Ingabe ukuya kwakho nyanga zonke akujwayelekile? Lokhu kungaba yisimo esibizwa ngokuthi (Menometrorrhagia)!

Ingabe ngezinye izikhathi uzwa ukopha okungalindelekile, okungajwayelekile, futhi ngezinye izikhathi okunamandla kakhulu esithweni sakho sangasese sowesifazane? Noma ingabe ukuya esikhathini kwakho kuthatha izinsuku eziningi? Lezi zinto kumelwe ukuba azikuphathi kahle, akunjalo? Ngezinye izikhathi ungase ucabange ukuthi lokhu kuyinto evamile, kodwa ngezinye izikhathi lokhu kungaba uphawu lwesimo esibizwa ngokuthi `(Menometrorrhagia)`. Ungakhathazeki, sizoxoxa ngalokhu namuhla.

Kuyini lokhu `(Menometrorrhagia)`? Ake sikuqonde kalula

Kalula nje, `(Menometrorrhagia)` ukuphuma kwegazi okungajwayelekile esibelethweni sakho, okusho ukuphuma kwegazi ngokweqile, ukuphuma kwegazi okungajwayelekile, noma ukuphuma kwegazi isikhathi eside kakhulu . Ngokuvamile, ukuya esikhathini kwabesifazane abaphilile kwenzeka phakathi kwezinsuku ezingu-21 nezingu-35, futhi ukuphuma kwegazi kuhlala cishe izinsuku ezi-5. Kodwa-ke, kulesi simo `(Menometrorrhagia)`, umjikelezo wakho wokuya esikhathini awujwayelekile neze. Awukwazi ukubikezela ukuthi uzophuma nini igazi, uzophuma igazi elingakanani, nokuthi uzohlala isikhathi esingakanani.

Cabanga nje, ukuthi bekungaba nzima kangakanani uma ubulungiselela uhambo olubalulekile noma umcimbi bese kuthi kungazelelwe isikhathi sakho sokuya esikhathini siqale, futhi kube nzima kakhulu. Kungalimaza usuku lwakho lonke, akunjalo?

Lolu hlobo lokopha okungalindelekile lungaba nomthelela omkhulu emisebenzini yakho yansuku zonke kanye nempilo yengqondo. Ngakho-ke akuwona umqondo omuhle ukumane ukuchilize ngokuthi "okunye." Kubalulekile ukwazisa udokotela wakho. Kungase kungabi yisimo esibucayi. Kodwa-ke, ngezinye izikhathi kungaba uphawu lwesimo sezokwelapha esingathinta ukuzala kwakho noma sibangele izinkinga zempilo zesikhathi eside.

Uyini umehluko phakathi kwe-`(Menorrhagia)` kanye ne-`(Menometrorrhagia)`?

La magama amabili afana kancane, ngakho-ke angadideka.

• I-Menorrhagia ukopha ngokweqile ngesikhathi somjikelezo wakho wokuya esikhathini ojwayelekile. Okusho ukuthi, ukopha kuphela ngesikhathi sakho sokuya esikhathini, kodwa okunzima kakhulu.
• I-Menometrorrhagia iwukuphuma kwegazi okungajwayelekile, okungalindelekile, futhi okweqile, hhayi ngesikhathi sokuya esikhathini kuphela, kodwa nganoma yisiphi isikhathi.

Uyawuqonda umehluko? Ku-"Menometrorrhagia", umjikelezo wakho wokuya esikhathini uyaphazamiseka.

Ivame kangakanani i-Menometrorrhagia?

Abesifazane abaningi ababatsheli odokotela babo ngalolu hlobo lokopha okungavamile. Ngakho-ke, nakuba izibalo eziqondile kunzima ukuzinikeza, kulinganiselwa ukuthi phakathi kuka-10% no-35% wabesifazane bangase babe nalesi simo. Kodwa-ke, leli nani lingase libe phezulu kakhulu.

