Kutulutsa magazi kumaliseche kapena m'chiberekero

Kutaya magazi kumaliseche kumachitika nthawi yomwe mayi akusamba, akamasamba. Msambo wa mkazi aliyense ndi wosiyana.

• Amayi ambiri amakhala ozungulira pakati pa masiku 24 ndi 34. Nthawi zambiri imatenga masiku 4 mpaka 7 nthawi zambiri.
• Atsikana achichepere amatha kusamba mosiyana ndi masiku 21 mpaka 45 kapena kupitirirapo.
• Amayi azaka za m'ma 40 nthawi zambiri amawona kuti nthawi yawo ikuchitika pafupipafupi.

Amayi ambiri amakhala ndi magazi osazolowereka pakati pa nthawi yawo nthawi ina m'moyo wawo. Kutuluka magazi kosazolowereka kumachitika mukakhala ndi:

• Kutuluka magazi kwambiri kuposa masiku onse
• Kutuluka magazi masiku ambiri kuposa masiku (menorrhagia)
• Kuwononga kapena kutuluka magazi pakati pa nthawi
• Magazi atagonana
• Magazi pambuyo kusamba
• Kuthira magazi ali ndi pakati
• Magazi asanakwanitse zaka 9
• Kusamba kwa nthawi yayitali kuposa masiku 35 kapena kupitilira masiku 21
• Palibe nthawi ya miyezi 3 mpaka 6 (amenorrhea)

Pali zifukwa zambiri zomwe zimayambitsa kutuluka mwazi kumaliseche.

AHORMONI

Kutuluka magazi mosazolowereka nthawi zambiri kumalumikizidwa ndi kulephera kwa ovulation pafupipafupi (kudzoza). Madokotala amatcha vutoli kutuluka mwazi kwachilendo (AUB) kapena magazi opopa magazi a uterine. AUB imakonda kwambiri achinyamata komanso azimayi omwe akuyandikira kusamba.

Amayi omwe amatenga njira zakulera zam'kamwa amatha kukhala ndimagazi am'mimba mosadziwika bwino. Nthawi zambiri amatchedwa "yojambula magazi." Vutoli nthawi zambiri limatha lokha. Komabe, lankhulani ndi omwe amakuthandizani ngati muli ndi nkhawa zakutuluka kwa magazi.

MIMBA

Mavuto apakati monga:

• Ectopic mimba
• Kupita padera
• Kuopseza kupita padera
  

MAVUTO OTHANDIZA MABADWO OBADWIRA

Mavuto ndi ziwalo zoberekera atha kukhala:

• Matenda m'mimba (chiberekero)
• Kuvulala kwaposachedwa kapena kuchitidwa opaleshoni m'chiberekero
• Kukula kopanda khansa m'mimba, kuphatikiza uterine fibroids, uterine kapena polyps polyps, ndi adenomyosis
• Kutupa kapena matenda amtundu wa chiberekero (cervicitis)
• Kuvulala kapena matenda otseguka kumaliseche (chifukwa cha kugonana, matenda, polyp, maliseche, zilonda zam'mimba, kapena mitsempha ya varicose)
• Endometrial hyperplasia (kukulitsa kapena kumanga kwa chiberekero cha chiberekero)

Mikhalidwe

Mavuto azachipatala atha kuphatikizira:

• Matenda a Polycystic ovary
• Khansa kapena khansa ya khomo pachibelekeropo, chiberekero, ovary, kapena mazira
• Chithokomiro kapena pituitary matenda
• Matenda a shuga
• Matenda a chiwindi
• Lupus erythematosus
• Kusokonezeka kwa magazi

ZOYAMBITSA ZINA

Zina mwazinthu zitha kuphatikiza:

