Kukonzekera Kuitanitsa Kutha Kusamba
Amayi omwe amachititsa kuti akazi azisamalidwa bwino amayamba kuchepa kwambiri. Pankhaniyi, msungwanayo akukonza mapangidwe a zizindikiro zomwe zimatsimikizira kuti kuthetsa ubereki kumatha. Kufunika kwa kugwiritsidwa ntchito kotereku kumayambitsidwa ndi vuto lachiritso mu matenda monga:
- fibrom;
- myoma;
- endometriosis.
Kodi mungayambitse bwanji kusamba kwabwino?
Pali njira zingapo zomwe zingayambitse kusamba kwa thupi. Kusankha kwawo kumachokera pa zomwe anapeza pa kafukufukuyu ndi anamnesis: kodi pali njira zosalephereka mu njira yobereka, kutupa. Kulankhula za momwe angapangire kumapeto kwa nthawi yopuma, madokotala amatchula njira zotsatirazi:
- Opaleshoni. Njira yopambana kwambiri. Cholinga chimapezeka pochotseratu mazira ambiri (ovariectomy). Amagwiritsidwa ntchito pa zotupa zowonongeka m'magazi achiwerewere, chiberekero, kansa ya m'mawere. Ndondomekoyi ndi yosasinthika - mkazi sangathe kukhala ndi ana.
- Mvula. Ndi njira iyi, kutha kwa ntchito yobereka ndi ntchito ya mazira ochuluka kumatheka chifukwa cha zowonjezereka zowonongeka kwa ma glands okha. Anagwiritsidwa ntchito pochizira zilonda zoopsa pa chiberekero ndi m'mimba mwake. Kusintha kumene kumachitika m'magulu a kugonana okhawo amadziwika ngati pang'ono kubwezeretsedwa: kubwezeretsa kubereka kumachitika, koma osati nthawi zonse.
- Odzozedwa. Njira yodziwika imagwiritsidwa ntchito monga gawo la mankhwala ovuta. Pankhani iyi, mankhwala osokoneza bongo, ofanana ndi mahomoni omwe amapangidwa kuchokera ku mavitamini amayamba. Pambuyo pa kutha kwa kayendedwe ka kugonana kwa chiwalo chachikazi kumabwezeretsedwa.
Kumangirira kumimba - zizindikiro
Ndondomeko ikuchitika pang'onopang'ono. Pamene mahomoni ochuluka amatha, mtsikanayo amatha kuzindikira kuoneka kwa zizindikiro zomwe zimaphatikizapo mawu oyamba opita kumapeto kwa thupi lake. Zina mwa izo ndi:
- Chiwawa cha dongosolo la psycho-vegetative. Chinthu choyamba chimene wodwala akumverera ndi maonekedwe a nthawi yamakono a mafunde otentha. Mafupipafupi awo amasiyana mosiyana ndi maulendo amodzi patsiku. Pa nthawi yomweyi, amayi 20 peresenti amasiya kuwamva chaka chimodzi, ena onse - amakumana ndi zaka 3-5.
- Kusokonezeka maganizo. Kuthandiza ntchito ya dongosolo la manjenje. Zikuwonekera pakuwonjezeka kukwiya, mantha, kugona tulo, chilakolako, kuchepa libido.
- Estrogen kusowa. Chizindikiro ichi, chophatikizira pachimake, chikuwoneka ngati kuuma kwowonjezereka kwa chiberekero, kuoneka ngati kuyabwa m'deralo. Pazochitika zogonana, zimakhala zopweteka kwambiri, zomwe zimakhalapo chifukwa cha kuchepa kwa magalasi a m'mimba mwa vaginja, mafuta.
- Kuchepetsa maganizo. Anapezeka kuti ma estrogens amagwira ntchito yamagetsi mu ubongo. Ngakhale atsikana atsikana amavutika ndi kukumbukira, nthawi zambiri - nthawi yayitali, pa zochitika.
Kukonzekera kwa kusamba kwa mimba kosakaniza
Pofuna kulongosola wodwalayo kuti alowe m'dzikoli, otsutsa a gonadotropin amagwiritsidwa ntchito. Kugwiritsira ntchito mankhwalawa kwa nthawi yayitali kumalepheretsanso kusakaniza kapangidwe ka hormone ya pituitary pamodzi ndi follicle-stimulating. Chifukwa chake, estradiol yafupika m'magazi. Mukamachita zolakwika, jekeseni zotsatirazi zimagwiritsidwa ntchito:
- Lucrin;
- Buserelin;
- Diferelin.
