Ukuphuma kwamagciwane okungavamile: izimpawu, ukuhlukaniswa kanye nemiphumela

Ngokukhulelwa kwamanzi okuvela kumgogodla womzimba, wonke owesifazane ujwayele. Zivela njalo futhi zihlala izinsuku ezimbalwa. Ukuphuma kwenyanga kusukela esibelethweni kubonakala kuwo wonke abesifazane abanempilo eneminyaka esebenzayo, okungukuthi, abakwazi ukubeletha izingane. Lesi simo sibhekwa njengesijwayelekile (ukuya esikhathini). Noma kunjalo, kukhona ukuphuma kwamagciwane okungavamile. Zenzeka uma ukwephulwa kwenzeka emzimbeni. Ngokuvamile, ukuphuma okunjalo kwenzeka ngenxa yezifo eziphathelene nokugula. Ezimweni eziningi, ziyingozi, ngoba zingaba nemiphumela emibi kakhulu.

Ukunqunywa kokuphuma kwamagciwane okungavamile

Ukuphuma kwamagciwane okungavamile kuyimvelo lapho udonga olungavamile lomzimba noma umlomo wesibeletho kwenzeka khona. Akuhlotshaniswa nomjikelezo wokuya esikhathini, okungukuthi, kubonakala kungazimele. Ukukhishwa kwegazi kungase kwenzeke. Kulokhu, kwenzeka phakathi nenkathi phakathi kokuya esikhathini. Ngezinye izikhathi ukuphuma kwamagciwane okungavamile kwenzeka ngokungajwayelekile, isibonelo zonke izinyanga ezimbalwa noma iminyaka. Le ncazelo ibuye ifanele ukuba nesimiso eside isikhathi esingapheli izinsuku ezingu-7. Ngaphezu kwalokho, ukulahlekelwa okungavamile kwegazi kusuka ku-200 ml kubhekwe sonke isikhathi "sezinsuku ezibucayi". Le nkinga ingenzeka kunoma yisiphi isikhathi. Kubandakanya intsha, kanye nabesifazane abasesikhathini sokuya esikhathini.

Ukuphuma kwamagciwane okungavamile: izimbangela zokuqala

Izimbangela zokubonakala kwegazi ezivela kumgogodla womzimba zingase zihluke. Noma kunjalo, lesi sibonakaliso siso sonke isikhathi sokuphulukiswa okuphuthumayo. Ngokuvamile ukuphuma kwamagciwane okungavamile kubangelwa ngenxa yezinkinga zemvelo noma izifo ezandulela zona. Ngenxa yokuthi le nkinga ingenye yezizathu zokususwa kwegciwane lesandulela ngculazi, kubalulekile ukuthola isisombululo ngesikhathi futhi usiqede. Kunezinhlobo ezingu-5 zama-pathologies, ezingabangela ukuphuma kwegazi. Phakathi kwabo:

1. Izifo zesisu. Phakathi kwazo: izinqubo zokuvuvukala, ukukhulelwa kwe-ectopic noma usongo lokuphazamiseka, i-myoma, i-polyps, i-endometriosis, isifo sofuba, umdlavuza, njll.
2. I-pathologies ehlobene nokucinwa kwama-hormone ngama-ovari. Lezi zihlanganisa: ama-cysts, izinqubo ze-ecological of appendages, ukukhulelwa ekuqaleni. Futhi, ukuphuma kwegazi kungenziwa ngenxa yokungasebenzi kahle kwegciwane, izimo ezicindezelayo, nokusetshenziswa kokukhulelwa.
3. I-pathologies yegazi (thrombocytopenia), isibindi noma izinso.
4. Izimbangela ze-Iatrogenic. Ukwehliswa okubangelwa ukuhlinzwa esibelethweni noma ama-ovari, ukwethulwa kwe-IUD. Ngaphezu kwalokho, izimbangela ze-iatrogenic zihlanganisa ukusetshenziswa kwama-anticoagulants neminye imithi.
5. Ukuphuma kwegazi lomzimba ongasebenzi (DMC). I-etiology yabo ayiqondi kahle. Lezi zimfucuza azihlanganiswa nezifo ezithombeni zobulili futhi azibangelwa ezinye izizathu ezibalwe. Kukholelwa ukuthi zivela ngenxa yokuphulwa komthethonqubo we-hormone ebuchosheni.

