Kumvetsetsa Kutuluka Magazi Osazolowereka mu Uterine: Pamene Msambo Wanu Ukuyesera Kukuuzani Chinachake

Msambo ndi gawo lachilengedwe la moyo wa mkazi, koma si nthawi zonse zomwe zimachitika msambo zimakhala zofanana. Ngakhale kuti kusiyana kwa kutalika ndi kutuluka kwa magazi m'thupi kumakhala kofala, kutuluka magazi kochuluka kwambiri, kwa nthawi yayitali, kosakhazikika, kapena komwe kumachitika pakati pa msambo sikuyenera kunyalanyazidwa. Matendawa, omwe amadziwika kuti Abnormal Uterine Bleeding (AUB), amakhudza akazi azaka zonse—kuyambira unyamata mpaka kusamba—ndipo amatha kukhudza kwambiri thanzi la thupi, thanzi la maganizo, komanso moyo wabwino.

Nkhani yabwino ndi yakuti milandu yambiri ya kutuluka magazi m'chiberekero imachiritsidwa pokhapokha ngati chifukwa chake chadziwika. Kumvetsetsa zizindikiro ndikupeza chithandizo chamankhwala nthawi yake kungathandize kwambiri.

Kodi Kutuluka Magazi Osazolowereka a Uterine ndi Chiyani?

Kutuluka magazi m'chiberekero kosadziwika bwino kumatanthauza kutuluka magazi kulikonse kuchokera m'chiberekero komwe kumasiyana ndi momwe mkazi amachitira msambo. Izi zingaphatikizepo:

• Kutuluka magazi ambiri m'mimba

• Kutuluka magazi komwe kumatenga masiku opitilira asanu ndi awiri

• Miyezi yomwe imachitika mobwerezabwereza kapena patali kwambiri

• Kutuluka magazi pakati pa nthawi ya msambo

• Kutuluka magazi pambuyo pogonana

• Kutuluka magazi pambuyo pa kusamba

Mkazi aliyense amakhala ndi nthawi yake yapadera ya msambo, kotero zomwe zimaonedwa kuti ndi "zachilendo" zimadalira zomwe sizili zachilendo kwa munthuyo. Komabe, kusintha kulikonse kwa magazi komwe kumachitika nthawi zonse kumafuna kuyesedwa ndi dokotala.

Zomwe Zimayambitsa Kutuluka Magazi Osazolowereka mu Uterine

AUB ikhoza kuchitika chifukwa cha matenda osiyanasiyana, ena osavulaza ndipo ena amafunika chithandizo chadzidzidzi. Zomwe zimayambitsa matendawa ndi izi:

Kusalingana kwa Mahomoni: Kusinthasintha kwa estrogen ndi progesterone kungasokoneze ovulation yabwinobwino, zomwe zimapangitsa kuti magazi azituluka molakwika kapena mopitirira muyeso. Izi zimachitika kawirikawiri panthawi ya kutha msinkhu, nthawi yopuma, komanso m'matenda monga Polycystic Ovary Syndrome (PCOS).

Uterine Fibroids: Izi ndi zotupa zomwe sizimayambitsa khansa mkati mwa chiberekero zomwe zingayambitse kutuluka magazi ambiri, kwa nthawi yayitali, kapena kupweteka kwa msambo.

Ma polyps a endometrial: Kukula kwa minofu yaying'ono m'kati mwa chiberekero kungayambitse madontho pakati pa msambo kapena kutuluka magazi ambiri modabwitsa.

Adenomyosis: Pa vutoli, chiberekero chimakula kukhala khoma la minofu ya chiberekero, zomwe nthawi zambiri zimapangitsa kuti pakhale nthawi yopuma yopweteka komanso yolemera.

Zifukwa Zokhudzana ndi Mimba: Kutuluka magazi panthawi ya mimba kungasonyeze kuikidwa kwa mwana m'mimba, kutayika kwa mimba, mimba yotuluka m'mimba, kapena mavuto ena okhudzana ndi mimba ndipo nthawi zonse ziyenera kuyesedwa ndi katswiri wa zaumoyo.

