Kodi nthawi yanu ya mwezi ndi yosasinthasintha? (Nthawi Yosasinthasintha) Tiyeni tikambirane izi!

Vuto lomwe akazi ambiri, alongo, ndi ana aakazi ali nalo ndilakuti msambo wawo sufika pa nthawi yake. Miyezi ina imabwera msanga, ina imachedwa. Nthawi zina imatenga masiku ambiri, ndipo nthawi zina magazi amatuluka kwambiri. Mwinanso mukudzifunsa ngati izi ndi zachilendo kapena pali vuto lodetsa nkhawa. Chifukwa chake musadandaule, tikambirana izi m'njira yosavuta komanso yomveka bwino lero.

Choyamba, tiyeni tiwone tanthauzo la kusamba 'kwabwinobwino'.

Tikamalankhula za msambo 'wabwinobwino', anthu ambiri amaganiza kuti uyenera kuchitika masiku 28 aliwonse. Koma si zoona kwa aliyense. Izi zitha kusiyana malinga ndi munthu.

Mwachidule, msambo wa mkazi wathanzi umaonedwa kuti ndi wabwinobwino ngati uchitika pakati pa masiku 21 ndi 35. Izi zikutanthauza kuti ngati muli ndi msambo umodzi ndipo uli masiku 25 musanayambe msambo wina, kenako masiku 30 pambuyo pake, si nkhani yaikulu. Komanso, chiwerengero cha masiku omwe msambo wanu umatha, ndiko kuti, chiwerengero cha masiku omwe mumatuluka magazi, nthawi zambiri chimakhala pakati pa masiku 4 ndi 7 .

Ndiye kodi nthawi 'yosakhazikika' imatanthauza chiyani?

Ndizachibadwa kukhala ndi kusintha pang'ono pa nthawi yanu ya msambo. Komabe, pali kusintha kwina komwe tiyenera kuda nkhawa nako. Timatcha izi kuti 'kusanza kosakhazikika'.

Mungapeze lingaliro labwino pa izi kuchokera patebulo ili m'munsimu.

Matenda ena okhudzana ndi kusakhazikika kwa zinthu

Pali mawu ambiri azachipatala okhudzana ndi kusamba kosakhazikika. Ndi bwino kudziwa pang'ono za mawuwa.

• Kusasamba: Uku ndiko kutha kwathunthu kwa msambo. Pokhapokha ngati muli ndi pakati, mukuyamwitsa, kapena mwadutsa mu kusamba, si zachilendo kuti msambo wanu usiye kwa miyezi itatu kapena kuposerapo. Zingakhalenso choncho ngati simunayambe kusamba muli ndi zaka 15 kapena 16.
• Oligomenorrhea: Apa ndi pamene msambo umachitika kawirikawiri. Izi zikutanthauza kuti, umachitika kangapo pa masiku 35 aliwonse, koma pafupifupi nthawi 6-8 pachaka.
• Dysmenorrhea: Ili ndi dzina lachipatala lotanthauza ululu waukulu panthawi ya msambo. Ngakhale kupweteka pang'ono ndi kwachibadwa, ngati ululuwo ndi wosapiririka ndipo ukukulepheretsani kuchita ntchito zanu za tsiku ndi tsiku, muyenera kuda nkhawa.

N’chifukwa chiyani izi zimachitika? Kodi ndi zinthu ziti zomwe zimayambitsa kusamba kosakhazikika?

Palibe chifukwa chimodzi chokha chomwe chimayambitsa kusakhazikika kwa msambo, koma pali zinthu zambiri zomwe zingayambitse kusakhazikika kwa msambo. Izi zimatha kuyambira kupsinjika pang'ono mpaka matenda aakulu.

Chifukwa cha matenda ena...

Matenda ena angayambitse kusalinganika kwa mahomoni athu ndi kuyambitsa kusasamba kosakhazikika.

