Okufanele Ukwazi Ngokuphuma Kwesibeletho Esingasebenzi kahle

-Delile

• Izimo zezokwelapha
• Imithi
• Ukubona izimpawu ze-DUB
• Itholakala kanjani i-DUB?
• I-Ultrasound
• Ukuhlolwa kwegazi
• I-Endometrial biopsy
• Ingabe i-DUB iyelapheka?
• Ingabe i-DUB ingadala izinkinga?

Ukopha okungasebenzi kwesibeletho okungasebenzi (i-DUB) yisimo esithinta cishe wonke umuntu wesifazane kwesinye isikhathi empilweni yakhe.

Ebizwa nangokuthi ukuphuma kwegazi lesibeletho ngokungajwayelekile (AUB), i-DUB yisimo esidala ukopha kwesitho sangasese sowesifazane ukuba kwenzeke ngaphandle komjikelezo ojwayelekile wokuya esikhathini. Izimo ezithile ze-hormonal nemithi nayo ingadala i-DUB.

Imbangela enkulu yokopha okungasebenzi kwesibeletho ukungalingani kumahomoni ocansi. Amantombazane abhekana nokuthomba nabesifazane abangena esikhathini bangaba namazinga we-hormone angalingani izinyanga noma ngisho neminyaka. Lokhu kubangela ukuphuma kwegazi ngezikhathi ezithile, ukuphuma kwegazi okunzima, nokubala.

Ukuchofoza ukopha okulula kunesikhathi esijwayelekile sokuya esikhathini. Imvamisa ibonakala ibomvu, ipinki, noma ibomvu ngokukhanyayo.

Ukungalingani kwamahomoni okubangela i-DUB nakho kungavela ezimweni ezithile zezokwelapha noma kube yimiphumela emibi yemithi.

Izimo zezokwelapha

Izimo zezokwelapha ezivame ukudala ukopha okungasebenzi kwesibeletho yilezi:

• I-Polycystic ovary syndrome (i-PCOS). Lesi yisifo se-endocrine esibangela ukuthi owesifazane akhiqize inani elinyukayo lamahomoni ezocansi. Lokhu kungaholela ekungalingani kwe-estrogen ne-progesterone, okwenza umjikelezo wokuya esikhathini ungalingani.
• I-Endometriosis. Lesi simo siphumela lapho ulwelwesi lwesibeletho lukhula ngaphandle kwesibeletho, njengakumaqanda. I-Endometriosis ivame ukudala ukopha okukhulu ngezikhathi ezijwayelekile.
• Ama-polyp wesibeletho. Lokhu kukhula okuncane kwenzeka ngaphakathi kwesibeletho. Yize imbangela yabo ingaziwa, ukukhula kwe-polyp kuthonywe kakhulu yi-hormone estrogen. Imithambo yegazi emincane kuma-polyp ingadala i-DUB, kufaka phakathi ukubona phakathi kwezikhathi.
• Izindlala zesibeletho. I-uterine fibroids ukukhula okuncane okwenzeka ngaphakathi kwesibeletho, ulwelwesi lwesibeletho, noma imisipha yesibeletho. Njengama-polyps, izimbangela ze-uterine fibroids azaziwa. Kodwa i-estrogen ibonakala idlala indima ekukhuleni kwayo.
• Izifo ezithathelwana ngocansi (STDs). Ama-STD abangela ukuvuvukala, njenge-gonorrhea ne-chlamydia, angaholela ku-DUB. Ukopha okubangelwa ama-STD kuvame ukuvela ngemuva kocansi, lapho izilonda ziba zimbi.

Imithi

Imithi ethile ingadala nokopha okungasebenzi kahle kwesibeletho, kufaka phakathi:

• amaphilisi okuvimbela inzalo
• ama-hormone agents
• I-Warfarin (Coumadin)

Ukubona izimpawu ze-DUB

Uphawu oluvame kakhulu lwe-DUB ukuphuma ngaphandle kwezikhathi zakho ezijwayelekile. Kungenzeka futhi phakathi nomjikelezo wakho wokuya esikhathini. Amaphethini wokopha asolisayo afaka:

• ukuphuma kwegazi okunzima
• ukopha okuqukethe amahlule amaningi noma amahlule amakhulu
• ukopha okuhlala ngaphezu kwezinsuku eziyisikhombisa
• ukopha okwenzeka ngaphansi kwezinsuku ezingama-21 kusuka kumjikelezo wokugcina
• ukubala
• ukopha phakathi kwezikhathi

Ezinye izimpawu ezijwayelekile ezingenzeka nge-DUB yilezi:

• isisa sebele
• ukuqunjelwa
• ubuhlungu be-pelvic noma ingcindezi

Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezinzima ze-DUB, xhumana nodokotela wakho ngokushesha:

• isiyezi
• ukuquleka
• ubuthakathaka
• umfutho wegazi ophansi
• ukukhuphuka kwenhliziyo
• isikhumba esiphaphathekile
• ubuhlungu
• kudlula amahlule amakhulu
• ukufaka iphedi njalo ngehora

Itholakala kanjani i-DUB?

