sisxldena saSodan

kontaqturi sisxldeniT, mag. sqesobrivi aqtis Semdgom sisxldena.
saSvilosnos kibo – xasiaTdeba iregularuli gaxangrZlivebuli sisxldeniT.
orsuloba gadatanil qalebSi an abortis Semdgom periodSi sisxldena SeiZleba niSani iyos endometritis an products of conception (RPOC) -nayofis an placentaruli narCenebi.
saSvilosnos fibroidebi (leiomioma) keTilTvisebiani simsivne saSvilosnoSi.

orsul qalebSi:
orsulobis dros saSodan sisxliani gamonadeni orsulebis 15-25 % Si gvxvdeba (pirvel trimestrSi) maTgan naxevari sruldeba spontanuri abortiT.
zog SemTxvevaSi xdeba placentis venis gaxeTqva.
SeiZleba gamowveuli iyos eqtopiuri orsulobiT, abortiT.
SesaZloa Tan axldes arasrul aborts.
meore trimestrSi sisxldena umetesad placentis winmdebareobas axasiaTebs. am SemTxvevaSi placenta nawilobriv an srulad gadafarebulia saSvilosnos yels. zog SemTxvevaSi sisxldenis mizezia placentis aSreveba. es mdgomareoba asocirebulia saSvilosnos tkivilTan.

postmenopauzalur qalebSi

postmenopauzalur qalebSi didi mniSvneloba eniWeba saSodan sisxldenis samedicino Sefasebas. am dros diferencialuri diagnozis gatareba aucilebelia:

hormonuli mdgomareoba 30 %
atrofiuli endometriti/vaginiti 30 %
endometriumis simsivne 15 %
endometriumis polipebi, cervikaluri polipebi 10 %
endometriumis hiperplazia 5 %
sxva mizezebi 10 %

saSodan sisxldenis diagnozi ismeva anamnezis, fizikaluri gasinjvis, da sxva samedicino testebis safuZvelze. ZiriTadad keTdeba:
orsulobis testi
hormonebis analizi
pap testi
transvaginaluri ultrabgera

Tu sisxldena gaxangrZlivebulia aucilebelia pacienti Semowmdes organizmSi hemoglobinis da eriTrocitebis raodenobaze.

endometriumis mdgomareoba unda Sefasdes histeroskopiiT da biofsiiT.

mkurnaloba warmoebs mizezis sapasuxod.

xSirad mkurnalobisTvis gamoiyeneba kombinirebuli oraluri kontraceptivebi.

garTulebebi:

sisxldenas SeiZleba moyves hipovolemia, romelic SeiZleba gadaizarod SokSi.

Zlieri sisxldenis dros SesaZoa saWiro gaxdes saSvilosnos arteriis e