Polymenorrhea amafotokoza kusamba kwa kusalongosoka kumene mkazi amakhala nako kutuluka magazi nthawi zosachepera 21.
Poyikira izi moyenera, kumapeto kwa msambo kwa mkazi wamkulu ndi masiku 21 mpaka masiku 37.
Pofufuzira mawu akuti "polymenorrhea" kapena "kuchepa kwa msambo," mwina mwapeza mawu akuti "magazi osadziwika bwino." Izi zili choncho chifukwa mawu akuti polymenorrhea (ndi zina zomwe zimayenderana ndi njira zosasamba za kusamba) zimagwiritsidwa ntchito pansi pa ambulera iyi.
Zachidule za Kuphulika kwachiberekero kosazolowereka
Malingana ndi American College of Obstetricians ndi Gynecologists (ACOG), kutuluka kwa magazi kosabadwa kumatanthawuza kuti magazi amachokera pachiberekero chomwe sichizolowezi, nthawi, kapenanso nthawi. Kutuluka kwa magazi kungakhale kovuta kapena kosapitirira ndipo kumachitika kwa amayi omwe alibe amayi.
Kuphatikiza pa polymenorrhea, zifukwa zina za magazi osachiritsika a uterine ndi awa:
- Oligomenorrhea: Kutalika kwa msambo kutalika kwa masiku opitirira 37
- Amenorrhea : Palibe nthawi kwa miyezi isanu ndi umodzi
- Menorrhagia: Kutaya magazi mwakuya kwanu
- Metorrhagia: Kusuta kapena kupenya pakati pa nthawi yanu
- Menometrorrhagia : Kutenga kwa nthawi yaitali kwa magazi omwe amapezeka nthawi yosadziŵika
- Kuchotsa magazi m'magazi: Kutaya magazi komwe kumachitika patapita miyezi 12 kuchokera pamene mayi amatha msambo
- Kutuluka kwa Postcoital : Kutsegula kapena kuyang'ana pambuyo pa kugonana
Zomwe Zingayambitse Zambiri Zamitundu Yambiri ndi Mitundu Yina ya AUB
Pali zifukwa zambiri zomwe zimayambitsa matenda oopsa a uterine, chifukwa chake ndi kofunika kuti muwone dokotala wanu.
Kuphatikiza pa kutenga mbiri yakale ya zachipatala, dokotala wanu wa zamuna adzayesa kufufuza mwakuthupi kuti ayang'ane abambo, chiberekero, chiberekero, ndi mazira.
Nthawi zina mayesero adzayankhidwa ngati kuyesa mimba, kuyesedwa kwa magazi, ultrasound transvaginal, hysteroscopy, kapena endometrial biopsy (pamene minofu ing'onoing'ono ikuchotsedwa mu chiberekero chanu ndi kuyang'aniridwa ndi microscope).
Zifukwa Zina Zowonjezera za AUB
Mavuto Aakulu: Zitsanzo za mavuto a anatomic omwe angayambitse magazi kumaliseche, kuphatikizapo fibroids, polyps, endometriosis, endometrial hyperplasia, kapena khansa zina (mwachitsanzo, khansa ya uterine).
Kusayenerera kwa Hormone: Zoipa zosiyanasiyana za hormone zingapangitse AUB, monga chithokomiro, adrenal, kapena pituitary gland malingaliro. Matenda a Polycystic ovarian ndi omwe amachititsa kuti abambo ambiri apange mahomoni akuluakulu (otchedwa androgens).
Kusokonezeka kwa Mitsempha: Matenda opatsirana monga matenda a Willebrand kapena matenda a mafupa (mwachitsanzo, khansa ya m'magazi) ndi zina zotheka.
Mankhwala: Mankhwala ena amatha kupha magazi monga ma steroid, chemotherapies, ochepa magazi, kapena mankhwala enaake. Njira zina zothandizira kubadwa monga intrauterine zipangizo kapena mapiritsi oletsa kubereka zingachititse kuti magazi asawonongeke.
Matenda: Matenda opatsirana pogonana (mwachitsanzo, chlamydia kapena gonorrhea) angapangitse kutupa kwa chiberekero ndi kutuluka mwadzidzidzi.
Thupi Lathu Lonse Lodwala: Matenda a chiwindi kapena impso, kuchepa kwa anorexia, kunenepa kwambiri, kapena kusintha kwa msinkhu mofulumira kungachititse kuti munthu asadwale kumaliseche.
Kumvetsa Polymenorrhea
Dokotala wanu atamaliza kufufuza bwinobwino ndikuyesa mayesero oyenerera, sangapeze chilichonse chosiyana ndi kuchuluka kwa msambo wanu.
Mwa kuyankhula kwina, kwa amayi ena, kafupikidwe kafupikidwe ka msambo ndi yachibadwa kwa iwo, ndipo mwatsatanetsatane "chifukwa" sichidziwika bwino.
Pachifukwa ichi, mankhwala sangakhale oyenera, ngakhale dokotala wanu akufuna kukuyang'anirani chifukwa cha kuchepa magazi m'thupi, pamene thupi lanu silingathe kupanga hemoglobini yokwanira kuti musatsitsimutse maselo anu atasiya kutaya magazi. Zizindikiro za kuchepa kwa magazi zimaphatikizapo khungu, kufooka, kutopa, kupsa mtima, ndi kupuma pang'ono.
Ngati muli ndi nthendayi kuchokera ku polymenorrhea kapena mumakhala ndi vuto chifukwa mumakhala ndi nthawi yambiri ya kusamba, dokotala wanu angalimbikitse kulumikizana kwa mavitamini pamodzi kuti achepetse kusiyana pakati pa magazi.
Njira ina ndi kugwiritsa ntchito njira ya kulera yomwe imasiya kuchepa kwa kanthawi kapena kuika magazi kwambiri, monga Mirena , Depo-Provera , kapena Nexplanon .
Kuwonjezera pa kuchepetsa kuchepa kwa msambo wanu, dokotala wanu angakulimbikitseni kusintha zakudya kapena zowonjezera zitsulo.
Mawu Ochokera
Pamapeto pake, ndikofunika kuwona dokotala wanu ngati mukukumana ndi kusintha kwa msambo wanu.
Mungafune kuyesa kufufuza nthawi yanu musanagwiritse ntchito pulogalamu yanu pafoni yanu kapena kalendala. Kuphatikizapo kulemba tsiku la magazi anu, zimathandiza kuzindikira kuuluka kwa magazi (kuwala, sing'anga, katundu).
> Zotsatira:
> American College of Obstetricians ndi Gynecologists. (2017). Malingaliro a Komiti: Kusamalira Mphuno Yopanda Mimba Yopanda Mimba M'mabambo Osabereka - Akazi Okalamba.
> American College of Obstetricians ndi Gynecologists. (2017). Mafunso Omwe Amadzifunsa Kawirikawiri: Kutsekemera kwachiberekero kosazolowereka.
> Bradley L. (2010). Kachilombo ka Cleveland: Kusamba Kwadongosolo.
> Kaunitz AM. (2017). Kusiyanitsa kusiyana kwa kachilombo ka HIV kumagazi kwa amayi. Barbieri RL, ed. Zaposachedwa. Waltham, MA: UpToDate Inc.