Menorrhagia, tam sim no raug xa mus los ntawm kws kho mob raws li hnyav coj khaub ncaws, yog thaum koj muaj lub cev hnyav hnyav lossis tsis yog lub caij coj khaub ncaws ntau, feem ntau kav ntev tshaj li ib lub lim tiam. Yog tias koj muaj menorrhagia, nws tseem yuav ua rau koj mob ntev thiab mob nrog rau los ntshav ntau dhau. Ua tsaug, muaj ntau txoj hauv kev los kho tus mob menorrhagia. Tham nrog koj tus kws kho mob txog txoj hauv kev zoo tshaj los kho koj tus mob tshwj xeeb, uas feem ntau ua tiav nrog tshuaj lossis txheej txheem kho mob. Yog tias koj muaj hnub nyoog tshaj 40 xyoo thiab ntsib kev hnyav hnyav hnyav ntxiv, qhia koj tus kws kho mob li no kom koj tuaj yeem tshawb xyuas qhov ua rau muaj peev xwm ua tau.
Cov kauj ruam
Txoj Kev 1 ntawm 3: Noj Tshuaj
Kauj Ruam 1. Siv tshuaj tsis-steroidal anti-inflammatory drug (NSAID) rau qhov mob
Piv txwv ntawm ntau NSAIDs suav nrog ibuprofen, naproxen, tshuaj aspirin, nabumetone, thiab mefenamic acid. Ua raws cov lus qhia ntawm lub ntim rau kev txhaj tshuaj thiab ntau npaum li cas los noj tshuaj. Feem ntau, coj lawv thaum xav tau ntawm qhov siab tshaj plaws ntawm peb zaug txhua hnub, tom qab noj mov.
- Piv txwv li, qhov pom zoo koob tshuaj ibuprofen rau qhov mob yog 200 mg txhua 2-4 teev, tab sis koj yuav tsum tsis txhob noj ntau dua 1200 mg hauv 24 teev. Rau naproxen, pib nrog 250 mg ob zaug ib hnub thiab, yog tias tsim nyog, nce qhov ntau npaum li cas rau 1000 mg hauv 24 teev. Yog tias koj noj mefenamic acid, noj 500mg peb zaug ib hnub. Yog tias koj tseem tab tom muaj mob txawm tias siv ntau npaum li cas, nrog koj tus kws kho mob tham ua ntej nce ntxiv.
- NSAIDs tau siv dav hauv cov neeg mob menorrhagia vim lawv muaj zog ua cov tshuaj tua kab mob thiab tiv thaiv kev mob qog noj ntshav. NSAIDs tsom cov leeg nyob ib ncig ntawm lub tsev menyuam, uas ua rau lawv xaiv zoo tshaj plaws rau mob plab thiab mob nraub qaum.
- Ceev faj thaum noj NSAIDs. Lawv tuaj yeem ua rau mob plab, xws li xeev siab, ntuav, thiab mob plab lossis mob plab. Cov poj niam raug kev txom nyem los ntawm lub raum lossis lub siab tsis zoo thiab cov poj niam uas tam sim no noj ntshav ntshav xws li Warfarin yuav tsum sab laj nrog lawv tus kws kho mob ua ntej siv NSAIDs.
Kauj Ruam 2. Noj cov tshuaj iron txhua hnub los tiv thaiv kom ntshav tsis txaus
Koj tus kws kho mob tuaj yeem tshawb xyuas qhov no nrog cov kev sim niaj hnub, xws li suav cov ntshav tag (CBC) thiab ntsuas qib ferritin. Yog tias koj muaj menorrhagia tsis tu ncua, noj cov tshuaj hlau txhawm rau tiv thaiv kom tsis muaj ntshav lossis kho ntshav tsis txaus uas twb muaj lawm. Cov ntsiav tshuaj raug muag tom khw thiab koj tuaj yeem noj cov hlau ib hnub ib zaug tom qab noj mov kom tsis txhob cem quav.
- Cov tshuaj ntxiv hlau tuaj rau hauv cov ntsiav tshuaj lossis hauv daim ntawv txhaj tshuaj uas tuaj yeem siv rau cov xeev mob ntev. Piv txwv suav nrog Hydroferrin thiab Ferosac txhaj tshuaj thiab Sandoz hlau chewable ntsiav tshuaj.
