Lub caij hnyav yog qhov teeb meem tiag tiag rau tus ntxhais. Feem ntau, kev coj khaub ncaws ntev txog 7 hnub, thiab poob mus txog 150 milliliters ntshav. Tab sis rau qee qhov, qhov xwm txheej txawv.
Kev coj khaub ncaws ntau tsis tsuas yog cuam tshuam qhov kev ua neej ib txwm muaj, tab sis kuj ua rau lub cev ua haujlwm zoo. Txhawm rau kho qhov no, koj yuav tsum xub nkag siab qhov ua rau, thiab tom qab ntawd mus rau kev kho mob. Txawm li cas los xij, qhov no yog qhov peb yuav tham txog tam sim no.
Hypermenstrual Syndrome
Ntawm no yog lub npe tshwm sim peb tab tom tham txog tam sim no. Feem ntau, hypermenstrual syndrome yog tus cwj pwm tsis yog los ntawm kev nce ntim thiab lub sijhawm ntawm kev coj khaub ncaws, tab sis los ntawm nws qhov chaw tas li. Lub sijhawm yuav tsis nres.
Cov laj thawj tuaj yeem txawv heev, ntawm no yog cov npe luv luv ntawm lawv:
- mob hauv lub appendages thiab hauv tsev menyuam.
- Kab mob ntawm qhov chaw mos.
- Pathology ntawm qhov xwm txheej endocrine.
- malignant thiab benign qog.
- Hematological kab mob.
- Kev phais thiab kev raug mob ntawm qhov chaw mos.
- Kev mob siab.
- Kab mob sib kisthiab tus cwj pwm somatic.
- Kev tiv thaiv hauv lub cev.
Tseem muaj qee yam kev pheej hmoo, uas suav nrog kev haus luam yeeb, kev hloov pauv huab cua tam sim, kev nyob tsis zoo thiab kev nyuaj siab.
Yog tias ib tug poj niam poob ntau dua 80 ml ntawm cov ntshav thaum cev xeeb tub, ces nws yuav raug tsim muaj kab mob hu ua iron deficiency anemia.
Txawm li cas los xij, txhawm rau txiav txim siab qhov ua rau los ntshav hnyav, koj yuav tsum mus ntsib kws kho mob gynecologist. Tus kws kho mob yuav kuaj qhov quav, Pap smear, hysteroscopy, endometrial biopsy, thiab pelvic ultrasound. Tom qab tshuaj xyuas cov txiaj ntsig, tus poj niam yuav raug kuaj thiab muab kev kho mob txaus.
YHormonal disorders
Qhov no yog ib qho ntawm feem ntau ua rau lub caij hnyav. Lawv feem ntau tshwm sim los ntawm kev ua tsis tiav hauv kev ua haujlwm ntawm cov tshuaj hormonal.
Feem ntau, qhov tsis txaus ntseeg tshwm sim hauv cov ntxhais hluas thaum lawv thawj zaug, thiab qhov no yog qhov qub. Ces lub voj voog rov zoo li qub, thiab cov ntshav tso tawm ib yam nkaus.
Qhov laj thawj no tseem cuam tshuam rau cov poj niam laus. Lawv qhov tso tawm tuaj yeem nce ntau xyoo ua ntej lub cev tsis muaj zog.
Tsis tas li, qhov tsis txaus ntseeg tuaj yeem ua rau kev siv cov tshuaj tiv thaiv kev yug menyuam thiab tshuaj hormonal tsis raug.
Tab sis vim li cas lub sij hawm hnyav tshwm sim, thiab tsis yog meager? Qhov tseeb yog tias zes qe menyuam ntawm cov poj niam noj qab haus huv lub cev tsim cov tshuaj estrogen thiabprogesterone. Nyob rau hauv lawv cov cawv, lub tsev menyuam ua thicker thiab pib ua rau lub siab ntawm cov mucous membrane. Thiab thaum cev xeeb tub, nws cov txheej sab saud zoo li tau tshem tawm. Cov khoom tawg no tau tawm ntawm lub cev nrog rau cov zais zis.