Ukuthola i-DUB, udokotela wakho uzokubuza imibuzo ngomlando wakho wezokwelapha nomlando womjikelezo wakho. Lezi zimpendulo zizobasiza banqume ubungozi bezinkinga ezithile zokuzala, njenge-PCOS ne-endometriosis.

Uma uthatha noma imuphi umuthi, kufaka phakathi ukulawulwa kokuzalwa, yisho lokhu kudokotela wakho, ngoba leyo mithi idala ukopha okungavamile.

I-Ultrasound

Udokotela wakho angancoma i-ultrasound ukubuka izitho zakho zokuzala. Lokhu kuhlolwa kuzoveza ukuthi ngabe kukhona yini ukukhula okungajwayelekile, njengama-polyps noma i-fibroids. Kungasiza futhi ukukhipha ukuphuma kwegazi kwangaphakathi.

Ukuhlolwa kwegazi

Ukuhlolwa kwegazi kusetshenziselwa ukukala amazinga akho e-hormone nokubalwa kwegazi okuphelele. Amazinga akho e-hormone ngokuvamile anganikeza ukuqonda okusheshayo ngembangela yokopha kwakho.

Uma uke wopha kakhulu noma isikhathi eside, ukubalwa okuphelele kwegazi kuveza ukuthi isibalo sakho segazi elibomvu siphansi kakhulu. Ukubalwa kwamaseli abomvu aphansi kungabonisa ukuthi une-anemia.

I-Endometrial biopsy

Uma ukukhula okungajwayelekile kubangela ukopha, noma ulwelwesi lwakho lwesibeletho lujiyile ngokungavamile, udokotela wakho uzothatha isampula lezicubu zesibeletho ukulihlola.

Uma kunezinguquko ezingavamile zeseli kulayini, i-biopsy izokuveza. Amaseli angajwayelekile angakhombisa ukungalingani kwe-hormone noma umdlavuza, phakathi kwezinye izinto.

Ingabe i-DUB iyelapheka?

Kunezinketho eziningi zokwelashwa ezitholakalayo ze-DUB. Kwesinye isikhathi, ezimeni zokuthomba ikakhulukazi, akukho sinyathelo esithathwayo, ngoba ama-hormone ngokuvamile ayazilungisa. Ukwelashwa okufanele kuwe kuzoya ngesizathu esiyimbangela yokopha.

Inketho yokwelashwa okuvame kakhulu futhi elula yokopha okungasebenzi kwesibeletho kungukuhlangana kokuvimbela inzalo ngomlomo. Inhlanganisela yokuvimbela inzalo iqukethe i-estrogen yokwenziwa futhi progesterone. Lezi zombili zisebenza ukulawula nokulawula umjikelezo wokuya esikhathini.

Izindlela zokuvimbela ukukhulelwa kufaka phakathi amanye ama-IUD kanye nokufakwa kungasetshenziswa njengokwelashwa kwamahomoni. Uma ungazami ukukhulelwa, udokotela wakho angancoma ukusebenzisa okukodwa kwalokhu njengendlela yokwelashwa.

Uma ukuphuma kwegazi ngokuzumayo kusinda kakhulu futhi imithi yedosi ephansi akuyona inketho, i-estrogen efakwa emthanjeni ingafakwa kuze kuphele ukopha. Lokhu kuvame ukulandelwa yinkambo ye-progestin yomlomo ukulinganisa ama-hormone.

Uma uzama ukukhulelwa futhi ungenalo ukopha okusindayo, udokotela wakho angakunikeza umuthi ovuselela i-ovulation-clomiphene, obizwa nangokuthi i-clomid. Ukukhuthazwa kwe-ovulation kungamisa ukopha isikhathi eside kokuya esikhathini ngokusetha kabusha umjikelezo wakho wokuya esikhathini.

Ukopha okukhulu nokuhlala isikhathi eside okuhambisana nolwelwesi lwesibeletho olujiyile kungalashwa ngenqubo ebizwa ngokuthi yi-dilation ne-curettage (D no-C). Le inqubo yokuhlinza ngaphandle esetshenziselwa ukususa ingxenye yolwelwesi lwesibeletho ngokuyikhuhla.

Uma amaseli akho wesibeletho etholakala ukuthi angajwayelekile, udokotela wakho angalawula i-biopsy eyengeziwe ngemuva kokwelashwa.

Ngokuya ngemiphumela ye-biopsy - uma amaseli enomdlavuza, ngokwesibonelo - kunganconywa i-hysterectomy. I-hysterectomy ukususwa ngokuphelele kwesibeletho futhi imvamisa kuyindlela yokugcina.

Ingabe i-DUB ingadala izinkinga?

Ngokuvamile, i-DUB iyisimo sesikhashana. Lapho nje ama-hormone ocansi elawulwa, ukopha okungajwayelekile kuvame ukuncipha.

Ukushoda kwegazi kungenye yezinkinga eziyinhloko zokopha kakhulu. Uma uba ne-anemia ngenxa yokulahleka kwegazi okukhulu, udokotela wakho angayiphatha ngamaminerali kanye nama-vitamin supplements.

Ezimweni ezingavamile lapho ukuphuma kwegazi kubangele ukulahleka kwegazi okukhulu, ungadinga ukumpontshelwa igazi.