Zimayambitsa Zambiri Kuchokera ku Zoopsa Kapena Kutengera Khansa
Kutuluka kwa magazi pambuyo pa kugonana (komwe kumatchedwanso kuti postcoital magazi ) sikozoloŵera kawirikawiri pakati pa akazi amsinkhu, ndipo ndizofala kwambiri kwa amayi omwe akutsatira am'tsogolo. Ngakhale kutuluka kwa magazi nthawi zina kumakhala kovuta, vutoli ndi loipa nthawi zambiri. Zomwezo zikhoza kunenedwa kwa iwo amene amamva magazi pa nthawi yogonana; Zambiri mwa zomwe zimayambitsa kutuluka kwa postcoital zikupezeka.
Malingana ndi kafukufuku, amayi 9 peresenti ya amayi omwe ali ndi kusamba amayamba kumwa magazi, osasamala za nthawi yawo, atagonana. Mosiyana ndi zimenezi, paliponse 46 peresenti mpaka 63 peresenti ya amayi omwe akudwala matendawa amatha kuuma, kuyabwa, kuchitira chifundo, kuwona, kapena kutaya mwazi nthawi kapena pambuyo pa kugonana chifukwa cha kusintha kwa mavitamini komwe kumakhudza kusakanikirana kwa ziwalo za m'mimba.
Ngakhale zambiri mwazimene zimayambitsa magazi sizikudetsa nkhawa, nthawi zina kutuluka kwa magazi kungakhale chizindikiro cha vuto lalikulu. Phunzirani za zina mwazimene zimayambitsa kukhetsa magazi nthawi ndi nthawi.
Matenda opatsirana pogonana
Matenda opatsirana pogonana (matenda opatsirana pogonana), monga chlamydia ndi gonorrhea , amagwiritsidwa ntchito ndi zizindikiro zosiyanasiyana za m'mimba chifukwa cha ululu wa m'mimba, kuyabwa, ndi kuwotcha kumaliseche kwa amayi komanso nthawi zambiri. Kutupa kumeneku kumayambitsa matenda opatsirana pogonana kungayambitse mitsempha ya m'mwamba kuti ifufuke ndipo ikuphulika mosavuta, ndi kuuma kwa magazi nthawi zambiri kumayenderana ndi kuopsa kwa matendawa.
Trichomoniasis ndi mtundu wa matenda opatsirana pogonana omwe amachititsidwa ndi tizilombo toyambitsa matenda. Kuchiza kwa mimba ndi kachilombo koyambitsa matenda a chiberekero ndi ziwiri zomwe zimafala kwambiri pa matendawa. Mofanana ndi chlamydia ndi gonorrhea, matenda a Trichomonas vaginalis amachiritsidwa mosavuta ndi antibiotic.
Matenda ena opatsirana pogonana monga syphilis ndi ziwalo za m'mimba zingayambitse zilonda zam'mimba zowononga magazi ngati zimakwiyitsa.
Ngakhale kuti zilondazo zimawoneka kunja, nthawi zina zimakhala mkati mwa chikazi ndipo, makamaka ngati mankhwalawa, akhoza kukhala osapweteka komanso osadziwika.
Benign Polyps
Kukula kwa chiberekero pamimba yachiberekero ( chiberekero cha poizoni ) kapena chiberekero ( chiberekero kapena mapuloteni otchedwa endometrial polyps ) ndi omwe amachititsa kuti magazi awonongeke pena kapena pambuyo pa kugonana. Mankhwala amtundu wa chiberekero amayamba kukhala ndi amayi a zaka za m'ma 40 ndi 50 omwe akhala ndi mimba zambiri. Ma polyps ali ambiri ofiira kapena a violet okhala ndi chubu-ngati kapangidwe kakang'ono kamene kamakhala ndi ma capillaries omwe amatha kutuluka mosavuta akamakhudza.
Mazira amtundu ndi aang'ono, zofewa zofewa za m'mimba zomwe zimachokera mkati mwa chiberekero. Mankhwala amtundu wotere amayamba kutuluka m'magazi pakati pa nthawi, atatha kusamba, komanso pa nthawi yogonana. Amakhalanso ndi amayi pakati pa zaka 36 ndi 55.
