Ukukhulelwa kwamanzi okuphuma emzimbeni kuvamile kuphela ngesikhathi sokuya esikhathini futhi kunikezwe okungaphezu kwama-80 ml. Uma zivela ngezikhathi ezithile futhi zinikezwa ngaphezu kwalolu hlobo lwegazi, zikhuluma ngokuphuma kwegazi.
Kuyini ukuphuma kwegciwane?
Ukuqondisa ukuphuma kwegazi kwangasese kwenzeka ngokungajwayelekile, futhi kubangelwa ukukhulelwa komzimba wesibeletho, izifo ezivuthayo zesisu, isisu se-cervix kanye nesiswini. Ngokuvame kakhulu, izimbangela zokuphuma kwegazi zangasese zihlotshaniswa nezifo zesisu noma ama-ovari.
Izimbangela eziyinhloko zokuphuma kwegazi:
- ukuphuma ngesikhathi sokukhulelwa ;
- ngesikhathi noma emva kokubeletha;
- ukuphulwa kwesizinda se-hormonal sowesifazane;
- ama-neoplasms angenangqondo noma enonya yamalungu omzimba wesifazane;
- ukulimala;
- ukuthatha ama-anticoagulants;
- izifo ze-endocrine zabesifazane.
Ukuxilongwa kokuphuma kwamanzi
Okokuqala, ukuhlola izimbangela zokugaya, ukuhlolwa komzimba kwabafazi kwenziwa, lapho kungenzeka khona ukuhlola izifo ezibangelwa ukuphuma kwegazi. Eminye yezindlela zocwaningo ezengeziwe ezisetshenzisiwe:
- ukuhlolwa kwe-ultrasound - ukubona izimbangela ezihlobene nesibindi noma ama-ovari;
- yenza ukuhlolwa kwegazi jikelele;
- lapho izinkinga ze-hormonal ziqaphela izinga lama-hormone egazini;
- yenza ucwaningo lwe-cytological noma i-endometrial biopsy yokuxilongwa nge-hyperplasia noma izicubu.
Ungamisa kanjani ukuphuma kwegazi?
Ngemuva kokuthi uhlolisise imbangela yokugaya, khetha indlela yokumisa. Sebenzisa izidakamizwa ze-haemostatic, njenge-Vikasol, i-amnocaproic acid, i-calcium chloride, i-fibrinogen, uma kunesidingo, idlulisela imikhiqizo yegazi kanye namagugu egazi.
Enye yezindlela zokuvimbela ukuphuma kwamagciwane okuqhubekayo ukuhlala egazini ilokhu ishaya isisu somzimba (ngokungahambisani nesisu ngokuphelele, i-endometrial hyperplasia, ngemva kokubeletha), uma ukuphuma kwegazi kungavali, ukungenelela kokuhlinzwa kwenziwa.