Oko Ufanele Ukwazi Ngokungasebenzi kwegazi elibelekweni lesibeleko

Umxholo

• Iimeko zonyango
• Amayeza
• Ukuqonda iimpawu ze-DUB
• Ichongwa njani i-DUB?
• I-Ultrasound
• Uvavanyo lwegazi
• I-biopsy ye-Endometriyo
• Ngaba iyanyangeka i-DUB?
• Ngaba i-DUB inokubangela iingxaki?

Ukopha okungasebenziyo kwesibeleko (DUB) yimeko echaphazela phantse wonke umntu wasetyhini ngexesha elithile ebomini bakhe.

Ikwabizwa ngokuba kukuphuma kwegazi ngokungaqhelekanga (AUB), i-DUB yimeko ebangela ukopha kwilungu lobufazi ukuba kwenzeke ngaphandle komjikelo oqhelekileyo wokuya exesheni. Iimeko ezithile zehomoni kunye namayeza anokubangela ukuba i-DUB.

Unobangela ophambili wokopha okungasebenziyo kwesibeleko kukungalingani kwiihomoni zesini. Amantombazana afikelwa kukufikisa kunye nabasetyhini abangena exesheni banokuba nenqanaba lokulinganisa i-hormone iinyanga okanye iminyaka. Oku kubangela ukopha manqaphanqapha, ukopha kakhulu, kunye nokubala.

Ukubala kukuphuma kwegazi elikhanyayo kunexesha eliqhelekileyo lokuya exesheni. Ihlala ibonakala imdaka, pinki, okanye bomvu ngokukhanyayo.

Ukungalingani kwehomoni okubangela i-DUB nako kunokubangela iimeko ezithile zonyango okanye kube yimiphumo emibi yamayeza.

Iimeko zonyango

Iimeko zonyango ezihlala zibangela ukopha okungasebenziyo kwesibeleko zezi:

• Isifo sePolycystic ovary syndrome (PCOS). Esi sisifo se-endocrine esibangela ukuba umfazi avelise inani elonyukayo lamahomoni esini. Oku kunokukhokelela ekungalinganiyo kwi-estrogen kunye neprogesterone, okwenza ukuba umjikelo wokuya esikhathini ungaqhelekanga.
• Endometriosis. Le meko ibangela xa ulusu lwesibeleko lukhula ngaphandle kwesibeleko, njengakumaqanda. I-Endometriosis ihlala ibangela ukopha kakhulu ngamaxesha aqhelekileyo.
• Polyp zesisu. Oku kukhula okuncinci kwenzeka ngaphakathi kwesibeleko. Nangona unobangela wabo ungaziwa, ukukhula kwe-polyp kuchaphazeleka kakhulu yihomoni estrogen. Imithambo yegazi encinci kwiipolyps inokubangela i-DUB, kubandakanya ukubonwa phakathi kwamaxesha.
• Iimbumba zesibeleko. I-uterine fibroids kukukhula okuncinci okwenzeka ngaphakathi kwesibeleko, ulwelwesi lwesibeleko, okanye umsipha wesibeleko. Njengama-polyps, oonobangela be-uterine fibroids abaziwa. Kodwa i-estrogen ibonakala ngathi idlala indima ekukhuleni kwabo.
• Izifo ezosulela ngokwabelana ngesondo. Ii-STD ezibangela ukudumba, njenge-gonorrhea kunye ne-chlamydia, zinokukhokelela kwi-DUB. Ukopha okubangelwa zii-STD kuhlala kwenzeka emva kokwabelana ngesondo, xa izilonda ziba mandundu.

Amayeza

Amayeza athile anokubangela ukopha okungasebenziyo kwesibeleko, kubandakanya:

• iipilisi zokulawula inzala
• iiarhente zehomoni
• IWarfarin (Coumadin)

Ukuqonda iimpawu ze-DUB

Olona phawu luqhelekileyo lwe-DUB luphuma ngaphandle kwamaxesha akho aqhelekileyo. Inokwenzeka kwakhona ngaphakathi komjikelo wakho wokuya esikhathini. Iipateni zokopha ngokukrokra zibandakanya:

• ukuphuma kwegazi okunzima
• ukopha oluqukethe amahlwili amaninzi okanye amahlwili amakhulu
• ukopha okuhlala ngaphezulu kweentsuku ezisixhenxe
• ukopha okwenzeka ngaphantsi kweentsuku ezingama-21 ukusuka kumjikelo wokugqibela
• ukubala
• ukopha phakathi kwexesha

Ezinye iimpawu eziqhelekileyo ezinokuthi zenzeke nge-DUB zezi:

• ukuthamba kwebele
• ukudumba
• iintlungu zangasese okanye uxinzelelo

Ukuba ufumana naziphi na kwezi mpawu ze-DUB zilandelayo, nxibelelana nogqirha ngokukhawuleza:

• isiyezi
• isiqaqa
• ubuthathaka
• uxinzelelo lwegazi oluphantsi
• ukwanda kwentliziyo
• ulusu oluthuthu
• intlungu
• kudlula amahlwili amakhulu
• ukufunxa iphedi iyure nganye

Ichongwa njani i-DUB?

