Ingabe unenkinga yenkathi? Uma kunjalo, awukho wedwa. Abaningi bethu benza ngesikhathi esisodwa ngesikhathi sokuzala. Abesifazane bavame ukubhekana nezinkinga eziningi zokuhamba esikhathini. Izinkinga ezihlobene nesikhathi sonyaka zingabuka ku- premenstrual syndrome (PMS) kanye nesifo esibucayi se-premenstrual dysphoric (PMDD) ukungabi khona kwesikhathi sokuya esikhathini, izinkathi ezinzima, kanye nezinkinga zokuya esikhathini.
Uma uthola imbangela yenkinga yakho yenkathi, umhlinzeki wakho wezempilo uphethwe izinketho eziningana zokwelashwa ezivela ekuthatheni imishanguzo engaphezu kwemithi efana ne-ibuprofen ngezinkambu zokuya esikhathini into ephawulekayo nokuphila okuguqukayo njengokwenza i-hysterectomy yezinambuzane ze-uterine fibroid noma nezinye izimo.
Bheka: Ngaphambi Kokuthola I-Hysterectomy
Ukwehla okungajwayelekile kwe-uterine
Uma uthola ukuphuma kwe-uterine okungavamile (AUB), izici eziningana zidlala indima ekwenzeni ukwelashwa okufanele. Lezi zici zihlanganisa uhlobo lwegazi elingavamile lokuphuma kwamagciwane okwenzekayo, kungakhathaliseki ukuthi kukhona imbangela eyinhloko, ubudala bakho, futhi uma ufisa ukukhulelwa.
Ukwelashwa kwegazi elingavamile lomzimba kuhlanganisa:
- ukuphakama okukhulu kwama-estrogen ahlanganisiwe we- amenorrhea , i- menorrhagia , nezinye izinhlobo zegazi elingavamile lokuphuma kwegazi
- izinqubo zokuhlinza ezifana nokuhlenga nokuphulukiswa noma i-D & C yegazi elimangalisayo, ukuphuma kwegazi elimangalisayo, ukuphumula kwe-endometrial okungenzeka kwenziwe ngesikhathi se- hysteroscopy
- i-hysterectomy uma ezinye izindlela zokwelapha ziye zahluleka ukunikeza usizo oluphumelelayo lwezimpawu nokubeletha esikhathini esizayo akuyona inkinga.
Ukwelashwa kwamaHormonal for Disorders Ukuya esikhathini
Ukukhulelwa kwe-hormonal kuhlanganise nePhilisi , i-patch, i-ring yangasese, ne- Mirena IUD inikeza usizo oluhle kubantu abaningi besifazane kusukela esikhathini sokungena esikhathini sokuya esikhathini, kufaka phakathi i-dysmenorrhea, ukuphuma kwegazi okugcoba , kanye nabesifazane ababhekene nokuphuma kwezinkinga ezinzima , kanye nezinye izinhlobo zokuphuma okungavamile amaphethini .
Kumele wazi ukuthi i-Mirena IUD ayinikezi usizo ku-PMS noma i-PMDD ngoba usaqhubeka uvunguza uma une-IUD endaweni.
Iphilisi inikeza ukukhululeka okungamaphesenti angama-100 futhi kusiza ukulawula ukungalingani kwamangqamuzana okwenzeka ezinhlotsheni eziningana zokuphuma kwamagciwane okungavamile. Iphilisi iyasiza futhi ukunciphisa izimpawu ezihlobene ne-PMS ne-PMDD. Ezinye izisu zokubeletha kwe-hormonal kuhlanganise ne-patch kanye ne-ring yangasese zingasiza ukulawula ukushintsha kwe-hormonal okuhlobene namaphethini ajwayelekile okuphuma kwe-uterine.
