Ingabe nawe unesifo sokopha kakhulu esikhathini? (Menorrhagia) Ake sixoxe ngalokhu.

Ukuya esikhathini, noma ukuya esikhathini, kuyingxenye evamile yokuphila kwethu njengabesifazane. Kodwa kwabanye, lezi zinsuku ezimbalwa zibuhlungu kakhulu. Ukopha kakhulu kangangokuthi awukwazi ukwenza noma yimuphi umsebenzi noma ukuphuma endlini. Uke waba nalokhu okuhlangenwe nakho? Khona-ke lesi sihloko sizoba sibaluleke kakhulu kuwe. Namuhla sikhuluma ngalesi simo esibizwa ngokuthi ukuya esikhathini okunzima, noma njengoba odokotela besibiza kanjalo, i-Menorrhagia .

Iyini i-Menorrhagia? Kalula nje...

I-Menorrhagia yilapho uphuma igazi kakhulu kunokujwayelekile phakathi nesikhathi sakho senyanga. Lokhu ngezinye izikhathi kungahlala izinsuku eziningi. Manje ungase uzibuze, "Kuyini okuvamile? Ngingazi kanjani ukuthi ngiphuma igazi eliningi?" Kulungile, ngakho-ke bona ukuthi unazo yini lezi zimpawu.

• Ukuya esikhathini okuhlala izinsuku ezingaphezu kweziyi-7 .
• Uma ukopha kukhulu kangangokuthi iphedi noma i-tampon imanzi ngokuphelele , cishe kanye ngehora, futhi uma kuqhubeka amahora amaningana.
• Uma kufanele usebenzise ama-pad amabili ngesikhathi esisodwa ukulawula ukuphuma kwegazi.
• Uma kudingeka uvuke phakathi nobusuku ukuze ushintshe iphedi yakho .
• Uma amahlule egazi, ngokuvamile angangemali engu-5 rupee noma ngaphezulu, edlula izikhathi eziningana ngosuku.
• Uma ukopha kakhulu ngesikhathi sakho sokuya esikhathini kukuvimbela ekwenzeni imisebenzi yakho evamile (isib., ukungakwazi ukuya emsebenzini noma esikoleni).

Uma lezi zinto zikwehlela, ungacabangi nje ukuthi kuyinto evamile. Lokhu kuyinto okufanele ukhulume ngayo nodokotela wakho.

Yiziphi izimpawu eziyinhloko zokuya esikhathini okukhulu?

Ngaphezu kwezinto esixoxe ngazo ekuqaleni, kunezinye izimpawu ezingakutshela ukuthi umzimba wakho ulahlekelwa igazi eliningi kunalokho okufanele. Ukuze lolu lwazi lucace, ake silubeke etafuleni elifana naleli.

Kungani lokhu kwenzeka kimi? Yiziphi izimbangela zokuya esikhathini okunzima?

Akukho sizathu esisodwa salokhu. Kungaba nezizathu eziningi. Kuncike eminyakeni yakho, impilo yakho, njll. Ake sibheke ezinye zezizathu eziyinhloko.

Ukungalingani kwama-hormone

Amahomoni i-estrogen ne -progesterone emizimbeni yethu alawula umjikelezo wokuya esikhathini wanyanga zonke. Uma kukhona ushintsho kula mahomoni, ukuya esikhathini kungaba nzima kakhulu.

• Ukukhishwa kwe-Anovulation
• Isifo se-thyroid
• I-Polycystic Ovary Syndrome (PCOS)
• Ukukhuluphala ngokweqile nakho kungadala lesi simo ngokuthinta ama-hormone.

Izimila ezingezona umdlavuza esibelethweni

Ezinye izimila ezingenabungozi ezikhula esibelethweni nazo zingabangela ukopha ngokweqile.

• Ama-polyps: Uhlobo lokukhula okuncane okwakheka odongeni lwangaphakathi lwesibeletho.
• Ama-fibroid: Uhlobo lwesimila esikhula emisipheni yesibeletho.
• I-Adenomyosis: Izicubu ezivela odongeni lwangaphakathi lwesibeletho zikhula zibe udonga lwemisipha lwesibeletho.

Izifo

Lesi simo singabangelwa nayizifo ezithile, okuhlanganisa izifo ezithathelwana ngocansi (ama-STI). Isibonelo:

• I-Trichomoniasis
• I-Gonorrhea
• I-Chlamydia
• Izimo zokuvuvukala kwesibeletho (i-endometritis engapheli)

Izinkinga ezihlobene nokukhulelwa

Ngezinye izikhathi ukopha okukhulu kungaba uphawu lwenkinga yokukhulelwa.

• Ukuphuphuma kwesisu
• Ukukhulelwa kwesisu

Ezinye izimo zezokwelapha

Izinto ezifana nezifo ezithinta ukujiya kwegazi, isifo sesibindi, kanye nesifo sezinso nazo zingabangela lokhu.

• Isifo sikaVon Willebrand - inkinga yokujiya kwegazi.
• Isifo Sokuvuvukala Kwezitho Zangasese (PID)
• Umdlavuza ohlobene negazi njenge-leukemia.

Izimo zomdlavuza

Esikhathini esiningi, lesi simo asivamile ukubangelwa umdlavuza. Kodwa-ke, ukuya esikhathini kakhulu kungaba uphawu lomdlavuza wesibeletho noma wesibeletho. Yingakho kungcono ukungazinaki lezi zimpawu.

