Nchiyani Chimayambitsa Kusamba Kwa Msambo?

Zamkati

• Nchiyani chimayambitsa kusamba koopsa kapena kosalekeza?
• Mankhwala
• Kusamvana kwa Hormone
• Zochitika zamankhwala
• PID
• Endometriosis
• Matenda a magazi obadwa nawo
• Kukula kwa benign kapena khansa
• Zina zomwe zingayambitse
• Kutulutsa
• Adenomyosis
• Ectopic mimba
• Kodi zizindikiro zanyengo zolemera kapena zosasinthasintha ndi ziti?
• Kodi ndiyenera kupita kuchipatala liti?
• Kodi msambo wovuta kapena wosasamba umapezeka bwanji?
• Pap smear
• Kuyesa magazi
• Pelvic ultrasound
• Zolemba za Endometrial
• Sonohysterogram
• Mayeso apakati
• Kodi njira zamankhwala zomwe mungasankhe nthawi yolemera kapena kusamba msambo ndi ziti?
• Mankhwala
• Njira zamankhwala
• D & C.
• Opaleshoni
• Kuchotsa kwa Endometrial
• Kutulutsa kwa Endometrial
• Kutsekemera
• Kodi ndizovuta ziti zomwe zimakhudzana ndi msambo wambiri kapena wosasamba?

Timaphatikizapo zinthu zomwe timaganiza kuti ndizothandiza kwa owerenga athu. Ngati mutagula maulalo omwe ali patsamba lino, titha kupeza ndalama zochepa. Nayi njira yathu.

Kusasamba kwa msambo

Kutalika ndi kuuma kwa msambo kumasiyana pakati pa mkazi ndi mkazi. Ngati kusamba kwanu kuli kolemetsa kwambiri, kwanthawi yayitali, kapena kosazolowereka, amadziwika kuti menorrhagia.

Zizindikiro za menorrhagia zimaphatikizapo

• kusamba komwe kumatenga nthawi yayitali kuposa masiku asanu ndi awiri
• Kutuluka magazi kwambiri kotero kuti muyenera kusintha tampon kapena pedi yanu kamodzi kuposa ola limodzi

Muyenera kukaonana ndi dokotala ngati mukukhala ndi nthawi yambiri yoleza msambo yomwe imasokoneza moyo wanu watsiku ndi tsiku.

Kutaya magazi kwambiri kumatha kuyambitsa kuchepa kwa magazi m'thupi, kapena kuchepa kwa ayironi. Ikhoza kutanthauzanso vuto lachipatala. Nthaŵi zambiri, dokotala wanu amatha kuthana ndi zovuta nthawi.

Nchiyani chimayambitsa kusamba koopsa kapena kosalekeza?

Nthawi zolemera kapena zosasinthika zitha kukhala chifukwa cha zinthu zosiyanasiyana, kuphatikiza:

Mankhwala

Mankhwala ena oletsa kutupa, ma anticoagulants, kapena ma hormone amatha kukhudza magazi akamasamba.

Kutaya magazi kwambiri kumatha kukhala mbali ina ya ma intrauterine (IUDs) omwe amagwiritsidwa ntchito poletsa kubereka.

Kusamvana kwa Hormone

Mahomoni a estrogen ndi progesterone amawongolera kuchuluka kwa chiberekero cha chiberekero. Kuchuluka kwa mahomoniwa kumatha kutulutsa magazi kwambiri.

Kusamvana kwa mahomoni ndikofala kwambiri pakati pa atsikana omwe adayamba kusamba chaka chatha ndi theka. Zimakhalanso zofala kwa amayi omwe akuyandikira kusamba.

Zochitika zamankhwala

PID

Matenda otupa m'mimba (PID) ndi matenda ena amatha kuyambitsa nthawi yanthawi.

Endometriosis

Endometriosis ndi vuto lina lomwe limatha kubweretsa nthawi zosasinthasintha. Umu ndi momwe minofu yomwe imayambira mkati mwa chiberekero imayamba kumera kwina mkati mwa thupi. Izi zimatha kuyambitsa magazi ambiri, komanso kupweteka.

Matenda a magazi obadwa nawo

Kutaya magazi kwambiri msambo kumatha kukhala chifukwa chamatenda ena obadwa nawo omwe amakhudza kuundana.

Kukula kwa benign kapena khansa

Khansara ya chiberekero, yamchiberekero, kapena ya chiberekero imatha kuyambitsa magazi ambiri, koma izi sizofala. Benign, kapena noncancerous, zotupa m'chiberekero zimatha kuyambitsa magazi kapena nthawi yayitali.

Kukula kwa Benign m'kati mwa chiberekero (endometrium) kumathanso kuyambitsa nthawi yayikulu kapena yayitali. Kukula kumeneku kumadziwika kuti tizilombo tating'onoting'ono, pomwe kukula kumapangidwa ndi minofu ya endometrial. Amatchedwa fibroids, pamene kukula kumapangidwa ndi minofu ya minofu.

