He aha kāu e ʻike ai e pili ana i ke kahe ʻana o ka Uterine Dysunctional

Anter

• Nā kūlana olakino
• Nā Lapaʻau
• Ke hoʻomaopopo nei i nā ʻōuli o DUB
• Pehea e ʻike ʻia ai ka DUB?
• Kukuna ultrasound
• Nā hoʻāʻo koko
• ʻO ka biopsy endometrial
• Hiki ke mālama ʻia ʻo DUB?
• Hiki iā DUB ke hana i nā pilikia?

ʻO ke kahe ʻana o ka uterine Dysunctional (DUB) kahi ʻano e pili kokoke i kēlā me kēia wahine i kekahi manawa o kona ola.

Kāhea ʻia hoʻi ka hoʻokahe ʻia ʻana o ke kō uterine (AUB), ʻo DUB kahi ʻano e kū ai ke kahe o ke kahe ma waho o ke kahe maʻamau. Hiki i kekahi mau ʻano hormonal a me nā lāʻau ke hoʻonāuki iā DUB.

ʻO ke kumu nui o ke kahe ʻana o ka uterine āpau i kahi kaulike ʻole i nā homone wahine. Hiki i nā kaikamahine e ʻike i ka wā ʻōpio a me nā wahine ke komo i ka menopause ke loaʻa i nā pae hormonone imbalanced no nā mahina a i ʻole mau makahiki. ʻO kēia ke kumu o ke kahe ʻana o sporadic, ka hoʻokahe koko nui ʻana, a me ke kiko.

ʻO ke spotting ke kahe o ka māmā ma mua o ka manawa maʻamau. ʻIke pinepine ʻia i ka brown, a pink, a i ʻole ka ʻulaʻula māmā.

ʻO nā kaulike ʻole hormonal e hoʻokumu i ka DUB hiki ke hopena mai kekahi ʻano olakino a i ʻole nā ​​hopena ʻaoʻao o nā lāʻau.

Nā kūlana olakino

ʻO nā kūlana olakino e kumu pinepine ai i ke kahe ʻana o ka uterine kīnā ʻole:

• ʻO Polycystic ovary syndrome (PCOS). ʻO kēia kahi maʻi endocrine nāna e hoʻokumu i ka wahine e hoʻonui i ka nui o nā homone wahine. Hiki i kēia ke alakaʻi i kahi kaulike ʻole o ka estrogen a me ka progesterone, e hana ana i ke kaulike menstrual i ʻole.
• Endometriosis. ʻO kēia hopena ke hopena ka ulu o ka uterine i waho o ka kōpū, e like me nā ovaries. Hoʻokumu pinepine ka endometriosis i ke kahe nui i nā wā maʻamau.
• Polyps Uterine. Kū kēia mau ulu liʻiliʻi i loko o ka kōpū. ʻOiai ʻike ʻole ʻia ko lākou kumu, hoʻohuli nui ʻia ka ulu polyp e ka hormone estrogen. Hiki i nā kīʻaha koko liʻiliʻi i nā polyp ke hana iā DUB, me ke kiko ʻana ma waena o nā wā.
• Nā fibroids o ka uterus. Uterine fibroids kahi liʻiliʻi e ulu ana i loko o ka kōpū, ka uhi ʻana o ka uterine, a i ʻole nā ​​mākala uterine. E like me nā polyps, ʻike ʻole ʻia nā kumu o nā fibroids uterine. Akā he mea nui ka estrogen i ko lākou ulu ʻana.
• Nā maʻi i lawe ʻia i ka moekolohe (STDs). ʻO nā STD ke kumu o ka mumū, e like me ka gonorrhea a me ka chlamydia, hiki ke alakaʻi iā DUB. ʻO ke kahe ʻana e STD ma hope o ka moekolohe, ke hoʻonui ʻia nā leona.

Nā Lapaʻau

Hiki i kekahi mau lāʻau ke kumu i ke kahe o ka uterine pono ʻole, e like me:

• lāʻau hoʻomalu hānau
• nā ʻākena hormonal
• Warfarin (Coumadin)

Ke hoʻomaopopo nei i nā ʻōuli o DUB

ʻO ka hōʻailona maʻamau o DUB ke kahe ʻana o ke kahe i waho o kāu mau manawa maʻamau. Hiki iā ia ke hana i loko o kāu pōʻai menstrual. ʻO nā lau kahe e kahamaha ʻia e:

• kahe nui ke haehae
• kahe kahe i loaʻa nā clots he nui a i ʻole nā ​​clots nui
• ke kahe ʻana o ke koko e ʻoi aku ana ma mua o ʻehiku lā
• kahe ke kahe ʻana ma lalo o 21 mau lā mai ka pōʻaiapuni hope
• kiko
• kahe ana ke koko ma waena o nā wā

ʻO nā ʻōuli maʻamau e hiki ke hana me DUB:

• palupalu o ka umauma
• ʻōhūhū
• ʻeha pelvic a i ʻole kaomi

Inā ʻoe e ʻike i kekahi o nā ʻōuli DUB koʻikoʻi loa, e kāhea koke i kāu kauka:

• ʻūpā
• maule ana
• nāwaliwali
• haʻahaʻa haʻahaʻa haʻahaʻa
• hoʻonui ʻia ka helu o ka puʻuwai
• ʻili mae
• ʻeha
• e hele ana i nā clots nui
• pulu i ka pale i kēlā me kēia hola

Pehea e ʻike ʻia ai ka DUB?

