Kei te pāngia hoki koe e te toto nui i te wā o tō paheketanga? Me kōrero tātou mō te Menorrhagia!

Ki te nuinga o ngā wāhine, ehara te paheketanga i te wheako pai. He uaua ki ētahi te whakapau i ēnei rā torutoru o te marama me ngā āhuatanga pēnei i te mamae o te puku, te ngoikore, me te hurihanga o te wairua. Engari, ki te nui rawa atu tō toto i te tikanga, ki te maha ngā rā e toto ana koe, ki te nui rānei ngā toto toto e puta ana i a koe, tera pea he mate hauora e kiia nei ko te Menorrhagia . Ka taea e tēnei te whakararuraru i tō oranga o ia rā. Nō reira, me kōrero tātou mō tēnei i tēnei rā.

He aha te Menorrhagia? Kei a koe anō ēnei tohu?

Ki te kī māmā noa, ko te menorrhagia te toto e nui ake ana i te tikanga i te wā o te paheketanga, e roa ana rānei mō ētahi rā. Ki te whakaaro koe kei a koe tēnei mate, whakaarohia ēnei tohu:

• He roa ake i te whitu ngā rā tō paheketanga?
• He nui rawa te toto e totohu ana i ētahi wā, ā , me whakawhiti e koe he pākete, he tampon rānei i te iti rawa kotahi i te haora ?
• Me whakamahi e au ngā papa e rua i te wā kotahi hei whakamutu i te toto?
• Me ara ake koe i te pō ki te whakawhiti i tō paraikete ahakoa kei te moe koe?
• Ka puta he toto totoka rite te rahi ki tētahi moni, he nui ake rānei i ētahi wā i te rā?
• Kei te tino māharahara koe i te wā o tō paheketanga, ā, kāore e taea e koe te mahi i ō mahi o ia rā ?

He tokomaha te hunga kāore e pai ki te pāngia e te paheketanga. Engari ki te pāngia koe e te menorrhagia, ka tino mamae, ka tino pōuri hoki. Ko te kore e taea te haere ki te mahi, ki te kura rānei, te whakamahi i ngā papa maha, me te noho ki te kāinga ka tino whakarihariha.

Ki te pāngia koe e tētahi o ēnei tohu, me toro atu ki te tākuta tonu . Ka taea e ia te tirotiro i ō tohu me te whakatau i te pūtake o tō toto nui. Kātahi ka taea e ia te tohu i te maimoatanga tika.

He pēhea te noa o tēnei āhuatanga?

Ina hoki, ehara i te mea onge te toto nui o te paheketanga pērā i tō whakaaro . E pāngia ana e te 27% me te 54% o ngā wāhine e paheketanga ana. Ko te tikanga ehara ko koe anake.

Me pēhea koe e mōhio ai mēnā he nui rawa te toto e ngaro ana i a koe?

He maha ngā tohu o te toto nui. Kua kōrerohia e tātou i mua. Arā,:

• Te roa o te paheketanga neke atu i te whitu ngā rā.
• Neke atu i te kotahi te toto totoka rite te rahi ki te moni ka puta. Tērā pea he whero, he māwhero, he parauri, he waikura rānei te tae o tēnei toto.
• He toto e roa ana mō te rua hāora, e mākū ana i te neke atu i te kotahi te pāreti, te tampon rānei i ia hāora.
• Me ara ake koe i te pō ki te whakawhiti i te paraikete ahakoa e hiahia ana koe ki te moe.
• Te whakamahi i ngā papa e rua i te wā kotahi hei wehi kei turuturu te toto.
• I te nuinga o te wā, e 2-3 punetēpu toto ka ngaro i te wā o te paheketanga. Heoi, ki te neke atu i te 5 punetēpu toto ka ngaro (he uaua tēnei ki te ine, engari e kiia ana he pērā tonu), he toto nui anō hoki tēnā.
• Te mamae nui o te puku, te mamae rānei o te paheketanga.
• Ka taea e te toto nui te whakararuraru, te ngenge, me te poto o te manawa . Ka taea e tēnei te arahi ki te anemia .

Me pēhea koe e tino mōhio ai mēnā kei a koe te Menorrhagia? Me pēhea te āhua i raro i ngā āhuatanga noa?

Ka pāngia te kounga o tō oranga e te toto nui o te paheketanga. He tokomaha te hunga e whakaaro ana he mea whakararuraru, he mea whakararuraru hoki te paheketanga. Kua kite pea rātou i ō rātou whānau e pāngia ana e te paheketanga nui, ā, kāore i rapu rongoā mōna, ā, kua taunga rātou ki te noho pērā anō. Engari, kāore te paheketanga e aukati i ō mahi o ia rā, e whakamamae rānei.