Thiab yog tias tus poj niam muaj qib testosterone qis thiab nce ntxiv ntawm cov tshuaj estrogen, ces tus txheej txheem ntawm ovulation yuav mus tsis ncaj ncees lawm. Nyob rau hauv tas li ntawd, lub uterine membrane yuav tuab heev, uas provokes copious tawm.
YUterine pathology
Qhov no yog qhov laj thawj ntxiv vim li cas ntau tus poj niam muaj lub sijhawm hnyav. Feem ntau cov pathology yog myomatosis, nyob rau hauv uas lub internal cheeb tsam ntawm lub tsev menyuam nce thiab nws cov duab hloov. Vim li no, kev sib cais ntawm lub endometrium yuav siv sij hawm ntev dua, thiab yog li ntawd cov ntshav yog tus yam ntxwv ntawm profusion.
Tsis tas li, qee tus poj niam tau kuaj pom tias muaj endometriosis. Nws manifests nws tus kheej nyob rau hauv lub pathological kev loj hlob ntawm lub endometrium nyob rau hauv lub muscular txheej ntawm lub tsev menyuam. Nyob rau tib lub sijhawm, kev sib cais kuj tseem nrog qhov mob tsis txaus ntseeg, ntxiv rau cov ntshav tsis txaus. Feem ntau muaj kev tawm hauv lub cev.
Lwm qhov ua rau lub sijhawm hnyav tuaj yeem yog Asherman's syndrome. Nws yog tus cwj pwm los ntawm kev tsim ntawm intrauterine connective ntaub so ntswg adhesions. Tus kab mob no tsis tsuas yog ua rau endometritis thiab mob, tab sis kuj ua rau nws xeeb tsis tau. Vim yog cov adhesions, tsis muaj cov ntshav tawm ib txwm muaj. Nws tsuas yog nyob rau hauv thiab curls nyob rau hauv qhov kub ntawm qhov kub thiab txias, thiab tom qab ntawd tawm hauv daim ntawv ntawm cov hlab ntsha hauv qhov ntau txaus ntshai.
Nws raug nquahu kom ceev faj lub sijhawm hnyav heev tom qab hnub nyoog 45 xyoos. Tshwj xeeb tshaj yog thaum lawv nrog txhaws, thiab yog hais tias tus poj niam twb nkag mus rau lub cev tsis muaj zog. Cov kev txawv txav no feem ntau qhia tias muaj mob qog noj ntshav.
Postpartum Consequence
Thaum tus poj niam cev xeeb tub, nws lub cev hloov pauv ntau yam thiab kev ntxhov siab rau 9 lub hlis. Tom qab yug me nyuam, nws cia siab tias yuav rov qab tau ntev thiab nyuaj. Thiab nws pib nrog lub sijhawm hnyav.
Qhov tso tawm tsis tuaj yeem hu ua tus qauv coj khaub ncaws. Qhov no yog qhov tshwm sim ntawm qhov los ntshav, lub tsev menyuam tsis zoo, los ntawm cov placenta tau exfoliated thaum yug me nyuam nrog rau tus menyuam hauv plab. Tab sis lawv tau nrog los ntawm kev tso tawm cov hlab ntsha loj, yog li lawv tuaj yeem tsis meej pem nrog kev coj khaub ncaws.
Lub sijhawm hnyav tom qab yug menyuam yuav kav li 40 hnub. Lub sijhawm no, tus qauv ntawm lub tsev menyuam tau rov qab los thiab nws txoj haujlwm normalizes.
Tom qab qhov kawg ntawm qhov tso tawm, lub sijhawm tsis tuaj yeem ua rau lub sijhawm ntev heev vim kev pub niam mis. Tab sis ovulation tshwm sim txawm tias qhov no.
Tom qab ntawd thaum lub caij cev khaub ncaws rov qab, nws yuav kav li 5 hnub. Qee lub sij hawm lub sij hawm yog los ntawm ib lub lim tiam lossis ntau dua, tab sis qhov no yog qhov ua rau muaj kev txhawj xeeb. Yog vim li cas rau lub sijhawm no yog lub tsev menyuam loj thaum cev xeeb tub thiab ncab endometrium.
