Ukwandisa umthamo wokukhulelwa kokuya esikhathini uya kuba sizathu sokudibana nodokotela. Ngelo xesha, kukho utshintsho kwimiba yexesha lokuya esikhathini - kaninzi igazi liphuma ngamacangca. Ukulungisa imeko enokwenzeka, usebenzisa amalungiselelo e-hemostatic ngenyanga.
Izizathu ezininzi zokuya esikhathini
Ukuya esikhathini kuninzi kuthiwa ngenyanga, ngelixa i-80 ml yegazi ikhululwa (iqhelekileyo i-50 ml). Ibhinqa kufuneka ishintshe i-napkin ecocekileyo rhoqo emva kweeyure eziyi-1-1.5. Ukulahleka okungaphezu kwe-100 ml yegazi ngomjikelezo ngamnye kuthathwa njengogqirha njengento enqabileyo yanyanga zonke, izizathu ezinokuba zilandelayo:
- Ukungaphumeleli kweHormon. Ukungaboni kakuhle emzimbeni wama-estrogens kunye nama-gestagen kukhokelela ekulahlekeni kwegazi. Ngokuqhelekileyo le ntlupheko ibonakala kumantombazana amancinci - ukungaphumeleli kwimijikelezo kwiminyaka engama-1.5 ukuya ku-2 ukususela kwixesha loogqirha besigqirha kuthathwa njengesiqhelo. Ukungalingani kubakho ngenxa yokudakwa kweziyobisi ze-hormones (i-contraceptive).
- Iipolisi zomlomo wesibeleko. Xa isifo esingaphakathi komphefumlo wangaphandle, kuvela imvelaphi, ephazamisayo, eyabangela ukuba ikhefu lomelele.
- I-Myoma yesisu. Imfundo yaseBenign, ihamba kunye nokwanda kwendleko yenyanga.
- Izifo zamalungu epilvic - iintsholongwane ezithintekayo, ezivuthayo: i-endometriosis, i-endometritis, i-colpitis, i-salpingitis.
- Inkqubo ye-oncological kwinkqubo yokuzala. Iiplastiki ezincinci zisoloko zikhokelela ekugqibeleni kwe-endometrium, ngenxa yokunyuka kwenani lexesha lokuhamba.
- Ukusetyenziswa kwezicathulo zokukhulelwa kwe-intrauterine. Iimimoya ziphazamisa ukuhamba kwe-endometrium yokugatya, ngoko ke, inyanga zonke ihlala ihlala ixesha elide.
- Ukuchithwa kweprogram yegazi. Ukungaphumeleli kwenkqubo yokunyumba kubangela ukwanda kwenyusa ngegazi leenyanga.
- Ukuxinezeleka ngokomzwelo , ukuphazamiseka, amava, utshintsho kwiimeko zemozulu zingathintela ubunjani kunye nobukhulu bexesheni.
Uninzi ngenyanga - wenzeni?
Ejongene nesimo esinjalo, abasetyhini bahlala besesidodeni: yintoni enokuyenza ukuba iinyanga ezininzi, indlela yokusebenza-abaninzi abanako. Kuphutha ukuba nethemba lokuba ixeshana liza kuzinza ngokwabo, ukuba ukwanda kwimiqulu yemfihlo kuyabonakala kwiimjikelezo eziningana ezilandelanayo. Isisombululo esisodwa kukuba udibane nomgulane kwaye uhlole umzimba.
Ukuxilongwa "i-menorrhagia" ibonakaliswe ngesiseko sezikhalazo zowesifazane, iimpawu zokulahlekelwa kwegazi ngokuthe rhoqo ngenyanga. Ekuqaleni koviwo, ugqirha akafaki i-pathologies ehamba kunye neempawu ezifanayo (ukukhulelwa kwe-ectopic). Igumbi lomfazi lihlolwe kumaziko angaphandle, imbali epheleleyo yenziwa. Ukuba kukho izikhalazo zokugula, ezi zilandelayo ziqeshwa:
- I-ultrasound yeenxalenye zeplavic ;
- hysteroscopy;
- i-biopsy yomlomo wesibeleko;
- ukuxilongwa kwe-endometrium ;
- ukuhlolwa kwegazi jikelele, i-coagulogram;
- ukuhlolwa kwegazi kubaphambili.
