ʻO ke kahe o ke kīpē ma waena o nā wā

Kūkākūkā kēia ʻatikala i ke kahe ʻana o ka maʻi puʻupaʻa i waena o nā manawa o ka wahine ma ka mahina. Hiki ke kapa ʻia ia ʻano kahe ʻana he "intermenstrual Blood."

Pili nā kumuhana pili:

• Ke kahe ʻana o ka uterine pono ʻole
• Kaumaha, hoʻolōʻihi ʻia, a i ʻole nā ​​wā paʻewa paʻewa

ʻO ke kahe maʻamau maʻamau ma kahi o 5 mau lā. Hoʻopuka ia i ka nui o ke kahe o ke koko o 30 a 80 mL (ma kahi o 2 a 8 mau punetēpu), a hana maʻamau i kēlā me kēia 21 a 35 mau lā.

Hiki ke kumu o ke kahe o ke kino ma waena o nā manawa a i ʻole ma hope o ka menopause e nā pilikia like ʻole. ʻO ka hapa nui he benign a hiki ke mālama maʻalahi ʻia. I kekahi manawa, pili ke kahe ʻana i ka maʻi puʻupaʻa ma muli o ka maʻi ʻaʻai a i ʻole ka maʻi ʻaʻai mua. No laila, e loiloi koke ʻia kekahi kahe koko ʻole. Hoʻonui ka makaʻu no ka maʻi ʻaʻai ma kahi o 10% i nā wahine me ke kahe postmenopausal.

E hōʻoia i ke kahe ʻana o ke kahe mai ka ʻōpū a ʻaʻole ia mai ka poloka a i ʻole ka mimi. ʻO ka hoʻokomo ʻana i kahi tampon i loko o ka ʻōpū e hoʻokūpaʻa ai i ka ʻōpū, ka pūpū, a i ʻole ka uterus ma ke ʻano he kumu o ke kahe ʻana.

ʻO kahi hoʻokolohua akahele e kāu mea mālama ola ke ala ʻoi loa ʻoi loa e loaʻa ke kumu o ke kahe. Hiki ke hana i kēia hoʻokolohua ʻoiai ʻoe e kahe ana i ke kahe.

Nā kumu e komo pū paha:

• ʻO nā fibroids utterine a i ʻole nā ​​polyps uterine
• Nā loli i nā pae hormonone
• Hoʻonā a maʻi paha o ka cervix (cervicitis) a i ʻole kōpū (endometritis)
• ʻO ka hōʻeha a maʻi paha o ka wehe ʻana o ka ʻōpū (i hoʻokumu ʻia e ka moekolohe, trauma, maʻi, polyp, warts genital, ulcer, a i ʻole nā ​​veins varicose)
• Hoʻohana IUD (hiki ke hoʻohele i kahi ʻike ʻana i kekahi manawa)
• Hāpai keiki Ectopic
• Hāʻule hāʻule
• Nā pilikia kōpū
• ʻO ka maloʻo o ke kino ma muli o ka nele o ka estrogen ma hope o ka menopause
• Kaumaha
• Ke hoʻohana hewa ʻana i ka hānau hānau hormonal (e like me ka hoʻokū a me ka hoʻomaka ʻana a i ʻole ka lele ʻana i nā kaohi o ka hānau ʻana, nā palaki, a i ʻole nā ​​apo estrogen)
• ʻO ka thyroid underactive (ka hana thyroid haʻahaʻa)
• Hoʻohana o nā mea lahilahi o ke koko (anticoagulants)
• Ka maʻi ʻaʻai a i ʻole ka maʻi ʻaʻai mua o ka cervix, uterus, a i ʻole (kakaʻikahi loa) ka paipu fallopian
• ʻO ka hoʻokolohua pelvic, biopsy cervix, endometrial biopsy, a i ʻole nā ​​kaʻina hana ʻē aʻe

Kāhea koke i kahi mea hoʻolako inā kaumaha nui ke kahe.

