa m'magazi , kamodzi komwe kawirikawiri kamagwiritsidwa ntchito pochizira magazi ochulukirapo kwa amayi omwe anali ndi zaka zakubadwa zomwe anafuna kupeŵa hysterectomy , tsopano wasinthidwa ndi mankhwala otchedwa bulloon ablation.
Nthaŵi zambiri, kuperekera kwa bulloon kupuma kumatsiriza kutuluka mwa kuwononga chiberekero cha chiberekero. Choncho, ndizoyenera kwa amayi omwe akukhala ndi ana kapena otsimikiza kuti sawafuna. Komabe, njirayi siimatsimikiziranso chitetezo chokwanira kuchokera kumimba. Akazi omwe safuna ana ayenera kupitiliza kugwiritsa ntchito njira yochezera yobereka.
Pokhapokha ngati mutakhala ndi pakati pamene mukudwala magazi amtundu wambiri, nthawi imodzi yomwe imakhala yochuluka kwambiri yakusiya kumaliseche safuna mankhwala. Chinthu chimodzi chokha ndi chakuti kutaya magazi kumakhala kwa maola oposa 24, pomwepo muyenera kuyankhulana ndi dokotala mwamsanga.
> Chitsime:
> American College of Obstetrics ndi Gynecology. "Mafunso Omwe Amafunsidwa Kawirikawiri: Kutsekemera kwachiberekero kosazolowereka." Mar 2017.