Wan prɔblɛm we bɔku uman dɛn, sista dɛn, ɛn gyal pikin dɛn gɛt na dat dɛn mɔnt saykl nɔ kin kam di rayt tɛm. Sɔm mɔnt i kin kam ali, sɔm mɔnt i kin kam let. Sɔntɛnde, i kin las fɔ sɔm dez, ɛn ɔda tɛm dɛn kin blɔd bɔku. Yu kin de wɔnda bak if dis na nɔmal tin ɔ na sɔntin we yu fɔ wɔri bɔt. So nɔ wɔri, wi go tɔk bɔt dis na simpul ɛn klia we tide.
Fɔs, lɛ wi luk wetin na ‘nɔmal’ mɔnt saykl.
We wi de tɔk bɔt ‘nɔmal’ menstrual saykl, bɔku pipul dɛn kin tink se i fɔ bi ɛksaktɔli ɛvri 28 dez. Bɔt dat nɔto tru fɔ ɔlman. Dis kin difrɛn frɔm wan pɔsin to ɔda pɔsin.
Fɔ tɔk am simpul wan, dɛn kin tek uman we gɛt wɛlbɔdi in mɔnt saykl as nɔmal if i apin bitwin 21 ɛn 35 dez . Dat min se if yu gɛt wan prɛgnɛshɔn ɛn na 25 dez bifo yu nɛks prɛgnɛshɔn, ɛn afta dat 30 dez afta dat, i nɔto big tin. Dɔn bak, di nɔmba fɔ di de dɛn we yu gɛt fɔ gɛt bɛlɛ, dat na di nɔmba fɔ di de dɛn we yu de blɔd, kin de bitwin 4 ɛn 7 dez .
Di tin we impɔtant pas ɔl na fɔ ɔndastand wetin na ‘nɔmal’ fɔ yu bɔdi. Nɔto ɔlman in saykl na di sem.
So wetin ‘irregular’ period min?
Na nɔmal tin fɔ mek yu gɛt smɔl chenj na yu mɔnt saykl. Bɔt sɔm chenj dɛn de we wi fɔ wɔri bɔt smɔl. wi kin kכl dεn kכndyushכn dεm ya 'irregular menstruation'.
Yu kin gɛt gud aidia bɔt dis frɔm di tebul we de dɔŋ ya.
| Di kwaliti we de sho se pɔsin nɔ de du tin ɔltɛm | Wan simpul ɛksplen |
|---|---|
| Chenj in saykl tɛm | Menstrueshɔn kin apin 21 dez bifo ɔ pas 35 dez let. |
| Fɔ skip fɔ gɛt mɔnt | Nɔ gɛt mɔnt fɔ tri ɔ mɔ mɔnt kɔnsɛkutiv wan. |
| Chenj we di blɔd de kɔmɔt | Blɔd we de kɔmɔt ɔ smɔl pas aw i fɔ de. |
| Taym ɛkstenshɔn | Menstrueshɔn we kin las pas sɛvin dez. |
| Chenj in tɛm bitwin saykl dɛn | difrεns we pas 9 de, lεk wan saykl na 28 dez, di nεks wan na 37 dez, εn di nεks wan na 29 dez. |
| I kin fil pen bad bad wan | We pɔsin de gɛt mɔnt, i kin gɛt bɛlɛ pen we i nɔ kin ebul fɔ bia, bak pen, nɔs, ɔ vɔmit. |
| Blɔd we de kɔmɔt wan wan tɛm | Blɔd ɔ brawn dischaj bitwin di tɛm we yu de gɛt di bɛlɛ, afta yu dɔn menɔpauz, ɔ afta yu dɔn du mami ɛn dadi biznɛs. |
| Ebi ebi blɔd we de kɔmɔt | Blɔd we de sok pas wan sanitayz pad insay wan awa. |
Ɔda kɔndishɔn dɛn we gɛt fɔ du wit di tin dɛn we nɔ de apin ɔltɛm
Bɔku mɛdikal wɔd dɛn de we gɛt fɔ du wit we pɔsin nɔ gɛt mɔnt ɔltɛm. I fayn fɔ no smɔl bɔt dɛn tin ya bak.
- Amenɔria: Dis na di we aw pɔsin kin stɔp fɔ gɛt mɔnt kpatakpata. If yu nɔ gɛt bɛlɛ, yu de gi yu bɛlɛ, ɔ yu dɔn go tru menopause, i nɔrmal fɔ mek yu prɛgnɛshɔn stɔp fɔ 3 mɔnt ɔ mɔ. I kin bi bak if yu nɔ bigin fɔ gɛt mɔnt we yu ol 15 ɔ 16 ia.