Indlela yokunciphisa ukukhutshwa kwenyanga nganye?
Ukuthetha ngento enceda ekuhambeni kwexesha, oogqirha bahlala beqwalasela imbangela yokuphulwa. Ngokuxhomekeke kwinto eyenza utshintsho kwimeko yokuya esikhathini, isicwangciso sonyango esisodwa sikhethwe. Kwiimeko ezininzi, isiseko sonyango yiziyobisi ze-hormone (ukulungelelanisa imvelaphi ye-hormonal ). Ukunciphisa inani lokulahleka kwegazi, ukukhusela ukuphuhliswa kwe-anemia, oogqirha banika izidakamizwa ezikhethekileyo ze-hemostatic ngezikhathi ezininzi. Unyango olunzima lusebenzisa kwakhona:
- iziyobisi ukwenzela ukunciphisa i-myometrium yamanzi;
- iimveliso ezinesinyithi (ukuthintela ukukhulelwa kwegazi).
Ukusika iziyobisi kwisibeleko kunye neenyanga zenyanga
Ukunciphisa iinyanga ezidlulileyo nangaphambi kokuba kuqaliswe imbangela, oogqirha basebenzisa iimali eziphucula ithoni ye-myometrium ye-uterine. Ngenxa yokusetyenziswa kwabo, isivumelwano sokwenziwa kwemisipha yokhuselo lwesisundu, sikhupha ukukhawuleza kwe-endometrium ngexesha lokuya esikhathini. Ukusika, iziyobisi ze-haemostatic zisetyenziswe kwiimeko zokugqithisa nokunye ukuphazamiseka kwezifo zesifo somzimba kunye nezimbilini:
- msebenzi obuthathaka;
- ixesha lokugqibela;
- imeko emva kokukhipha isisu.
Ukutyunjelwa kwezi zonyango kwenziwa kuphela oogqirha. Zibonisa igama lomkhiqizo, umyinge, ukuphindaphinda kunye nobude be sicelo. Phakathi kwezidakamizwa eziqhelekileyo ezisetyenziswa kweli qela zinokuqatshelwa:
- Deaminooxytocin;
- Ergothal;
- Gynestrel;
- Dinoprost.
Ukulungiswa kwentsimbi kunye neenyanga ezipheleleyo
Amachiza aneenkcukacha zentsimbi asebenzisa amaxesha amaninzi asetyenziswa ukukhusela i-anemia. Ukulahleka kwegazi okukhulu kunokubangela ukuba umzimba unciphise izinga le-hemoglobin, elichaphazela uluntu jikelele, umsebenzi wezitho zangaphakathi kunye neenkqubo. Ukukhathala, ukukhathala yizona zibonakaliso eziphambili ze-anemia yokunqongophala kwesinyithi, ezifuna ukulungiswa kwezonyango.
Uninzi lwezidakamizwa ezinezinyithi ziyahanjiswa ngaphandle komyalelo wesigqirha. Ngokuqhelekileyo le microelement ikhona kwiinkomititam e-multivitamin, ukusetyenziswa okuphelisa imfuno yokusetyenziswa ngokuthe ngcembe. Phakathi kweziyobisi kunye nomxholo ophezulu kunokuthi:
- Ferretab;
- Sorbifer;
- Totem;
- Fenyuls.
Iziyobisi zeHemostatic ngenyanga
Izaziso ze-Hemostatic ezinexesha elide elincedisayo zenza uncedo lokunciphisa inani lemfihlo. Nangona kunjalo, ukwenzela unyango lwe-pathology, imilinganiselo yokuxilonga iyadingeka ngokusekwa kwesibangela esithile se-menorrhagia. Oogqirha bacebisa ukuba bathathe ixesha elifutshane, ukuze bangathinteli umsebenzi we-blood coagulation system. Nika izidakamizwa ze-haemostatic zihlala ziqwalasela into ebangela ukugula.