Zina zomwe zingayambitse

Kutulutsa

Kupanda ovulation, kapena kudzoza mafuta, kumabweretsa kusowa kwa progesterone ya mahomoni, kuyambitsa nthawi zolemetsa.

Adenomyosis

Matenda ochokera m'chiberekero cholumikizira minofu ya chiberekero, kutaya magazi kwambiri kumatha kuchitika. Izi zimadziwika kuti adenomyosis.

Ectopic mimba

Lumikizanani ndi dokotala ngati mwatuluka magazi mukakhala ndi pakati. Mimba yachibadwa imasokoneza msambo. Kuwona ena panthawi yapakati, makamaka nthawi yoyamba ya trimester, nthawi zambiri sikudandaula.

Pitani kuchipatala mwachangu ngati mwatuluka magazi kwambiri mukakhala ndi pakati. Chitha kukhala chisonyezo kuti dzira la umuna limalowetsedwa mu chubu m'malo mwa chiberekero, lomwe limatchedwa ectopic pregnancy. Ikhoza kuwonetsanso kuperewera padera.

Dokotala wanu adzakuthandizani kudziwa zomwe zimayambitsa magazi aliwonse ali ndi pakati.

Kodi zizindikiro zanyengo zolemera kapena zosasinthasintha ndi ziti?

Kutalika kwa msambo ndi kuchuluka kwa magazi kumasiyana ndi mayi aliyense. Komabe, azimayi ambiri amakhala ndi kuzungulira komwe kumayambira masiku 24 mpaka 34.

Magazi amayenda pafupifupi masiku anayi kapena asanu, ndikutaya magazi pafupifupi 40 cc (supuni 3). Ndikofunika kukumbukira kuti awa ndi magawo wamba. "Zabwino" zanu zitha kugwera kunja kwa maguluwa. Kutaya magazi kwama 80cm (supuni 5) kapena kupitilira apo kumawerengedwa kuti ndikutuluka kwakukulu.

Zizindikiro zakuti kusamba kwanu kumakhala kolemetsa kwambiri ndi monga:

• kulowetsa tampon yopitilira imodzi kapena padi yaukhondo mu ola limodzi kwa maola angapo nthawi imodzi
• kudzuka usiku chifukwa muyenera kusintha chitetezo
• kudutsa magazi akulu m'masamba anu
• kukumana ndi kusamba komwe kumatenga nthawi yopitilira sabata

Komanso, kuthamanga kwambiri modzidzimutsa kumatha kukupangitsani kukhala ndi zizindikilo zotsatirazi, zomwe zitha kuwonetsa kuchepa kwa magazi:

• kutopa
• khungu lotumbululuka
• kupuma movutikira
• chizungulire

Ngakhale kuti mayendedwe azimayi aliwonse ndi osiyana, zosakhazikika monga kutuluka magazi mkatikati kapena kutuluka magazi atagonana ndizizindikiro zosazolowereka.

Kodi ndiyenera kupita kuchipatala liti?

Muyenera kukawona azimayi anu azachipatala pafupipafupi kuti mukapimidwe. Komabe, pangani msonkhano nthawi yomweyo ngati mukudwala magazi kapena mukuwona izi:

• pakati pa nyengo
• mutagonana
• ali ndi pakati
• pambuyo kusamba

Zizindikiro zina zomwe muyenera kulumikizana ndi dokotala ndi izi:

• ngati nthawi yanu imakhala yopitilira sabata
• ngati mukufuna ma tampon opitilira umodzi kapena ukhondo pa ola limodzi, kwa maola angapo motsatira
• kupweteka kwambiri
• malungo
• kutulutsa kapena kununkhiza kwachilendo
• kunenepa kapena kuchepa kosadziwika bwino
• kukula kwachilendo kwa tsitsi
• ziphuphu zatsopano
• Kutuluka kwamabele

Onetsetsani kusamba kwanu, kuphatikizapo kutalika kwa magazi anu, ndi ma tamponi angati kapena mapepala aukhondo omwe mumagwiritsa ntchito nthawi iliyonse. Izi zidzakuthandizani pakusankhidwa kwanu kwazimayi.

Pewani mankhwala omwe ali ndi aspirin chifukwa amatha kuchulukitsa magazi.

Kodi msambo wovuta kapena wosasamba umapezeka bwanji?

Ngati muli ndi msambo wosazolowereka, dokotala wanu angayambe ndikuwunika m'chiuno. Afunsira mbiri yanu yazachipatala. Muyenera kulemba mankhwala onse ndi zowonjezera zomwe mumamwa.

Kutengera ndi zizindikilo zanu, kuyezetsa matenda kungaphatikizepo:

Pap smear

Kuyesaku kumayang'ana matenda osiyanasiyana kapena ma cell a khansa pachibelekeropo.

Kuyesa magazi

Kuyezetsa magazi kudzagwiritsidwa ntchito poyang'ana kuchepa kwa magazi m'thupi, mavuto a magazi, komanso chithokomiro.

Pelvic ultrasound

Phulusa la m'chiuno limatulutsa zithunzi za chiberekero, mazira, ndi mafupa.

