Yana da mawuyacin hali, amma wanda ke bada likita a likita
Gwada nauyi ko zubar da jinin lokaci mai tsawo - lokaci na likita yana zubar da jini-yana iya zama mai ban tsoro da ciwo. Duk da yake wannan shine kwarewa ta yau da kullum, zubar da jini mai tsanani yana bada izini zuwa ziyara ga likitanku, zai fi dacewa da likitan ku .
Shin ina da kwarewa?
Hanyar da ta fi dacewa ta san idan kuna fuskantar zubar da jini mai tsanani shine a lura da sau nawa ana yin ta ta hanyar takalma ko tampon.
Idan lokacinka yana da nauyi sosai don buƙatar sauya takalma ko bugi kowane sa'a na tsawon sa'o'i, ko kuma idan kana da zubar da jini wanda ya wuce fiye da mako guda, kuna fuskantar zubar da jini mai nauyi.
Baya ga waɗannan biyu, wasu alamu na zubar da jinin jini sun hada da:
- Nuna fiye da ɗaya kushin a wani lokaci domin sarrafa jini
- Samun canjinka ko kuskure a tsakiyar dare
- Idan jinin jinin ku ya ƙunshi ɗakunan da suke da girman kwata ko babba
Sanin asali
Yin bincike akan zubar da zubar da jini mai nauyi na iya zama wani abu mai mahimmanci, don haka ya fi dacewa a shirya. Kafin a yi maka izini, gwada gwada yanayinka a cikin 'yan watanni na ƙarshe. Alal misali, kwanaki nawa ka zubar da jini kowane wata? Nawa ne ko takalma nawa kake wucewa a cikin kwanakin kullun da aka yi?
Bugu da ƙari, yana da kyakkyawan ra'ayin yin lissafin duk magungunan ku, ciki har da kulawar haihuwa, duk wani magani na hormone, da kuma duk wani bitamin ko karin kari.
Idan kana tunanin dalilin da yasa kake zub da jini, kada ka yi mamakin idan likitanka ya umarci gwaje-gwajen gwaje-gwaje, ban da yin gwaji na pelvic. Wadannan gwaje-gwaje sun haɗa da:
- A jarrabawar ciki (idan premenopausal)
- Yin gwaji na jini (misali, cikakken jini, matakan ƙarfe, da hormone thyroid)
- An duban dan tayi
Kwararka na iya yin aiki a ofishin da ake kira hysteroscopy don ganin fuskar cikin mahaifa. Ta kuma iya ɗaukar samfurin kayan jikin ku, wanda ake kira "biopsy" endometrial, dangane da shekarunku da kuma alamunku.
Dalilin
Akwai wasu matsaloli daban-daban na jini mai zubar da jini-wasu ƙananan (wadanda ba su da kyan gani) kamar fibroids, wasu kuma mafi tsanani kamar ciwon daji na mahaifa ko cervix. Sauran ƙananan ba matsala ba ne amma suna da dangantaka da canjin hormone ko matsalolin jini a jikinka.
Ovulatory Dysfunction
Sakamakon yaduwa a lokacin yarinya ko perimenopause shine mafi mahimmanci na yaduwar jini. A wannan lokacin, mace zata iya yin watsi da (saki kwai) wanda ba daidai ba ne, wanda ke nufin ba kowane watan ko a'a ba. Wannan yana haifar da thickening na mai yatsa rufi da kuma nauyi lokaci.
Dysfunction zai iya faruwa tare da wasu yanayin kiwon lafiya kamar hypothyroidism, polycystic ovarian ciwo, da kuma rashin jima'i gawarwar ovarian. Yin maganin matsala (alal misali, maganin ƙuƙwalwar ƙwayar cuta) yana da mahimmanci don sake dawowa ta al'ada ta al'ada da kuma daidaita al'umar mata.
