Asi kana kuenda kumwedzi kunopedza mazuva anopfuura manomwe uye hakuna chido chekupedzisa, uye kana kwemazuva maviri kana matatu varume vacho vane zvakawanda zvokuti mukadzi anofanira kusimuka kunyange usiku kuti atore mishonga yehutsanana, kureva, chiitiko chokutsvaga chiremba: izvi hazvigoni kuonekwa the norm. Nzira yekugadzirisa dambudziko iri, ona munyaya yehurukuro "Mwedzi inoenda panguva, asi yakawanda kwazvo."
Ndechipi chikonzero?
Kuwedzera mumwedzi wegore negore kune zita rezvesayenzi: hyperspolymenorea. Nguva uye huwandu hwekubuda ropa zvakananga zvinoenderana nehutachiona hwehomoni isrogen mumuviri wemukadzi. Pasi pemutungamiri waro, pane kuwedzera kwe endometrium, iyo inowedzera masvingo emuviri uye yakabvarurwa panguva yekuenda kumwedzi. Kusimbisa kugadzirwa kweestrogen kunogona kutungamirira kune zvakasiyana-siyana zvinokonzera chirwere mumuviri. Nekushaya kwoutachiona gland (rinotarisira kugadzirwa kwe estrogen), pakutanga kune kuoma kwe endometrium. Asi kana zviyero zvisati zvichitorwa uye uwandu hwemhomoni hauna kuderera, mamiriro ezvinhu anogona kuipa: mu endometrium, ma polyps anovandudza, uye mune ramangwana kunyanya kuumbwa nekugadzirwa ndeye endometrial adenocarcinoma. Syndrome ye hyperpolymenorrhea inogonawo kuitika kana chibvumirano chechibvumirano chemuscular layer ye chibereko chinoshanduka. Izvi zvinoitika kana chironda chinoputika chichikura mumuviri wechibereko, kana kuti chinetso chakadai se endometriosis chakaitika. Heano zviratidzo zvaro: kuvhara kusvibiswa kwebhururu mushure memwedzi wekuenda kumwedzi kana shure kwepabonde, unyoro mucheche pasi, izvo zvinopfuurira mushure mekuenda kumwedzi. Muchiitiko ichi, genetic inokosha zvikuru. Kana mukadzi ane endometriosis, mugore ra80% achapiwa nhaka nemwanasikana wake.
Kururamisa kuongorora
Kuita kuongororwa kwakarurama, uyewo kugadza mishonga yakakwana kana zvikaitika mwedzi mwedzi chiremba anogona kungoita kunyatsoongorora uye kuziva chikonzero chaiicho chezviri kuitika. Chinhu chokutanga chinoda kuitwa ndeye intravaginal ultrasound. Icho chiri kuitwa muchikamu chechipiri pazuva rechi20-25 rekufamba. Kana panguva ino inopfuura 16 mm ye endometrium inokura mumugwagwa uterine, ichi ndicho chikonzero chekuongorora "endometrial hyperplasia". Muchiitiko ichi, zvakakosha kupfuurira miedzo pahutachiona hwehomoni uye kuita nyota. Hysteroscopy ndiyo nzira yemazuva ano yekuongorora, iyo inoitwa pamusana pechiratidzo uye inoratidzwa kune vose vari kubereka uye vakadzi vasiri nulliparous. Tsvina yakaonda kwazvo inowanikwa muuterine cavity, iyo inobvumira kutarisa kuonekwa kwehutachi uterine uye inoratidzira zviduku zviduku zve endometrium yakashandurwa, iyo isingaoneki pa ultrasound, uyewo inotora chikamu chezvinyorwa zvebiopsy. Iyo hysteroscope inenge yakareba mamita matatu, inoshanduka uye haifaniri kuwedzerwa kwechirwere chechibereki. Chinhu bedzi chinoda kuitwa musati maitiro ndechokupfuura urogenital smear, sekuputira mukati mechikadzi nzira yacho haigone kuitwa.
Hyperpolymenorrhea yakabatana nezera
Muhupenyu hwomukadzi, pane nguva apo kutanga kwe hyperpolymenorrhoea kunonyanya kukosha. Uku ndiko kuyaruka kana nguva yekuenda kumwedzi ichiitika. Zvadaro nguva yakawanda inogona kuenda kumwana kubuda ropa, uye ichi chikonzero chinokurumidza kuona chiremba. Pashure pemakore 38-40, apo pane kugadziridzazve kwemuviri, maitiro akawanda anowedzera, pane kusaenzana pakati pekugadzirwa kweexrogen na progesterone. Mukadzi angaona kuti ari kuwedzera kuwanda kwazvo kupfuura kare, nguva yekuenda kumwedzi yakawedzera, uye nguva dzakaparadzana pakati pavo dzakaderera. Iyi ndiyo yekutanga zviratidzo zvekuchinja kwehomoni kumashure. Izvo zvinodavirwa munyaya iyi zvinofadza, sezvo mushonga wemazuva ano unotibvumira kugadzirisa hurumende nenzira dzakanyanyisa kudarika zvaiitwa munguva yakapfuura.
Kudzivirira
Kuti udzivirire zvinetso ne endometrium, zvinokosha kuita gore rega yehutano nyanzvi (ultrasound uye thyroid hormone levels muropa), pamwe chete ne-intravenous ultrasound pazuva rechi20-25 remhepo. Bhuku iri rine ngozi rinosanganisira vakadzi vane uremu hwakawandisa, sezvo mafuta mashoma ari "depot" yevenrogen, iyo inounganidza ipapo uye inokanganisa zvinogamuchirwa zvezamu uye endometrium. Inofanirawo kuongorora chiropa. Zvinhu zvinowanzoitika muzvinonzi bile ducts zvinotungamirira mukuvhiringidzika kwetachiona gland. Zviri nyore kwazvo kuzvidzivirira matambudziko aya pane kuvaruramisa. Iye zvino tinoziva, kana mwedzi unoenda nguva, asi yakawanda kwazvo - zvakakosha kuona chiremba.