Hei wahine, he wāhanga tūturu o te ao te paheketanga o ia marama. Heoi, mō te tini, he tino mamae ēnei rā. Nā te mamae o te puku me te tuara, tera pea ka uaua ki a koe te mahi i ō mahi o ia rā. Mēnā kua pāngia koe e tēnei, kia mōhio koe kāore koe i te mokemoke. I roto i te reo hauora, ko te Dysmenorrhea te ingoa o tēnei paheketanga mamae.
He aha te Dysmenorrhea?
Ki te whakarapopoto, ko te Dysmenorrhea e pā ana ki te mamae, ki ngā mamae rānei o te paheketanga e puta ana i te wā o tō paheketanga. Haunga te mamae o te puku, tera pea ka pāngia koe e te whakapairuaki, te ngenge, te korere rānei. Mō te nuinga, ka tīmata tēnei mamae i te rā i mua atu, i te rā tonu rānei o te paheketanga, ā, ka memeha haere i roto i ngā rā e rua, e toru rānei.
He mea noa te pāngia e te mamae ngawari i te wā o te paheketanga. Heoi, mō ētahi, he tino kino te mamae, ā, ka whakararu i tō oranga o ia rā, ka aukati i a koe ki te mahi i ngā mea e arohaina ana e koe. Whakaarohia kāore e taea e koe te haere ki te kura, ki te mahi, ki te whakahaere rānei i ngā mahi ngāwari o te whare—i ētahi wā ka waiho koe kia takoto noa i te moenga. Ko te rongo pai, kei reira ngā maimoatanga whai hua me ngā otinga hauora e wātea ana hei āwhina i a koe ki te whakahaere i tēnei.
He rerekē ngā momo Dysmenorrhea?
Āe, e rua ngā momo matua o te Dysmenorrhea.
1. Te Āninitanga Tuatahi
Koinei te momo tino noa. Ko te Dysmenorrhea Tuatahi e pā ana ki te mamae e pā ana ki ngā huringa paheketanga auau, ehara i te mea nā tētahi mate hauora. Ka tīmata te mamae i te rā, i ngā rā e rua rānei i mua i tō paheketanga, i te tīmatanga rānei o te toto. Tērā pea ka pāngia koe e te mamae ngawari ki te mamae nui i tō puku o raro, i tō tuara o raro, i ō huha rānei. Ko te tikanga ka memeha haere tēnei mamae i roto i ngā rā e rua, e toru rānei.
2. Te Ānini Tuarua
Mena nā te mate hauora, te mate pāwera rānei i roto i tō pūnaha whakaputa uri (pērā i te kōpū, i ngā ovaries rānei) i puta ai ō mamae ā-pāpāho, ka kiia ko te Dysmenorrhea Tuarua. Ka tīmata wawe tēnei momo mamae i ngā mamae ā-pāpāho noa, ā, ka roa ake. Hei tauira, ka pāngia pea koe e te mamae i ētahi rā i mua i te tīmatanga o tō paheketanga, ā, ka roa pea tae noa ki te mutu katoa o te toto. He iti ake te kitea o tēnei momo i te dysmenorrhea tuatahi.
He mea noa te pāngia e te Dysmenorrhea?
He mea noa te mamae o te wā paheketanga. Tata ki te 60% o te hunga he kōpū tō rātou e pāngia ana e te mamae iti i te wā paheketanga. Hei tāpiri, 5% ki te 15% e kī ana he nui te mamae ka whakararuraru i ā rātou mahi o ia rā. Heoi, e whakapae ana ngā tākuta he nui ake pea ēnei tatauranga, nā te mea he tokomaha te hunga kāore e kōrero whānui mō ō rātou mamae paheketanga.
I te nuinga o te wā, ka memeha haere ngā mamae o te wā i a koe e pakeke haere ana. Hei tāpiri, tera pea ka tino pai ake ō tohu i muri i te whānautanga o te tamaiti.
He aha te mamae o te paheketanga? He aha te tino take?
Ka puta ngā mamae o te paheketanga nā te mea ka kōpiri (ka whakawhāiti) tō kōpū nā te matū e kiia nei ko te prostaglandin . I roto i tō paheketanga, ka piki ake ngā taumata prostaglandin i roto i tō tinana, ka nui ake te kōpiri o tō kōpū i te tikanga. Koinei te take e puta ai te kōpiri me te kore whakamarie. Ka āwhina ēnei kōpiri ki te tuku i te arai kōpū (te toto me te kiko paheketanga) mā roto i tō tara. Ka teitei ake ngā taumata prostaglandin i te tīmatanga o tō paheketanga, ā, ka heke iho i te tīmatanga o te paheketanga, koia te take ka memeha haere te mamae i muri i ētahi rā.
