Kutuluka magazi kosazolowereka

Kutuluka magazi kosadziwika bwino kwa chiberekero (AUB) ndikutuluka magazi m'chiberekero chomwe chimakhala chotalikirapo kuposa masiku onse kapena chomwe chimachitika nthawi yokhazikika. Kutuluka magazi kumatha kukhala kolemetsa kapena kupepuka kuposa masiku onse ndipo kumachitika pafupipafupi kapena mosasintha.

AUB ikhoza kuchitika:

• Monga kuwona kapena kutuluka magazi pakati pa nthawi yanu
• Pambuyo pa kugonana
• Kwa masiku atali kuposa masiku onse
• Kulemera kuposa chizolowezi
• Pambuyo pa kusamba

Sizimachitika panthawi yapakati. Kukha magazi nthawi yapakati kumayambitsa zifukwa zosiyanasiyana. Ngati muli ndi magazi aliwonse mukakhala ndi pakati, onetsetsani kuti mwayimbira kuchipatala.

Nthawi ya mkazi aliyense (kusamba) ndi yosiyana.

• Pafupipafupi, nthawi yamayi imachitika masiku 28 aliwonse.
• Amayi ambiri amakhala ozungulira pakati pa masiku 24 ndi 34. Nthawi zambiri imatenga masiku 4 mpaka 7.
• Atsikana achichepere amatha kusamba mosiyana ndi masiku 21 mpaka 45 kapena kupitirirapo.
• Amayi azaka za m'ma 40 amatha kuyamba kusamba nthawi zambiri kapena amakhala ndi nthawi pakati pa nthawi yawo.

Kwa amayi ambiri, mahomoni achikazi amasintha mwezi uliwonse. Mahomoni a estrogen ndi progesterone amamasulidwa ngati gawo la ovulation. Mzimayi akatuluka dzira, dzira limatuluka.

AUB imatha kuchitika pomwe thumba losunga mazira silitulutsa dzira. Kusintha kwa kuchuluka kwa mahomoni kumapangitsa kuti nthawi yanu isachedwe kapena isanakwane. Nthawi yanu imakhala yolemetsa kuposa nthawi zonse.

AUB imafala kwambiri kwa achinyamata kapena mwa azimayi asanakwane kusamba. Azimayi onenepa kwambiri atha kukhala ndi mwayi wokhala ndi AUB.

Amayi ambiri, AUB imayamba chifukwa cha kusalinganika kwa mahomoni. Zitha kuchitika chifukwa cha izi:

• Makulidwe a khoma la chiberekero kapena akalowa
• Chiberekero cha fibroids
• Tizilombo toyambitsa matenda
• Khansa ya thumba losunga mazira, chiberekero, khomo pachibelekeropo, kapena nyini
• Kutaya magazi kapena mavuto okhala ndi magazi
• Matenda a Polycystic ovary
• Kuchepetsa thupi kwambiri
• Kulera kwa mahormonal, monga mapiritsi oletsa kubereka kapena zida za intrauterine (IUD)
• Kulemera kwambiri kapena kutaya kwambiri (mapaundi oposa 10 kapena ma kilogalamu 4.5)
• Kutenga chiberekero kapena khomo pachibelekeropo

AUB sizimadziwika. Kutuluka magazi kumatha kukhala kolemera kwambiri kapena kopepuka, ndipo kumatha kuchitika nthawi zambiri kapena mosasintha.

Zizindikiro za AUB zitha kuphatikiza:

• Kutuluka magazi kapena kuwona kuchokera kumaliseche pakati pa nthawi
• Nthawi zomwe zimachitika masiku ochepera 28 (ochulukirapo) kapena kupitilira masiku 35 kupatukana
• Nthawi pakati pa nyengo imasintha mwezi uliwonse
• Kutuluka magazi kwambiri (monga kudutsa ziboda zazikulu, kufuna kusintha chitetezo usiku, ndikudumphira pa pedi kapena pa tampon ola lililonse kwa maola awiri kapena atatu motsatizana)
• Kutuluka magazi komwe kumatenga masiku ambiri kuposa masiku onse kapena masiku opitilira 7

Zizindikiro zina zomwe zimadza chifukwa cha kusintha kwa mahomoni atha kukhala:

• Kukula kopitilira muyeso kwa tsitsi lathupi lamunthu (hirsutism)
• Kutentha kotentha
• Maganizo amasintha
• Chikondi ndi kuuma kwa nyini

Mzimayi amatha kumva kutopa kapena kutopa ngati ataya magazi ochulukirapo pakapita nthawi. Ichi ndi chizindikiro cha kuchepa kwa magazi m'thupi.

