Metrorrhagia ku nambili kuya kwabadala. Izinkinga menopause: ukwelashwa

Metrorrhagia ku menopause - a ukopha ezingadingekile esibelethweni, sithwele okungamukelekile esizimele nomjikelezo wokuya esikhathini. Imbangela lokhu kukhetha kungaba isimo kwengcindezi enkulu ingcindezi emzimbeni noma engqondweni, imiphumela lokudakwa noma ukungasebenzi ohlelweni endocrine.

Ukuze isinqumo kwesifo kwenziwe ukuhlolwa sangasese, wesibeletho, ngomgudu womchamo abese ingemuva. Lapho luhlolo lwangaphandle wembula izinguquko iqedwe noma sokugembula, ezifana polyp, izimila, ukuhlukumezeka, imizimba angaphandle. Esigabeni esilandelayo izimbangela ezihlobene ne-pathology endometrial futhi wesibeletho. lesizalo ukopha okunjalo kungenzeka uma umsebenzi ozokwenziwa okungalungile noma ethola ama-hormone izidakamizwa ezingekho hormone.

Ngo igazi emitholampilo kwamakhemikhali ukuhlolwa laboratory yerenti, ultrasound okhalo, igazi elithathwe ukunquma izinga lama-hormone. Izinsolo izimila unikela kokuhlahlela isimila iziphambano.

Metrorrhagia ngesikhathi menopause

Metrorrhagia ku menopause kungenziwa kwachazwa ngokuthi eyindilinga futhi acyclic. Izimbangela ukopha ingaba izinguquko ezihlobene nokukhula esikhathini endometrium lwesitho sangasese sowesifazane noma isifo esiyingozi kakhulu, self ngaleyo ndlela angamukelekile.

Metrorrhagia kwabesifazane postmenopausal amazwi anjengalawa izimpawu zokwelashwa njengoba lesizalo nokunwetshiwe ukopha, ubude izinsuku ezingu-7 noma ngaphezulu. Ngokuvamile kwenzeka ngemuva kokulibaziseka nyangazonke, abangaphumi njalo futhi kungabangela isifo sokulahlekelwa igazi.

Metrorrhagia, izimbangela zezinkumbulo

Ngaphambi aphoyintimenti yokwelashwa kuyadingeka ukunquma ngokunembile imbangela lesizalo ukopha. Kuze kube yimanje, uchungechunge ukuhlolwa laboratory, ezisiza ukuthola lesi sifo, umphumela okuyinto metrorrhagia. Kwezinye izimo, kungenzeka ukuthi lokhu kungenxa imbangela ngokweqile kwezidakamizwa nge wokuqukethwe lelisetulu estrogen.

Kulokhu, kutuswa ukuba ayeke ukudla izidakamizwa, esikhundleni salo kube nokuthile enye, noma ngisho lokukwenqaba ezinjalo. Ngezinye izikhathi ukubukeka lesizalo ukopha okubangelwa postmenopausal umdlavuza nesenzakalo umzimba kanye nomdlavuza wesibeletho.

Uma kukhona anovulation, bese wenza nokususa umzimba lesizalo ngezinhloso zokuxilonga futhi ukufeza umphumela zokwelapha. Ngokushesha ngemva nokususa linqume i-hormone eziyinkimbinkimbi. Uma le ndlela yokwelapha akuyona ngempumelelo, futhi ukopha kwenzeka futhi, udokotela ekunika ukususwa kuhlinzwa kwesibeletho.

Lesizalo ukopha menopause ingabagulisa ukubukeka polyp, ukuvuvukala endometrium kwesibeletho, hormonally asebenzayo izimila wesibeletho, Hyperplasia, gipertekoza, tekomatoza.

ukuhlola

Ukuze ekuhlonzweni metrorragii isicelo:

• umlando Medical endleleni nesineke wokuphila, lokugula.
• luhlolo Clinical esitulweni izifo zabesifazane.
• ukuhlolwa kwegazi amazinga e-hemoglobin, oyisazi samakhemikhali ezinto eziphilayo yomtholampilo, coagulation, ama-hormone.
• Ukuhlaziya swabs kusukela wesibeletho kanye biopsy endometrial.
• ultrasound okhalo.
• ukwelashwa metrorragii

metrorragii Ukwelashwa incike egunjini lokuhlolwa kwezifo. Ekukhombeni polyp yezindlala-fibrous ziyasuswa ngaphansi kokulawula hysteroscopy. Uma ngemva kwalokhu iphinde ibuya futhi kukhona izinsolo umdlavuza, wabelwa hysterectomy futhi ezihlobene. Kodwa kungenzeka isicelo ngamunye oksiprogesterona izinga Kunconywa ujove esicutshini, isikhathi seminyaka 4.