Iziyobisi zeHemostatic ezinamaxesha amaninzi kumadoda ane-endometriosis
I-Endometriosis isifo sesiganeko esiphathelene nokukhula kwendawo engaphakathi yombele. I-membrane ye-mucous iyaqhubeka ikhula ngobuninzi ngenxa yokukhula okungavamile kweeseli zayo. Ngenxa yoko, umjikelezo wesini we-endometrium ukhululeke kakhulu. Ukunyuka kwindleko yenyanga ngenyanga kule nzeka ngenxa yenani elikhulu lamaseli endometriya anqatshelwe. Ukongezelela, i-endometrium iyakhula kwizitho ezingamelwane. Ngenxa yoko - uxhumano lwegazi emva kokulala ngesondo. Ukuwuthintela, khetha amachiza e-haemostatic ngokuya esikhathini:
- Etamsylate;
- Tranexam;
- Ascorutin;
- I-Cyclocapron;
- Exacil.
Iziyobisi ze-Hemostatic ezine-GW zenyanga
Ukubuyiselwa komjikelo kwithuba lokugqibela emva kokutshatyalaliswa kuvame ukuhamba kunye nokuphulwa komthamo kunye nemeko yesimo. Kwiinyanga zokuqala emva kokuzalwa komntwana lowo wesifazane ulungisa kwiinyanga ezi-1-2 ngokutya okufakwayo kunye neenyanga ezi-4-6 emva kokuncelisa. Isantya sokubuya sixhomekeka kwiimpawu zokuzalwa, ixesha lokugqibela, ukuthotyelwa kweemeko kunye neengcebiso zoogqirha.
Ngokuqhelekileyo, ngenxa yemvelaphi ye-hormonal engaqinisekanga kwixesha lokuhamba emva, abantwana bazinzileyo ngenyanga kunye ne-GV. Ukukhethwa kwamachiza kulo mzekelo kufuneka kwenziwe kuphela ngugqirha, ekubeni ezininzi iziyobisi azivunyelwe ukuba zenziwe ngexesha lokuncelisa. Xa kuvumelekile ukusebenzisa izi zixhobo ezilandelayo ze-hemostatic ezikhuphela ngenyanga (ngaphandle kwemigqaliselo ikhishwa):
- Totem;
- Vikasol.
Iziyobisi ze-Hemostatic ezinexesha elide kunye ne-myoma
Umthamo wenyuka nyanga zonke xa i- myoma ine-submucosal okanye i-intermuscular localization. Ukukhula okuqhubekayo, ukwanda kobukhulu be-neoplasm kubangela ukukhula kwesibeleko. Ngelo xesha, indawo yecala lokugcina i-endometriyo landa, kwaye, ukukhupha, kwandisa umthamo wesithandathu sokuya esikhathini. Ngenxa yokukhula kwe-myoma, inethiwekhi ye-vascular ye-uterus body deforms, ilungu lilahlekelwa li-elasticity. Ukontraka kwesibeleko sinciphisa. Ezi zinguqu kwi-aggregate zikhupha ukwanda kwimiqulu yokuhamba kwexesha. Ugqirha ukhetha izidakamizwa ze-haemostatic ngezihlandlo.
Kwisigaba sokuqala se-pathology, unyango olumqondiso lusebenza kakuhle. Ibhinqa lichazwe izidakamizwa ze-hormonal kunye neziyobisi ze-hemostatic ezininzi ngenyanga. Phakathi kwala mayeza:
- Vikasol;
- Traneksam.
Iziyobisi ze-Hemostatic ezinexesha elininzi lokuphuma kwesikhashana
Ixesha lokunyuka kwexesha lihamba kunye nokukhulelwa kwexesha elingavumelekanga. Isixa senyanga sivame ukunyuka. I nyaniso kukuba ngenxa yokutshintshwa kwe-hormonal emzimbeni. Ukuqulunqwa kwama-hormone ezesondo ezilawula umjikelezo wesini kunye nokuya esikhathini, kuholele ekudakaleni kwenhlalakahle (ukuguquka kwemizwelo, ukuhlaselwa kweshushu, ukunyuka kwengcinezelo yegazi).
