Kuwedzera kwehuwandu hwekubuda kwemwedzi kunowanzova chikonzero chokuonana nachiremba. Panguva imwecheteyo, pane kuchinja kwehutano hwekuenda kumwedzi - kazhinji ropa rinouya nemaputi. Kugadzirisa mamiriro ezvinhu zvinokwanisika, uchishandisa hemostatic magadzirira pamwedzi yakawanda.
Kuwanda kwemwedzi kunokonzera
Kuenda kumwedzi kwakawanda kunonzi mwedzi wose, iyo iyo inopfuura 80 ml yeropa inosunungurwa (inowanzo 50 ml). Mukadzi anofanira kushandura chikafu chekunatswa nguva dzose maawa 1-1.5. Kurasikirwa kwemasvondo anopfuura 100 emurairo pahutano hunoonekwa sechiremba sezvinonyanya kupera mwedzi, zvikonzero zvingave zvinotevera:
- Hormonal failure. Kushungurudzika mumuviri weestrogen uye gestagens kazhinji kunotungamirira kuwedzerwa kweropa. Kazhinji chirwere ichi chinoonekwa mumusikana muduku - kuperevedza kwepakati mukati memakore mashanu nemashanu kubva panguva yekurapa vanachiremba kunoonekwa sechinhu chinowanzoitika. Kusagadzikana kazhinji kunokonzerwa nekudya kwemishonga yemarmonal (contraceptives).
- Polyps yemukati. Kana chirwere ichi chiri kunze kwehuro, mazamu akaumbwa, izvo, zvinotambudza, zvinokonzera kusimba kwakasimba.
- Myoma yemukaka. Dzidzo yeBenign, pamwe chete nekuwedzera mumwedzi wepamwedzi.
- Zvirwere zvezvikamu zvepachiviri - zvinopararira, zvinokonzera kuvhiringidza: endometriosis, endometritis, colpitis, salpingitis.
- Inecological process in the reproductive system. Neoplasms mudiki mapepa anowanzoita kuti kupararira kwe endometrium kuwedzere, nekuda kwekuti nhamba yekuenda kumwedzi inowedzera.
- Kushandisa intrauterine contraceptive. Midzimu inovhiringidza kubva kweendometrium inoramba, naizvozvo, mwedzi uno inowedzera.
- Kuita zvechisimba kweropa rekugadzirisa chirongwa. Kukundikana kwekunyora kunotungamirira ku kuwedzera kwe excretion neropa rega rega.
- Kushungurudzika mupfungwa , kukanganisa, zviitiko, kuchinja mumamiriro ekunze kunogona kukanganisa maitiro uye huwandu hwekuenda kumwedzi.
Zvizhinji pamwedzi - chii chaunofanira kuita?
Kutarisana nemamiriro ezvinhu akadaro, vakadzi vanowanzotambudzika mune zvekuvhiringidzika: chii chavanofanira kuita kana mwedzi yakawanda, maitiro ekuti - vakawanda havaiti. Iko kukanganisa kutarisira kuti kuenda kumwedzi kunogadzirisa pachako pachako, kana kuwedzerwa kwehuwandu hwekuvharidzirwa kunoonekwa kwezviitiko zvakatevedzana zvinotevera. Mhinduro chete ndeyokutarisa gynecologist uye kuongorora muviri.
Kuongororwa kwe "menorrhagia" kunobudiswa pamusana pekunyunyuta kwemukadzi, zviratidzo zvekurasikirwa kukuru kweropa pamwedzi. Pakutanga kwekuongororwa, chiremba haabvumi kuti zvirwere zvinogona kuitika pamwe chete nezviratidzo zvakafanana (ectopic pregnancy). Madzimai echikadzi anoongororwa kune miviri yekunze, nhoroondo yakakwana iri kuitwa. Kana pane kusava nechokwadi kwehutachiona, zvinotevera zvinosarudzwa:
- Ultrasound yenhengo dzomukati ;
- hysteroscopy;
- biopsy yemukati;
- chirwere chekuongororwa kwe endometrium ;
- ruzivo rwemvura yakawanda, coagulogram;
- kuongororwa kweropa kune vashandi.
Nzira yekuderedza kusunungurwa kwegore negore?
Kutaura pamusoro pezvinobatsira kubva pakuenda kumwedzi, vanachiremba vanogara vachicherechedza chikonzero chekuputsa. Zvichienderana nechikonzero chakakonzera shanduko mumamiriro ekuenda kumwedzi, chirongwa chekurapa chinosarudzwa. Muzviitiko zvakawanda, nheyo yehutano inodhaka yemishonga (inowanzosimudzira mahomoni ). Kuti kuderedze kuwanda kwekurasikirwa kweropa, kudzivirira kukura kweanemia, vanachiremba vanopa mishonga inokosha yehemostatic yakawanda nguva. Utachiona hwakaoma hunoshandisa zvakare:
- zvinodhaka kuderedza uterine myometrium;
- simbi-ine zvigadzirwa zvinodzivirira (kuvhara ropa rekushaya ropa).
