Ngaba nawe uva ukopha kakhulu ngexesha lokuya kwakho exesheni? Makhe sithethe ngeMenorrhagia!

Kwabasetyhini abaninzi, ukuya exesheni akuyonto imnandi. Abanye abantu bakufumanisa kunzima ukudlula kwezi ntsuku zimbalwa zenyanga benezinto ezifana neentlungu zesisu, ukuziva ubuthathaka, kunye nokutshintsha kweemvakalelo. Kodwa ukuba uphuma igazi kakhulu kunesiqhelo, ukuba uphuma igazi iintsuku ezininzi zilandelelana, okanye ukuba uphuma amahlwili egazi amakhulu, isenokuba yimeko yezonyango ebizwa ngokuba yiMenorrhagia . Oku kunokuphazamisa ubomi bakho bemihla ngemihla. Ngoko ke, masithethe ngale nto ngokweenkcukacha ezithe vetshe namhlanje.

Yintoni iMenorrhagia? Ngaba nawe unazo ezi mpawu?

Ngamafutshane, i-menorrhagia kukopha okungaphezulu kunesiqhelo ngexesha lokuya exesheni okanye okuqhubeka iintsuku ezininzi. Ukuba ukrokrela ukuba unale meko, qwalasela ezi mpawu:

• Ingaba ixesha lakho lihlala ixesha elide kuneentsuku ezisixhenxe ?
• Ngaba ngamanye amaxesha wopha kakhulu kangangokuba kufuneka utshintshe iphedi okanye i-tampon ubuncinane kanye ngeyure ?
• Ngaba kufuneka ndisebenzise ii-pads ezimbini ngaxeshanye ukuze ndiyeke ukopha?
• Ngaba kufuneka uvuke ebusuku ukuze utshintshe i-pad yakho nokuba ulele?
• Ngaba ukhupha amahlwili egazi anobukhulu obufana nengqekembe okanye amakhulu amaxesha amaninzi ngemini?
• Ngaba uziva ungakhululekanga ngexesha lokuya exesheni kangangokuba awukwazi ukwenza imisebenzi yakho yesiqhelo ?

Abantu abaninzi abayithandi into yokuba sexesheni. Kodwa ukuba unayo (i-menorrhagia), inokuba ngamava abuhlungu kakhulu. Ukungakwazi ukuya emsebenzini okanye esikolweni, ukusebenzisa ii-pad ezininzi nokuhlala ekhaya kunokuba yinto ecaphukisayo ngokwenene.

Ukuba ufumana naziphi na kwezi mpawu, bonana nogqirha ngokukhawuleza . Yena unokuzihlola iimpawu zakho aze afumanise unobangela wokopha kwakho kakhulu. Emva koko, banokukunika unyango olufanelekileyo.

Ixhaphake kangakanani le meko?

Enyanisweni, ukopha kakhulu exesheni akuqhelekanga njengoko unokucinga . Kuchaphazela phakathi kwama-27% nama-54% abafazi abasexesheni. Oku kuthetha ukuba awuwedwa.

Uyazi njani ukuba ulahlekelwa ligazi elininzi?

Kukho iimpawu ezininzi zokopha kakhulu. Sele sithethe ngazo kancinci ngaphambili. Ngamanye amazwi:

• Ukuya exesheni kuthatha iintsuku ezingaphezu kwesixhenxe.
• Kudlula amahlwili egazi angaphezu kwesinye ngobukhulu bengqekembe. Eli gazi linokuba bomvu, pinki, mdaka, okanye libe nombala ofana nomhlwa.
• Ukopha okuhlala malunga neeyure ezimbini, ukumanzisa i-pad okanye i-tampon engaphezulu kwesinye ngeyure.
• Kufuneka uvuke ebusuku ukuze utshintshe i-pad nokuba ufuna ukulala.
• Ukusebenzisa ii-pads ezimbini kunye ngenxa yokoyika ukuvuza kwegazi.
• Ngokwesiqhelo, iipunipoli ezi-2-3 zegazi ziyalahleka ngexesha lokuya exesheni. Nangona kunjalo, ukuba iipunipoli ezi-5 zegazi zilahlekile (oku kunzima ukukulinganisa, kodwa kudla ngokuthiwa kunjalo), oko kukwakukopha kakhulu.
• Ukuba nentlungu ebuhlungu esiswini okanye intlungu yokuya exesheni.
• Ukopha kakhulu kunokubangela ubuthathaka, ukudinwa, kunye nokuphefumla nzima . Oku kunokubangela i-anemia .