Impatho enjalo wenziwa khona ngaphansi control esiqinile kanye odongeni njalo nokususa we endometrium lesizalo. Uma kungenjalo ngempumelelo futhi uyahluleka uma elwa nokuphuza namanje ke uwukuphela kwekhambi le nkinga ukususa kwesibeletho futhi ezihlobene.

Ngo sizibone izinqubo ezingamahlalakhona ukuvuvukala, okuyizinto imbangela lesizalo ukopha, abaphathi intrauterine inhlanganisela ebekiwe Dimexidum, deoxyribonuclease, ribonuclease, chymotrypsin lidazy, hydrocortisone futhi isixazululo isotonic of sodium chloride. Ingxenye kunqunywa udokotela.

Yini enye ukwenza

Uma kwenzeka ohlanganiswe ukuvuvukala inqubo aureus kule ngxube yengezwe ikhambi wotshwala of chlorophyllin. Lokhu ukwelashwa eside, ngesilinganiso elinendawo ubude izinqubo ezingaphezu kuka 1 ayizinkulungwane. Ukubikezela ukwelashwa incike uhlobo ukuvuvukala. Metrorrhagia postmenopausal iphathwa ngokususa anovulatory ukungasebenzi, endocrine-umzimba ukuqedwa iziyaluyalu, inzalo hormone.

Ngaphezu ukwelapha lesizalo ukopha kubangela nesineke inikezwa lapho esephumule, embhedeni ukuphumula, is esikhulu esiswini abandayo, ukhalo efiselekayo isikhundla ephakeme at 25-30 cm ngenhla ezingeni isikhundla umzimba. Ngakho, nathi singakwethemba ukudambisa isimo, ezinciphisa ukopha.

Lesizalo ukopha menopause ingancishiswa kakhulu ngokusebenzisa i-herbal bakwazi ukunciphisa noma ukunqanda ukopha, kodwa kufanele sikhumbule ukuthi lawa kuphela izindlela asizayo emzabalazweni, futhi ayikwazi ukusetshenziswa njengendlela yokwelapha eyinhloko. Ukuthuthukiswa imithi herbal kukhona ngemva kwamasonto 2-3. Ngaphambi ukusetshenziswa, silitadisha ngokucophelela ukwakheka, khona contraindications engemihle.

Physiology pathology postmenopausal kwesikhathi

Postmenopause - kwenkathi ekuphileni sowesifazane emva ukumisa zokuya esikhathini. isimo menopausal zingabekwa ngesisekelo amazinga estradiol assays (ngaphansi kuka-30 pg /), kanye FSH ukwandisa ezingaphezu kwezingu-40 IU / L e serum. Isilinganiso sobudala menopause isikhathi - engu-51. Mayelana ukuncipha amazinga estrogen ngalesi akhawunti wobudala yisibalo esikhulu sabasebenzi esingakaze umdlavuza umthondo.

Izinguquko in ezikhiqiza amaqanda kanye nezindlala adrenal uqale ngaphambi ukuqala nambili kuya kwabadala. Ukunciphisa ezingeni progesterone, i-estrogen, estrone futhi kuhilelani iziyaluyalu eziningi emzimbeni. Ngakolunye uhlangothi - lena evamile inqubo bokuphila, futhi ngakolunye - kungabangela umonakalo ngokuthi impilo yowesifazane engcupheni. Izifo ezihlala elihlobene ne ukuphazamiseka yokwenza evamile ezikhiqiza amaqanda, kukhona cishe 70% abesifazane.

Izimpawu ze-menopause nokwelashwa kwazo

abesifazane abadala bethambekele iziyaluyalu urogenital phakathi kwalokhu nenkathi yeminyaka 2-5 kusukela ekuqaleni kuya kwabadala. Ngaphansi kwethonya ukwehla kwamazinga estrogen zenzeka uphawu izifo ezifana lezinkinobho atrophic, dyspareunia, umsebenzi sinciphile lyubrikativnoy pistouretrit, pollakiuria, incontinence umchamo. Phakathi nale nkathi futhi zingavela prolabs umthondo.

