Spotting vs Bleeding
Pom thiab los ntshav yog nyob rau tib lub spectrum. Thaum los ntshav yog qhov tseem ceeb, spotting yog hais txog qhov tsis txaus los ntshav. Qhov sib txawv ntawm ob yog qhov ua rau, qhov nyiaj, thiab kev kho mob. Kab lus no yuav tham txog ob qho tib si pom thiab los ntshav kom meej, qhia txog cov yam ntxwv kho mob, ua rau, cov tsos mob, kev tshawb nrhiav thiab kev kuaj mob, kev kuaj mob, kev kho mob, thiab thaum kawg qhov sib txawv ntawm lawv.
Spotting
Ua rau pom pom muaj xws li, kev tso ntshav los ntshav, kev ua poj niam cev xeeb tub, ntshav tom qab yug menyuam, cervicitis, vaginitis, endometritis, thiab mob qog noj ntshav. Kev coj khaub ncaws tsis tu ncua kuj tseem tuaj yeem tshwm sim los ntshav hauv ntau hnub ntawm ib lub lis piam. Tus neeg mob pom qhov no yog qhov pom. Nws yog ib qho tseem ceeb kom nco ntsoov tias tag nrho cov xwm txheej no tuaj yeem ua rau los ntshav hnyav. Tab sis lawv feem ntau tsis ua. Nyob rau hauv kev npaj ntawm implantation, lub puab txheej ntawm lub tsev menyuam nce nws cov ntshav. Thaum lub sij hawm implantation, lub ovum fertilized burrows mus rau hauv lub puab txheej ntawm lub tsev menyuam uas ua rau me me los ntshav. Qee tus poj niam yuav los ntshav me ntsis thaum lub sij hawm ovulation, nyob ib ncig ntawm hnub 14 ntawm lub voj voog. Tsis ntev tom qab menarche thiab nyob ib puag ncig cov poj niam cev xeeb tub tej zaum yuav muaj qhov tshwm sim los ntshav nyob nruab nrab ntawm lub sijhawm ib txwm muaj.
ntshav ntshav tom qab yug me nyuam yog ib qho kev nthuav qhia tseem ceeb vim tias nws yuav yog vim mob qog noj ntshav los yog endometrial. Kev kuaj qhov chaw mos, colposcopy, thiab biopsy yog cov kauj ruam tseem ceeb hauv kev kuaj mob qog noj ntshav. Dilatation thiab curettage muab cov qauv endometrial rau kev kuaj histological yog tias muaj mob qog noj ntshav endometrial. Txoj kev kho mob hloov raws li kev kis mob qog noj ntshav. Yog tias nws nyob hauv cheeb tsam tsis muaj kev koom tes ntawm cov ntaub so ntswg ib puag ncig, kev tshem tawm ntawm lub tsev menyuam yog kho. Yog tias muaj kev sib kis tseem ceeb, kev kho tshuaj khomob thiab kev kho mob hluav taws xob tuaj rau hauv qhov chaw. Hormonal imbalances kuj tseem tuaj yeem ua rau ntshav tom qab yug menyuam. Tom qab lub cev tsis muaj zog, qhov chaw mos thiab lub tsev menyuam degenerates vim tsis muaj estrogen. Qhov no hu ua atrophy. Ib qho ntawm cov cim qhia ntawm kev hloov pauv atrophic yog cov ntshav tsis txaus. Kev hloov tshuaj hormones muab qee qhov kev pab, tab sis nws tsis pom zoo kom mus txuas ntxiv mus ntev vim tias muaj kev pheej hmoo ntawm mob qog noj ntshav mis. Cervicitis thiab vaginitis tuaj yeem yog qhov tshwm sim ntawm atrophy thiab kis kab mob. Muaj qhov mob mob hnyav ntawm thaj chaw ua rau nws raug los ntshav. Cov tshuaj tua kab mob thiab tshuaj tua kab mob kho cov kab mob thaum hloov pauv atrophic tsis xav tau kev kho mob tshwj tsis yog cov tsos mob hnyav dhau.
Bleeding
Ua rau los ntshav hnyav (menorrhagia) suav nrog kev ua haujlwm tsis zoo ntawm lub tsev menyuam los ntshav, hormonal imbalances, adenomyosis, uterine fibroids, polycystic zes qe menyuam syndrome, hormonal contraceptive txoj kev, thiab kab mob ntawm cov ntshav. Dysfunctional uterine bleeding yog ib qho kev kuaj mob ntawm kev cais tawm. Yog tias tag nrho lwm yam ua rau los ntshav tsis zoo, qhov kev kuaj mob no dhau los ua qhov ua tau. Qee qhov kev xav tias los ntshav yog vim qhov txawv txav ntawm qhov nce vascularity ntawm endometrium. Tranexamic acid yog ib qho tshuaj antifibrinolytic, thiab nws tsis ua haujlwm ntawm lub tsev menyuam los ntshav. Progesterone hloov pauv cov vasculature thiab nres los ntshav, tab sis muaj kev tshem tawm los ntshav thaum progesterone nres.
Adenomyosis yog qhov muaj ntawm endometrium zoo li cov ntaub so ntswg hauv cov leeg nqaij. Cov ntaub so ntswg no nyob rau hauv kev tswj ntawm cyclical hormonal hloov thiab tej zaum yuav ua rau mob hnyav thiab los ntshav. Uterine fibroids, uas ua rau thaj tsam ntawm endometrium thiab fibroids cuam tshuam nrog uterine contraction, ua rau lub sijhawm hnyav. Polycystic ovarian syndrome yog ib yam kab mob nyuaj uas muaj qhov ua tsis tiav ntawm ntau cov follicles ua rau cyst tsim. Muaj ntau ntxiv estrogen thiab testosterone tsim. Txiv neej cov plaub hau faib, rog , lub sijhawm tsis xwm yeem thiab tsis muaj menyuam yog qhov tseem ceeb ntawm polycystic zes qe menyuam syndrome. Hormonal contraceptives cuam tshuam cov hormonal cycles thiab tuaj yeem ua rau los ntshav hnyav. Cov kab mob los ntshav xws li hemophilia thiab thromobocytopenia kuj ua rau lub sijhawm hnyav.
Qhov txawv ntawm Spotting thiab Bleeding yog dab tsi?
• Spotting is scanty thaum los ntshav tseem ceeb.
• Ua rau pom qhov txawv ntawm qhov ua rau los ntshav hnyav. Cervicitis, vaginitis, mob qog noj ntshav feem ntau tsis ua rau los ntshav hnyav.
• txoj kev kho mob txawv raws li keeb kwm ntawm cov ntshav.
Nyeem ntxiv:
1. Qhov txawv ntawm Kev Pom Kev Cev Xeeb Tub thiab Lub Sijhawm
2. Qhov txawv ntawm cev xeeb tub los ntshav thiab lub sij hawm
3. Qhov txawv ntawm Perimenopause thiab Menopause
4. Qhov txawv ntawm Abortion thiab Miscarriage
