Ungaphazamisi ukuphuma kwamagciwane ngokuya esikhathini, nakuba kunjalo. Ukuphuma kwamagciwane kubonakala ukuthi lihlala isikhathi eside futhi ligcwele, futhi alikho uhlamvu olujwayelekile. Isizathu singase sibe i-myoma ye-uterine, izicubu ezihlukahlukene (ezinobunzima nezingozi), izifo zesisu kanye ne-appendages. Ngezinye izikhathi i-uterine ukuphuma kwegazi kwenzeka njengenkinga yokukhulelwa nokubeletha.
Ngaphezu kwalokho, ukuphuma kwamanzi kungase kuhlotshaniswe nezifo ze-hormonal, lapho kuthuthukiswa ama-hormone othinta izitho zocansi, indlela eyodwa noma enye ayihambisani nokujwayelekile. Ukwelapha okweqile okungavamile kakhulu kwenzeka ngenxa yezizathu ezingahambelani ngokuqondile nezitho zangasese. Isibonelo, kungase kube ukwephula ubuqotho besibindi noma esimweni se-Willebrand (izinkinga ngegazi coagulability).
Ukwelapha uketshezi lwe-uterine
Okokuqala, ukwelapha uketshezi lwe-uterine kuhloswe ukuvimba igazi. Khona-ke udinga ukuthola isizathu bese uzama ukususa. Esigabeni sokuqala ngamaphilisi e-hemostatic aphuma egazini. Ngokuvame ukwanda kwegazi, lokhu kuyi-blood-restoring preparations Dicion, Vikasol, Etamsilat, Aminocaproic acid kanye namalungiselelo e-calcium.
Ngaphezu kwamaphilisi okuvimba ukuphuma kwegazi, abesifazane banqunywe izidakamizwa ukunciphisa isisu - odume kakhulu yi-oxytocin. Uma i-hemoglobin inciphisa kakhulu ekulahlekelweni kwegazi esigulini, amalungiselelo ensimbi noma izingxenye zegazi - i-plasma, i-erythrocyte mass - inqunyelwe yona. Kumelwe ukwenze ukwelashwa okuyinkimbinkimbi kufanele unikezwe amavithamini kanye ne-vasoconstrictive - amavithamini C, B6, B12, askorutin, folic acid.
Ngemuva kwezinyathelo ezinjalo eziphuthumayo, lapho ukuphuma kwegazi kumiswa, kubalulekile ukuvimbela ukuba bangaphindaphindwa. Ukwenza lokhu, udokotela uhlola lo wesifazane ukuthola izimbangela ezibangelwa ukuphuma kwegazi.
Njengomthetho, i-tablet yama-hormone imisiwe, i- intrauterine evunguza iMirena ifakiwe. Uma imbangela ku-endometrium, i-polyps, i-myome, i-adenomyosis noma i-endometrial hyperplasia, ukwelashwa okufanelekile kwenziwa.