Ungazi njani ngokuqinisekileyo ukuba uneMenorrhagia? Ifanele ibe njani phantsi kweemeko eziqhelekileyo?

Ukopha kakhulu exesheni kunokuchaphazela umgangatho wobomi bakho . Abantu abaninzi bacinga ukuba ukuya exesheni yinto engafanelekanga neyingxaki. Mhlawumbi baye babona amalungu osapho lwabo ehlupheka kakhulu exesheni kwaye bengafuni unyango, kwaye sele beqhele ukuphila ngendlela efanayo. Kodwa ukuya exesheni akufuneki kumise imisebenzi yakho yemihla ngemihla okanye kunyamezele ukungonwabi.

Ngokwesiqhelo, oku kwenzeka ngexesha lokuya exesheni:

• Ufanele ukwazi ukusebenzisa iphedi okanye i-tampon eqhelekileyo iiyure ezintathu ukuya kwezine ngaphandle kokuyitshintsha.
• Ufanele ukwazi ukusebenzisa iphedi enye okanye i-tampon. Akufuneki udibanise ezimbini.
• Ufanele ukwazi ukusebenzisa i-night pad xa ulele ebusuku.
• Akunyanzelekanga ukuba uphathe iipads kunye neempahla ezongezelelweyo xa uphuma endlwini.
• Ufanele ukwazi ukuya emsebenzini, ukuphuma, nokuphila ubomi bakho ngendlela eqhelekileyo ngaphandle kwemiqobo.

Ukuba ixesha lakho lokuya exesheni liphazamisa ubomi bakho, lelona xesha lilungileyo lokubonana nogqirha.

Kutheni kukho ukopha okungaka? Zithini izizathu?

I-Menorrhagia inokuba nezizathu ezininzi. Ingabangelwa ziingxaki zehomoni, iimeko ezithile zempilo, okanye amayeza athile owasebenzisayo.

Ukungalingani kwamahomoni

Umjikelo wakho wenyanga wokuya exesheni ulawulwa ziihomoni eziveliswa ngumzimba wakho, ezifana ne-estrogen kunye ne-progesterone. Ezi homoni zikwamisela ukuba uchithe igazi elingakanani ngexesha lokuya exesheni. Ukuba kukho imeko ebangela ukuba ezi homoni zingalingani, unokufumana ukopha okugqithisileyo. Umzekelo:

• Ukuqho ...
• Isifo se-thyroid.
• I-Polycystic ovary syndrome (i-PCOS).

Ukongeza, ukutyeba kakhulu kunokuchaphazela ukuveliswa kwamahomoni kwaye kubangele ukopha kakhulu. Thetha nogqirha wakho malunga nobunzima bomzimba wakho obufanelekileyo uze ubone ukuba abuyichaphazeli na le meko.

Ukukhula okungenamhlaza kwisibeleko sakho

Ezinye iithumba ezingenobungozi ezenzeka kwisibeleko kunye neemeko apho iiseli zesibeleko zikhula ngendlela engaqhelekanga nazo zinokubangela ukopha kakhulu.

• Iipolyps: Ezi ziintshulube ezincinci ezikhula kulwelo lwesibeleko (i-endometrium) okanye umlomo wesibeleko.
• Iifibroids: Ezi ziinhluma ezingezizo ezomhlaza ezikhula kwimisipha yesibeleko. Abafazi abaninzi banazo, kodwa basenokungabi nazo iimpawu.
• I-Adenomyosis: Oku kuxa izicubu ezivela kulwelo lwangaphakathi lwesibeleko zikhula zibe ngumaleko wemisipha yesibeleko.

