Ukwandisa ivolumu yokukhishwa kwesikhathi ngokuvamile kuba isizathu sokuxhumana nodokotela. Ngesikhathi esifanayo, kukhona ushintsho kumlingisi wenkathi yokuya esikhathini - ngokuvamile igazi liphuma ngezindwangu. Ukulungisa isimo kungenzeka, usebenzisa amalungiselelo e-hemostatic njalo ngenyanga.
Izimbangela eziningi zokuya esikhathini
Ukuya esikhathini ngokweqile kubizwa njalo ngenyanga, lapho kukhishwa ukwedlula ama-80 ml wegazi (okuvamile ukuthi 50 ml). Owesifazane kufanele ashintshe umkhumbi wehlanzekile njalo amahora angu-1-1.5. Ukulahlekelwa okungaphezu kuka-100 ml wegazi ngomjikelezo ngamunye kubhekwa odokotela njengenyanga eningi kakhulu, izizathu zazo zingaba kanje:
- Ukuhluleka kwe-Hormonal. Ukuhlukana emzimbeni wama-estrogens kanye nama-gestagens kuvame ukuholela ekulahlekeni kwegazi. Ngokuvamile lokhu kuphazamiseka kubonakala emantombazaneni amancane - ukuhluleka komjikelezo phakathi neminyaka eyi-1.5-2 kusukela esikhathini sokudokotela kwezokuthoma kuthathwa njengokujwayelekile. Ukungalingani kuvame ukutholakala kwezidakamizwa ze-hormonal (ukukhulelwa kwemithi).
- Ama-polyps of the cervix. Uma lesi sifo emphethweni wangaphandle, kuvela izimpande, okudabukisayo, okubangelwa ukuya esikhathini esiqinile.
- I-Myoma yesibeletho. Imfundo ye-Benign, ehambisana nokwanda komthamo wenyanga.
- Izifo zezitho zangasese - izifo ezithathelwanayo, ezivuthayo: i-endometriosis, i-endometritis, i-colpitis, i-salpingitis.
- Inqubo ye-incological ohlelweni lokuzala. Ama-neoplasms ezincane zezinyosi ngokuvamile aholela ekusakazeni kwe-endometrium, ngenxa yokuthi inani lezinsuku zokuhamba esikhathini liye landa.
- Ukusetshenziswa kwezizalo zokubeletha kwe-intrauterine. Imimoya iphazamisa ukuhamba kwe-endometrium enqabayo, ngakho-ke, inyangazonke iba yisikhathi eside.
- Ukuphulwa kwe-system coagulation system. Ukwehluleka kwenqubo yokwehlisa kuholela ekwandeni kokukhipha ngegazi lenyanga.
- Ukucindezeleka ngokomzwelo , ukuphazanyiswa, okuhlangenwe nakho, izinguquko ezimweni zezulu kungathinta futhi isimo nesilinganiso sokuya esikhathini.
Ngenyanga ngayinye - yini okufanele uyenze?
Ebhekene nesimo esinjalo, abesifazane basesimweni sokudideka: okuzokwenzenjani uma izinyanga eziningi, ukuthi zenzeni kanjani - abaningi abakwenzi. Kuyiphutha ukuthemba ukuthi ukuya esikhathini kuzomisa ngokwakho, uma ukwanda kwevolumu yemfihlo kuyabonakala emijikelezweni eminingana elandelanayo. Isixazululo kuphela ukuxhumana nodokotela wezifo zegazi bese uhlola umzimba.
Ukuxilongwa ngokuthi "menorrhagia" kuvezwe ngesisekelo sezikhalo zowesifazane, izibonakaliso zokulahlekelwa ngokwegazi ngokweqile ngenyanga. Ekuqaleni kokuhlolwa, udokotela akhipheli amathuba okuba ne-pathologies ehambisana nezimpawu ezifanayo (ukukhulelwa kwe-ectopic). Umcengezi wesisu uhlolwe emzimbeni wangaphandle, umlando ophelele wenziwa. Uma kukhona izinsolo zokugula, okulandelayo kuqokiwe:
- I-ultrasound yezitho zomzimba ;
- i-hysteroscopy;
- i-biopsy yomlomo wesibeletho;
- ukuxilongwa kwe-endometrium ;
- ukuhlolwa kwegazi jikelele, i-coagulogram;
- ukuhlolwa kwegazi kwabaqaphi.