Ko te tikanga, koinei te mea ka tupu i te wā o te paheketanga:

• Me taea e koe te whakamahi i tētahi pāreti, i tētahi tampon rānei mō ngā haora e toru ki te whā, me te kore e whakarerekētia.
• Me taea e koe te whakamahi i te kotahi noa te papa, te tampon rānei. Kaua e honoa ngā mea e rua.
• Me taea e koe te whakamahi i tētahi paraikete moe i te pō ina moe koe.
• Kāore koe e hiahia ki te kawe i ētahi atu pāreti me ngā kākahu ina wehe atu koe i te whare.
• Me taea e koe te haere ki te mahi, te haere ki waho, me te noho i tōu ao noa, me te kore he arai.

Mena kei te whakararuraru tō paheketanga i tō oranga, koinei te wā pai ki te toro atu ki te tākuta.

He aha te nui o te toto? He aha ngā take?

He maha ngā take o te menorrhagia. Tērā pea nā ngā raruraru homoni, ētahi āhuatanga hauora, ētahi rongoā rānei e tangohia ana e koe.

Ngā taurite kore o ngā homoni

Ko tō huringa paheketanga ia marama e whakahaerehia ana e ngā homoni e hangaia ana e tō tinana, pērā i te estrogen me te progesterone. Ka whakatauhia hoki e ēnei homoni te nui o te toto e totohu ana koe i roto i tō paheketanga. Mena he āhuatanga kei reira e kore ai e taurite ēnei homoni, tera pea ka nui rawa te toto e puta mai i a koe. Hei tauira:

• Anovulation: Te korenga e tukuna he hua manu mai i ngā ovaries.
• Te mate tairoi.
• Te mate ovary polycystic (PCOS).

Hei tāpiritanga, ka pāngia hoki te whakaputanga homoni e te taumaha rawa , ā, ka nui rawa te toto e puta mai ana. Kōrero ki tō tākuta mō tō taumaha tinana pai, tirohia mēnā kei te pāngia tēnei mate.

Ngā tipu kore-matepukupuku i roto i tō kōpū

Ko ētahi pukupuku pai e puta mai ana i roto i te kōpū, me ngā āhuatanga e tipu rerekē ai ngā pūtau kōpū, ka nui hoki te toto e puta ai.

• Ngā Polyps: He tipu iti ēnei e puta ana i te arai o te kōpū (endometrium) me te cervix rānei.
• Ngā Fibroids: He tipu kore-matepukupuku ēnei e tupu ana i roto i ngā uaua o te kōpū. He maha ngā wāhine e pāngia ana e ēnei, engari kāore pea he tohu e pā mai ana.
• Adenomyosis: Koinei te wā e tipu ai te kiko o te arai o roto o te kōpū ki roto i te paparanga uaua o te kōpū.

Ngā mate urutā

Ka taea hoki e ētahi mate pukupuku, tae atu ki ngā mate urutā (STI), te whakaputa toto nui.

• Trichomoniasis
• Te mate korokoro
• Chlamydia
• Te endometritis mau tonu - he mate roa o te arai o roto o te kōpū.

Ngā raruraru o te haputanga

Ka taea hoki e te toto nui te tohu whakatūpato mō ētahi raruraru ka pā mai i te wā e hapū ana.

• Te whakatahe.
• Hapūtanga ectopic: Ka whakatōngia he kukune ki waho o te kōpū.
• Ngā raruraru e pā ana ki ngā koha i muri i te pokanga cesarean (C-section niche).

Ētahi atu āhuatanga hauora

Ko te Menorrhagia he tohu o ētahi atu mate, tae atu ki ngā mate toto. Ko ētahi o ngā āhuatanga hauora noa ka puta ai te toto nui:

• Te mate a Von Willebrand - he raruraru toto totoka.
• Mate ate.
• Mate whatukuhu.
• Te mate mumura o te hope (PID).
• Te mate toto toto, te mate pēreti rānei.

Ngā tipu matepukupuku i roto i tō kōpū

Ka taea hoki te whakararu i te menorrhagia e te mate pukupuku o mua e kiia nei ko te endometrial hyperplasia. Waihoki, ko ētahi atu mate pukupuku e pā ana ki tō pūnaha whakaputa uri ka taea te whakaputa toto nui.

• Te mate pukupuku o te kōpū.
• Te mate pukupuku o te kōpū.