Iintsholongwane

Ezinye izifo, kuquka izifo ezidluliselwa ngesondo (ii-STI), zinokubangela ukopha kakhulu.

• I-Trichomoniasis
• I-Gonorrhea
• I-Chlamydia
• I-endometritis engapheliyo - usulelo oluhlala ixesha elide lwe-inside membrane yesibeleko.

Iingxaki zokukhulelwa

Ukopha kakhulu kungaba luphawu olulumkisayo lweengxaki ezithile ezinokubakho ngexesha lokukhulelwa.

• Ukuphuma kwesisu.
• Ukukhulelwa kwesisu: Ukukhulelwa kwe- embryo okufakwe ngaphandle kwesibeleko.
• Iingxaki ezinxulumene namanxeba emva kotyando lotyando (i-C-section niche).

Ezinye iimeko zonyango

I-Menorrhagia luphawu lwezinye izifo ezininzi, kuquka iingxaki zokopha. Ezinye zeemeko eziqhelekileyo zonyango ezinokubangela ukopha kakhulu ziquka:

• Isifo sikaVon Willebrand - ingxaki yokuqunjelwa kwegazi.
• Isifo sesibindi.
• Isifo sezintso.
• Isifo sokudumba kwepelvic (PID).
• I-leukemia okanye iingxaki zeplatelet.

Ukukhula komhlaza kwisibeleko sakho

I-Menorrhagia inokubangelwa yimeko engaphambi komhlaza ebizwa ngokuba yi-endometrial hyperplasia. Kwakhona, eminye imidlaza echaphazela inkqubo yakho yokuzala inokubangela ukopha kakhulu.

• Umhlaza wesibeleko.
• Umhlaza womlomo wesibeleko.

Amanye amayeza

Amanye amayeza anokubangela ukopha kakhulu xa usexesheni.

• Izithibisi zegazi kunye ne-aspirin.
• Unyango lokutshintsha iihomoni.
• I-Tamoxifen (iyeza elisetyenziselwa umhlaza webele).
• Izixhobo zangaphakathi kwesibeleko (ii-IUD).
• Ii-implants zokulawula ukuzalwa.
• Iipilisi zokulawula ukuzala kunye neenaliti (umz., iNuvaRing®, iDepo-Provera®, iImplanon®).

Ukungasisusi isixhobo sakho sokulawula ukukhulelwa ngexesha kunokubangela ukopha okungaqhelekanga kwesibeleko. Kubalulekile ukwazi kakuhle ukuba uza kuyisusa nini i-IUD okanye i-implant yakho.

Ngubani osengozini enkulu yokuba ne-menorrhagia?

Nabani na unokufumana i-menorrhagia. Nangona kunjalo, ixhaphake kakhulu kwabo basondela ekupheliseni ukuya exesheni . Ukuba uneengxaki zeehomoni okanye utyebile kakhulu (i-body mass index (BMI) engama-30 nangaphezulu), usemngciphekweni omkhulu wokuba sexesheni kakhulu.

Ziziphi iingxaki ezinokubakho xa umntu ephuma exesheni kakhulu?

Ukopha kakhulu,Kunokuba yingozi, ingakumbi ukuba ulahlekelwa ligazi elaneleyo kangangokuba uqala ukubonisa iimpawu ze-anemia. I-anemia inokuba yingozi ebomini ukuba ayinyangwa.

Kwakhona, ezinye iimeko, ezinje ngomhlaza, ezibangela ukuya exesheni kakhulu zingadinga unyango kwasekuqaleni. Thetha nogqirha wakho malunga naziphi na iingozi ezinxulumene nokopha kwakho exesheni.

Oogqirha bayixilonga njani i-menorrhagia?

