Kodi mumamvanso magazi ambiri mukakhala pamwezi? Tiyeni tikambirane za Menorrhagia!

Kwa akazi ambiri, kusamba si chinthu chosangalatsa. Anthu ena amavutika kupyola masiku ochepa a mwezi uno ndi zinthu monga kupweteka m'mimba, kumva kufooka, komanso kusintha kwa maganizo. Koma ngati mukutuluka magazi kwambiri kuposa masiku onse, ngati mukutuluka magazi kwa masiku angapo motsatizana, kapena ngati magazi anu akuundana, mwina ndi matenda otchedwa Menorrhagia . Izi zitha kusokoneza moyo wanu watsiku ndi tsiku. Chifukwa chake, tiyeni tikambirane za izi mwatsatanetsatane lero.

Kodi Menorrhagia ndi chiyani? Kodi inunso muli ndi zizindikiro izi?

Mwachidule, menorrhagia ndi kutuluka magazi kolemera kuposa kwachizolowezi panthawi ya msambo kapena komwe kumapitirira kwa masiku angapo. Ngati mukukayikira kuti muli ndi vutoli, ganizirani zizindikiro izi:

• Kodi nthawi yanu ya msambo imakhala nthawi yoposa masiku asanu ndi awiri ?
• Kodi nthawi zina mumatuluka magazi ambiri mpaka kusintha pedi kapena tampon kamodzi pa ola limodzi ?
• Kodi ndiyenera kugwiritsa ntchito mapepala awiri nthawi imodzi kuti ndisiye kutuluka magazi?
• Kodi muyenera kudzuka usiku kuti musinthe pedi yanu ngakhale mutagona?
• Kodi magazi amaundana kukula kwa ndalama imodzi kapena kuposerapo kangapo patsiku?
• Kodi mumamva kusamasuka kwambiri munthawi yanu ya msambo kotero kuti simungathe kuchita zinthu zanu zachizolowezi ?

Anthu ambiri sakonda kukhala ndi msambo. Koma ngati muli ndi msambo (menorrhagia), zingakhale zovuta komanso zopweteka kwambiri. Kusatha kupita kuntchito kapena kusukulu, kugwiritsa ntchito ma pad ambiri komanso kukhala panyumba kungakhale kokhumudwitsa kwambiri.

Ngati mukukumana ndi zizindikiro izi, pitani kwa dokotala nthawi yomweyo . Iye akhoza kufufuza zizindikiro zanu ndikupeza chomwe chikukuchititsani kutuluka magazi ambiri. Kenako, akhoza kukupatsani chithandizo choyenera.

Kodi vutoli ndi lofala bwanji?

Ndipotu, kutuluka magazi ambiri m'mimba si zachilendo monga momwe mungaganizire . Zimakhudza akazi pakati pa 27% ndi 54% omwe amasamba. Izi zikutanthauza kuti simuli nokha.

Kodi mumadziwa bwanji ngati mukutaya magazi ambiri?

Pali zizindikiro zingapo za kutuluka magazi ambiri. Takambiranapo pang'ono za izi kale. Mwa kuyankhula kwina:

• Msambo umatenga masiku opitilira asanu ndi awiri.
• Magazi opitirira limodzi kukula kwa ndalama amadutsa. Magazi awa akhoza kukhala ofiira, pinki, bulauni, kapena ngakhale amitundu yofiira.
• Kutuluka magazi komwe kumatenga pafupifupi maola awiri, kunyowetsa pedi kapena tampon yoposa imodzi pa ola limodzi.
• Kudzuka usiku kuti musinthe chofunda ngakhale mutakhala kuti mukufuna kugona.
• Kugwiritsa ntchito mapepala awiri pamodzi poopa kutuluka kwa magazi.
• Kawirikawiri, supuni ziwiri kapena zitatu za magazi zimatayika panthawi ya msambo. Komabe, ngati supuni zoposa zisanu za magazi zatayika (izi zimakhala zovuta kuziyeza, koma nthawi zambiri zimanenedwa kuti zili choncho), ndiye kuti magazi ambiri amatuluka.
• Kukhala ndi ululu waukulu m'mimba kapena kupweteka kwa msambo.
• Kutuluka magazi ambiri kungayambitse kufooka, kutopa, komanso kupuma movutikira . Izi zingayambitse kuchepa kwa magazi m'thupi .

