Ke kahe nui nei ke koko o ka menstrual iā ʻoe? (Menorrhagia) E kamaʻilio kākou e pili ana i kēia.

ʻO ka menstruation, a i ʻole ka menstruation, he ʻāpana maʻamau ia o ko kākou ola ma ke ʻano he wahine. Akā no kekahi poʻe, he ʻeha loa kēia mau lā. Nui loa ke kahe ʻana o ke koko a ʻaʻole hiki iā ʻoe ke hana i kekahi hana a haʻalele paha i ka hale. Ua loaʻa anei iā ʻoe kēia ʻike? A laila e lilo kēia ʻatikala i mea nui loa iā ʻoe. I kēia lā, ke kamaʻilio nei mākou e pili ana i kēia ʻano i kapa ʻia ʻo heavy menstruation, a i ʻole e like me ka kapa ʻana o nā kauka, ʻo Menorrhagia .

He aha ʻo Menorrhagia? I ka pōkole...

ʻO Menorrhagia ke kahe nui ʻana o ke koko ma mua o ka maʻamau i kou wā mahina. Hiki i kēia ke mau no nā lā. I kēia manawa ke noʻonoʻo nei paha ʻoe, "He aha ka mea maʻamau? Pehea wau e ʻike ai inā he nui ke kahe ʻana o ke koko iaʻu?" ʻAe, no laila e nānā inā loaʻa iā ʻoe kēia mau hōʻailona.

• ʻO ka lōʻihi o ka menstruation ma mua o 7 mau lā .
• Inā nui loa ke kahe ʻana o ke koko a pulu loa kahi pad a tampon paha , ma kahi o hoʻokahi manawa i ka hola, a inā hoʻomau ia no kekahi mau hola.
• Inā pono ʻoe e hoʻohana i ʻelua mau pads i ka manawa hoʻokahi e kāohi i ke kahe ʻana o ke koko.
• Inā pono ʻoe e ala i waenakonu o ka pō e hoʻololi i kou pāpale .
• Inā e kahe ʻia ke koko, ʻo ka nui o ke kālā 5 rupee a ʻoi aku paha, i nā manawa he nui i ka lā.
• Inā ʻaʻole hiki iā ʻoe ke hana i kāu mau hana maʻamau (e laʻa, ʻaʻole hiki ke hele i ka hana a i ke kula paha) no ke kahe nui ʻana o ke koko i kou wā.

Inā hiki mai kēia mau mea iā ʻoe, mai manaʻo wale he mea maʻamau ia. He mea kēia āu e kamaʻilio ai me kāu kauka.

He aha nā hōʻailona nui o ka menstruation kaumaha?

Ma waho aʻe o nā mea a mākou i kūkākūkā ai ma mua, aia kekahi mau hōʻailona ʻē aʻe e hiki ke haʻi iā ʻoe e nalowale ana kou kino i ke koko ma mua o ka mea e pono ai. I mea e maopopo ai kēia ʻike, e kau kākou i loko o kahi papa e like me kēia.

No ke aha kēia e hana nei iaʻu? He aha nā kumu o nā wā kaumaha?

ʻAʻohe kumu hoʻokahi no kēia. Nui paha nā kumu. Aia ia i kou makahiki, ke olakino, a pēlā aku. E nānā kākou i kekahi o nā kumu nui.

Nā kaulike ʻole o ka hormonal

ʻO nā hormones estrogen a me progesterone i loko o ko kākou kino ke kaohi i ke kaʻina hana menstrual o kēlā me kēia mahina. Inā he loli i loko o kēia mau hormones, hiki i ka menstruation ke kaumaha.

• Anovulation
• Maʻi thyroid
• ʻO ka maʻi ʻōpū Polycystic (PCOS)
• Hiki i ka momona ke hana i kēia ʻano ma ka hoʻopilikia ʻana i nā hormones.

Nā puʻupuʻu ʻaʻole maʻi kanesa i loko o ka ʻōpū

ʻO kekahi mau puʻupuʻu maikaʻi ʻole e ulu ana i loko o ka ʻōpū hiki ke hoʻoulu i ke kahe koko nui.