Ukuze afumanise ukuba une-menorrhagia, ugqirha wakho uza kukubuza imibuzo embalwa malunga nembali yakho yezonyango kunye nomjikelo wokuya esikhathini, aze enze uvavanyo lomzimba kunye novavanyo lwe-pelvic.

Ugqirha angabuza izinto ezifana nezi:

• Uqale ukuya exesheni nini?
• Zingaphi iintsuku ezithatha ixesha lokuya exesheni?
• Zingaphi kwezo ntsuku uphuma igazi elininzi?
• Ngaba kukho umntu kusapho lwakho okhe wanengxaki yokuwa exesheni enzima?
• Ithini imbali yakho yokukhulelwa kunye neendlela zokulawula ukukhulelwa zangoku?
• Ngawaphi amayeza (kuquka amayeza athengiswa ngaphandle kwemvume kagqirha (OTC)) owasebenzisayo ngoku?

Lungela ukuthetha ngendlela ophila ngayo. Ugqirha uya kufuna ukwazi ukuba usebenzisa ii-pad ezimbini ngaxeshanye, awusebenzi ngenxa yokuba sexesheni, okanye unemiqathango ebomini bakho bemihla ngemihla.

Zeziphi iimvavanyo ezenziwayo?

I-ultrasound ye-pelvic yeyona ndlela ixhaphakileyo oogqirha abaxilonga ngayo i-menorrhagia. Ezinye iimvavanyo zinokwenziwa ngokuxhomekeke kwiminyaka yakho kunye nobunzima beempawu zakho.

• Uvavanyo lwegazi: Jonga ukuba akukho anemia, iingxaki zokujiya kwegazi, kunye nesifo se-thyroid.
• I-ultrasound edluliselwa kwisini: Jonga imeko yamalungu kunye nezicubu ezikwisinqe.
• I-Magnetic resonance imaging (MRI): Ukuba i-ultrasound ayiniki lwazi lwaneleyo, isetyenziselwa ukukhangela izakhiwo ezingaqhelekanga kwisibeleko.
• I-Pap smear: Ihlola iiseli zomlomo wesibeleko ukuze kujongwe utshintsho olubangelwa ngumhlaza.
• Ukulima komlomo wesibeleko: Ukujonga ukuba akukho ntsholongwane na.
• I-biopsy ye-endometrial: Ijonga iiseli zomhlaza okanye ezinye iingxaki kwizicubu zesibeleko.

Ezinye iindlela ezinokunceda ekuchongeni unobangela wokopha:

• I-Sonohysterogram (i-sonography ye-saline-infusion): Ukujonga iingxaki kwi-membrane yesibeleko. Oku kuquka ukuzalisa isibeleko nge-saline nokujonga ngaphakathi.
• I-Hysteroscopy: Ukujonga ii-polyps, ii-fibroids, okanye ezinye izicwili ezingaqhelekanga kwisibeleko. Le nkqubo inokuhlola i-vagina, umlomo wesibeleko, kunye nesibeleko. Ingasusa nezinto ezibangela ukopha, ezifana nee-fibroids kunye nee-polyps.

Ziziphi iindlela zonyango ezilungileyo zeMenorrhagia?

Unyango luxhomekeke kwisizathu sokopha, ubukhali bokopha, impilo yakho, ubudala, kunye nembali yezonyango.

Ngamanye amaxesha, i-menorrhagia iba ngcono ngaphandle konyango. Oku kunokubangelwa kukutshintsha okuncinci kwamahomoni okanye iimeko ezifana nokutyeba (i-menorrhagia idla ngokuphela xa ufikelela kubunzima obusempilweni).

Thetha nogqirha wakho malunga neengxaki zakho zempilo kunye noko ukulindeleyo kunyango. Emva koko angacebisa eyona ndlela ilungileyo yokwenza.

Amayeza

Oogqirha badla ngokunika amayeza ngaphambi kotyando.