Tsis tas li ntawd, cov poj niam uas tau ntsib ib qho ntawm cov hauv qab no kuj ua rau lub sijhawm hnyav heev tom qab yug menyuam:
- Cov txheej txheem mob hauv lub genitourinary system.
- Caesarean sectionlos yog yug me nyuam nyuaj.
- Hloov pauv hauv qhov sib npaug ntawm prolactin, uas yog lub luag haujlwm rau kev ua haujlwm ntawm kev ua me nyuam thiab kev ua haujlwm ntawm kev coj khaub ncaws.
- Ntshai ntawm qhov tsis muaj hlau tsis txaus.
- Kev ntxhov siab tsis tu ncua thaum lub sijhawm thiab tom qab cev xeeb tub.
- Cov kab mob hnyav heev.
Los ntawm txoj kev, ib qho laj thawj cais yuav yog cov khoom ntawm cov placenta sab laug sab hauv lossis cev xeeb tub ectopic.
YUterine fibroids
Yog ib tug poj niam muaj lub caij hnyav heev, ces muaj caij nyoog uas nws tau tsim cov tshuaj hormones benign-dependent.
Qhov laj thawj ntawm uterine fibroids tsis paub txog niaj hnub no. Cov kws kho mob tau xav tias qhov no yog vim qhov ua txhaum ntawm cov tshuaj hormones ntawm zes qe menyuam, uas tsim cov tshuaj estrogen ntau.
Kuj muaj kev pheej hmoo muaj xws li rho menyuam tawm, hlwv, kab mob inflammatory, kev yug me nyuam, rog rog, endocrine thiab tiv thaiv kab mob, nrog rau cov kab mob tshwm sim.
Cov tsos mob tseem ceeb uas qhia tias muaj fibroids yog lub sijhawm ntev thiab hnyav nrog cov ntshav txhaws, acyclic uterine los ntshav thiab ntshav ntshav uas tawm tsam lawv keeb kwm yav dhau. Nrog rau kev loj hlob ntawm kev tsim ntawm qhov mob nyob rau hauv sab nraub qaum thiab sab plab. Yog tias cov fibroid loj hlob qeeb, ces cov kev xav no tsis ploj mus.
Tsis tas li, vim tias fibroids compress cov kabmob nyob ze, uas suav nrog lub qhov quav thiab zais zis, tus poj niam ntsib teeb meem nrog kev tso zis (nws yuav nyuaj lossis nrawm) thiab cem quav.
kab mob siab heev ua rau muaj qhov tshwm sim loj dua - teeb meem hauv plawv, ua tsis taus pa thiab siab txawv txav.
tshuaj hemostatic
Yog li, dab tsi tuaj yeem ua rau lub sijhawm hnyav thiab vim li cas lawv mus rau cov lej, nws yog qhov tseeb. Tsuas yog nyob rau hauv rooj plaub, nws yog ib qho tseem ceeb kom tau txais kev tshwj tseg: txhua yam yog tus kheej heev ntawm no, thiab tsuas yog tus kws kho mob tuaj yeem kuaj xyuas qhov tseeb. Nws thiaj li muab tshuaj kho. Raws li txoj cai, cov ntsiav tshuaj hauv qab no tau sau tseg:
- "Vikasol". Cov tshuaj no yog ib qho khoom siv analogue ntawm vitamin K. Nws them nyiaj rau nws qhov tsis muaj nyob rau hauv poj niam lub cev, uas pab normalize ntshav txhaws thiab txhawb kev tsim ntawm prothrombins. Muaj contraindications. Cov pob khaus, khaus khaus, bronchospasm thiab khaus tuaj yeem tshwm sim yog tias muaj kev ua xua.
- "Dicinon" (e tamsylate). Yog hais tias ib tug ntxhais xav nyob rau hauv yuav ua li cas kom tsis txhob hnyav lub sij hawm, ces koj yuav tsum xyuam xim rau cov tshuaj no. Cov ntsiav tshuaj no tuaj yeem txhim kho cov ntshav microcirculation thiab normalize vascular permeability. Etamzilat tsis cuam tshuam rau cov ntshav txhaws, tab sis nws tsis sib haum nrog lwm yam tshuaj.