Zolemba za Endometrial

Ngati dokotala akufuna kuyesa zovuta zomwe zingachitike ndi chiberekero chanu, atha kuyitanitsa zolemba za endometrial biopsy. Munthawi imeneyi, nyemba za chiberekero chanu zimatengedwa kuti zitha kusanthula.

Angagwiritsenso ntchito kachilombo koyambitsa matenda kuti awone mkati mwa chiberekero chanu. Kuti awonongeke, dokotala wanu amagwiritsa ntchito chubu chowala kuti awone chiberekero ndikuchotsa polyp.

Sonohysterogram

Sonohysterogram ndi ultrasound yomwe imakhudza kuyika madzimadzi m'chiberekero chanu kuti mupangitse chithunzi cha chiberekero chanu. Dokotala wanu amatha kuyang'ana ma polyps kapena fibroids.

Mayeso apakati

Dokotala wanu atha kufunsa kuti akhale ndi pakati.

Kodi njira zamankhwala zomwe mungasankhe nthawi yolemera kapena kusamba msambo ndi ziti?

Chithandizo chidzadalira:

• thanzi lanu lonse
• chifukwa cha kusamba kwanu kusamba
• mbiri yanu yobereka komanso mapulani amtsogolo

Dokotala wanu amafunikanso kuthana ndi zovuta zilizonse zamatenda, monga vuto la chithokomiro.

Mankhwalawa atha kukhala ndi izi.

Mankhwala

Chithandizo cha mankhwala omwe dokotala angakuuzeni ndi awa:

• Mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDS), monga ibuprofen kapena naproxen, amatha kuchepetsa kutaya magazi pang'ono.
• Mankhwala a iron amatha kuchiza kuchepa kwa magazi m'thupi.
• Mahomoni obayira jakisoni amatha kuthana ndi kusamvana kwama mahomoni.
• Njira zolera zapakamwa imatha kuyendetsa kayendedwe kanu ndikuchepetsa nthawi.

Mutha kugwira ntchito ndi dokotala kuti mupeze njira zina ngati zosalongosoka zanu zili chifukwa cha mankhwala omwe mumamwa kale.

Njira zamankhwala

D & C.

Kuthira ndi mankhwala, omwe amadziwikanso kuti D & C, ndi njira yomwe dokotala wanu amachepetsera chiberekero chanu ndikupukuta minofu kuchokera pachiberekero cha chiberekero chanu. Imeneyi ndi njira yodziwika bwino ndipo imachepetsa magazi akamasamba.

Opaleshoni

Opaleshoni ndiyo njira yodziwika kwambiri yothandizira zotupa za khansa. Ndi njira ina yothandizira ma fibroids, koma sikofunikira nthawi zonse. Kuchotsa ma polyps kumatha kuchitika pogwiritsa ntchito hysteroscopy.

Kuchotsa kwa Endometrial

Kuchotsa kwa Endometrial ndi njira yomwe imagwiritsidwa ntchito mwa amayi omwe sanachite bwino ndi mankhwala omwe amagwiritsidwa ntchito poletsa kutaya magazi kwambiri ndi zisonyezo zokhudzana nazo. Njirayi imakhudza dokotala wanu kuwononga chiberekero cha chiberekero, kusiya kusamba pang'ono kapena ayi.

Kutulutsa kwa Endometrial

Endometrial resection amachotsa chiberekero cha chiberekero. Njirayi imachepetsa mwayi wanu wokhala ndi pakati mtsogolo. Ngati mukukonzekera kukhala ndi ana, mungafune kukambirana ndikuganizira njira zina zamankhwala.

Kutsekemera

Hysterectomy ndikutulutsa kwa chiberekero ndi khomo pachibelekeropo. Dokotala wanu amathanso kuchotsa mazira ambiri, ngati kuli kofunikira. Izi zimabweretsa kusamba msanga.

Njirayi ikhoza kukhala chithandizo chofunidwa ngati muli ndi khansa kapena fibroids. Ikhoza kuthandizanso endometriosis yomwe siyinayankhe njira zina zochiritsira zochepa.

Kukhala ndi hysterectomy kumachotsa kuthekera kwanu kubereka ana.

Kodi ndizovuta ziti zomwe zimakhudzana ndi msambo wambiri kapena wosasamba?

Kutaya magazi kwambiri sikuli chizindikiro nthawi zonse kuti china chake chalakwika. Komabe, kutaya magazi mopitirira muyeso kumatha kuthetsa chitsulo m'thupi ndikupangitsa kuchepa kwa magazi. Kuchepa kwa kuchepa kwa magazi m'thupi kumatha kuyambitsa kutopa ndi kufooka. Mlandu woopsa kwambiri ungachitike ndi izi:

• kupweteka mutu
• chizungulire
• kupuma movutikira
• kugunda kwamtima mwachangu

Kutuluka kwambiri kungayambitsenso kupweteka, kapena dysmenorrhea, yomwe nthawi zina imafuna mankhwala.