Ingaba ukuya kwakho exesheni rhoqo ngenyanga akuhambelani? Le isenokuba yimeko ebizwa ngokuba yi-(Menometrorrhagia)!

Ngaba ngamanye amaxesha ufumana ukopha okungalindelekanga, okungacwangciswanga, kwaye ngamanye amaxesha okunamandla kakhulu kwilungu lakho lobufazi? Okanye ngaba ukuya kwakho exesheni kuhlala iintsuku ezininzi? Ezi zinto kufuneka zingakukhathazi kakhulu, akunjalo? Ngamanye amaxesha unokucinga ukuba oku kuqhelekile, kodwa ngamanye amaxesha oku kunokuba luphawu lwemeko ebizwa ngokuba yi-`(Menometrorrhagia)`. Ungakhathazeki, siza kuthetha ngale nto namhlanje.

Yintoni le `(Menometrorrhagia)`? Masiyiqonde ngokulula

Ngamafutshane, `(Menometrorrhagia)` kukuphuma kwegazi okungaqhelekanga esibelekweni sakho, oko kuthetha ukuphuma kwegazi okugqithisileyo, ukuphuma kwegazi okungaqhelekanga, okanye ukuphuma igazi ixesha elide kakhulu . Ngokwesiqhelo, ukuya exesheni komfazi osempilweni kwenzeka phakathi kweentsuku ezingama-21 ukuya kwezingama-35, kwaye ukuphuma kwegazi kuhlala malunga neentsuku ezi-5. Nangona kunjalo, kule meko `(Menometrorrhagia)`, umjikelo wakho wokuya exesheni awuqhelekanga. Awunakuqikelela ukuba uza kopha nini, uza kopha kangakanani, kwaye uza kuhlala ixesha elingakanani.

Khawucinge nje, indlela ebekuya kuba nzima ngayo ukuba ubulungiselela uhambo olubalulekileyo okanye isiganeko esithile uze ngequbuliso uqale ukuya exesheni, kwaye kube nzima kakhulu. Kungakonakalisa usuku lwakho lonke, akunjalo?

Olu hlobo lokopha ngokungalindelekanga lunokuba nefuthe elikhulu kwimisebenzi yakho yemihla ngemihla kunye nempilo yengqondo. Ngoko ke akulunganga ukuyithatha njengento "eyenye into." Kubalulekile ukwazisa ugqirha wakho. Isenokungabi yimeko enzima. Nangona kunjalo, ngamanye amaxesha inokuba luphawu lwemeko yezonyango enokuchaphazela ukuzala kwakho okanye ibangele iingxaki zempilo zexesha elide.

Yintoni umahluko phakathi kwe-`(Menorrhagia)` kunye ne-`(Menometrorrhagia)`?

La magama mabini afana kancinci, ngoko ke anokudideka.

• I-Menorrhagia kukopha kakhulu ngexesha lomjikelo wakho wesiqhelo wokuya exesheni. Oko kukuthi, ukopha kuphela ngexesha lakho lokuya exesheni, kodwa kunzima kakhulu.
• I-Menometrorrhagia yimeko engaqhelekanga, engalindelekanga, kwaye iphuma igazi elininzi, kungekuphela nje ngexesha lokuya exesheni, kodwa nangaliphi na ixesha.

Ngaba uyayiqonda umahluko? Kwi-"Menometrorrhagia", umjikelo wakho wokuya exesheni uyaphazamiseka.

Ixhaphake kangakanani iMenometrorrhagia?

Abafazi abaninzi ababaxeleli oogqirha babo ngolu hlobo lokopha okungaqhelekanga. Ngenxa yoko, nangona kunzima ukunika amanani achanekileyo, kuqikelelwa ukuba phakathi kwe-10% kunye ne-35% yabasetyhini banokuba nale meko. Nangona kunjalo, eli nani lisenokuba phezulu kakhulu.