Ētahi rongoā

Ka taea hoki e ētahi rongoā te whakaputa toto nui i te paheketanga.

• Ngā rongoā whakaheke toto me te aspirin.
• Te rongoā whakakapinga homoni.
• Tamoxifen (he rongoā e whakamahia ana mō te mate pukupuku o te ū).
• Ngā taputapu ā-roto o te kōpū (IUD).
• Ngā whakaurunga ārai whānau.
• Ngā pire me ngā werohanga ārai whānau (hei tauira, NuvaRing®, Depo-Provera®, Implanon®).

Ki te kore e tangohia tō pūrere ārai whānau i te wā tika, ka puta pea te toto kōpū rerekē. He mea nui kia mōhio koe ki te wā tika hei tango i tō IUD, i tō tāpui rānei.

Ko wai kei te mōrearea nui ake ki te whakawhanake i te menorrhagia?

Ka pāngia te tangata katoa e te menorrhagia. Heoi, he nui ake te kitea i roto i te hunga e tata ana ki te menopause . Mena he koretake ō homoni, he momona rānei koe (he 30, neke atu rānei te taupū papatipu tinana (BMI)), he nui ake te tūponotanga o te paheketanga nui.

He aha ngā raruraru ka pā mai i te toto nui o te paheketanga?

Te toto nui rawa,He mea morearea pea, ina koa mēnā ka ngaro te toto nui tae noa ki te wā ka tīmata koe ki te whakaatu i ngā tohu o te anemia. Ka taea e te anemia te whakararu i te ora mēnā kāore e rongoatia.

Waihoki, ko ētahi āhuatanga, pērā i te mate pukupuku, e hua ai te paheketanga nui , me rapu awhina hauora i te wā tōmua. Kōrero ki tō tākuta mō ngā tūponotanga e pā ana ki te toto o tō paheketanga.

Me pēhea te tautuhi a ngā tākuta i te menorrhagia?

Hei whakatau mēnā he menorrhagia tōu, ka pātai atu tō tākuta ki a koe i ētahi pātai mō tō hītori hauora me tō huringa paheketanga, tae atu ki te whakahaere i tētahi whakamātautau tinana me te whakamātautau pelvic.

Ka pātai pea te tākuta i ngā mea penei:

• I tehea tau koe i puta ai tō paheketanga tuatahi?
• E hia ngā rā e roa ai te paheketanga?
• E hia ngā rā o aua rā ka nui tō toto e puta?
• He hītori o te paheketanga taumaha tō tētahi o tō whānau?
• He aha tō hītori hapūtanga me ngā tikanga ārai whānau o nāianei?
• He aha ngā rongoā (tae atu ki ngā rongoā kore-tohu (OTC)) e tangohia ana e koe i tēnei wā?

Kia rite hoki ki te kōrero mō tō āhua noho. Ka hiahia te tākuta ki te mōhio mēnā e rua ngā papa e whakamahia ana e koe i te wā kotahi, e ngaro ana koe i te mahi nā tō paheketanga, he here rānei kei a koe i roto i tō oranga o ia rā.

He aha ngā whakamātautau e mahia ana?

Ko te ultrasound pelvic te huarahi tino noa e taea ai e ngā tākuta te tātaritanga i te menorrhagia. Tērā pea ka mahia ētahi atu whakamātautau i runga i tō tau me te kaha o ō tohumate.

• Whakamātautau toto: Tirohia mēnā he anemia, he raruraru toto totoka, me te mate tairoi.
• Te ultrasound transvaginal: Tirohia te āhua o ngā whekau me ngā kiko i roto i te kōhao pelvis.
• Whakaahua aukume (MRI): Ki te kore e ranea ngā mōhiohio e puta mai i te ultrasound, ka whakamahia hei rapu i ngā hanganga rerekē o te kōpū.
• Pap smear: Ka tirohia ngā pūtau o te kaki o te kuao kau mō ngā huringa matepukupuku.
• Te ahurea o te kaki: Hei tirotiro mō te mate.
• Kohikohi Endometrial: He tirotiro mō ngā pūtau matepukupuku, ētahi atu āhuatanga rerekē rānei i roto i te kiko o te kōpū.

Ko ētahi atu tikanga hei āwhina i te tautuhi i te take o te toto:

• Sonohysterogram (sonography werohanga tote): Hei tirotiro mō ngā raruraru o te arai o te kōpū. Ko te whakakī i te kōpū ki te tote me te titiro ki roto.
• Hysteroscopy: Hei tirotiro i ngā polyps, ngā fibroids, ētahi atu kiko rerekē rānei i roto i te kōpū. Ka taea e tēnei tikanga te tirotiro i te tara, te cervix, me te kōpū. Ka taea hoki te tango i ngā mea e puta ai te toto, pērā i ngā fibroids me ngā polyps.