He aha ētahi tāngata ka pāngia ai e ngā mamae nui?
Ko te tikanga, kei te rongo koe i tō kōpū e piri ana, e wetekina ana. Ka whakawhāiti ngā uaua kōpū hei āwhina i te tango i te arai. Ahakoa kāore ngā tohunga i te tino mārama he aha ētahi tāngata ka tino mamae ake i ētahi atu, e whakaponohia ana he nui ake ngā taumata o ngā prostaglandin i roto i aua tāngata. Heoi anō, nā te mea he motuhake ia tinana, ia tinana, kāore pea he take mārama, kotahi.
He aha ngā tohu o te mamae o te paheketanga?
Mena ka pāngia koe e ngā mamae o te wā, ka pā pea koe ki:
- He mamae nui, he mamae kōpiripiri i roto i tō puku (he mamae e kore e taea te whakamanawanui i ētahi wā).
- He kare ā-roto o te pēhanga i roto i tō puku.
- Te mamae i roto i tō hope, i tō tuara o raro, me ō huha o roto.
- Ētahi atu tohu pērā i te whakapairuaki , te whanoke , te ānini rānei.
I te nuinga o te wā, ka tīmata tēnei mamae i roto i ngā haora 24 ki te 48 i mua i tō paheketanga, ā, ka memeha haere i roto i ngā haora 48 o te tīmatanga o te paheketanga.
He aha te take e puta ai ngā mamae o te paheketanga i te Dysmenorrhea Tuarua?
Ko te mamae e puta mai ana i te Dysmenorrhea Tuarua i ahu mai i ngā āhuatanga e pā ana ki ō whekau whakaputa uri. Kei roto i ēnei āhuatanga:
- Endometriosis ( Endometriosis ): Ka puta tēnei ina tupu te kiko e tika ana kia whakarārangi i tō kōpū (e kiia nei ko te endometrium ) ki waho o te kōpū. I te mea ka toto tēnei kiko i te wā o tō paheketanga, ka puta te mumura, te whara , me te mamae nui.
- Adenomyosis ( Adenomyosis ): I konei, ka tipu te arai o te kōpū ki roto i te pakitara uaua o te kōpū. Ka taea e tēnei te whakanui ake i te kōpū i te mea noa, ka puta he toto rerekē me te mamae.
- Ngā Fibroids: He tipu kore-matepukupuku ēnei ka taea te tupu i roto, i waho, i roto rānei i ngā pakitara o te kōpū.
- Mate Mumura Pelvic (PID): He mate kitakita tēnei e tīmata ana i roto i te kōpū, ā, ka horapa ki ētahi atu whekau whakaputa uri, ka mamae pea te puku i te wā e moe tāne ana.
- Te Stenosis Cervical : He whaiti o te cervix i puta mai i te pokanga, i ngā tikanga hauora, i ētahi atu āhuatanga rānei.
- Ngā Āhuatanga Whānau: Ko ētahi āhuatanga i whānau mai ai koe, pērā i te kōpū he āhua rerekē, ngā raruraru rānei e pā ana ki ō ovaries, ki ō ngongo fallopian rānei, ka arahi pea ki te mamae o te paheketanga.
Ko wai kei te nui ake te mōrearea ki te whakawhanake i te Dysmenorrhea?
Tērā pea ka nui ake tō tūponotanga ki te pāngia koe e ngā mamae o te wā mēnā:
- I puta tō paheketanga tuatahi i mua i te 12 tau te pakeke .
- Kei raro iho koe i te 20 tau te pakeke (he nui ake te pānga ki te hunga rangatahi).
- He nui ō paheketanga, he roa atu rānei i te whitu ngā rā .
- He kaipaipa koe .
- Kua pāngia hoki tētahi o ngā mātua whānau e te Dysmenorrhea .
Ka taea e ngā mamae o te pākē te arahi ki ngā raruraru?
