Tiyenera kukumbukira kuti vuto lomwelo ndi kuphwanya kusinthidwa ndi amayi oposa 30% padziko lapansi. Azimayi ambiri anayamba kutenga matendawa ngati vuto lalikulu ndipo samapita kwa madokotala ndipo izi ndi kulakwitsa kwakukulu. Chifukwa chakuti pali menorrhagia yoyamba yomwe ingathenso kudziwika pa miyezi yoyamba, ndi ina yachilendo yobisika - imakhala gawo la kusamba, zifukwa zake zoyambirira zimakhala zovuta kudziwa .
Kodi matenda amayamba bwanji?
Chimodzi mwa zifukwa zofunika kwambiri ndi kuphwanya mahomoni kapena kuchepa. Koposa zonse, asungwana amakhudzidwa ndi kusintha kwa mahomoni, kumangopangika nthawi yokha, komanso amayi omwe ali ndi nthawi yozizira. Pazochitika zonsezi, nthawiyi imadziwika ndi kusintha kwakukulu kwa mahomoni, omwe amachititsa kuti kulephera kwa dongosolo la endocrine kutheke. Kwa amayi ena, kuyambiranso kachitidwe ka endocrine kumachitika mofulumira, mwa ena imakhala yaitali kapena sichibwezeretsedwa nkomwe.
Kuphatikiza pa zifukwa izi, menorrhagia imayamba chifukwa cha matenda omwe amabwera chifukwa cha kuphwanya kwa chiberekero. Izi zikhoza kuchitika ndi fibroids ndi uterine fibroids, kutayika kwa mazira ambiri, zotupa zosiyanasiyana. Adenomyosis ya chiberekero ndi matenda ena ovuta, momwe mazira a uterine amakula kukhala minofu, izi zimaphatikizapo kutuluka magazi kwambiri ndi kupweteka.
Ngati mumaganizira momwe thupi limakhudzira thupi, chifukwa cha menorrhagia chingakhale kugwiritsa ntchito intrauterine kulera. Pankhaniyi, chifukwa cha zotupa, kutaya magazi kwakukulu komanso kwa nthawi yaitali kumachitika pa nthawi ya kusamba, ndipo nkoyenera kukana kulera koteroko.
Chifukwa chocheperako chikhoza kukhala matenda opatsirana a ziwalo zoberekera, zomwe zimadziwika kwambiri ndi khansa yowopsa, raksheks ndi chiberekero. Kuchepa kwakukulu pa nthawi ya kusamba kungawoneke chifukwa cha mimba ya mimba.
Ngati mkazi akudwala matenda a magazi omwe mwanjira inayake amagwirizana ndi coagulability, kapena amagwiritsa ntchito anticoagulants, ndiye izi zimathandizanso kukula kwa menorrhagia. Chifukwa chake chikhoza kukhala nthenda yotentha ya cytopenia kapenanso kusowa kwa vitamini K. Chifukwa chosawerengeka kwambiri, komabe chiripo, ndilo kulandira choloŵa chololedwa mwachisokonezo cha amayi.
Nthawi zina, matenda amkati amakhudza maonekedwe a menorrhagia. Zitha kukhala matenda a chiwindi kapena chiwindi, ziwalo zamkati, mavuto a chithokomiro, endometriosis ndi zina zotero.
Mchitidwe wamanjenje umakhudza kwambiri periodicity ndi kulondola kwa msambo. Kawirikawiri, ali ndi thanzi labwino, mayi amadwala ndi menorrhagia chifukwa cha kupanikizika nthawi zonse, kupsinjika maganizo kapena chifukwa cha ntchito yaikulu. Kutopa kwakukulu kumakhalanso chifukwa cha menorrhagia, ndi kusintha kwa nyengo ndi kawirikawiri. Zifukwa zilizonse zomwe zimayambitsidwa ndi kuchuluka kwa nthawi yomwe imatuluka magazi nthawi ya kusamba, simungakhoze kuchita. Ndikofunika kukaonana ndi wodwalayo komanso wogwiritsira ntchito mapulaneti, ndikofunikira kufotokoza zomwe zimayambitsa ndi kuleka kukula kwa matendawa.
Zizindikiro za Menorrhagia
Zizindikiro zikuluzikulu ndizomwe zimapitirira nthawi yaitali, zomwe zimachitika ndi magazi owonjezera, nthawi zambiri zimatseka. Nthaŵi zina kuchulukira kumapitirira mpaka momwe mankhwala oyeretsera amatha kusungira kuchuluka koteroko ndi koyenera kusintha pafupifupi ola lililonse. Chifukwa cha kutayika kwa magazi, mkazi amayamba kufooka, amachepetsa thanzi labwino, nthawi zambiri amadzimadzi ndi kutaya. Nthawi zina pamene amayamba kusamba, chifukwa cha matendawa amachokera ku mphuno, pamthupi, ngakhale kugwiritsidwa ntchito, pali mikwingwirima yambiri.