Indlela yokunciphisa ukukhishwa kwenyanga njalo?
Ukukhuluma ngalokho okusiza ekukhuleni kwesikhathi, odokotela bahlale beqaphela imbangela yokuphulwa. Ngokuya ngesici esibangela ushintsho esimweni sokuya esikhathini, uhlelo olulodwa lomuthi lukhethiwe. Ezimweni eziningi, isisekelo sokwelashwa yizidakamizwa ze-hormonal (ukujwayelekile kwesizinda se-hormonal ). Ukuze unciphise inani lokulahleka kwegazi, ukuvimbela ukuthuthukiswa kwe-anemia, odokotela banikeza izidakamizwa ezikhethekile ze-hemostatic ngezikhathi eziningi. Ukwelashwa okuyinkimbinkimbi kubuye kusebenzise:
- izidakamizwa ukunciphisa i-myometrium yezibeletho;
- imikhiqizo enezinsimbi (ukuvimbela i-anemia).
Ukusika izidakamizwa esibelethini ngezinyanga eziningana
Ukuze unciphise inyanga zonke ngaphambi kokuba imbangela isungulwe, odokotela bavame ukusebenzisa izimali ezithuthukisa ithoni ye-myometrium yebele. Ngenxa yokusebenzisa kwabo, ukuthengiswa kwezimbambo zesendlalelo se-muscle kwanda, okubangela ukuhlukana okusheshayo kwe-endometrium yokuqothula ngesikhathi sokuya esikhathini. Ukusika, izidakamizwa ze-haemostatic zisetshenziselwa izimo zokuxhaphaza nokunye ukuphazamiseka kwezifo zokubeletha kanye nezimbangi:
- nomsebenzi obuthakathaka wezenzo;
- isikhathi sokuhamba kwesikhathi;
- isimo ngemuva kokukhipha isisu.
Ukuqokwa kwemithi enjalo kwenziwa kuphela odokotela. Bakhombisa igama lomkhiqizo, isilinganiso, ukuphindaphindwa nobude bokusebenza. Phakathi kwezidakamizwa ezisetshenziswa kakhulu kuleli qembu kungabonakala:
- Deaminooxytocin;
- I-Ergothal;
- I-Gynestrel;
- I-Dinoprost.
Ukulungiswa kwensimbi okunezinyanga eziningi
Imithi eline-Iron yezinkathi eziningana isetshenziselwa ukuvimbela i-anemia. Ukulahlekelwa kwegazi okukhulu kungabangela ukuthi umzimba unciphise izinga le-hemoglobin, elichaphazela inhlalakahle jikelele, umsebenzi wezitho zangaphakathi nezinhlelo. Ukukhathala, ukukhathala yizibonakaliso eziyinhloko zokwehla kwesimbi se-iron, okudinga ukulungiswa kwezokwelapha.
Iningi lemithi elinezinsimbi linikezwa ngaphandle kwemithi kadokotela. Ngokuvamile le microelement ikhona ezindaweni complex multivitamin, ukusetshenziswa okuqeda isidingo ukusetshenziswa ngokuhlukile iron. Phakathi kwezidakamizwa ezinokuqukethwe okuphezulu kungaphawulwa:
- Ferretab;
- I-Sorbifer;
- I-Totem;
- AmaFenyuls.
Imithi ye-Hemostatic enezinyanga zonke
Ama-hemostatic anezinyanga ezinde ukusiza ukunciphisa inani lemfihlo. Kodwa-ke, ekwelapheni ukwelashwa, izinyathelo zokuxilonga ziyadingeka ngokusungulwa kwesibangela esithile se-menorrhagia. Odokotela bayeluleka ukuba bathathe isikhathi esifushane, ukuze bangathinti umsebenzi we-blood coagulation system. Nika izidakamizwa ze-haemostatic njalo ucabangela into eyabangela lesi sifo.
