I-Metrorrhagia, ukulahlekelwa igazi ngaphandle kokuya esikhathini, ngokuvamile ingabonisa i-pathology ye-uterine enempilo noma ukungalingani kwehomoni, okungavamile kakhulu ukuba uphawu lokuqala lomdlavuza wezifo zabesifazane noma uphawu lwe-pathology evamile. I-Metrorrhagia imele cishe ingxenye yesithathu yokubonisana kwabesifazane.

Incazelo

I-Metrorrhagia ukopha okwenzeka ngaphandle kwesikhathi sakho noma ngaphandle kokuya esikhathini (ngaphambi kokuthomba noma ngemva kokunqamuka kokuya esikhathini). Lokhu kuphuma kwegazi kungaba ngokuzenzakalelayo noma kubangelwe ukuya ocansini. Kwezinye izimo, lezi metrorrhagia zihlotshaniswa ne-menorrhagia (izikhathi ezinzima ngokungavamile). Sikhuluma ngamazinyo-metrorags. 

Izimbangela 

I-Metrorrhagia ingaba nezimbangela eziningi. Izimbangela zingahlukaniswa ngamaqembu ama-3: izimbangela zezinto eziphilayo ezixhumene nesilonda sesitho sangasese (izifo ezithathelwanayo, i-endometriosis yesibeletho noma i-adenomyosis, izicubu zomdlavuza zomlomo wesibeletho nowesifazane, amapolyps, ama-fibroids wesibeletho - okuvame kakhulu, umdlavuza we-endometrial, njll.) , ukopha okusebenzayo ngenxa yokungalingani kwe-estrogen-progestogen (ukungaphumeleli kwe-estrogen noma i-progesterone enganele noma ukopha kwesibeletho se-iatrogenic ngenxa yokwelashwa okungalingani: amaphilisi e-estrogen-progestogen noma i-progestin, ama-anticoagulant) nokopha okunembangela evamile (ukungaphumeleli kokuzalwa kwezici zokuhlangana njenge-von Willebrand's izifo noma izifo ezitholakele ze-haemostasis, isibonelo, i-hematologic malignancies, i-hypothyroidism, njll.)

I-Metrorrhagia ingahlotshaniswa nokukhulelwa. Futhi, ukukhulelwa kufunwa kwabesifazane abaneminyaka yobudala. Kodwa ezimweni eziningi, akukho sizathu esitholakalayo.

kwesifo 

Ukuxilongwa kuvame ukutholakala emtholampilo. Lapho kukhona i-metrorrhagia, ukuthola imbangela yalokhu, ukuhlolwa komtholampilo kwenziwa. Ihambisana nokuphenywa. 

Ukuhlolwa okwengeziwe kungenziwa ukuze kutholakale ukuxilongwa:

• i-ultrasound ye-pelvic kanye ne-endovaginal,
• i-hysterosalpingography (i-x-ray yemigodi yesibeletho namashubhu e-fallopian),
• i-hysteroscopy (ukuhlolwa kwe-endoscopic kwesibeletho),
• amasampula (biopsy, smear). 

Abantu abathintekayo 

Owesifazane oyedwa kwabahlanu abaphakathi kweminyaka engama-35 nengama-50 uthinteka ukopha ne-menorrhagia (izikhathi ezisindayo ngokungavamile). I-Menometrorrhagia imelela ngaphezu kwengxenye yesithathu yokubonisana nodokotela wezifo zabesifazane.

Izici zengozi 

Kunezici ezinobungozi be-menorrhagia ne-metrorrhagia: ukuzivocavoca umzimba ngokweqile, ukusetshenziswa kwezidakamizwa noma utshwala ngokweqile, i-anorexia noma i-bulimia, isifo sikashukela, izifo ze-thyroid, ukuthatha umuthi wokuvimbela ukukhulelwa we-estrogen-progestogen.

Ukwehla kwegazi ngaphandle kwesikhathi sakho 

Uthola i-metrorrhagia lapho ulahlekelwa yigazi ngaphandle kwesikhathi sakho. Lezi hemorrhages zingaba mnyama noma zibomvu, zibaluleke kakhulu noma zibe nomthelela esimweni esijwayelekile (zingaholela ekushoneni kwegazi). 

Izimpawu ezihambisana nokulahlekelwa igazi

Udokotela uzothola ukuthi ngabe lokhu kuphuma kwegazi kuhambisana namahlule, izinhlungu zokhalo, i-leucorrhoea,

Umgomo wokwelashwa uwukumisa ukopha, ukwelapha imbangela, nokuvimbela izinkinga. 

Uma ukopha kungenxa yokungalingani kwama-hormone, njalo ngesikhathi sokunqamuka kokuya esikhathini, ukwelashwa kuqukethe ukunikezwa kwamahomoni atholakala ku-progesterone noma i-IUD equkethe okuphuma ku-progesterone (levonorgestrel). Uma lokhu kwelashwa kunganele, kunikezwa ukwelashwa ukususa ulwelwesi lwamafinyila olungaphakathi kwesibeletho nge-hysteroscopy noma i-curettage. Ukususwa kwesibeletho noma i-hysterectomy kungase kuhlinzekwe uma lokhu kwelashwa kwehluleka. 

Uma i-metrorrhagia ihlobene ne-fibroid, lesi sakamuva singaba yinto yokwelashwa kwezidakamizwa: izidakamizwa ezibambezela ukukhula kwe-fibroids noma ezinciphisa izimpawu zazo. 

Ama-polyps angasuswa ngokuhlinzwa, njengama-fibroids. Ukususwa kwesibeletho kubhekwa lapho ama-fibroids emakhulu kakhulu noma emaningi. 

Uma ukopha kungenxa yomdlavuza womlomo wesibeletho, wesibeletho noma i-ovary, ukwelashwa kuyafaneleka uhlobo lomdlavuza kanye nesigaba sawo. 

I-Homeopathy ingasebenza ekwelapheni ukopha kwe-hormonal.

Akunakwenzeka ukuvimbela i-metrorrhagia, ngaphandle kokugwema izici eziyingozi: ukuvivinya umzimba ngokweqile, ukusetshenziswa kwezidakamizwa noma utshwala ngokweqile, i-anorexia noma i-bulimia, isifo sikashukela, izifo ze-thyroid, ukuthatha umuthi wokuvimbela ukukhulelwa we-estrogen-progestogen.