Ukuthi ngqo,

• Kumantombazana amancinci aqala ukuya exesheni (malunga neminyaka eli-12 ubudala)
• Kwabasetyhini abasondela ekupheliseni ukuya exesheni (i-Perimenopause)

Le meko ixhaphakile.

Zithini iimpawu ze-`(Menometrorrhagia)`?

Iimpawu zinokwahluka ngokuxhomekeke kwisizathu sale meko. Nangona kunjalo, oogqirha bacinga ukuba nakuphi na ukopha ngaphandle komjikelo oqhelekileyo wokuya exesheni, okuphakathi kweentsuku ezingama-21 ukuya kwezingama-35, kwaye kuthatha malunga neentsuku ezi-5, akuqhelekanga. Ukuba awukwazi ukuqikelela ukuba uza kopha nini, kangakanani, kwaye ixesha elingakanani, kusenokuba `(Menometrorrhagia)`.

Nazi ezinye zeempawu zokuba usenokuba nokopha okungaqhelekanga:

• Ukopha kakhulu exesheni (Menorrhagia): Ukuba ukopha kuqhubeka iiyure ezininzi, kunzima kangangokuba kufuneka utshintshe ii-pads okanye ii-tampon rhoqo ngeyure, okanye ukuba kufuneka usebenzise ii-pads ezimbini.
• Ukuphuma amabala okanye ukopha ngexesha lokuya exesheni: Oku kuthetha ukopha nangona ungekho exesheni.
• Ukuya exesheni ixesha elide ngendlela engaqhelekanga: Ukuba ukuya exesheni kuthatha iintsuku ezingaphezu kwesixhenxe.
• Imijikelo yokuya exesheni engacwangciswanga, engacwangciswanga: Ukuba imijikelo yakho yokuya exesheni imfutshane kuneentsuku ezingama-21 okanye ngaphezulu kuneentsuku ezingama-35, kwaye ubude bayo buyahluka ukusuka komnye umjikelo ukuya komnye.
• Ukungabikho kokuya exesheni kangangeenyanga ezingaphezu kwezintathu.
• Ukopha emva kokuya exesheni. (Oku akuqhelekanga konke konke , kufuneka ufune ingcebiso kagqirha ngoko nangoko.)
• Ukuziva udiniwe kwaye ubuthathaka: Ezi ziimpawu ze-anemia. I-anemia inokuvela ngenxa yokulahlekelwa ligazi elininzi.

Zithini izizathu zeMenometrorrhagia?

Kunokubakho izizathu ezininzi zoku. Iingxaki zehomoni, izimila ezingezizo umhlaza, umhlaza, usulelo, ezinye iimeko zonyango, kunye namayeza athile anokubangela ukopha okungaqhelekanga. Ngugqirha wakho kuphela onokukuxelela ngqo ukuba yintoni ebangela le meko. Ekubeni zininzi izizathu ezinokubakho, kungcono ukuthetha nogqirha wakho malunga neempawu zakho uze ufumane ukuba kwenzeka ntoni.

1. Iingxaki zehomoni

Ixesha elininzi, ukopha okungaqhelekanga kwesibeleko kubangelwa kukungalingani kwamahomoni. Umjikelo wakho wokuya exesheni ulawulwa ngamahomoni. Njengeqela le-orchestra, zonke ezi homoni ziyasebenzisana ukuqinisekisa ukuba ixesha lakho lokuya exesheni liqhelekile. Ukuba olu lungelelwaniso luphazamisekile, nokuba yintwana encinci, ukopha okungaqhelekanga kunokwenzeka.

Nazi ezinye zezizathu ezinjalo:

• Ukuqhotswa
• Isifo se-thyroid
• I-Polycystic ovary syndrome (i-PCOS)
• Ukutyeba kakhulu: Ukutyeba kakhulu okanye ukutyeba kakhulu kunokubangela ukungalingani kwamahomoni.
• Uxinzelelo

2. Ukukhula okungenamhlaza

Ezinye izimila ezingezizo zomhlaza (izihluma ezingengomhlaza) esibelekweni sakho nazo zinokubangela ukopha.