- Hlau yog lub hauv paus tseem ceeb hauv kev tsim cov khoom noj qab haus huv RBCs. Nws kuj tseem siv rau kev nce qib hemoglobin. RBCs yog lub luag haujlwm nqa oxygen rau txhua lub cev nqaij daim tawv.
Kauj Ruam 3. Nug koj tus kws kho mob txog tranexamic acid los txo koj cov ntshav
Koj tus kws kho mob yuav sau ntawv tshuaj no yog tias koj tau kuaj pom tias muaj menorrhagia. Tranexamic acid feem ntau yog siv los kho cov ntshav tsis xws luag, suav nrog menorrhagia. Noj nws ob zaug ib hnub lossis raws li kws kho mob daim ntawv xaj.
- Tranexamic acid txhawb kev tsim cov ntshav txhaws, yog li txo qis ntshav ntau los ntawm menorrhagia.
- Tranexamic acid muaj raws li Kapron hauv ntsiav tshuaj lossis txhaj tshuaj.
Kauj Ruam 4. Pib noj cov tshuaj tiv thaiv qhov ncauj kom tswj hwm koj lub cev ntas
Tham nrog koj tus kws kho mob txog kev tau txais daim ntawv yuav tshuaj tiv thaiv kab mob uas yuav tswj hwm lossis txo koj lub sijhawm. Thaum koj muaj daim ntawv yuav tshuaj, ua raws cov lus qhia ntawm lub ntim khoom. Feem ntau, koj yuav noj 1 ntsiav tshuaj txhua hnub.
- Piv txwv ntawm cov tshuaj tiv thaiv qhov ncauj suav nrog Ovestin ntsiav tshuaj lossis thaj ua haujlwm Fem-7. Siv lawv raws li kws kho mob cov lus qhia.
- Cov tshuaj tiv thaiv qhov ncauj tau siv los kho tus mob menorrhagia vim tias lawv pab tswj hwm lub cev ntas los ntawm kev txwv tsis pub cov tshuaj follicle-stimulating hormone (FSH) tso tawm los ntawm cov caj pas pituitary, uas txwv tsis pub ovulation.
Kauj Ruam 5. Noj qhov ncauj progesterone rau menorrhagia tshwm sim los ntawm kev tsis txaus tshuaj hormone
Koj tus kws kho mob tuaj yeem hais qhia tias koj noj tshuaj progesterone yog tias lawv xav tias koj qhov mob menorrhagia tshwm sim los ntawm qhov tsis muaj progesterone ntuj. Noj cov tshuaj progesterone thaum lub sijhawm hnub 15 txog 26 ntawm txhua qhov kev coj khaub ncaws. Feem ntau, koj tus kws kho mob yuav sau tshuaj 2.5 txog 10 mg txhua hnub rau 5 lossis 10 hnub.
Kev kho qhov ncauj progesterone yog qhov pab txo qis ntshav ntau los ntawm kev kho cov tshuaj tsis sib xws thiab los ntawm kev txwv tsis pub tsim cov tshuaj luteinizing. Qhov no txo qis theem kev loj hlob ntawm endometrium thiab tuaj yeem pab txo qis ntshav
Ceeb toom:
Cov kev mob tshwm sim tau tshaj tawm thaum siv cov tshuaj no, suav nrog mob taub hau, hnyav dua, thiab nyuaj siab. Hu rau koj tus kws kho mob yog tias koj tau ntsib ib qho ntawm cov kev mob tshwm sim no thiaj li tuaj yeem rov tshuaj xyuas koj cov phiaj xwm kev kho mob.
Txoj Kev 2 ntawm 3: Kho Menorrhagia nrog Cov Txheej Txheem Kho Mob
Kauj Ruam 1. Nug koj tus kws kho mob txog kev nthuav dav thiab tshem tawm kom tsis txhob ncua ntev
Kev tso cua tawm thiab tshem tawm dej, feem ntau hu ua D & C, yog txheej txheem uas kws kho mob nthuav dav lub ncauj tsev menyuam txhawm rau txhawm rau qee cov ntaub so ntswg los ntawm sab hauv sab hauv ntawm txheej txheej endometrial. Qhov no yuav pab txo cov ntshav poob thaum tus poj niam lub sijhawm los ntawm kev tswj cov ntshav hnyav thiab txwv lub sijhawm ntawm lub sijhawm.
