Ingabe uchitha izingubo zakho zangaphansi nezingubo zombhede?
Ingabe ushintsha amapulani akho ukuze ugweme ukuphazamisa "izingozi" ngesikhathi sakho?
Ingabe ukhathele ngezikhathi zakho ezinzima ukulawula impilo yakho?
Uma uphendule yebo kunoma yimuphi wale mibuzo kubalulekile ukuthi uxoxe ngegazi lakho elingavamile legazi lomzimba wakho negciwane lakho lomzimba.
Udokotela wakho wezifo uzokubuza imibuzo futhi mhlawumbe enze ukuhlolwa ngokomzimba.
Angase futhi ahlele ukuhlolwa okungeziwe ukuze anqume ukuthi unesimo esingaphansi kwesimo esingase sibangele ukuphuma kwegazi okungavamile.
Kungenzeka ukuthi ukuphuma kwesikhumba sakho esinzima noma eside isikhathi eside kuye kwaholela ekubeni uhlakulele i-anemia. Uma lokhu kwenzeka kuwe, umama wakho wezinzwa angase akhombise ukuthi udle ukudla okuthile okunezinsimbi. Angase futhi ancoma ukuthi uqale ukuthatha ukwesekwa kwesimbi. Ukwandisa insimbi ekudleni kwakho kuzosiza umzimba wakho ukulungisa i-anemia. Ngezinye izikhathi ukuphuma kwegazi kunzima futhi i-anemia ibaluleke kangangokuthi ungadinga ukumpontshelwa igazi.
Kunezinketho eziningana zokuphatha ukwelashwa okunzima kokuya esikhathini. Udokotela wakho wezinkinga zokubeletha uzokusiza ukuba ukhethe okukhethwa kukho ukwelashwa okulungile kuwe.
Isimo sezokwelapha esingaphansi
Ukukhuluma nodokotela wakho wezifo mayelana nokukhulelwa kokunyuka okunzima kubalulekile. Kungase kuholele ngezikhathi ezithile ukuxilongwa kwesimo esingokwempilo esibhedlela.
Ukuphazamiseka kwezibilini, ikakhulukazi isifo se-Von Willebrand, kungaba yisisusa esivamile sokukhipha esikhathini esiqile. Isifo sesibindi kanye nesimo esibizwa ngokuthi i-thrombocytopenia singabangela nokuphuma kweqile kokuya esikhathini. Ukungasebenzi komzimba we-thyroid, ikakhulukazi isimo se-thyroid esingasebenzi noma i- hypothyroidism kungabangela ukuphuma kweqile ukuya esikhathini
Ukwelapha inkinga yezokwelapha okuyinhloko ngezinye izikhathi kungasiza ekuthuthukiseni ukuphuma kwamagciwane okungavamile.
Izinguquko Zesakhiwo Esibelethweni Sakho
Uma isazi sakho sezinkinga zokubeletha siphelile ukuhlola ukuphuma kwakho kokunyuka kokugqoka kungase kutholakale ukuthi une-polyp endometrial noma i-submucosal uterine fibroid. Uma uthola ukuthi unesinye salezi zinguquko esibelethweni sakho, inqubo ingabuyekezwa.
Enye indlela okuzoxoxwa ngayo nawe yi- hysteroscopy . Lena inqubo yokuhlinza encane encane eyenziwa ngekhamera kanye nezinsimbi zokuhlinzwa ezidlula ngesisu sakho nesisu sesibeletho esibelethweni sakho. Kuyinto yosuku lokuhlinzwa futhi ngokuvamile akubandakanyi ukuhlala ubusuku esibhedlela. Ukusebenzisa le nqubo i-polyp noma i-submucosal fibroid ingasuswa kalula.
Enye indlela yokwelapha i-submucosal uterine fibroid yinkqubo ebizwa nge- Uterine Artery Embolization (UAE) .
Ayikho i-Infrastructure Pathology
Kuvamile ukuthi zonke izivivinyo zokuhlola zibuyele ezivamile. Kulesi simo, asikho imbangela ebangela ukuphuma kwesikhumba sakho esinzima. Izinketho zokwelapha ngokuvamile ziqala ngemithi.
Amahomoni ase-contraceptive steroid asetshenziselwa ukusiza ukunciphisa ububanzi besisu noma i-endometrium.
Futhi banenzuzo yokuhlinzeka ngezokwelapha. Izinketho ukuthi umama wakho wezinkinga zokubeletha angase anikeze afaka:
Iphilisi ye-oral oral
Depo Provera
Uma ukubeletha akudingekile umbelethi wakho wezinzwa angase athathe ukuthi uthathe i-progesterone yomlomo kuphela ngenani elithile lezinyanga njalo ngenyanga ukuze unciphise uhlaka lwesibindi sakho.
Ngaphezu kokukhethwa kwe-hormonal, izinketho ze-nonhormonal ziyatholakala. Lezi zingase zibe ezifanele ezimweni ezithile zomtholampilo.
Izidakamizwa ezingezona ukuvuvukala noma ama-NSAID ziye zaboniswa ukusiza ukunciphisa ukwelapha okunzima kokuya esikhathini ngokunciphisa inani le-prostaglandins elikhiqizwa yisisu.
Akukho bufakazi obukhombisa ukuthi i-NSAID eyodwa ingcono kunomunye ekunciphiseni ukuphuma kwezilonda ezinzima.
I-Tranexamic acid (i-Lysteda) yinye inketho ye-nonhormonal. Le mithi ihambelana nomzimba womzimba wakho wegazi wokusika ukunciphisa ukuphuma kwesimiso esindayo.
Kubalulekile ukuthi ukhulume nomzimba wakho wezinkinga zokubeletha ukuze uthole ukuthi imiphi imithi engakulungela yona.
Ngokuvamise, isazi sakho sezinkinga zokubeletha sizokuncoma ukuhlolwa kwemithi emihlanu kuya kwezinyanga eziyisithupha ukulawula ukuphuma kwegazi okungavamile. Uma uqhubeka nokuba nokuphuma esikhathini esiqakathekile ukuza esikhathini kubalulekile ukuxoxisana nalokhu nomzimba wakho wezinkinga zokubeletha. Kulolu cala, i-gynecologist yakho ingase ituse ukuhlolwa okungeziwe njengokuthi i-endometrial biopsy noma i-hysteroscopy. Udokotela wezinkinga zokubeletha angakunikeza futhi ukwelashwa okucacile okwedlulele njenge-endometrial ablation noma hysterectomy.