Mwachidule
Ngati muli ndi nthawi zopweteka simuli nokha. Iwo amaganiza kuti amayi 90 pa 100 aliwonse amavutika ndi vuto la msana pamene akuyamba kusamba. Koma nthawi zina ululu umenewo ukhoza kukhala wolimba kwambiri.
Ngati muli achinyamata kapena zaka za m'ma 20 ndipo mukukhala ndi zowawa kwambiri mwina muli ndi vuto lodziwika ngati dysmorrrhea.
Nthawi zowawa ndizo chifukwa chachikulu cha masiku osukulu omwe anaphonya ku US
Kodi Choyimitsa Choyambirira N'chiyani?
Dysmenorrhea ndilo mankhwala omwe amagwiritsidwa ntchito pofotokoza nthawi zopweteka.
Pali mitundu iwiri yosiyana ya dysmorrrhea. Dysmorrrhea yachiwiri imalongosola nthawi yowawa yomwe imayambitsidwa ndi chikhalidwe chamoyo cha pelvic monga chithokomiro kapena adenomyosis . Kupweteka kwa mtundu uwu kumawonekera pambuyo pa zaka za nthawi zochepa.
Dysmenorrhea yapamwamba imagwiritsidwa ntchito pofotokozera ululu wopweteka umene umachitika panthawi yomwe mulibe vuto linalake lomwe lingayambitse ululu.Timothy primary dysmenorrhea imayamba mkati mwa chaka choyamba kapena apo mutayamba nthawi yanu nthawi zonse.
Zizindikiro
Ululu wa dysmorrrhea woyamba ndi wokongola. Kawirikawiri imayamba mkati mwa maola 12 asanafike kapena maola 6 mutangoyamba nthawi yanu. Nthawi zambiri ululu umakhala wovuta kwambiri tsiku lonse. Koma kwa atsikana ena, ululu ukhoza kutha kwa masiku atatu.
Kupweteka kwa dysmorrrhea yoyamba nthawi zambiri kumakhala kofananako ndikudziwikiratu nthawi ndi nthawi.
Nthawi zambiri amafotokozedwa ngati ululu wopweteka umene umayamba pakati pa mimba yako pansi. Kupweteka kumakhala kufalikira kumbuyo kwanu kumbuyo mpaka ngakhale kumapiko anu ngati kukhumudwa kosasinthasintha kapena kosalekeza.
Mutha kukhala ndi zizindikiro zina zosasangalatsa zomwe zimapweteka ndi kupweteka kwa dysmorrhea.
Zizindikiro izi zingaphatikizepo izi:
- kutsekula m'mimba
- kunyoza ndi kusanza
- kutopa
- kumutu / kutaya
- mutu
- chizungulire
- malungo
Zikuganiza kuti zizindikirozi zimayambitsidwa ndi kumasulidwa kwa prostaglandins mankhwala a chilengedwe m'thupi mwathu omwe amachititsanso ululu wa kumayambiriro kwa thupi.
Zimayambitsa
Chipinda cha chiberekero chanu chimapanga mankhwala enieni otchedwa prostaglandins.
Zina mwa prostaglandin zimenezi zimapangitsa kuti mitsempha ndi mitsempha ya m'mimba yanu igwirizane. Pamene mitsempha ndi mitsempha ya magazi imatha kuchepetsa nthawi yomwe magazi amatha ku chiberekero. Izi zachepetsa kuchepa kwa magazi zimatchedwa ischemia . Mu chiberekero, ischemia ndi yaifupi ndipo imabwera m'mafunde monga chiberekero cha chiberekero. Koma kusintha kumeneku ndikofanana ndi zomwe zimachitika panthawi ya matenda a mtima. Kuchepa kwa magazi kumachiberekero ndi gawo la zomwe zimayambitsa kupweteka kwakumayambiriro kwa dysmorrhea.
