Ukopha kwesitho sangasese sowesifazane phakathi kwezikhathi

Lo mbhalo ukhuluma ngokopha kwesitho sangasese sowesifazane okwenzeka phakathi kokuya esikhathini kowesifazane njalo ngenyanga. Ukopha okunjalo kungabizwa ngokuthi "ukuphuma esikhathini."

Izihloko ezihlobene zifaka:

• Ukopha okungasebenzi kwesibeletho
• Isikhathi esindayo, esinde, noma esingajwayelekile sokuya esikhathini

Ukugeleza okujwayelekile kokuya esikhathini kuhlala cishe izinsuku eziyi-5. Ikhiqiza ukulahleka kwegazi okuphelele kwe-30 kuya ku-80 mL (cishe izipuni ezimbili kuya kwezi-8), futhi kwenzeka ngokujwayelekile njalo ezinsukwini ezingama-21 kuye kwezingu-35.

Ukopha kwesitho sangasese sowesifazane okwenzeka phakathi kwezikhathi noma ngemuva kokuyeka ukuya esikhathini kungadalwa yizinkinga ezahlukahlukene. Eziningi zinobungozi futhi zingelashwa kalula. Kwesinye isikhathi, ukuphuma kwegazi esithweni sangasese kungaba ngenxa yomdlavuza noma umdlavuza wangaphambi komdlavuza. Ngakho-ke, noma yikuphi ukopha okungavamile kufanele kuhlolwe ngaso leso sikhathi. Ingozi yomdlavuza inyuka iye cishe ku-10% kwabesifazane abane-postmenopausal ukopha.

Qiniseka ukuthi ukuphuma kwegazi kuqhamuka esithweni sangasese futhi akuveli kunxande noma emchameni. Ukufaka itampon esithweni sangasese kuzoqinisekisa isitho sangasese sowesifazane, umlomo wesibeletho, noma isibeletho njengomthombo wokopha.

Ukuhlolwa ngokucophelela ngumhlinzeki wakho wezokunakekelwa kwempilo imvamisa kuyindlela engcono kakhulu yokuthola umthombo wokopha. Lokhu kuhlolwa kungenziwa noma usopha.

Izimbangela zingafaka:

• Ama-fibroids wesibeletho noma ama-polyp wesibeletho noma wesibeletho
• Izinguquko emazingeni ama-hormone
• Ukuvuvukala noma ukutheleleka komlomo wesibeletho (cervicitis) noma isibeletho (endometritis)
• Ukulimala noma isifo sokuvulwa kwesitho sangasese sowesifazane (okubangelwa ukuya ocansini, ukuhlukumezeka, ukutheleleka, i-polyp, izinsumpa zangasese, isilonda, noma imithambo ye-varicose)
• Ukusetshenziswa kwe-IUD (kungadala ukubonwa ngezikhathi ezithile)
• Ukukhulelwa kwe-Ectopic
• Ukuphuphuma kwesisu
• Ezinye izinkinga zokukhulelwa
• Ukoma kwesitho sangasese sowesifazane ngenxa yokushoda kwe-estrogen ngemuva kokunqamuka kokuya esikhathini
• Ukucindezeleka
• Sebenzisa ukulawulwa kokuzalwa kwamahomoni ngokungajwayelekile (njengokumisa nokuqala noma ukweqa amaphilisi okulawula ukuzalwa, amabala, noma amasongo e-estrogen)
• I-thyroid engasebenzi (umsebenzi ophansi we-thyroid)
• Ukusetshenziswa kwama-thinner egazi (ama-anticoagulants)
• Umdlavuza noma umdlavuza wangaphambi komlomo wesibeletho, isibeletho, noma (kakhulu kuyaqabukela) ishubhu le-fallopian
• Ukuhlolwa kwe-pelvic, i-biopsy yomlomo wesibeletho, i-endometrial biopsy, noma ezinye izinqubo

Xhumana nomhlinzeki ngokushesha uma ukopha kusinda kakhulu.