• Polyps: He ʻano ulu liʻiliʻi e kū mai ana ma ka paia o loko o ka ʻōpū.
• Fibroids: He ʻano puʻupuʻu e ulu ana mai nā ʻiʻo o ka ʻōpū.
• Adenomyosis: ʻO ka ʻiʻo mai ka paia o loko o ka uterus e ulu ana i loko o ka paia ʻiʻo o ka uterus.

Nā maʻi

Hiki ke hana ʻia kēia kūlana e kekahi mau maʻi, me nā maʻi i hoʻoili ʻia ma ke ʻano moekolohe (STI). Eia kekahi laʻana:

• ʻO ka maʻi Trichomoniasis
• ʻO ka maʻi gonorrhea
• ʻO Chlamydia
• Nā kūlana mumū o ka ʻōpū (Endometritis mau)

Nā pilikia e pili ana i ka hāpai ʻana

I kekahi manawa hiki i ke kahe koko nui ke hōʻailona o kahi pilikia o ka hāpai ʻana.

• Ka hāʻule ʻana o ka hāpai keiki
• Ka hāpai ʻana o ka ectopic

Nā kūlana olakino ʻē aʻe

ʻO nā mea e like me nā maʻi e hoʻopilikia ai i ke kahe koko, nā maʻi ate, a me nā maʻi puʻupaʻa hiki ke hana i kēia.

• ʻO ka maʻi Von Willebrand - kahi pilikia o ke kahe koko.
• ʻO ka maʻi mumū Pelvic (PID)
• Nā maʻi ʻaʻai e pili ana i ke koko e like me ka leukemia.

Nā kūlana maʻi kanesa

I ka hapanui o ka manawa, ʻaʻole i hoʻokumu pinepine ʻia kēia maʻi e ka maʻi kanesa. Eia nō naʻe, hiki i nā wā kaumaha ke lilo i hōʻailona o ke kanesa o ka ʻōpū a i ʻole ke kanesa o ka ʻāʻī. No laila ʻoi aku ka maikaʻi o ka pale ʻole ʻana i kēia mau hōʻailona.

Kekahi mau lāʻau lapaʻau

ʻO kekahi o nā lāʻau lapaʻau āu e lawe nei paha ke kumu o kēia.

• Nā lāʻau hoʻokahe koko a me ka aspirin.
• Hoʻokomo ʻia kekahi mau ʻano kaohi hānau, no ka laʻana, nā polokalamu intrauterine (IUD), i ka wā mua.
• Lapaʻau hoʻololi hormone.

Pehea e ʻike ai ke kauka i kēia maʻi?

Ke hele ʻoe e ʻike i ke kauka, e nīnau mua ʻo ia iā ʻoe i kekahi mau nīnau. E nīnau ʻo ia iā ʻoe i nā kikoʻī he nui e pili ana i kou pōʻaiapuni menstrual, inā paha ua loaʻa i kekahi o kou ʻohana nā pilikia like, a e pili ana i nā lāʻau lapaʻau āu e lawe nei. No laila hiki ke kōkua nui ka mālama ʻana i kahi puke moʻolelo o nā mea e like me ka lā e hoʻomaka ai kou wā, ka lā e pau ai, a me ka helu o nā lā āu i kahe nui ai ke koko.

A laila e hana ʻia kahi hoʻokolohua kino a me ka hoʻokolohua pelvic. Hiki ke hana ʻia nā hoʻokolohua aʻe e ʻike ai i ke kumu pololei:

• Hoʻāʻo koko: E nānā no ka anemia, nā pilikia koko, a i ʻole nā ​​​​pae hormone thyroid.
• ʻO ka ultrasound transvaginal: Hoʻokomo ʻia kahi mea liʻiliʻi ma o ka vagina e nānā i ke kūlana o ka uterus a me nā ovaries.
• Pap smear: Nānā i nā hunaola kanesa o ka ʻāʻī.
• ʻO ka biopsy Endometrial: Lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka paia o loko o ka ʻōpū a nānā ʻia no nā puʻukū maʻi a i ʻole nā ​​​​​​mea ʻē aʻe.
• Hysteroscopy: Hoʻokomo ʻia kahi ʻōmole lahilahi me kahi kāmela ma o ka vagina i loko o ka uterus e nānā i loko no nā polyps a me nā fibroids. I kekahi manawa, hiki ke wehe ʻia ma o kēia kaʻina hana.