Mankhwala: Mankhwala ochepetsa magazi, mankhwala oletsa kubereka okhala ndi mahomoni, ndi mankhwala ena amatha kusintha njira zochotsera magazi m'thupi.

Matenda Otuluka Magazi: Azimayi ena ali ndi matenda otsekeka magazi omwe amayambitsa kutuluka magazi ambiri m'mimba kuyambira ali achinyamata.

Kusintha kwa Khansa kapena Khansa: Ngakhale kuti sikofala kwambiri, kutuluka magazi kosazolowereka—makamaka pambuyo pa kusamba—kungakhale chizindikiro choyamba cha khansa ya chiberekero, khomo lachiberekero, kapena mazira. Kuzindikira msanga kumathandiza kwambiri zotsatira za chithandizo.

Zizindikiro Zomwe Simuyenera Kuzinyalanyaza

Pitani kuchipatala ngati mukukumana ndi izi:

• Kulowa m'madzi osambira kapena ma tampons ola lililonse kwa maola angapo otsatizana.

• Kutuluka magazi ambiri oundana nthawi zonse

• Kutuluka magazi nthawi yoposa masiku asanu ndi awiri

• Kutuluka magazi pakati pa nthawi yosamba

• Kutuluka magazi pambuyo pa kusamba

• Kupweteka kwambiri m'chiuno komwe kumayenderana ndi kutuluka magazi

• Kutopa, chizungulire, kapena kupuma movutikira, zomwe zingasonyeze kuchepa kwa magazi chifukwa cha kutaya magazi ambiri

Kunyalanyaza zizindikiro zimenezi kungayambitse mavuto monga kuchepa kwa magazi m'thupi chifukwa cha kusowa kwa ayoni, kutopa kosatha, komanso kuchedwa kuzindikira matenda omwe amayambitsa matendawa.

Kodi Kutuluka Magazi Osazolowereka a Uterine Kumazindikiritsidwa Bwanji?

Dokotala wanu adzayamba mwa kulemba mbiri yanu yachipatala mwatsatanetsatane ndikukambirana za nthawi yanu ya msambo, zizindikiro, mankhwala, ndi thanzi lanu lonse. Kulemba tsiku lobadwa la msambo kapena kugwiritsa ntchito pulogalamu yotsatirira nthawi ya msambo kungakhale kothandiza kwambiri.

Kuyezetsa matenda kungaphatikizepo:

• Kuyezetsa thupi ndi chiuno

• Kuyezetsa magazi kuti aone ngati pali kuchepa kwa magazi m'thupi, kuchuluka kwa mahomoni m'thupi, matenda a chithokomiro, kapena mavuto okhudza magazi kuundana m'thupi.

• Kuyezetsa mimba, ngati kuli koyenera

• Ultrasound scan kuti muone ngati chiberekero ndi mazira a m'mimba

• Kuyezetsa magazi m'mapapo, ngati kwasonyezedwa

• Kujambula kwa endometrial kuti muone ngati pali chiberekero, makamaka kwa akazi azaka zopitirira 45 kapena omwe ali pachiwopsezo chachikulu cha matenda a endometrial.

• Hysteroscopy, komwe kamera kakang'ono kamalowetsedwa m'chiberekero kuti kawonere mwachindunji zolakwika

Kusankha kafukufuku kumadalira zaka za wodwalayo, zizindikiro zake, ndi mbiri yake yachipatala.

Njira Zothandizira

Chithandizo cha kutuluka magazi m'chiberekero molakwika chimadalira chomwe chimayambitsa, zaka za mkazi, mapulani a mimba yamtsogolo, komanso kuopsa kwa zizindikiro.

