Zomwe Muyenera Kudziwa Zokhudza Kutuluka Kwamagazi Kosagwira Ntchito

Zamkati

• Zochitika zamankhwala
• Mankhwala
• Kuzindikira zizindikiro za DUB
• Kodi DUB imapezeka bwanji?
• Ultrasound
• Kuyesa magazi
• Zolemba za Endometrial
• Kodi DUB imachiritsidwa?
• Kodi DUB ingayambitse zovuta?

Kutaya magazi kwa uterine kosagwira (DUB) ndimavuto omwe amakhudza pafupifupi mayi aliyense nthawi inayake m'moyo wake.

Amatchedwanso uterine magazi osazolowereka (AUB), DUB ndichikhalidwe chomwe chimayambitsa kutuluka kwa magazi kumaliseche kumachitika kunja kwa msambo. Mavuto ena am'thupi ndi mankhwala atha kuyambitsa DUB.

Zomwe zimayambitsa kutuluka kwa chiberekero kosagwira ntchito ndi kusalinganika kwama mahomoni ogonana. Atsikana omwe akukula msinkhu komanso amayi akutha kusamba amatha kukhala ndi mahomoni osakwanira kwa miyezi kapena zaka. Izi zimayambitsa kutuluka mwakamodzikamodzi, kutuluka magazi kwambiri, komanso kuwonekera.

Kuwononga magazi ndikopepuka kuposa msambo wabwinobwino. Nthawi zambiri zimawoneka zofiirira, zapinki, kapena zofiira pang'ono.

Kusamvana kwama mahomoni komwe kumayambitsa DUB kumathanso chifukwa cha matenda ena kapena zotsatira zoyipa za mankhwala.

Zochitika zamankhwala

Zochitika zamankhwala zomwe nthawi zambiri zimayambitsa kutuluka magazi kwa uterine ndi:

• Matenda a Polycystic ovary (PCOS). Ichi ndi vuto la endocrine lomwe limapangitsa mkazi kutulutsa kuchuluka kwama mahomoni ogonana. Izi zitha kubweretsa kusalinganika kwa estrogen ndi progesterone, ndikupangitsa kuti kusamba kusasinthike.
• Endometriosis. Matendawa amabwera pamene chiberekero chimakula kunja kwa chiberekero, monga m'mimba mwake. Endometriosis nthawi zambiri imayambitsa magazi ambiri nthawi zonse.
• Tizilombo toyambitsa matenda. Izi zimakula mkati mwa chiberekero. Ngakhale chifukwa chawo sichikudziwika, kukula kwa polyp kumakhudzidwa kwambiri ndi hormone estrogen. Mitsempha yamagazi yaying'ono m'matenda angayambitse DUB, kuphatikiza kuwona pakati pa nthawi.
• Chiberekero cha fibroids. Uterine fibroids ndimatumba ang'onoang'ono omwe amapezeka mkati mwa chiberekero, chiberekero cha chiberekero, kapena minofu ya chiberekero. Monga ma polyps, zomwe zimayambitsa uterine fibroids sizidziwika. Koma estrogen ikuwoneka kuti ikuthandizira pakukula kwawo.
• Matenda opatsirana pogonana. Ma STD omwe amayambitsa kutupa, monga gonorrhea ndi chlamydia, atha kubweretsa ku DUB. Magazi omwe amayamba chifukwa cha matenda opatsirana pogonana nthawi zambiri amapezeka atagonana, pomwe zotupa zimakulirakulira.

Mankhwala

Mankhwala ena amathanso kuyambitsa kutuluka magazi kwa uterine, kuphatikiza:

• mapiritsi olera
• othandizira mahomoni
• Warfarin (Coumadin)

Kuzindikira zizindikiro za DUB

Chizindikiro chofala kwambiri cha DUB ndikutaya magazi kunja kwa nthawi yanu yanthawi zonse. Zikhozanso kuchitika mukamayamba kusamba. Njira zokayika zamagazi zimaphatikizapo:

• kutuluka magazi msambo kolemera
• kutaya magazi komwe kumawundana kwambiri kapena kuundana kwakukulu
• kutuluka magazi komwe kumatenga masiku opitilira asanu ndi awiri
• Kutuluka magazi komwe kumachitika masiku ochepera 21 kuchokera kumapeto komaliza
• kuwonera
• Kutaya magazi pakati pa nthawi

Zizindikiro zina zomwe zimachitika ndi DUB ndi izi:

• chikondi cha m'mawere
• kuphulika
• kupweteka kwa m'chiuno kapena kukakamizidwa

Ngati mukumane ndi vuto lililonse la DUB, funsani dokotala nthawi yomweyo:

• chizungulire
• kukomoka
• kufooka
• kuthamanga kwa magazi
• kuchuluka kwa kugunda kwa mtima
• khungu lotumbululuka
• ululu
• akudutsa kuundana kwakukulu
• ndikunyamulira pedi nthawi iliyonse

Kodi DUB imapezeka bwanji?