Izidakamizwa ze-Hemostatic ezinezinkathi eziningana kumadoda ane-endometriosis
I-Endometriosis yisifo segazi esihambisana nesikhumba esingaphakathi sangaphakathi. I-membrane yamangqamuzana iyaqhubeka ikhula ngobuningi ngenxa yokukhula okungavamile kwamaseli ayo. Ngenxa yalokho, umjikelezo wokuya esikhathini we-endometrium ubukhulu kakhulu. Ukwanda komthamo wenyanga kulokhu kubangelwa inani elikhulu lamaseli e-endometriya anqatshelwe. Ngaphezu kwalokho, i-endometrium ingahluma ezingxenyeni ezingomakhelwane. Ngenxa yalokho - uxhumane nokuphuma kwegazi emva kocansi. Ukuze uzivimbele, khetha imithi ye-haemostatic yokuya esikhathini:
- I-Etamsylate;
- I-Tranexam;
- Ascorutin;
- I-Cyclocapron;
- I-Exacil.
Izidakamizwa ze-Hemostatic ezine-GW zanyanga zonke
Ukubuyiselwa komjikelezo esikhathini sokuhamba kwesikhathi kuvame ukuhambisana nokwephula ivolumu kanye nemvelo yokuya esikhathini. Izinyanga zokuqala emva kokuzalwa kwengane owesifazane ulungisa ezinyangeni ezingu-1-2 ngokudla okufakelwayo nezinyanga ezingu-4-6 emva kokuncelisa. Isivinini sokuthola isimo sincike ezimeni zokuzalwa, isikhathi sokuhamba kwesikhathi, ukuhambisana nezimo nezincomo zabodokotela.
Ngokuvamile, ngenxa yesimiso se-hormonal esingaguquguquki esikhathini esilandelayo, abesifazane bayagcinwa njalo ngenyanga futhi bane-GV. Ukukhethwa kwemithi kuleli cala kufanele kwenziwe kuphela udokotela, ngoba imithi eminingi ayenqatshelwe ukungena ngesikhathi sokuncelisa. Uma kuvunyelwe ukusebenzisa lezi zidakamizwa ze-hemostatic ezilandelayo ngenyanga yonke (ngaphandle kokukhishwa kwemigomo):
- I-Totem;
- I-Vikasol.
Izidakamizwa ze-Hemostatic ezinezinkathi eziningana ne-myoma
Umthamo wenyuka nyangazonke uma i- myoma ine-submucosal noma indawo yangaphakathi ye-intermuscular. Ukukhula okuqhubekayo, ukwanda kobukhulu be-neoplasm kwenza ukuba isibeletho sikhule. Ngesikhathi esifanayo, indawo yendawo yokugcina i-endometrium iyanda, futhi, ngokukhipha, kwandisa ivolumu yesendlalelo sokuya esikhathini. Ngenxa yokukhula kwe-myoma, inethiwekhi ye-vascular of the uterus body deforms, i-organ ilahlekelwa ukuqina kwayo. Ukwelapha kwesibeletho kunciphisa. Lezi zinguquko ngokubanzi zikhuphula ukwanda kwezinga lokugeleza kokuya esikhathini. Udokotela ukhetha izidakamizwa ze-haemostatic ngezikhathi eziningana.
Esikhathini sokuqala se-pathology, ukwelashwa kwesifo kusebenza kakhulu. Owesifazane umisiwe izidakamizwa ze-hormonal kanye nomuthi we-hemostatic onenyanga yonke. Phakathi kwemithi enjalo:
- I-Vikasol;
- I-Traneksam.
Izidakamizwa ze-Hemostatic ezinezinyanga eziningi ngokuya esikhathini
Isikhathi sokugcina sihambisana nokukhishwa okungavamile kokuya esikhathini. Inani lezinyanga zonke livame ukwanda. Iqiniso libangelwa ukushintsha kwe-hormonal emzimbeni. Ukusetshenziswa kwama-hormone ezocansi okulawula ukujikeleza kokuya esikhathini nokuya esikhathini kunciphisa, okwenza kube nokulimala kwenhlalakahle (ukuguquka kwemizwelo, ukuhlasela ukushisa, ukwanda kwengcindezi yegazi).
