Okuqukethwe
Iyini i-metrorrhagia?
Lokhu ukulahlekelwa okuningi noma okuncane kwegazi elibomvu noma elimnyama ngaphandle kokuya esikhathini. Zingahlotshaniswa nazo ubuhlungu besisu kanye ne-pelvic. Izizathu zokopha ziyahlukahluka kuye ngeminyaka yesiguli. Ukuhlolwa kwe-gynecological kuyodingeka ukuze ukwazi ukwenza ukuxilongwa okunembile.
Yiziphi izimbangela ezingase zibangele ukopha?
Ngaphambi kokuthomba, lokhu kopha okungalindelekile kungaxhunyaniswa nokuba khona komzimba wangaphandle esithweni sangasese, izilonda zesitho sangasese sowesifazane, noma ngisho nokuthomba ngaphambi kwesikhathi. Badinga ukubonisana ngokushesha nodokotela ukuze benze ukuhlolwa kwe-pelvic.
Nakuba izikhathi ezingajwayelekile ziyisenzakalo sakudala kuukukhula, kwabesifazane, ukopha okungalindelekile ngaphandle kokuya esikhathini kungase kubonise ukuba khona kwe-pathology yesibeletho edinga ukubonisana ngokushesha nochwepheshe bezempilo.
Kwabesifazane abadala, zingaba izimpawu:
- i-pathology ye-hemorrhagic;
- ukungalingani kwe-hormonal;
- ukwelashwa kwama-hormone okungalingani, noma ukukhohlwa ukuphuza amaphilisi okulawula ukuzalwa;
- ukufakwa kwe-IUD;
- i-endometriosis;
- igalelo elitholwe endaweni yangasese;
- ukuba khona kwama-polyps noma ama-fibroids;
- umdlavuza womlomo wesibeletho, i-endometrium noma ezimweni ezingavamile zama-ovari.
I-Metrorrhagia kwabesifazane abakhulelwe
Uma ukopha kubonakala ngesikhathi sokukhulelwa, thintana nodokotela wakho ngokushesha ukuze uthole ukuhlolwa okwengeziwe. Ikakhulukazi ayinabungozi ngesikhathi i-trimester yokuqala ngenxa yobuthaka be wesibeletho, i-metrorrhagia ingaba nokho uphawu lokukhulelwa kwesisu noma ukukhulelwa kwe-ectopic, ikakhulukazi uma kuhambisana nobuhlungu obukhulu besisu. Ukwesekwa okusheshayo kuyadingeka.
Kusukela ku-trimester yesibili yokukhulelwa, i-metrorrhagia ingase ibe imbangela yokufakwa okuphansi ngokungavamile placenta esibelethweni, noma i-hematoma ye-retro-placental - etholakala ngemuva kwe-placenta - edinga ukubonisana nodokotela ngokushesha.
Ukopha ngemva kokuya esikhathini
Ukunqamuka kokuya esikhathini kuyinqubo yemvelo engokomzimba ephawula ukuphela kokugcina ukuzala kowesifazane. Ukopha kwabesifazane be-postmenopausal - okubizwa ukopha kwe-postmenopausal - ngakho-ke zibhekwa njengezingajwayelekile kakhulu.
Izimbangela ezihlukene zingachaza lokhu kulahleka kwegazi ngemva kokuya esikhathini:
- ukuba khona kwe-polyp yesibeletho noma i-fibroid;
- i-cyst ye-ovarian (evame ukuhambisana nobuhlungu be-pelvic);
- ukwelashwa kwe-hormonal okungalungile noma okungafanelekile;
- ukutheleleka kwesitho sangasese sowesifazane;
- ukuvuvukala komlomo wesibeletho;
- ucansi oluhlotshaniswa nokuncipha kanye / noma ukomiswa kwe-mucosa yangasese;
- umdlavuza womlomo wesibeletho noma we-endometrium.
Indlela yokwelapha i-metrorrhagia?
Ngokuvamile, ukuhlolwa kwe-pelvic kuzobekwa ngaphezu kokuhlolwa kwegazi, i-uterine ultrasound kanye ne-smear. Bazovumela ukuthi ukuxilongwa kwenziwe ngokushesha.
Izindlela zokwelapha ezicatshangelwayo ngokusobala zincike kumbangela yokopha. Uma kwenzeka ukungasebenzi kahle kwe-hormonal, ukwelashwa kwezidakamizwa kungase kunqunywe ukulawula umjikelezo wokuya esikhathini. Uma ukulahleka kwegazi kuhlobene nokutheleleka, ama-antibiotics angase anikezwe. Ekugcineni, ukwelashwa kokuhlinzwa kuzocatshangelwa ezimweni ezimbi kakhulu.
Kuzo zonke izimo, udokotela wakho kuphela ogunyazwe ukwenza ukuxilongwa ngokopha.