1. Kodi Dysmenorrhea ndi chiyani?
Dysmenorrhea imatanthauza ululu umene akazi amamva m'mimba kapena m'chiuno chapansi komanso mozungulira nthawi yawo ya kusamba, womwe ungafikenso ku lumbosacral. Pa milandu yoopsa, ikhoza kutsagana ndi zizindikiro monga nseru, kusanza, thukuta lozizira, kuzizira m'manja ndi mapazi, komanso kukomoka, zomwe zimakhudza kwambiri moyo watsiku ndi tsiku ndi ntchito. Pakadali pano, dysmenorrhea nthawi zambiri imagawidwa m'magulu awiri: yoyamba ndi yachiwiri. Dysmenorrhea yoyamba imachitika popanda vuto lililonse la ziwalo zoberekera ndipo nthawi zambiri imatchedwa dysmenorrhea yogwira ntchito. Imapezeka kwambiri pakati pa atsikana achichepere omwe sanakwatiwe kapena omwe sanaberekebe. Mtundu uwu wa dysmenorrhea nthawi zambiri umatha kapena kutha pambuyo pobereka bwino. Kumbali ina, dysmenorrhea yachiwiri imayamba chifukwa cha matenda achilengedwe omwe amakhudza ziwalo zoberekera. Ndi vuto lofala la amayi lomwe limapezeka ndi chiŵerengero cha 33.19%.
2.zizindikiro:
2.1. Kusasamba kwa msambo koyamba kumachitika nthawi zambiri muunyamata ndipo nthawi zambiri kumachitika mkati mwa chaka chimodzi mpaka ziwiri kuchokera pamene msambo unayamba. Chizindikiro chachikulu ndi kupweteka m'mimba komwe kumachitika nthawi zonse mukasamba. Zizindikiro za kusasamba kwa msambo kwachiwiri zimafanana ndi za kusasamba kwa msambo koyamba, koma zikayambitsidwa ndi endometriosis, nthawi zambiri zimakula pang'onopang'ono.
2.2. Ululu nthawi zambiri umayamba munthu akamaliza kusamba, nthawi zina maola 12 asanafike, ndipo ululu waukulu kwambiri umachitika tsiku loyamba la kusamba. Ululuwu ukhoza kukhalapo kwa masiku awiri mpaka atatu kenako n’kutha pang’onopang’ono. Nthawi zambiri umatchedwa kuti spasmodic ndipo nthawi zambiri sukhala ndi kupsinjika kwa minofu ya m’mimba kapena kupweteka kobwerera m’mbuyo.
2.3. Zizindikiro zina zomwe zingachitike ndi monga nseru, kusanza, kutsegula m'mimba, chizungulire, kutopa, ndipo nthawi zina thukuta lozizira limatha kuchitika.
2.4. Kuyezetsa matenda a akazi sikusonyeza kuti pali zinthu zina zachilendo.
2.5. Kutengera ndi kukhalapo kwa ululu m'mimba mwa m'munsi panthawi ya msambo komanso zotsatira zoyipa za mayeso a amayi, matenda amatha kudziwika.
Malinga ndi kuopsa kwa dysmenorrhea, ikhoza kugawidwa m'magawo atatu:
*Wofatsa: Pa nthawi ya msambo kapena isanayambe komanso itatha, pamakhala kupweteka pang'ono m'mimba pansi pa mimba komwe kumayenderana ndi kupweteka kwa msana. Komabe, munthu amathabe kuchita zinthu za tsiku ndi tsiku popanda kumva bwino. Nthawi zina, mankhwala opha ululu angafunike.
*Pang'ono: Musanayambe komanso mutatha kusamba, pamakhala kupweteka pang'ono m'mimba pansi pamodzi ndi kupweteka kwa msana, nseru ndi kusanza, komanso kuzizira miyendo. Kuchitapo kanthu kuti muchepetse ululu kungathandize kuchepetsa ululuwu kwakanthawi.
*Kupweteka kwambiri: Musanayambe komanso mutatha kusamba, pamakhala kupweteka kwakukulu m'mimba mwanu komwe kumapangitsa kuti zikhale zovuta kukhala chete. Zimakhudza kwambiri ntchito, kuphunzira, ndi moyo watsiku ndi tsiku; motero kupuma pabedi kumakhala kofunikira. Kuphatikiza apo, zizindikiro monga kufiira, thukuta lozizira***ge zitha kuchitika. Ngakhale kuti kuyesetsa kuchepetsa ululu kumaganiziridwa; sizipereka mpumulo waukulu.
