Ukuphuma kwintsholongwane engavumelekanga yigazi elingaqhelekanga eyenzeka ngenxa yemisebenzi engafanelekiyo okanye izifo ezahlukahlukeneyo zezitho ezilawula umjikelezo wesini. Isizathu sabo asikho ukukhulelwa okanye naziphi na izifo zesistim. Ngokuqhelekileyo, ukuphuma okunjalo kubangelwa ngabasetyhini abakwiqela elidala ukususela kwiminyaka engama-35 ukuya kuma-50.
Kubasetyhini abanegazi elingasebenziyo, kuphuma ukulibaziseka kwamadoda aphuma, ahlukeneyo ngexesha kunye namandla. Xa kuphuma ixesha elide okanye elinamandla, i-anemia ikhula.
Kukho izimbangela ezinjalo zokuphuma kwegazi lomzimba:
- Ukuphazamiseka kwe-hormonal balance of body body.
- Ukuxinezeleka kunye nomthwalo onamandla wengqondo.
- Ukutshintsha kwemozulu.
- Ukuxiliswa komzimba.
- Umsebenzi omzimba.
- U ku sebenza.
- Ukuvuvukala kwimizimba yeplavic.
- Ezinye iintlobo zonyango.
- Intrauterine spin.
Kukho iintlobo ezintathu ze-uterine yokuphuma ngegazi:
- Umntwana osuka ku-uterine ukuphuma ngegazi (kumantombazana ngexesha lokufikana, oko kukuthi kwiminyaka eyi-12-16). Isizathu sentsholongwane yokuphuma kwintsholongwane ngokuqhelekileyo singasebenzi kumsebenzi wokunxibelelana "hypothalamus-pituitary-ovaries".
- Ukuhlanjululwa kwenkathi yokuzala (ngexesha lokubeletha) ngokuqhelekileyo kwenzeka ngenxa yokuvuvukala kweentlobo zeplavic.
- Ukuhlanjululwa kwexesha lokugqibela (kubasetyhini kwiminyaka engama-45 ukuya kwe-50) ngenxa yokuphela komsebenzi wesini.
Amaqela omzimba wokuphuma kwamanzi:
- Ukuphuma kwegazi okanye ukuphaphaza okungaqhelekanga kuhambelana nokuvuthwa okwenzeka phakathi komjikelezo wesini.
- Ukuphuma kwintsholongwane yegazi , engabandakanywa ne-ovulation. Zizona zixhaphake kwaye zikuninzi, kwixesha leentsana kunye nexesha le-menopausal. Kule meko, le ntokazi ibona ukungabi khona kwexesha lokuya esikhathini elilandelwa yigazi elide.
Unyango lwe-uterine ephazamisayo
Xa uqhagamshelana nogqirha, ukuxilongwa kwe-uterine mucosa kwenziwa, kunye ne-hysteroscopy (uviwo lweendonga zesigxina se-uterine kwisixhobo esikhethekileyo-hysteroscope). Ngenxa yokuphulukiswa, ukuphuma kwamanzi kuyeka, kunye nokuhlolwa kwe-hertological of scraping isetyenziselwa ukucacisa ukuxilongwa nokunika unyango olufanelekileyo.
Unyango lwaloo mpahla luxhomekeke kwimbonakaliso yekliniki. Njengolawulo, lwenziwa ngamagatya amabini: i-hemostatic kunye nokukhusela.
Ukuyeka ukuphuma kwegazi usebenzisa ithuluzi elinciphisa isisu (njenge-oxytocin) kunye ne-hemostatic (i-Vikasol, i-dicinone, i-askorutin).
Izigulane zonyaka wokuzala zichonywe i-hormone therapy, ngenxa yinto enokuyenza ngayo:
- ukujongwa komsebenzi wokuya esikhathini;
- ukubuyiswa komsebenzi wokuzala kunye nokubuyiselwa kwamandla okukhulelwa, xa kukho ukuphulwa okunjalo;
- ukuthintela ukuphuma kwintsholongwane ka-uterine.
Ukuba ukuphuma kwegazi kwenzeka ngenxa yokuxinezeleka, uxinzelelo lwengqondo, umzimba okanye yengqondo, ukuphumla, ingqondo, i-hypnosis, i-hypnosis, i-hypnotics, iivithamini, i-physiotherapy, kunye namaxesha athile azinzile.
Xa ukuphuma kwintsana ekutshitshiseni i-uterine cavity kwathatha igazi elikhulu kakhulu. Ukunyangwa kwengcinezelo yentsana emva kokumisa ukuphuma kwegazi ngokwayo kukubuyisela umsebenzi wexesha lentombazana, ngelixa izizathu zokuphuma kwegazi zihlaziywa. Ngokuxhomekeke kwiziphumo, unyango lwe-hormonal, iziyobisi ze-nootropic, i-physiotherapy, unyango lwe-vitamin, unyango lwe-sedation lunokumiselwa. Ukongezelela, ukulungiswa kwesondlo, irejimeni kunye nokunyangwa kwezifo ezingapheliyo kukhuthazwa.
Kwakhona, ngegazi elingenayo i-uterine ephuma kumachiza, izigulane zichazwe izidakamizwa ezinezinyithi zokukhusela ukuphuhliswa kwe-anemia kunye neziyobisi ezikhuthaza ukukhuselwa komzimba.
Kufuneka ikhunjulwe ukuba ngonyango engafanelekanga okanye enganelanga, kubuya kwakhona.