Musa ukudibanisa i-uterine yegazi kunye nokuya esikhathini, nangona kunjalo. Ukuphuma kwintsholongwane kubonakaliswe kukuba lihlala lide kwaye lininzi, kwaye alinalo uphawu oluqhelekileyo. Isizathu singabangela i-uoma i-myoma, izilonda ezahlukeneyo (ezinobungozi kunye nezibi), izifo zesisu kunye nezixhobo. Ngamanye amaxesha ukuphuma kwegazi kubakho njengengxaki yokukhulelwa nokubeletha.
Ukongezelela, ukuphuma kwamanzi kunokunxulumana neengxaki ze-hormonal, xa ukuphuhliswa kwama-hormone okuchaphazela izitho zesini, indlela enye okanye enye ayihambisani nesiqhelo. Kwaye okungaqhelekanga ukuphuma kwegazi kubangelwa izizathu ezingahambelani ngokuthe ngqo kwizitho zangasese. Ngokomzekelo, kusenokuba ukuphulwa kwengqibelelo yesibindi okanye kwimeko yesifo seWillebrand (iingxaki ngegazi coagulability).
Unyango lwegazi lomzimba
Okokuqala, unyango lwegazi lomzimba lujoliswe ekumiseni igazi. Emva koko kufuneka ufumane isizathu kwaye uzame ukususa. Kwisiqalo sokuqala kunye neepilisi ze-hemostatic eziphuma ngegazi. Ngokudla kaninzi ngegazi lokuphuma kwamanzi, ezi ziyi-blood- reworking Dicion, iVikasol, i-Etamsilat, i-Aminocaproic acid ne-calcium.
Ukongeza kwiipilisi ezivimba ukuphuma kwintsholongwane, abafazi banqunywe izidakamizwa ukunciphisa isibeleko - esona sidumi kakhulu i-oxytocin. Ukuba i-hemoglobin iyancitshiswa kakhulu ekulahlekelweni kwegazi kwisigulane, izilungiso zesebe okanye izakhi zegazi - i-plasma, ubukhulu be-erythrocyte - imiselwe kuye. Kubalulekile ukuba unyango olunzima lunikwe iivithamini kunye ne-vasoconstrictive - iivithamini C, B6, B12, askorutin, folic acid.
Emva kokumanyathelo okuxakeka, xa kuphuma ukumiswa kwegazi, kubalulekile ukukhusela ukuba baphindwe. Ukwenza oku, ugqirha uhlola loo ntokazi ukuba ibone iimbangela ezibangele ukuphuma kwegazi.
Njengomgaqo, ikhosi yamacwecwe e-hormone ayimiselwe, i- intrauterine ifaka iMirena ifakwe. Ukuba imbangela kwi-endometrium, i-polyps, i-myome, i-adenomyosis okanye i-endometrial hyperplasia, unyango olufanelekileyo lwenziwa.