Kodwa uma ukuya esikhathini kungaphezu kwezinsuku eziyisikhombisa futhi akusho ukuthambekela, futhi uma izinsuku ezimbili noma ezintathu amadoda eningi kakhulu ukuthi owesifazane kufanele avuke ngisho nasebusuku ukuze athathe indawo yokulungisa imvelo, okungukuthi, ithuba lokubonisana nodokotela: lesi simo asikwazi ukucatshangelwa umkhuba. Indlela yokuxazulula le nkinga, thola kusihloko esihlokweni esithi "Izinyanga zihamba ngesikhathi, kodwa zikhulu kakhulu."
Yisiphi isizathu?
Ukwanda komthamo wenyanga wunegama lesayense: hyperspolymenorea. Isikhathi nokuchichima kokuphuma kwegazi ngokuqondile kuxhomeke ezingeni le-hormone estrogen emzimbeni wesifazane. Ngaphansi kwethonya laso, kunyuke ekugcineni kwe-endometrium, ehlanganisa izindonga zesisu futhi ephulwe ngesikhathi sokuya esikhathini. Ukuqinisa ukukhiqizwa kwe-estrogen kungabangela izinqubo ezihlukahlukene ze-pathological emzimbeni. Ngenkinga yokungasebenzi kwegciwane le-thyroid (ekuqaleni kokukhiqizwa kwe-estrogen), okokuqala kukhona ukuqina kwe-endometrium. Kodwa uma izinyathelo zingathathwa futhi izinga lama-hormone alincipheli, isimo singase sibe sibi nakakhulu: ku-endometrium, i-polyps ikhula, futhi esikhathini esizayo ukwakheka okungasabekayo yi-adenocarcinoma ye-endometrial. I-syndrome ye-hyperpolymenorrhea nayo ingenzeka uma umsebenzi wezinkontileka wezingqimba zomzimba zesisu ushintsha. Lokhu kwenzeka uma i-nodule ye-myomatous ikhulile ebubilini besibeletho, noma inkinga efana ne-endometriosis yenzeke. Nazi izibonakaliso zalo: ukugcoba ukukhwabanisa okubomvu ngesikhathi sokuya esikhathini noma emva kokulala, isithandwa emathunjini aphansi, okuphikelela ngemuva kokuya esikhathini. Kulesi simo, isici sofuzo sibaluleke kakhulu. Uma owesifazane ene-endometriosis, uzothola ifa lakhe ngamaphesenti angama-80%.
Ukuhlolwa okulungile
Ukwenza ucwaningo olunembile, futhi ukhethe ukwelashwa okwanele uma kwenzeka udokotela ekhishwa inyangazonke kuphela emva kokuhlolwa okuphelele futhi abone isizathu esiqondile salokho okwenzekayo. Into yokuqala okudingeka yenziwe yi-ultrasound ye-intravaginal. Yenziwa esigabeni sesibili ngosuku lwama-20-25 lomjikelezo. Uma ngalesi sikhathi okungaphezu kuka-16 mm we-endometrium ikhula emgodini we-uterine, lesi yisisekelo sokuthola "i-endometrial hyperplasia". Kulesi simo, kuyadingeka ukudlulisa izivivinyo ezingeni lamahomoni wegciwane bese wenza i-hysteroscopy. I-Hysteroscopy iyindlela yokuhlola yesimanje, eyenziwa ngesifo sangasese futhi iboniswa kokubili kokubeletha nabesifazane abangenalutho. I-probe encane kakhulu ifakwe engxenyeni ye-uterine, evumela ukuhlolwa okubukwayo kwesiguli se-uterine futhi yembula izakhiwo ezincane kunazo zonke ze-endometrium eguquliwe, engabonakali ku-ultrasound, futhi ithatha isicucu sezingcuba ze-biopsy. I-hysteroscope inebubanzi obuyi-3 mm, iguquguquka futhi ayidingi ukwandiswa komsele womlomo wesibeletho. Into kuphela okumele yenziwe ngaphambi kokuba inqubo idlule i-urogenital smear, njengokungathi ukuvuvukala emzimbeni inqubo ayinakwenziwa.
Hyperpolymenorrhea ehlobene nobudala
Ekuphileni kowesifazane, kunezikhathi lapho ukuqala kwe-hyperpolymenorrhoea kungenzeka ikakhulukazi. Lokhu kuyinkathi yokukhulelwa lapho kusebenza isikhathi sokuya esikhathini. Khona-ke isikhathi esiningi singaya ekuguleni kwezingane, futhi lokhu yisizathu esiphuthumayo sokubona udokotela. Ngemuva kweminyaka engu-38-40, lapho kunokuhlelwa kabusha komzimba, imijikelezo eminingi iba yinkimbinkimbi, kukhona ukungalingani phakathi kokukhiqizwa kwe-estrogens ne-progesterone. Owesifazane angase aqaphele ukuthi uthola isisindo ngokulula kakhulu kunangaphambili, isikhathi sokuya esikhathini senyukile, futhi izikhathi eziphakathi kwazo ziye zehla. Lezi yizona zimpawu zokuqala zokushintsha kwe-hormonal ngemuva. Ukuphawula kulesi simo kulungile, ngoba imithi yesimanje isenza sikwazi ukulungisa lesi simo ngezindlela eziningi kakhulu kunokuba kwenziwe esikhathini esidlule.
Ukuvimbela
Ukuze uvimbele izinkinga nge-endometrium, kubalulekile ukwenza ukuhlolwa kwe-thyroid yonyaka (ama-ultrasound ne-thyroid amazinga e-hormone egazini), kanye ne-ultrasound engena-intrave ngosuku lwama-20-25 lomjikelezo. Iqembu lezinhlekelele libandakanya abesifazane abanesisindo esiningi, ngoba amafutha angaphansi kwesikhumba "yi-depot" ye-estrogens, ehlanganiswa lapho futhi ithinte ama-receptors webele ne-endometrium. Kubalulekile futhi ukuqapha isibindi. Izenzakalo eziqhubekayo emithini ye-bile ziholela ekuphazanyeni kwegciwane le-thyroid. Kulula kakhulu ukuvimbela lezi zinkinga kunokuzilungisa. Manje siyazi, uma inyangazonke zihamba ngezikhathi, kodwa zikhulu kakhulu - kubalulekile ukubona udokotela.