Izvo zvakajairika, asi izvo zvinopa chiremba chiongorori
Kuona kuora kwenguva refu kana kuti kwenguva refu-izwi rezvechiremba ndeye menorrhagia-rinogona kuva rinotyisa uye risingaiti. Kunyange zvazvo ichi chiri chiitiko chakajairika, kubuda kwemwedzi kunorema kunoita kushanyira kuchiremba wako, kunyanya wako gynecologist .
Ndiri Kuita Kuvhara Kwakawanda Kwokuita Kuvhara?
Nzira yakareruka yekuziva kana uri kutambura kubuda kumwedzi ndeyekucherechedza kuti unowedzera kakawanda sei padhesi kana tampon.
Kana nguva yako yakakura zvakakwana kuti ude kuchinja padhi kana kukanganisa maawa imwe kwemaawa akawanda, kana kana uine kubuda kwechikadzi kunopedza nguva inopfuura kwevhiki rose, uri kutambura kubuda kumwedzi kunopa ropa.
Kunze kwezviviri izvi, zvimwe zviratidzo zvekurema kwekubuda kwemwedzi kunosanganisira:
- Kupfeka pfuti imwe chete pane imwe nguva kuitira kuti utonge ropa
- Kuva nekuchinja tampon yako kana padhi pakati peusiku
- Kana kuenda kwako kwepamuviri kune mazai ayo akaenzana nekota kana yakakura
Kuziva
Kunyatsoongorora chinokonzera kuchema kwekuenda kumwedzi kunogona kunge chinhu chinotyisa, saka zvakanakisisa kugadzirira. Usati wasarudzwa, edza kuisa nguva yako mumwedzi mishoma yapfuura. Semuenzaniso, mazuva mangani waramba uchibuda mwedzi mumwe nomumwe? Ndeapi mapeji kana tamponi yaunofamba nawo mumazuva ako ekudarika kupfuura mamwe ose kumwedzi?
Mukuwedzera, iri pfungwa yakanaka yekuita mutsara wemishonga yako yese, kusanganisira hormonal birth control, chero mahara hormone, uye chero mavitamini kana kupfuura-the-counter supplements.
Mukuona kuti nei uri kubuda ropa zvikuru, usashamisika kana chiremba wako akarayira kuongororwa kwezvidzidzo, kunze kwekuita kuongorora kwepilvic. Aya maedzo anogona kusanganisira:
- Muedzo wokuzvitakura (kana premenopausal)
- Ropa kuongorora (somuenzaniso, kuverengwa kweropa zvakakwana, iron yezinga, uye hormone yekemikari)
- An ultrasound yemapapiro ako
Chiremba wako anogonawo kuita maitiro muhofisi inonzi hysteroscopy kuitira kuti uonekwe mukati memukuchi wako. Anogonawo kutora muenzaniso wehutachiona hwako, hunonzi "endometrial biopsy," zvichienderana nezera rako uye zviratidzo zvako.
Zvinokonzera
Pane zvikonzero zvakasiyana-siyana zvinokonzera kubuda kwemwedzi kwechirema-vamwe vanorara (kwete-kenza) se fibroids, uye zvimwe zvakashata sekenza yemukamu kana chirwere. Zvimwe zvinokonzera hazvive zvetsika asi zvine chokuita nemahomoni ekuchinja kana matambudziko ekubuda ropa mukati memuviri wako.
Ovulatory Dysfunction
Ovulatory kusagadzikana munguva yevechiri kuyaruka kana kumira kwemazuva ose ndicho chikonzero chinowanzokonzera kukura kwekuenda kumwedzi kunorema. Munguva ino, mukadzi anogona kuvhara (kusunungura mazai) zvisina kufanira, izvo zvinoreva kwete mwedzi woga woga kana kwete zvachose. Izvi zvinokonzera kuwedzerwa kwebumbiro re uterine uye nguva dzakaoma.
Ovulatory kusagadzikana kunogona kuitikawo nemamwe marapirwo akadai se hypothyroidism, polycystic ovarian syndrome, uye kukanganisa kusati kwasvika. Kurapa dambudziko guru (somuenzaniso, utachiona husingaitiki) hunokosha kuti udzorere hutachiona hwemazuva ose uye kuratidza nguva yevakadzi.
