Lapho ukhathazeka mayelana nokugeleza okunzima noma ama-clots esikhathini segazi
Okungenani kanye phakathi neminyaka yabo yokubeletha, iningi labesifazane bayathola ukuphuma kwegazi lapho behlala isikhathi eside noma besilisa . Izikhathi ezivame kakhulu phakathi neminyaka embalwa yokuqala yokuya esikhathini, futhi futhi phakathi neminyaka emibili kuya kweyithathu ngaphambi kokuya esikhathini.
Isikhathi esinzima segazi singasabeka ngokukhethekile uma iqukethe ama-clots. Nokho, ezimweni eziningi, izigqoko zegazi ezibomvu, ezibomvu noma ezimnyama zijwayelekile-ziyizinkinobho ze-endometrium (umgqa wesibeletho) ochitha ngesikhathi sokuya esikhathini.
Kodwa kunezikhathi lapho i-menorrhagia ibonisa inkinga. Nakhu okumele ukwazi mayelana nokuphuma kwegazi lomzimba okungavamile nokugubha, okubandakanya ukuthi yini engabangela ukugeleza okukhulu nokuthi ingaphathwa kanjani.
Izizathu Ezivamile Zezikhathi Ezinzima
Yini ebhekwa njengegazi elinzima ngesikhathi sokuya esikhathini? Uma uthola ukuthi udinga ukushintsha i-pad yakho noma ukuphonsela kaningi ngaphezu kwehora noma ngaphezulu, noma uma unenkathi eqhubekayo izinsuku ezingu-7 noma ngaphezulu, kungenzeka ukuthi ubhekene nokuphuma okungavamile .
Ngokujwayelekile, ukungalingani kwe-hormonal kungukusola. Ezinye izimbangela zegazi elingavamile lokuphuma kwamagciwane zihlanganisa:
- izicubu ze-fibroid
- izintambo zomlomo wesibeletho noma i- endometrium
- lupus
- isifo sokuvuvukala esiswini (PID)
- umdlavuza wesibeletho
- umdlavuza we-endometrial
Abesifazane abasebenzisa amadivayisi we-intrauterine (i-IUDs) ngezinye izikhathi banesikhathi esiphezulu noma eside. Uma ubhekana nokuphuma kwe-uterine ngokweqile ngenkathi usebenzisa i-IUD, kufanele kususwe futhi kufanele uzame enye indlela yokulawula ukuzalwa .
Ukuphazamiseka kwamaplatelets, njengesifo sikaV von Willebrand, yizifo ezivamile zegazi zokuphuma esikhathini ngokweqile. Lezi zivame ukutholakala ngokushesha ngemuva kokuba intombazane iqala ukuthola isikhathi sayo. Abesifazane abanesifo sikaV von Willebrand ngokuvamile ngeke bahlangabezane nokuphuma kwezinkinga ezinkulu, kodwa futhi ne-nosebleeds, ukulimala okulula, negazi esitokisini.
Ngokuvamile, ukuphuma okukhulu kwegazi kungaphathwa nge-nonsteroidal anti-inflammatory drug (NSAID) efana ne-ibuprofen aornd naproxen. Lezi zidakamizwa zingasiza ukunciphisa ukuphuma kwegazi, ngaphezu kokunciphisa ubuhlungu bezinkathi zokuya esikhathini. Uma uhlangabezana ne-menorrhagia njalo kufanele uqashwe ngokucophelela ukuze uqiniseke ukuthi amazinga akho e-iton awagcini. Uma lokho kwenzeka, kungadingeka uthathe izithako zensimbi.
Ukuqaphela Nokuphatha Ukweqa Okungajwayelekile Kwe-uterine
Into yokuqala oyodokotela wakho azoyenza ukuze abone ukuthi yini ekubangela ukuthi uphelelwe ukukhulelwa esikhathini esiyinkimbinkimbi kwenziwa ukuhlolwa kwe-pelvic , kuhlanganise ne-Pap smear, ukuhlolwa kwebhulethi, futhi uma kufanelekile, ukuhlolwa kokukhulelwa. Futhi angase ahlele i-ultrasound ukuthi ahlole izinto ezingavamile ezifana ne-fibroids noma enze i-endometrial biopsy, i-D & C, noma i- hysteroscopy ukuze uhlaziye phambili isimo sesisu sakho.
Uma kuvela ukuthi une-fibroids noma esinye isimo, udokotela wakho uzoyiphatha ngendlela efanele. Uma ukungalingani kwe-hormonal kuyinkinga, ukuphuma kwegazi kungalawulwa nge-progesterone noma inhlanganisela ye-progesterone ne-estrogen, kaningi ngesimo sokukhulelwa komlomo.
Ukuphumula kwe- endometrial, okuvame ukusetshenziselwa ukwelapha ngokweqa ngokweqile kwabesifazane abadlulile eminyakeni eyedlule abafuna ukugwema i-hysterectomy , manje sekushintshiwe ukwelashwa okubizwa nge-balloon ablation.
Ezimweni eziningi, i-balloon ablation yokushisa igcina iphuma ngokubhubhisa uhlaka lwesibindi. Ngakho-ke, kuvumelekile kuphela abesifazane ababa nabantwana noma baqiniseke ukuthi ababafuni. Kodwa-ke, le nqubo ayiqinisekisi ukuvikeleka okuyikhulu kwamaphesenti kusukela ekukhulelwe. Abesifazane abangathandi izingane kumele baqhubeke nokusebenzisa indlela yabo yokulawula ukuzalwa.
Ngaphandle kokuba ukhulelwe uma uthola ukuphuma kwamagciwane okungavamile, isiqephu esisodwa sokukhulelwa ngokweqile kokuya esikhathini asidingi ukwelashwa. Okunye okungafani uma ukuphuma kwegazi okwedlulele kunamahora angaphezu kuka-24, lapho kufanele khona ukuxhumana nodokotela wakho ngokushesha.
> Umthombo:
> I-American College ye-Obstetrics ne-Gynecology. Imibuzo Evame Ukubuzwa: Ukuphulukiswa Okungajwayelekile Kwe-Uterine. " Mar 2017.