Kinh nguyệt không đều – phải làm sao?

Kinh nguyệt là vấn đề thực sự đáng quan tâm của tất cả chị em phụ nữ vì nó phản ánh sức khỏe của toàn bộ cơ thể cũng như khả năng sinh sản của chị em. 

Tên gọi kinh nguyệt xuất phát từ trong dân gian vì người xưa chỉ có thể tính ngày kinh dựa theo chu kỳ của mặt trăng cho dễ nhớ. 

KINH NGUYỆT KHÔNG ĐỀU LÀ THẾ NÀO?

Điều này tùy vào từng giai đoạn: 

  • Trong vòng 1 năm kể từ khi hành kinh thì kinh nguyệt không đều là bình thường 
  • Trong 1 đến 3 năm sau khi hành kinh gọi là kinh nguyệt không đều khi ngắn hơn 21 ngày hoặc dài hơn 45 ngày mới có kinh một lần 
  • Lớn hơn 3 năm đến thời điểm quanh mãn kinh gọi là kinh nguyệt không đều khi ngắn hơn 21 ngày hoặc dài hơn 35 ngày mới có kinh một lần hoặc một năm có kinh dưới 8 lần 

NGUYÊN NHÂN

  • Có thai: là nguyên nhân thường gặp 
  • Hội chứng buồng trứng đa nang 
  • Cạn kiệt năng lượng: tập luyện nặng, ăn kiêng quá độ, stress nặng… 
  • Tăng prolactin máu 
  • Mãn kinh sớm: mất kinh hoàn toàn trước 40 tuổi 
  • Biện pháp ngừa thai chỉ có progestin như thuốc, que cấy implanon, vòng nội tiết hoặc thuốc ngừa thai kết hợp chứa estrogen liều thấp 

KHI NÀO NÊN ĐI KHÁM?

  • Trên 15 tuổi mà chưa có kinh 
  • Vô kinh sau 3 năm kể từ khi phát triển tuyến vú 
  • Trước đó kinh đều nhưng đột nhiên mất kinh trên 3 tháng 
  • Chu kỳ kinh thưa trên 45 ngày 
  • Chu kỳ kinh ngắn dưới 21 ngày 

NHỮNG TRIỆU CHỨNG CẦN LƯU Ý

  • Nghi ngờ có thai: buồn nôn, nhức đầu, đau dạ dày, mệt mỏi, bụng to 
  • Các thành viên trong gia đình có kinh nguyệt không đều như mẹ hoặc chị em gái 
  • Có mụn hoặc lông trên mặt hay ngực 
  • Tăng cân dễ và rất khó giảm cân 
  • Những cơn bốc hỏa: cảm giác nóng bừng từng cơn bắt đầu từ ngực và mặt rồi lan đi khắp cơ thể 
  • Đổ mồ hôi đêm, bốc hỏa xảy ra ngay trong khi đang ngủ 
  • Nhức đầu hay tầm nhìn trở nên khó khăn 
  • Dịch như sữa chảy ra từ núm vú 
  • Căng thẳng nhiều 
  • Sụt cân gần đây 
  • Luyện tập nhiều hơn gần đây 
  • Thay đổi thói quen ăn uống và những loại thực phẩm ăn vào 
  • Đang sử dụng thuốc, thảo dược hay vitamins 

CÁC LOẠI XÉT NGHIỆM SỬ DỤNG ĐỂ KIỂM TRA KINH NGUYỆT KHÔNG ĐỀU

  • Thử thai 
  • Xét nghiệm nồng độ hormon trong máu 
  • Siêu âm vùng chậu kiểm tra tử cung, buồng trứng 
  • MRI: khi nghi ngờ có u tuyến yên 

ĐIỀU TRỊ KINH NGUYỆT KHÔNG ĐỀU

  • Uống thuốc ngừa thai hàng ngày nếu muốn kinh đều 
  • Giảm cân nếu thừa cân 
  • Những loại thuốc giúp bạn dễ có bầu nếu bạn đang khó thụ thai 
  • Thay đổi cách ăn và tập luyện: ăn nhiều năng lượng hơn nếu thiếu chất, tăng cân nếu đang ít cân, giảm cường độ tập luyện, hạn chế stress 
  • Hormone điều trị cơn bốc hỏa 
  • Thuốc làm giảm nồng độ prolactin máu 

KINH NGUYỆT KHÔNG ĐỀU CÓ THỂ NGĂN NGỪA ĐƯỢC KHÔNG?

Bạn nên thực hiện lối sống lành mạnh, tránh quá ốm hoặc thừa cân, hạn chế stress, chế độ ăn cân bằng đầy đủ chất, tập luyện vừa phải 

Đối với những nguyên nhân đột biến và di truyền thì khó có thể ngăn ngừa. Chỉ có thể kiểm soát các yếu tố bên ngoài ảnh hưởng đến người mẹ trong khi đang mang thai nhằm hạn chế đột biến 

Nếu thấy mình có những triệu chứng của kinh nguyệt không đều và muốn nhận được lời khuyên từ chuyên gia, hãy liên hệ với tôi, tôi sẽ giúp bạn giải đáp thắc mắc. 

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