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He aha ka metrorrhagia?
ʻO kēia ka nui a i ʻole ka nui o nā poho o ke koko ʻulaʻula a ʻeleʻele paha ma waho o ka haʻalele ʻana. Hiki iā lākou ke pili me ʻeha o ka ʻōpū a me ke pelvic. ʻOkoʻa nā kumu o ke koko ma muli o ka makahiki o ka mea maʻi. Pono ka hoʻokolokolo gynecological i hiki ke hana i kahi hōʻailona pololei.
He aha nā kumu kumu o ke koko?
Ma mua o ka wā ʻōpio, hiki ke hoʻopili ʻia kēia kahe koko i manaʻo ʻole ʻia me ke kū ʻana o kahi kino ʻē i loko o ka ʻōpū, nā maʻi vulvar a i ʻole nā maʻi ʻeha, a i ʻole ka wā ʻōpio mua. Pono lākou e kūkākūkā wikiwiki me ke kauka e hana i kahi hoʻokolokolo pelvic.
ʻOiai he mea maʻamau ka wā maʻamau i'ōpiopio, i loko o nā wahine, hiki i ke koko i manaʻo ʻole ʻia ma waho o ka menstruation ke hōʻike i ka loaʻa ʻana o ka pathology uterine e pono ai ke kūkākūkā wikiwiki me kahi ʻoihana mālama ola.
I nā wahine makua, hiki iā lākou ke hōʻailona:
- ka maʻi hemorrhagic;
- ke kaulike o ka hormonal;
- ka mālama ʻole ʻana i ka hormonal, a i ʻole ka poina ʻana i ka lawe ʻana i nā lāʻau lapaʻau;
- hoʻokomo i kahi IUD;
- endometriosis;
- he pā i loaʻa ma ka ʻāpana o ke kino;
- ka hele ʻana o nā polyps uterine a i ʻole fibroids;
- ka ma'i 'a'ai o ka cervix, endometrium a i 'ole ma na hihia kakaikahi o ka ovaries.
Metrorrhagia i nā wahine hāpai
Inā ʻike ʻia ke koko i ka wā hāpai, e kelepona koke i kāu kauka no nā hoʻokolokolo hou. ʻO ka pinepine, ʻaʻohe pōʻino i ka wā ʻelima mua ma muli o ka palupalu o ka kapi, ʻo ka metrorrhagia naʻe he hōʻailona o ka hāʻule ʻana a i ʻole ka hāpai ʻana i ka ectopic, ʻoi aku ka nui inā hele pū lākou me ka ʻeha ʻeha nui. Pono ke kākoʻo wikiwiki.
Mai ka lua o ka trimester o ka hāpai ʻana, ʻo metrorrhagia paha ke kumu o ka hoʻokomo haʻahaʻa haʻahaʻa o ka placenta i loko o ka ʻōpū, a i ʻole he retro-placental hematoma - aia ma ke kua o ka placenta - e koi koke i ke kūkākūkā olakino.
Ke koko ma hope o ka menopause
ʻO ka menopause kahi hana physiological kūlohelohe e hōʻailona ai i ka hopena hope o fertility o ka wahine. Ke koko i loko o nā wāhine postmenopausal - kapa ʻia ke koko postmenopausal - no laila ua manaʻo ʻia he ʻano ʻē aʻe.
Hiki i nā kumu like ʻole ke wehewehe i ke kahe koko ma hope o ka menopause:
- ka hele ʻana o kahi polyp uterine a i ʻole fibroid;
- he ovarian cyst (ʻoi pinepine i hele pū me ka ʻeha pelvic);
- maikaʻi ʻole a i ʻole ka mālama ʻana i ka hormonal;
- ka maʻi maʻi;
- ʻeha o ka pūpū;
- ka moe kolohe e pili ana me ka lahilahi a me / a i ʻole ka maloʻo ʻana o ka mucosa vaginal;
- ka ma'i 'a'ai o ka pūpū a i 'ole ka endometrium.
Pehea e mālama ai i ka metrorrhagia?
ʻO ka pinepine, e kuhikuhi ʻia kahi hoʻokolokolo pelvic me ka hoʻāʻo koko, ultrasound uterine a me kahi smear. E ʻae lākou e hana koke i kahi hōʻailona.
ʻO nā lāʻau i manaʻo ʻia e hilinaʻi ʻia i ke kumu o ke koko. I ka hopena o ka hormonal dysfunction, hiki ke kuhikuhi ʻia ka lāʻau lapaʻau e hoʻoponopono i ke kaʻina menstrual. Inā pili ke kahe koko i kahi maʻi, hiki ke hāʻawi ʻia i nā lāʻau antibiotic. ʻO ka hope, e noʻonoʻo ʻia ka lāʻau lapaʻau i nā hihia koʻikoʻi.
I nā hihia a pau, ʻo kāu kauka wale nō ka ʻae ʻia e hana i kahi hōʻailona ma ke koko.