Kuti mupeze DUB, dokotala wanu adzafunsa mafunso okhudzana ndi mbiri yanu yazachipatala komanso mbiri yazomwe mukuyenda. Mayankho awa awathandiza kudziwa zoopsa zanu pazovuta zina zoberekera, monga PCOS ndi endometriosis.

Ngati mukumwa mankhwala aliwonse, kuphatikiza kulera, uzani dokotala wanu, chifukwa mankhwalawa amayambitsa magazi osazolowereka.

Ultrasound

Dokotala wanu angakulimbikitseni ultrasound kuti muwone ziwalo zanu zoberekera. Kufufuza uku kuwulula ngati muli ndi zophuka zosazolowereka, monga ma polyps kapena fibroids. Zingathandizenso kuchepetsa kutuluka magazi mkati.

Kuyesa magazi

Kuyezetsa magazi kumagwiritsidwa ntchito kuyeza kuchuluka kwamahomoni anu komanso kuchuluka kwamagazi anu. Mahomoni anu amatha kukupatsirani chidziwitso mwachangu pazomwe mukukha magazi.

Ngati mwakhala mukutuluka magazi kwambiri kapena kwa nthawi yayitali, kuwerengera kwathunthu kwamagazi kumawulula ngati kuchuluka kwanu kwama cell ofiira ndikotsika kwambiri. Kuchuluka kwama cell ofiira ofiira kumatha kuwonetsa kuchepa kwa magazi.

Zolemba za Endometrial

Ngati kukula kosazolowereka kukuyambitsa magazi, kapena ubweya wanu wamimba ndi wandiweyani modabwitsa, dokotala wanu atenga zitsanzo za chiberekero choyesa.

Ngati pangakhale kusintha kosasintha kwa selo, biopsy iulula. Maselo achilendo amatha kuwonetsa kusamvana kwa mahomoni kapena khansa, mwazinthu zina.

Kodi DUB imachiritsidwa?

Pali njira zambiri zochiritsira zomwe zingapezeke ku DUB. Nthawi zina, munthu akatha msinkhu, sachitapo kanthu, chifukwa mahomoni nthawi zambiri amadzikonza. Chithandizo choyenera kwa inu chimadalira pazomwe zimayambitsa magazi.

Njira yodziwika bwino komanso yosavuta yothandizira kutaya magazi m'mimba mwa uterine ndi njira zakulera zakumwa. Kuphatikiza kulera pakamwa kumakhala ndi estrogen yopanga ndipo chomera. Zonsezi zimagwira ntchito kuwongolera ndikusintha kwa msambo.

Njira zolerera kuphatikiza ma IUD ena ndi kuyika zitha kugwiritsidwanso ntchito ngati chithandizo cham'madzi. Ngati simukuyesera kutenga pakati, dokotala wanu angakulimbikitseni kugwiritsa ntchito imodzi mwanjira izi ngati chithandizo chamankhwala.

Ngati kutuluka mwadzidzidzi kumakhala kolemetsa kwambiri komanso mankhwala ocheperako sangakhale osankha, estrogen yotsekemera imatha kuperekedwa mpaka magazi atatsika. Izi nthawi zambiri zimatsatiridwa ndi progestin wamlomo wokhazikika wama mahomoni.

Ngati mukuyesera kutenga pakati ndipo mulibe magazi ambiri, dokotala wanu akhoza kukupatsani mankhwala osokoneza bongo a clomiphene, otchedwanso clomid. Kulimbikitsa ovulation kumatha kusiya kusamba kwanthawi yayitali ndikukhazikitsanso msambo wanu.

Kutaya magazi kwambiri komanso kwakanthawi kotalikirana ndi ubweya wolimba wa chiberekero kumatha kuchiritsidwa ndi njira yotchedwa dilation and curettage (D ndi C). Imeneyi ndi njira yochitira opaleshoni ya kuchipatala yomwe imagwiritsidwa ntchito kuchotsa gawo la chiberekero pochikanda.

Ngati maselo anu achiberekero amapezeka kuti si achilendo, dokotala wanu atha kuyitanitsa kachipangizo kenaka atalandira chithandizo.

Kutengera zotsatira za biopsy - ngati maselo ali ndi khansa, mwachitsanzo - hysterectomy ingalimbikitsidwe. Kuchotsa minyewa ndiko kuchotsa kwathunthu chiberekero ndipo nthawi zambiri kumakhala njira yomaliza.

Kodi DUB ingayambitse zovuta?

Nthawi zambiri, DUB ndimakhalidwe akanthawi. Mahomoni ogonana akangoyendetsedwa, kutuluka magazi kwachilendo nthawi zambiri kumatha.

Kuchepa kwa magazi ndichimodzi mwazovuta zazikulu zotuluka magazi kwambiri. Mukakhala ndi kuchepa kwa magazi chifukwa chakuchepa kwamwazi, adokotala amatha kumuthandiza ndi michere komanso mavitamini.

Nthawi zambiri komwe kutuluka magazi kwachititsa kuti magazi atayika kwambiri, mungafunike kuthiridwa magazi.