Indlela yokuphuma egazini lomzimba

I-pathogenesis yokuphuma okungavamile kuxhomeke kunhlobo luni lwabangela ukuthi babangele. Indlela yokuthuthukiswa kwe-endometriosis, izinqubo ze-polyps nezinqubo ze-incological zifana. Kuzo zonke lezi zimo, akuyona isisu esivelayo, kodwa izici ze-pathological ezinezitsha zawo (ama-myomatous nodes, izicubu zesisu). Ukukhulelwa kwe-Ectopic kungaqhubeka ngokusho kohlobo lokukhipha isisu noma ukuphuka kwe-tube. Ukhetho lokugcina luyingozi kakhulu empilweni yowesifazane, njengoba kubangelwa ukuphuma kwegazi kwangaphakathi. Izinqubo zokuvuvukala emgodini we-uterine zenza i-angina yezimpahla ze-endometrium. Uma umsebenzi we-hormonal wama-ovari noma ubuchopho uphazamiseka, izinguquko zenzeka emjikelezweni wesimiso. Ngenxa yalokho, kungase kube nokukhipha okuncane kunokunye, noma, ngokuphambene nalokho, ukungabi khona okuphelele. Inqubo efanayo inezinkinga zokukhulelwa ngomlomo. Ukwethulwa kwedivaysi ye-intrauterine kungabangela ukulimala okwenziwe ngomzimba, ngaleyo ndlela kuholele ekuguleni. Kwezinye izimo, imbangela ayikwazi ukusungulwa, ngakho-ke indlela yokuthuthukiswa nayo ayisaziwa.

Ukuphuma kwegazi lomzimba ongavamile: ukuhlukaniswa kwamagciwane

Kunezinqubo eziningi ngokusho ukuthi i-uterine bleeding ihlukaniswa kanjani. Zihlanganisa imbangela, imvamisa, isikhathi sokujikeleza kokuya esikhathini, kanye nomthamo we-fluid lost (ukukhanya, medium and heavy). I-etiology ihlukile: ukubeletha, i-ovarian, iatrogenic kanye nokungasebenzi okungasebenzi. I-DMC ihluke ngokungafani nokwephulwa komjikelezo wokuya esikhathini. Phakathi kwabo:

1. Ukuphuma kwegazi lomzimba. Zibizwa nangokuthi i-DMC eyodwa-yesigaba. Bavuka ngenxa yokuphikelela kwesikhashana noma i-atresia yama-follicles.
2. I-DMC yesigaba esine-ovulatory (isigaba 2). Lezi zihlanganisa hyper- noma hypo-function yomzimba ophuzi. Ngokuvamile lokhu kungukungavamile ukuphuma kwe-uterine ngesikhathi sokuzala.
3. I-Polymenorea. Ukulahleka kwegazi kwenzeka kaningi ngaphezu kwezinsuku ezingu-20.
4. Promenorea. Umjikelezo awuphukile, kodwa "izinsuku ezibucayi" zingaphezulu kwezinsuku ezingu-7.
5. I-Metrorrhagia. Lolu hlobo lokuphazanyiswa lubhekene nokushaya kwesisu okungahleliwe, ngaphandle kwesikhathi esithile. Awuhlotshaniswa nomjikelezo wokuya esikhathini.