I te nuinga o te wā, kāore ngā mamae o te paheketanga e puta ai ngā raruraru i tua atu i te whakararuraru i ō mahi o ia rā. Heoi, ki te mea he mate hauora kei raro i te mahunga (e mōhiotia ana ko te dysmenorrhea tuarua) te take o ō mamae o te paheketanga, ka puta pea ngā raruraru. Hei tauira, ko ngā mate pēnei i te endometriosis, te mate mumura pelvic (PID) rānei ka arahi ki te kore tamariki , ki te hāputanga ectopic rānei (he hāputanga e puta ana i waho o te kōpū). Koia te mea nui kia kōrero ki tētahi kaiwhakarato hauora kia kitea ai mēnā he take kei raro i te mamae o te paheketanga.
Me pēhea te wehewehe i waenga i ngā mamae noa me te dysmenorrhea, ā, āhea koe me toro atu ki te tākuta?
Mena ka pāngia koe e ngā mamae nui o te paheketanga, e ngā mamae rerekē rānei, ki te roa atu rānei te mamae i te toru rā, me toro atu koe ki te tākuta. Ka taea te rongoā i te dysmenorrhea tuatahi me te dysmenorrhea tuarua, nō reira he mea nui kia whiwhi aromatawai ngaio.
I te tīmatanga, ka pātai tō tākuta mō ō tohu me tō huringa paheketanga. Kātahi ka whakahaerehia he whakamātautau pelvis . I roto i tēnei tikanga, ka whakahaerehia e te tohunga karapu he whakamātautau ā-ringa i tō rohe tara, ā, ka whakamahia pea he speculum hei tirotiro mārire i tō tara me tō kōpū. Ka taea hoki te kohi i tētahi tauira iti o te rerenga tara hei whakamātautau. Ko te whāinga o ēnei whakamātautau he tautuhi i ngā āhuatanga hauora e pā ana ki tō mamae. Ki te kore e kitea he take mārama, ka tātaritatia pea koe e tō tākuta he dysmenorrhea tuatahi.
Heoi, ki te whakapae tō tākuta he dysmenorrhea tuarua (nā te raruraru hauora o mua), me whakamātautau anō pea koe. Mā te whakaahua tātaritanga me ētahi atu whakamātautau ka taea e tō tākuta te kite mārama i tō kōpū me ngā whekau whakaputa uri. Ka tūtohu pea tō tākuta:
- Ultrasound: Ka whakamahia ngā ngaru oro hei hanga whakaahua o tō kōpū, ōwai, me ētahi atu whekau whakaputa uri.
- Hysteroscopy: Ka whakamahia e tō tākuta tētahi taputapu angiangi, he mārama hoki hei tiro i te roto o tō kōpū, ka tukuna ngā whakaahua ki tētahi aroturuki.
- Laparoscopy: Ka tapahia e te tākuta ngā wahi iti ki roto i tō puku, ka whakauruhia he laparoscopy —he ngongo angiangi me te kāmera me te mārama—hei tirotiro i ō whekau pelvis.
Mena ka whakaūhia e ēnei whakamātautau tētahi mate taketake, ka matapakihia e tō tākuta ngā kōwhiringa maimoatanga e tika ana ki a koe.
Me pēhea te whakahaere i ngā mamae o te paheketanga?
He maha ngā huarahi whai hua hei whakaiti i te mamae o te wā.
Ngā rongoā whakamamae mamae (NSAID me ētahi atu)
Ko ngā rongoā ārai-mumura kore-steroidal (NSAID) te rongoā tuatahi mō te dysmenorrhea. Kei roto i ēnei ko ngā rongoā pēnei i te ibuprofen , i te naproxen rānei, e wātea whānuitia ana i ngā whare rongoā. Ka mahi mā te whakaiti i ngā taumata o ngā prostaglandin i roto i tō tinana, ka āwhina i te ārai i te kōpiritanga o te kōpū kia kaha rawa, ā, ka whakamama i te mamae. He pai ake te tango i ēnei rongoā i te tīmatanga o ō mamae. Mena kāore e taea e koe te tango i ngā NSAID, he pai ake pea te whakamahi i ētahi atu rongoā whakamamae pēnei i te acetaminophen (paracetamol).
Ka taea hoki e tō tākuta te whakarato i ngā rongoā ārai-mumura kaha-tohutohu mēnā kāore e ranea ngā whiringa ka taea te hoko kore-tūtohu.
