Isina kujairika uterine kubuda ropa

Abnormal uterine kubuda ropa (AUB) kuri kubuda ropa muchibereko icho chakareba kupfuura zvakajairwa kana icho chinoitika panguva isina kujairika. Kubuda ropa kunogona kurema kana kureruka kupfuura zvakajairwa uye kunoitika kazhinji kana zvisina kujairika.

AUB inogona kuitika:

• Sekuona kana kubuda ropa pakati pemazuva ako
• Mushure mekuita bonde
• Kwemazuva akareba kupfuura zvakajairwa
• Inorema kupfuura zvakajairwa
• Mushure mekuguma kuenda kumwedzi

Izvo hazviitike panguva yekuzvitakura. Kubuda ropa panguva yekuzvitakura kune zvikonzero zvakasiyana. Kana iwe uine chero kubuda ropa kana iwe uri nepamuviri, ive shuwa yekufonera wako wehutano mutapi.

Nguva yemukadzi wese (kuenda kumwedzi) yakasiyana.

• Paavhareji, nguva yemukadzi inoitika mazuva ese makumi maviri nemasere.
• Vazhinji vakadzi vane kutenderera pakati pemazuva makumi maviri nemana nemakumi matatu nematanhatu akaparadzana. Inowanzoita mazuva mana kusvika manomwe.
• Vasikana vadiki vanogona kuwana nguva yavo kubva pamazuva makumi maviri kusvika kumakumi mana nemashanu kana kupfuura vakaparadzana.
• Vakadzi vane makore makumi mana ekuberekwa vanogona kutanga kutora nguva yavo zvishoma kana kuve nenguva pakati pavo.

Kune vazhinji vakadzi, echikadzi mahormone anochinja mwedzi wega. Iwo mahormone estrogen uye progesterone anoburitswa sechikamu cheyakaitika ovulation. Kana mukadzi achibuda, zai rinosunungurwa.

AUB inogona kuitika kana mazai asingaburitse zai. Shanduko mumazinga ehormone inokonzeresa kuti nguva yako ive yekupedzisira kana yekutanga. Nguva yako inogona dzimwe nguva kurema kupfuura zvakajairwa.

AUB inowanzoitika kune vechidiki kana mumadzimai epamberi ekuenda kumwedzi. Vakadzi vane huremu hwakanyanya vanogona zvakare kuve nemikana yekuve neAUB.

Mune vakadzi vazhinji, AUB inokonzerwa nekusaenzana kwehomoni. Izvo zvinogona zvakare kuitika nekuda kwezvikonzero zvinotevera:

• Kuwedzeredza kweiyo uterine madziro kana lining
• Uterine fibroids
• Uterine polyps
• Gomarara remazai, chibereko, chibereko, kana nyinyo
• Kubuda ropa matambudziko kana matambudziko nekuvhara ropa
• Polycystic ovary chirwere
• Yakanyanya kuonda
• Hormonal kuberekwa kuzvidzora, senge kuberekwa mapiritsi kana intrauterine zvishandiso (IUD)
• Kuwedzeredza kuwedzera uremu kana kurasikirwa (anopfuura mapaundi gumi kana makirogiramu 4.5)
• Kubatwa kwechibereko kana chibereko

AUB isingatarisirwe. Iko kubuda ropa kunogona kunge kwakanyanya kurema kana kureruka, uye kunogona kuitika kazhinji kana zvisina kujairika.

Zviratidzo zveAUB zvinogona kusanganisira:

• Kubuda ropa kana kuona kubva mukati memukadzi panguva yepakati
• Nguva dzinoitika dzisingasviki mazuva makumi maviri nemasere dzakaparadzana (zvakajairika) kana anopfuura mazuva makumi matatu nemashanu dzakaparadzana
• Nguva pakati pezvikamu inoshanduka mwedzi wega wega
• Kubuda ropa kunorema (senge kupfuudza kuwanda kukuru, kuda kushandura dziviriro panguva yehusiku, uchinyura nepadhiu yakachena kana tampon awa yega yega kwemaawa maviri kusvika matatu akateedzana)
• Kubuda ropa kunotora mamwe mazuva kupfuura zvakajairwa kana kweanopfuura mazuva manomwe

Zvimwe zviratidzo zvinokonzerwa nekuchinja kwemahormone zvinogona kusanganisira:

• Kukura kwakanyanya kwebvudzi remuviri mune yechirume patani (hirsutism)
• Kupisa kunopisa
• Mafungiro anochinja
• Unyoro uye kuoma kwemukadzi

Mukadzi anogona kunzwa kuneta kana kuneta kana akarasikirwa neropa rakawandisa nekufamba kwenguva. Ichi chiratidzo chekushaya ropa.