He aha ngā maimoatanga pai rawa atu mō te Menorrhagia?

Ko te maimoatanga e whakawhirinaki ana ki te take o te toto, te kaha o te toto, tō hauora, tō tau, me tō hītori hauora.

I ētahi wā, ka pai ake te menorrhagia me te kore he maimoatanga. Tērā pea nā ngā huringa iti o te homoni, nā ngā āhuatanga rānei pēnei i te pikinga o te taumaha (ka memeha haere te menorrhagia ina eke koe ki te taumaha hauora).

Kōrero ki tō tākuta mō ō raruraru hauora me ngā mea e tumanakohia ana e koe mai i te maimoatanga. Kātahi ka taea e ia te tūtohu i te huarahi mahi pai rawa atu.

Ngā rongoā

I te nuinga o te wā ka tohua e ngā tākuta he rongoā i mua i te pokanga.

• Ngā tāpiringa rino: Whakahokia mai ō taumata rino.
• Ngā rongoā anti-inflammatory kore-steroidal (NSAID): Ka taea e ngā mea pēnei i te ibuprofen, te aspirin rānei te whakaiti i te mamae me te whakaheke i te toto.
• Te ārai whānau: Ka taea e ngā pire, ngā mowhiti tara, ngā pāti, me ngā IUD te āwhina i te whakahaere i te paheketanga me te whakaiti i te toto.
• Te rongoā whakakapinga homoni (HRT): Ka taea e tēnei te āwhina i te whakataurite i ngā taumata o te estrogen me te progesterone o te tinana, me te whakaiti i te toto o te paheketanga. Ahakoa e taunakihia ana tēnei mō te toto nui i te wā perimenopause, he mōrearea anō hoki, nō reira kōrero ki tō tākuta mō tēnei mea.
• Ngā kaiwhakaoho me ngā kaiwhakahē i te homoni tuku-gonadotropin (GnRH): Ka taea e ēnei te aukati, te whakaiti rānei i te toto mō te wā poto.
• Rehu ihu Desmopressin (Stimate®): Ka āwhina i te aukati i te toto e pā ana ki te mate von Willebrand mā te āwhina i te toto kia totoka.
• Ngā rongoā ārai-fibrinolytic: Ka pakaru ngā toto toto i ngā mea pēnei i te waikawa tranexamic, ā, ka ārai i te toto nui.

Ngā pokanga me ētahi atu tikanga

Ki te kore e taea e ngā rongoā te whakaora i ngā tohu, ka tūtohu pea tō tākuta kia pokangahia. Kei te pūtake o te toto te tikanga.

• Hysteroscopy: Ka taea e tēnei te tātaritanga me te rongoā i te paheketanga nui. Ka whakamahia e te tākuta he ngongo angiangi, he rama hei tirotiro i roto i te kōpū. Kātahi ka whakamahia ngā taputapu pokanga hei tango i tetahi mea e puta ai te toto, pērā i ngā polyp.
• Te whakawhanui me te kuretate (D&C): He tikanga e tangohia ai te paparanga o waho o te kōpū. Ka taea te tuku i tēnei kiko ki te taiwhanga hei whakatau i te pūtake o te toto.
• Myomectomy: He pokanga hei tango i ngā fibroids mai i te kōpū.
• Te whakapūtanga o te uaua uterine (UAE): He tikanga e whakawhāiti ana i te rere o te toto ki ngā fibroids me ngā pukupuku.
• Te tango i te endometrium:He tikanga e whakangaro ai i te arai o te kōpū, i te katoa rānei, i tētahi wāhanga rānei.
• Te tango i te kōpū: He pokanga hei tango i te kōpū. I muri i tēnei, kāore koe e pāngia e te paheketanga, kāore hoki e hapu.

Mā tō tākuta e tūtohu te maimoatanga pai rawa atu mō te pūtake o tō toto. Tērā pea ka tīmata te maimoatanga ki ngā rongoā, kātahi ka neke atu ki ngā tikanga iti me te pokanga. Kōrero ki tō tākuta kia whiriwhiria ai te mea pai rawa atu māu.

Ka aha mēnā kāore te menorrhagia e rongoatia?

Ka taea e te toto nui te arahi ki te anemia , he mea kino rawa atu. Ki te whakaaro koe he menorrhagia tōu, he mea nui kia kite i te tākuta me te whiwhi maimoatanga.

