Ukopha kwilungu lobufazi phakathi kwamaxesha

Eli nqaku lixoxa ngokopha kwilungu lobufazi okwenzeka phakathi kwexesha lokuya exesheni kwenyanga yowasetyhini. Ukopha okunjalo kunokubizwa ngokuba "ukuphuma kwegazi okwenzeka exesheni."

Izihloko ezihambelanayo zibandakanya:

• Ukopha okungasebenziyo kwesibeleko
• Ixesha elinzima, elide, okanye elingaqhelekanga lokuya esikhathini

Ukuhamba okuqhelekileyo kokuya esikhathini kuhlala malunga neentsuku ezintlanu. Ivelisa ukulahleka kwegazi elipheleleyo kwi-30 ukuya kwi-80 ml (malunga neepunipoyi ezi-2 ukuya kwezi-8), kwaye kwenzeka ngesiqhelo rhoqo emva kweentsuku ezingama-21 ukuya kuma-35.

Ukopha kwilungu lobufazi okwenzeka phakathi kwamaxesha okanye emva kokuyeka ukuya exesheni kunokubangelwa ziingxaki ezahlukeneyo. Uninzi lunobungozi kwaye lunokuphathwa ngokulula. Ngamanye amaxesha, ukopha kwilungu lobufazi kusenokubangelwa ngumhlaza okanye ngaphambi komhlaza. Ke ngoko, nakuphi na ukopha okungaqhelekanga kufuneka kuvavanywe kwangoko. Umngcipheko womhlaza unyuka uye malunga ne-10% kwabasetyhini abane-postmenopausal ukopha.

Qinisekisa ukuba ukopha kuphuma kwilungu lobufazi kwaye akuveli kwi-rectum okanye kumchamo. Ukufaka itampon kwilungu lobufazi kuya kuqinisekisa ubufazi, umlomo wesibeleko, okanye isibeleko njengomthombo wokopha.

Uvavanyo olunonophelo ngumboneleli wakho wezempilo yeyona ndlela ilungileyo yokufumana umthombo wokopha. Olu vavanyo lunokwenziwa nangona usopha.

Izizathu zingabandakanya:

• I-uterine fibroids okanye isibeleko okanye iipolyps zesibeleko
• Utshintsho kumanqanaba ehomoni
• Ukudumba okanye usulelo lomlomo wesibeleko (cervicitis) okanye isibeleko (endometritis)
• Ukwenzakala okanye isifo sokuvulwa kwelungu lobufazi (okubangelwa kukulalana, ukwenzakala, usulelo, ipolyp, iintsumpa, okanye isilonda)
• Ukusetyenziswa kwe-IUD (kunokubangela ukubonwa ngamanye amaxesha)
• Ukukhulelwa kwe-Ectopic
• Ukuphuma kwesisu
• Ezinye iingxaki zokukhulelwa
• Ukoma lobufazi ngenxa yokunqongophala kwe-estrogen emva kokuyeka ukuya exesheni
• Uxinzelelo
• Sebenzisa ulawulo lokuzalwa kwehomoni ngokungaqhelekanga (njengokumisa kunye nokuqala okanye ukweqa iipilisi zokulawula ukuzalwa, iipatches, okanye iiringi ze-estrogen)
• I-thyroid engasebenzi (umsebenzi ophantsi we-thyroid)
• Ukusetyenziswa kwezicoci gazi (ii-anticoagulants)
• Umhlaza okanye umhlaza wangaphambi komhlaza womlomo wesibeleko, isibeleko, okanye (kunqabile kakhulu) ityhubhu yesibeleko
• Uvavanyo lwepelvic, i-biopsy yomlomo wesibeleko, i-endometrial biopsy, okanye ezinye iinkqubo

Nxibelelana nomboneleli kwangoko ukuba ukuphuma kwegazi kunzima kakhulu.

Gcina umkhondo wenani leepads okanye iitamponi ezisetyenziswe ixesha elingaphezulu ukuze kugqitywe inani lokopha. Ukuphulukana kwegazi esibelekweni kunokuqikelelwa ngokugcina umkhondo wokuba kufakwa phi iphedi okanye itampon kwaye kufuneka umntu atshintshe kangaphi.

Ukuba kunokwenzeka, iasprini kufuneka ithintelwe, njengoko isenokwandisa ukopha. Nangona kunjalo, i-NSAIDS enje nge-ibuprofen inokusetyenziselwa ukunciphisa ukopha kunye ne-cramping.

Fowunela umnikezeli wakho ukuba:

• Ukhulelwe.
• Kukho ukopha okungachazwanga phakathi kwamaxesha.
• Kukho ukopha emva kokuyeka ukuya exesheni.
• Kukho ukopha okunzima kunye namaxesha.
• Ukopha ngokungaqhelekanga kukhatshwa zezinye iimpawu, ezinje ngeentlungu zangasese, ukudinwa, isiyezi.

Umboneleli uya kwenza uvavanyo lomzimba kwaye abuze imibuzo malunga nembali yakho yezonyango. Uvavanyo lomzimba luya kubandakanya uvavanyo lwe-pelvic.

Imibuzo malunga nokuphuma kwegazi ingaquka:

• Ukopha kwenzeka nini kwaye kuhlala ixesha elingakanani?
• Ingaba ukuphuma kwegazi kunzima kangakanani?
• Unazo neekram?
• Ngaba zikhona izinto ezenza ukopha kube kubi?
• Ngaba ikhona into ekuthintelayo okanye ukuyikhulula?
• Ngaba unazo naziphi na ezinye iimpawu ezinje ngeentlungu esiswini, ukugruzuka, iintlungu xa uchama, okanye igazi kumchamo okanye ilindle?

Uvavanyo olunokwenziwa lunokubandakanya:

• Uvavanyo lwegazi ukujonga ukusebenza kwe-thyroid kunye ne-ovari
• Iinkcubeko zomlomo wesibeleko ukujonga usulelo olosulela ngokwabelana ngesondo
• IColposcopy kunye ne-biopsy yomlomo wesibeleko
• I-endometrial (uterine) biopsy
• Ipap smear
• Iipelvic ultrasound
• IHysterosonogram
• IHysteroscopy
• Uvavanyo lokukhulelwa

Uninzi lwezinto ezibangela ukopha exesheni ziyanyangeka ngokulula. Ingxaki ihlala ifunyaniswa ngaphandle kokungonwabi okukhulu. Ke ngoko, kubalulekile ukuba ungalibazisi ekubeni le ngxaki ivavanywe ngumboneleli wakho.

Ukopha phakathi kwexesha; Ukopha okungaphakathi; Ukujonga; IMetrorrhagia

• I-anatomy yokuzala yabasetyhini
• Ukopha phakathi kwamaxesha
• Isibeleko

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U-Ellenson LH, uPirog EC. Iphecana lobufazi. Ku: Kumar V, Abbas AK, Aster JC, ii-eds. Robbins kunye neCotran Pathologic Isiseko seZifo. Umhla we-9. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 22.

I-Ryntz T, iLobo RA. Ukopha okungaqhelekanga kwesibeleko: i-etiology kunye nolawulo lokopha okungapheliyo kunye nokugula okungapheliyo. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, ii-eds. Gynecology egqibeleleyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 26.