Gcina umkhondo wenani lamapayipi noma ama-tampon asetshenzisiwe ngokuhamba kwesikhathi ukuze inani lokuphuma kwegazi likwazi ukunqunywa. Ukulahleka kwegazi esibelethweni kungalinganiselwa ngokugcina ithrekhi ukuthi iphedi noma ithamponi lifakwa kangaki nokuthi kudingeka ukuthi umuntu aguqulwe kangaki.

Uma kungenzeka, i-aspirin kufanele igwenywe, ngoba ingaletha ukopha isikhathi eside. Kodwa-ke, i-NSAIDS efana ne-ibuprofen ingasetshenziselwa ukunciphisa ukuphuma kwegazi nokucinana.

Shayela umhlinzeki wakho uma:

• Ukhulelwe.
• Kukhona ukuphuma kwegazi okungaqondakali phakathi kwezikhathi.
• Kukhona ukuphuma kwegazi ngemuva kokunqamuka kokuya esikhathini.
• Kukhona ukuphuma kwegazi okunzima ngezikhathi.
• Ukopha okungavamile kuhambisana nezinye izimpawu, ezinjengezinhlungu zokhalo, ukukhathala, isiyezi.

Umhlinzeki uzokwenza ukuhlolwa ngokomzimba futhi abuze imibuzo ngomlando wakho wezokwelapha. Ukuhlolwa komzimba kuzobandakanya ukuhlolwa kwe-pelvic.

Imibuzo mayelana nokuphuma kwegazi ingafaka:

• Ukopha kwenzeka nini futhi kuthatha isikhathi esingakanani?
• Ukopha kusinda kangakanani?
• Ingabe unamajaqamba futhi?
• Ngabe kukhona izinto ezenza ukopha kube kubi kakhulu?
• Ngabe kukhona okukuvimbayo noma okususayo?
• Ngabe unezinye izimpawu ezinjengobuhlungu besisu, ukulinyazwa, ubuhlungu lapho uchama, noma igazi emchameni noma ezihlalweni?

Ukuhlolwa okungenziwa kufaka phakathi:

• Ukuhlolwa kwegazi ukuhlola ukusebenza kwe-thyroid ne-ovarian
• Amasiko wesibeletho ukuhlola ukutheleleka ngocansi
• IColposcopy kanye ne-biopsy yomlomo wesibeletho
• I-endometrial (uterine) biopsy
• I-Pap smear
• I-pelvic ultrasound
• I-Hysterosonogram
• I-Hysteroscopy
• Ukuhlolwa kokukhulelwa

Izimbangela eziningi zokopha phakathi kokuya esikhathini ziyelapheka kalula. Inkinga ivame ukutholakala ngaphandle kokuhlukumezeka okukhulu. Ngakho-ke, kubalulekile ukuthi ungalibali ukwenza le nkinga ihlolwe ngumhlinzeki wakho.

Ukopha phakathi kwezikhathi; Ukopha kwangaphakathi; Ukuchofoza; I-Metrorrhagia

• I-anatomy yokuzala yabesifazane
• Ukopha phakathi nezikhathi
• Isibeletho

I-Bulun SE. I-Physiology kanye ne-pathology ye-eksisi yokuzala yabesifazane. Ku: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, abahleli. Incwadi kaWilliams ye-Endocrinology. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2016: isahluko 17.

U-Ellenson LH, uPirog EC. Ipheshana lesitho sangasese sowesifazane. Ku: Kumar V, Abbas AK, Aster JC, ama-eds. AmaRobbins kanye neCotran Pathologic Basis of Disease. Umhlaka 9. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 22.

URyntz T, uLobo RA. Ukopha okungavamile kwesibeletho: i-etiology kanye nokuphathwa kokopha ngokweqile nokungapheli. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. I-Gynecology ephelele. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2017: isahluko 26.