Uma uthola ukuphuma kwegazi ukuthi kuhlukile esikhathini sakho esijwayelekile, ungase ukhathazeke kakhulu.
Uma usuvele usetshenziselwa iphethini lomjikelezo wakho ovamile , noma yikuphi ukuphuma kwegazi okwenzeka ngaphandle kwesikhathi sakho esivamile kungase kuphazamiseke.
Ukuphuma kwegazi okwakungavamile kwakuthiwa ukuphuma kwamagciwane okungasebenzi. Kodwa ngokusho kwesigama sokuthola i-diagnostic esisha, izazi zincoma ukuthi i-term dysfunctional uterine bleeding ishintshe ibe yigazi elingavamile lokuphuma kwegazi.
Kuyini ukukhipha ukubeleka okungavamile?
Ukuphuma kwamagciwane okungavamile kuyinkinga yokujikeleza esikhathini. Noma yikuphi ukuphuma kwegazi okungekho kwesikhatsi sakho sokuhamba esikhathini esijwayelekile kubhekwa njengokungajwayelekile kwegazi lomzimba. Noma yikuphi ukuguqulwa kwesikalo noma ubude benkathi yakho kubhekwa njengendlela engavamile yokuphuma kwamagciwane. Ukuphuma kwamagciwane okungavamile kungasuka ngosuku olungahleliwe lokukhanya okukhanyayo kuze kube yizinsuku ezingu-10 zokugaya okweqile esikhundleni sokugeleza kokujwayelekile kokuya esikhathini.
Phakathi neminyaka yakho yokuzala, kungenzeka ukuthi uzothola uhlobo oluthile lwegazi olungajwayelekile okungenani kanye. Ukuphuma kwamagciwane okungavamile okwenzeka kanye kuphela ngokuvamile akubonakali noma iyiphi inkinga ebalulekile. Uma unezinyanga ezingu-3 ezilandelanayo zokuphuma okungavamile cishe kunenkinga ebangela ukuphuma kwegazi.
Uma usanda kuqala ukuya esikhathini noma uma useminyakeni embalwa edlule yemijikelezo yakho yokuya esikhathini njalo noma i-perimenopausal, usengozini enkulu yokuthola igazi elingavamile lomzimba.
Ukwenza Ukuxilongwa
Ukuxilongwa kwegazi elingavamile legazi lomzimba kusekelwe kwizikhalo zakho zokushintsha kokuya esikhathini. Kunezinhlobo ezine eziyinhloko ezichaza ukuya esikhathini:
Ubungakanani owakhipha?
Uphephile kangaki izinsuku?
Uvame kangakanani ukuphuma?
Zihlala ziphi izikhathi phakathi kwezikhathi zakho?
Okushiwo yizinguquko emalini, ubude, imvamisa, kanye nokujwayelekile kwezikhathi zakho ulwazi olusetshenziswa ngumhlinzeki wakho wezempilo ukuze wenze ukuxilongwa kwegazi elingavamile legazi.
Uhlu lwakho lwezikhalazo luzosiza umhlinzeki wakho wezempilo uyoqala ukuthola ukuthi yini ebangela ukuphuma kwegazi okungavamile.
Izinhlobo Zokuhlunga Okungavamile Kwe-Uterine
Yilapho izinto zingathola ukudideka okuncane. Kuze kube yamuva, sizokunikeza ukuxilongwa ngokusekelwe kwencazelo yokuphuma kwegazi yedwa. Ungase ubone lemigomo esetshenziswe umhlinzeki wakho wezempilo noma usesho lwakho lwe-intanethi. Ngaphambi kokuba ngihlathulule amagama asetshenzisiwe yamuva ngizobuyekeza ezinye zezinkulumo ezithandwayo manje ochwepheshe abazitusayo okufanele zisetshenziselwe izinjongo zocwaningo kuphela.
IsiTatimende esiphelelwe yisikhathi
- I-Menorrhagia: Leli gama lisetshenziselwa ukuchaza isikhathi sokugeleza okungaphezu kokwejwayelekile. Ngencazelo engaphezulu kuka-80 ml yokulahleka kwegazi esikhathini sokuhamba kwakho.
- I-Metrorrhagia: Leli gama lichaza noma yikuphi ukuphuma kwegazi okukwenzeka phakathi kwezikhathi zakho ezivamile.