E mālama i ka helu o nā pads a i ʻole nā ​​tampons i hoʻohana ʻia ma ka manawa i hiki ai ke hoʻoholo i ka nui o ke kahe. Hiki ke kuhi ʻia ka nalowale ʻana o ke koko Uterine e ka mālama ʻana i ka pinepine o ka hoʻopulu ʻia ʻana o kahi pad a tampon a pehea ka manawa e hoʻololi ai i kekahi.

Inā hiki, pono e hōʻole i ka aspirin, no ka mea hiki ke hoʻolōʻihi i ke kahe. Eia nō naʻe, hiki i ka NSAID e like me ka ibuprofen ke hoʻohana ʻia e hōʻemi i ke kahe ʻana a me ka cramping.

Kāhea i kāu mea hāʻawi inā:

• Hāpai ʻoe.
• Aia kekahi kahe e wehewehe ʻole ʻia ma waena o nā kau.
• Aia kekahi kahe ma hope o ka menopause.
• Nui ke kahe ʻana o ke kahe me nā wā.
• Hele pū ke kahe kino ʻole me nā ʻōuli ʻē aʻe, e like me ka ʻeha pelvic, ka luhi, ka poni.

E hana ka mea hāʻawi i kahi hoʻokolohua kino a nīnau i nā nīnau e pili ana i kāu moʻolelo olakino. E hoʻopili ka hoʻokolohua kino i kahi hōʻike pelvic.

ʻO nā nīnau e pili ana i ke kahe ʻana e komo pū paha:

• Āhea ana e kahe ai ke koko a pehea ka lōʻihi?
• Pehea ke kaumaha o ke kahe ʻana?
• He cramp kekahi iā ʻoe?
• Aia kekahi mau mea e ʻoi aku ai ke koko?
• Aia kekahi mea e ālai a hoʻomaha iā ia?
• Loaʻa paha iā ʻoe kahi hōʻailona ʻē aʻe e like me ka ʻeha o ka ʻōpū, ʻehaʻeha, ʻeha i ka wā he mimi, a i ʻole ke koko i ka mimi a i ʻole nā ​​noho.

ʻO nā hoʻāʻo e hana ʻia ana paha:

• Nā ho'āʻo koko e nānā i ka hana thyroid a me ka ovarian
• ʻO nā moʻomeheu cervical e nānā no ka maʻi i lawe ʻia i ka moekolohe
• ʻO Colposcopy a me ka biopsy cervix
• Endometrial (uterine) biopsy
• Pāpaʻi pap
• Pelvic ultrasound
• Hysterosonogram
• Hysteroscopy
• Hōʻike hāpai

ʻO ka hapa nui o nā kahe intermenstrual e maʻalahi hiki ke mālama ʻia. Hiki ke ʻike pinepine ʻia ka pilikia me ka nui ʻole o ka hoʻoluhi. No laila, he mea nui ʻaʻole e hoʻopaneʻe i ka loiloi ʻia o kēia pilikia e kāu mea hāʻawi.

Kahe i waena o nā wā; Kahe koko intermenstrual; Kaha; ʻO Metrorrhagia

• Anatomia hānau wahine
• Kahe i waena o nā wā
• Uterus

Bulun SE Physiology a me nā pathology o ka wahine hānau axis. I: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, eds. ʻO Williams Textbook of Endocrinology. 13th ed. Piladelapia, PA: Elsevier; 2016: chap 17.

ʻO Ellenson LH, ʻo Pirog EC. ʻO ka genital tract tract. I: Kumar V, Abbas AK, Aster JC, eds. ʻO Robbins a me Cotran Pathologic Basis o ka maʻi. 9th ed. Piladelapia, PA: Elsevier Saunders; 2015: chap 22.

ʻO Ryntz T, ʻo Lobo RA. ʻO ke kahe ʻana o ka uterine kūlohelohe: etiology a me ka mālama ʻana i ke kahe nui a koʻikoʻi. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 26.