Wothandizira anu adzathetsa zifukwa zina zomwe zingayambitse magazi osakhazikika. Muyenera kuti mudzayesedwa m'chiuno ndi mayeso a Pap / HPV. Mayesero ena omwe angachitike ndi awa:

• Kuwerengera kwathunthu kwa magazi (CBC)
• Mbiri yotseka magazi
• Kuyesa kwa chiwindi (LFT)
• Kusala shuga wamagazi
• Mayeso a mahormone, a FSH, LH, milingo yamwamuna (androgen), prolactin, ndi progesterone
• Mayeso apakati
• Mayeso a chithokomiro

Wopezayo angakulimbikitseni izi:

• Chikhalidwe chofunafuna matenda
• Biopsy kuti muwone ngati ali ndi khansa, khansa, kapena kuthandizira kusankha zamankhwala amthupi
• Hysteroscopy, yochitidwa muofesi ya omwe amakupatsani kuti muwone chiberekero kudzera mu nyini
• Ultrasound kuyang'ana mavuto mu chiberekero kapena m'chiuno

Chithandizo chitha kuphatikizira chimodzi kapena zingapo zotsatirazi:

• Mapiritsi oletsa kubereka ochepa
• Thandizo la mahomoni
• Mankhwala amtundu wa estrogen ambiri kwa amayi omwe amataya magazi kwambiri
• Intrauterine device (IUD) yomwe imatulutsa hormone progestin
• Mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs) omwe amatengedwa nthawi isanakwane
• Opaleshoni, ngati chifukwa cha magazi ndi polyp kapena fibroid

Wothandizira anu akhoza kukuikani pazowonjezera zachitsulo ngati muli ndi kuchepa kwa magazi m'thupi.

Ngati mukufuna kutenga pakati, mutha kupatsidwa mankhwala othandizira kuti mukhale ovulation.

Amayi omwe ali ndi zizindikilo zowopsa zomwe sizikusintha kapena omwe ali ndi khansa kapena matenda asanakwane angafunikire njira zina monga:

• Njira zopangira opaleshoni kuti awononge kapena kuchotsa m'mbali mwa chiberekero
• Hysterectomy kuchotsa chiberekero

Chithandizo cha mahomoni nthawi zambiri chimachepetsa zizindikiritso. Chithandizo sichingakhale chofunikira ngati simupeza magazi m'thupi chifukwa chakutaya magazi. Chithandizo chokhudza zomwe zimayambitsa magazi nthawi zambiri chimagwira ntchito nthawi yomweyo. Ndicho chifukwa chake kuli kofunika kumvetsetsa chifukwa chake.

Zovuta zomwe zingachitike:

• Kusabereka (kulephera kutenga pakati)
• Kuchepa kwa magazi chifukwa chakutaya magazi ambiri pakapita nthawi
• Kuchulukitsa chiwopsezo cha khansa ya endometrial

Itanani omwe akukuthandizani ngati muli ndi magazi achilendo achikazi.

Kutulutsa magazi; Kutuluka magazi kosazolowereka - mahomoni; Polymenorrhea - kutuluka magazi kwa uterine

• Thupi labwinobwino la chiberekero (gawo lodulidwa)

American College of Obstetricians ndi tsamba la Gynecologists. Maganizo a komiti ya ACOG ayi. 557: Kuwongolera kutuluka kwachilendo kwa nthenda m'mimba mwa amayi omwe siakubereka. Inatsimikizidwanso 2017. www.acog.org/Clinical-Guidance-and-Publications/Committee-Opinions/Committee-on-Gynecologic-Practice/Management-of-Acute-Abnormal-Uterine-Bleeding-in-Nonpregnant-Reproductive-Aged-Women . Idapezeka pa Okutobala 27, 2018.

Bahamondes L, Ali M. Zomwe zapita patsogolo posamalira ndikumvetsetsa zovuta zakusamba. F1000Mkulu Woyimira Rep. 2015; 7:33. PMID: 25926984 www.ncbi.nlm.nih.gov/pubmed/25926984. (Adasankhidwa)

[Adasankhidwa] Ryntz T, Lobo RA. Kutuluka magazi mwachilendo uterine: etiology ndi kasamalidwe ka kutuluka magazi kochuluka komanso kosalekeza. Mu: Lobo RA, Gershenson DM, Lentz GM, Valea FA, olemba. Gynecology Yambiri. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 26.

Schrager S. Kutaya magazi kosazolowereka. Mu: Kellerman RD, Bope ET, olemba., Eds. Chithandizo Chamakono cha Conn 2018. Philadelphia, PA: Elsevier; 2018: 1073-1074.