Waa wax caadi ah in aad la kulantid casiraad khafiif ah inta lagu jiro mudadaada , iyo warka wanaagsani waxa weeye in casriyeyntaasi sida caadiga ah la fududeeyaa daaweynta fudud sida dabo kuleyl ama daboolka xanuunka miisaanka.
Si kastaba ha ahaatee, qaar ka mid ah caadooyinka caadada haweenka ayaa laga yaabaa inaanay ku fiicnayn daawooyinka asaasiga ah. Haddii tani ay tahay kiis, adiga oo ballan ka sameysanaya dhakhtarkaagu waa muhiim.
Habkan ma aha oo keliya inaad hesho xanuunka xanuunka ee aad u qalantay laakiin sidoo kale hubi in aysan jirin wax kale oo socda.
Fahmidda Xasaasiyadda caadada
Ereyga caafimaadka ee la kulma xanuunka la xiriira xilligaaga waa dysmenorrhea, waxaana jira laba nooc: dysmenorrhea dugsiga hoose / dhexe.
Dismeorrhea
Sida laga soo xigtay College College of Obstetricians iyo Ginecologists (ACOG), in ka badan boqolkiiba konton haween ah ee caadada u dareemaya xanuunka hal maalin ilaa laba maalmood bil kasta. Si kale haddii loo dhigo, casiraadda caadada ayaa ah mid aad u badan.
Wax soo saarka Prostaglandin gudaha gudaha ilmagaleenkaagu waa kuwa culus ee ka dambeeya caadada caadada. Maadaama heerarka prostaglandin u kacaan ilmo galeenka ka hor intaan caadada bilaabmin, haweenku guud ahaan waxay dareemaan casiraad maalintii maalinta koowaad ee muddadeeda. Iyadoo maqnaanshaha ilma-galeenkoodu uu dillaacayo iyo dhiig-baxa sii socdo, heerarka prostaglandin ayaa hoos u dhacaya iyo markaa, casiraad.
Waxaa xiiso leh in la xusuusto in caadooyinka caadada caadiyan bilaabaan marka haweeneydu bilawdo caadada caadada, inta lagu guda jiro caruurnimadeeda dambe ama bilowga da'da yar.
Hase yeeshee, dumarka badankood, miisaanku wuxuu noqdaa mid xanuun badan marka ay sii weynaadaan.
Dysmenorrhea secondary
Dysmenorrhea secondary micnaheedu waa in caadada haweenku ay ka timaaddo heerarka prostaglandin ee gudaha ilmo-galeenka, lakiin halkii xaalad caafimaad oo kale. Tusaalooyinka xaaladaha keeni kara dysmenorrhea waxaa ka mid ah:
- Endometriosis
- Uterine Fibroids
- Adenomyosis
Xanuunka dysmenorrhea oo ka duwan sida caadiga ah dysmenorrhea ayaa laga yaabaa inay bilaabato nolosha dambe, iyo xanuunka la xidhiidha muddooyinka ayaa u muuqda mid ka sii daraya, ma fiicna, sida haweeney u weynaato. Intaa waxaa dheer, inta xanuunka dysmenorrhea uu sii socdo maalin ama laba maalmood, xitaa dysmenorrhea wuu ka sii darayaa muddada uu socdo. Xaqiiqdii, xanuunka waqtiga haweenku wuu sii socon karaa xitaa ka dib markii dhiigga caadadu dhammaaday.
Qiimeynta Cirbadeynta Xumada
Ka sokow qaadashada taariikh caafimaad oo taxadar leh iyo fulinta baaritaanka jireed, oo ay ku jirto baaritaanka miskaha, dhakhtarkaagu wuxuu dalban karaa ultrasound, si uu uugu dhowaado fiiro gaar ah oo ku saabsan xubnaha tarankaaga (ugxan-yaryaha, ilma-galeenka, iyo tuubbooyinka dhoobada). Ultrasound ayaa si gaar ah faa'iido ugu leh in lagu ogaado cudurka fibroids. Inta badan, qaliinka waxaa loo baahan yahay dhakhtarkaaga inuu baaro xubnaha jirkaaga ee miskahaaga.
Teeda kale, dhakhtarkaagu wuxuu kugula talin karaa baaritaanka uurka, maaddaama isku-darka shubanka iyo dhiig-baxa uu tilmaamayo dhicin ama uurjiif.
Daaweynta Xanuunka Xiddiga
Daawada 'nonsteroidal anti-inflammatory' (NSAIDs), sida ibuprofen, ayaa inta badan lagula taliyaa in lagu daaweeyo xinjirowga, maadaama ay hoos u dhigto heerarka prostaglandin ee jirka. U hubso, inkasta oo, inaad kala hadasho takhtarkaaga NSAID marka hore, sababtoo ah waxay keeni karaan waxyeelo xun sida dhiig-bax, caloosha caloosha, iyo dhibaatooyinka kelyaha iyo beerka.
Xakameynta dhalmada isku dhafka ah (tusaale ahaan, kiniinnada, boogta, ama giraanta siilka), iyo sidoo kale hababka progestin-keliya (tusaale, qalab intrauterine ama maqaar-gal ah), ayaa sidoo kale laga yaabaa inay ku caawiso daaweynta dysmenorrhea.
Dabcan, waxaa jira daweyno aan munaasib aheyn, sida adoo isticmaalaya sariirta kuleylkaaga calooshaada hoose. Arrinta xiisaha leh, jimicsiga ayaa la ogaadey inuu sidoo kale caawimaad ka gooyo casriga caadada.
Haddii lagugu arko shuban-ka labaad, dhakhtarkaagu wuxuu daaweyn doonaa xaaladda hoose si uu u yareeyo xannuunka caadadaada. Tusaale ahaan, xakameynta dhalmada hormoonku waa la qori karaa si loo daweeyo endometriosis, iyo haddii fibroids ay xanuunka keenaan, waxaa laga saari karaa qalliin.
Ugu dambeyntii, dumarka qaarkood waxay doortaan daaweyn dhameystiran (tusaale ahaan, acupuncture or yoga), mid kali ahaan ah ama marka lagu daro daawooyinka, si ay u xanuujiyaan xanuunka-inkastoo, caddaynta taageeraya faa'iidadoodu ay xaddidan tahay.
Ereyga
Ugu dambeyn, waxaa macquul ah in la arko dhakhtarkaaga haddii aad la kulantid caadooyinka caadada u ah, gaar ahaan haddii aysan fududeynin xeelado sahlan, iyo / ama joogteyn muddada caadadaada.
Dabcan, mar kasta oo aad la kulanto xanuun cusub oo daran ama caloosha hooseeya, ha sugin ballanta dhakhtarka. Xaaladdan, raadso daaweyn isla markiiba.
> Ilo:
> Kulliyadda Maraykanka ee Dhaqtarka iyo Dhakhaatiirta Dumarka. (2015). Su'aalaha Inta Badan La Isweydiiyo: Dysmenorrhea: Muddooyinka Xanuunka ah.
> Smith RP, Kaunitz AM. (2017). Dummanka aasaasiga ah ee haweenka qaangaarka ah: Noocyada caafimaadka iyo qeexitaanka. Barbieri RL, ed. UpToDate. Waltham, MA: UpToDate Inc.
> Yu A. Daaweyn dhameystiran iyo daaweyn kale oo loogu talagalay xannuunada asaasiga ah ee qaangaarka ah. Practice Nurse . 2014 Nov 16; 39 (11): 1-12.