Nov yog kev kho ib ntus rau menorrhagia, vim nws tsuas yog txwv koj li kev coj khaub ncaws tam sim no
Kauj Ruam 2. Txiav txim siab txog cov hlab ntshav hauv lub tsev menyuam yog tias koj mob yog vim muaj cov fibroids
Ntxiv nrog rau qhov ntuav ntshav hnyav, koj tseem tuaj yeem pom lub sijhawm tsis xwm yeem lossis ib nrab-lub hlis pom lossis ntshav yog tias koj muaj fibroids hauv tsev menyuam. Yog tias koj raug kev txom nyem los ntawm kev tsim cov fibroid, koj tus kws kho mob tuaj yeem pom zoo cov txheej txheem uas tau siv lub raj xa dej mus rau cov hlab ntsha loj loj hauv koj tus ncej puab kom txog thaum nws mus txog rau cov hlab ntshav ntawm lub tsev menyuam. Txog ntawm qhov no, yas microspheres tau txhaj rau hauv cov hlab ntshav me me uas muab cov fibroids.
- Fibroids tuaj yeem ua rau menorrhagia vim tias lawv hloov cov tshuaj hormones hauv lub tsev menyuam, uas tuaj yeem ua rau cov ntshav hauv lub tsev menyuam ntau ntxiv, thiab lawv tuaj yeem tawg lossis ntws tawm ntawm txhua lub hlis.
- Cov txheej txheem no thaiv cov hlab ntshav, yog li ua kom cov ntshav ntws mus rau cov fibroids.
- Tsis muaj ntshav ntws, cov fibroids nqaim, cais lawv tus kheej, thiab dhau los ntawm qhov chaw mos.
Kauj Ruam 3. Tau txais ultrasound ablation los ua lwm txoj hauv kev rau cov hlab ntshav hauv lub tsev menyuam
Ultrasound ablation yog lwm txoj hauv kev siv thaum tsim cov fibroid. Koj tus kws kho mob tuaj yeem hais qhia nws hla txoj hlab ntshav hauv lub tsev menyuam vim nws tsis xav tau txiav tus ncej puab. Hloov chaw, nws siv ultrasound nthwv dej uas tuaj yeem ua rau cov fibroids ncaj qha.
Yog tias cov fibroids raug txo qis, qhov no yuav txo qis cov ntshav ntau hauv lub tsev menyuam, uas yuav ua rau txo qis txoj hauv kev ntawm kev coj khaub ncaws ntau dhau
Kauj Ruam 4. Tham nrog koj tus kws kho mob txog kev phais myomectomy yog tias koj muaj fibroids hnyav
Hauv cov txheej txheem no, koj tus kws kho mob yuav tshem koj cov fibroids tawm ntawm tus kheej. Qhov no yog ua los ntawm koj lub plab lossis hla koj lub ncauj tsev menyuam. Koj tus kws kho mob yuav txiav txim seb hom kev phais twg yuav ua nyob ntawm qhov loj ntawm cov fibroids, lawv tus lej tseeb, thiab lawv qhov chaw nyob.
- Qhov no yog qhov kev kho mob zoo rau cov uas muaj ntshav tas li vim yog cov fibroids tawg thiab ntws.
- Thawj txoj hauv kev yog ua tiav laparoscopically, uas yuav tsum tau phais plab kom tshem tawm cov fibroids. Lwm txoj kev yog ua tiav hysteroscopically thiab tau ua los ntawm lub ncauj tsev menyuam.
Kauj Ruam 5. Xav txog endometrial ablation lossis tshem tawm yog tias lwm txoj kev xaiv tsis pab
Yog tias koj muaj lub sijhawm hnyav heev, koj tus kws kho mob yuav hais qhia ib qho ntawm cov kev kho mob no. Hauv cov txheej txheem no, lawv yuav tshem tawm lossis rhuav tshem txheej endometrial (sab hauv ntawm lub tsev menyuam) siv lub tshuab hluav taws xob phais.