• Izongezo zesinyithi: Buyisela amanqanaba akho esinyithi.
• Amayeza angengowe-steroidal alwa nokuvuvukala (ii-NSAID): Izinto ezifana ne-ibuprofen okanye i-aspirin zinokunceda ukunciphisa iintlungu kunye nokunciphisa ukopha.
• Ulawulo lokuzala: Iipilisi, iiringi zesini, amabala, kunye nee-IUD zinokunceda ekulawuleni ukuya exesheni nasekunciphiseni ukopha.
• Unyango lokutshintshwa kweehomoni (HRT): Oku kunokunceda ukulinganisela amanqanaba e-estrogen kunye ne-progesterone emzimbeni kunye nokunciphisa ukopha kokuya esikhathini. Nangona oku kucetyiswa ukopha kakhulu ngexesha le-perimenopause, kuneengozi, ngoko thetha nogqirha wakho ngayo.
• Ii-agonists kunye nee-antagonists ze-Gonadotropin-releasing hormone (GnRH): Ezi zinokumisa okanye zinciphise ukopha okwethutyana.
• I-Desmopressin nasal spray (Stimate®): Inceda ekumiseni ukopha okunxulunyaniswa nesifo se-von Willebrand ngokunceda ukujiya kwegazi.
• Amayeza e-antifibrinolytic: Izinto ezifana ne-tranexamic acid ziqhekeza amahlwili egazi kwaye zithintele ukopha kakhulu.

Utyando kunye nezinye iinkqubo

Ukuba amayeza awaphelisi iimpawu, ugqirha wakho unokucebisa utyando. Kuxhomekeke kwisizathu sokopha.

• I-Hysteroscopy: Oku kunokuxilonga nokunyanga ukuya exesheni okunzima. Ugqirha usebenzisa ityhubhu ebhityileyo nekhanyisiweyo ukujonga ngaphakathi kwesibeleko. Emva koko, kusetyenziswa izixhobo zotyando ukususa nantoni na ebangela ukopha, njengee-polyps.
• Ukwandiswa kunye nokususwa kwesisu (D&C): Inkqubo apho kususwa khona umaleko ongaphandle wesibeleko. Esi sicwili singathunyelwa kwilabhoratri ukuze kuchongwe unobangela wokopha.
• I-Myomectomy: Utyando lokususa ii-fibroids kwisibeleko.
• Ukwakhiwa kwemithambo yegazi yesibeleko (UAE): Inkqubo ethintela ukuhanjiswa kwegazi kwiifibroids kunye neethumba.
• Ukususwa kwe-endometrial:Inkqubo etshabalalisa yonke okanye inxalenye yolwelo lwesibeleko.
• Ukususwa kwesibeleko: Utyando lokususa isibeleko. Emva koku, awuyi kuba sexesheni okanye ukhulelwe.

Ugqirha wakho uza kucebisa unyango olungcono ngesizathu sokopha kwakho. Unyango lungaqala ngamayeza, emva koko luye kwiinkqubo ezincinci kunye notyando. Thetha nogqirha wakho ukuze ukhethe okona kukulungeleyo.

Kuthekani ukuba i-menorrhagia ayinyangwa?

Ukopha kakhulu kunokukhokelela kwi -anemia , nto leyo enokuba yingozi kakhulu. Ukuba ucinga ukuba une-menorrhagia, kubalulekile ukubona ugqirha uze ufumane unyango.

Ingaba imeko (iMenorrhagia) ingaba ngcono?

Ewe, ngamanye amaxesha i-menorrhagia ingaphela ngaphandle konyango. Kodwa kungcono ukuthetha nogqirha wakho malunga nokuba oku kuyenzeka na kuwe. I-Menorrhagia inokuba yeyokwexeshana kwaye ibe ngcono ngaphandle kokungenelela konyango. Nangona kunjalo, amaxesha amaninzi, kukho imeko engaphantsi ebangela ukuba ube nexesha elinzima. Usenokungafumani kuphumla kwixesesha lakho elinzima de loo meko inyangwe.

