Bleeding in between periods vs Bleeding in periods Ntsuag
Ntshav nyob nruab nrab ntawm lub caij nyoog thiab Ntshav hauv lub sijhawm yog teeb meem rau cov poj niam. Cov poj niam thaum lawv lub caij yug me nyuam muaj kev coj khaub ncaws los ntshav. Lub sijhawm yug me nyuam yog txhais los ntawm lub sij hawm ntawm menarche mus rau menopause. Menarche yog thawj zaug uas tus ntxhais tau ntsib. Menopause yog nres ntawm menses. Feem ntau cov menses tshwm sim txhua 28 hnub. Nws yuav txawv ntawm 21 mus rau 35 hnub. Cov menses yog qhov pib los ntshav ntawm qhov chaw mos uas tshwm sim nyob rau hauv lub voj voog. Qhov kev coj khaub ncaws me me tuaj yeem yog qhov qub nyob rau hauv nruab nrab lub voj voog.
Lub voj voog kev coj khaub ncaws yog tswj hwm cov tshuaj hormones. Cov pulses ntawm GnRH hormone los ntawm Hypothalamus txhawb lub anterior pituitary. Lub pituitary secretes LH thiab FSH cov tshuaj hormones. FSH yuav txhawb nqa lub zes qe menyuam thiab ua rau cov follicles. LH yuav pab kom rupture lub follicle thiab tso lub qe (ovum). Cov tshuaj progesterone thiab estrogen tau nce thaum lub caij no. progesterone yuav ua rau lub tsev me nyuam endometrium tsis tawm. Yog tias qib progesterone poob, cov menses yuav tshwm sim.
Spotting yog cov ntshav me me uas tshwm sim hauv qhov chaw mos. Nws yog ib qho kev phom sij yog tias nws tom qab lub cev tsis muaj zog. Post menopausal spotting yuav tsum tau kuaj xyuas seb puas muaj mob qog noj ntshav los yog endometrial. Tab sis nyob rau hauv lub hnub nyoog me me nyob rau hauv nruab nrab ntawm kev coj khaub ncaws (14th lossis 15th hnub) lossis tom qab kev sib deev nws yuav zoo li qub.
Cov ntshav coj khaub ncaws li qub yuav tsis khov. Txawm li cas los xij nyob rau lub sijhawm hnyav, cov ntshav coj khaub ncaws yuav ua rau txhaws.
Kev hloov ntshav yuav tsum tau qhia rau kws kho mob. Cov kua dej tawm xim av los yog cov ntxhiab tsw ntxhiab yuav ua rau muaj kev phom sij rau tus kab mob.
In summary
• Spotting and menses are per vaginal bleeding
• Pom me me thiab tsis yog voj voog.
• Menses feem ntau yog txog 80 ml ntawm cov ntshav poob.
• Cov xim hloov pauv hauv cov ntshav pom yuav tsum tau tshawb xyuas. Kev pom tom qab lub cev tsis muaj zog kuj yog ib qho kev phom sij.
• Mid cycle spotting yog ib txwm yog vim hormaonal imbalance.
