Kutuluka Kwaka Postmenopausal
Zamkati
- Kutuluka magazi kumaliseche ndi chiyani?
- Nchiyani chimayambitsa kutuluka kwa msambo kwa postmenopausal?
- Tizilombo toyambitsa matenda
- Endometrial hyperplasia
- Khansa ya Endometrial
- Matenda a Endometrial
- Khansara ya chiberekero
- Zizindikiro za kutuluka magazi kumapeto kwa msambo
- Kodi matenda a postmenopausal amapezeka bwanji?
- Kutuluka kwa ultrasound
- Zowonongeka
- Kodi magazi amatuluka bwanji atatha msinkhu?
- Kupewa
- Zomwe mungachite
- Kodi kutuluka magazi atatha msambo ndi kotani?
Kutaya magazi pambuyo pa msambo ndi chiyani?
Kutaya magazi kumapeto kwa msambo kumachitika mu nyini ya mkazi atatha msambo. Mzimayi akangopita miyezi 12 wopanda nthawi, amamuwona ngati ali kumapeto.
Pofuna kuthana ndi mavuto azachipatala, azimayi omwe ali ndi magazi atatha msinkhu ayenera kupita kuchipatala nthawi zonse.
Kutuluka magazi kumaliseche ndi chiyani?
Kutaya magazi kumaliseche kumatha kukhala ndi zifukwa zosiyanasiyana. Izi zimaphatikizapo kusamba kwanthawi zonse komanso kutuluka magazi pambuyo pa msambo.Zina mwazomwe zimayambitsa magazi kumaliseche ndizo:
- kupwetekedwa mtima kapena kumenyedwa
- khansa ya pachibelekero
- matenda, kuphatikizapo matenda amkodzo
Ngati mukukumana ndi magazi kumaliseche ndipo mwayamba kusamba, dokotala wanu adzafunsa za kutalika kwa magazi, kuchuluka kwa magazi, kupweteka kwina kulikonse, kapena zizindikilo zina zomwe zingakhale zofunikira.
Chifukwa kutuluka mwazi kumaliseche kumatha kukhala chizindikiro cha khomo lachiberekero, chiberekero, kapena khansa ya m'mapapo, muyenera kupeza magazi osazolowereka oyesedwa ndi dokotala.
Nchiyani chimayambitsa kutuluka kwa msambo kwa postmenopausal?
Kutaya magazi kumatha kuchitika mwa amayi omwe atha msambo pazifukwa zingapo. Mwachitsanzo, azimayi omwe amamwa mankhwala obwezeretsa mahomoni amatha kukhala ndi magazi kumaliseche kwa miyezi ingapo atayamba mahomoni. N'zothekanso kuti mayi amene amaganiza kuti akusamba ayambe kutulutsa mazira. Izi zikachitika, magazi amathanso kutha.
Pali zinthu zina zosiyanasiyana zomwe zingayambitse magazi pambuyo pa msambo.
Zina mwazomwe zimayambitsa zimaphatikizapo: ma polyps, endometrial hyperplasia, ndi endometrial atrophy.
Tizilombo toyambitsa matenda
Zilonda zamtundu wa chiberekero ndizopanda khansa. Ngakhale zili zoyipa, tizilombo ting'onoting'ono titha kukhala khansa. Chizindikiro chokha chomwe odwala ambiri omwe ali ndi ma polyps amamva ndikutuluka magazi mosakhazikika.
Zilonda zamtundu wa chiberekero ndizofala makamaka kwa azimayi omwe adutsa msambo. Komabe, azimayi achichepere amathanso kuwapeza.
Endometrial hyperplasia
Endometrial hyperplasia ndikukula kwa endometrium. Ndicho chomwe chingayambitse magazi pambuyo pa msambo. Nthawi zambiri zimachitika pakakhala kuchuluka kwa estrogen popanda progesterone yokwanira. Zimapezeka kawirikawiri mwa amayi atatha kusamba.