Kodi mungadziwe bwanji ngati muli ndi Menorrhagia? Kodi ziyenera kukhala bwanji ngati zinthu zili bwino?

Kutuluka magazi ambiri m'mimba kungakhudze moyo wanu . Anthu ambiri amaganiza kuti kusamba ndi chinthu chomwe chiyenera kukhala chosasangalatsa komanso chovuta. Mwina adawonapo achibale awo akuvutika ndi kusamba kwambiri ndipo sanafune chithandizo, ndipo azolowera kukhala ndi moyo womwewo. Koma kusamba sikuyenera kuletsa zochita zanu za tsiku ndi tsiku kapena kuvutika.

Kawirikawiri, izi ndi zomwe zimachitika panthawi ya msambo:

• Muyenera kugwiritsa ntchito pedi wamba kapena tampon kwa maola atatu kapena anayi osasintha.
• Muyenera kugwiritsa ntchito pedi imodzi kapena tampon imodzi yokha. Simuyenera kuyika ziwiri pamodzi.
• Muyenera kugwiritsa ntchito chopukutira usiku wonse mukagona.
• Simukuyenera kunyamula mapepala ndi zovala zina mukatuluka m'nyumba.
• Muyenera kupita kuntchito, kutuluka, ndikukhala moyo wanu bwino popanda zopinga zilizonse.

Ngati nthawi yanu ya msambo ikusokoneza moyo wanu, ndi nthawi yabwino yoti mukaonane ndi dokotala.

N’chifukwa chiyani magazi ambiri amatuluka? Kodi zimayambitsa chiyani?

Kusamba kwa msambo kumatha kukhala ndi zifukwa zambiri. Kungayambitsidwe ndi mavuto a mahomoni, matenda enaake, kapena mankhwala enaake omwe mumamwa.

Kusalingana kwa mahomoni

Kusamba kwanu kwa mwezi uliwonse kumayendetsedwa ndi mahomoni opangidwa ndi thupi lanu, monga estrogen ndi progesterone. Ma mahomoni amenewa amazindikiranso kuchuluka kwa magazi omwe mumataya panthawi ya msambo. Ngati pali vuto lomwe limapangitsa kuti mahomoniwa asayende bwino, mutha kutuluka magazi ambiri. Mwachitsanzo:

• Kutulutsa mazira m'mimba: Kulephera kutulutsa dzira kuchokera m'mazira obereketsa.
• Matenda a chithokomiro.
• Matenda a ovary a Polycystic (PCOS).

Kuphatikiza apo, kunenepa kwambiri kungakhudzenso kupanga mahomoni ndi kuyambitsa kutuluka magazi ambiri. Lankhulani ndi dokotala wanu za kulemera kwanu komwe mukufuna ndipo muwone ngati kukukhudza vutoli.

Zomera zopanda khansa m'chiberekero chanu

Ziphuphu zina zosaopsa zomwe zimapangika m'chiberekero ndi momwe maselo a chiberekero amakulira molakwika zingayambitsenso kutuluka magazi ambiri.

• Ma polyps: Awa ndi ma puloteni ang'onoang'ono omwe amapangika pa chiberekero (endometrium) kapena khomo lachiberekero.
• Ma Fibroids: Izi ndi zotupa zomwe sizimayambitsa khansa zomwe zimakula m'minofu ya chiberekero. Azimayi ambiri amakhala nazo, koma mwina sangakhale ndi zizindikiro zilizonse.
• Adenomyosis: Apa ndi pamene minofu yochokera mkati mwa chiberekero imakula kukhala minofu ya chiberekero.