I-Mirena IUD isebenza kahle ikakhulukazi kwabesifazane abanokuphuluka okunzima futhi banganikeza usizo uma nje iminyaka emihlanu. Eqinisweni, ucwaningo luye lwabika ukunciphisa inani lokulahleka kwegazi ngesikhathi sokuya esikhathini okungenani ngo-97% emva konyaka owodwa wokulashwa. Lokhu kungenxa yokuthi lolu hlobo lwe-IUD lukhulula kancane kancane i-progestin ebizwa ngokuthi i-levonorgestrel esibelethweni esinciphisa ukulahleka kwegazi.
Amanqamu okuya esikhathini
U-Ibuprofen uvame ukusebenza ngempumelelo ekunciphiseni izigumbulu zokuya esikhathini. Ibuprofen inikeza enye inzuzo kwabesifazane ababhekene nokunyuka okunzima kokuya esikhathini ngoba kungasiza ukunciphisa inani lokulahleka kwegazi okuhlangenwe nakho. Eminye imithi ye-NSAIDS noma imithi engeyona i-steroidal anti-inflammatory njenge naproxen iphinde inikeze ukukhululeka okuphumelelayo kwamagundane okuya esikhathini.
Izinyathelo ezithize zokuzisiza ezingase zinciphise izikhwama zokuya esikhathini zifaka phakathi ukusebenzisa ama-heat pads ukuze unciphise ubuhlungu.
I-PMS ne-PMDD
Ukuvimbela izisu zomlomo kungukuthi ukwelashwa okwenziwe i-PMS phakathi kwabaningi odokotela. Kodwa-ke, ezinye izindlela eziningi zokwelashwa zingahlinzeka ngokukhululeka okuphumelelayo ezibonakalweni ze-PMS ne-PMDD. Lokhu kufaka:
- Ukudla ukudla okucebile ama-carbohydrate anzima
- Ukusika izinto ezingenza izimpawu zibe zibi kakhulu njenge-caffeine, utshwala, i-nicotine, usawoti, noshukela ocolile
- Ukuthatha izithako kanye / noma ukwandisa imithombo yokudla yamavithamini namaminerali afana ne-calcium, i-magnesium, i-B6 ne-vitamin E
- Ama-anti-depressants afana ne-fluoxetine noma i-sertraline, kanye nabanye abaningi
- Imithi ephikisana nokukhathazeka
- Izidakamizwa ezifana ne-spironolactone yokugcinwa kwamanzi kanye / noma ukuvimba
- Ukwelapha okwesikhashana okungahlali isikhathi esingaphezu kwezinyanga eziyisithupha nama- agonists ase-GnRH (i-anti-estrogen drug) efana ne- Lupron ehlangene ne-estrogen noma i-estrogen-progestin.
- Ngenkathi abanye besifazane bethi bathola usizo lwezimpawu ze-PMS ngokusebenzisa ama-herbal supplements kanye nama-hormone emvelo njengamafutha e- primrose asebusuku kanye ne- progesterone yemvelo, iningi lobufakazi besayensi lwanamuhla alisekeli ukusetshenziswa kweminye imikhiqizo evame ukusetshenziswa.
Okokugcina, kanti ukuzivocavoca akuyona indlela yokwelashwa kwegazi elingavamile, ngokuvamile kukhululeka kahle izimpawu ze-PMS kanye / noma i-PMDD, kanye nokusiza ekunciphiseni ukuchithwa kokuya esikhathini njengoba kushiwo ngaphambili. Eqinisweni, ukuthatha imizuzu engu-20 kuya kwezingama-30 ukuhamba ngezinyanga ezintathu kuphela ngesonto kunikeza ezinye izinzuzo eziningana empilweni yakho kubandakanya:
- Ukwandisa amakhemikhali ebuchosheni bakho obhekene nemimoya namandla
- Izinga lokunciphisa nokucindezeleka
- Ukuthuthukisa ikhwalithi yokulala
- Ukunciphisa ingozi yezifo eziningi ezihlanganisa isifo senhliziyo nezinhlobo eziningana zomdlavuza.
Umthombo
Ukuphazamiseka kokuya esikhathini. Womeny Healthy. http://www.healthywomen.org/condition/menstrual-disorders.