Msambo wopweteka

Msambo wopweteka ndi nthawi yomwe mayi amakhala ndi zowawa m'mimba, zomwe zimatha kukhala zopweteka kapena zopweteka ndikubwera ndikupita. Ululu wammbuyo ndi / kapena kupweteka kwa mwendo amathanso kukhalapo.

Zowawa zina nthawi yanu zimakhala zachilendo, koma kupweteka kwakukulu sikuli. Mawu azachipatala onena za kusamba kopweteka ndi dysmenorrhea.

Amayi ambiri amakhala ndi nthawi zopweteka. Nthawi zina, kupweteka kumapangitsa kukhala kovuta kuchita zochitika zanyumba, ntchito, kapena zochitika kusukulu masiku angapo pakasamba. Kusamba kowawa ndichomwe chimayambitsa kusowa nthawi kusukulu ndikugwira ntchito pakati pa azimayi azaka za 20 ndi 20.

Msambo wopweteka umagwera m'magulu awiri, kutengera chifukwa:

• Matenda oyambira m'mimba
• Matenda achilendo a sekondale

Dysmenorrhea yoyamba ndi ululu wosamba womwe umachitika nthawi yomwe msambo umayamba mwa atsikana athanzi. Nthawi zambiri, kupweteka uku sikukhudzana ndi vuto linalake ndi chiberekero kapena ziwalo zina zam'mimba. Ntchito zowonjezeka za mahomoni a prostaglandin, omwe amapangidwa m'chiberekero, amaganiza kuti amatenga gawo ili.

Dysmenorrhea yachiwiri ndikumva msambo komwe kumayamba pambuyo pake mwa azimayi omwe anali ndi nthawi yabwinobwino. Nthawi zambiri zimakhudzana ndi zovuta m'mimba kapena ziwalo zina zam'mimba, monga:

• Endometriosis
• Fibroids
• Chipangizo cha intrauterine (IUD) chopangidwa ndi mkuwa
• Matenda otupa m'mimba
• Matenda a Premenstrual (PMS)
• Matenda opatsirana pogonana
• Kupsinjika ndi nkhawa

Njira zotsatirazi zingakuthandizeni kupewa mankhwala akuchipatala:

• Ikani penti yotenthetsera m'mimba mwanu, m'munsi mwa batani lanu. Musagone mutavala chofunda.
• Chitani kutikita minofu mozungulira ndi zala zanu mozungulira m'mimba mwanu.
• Imwani zakumwa zotentha.
• Idyani zopepuka, koma chakudya chambiri.
• Sungani miyendo yanu mutagona kapena kugona pambali panu ndikugwada.
• Gwiritsani ntchito njira zopumira, monga kusinkhasinkha kapena yoga.
• Yesani mankhwala osokoneza bongo, monga ibuprofen kapena naproxen. Yambani kumwa tsiku limodzi tsiku lanu lisanachitike ndikuyembekeza kuti mupitirize kumwa nthawi zonse m'masiku ochepa oyambilira.
• Yesani zowonjezera mavitamini B6, calcium, ndi magnesium, makamaka ngati ululu wanu ukuchokera ku PMS.
• Tengani mvula yofunda kapena malo osambira.
• Kuyenda kapena kuchita masewera olimbitsa thupi pafupipafupi, kuphatikiza zolimbitsa thupi m'chiuno.
• Kuchepetsa thupi ngati muli wonenepa kwambiri. Muzichita masewera olimbitsa thupi nthawi zonse.

Ngati izi sizikugwira ntchito, wothandizira zaumoyo wanu akhoza kukupatsani chithandizo monga:

• Mapiritsi oletsa kubereka
• Mirena IUD
• Mankhwala oletsa kutupa
• Mankhwala ochepetsa ululu (kuphatikiza ma narcotic, kwakanthawi kochepa)
• Mankhwala opatsirana
• Maantibayotiki
• Pelvic ultrasound
• Onetsani opaleshoni (laparoscopy) kuti muchepetse endometriosis kapena matenda ena am'chiuno

Itanani omwe akukuthandizani nthawi yomweyo ngati muli:

• Kuchulukitsa kapena kununkhira kwanyengo kumaliseche
• Malungo ndi kupweteka kwa m'chiuno
• Zowawa mwadzidzidzi kapena zopweteka kwambiri, makamaka ngati kusamba kwanu kwachedwa kuposa sabata limodzi ndipo mwakhala mukugonana.

Komanso itanani ngati:

• Mankhwala samachotsa ululu wanu pakatha miyezi itatu.
• Mukumva kuwawa ndipo adayikidwa IUD kuposa miyezi 3 yapitayo.
• Mumadutsa magazi kapena mumakhala ndi zisonyezo zina ndikumva kuwawa.
• Kupweteka kwanu kumachitika nthawi zina kupatula kusamba, kumayamba masiku opitilira 5 musanabadwe, kapena kukupitilira nthawi yanu yakwana.

Omwe amakupatsirani mayeso adzakufunsani ndikufunsani mafunso okhudza mbiri yanu yazachipatala.

Kuyesa ndi njira zomwe zingachitike ndi monga:

• Kuwerengera kwathunthu kwa magazi (CBC)
• Chikhalidwe choteteza matenda opatsirana pogonana
• Laparoscopy
• Pelvic ultrasound

Chithandizo chimadalira zomwe zimakupweteketsani.

Kusamba - zopweteka; Kufooka kwa magazi; Nyengo - zopweteka; Kukokana - kusamba; Kusamba kwa msambo

• Matupi achikazi oberekera
• Nthawi zopweteka (dysmenorrhea)
• Kuchepetsa PMS
• Chiberekero

American College of Obstetricians ndi Gynecologists. Dysmenorrhea: nthawi zopweteka. Mafunso046. www.acog.org/Patients/FAQs/Dysmenorrhea-Painful-Periods. Idasinthidwa mu Januware 2015. Idapezeka pa Meyi 13, 2020.

Mendiratta V, Lentz GM. Matenda a pulayimale ndi sekondale, premenstrual syndrome, ndi premenstrual dysphoric disorder: etiology, matenda, kasamalidwe. Mu: Lobo RA, Gershenson DM, Lentz GM, Valea FA, olemba. Gynecology Yambiri. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 37.

Pattanittum P, Kunyanone N, Brown J, et al. Zakudya zowonjezera ma dysmenorrhea. Cochrane Database Syst Rev. 2016; 3: CD002124. PMID: 27000311 www.pubmed.ncbi.nlm.nih.gov/27000311/.