- "Ascorutin". Cov tshuaj no muaj xws li ascorbic acid. Cov tshuaj txo cov permeability ntawm cov hlab ntsha, ua rau lawv muaj zog thiab elastic dua, thiab kuj muaj cov nyhuv hemostatic. Nrog kev noj zaub mov tsis tu ncua, kev coj khaub ncaws ua tsis tau tsuas yog tsawg dua, tab sis kuj luv dua. Cov tshuaj no yog qhia rau cov poj niam uas tau nkag mus rau lub sij hawm ntawm menopause, nrog rau cov neeg uas tau mus rau ib tug caesarean seem.
Yuav ua li cas yuav muab rau tus ntxhais yog vim li cas nws thiaj li muaj ntau lub sijhawm. Thaum muaj mob hnyav, tus kws kho mob tseem tuaj yeem sau cov ncauj lus kom ntxaws txog kev kho mob nrog rau kev teem caij ntau yam tshuaj.
YHemostatic txhaj tshuaj
Saum toj no cov tshuaj tau sau tseg rau kev coj khaub ncaws hnyav. Tab sis kuj tus ntxhais tuaj yeem raug txhaj tshuaj. Kev txhaj tshuaj muaj cov nyhuv kho sai. Cov ntsiav tshuaj siv sijhawm tsawg kawg ib teev ua haujlwm, thiab txhaj tshuaj siv sijhawm 5-15 feeb.
Ib qho ntawm peb cov tshuaj feem ntau yog tshuaj:
- "Tranexam". Qhov no yog cov tshuaj hemostatic tsom rau kev txwv tsis pub hnyav hemorrhages. Ua haujlwm yuav luag tam sim ntawd. Nws kuj muaj cov tshuaj tiv thaiv kab mob thiab tshuaj tiv thaiv kab mob.
- "Oxytocin". Cov cuab yeej no txo qis lub tsev menyuam thiab pab kom tsis txhob ntshav. Nws raug sau tseg, raws li txoj cai, rau cov poj niam tom qab yug menyuam. Txhaj rau hauv cov leeg lossis cov leeg.
Nyob ntawm qhov tshwj xeeb ntawm qhov tso tawm, lwm yam tshuaj yuav raug sau.
Siv tswj kev yug me nyuam
Cov ntxhais feem ntau yog cov tshuaj tiv thaiv qhov ncauj los ntawm gynecologists kom normalize lawv lub voj voog. Thiab qhov no yog ib txoj hauv kev zoo tshaj plaws thiab ntau yam. Kev xaiv cov tshuaj tiv thaiv kom raug muaj txiaj ntsig zoo rau lub cev:
- Ua rau lub sijhawm hnyav, ua rau lawv tsis txaus.
- Txo lub sijhawm ntawm kev coj khaub ncaws. Qee tus ntxhais tom qab pibnoj tshuaj tiv thaiv qhov ncauj, nws kav peb hnub.
- Kho dysmenorrhea (tawm qhov mob thaum cev xeeb tub).
- Thiab tom qab hemorrhagic anemia.
- Pab tswj tus kab mob pelvic inflammatory.
- Kho hyperandrogenism (txo qis androgen qib) thiab PMS.
Ntxiv rau, kev tiv thaiv kev yug menyuam yog ib qho kev tiv thaiv zoo tshaj plaws. Lawv qhov kev ntseeg tau nce mus txog 98-99% (nyob rau hauv cov xwm txheej ntawm kev siv raws li cov lus qhia). Thiab rau cov hnab looj tes, daim duab no tsuas yog 87%.
Cov tshuaj tiv thaiv qhov ncauj nto moo tshaj plaws suav nrog cov tshuaj xws li Yarina, Jess, Janine, Lindinet, Chloe, Silhouette thiab Regulon. Tseem muaj lwm lub tuam txhab thiab. Txawm li cas los xij, tus kws kho mob gynecologist tau sau cov tshuaj raws li kev soj ntsuam ntawm tus neeg mob thiab cov txiaj ntsig ntawm nws qhov kev sim.