Mayelana okuvela estrogen ukuntula kwandisa izifo zenhliziyo kubangelwa isifo sokuqina kwemithambo yegazi. Usizo osekubonakala abanjalo bangabaphostoli izinyathelo zokuvimbela: umzimba, ukudla ukudla okunempilo olinganiselayo. Izifo walolu hlobo buphathwe Ukuqatjhwa nangaphansi eduze kweso lwezokwelapha.

abesifazane abadala nazo izinkinga nesenzakalo of uboya obungathandeki ebusweni. isinqumo kungenzeka waxing kanye therapy hormone.

Ukulahlekelwa isikhumba kuyaqina kuholela amabele nokuwohloka kwesikhumba, ubuso, nomzimba contouring. Woza ukusiza massage izifundo, umsebenzi, yokudla okunempilo, imikhiqizo ukunakekelwa kwesikhumba futhi izifundo yokwelapha i-hormone.

Omunye imiphumela emibi kakhulu ukuya esikhathini kuba kwamathambo, okwenza ukudleka kwamathambo nasebubini skeleton bony. Ngaphezu i-hormone replacement therapy inikezwe okusezingeni eliphezulu Ukudla okungenayo i-calcium, magnesium, ilanga ukugeza futhi yokuzivocavoca.

isitho sangasese somuntu wesifazane odongeni yoma, ngaphandle flat, ukuluma. Njengoba inkinga kufanele ziqondiswe ngosizo okhilimu kanye i-estrogen, ukusetshenziswa zokugcoba yokufakelwa. isilinganiso esihle kuyinto phambili aphila ngayo ngokobulili.

Ingozi ekhulile yemiphumela nesenzakalo arthritis kuyehla ngokuvivinya umzimba njalo, okwenza ukukhanya amaphilisi ezinhlungu, isicelo wamafutha for amalunga omzimba. sebuhlungwini obunzima zingelashwa kuphela ngaphansi kokuqondisa onguchwepheshe.

Postmenopause ngokuvamile ehambisana nobutha izifo ezithathelwanayo, ngomgudu womchamo, futhi enuresis. Izifo "ababulewe?" Ngokusetshenziswa kwama-antibiotic. Enuresis ziphathwe yokwelapha i-hormone ngokuhlanganyela nasekuqiniseni imisipha ukhalo kanye okusezingeni eliphezulu yokudla wezokudla fibre.

Ukukhetha

osenyameni kwesitho sangasese e postmenopausal musa ukushintsha nokuvumelana kwabo, umbala futhi belizwa iphunga - kuyinto evamile. Postmenopause akunamthelela lezi nemingcele. Ngaphandle nje lemali ukuthi ancipha kakhulu. Kodwa uma ngokwahlukana ngemva kokuma ukuya esikhathini zishintshile, kungase kube uphawu lokuqala ukuthuthukiswa sokugembula. Imbangela kungase kube isifo, futhi ukwehluleka hormone.

I menopause ingaqala iziyaluyalu urogenital. Kuye izinga phambili we-hormone ukuntuleka kwamavithamini, ukungezwani iziguli esekhala isitho sowesifazane somile, ukulunywa, ukuncinza futhi zibe nobunzima obukhulu. Against ngemuva zalezi zimpawu angajoyina igciwane yesibili. Uketshezi babe ezingemnandi, iphunga eyinqaba, umbala ushintsho, uphakamise izwi.

Phakathi zonke izinguquko eziye Waphawuleka postmenopause, ukuzihlukanisa yezimbangela lokuqala ulwazi abesifazane ukuthi umzimba ehluleka, okudinga ukwelashwa ngokushesha.

ukungalingani hormone kwenzeka ngalesi sikhathi kungaholela kwemihlambi uhlamvu olunegazi, okuyinto kufanele kuholele isikhalazo ophuthumayo wezifo zabesifazane. Izinkinga walolu hlobo ukuxazululwa kokubili izindlela zokwelapha kanye kuhlinzwa.

Ubuhlungu syndromes ka menopause

Ubuhlungu ngesikhathi menopause, abesifazane abaningi ukuzwa. Uhlobo kanye kwasendaweni zingahluka.

