Kwabesifazane abaneminyaka yobudala bokubeletha, ukuya esikhathini kungaba njalo noma kancane. Ngokwencazelo, noma kunjalo, ukuphuma esikhathini kuya kanye ngomjikelezo, imijikelezo ihlala izinsuku ezingama-28, ngokuhlukahluka okuhlukahlukene kusuka kowesifazane kuye kowesifazane. Imvamisa, isikhathi sakho sihlala izinsuku ezi-3 kuye kwezi-6, kepha kunokuhluka lapha futhi.

Lapho ukopha kwenzeka ngaphandle kwesikhathi sakho, kubizwa ngokuthi yi-metrorrhagia. Lesi simo asijwayelekile: ngakho-ke kufanele ubonane nodokotela wakho.

Imvamisa, le metrorrhagia noma "ukubonwa" (ukulahleka kwegazi okuncane kakhulu) akubucayi.

Kunezimbangela eziningi zokopha ngaphandle kwesikhathi kwabesifazane.

Ukwehla kwegazi kungaba kakhulu noma kuncane futhi kuhlotshaniswe nezinye izimpawu (ubuhlungu, ukukhishwa kwesitho sangasese sowesifazane, izimpawu zokukhulelwa, njll.).

Okokuqala, udokotela uzoqinisekisa ukuthi ukuphuma kwegazi akuhlobene nokukhulelwa okuqhubekayo. Ngakho-ke, ukufaka umbungu ngaphandle kwesibeletho, ngokwesibonelo kuthubhu le-fallopian, kungadala ukopha nobuhlungu. Lokhu kubizwa ngokuthi yi-ectopic or ectopic pregnancy, okungaba yingozi. Uma ungabaza, ngakho-ke udokotela uzo-oda ukuhlolwa kwegazi ukuze abheke ukuba khona kwe-beta-HCG, i-hormone yokukhulelwa.

Ngaphandle kokukhulelwa, izimbangela ezingadala ukopha kungazelelwe yilezi:

• ukufaka i-IUD (noma i-IUD), engadala ukopha amasonto ambalwa
• ukuthatha izindlela zokuvimbela inzalo zamahomoni nakho kungaholela ekubonakaleni, ikakhulukazi ezinyangeni zokuqala
• ukuxoshwa kwe-IUD noma ukuvuvukala kwe-endometrium, ulwelwesi lwesibeletho, oluhambisana nalokhu kusabela kokuxoshwa (endometritis)
• ukukhohlwa ukuthatha amaphilisi okulawula ukubeletha noma ukuthatha inzalo ephuthumayo (ekuseni ngemuva kwepilisi)
• i-uterine fibroid (okusho ukuba khona 'kwesigaxa' esingajwayelekile esibelethweni)
• izilonda zomlomo wesibeletho noma isifunda se-vulvovaginal (i-micro-trauma, polyps, njll.)
• i-endometriosis (ukukhula okungajwayelekile kolwelwesi lwesibeletho, kwesinye isikhathi kusakazeka kwezinye izitho)
• ukuwa noma ukushaywa endaweni yobulili
• umdlavuza wesibeletho noma i-endometrium, noma ngisho nama-ovari

Emantombazaneni nakwabesifazane bangaphambi kokuya esikhathini, kuyinto ejwayelekile ukuthi imijikelezo ingajwayelekile, ngakho-ke akulula ukubikezela ukuthi isikhathi sakho sesifanele.

Ekugcineni, izifo (ezithathelwana ngocansi noma cha) zingadala ukopha esithweni sangasese sowesifazane:

- i-acute vulvovaginitis,

- cervicitis (ukuvuvukala komlomo wesibeletho, okungenzeka kubangelwe yi-gonococci, streptococci, colibacilli, njll.)

- i-salpingitis, noma ukutheleleka kwamashubhu e-fallopian (izinto eziningi ezithathelwanayo zingaba nomthwalo kubandakanya i-chlamydiae, i-mycoplasmas, njll.)

Ngokuvamile, ukuphuma kwegazi akuyona inkinga. Kodwa-ke, kufanele kuqinisekiswe ukuthi azilona uphawu lokutheleleka, i-fibroid noma enye i-pathology edinga ukwelashwa.

Uma lokhu kuphuma kwegazi kuhlobene nezindlela zokuvimbela inzalo (i-IUD, iphilisi, njll.), Kungadala inkinga ngempilo yezocansi futhi kuphazamise impilo yansuku zonke yabesifazane (isimo esingalindelekile sokuphuma kwegazi). Lapha futhi, kuyadingeka ukuthi ukhulume ngakho ukuze uthole isisombululo esifanelekile, uma kunesidingo.

Izixazululo ngokusobala zincike kwizimbangela. Lapho kutholakala ukuxilongwa, udokotela uzosikisela ukwelashwa okufanele.

Uma kwenzeka ukhulelwa nge-ectopic, kudingeka ukunakekelwa okuphuthumayo: okuwukuphela kwendlela yokwelapha isiguli ukuqeda ukukhulelwa, okungasebenzi nakanjani. Kwesinye isikhathi kungadingeka ukukhipha ithubhu lapho umbungu wakhula khona.

Uma kwenzeka i-uterine fibroid ibangela ukopha, ngokwesibonelo, kuzocatshangelwa ukwelashwa okuhlinzekwayo.

Uma ukulahleka kwegazi kuhlobene nokutheleleka, kufanele kunikezwe ukwelashwa ngama-antibiotic.

Uma kwenzeka i-endometriosis, kungacatshangelwa izixazululo eziningana, ikakhulukazi ukufaka umuthi wokuvimbela inzalo wamahomoni, okwenza ukuthi kube nokwenzeka ukulawula inkinga, noma ukwelashwa okuhlinzekwayo ukuze kususwe izicubu ezingavamile.