3. Kuchiza thupi
Kafukufuku wambiri wa zachipatala wasonyeza kuti TENS imathandiza kwambiri pochiza dysmenorrhea:
Matenda oyamba a m'mimba (Primary dysmenorrhea) ndi matenda osatha omwe amakhudza makamaka akazi achichepere. Kulimbikitsa mitsempha yamagetsi (TENS) kwanenedwa kuti ndi njira yothandiza yochepetsera ululu mu matenda oyamba a m'mimba (primary dysmenorrhea). TENS ndi njira yosavulaza, yotsika mtengo, yonyamulika yokhala ndi zoopsa zochepa komanso zotsutsana zingapo. Ngati pakufunika, imatha kuperekedwa yokha tsiku lililonse pazochitika za tsiku ndi tsiku. Kafukufuku angapo afufuza momwe TENS imagwirira ntchito pochepetsa ululu, kuchepetsa kugwiritsa ntchito mankhwala ochepetsa ululu, komanso kukonza moyo wa odwala oyamba a m'mimba (primary dysmenorrhea). Maphunziro awa ali ndi zofooka zina pa khalidwe la njira ndi kutsimikizira chithandizo. Komabe, zotsatira zabwino zonse za TENS mu matenda oyamba a m'mimba zomwe zidapezeka m'maphunziro onse am'mbuyomu zikuwonetsa kufunika kwake. Ndemanga iyi ikupereka malingaliro azachipatala a magawo a TENS pochiza zizindikiro zoyambirira za matenda oyamba a m'mimba kutengera maphunziro omwe adasindikizidwa kale.
Kodi mungachiritse bwanji dysmenorrhea ndi mankhwala ochiritsira pogwiritsa ntchito electrotherapy?
Njira yogwiritsira ntchito yeniyeni ndi iyi (TENS mode):
① Dziwani kuchuluka koyenera kwa mphamvu yamagetsi: Sinthani mphamvu yamagetsi ya chipangizo cha TENS electrotherapy kutengera kuchuluka kwa ululu womwe mukumva komanso zomwe zimakusangalatsani. Kawirikawiri, yambani ndi mphamvu yochepa ndikuwonjezera pang'onopang'ono mpaka mutamva bwino.
②Kuyika ma electrode: Ikani ma electrode patches a TENS pamalo omwe akupweteka kapena pafupi ndi malo omwe akupweteka. Ngati muli ndi ululu wa dysmenorrhea, mutha kuwayika pamalo omwe akupweteka m'mimba. Onetsetsani kuti mwamangirira ma electrode pads mwamphamvu pakhungu lanu.
③Sankhani njira yoyenera komanso pafupipafupi: Zipangizo zamagetsi za TENS nthawi zambiri zimakhala ndi njira zosiyanasiyana komanso pafupipafupi zoti musankhe. Ponena za dysmenorrhea, pafupipafupi yoyenera yochepetsera ululu ndi 100 Hz, mutha kusankha njira yolimbikitsira mosalekeza kapena yolimbikitsa kugunda kwa mtima. Ingosankhani njira ndi pafupipafupi zomwe zimakusangalatsani kuti mupeze mpumulo wabwino kwambiri wa ululu.
④Nthawi ndi kuchuluka kwa mankhwalawa: Kutengera ndi zomwe zikukuyenderani bwino, nthawi iliyonse ya TENS electrotherapy iyenera kukhala pakati pa mphindi 15 mpaka 30, ndipo tikulimbikitsidwa kuigwiritsa ntchito kamodzi kapena katatu patsiku. Pamene thupi lanu likuchitapo kanthu, khalani omasuka kusintha pang'onopang'ono kuchuluka kwa mankhwalawa ndi nthawi yogwiritsira ntchito ngati pakufunika.
⑤Kuphatikiza ndi mankhwala ena: Kuti muchepetse kwambiri dysmenorrhea, zingakhale zothandiza kwambiri ngati mutaphatikiza chithandizo cha TENS ndi mankhwala ena. Mwachitsanzo, yesani kugwiritsa ntchito ma compress otentha, kuchita masewera olimbitsa thupi ochepetsa mimba kapena kupumula, kapenanso kupatsidwa masaji - zonsezi zimatha kugwira ntchito limodzi mogwirizana!
Sankhani njira ya TENS, kenako ikani ma electrodewo pamimba yapansi, mbali zonse ziwiri za mzere wapakati wakutsogolo, mainchesi atatu pansi pa umbilicus.
Nthawi yotumizira: Januwale-16-2024