Ngā Rongoā Hormonal
Tērā pea ka tūtohu tō tākuta i te whakamahi i ngā tikanga ārai whānau homoni hei rongoā. Ko te hunga e whakamahi ana i ngā tikanga homoni he iti ake te mamae o te paheketanga. Kei roto i tēnei ko te pire ārai whānau, te pākete, te mowhiti tara rānei.
Ētahi atu tohutohu tiaki i a koe anō mō ngā mamae o te paheketanga
Tērā anō ngā huarahi kore rongoā hei kimi i te whakamarie:
- Whakatakotoria he papa whakamahana, he pounamu wai wera rānei ki tō puku o raro, ki tō tuara rānei o raro ina pāngia koe e te mamae.
- Kia nui te okiokinga.
- Āta karohia te kawheine (kei roto i te kawhe, te tī, me ētahi atu).
- Āta karohia te kai hikareti me te waipiro.
- Mirimiri mārire i tō tuara o raro me tō puku.
- Whakakorikori tinana i ngā wā katoa. E whakaatu ana ngā rangahau he iti ake te mamae o te paheketanga mō te hunga e noho pukumahi ana.
Mena ka whakaūtia e te whakamātautau te dysmenorrhea tuarua, ka matapakihia e tō tākuta ngā maimoatanga motuhake mō te mate taketake, tae atu ki ngā pire ārai hapūtanga, ētahi atu rongoā motuhake, te pokanga rānei.
Ā, me pēhea rā ngā rongoā rerekē mō ngā mamae o te paheketanga?
He tokomaha ngā tāngata e rapu ana i ngā huarahi taiao hei whakahaere i te mamae. Ahakoa kei te haere tonu ngā rangahau mō ngā rongoā rerekē, ngā rongoā tāpiri rānei, ko ētahi tikanga hei āwhina i te whakamamae i te mamae o te paheketanga ko:
- Yoga
- Te wero ngira me te wero ngira
- Ngā mahi whakangā, ngā mahi manawa rānei
- Te kai i ngā kai ārai-mumura (hei tauira, huawhenua matomato, pīnihi, kanekane, nati) me te inu tī matomato .
- Te tango i ngā tāpiringa pērā i te Huaora D, te Magnesium rānei (ka āwhina pea ēnei ki te whakaiti i te mumura).
Ka taea e au te ārai i te dysmenorrhea?
Kāo, kāore e taea te ārai katoa. Heoi, mā te pupuri i tētahi kai taurite me te whakakori tinana i ia wā ka āwhina i te whakaiti i te kaha o ō mamae.
Āhea koe me toro atu ki tō tākuta mō ō mamae o te paheketanga?
Mena he nui rawa te mamae o tō paheketanga, ā, kāore e taea e koe te mahi i ō mahi o ia rā, me toro atu koe ki te tākuta. He mea noa te mamae iti, engari ki te tino kaha tō mamae, ā, kāore e taea e koe te haere ki te kura, ki te mahi rānei, me rapu awhina hauora koe.
Hei āwhina i tō tākuta, tuhia ō rā paheketanga me ngā rā e tino kino ana tō mamae. Whakahuatia hoki ētahi atu tohu pēnei i te ānini o te upoko, te toto nui rānei.
Tērā pea ka pātai atu tō tākuta i te wā i tīmata ai tō paheketanga, kia pēhea te roa o ngā tohu, mēnā kei te moe tāne koe, ā, mēnā he hītori whānau mō ngā raruraru paheketanga.
Karere Tangohia ki te Kāinga
He mea noa te mamae ngawari, te kore rānei e pai i te wā o tō paheketanga. Heoi, ki te mea kei te pāngia koe e te mamae nui, te mamae o ngā paheketanga - e mōhiotia ana ko te Dysmenorrhea - kāore koe e hiahia ki te mamae puku. He huarahi whai hua hei whakahaere i ō tohu. Kōrerohia ō mamae paheketanga ki tētahi kaiwhakarato hauora. Kei reira rātou hei āwhina i a koe. Kia mahara, ehara i te mea ko koe anake; he tokomaha atu e pāngia ana e tēnei, ā, kei reira ngā otinga e wātea ana.
Nirogi Lanka – Mamae paheketanga ia marama, Dysmenorrhea, mamae paheketanga, mamae paheketanga, dysmenorrhea tuatahi, dysmenorrhea tuarua, endometriosis, fibroids, mamae kōpū, rongoā whakamamae.