No ke kuhikuhi ʻana iā DUB, e nīnau ana kāu kauka e pili ana i kāu mōʻaukala a me ka mōʻaukala o kāu pōʻaiapuni. E kōkua kēia mau pane iā lākou e hoʻoholo i kāu mau pilikia no kekahi mau maʻi hānau, e like me PCOS a me endometriosis.

Inā ʻoe e lawe i nā lāʻau, e like me ka kaohi hānau, e haʻi i kēia i kāu kauka, ʻoiai ʻo ia ʻano lāʻau ke kumu i kahe ʻole o ke kahe.

Kukuna ultrasound

Hiki i kāu kauka ke koi aku i kahi ultrasound e nānā i kāu nā mea hānau. E hōʻike ana kēia hoʻokolohua inā he ulu kūpono ʻole kāu, e like me polyps a fibroids paha. Hiki iā ia ke kōkua i ke kāpae ʻana i ka kahe o loko.

Nā hoʻāʻo koko

Hoʻohana ʻia nā hoʻokolohua koko e ana i kāu mau pae hormonone a me kāu helu piha o ke koko. Hiki i kāu mau pae hormone ke hāʻawi i ka ʻike wikiwiki i ke kumu o kou kahe ʻana.

Inā ua kaumaha ʻoe a hoʻolōʻihi paha ke kahe ʻana, hōʻike kahi helu piha i ke koko he nui ka haʻahaʻa o kāu helu ʻulaʻula. Hiki i kahi helu ʻulaʻula koko haʻahaʻa ke hōʻike i ka anemia.

ʻO ka biopsy endometrial

Inā ulu ka ulu ʻole o ke kōkō i ka hoʻokahe ʻia ʻana o ke kahe, a lahilahi paha ka uhi o kou uterine, e lawe ana kāu kauka i kahi laʻana o ka aʻa uterine no ka hoʻāʻo ʻana.

Inā loaʻa nā loli kelepaʻi maʻamau i ka pale, e hōʻike ʻia kahi biopsy. Hiki i nā hunaola maʻamau ke hōʻike i ke kaulike ʻole o ka hormone a i ʻole ke kanesa, i waena o nā mea ʻē aʻe.

Hiki ke mālama ʻia ʻo DUB?

Nui a hewahewa nā koho i loaʻa no DUB. I kekahi manawa, i nā wā o ke ʻōpio keu, ʻaʻohe hana i hana ʻia, e like me ka hoʻomaʻamaʻa pinepine ʻana o nā homona iā lākou iho. ʻO ka mālama kūpono ʻana iā ʻoe e pili ana i ke kumu o ke kahe ʻana.

ʻO ke koho lapaʻau maʻamau a maʻalahi hoʻi no ke kahe o ka uterine dysfunctional ka hui pū ʻana o nā contraceptive waha. Loaʻa i nā contraceptive waha me ka estrogen synthetic a progesterone. Hana kēia mau mea ʻelua e kaohi a hoʻoponopono i ka pōʻaiʻai.

Hiki ke hoʻohana ʻia i nā ʻano hana ālai pū kekahi me nā IUD a me ka implant ma ke ʻano he lapaʻau hormonal. Inā ʻaʻole ʻoe e hoʻāʻo e hāpai, hiki i kāu kauka ke paipai e hoʻohana i kekahi o kēia mau mea ma ke ʻano he koho lapaʻau.

Inā kaumaha nui ke kahe o ke koko a ʻaʻole nā ​​koho lāʻau haʻahaʻa i koho, hiki ke lawelawe ʻia ka estrogen intravenous a hiki i ka emi ʻana o ke kahe. ʻO ka maʻamau e ukali ʻia e kahi papa o ka progestin waha e kaulike i nā hormones.

Inā ʻoe e hoʻāʻo nei e hāpai a ʻaʻohe ou kahe nui, hiki i kāu kauka ke kauoha i ka clomiphene lāʻau hoʻoweliweli ovulate, i kapa ʻia hoʻi ʻo clomid. Hiki i ka ovulate hoʻonāukiuki ke hooloi i ke kahe o ka menstrual e hoʻolōʻihi ʻia ana e ka hoʻonohonoho hou ʻana i kāu pōʻai menstrual.

Hiki ke mālama ʻia ke kahe nui a hoʻolōʻihi ʻia me ke ʻano o ka uhi ʻana o ka uterine mānoanoa me kahi hana i kapa ʻia ka dilation a me ka curettage (D a me C). He hana ʻoki kino waho kēia i hoʻohana ʻia e wehe i kahi ʻāpana o ka uhi ʻana o ka uterine e ka ʻānai ʻana iā ia.

Inā ʻike ʻia ʻaʻole hewa kāu mau huna uterine, kauoha paha kāu kauka i kahi biopsy hou aʻe ma hope o ka mālama ʻana.

Kaukaʻi ʻia i nā hopena o ka biopsy - inā maʻi ʻaʻai nā hunaola, no ka laʻana - koi ʻia kahi hysterectomy. ʻO kahi hysterectomy kahi hoʻopau loa o ka uterus a he hopena hope loa ia.

Hiki iā DUB ke hana i nā pilikia?

ʻO ka maʻamau, ʻo DUB kahi manawa kū ʻole. I ka manawa e hoʻoponopono ʻia ai nā homoni wahine, e emi mau ke kahe ʻana o ke kahe.

ʻO ka Anemia kekahi o nā pilikia nui o ke kahe nui. Inā hoʻomohala ʻoe i ka anemia ma muli o ka nui o ke kahe o ke koko, hiki i kāu kauka ke mālama iā ia me nā minelala a me nā huaora.

I nā hihia maʻamau kahi o ke kahe ʻana i kumu ai ka nui o ke kahe o ke koko, pono ʻoe i kahi kōpili koko.