Medical Management

Azimayi ambiri amayankha bwino mankhwala, kuphatikizapo:

• Mankhwala a mahomoni monga mapiritsi oletsa kubereka kapena progesterone

• Zipangizo zolumikizirana ndi mahomoni (IUDs)

• Mankhwala osakhala a mahomoni omwe amachepetsa kutaya magazi m'msambo

• Zakudya zowonjezera zachitsulo kwa amayi omwe ali ndi vuto la kuchepa kwa magazi m'thupi

• Chithandizo cha matenda okhudzana ndi mahomoni kapena chithokomiro

Njira Zochepa Zowononga

Ngati mankhwala sagwira ntchito kapena pali zolakwika m'mapangidwe a mankhwala, njira zina zingalimbikitsidwe, kuphatikizapo:

• Kuchotsa ma polyp

• Chithandizo cha fibroid

• Opaleshoni ya Hysteroscopic

• Kuchotsa mimba ya endometrial kwa amayi osankhidwa omwe amaliza kubereka.

Kuchiza Opaleshoni

Pa milandu yoopsa pamene mankhwala ena alephera kapena akukayikiridwa kuti ali ndi khansa, opaleshoni monga hysterectomy ingakhale yofunikira. Komabe, nthawi zambiri izi zimaganiziridwa pokhapokha mutafufuza njira zina zomwe sizingavulaze kwambiri.

Kodi Kutuluka Magazi Osazolowereka mu Uterine Kungapewedwe?

Sizifukwa zonse za AUB zomwe zingapewedwe, koma kukhala ndi moyo wathanzi kungachepetse zinthu zina zomwe zingakubweretsereni mavuto.

Mungathe kuthandiza thanzi lanu la ubereki mwa:

• Kusunga kulemera koyenera

• Kuthetsa kupsinjika maganizo bwino

• Kuchita masewera olimbitsa thupi nthawi zonse

• Kudya zakudya zopatsa thanzi zokhala ndi chitsulo chochuluka komanso michere yofunika kwambiri

• Kupita kukayezetsa matenda a amayi nthawi zonse

• Kufunafuna upangiri wa dokotala mwachangu ngati njira za msambo zasintha

Kuthandiza msanga nthawi zambiri kumateteza mavuto ndipo kumathandiza kuti chithandizo chikhale chothandiza kwambiri.

Kodi Muyenera Kuwona Dokotala Liti?

Azimayi ambiri amaona kutuluka magazi kosazolowereka ngati "mahomoni chabe" kapena amaganiza kuti kudzangotha ​​kokha. Ngakhale kuti nthawi zina zinthu sizingayende bwino, kutuluka magazi kosalekeza kapena kwakukulu sikuyenera kunyalanyazidwa.

Funsani dokotala wa matenda a akazi ngati msambo wanu ukupitirira muyeso, ukuchuluka, sudziwika bwino, kapena ngati kutuluka magazi mutatha kusamba kapena panthawi ya mimba. Kuunika msanga kumathandiza kuzindikira chomwe chikuyambitsa, kuchepetsa zizindikiro, komanso kuchotsa matenda aakulu.

Tengera kwina

Kutuluka magazi m'chiberekero kosazolowereka ndi chimodzi mwa zinthu zomwe zimadetsa nkhawa kwambiri azimayi, komabe akazi ambiri amachedwa kufunafuna thandizo chifukwa amakhulupirira kuti ndi gawo la moyo wabwinobwino. Zoona zake n'zakuti, kutuluka magazi kosazolowereka nthawi zambiri ndi chizindikiro cha vuto lomwe lingachiritsidwe bwino likapezeka msanga.

Kumvetsera thupi lanu ndi kuzindikira kusintha kwa msambo wanu ndi sitepe yofunika kwambiri kuti mukhale ndi thanzi labwino lobereka. Ngati kutuluka magazi kwasintha kapena kukukhudzani moyo wanu watsiku ndi tsiku, musazengereze kufunsa katswiri wa zaumoyo. Kuzindikira matenda nthawi yake komanso chithandizo choyenera kungabwezeretse thanzi lanu la msambo komanso thanzi lanu lonse.

Kupereka chidziwitso kuchokera kwa Dr. Vinutha Arunachalam , Dokotala wa Obstetrician & Gynaecologist, Zipatala za Azimayi za Apollo, Chennai