Wako mupi anotonga zvimwe zvinokonzeresa zvekusabuda kweropa zvisina kujairika. Iwe unozogona kunge uine bvunzo dzechiuno uye bvunzo rePap / HPV. Mimwe bvunzo inogona kuitwa inosanganisira:

• Yakazara kuverenga ropa (CBC)
• Ropa rinovhara chimiro
• Chiropa basa bvunzo (LFT)
• Kutsanya ropa glucose
• Hormone bvunzo, yeFSH, LH, yechirume mahormone (androgen) mazinga, prolactin, uye progesterone
• Kuedzwa kwepamuviri
• Utachiona hwebasa

Mupi wako anogona kukurudzira zvinotevera:

• Tsika yekutarisa hutachiona
• Biopsy yekutarisa preancer, gomarara, kana kubatsira kusarudza pakurapwa kwehomoni
• Hysteroscopy, inoitwa muhofisi yemupi wako kuti utarise muchibereko kuburikidza nemukadzi
• Ultrasound yekutsvaga matambudziko muchibereko kana muchiuno

Kurapa kunogona kusanganisira chimwe kana zvimwe zvinotevera:

• Yakaderera-chipimo chekudzivirira kuberekwa mapiritsi
• Hormone kurapa
• Yakakwira-dose estrogen kurapa kwevakadzi vane ropa rinorema kwazvo
• Intrauterine mudziyo (IUD) unoburitsa iyo hormone progestin
• Nonsteroidal anti-inflammatory drugs (NSAIDs) inotorwa nguva isati yatanga
• Kuvhiya, kana chikonzero chekubuda ropa iri polyp kana fibroid

Mupiki wako anogona kukuisa pane zvinowedzera iron kana uine anemia.

Kana iwe uchida kubata pamuviri, iwe unogona kupihwa mushonga wekusimudzira ovulation.

Vakadzi vane zviratidzo zvakakomba zvisingavandudzi kana vane chirwere checancer kana precancerous vangangoda mamwe maitiro akadai se:

• Nzira yekuvhiya yekuparadza kana kubvisa lining yechibereko
• Hysterectomy kubvisa chibereko

Hormone therapy inowanzo gadzirisa zviratidzo. Kurapa kunogona kusadikanwa kana ukasaita anemia nekuda kwekurasikirwa neropa. Kurapa kwakanangidzirwa pachikonzero chekubuda ropa kunowanzo shanda ipapo. Ndicho chikonzero nei zvakakosha kunzwisisa chikonzero.

Matambudziko anogona kuitika:

• Kusabereka (kusakwanisa kubata pamuviri)
• Yakanyanya kupererwa neropa nekuda kwekuwanda kweropa kurasikirwa nekufamba kwenguva
• Kuwedzera njodzi yekenza yemendometri

Fonera mupiki wako kana uine chisina kujairika kusangana nekutsi kwemukadzi kubuda ropa.

Kubuda ropa kunovhenekera; Isina kujairika uterine kubuda ropa - mahormone; Polymenorrhea - isina kushanda uterine kubuda ropa

• Yakajairwa uterine anatomy (cheka chikamu)

American College yeVadzvinyiriri uye Gynecologists webhusaiti. ACOG komiti maonero kwete. 557: manejimendi yeakanyanya asina kujairika uterine kubuda ropa mune vasina-pamuviri vakadzi-vakuru vakadzi. Yakasimbiswazve 2017. www.acog.org/Clinical-Guidance-and-Publications/Committee-Opinions/Committee-on-Gynecologic-Practice/Management-of-Acute-Abnormal-Uterine-Bleeding-in-Nonpregnant-Reproductive-Aged-Women . Yakasvika Gumiguru 27, 2018.

Bahamondes L, Ali M. Kufambira mberi kwazvino mukugadzirisa uye kunzwisisa kusagadzikana kwekuenda kumwedzi. F1000Prime Rep. 2015; 7: 33. PMID: 25926984 www.ncbi.nlm.nih.gov/pubmed/25926984.

Ryntz T, Lobo RA. Abnormal uterine kubuda ropa: etiology uye manejimendi yeakanyanya uye asingagumi kubuda ropa. Mune: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Yakakwana Gynecology. 7th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 26.

Schrager S. Isina kujairika uterine kubuda ropa. Mune: Kellerman RD, Bope ET, eds. Conn Yazvino Therapy 2018. Philadelphia, PA: Elsevier; 2018: 1073-1074.