Mitundu yambiri ya mapuloteni ndi yowopsya, koma ena akhoza kukhala khansara nthawi. Nthaŵi zina mapuloteni amatha pokhapokha, koma kuchotsa opaleshoni kungafunike nthawi zina.
Zina zowonjezereka zochepa za kachilomboka, monga hemangioma, zingathenso kumatulutsa magazi am'mbuyo, ngakhale kuti izi ndizovuta kwambiri.
Mphepete mwa Edzi
Mphepete mwa tizilombo toyambitsa matenda ndi mtundu wosakhala ndi khansa kumene maselo amene amalowa mkati mwa chiberekero amatuluka panja kupyolera mu khola lachiberekero (kutsegula kwa chiberekero).
Izi zikachitika, kusokonezeka kwapadera kwa mitsempha ya chiberekero kungayambitse mitsempha ya mitsempha yowopsya kuti ichepetse ndikuyaka. Chotsatira chake, kutuluka kwa magazi kumakhala kofala chifukwa chogonana, kugwiritsa ntchito zida zogonana, komanso kulembedwa kwa speculum panthawi yoyezetsa magazi.
Mphepete mwa tizilombo toyambitsa matenda amatha kuchitika achinyamata, amayi omwe amatenga mapiritsi oletsa kubereka, ndi amayi omwe ali ndi pakati omwe ali ochepa kwambiri kuposa omwe aliwonse. Kawirikawiri sichimafuna chithandizo pokhapokha ngati kutaya kwa umuna kapena kumwa magazi kumakhala kovuta.
Atrophic Vaginitis
Azimayi am'maopaopa amayamba kutuluka panthawi yamagulu kapena atagonana chifukwa kuchepetsa mazinga a estrogen amachititsa kuti mazenera azimayi aziwonda kwambiri ndipo amalephera kubweretsa mafuta ochepa.
Izi zimatchedwa atrophic vaginitis , chikhalidwe chomwe chimakhudzanso kuyabwa ndi kuyaka kwa amayi.
Atrophic vaginitis ingathenso kuchiritsidwa ndi mankhwala otchedwa estrogen, mwina amatengedwa pamlomo ngati mapiritsi, kapena kirimu, kapena kuikidwa mwachangu ndi suppository. Mankhwala otchedwa estalgen replacement mankhwala amachititsa ngozi, komabe. Malinga ndi deta kuchokera ku Women's Health Initiative, mapiritsi okhawo amachititsa kuti pakhale ngozi ya khansa ya m'magazi ndipo, motero, ayenera kugwiritsidwa ntchito kwa mankhwala afupipafupi kapena m'malo ena a mankhwala a estrogen. Mafuta a m'magulu amatha kuchepetsa kuuma ndi kuchepetsa ululu.
Ngakhale amayi achichepere angakhalenso ndi vaginitis, omwe amayamba chifukwa cha bakiteriya kapena matenda a yisiti, kutuluka magazi kumbuyo ndi chizindikiro chochepa kwambiri.
Endometriosis
Endometriosis imachitika pamene chiwalo cha chiberekero (endometrium) chimatuluka kunja kwa chiberekero. Izi zikachitika, minofu ya endometrial ikhoza kudzigwirizanitsa ndi ziwalo zina, ndipo nthawi zambiri zimakhala zowawa kwambiri, ndipo nthawi zina zimakhala zosabereka. Ndicho chikhalidwe chomwe chimakhudza paliponse pa 5 peresenti mpaka 10 peresenti ya amayi a msinkhu wobereka ndipo sichimvetsetsedwa bwino chifukwa chake ndi mankhwala omwe alipo.
Zinthu ziwiri zomwe zimakhala ndi endometriosis zimapweteka kwambiri komanso zimakhala zopweteka kwambiri. Zonsezi zimayambitsa mavuto ena omwe amachititsa kuti zikhale zovuta kwambiri. Kutuluka kwa postcoital si zachilendo pamene izi zimachitika.
Mankhwala otchedwa hormone omwe amagwiritsidwa ntchito kuchepetsa miyeso ya estrogen nthawi zambiri imathandiza kuchepetsa ululu. Kupweteka komanso kutuluka magazi kungachepetsenso posintha malo omwe mumagwiritsa ntchito nthawi yogonana. Ena, ngati malo amishonale, amaika maganizo owonjezera pa vaginja omwe amatha kumasulidwa ndi mbali kapena mbali zina.
