Metrorrhagia, poob ntshav sab nraum lub cev ntas, feem ntau tuaj yeem ua rau pom tias muaj kab mob hauv lub cev tsis zoo lossis tsis muaj tshuaj hormones, tsis tshua muaj tshwm sim thawj qhov tsos mob ntawm tus mob qog noj ntshav lossis kos npe ntawm cov kab mob dav dav. Metrorrhagia sawv cev ze li ib feem peb ntawm kev sab laj txog poj niam txiv neej.

Lus txhais

Metrorrhagia yog los ntshav uas tshwm sim sab nraum koj lub sijhawm lossis tsis muaj lub sijhawm (ua ntej pub dawb lossis tom qab lub cev ntas). Cov hemorrhages no tuaj yeem tshwm sim los yog tshwm sim los ntawm kev sib deev. Qee qhov xwm txheej, cov metrorrhagia no cuam tshuam nrog menorrhagia (lub sijhawm hnyav tsis txawv txav). Peb tab tom tham txog meno-metrorags. 

Ua rau 

Metrorrhagia tuaj yeem muaj ntau yam ua rau. Qhov ua rau tuaj yeem faib ua 3 pawg: cov organic ua rau txuas rau qhov txhab ntawm lub nruab nrog cev (kab mob sib kis, endometriosis ntawm lub tsev menyuam lossis adenomyosis, qog nqaij hlav ntawm ncauj tsev menyuam thiab chaw mos, polyps, uterine fibroids - ntau heev, mob qog noj ntshav, thiab lwm yam) , ua haujlwm los ntshav vim yog tshuaj estrogen-progestogen tsis txaus (tsis txaus cov tshuaj estrogen lossis progesterone tso lossis iatrogenic uterine los ntshav vim kev kho tsis tau zoo: tshuaj estrogen-progestogen lossis progestin ntsiav tshuaj, tshuaj tiv thaiv kab mob) thiab los ntshav uas muaj qhov tshwm sim (tsis xwm yeem los ntawm qhov tsis sib xws ntawm coagulation yam xws li von Willebrand's) kab mob lossis kis kab mob ntawm hemostasis, piv txwv li hematologic malignancies, hypothyroidism, thiab lwm yam)

Metrorrhagia tuaj yeem cuam tshuam nrog cev xeeb tub. Tsis tas li, cev xeeb tub tau nrhiav hauv cov poj niam uas muaj menyuam hnub nyoog. Tab sis hauv ntau qhov xwm txheej, tsis pom muaj laj thawj.

diagnostic 

Kev kuaj mob feem ntau yog chaw kuaj mob. Thaum muaj metrorrhagia, txhawm rau nrhiav qhov ua rau ntawm no, kev tshuaj ntsuam mob tau ua tiav. Nws yog nrog los ntawm kev nug. 

Kev tshuaj xyuas ntxiv tuaj yeem ua rau kev kuaj mob:

• pelvic thiab endovaginal ultrasound,
• hysterosalpingography (x-ray ntawm kab noj hniav ntawm lub tsev menyuam thiab cov hlab ntaws),
• hysteroscopy (kuaj endoscopic ntawm lub tsev menyuam),
• kuaj (biopsy, smear). 

Cov neeg txhawj xeeb 

Ib ntawm tsib tus poj niam uas muaj hnub nyoog 35 txog 50 xyoos raug cuam tshuam los ntawm ntshav thiab menorrhagia (lub caij hnyav hnyav). Menometrorrhagia sawv cev ntau dua li ib feem peb ntawm kev sab laj nrog kws kho mob poj niam.

Risk yam tseem ceeb 

Muaj qhov txaus ntshai rau menorrhagia thiab metrorrhagia: siv lub cev ntau dhau, siv tshuaj lossis haus dej cawv ntau dhau, tsis nco qab lossis bulimia, ntshav qab zib, cov kab mob hauv cov thyroid, noj cov tshuaj estrogen-progestogen ntau ntau.

Ntshav poob sab nraum koj lub sijhawm 

Koj tau txais metrorrhagia thaum koj poob ntshav sab nraum koj lub sijhawm. Cov hemorrhages tuaj yeem yog xim dub lossis xim liab, ntau dua lossis tsawg dua qhov tseem ceeb thiab muaj kev cuam tshuam rau qhov xwm txheej dav dav (lawv tuaj yeem ua rau ntshav tsis txaus). 

Cov cim qhia nrog ntshav poob

Tus kws kho mob yuav tshawb pom yog tias cov hemorrhages no nrog nrog txhaws, mob plab, mob leucorrhoea,

Lub hom phiaj ntawm kev kho mob yog kom tsis txhob los ntshav, kho qhov ua rau, thiab tiv thaiv teeb meem. 

Yog tias cov ntshav los vim yog qhov tsis txaus ntawm cov tshuaj hormones, nquag thaum lub cev ntas, kev kho mob suav nrog cov tshuaj uas tau muab los ntawm progesterone lossis IUD uas muaj cov tshuaj progesterone (levonorgestrel). Yog tias qhov kev kho mob no tsis txaus, kev kho mob tau muab tshem tawm cov hnoos qeev hauv ob sab hauv ntawm lub tsev menyuam los ntawm hysteroscopy lossis kho lub plab. Kev tshem tawm ntawm lub tsev menyuam los yog kev txiav menyuam hauv plab yog tias qhov kev kho no ua tsis tiav. 

Yog tias metrorrhagia cuam tshuam nrog fibroid, tom kawg tuaj yeem yog qhov kev kho tshuaj: tshuaj uas ua rau qeeb ntawm kev loj hlob ntawm fibroids lossis txo lawv cov tsos mob. 

Polyps tuaj yeem raug tshem tawm phais, ib yam li fibroids. Kev tshem tawm ntawm lub tsev menyuam yog txiav txim siab thaum cov fibroids loj dhau lossis ntau heev. 

Thaum los ntshav vim yog mob qog noj ntshav ntawm lub ncauj tsev menyuam, lub tsev menyuam lossis zes qe menyuam, kev kho yog tsim nyog rau hom mob qog noj ntshav thiab nws qib. 

Homeopathy tuaj yeem ua tau zoo hauv kev kho cov ntshav los ntshav.

Nws tsis tuaj yeem tiv thaiv metrorrhagia, tshwj tsis yog zam qhov kev pheej hmoo: ua haujlwm ntau dhau ntawm lub cev, noj tshuaj lossis haus dej cawv ntau dhau, anorexia lossis bulimia, ntshav qab zib, cov kab mob hauv cov thyroid, noj cov tshuaj estrogen-progestogen ntau ntau.