Izimpawu zokuphuma kwamagciwane

Ezimweni eziningi, akunakwenzeka ngokushesha ukusungula imbangela yokubonakala kwegazi kusukela kumgogodla womzimba, ngoba izimpawu ziyafana nazo zonke i-DMCs. Lezi zihlanganisa ubuhlungu esiswini, isizungu nobuthakathaka. Futhi, ukulahleka kwegazi okuqhubekayo kunciphisa ukucindezeleka kwegazi nokugqama kwesikhumba. Ukuhlukanisa i-DMK phakathi kwabo, kuyadingeka ukubala: kungakanani izinsuku ezihlalayo, ngombani, futhi usethe isikhathi. Ngalokhu kunconywa ukuba ubheke esikhathini ngasinye ekhalendeni elikhethekile. Ukuphuma kwegazi okungavamile kwenkathi yokunyakaza kubonakala isikhathi esingaphezu kwezinsuku ezingu-7 futhi isikhathi esingaphansi kwamasonto amathathu. Kwabesifazane abaneminyaka yobudala be-menometrorrhagia ngokuvamile bayabonwa. Esikhathini esibucayi, ukuphuma kwegazi kukhulu, kude. Isikhathi singamaviki angu-6-8.

Ukuxilongwa kwegazi kusuka esibelethweni

Ukubona ukuphuma kwe-uterine okungavamile, kubalulekile ukuqapha umjikelezo wakho wokuya esikhathini futhi uvakashele umjovo wezifo ngezikhathi ezithile. Uma lokhu kutholakala kuqinisekiswa, kuyadingeka ukuthi kuhlolwe. Ngenxa yalokhu, ukuvivinya okujwayelekile komchamo negazi (i-anemia), i-swab ye-vagin ne-cervix yenziwa, ukuhlolwa kwegazi kuyenziwa. Kubalulekile futhi ukwenza i-ultrasound yezitho zomzimba. Ivumela ukunquma ukuthi kukhona ukuvuvukala, ama-cysts, ama-polyps nezinye izinqubo. Ngaphezu kwalokho, kubalulekile ukudlulisa ukuhlolwa kwamahomoni. Lokhu akusebenzi nje kuphela ku-estrogens, kodwa futhi ku-gonadotropins.

Kunokuphuma kwebele esibelethweni kuyingozi

Ukusuka okungavamile kwesibeletho kuyisimo esiyingozi kakhulu. Lesi sibonakaliso singakhuluma ngokukhulelwa okuphukile, isisu kanye nezinye izifo. Ukusuka okukhulu kwegazi akusikho nje ukulahlekelwa kwesibeletho, kodwa ngisho nokufa. Zitholakala ezifweni ezifana nokukhulelwa kwe-ectopic, ukuhlushwa kwezinyawo zesisu noma i-node myomatous, i- apoplexy of the ovary. Lezi zimo zidinga ukunakekelwa okusheshayo kokuhlinzwa. Ukuphuma kwegazi okwesikhashana okungenakwenzeka akuyona into embi kakhulu. Noma kunjalo, izizathu zazo zingase zihluke. Zingabangela ama-polyps noma ama-fibroids amancane, ukungabi namandla. Ngakho-ke, ukuhlolwa kubaluleke kakhulu kubesifazane banoma yisiphi isikhathi.

Indlela yokwelapha uketshezi lwe-uterine?

Ukwelashwa kokuphuma kwegazi olungavamile kufanele kuqale ngokushesha. Okokuqala, ukwelashwa kwe-hemostatic kuyadingeka. Lokhu kuhilela ukulahlekelwa kwegazi okuningi. Endaweni yesisu, i-bubble neqhwa isetshenziselwa, inqwaba ye- saline noma i-erythrocyte mass. Futhi, ukwelashwa okuhlinzekwayo kwenziwa (ngokuvamile ukukhishwa kwesinye sezinhlelo zokusebenza). Ngegazi elingenakubekezelelwa, ukwelashwa okulondolozayo kuyamiswa. Kuncike ekubambeni kwe-DMC. Ezimweni eziningi, lezi zidakamizwa ze-hormonal (amalungiselelo "Jess", "Yarina") nemithi ye-hemostatic (isixazululo esithi "Dicinon", amaphilisi "I-Calcium Gluconate", "Ascorutin").