Kucheka zvinodhaka zvechibereko chinowanikwa pamwedzi
Kuti kuderedze mwedzi unoverengeka kunyange chisati chavapo chikonzero chacho, vanachiremba vanowanzoshandisa mari inosimudzira inzwi reuterine myometrium. Somugumisiro wekushandiswa kwavo, chibvumirano chemakumbo emusero unowedzera, izvo zvinoita kuti kuparadzana nokukurumidze kwekudzora endometrium panguva yekuenda kumwedzi. Kucheka, haemostatic zvinoshandiswa mumamiriro ezvinhu ehuwandu uye mamwe matambudziko mune gynecology uye zvipingamupinyi:
- nebasa rakaoma rebasa;
- postpartum period;
- mamiriro mushure mekubvisa pamuviri.
Kusarudzwa kwemishonga yakadaro kunongowanikwa chete navanachiremba. Dzinoratidza zita rechibereko, kuyerwa, kuwanda uye nguva yekushandiswa. Pakati pezvinodhaka zvinowanzoshandiswa zveboka iri zvinogona kuonekwa:
- Deaminooxytocin;
- Ergothal;
- Gynestrel;
- Dinoprost.
Kugadzirira kwesimbi kune zvakawanda pamwedzi
Mishonga ine iron-ine mimwe nguva inoshandiswa kudzivirira anemia. Kurasikirwa kweropa kukuru kunogona kuita kuti mhuka dzideredze huwandu hweHemoglobin, iyo inobata hupenyu hwakanaka, basa remukati nhengo. Kuneta, kuneta ndidzo zviratidzo zvakakura zvesimbi kusakwana anemia, inoda kurapwa kwechiremba.
Nyaya dzakawanda dzesimbi dzine zvinotengeswa pasina chiremba chiremba. Kazhinji iyi microelement inowanikwa mumakamuri akawanda, iyo inoshandiswa iyo inogumisa kudiwa kwekushandiswa kwakasiyana kwesimbi. Pakati pezvinodhaka nehuwandu hwezvinhu zvinogona kuonekwa:
- Ferretab;
- Sorbifer;
- Totem;
- Fenyuls.
Hematicatic drugs ine mwedzi wose
Hemostatic agents ane nguva refu yokuenda kumwedzi kunobatsira kuderedza kuwanda kwezvinyorwa. Zvisinei, pakurapa kwehutachiona, hutano hwekuongorora hunodiwa nekugadzwa kwechikonzero chinokonzera menorrhagia. Vanachiremba vanokurudzira kutora ivo kwenguva pfupi, kuitira kuti vasapindira basa reropa coagulation system. Sarudza madawa ehumostatic nguva dzose achifunga nezvechikonzero chakakonzera chirwere.
Hemistatic drugs ine nguva yakawanda mune varume vane endometriosis
Endometriosis chirwere chechirwere chinokonzerwa nekukura kwemukati mukati mechibereko. Mucherechedzo inowedzera inowedzera kuwanda nokuda kwekukura kwemasero ayo. Somugumisiro, kubuda kwemwedzi kwe endometrium kwakazara zvikuru. Kuwedzerwa kwemavheekiti emwedzi munyaya iyi kunokonzerwa nenhamba yakawanda yemakamuri ekupedzisira endometrial. Mukuwedzera, iyo endometrium inogona kukura mumitezo inopoteredza. Somugumisiro - kusangana nekubuda ropa mushure mekuita zvepabonde. Kuti uzvidzivirire, sarudza mishonga haemostatic yekuenda kumwedzi:
- Etamsylate;
- Tranexam;
- Ascorutin;
- Cyclocapron;
- Exacil.
Hemistatic drugs zvinokonzerwa nemwedzi GW
Kudzorerwa kwehutenderedzwa mumashure ekuvhara nguva kazhinji kunowirirana nekuputsa kwehuwandu uye mararamiro ekuenda kumwedzi. Mwedzi yekutanga mushure mekuberekwa kwecheche mukadzi anogadzirisa mumwedzi miviri nekudya kwekugadzirira uye mwedzi 4-6 mushure mekuyamwisa. Nhanho yekudzoka inobva pane zvinofananidzira zvekuzvarwa, postpartum period, kutevedza nemamiriro uye mazano evarapi.
Kakawanda, nekuda kwekusagadzikana kwemasimoni mumashure endpartum period, vakadzi vanogadzirisa mwedzi uye neGV. Kusarudzwa kwemishonga munyaya ino kunofanira kuitwa chete nechiremba, sezvo mazhinji mishonga inorambidzwa kubvuma panguva yekuyamwisa. Pane imwe nguva inobvumirwa kushandisa madawa aya anotevera aine hemostatic nemwedzi yakawanda (pasina mirairo inosunungurwa):
- Totem;
- Vikasol.
Hematicist drugs ine nguva yakawanda ine myoma
Nhamba yemwedzi inowedzera apo myoma ine submucosal kana intermuscular localization. Kukura kunoramba kuripo, kuwedzera kwehukuru hwehutachiona hunokonzera kukura kwechibereko. Panguva imwecheteyo, nzvimbo ye endometrial layer inowedzera, uye, kubvarura, inowedzera huwandu hwekuenda kumwedzi. Nemhaka yekukura kwemaoma, mutezo wemavhudzi wechibereko chemuviri unofa, chimiro chinorasikirwa. Uterine contractante inoderedzawo. Iko kushanduka kwehuwandu kunokonzera kuwedzera kwehuwandu hwekuenda kumwedzi. Chiremba anogadza haemostatic madawa ane nguva yakawanda.
