Ke kahe ʻana o ka maʻi hū a i ʻole ka uterine

Hana maʻamau ke kahe o ke kino i ka wā menstrual o ka wahine, ke loaʻa iā ia kona manawa. ʻOkoʻa ka wā o kēlā me kēia wahine.

• ʻO ka hapa nui o nā wahine he mau pōʻaiapuni ma waena o 24 a 34 mau lā ke kaʻawale. ʻO ka maʻamau he 4 a 7 mau lā i ka nui o nā hihia.
• Hiki i nā kaikamahine ʻōpio ke loaʻa i kā lākou wā ma kahi mai 21 a 45 mau lā a ʻoi paha ka kaʻawale.
• ʻO nā wahine i ka 40 mau makahiki e ʻike pinepine lākou i ko lākou wā e emi pinepine ana.

He nui nā wahine i loaʻa i ke kahe koko ʻole ma waena o kā lākou manawa i kekahi manawa i ko lākou ola. Kū ka kahe kūpono ʻole ke loaʻa iā ʻoe:

• ʻOi aku ka nui o ke kahe o ke kahe ma mua o ka maʻamau
• Kahe i nā lā hou aʻe ma mua o ka maʻamau (menorrhagia)
• Kaha a kahe paha ma waena o nā wā
• Kahe ma hope o ka moekolohe
• Kahe ma hope o ka menopause
• Kahe i ka wā hāpai
• Kahe i mua o ka makahiki 9
• ʻOi aku ka lōʻihi o ka lōʻihi ma mua o 35 mau lā a ʻoi aku ka pōkole ma mua o 21 mau lā
• ʻAʻohe wā no 3 a 6 mau mahina (amenorrhea)

Nui nā kumu o ke kahe o ke kahe o ke kino.

HORMONES

Pili pinepine ke kahe koko ʻole i ka holo pono ʻole o ka ovulation maʻamau (anovulation). Kāhea nā kauka i ka pilikia e kahe ana o ka uterine (AUB) a i ʻole ke kahe ʻana o ka uterine anovulatory. ʻOi aku ka maʻamau o ka AUB i nā ʻōpio a me nā wahine e hoʻokokoke ana i ka menopause.

Hiki i nā wahine e lawe i nā ʻōpū oral ke ʻike i nā hanana o ke kahe o ke kahe o ke kino. ʻO ka manawa pinepine kēia i kapa ʻia ʻo "breakthrough Blood." Hele pinepine kēia pilikia ma kāna iho. Eia nō naʻe, e kamaʻilio me kāu mea mālama ola inā ʻoe e hopohopo e pili ana i ke kahe ʻana o ke koko.

HANA HANA

Nā pilikia o ka hāpai ʻana e like me:

• Hāpai keiki Ectopic
• Hāʻule hāʻule
• Hoʻoweliweli hoʻoweliweli
  

Nā Pilikia me nā hui hou

Hiki i nā pilikia me nā ʻōhua hoʻohua ke komo pū me:

• ʻO ka maʻi i loko o ka kōpū (pelvic inflammatory disease)
• ʻO ka ʻeha a ʻokiʻoki hou paha i ka kōpū
• Nā ulu noncancerous i loko o ka ʻōpū, e pili ana i nā fibroids uterine, uterine a i ʻole nā ​​polyps cervix, a me adenomyosis
• Hoʻonā a maʻi paha o ka cervix (cervicitis)
• ʻO ka hōʻeha a maʻi paha o ka wehe ʻana o ka ʻōpū (i hoʻokumu ʻia e ka moekolohe, maʻi, polyp, nā warts genital, ulcer, a i ʻole nā ​​veins varicose)
• Endometrial hyperplasia (ka mānoanoa a i ʻole ke kūkulu ʻia ʻana o ka pale o ka uterus)

OLELO HOOLAHA

Hiki i nā pilikia me nā kūlana olakino ke:

• ʻO Polycystic ovary syndrome
• Ka maʻi ʻaʻai a i ʻole precancer o ka cervix, uterus, ovary, a i ʻole fallopian tube
• Nā maʻi thyroid a pituitary paha
• Diabetes
• Cirrhosis o ke ake
• Lupus erythematosus
• Nā maʻi hōʻeha

NA KUMU EKAHI

Hiki i nā kumu ʻē aʻe ke:

• Hoʻohana o kahi mea intrauterine (IUD) no ka kaohi hānau (hiki ke hoʻomālamalama i ke kiko)
• ʻO Ceropical a endometrial biopsy a i ʻole nā ​​kaʻina hana ʻē aʻe
• Hoʻololi i ka hana hoʻoikaika kino
• Hoʻololi nā meaʻai
• ʻO ka lilo hou a loaʻa paha
• Kaumaha
• Hoʻohana o kekahi mau lāʻau e like me nā mea lahilahi o ke koko (warfarin a i ʻole Coumadin)
• Hana hoʻomāinoino i ka moekolohe
• He mea i loko o ka lua

Nā ʻōuli o ke kahe ʻole o ke kahe o ke kahe e:

• Kahe ʻana a i ʻole ke kiko ʻana ma waena o nā kau
• Kahe ma hope o ka moekolohe
• ʻOi aku ka nui o ke kahe (ke hele nei i nā clots nui, pono e hoʻololi i ka pale i ka pō, e pulu ana i ka pale hoʻomaʻemaʻe a i ʻole tampon i kēlā me kēia hola no 2 a 3 mau hola i ka lālani)
• Kahe i nā lā hou aʻe ma mua o ka maʻamau a i ʻole ʻoi aku ma mua o 7 mau lā
• Ma lalo o 28 mau lā (ʻoi aku ka maʻamau) a ʻoi aku paha ma mua o 35 mau lā ke kaʻawale
• Kahe ma hope o kou hele ʻana i loko o ka menopause
• Kaumaha nui pili me anemia (haʻahaʻa koko helu, haʻahaʻa hao)
  

ʻO ke kuhi ʻana mai ke kiko a i ʻole ke koko i ka mimi kuhi hewa paha no ke kahe o ke kolo. E ʻike pono, e hoʻokomo i kahi tampon i loko o ka lua a nānā i ke kahe ʻana o ke kahe.

E mālama i kahi moʻolelo o kāu mau hōʻailona a lawe i kēia mau memo i kāu kauka. Pono e komo i kāu moʻolelo:

• Ke hoʻomaka a hoʻopau ka menstruation
• Ehia mau kahe āu (helu i nā pads a me nā tampons i hoʻohana ʻia, e hoʻomaopopo ana inā pulu lākou)
• Kahe i waena o nā wā a ma hope o ka moekolohe
• Loaʻa nā hōʻailona ʻē aʻe iā ʻoe

E hana ana kāu mea hāʻawi i kahi hoʻokolohua kino, me kahi hōʻike pelvic. E nīnau ana kāu mea hāʻawi e pili ana i kāu mōʻaukala a me nā ʻōuli.

Loaʻa paha iā ʻoe kekahi mau hoʻokolohua, e like me:

• Hōʻike Pap / HPV
• Urinalysis
• Nā hoʻāʻo e hana ana i ka thyroid
• Helu piha koko (CBC)
• Heluhelu hao
• Hōʻike hāpai

Ma muli o kāu mau hōʻailona, ​​pono ʻia nā hoʻokolohua ʻē aʻe. Hiki i kekahi ke hana i ke keʻena o kāu mea hāʻawi. Hana ʻia nā mea ʻē aʻe i kahi haukapila a i ʻole kahi kikowaena.

• Sonohysterography: Hoʻokomo ʻia ka wai i loko o ka kōpū ma o kahi puʻupuʻu lahilahi, ʻoiai e hana ʻia nā kiʻi ultrasound keu o ka uterus.
• Ultrasound: Hoʻohana ʻia nā hawewe kani e hana i kiʻi o nā pelvic. Hana ʻia paha ka ultrasound ma ka ʻōpū a i ʻole ka huehue.
• Mākēneki resonance kiʻi (MRI): I kēia hōʻike kiʻi, hoʻohana ʻia nā mākēneki mana e hana i nā kiʻi o nā mea kūloko.
• Hysteroscopy: Hoʻokomo ʻia kahi mea like teleskopa lahilahi ma o ka ʻōpū a me ka wehe ʻana o ka cervix. Hiki iā ia ke nānā i ka mea hāʻawi i loko o ka kōpū.
• ʻO ke biopsy endometrial: Ke hoʻohana nei i kahi catheter liʻiliʻi a lahilahi paha (Tube), lawe ʻia nā mea mai ka uhi o ka uterus (endometrium). Nānā ʻia ma lalo o kahi microscope.

Pili ka mālama ʻana i ke kumu kikoʻī o ke kahe o ka maʻi puʻupaʻa, e like me:

• Hoʻololi Hormonal
• Endometriosis
• Nā fibroids ʻōterine
• Hāpai keiki Ectopic
• ʻO Polycystic ovary syndrome

Hoʻopili paha ka mālama ʻana i nā lāʻau hormonal, nā mea ʻeha o ka ʻeha, a me ke ʻoki ʻana paha.