- Oligomenorrhea: Dis na we uman nɔ kin gɛt mɔnt. Dat min se i nɔ kin apin wan tɛm ɛvri 35 dez, bɔt i kin apin lɛk 6-8 tɛm insay di ia.
- Dismenorrhea: Dis na di mεdikal tεm fכ siriכs pen we yu de mεnstra. Pan ɔl we na nɔmal tin fɔ mek yu gɛt smɔl smɔl kramp, if yu nɔ go ebul fɔ bia wit di pen ɛn i de mek yu nɔ ebul fɔ du di tin dɛn we yu de du ɛvride, yu fɔ wɔri.
Wetin mek dis kin apin? Wetin na di tin dɛn we kin mek pɔsin nɔ gɛt mɔnt ɔltɛm?
Nɔto wan tin de we kin mek pɔsin nɔ gɛt mɔnt ɔltɛm, bɔt bɔku tin dɛn kin mek i gɛt dis sik. Dɛn tin ya kin kɔmɔt frɔm simpul strɛs to siriɔs mɛrɛsin.
Bikɔs ɔf sɔm mɛdikal kɔndishɔn dɛn...
Sɔm sik kin mek wi ɔmon sistɛm nɔ balans ɛn mek wi nɔ gɛt bɛlɛ ɔltɛm.
- Polycystic Ovary Syndrome (PCOS): Dis na wan sik we dɛn kin si naw pan bɔku yɔŋ uman dɛn. wetin de apin ya na dat yu ovaria dεm de mek tu mכch pan di man כmon we dεn kכl andrכjen. dis kin mek di ovuleshכn nכ de כ i kin delay. So we uman kin gɛt mɔnt nɔ kin apin ɔltɛm.
- εndometriosis: dis na we di tisu we de layn insay di uterus (endometrial tisu) de gro ausayd di uterus, lεk na di ovaria כ di fallopian tכb dεm. Dis kin mek yu fil pen bad bad wan ɛn blɔd nɔ kin kɔmɔt fayn bifo yu gɛt mɔnt ɛn we yu de gɛt mɔnt.
- Pεlvik Inflammatory Disease (PID): Dis na baktri infεkshכn we de afekt di riprodaktiv sistεm. Bɔku tɛm, i kin kam bikɔs ɔf di sik dɛn we dɛn nɔ kin trit we dɛn kin gɛt we dɛn de du mami ɛn dadi biznɛs (STI). I kin mek bak yu gɛt sɔm sayn dɛm lɛk we yu nɔ de gɛt bɛlɛ ɔltɛm, yu kin gɛt bɔku wata na yu vagina, ɛn yu bɛlɛ kin pen.
- Tayrɔyd Disɔda: Tayrɔyd gland we nɔ de wok fayn (haypothyroidism) ɔ we de wok pasmak (hyperthyroidism) kin mek big chenj dɛn na di ɔmon. Dis kin afɛkt di saykl we pɔsin kin gɛt we i de gɛt mɔnt.
- Kansa na di uterus ɔ ovaria: Sɔm kansa kin mek yu gɛt sayn dɛn bak lɛk we yu nɔ de gɛt bɛlɛ ɔltɛm ɛn we yu de blɔd bɔku. Pan ɔl we dis nɔ kin apin so ɔltɛm, i impɔtant fɔ no.
Bikɔs ɔf di chenj dɛn we de apin na wi layf...
Di chenj na wi layf ɛn abit dɛn we wi kin gɛt ɛvride kin afɛkt di menstrual saykl bak dairekt wan.
- Stress: Imajin se yu gɛt ɛgzam we de kam, ɔ prɔblɛm na wokples, ɔ yu famili prɔblɛm... We strɛs de bɔku lɛk dis, wi bɔdi in ɔmon de chenj. Bikɔs ɔf dis, yu menstrual saykl kin let, kam ali, ɔ ivin nɔ kin apin atɔl da mɔnt de.
- We yu de chenj yu wet: We yu gɛt bɔku bɔku bɔdi ɔ yu wet wantɛm wantɛm, dat kin afɛkt di ɔmon dɛn bak. εspεshali pan pipul dεm we rili tכn εn we nכ gεt bכdi fεt sכmtεm (e.g., pipul dεm we de rɔn fכ lכng distans, pipul dεm we de dans), mεnstral kin stכp.