Imizekelo:

• Iipolyps
• Iifibroids
• I-Adenomyosis
• I-Endometriosis

3. Ngaphambi komhlaza kunye nomhlaza

Nangona kunqabile, ezinye iintlobo zomhlaza zinokubangela i-menometrorrhagia.

Bazi:

• Umhlaza wesibeleko
• Umhlaza womlomo wesibeleko
• Umhlaza wesisu
• Umhlaza wesibeleko
• I-Endometrial hyperplasia (ukuqina kolwelo lwesibeleko)

4. Iintsholongwane

Izifo ezidluliselwa ngesondo (iiSTI) kunye nezifo ezingezoza zesondo zinokubangela ukopha okungaqhelekanga.

Imizekelo:

• I-Trichomoniasis
• I-Cervicitis (ukudumba komlomo wesibeleko)
• Isifo sokudumba kwepelvic (PID)
• I-Chlamydia
• I-Gonorrhea
• I-Endometritis (ukudumba kolwelo lwangaphakathi lwesibeleko)
• I-Vaginitis (ukudumba kwelungu lobufazi)

5. Ezinye iimeko zonyango

Ezinye iimeko zonyango zinokubangela ukopha okungaqhelekanga kwesibeleko.

Imizekelo:

• Isifo sesibindi
• Isifo sezintso
• Isifo sikaVon Willebrand (ingxaki yokujiya kwegazi)
• Ezinye iingxaki zokuqunjelwa kwegazi
• Ukukhulelwa
• Ukuphuma kwesisu
• Ukukhulelwa kwesibeleko
• Ukwenzakala kwesibeleko (umz., ngenxa yengozi yemoto)

Ukuba ufumana ukopha ngexesha lokukhulelwa, bonana nogqirha ngokukhawuleza. Oku kungaba luphawu lwengxaki enkulu yokukhulelwa.

6. Amayeza

Amanye amayeza anokubangela ukopha kwesibeleko ngendlela engaqhelekanga. (Okumangalisayo kukuba, amanye ala mayeza asetyenziselwa ukunyanga ukopha ngendlela engaqhelekanga.) Kubalulekile ukuxelela ugqirha wakho ngawo onke amayeza owasebenzisayo.

Imizekelo:

• Izithibisi zegazi kunye ne-aspirin
• Unyango lokutshintshwa kwehomoni (HRT)
• I-Tamoxifen (iyeza lomhlaza webele)
• Izixhobo zangaphakathi kwesibeleko (ii-IUD); Ukuba ulibele ukususa i-IUD, inokubangela usulelo kunye nokopha okungaqhelekanga.
• Iindidi ezithile zolawulo lokuzalwa

Ngubani ochaphazeleka kakhulu yiMenometrorrhagia?

Igama elithi "ukopha okungaqhelekanga kwesibeleko" lidla ngokusetyenziswa ukuchaza ukopha kwabasetyhini abakwiminyaka yokuzala abangakhulelwanga. Nangona kunjalo, oku akuthethi ukuba akuchaphazeli abafazi abasele bekhulile okanye abafazi abakhulelweyo. Nabani na onesibeleko unokufumana olu hlobo lokopha okungaqhelekanga ngaxa lithile ebomini bakhe. Nangona kunjalo, kwiimeko ezininzi, akuyonto imbi kwaye inokunyangeka ngonyango olufanelekileyo.

Kubalulekile: Ukuba ufikelela kwixesha lokuya exesheni, oko kuthetha ukuba ixesha lakho lenyanga liyekile ngokupheleleyo, akuqhelekanga ukuba nokopha emva kokuya exesheni. Nokuba igazi libomvu, lipinki, okanye limdaka, bonana nogqirha ngokukhawuleza.