Eminye imithi

Eminye yemithi oyiphuzayo nayo ingaba yimbangela yalokhu.

• Izinto zokunciphisa igazi kanye ne-aspirin.
• Ezinye izindlela zokuvimbela inzalo, isibonelo, amadivayisi angaphakathi kwesibeletho (ama-IUD), zifakwa kusenesikhathi.
• Ukwelashwa kokushintsha ama-hormone.

Udokotela usithola kanjani lesi simo?

Uma uya kudokotela, uzoqala ngokukubuza imibuzo embalwa. Uzokubuza imininingwane eminingi mayelana nomjikelezo wakho wokuya esikhathini, ukuthi ukhona yini emndenini wakho oke waba nezinkinga ezifanayo, kanye nemithi oyiphuzayo. Ngakho-ke kungaba usizo kakhulu ukugcina idayari yezinto ezifana nosuku oluqala ngalo ukuya esikhathini, usuku oluphela ngalo, kanye nenani lezinsuku ophuma ngazo igazi kakhulu.

Ngemuva kwalokho kuzohlolwa umzimba kanye nokuhlolwa kwe-pelvic. Ukuhlolwa okulandelayo kungenziwa futhi ukuthola imbangela eqondile:

• Ukuhlolwa kwegazi: Hlola ukuthi awunayo yini i-anemia, izinkinga zokujiya kwegazi, noma amazinga ama-hormone e-thyroid.
• I-ultrasound ye-Transvaginal: Kufakwa ithuluzi elincane ngesitho sangasese sowesifazane ukuhlola isimo sesibeletho nama-ovari.
• I-Pap smear: Ukuhlolwa kwamaseli omdlavuza wesibeletho.
• I-biopsy ye-endometrial: Kuthathwa ingxenye encane yezicubu odongeni lwangaphakathi lwesibeletho bese kuhlolwa amangqamuzana omdlavuza noma ezinye izinkinga.
• I-Hysteroscopy: Ipayipi elincane elinekhamera lidluliselwa esithweni sangasese sowesifazane liye esibelethweni ukuze kuhlolwe ingaphakathi le-polyps kanye ne-fibroids. Ngezinye izikhathi, zingasuswa ngale nqubo.

Yiziphi izindlela zokwelapha lokhu?

Ukwelashwa kuncike embangeni wesikhathi sakho esinzima, ubukhali baso, iminyaka yakho, nokuthi uhlela ukuba nezingane yini esikhathini esizayo.

Imithi

Ngokuvamile, odokotela baqala ngokuzama ukulawula lokhu ngemithi kunokuba basebenzise ukuhlinzwa.

• Izithako zensimbi: Lawula i-anemia.
• Ama-Painkiller (ama-NSAID): Imithi efana ne-ibuprofen inganciphisa ubuhlungu kanye nokopha.
• Amaphilisi okuvimbela inzalo nezinye izindlela: Lawula umjikelezo wokuya esikhathini ngokulawula ama-hormone nokunciphisa ukopha.
• I-Tranexamic acid: Lo muthi, othathwa ngesikhathi sokuya esikhathini kuphela, uvimbela ukuqhekeka kwegazi futhi unciphise ukopha okukhulu.
• Ukwelashwa ngama-hormone: Imithi yama-hormone efana nama-agonist e-GnRH ingamisa noma inciphise ukopha okwesikhashana.

Ukuhlinzwa nezinye izinqubo (Izinqubo Zokuhlinzwa)

Uma imithi ingasebenzi, udokotela wakho angase akuncomele ukuhlinzwa noma enye indlela.

• I-D&C (Ukwanda Nokukhumula): Ukuklwebha nokususa ungqimba olungaphezulu lodonga lwangaphakathi lwesibeletho.
• I-Myomectomy: Ukususwa kokuhlinzwa kwama-fibroids esibelethweni kuphela.
• Ukususwa kwe-endometrial: Ukubhubhisa ulwelwesi lwangaphakathi lwesibeletho. Ngemva kwalokhu, ikhono lokukhulelwa liyancipha kakhulu.
• Ukususwa kwesibeletho: Ukuhlinzwa kokususwa kwesibeletho sonke. Lokhu kuphumela ekunqanyulweni kokuya esikhathini kanye nokungakwazi ukuthola abantwana. Lokhu kuvame ukwenziwa njengesixazululo sokugcina.

Kufanele ngibone nini udokotela ngokushesha? Kufanele ngiye ku-ETU?

Ukuya esikhathini esinzima ngokuvamile akusona ingozi empilweni. Kodwa-ke, ezimweni ezingavamile, ukopha okukhulu kungaba yingozi. Uma kuqhubeka amahora amabili kuya kwamathathu, futhi ucwilisa ngokuphelele iphedi elilodwa noma amabili njalo ngehora , kuyisimo esiphuthumayo. Uma lokhu kwenzeka, kufanele ubone udokotela ngokushesha noma uye emnyangweni wezimo eziphuthumayo wesibhedlela (ETU) .

Ukuya esikhathini okunzima kuyinkinga kwabesifazane abaningi, kodwa akudingeki uhlupheke ngakho. Uma kuphazamisa impilo yakho, kuthinta injabulo yakho, noma kuthinta impilo yakho yengqondo, qiniseka ukuthi ukhuluma nodokotela. Uzokwazi ukuncoma ukwelashwa okungcono kakhulu kuwe.