Ngokuqondene,

• Kwamantombazane amancane asanda kuqala ukuya esikhathini (cishe aneminyaka eyi-12 ubudala)
• Kwabesifazane abaseduze nokunqamuka kokuya esikhathini (i-Perimenopause)

Lesi simo sivamile.

Ziyini izimpawu ze-`(Menometrorrhagia)`?

Izimpawu zingase zihluke kuye ngembangela yalesi simo. Kodwa-ke, odokotela babheka noma yikuphi ukuphuma kwegazi ngaphandle komjikelezo ojwayelekile wokuya esikhathini, okuphakathi kwezinsuku ezingu-21 nezingu-35, futhi okuhlala cishe izinsuku ezi-5, njengokungavamile. Uma ungakwazi ukubikezela ukuthi uzophuma nini, kangakanani, futhi isikhathi esingakanani, kungaba `(Menometrorrhagia)`.

Nazi ezinye izimpawu zokuthi kungenzeka ukuthi unenkinga yokopha okungavamile:

• Ukopha kakhulu kokuya esikhathini (i-Menorrhagia): Uma ukopha kuthatha amahora amaningana, kusinda kakhulu kangangokuthi kufanele ushintshe ama-pad noma ama-tampon njalo ngehora, noma uma kufanele usebenzise ama-pad amabili.
• Ukuchapha noma ukuphuma kwegazi ngesikhathi sokuya esikhathini: Lokhu kusho ukuphuma kwegazi ngisho nangezinsuku lapho ungenayo khona isikhathi sakho sokuya esikhathini.
• Ukuya esikhathini okungavamile: Uma ukuya esikhathini kuthatha izinsuku ezingaphezu kweziyisikhombisa.
• Imijikelezo yokuya esikhathini engajwayelekile, engabikezeleki: Uma imijikelezo yakho yokuya esikhathini imfushane kunezinsuku ezingu-21 noma ingaphezulu kunezinsuku ezingu-35, futhi ubude besikhathi buyahlukahluka kusuka komunye umjikelezo kuya komunye.
• Ukungabikho kokuya esikhathini isikhathi esingaphezu kwezinyanga ezintathu.
• Ukopha ngemva kokunqamuka kokuya esikhathini. (Lokhu akuvamile nhlobo , kufanele ufune iseluleko sezokwelapha ngokushesha.)
• Ukuzizwa ukhathele futhi ubuthakathaka: Lezi yizimpawu ze-anemia. I-anemia ingavela ngenxa yokulahlekelwa igazi ngokweqile.

Yiziphi izimbangela ze-`(Menometrorrhagia)`?

Kungaba nezizathu eziningana zalokhu. Izinkinga zama-hormone, izimila ezingezona umdlavuza, umdlavuza, izifo, ezinye izimo zezokwelapha, kanye neminye imithi kungabangela lokhu kopha okungavamile. Udokotela wakho kuphela ongakutshela ngqo ukuthi yini ebangela lesi simo. Njengoba kunezimbangela eziningi ezingaba khona, kungcono ukukhuluma nodokotela wakho ngezimpawu zakho bese uthola ukuthi kwenzekani.

1. Ukuphazamiseka kwama-hormone

Esikhathini esiningi, ukuphuma kwegazi okungavamile kwesibeletho kubangelwa ukungalingani kwama-hormone. Umjikelezo wakho wokuya esikhathini ulawulwa ama-hormone. Njengeqembu le-orchestra, wonke la ma-hormone asebenza ndawonye ukuqinisekisa ukuthi ukuya kwakho esikhathini kujwayelekile. Uma lokhu kulinganisela kuphazamiseka, ngisho nokuncane kakhulu, ukuphuma kwegazi okungavamile kungenzeka.

Nazi ezinye zezizathu ezinjalo:

• Ukukhishwa kwe-Anovulation
• Isifo se-thyroid
• I-Polycystic ovary syndrome (i-PCOS)
• Ukukhuluphala ngokweqile: Ukukhuluphala ngokweqile noma ukukhuluphala ngokweqile nakho kungabangela ukungalingani kwama-hormone.
• Ukucindezeleka

2. Ukukhula okungenawo umdlavuza

Ezinye izimila ezingezona umdlavuza (izimila ezingenobungozi) esibelethweni sakho nazo zingabangela ukuphuma kwegazi.