• Matenda a Polycystic Ovary Syndrome (PCOS): Uwu ndi vuto lomwe limapezeka mwa atsikana ambiri. Chomwe chimachitika apa ndichakuti mazira anu amatulutsa mahomoni ambiri achimuna otchedwa androgen. Izi zingayambitse ovulation kusakhalapo kapena kuchedwa. Choncho msambo umakhala wosakhazikika.
• Endometriosis: Apa ndi pamene minofu yomwe ili mkati mwa chiberekero (minofu ya endometrial) imakula kunja kwa chiberekero, monga m'mazira obereketsa kapena m'machubu a fallopian. Izi zingayambitse kupweteka kwambiri komanso kutuluka magazi mosadziwika bwino musanayambe komanso panthawi ya msambo.
• Matenda Otupa a Pelvic (PID): Uwu ndi matenda a bakiteriya omwe amakhudza ziwalo zoberekera. Nthawi zambiri amayamba chifukwa cha matenda opatsirana pogonana omwe sanalandire chithandizo. Angayambitsenso zizindikiro monga kusanza kosakhazikika, kutuluka magazi ambiri m'mimba, komanso kupweteka m'mimba.
• Matenda a Chithokomiro: Kusagwira bwino ntchito kwa chithokomiro (hypothyroidism) kapena kugwira ntchito mopitirira muyeso (hyperthyroidism) kungayambitse kusintha kwakukulu kwa mahomoni. Izi zimakhudza mwachindunji nthawi ya msambo.
• Khansa ya chiberekero kapena mazira: Khansa zina zingayambitsenso zizindikiro monga kusasamba kosakhazikika komanso kutuluka magazi ambiri. Ngakhale izi sizichitika kawirikawiri, ndikofunikira kudziwa.

Chifukwa cha kusintha kwa moyo wathu...

Kusintha kwa moyo wathu watsiku ndi tsiku komanso zizolowezi zathu zimakhudzanso mwachindunji nthawi ya msambo.

• Kupsinjika Maganizo: Tangoganizirani kuti muli ndi mayeso omwe akubwera, kapena vuto kuntchito, kapena vuto la m'banja... Kupsinjika maganizo kukakula motere, mahomoni m'thupi lathu amasintha. Chifukwa cha izi, nthawi yanu ya msambo ikhoza kuchedwa, kufika msanga, kapena kusachitika konse mwezi womwewo.
• Kusintha kwa kulemera: Kulemera kapena kuchepa thupi mwadzidzidzi kungakhudzenso mahomoni. Makamaka kwa anthu ofooka kwambiri komanso omwe ali ndi mafuta ochepa m'thupi (monga othamanga mtunda wautali, ovina), kusamba kumatha kutha.
• Kuchita masewera olimbitsa thupi mopitirira muyeso: Kuchita masewera olimbitsa thupi pang'ono ndikwabwino. Komabe, kuchita masewera olimbitsa thupi mopitirira muyeso kapena mopitirira muyeso kungayambitse kusayenda bwino kwa msambo.
• Matenda ena: Matenda akanthawi, monga chimfine chofala cha kachilombo, angayambitsenso kuti msambo wanu uchedwe mwezi umenewo.

Zifukwa zina...

• Mapiritsi Oletsa Kubereka:Mukayamba kapena kusiya kugwiritsa ntchito mapiritsi oletsa kubereka, zimatenga miyezi ingapo kuti mahomoni m'thupi lanu abwerere mwakale. Panthawiyi, msambo wanu ukhoza kukhala wosakhazikika.
• Mankhwala ena: Mankhwala ena, monga ma steroids ndi ma anticoagulants, angayambitsenso kusintha kwa msambo.
• Mavuto okhudzana ndi mimba: Ngati mimba yapita padera kapena yatuluka m'mimba, kutuluka magazi kosakhazikika kungachitike.

Kodi chingachitike n’chiyani pa izi? Kodi dokotala amazindikira bwanji izi?

Ngati muwona kusintha kulikonse pa nthawi yanu ya msambo, chinthu chabwino kwambiri chomwe mungachite ndi kulemba tsiku lanu lobadwa. Lembani pa kalendala kapena mu pulogalamu pafoni yanu. Lembani tsiku lomwe linayamba, tsiku lomwe linatha, kuchuluka kwa magazi omwe munali nawo (ochuluka kapena ochepa), komanso ngati munali ndi kupweteka m'mimba. Izi zidzakhala zofunika kwambiri mukapita kukaonana ndi dokotala.

Dokotala adzakuyang'anirani, adzakufunsani za nthawi yanu ya kusamba komanso mbiri yanu ya matenda, ndipo angachitenso mayeso kuti adziwe chomwe chimayambitsa matendawa.

• Kujambula kwa ultrasound m'chiuno: Izi zili ngati kujambula mwana m'mimba. Kungayang'ane chiberekero chanu ndi mazira kuti muwone ngati pali zotupa zilizonse (fibroids, polyps, cysts) kapena zina zolakwika.
• Kufufuza za Endometrial Biopsy: Izi zimaphatikizapo kutenga chidutswa chaching'ono kwambiri cha minofu kuchokera mkati mwa chiberekero chanu ndikuchiyang'ana. Musadandaule, izi zitha kuzindikira molondola zinthu monga kusalingana kwa mahomoni ndi endometriosis.
• Hysteroscopy: Mu njira imeneyi, kamera kakang'ono kamalowetsedwa kudzera mu nyini kupita mu chiberekero kuti kaone mkati.

