Kodi nthawi yanu ya msambo si yofanana? Kodi mumatuluka magazi ambiri kwa masiku angapo motsatizana? Kapena mumasiya kutuluka magazi kwathunthu, kenako n’kuyambanso kutuluka magazi pang’ono? Ndizachibadwa kumva mantha pang’ono zinthu ngati izi zikachitika. Nthawi zambiri, zizindikirozi zimayambitsidwa ndi kukula pang’ono m’chiberekero. M’mawu azachipatala, timazitcha ``Uterine Polyps''. Choncho lero, tiyeni tikambirane za izi. Musadandaule, nthawi zambiri, iyi si khansa.
Mwachidule, kodi ma polyps a uterine ndi chiyani?
Ma polyps a m'chiberekero, kapena "Ma polyps a m'chiberekero", ndi kukula kwa minofu komwe kumapangika pakhoma lamkati la chiberekero chanu, "Endometrium" komwe mwana amakulira pambuyo pa kutenga pakati. Ali ngati kukula kwa minofu komwe nthawi zina kumapachikidwa pakhungu lathu.
Ma fibroids amenewa amakula kulowa m'mimba mwa kudzilumikiza okha ku khoma la chiberekero ndi phesi lopyapyala kapena maziko okulirapo pang'ono. Amatha kukhala ozungulira kapena ozungulira. Amatha kukula mosiyanasiyana kuyambira kukula kwa mbewu yaying'ono ya sesame mpaka kukula kwa mpira wa gofu. Anthu ena ali ndi fibroid imodzi yokha, pomwe ena amakhala ndi angapo.
Chofunika kwambiri ndichakuti ma fibroids ambiri a m'chiberekero si a khansa (osaopsa). Komabe, nthawi zina angayambitse msambo wosakhazikika ndikusokoneza kubereka kwanu.
Ndani ali pachiwopsezo chachikulu chotenga izi?
Ukalamba ndi chinthu chachikulu chomwe chimayambitsa izi. Azimayi azaka zapakati pa 40 ndi 50, kapena pafupifupi nthawi ya kusamba (perimenopause), nthawi zambiri amakhala ndi zotupa izi. Zingathenso kuonekera pambuyo pa kusamba (postmenopause). Komabe, sizimachitika kawirikawiri kwa anthu osakwana zaka 20.
Kuphatikiza apo, muli pachiwopsezo chachikulu chotenga `(Uterine Polyps)` ngati muli ndi matenda awa:
| Choopsa | Kufotokozera kosavuta |
|---|---|
| Kunenepa kwambiri | Ngati kulemera kwa thupi lanu kuli kwakukulu kuposa momwe kumayenera kukhalira pa kutalika kwanu (BMI ndi yoposa 30). |
| Kuthamanga kwa magazi (BP) | Ngati muli ndi kupanikizika. |
| Mankhwala a Tamoxifen | Iyi ndi mankhwala ogwiritsidwa ntchito pochiza khansa ya m'mawere. Si aliyense amene angatenge mankhwalawa, koma chiopsezo chake ndi chachikulu. |
| Chithandizo cha mahomoni | Makamaka ngati mukumwa mankhwala a mahomoni omwe ali ndi estrogen yambiri. |
| Matenda a majini | Anthu omwe ali ndi matenda osowa kwambiri monga Lynch syndrome kapena Cowden syndrome nawonso ali pachiwopsezo chachikulu. |
Kodi muli ndi makhalidwe amenewa?
Nthawi zambiri, chizindikiro chachikulu cha `(Uterine Polyps)` ndi kutuluka magazi kosazolowereka. Kodi zimenezi zikutanthauza chiyani? Tangoganizirani, nthawi yanu yatha kwa zaka zingapo, koma mwadzidzidzi imayambanso ndi madontho. Kapena kuwonjezera pa masiku omwe mumakhala ndi nthawi yanu, mumakhalanso ndi magazi pang'ono pakati pawo. Izi ndi zizindikiro zazikulu.
Tiyeni tiwone zizindikiro izi.
- Kusamba kosakhazikika: Izi zikutanthauza kuti palibe dongosolo lenileni la masiku a kusamba ndi kuchuluka kwa magazi omwe amatayika. Miyezi ina imatha kukhala masiku 20, pomwe ina imatha kukhala masiku 40.
- Kutuluka magazi ambiri: Kutuluka magazi ambiri kuposa masiku onse panthawi ya msambo.
- Kutuluka magazi pakati pa nthawi yosamba: Kutuluka magazi ndi kuchuluka kochepa kwa magazi komwe kumachitika pakati pa nthawi yosamba.