Chiwerengero cha prostaglandins chomwe chimapangidwa ndi chikhomo cha chiberekero chanu chimakhala chapamwamba kwambiri tsiku lomwelo komanso tsiku loyamba kapena masiku awiri pamene mukusiya msambo. Ndicho chifukwa chake zizindikiro zanu ndizozoipa kwambiri masiku ano.
Nthawi Yomwe Muwone Dokotala
Choyamba, simuyenera kuvutika ndi nthawi zowawa. Kumbukirani kuti simuli nokha.
Kafukufuku akusonyeza kuti pafupifupi 15 peresenti ya atsikana amatha kufotokoza nthawi zopweteka kwambiri. Ndipotu, kuyambitsa dysmenorrhea ndilo chifukwa chachikulu cha masiku osaphonyezedwa a sukulu pakati pa atsikana omwe ali achinyamata ku United States. Palibe chifukwa choti muphonye kusukulu, ntchito kapena ntchito zina chifukwa cha nthawi zowawa. Ndibwino kuti mukambirane nthawi yanu ndi dokotala ngati akulepheretsani ntchito zanu nthawi zonse chifukwa cha ululu, kutaya magazi kapena onse awiri.
Zimene Mungamuuze Dokotala
Musanalankhule ndi dokotala wanu za nthawi yanu yowawa ndi lingaliro loyenera kuganizira momwe mungalongosole zizindikiro zanu.
Madokotala ambiri amakufunsani mafunso kuti awathandize kudziwa chomwe chikupangitsa ululu wanu kuti athe kudziwa bwinobwino. Ganizirani momwe mungayankhire mafunso otsatirawa.
- Munali ndi zaka zingati pamene munayamba nthawi yanu?
- Kodi nthawi yanu imabwera mwezi uliwonse?
- Kodi mwazizira masiku angati?
- Kodi nthawi yanu yotsiriza inali liti?
- Kodi nthawi yanu yoyamba yatha bwanji?
- Kodi ululu umayamba liti kuyanjana ndi kuyamba kwa nthawi yanu?
- Kodi ululu uli kuti?
- Kodi zimapita kumbuyo kwanu kapena kumapiko anu?
- Kodi mumaphonya sukulu kapena ntchito chifukwa cha ululu wa nthawi?
- Kodi mwayamba kuyamba kugonana? Ngati inde, kodi kugonana kumapweteka?
- Kodi mukugwiritsa ntchito njira iliyonse ya kulera?
- Kodi muli ndi zizindikiro zina zosasangalatsa panthawi yanu ngati kutsekula m'mimba kapena mseru?
- Kodi inu amayi kapena akazi ena m'banja mwanu muli ndi zovuta kapena nthawi zovuta?
- Bwanji ngati chirichonse chikupangitsa ululu kukhala wabwinoko?
Mwinanso ganizirani kulemba mayankho anu ku mafunsowa ndi kuwabweretsa ku dokotala wanu. Kukonzekera ndi kugwira ntchito ndi dokotala kudzakuthandizani kupeza matenda oyenera ndikuthandizani kuti mukhale bwino mofulumira.
Kudziwa
Mosiyana ndi zikhulupiliro zomwe anthu ambiri amakhulupirira, sizoipa kwenikweni. Koma malingana ndi zomwe munapereka kuchipatala inu simungayesedwe kuti muyesedwe kwa dokotala wanu kuti mudziwe kuti mukudwala matenda oyamba a dysmenorrhea.
Ndipotu sizingatheke kuti mufunika kuyesedwa msanga ngati ndinu wachinyamata, simunayambe kugonana ndipo zizindikiro zanu zimakhala zovuta kwambiri.
Ngati mwayamba kugonana, dokotala wanu akufuna kuti ayambe kuyezetsa magazi. Ndikofunika kuonetsetsa kuti matenda opatsirana pogonana amayamba chifukwa cha matenda opatsirana pogonana monga chlamydia kapena gonorrhea zomwe zimapangitsa kuti zowawa zanu ziwonjezere.