Matenda

Matenda ena, kuphatikizapo matenda opatsirana pogonana (STIs), angayambitsenso kutuluka magazi ambiri.

• Trichomoniasis
• Chizonono
• Chlamydia
• Endometritis yosatha - matenda a nthawi yayitali a mkati mwa chiberekero.

Mavuto a mimba

Kutuluka magazi ambiri kungakhalenso chizindikiro cha mavuto ena omwe angachitike panthawi ya mimba.

• Kutaya mimba.
• Mimba yotuluka m'mimba: Kuika mwana wosabadwayo kunja kwa chiberekero.
• Mavuto okhudzana ndi zipsera pambuyo pa opaleshoni (kuchotsa mimba).

Matenda ena

Kusamba kwa msambo ndi chizindikiro cha matenda ena ambiri, kuphatikizapo matenda otuluka magazi. Matenda ena ofala omwe angayambitse kutuluka magazi kwambiri ndi awa:

• Matenda a Von Willebrand - vuto la magazi kuundana.
• Matenda a chiwindi.
• Matenda a impso.
• Matenda otupa m'chiuno (PID).
• Matenda a leukemia kapena platelet.

Matenda a khansa m'chiberekero mwanu

Kusamba kwa msambo kungayambitsidwenso ndi vuto lotchedwa endometrial hyperplasia lomwe limayambitsa khansa. Komanso, khansa zina zomwe zimakhudza njira yanu yoberekera zingayambitse kutuluka magazi ambiri.

• Khansa ya m'chiberekero.
• Khansa ya pachibelekero.

Mankhwala ena

Mankhwala ena angayambitsenso kutuluka magazi ambiri m'mimba.

• Mankhwala ochepetsa magazi ndi aspirin.
• Chithandizo cholowa m'malo mwa mahomoni.
• Tamoxifen (mankhwala ogwiritsidwa ntchito pochiza khansa ya m'mawere).
• Zipangizo zamkati mwa chiberekero (IUDs).
• Ma implants oletsa kubereka.
• Mapiritsi oletsa kubereka ndi jakisoni (monga NuvaRing®, Depo-Provera®, Implanon®).

Kusachotsa chipangizo chanu cholerera pa nthawi yake kungayambitsenso kutuluka magazi m'chiberekero molakwika. Ndikofunikira kudziwa nthawi yeniyeni yochotsera IUD kapena choyikamo chanu.

Ndani ali pachiwopsezo chachikulu cha kusamba kwa menorrhagia?

Aliyense akhoza kudwala menorrhagia. Komabe, izi zimachitika kwambiri kwa anthu omwe atsala pang'ono kusamba . Ngati muli ndi kusalinganika kwa mahomoni kapena muli ndi kunenepa kwambiri (body mass index (BMI) ya 30 kapena kupitirira apo), muli pachiwopsezo chachikulu chokhala ndi nthawi yosamba kwambiri.

Kodi ndi mavuto otani omwe angayambitse kutuluka magazi ambiri m'mimba?

Kutuluka magazi kwambiri,Zingakhale zoopsa, makamaka ngati mwataya magazi okwanira mpaka kufika poti mwayamba kusonyeza zizindikiro za kuchepa kwa magazi m'thupi. Kuchepa kwa magazi m'thupi kungakhale koopsa ngati sikuchiritsidwa.

Komanso, matenda ena, monga khansa, omwe amayambitsa msambo wambiri angafunike thandizo lachipatala msanga. Lankhulani ndi dokotala wanu za zoopsa zilizonse zokhudzana ndi kutuluka magazi m'mimba mwanu.

Kodi madokotala amazindikira bwanji menorrhagia?

Kuti adziwe ngati muli ndi menorrhagia, dokotala wanu adzakufunsani mafunso angapo okhudza mbiri yanu yachipatala komanso nthawi yanu ya kusamba, komanso adzakuyezani thupi lanu ndi kuyeza chiuno.

