Metrorrhagia kwi exesheni. Iingxaki kokuya: unyango

Metrorrhagia kwi koku- - a ukopha evela isibeleko, enxibe mgaqweni nezizimeleyo ukuba sexesheni. Unobangela zezi ukhetho inokuba imo luxinzelelo olungamandla, ubunzima ngokwasemzimbeni okanye ngokwasengqondweni, imiphumo ukunxila okanye ukungasebenzi le nkqubo yonyango.

Kuba isigqibo uxilongo olwenziwe uhlolo kwinxenye yelungu lobufazi, wesibeleko, womchamo kunye isikali. Xa uviwo lwangaphandle lubonisa utshintsho kupheliswa okanye lwezidumbu, ezifana polyp, nangezilonda, kwentlungu, imizimba amazwe. Inqanaba elilandelayo lwezinto ezenza ezinxulumene ngezifo endometrial kunye ovarian. Ezo ukopha wesizalo kunokwenzeka xa isabelo ephosakeleyo okanye ukufumana hormone neziyobisi non-hormone.

Rent kwilebhu iimvavanyo zegazi lwezonyango kunye kwemichiza, ultrasound zangasese, igazi athatyathiweyo ukuqinisekisa inqanaba hormone. Ukusola yamathumba unikezela uhlalutyo zabamakishi ithumba.

Metrorrhagia phakathi koku-

Metrorrhagia kwi koku- ingachazwa njengento elibujikele kunye acyclic. Izinto ezibangela ukopha enjalo ingaba utshintsho ezinxulumene kwiminyaka yokuba endometrium langasese okanye izifo ngaphezulu kakhulu, elinguwe ndlela kwenyuka.

Metrorrhagia kwabasetyhini postmenopausal wavakalisa iimpawu zonyango ezifana zesibeleko elide ukopha, ubude iintsuku ezisi-7 okanye ngaphezulu. Akholisa ukubakho emva kolibaziseko ngenyanga, abangaphumi kwaye kungadala anemia.

Metrorrhagia, ezibangela

Ngaphambi kokuqeshwa unyango kuyimfuneko ukuze kube nokugqitywa ngokuchanileyo unobangela zesibeleko ukopha. Ukuza kuthi ga ngoku, uthotho nemvavanyo zaselaborathri, ezinceda ayinakubhaqa sifo, iziphumo nto leyo metrorrhagia. Kwezinye iimeko, oku kunokuba unobangela i libanda, iziyobisi ezinomthamo eliphezulu estrogen.

Kulo mzekelo, kucetyiswa ukuba uyeke ukusebenzisa ichiza, esikhundleni ngayo kunye nenye, okanye ukwala unyango olunjalo. Ngamanye amaxesha ukuvela wesizalo ukopha yabangela postmenopausal umhlaza umzimba ukwenzeka kunye nomhlaza womlomo wesibeleko.

Ukuba kukho anovulation, ngoko zenze ukukrwela umzimba zesibeleko ngeenjongo zokuxilonga ukuze kufikelelwe isiphumo therapeutic. Ngoko nangoko emva sisusa ukumisela hormone ezintsonkothileyo. Ukuba olu nyango ayikho olusebenzayo, kwaye ukopha kwenzeka kwakhona, ugqirha umisela ukususwa zoqhaqho isibeleko.

Wesizalo ukopha exesheni nako kunokubangela imbonakalo polyp, ukudumba endometrium isibeleko, hormonally ebonakalayo yamathumba ovarian, hyperplasia, gipertekoza, tekomatoza.

ekuxilongweni

Moshilongo ekuqaleni isicelo metrorragii:

• imbali yezonyango yendlela nomonde yobomi, yokugula.
• kuxilonga esitulweni yamanina.
• iimvavanyo igazi amanqanaba ihemoglobin, ezinto eziphilayo, coagulation, hormone.
• Uhlalutyo ilaphu ukusuka wesibeleko kunye biopsy endometrial.
• ultrasound zangasese.
• unyango metrorragii

metrorragii Treatment kuxhomekeke ngezifo. Ekuchongeni polyp glandular-ezinezikhondo iyasuswa phantsi kolawulo hysteroscopy. Ukuba emva kwenzeka lo mkhuba kwaye kukho urhano somhlaza, wabelwa ukuba hysterectomy kunye waso. Kodwa izinga lokusebenza ngamnye oksiprogesterona ukuba Kucetyiswa isitofu intramuscular, isithuba seminyaka ukuya ku-4.