Izibonelo:

• Ama-polyp
• Ama-fibroid
• I-Adenomyosis
• I-Endometriosis

3. Ngaphambi komdlavuza kanye nomdlavuza

Nakuba kungavamile, ezinye izinhlobo zomdlavuza nazo zingabangela i-menometrorrhagia.

Kunjalo:

• Umdlavuza wesibeletho
• Umdlavuza wesibeletho
• Umdlavuza wesitho sangasese sowesifazane
• Umdlavuza wesibeletho
• I-Endometrial hyperplasia (ukuqina kolwelwesi lwesibeletho)

4. Ukutheleleka

Izifo ezithathelwana ngocansi (STI) kanye nezifo ezingathathelwana ngocansi zingabangela ukopha okungajwayelekile.

Izibonelo:

• I-Trichomoniasis
• I-Cervicitis (ukuvuvukala komlomo wesibeletho)
• Isifo sokuvuvukala kwe-pelvic (PID)
• I-Chlamydia
• I-Gonorrhea
• I-Endometritis (ukuvuvukala kolwelwesi lwangaphakathi lwesibeletho)
• I-Vaginitis (ukuvuvukala kwesitho sangasese sowesifazane)

5. Ezinye izimo zezokwelapha

Ezinye izimo zezokwelapha nazo zingabangela ukuphuma kwegazi okungavamile kwesibeletho.

Izibonelo:

• Isifo sesibindi
• Isifo sezinso
• Isifo sikaVon Willebrand (inkinga yokujiya kwegazi)
• Ezinye izinkinga zokujiya kwegazi
• Ukukhulelwa
• Ukuphuphuma kwesisu
• Ukukhulelwa kwesisu
• Ukulimala kwesibeletho (isb., ngenxa yengozi yemoto)

Uma uzwa ukopha ngesikhathi sokukhulelwa, bona udokotela ngokushesha. Kungaba uphawu lwenkinga enkulu yokukhulelwa.

6. Imithi

Eminye imithi ingabangela nokopha okungajwayelekile kwesibeletho. (Okumangazayo ukuthi eminye yale mithi isetshenziselwa ukwelapha ukopha okungajwayelekile.) Kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyiphuzayo.

Izibonelo:

• Ama-blood thinner kanye ne-aspirin
• Ukwelashwa kokufaka esikhundleni sama-hormone (HRT)
• I-Tamoxifen (umuthi womdlavuza webele)
• Amadivayisi angaphakathi kwesibeletho (ama-IUD); Uma ukhohlwa ukususa i-IUD, ingabangela ukutheleleka kanye nokopha okungavamile.
• Izinhlobo ezithile zokulawula inzalo

Ubani othinteka kakhulu yi-Menometrorrhagia?

Igama elithi "ukopha kwesibeletho okungavamile" livame ukusetshenziswa ukuchaza ukopha kwabesifazane abaseminyakeni yokuzala abangakhulelwe. Kodwa-ke, lokhu akusho ukuthi akuthinti abesifazane asebekhulile noma abesifazane abakhulelwe. Noma ubani onesibeletho cishe uzobhekana nalolu hlobo lokopha okungavamile ngesikhathi esithile empilweni yakhe. Kodwa-ke, ezimweni eziningi, akukubi kakhulu futhi kungelapheka ngokwelashwa okufanele.

Okubalulekile: Uma udlula esikhathini sokunqamuka kokuya esikhathini, okusho ukuthi ukuya kwakho kwanyanga zonke sekume ngokuphelele, akuvamile ukuba nokopha ngemva kokunqamuka kokuya esikhathini. Ngisho noma igazi libomvu, lipinki, noma linsundu, bheka udokotela ngokushesha.