Ngaba ukopha kakhulu exesheni kungathintelwa?

Ayizizo zonke izinto ezibangela ukuba ube sexesheni elinzima ezinokuthintelwa, kodwa ukuthetha nogqirha ukuze ufumane unyango kunokukunceda ulawule ukopha kwakho ngaphandle kokuphazamisa umgangatho wobomi bakho.

Uthini ngokuphila nale meko? (Ingqikelelo)

Ukuba anganyangwa, amaxesha anzima anokuphazamisa ubomi bakho. Ukongeza, amaxesha anzima anokubangela i-anemia, enokukwenza uzive udiniwe kwaye ubuthathaka. Ukuba anganyangwa, nezinye iingxaki zempilo zinokuvela. Ngonyango olufanelekileyo kunye nenkxaso yezonyango, unokulawula amaxesha anzima ngaphandle kokubeka impilo-ntle yakho esichengeni.

Ufanele uye nini kugqirha xa ukrokrela ukuba ukopha kakhulu?

Ukuba uneempawu zokuya exesheni kakhulu, i-anemia, okanye ukuba ukuya exesheni kwakho kuchaphazela umgangatho wobomi bakho, kufuneka ubone ugqirha. Ukugcina umkhondo wexesha lakho lokuya exesheni kwikhalenda okanye kwi-app kunokukunceda ubone ukuba ixesha lakho linzima kunesiqhelo kwaye lihlala iintsuku eziliqela. Bonisa ugqirha wakho la manqaku.

Yenza idinga nogqirha wakho kwangoko xa uqaphela ukuba kufuneka usebenzise ii-pad ezimbini ngexesha, okanye ukuba uphoswa zizinto ozithandayo ngexesha lokuya exesheni.

Ngaba kufuneka uye kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Ukuya exesheni kakhulu akusoloko kusongelwa ubomi. Nangona kunjalo, ukuba wopha kakhulu, kunokuba yingozi. Ukuba wopha iiyure ezimbini ukuya kwezintathu zilandelana, okanye ukuba umanzisa iipads okanye ii-tampon ezingaphezu kwesibini ngeyure, luphawu lokuba kufuneka ubone ugqirha okanye ufumane unyango olungxamisekileyo.

Nangona ukuya exesheni kakhulu kuyinto eqhelekileyo, akufuneki unyamezele ukungonwabi okubangelwa kuko. Ukuba ukulawula ukopha kwakho kuphazamisa impilo yakho yengqondo neyomzimba, thetha nogqirha wakho. Angakunceda ufumane unyango oluza kukuzisela isiqabu kwaye lukuvumele ukuba uphile ubomi obufunayo, nokuba usexesheni.

Umyalezo Wokugqibela Wokuya Ekhaya

• Ukopha kakhulu ukuya exesheni (i-menorrhagia) kunokuba yingxaki enkulu, ngoko ke musa ukuba neentloni okanye ukoyika, kodwa funa ingcebiso kagqirha.
• Ukuba uneempawu ezahlukileyo kwezexesha lakho eliqhelekileyo lokuya exesheni kwaye zibangela ukungakhululeki (umz., ukutshintsha ii-pad rhoqo ngeyure, ukopha kakhulu, okanye ukuya exesheni okuhlala iintsuku ezingaphezu kwe-7), musa ukuzityeshela.
• I-anemia yingxaki enkulu yale meko, ngoko ke lumka izinto ezinje ngobuthathaka, ukudinwa, kunye nobunzima bokuphefumla.
• Le meko ingalawulwa kakuhle ngokufumana unobangela nokufumana unyango olufanelekileyo.
• Awuwedwa, baninzi abantu abajongene neengxaki ezifanayo. Ngoko ke ungathandabuzi ukucela uncedo. Impilo yakho yeyona nto ibalulekileyo!

I- Menorrhagia, ukopha kakhulu exesheni, ukuya exesheni, impilo yabasetyhini, isibeleko, iihomoni, i-anemia