- Kusabereka: Kuvutika kutenga mimba kapena kukhala ndi pakati mpaka nthawi yonse yobereka.
- Kutuluka magazi pambuyo pa kusamba: Madontho ofiira, pinki, kapena abulauni kapena kutuluka magazi pang'ono pambuyo pa kusamba kwatha kwathunthu.
- Kutuluka magazi pambuyo pa kugonana.
Nthawi zina ziphuphu zimenezi zimatha kupezeka popanda zizindikiro zilizonse. Dokotala amangozipeza mwangozi akamachita chinthu monga ultrasound scan pazifukwa zina.
Kodi nyama iyi imayambitsa ululu?
Kawirikawiri, sipamakhala ululu waukulu. Komabe, ngati chotupacho chili chachikulu pang'ono, nthawi zina chingakhale chopweteka pang'ono, monga msambo m'mimba kapena msana.Mungamve ululu, koma ululu si chizindikiro chofala.
N’chifukwa chiyani nyama imeneyi imakula?
Chifukwa chenicheni cha izi sichinadziwikebe, koma ofufuza amakhulupirira kuti kuchuluka kwa mahomoni, makamaka estrogen, kumachita nawo gawo.
Mwachidule, zimagwira ntchito motere. Mwezi uliwonse panthawi ya msambo, mahomoni otchedwa estrogen amachititsa kuti chiberekero (endometrium) chikhale chokhuthala. Izi zimakonzekeretsa malo oti mwana atenge pakati. Nthawi zina, ngati kukhuthala kumeneku kumachitika kwambiri, minofu imatha kusonkhana m'malo amenewo ndikupanga ziphuphu ngati izi. Mukukumbukira zinthu zoopsa zomwe tidakambirana kale? Zambiri mwa zinthuzi (kunenepa kwambiri, mankhwala a mahomoni) zimawonjezera kuchuluka kwa estrogen m'thupi.
Kodi mwapeza bwanji izi, Dokotala?
Mukapita kwa dokotala chifukwa cha kutuluka magazi kosakhazikika, adzakufunsani mafunso angapo. Zinthu monga nthawi yanu ya msambo, nthawi yomwe imatenga, nthawi yomwe imachitika, mankhwala omwe mumamwa, komanso ngati mukufuna kukhala ndi ana.
Kenako, adzayesedwa matenda a akazi. Nthawi yomweyo, mayeso ena angapo adzalimbikitsidwa kuti atsimikizire ngati pali zotupa izi.
| Mayeso | Chikuchitika ndi chiyani? |
|---|---|
| Ultrasound ya transvaginal | Iyi ndi njira yojambulira yomwe imagwiritsa ntchito kulowetsa chida chaching'ono kudzera mu nyini. Izi zimathandiza kuti mkati mwa chiberekero muwone bwino. |
| Sonohysterography | Pa nthawi yojambula pamwambapa, madzi ofanana ndi amchere amalowetsedwa mu chiberekero kudzera mu chubu chopyapyala. Izi zimapangitsa kuti chiberekero chitukuke pang'ono, zomwe zimapangitsa kuti kujambulako kuwonetse bwino minofu yomwe ili mkati. |
| Hysteroscopy | Mu izi, chubu chopyapyala kwambiri, chachitali chokhala ndi kamera chimadutsa m'chiberekero kudzera mu nyini kupita ku chiberekero, zomwe zimathandiza dokotala kuwona mwachindunji mkati mwa chiberekero pa sikirini. |
| Kujambula kwa endometrial / Curettage | Izi zimaphatikizapo kutenga chidutswa chaching'ono cha minofu kuchokera mkati mwa chiberekero ndikuchitumiza ku labu kuti akawone maselo osazolowereka, makamaka maselo a khansa. Zili ngati zomwe nthawi zambiri timatcha "kuyeretsa chiberekero." |
Kodi mankhwala ochizira izi ndi otani?
Chithandizo chimadalira zinthu zambiri monga zizindikiro zanu, zaka, ngati mukufuna kukhala ndi ana, komanso chiopsezo chanu cha khansa.
1. Kudikira Mosamala: Ngati simunafike pa nthawi ya kusamba, mulibe zizindikiro zilizonse, ndipo chotupacho ndi chaching'ono kwambiri, dokotala wanu angakulangizeni kuti mudikire kwakanthawi popanda chithandizo chilichonse. Zotupa zina zazing'ono zimatha zokha.