Futhi, uma uzwa ukopha ngesikhathi sokukhulelwa, tshela udokotela wakho ngakho. Nakuba ezinye izimbangela zingeyona ingozi, ezinye zidinga ukunakekelwa kwezokwelapha.

Yiziphi izinkinga ezingaba khona ze-`(Menometrorrhagia)`?

Ukopha okungavamile kwesibeletho akusongeli impilo. Kodwa-ke, kungabangela i-anemia . I-anemia iwukuba ungenawo amangqamuzana egazi abomvu anempilo anele egazini lakho. Lokhu kungakwenza uzizwe ukhathele kakhulu futhi ubuthakathaka.

Ngaphezu kwalokho, ukopha okungajwayelekile kungaba uphawu lweminye imidlavuza nezinye izimo zezokwelapha. Njengoba ungase ungayazi imbangela, kubalulekile ukubona udokotela futhi ufune ukwelashwa ukuze ugweme izinkinga ezinjengalezi.

I-Menometrorrhagia itholakala kanjani?

Udokotela wakho uzokubuza imibuzo eminingana lapho ehlola ukuphuma kwegazi okungavamile kwesibeletho.

Kunjalo:

• Kuqala nini ukopha?
• Kuthatha isikhathi esingakanani ukopha?
• Kunjani ukopha? (Ingabe kuphezulu, kuphansi, kujwayelekile?)
• Uphuma igazi kangaki?
• Ingabe uyawuqopha umjikelezo wakho wokuya esikhathini?
• Zikhona yini ezinye izimpawu? (isib. ubuhlungu besisu, isiyezi)
• Yimiphi imithi, amavithamini, kanye nezithasiselo ozithathayo?
• Ingabe unakho ukungabaza ngokuthi ukhulelwe yini?

Kungasiza kakhulu ukugcina idayari yokopha kwakho amasonto ambalwa ngaphambi kokuba ubonane nodokotela wakho. Bhala phansi ukuthi uqale nini ukopha, ukuthi kwathatha isikhathi esingakanani, ukuthi kungakanani (ukubonakala kwamabala, okuphakathi, okunzima), nokuthi ngabe kukhona yini ezinye izimpawu.

Ngaphezu kwalokho, udokotela uzokwenza ukuhlolwa ngokomzimba. Lokhu kungafaka:

• Ukuhlolwa kwe-pelvic
• I-Pap smear (kuye ngokuthi ugcine nini ukuyithola)

Yiziphi izivivinyo zokuxilonga?

Udokotela uvame ukulandela lezi zinyathelo:

• Ukuhlolwa kokukhulelwa: Ukopha okuncane kungenzeka ngisho nasezigabeni zokuqala zokukhulelwa.
• Ukuhlolwa kwegazi: Lokhu kungahlola izinto ezifana nokuthi igazi lakho lijiya kanjani kanye nokubalwa kwegazi okuphelele (i-CBC).
• Ukuhlolwa kwegazi kwamazinga ama-hormone: Bheka ukuthi lokhu kuphuma kwegazi kubangelwa ukungalingani kwama-hormone noma kuwuphawu lwesinye isifo.
• I-ultrasound yesinqe: Ukuhlola ukungalingani ohlelweni lwakho lokuzala, njengezimila. I-sonohysterogram, esebenzisa i-saline, ingabona kahle ukungalingani esibelethweni, njenge-polyps kanye ne-fibroids.

Kuye ngemiphumela yalezi zivivinyo, udokotela angenza ezinye izivivinyo:

• Ukuhlolwa kwe-Hysteroscopic: Lokhu kuhlola ama-fibroids, ama-polyps, kanye nezimpawu zomdlavuza.
• I-biopsy ye-endometrial:Kuthathwa isampula yezicubu engxenyeni engaphakathi yesibeletho (i-endometrium) bese ihlolwa umdlavuza noma amaseli angaphambi komdlavuza.

Yiziphi izindlela zokwelapha `(Menometrorrhagia)`?