Yog tias koj ntseeg qhov kev tshuaj xyuas, lub sijhawm hnyav tuaj yeem txo qis yam tsis siv tshuaj (txawm tias nws tsis pom zoo kom ncua sijhawm mus ntsib kws kho mob). Rau qhov no koj xav tau:
- Qu kom lub cev ua si.
- Txo cov cawv thiab kas fes kom tsawg, thiab yog tias ua tau, tshem tawm tag nrho.
- Txhob noj tshuaj vasodilator. Tab sis ua ntej ntawd, koj yuav tsum sab laj nrog koj tus kws kho mob. Yog tias ua tau, khaws cov analogues.
- Hloov koj cov zaub mov nrog cov zaub mov muaj hlau, vitamin C thiab folic acid. Lawv pab txhawb kom normalization ntawm cov ntshav ncig.
- Siv lub tshuab cua txias txias rau hauv qab plab txhua hnub (qhov siab tshaj plawskaum tsib feeb).
- Ua acupressure. Nws yog ib qho yooj yim: peb caug ntiv tes siab ntawm thaj tsam ntawm lub hollow uas txuas rau daim di ncauj sab sauv thiab lub hauv paus ntawm lub qhov ntswg.
- Tau tshuaj tsw qab.
Tau kawg, cov hau kev no yuav tsis ua rau muaj txiaj ntsig zoo li kev txhaj tshuaj lossis noj tshuaj, tab sis lawv tsim nyog raws li kev tiv thaiv.
kev kho neeg zoo
Qee zaum nws tsis tuaj yeem mus rau gynecologist tam sim nrog lub sijhawm hnyav. Yuav ua li cas rau qhov no, yuav ua li cas txo koj tus mob tsawg kawg ib ntus? Koj tuaj yeem sim tshuaj pej xeem. Nov yog qee cov zaub mov yooj yim:
- Noj ib tablespoon ntawm txhua yam tshuaj hauv qab no: valerian cag, knotweed, mistletoe dawb thiab yug yaj lub hnab nyiaj. Ncuav dej npau npau (0.5 l). Infuse rau kaum tsib feeb, thiab ces dilute nrog ib liter ntawm dej huv. Boil thiab lim los ntawm cheesecloth. Haus ib nrab khob ob zaug ib hnub.
- Noj nees nkaum tsib grams ntawm cinquefoil hauv paus, yarrow thiab tus tswv yug yaj lub hnab, nrog rau kaum grams ntawm ntoo qhib tawv. Ncuav ib liter dej thiab boil, ces insist thiab lim. Haus 1 tablespoon ob zaug ib hnub
- 1 tbsp kua txob mountaineer ncuav ib khob ntawm boiling dej. Boil, lim. Muab faib ua peb ntu. Haus ib hnub ua ntej noj mov.
- 1 tsp lilac noob ncuav ib khob ntawm boiling dej. Cia nws brew rau kaum tsib feeb, stirring qee zaus. Tom qab ntawd muab tso rau ntawm hluav taws me me rau tsib feeb thiab ua noj. Haus nyob rau hauv tus nqi ntawm 2 tbsp. thaum sawv ntxov.
- Neev caum grams qhuav dioecious nyom ncuavib khob ntawm boiling dej thiab boil rau kaum tsib feeb. Nws raug nquahu kom haus tsib caug milliliters (ib khob) txhua peb teev. Nettle yuav tsis tsuas yog tso tseg los ntshav, tab sis kuj yuav txo qhov mob thiab tiv thaiv kab mob, yog tias muaj.
- Ib puas grams crushed viburnum bark ncuav ib khob dej. Ua noj tshaj qis cua sov rau ib teev. Tom qab ntawd haus 2 tbsp. txhua peb teev.
Nws tsim nyog sau cia tias cov nyiaj tau teev tseg tau zoo hemostatic rau lub sijhawm hnyav, txawm tias lawv ua tiav hauv tsev.