Imithi yama-hormonal enezikhathi ezinengi ekunqopheleni kokuya esikhathini isuke ihlanganiswa nama-haemostatic agents. Yamukela, ngokwemigomo kadokotela, ngokubona umthamo, imvamisa kanye nobude bokuphatha. Phakathi kwezidakamizwa ezisetshenziswa abesifazane:
- I-Etamsylate;
- aminocaproic acid.
Ama-haemostatic amahle kakhulu
Izidakamizwa ze-Hemostatic ezinezinyanga eziningi kufanele zibekwe udokotela. Ukuhlolwa okuyinkimbinkimbi kokuqala kanye nokuzimisela okuqondile kwesizathu sokulahlekelwa kwegazi elikhulu kuyadingeka. Lapho ekhetha umuthi, udokotela ucabangela izici eziningana:
- iminyaka yesiguli;
- ukutholakala kwezifo ezingapheli zesistimu yokuzala;
- ukutholakala kwamathambo wokuzivumelanisa.
Amathebulethi aHemostatic
Ifomu lamathebulethi elibhekene nokuya esikhathini eside isikhathi eside lisetshenziswe kaningi kunezinye. Lokhu kungenxa yokuthi kulula ukulandelela, ukulula ukusetshenziswa, ukutholakala kwezidakamizwa. Phakathi kokuvame ukusetshenziselwa ukuya esikhathini eside - amaphilisi e-hemostatic Dicinon. Ikhambi lisetshenziselwa i-haemorrhage (ukuphuma) kwanoma imuphi umsuka.
Isithako esisebenzayo yi-etamzilate - into eyenza ukwakhiwa kwe-prothrombin. Ngaphezu kwalokho, lo mzimba uqinisa izindonga zezimpahla, ukunciphisa ukukhishwa kwazo. Njengoba sekubizwa ukuthi i-profuse esikhathini, isidakamizwa sithathwa kathathu ngosuku ngamaphilisi amabili. Phakathi kokuphikisana nokusetshenziswa komkhiqizo wokwelapha:
- ukubekezelelana;
- i-thromboembolism;
- i-leukemia.
Amathebulethi a-Hemostatic uTraneksam nawo asetshenziselwa ukuyeka izikhathi ezinzima. Bayiqeda igazi, kuyilapho behlinzeka ngomphumela wokulwa nokuvuvukala, wokuvimbela ukulimaza nokuphikisa. Thatha ngokusho kohlelo lukadokotela. Phakathi kwezingqinamba:
- i-hypersensitivity;
- i-thrombosis yemifino ejulile nezitsha zobuchopho;
- ukuhluleka kwezinso;
- ukubola kwesisu;
- ukwephula umbono wombala.
Izijovo ze-Hemostatic
Lapho ehamba isikhathi eside, ama-hemostatic agents anikezwa ngendlela yokujola. Isixazululo senziwa ngokuphindaphindiwe ngokweqile (ukuvuza noma i-jet). Izidakamizwa ze-Hemostatic ezinezinyanga eziningana (imijovo) zikhethwe ngokuhambisana nobukhulu be-disorder futhi zibheke ukutholakala kwe-pathologies kanye nezinkinga. Phakathi kwezinqubo zokuyeka ukuphuma kwegazi, ezikhishwe ngesisombululo, singahlukanisa:
- I-Vikasol ;
- i-gelatin yezokwelapha;
- I-Fibrinogen;
- I-Tracerol;
- I-protamine sulfate;
- Hemofobin.
Amakhandlela e-Haemostatic
Phakathi kwalabo abasebenzisa ama-suppository asetshenziselwa ukuyeka igazi, kubalulekile ukuqaphela ama-suppositories ama-phytohemostatic (FGS). Isidakamizwa sisetshenziselwa ukuphathwa kwezidumbu, kodwa ngokuvamile odokotela basebenzisa le mithi ye-hemostatic ekuguleni kwegazi, ngezikhathi eziningi. Ikhambi aligcini nje ukuyeka igazi, kodwa liphinde liqinise imikhumbi, lingabandakanyi ukuvuvukala. Faka isicelo samakhandlela ngokwemithi kadokotela, kaningi 1 i-suppository ebusuku, injected in anus.