Idan jarabawa ba bisa ka'ida ba ne na al'amuran jiki (alal misali, haihuwa ko perimenopause), hanyoyin kula da haihuwar haihuwa ko maganin hormone, wanda ya biyo baya, zai iya sauƙaƙe jini.
Uterine Fibroids
Fibroids yawanci ci gaba ne wanda ba zai yiwu ba daga cikin ƙwayar mace ta mahaifa kuma sun fi kowa a lokacin mace 30s ko 40s. Duk da yake dalilin fibroids na uterine ba shi da kyau, an san cewa suna dogara ne akan estrogene. Wannan shine dalilin da ya sa wasu hanyoyin maganin haihuwar haihuwar haihuwa kamar yadda kwayoyin kwantar da hankalin haihuwa suka iya taimakawa wajen rage zubar da jini mai tsanani daga fibroids. Hanyoyin samfur na intrauterine (alal misali, Mirena) na iya rage jini, amma ba za su rage yawan fibroid ba.
Wani magani a wasu lokuta ana amfani dasu da fibroids shine maganin hormone release (GnRH) na gonadotropin (GnRH), magani wanda ya rage girman fibroids amma za'a iya amfani dashi na ɗan gajeren lokaci, saboda sakamakon sakamako.
Har ila yau, akwai magunguna da dama don bi da fibroids, ciki har da myomectomy (cire fibroid), ablation na ƙarshen ciki ga kananan fibroids (an rufe mahaɗarin mahaifa), da kuma kunyatar maganin utarine (an kashe jini zuwa fibroid) . A cikin lokuta mafi tsanani, mai tsabta zai iya zama garanti, wanda aka cire dukan mahaifa tareda ko ba tare da ovaries ba.
Sau da yawa, idan bayyanar cututtuka ba mai tsanani ba ne ko matsala, ya isa ya dauki tsarin "jira da ganin" tare da mai fibroids. Kuma da zarar manopause ya faru, ciwace-ciwacen da yawa yana jin kunya kuma bace ba tare da magani ba.
Uterine Polyps
Polyps a cikin mahaifa-da ake kira endometrial polyps -wadanda yawanci wadanda ba su da kwayar cutar, sunadarai kamar su girma wanda ke nunawa daga rufin mahaifa. Zasu iya faruwa a cikin mata biyu da maza da mata. Dalilin endometrial polyps ba shi da kyau, ko da yake bincike yana nuna hanyar haɗi tsakanin matakan hormone da kuma kiba.
Jiyya don endometrial polyps iya unsa polyp kau. A labarun pathology zai kimanta endometrial polyps don ciwon daji bayan su cire.
Uterine Adenomyosis
A cikin wannan yanayin, mahaifa zai kara girma saboda sel na mahaifa ya girma cikin murfin murfin na mahaifa, yana haifar da zubar da jini mai zafi da jini. Duk da yake ana iya rage zub da jini tare da hanyoyin kula da haihuwa, da mahimmanci don maganin adenomyosis shine hysterectomy.
Pelvic Inflammatory cuta (PID)
Kodayake yawancin kamuwa da cutar ta PID ne ta hanyar kamuwa da cutar ta hanyar jima'i, duk da haka, yana iya faruwa a wasu lokuta bayan haihuwa, zubar da ciki, ko sauran hanyoyin gynecological. A cikin PID, daya ko fiye da gabobin haihuwa suna kamuwa da su, kamar mahaifa, falfes, ko cervix. Maganar shawarar da PID ta yi don maganin kwayoyin cutar.
Cercical Cancer
Wannan shi ne irin ciwon daji da ke faruwa a yayin da kwayoyin jikinsu ke ciki suka zama mahaukaci, ƙaruwa daga iko, da kuma lalata sassa jikin jiki. Kwayar cutar ta mutum (HPV) shine dalilin yawancin cututtuka na mahaifa. Jiyya ga ciwon sankarar mahaifa ya hada da tiyata, chemotherapy, da / ko radiation far.
