Koma ngati akusamba amakhala masiku osachepera asanu ndi awiri ndipo alibe chizolowezi chomaliza, ndipo ngati amatha masiku awiri kapena atatu, amunawo amadzala kwambiri kuti amayi adzuke usiku kuti athetse chithandizo chaukhondo, ndiko kuti, nthawi yoti afunse dokotala: vutoli silingaganizidwe chizoloŵezi. Mmene mungathetsere vutoli, onani mu mutu wa mutu wakuti "Miyezi ikupita nthawi, koma yambiri."
Chifukwa chiyani?
Kuwonjezeka kwa mwezi uliwonse ndi dzina la sayansi: hyperspolymenorea. Kutalika ndi kuchulukira kwa magazi kumadalira molingana ndi mlingo wa hormone estrogen mu thupi la mkazi. Pogwiritsa ntchito mphamvu zake, pali kuwonjezeka kwa endometrium, yomwe imamanga mpanda wa chiberekero ndikugwedeza pa nthawi ya kusamba. Kupititsa patsogolo kuyambitsidwa kwa estrogen kungayambitse njira zosiyanasiyana za thupi. Ndi khungu la chithokomiro (lomwe limayambitsa kuti estrogen ipangidwe), poyamba pali kuphulika kwa endometrium. Koma ngati miyesoyo siidatengedwe ndipo msinkhu wa mahomoni sachepetse, mkhalidwewu ukhoza kuwonjezereka: mu endometrium, polyps ikukula, ndipo m'tsogolomu zowonjezereka kwambiri mapangidwe ndi endometrial adenocarcinoma. Matenda a hyperpolymenorrhea amatha kupezeka pamene ntchito yogwirizana ya chiberekero imasintha. Izi zimachitika ngati kachilombo ka myomatous kakakula mu chiberekero cha chiberekero, kapena vuto ngati endometriosis lachitika. Pano pali zizindikiro zake: kutayira kutayika kwa bulauni kumapeto kwa msambo kapena pambuyo pa kugonana, mwachikondi m'mimba pamunsi, yomwe imapitirira pambuyo pa kusamba. Pankhani imeneyi, chibadwa ndi chofunikira kwambiri. Ngati mkazi ali ndi endometriosis, mwana wake wamkazi adzatengera 80 peresenti.
Kufufuza koyenera
Kuti mudziwe bwinobwino, komanso kusankha mankhwala okwanira ngati mwakachetechete dokotala amatha kokha kufufuza bwinobwino ndikuzindikira chifukwa chenicheni cha zomwe zikuchitika. Chinthu choyamba chimene chiyenera kuchitidwa ndi ultrasound ya intravaginal. Ikuchitika mu gawo lachiwiri pa tsiku la 20-25 la ulendo. Ngati pakadutsa pano mamita 16 mm endometrium amakula mu chiberekero cha uterine, ichi ndicho maziko a "diagnosis hyperplasia". Pankhaniyi, m'pofunika kudutsa mayesero pa mahomoni a chithokomiro ndikupanga tizilombo toyambitsa matenda. Hysteroscopy ndi njira yamakono yofufuzira, yomwe imachitidwa panthawi yopuma ndipo imasonyezedwa kwa onse kubereka ndi amayi omwe sali nawo. Pulojekiti yoonda kwambiri imalowetsedwa mu chiberekero cha uterine, chomwe chimapangitsa kuti munthu ayambe kuona zozizwitsa za uterine ndikuwonetsa zochepa kwambiri za endometrium yosinthika, zomwe siziwonekere pa ultrasound, komanso kutenga kachidutswa ka zinthu zowonongeka. The hysteroscope ili ndi mamita atatu mm, imasintha ndipo safuna kukula kwa khola lachiberekero. Chinthu chokha chimene chiyenera kuchitidwa musanachite ndondomeko ya urogenital smear, monga momwe kutukulira kumaliseche sikungatheke.
Hyperpolymenorrhea yokhudzana ndi zaka
Mu moyo wa mkazi, pali nthawi pamene chiyambi cha hyperpolymenorrhoea makamaka chikutheka. Izi ndizo msinkhu pamene mchitidwe ukuchitika. Ndiye nthawi yochuluka ikhoza kupita kwa ana akumwa magazi, ndipo ichi ndi chifukwa chofulumira kuti awone dokotala. Pambuyo pa zaka 38 mpaka 40, pamene pali kukonzedwanso kwa thupi, maulendo ambiri amakhala otupa, pali kusiyana pakati pa kupanga estrogens ndi progesterone. Mkazi akhoza kuzindikira kuti akulemera kwambiri kuposa kale, nthawi ya kusamba ikuwonjezeka, ndipo kusiyana pakati pawo kwatsika. Izi ndizoyamba zizindikiro za kusintha kwa mahomoni m'mbuyo. Izi zikugwirizana ndi izi, popeza mankhwala amasiku ano amalola kuti tisinthe ndondomekoyi mochuluka kuposa momwe tinkachitira kale.
Kupewa
Pofuna kupewa matenda a endometrium, m'pofunika kuchita kafukufuku wamakono wapachaka (ultrasound ndi majeremusi a chithokomiro m'magazi), komanso intravenous ultrasound tsiku la 20th-25th. Gulu loopsya limaphatikizapo amayi omwe ali olemera kwambiri, chifukwa mafuta ochepa kwambiri amatchedwa "depot" a estrogens, omwe amasonkhanitsa pamenepo ndipo amakhudza omwe amapezeka m'mimba ndi endometrium. Ndiyenso kuyang'anira chiwindi. Zochitika zosayembekezereka m'zinyalala za bile zimachititsa kusokonezeka kwa chithokomiro cha chithokomiro. N'zosavuta kuti tipewe mavutowa kusiyana ndi kuwongolera. Tsopano tikudziwa, ngati mwezi uliwonse umapita nthawi, koma wochulukirapo - ndi bwino kuwona dokotala.