Pakutanga kwekutanga kwehutano, chirwere chechiratidzo chinoshanda zvikuru. Mukadzi anorayirwa mushonga weHodmonal uye hemostatic mishonga ine mwedzi yakawanda.Pakati pemishonga iyi:
- Vikasol;
- Traneksam.
Mishonga inoshushikana nemishonga yakakwana yekuenda kumwedzi
Nguva yekupedzisira inofambidzana nekunze kwekubuda kwemwedzi. Kuwanda kwemwedzi kunowanzowedzerwa. Icho chikonzero chinokonzerwa nokuvapo kwehutoni kuchinja mumuviri. Izvo zvepabonde zvinokonzerwa nekuita kumwedzi nekuenda kumwedzi zvishoma nezvishoma, izvo zvinoita kuti kuve nekuderera mukugara zvakanaka (kufunganya kwemafungiro, kupisa kupisa, kuwedzerwa kweropa).
Hormonal mishonga ine nguva yakawandisa pakuguma kwemazuva akawanda inowedzera neHostistatic agents. Vagamuchire ivo, maererano nemurairo wechiremba, vachicherechedza kuyerwa, nguva uye nguva yehutungamiri. Pakati pemishonga inoshandiswa nevakadzi:
- Etamsylate;
- aminocaproic acid.
The best haemostatic agents
Hemistatic drugs ine mwedzi unoverengeka inofanira kurongerwa nachiremba. Kuongorora kwakaoma kunotangira uye kukwanisa kwakakwana kwechikonzero chekurasikirwa kweropa kukuru kunodiwa. Paanosarudza mushonga, chiremba anofunga nezvezvikonzero zvakawanda:
- zera remurwere;
- kuvapo kwezvirwere zvisingaperi zvekuberekwa;
- kuvapo kwekugadzikana kwevanhu.
Hemostatic Tablets
Ipepeti yemishonga inorwisana nemakore akawanda kwenguva refu inoshandiswa kakawanda kupfuura mamwe. Izvi zvinokonzerwa nekugadzikana kwepa dosing, nyore nyore kushandiswa, kuwanikwa kwemishonga. Pakati pezvinowanzoshandiswa kwenguva refu yekuenda kumwedzi - mahwendefa eDicinon hemostatic. Iyo mishonga inoshandiswa pakushaya ropa (kubuda ropa) chero ipi zvayo yakabva.
Iyo inoshandiswa inoshandiswa ndiyo etamzilate - chinhu chinoita kuti kuumbwa kweprothrombin. Mukuwedzera, icho chinhu chinosimbisa masvingo emidziyo, kuderedza kushandiswa kwawo. Nekudaidzwa kwekupera kwemwedzi, chirwere chacho chinotorwa katatu pazuva pamapiritsi maviri. Pakati pezvinyorwa zvinopesana nekushandiswa kwemishonga:
- kusawirirana;
- thromboembolism;
- leukemia.
Mahwendefa emuHemostatic Traneksam akashandisawo kurega nguva dzakaoma. Vanodzivirira ropa, vachipa kupa anti-inflammatory, anti-allergenic uye antitumor effect. Vatore maererano nechirongwa chechiremba. Pakati pezvinopikisa:
- hypersensitivity;
- thrombosis yemvura yakadzika nemidziyo yeuropi;
- kidney failure;
- subarachnoid hemorrhage;
- kukanganisa kwemavara maonero.
Hemostatic injections
Paanenge achienda kumwedzi nguva refu, hemostatic agents anoshandiswa nenzira yejojo. Mhinduro yacho inowanikwa kanowanzotarisirwa (kubvunda kana jet). Hemistatic drugs zvinowanikwa mwedzi woga woga (injections) zvinosarudzwa maererano nekuoma kwechirwere uye kufunga nezvehupo hwehutachiona nehutambudziro. Pakati penzira dzinomisa kubuda ropa, dzakabudiswa muchinetso, tinokwanisa kusiyanisa:
- Vikasol ;
- medical gelatin;
- Fibrinogen;
- Tracerol;
- Protamine sulfate;
- Hemofobin.
Haemostatic Candles
Pakati pevashandi vari muchimiro cheudhipatimendi chinoshandiswa sekumisa ropa, zvinokosha kutora phytohemostatic suppositories (FGS). Chirwere chacho chinoshandiswa zvakasimba mukurapa kwehemorrhoids, asi kazhinji vanachiremba vanoshandisa iyi hemostatic mishonga mu gynecology, ine nguva yakawanda. Iyo mushonga haisi kungosiya kubuda ropa, asiwo inosimbisa midziyo, isingaiti kupisa. Isa mareji maererano nemirairo yechiremba, kazhinji 1 suppository usiku, injowa mu anus.