I-Polymenorrhea ichaza ukungajwayelekile kokuya esikhathini lapho owesifazane ehlala ephuma khona ngezikhathi ezingaphansi kwezinsuku ezingu-21.
Ukuze ubeke lokhu ngombono, umjikelezo ojwayelekile wokuya esikhathini wesifazane omdala unsuku ezingu-21 kuya kwezinsuku ezingu-37 ubude.
Lapho ucwaninga igama elithi "polymenorrhea" noma "umjikelezo omfushane wokuya esikhathini," kungenzeka ukuthi uhlangabezane negama elithi "ukuphuma kwamagciwane okungavamile." Lokhu kungenxa yokuthi igama elithi polymenorrhea (kanye neminye imigomo ehambisana namaphethini okungavamile okwehla) ngokuvamile akhishwa ngaphansi kwalesi sigaba sesambulela.
Sibutsetelo sokukhipha isisu esingavamile
Ngokusho kwe-American College of Obstetricians kanye ne-Gynecologists (i-ACOG), ukuphuma kwegazi okungavamile kuchazwa njengokuphuma kwebele esibelethweni okungavamile ngokujwayelekile, ivolumu, imvamisa noma isikhathi. Ukuphuma kwegazi kungase kube nzima noma kungapheli futhi kwenzeke kwabesifazane abangakhulelwe.
Ngaphandle kwe-polymenorrhea, ezinye izimbangela zegazi ezingavamile eziphuma egazini zihlanganisa:
- I-Oligomenorrhea: Ubude besikhathi sokujikeleza esikhathini esingaphezu kwezinsuku ezingu-37
- Amenorrhea : Asikho isikhathi sezinyanga eziyisithupha
- I-Menorrhagia: Ukuphuma kwegazi okukhulu ngesikhathi sakho
- I-Metorrhagia: Ukukhipha noma ukuphawula phakathi kwezinkathi zakho
- I-Menometrorrhagia : Ukuhlala isikhathi eside kokuphuma kwesikhashana okwenzeka esikhathini esingalindelekile
- Ukusuka kwe-Postmenopausal: Ukukhipha isisu okwenzeka esikhathini esingaphezu kwezinyanga ezingu 12 emva kokujikeleza kokugcina kokuya esikhathini wesifazane
- Ukuphuma kwe-postcoital : Ukukhipha igazi noma ukuphawula emva kocansi
Izimbangela ezikhona zePolmenorrhea nezinye izinhlobo ze-AUB
Kunezimbangela eziningi ezingabangela ukuphuma kwamagciwane okungavamile, yingakho kubalulekile ukubona udokotela wakho.
Ngaphandle kokuthatha umlando ophelele wezokwelapha, isazi sakho sezinkinga zokubeletha sizokwenza ukuhlolisisa ngokomzimba ukuhlola ubulili bakho, isibeletho, isisu, nama-ovari.
Ngezinye izikhathi izivivinyo zizolalelwa njengokuhlolwa kokukhulelwa, ukuhlolwa kwegazi, i-ultrasound yangaphandle, i-hysteroscopy, noma i-biopsy ye-endometrial (lapho ucezu oluncane lwezicubu lususiwe esibelethweni sakho futhi luhlolwe ngaphansi kwe-microscope).
Ezinye izizathu ezenzekayo ze-AUB
Izinkinga zesakhiwo: Izibonelo zezinkinga ze-anatomic ezingase zidale ukuphuma kwegazi okungavamile kuhlanganisa i-fibroids, i-polyps, i-endometriosis, i-endometrial hyperplasia, noma i-cancer (ethile, umdlavuza wesibeletho).
Ukungalingani Kwamahomoni: I- hormone ehlukahlukene engavamile ingaholela ku-AUB, njenge-thyroid, i-adrenal, noma i-pituitary gland disys function. I-Polycystic ovarian syndrome iyimbangela evamile futhi kwenzeka lapho ama-ovari esifazane eveza inani eliphakeme lama-hormone wesilisa (okuthiwa i-androgens).
