Kusamba kwa msambo
Monga mkazi wina yemwe wakhala akugwira ntchito akhoza kukuwuzani, chiberekero ndi minofu yamphamvu yomwe imatha kusokoneza kwambiri. Ngakhale kusintha kosinthika kumene kumayambitsa magazi mwezi uliwonse kumapangitsanso chiberekero kuti chigwirizane, mwatsoka, zomwe zimapangitsa kuti mimba ikhale yosamba-ndizochepa kwambiri monga momwe ziliri panthawi yachisoni. Izi zinati, kulemera kwa amayi omwe akukumana nawo kungakhale kovuta kupirira.
Kodi Kusamba Kwambiri N'kutani?
Kusamba kwa msambo ndi zotsatira za mavitamini okhudzidwa ndi mahomoni a chiberekero.
Chiberekero chanu chimapangidwa ndi zigawo ziwiri zazikulu. Mpweya wosanjikiza wamkati, myometrium, umapangidwa ndi maselo osasuntha. Mbali yamkati, endometrium , imayankha kusintha kwa ma hormone. Endometrium imakula mu theka lakumapeto kwa msambo wanu, kukonzekera kutenga mimba.
Pamene mimba sichichitika, kusintha kwa ma hormone kumapangitsa zinthu kudziwika kuti prostaglandins kuti zimasulidwe kuchokera ku endometrium. Izi zimachititsa kuti chiberekero cha chiberekero chanu, kapena myometrium, chilowetse mgwirizano, zomwe zimayambitsa kukhetsa mapulogalamu. Kuyala kwake kumakhala gawo lalikulu la kusamba kwa msambo.
Izi ndizomwe zimachitika m'thupi, ndipo amayi ambiri amakhala ndi zochepa pang'ono mwezi uliwonse kumayambiriro kwa nyengo yawo chifukwa cha izo.
Zinthu Zitatu Zodziwa Zokhudza Zisamba Zokhazikika
Zachibadwa Zingakhalebe Vuto
Inde, zipsinjo za msambo ndi gawo lachizolowezi cha kusamba. Koma izi sizikutanthauza kuti sizovuta kwa inu.
Nthawi zina izi zimakhala zovuta kwambiri kuti zitha kusokoneza magazi omwe mumakhala nawo nthawi zambiri. Izi zachepetsa kuchepa kwa magazi zimayambitsa kupweteka. Kupweteka kumeneku kumayenderana ndi nthawi yanu kumatchedwa dysmorrrhea . Nthawi zambiri zimakhala zofunikira kuti musokoneze zochita zanu zachizolowezi, kuphatikizapo sukulu kapena ntchito.
Dysmenorrhea ikhoza kukhala yofatsa komanso yosavuta mosavuta ndi kusintha kwa moyo kapena mankhwala opweteka kwambiri. Dysmenorrhea ingakhalenso yovuta, yofuna mankhwala ambiri kapena opaleshoni.
Sizitsulo Zonse Zokhazikika Ndizo Zomwezo
Pali mitundu iwiri ya kuchepa kwa magazi. Kawirikawiri, mitundu yosiyanasiyana imayambira pamene zidutswazo zinayambira ndi zomwe zimawachititsa.
- Dysmenorrhea Primary: Kwa amayi ena, nthawi zawo zakhala zowawa kuyambira pomwepo. Ngati mwakhala mukukumana ndi zowawa nthawi zambiri, zikhoza kuti kusamba kwa msambo kwanu kumayambitsidwa ndi kuchitidwa mwakachetechete ku kusintha kwa thupi lanu. Makamaka, zimaganiziridwa kuti amayi omwe ali ndi dysmorrrhea oyambirira ali ndi kuchuluka kwa prostaglandin, zomwe zimayambitsa chiberekero.
- Dysmenorrhea ya Sekondi: Ngati mwakhala ndi nthawi zowawa, mumatha kukhala ndi vuto lomwe likuwonjezereka ndi kusintha kwakukulu komwe kumayambitsa kuperewera kwa chiberekero. Zovuta zomwe zingayambitse kuchepetsa kutsegula m'mimba zimaphatikizapo fibroids, adenomyosis , matenda, ndi kugwiritsira ntchito mkuwa wamkuwa .
Musalole Modziletsa: Kuyankhula ndi Dokotala Wanu
Nthawi zowawa sizinthu zomwe muyenera kukhala nazo. Ngati muli ndi zipsera, muyenera kukambirana nawo ndi dokotala wanu.