unyango enjalo ikhutshwa phandle phantsi kolawulo olungqongqo kunye rhoqo kokuphalwa eludongeni le endometrium zesibeleko. Ukuba asiphumeleli kunye likakade kusengenzeka, ngoko ke icebo lokuphuma kule ngxaki kukuba ukususa isibeleko kunye ezihlobene.

Ekuchongeni iinkqubo ezondeleyo ukudumba, ezo unobangela zesibeleko ukopha, ulawulo intrauterine umxube emiselweyo Dimexidum, deoxyribonuclease, ribonuclease, chymotrypsin lidazy, hydrocortisone kunye nesisombululo isotonic sodium chloride. Umlinganiselo emiselwe ngugqirha.

Yintoni enye ukwenza

Kwimeko onamathele kulo ukudumba inkqubo aureus kulo mxube kongezwe i isisombululo ezinxilisayo of chlorophyllin. Olu nyango ixesha elide, izinga leyo zethuba abangaphezu kwe-1 amawaka iinkqubo. Ipredikshini konyango kuxhomekeke kuhlobo inkqubo arhabaxa. Metrorrhagia postmenopausal baphathwe ngokususa anovulatory kwekhono, ukuphazamiseka ukupheliswa ezidalwe-metabolic, inzalo hormone.

Ukongeza ekunyangeni zesibeleko ukopha kubangela isigulane eyabelwe nokuphumla, alale, xa kuthelekiswa esiswini kubanda, isinqe ezinqwenelekayo isikhundla esiphakamileyo e- 25-30 cm ngaphezu kwenqanaba indawo yomzimba. Ngenxa yoko, nathi ekunciphiseni imeko, ukunciphisa ukopha.

Wesizalo ukopha exesheni ukuba kakhulu kuncitshiswa ngokusebenzisa esintu nako ukucutha okanye ukunqanda ukopha, kodwa kufuneka ukhumbule ukuba ezi ndlela kuphela abangabancedani omzabalazo, kwaye ke ayikwazi ukuba isetyenziswe njengonyango ephambili. Ukuphuculwa namakhambi apho emva kweeveki 2-3. Phambi ukusetyenziswa, ukufunda ngenyameko ekwakhiweni, ubukho Izimo kunye neziphumo ebezingalindelekanga.

Physiology kunye zokugula postmenopausal ixesha

Postmenopause - ixesha lobomi yomfazi emva ekumeni sexesheni. imeko ngxaki angabekwa ngokusekelwe kumazinga estradiol zePCR (ngaphantsi kwe 30 nanziya /), kunye FSH kwandisa ngaphezulu kwama-40 IU / L in serum. I-avareji yobudala ukuya exesheni - ngonyaka 51. Ngokunxulumene ekunciphiseni amanqanaba estrogen kule akhawunti ubudala ukuze nani likhulu zomhlaza ze zangasese.

Utshintsho kwi amaqanda kunye adrenal kuqala phambi kokuba ukuqala ukuya exesheni. Ukunciphisa izinga dlala, estrogen, estrone kwaye kubandakanya neengxaki ezininzi emzimbeni. Kwelinye icala - le yinkqubo eqhelekileyo komzimba, yaye kwelinye - inokubangela umonakalo omkhulu kwimpilo lomfazi. kwezifo ezifana ezinxulumene ukuphazamiseka umsebenzi yesiqhelo zamaqanda, ezihleli malunga nama-70% yabafazi.

Iimpawu exesheni kunye nonyango kwabo

abafazi abadala usesichengeni ukuphazamiseka enzala kwithuba kunyaka 2-5 ukususela ekuqaleni ukuya exesheni. Phantsi impembelelo ukuhla kumanqanaba estrogen kuvela uphawu kwezifo ezifana හසුරුව isiphathi atrophic, dyspareunia, kunciphise umsebenzi kunye lyubrikativnoy pistouretrit, pollakiuria, ngumchamo umchamo. Ngeli thuba angase abonakale prolabs amalungu esini.