Kodi chithandizo chake ndi chiyani?

Chithandizo chimadalira chifukwa cha msambo wanu wosakhazikika.

Mankhwala

Kawirikawiri, chithandizo choyamba ndi mankhwala.

• Kuletsa kubereka pogwiritsa ntchito mahomoni: Izi zimathandiza kwambiri pa nthawi yosakhazikika ya msambo chifukwa cha matenda monga PCOS ndi uterine fibroids. Zimagwira ntchito powongolera kuchuluka kwa mahomoni anu ndikuwongolera nthawi yanu ya msambo. Zimabwera mu mawonekedwe a mapiritsi, jakisoni, mphete ya m'chiberekero, kapena IUD.
• Tranexamic Acid: Mankhwala omwe amagwiritsidwa ntchito poletsa kutuluka magazi kwambiri.
• Mankhwala Ochepetsa Ululu: Pa ululu wochepa, mutha kumwa mankhwala ochepetsa ululu monga paracetamol kapena ibuprofen. Komabe, ngati ululuwo ndi waukulu, pitani kwa dokotala kuti akupatseni upangiri.
• Chithandizo cha Mahomoni: Chithandizochi chingakhale chothandiza pa nthawi yosakhazikika ya msambo yomwe imachitika nthawi ya kusamba.
• Mankhwala Opha Utoto: Ngati vuto la matendawa layamba chifukwa cha matenda, mankhwala opha tizilombo adzaperekedwa.

Maopaleshoni

Pa milandu yoopsa yomwe singathetsedwe ndi mankhwala, opaleshoni ingafunike. Chisankhochi chimapangidwa kutengera zaka zanu, matenda anu, komanso ngati mukufuna kukhala ndi ana mtsogolo.

• Kuchotsa Endometrial Ablation: Njira yochotsera chiberekero kuti muchepetse kutuluka magazi ambiri. Izi sizoyenera kwa iwo omwe akuyembekeza kutenga pakati mtsogolo.
• Kuchotsa fibroids ya uterine (Myomectomy): Kuchotsa fibroids ya uterine.
• Kuchotsa chiberekero: Kuchotsa chiberekero chonse ngati njira yomaliza ngati chiberekero chawonongeka kwambiri ndipo sichingathe kuchiritsidwa ndi chithandizo china chilichonse.

Kodi tingatani kuti tichepetse chiopsezochi?

Pali zinthu zingapo zomwe mungachite kuti nthawi yanu ya msambo ikhale yokhazikika momwe mungathere.

• Khalani ndi moyo wathanzi. Idyani zakudya zoyenera komanso chita masewera olimbitsa thupi pang'ono.
• Ngati mukufuna kuchepetsa thupi, chitani pang'onopang'ono. Musadye zakudya zopatsa mphamvu zomwe zimakulepheretsani kudya nthawi imodzi.
• Patsani thupi lanu mpumulo womwe likufuna. Gonani mokwanira masana.
• Chepetsani nkhawa. Pumulani maganizo anu mwa kuchita zinthu monga kusinkhasinkha, yoga, kapena kuchita zinthu zomwe mumakonda.
• Pewani kuchita masewera olimbitsa thupi mopitirira muyeso komanso molimbika.
• Sinthani ma pad kapena ma tampons anu maola 4-6 aliwonse. Izi zingathandize kupewa matenda.
• Pitirizani kukaonana ndi dokotala wa matenda a akazi ndi dokotala wa banja lanu kuti mukayezedwe nthawi zonse.

Kodi ndiyenera kupita kwa dokotala liti?

• Ngati mukumva ululu wosapiririka, woopsa panthawi ya msambo kapena pakati pa nthawi yanu ya msambo.
• Kutuluka magazi ambiri modabwitsa (kunyowetsa pad yoposa imodzi mu maola 2-3) kapena kutulutsa magazi ambiri oundana.
• Ngati pali kutuluka kwa fungo loipa kuchokera ku nyini.
• Ngati msambo umatenga masiku opitilira asanu ndi awiri .
• Ngati mukumva kutuluka magazi kapena kutuluka magazi a bulauni pakati pa nthawi ya msambo kapena mutamaliza kusamba.
• Ngati nthawi yanu ya msambo nthawi zonse imakhala yosakhazikika mwadzidzidzi .
• Ngati mukumva nseru kapena kusanza nthawi yomwe mukuchita msambo.
• Ngati mukukayikira kuti muli ndi pakati .