• Kugwiritsa ntchito chipangizo cha intrauterine (IUD) choletsa kubereka (kumatha kuyambitsa mawanga)
• Chiberekero kapena endometrial biopsy kapena njira zina
• Zosintha pakuchita masewera olimbitsa thupi
• Zakudya zimasintha
• Kutaya kapena kupindula kwaposachedwa
• Kupsinjika
• Kugwiritsa ntchito mankhwala ena monga ochepetsa magazi (warfarin kapena Coumadin)
• Kugwiriridwa
• Chinthu kumaliseche

Zizindikiro za kutuluka mwazi kumaliseche ndizo:

• Kutuluka magazi kapena kuwona pakati pa nthawi
• Magazi atagonana
• Kutuluka magazi kwambiri (kudutsa ziboda zazikulu, kufuna kusintha chitetezo usiku, ndikudumphira pa pedi kapena pa tampon ola lililonse kwa maola awiri kapena atatu motsatizana)
• Kutuluka magazi masiku ambiri kuposa masiku onse kapena masiku opitilira 7
• Kusamba kwa masiku osachepera 28 (ochulukirapo) kapena kupitilira masiku 35 kupatukana
• Kuthira magazi mutatha kusintha
• Kutaya magazi kwambiri komwe kumakhudzana ndi kuchepa kwa magazi m'thupi (magazi ochepa, chitsulo chochepa)
  

Kutuluka magazi kuchokera kumatumbo kapena magazi mkodzo kumatha kulakwitsa chifukwa cha magazi anyini. Kuti mudziwe zenizeni, ikani kachidindo mumaliseche ndikuyang'ana magazi.

Lembani zomwe mwapeza ndikubweretsa izi kwa dokotala. Zolemba zanu ziyenera kuphatikizapo:

• Kusamba kumayamba ndikutha
• Kuchuluka kwa mayendedwe omwe muli nawo (kuwerengera kuchuluka kwa mapadi ndi matamponi omwe agwiritsidwa ntchito, powona ngati aviikidwa)
• Kukhetsa magazi pakati pa msambo komanso atagonana
• Zizindikiro zina zilizonse zomwe muli nazo

Wothandizira anu amayesa thupi, kuphatikizapo kuyesa m'chiuno. Wothandizira anu adzafunsa mafunso okhudza mbiri yanu yazachipatala ndi zizindikiritso.

Mutha kukhala ndi mayeso ena, kuphatikiza:

• Mayeso a Pap / HPV
• Kupenda kwamadzi
• Kuyesa kwa chithokomiro
• Kuwerengera kwathunthu kwa magazi (CBC)
• Kuwerengera kwachitsulo
• Mayeso apakati

Kutengera ndi zomwe muli nazo, mayeso ena angafunike. Zina zitha kuchitika muofesi ya omwe amakupatsani. Zina zitha kuchitidwa kuchipatala kapena malo opangira opaleshoni:

• Sonohysterography: Madzi amayikidwa m'chiberekero kudzera mu chubu chowonda, pomwe zithunzi za ukazi za ultrasound zimapangidwa ndi chiberekero.
• Ultrasound: Mafunde omveka amagwiritsidwa ntchito popanga chithunzi cha ziwalo zam'mimba. The ultrasound akhoza kuchitidwa m'mimba kapena vaginally.
• Kujambula kwa Magnetic resonance (MRI): Muyeso yojambula iyi, maginito amphamvu amagwiritsidwa ntchito popanga zithunzi za ziwalo zamkati.
• Hysteroscopy: Chida chaching'ono chooneka ngati telesikopu chimalowetsedwa kudzera kumaliseche ndi potsekula kwa khomo lachiberekero. Amalola woperekayo kuti aone mkati mwa chiberekero.
• Endometrial biopsy: Pogwiritsa ntchito catheter yaying'ono kapena yopyapyala (chubu), minofu imachotsedwa m'mbali mwa chiberekero (endometrium). Imayang'aniridwa ndi microscope.