Kukonzekera kumadziwika ndi kuchitapo kanthu kwa nthawi yayitali, kotero kufunika kwa ntchito tsiku lililonse kulibe. Mankhwalawa amathandiza maola 24-72. Pachifukwa ichi, regimen ya mankhwala imapangidwa payekha. Komanso, njira zotsatirazi zingagwiritsidwe ntchito:
- gestagens - Norkolut;
- antigonadotropins - Danazol.
Kuchokera pa kusamba kwakumangika kwapangidwe
Atsikana omwe ali ndi njira yotereyi, omwe nthawi zambiri amakhala ndi chidwi ndi momwe angapulumuke pachimake pamapeto pake, chidzachitike n'chiyani atatha kumwa mankhwala. Ndikoyenera kudziwa kuti nthawi yofunikiranso kubwezeretsa kugonana sikuli yofanana kwa onse. Pomwe ntchito ikuyambiranso, amasonyeza kuyamba kwa msambo. Kupanga mimba kumangapo pambuyo ma hormoni alibe nthawi yofanana. Mankhwalawa amatha masabata 10-16 atatha kugwiritsa ntchito mankhwalawa mofanana ndi jekeseni. Ngati unkaperekedwa pamtundu - masabata 4-10.
Kuchokera ku kusamba kwakumangirira - zizindikiro
Sikuti nthawi zonse mayi amatha kumvetsa kuti wasiya dziko lino. Tiyenera kuzindikira kuti chizindikiro chachikulu cha chodabwitsa chotere monga njira yotuluka pachimake, - kutsekemera, kumawoneka patapita masabata 8-14. Pankhaniyi, zotsatirazi zikhoza kuchitika:
- kusinthasintha kumasintha;
- kutentha kwakukulu;
- kuwonjezeka kwa kuchuluka kwa mphamvu yakugonana;
- Kutupa kwa mapiri a mammary.
Kusamba kwakumangirira kwabwino - zotsatira
Matendawa ali pafupi kwambiri ndi madokotala, ndiko kuti, thupi silingasiye mimba yopangira. Pankhani ya maphunziro osasankhidwa, osasunga malamulo komanso malangizo a zachipatala, mavuto akhoza kuchitika. Mwachizoloŵezi, izi ndizochepa. Izi zikuphatikizapo:
- atresia ya mazira ovarian - chiwonongeko cha majeremusi omwe sali okhwima;
- kusandulika kwa mitsempha yowonjezera ya minofu ya endometrial - maselo amayamba kutsogolo. Zotsatira zake, ndizovuta kubwezeretsa kusamba.
Kodi ndingatenge mimba yopangira mimba?
Funso limeneli limakhuza atsikana omwe ali ndi moyo wogonana. Madokotala amafotokoza kuti mimba, popanda kusiya kusamba kwa thupi, sizowona. Ndondomeko yoberekera ili pamtundu woterewu kuti chiwombankhanga sichimachitika. Mankhwala osokoneza bongo amasungidwa pamtunda wina, zomwe zimaphatikizapo izi. Koma panthawi yomweyi ndi bwino kukumbukira kuti mutatha kumwa mankhwala muyenera kusamalira chithandizo.
Mimba atatha kusamba kwa thupi
Kubwezeretsa kwa msambo pambuyo poti amasiya kusamba kwake kumapezeka masabata 4 mpaka 10 kutha kwa kuyambitsidwa kwa mankhwala osokoneza bongo. Pankhani yokonzekera mimba, ikhoza kubwera mu miyezi 3-4. Ndikofunika kuganizira mfundoyi, gwiritsani ntchito njira zothandizira njira zothandizira kupeŵa kugonana kosayenera. Madokotala amalimbikitsa kugwiritsa ntchito njira zopinga, kuthetsa mapiritsi a mahomoni. Izi zidzakuthandizani kuchepetsa kulemetsa pa njira yobereka. Kupanga mimba kumayang'aniridwa ndi dokotala yemwe amalingalira za thupi la thupi, amayesa mayeso a mahomoni, amayang'anira njira zothandizira, ndipo amayesa ndi ultrasound.