Koj yuav tsis tuaj yeem nqa menyuam ntxiv tom qab ib qho ntawm cov txheej txheem no vim tias lub embryo yuav tsis tuaj yeem txuas rau phab ntsa ntawm lub tsev menyuam. Yog li ntawd, lawv yuav suav tias tsuas yog qhov kawg hauv kev kho tus mob menorrhagia hauv cov poj niam uas muaj menyuam hnub nyoog muaj menyuam
Ceeb toom:
Tom qab ua cov txheej txheem no, nco ntsoov siv cov tshuaj tiv thaiv kab mob kom tsis txhob cev xeeb tub yav tom ntej. Thaum koj tuaj yeem muaj peev xwm xeeb tub, cev xeeb tub yuav tsis ua tiav.
Kauj Ruam 6. Tau txais kev rho menyuam tawm yog tias lwm txoj kev kho mob tsis ua tiav
Hauv txoj kev no, tus kws phais yuav tshem koj lub tsev menyuam, ua rau koj nqa tsis tau menyuam. Cov txheej txheem no yuav tsum tau mus pw hauv tsev kho mob thiab ua kom loog tag, yog li koj yuav tsum tau so sijhawm los ntawm kev ua haujlwm thiab yuav xav tau kev txhawb nqa thaum koj rov zoo.
Nrog rau cov txheej txheem no, koj yuav tsis muaj kev coj khaub ncaws ntxiv lawm (thiab yog li ntawd tsis muaj menorrhagia), thiab koj yuav tsis muaj sijhawm los cev xeeb tub yav tom ntej
Txoj Kev 3 ntawm 3: Tau Txais Kev Txheeb Xyuas Menorrhagia
Kauj Ruam 1. Paub koj tus kheej nrog qhov ua rau menorrhagia
Muaj ntau qhov laj thawj yog vim li cas tus poj niam tuaj yeem tsim lub sijhawm ntev lossis hnyav. Cov laj thawj no suav nrog:
- Hormonal tsis txaus
- Kev tsim cov fibroid
- Endometrium khaus
- Adenomyosis
- Lwm cov ntshav tsis xws luag uas txo cov ntshav platelet
Kauj Ruam 2. Qhia koj tus kws kho mob txog cov tsos mob ntawm menorrhagia uas koj tab tom muaj
Cov tsos mob ntawm menorrhagia yuav zoo ib yam li cov tsos mob ntawm lub sijhawm, tshwj tsis yog tias lawv yuav mob hnyav dua. Cov ntshav los yuav hnyav dua thiab muaj peev xwm kav ntev dua thiab qhov mob thiab mob yuav muaj zog lossis ntev dua. Qee cov cim qhia muaj xws li:
- Los ntshav ntau dhau 80 mL (2.7 fl oz) thaum lub caij cev xeeb tub
- Xav tau hloov koj lub ncoo lossis tampon txhua 1 txog 2 teev
- Muaj cov ntshav loj nyob hauv lub sijhawm ntshav
- Cov tsos mob ntshav tsis txaus, xws li qaug zog, kiv taub hau, tsaug zog, tsis pom kev, nqaij leeg tsis muaj zog, thiab ua tsis taus pa.
Kauj Ruam 3. Kom kuaj mob ntawm koj tus kws kho mob lub chaw haujlwm
Hu rau koj tus kws kho mob thiab qhia lawv txog koj cov tsos mob. Lawv yuav muab koj qhov kev xeem thiab ua cov ntawv xeem txhawm rau txheeb xyuas tus mob no thiab txiav txim siab qhov kev kho kom tsim nyog. Tus kws kho mob tuaj yeem xaj ib qho ntawm cov kev ntsuas no txhawm rau txheeb xyuas koj tus mob menorrhagia:
- CBC (Ua tiav Cov Ntshav Ntshav)
- Pap xeem
- Endometrial biopsy
- Kev ntsuas ultrasound
- Sonohysterograms
- Hysteroscopy