Kana kusakanganiswa kwechirwere chikamu chiri chikamu chemuitiro wemuviri wepanyama (semuenzaniso, kuberekwa kana kuti kupera kwemazuva), nzira dzekuberekwa nekuberekwa kana hormone therapy, pamwe chete, inogona kukonzera kubuda ropa.
Uterine Fibroids
Fibroids inowanzoshaya bundu (kwete-kanzira) kukura kunowedzera kubva musumbu yechibereko chemukadzi uye inonyanya kufanana panguva yevakadzi vemakore makumi matatu kana makumi mana. Kunyange zvazvo chinokonzera uterine fibroids chisina kujeka, chinozivikanwa kuti ivo vane esrogen-vanovimba. Ichi ndicho chikonzero dzimwe nzira dzekudzivirira mahomoni dzakadai sekuberekwa kwepiritsi dzinogona kubatsira kuderedza kusuruvara kwekubuda kwemwedzi kunobva kuFiberroid. Progestin-release intrauterine devices (somuenzaniso, Mirena) inogona kuderedza kubuda kwemwedzi kumwedzi, asi haibatsiri kuderedza fiber.
Imwe mishonga dzimwe nguva inoshandiswa kurapa fibroids inonzi gonadotropin-releasing hormone (GnRH) agonist, mushonga unoderedza ukuru hwe fibroids asi inogona kushandiswa chete kwenguva pfupi, nemhaka yemigumisiro.
Uyezve, kurapa kwakasiyana-siyana kunowanika kurapa fibroids, kusanganisira myomectomy (kubviswa kwe fibroid), kubvisa kwemigumisiro yemakemikari kune zviduku zvidhinyi (chivako chechibereko chinoparadzwa), uye uterine arteri embolization (ropa rinowanikwa kune fibroid) . Mumatambudziko akaoma, hysterectomy inogona kugadziriswa, umo chibereko chose chinodzingwa kana kana pasina mavhavha.
Kazhinji, kana zviratidzo zvisiri zvakanyanya kana zvinotambudza, zvakakwana kutora "kumirira uye kuona" kusvika neukterine fibroids. Uye kana kusvikidzika kwakaitika, matumbo anowanzopera uye anonyangarika pasina kurapwa.
Uterine Polyps
Polyps muhutachi-inonzi endometrial polyps -inowanzosava nekenza, kukura-mazambiringa-kufanana kunobuda kubva pachigadziko chechibereko. Zvinogona kuitika mumadzimai maviri epremenopausal uye postmenopausal. Chikonzero chemaprotometrial polyps hachina kujeka, asi kutsvakurudza kunoratidza hukama pakati pe postmenopausal hormone therapy uye kuneta.
Kurapa kwepopoteriyumu polyps kunosanganisira kubviswa kwepolp. Bhuku rehutano richaongorora mapurogiramu endometrial kune kenza shure kwekubviswa kwavo.
Uterine Adenomyosis
Muchiitiko ichi, chibereko chinobva chawedzerwa nokuti masero emuviri anowedzera kuva musimba murusvingo rwechibereko, zvichikonzera marwadzo uye kubuda ropa. Kunyange kubuda ropa kunogona kuderedzwa nenzira dzemahomoni ekudzivirira kuberekwa, kujekesa kwekuda adenomyosis inonzi hysterectomy.
Pelvic Inflammatory Disease (PID)
PID inowanzokonzerwa nehutachiona husina kutenderwa zvepabonde, zvisinei, dzimwe nguva inogona kuitika mushure mekubereka kubereka, kubvisa pamuviri, kana zvimwe zviratidzo zvekuita zvepabonde. MuPID, imwe kana zvimwe nhengo dzinobereka dzine utachiona, sechibereko, fallopian tubes, kana chibereki. Iro rinorayirwa kurapwa kwePID chirwere chinorwisa mabhakitiriya.
Cervical Cancer
Ichi chirwere chekenza chinowanikwa apo masero ari mumuviri wemukati anenge asina kushamisa, achiwedzera kunze kwekutonga, uye anokanganisa zvikamu zvine utano hwomuviri. Ipapillomavirus yevanhu (HPV) ndiyo inokonzera huwandu hwakawanda hwekenza yekondomu. Kurapa kwekenza yemukomana kunosanganisira kurapwa, chemotherapy, uye / kana kuti kurapa kwemaawa.