Ukuphazamiseka kwezibilini: Izinkinga zokuphazamisa izifo ezifana nesifo se-von Willebrand noma izimo zomnyozi wamathambo (isibonelo, i-leukemia) ezinye ezinye izinto.
Imithi: Imithi ethile ingaphazamisa ukuphuma kwamagciwane njenge-steroids, i-chemotherapies, i-blood thinners, noma imikhiqizo ethile ye-herbal and spy. Ezinye izindlela zokulawula ukubeletha ezifana namadivayisi we-intrauterine noma amaphilisi okulawula ukuzalwa angabangela ukuphuma okungavamile.
Izifo: Izifo ezithathelwana ngocansi (isibonelo, chlamydia noma gonorrhea) zingabangela ukuvuvukala kwesibeletho nokuphuma okungavamile.
Umzimba Wonke Umzimba: Ukugula kwesibindi noma izinso, i-anorexia, ukukhuluphala, noma izinguquko zesisindo esisheshayo kungaholela ekukhuleni okungavamile kokuya esikhathini.
Ukuqonda i-Polymenorrhea
Ngemuva kokuthi udokotela wakho enze uhlolo olunzulu futhi egijima ukuhlolwa okudingekile, angeke athole noma yini engavamile ngokwanda kwakho kwemvamisa yokuya esikhathini.
Ngamanye amazwi, kwabanye besifazane, umjikelezo wokuhamba esikhathini esifushane kune-average kuyinto evamile kubo, futhi okuqondile "kungani" kuhlale kungacacile.
Kulokhu, ukwelashwa kungase kungadingekile, nakuba udokotela wakho angase akufune ukukuqapha nge-anemia, okungukuthi umzimba wakho awukwazi ukukhiqiza i-hemoglobin eyanele ukuvuselela amangqamuzana egazi lakho ngemva kokulahlekelwa igazi lokuya esikhathini. Izimpawu ze-anemia zihlanganisa isikhumba esibucayi, ubuthakathaka, ukukhathala, ikhanda eliphansi, nokuphefumula.
Uma une-anemic evela ku-polymenorrhea noma uhlushwa yizinkathi zakho zokuhamba esikhathini esijwayelekile, udokotela wakho angase ancoma ukukhulelwa kwe-hormonal ehlangene ukwenzela ukwandisa izikhathi phakathi kokuphuma kwegazi.
Enye indlela ukusebenzisa indlela yokukhulelwa okwesikhashana ukuyeka ukugeleza kokuya esikhathini noma ukwenza ukuphuma kwegazi kube lula, njenge- Mirena , Depo-Provera , noma i- Nexplanon .
Ngaphezu kokunciphisa ukugeleza kokuya esikhathini, udokotela wakho angancoma ukushintshwa kokudla noma izithako zensimbi.
Izwi elivela
Ekugcineni, kubalulekile ukubona udokotela wakho uma uthola ushintsho emjikelezweni wakho wokuya esikhathini.
Ungase ufune ukuzama ukulandelela isikhathi sakho ngaphambi kokuqokwa kwakho, usebenzisa noma uhlelo lokusebenza efonini yakho noma kwikhalenda. Kanye nokumaka izinsuku zokuphuma kwegazi, kuyasiza ukuqaphela ukuqina kokuphuma kwegazi (ukukhanya, okuphakathi, okunzima).
> Imithombo:
> I-American College yezidakamizwa namaGynecologists. (2017). I-Committee Opinion: Ukuphathwa Kokuphulukiswa Okungavamile Kwezibeletho Ezibelethweni Ezinganeni Ezingazalanga-Abazali Abadala.
> I-American College yezidakamizwa namaGynecologists. (2017). Imibuzo Evame Ukubuzwa: Ukuvotela Okungajwayelekile Kwe-Uterine.
> Bradley L. (2010). Umtholampilo waseCleveland: Ukungasebenzi kokuya esikhathini.
> Kaunitz AM. (2017). Ukuxilongwa okuhlukile kokuphuma kwegazi ngokobulili kwabesifazane. I-Barbieri RL, ed. Kusesikhathini. Waltham, MA: UpToDate Inc.