Kuchiza kwa matendawa
Musanayambe kumwa mankhwala, muyenera kudziwa chomwe chimayambitsa matendawa, ganizirani kuti kuchedwa kwa nthawi yayitali bwanji. Sizingatheke kuchipatala popanda kuvomereza dokotala, komanso kungosiya matendawa osatetezedwa, makamaka ngati atapezeka ndi mtsikana. Zoterezi zimalola kuti miyendo ikhale yovuta komanso imayendetsedwa mwachinsinsi ku mawonekedwe osatha.
Monga lamulo, madokotala amapereka mankhwala osokoneza bongo, nthawi zambiri izi ndizokonzekera za kulera, zomwe, pogwiritsa ntchito kafukufuku, zidzakhala ndi udindo wolamulira mahomoni a thupi. Muzokonzekera kotero, pali estrogen ndi progesterone, ma mandimuwa amachepetsa kuchulukitsa kwa nthawi zina ndi 40%. Komanso, amaletsa kukula kwa endometrium. Ndikofunika kwambiri kuti usagule njira zothandizira njira zokha pokhapokha mutayamikiridwa ndi amayi anu, pogwiritsa ntchito kafukufuku, koma osati mwachindunji.
Ngati matendawa atayambika, mkaziyo akulamulidwa kukonzekera ndi chitsulo, kuyambira pamenepo. ndi menorrhagia, kuperewera kwa magazi kumayambitsa. Kuphatikiza apo, amayi amafunika kugwiritsa ntchito ascorbic acid ndi rutin panthawiyi.
Vuto limakula kwambiri, ngati mayi akudwala matenda a chithokomiro, nthawi zambiri amagwiritsa ntchito opaleshoni kapena kuchita kafukufuku ndikupereka mankhwala. Ngati nthenda ya chithokomiro imachepetsedwa, nthawi zambiri khungu limakhala louma kwambiri, kulemera kwake kukuwonjezeka, kutaya magazi kumatulutsa mphamvu, mkazi amafooka, kusasamala kumawonetsa. Popeza kuti manorrhagia amapezeka kawirikawiri chifukwa cha kutupa, ndiye kuti nthawi zina, mankhwala oletsedwa ndi zotupa amatchulidwa. Ibuprofenokazyvaet ndi zotsatira zabwino pa nthawi ya kusamba, nthawi zambiri kuchepetsa nthawi ndi kuchuluka kwa kusamba. Ngati kutayika kwa magazi kuli kwakukulu, ndizomveka kupatsa mankhwala ozunguza magazi kapena kusiya magazi. Mwachitsanzo, kukonzekera bwino: Aminocaproic acid, Calcium gluconate, Chloride, Dicynon. Nthawi zambiri matenda opatsirana pogwiritsa ntchito tizilombo toyambitsa matenda amaperekedwa kuti abwezeretsedwe.
Masiku ano, kugwiritsa ntchito intrauterine dongosolo ndi levonorgestrel okhudzana ndi wotchuka kuchipatala. Izi zimachepetsanso magazi a endometrium, omwe amachepetsa kukula ndi kukula kwake.
Kawirikawiri chifukwa cha matendawa chingakhale ngakhale kusowa kwa zakudya m'thupi, choncho ndi bwino kukhazikitsa tsiku ndi tsiku, zakudya zoyenera komanso zoyenera.
Opaleshoni ya menorrhagia
Kuchita opaleshoni ya mimba mpaka zaka 40 kumagwiritsidwa ntchito ngati njira yomaliza, monga lamulo, lachitidwa kwa amayi pambuyo pa zaka makumi anayi, ngati palibe njira zina zothandizira zothandizira.
Kupewa menorrhagia
Mayi amafunika kuyang'anira kuti adzipeze thupi komanso kuti asadzipangitse yekha, masewera amphamvu amachititsa chidwi kwambiri. Ngati n'kotheka, kudziletsa nokha kumalo ndi makampani omwe amachititsa zovuta, pewani kugwira ntchito mopitirira malire. Mukasunga zonsezi, vuto lanu lokhazikika silikukula, muyenera kuonana ndi katswiri.
Ndikofunika kwambiri kuti tigwiritse ntchito mavitamini C, B, zovuta zosiyanasiyana za mchere ndi chitsulo komanso folic acid.