Endometrial Cancer
Uyu kenza inowanikwa apo masero asina kukwana ari mu endometrium (chivako chechibereko) anowedzera kunze kwekutonga uye anokanganisa chibereko uye dzimwe nhengo. Kunyange zvazvo chikonzero chekenza yemapendometri chisingazivikanwi, vakadzi vanorwara vane chirwere ichi chirwere chinowanzova pakati pemakore ekuma 60s. Mushonga wokutanga wekenza yemaprotometrial kazhinji inonzi hysterectomy, zvichida inotevera chemotherapy uye / kana marapirwo emishonga.
Kuderedza kuora Kwemhepo
Kunyange zvazvo kune marudzi akawanda ezvirwere zvekubuda ropa, rudzi rwakanyanya kunyanya kuvakadzi nderwe Willebrand chirwere (VWD). Kurapa kwevhiri reWillebrand kunosanganisira kusunungurwa kwezvinhu zvakachengetedzwa zvakachengetwa muropa kana, mumamiriro ezvinhu akaipisisa, kutora chikamu chechivharo nechisimba (kuburikidza nemuviri) kurapwa kana nechirongwa chemanal spray .
Zvimwe zvinetso zvekubuda ropa zvakadai sokuva necheplatelet count count (platelets inobatanidzwa mukuvhara uye inobudiswa mumapfupa emapfupa) kana kuva neropa rakakosha seCoumadin (warfarin sodium) inogonawo kuva chikonzero chekunyanya kuneta kwekubuda kwemwedzi.
Zvimwe Zvimwe Zvinokonzera Kuvhara Kwakawanda Kumwedzi
Zvimwe zvinokonzera kukonzera kusuruvara kwekubuda ropa mumadzimai asina kutakura zvinosanganisira endometriosis uye kuva ne- intrauterine device (IUD) yakafanana neMirena, kunyanya panguva yegore rako rokutanga rekushandisa, asi urongwa hahuripo ipapo. Izvi zvinosimbisa kukosha kwekuona chiremba wako kuti aongorore zvakanaka uye kuongororwa.
Apo Kuenda Kumwedzi Kuchechera Chirwere Emergency
Kana iwe uine ropa rakaoma, ruchibuda ropa, iwe unogona kuenda kune imwe nzvimbo yekukurumidzira. Chiratidzo chinenge chiripo kana iwe uri kuvhara kusvika mana kana kupfuura pads kana matamponi mumaawa maviri. Kana iwe uri nepamuviri, tsvaka rubatsiro rwekuchirapa nokukurumidza chero ropa rega.
Shoko Rinobva
Kusvika kumucheto kwako kuneta kwekuenda kumwedzi kunokosha kwete chete nekuda kwehupenyu hwako asi nehutano hwako zvakare. Kurasikirwa kweropa kukuru, zvisinei nokuti chii chinokonzera, kunogona kukonzera kupera kwesimbi kusagadzikana, izvo zvingakuita kuti usanyanya kufema, kuneta, uye kusviba. Kamwe chete kubuda ropa uye chikonzero chekubuda ropa kwako kunotaurirwa uye kubatwa, unogona kuenda mberi uye kunzwa zvakanaka-iwe unofanirwa.
> Sources:
> American College of Obstetrics uye Gynecology. Komiti yeChirungu Nha. 557. Kutungamirirwa kweAine Chirwere Chisingaoneki Kuberekwa muUkadzi Vasina Kuberekwa-Vakwegura Vakwegura. Obstetrics & Gynecology . 2013; 121 (4): 891-896. Yakasimbiswa 2017. chii: 10.1097 / 01.aog.0000428646.67925.9a.
> American College of Obstetrics uye Gynecology. Inowanzobvunzwa mibvunzo: Kuvhara Kwemazuva Akawanda.
> Hauk L et al. ACOG Inoburitsa Mirayiridzo Pamusoro Wekushanda Kwemaitiro Asina Kunyorera Uterine Akabatanidzwa neOvulatory Dysfunction. Ndiye Chiremba weNzara. 2014 Jun 15; 89 (12): 987-88.
> Kaunitz AM. Nzira yekushaya ropa rinokonzera uterine kubuda mumadzimai asingaverengwi ekuberekwa kwezera. Mu: UpToDate, Barbieri RL, Levine D (Eds), UpToDate, Waltham, MA.