- Fɔ ɛksesaiz pasmak: If yu du ɛksɛsayz pasmak, i fayn. Bɔt if yu du ɛksɛsayz tumɔs ɔ yu de du am tumɔs, dat kin mek yu nɔ gɛt mɔnt ɔltɛm.
- Ɔda sik dɛn: Sik we yu gɛt fɔ sɔm tɛm, lɛk kɔmɔn vayral flu, kin mek bak yu prɛgnɛshɔn let da mɔnt de.
Ɔda rizin dɛn...
- Pil dɛn we dɛn kin yuz fɔ kɔntrol di pikin:We yu bigin ɔ stɔp fɔ yuz bɔn kɔntrol pils, i kin tek sɔm mɔnt fɔ mek di ɔmon lɛvɛl na yu bɔdi kam bak to nɔmal. Insay dis tɛm, yu prɛgnɛshɔn nɔ kin bi ɔltɛm.
- Ɔda mɛrɛsin dɛn: Sɔm mɛrɛsin dɛn lɛk stɛroyd ɛn antikɔagulant kin mek bak di mɔnt chenj.
- Kɔmplikɛshɔn dɛn we gɛt fɔ du wit bɛlɛ: If yu dɔn gɛt bɛlɛ ɔ yu gɛt bɛlɛ we nɔ de na di bɛlɛ, yu kin gɛt blɔd we nɔ de kɔmɔt ɔltɛm.
Wetin dɛn kin du bɔt dis? Aw dɔktɔ kin no dis?
If yu notis ɛni chenj na yu mɔnt saykl, di bɛst tin we yu go du na fɔ rayt wan dayari fɔ yu prɛgnɛshɔn. Mak dɛn na kalenda ɔ na ap na yu fon. Rayt di de we dɛn bigin, di de we dɛn dɔn, ɔmɔs blɔd yu gɛt (bɔku ɔ smɔl), ɛn if yu gɛt ɛni kramp. Dis infɔmeshɔn go rili impɔtant we yu go si dɔktɔ.
Dɔktɔ go chɛk yu, aks yu bɔt yu mɔnt ɛn mɛrɛsin istri, ɛn i kin du tɛst bak fɔ no di rayt tin we mek yu gɛt dis sik.
- Pelvic Ultrasound: Dis tan lεk we dεn skan pikin na di bεlε. i kin chεk yu uterus εn ovaria fכ eni growth (fibroid, polyps, cyst) כ כda abnכmal tin dεm.
- εndometrial Bayopsi: Dis na fכ tek wan rili sכm pat pan di tisu frכm di insay wכl na yu uterus εn egzamin am. Nɔ wɔri, dis kin kɔrɛkt wan fɔ no tin dɛn lɛk ɔmon imbalans ɛn ɛndometriɔsis.
- Hysteroscopy: insay dis prosidur, dεn de put sכmכl kεmεra tru di vagina insay di uterus fכ wach di insay.
Wetin na di tritmɛnt?
Di tritmɛnt dipen pan di tin we mek yu nɔ de gɛt yu prɛgnɛshɔn ɔltɛm.
Di mɛrɛsin dɛn we dɛn kin yuz
Bɔku tɛm, di fɔs tritmɛnt na mɛrɛsin.
- כmon bכt kכntrכl: dεn ya kin rili wok fכ di pεriכd we nכ de rεgulεr we kכmכt lεk PCOS εn uterin fibroid. Dɛn kin wok bay we dɛn de mek di ɔmon dɛn we yu gɛt ɛn we de mek yu kɔntinyu fɔ gɛt mɔnt. Dɛn kin kam lɛk pils, injɛkshɔn, vagina ring, ɔ IUD.
- Tranexamic Acid: Na mɛrɛsin we dɛn kin yuz fɔ kɔntrol di blɔd we de kɔmɔt pasmak.
- Di tin dɛn we de mek pɔsin fil pen: Fɔ smɔl pen, yu kin tek wan mɛrɛsin we de mek yu fil pen lɛk paracetamol ɔ ibuprofen. Bɔt if di pen rili bad, go to dɔktɔ fɔ advays.
- Ɔmon Tɛrapi: Dis tritmɛnt kin ɛp fɔ di tɛm we nɔ de ɔltɛm we kin apin we di uman dɔn pas we uman de bɔn.
- Antibayɔtik: If na infekshɔn mek di tin we nɔ de apin ɔltɛm, dɛn go gi yu antibayɔtik.