Zovuta
Ngakhale kutuluka magazi kumalo amodzi kumagwirizanitsa ndi matenda ndi zolakwika za chiberekero, chiberekero, kapena chiberekero, kutuluka kwa magazi kungakhalenso chifukwa cha vuto lodziwika bwino kwa matendawa.
Zitha kukhala chifukwa cha kugonana mwamphamvu, zomwe zingayambitse kudulidwa, kupweteka, kapena misonzi pamimba. Izi zikhoza kuchitika ngati pali ubweya wouma, monga momwe zingakhalire pa nthawi ya kusamba, pomwe mayi akuyamwitsa, kapena ngati akumwa kwambiri.
Powonjezereka kwambiri, kutaya mwazi kumachitika chifukwa cha kugwiriridwa kapena chiwawa. Kulowera kolowera kungawononge mitsempha ya vaginja ndikuwongolera mapangidwe, omwe angachiritse mobwerezabwereza pokhapokha ngati mankhwalawa akugwiritsidwa ntchito.
Khansa
Ngakhale khansara ndizochepa chifukwa cha kutuluka kwa postcoital, ndi chimodzi mwa zizindikiro za khansa ya pachibelekero , ubeni , ndi uterine . Chaka chilichonse, amayi pafupifupi 14,000 amapezeka ndi khansa ya chiberekero yosautsa ku United States, zomwe zimapha anthu oposa 4,000.
Mimba imatha kusiyana ndi mtundu wa khansara, koma nthawi zambiri imadyetsedwa ndi mitsempha yambiri ya magazi. Pamene chiphuphu chikukula, zotengerazi zimatha kuwonongeka ndipo zimayamba kuphulika. Kugonana nthawi zina kumayambitsa izi.
Kupanda magazi kapena kusagonana, ndizofala za khansa ya pachibelekero. Izi ziphatikizapo:
- Kutsekemera pambuyo pa kutha kwa nthawi kapena pakati pa nthawi ya kusamba
- Nthawi yayitali kapena yayitali kuposa nthawi
- Kusamba kwa majeremusi kunadzaza ndi magazi (nthawizina kulakwitsa chifukwa spotting)
Kuti aone ngati mkazi ali ndi khansara ya chiberekero, katswiri wa amayi amatha kufufuza magazi, mapepala a Pap, ndipo nthawi zina amawoneka ngati colposcopy . Ngati dokotala akukayikira khansa, zitsanzo zamatenda zingatengedwe ndi chidziwitso choyenera kuyang'aniridwa ndi microscope.
Mawu Ochokera
Kusuta nthawi kapena pambuyo sikuyenera kuonedwa kuti ndibwino. Ngakhale zitakhala ngati zotsatira za vuto linalake, ndibwino kuti muziyang'ana ngati mungapeze njira zopewa kuvulaza kotereku.
Ngati simukudziwa zomwe zimayambitsa magazi kumaliseche, musapewe kumuwona dokotala chifukwa choopa kulandira matenda a khansa. Khansara ndi, makamaka, imodzi mwazifukwa zochepa. Ngati khansayo imakhala chifukwa chake mumakhala magazi, matendawa amayamba kuchipatala ndipo nthawi zambiri amachiritsa matendawa asanakhale aakulu.
> Zotsatira:
> Jyotsna V. Thandizo la mahomoni la postmenopausal: Mkhalidwe wamakono. Ind J Endocrinol Metab. 2013; 17 (Suppl1): S45-S49; DOI: 10.4103 / 2230-8210.119504.
> Kim H, Kang S, Chung Y, et al. Kubwereza Kwatsopano kwa Genitourinary Syndrome Kuyambira Kusamba. J Menopausal Med . 2015; 21 (2): 65-71; DOI: 10.6118 / jmm.2015.212.65.
> Tarney C, Han J. Postcoital Bleeding: A Review on Etiology, Kusanthula, ndi Utsogoleri. Chosowa Gyn Int. 2014; Nkhani ID 182087; DOI: 10.1155 / 2014/182087.