Endometrial Kankara
Wannan ciwon daji yana faruwa a lokacin da kwayoyin halitta maras amfani a cikin endometrium (rufi na mahaifa) ninka daga iko kuma lalata mahaifa da sauran kwayoyin. Yayinda matsalar cutar ciwon endometrial ba ta sani ba, matan da aka gano da wannan irin ciwon daji sun kasance a cikin shekarun 60s. Safarar farko ga ciwon daji na endometrial shine yawanci mai tsabta, mai yiwuwa ne sakamakon maganin chemotherapy da / ko radiation.
Cigabawar cutar
Duk da yake akwai nau'o'in jini na jini iri iri, nau'in da yafi kowa a cikin mata shi ne cutar WWF (VWD). Jiyya ga Willebrand cuta ya haɗa da sakin adadin halittar jini a cikin jini ko kuma, a cikin mawuyacin hali, maye gurbin gurbin kwayar halitta tare da maganin jini (ta hanyar jiyya) ko kuma tare da takarda.
Wasu matsaloli na jini kamar samun ƙananan platelet (takaddun shaida suna shiga cikin gudanarwa kuma ana haifar da su cikin kasusuwan kasusuwan) ko kasancewa a kan jini mai kama da na Coumadin (warfarin sodium) zai iya zama mai laifi bayan jinin zubar da jini mai tsanani.
Sauran Hanyoyi na Mutuwar Ciki
Wasu mawuyacin haddasa mummunar zubar da jini a cikin wadanda ba su da juna biyu ciki har da ƙarancin ciki da ciwon na'urar intrauterine (IUD) kamar Mirena, musamman a lokacin shekararka na farko, amma jerin bai tsaya a can ba. Wannan ya jaddada muhimmancin ganin likitan ku don ganewar asali da kimantawa.
Lokacin da Menstrual Bleeding wata likita ne
Idan kana da ciwo mai tsanani, mai zub da jini, zaka iya buƙatar shiga gidan gaggawa. Nuni zai kasance idan an kull da ku ta hudu ko fiye da takalma ko tampons a cikin sa'o'i biyu. Idan kun kasance cikin ciki, sai ku nemi likita a gaggawa tare da zub da jini.
Kalma Daga
Samun kullun zubar da jini mai tsanani yana da mahimmanci ba don rayuwarku kawai ba amma ga lafiyar ku. Rashin hasara na jini, ko da kuwa dalili, zai iya haifar da anemia na baƙin ƙarfe, wanda zai iya rage ku, numfashi, da damuwa. Da zarar an zubar da zub da jinin jini da kuma tushen tushen jininku, za ku iya ci gaba da jin dadi-ku cancanci shi.
> Sources:
> Kwalejin Kasuwanci na Ƙasar Amirka da Gynecology. Tunanin Kwamitin A'a. 557. Gudanar da Ciwon Magungunan Ciwo Mai Maganganu Mai Nuna Tsuntsayewa a Tsakanin Mata masu Nuna Ba tare da Nuna ba. Obstetrics & Gynecology . 2013; 121 (4): 891-896. Reaffirmed 2017. Doi: 10.1097 / 01.aog.0000428646.67925.9a.
> Kwalejin Kasuwanci na Ƙasar Amirka da Gynecology. Tambayoyi da yawa: Gwagwarmayar ƙura.
> Hauk L et al. ACOG ta sake jagorantar Jagoran Bayanai Game da Gudanar da Ciwon Kwayoyin Ciwon Magungunan Abubuwa da ke hade da Ovulatory Dysfunction. Am Fam Likita. 2014 Yuni 15; 89 (12): 987-88.
> Kaunitz AM. Samun kusanci ga mahaifa mai yalwaci a cikin masu haihuwa masu haihuwa marasa haihuwa. A cikin: UpToDate, Barbieri RL, Levine D (Eds), UpToDate, Waltham, MA.