Kodi mukuwononga zovala zanu zamkati ndi mabedi?
Kodi mukusintha zolinga zanu kuti musamachite manyazi "ngozi" panthawi yanu?
Kodi mukutopa ndi nthawi yanu yovuta ndikulamulira moyo wanu?
Ngati munayankha inde inde kwa mafunso awa ndi kofunika kuti mukambirane magazi anu osadziwika bwino ndi amayi anu.
Mkazi wanu wa amayi amakufunsani mafunso ndipo mosakayika akuyesa kufufuza.
Angaperekenso mayeso ena kuti aone ngati muli ndi vuto lomwe lingayambitse magazi.
N'zotheka kuti kutaya kwa msinkhu wanu wolemera kapena wamatali kwachititsa kuti mukhale ndi kuchepa kwa magazi. Ngati izi zakuchitikirani, dokotala wanu angakupangitseni kuti mudye zakudya zina zomwe zili ndi chitsulo. Mwinanso angakulimbikitseni kuti muyambe kutenga zitsulo. Kuchulukitsa chitsulo mu zakudya zanu kudzakuthandizani kuti thupi lanu lisinthe magazi. Nthawi zina kutuluka magazi ndi kolemetsa kwambiri ndipo kuchepa magazi m'thupi n'kofunika kwambiri moti mungafunikire kuikidwa magazi.
Pali njira zingapo zothandizira odwala omwe akudwala kwambiri. Mkazi wanu wazinayi adzakuthandizani kusankha zosankha zomwe mungachite.
Zotsatira za zachipatala
Kulankhula ndi amai anu a zachipatala za kulemera kwanu kwa msambo ndikofunika. Nthawi zina amatha kuwonetsa kuti ali ndi matenda aakulu.
Matenda opatsirana, makamaka Von Willebrand matenda, angakhale chifukwa chodziwika chifukwa cha kulemera kwa msambo. Matenda a chiwindi komanso matenda omwe amatchedwa thrombocytopenia amachititsanso kuti magazi azikhala olemera kwambiri. Matenda a chithokomiro, makamaka matenda a chithokomiro osagwira ntchito kapena hypothyroidism angayambitse kutaya kumwezi
Kuchiza vuto lalikulu lachipatala nthawi zina lingakuthandizeni kuti mukhale ndi magazi ochepa.
Kusintha kwachikhalidwe mu chiberekero chanu
Pamene gynecologist wanu amatsiriza kuyeza kulemera kwanu kwa msambo angakhale akupeza kuti muli ndi mapuloteni a endometrial kapena submucosal uterine fibroid. Ngati mwapezeka kuti muli ndi chimodzi mwa kusintha kwa chiberekero chanu ndiye kuti njirayi ingakonzedwe.
Chinthu chimodzi chimene mungakambirane ndi inu ndizosavuta. Imeneyi ndi njira yopangira opaleshoni yochepa yomwe imachitika ndi kamera ndi zipangizo zopangira opaleshoni zomwe zimadutsa mumimba ndi chiberekero mumimba. Ndi tsiku lochita opaleshoni ndipo kawirikawiri silikuphatikizapo m'chipatala usiku wonse. Pogwiritsa ntchito njirayi pulosi kapena submucosal fibroid ikhoza kuchotsedwa mosavuta.
Chinthu chinanso chochizira chithandizo cha subterucycle uterine fibroid ndi njira yotchedwa Uterine Artery Embolization (UAE) .
Palibe Zovuta Zachilengedwe
Ndizochilendo kuti mayesero onse a chidziwitso abwerere bwinobwino. Pachifukwa ichi, palibe chifukwa chachikulu chimene mumayambira kumaliseche. Njira zamachiritso zimayamba ndi mankhwala.
Mahomoni ogwiritsira ntchito steroid amagwiritsidwa ntchito kuthandizira kuchepa kwa chiberekero kapena endometrium.
Amathandizanso kupereka chithandizo cha kulera. Zosankha zomwe amayi anu angapereke angaphatikizepo:
Piritsi lachilombo
Depo Provera
Ngati kusagonana sikukufunikira, amayi anu amatha kukhala ndi progesterone kwa masiku angapo mwezi uliwonse kuti muchepetse chiberekero cha chiberekero chanu.
Kuphatikiza pa zosankha zamadzimadzi, zosankha zosagwiritsidwa ntchito zamtunduwu zilipo. Izi zikhonza kukhala zoyenera nthawi zina.
Mankhwala osakanikirana ndi othandizira ena kapena ma NSAID asonyezedwa kuti athandize kuchepetsa kutaya kwa msinkhu wolemera pochepetsa chiwerengero cha prostaglandins chopangidwa ndi chiberekero.
Palibe umboni wosonyeza kuti NSAID imodzi imaposa ena pochepetsa kutaya kumwezi.
Tranexamic acid (Lysteda) ndi njira ina yosavomerezeka. Mankhwalawa amagwirizana ndi thupi lachilengedwe kuti asachepetse magazi.
Ndikofunika kuti uyankhule ndi mayi wako kuti adziwe mankhwala omwe angakhale abwino kwa iwe.
Kawirikawiri, dokotala wanu amavomereza kuyesa kwa miyezi itatu kapena isanu ndi umodzi ya mankhwala kuti muchepetse magazi osadziwika. Ngati mukupitiriza kukhala ndi mimba yambiri yakukha, ndikofunikira kuti mukambirane izi ndi gynecologist wanu. Pankhaniyi, dokotala wanu amatha kupatsiriza mayesero ena monga endometrial biopsy kapena hysteroscopy. Mayi wazinayi angakupatseni chithandizo chodziwika bwino monga opaleshoni yamagetsi kapena hysterectomy.