Ukwelashwa kwakho kuzoncika esibangweni sokopha kwakho. Kunemithi kanye nezinketho zokuhlinzwa zokulawula isimo noma ukwelapha imbangela.

Imithi

Udokotela uqala ngokubheka ukwelashwa ngemithi.

• Amaphilisi okuvimbela inzalo
• I-Progestin (inganikezwa ngomjovo, idivayisi engaphansi kwesikhumba, noma i-IUD)
• Imithi engeyona eye-steroidal elwa nokuvuvukala (ama-NSAID) (isib. i-ibuprofen)
• Ama-agonist nama-antagonist e-Gonadotropin-releasing hormone (GnRH): Lawa angamisa noma anciphise ukopha okwesikhashana. Angasiza futhi ekunciphiseni ama-fibroids.
• I-Tranexamic acid: Yelapha ukopha okukhulu kokuya esikhathini.
• Ama-antibiotic: Uma ukuphuma kwegazi kubangelwa ukutheleleka.
• Izithasiselo zensimbi: Uma kusolwa ukuthi kune-anemia.

Ukuhlinzwa

Kunezinqubo eziningana zokuhlinzwa zokwelapha ukopha okungavamile kwesibeletho.

• I-Hysteroscopy: Inqubo yokususa izinkinga esibelethweni, njenge-fibroids nama-polyps.
• Ukwakhiwa kwemithambo yesibeletho: Ukwelashwa okunciphisa ukugeleza kwegazi kuma-fibroids futhi kubangele ukuthi anciphe.
• I-Myomectomy: Inqubo esusa ama-fibroids ngaphandle kokulimaza isibeletho, okuvumela ukuzala esikhathini esizayo.
• Ukususwa kwe-endometrial: Inqubo esebenzisa i-laser, ukushisa, ugesi, amandla e-microwave, noma ukubanda ukuze kubhujiswe ulwelwesi lwesibeletho. Lokhu akuwona umqondo omuhle uma unethemba lokuba nabantwana esikhathini esizayo.
• Ukwanda kanye nokususwa kwesimila (D&C): Inqubo esusa izicubu esibelethweni. Isetshenziselwa kokubili ukuxilongwa kanye nokwelashwa.
• Ukususwa kwesibeletho: Inqubo yokuhlinzwa esusa ngokuphelele isibeletho. Lokhu kwenzelwa umdlavuza noma izinguquko zangaphambi komdlavuza. Akunakwenzeka ukuba nezingane ngemva kwalokhu.

Buza udokotela wakho ngezingozi nezinzuzo zokuhlinzwa. Yazi kahle ukuthi yini ongayilindela kukhetho ngalunye lokwelashwa.

Yini engingayilindela nge-Menometrorrhagia?

Into ebaluleke kakhulu ukuthola imbangela eyinhloko yokopha kwakho okungajwayelekile. Ukuthola nokwelapha imbangela kungathatha amasonto ambalwa, noma kungaba lula ngodokotela wakho ukuyithola. Kodwa-ke, udokotela wakho uzocabangela izici eziningi, njengobudala bakho, izimpawu, kanye nezici eziyingozi zezimo ezithile zezokwelapha.

Izindaba ezinhle ukuthi ukuphuma kwegazi okungajwayelekile kungelapheka. Landela iseluleko sikadokotela wakho. Uma ukwelashwa kungasebenzi kahle kuwe, tshela udokotela wakho. Bakhona ukukusiza.

Ngingayinciphisa kanjani ingozi ye-`(Menometrorrhagia)`?

Izinto eziningi ezibangela ukuphuma kwegazi okungavamile kwesibeletho azinakuvinjelwa. Kodwa-ke, unganciphisa ingozi yezinye zezimo eziholela kukho. Isibonelo, ukugcina isisindo esinempilo kungasiza ukugcina ama-hormone akho elinganisela. Ukuzijwayeza ucansi oluphephile (njengokusebenzisa amakhondomu) kunganciphisa ingozi yezinye izifo ezithathelwana ngocansi (ama-STI) ezingabangela ukuphuma kwegazi okungajwayelekile.