Ngokunxulumene kukuvela estrogen kwandisa inani izifo sentliziyo ezibangelwa yegazi. Uncedo lokujongana iimpawu ezinjalo amanyathelo othintelo: imithambo kunye esempilweni, ukutya okunezondlo. Izifo hlobo baphathwa yi emiswe phantsi kweliso zonyango abasenyongweni.

abasetyhini abadala bajongene neengxaki ingenzeka kweenwele yobuso okungafunekiyo. isigqibo wayo isagcwele kunye nonyango hormone.

Ukulahleka kwesikhumba luthambe kukhokelela amabele unokukhawuleza, ubuso, kunye noyilo umzimba. Yizani uncedo kwizifundo yokuthanjiswa, umthambo, ukutya okunempilo, iimveliso ukunakekelwa isikhumba kunye nezifundo unyango hormone.

Omnye wemiphumela ezimbi kakhulu exesheni kwamathambo, nto leyo eyenza kwamathambo elibhityileyo skeleton esisodwa. Ukongezelela hormone therapy replacement wabelwa ukuya eliphezulu yokudla calcium, nemagnesium, ukuhlamba ilanga nakwimithambo yomzimba.

yoma kusisi udonga, ngaphandle tyaba, ezinokhwekhwe. Ekubeni loo ngxaki kufuneka iqwalaselwe nge ngoncedo izithambiso kunye estrogen, ukusetyenziswa zokuthambisa ngumntu. umlinganiselo Lilungile nokuqhubekeka ubomi ngokwesini.

nengozi isahlakalo samathambo kuncitshiswa umthambo rhoqo, ukwenza ukukhanya ntlungu, ukusebenzisa amafutha ukuze amalungu. ubuhlungu ezimandundu singanyangwa kuphela phantsi kweliso yincutshe.

Postmenopause Idla zizifo ezosulelayo, womchamo, kunye enuresis. Izifo " 'abulawe antibiotics. Enuresis liphathwa yonyango ihomoni ngokudibene ekomelezeni izihlunu isinqe kunye eliphezulu yokudla ifayibha zokutya.

Ukukhetha

Amanzi kusisi e postmenopausal musa ukutshintsha ukungqinelana kwabo, umbala kwaye unuka - yinto eqhelekileyo. Postmenopause alunasiphumo kwi kwezi parameters. Ngaphandle nje kuphela imali leyo yehliswe kakhulu. Kodwa ukuba ukwahlukana emva kokuba exesheni ziye zatshintsha, inokuba uphawu lokuqala lophuhliso yezifo. Unobangela inokuba kusulelo, yaye ukusilela hormone.

Koku- ingaqala ukuphazamiseka enzala. Kuxhomekeka izinga progression of hormone izivuka, izigulane ezikhala ukoma kwilungu lobufazi, ukurhawuzelela, nokushisa kunye nobunzima obukhulu. Ngokuchasene imvelaphi ezi mpawu bajoyine i usuleleko yesibini. Netuwa baba mnandi, ivumba abayinqobo, ukutshintsha umbala, ukunyuka umthamo.

Ezintweni zonke iinguqu ebonakala lo postmenopause, ukuzahlula yenye yemithombo zokuqala yolwazi kwabasetyhini ukuba umzimba akaphumeleli, esifuna unyango ngoko nangoko.

kungalingani hormone ukuba kwenzeka ngeli xesha kungakhokelela bodwa isimilo igazi elimsulwa, nto leyo kumele ukuba ukhokelele ekubeni Kubongozwa ukuya ugqirha. Iingxaki hlobo isonjululwa zombini iindlela zonyango kunye yotyando.

Iintlungu syndromes kokuya

Ubuhlungu xa exesheni, uninzi lwabafazi nayo. Uhlobo zalapha ingahluka.

iintlungu esifubeni zenzeka ngenxa replacement yethishyu glandular kwi ezinezikhondo okunamafutha. Ukuba akukho bekubona isifo nencum, unobangela intlungu ezinjalo zisenokuba qatha ntshikilelo yengqondo-iimvakalelo.