Kwakhona, ukuba ufumana ukopha ngexesha lokukhulelwa, xelela ugqirha wakho ngaloo nto. Nangona ezinye izizathu zingeyongozi, ezinye zifuna unyango.

Ziziphi iingxaki ezinokubakho ze-`(Menometrorrhagia)`?

Ukopha okungaqhelekanga kwesibeleko akusongeli ubomi. Nangona kunjalo, kunokubangela i-anemia . I-anemia iyenzeka xa ungenazo iiseli zegazi ezibomvu ezisempilweni egazini lakho. Oku kunokukwenza uzive udiniwe kwaye ubuthathaka.

Ukongeza, ukopha igazi ngokungacwangciswanga kunokuba luphawu lwezinye izifo zomhlaza kunye nezinye izifo. Ekubeni usenokungazi unobangela, kubalulekile ukubona ugqirha kwaye ufumane unyango ukuze uphephe iingxaki ezinje.

Ifunyanwa njani iMenometrorrhagia?

Ugqirha wakho uza kukubuza imibuzo eliqela xa ephanda ukopha okungaqhelekanga kwesibeleko.

Bazi:

• Kuqala nini ukopha?
• Kuthatha ixesha elingakanani ukopha?
• Injani ukopha? (Ingaba kuphezulu, kuphantsi, kuqhelekile?)
• Uphuma igazi kangaphi?
• Ngaba uyawubhala phantsi umjikelo wakho wokuya exesheni?
• Ngaba kukho ezinye iimpawu? (umz. iintlungu zesisu, isiyezi)
• Ngawaphi amayeza, iivithamini, kunye nezongezo ozithathayo?
• Ngaba unawo amathandabuzo malunga nokuba ukhulelwe na?

Kunganceda kakhulu ukugcina idayari yokopha kwakho iiveki ezimbalwa ngaphambi kokuba ubone ugqirha wakho. Bhala phantsi ukuba uqale nini ukopha, ukuba kuthathe ixesha elingakanani, ukuba kungakanani (ukubona, ukuba phakathi, ukuba nzima), kunye nokuba kukho naziphi na ezinye iimpawu.

Ukongeza, ugqirha uza kwenza uvavanyo lomzimba. Oku kungabandakanya:

• Uvavanyo lwe-pelvic
• I-Pap smear (kuxhomekeke kumhla wokugqibela ukuyifumana)

Zithini iimvavanyo zokuxilonga?

Ugqirha udla ngokulandela la manyathelo:

• Uvavanyo lokukhulelwa: Ukopha kancinci kunokwenzeka kwanakwinqanaba lokuqala lokukhulelwa.
• Uvavanyo lwegazi: Olu vavanyo lunokujonga izinto ezifana nendlela igazi lakho elijiya ngayo kunye nenani elipheleleyo legazi (i-CBC).
• Uvavanyo lwegazi lwamanqanaba eehomoni: Jonga ukuba oku kuphuma kwegazi kungenxa yokungalingani kweehomoni okanye ukuba luphawu lwesinye isifo.
• I-ultrasound yepelvic: Ijonga iingxaki kwinkqubo yakho yokuzala, ezifana neethumba. I-sonohysterogram, esebenzisa i-saline, inokuzibona ngokucacileyo iingxaki zesibeleko, ezifana nee-polyps kunye nee-fibroids.

Ngokuxhomekeke kwiziphumo zezi mvavanyo, ugqirha angenza ezinye iimvavanyo:

• Uvavanyo lwe-Hysteroscopic: Olu vavanyo lujonga ii-fibroids, ii-polyps, kunye neempawu zomhlaza.
• I-biopsy ye-endometrial:Isampuli yethishu ithathwa kwi-inside maleko yesibeleko (endometrium) ize ivavanywe umhlaza okanye iiseli ezingaphambi komhlaza.

Ziziphi iindlela zonyango ze-`(Menometrorrhagia)`?