Amayeza e-hormonal anamaxesha amaninzi ekudlukeni kwexesha ngokuphindaphindiweyo ancediswa kunye nama-haemostatic agents. Bamkele, ngokwemigqaliselo yonyango, ukujonga umlinganiselo, ubude kunye nobude bolawulo. Phakathi kweziyobisi ezisetyenziswa ngabasetyhini:
- Etamsylate;
- i-aminocaproic acid.
Iingcali eziphezulu ze-haemostatic
Izidakamizwa ze-Hemostatic ezineenyanga ezipheleleyo kufuneka zibekwe ngugqirha. Uviwo oluyinkimbinkimbi oluphambili kunye nokuzimisela ngokuchanekileyo kwimbangela yokulahlekelwa kwegazi efunekayo. Xa ukhetha iyeza, ugqirha uyaqwalasela izinto ezininzi:
- ubudala somguli;
- ubukho bezifo ezingapheliyo zenkqubo yokuzala;
- ubukho beepathologies ezihambelanayo.
Iibluhlu zeHemostatic
Ifom yefayili yezilwanyana ezinxamnye nokuhlala kwexesha elide isetyenziswe kaninzi kunezinye. Oku kubangelwa ukukhululeka kwe-dosing, ukukhululeka kokusetyenziswa, ukufumaneka kweziyobisi. Phakathi kwezinto eziqhelekileyo ezisetyenziselwa ukuhamba kwexesha elide - iiphilisi ze-Dicinon ze-hemostatic. I-remedy isetyenziselwa ukuphazamiseka kwegazi (ukuphuma kwegazi) nayiphina imvelaphi.
Isithako esisebenzayo ngu-etamzilate - into eyenza i-prothrombin iqulunqwe. Ukongeza, ixabiso lomeleza iindonga zeempahla, ukunciphisa ukufaneleka kwazo. Ngokwexesha eliqhelekileyo lokuya esikhathini, isicatshulwa sithathwa kathathu ngosuku kwiipilisi ezimbini. Phakathi kokuchasene nokusetyenziswa kwemveliso yeyeza:
- ukungathobeli;
- thromboembolism;
- leukemia.
Iipilisi zeHemostatic iTransksam nazo zazisetyenziswa ukuyeka ixesha elibi. Bayekela igazi, ngelixa bebonelela ngokuchasene nokutshabalalisa, ukuchasana nokuchasana neziphumo. Thatha ngokwecandelo logqirha. Phakathi kokuchasene:
- hypersensitivity;
- i-thrombosis yeemvini ezinzulu kunye neempahla zengqondo;
- ukuhluleka kwezintso;
- ukutshabalalisa kwamatye;
- ukuphulwa kombono.
Injini zeHemostatic
Xa ehamba ixesha elide, i-hemostatic agents zilawulwa ngendlela yejojo. Isisombululo silawulwa ngokuphindaphindiweyo (ukungena okanye i-jet). Iziyobisi ze-Hemostatic ezineenyanga eziphambili (injections) zikhethwe ngokuhambelana nobunzima be-disorder nokuqwalasela ubukho bentlalo kunye neengxaki. Phakathi kweendlela zokuyeka ukuphuma kwegazi, ezikhutshwe kwisisombululo, sinokuhlukanisa:
- Vikasol ;
- gelatin yonyango;
- Fibrinogen;
- Tracerol;
- Sulfate;
- Hemofobin.
Amakhandlela aseHaemostatic
Phakathi kwala majelo ngendlela ye-suppositories esetyenziselwa ukuyeka ukuphuma, kubalulekile ukuqaphela i-phytohemostatic suppositories (FGS). Isiza sisetyenziswa ngokunyanga ekwenzeni unyango, kodwa rhoqo oogqirha basebenzisa izidakamizwa ze-hemostatic kwi-gynecology, ngamaxesha amaninzi. I-remedy ayigcini nje ukuyeka ukuphuma kwamanzi, kodwa iyakomeleza neempahla, ingabandakanyi ukuvuvukala. Faka izicelo zekhandlela ngokubhekiselele kwimiyalelo yesigqirha, ngokuphindaphindiweyo 1 i-suppository ebusuku, injected in anus.