Ngati kupweteka kwanu sikupita patapita miyezi ingapo ya chithandizo chamankhwala kapena ngati mayankho a mafunso anu akuwonetsa komanso kuti vuto lanu likhale lovuta dokotala wanu angayesetse kupenda kwachangu ngakhale simunayambe kugonana.
Palibe zowonjezera zoyezetsa kapena zojambula zowonongeka zomwe zimafunika kuti apeze matenda oyamba a dysmorrhea. Komabe, ngati dokotala akuganiza kuti nthawi yanu yowawa ikhoza kukhala chifukwa cha chifuwa chachikulu chomwe chimapangitsa kuti thupi lanu lizizira kwambiri, dokotala wanu angayesetse kupimidwa kwina.
Chithandizo
Poganizira za chithandizo chamankhwala ndizofunika kukumbukira kuti mankhwala achilengedwe omwe amatchedwa prostaglandins omwe amapangidwa mu chiberekero cha chiberekero amachititsa zizindikiro za matenda oyambitsa dysmorrhea.
Cholinga cha chithandizo cha mankhwala ndi kuchepetsa kupanga prostaglandin mu chikwama cha chiberekero chanu. Pali mitundu iwiri ya mankhwala omwe amachititsa izi, mankhwala osagwiritsa ntchito mankhwala omwe amatsutsana ndi kutupa (NSAIDs) komanso mankhwala opatsirana pogonana .
Pali mitundu yosiyanasiyana ya NSAID. Madokotala ambiri amati akuyamba ndi ibuprofen, yomwe ilipo pa pepala. Kawirikawiri mlingo wokwanira wa ibuprofen ndi 600 mg ndipo mukhoza kutenga mlingo uliwonse maola 6-8. Nthawi zina mumayenera kugwiritsa ntchito NSAID yosiyana kapena yamphamvu kuti muteteze prostaglandins. Koma, muyenera kukhala osamala mukamagwiritsira ntchito NSAID chifukwa zingathe kuvulaza m'mimba mwako zomwe zingayambitse zilonda zam'mimba ndi zilonda zam'mimba. Musagwiritse ntchito NSAIDs pamimba yopanda kanthu.
Zonsezi zimathandiza kuchepetsa chiberekero cha chiberekero chanu. Kawirikawiri, kugwiritsa ntchito njira imodzi yothandizira njira ya kulera ndi njira yabwino kwambiri yothetsera nthawi yanu yowawa.
Kuwonjezera pa mankhwala pali kusintha kwa moyo wanu komwe kungathandize kuchepetsa kusamba.
Kupeza masewero olimbitsa thupi nthawi zonse kwawonetsedwa kuti kuchepetsa nthawi zopweteka.
Palinso kusintha kwa zakudya zomwe zasonyezedwa kuti zithandize. Muyenera kuyesa kudya zakudya zambiri omega -3 fatty acids monga salimoni, walnuts ndi avocados. Komanso zakudya zowonjezera mavitamini B zasonyezedwa kuti zithandize kuchepetsa kusamba kwa msambo. Ngati mudya zakudya zabwino bwino mumakhala ndi Vitamini B okwanira. Koma nthawi zambiri achinyamata sakhala ndi zakudya zabwino kwambiri kotero kuti kuthandizira kuwonjezera mavitamini B kungakhale kothandiza.
Mawu Ochokera
Kumbukirani kuti simukuyenera kuthetsa nthawi zowawa. Musamachite manyazi kuti mukambirane nthawi yanu ndi dokotala wanu. Mwa kupanga moyo wosalira zambiri kusintha ndi kuyesa mankhwala abwino omwe mungakhale nawo bwino ndi matenda a masewero oyambitsa dysmorrhea.
> Chitsime:
> French, L. (2015). Dysmenorrhea. American Family Physician. 71 (21), 285-291