Ukuchonga i-DUB, ugqirha wakho uya kubuza imibuzo malunga nembali yakho yezonyango kunye nembali yomjikelo wakho. Ezi mpendulo ziya kubanceda babeke emngciphekweni wakho wokuphazamiseka kokuzala, njenge-PCOS kunye ne-endometriosis.

Ukuba uthatha nawaphi na amayeza, kubandakanya nolawulo lokuzalwa, yitsho kugqirha wakho, njengoko ezo ziyobisi zibangela ukopha ngokungaqhelekanga.

I-Ultrasound

Ugqirha wakho unokucebisa nge-ultrasound ukujonga amalungu akho okuzala. Olu vavanyo luya kutyhila ukuba ngaba unakho na ukukhula okungaqhelekanga, okunjengee-polyps okanye i-fibroids. Inokukunceda ukukhupha ukuphuma ngaphakathi.

Uvavanyo lwegazi

Uvavanyo lwegazi lusetyenziselwa ukulinganisa amanqanaba akho ehomoni kunye nokubala okupheleleyo kwegazi. Amanqanaba akho e-hormone anokuhlala ekunika ukuqonda okukhawulezileyo kwisizathu sokopha kwakho.

Ukuba ukhe wopha kakhulu okanye ixesha elide, ubalo olupheleleyo lwegazi lutyhila ukuba ubalo lweeseli ezibomvu luphantsi kakhulu. Inani elibomvu leeseli ezibomvu lingabonisa i-anemia.

I-biopsy ye-Endometriyo

Ukuba ukukhula okungaqhelekanga kubangela ukopha, okanye ulwelo lwakho lwesibeleko lutyebile ngokungaqhelekanga, ugqirha wakho uya kuthatha isampulu yethishu yesibeleko kuvavanyo.

Ukuba kukho naluphi na utshintsho lweseli olungaqhelekanga kulungelelwaniso, i-biopsy iya kuyiveza. Iiseli ezingaqhelekanga zinokubonisa ukungalingani kwehomoni okanye umhlaza, phakathi kwezinye izinto.

Ngaba iyanyangeka i-DUB?

Zininzi iindlela zokhetho ezikhoyo kwi-DUB. Ngamanye amaxesha, kwimeko yokufikisa ikakhulu, akukho manyathelo athathwayo, njengoko iihormoni zihlala zizilungisa. Unyango olufanelekileyo kuwe luya kuxhomekeka kwisizathu esingunobangela wokopha.

Olona hlobo lonyango luqhelekileyo nolulula lokopha okungasebenziyo kwesibeleko kukudibanisa izinto zokucwangcisa zomlomo. Ukudibanisa izinto zokucwangcisa zomlomo ziqulethe i-estrogen yokwenziwa kwaye weprogesterone. Zombini zisebenza ukulawula nokulawula umjikelo wokuya exesheni.

Iindlela zokuthintela ukukhulelwa kubandakanya ii-IUDs kunye nokufakwa kungasetyenziswa njengonyango lwehomoni. Ukuba awuzami ukukhulelwa, ugqirha wakho unokucebisa ukuba usebenzise enye yezi njengonyango.

Ukuba ukopha ngequbuliso kunzima kakhulu kwaye amayeza edosi esezantsi ayisiyiyo inketho, i-estrogen efakwa ngaphakathi inokulawulwa de ukuphuma kokopha. Oku kulandelwa ngesiqhelo yiprogestin yomlomo ukulinganisa iihomoni.

Ukuba uzama ukukhulelwa kwaye awunayo ukopha kakhulu, ugqirha wakho unokumisela i-ovulation-evuselela ichiza clomiphene, ekwabizwa ngokuba yi-clomid. Ukukhuthaza i-ovulation kunokuyeka ukuphuma kwegazi ixesha elide ngokuseta kwakhona umjikelo wakho wokuya exesheni.

Ukopha ngamandla nokuhlala ixesha elide kukhatshwa lining yesibeleko esixineneyo kunganyangwa ngenkqubo ebizwa ngokuba yi-dilation kunye ne-curettage (D no-C). Le yinkqubo yotyando lwangaphandle esetyenziselwa ukususa inxenye yesikhumba se-uterine ngokuyikhuhla.

Ukuba iiseli zakho zesibeleko zifunyenwe ziqhelekile, ugqirha unokuyalela i-biopsy eyongezelelweyo emva konyango.

Kuxhomekeka kwiziphumo ze-biopsy-ukuba iiseli zinomhlaza, umzekelo-i-hysterectomy inokucetyiswa. I-hysterectomy kukususwa ngokupheleleyo kwesibeleko kwaye kuhlala kuyinto yokugqibela.

Ngaba i-DUB inokubangela iingxaki?

Ngokubanzi, i-DUB yimeko yexeshana. Nje ukuba iihormone zesini zilawulwe, ukopha okungaqhelekanga kuhlala kuncipha.

I-anemia yenye yeengxaki eziphambili zokopha kakhulu. Ukuba uhlakulela i-anemia ngenxa yokulahleka okukhulu kwegazi, ugqirha wakho unokuyiphatha ngamaminerali kunye ne-vitamin supplements.

Kwiimeko ezinqabileyo apho ukopha kubangele ukulahleka kwegazi okubalulekileyo, unokufuna ukufakelwa igazi.