Kugwiritsa ntchito estrogen kwanthawi yayitali kumatha kubweretsa chiopsezo chowonjezeka cha endometrial hyperplasia. Zitha kubweretsa khansa ya m'mimba ngati singachiritsidwe.
Khansa ya Endometrial
Khansa ya Endometrial imayamba m'chiberekero. Endometrium ndi gawo la chiberekero. Kuphatikiza pa kutuluka magazi kwachilendo, odwala amatha kumva kupweteka m'chiuno.
Matendawa nthawi zambiri amapezeka msanga. Amayambitsa magazi osazolowereka, omwe amawoneka mosavuta. Chiberekero chimatha kuchotsedwa kuti chithetse khansa nthawi zambiri. Pafupifupi azimayi omwe amataya magazi atatha msinkhu ali ndi khansa ya endometrial.
Matenda a Endometrial
Vutoli limapangitsa kuti matendawo azikhala owonda kwambiri. Zitha kuchitika mwa amayi omwe atha msinkhu. Pamene chinsalu chikutha, kutuluka magazi kumatha kuchitika.
Khansara ya chiberekero
Kutuluka magazi pambuyo pa kusamba nthawi zambiri kumakhala kopanda vuto. Komabe, itha kukhalanso chizindikiro chosowa cha khansa ya pachibelekero. Khansa ya pachibelekero imayamba pang'onopang'ono. Madokotala nthawi zina amatha kudziwa ma cell amenewa nthawi zonse akamayesedwa.
Maulendo apachaka a azachipatala amatha kuthandizira kuzindikira koyambirira komanso kupewa khansa ya pachibelekero. Izi zitha kuchitika poyang'anira zovuta za Pap smears.
Zizindikiro zina za khansa ya pachibelekero zimatha kuphatikizira kupweteka panthawi yogonana kapena kutulutsa kwachilendo kumaliseche, kuphatikiza azimayi omwe ali ndi postmenopausal.
Zizindikiro za kutuluka magazi kumapeto kwa msambo
Amayi ambiri omwe amatuluka magazi atatha msinkhu sangakhale ndi zizindikilo zina. Koma zizindikiro zimatha kupezeka. Izi zitha kutengera chifukwa chakutuluka magazi.
Zizindikiro zambiri zomwe zimachitika pakutha kwa thupi, monga kutentha kwamphamvu, nthawi zambiri zimayamba kuchepa nthawi yakutha kwa msambo. Pali, komabe, zisonyezo zina zomwe azimayi omwe atha msambo atha kukhala nawo.
Zizindikiro za amayi omwe ali ndi vuto la kumwezi atha kukhala ndi awa:
- kuuma kwa nyini
- kuchepa kwa libido
- kusowa tulo
- kupanikizika
- kuchuluka kwamatenda amikodzo
- kunenepa
Kodi matenda a postmenopausal amapezeka bwanji?
Dokotala amatha kuyesa thupi komanso kusanthula mbiri yakale ya zamankhwala. Atha kuchitanso Pap smear ngati gawo la mayeso amchiuno. Izi zitha kuwunika khansa ya pachibelekero.
Madokotala amatha kugwiritsa ntchito njira zina kuti aone mkati mwa nyini ndi chiberekero.
Kutuluka kwa ultrasound
Njirayi imalola madotolo kuwona thumba losunga mazira, chiberekero, ndi khomo pachibelekeropo. Pochita izi, katswiri amalowetsa kafukufuku kumaliseche, kapena amafunsa wodwalayo kuti adziyike yekha.
Zowonongeka
Njirayi imawonetsa minofu ya endometrial. Dokotala amalowetsa mawonekedwe a fiber kumaliseche ndi khomo lachiberekero. Kenako dotoloyo amapopa mpweya wa kaboni dayokisaidi kupitirira apo. Izi zimathandiza kukulitsa chiberekero ndikupangitsa chiberekero kukhala chosavuta kuwona.