Ka taea te whakapai ake i te āhua (Menorrhagia)?

Ae, i ētahi wā ka memeha haere te menorrhagia me te kore rongoā. Engari he pai ake te kōrero ki tō tākuta mō tēnei āhuatanga mōu. Ka noho poto noa te menorrhagia, ā, ka pai ake me te kore wawaotanga hauora. Heoi, he maha ngā wā, he mate kei raro i te take o tō paheketanga nui. Kāore pea koe e whiwhi whakaoranga mai i ō paheketanga nui kia rongoatia rā anō taua mate.

Ka taea te ārai i te toto nui o te paheketanga?

Kāore e taea te ārai i ngā tino take katoa o te paheketanga nui, engari mā te kōrero ki te tākuta mō te tātaritanga me te maimoatanga ka āwhina i a koe ki te whakahaere i tō toto me te kore e whakararuraru i te kounga o tō oranga.

He aha tāu e kī ai mō te noho tahi me tēnei mate? (Te Matapae)

Ki te kore e rongoatia, ka taea e te paheketanga taumaha te whakararuraru i tō oranga. Hei tāpiri, ka taea e te paheketanga taumaha te whakararu i te toto toto, ka taea ai e koe te ngenge me te ngoikore. Ki te kore e rongoatia, ka ara ake pea ētahi atu raruraru hauora. Mā te maimoatanga tika me te tautoko hauora, ka taea e koe te whakahaere i te paheketanga taumaha me te kore e whakararu i tō oranga.

Āhea koe me toro atu ki te tākuta mēnā kei te whakaaro koe he nui rawa te toto?

Mena kei a koe ngā tohu o te paheketanga nui, te mate toto iti, te pāngia rānei e ō paheketanga tō kounga o te oranga, me toro atu koe ki te tākuta. Mā te aroturuki i ō paheketanga i runga i te maramataka, i roto rānei i tētahi taupānga ka āwhina i a koe ki te whakatau mena he nui ake ō paheketanga i te tikanga, ā, he maha ngā rā e roa ana. Whakaaturia ēnei tuhipoka ki tō tākuta.

Whakaritea he wā hui ki tō tākuta ina kite koe me whakamahi koe i ngā papa e rua i te wā kotahi, ina ngaro rānei i a koe ngā mea e pai ana ki a koe i te wā o tō paheketanga.

Me haere koe ki te Wāhanga Maimoatanga Ohotata (ETU) ?

Kāore te nui o te paheketanga e tino mōrearea ki te ora. Heoi, ki te nui rawa te toto, ka mōrearea pea. Ki te rua, ki te toru hāora te roa o te toto e rere ana, ki te nui atu rānei i te rua ngā pāreti, ngā tampon rānei e inu ana koe i ia hāora, he tohu tēnei me toro atu koe ki te tākuta, me rapu rānei i te maimoatanga ohorere.

Ahakoa he mea noa te paheketanga nui, kāore koe e hiahia ki te mamae i te mamae e pā mai ana. Mena kei te whakararuraru te whakahaere i tō toto i tō oranga hinengaro me tō oranga tinana, kōrero ki tō tākuta. Ka taea e ia te āwhina i a koe ki te kimi i tētahi maimoatanga hei whakaora i a koe, hei tuku hoki i a koe ki te ora i te oranga e hiahiatia ana e koe, ahakoa i roto i ō paheketanga.

Karere Whakamutunga mō te Tango ki te Kāinga

• He mate kino te toto nui o te paheketanga (menorrhagia), nō reira kaua e whakama, kaua e mataku, rapua he tohutohu hauora.
• Mena he rerekē ngā tohu i tō paheketanga noa, ā, kei te whakararuraru koe i a koe (hei tauira, te whakawhiti i ngā paraikete i ia haora, te toto nui, te paheketanga neke atu i te 7 rā te roa), kaua e warewaretia.
• He raruraru nui te kore toto i roto i te toto o tēnei mate, nō reira kia tūpato ki ngā āhuatanga pēnei i te ngoikore, te ngenge, me te uaua ki te manawa.
• Ka taea te whakahaere pai i tēnei āhuatanga mā te kimi i te pūtake me te whiwhi maimoatanga tika.
• Kāore koe i te mokemoke, he tokomaha ngā tāngata e pāngia ana e ngā raruraru ōrite. Nō reira kaua e mangere ki te tono āwhina. Ko tō hauora te mea nui!

` Menorrhagia, toto nui o te paheketanga, paheketanga, hauora o ngā wāhine, kōpū, homoni, anemia