ʻO ke ʻano o ka hormone āu e lawe ai e hilinaʻi ia inā makemake ʻoe e hāpai a me kou mau makahiki.

• Hiki ke kōkua i nā lāʻau hoʻomalu hānau i mea maʻamau i kāu mau wā.
• Hiki ke hāʻawi ʻia i nā Hormones ma ke ʻano he injection, ka pā o ka ʻili, ka holika paʻi, a i ʻole ma o kahi IUD e hoʻokuʻu i nā homone.
• ʻO ka IUD kahi mea mālama hānau i hoʻokomo ʻia i loko o ka kōpū. Hoʻokuʻu lohi ʻia nā hormona i ka IUD a hiki paha ke kaohi i ke kahe ʻana o ke kino.

Hāʻawi ʻia nā lāʻau ʻē aʻe i hāʻawi ʻia no AUB:

• Nā lāʻau anti-inflammatory Nonsteroidal (ibuprofen a i ʻole naproxen) e kōkua i ke kaohi ʻana i ke kahe ʻana o ke koko a hoʻēmi i nā huehue menstrual
• Tranexamic acid e kōkua e mālama i ke kahe nui o ka menstrual
• Nā Antibiotics e mālama i nā maʻi

Kāhea i kāu mea hāʻawi inā:

• Ua pulu ʻoe ma o ka pale a i ʻole tampon i kēlā me kēia hola no 2 a 3 mau hola.
• ʻOi aku ka lōʻihi o kou kahe ʻana ma mua o 1 pule.
• Loaʻa iā ʻoe ke kahe o ka maʻi a hāpai ʻoe a hāpai paha.
• He ʻehaʻeha kou, keu hoʻi inā ʻeha ʻoe i ka menstruating ʻole.
• Ua kaumaha a hoʻolōʻihi ʻia paha kāu mau kau no ʻekolu a ʻoi paha mau uila, ke hoʻohālikelike ʻia i ka mea maʻamau no ʻoe.
• Loaʻa ʻoe i ke kahe a i ʻole ke kiko ʻana ma hope o ka hiki ʻana i ka menopause.
• Loaʻa ʻoe i ke kahe a i ʻole ke kiko ʻana i waena o nā wā a i ʻole ke kumu ʻia e ka moekolohe.
• Hoʻi hou ke kahe koko ʻole.
• Hoʻonui a lilo i mea nui ka maʻi koko e hoʻonā i ka nāwaliwali a i ʻole nā ​​māmā.
• He kuni kou a i ʻole ʻeha ma ka ʻōpū o lalo
• ʻOi aku ke koʻikoʻi a pinepine paha kāu mau hōʻailona.

Hiki i ka Aspirin ke hoʻolōʻihi i ke kahe ʻana a pono e hōʻalo inā loaʻa nā pilikia kahe. ʻOi aku ka maikaʻi o ka ʻoi aku o ka Ibuprofen ma mua o ka aspirin no ka hoʻōla ʻana i ka mimiki manawa. Hiki iā ia ke hōʻemi i ka nui o ke koko āu e lilo ai i kahi manawa.

Menstruation maʻamau; Kaumaha, hoʻolōʻihi, a i ʻole wā kūmau ʻole; Menorrhagia; Polymenorrhea; ʻO Metrorrhagia a me nā kūlana menstrual ʻē aʻe; Mau manawa menstrual maʻamau; ʻO ke kahe o ke kahe maʻamau

ʻO ka ACOG Bulletin Bulletin Helu 110: nā hoʻohana noncontraceptive o nā mea pale hormonal. ʻO Obstet Gynecol. 2010; 115 (1): 206-218. PMID: 20027071 www.ncbi.nlm.nih.gov/pubmed/20027071.

Ke KulanuiʻAmelika o nā Obstetricians a me nā Gynecologists. Ka Manaʻo o ke Kōmike ACOG No 557: ka mālama ʻana i ke kahe ʻana o ka uterine abnormal i nā wahine hānau hānau ʻole ʻole. ʻO Obstet Gynecol. 2013; 121 (4): 891-896. PMID: 23635706 www.ncbi.nlm.nih.gov/pubmed/23635706.

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 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.

Mea kūʻai aku RH, Symons AB. Nā kūleʻa Menstrual. I: Kūʻai RH, Symons AB, eds. ʻIʻike ʻokoʻa o nā hoʻopiʻi maʻamau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 20.