He aha nā lāʻau lapaʻau no kēia?

Hoʻopili ʻia ka lāʻau lapaʻau i ke kumu o kou mau wā kaumaha, ko lākou koʻikoʻi, kou mau makahiki, a inā ʻoe e hoʻolālā e loaʻa nā keiki i ka wā e hiki mai ana.

Nā lāʻau lapaʻau

I ka manawa pinepine, hoʻāʻo mua nā kauka e kāohi i kēia me ka lāʻau lapaʻau ma mua o ka hoʻohana ʻana i ke ʻoki kino.

• Nā mea hoʻohui hao: Kāohi i ka anemia.
• Nā lāʻau ʻeha (NSAID): Hiki i nā lāʻau lapaʻau e like me ka ibuprofen ke hōʻemi i ka ʻeha a me ke kahe ʻana o ke koko.
• Nā lāʻau hoʻomalu hānau a me nā ʻano hana ʻē aʻe: Hoʻoponopono i ke kaʻina hana menstrual ma ke kaohi ʻana i nā hormones a me ka hōʻemi ʻana i ke kahe ʻana o ke koko.
• ʻAkika Tranexamic: ʻO kēia lāʻau lapaʻau, i lawe ʻia i ka wā menstruation wale nō, pale i nā ʻōpū koko mai ka haki ʻana a hōʻemi i ke kahe koko nui.
• ʻO ka lāʻau lapaʻau hormonal: Hiki i nā lāʻau lapaʻau hormonal e like me nā agonists GnRH ke hoʻōki a hōʻemi paha i ke kahe koko.

Nā ʻoki kino a me nā kaʻina hana ʻē aʻe (Nā Kaʻina Hana ʻOki Kino)

Inā ʻaʻole holo pono ka lāʻau lapaʻau, hiki i kāu kauka ke ʻōlelo aku i ke ʻoki kino a i ʻole kekahi ʻano hana ʻē aʻe.

• D&C (Dilation a me Curettage): Ke kahakaha ʻana a me ka wehe ʻana i ka papa luna o ka paia o loko o ka ʻōpū.
• Myomectomy: Wehe ʻokiʻoki i nā fibroids wale nō i loko o ka ʻōpū.
• ʻO ka hoʻopau ʻana o ka endometrial: Ke luku nei i ka uhi o loko o ka ʻōpū. Ma hope o kēia, ua emi nui ka hiki ke hāpai.
• Hysterectomy: Ka wehe ʻana i ka ʻōpū holoʻokoʻa ma ke ʻoki kino. ʻO ka hopena kēia i ka pau loa ʻana o ka menstruation a me ka hiki ʻole ke loaʻa keiki. Hana pinepine ʻia kēia ma ke ʻano he koho hope loa.

Āhea ʻoe e ʻike koke ai i ke kauka? Pono ʻoe e hele i ka ETU?

ʻAʻole hoʻoweliweli pinepine nā wā nui i ke ola. Eia nō naʻe, i nā hihia kakaikahi, hiki i ke kahe nui ke lilo i mea weliweli. Inā hoʻomau ia no ʻelua a ʻekolu hola, a ke hoʻomohu piha nei ʻoe i hoʻokahi a ʻelua paha mau pads i kēlā me kēia hola , he pilikia ia. Inā hana ʻia kēia, pono ʻoe e ʻike koke i ke kauka a i ʻole e hele i ka ʻoihana pilikia o ka haukapila (ETU) .

He pilikia nā wā kaumaha no nā wāhine he nui, akā, ʻaʻole pono ʻoe e ʻeha me lākou. Inā lākou e hoʻopilikia nei i kou ola, e hoʻopilikia ana i kou hauʻoli, a i ʻole e hoʻopilikia ana i kou olakino noʻonoʻo, e kamaʻilio pono me ke kauka. E hiki iā ia ke ʻōlelo i ka lāʻau lapaʻau maikaʻi loa nāu.