- I-Menometrorrhagia: Leli gama lichaza ukuhlanganiswa kwezinkathi ezinzima nokuphaphaza phakathi kwezinkathi.
- Ukuphuma kwegazi lomzimba ongasebenzi: Leli gama lisetshenziselwa ngokujwayelekile kakhulu kunegazi elingavamile lokugaya igazi njengoba kutholakala. Ochwepheshe batusa ukuthi leli gama akufanele lisetshenziswe nhlobo
Amagama alandelayo achaza imvamisa yokuphuma kwegazi.
- I-Polymenorrhea: Leli gama lichaza isikhathi esiza kaningi ngaphezu kwezinsuku ezingu-21.
- I-Oligomenorrhea: Leli gama lichaza isikhathi esizayo ngezikhathi ezingaphezu kwezinsuku ezingu-35.
I-terminology yamanje
Isistimu entsha yokuhlukanisa isetshenzisiwe esebenzisa ukuxilongwa kwesambulela kokuphuma kwegazi okungavamile noma i-AUB.
Ngokuya ngekhwalithi ye-AUB egazini ibuye ichazwe ngokulandelayo ngokuthi:
- Ukuphuma kwe-uterine okungavamile nokuphuma kweqile kokuya esikhathini (AUB / HMB)
- Ukwelashwa okungavamile kwegazi lomzimba ngegazi eliphakathi kwezinkathi (AUB / IMB)
Uma usuhlolwe ngokwengeziwe futhi uhlola ukuthi umhlinzeki wakho wezempilo uzokwazi yini ukucacisa imbangela yokuphuma kwegazi futhi angakubeka phambili njengokwesuka okungavamile ngenxa yokuthi:
Izimbangela zesakhiwo (izinguquko esibelethweni sakho):
- I-Polyps (AUB-P)
- I-Adenomyosis (AUB-A)
- I-Leiomyoma (AUB-L)
- I-Malignancy ne-hyperplasia (AUB-M)
Izimbangela ezingezakhi:
- I-coagulopathy (AUB-C) - ukuphuma okungavamile ngenxa yenkinga yokuphuma kwegazi
- Ukuphazamiseka kwe-ovulatory (AUB-O) - ukuphuma okungavamile ngoba awunayo i-ovulating njalo
- I-Endometrial (AUB-E) - ukuphuma kwegazi okungavamile ngenxa yenkinga ngebhande lesisu sakho njengesifo
- Iatrogenic (AUB-I) - ukuphuma okungavamile ngenxa yemithi oyithathayo
- Akukacacisiwe (AUB-N) - umhlinzeki wakho wezempilo ngeke athole isizathu esiyinhloko sokukhipha okungavamile
Njengoba ubona, kunezimbangela eziningi zokuphuma okungavamile. Uma uthola ukuphuma kwe-uterine okungavamile kufanele uxoxe ngezibonakaliso zakho kanye nokukhathazeka kwakho nomhlinzeki wakho wezempilo njengoba izinguquko esikhathini sokuya kwakho zivame ukuba uphawu lwesimo esiyinkimbinkimbi.
Ukuphuma kwamagciwane okungavamile okweqile futhi / noma okuvamile kungakusiza futhi ukuba ube nesifo sofuba. I-anemia ebangelwa ukulahlekelwa igazi okungapheli kukukhathele futhi buthakathaka. Ngokulahlekelwa kwegazi okuphawulekayo, ungase uzwe ukuphefumula kanye / noma izinhliziyo zenhliziyo, ukuhluleka, noma ubuhlungu besifuba njengoba umzimba wakho uzama ukukhokhela i-anemia yakho. Lokhu kubeka ukucindezeleka okukhulu enhliziyweni yakho futhi kungaba yingozi kakhulu kuwe uma unesifo esiyinkimbinkimbi yesifo senhliziyo.
Kubuyekezwe ngu-Andrea Chisholm MD
> Umthombo:
> I-American Congress of Obstetricians kanye neGynecologists (2012) Ukuthola Ukuhlushwa Okungavamile Kwama-Uterine Emkhathini Wokubeletha Abesifazane (I-Practice Bulletin # 128) https://www.acog.org/-/media/Practice-Bulletins/Committee-on-Practice-Bulletins ---- Gynecology / pb128.pdf? Dmc = 1 & ts = 20160221T2213468711