Uma kwadingeka ubhekane nokuphuma kwamagciwane okwehlukahluka okwenzeka phakathi kokuya esikhathini ngaphandle kwesizathu, kungenzeka ukuthi ubhekana ne-metrorrhagia.
I-Metrorrhagia: izimbangela
Izizathu zokuphuma kwegazi kungazelelwe. Kuye nge-etiology yalesi sifo, kukhona izinhlobo eziningana ze-metrorrhagia.
- I-Metrorrhagia ekuziphenduleleni kwangaphambili . Abaningi besifazane esikhathini se-foremenopausal bayakhalaza ngokuphuma kwegazi. Izimbangela zingase zibe yithonya lemithi yama-hormone, izifo ezihlukahlukene ze-extragenital, pathologies ye-endometriyamu ne-myometrium, izifo ze-cervix noma ama-ovari. Ngokuvamile, ukuvela kwe-metrorrhagia kuma polyps e-premenopausal ye-endometrium, ezenza bazizwe beneminyaka engu-45-55.
- I-metrorrhagia ene-anovulatory . Kulesi simo, sibhekene nezinguquko zokuziphatha emakhakheni amaqanda. Ngenxa yalokho, owesifazane akanakho ukuvota futhi akafaki umzimba ophuzi. Izizathu zingase zibe ukuphikelela okufishane noma okude kwe-follicle, i-atresia ye-follicle encane. I-Acyclic iterine bleeding iqala ngokumelene nesizinda sokubambezeleka kokuya esikhathini. Ukulibazisa kungadlulela inyanga eyodwa kuya kwezinyanga eziyisithupha. Izimbangela ze-metrorrhagia yokubeletha zingabandakanya izifo zezingqungquthela ze-endocrine, ukucindezeleka ngokomzwelo noma kwengqondo, ukukhuluphala, ukudakwa noma ukutheleleka.
- I-metrorrhagia engasebenzi . Lolu hlobo lokuphuma kwegazi luyinto evamile kulabo besifazane abanesici esithile somlingiswa: ukuzwa njalo, ukuthinteka kwabanye, ngokuzimela njalo nokuzethemba okuphansi. Ngenxa yalokho, umzimba uqoqa ukucindezeleka. Lokhu kuholela ekusebenziseni umsebenzi wezinhlayiya eziyingozi, baqala ukuthuthukisa ama-hormone okucindezeleka, okuholela emsebenzini ongasebenzi kahle ovavini. Ngakho-ke, ngokumelene nokwaziswa kokukhiqizwa kweprogesterone okwanele, ukulibaziseka kuqala kuqala, kulandelwa ukuphuma kwe-acyclic.
I-Metrorrhagia: Izimpawu
Kungakhathaliseki ukuthi izimbangela zalesi sifo, owesifazane uhlangabezana nezimpawu ezifanayo. Udinga ukuxhumana nochwepheshe uma uqaphele:
- ukuqina okuqhubekayo;
- ikhanda;
- ukukhathala okukhulu noma ukucasula;
- tachycardia nokuncipha kwengcindezi yegazi;
- i-pallor kanye nokulahlekelwa kwesisindo esisheshayo;
- ukwehla noma ukwandisa ekulahlekeni kwegazi esikhathini;
- ubuhlungu obukhulu bokuya esikhathini esiswini;
- umjikelezo ongavamile.
I-Metrorrhagia: ukwelashwa
Ngenhloso yokwelashwa, into yokuqala udokotela adinga ukusungula yizimbangela zangempela zesifo. Owesifazane uqoqa idatha ye-anamnesis, uthola ukuthi kukhona izifo noma izifo ezivuthayo esikhathini esidlule. Ngaphezu kwalokho ekuhloleni udokotela unquma isimo sesisu, ubukhulu bayo nokuma, ukuhamba.
Ukwelashwa kwe-metrorrhagia kuqala nge ukwelashwa kwesifo esenza igazi lahleka. Uma kungumbuzo we-pre-menopause, bese uqala ukuyeka ukuphuma kwegazi. Ngama-pathologies ngaphakathi kwesibeletho, ukucubungula nokucwaninga okuqhubekayo kwenziwa. Uma izimbangela eziphilayo
Uma lokhu kungasebenzi kahle ama-ovari, umsebenzi uqala ngesimo somzwelo wesifazane. Okulandelayo, emva kokulungisa umsebenzi wezinhlayiya ze-adrenal kanye ne-cortex, qala umsebenzi wokudla. Udokotela ukhetha ukudla ukuze kubuyiselwe ukulahlekelwa okukodwa kokukhipha igazi ngemuva kokulahlekelwa igazi, ukubuyiswa kwesisindo somzimba. Kodwa-ke, imithi yokwelapha i-vitamin ihlanganiswe nokuphathwa kokusebenza.
Ukuze ukwelashwa ifomu lokugcoba, lo wesifazane uqale ukhala ukuze athole imbangela. Ngaphezu kwalokho, ukwelashwa kunqunywe, okuhloswe ukuqinisa izindonga zemithambo yegazi, ukwandisa igazi coagulability, ukunciphisa i-hemoglobin. Kwezinye izimo, ukuqokwa kwe-hormostal hemostasis.