2. Mankhwala: Mankhwala oletsa mahomoni monga `Progestins` kapena `Gonadotropin-releasing hormone agonists` angathandize kuchepetsa zizindikiro. Komabe, iyi ndi yankho la kanthawi kochepa. Zizindikiro zimatha kubwerera mankhwala akangoyimitsidwa.
3. Kuchotsa chilonda pa opaleshoni:
- Hysteroscopy: Iyi ndiyo njira yomwe imagwiritsidwa ntchito kwambiri. Pa nthawi ya hysteroscopy, chipangizo chapadera chimadutsa mu chubu kuti chidule ndikuchotsa polyp. Ubwino wa izi ndikuti dokotala amatha kuwona polyp bwino ndikuyichotsa molondola.
- Kuwunika minofu yochotsedwa: Minofu iliyonse yochotsedwa mwanjira imeneyi imatumizidwa ku labu kuti ikayesedwe ngati ili ndi maselo a khansa. Izi ndizofunikira kwambiri.
Sizifukwa zonse zochotsera zotupa. Kuchotsa zotupa nthawi zambiri kumalimbikitsidwa pokhapokha ngati mwafika nthawi yopuma, muli ndi zizindikiro monga kutuluka magazi ambiri, mukuvutika kutenga pakati, kapena ngati dokotala wanu akuganiza kuti muli pachiwopsezo cha khansa.
Mafunso ochepa omwe anthu ambiri ali nawo
Kodi kuchotsa masamba a minofu awa n'kopweteka?
Musanachite opaleshoni, mudzapatsidwa mankhwala oletsa ululu kuti muchepetse ululu. Kuti musamve kupweteka kwambiri. Mungamve kukokedwa pang'ono kapena kukakamizidwa.
Kodi izi zikuoneka bwanji kuti ndi khansa?
Ichi ndi mantha aakulu kwa aliyense. Koma kumbukirani kuti, ndi chiwerengero chochepa kwambiri, pafupifupi 5%, cha ma polyps a m'chiberekero omwe amasanduka khansa.Chiwopsezocho chimakhala chachikulu pang'ono ngati mwafika nthawi yopuma kapena mukutuluka magazi mosakhazikika. Ichi ndichifukwa chake minofu iliyonse yochotsedwa imayesedwa.
Kodi pali njira yopewera izi?
Mwatsoka, palibe njira yotsimikizika yopewera izi. Koma mutha kuchepetsa chiopsezo chanu pang'ono pochepetsa kulemera kwanu ndi kuthamanga kwa magazi. Chofunika kwambiri ndikupita kukayezetsa matenda a amayi nthawi zonse . Kenako chinthu chonga ichi chingadziwike msanga.
Pamene muyeneradi kuonana ndi dokotala
Ngati muli ndi zizindikiro zotsatirazi, chonde musazinyalanyaze ndipo pitani kwa dokotala woyenerera mwamsanga.
- Ngati muli ndi madontho kapena kutuluka magazi kuchokera kumaliseche mutatha kusamba kwathunthu (mutatha kusamba).
- Ngati mumatuluka magazi nthawi ya msambo.
- Ngati muli ndi magazi ambiri panthawi yanu ya msambo kapena ngati nthawi yanu ya msambo si yokhazikika.
Ndizachibadwa kuchita mantha mukamatuluka magazi modabwitsa chonchi. Koma nthawi zambiri, chomwe chimayambitsa si khansa, koma chotupa chonga ichi. Koma ndikofunikira kufunafuna upangiri wa dokotala kuti mudziwe bwino, ndikuchotsa bwino ngati pakufunika kutero.
Uthenga Wopita Nawo Kunyumba
- Ma polyps a chiberekero ndi ofala kwambiri, nthawi zambiri osati khansa omwe amapangika pakhoma lamkati la chiberekero.
- Chizindikiro chachikulu ndi kutuluka magazi mosakhazikika. Dziwani izi, makamaka ngati mwatuluka magazi mutasiya kusamba.
- Si minofu yonse yomwe imafunika kuchotsedwa. Chithandizo chimadalira zizindikiro zanu ndi zinthu zomwe zingakubweretsereni mavuto.
- Ngati muli ndi magazi osazolowereka, musachite mantha ndipo khalani panyumba. Onetsetsani kuti mwaonana ndi dokotala kuti akupatseni chithandizo choyenera komanso kuti akupatseni upangiri.
- Mankhwalawa ndi othandiza kwambiri komanso otetezeka. Zizindikiro zikachotsedwa, zimakhala pafupifupi zatha kwathunthu.
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