Chithandizo chimadalira chifukwa chenicheni cha kutuluka kwa magazi kumaliseche, kuphatikizapo:

• Kusintha kwa mahomoni
• Endometriosis
• Chiberekero cha fibroids
• Ectopic mimba
• Matenda a Polycystic ovary

Chithandizocho chingaphatikizepo mankhwala a mahomoni, opewetsa ululu, komanso opaleshoni.

Mtundu wa mahomoni omwe mumatenga umadalira ngati mukufuna kutenga pakati komanso zaka zanu.

• Mapiritsi oletsa kubereka angathandize kuti nthawi yanu izikhala yanthawi zonse.
• Mahomoni amathanso kuperekedwa ngati jakisoni, chigamba cha khungu, zonona zamaliseche, kapena kudzera mu IUD yomwe imatulutsa mahomoni.
• IUD ndi chida cholerera chomwe chimayikidwa mchiberekero. Mahomoni omwe ali mu IUD amatulutsidwa pang'onopang'ono ndipo amatha kuwongolera magazi osazolowereka.

Mankhwala ena operekedwa kwa AUB atha kukhala:

• Mankhwala osagwiritsa ntchito kutupa (ibuprofen kapena naproxen) othandiza kuchepetsa magazi ndikuchepetsa msambo
• Tranexamic acid yothandizira kuthandizira kutuluka magazi msambo
• Maantibayotiki ochiza matenda

Itanani omwe akukuthandizani ngati:

• Mwanyowetsa pad kapena tampon ola lililonse kwa maola awiri kapena atatu.
• Kutaya magazi kwanu kumatenga nthawi yopitilira sabata limodzi.
• Mumakhala ndi magazi kumaliseche ndipo muli ndi pakati kapena mutha kutenga pakati.
• Muli ndi zowawa zazikulu, makamaka ngati mukumva kuwawa mukakhala kuti simusamba.
• Nthawi yanu yakhala yolemetsa kapena yayitali kwa nthawi yayitali itatu kapena kupitilira apo, poyerekeza ndi zomwe mumakonda.
• Mukutaya magazi kapena kuwona pambuyo pofika kumapeto.
• Mumakhala ndi magazi kapena mumaonera pakati pa msambo kapena chifukwa chakugonana.
• Kutuluka magazi kosazolowereka kumabweranso.
• Magazi amachulukitsa kapena amakhala owopsa mokwanira kupangitsa kufooka kapena kupepuka mutu.
• Muli ndi malungo kapena kupweteka m'mimba
• Zizindikiro zanu zimakhala zovuta kwambiri kapena pafupipafupi.

Aspirin amatha kupitiriza kutuluka magazi ndipo ayenera kupewa ngati mukudwala matenda. Ibuprofen nthawi zambiri imagwira ntchito bwino kuposa aspirin yothana ndi kusamba kwa msambo. Ikhozanso kuchepetsa kuchuluka kwa magazi omwe mumataya nthawi.

Kusamba kosasamba; Nthawi zolemetsa, zazitali, kapena zosasintha; Menorrhagia; Matendawa; Metrorrhagia ndi zina msambo; Kusamba kosazolowereka; Kutaya magazi kwachilendo

ACOG Khalani ndi Bulletin nambala 110: Kugwiritsa ntchito njira za kulera za njira zakulera zamahomoni. Gynecol Woletsa. 2010; 115 (1): 206-218. PMID: 20027071 www.ncbi.nlm.nih.gov/pubmed/20027071.

American College of Obstetricians ndi Gynecologists. Maganizo a Komiti ya ACOG No 557: Kuwongolera kutuluka mwazi koopsa kwa chiberekero mwa azimayi okalamba osabereka. Gynecol Woletsa. 2013; 121 (4): 891-896. PMID: 23635706 www.ncbi.nlm.nih.gov/pubmed/23635706.

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.

[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.

Wogulitsa RH, Symons AB. Zoyipa za msambo. Mu: Wogulitsa RH, Symons AB, eds. Kusiyanitsa Kusiyanitsa kwa Madandaulo Omwe Amakonda. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2018: mutu 20.