Dokotala akhoza kufunsa mafunso monga:

• Kodi munayamba kusamba msambo pa msinkhu wanji?
• Kodi kusamba kumatenga masiku angati?
• Ndi masiku angati mwa masiku amenewo omwe mumatuluka magazi ambiri?
• Kodi pali aliyense m'banja mwanu amene wakhala ndi nthawi yovuta ya msambo?
• Kodi mbiri yanu ya mimba ndi njira zolerera zotani zomwe zilipo panopa?
• Ndi mankhwala ati (kuphatikizapo mankhwala ogulitsidwa kunja kwa chipatala (OTC) omwe mukumwa panopa) omwe mukumwa panopa?

Khalani okonzeka kukambirana za moyo wanu. Dokotala adzafuna kudziwa ngati mumagwiritsa ntchito mapepala awiri nthawi imodzi, simukugwira ntchito chifukwa cha msambo wanu, kapena muli ndi zoletsa zilizonse pa moyo wanu watsiku ndi tsiku.

Ndi mayeso ati omwe amachitidwa?

Kuyeza ultrasound m'chiuno ndiyo njira yodziwika bwino yomwe madokotala amapezera matenda a menorrhagia. Mayeso ena angachitike kutengera zaka zanu komanso kuopsa kwa zizindikiro zanu.

• Kuyezetsa magazi: Kuyezetsa ngati magazi ali ndi magazi ochepa, mavuto okhudza magazi kuundana, komanso matenda a chithokomiro.
• Ultrasound ya Transvaginal: Onani momwe ziwalo ndi minofu zilili m'chiuno.
• Kujambula kwa maginito (MRI): Ngati ultrasound sikupereka chidziwitso chokwanira, imagwiritsidwa ntchito kufufuza mawonekedwe osazolowereka m'chiberekero.
• Kuyeza kwa Pap: Kufufuza maselo a pachibelekero kuti awone ngati pali kusintha kwa khansa.
• Kusamalira chiberekero: Kuyang'ana ngati pali matenda.
• Kufufuza za endometrial biopsy: Kufufuza maselo a khansa kapena zolakwika zina mu minofu ya chiberekero.

Njira zina zomwe zingathandize kudziwa chomwe chimayambitsa kutuluka magazi:

• Sonohysterogram (sonography ya saline-infusion): Kufufuza mavuto omwe ali m'kati mwa chiberekero. Izi zimaphatikizapo kudzaza chiberekero ndi saline ndikuyang'ana mkati.
• Hysteroscopy: Kufufuza ngati pali ma polyps, ma fibroids, kapena minofu ina yosazolowereka m'chiberekero. Njirayi imatha kufufuza nyini, khomo lachiberekero, ndi chiberekero. Ingathenso kuchotsa zinthu zomwe zimayambitsa kutuluka magazi, monga ma fibroids ndi ma polyps.

Kodi ndi mankhwala ati abwino kwambiri a Menorrhagia?

Chithandizo chimadalira chifukwa cha kutuluka magazi, kuopsa kwa kutuluka magazi, thanzi lanu, zaka zanu, ndi mbiri yanu yachipatala.

Nthawi zina, menorrhagia imachepa popanda chithandizo. Izi zitha kuchitika chifukwa cha kusintha pang'ono kwa mahomoni kapena zinthu zina monga kunenepa (menorrhagia nthawi zambiri imachepetsa mukafika pa kulemera kwabwino).

Lankhulani ndi dokotala wanu za mavuto anu azaumoyo komanso zomwe mukuyembekezera kuchokera ku chithandizo. Kenako angakupatseni malangizo abwino kwambiri.

Mankhwala

Kawirikawiri madokotala amapereka mankhwala asanayambe opaleshoni.