Unyango lwakho luya kuxhomekeka kwisizathu sokopha kwakho. Kukho amayeza kunye neendlela zotyando zokulawula imeko okanye ukunyanga unobangela.

Amayeza

Ugqirha uqala ngokucinga ngonyango lweziyobisi.

• Iipilisi zokulawula inzala
• I-Progestin (inganikwa ngenaliti, isixhobo esingaphantsi kolusu, okanye i-IUD)
• Amayeza angengowe-steroidal alwa nokuvuvukala (ii-NSAID) (umz. i-ibuprofen)
• Ii-agonists kunye nee-antagonists ze-Gonadotropin-releasing hormone (GnRH): Ezi zinokumisa okanye zinciphise ukopha okwethutyana. Zinokunceda nokunciphisa ii-fibroids.
• I-Tranexamic acid: Inyanga ukopha kakhulu xa usexesheni.
• Ii-antibiotics: Ukuba ukopha kubangelwa lusulelo.
• Izongezo zesinyithi: Ukuba kukho i-anemia erhanelekayo.

Utyando

Kukho iinkqubo ezahlukeneyo zotyando zokunyanga ukopha okungaqhelekanga kwesibeleko.

• I-Hysteroscopy: Inkqubo yokususa iingxaki kwisibeleko, ezifana ne-fibroids kunye ne-polyps.
• Ukwakhiwa kwemithambo ye-uterine: Unyango oluthintela ukuhamba kwegazi ukuya kwi-fibroids kwaye lubangele ukuba zinciphe.
• I-Myomectomy: Inkqubo esusa ii-fibroids ngaphandle kokonakalisa isibeleko, evumela ukuzala kwixesha elizayo.
• Ukususwa kwe-endometrial: Inkqubo esebenzisa i-laser, ubushushu, umbane, amandla e-microwave, okanye ukukhenkceza ukutshabalalisa ulwelo lwesibeleko. Le ayisiyongcinga ilungileyo ukuba unethemba lokuba nabantwana kwixesha elizayo.
• Ukwandisa nokukhulula isisu (D&C): Inkqubo esusa izicwili esibelekweni. Isetyenziselwa ukuxilongwa kunye nonyango.
• Utyando lwe-Hysterectomy: Inkqubo yotyando olususa ngokupheleleyo isibeleko. Oku kwenziwa xa kukho umhlaza okanye utshintsho olungaphambi komhlaza. Akunakwenzeka ukuba nabantwana emva koku.

Buza ugqirha wakho malunga neengozi kunye neenzuzo zotyando. Yazi kakuhle into onokuyilindela kunyango ngalunye.

Yintoni endinokuyilindela ngeMenometrorrhagia?

Eyona nto ibalulekileyo kukufumana unobangela wokopha kwakho okungaqhelekanga. Ukufumana nokunyanga unobangela kungathatha iiveki ezininzi, okanye kunokuba lula kugqirha wakho ukuyifumana. Nangona kunjalo, ugqirha wakho uya kuqwalasela izinto ezininzi, ezifana neminyaka yakho, iimpawu, kunye nemingcipheko yeemeko ezithile zempilo.

Iindaba ezimnandi zezokuba ukopha okungaqhelekanga okuninzi kuyanyangeka. Landela icebiso likagqirha wakho. Ukuba unyango alusebenzi kuwe, xelela ugqirha wakho. Bakho ukukunceda.

Ndingayinciphisa njani ingozi ye-`(Menometrorrhagia)`?

Izinto ezininzi ezibangela ukopha okungaqhelekanga kwesibeleko azinakuthintelwa. Nangona kunjalo, unganciphisa umngcipheko wezinye zeemeko ezikhokelela kuko. Umzekelo, ukugcina ubunzima obusempilweni kunokunceda ukugcina iihomoni zakho zilungelelene. Ukuziqhelanisa nesondo esikhuselekileyo (njengokusebenzisa iikhondom) kunokunciphisa umngcipheko wezinye izifo ezidluliselwa ngesondo (ii-STI) ezinokubangela ukopha okungaqhelekanga.