Konzekerani Kukambirana za Zizindikiro Zanu
Mudzafunsidwa kufotokoza ululu wanu. Ganizirani mawu ofotokozera monga lakuthwa, kugwa, kapena kuwotcha. Mukhoza kufotokozera komwe ululu ulipo ndipo ngati ululu umapita kulikonse, monga kumbuyo kwanu kapena kumapiko. Kudziwa izi kudzathandiza dokotala wanu kumvetsa ngati pali chifukwa chachikulu cha nthawi zanu zopweteka.
Khalani ndi Mayankho ku Mafunso Amodzi
Zimathandizanso kuwonanso mndandanda wa mafunso omwe mungafunse ndikulemba mayankho anu kwa iwo musanayambe ulendo wanu:
- Munali ndi zaka zingati pamene muli ndi nthawi yanu yoyamba?
- Kodi kusamba kwanu kumakhala nthawi zonse? Kodi amatha nthawi yaitali bwanji? Kodi mumamwa magazi ochuluka bwanji?
- Kodi tsiku loyamba la nthawi zako ziwiri zotsiriza linali liti? Kodi iwo anali osiyana kuposa nthawizonse?
- Kodi nthawi yanu yakhala yowawa nthawi zonse? Ngati sichoncho, kodi zinayamba liti kupweteka?
- Kodi ululu umakulepheretsa kusukulu kapena ntchito?
- Kodi muli ndi ululu wamtundu umene sukugwirizana ndi nthawi yanu?
- Kodi mukugonana?
- Kodi mumagwiritsa ntchito njira iliyonse yothandizira kubereka? Ngati inde, kodi mumagwiritsa ntchito njira yanji?
- Kodi wina m'banja mwanu ali ndi mbiri ya nthawi zowawa?
- Kodi mwagwiritsa ntchito mankhwala aliwonse kuti athetse ululu? Ngati inde, munagwiritsa ntchito chiyani? Kodi zathandiza?
Mayesero Ena Angathe Kapena Sakusowa
Mayankho anu ku mafunso omwe dokotala wanu akukufunsani ndi zina zomwe mumapereka zokhudzana ndi zowawa zanu zidzayamba kuthandiza dokotala kudziwa chomwe chimayambitsa ululu wanu. Dokotala wanu akhoza kapena sangayesedwe pamutu.
Mungafunike kuyesedwa kwina malinga ndi zizindikiro zina zomwe mumalongosola komanso zomwe mwapeza pazoyezetsa.
Mayesero ena omwe dokotala angakuuzeni (popanda dongosolo lina) ndi awa:
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Kodi Mittelschmerz Amatanthauzanji?
-
Kodi Nthaŵi Zoŵaŵitsazo Zimaphuka Ndiponso Zizindikiro Zina Zoopsa? Kungakhale Gluten
- Ultrasound
- MRI
- CT scan
- Zikondwerero zachikhalidwe
- Miyambo ya umidzi
- Laparoscopy
Musadabwe ngati adokotala sakulamula kuyesedwa, makamaka ngati ndinu wachinyamata ndipo simunayambe kugonana.
Kukambitsirana za Chithandizo cha Chithandizo
Pali njira zingapo zothandizira kuchepetsa kutsegula m'mimba. Zimachokera ku zamoyo zomwe zasintha opaleshoni. Nthawi zina mankhwala amodzi amasonkhanitsidwa. Ngati dokotala akudandaula kuti muli ndi dysmorrrhea yoyamba, ndiye kuti adokotala anu angapereke mayeso a miyezi itatu ya NSAID kapena njira ya kulera kwa mahomoni asanayese kuyesa kwina. Ndikofunika kumvetsetsa njira zonse zamankhwala zomwe zingakupweteke nthawi zowawa .
Mawu Ochokera
Ngati mukusowa kusukulu, ntchito, masewera, kapena zinthu zina ngakhale tsiku limodzi mwezi uliwonse chifukwa cha zowawa, muyenera kulankhula ndi dokotala wanu. Ngakhale kusamba kwa msambo ndi gawo labwino la thupi lanu, sizili zachilendo ngati ziri zofunikira zokwanira kusokoneza zochita zanu za tsiku ndi tsiku. Pali njira zambiri zothandizira mankhwala abwino komanso zothandiza kuti mukhale bwino ndi zipsinjo za msambo.
> Chitsime:
> Katswiri wa Amayi Opeza Zachilengedwe & Gynecologists ku Canada. (2005) malangizo a SOGC no.169: Chitsogozo chachikulu cha Dysmenorrhea Consensus Guideline. J Obstet Gynecol Can. 27 (12) 1117-30.