Ubuhlungu besifuba zenzeka ngenxa esikhundleni kwezicubu yezindlala ku fibrous nokudla okunamafutha. Uma ayitholiwe isifo webele, imbangela ubuhlungu obunjalo kungenzeka ezinzima ukucindezeleka psycho-ngokomzwelo.

Soreness esiswini ukhombise ukuba khona izinkinga ohlelweni genitourinary, noma amathumbu, imbangela okungase nokuncipha amazinga estrogen.

Ukuphathwa yikhanda - nabangane njalo nambili kuya kwabadala. Ingabe evamile yokusabela lapho ukucindezeleka nokucindezeleka. Ukwelashwa sizodingida izimbangela kanye ukwamukelwa of analgesics.

ubuhlungu Emuva, iqolo, ubuhlungu bamalunga akufanele nje stoped amaphilisi ezinhlungu, ngoba ukubonakaliswa yisiphi isifo, ezifana nesifo sokuqaqamba kwamalunga ne-osteoarthritis, ukukhumuzeka kwamathambo. Indlela yokwelapha esebenza oluphelele ngaphansi kokuqondisa ochwepheshe.

Lapho menopause ingono obukhulu noma avele osenyameni babezizwe kubo, kungase kube uphawu izifo ezinzima ezifana: papilloma imbobo, mastopathy, mastitis, galactorrhea, imbobo umdlavuza ectasia webele. Ukubonisana kanye mammalogy luhlolo kubalulekile.

Chest ubuhlungu ngesikhathi menopause ngokuvamile kudidaniswe ubuhlungu enhliziyweni. Cardialgia - omunye iziphuphutheki ka nambili kuya kwabadala. Ububonisa ukubukeka Ukugodola, ukujuluka, igazi ekhanda. Lezi zimpawu zimbi ebusuku. Ukubukeka izibonakaliso ezinje kumele kube yithuba uvakashele wenhliziyo kanye wamathambo.

Phytotherapy nge postmenopausal

Umuthi herbal ukwelapha zokubonisa menopause has a action ngempumelelo kakhulu abhekisele esimweni esasivamile isiguli. Nokho, ngeke kube esikhundleni yokwelapha kwama-hormone, udokotela ekwelapheni.

Emvelweni kukhona izitshalo esikhundleni organic for estrogen. Lezi zihlanganisa:

• St John sika wort podyryavlenny. Isetshenziselwa ukwelapha neurosis climacteric, kunciphisa nobuningi ukushuba ukufikelwa ukushisa.
• Ginseng. Kunciphisa ukukhathala kunciphisa amazinga ukucindezeleka.
• Licorice. Kubangela umsebenzi umzimba estrogenic, ngcono isimo ijwabu ithambo.
• sinensis Angelica. Kuthuthukisa izinga ubuthongo, kwehlise neluvalo ukucasuka
• Sage. Iyehlisa ukujuluka, futhi ibuye isetshenziswe ukuqwasha, ukukhathala kwemizwa, palpitations. It has okufanayo izakhiwo jujube futhi astragalus.

Indlela Yokuphila ngesikhathi menopause

Kakhulu kuzenza ngcono izimpawu menopause kungasiza edumile "izinsika ezintathu" ka nokuphila impilo enhle.

• Shintsha ukudla kwakho esivuna enempilo. Kusemqoka ukuya umsoco ofanele, ikhumbula yobudala umzimba udinga amavithamini namaminerali.
• Ezemidlalo umsebenzi ngokomzimba kungalimazi muntu, futhi postmenopausal futhi ekunciphiseni ingozi yezifo amalunga, ashona amabhethri yakho.
• Ukucindezeleka nokucindezeleka kungasiza ukunqoba, ukulala okunempilo, ukwelulekwa umnyuziki ngokwengqondo.
• Nakanjani kudingeka give up imikhuba emibi enjengokubhema ukudla. imikhondo ukhuluphele ukuze wehlise estrogen, okuyinto ngale ndlela hhayi isikhathi esanele. Ngakho-ke, ukususa le mikhuba kuzosiza umzimba uzizwe kangcono.

isiphetho

Vimbela ukuqala menopause kanye we menopause, akunakwenzeka, kodwa amandla salowo nalowo muntu wesifazane ukuthuthukisa isimo sabo futhi izinga lokuphila nalesi sikhathi esinzima. A zabesifazane zempilo umtholampilo kanye nochwepheshe zayo kuzokusiza kulolu vivinyo olunzima.