Ukazi ukazi pakati pa nthawi

Nkhaniyi ikufotokoza zakutuluka kwa magazi kumaliseche komwe kumachitika pakati pa msambo wa mayi mwezi uliwonse. Kutaya magazi koteroko kumatha kutchedwa "kusamba kwapakati."

Zina zokhudzana ndi izi:

• Kutaya magazi kwa chiberekero kosagwira
• Kulemera kwanthawi yayitali, kapena kwanthawi yayitali kusamba

Kusamba kwachibadwa kumatenga masiku asanu. Amatulutsa magazi okwanira 30 mpaka 80 mL (pafupifupi supuni 2 mpaka 8), ndipo amapezeka masiku onse 21 mpaka 35.

Kutaya magazi kumaliseche komwe kumachitika pakati pa kusamba kapena kutha kusamba kumatha kuyambitsidwa ndi mavuto osiyanasiyana. Ambiri ndi owopsa ndipo amatha kuchiritsidwa mosavuta. Nthawi zina, kutuluka magazi kumaliseche kumatha kukhala chifukwa cha khansa kapena khansa isanachitike. Chifukwa chake, kutuluka kulikonse kwachilendo kuyenera kuyesedwa nthawi yomweyo. Chiwopsezo cha khansa chikuwonjezeka mpaka pafupifupi 10% mwa amayi omwe ali ndi magazi atatha msambo.

Onetsetsani kuti magazi akutuluka kumaliseche ndipo sakuchokera minyewa kapena mkodzo. Kuyika kachipsera mumaliseche kumatsimikizira kuti nyini, khomo pachibelekeropo, kapena chiberekero ndizomwe zimayambitsa magazi.

Kuyesedwa mosamala ndi omwe amakupatsani chithandizo chazaumoyo nthawi zambiri ndiyo njira yabwino yopezera komwe kumatuluka magazi. Kuyeza uku kumatha kuchitika ngakhale mukukhetsa magazi.

Zoyambitsa zingaphatikizepo:

• Uterine fibroids kapena khomo lachiberekero kapena lachiberekero
• Kusintha kwa kuchuluka kwa mahomoni
• Kutupa kapena matenda amtundu wa chiberekero (cervicitis) kapena chiberekero (endometritis)
• Kuvulala kapena matenda amitsempha yam'mimba (yoyambitsidwa ndi kugonana, kupsinjika, matenda, polyp, maliseche, zilonda zam'mimba, kapena mitsempha ya varicose)
• Kugwiritsa ntchito IUD (kumatha kuyambitsa kuwonera nthawi zina)
• Ectopic mimba
• Kupita padera
• Mavuto ena oyembekezera
• Kuuma kwa nyini chifukwa chosowa estrogen atatha kusamba
• Kupsinjika
• Kugwiritsa ntchito njira yoletsa mahomoni mosasinthasintha (monga kuyimitsa ndi kuyamba kapena kudumpha mapiritsi oletsa kubereka, zigamba, kapena mphete za estrogen)
• Chithokomiro chosagwira ntchito (chithokomiro chochepa)
• Kugwiritsa ntchito mankhwala ochepetsa magazi (anticoagulants)
• Khansa kapena khansa isanachitike ya chiberekero, chiberekero, kapena (kawirikawiri) chiberekero
• Kuyezetsa magazi, chiberekero cha khomo lachiberekero, endometrial biopsy, kapena njira zina

Lumikizanani ndi omwe amakupatsani nthawi yomweyo ngati magazi akutuluka kwambiri.

Onetsetsani kuchuluka kwa mapadi kapena matamponi omwe amagwiritsidwa ntchito pakapita nthawi kuti kuchuluka kwa magazi kutheke. Kutaya magazi m'mimba kumatha kuwerengedwa mwa kuwerengera kuti padi kapena tampon amathira kangati komanso momwe munthu amafunikira kuti asinthidwe kangati.

Ngati ndi kotheka, aspirin iyenera kupewedwa, chifukwa imatha kutulutsa magazi. Komabe, NSAIDS monga ibuprofen itha kugwiritsidwa ntchito pochepetsa magazi komanso kupunduka.

Itanani omwe akukuthandizani ngati:

• Muli ndi pakati.
• Pali magazi ena osadziwika pakati pa nthawi.
• Pali magazi aliwonse mutatha kusamba.
• Pali kutaya magazi kwambiri ndi nthawi.
• Kutuluka magazi kosazolowereka kumatsagana ndi zizindikilo zina, monga kupweteka m'chiuno, kutopa, chizungulire.

Wothandizira adzayesa thupi ndikufunsa mafunso okhudza mbiri yanu yachipatala. Kuyeza kwakuthupi kumaphatikizanso kuyesa m'chiuno.

Mafunso okhudza kutuluka magazi atha kukhala:

• Kodi magazi amatuluka liti ndipo amatenga nthawi yayitali bwanji?
• Kutuluka magazi ndikotani?
• Kodi muli ndi kukokana?
• Kodi pali zinthu zina zomwe zimapangitsa kuti magazi aziwonjezeka?
• Kodi pali chilichonse chomwe chimalepheretsa kapena kuchepetsa?
• Kodi muli ndi zizindikiro zina monga kupweteka m'mimba, kuvulala, kupweteka mukakodza, kapena magazi mumkodzo kapena chimbudzi?

Mayeso omwe angachitike ndi awa:

• Kuyezetsa magazi kuti muwone momwe chithokomiro chimagwirira ntchito
• Chikhalidwe cha chiberekero kuti chifufuze matenda opatsirana pogonana
• Colposcopy ndi chiberekero biopsy
• Endometrial (uterine) chidziwitso
• Pap kupaka
• Pelvic ultrasound
• Hysterosonogram
• Zojambulajambula
• Mayeso apakati

Zambiri zomwe zimayambitsa kutuluka kwa msambo zimachiritsidwa mosavuta. Vutoli limapezeka nthawi zambiri popanda mavuto ambiri. Chifukwa chake, ndikofunikira kuti musachedwe kuti vutoli liyesedwe ndi omwe amakupatsani.

Magazi pakati pa nthawi; Kutuluka kwamkati; Kuwononga; Metrorrhagia

• Matupi achikazi oberekera
• Magazi pakati pa nthawi
• Chiberekero

Bulun SE. Physiology ndi matenda amtundu woberekera wamkazi. Mu: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, olemba. Buku la Williams la Endocrinology. Wolemba 13. Philadelphia, PA: Elsevier; 2016: chap 17.

Ellenson LH, Pirog EC. Thirakiti la maliseche achikazi. Mu: Kumar V, Abbas AK, Aster JC, olemba, eds. Ma Robbins ndi Matenda a Cotran Pathologic. 9th ed. Philadelphia, PA: Elsevier Saunders; 2015: mutu 22.

[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.