• Zowonjezera za chitsulo: Bwezeretsani kuchuluka kwa chitsulo chanu.
• Mankhwala oletsa kutupa (NSAIDs): Zinthu monga ibuprofen kapena aspirin zingathandize kuchepetsa ululu ndikuchepetsa kutuluka magazi.
• Kuletsa kubereka: Mapiritsi, mphete za m'chiberekero, ma patch, ndi ma IUD angathandize kulamulira msambo ndikuchepetsa kutuluka magazi.
• Chithandizo chobwezeretsa mahomoni (HRT): Izi zingathandize kuchepetsa kuchuluka kwa estrogen ndi progesterone m'thupi ndikuchepetsa kutuluka magazi m'mimba. Ngakhale kuti izi zimalimbikitsidwa pakumwa magazi ambiri panthawi ya kusamba, zimakhala ndi zoopsa, choncho lankhulani ndi dokotala wanu za izi.
• Mankhwala otchedwa gonadotropin-releasing hormone (GnRH) agonists ndi antagonists: Izi zimatha kuyimitsa kapena kuchepetsa kutuluka magazi kwakanthawi.
• Mankhwala opopera a m'mphuno otchedwa Desmopressin (Stimate®): Amathandiza kuletsa kutuluka magazi chifukwa cha matenda a von Willebrand mwa kuthandiza magazi kuundana.
• Mankhwala oletsa fibrinolytic: Zinthu monga tranexamic acid zimaphwanya magazi kuundana ndipo zimaletsa kutuluka magazi ambiri.

Maopaleshoni ndi njira zina

Ngati mankhwala sakuchepetsa zizindikiro, dokotala wanu angakulangizeni opaleshoni. Zimatengera chomwe chayambitsa kutuluka magazi.

• Hysteroscopy: Izi zimatha kuzindikira ndi kuchiza msambo wolemera. Dokotala amagwiritsa ntchito chubu chopepuka komanso chopepuka kuti ayang'ane mkati mwa chiberekero. Kenako, zida zochitira opaleshoni zimagwiritsidwa ntchito kuchotsa chilichonse chomwe chimayambitsa kutuluka magazi, monga ma polyps.
• Kutambasula ndi kupukuta chiberekero (D&C): Njira yochotsera chiberekero chakunja. Minofu iyi ikhoza kutumizidwa ku labu kuti idziwe chomwe chayambitsa kutuluka magazi.
• Myomectomy: Opaleshoni yochotsa ma fibroids m'chiberekero.
• Kuletsa mitsempha ya m'mimba (UAE): Njira yochepetsera magazi kupita ku ma fibroids ndi zotupa.
• Kuchotsa mimba ya endometrial:Njira yowononga zonse kapena gawo la chiberekero.
• Kuchotsa chiberekero: Opaleshoni yochotsera chiberekero. Mukamaliza izi, simudzasamba kapena kutenga mimba.

Dokotala wanu adzakulangizani chithandizo chabwino kwambiri chomwe chimayambitsa kutuluka magazi. Chithandizo chimayamba ndi mankhwala, kenako n’kupita ku njira zazing’ono komanso opaleshoni. Lankhulani ndi dokotala wanu kuti akusankheni chomwe chili chabwino kwa inu.

Kodi chimachitika ndi chiyani ngati menorrhagia sichithandizidwe?

Kutuluka magazi ambiri kungayambitse kuchepa kwa magazi m'thupi , zomwe zingakhale zoopsa kwambiri. Ngati mukuganiza kuti muli ndi menorrhagia, ndikofunikira kuonana ndi dokotala ndikupeza chithandizo.

Kodi vuto (Menorrhagia) lingachiritsidwe?

Inde, nthawi zina menorrhagia imatha popanda chithandizo. Koma ndi bwino kulankhula ndi dokotala wanu ngati izi zili choncho kwa inu. Menorrhagia ikhoza kukhala kwakanthawi ndipo imatha popanda thandizo lachipatala. Komabe, nthawi zambiri, pamakhala vuto lina lomwe limayambitsa msambo wanu wolemera. Simungapeze mpumulo ku msambo wanu wolemera mpaka vutoli litachiritsidwa.

Kodi kutuluka magazi ambiri m'mimba kungapewedwe?

Sizifukwa zonse zomwe zimayambitsa msambo wambiri zomwe zingapewedwe, koma kulankhula ndi dokotala kuti akupezeni matenda ndi chithandizo kungakuthandizeni kuchepetsa kutuluka magazi popanda kusokoneza moyo wanu.