Efakwe kwi esiswini lubonisa ubukho iingxaki kwinkqubo genitourinary, okanye emathunjini, unobangela elinokuba yi ukuncitshiswa kwamanqanaba estrogen.

Intloko - amaqabane rhoqo of ukuya exesheni. Ingaba sidla noxinzelelo noxinzelelo. Unyango sizakuchaza ngoonobangela kunye nokwamkelwa analgesics.

iqolo, iqolo, iintlungu edibeneyo kufuneka nje stoped ntlungu, ngenxa yokuba ngokubonakala nasiphi na isifo, ezifana samathambo kunye osteoarthritis, kwamathambo. A unyango comprehensive phantsi kweliso labezempilo.

Xa koku- ingono isibetho okanye zibonakale Amanzi elingaqhelekanga kubo, kusenokuba luphawu kwezifo ezinzima ezifana: papilloma yobisi, mastopathy, imastitis, galactorrhea, bile umhlaza ectasia webele. Uthethwano kunye nokuhlolwa mammalogy kubalulekile.

iintlungu esifubeni ukuya exesheni idla kubhidaniswe iintlungu entliziyweni. Cardialgia - enye Hewana of ukuya exesheni. Ibonisa ukubonakala Ukugodola, ukubila, igazi entloko. Ezi mpawu ziwahlasela kakhulu nakabuhlungu amaxhoba ngexesha ebusuku. Imbonakalo iimpawu ezinjalo kufuneka ibe ithuba ukutyelela cardiologist kunye wamathambo.

Phytotherapy ne postmenopausal

namakhambi kuba unyango lwe izenzo exesheni na isenzo ngempumelelo kakhulu kwi imeko jikelele yesigulana. Noko ke, akangekhe indawo unyango hormone, ugqirha okunyangayo.

Kwindalo kukho izityalo ukuba substitutes organic ukuze estrogen. Ezi ziquka:

• Wort podyryavlenny St. uYohane. Isetyenziswa ekunyangeni neurosis climacteric, kunciphisa kwefrikwensi nobushushu ukufikelwa.
• Ginseng. Oku kunciphisa ekhathala kwaye kunciphisa izinga uxinezeleko.
• Licorice. Oku kubangela umsebenzi luyinto estrogenic, kuphucula imeko ijwabu ithambo.
• sinensis Angelica. Kuphucula umgangatho ubuthongo, inciphise ixhala nochuku
• Nomfundisi. Ngokuphawulekayo kunciphisa umbilo, kwaye Iyasetyenziswa sokulibala, ukudinwa luvo, iyangongoza. It has iipropati jujube enye astragalus.

Lifestyle phakathi koku-

Kakhulu lula iimpawu exesheni kunokunceda edume "iintsika ezintathu" zokuphila obusempilweni.

• Guqula odla yakho wakhetha enempilo. Kubalulekile ukuya ukutya okusempilweni, kuthathelwa ingqalelo ubudala umzimba kufuneka iivithamini kunye neeminerali.
• Ezemidlalo kunye nomsebenzi wokwenyama ukulimaza nabani na, yaye postmenopausal kwakhona kunceda ekunciphiseni ubungozi izifo amalungu, uze uyitshaje kwakhona iibhetri zakho.
• Stress kunye nokudakumba enokusinceda soyise i, ukulala esempilweni, iingcebiso ngokupheleleyo kwengqondo.
• Ngokuqinisekileyo kufuneka ukunikezela imikhwa emibi ezifana nokutshaya kunye ukudla. kukhokelela amavila ukunciphisa estrogen, nto leyo ngale ndlela yaye hayi nexesha elaneleyo. Ngoko ke, da ezi zinto kuya kunceda umzimba uzive ngcono.

isiphelo

Ukunqanda izigulo ukuya exesheni, ngokunjalo ke exesheni, akunakwenzeka, kodwa ngamandla wonke umfazi ukuphucula imeko yabo nomgangatho wobomi kweli xesha linzima. kwiklinikhi yezempilo A amabhinqa kunye neengcali zayo ziya kukunceda kolu vavanyo nzima.