Kodi magazi amatuluka bwanji atatha msinkhu?
Chithandizo chimadalira chifukwa cha kutuluka kwa magazi, ngati kutuluka magazi ndikolemera, ndipo ngati pali zina zowonjezera. Nthawi zina, kutuluka magazi sikungafune chithandizo. Nthawi zina pomwe khansa yatha, chithandizo chitha kuphatikizira izi:
- Mafuta a Estrogen: Dokotala wanu angakupatseni kirimu ya estrogen ngati magazi anu amachokera chifukwa cha kupatulira komanso kupindika kwa ziwalo zanu zamaliseche.
- Kuchotsa polyp: Kuchotsa polyp ndi njira yochitira opaleshoni.
- Progestin: Progestin ndi mankhwala obwezeretsa mahomoni. Dokotala wanu angakulimbikitseni ngati minofu yanu ya endometrial yadzala. Progestin imatha kuchepetsa kukula kwa minofu ndikuchepetsa magazi.
- Hysterectomy: Kuthira magazi komwe sikungalandiridwe m'njira zochepa kungafune kutsekedwa. Pa nthawi yopanga chiberekero, dokotala wanu amachotsa chiberekero cha wodwalayo. Njirayi itha kuchitidwa laparoscopically kapena kudzera pakuchita opaleshoni yam'mimba.
Ngati magazi akutuluka chifukwa cha khansa, chithandizo chimadalira mtundu wa khansa komanso gawo lake. Chithandizo chamankhwala cha khansa ya endometrial kapena khomo lachiberekero chimaphatikizapo opaleshoni, chemotherapy, ndi radiation radiation.
Kupewa
Kutaya magazi kumapeto kwa msambo kumatha kukhala koyipa kapena kungachitike chifukwa cha vuto lalikulu ngati khansa. Ngakhale simungathe kupewa kutuluka magazi kwachilendo, mutha kufunafuna thandizo mwachangu kuti mupeze njira yodziwira matenda ndi chithandizo, mosasamala kanthu za chifukwa. Khansa ikapezeka msanga, mwayi wopulumuka umakhala waukulu. Pofuna kupewa kutuluka mwazi kwa postmenopausal, njira yabwino ndikuchepetsa ziwopsezo zomwe zingayambitse.
Zomwe mungachite
- Samalani ndi endometrial atrophy koyambirira kuti muteteze kuti isafikire khansa.
- Pitani ku gynecologist wanu kuti mukapimidwe pafupipafupi. Izi zitha kuthandiza kuzindikira zinthu zisanakhale zovuta kwambiri kapena zimayambitsa kutuluka kwa magazi kumapeto kwa msambo
- Khalani ndi thupi lolemera, kutsatira chakudya chopatsa thanzi komanso kuchita masewera olimbitsa thupi pafupipafupi. Izi zokha zitha kuteteza zovuta zosiyanasiyana mthupi lonse.
- Ngati dokotala akuvomereza, lingalirani za mankhwala osinthira mahomoni. Izi zitha kuthandiza kupewa khansa ya endometrial. Pali zovuta, komabe, zomwe muyenera kukambirana ndi dokotala wanu.
Kodi kutuluka magazi atatha msambo ndi kotani?
Kutaya magazi kwa Postmenopausal nthawi zambiri kumachiritsidwa bwino. Ngati kutuluka kwanu magazi kumachitika chifukwa cha khansa, malingaliro amatengera mtundu wa khansa komanso gawo lomwe adapezeka. Zaka zisanu zapulumuka pafupifupi 82%.
Ngakhale zomwe zimayambitsa magaziwo, khalani ndi moyo wathanzi ndikupitilizabe kukaonana ndi azachipatala anu. Amatha kuthandizira kuzindikira zina zilizonse koyambirira, kuphatikiza khansa.