Kodi mukuti chiyani pankhani yokhala ndi vutoli? (Zomwe mungayembekezere)

Ngati simulandira chithandizo, nthawi yochuluka ingasokoneze moyo wanu. Kuphatikiza apo, nthawi yochuluka ingayambitse kuchepa kwa magazi m'thupi, zomwe zingakupangitseni kumva kutopa komanso kufooka. Ngati simulandira chithandizo, mavuto ena azaumoyo angabukenso. Ndi chithandizo choyenera komanso chithandizo chamankhwala, mutha kuwongolera nthawi yochuluka popanda kuwononga thanzi lanu.

Kodi muyenera kupita kwa dokotala liti ngati mukuganiza kuti mwatuluka magazi ambiri?

Ngati muli ndi zizindikiro za kusamba kwambiri, kuchepa kwa magazi m'thupi, kapena ngati kusamba kwanu kukukhudza moyo wanu, muyenera kuonana ndi dokotala. Kulemba kalendala kapena pulogalamu kungakuthandizeni kudziwa ngati kusamba kwanu kuli kolemera kuposa masiku onse ndipo kumatha kwa masiku angapo. Onetsani dokotala wanu zolemba izi.

Konzani nthawi yokumana ndi dokotala wanu mukangozindikira kuti muyenera kugwiritsa ntchito mapepala awiri nthawi imodzi, kapena kuti mukuphonya zinthu zomwe mumakonda panthawi yanu ya msambo.

Kodi muyenera kupita ku Chipinda Chothandizira Anthu Odwala Mwadzidzidzi (ETU) ?

Kusamba kwambiri nthawi zambiri sikuika moyo pachiswe. Komabe, ngati mukutuluka magazi ambiri, kungakhale koopsa. Ngati mukutuluka magazi kwa maola awiri kapena atatu motsatizana, kapena ngati mukuviika ma pedi kapena ma tampons opitilira awiri pa ola limodzi, ndi chizindikiro chakuti muyenera kuwona dokotala kapena kupeza chithandizo chadzidzidzi.

Ngakhale kuti nthawi zambiri zimakhala zovuta, simuyenera kupirira kusasangalala komwe kumabwera chifukwa cha nthawiyo. Ngati kuchepetsa kutuluka magazi kukusokoneza thanzi lanu la maganizo ndi thupi, lankhulani ndi dokotala wanu. Iye angakuthandizeni kupeza chithandizo chomwe chingakupatseni mpumulo ndikukuthandizani kukhala ndi moyo womwe mukufuna, ngakhale panthawi ya nthawi yanu.

Uthenga Womaliza Wopita Nawo Kunyumba

• Kutaya magazi ambiri msambo (menorrhagia) kungakhale vuto lalikulu, choncho musamachite manyazi kapena mantha, koma funsani upangiri kwa dokotala.
• Ngati muli ndi zizindikiro zosiyana ndi zomwe mumachita nthawi zonse ndipo zikukupangitsani kusasangalala (monga kusintha ma pedi ola lililonse, kutuluka magazi ambiri, kapena kusamba komwe kumatenga masiku opitilira 7), musanyalanyaze zimenezo.
• Kuchepa kwa magazi m'thupi ndi vuto lalikulu la vutoli, choncho samalani ndi zinthu monga kufooka, kutopa, komanso kupuma movutikira.
• Vutoli lingathe kuthetsedwa bwino mwa kupeza chomwe chikuyambitsa ndi kulandira chithandizo choyenera.
• Simuli nokha, pali anthu ambiri omwe akukumana ndi mavuto ofanana. Choncho musazengereze kupempha thandizo. Thanzi lanu ndilo chinthu chofunika kwambiri!

Kusamba kwa msambo, kutuluka magazi ambiri msambo, kusamba, thanzi la akazi, chiberekero, mahomoni, kuchepa kwa magazi m'thupi