Ndifanele ndimbone nini ugqirha?

Ukuba uziva ngathi unesifo sokuphuma kwegazi esingaqhelekanga, bona ugqirha ukuze ufumane unobangela.

Nika ingqalelo ekhethekileyo kwezi mpawu:

• Ukuba nexesha lokuya exesheni elingacwangciswanga, elingalindelekanga, okanye elide okanye elifutshane ngokungaqhelekanga.
• Kufuneka nditshintshe izinto zokucoca ixesha lokuya exesheni qho ngeyure kangangeeyure eziliqela.
• Ukopha phakathi kokuya exesheni (nokuba kukho indawo encinci)
• Iimpawu ze-anemia ziquka ukudinwa, ubuthathaka, kunye nokuphefumla nzima.

Ukuba ukopha okungaqhelekanga kuchaphazela umgangatho wobomi bakho, bonana nogqirha. Akunyanzelekanga ukuba usebenzise ii-pad ezimbini ukulawula ixesha lakho lokuya exesheni. Akunyanzelekanga ukuba uphoswe zizinto ozithandayo, okanye uphoswe ngumsebenzi okanye sisikolo, ngenxa yokopha okungalindelekanga.

Ndingayibuza yiphi imibuzo ugqirha?

Ungabuza ugqirha imibuzo efana nale:

• Ingaba ukopha kwam akuqhelekanga?
• Kutheni ucinga ukuba ndinayo igazi elingaqhelekanga esibelethweni?
• Ngaba ixesha lam lokuya exesheni lithathwa njengelinzima?
• Ngaba ndisengozini yokuba nezinye iingxaki zempilo ngenxa yokuphulukana negazi?
• Ngaba ndopha kakhulu kangangokuba ndiza kuba ne-anemia?
• Zithini iingenelo kunye neengozi zeendlela zam zonyango?
• Ukuba ndilindele abantwana kwixesha elizayo, zeziphi iindlela zonyango ezilungileyo kum?
• Niza kundinyanga ndedwa, okanye kuza kubandakanyeka iqela lezonyango?
• Ngawaphi amava otyando onawo ekunyangeni ukopha okungaqhelekanga kwesibeleko? Ngaba oku kuqhelekile kumsebenzi wakho?

Nguwe oyena mgwebi ubalaseleyo wento eqhelekileyo kuwe – uyazi ukuba ixesha lakho lokuya exesheni lihlala ixesha elingakanani kwaye igazi lakho lingakanani. Ukuba ixesha lakho lokuya exesheni linzima ngokungaqhelekanga, lihlala ixesha elide kunesiqhelo, okanye liphuma ngaphandle komjikelo wakho wokuya exesheni, thetha nogqirha. Musa ukuyithatha njengento "eyenye into." Musa ukuvumela ukopha okungaqhelekanga kube yinxalenye yobomi bakho kwaye kuchaphazele impilo-ntle yakho yengqondo. Kukho iindlela ezininzi zonyango ezingangenisi gazi ezikhoyo ukukunceda ubuyele ebomini bakho obuhle.

Okokugqibela, into ekufuneka uyikhumbule

Ukopha okungaqhelekanga, okukhulu, okanye okuhlala ixesha elide kwilungu lobufazi (iMenometrorrhagia) asinto yokungayinaki. Ingayichaphazela impilo yakho yomzimba neyengqondo. Nokuba yintoni na imbangela, ingalawulwa ngeengcebiso zonyango ezifanelekileyo kunye nonyango. Musa ukoyika okanye ube neentloni ukuthetha nogqirha wakho ngayo. Awuwedwa, zikho izisombululo.

I- menometrorrhagia, ukuya exesheni ngokungacwangciswanga, ukopha kakhulu, ukopha kwegazi kwilungu lobufazi, impilo yabasetyhini, iingxaki zehomoni, izifo zesibeleko