Di ɔpreshɔn dɛn we dɛn kin du
If i sik bad bad wan we dɛn nɔ kin ebul fɔ kɔntrol wit mɛrɛsin, i kin nid fɔ du ɔpreshɔn. Dɛn kin disayd fɔ du dis bay di ej we yu ol, di sik we yu gɛt, ɛn if yu plan fɔ bɔn pikin tumara bambay.
- εndometrial Ablashכn: na di prכsidכm fכ pul di layn na di uterus fכ kכntrכl di bכdi bכdi we de bכn. Dis nɔ fayn fɔ di wan dɛn we de op fɔ gɛt bɛlɛ tumara bambay.
- Myomectomy: Dɛn kin pul di uterin fibroid dɛn.
- Hysterectomy: Dɛn kin pul di uterus kɔmplit wan as las tin we dɛn go du if di uterus dɔn pwɛl bad bad wan ɛn dɛn nɔ go ebul fɔ mɛn am wit ɛni ɔda tritmɛnt.
Wetin wi go du fɔ ridyus dis prɔblɛm?
Bɔku tin dɛn de we yu kin du fɔ mek yu kɔntinyu fɔ gɛt mɔnt ɔltɛm.
- Mek yu gɛt wɛlbɔdi layf. It fayn it ɛn ɛksesaiz smɔl.
- If yu want fɔ lɛf fɔ it bɔku bɔku it dɛn, du am smɔl smɔl. Nɔ go pan drastik it we de stɔp yu fɔ it wan tɛm.
- Gi yu bɔdi di rɛst we i nid. Gɛt inof slip insay di de.
- Ridyus strɛs. Rilaks yu maynd bay we yu de du tin dɛn lɛk fɔ tink gud wan, yoga, ɔ du sɔntin we yu lɛk fɔ lɛk fɔ du.
- Stay away frɔm ɛksesaiz we pasmak ɛn we yu de tray tranga wan.
- Chenj yu pad ɔ tampon ɛvri 4-6 awa. Dis kin ɛp fɔ mek yu nɔ gɛt di sik.
- Kɔntinyu fɔ go to dɔktɔ we de mɛn uman dɛn ɛn yu famili dɔktɔ fɔ mek dɛn chɛk yu ɔltɛm.
Ustɛm a fɔ go to dɔktɔ?
If yu gɛt ɛni wan pan di sayn dɛn we de dɔŋ ya, duya nɔ ignore dɛn ɛn rili go to dɔktɔ. Nɔ put dɛn bifo.
- If yu gɛt pen we yu nɔ go ebul fɔ bia, we yu de fil bad bad wan we yu de gɛt ɔ bitwin yu prɛgnɛshɔn.
- I nɔ kin izi fɔ mek yu blɔd bɔku (we yu kin wet pas wan pad insay 2-3 awa) ɔ yu kin pas big big blɔd klot.
- If wata de kɔmɔt na di vagina we de smɛl fayn .
- If di mɔnt we yu de gɛt pas sɛvin dez .
- If yu gɛt blɔd ɔ brawn dischaj bitwin yu tɛm ɔ afta yu dɔn menɔpauz.
- If yu nɔmal rɛgyula mɔnt saykl wantɛm wantɛm bi rili irɛgyula .
- If yu gɛt nɔs ɔ vɔmit wit yu prɛgnɛshɔn.
- If yu saspek se yu kin gɛt bɛlɛ .
Mɛsej we dɛn kin kɛr go na os
- Na nɔmal tin fɔ mek yu gɛt smɔl chenj na yu mɔnt saykl. Nɔ wɔri tumɔs bɔt am. Nɔto ɔlman in bɔdi na di sem.
- I rili impɔtant fɔ kip yu dayari fɔ yu mɔnt saykl. I go rili ɛp yu ɛn yu dɔktɔ.
- Nɔ ɛva ignore di sayn dɛm lɛk fɔ gɛt siriɔs pen, fɔ gɛt bɔku blɔd, ɔ fɔ gɛt spat bitwin di tɛm we yu de bɔn. Go to dɔktɔ wantɛm wantɛm.
- If yu kɔntinyu fɔ liv fayn layf (gud it, ɛksesaiz, slip fayn, yu maynd wɛl) kin mek yu nɔ gɛt bɔku prɔblɛm.
- If yu gɛt ɛni dawt ɔ kwɛstyɔn bɔt yu mɔnt saykl, nɔ shem fɔ tɔk opin wan wit dɔktɔ bɔt am.
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