ʻO ka Metrorrhagia, ka nalo ʻana o ke koko ma waho o ka menstruation, hiki ke hōʻailona pinepine i kahi pathology uterine benign a i ʻole ke kaulike ʻole hormonal, ʻoi aku ka liʻiliʻi o ka hōʻailona mua o ka maʻi kanesa gynecological a i ʻole ka hōʻailona o ka pathology maʻamau. Hōʻike ʻo Metrorrhagia ma kahi o ka hapakolu o nā kūkākūkā gynecological.

Definition

Ke kahe nei ʻo Metrorrhagia i waho o kāu wā a i ʻole me kahi manawa (ma mua o ka ʻōpio a ma hope paha o ka menopause). Hiki i kēia mau hemorrhages ke kūlohelohe a i kumu ʻia e ka moekolohe. I kekahi mau hihia, pili kēia mau metrorrhagia me ka menorrhagia (wā kaumaha kaumaha). Ke kamaʻilio nei mākou e pili ana i nā meno-metrorags. 

Nā kumu 

Hiki i nā Metrorrhagia ke loaʻa i nā kumu he nui. Hiki ke hoʻokaʻawale ʻia nā kumu i nā hui 3: nā kumu kūlohelohe e pili ana i kahi leona o ka ʻōnaehana genital (infectious pathologies, uterine endometriosis or adenomyosis, cancerous tumors of the cervix and vagina, polyps, uterine fibroids - very common, endometrial cancer, etc.) , kahe ana ke kahe ma muli o ke kaulike ʻole o ka estrogen-progestogen (lawa ʻole ka estrogen a i ʻole progesterone secretion a iatrogenic uterine kahe ʻana ma muli o ke kaulike ʻole ʻia: estrogen-progestogen a i ʻole nā ​​progestin pills, anticoagulants) a me ke kahe ʻana he kumu nui (anomalies congenital o nā mea coagulation e like me von Willebrand's maʻi a loaʻa nā pathologies o haemostasis, e laʻa me hematologic malignancies, hypothyroidism, a pēlā aku.

Hiki i ka Metrorrhagia ke pili i ka hāpai keiki. Eia kekahi, ʻimi ʻia ka hāpai i nā wahine o ka wā hānau keiki. Akā i kekahi mau hihia, ʻaʻohe kumu i loaʻa.

PalekanaEND_LINK 

ʻO ka hōʻailona pinepine pinepine ka maʻi. I ke alo o metrorrhagia, e ʻike i ke kumu o kēia mau mea, lawe ʻia kahi hoʻokolohua hoʻokolohua. Hele pū ʻia me kahi nīnau. 

Hiki ke hana i nā hoʻokolokolo hou aʻe e hana i ka hōʻailona:

• pelvic a endovaginal ultrasound,
• hysterosalpingography (x-ray o nā hakahaka o ka kōpū a me nā paipu fallopian),
• hysteroscopy (hōʻike endoscopic o ka uterus),
• hāpana (biopsy, hamo). 

Pili ka poʻe 

Hoʻokahi i loko o ʻelima mau wahine ma waena o nā makahiki o 35 a me 50 e loli ʻia e ke kahe ʻana o ke koko a me nā menorrhagia (nā wā kaumaha kaumaha). Hōʻike ʻo Menometrorrhagia ma mua o ka hapakolu o nā kūkākūkā ʻana me ke gynecologist.

Nā mea pilikino 

Aia kekahi kumu pilikia no ka menorrhagia a me ka metrorrhagia: ka hana kino nui, ka ʻai ʻana i nā lāʻau a i ʻole ka waiʻona nui, anorexia a i ʻole bulimia, ka maʻi diabetes, nā maʻi thyroid, lawe i kahi lāʻau estrogen-progestogen contraceptive.

Kahe o ke koko ma waho o kāu manawa 

Loaʻa iā ʻoe ka metrorrhagia ke lilo ke koko i waho o kāu wā. Hiki ke ʻeleʻele a ʻulaʻula paha kēia mau hemorrhages, e ʻoi aku ka nui a i ʻole ka hopena o ka hopena i ka maʻi maʻamau (hiki iā lākou ke alakaʻi i ka anemia). 

Nā hōʻailona pū me ke kahe o ke koko

E ʻike ke kauka inā pili pū kēia mau hemorrhages e nā clots, ʻeha pelvic, leucorrhoea,

ʻO ka pahuhopu o ka mālama ʻana e hōʻoki i ke kahe ʻana o ke koko, mālama i ke kumu, a pale i nā pilikia. 

Inā pili ke kahe ʻana i ke kaulike ʻole o ka hormonal, pinepine i ka manawa o ka menopause, ʻo ka lāʻau lapaʻau ke kuhikuhi ʻia o nā hormones i loaʻa mai i ka progesterone a i ʻole kahi IUD i loaʻa kahi derivative o progesterone (levonorgestrel). Inā ʻaʻole lawa kēia lapaʻau, hāʻawi ʻia ka lapaʻau e wehe i ka membrane mucous e uhi ana i ka loko o ka kōpū e ka hysteroscopy a i ʻole ka curettage. Hiki ke hāʻawi ʻia i ka hemo ʻana o ka uterus a i ʻole ka hysterectomy ke holo pono ʻole kēia lāʻau. 

Inā pili ka metrorrhagia i kahi fibroid, hiki i ka hope ke kumuhana o ka lāʻau lapaʻau: nā lāʻau e hoʻopaneʻe i ka ulu ʻana o fibroids a i ʻole hoʻoliʻiliʻi i kā lākou mau ʻōuli. 

Hiki ke hoʻoneʻe ʻia nā polyps ma ke ʻano he like me ka fibroids. Kuhi ʻia ka hemo ʻana o ka uterus ke nui a lehulehu paha nā fibroids. 

Ke hiki ke kahe ʻana i ke kanesa o ka cervix, uterus a i ʻole ovary, kūpono ka lapaʻau no ke ʻano o ka maʻi ʻaʻai a me kāna pae. 

Hiki ke maikaʻi ka homeopathy i ka mālama ʻana i ka kahe hormonal.

ʻAʻole hiki ke pale aku i ka metrorrhagia, koe wale nō ma ka hōʻalo ʻana i nā kumu pilikia: ka hana kino nui, ka ʻai ʻana i nā lāʻau a i ʻole ka wai ʻona, anorexia a i ʻole bulimia, ka maʻi diabetes, nā thyroid pathologies, ke lawe nei i kahi lāʻau estrogen-progestogen contraceptive.