Kufanele ngimbone nini udokotela?

Uma uzizwa sengathi unesifo sokuphuma kwegazi esibelethweni esingajwayelekile, bheka udokotela ukuze uthole imbangela eyinhloko.

Naka kakhulu lezi zici:

• Ukuba nezikhathi zokuya esikhathini ezingajwayelekile, ezingalindelekile, noma ezinde noma ezimfushane ngendlela engavamile.
• Ukushintsha imikhiqizo yokuhlanzeka kokuya esikhathini njalo ngehora amahora amaningana ngokulandelana.
• Ukopha phakathi kokuya esikhathini (ngisho nendawo encane)
• Izimpawu ze-anemia zifaka phakathi ukukhathala, ubuthakathaka, kanye nokuphelelwa umoya.

Uma ukopha okungajwayelekile kuthinta ikhwalithi yempilo yakho, bona udokotela. Akudingeki usebenzise ama-pad amabili ukulawula ukuya esikhathini kwakho. Akudingeki uphuthelwe izinto ozijabulelayo, noma uphuthelwe umsebenzi noma isikole, ngenxa yokopha okungalindelekile.

Yimiphi imibuzo okufanele ngiyibuze udokotela?

Ungabuza udokotela imibuzo efana nale:

• Ingabe ukopha kwami ​​​​akujwayelekile?
• Ucabanga ukuthi kungani nginokopha okungavamile kwesibeletho?
• Ingabe ukuya kwami ​​esikhathini kubhekwa njengokukhulu?
• Ingabe ngisengozini yokuthola ezinye izinkinga zempilo ngenxa yalokhu kulahlekelwa yigazi?
• Ingabe ngiphuma igazi kakhulu kangangokuthi ngizoba ne-anemia?
• Yiziphi izinzuzo nezinkinga zezindlela zami zokwelapha?
• Uma ngikhulelwe izingane esikhathini esizayo, yiziphi izindlela zokwelapha ezingcono kakhulu kimi?
• Ingabe uzongiphatha ngedwa, noma kuzobe kuhileleke ithimba lezokwelapha?
• Yiluphi ulwazi lokuhlinzwa onalo ekwelapheni ukopha kwesibeletho okungavamile? Ingabe lokhu kuvamile emsebenzini wakho?

Ungumahluleli ongcono kakhulu walokho okuvamile kuwe – uyazi ukuthi isikhathi sakho sokuya esikhathini sihlala isikhathi esingakanani nokuthi uphuma igazi elingakanani. Uma isikhathi sakho sokuya esikhathini sinzima ngendlela engavamile, sihlala isikhathi eside kunokujwayelekile, noma siphuma igazi ngaphandle komjikelezo wakho wokuya esikhathini, khuluma nodokotela. Ungamane nje usibize ngokuthi “into ehlukile.” Ungavumeli ukuphuma kwegazi okungajwayelekile kube yingxenye yempilo yakho futhi kuthinte inhlalakahle yakho yengqondo. Kunezindlela eziningi zokwelapha ezingangenisi uhlaselo ezitholakalayo ukukusiza ukuthi ubuyele ekuphileni impilo yakho engcono kakhulu.

Ekugcineni, into okufanele uyikhumbule

Ukopha okungajwayelekile, okukhulu, noma okuhlala isikhathi eside kwesitho sangasese sowesifazane (i-Menometrorrhagia) akuyona into okufanele ungayinaki. Kungathinta impilo yakho yomzimba neyengqondo. Kungakhathaliseki ukuthi imbangela iyini, ingaphathwa ngeseluleko sezokwelapha esifanele kanye nokwelashwa. Ungesabi noma ube namahloni okukhuluma nodokotela wakho ngakho. Awuwedwa, kunezixazululo.

I- menometrorrhagia, ukuya esikhathini okungajwayelekile, ukopha okukhulu, ukopha kwesitho sangasese sowesifazane, impilo yabesifazane, izinkinga zamahomoni, izifo zesibeletho