Kodwa ukuba ukuya kwimihla kuthatha iintsuku ezingaphezulu kweentsuku ezisixhenxe kwaye akukho mkhwa wokugqiba, kwaye ukuba iintsuku ezimbini okanye ezintathu zindoda ezininzi kangangokuba ibhinqa lifanele livuke ngisho nasebusuku ukuze lithathe indawo yokulungisa ucoceko, oko kukuthi, ithuba lokubonisana nogqirha: le meko ayinakuqwalaselwa ngokuqhelekileyo. Indlela yokusombulula le ngxaki, funda kwinqaku ngesihloko esithi "Iinyanga zihamba ngexesha, kodwa zininzi kakhulu."
Sisiphi isizathu?
Ukwanda kwendleko yenyanga nganye kunegama lenzululwazi: hyperspolymenorea. Ubuninzi kunye nobuninzi begazi ngokuxhomekeke ngqo kumgangatho we-hormone estrogen kumzimba womfazi. Ngaphantsi kwempembelelo yalo, kukho ukwanda kwe-endometrium, edibanisa iindonga zesisu kunye neqhekeza ngexesha lokuya esikhathini. Ukuqinisa ukuveliswa kwe-estrogen kunokukhokelela kwiinkqubo ezahlukeneyo zempilo emzimbeni. Ngenxa yokungasebenzi komzimba we-thyroid (ojongene nokuveliswa kwe-estrogen), ekuqaleni kukho ukuqina kwe-endometrium. Kodwa ukuba amanyathelo angathatyathwa kwaye izinga le-hormone linciphile, le meko ingaba nzima: kwi-endometrium, i-polyps iyakhula, kwaye kwixesha elizayo ukwakhiwa okungenakuqhaqhalekayo yi-endometrial adenocarcinoma. I-syndrome ye-hyperpolymenorrhea inokuthi ifumaneke xa umsebenzi onesivumelwano somgca we-muscular we-uterus uguquka. Oku kwenzeka ukuba i-nodule ye-myomatous ikhulile kwi-uterus, okanye ingxaki efana ne-endometriosis yenzeke. Nazi izibonakaliso zalo: ukugqithisa ukutshatyalaliswa kwe-brown emveni kokuhamba kwenyanga okanye emva kokulala, ukunyameka kwisisu esisezantsi, esiqhubekayo emva kokuya esikhathini. Kule meko, i-genetic factor ibaluleke kakhulu. Ukuba ibhinqa line-endometriosis, i-80% yamatyala iya kuzuza ilifa lentombi yakhe.
Uviwo oluchanekileyo
Ukwenza unyango oluchanekileyo, kunye nokunyula unyango olwaneleyo xa unyango lugqirha lunokuphela kuphela emva kokuvavanya ngokucokisekileyo kwaye lubone isizathu esona senzekile. Into yokuqala efuna ukuyenza yinkqubo ye-intravaginal ultrasound. Yenzelwa kwisigaba sesibini ngosuku lwama-20-25 lomjikelezo. Ukuba ngeli xesha ixesha elingaphaya kwe-16 mm ye-endometrium likhula kwisibilini se-uterine, oku kusisiseko sokufumanisa "i-endometrial hyperplasia". Kule meko, kuyimfuneko ukupasa iimvavanyo kwizinga le-hormone ye-thyroid kwaye wenze i-hysteroscopy. I-Hysteroscopy yindlela yokuhlaziywa kwamhlanje, eqhutyelwa kwisigulane kunye nokubonakaliswa kokubili kokubeleka kunye nabafazi abangenanto. I-probe encinci kakhulu ifakwe kwisigxina se-uterine, esivumela ukuhlolwa kwemiboniso ye-uterine kunye nokutyhila izakhiwo ezincinci ze-endometrium, ezingabonakali kwi-ultrasound, kwaye zithatha isiqwenga sezicubu ze-biopsy. I-hysteroscope inomlinganiselo we-3 mm, iguquguquka kwaye ayifuni ukunyusa kwenzalo yomlomo wesibeleko. Into kuphela efunekayo yenziwe ngaphambi kokuba inkqubo iphumelele i-urogenital smear, njengokuba ukuvuvukala kwisini le nkqubo ayinakwenziwa.
I-hyperpolymenorrhea enxulumene nobudala
Kubomi bomfazi, kukho ixesha apho ukuqala kwe-hyperpolymenorrhea kubonakala kunokwenzeka. Emva koko ixesha elincinci lingaya kumntwana ophuma egazini, kwaye esi sizathu esiphuthumayo sokubona ugqirha. Emva kweminyaka engama-38 ukuya kwe-40, xa kukho ukulungiswa kwakhona komzimba, ininzi imijikelezo ibe yintsholongwane, kukho ukungalingani phakathi kwemveliso ye-estrogens kunye neprogesterone. Ibhinqa liyakubona ukuba lifumana ubunzima ngaphezu kokuqala, ixesha lokuya esikhathini liye landa, kwaye ixesha eliphakathi kwabo liye lahla. Ezi ziyimpawu zokuqala zenguqu ye-hormone yangemuva. Ukugxekwa kwezi ziko kulungile, kuba amayeza anamhlanje asenza ukuba sihlengahlengise le meko ngendlela elula ngakumbi kunokuba yenziwa kwixesha elidlulileyo.
Thintelo
Ukuze ukhusele iingxaki nge-endometrium, kubalulekile ukwenza uvavanyo lwe-thyroid yonyaka (i-ultrasound kunye ne-thyroid hormone level), kunye ne-ultrasound ye-intravenous ngosuku lwama-20-25 lomjikelezo. Iqela elijongene nobungozi lubandakanya abafazi abanesisindo esithinteleyo, kuba i-fat-cutaneous "i-depot" ye-estrogens, eqokelela apho kwaye ifuthe i-receptors yebele kunye ne-endometrium. Kwakhona kuyimfuneko ukuqapha isibindi. Iziganeko eziqhubekayo kwi-bile ducts zikhokelela ekuphazamiseni i-thyroid gland. Kulula kakhulu ukukhusela ezi ngxaki kunokuzilungisa. Ngoku siyazi, ukuba iinyanga zihamba ngexesha, kodwa zininzi kakhulu - kubalulekile ukumbona ugqirha.