Gadameessi dubartoota kutaawwan sadii ofkeessaa qaba. Kunis kutaa gara alaatti argamu, kutaa gidduutti argamu kan maashaafi hiddoota dhiigaa ofkeessaa qabuufi kutaa keessoon gadameessaa ykn endometrium kan jedhamuudha.
Sababa jijjiiramuu hormooniiwwan kutaa sammuu dubartootaa keessaa maddu irraan kan ka’e haalli keessoo gadameessaa baatii baatiidhaan ni jijjiirama. Hormooniiwwan istiroojiiniifi pirojestiroonii jedhaman hammisaanii waan jijjiramuuf keessoo gadameessaa akkasumas kutaa qopheessituu hanqaaquu kan taatee, ovaarii jedhamurratti jijjiiramoota garaagaraa agarsiisu. Hormooniin kun keessoo gadameessaa jijiirma fidee keessoonsaa akka harca’aa deemu gochuun akka dhiigni gara maddiitti bahu godha.
Marsaan laguu (xurii) dubartootaa sababa jijjiiramuu hormooniitiin baatii baatiidhaan gadameessa dubartootaa keessaa dhangala’uudha. Shamarri tokko giddugaleessaan kan marsaa laguu arguu jalqabdu waggaa 13 irraa kaaseeti. Umrii kanatti qopheessituun hanqaaquufi keessoon gadameessaa bilchaachaa waan deemaniif akkasumas hormoniiwwan jalqaba eerre jijjiiramaa waan dhufaniif keessoon gadameessaa dhiiguu jalqaba. Marsaan laguu giddu-galeessaan guyyaa 28’n kan dhufu yoo ta’u, garuu hanga guyyaa torbaatti dursee ykn yoo dafee dhufe akkasumas irra darbee yoo dhufes akka fayyaatti ilaalama. Kana jechuun marsaan laguu guyyoota 21-35 dhufu fayyaa dubartootaarratti miidhaa hingeessisu jechuudha.
Dhiigni yeroo marsaa laguu dhangala’u dhiiga haguuggiin gadameessaa sababa jijjiirama hormoonotaairraa kan ka’e dhiqamuu ykn luqqa’uurraa kan dhufuudha.
Marsaan laguu ykn dhiigni baatii baatiin dubartoota keessaa dhangala’u sirriidha (normal) kan jennu:
- Guyyoota 21-35 yoo dhufe.
- Bifti /halluun laguu (xurii) sanaa diimaa osoo hintaane diimaa gurraachaa’aa yoo ta’e.
Kana jechuun dhiigni yeroo marsaa laguu dhangala’au dhiiga haaraa ujummoo dhiigaa keessaa dhangala’u osoo hintaane dhiiga xuraa’aa keessoo gadameessa keessaa soofamun dhangala’ee ba’uudha.
- Baay’innisaa 10-80ml yoo ta’e.
- Guyyaa 2-8 dubartoota irra kan turu yoo ta’e. Kana jechuun dubartiin tokko laguun itti dhufee guyyaa isheerraa dhaabbatu ykn dhiqattu jechuudha.
- Yommuu dhangala’u dhiiga hinititne tahuu qaba. Dhiigni yeroo marsaa laguu bahu dhiiga diimaa gurraacha hin ititnedha. Dhiigni itite keessoo gadameessa keessaa baha yoo tahe mana yaalaa deemanii ilaalamuun murteessaadha.
Marsaan laguu tokko yoo maal ta’e dubartoota irraan miidhaa geessisuu danda’a? Yoo akkam ta’es mana yaalaa deemuu qabu?
- Xuriin keessan dhangala’uun guyyaa saddeetiifi isaa oliif kan isinirra turu yoo ta’e.
Sababoota garaagaraarraa kan ka’e marsaan laguu dubartootaa yeroo itti yeroo baay’ee dhangala’u jira. Kanaaf marsaan laguu dubartootaa guyyaa saddeetiifi isaa oliif yoo isinirra tura tahe mana yaalaa deemanii ilaalamun daran murteessaadha. Dubartoonni tarii maloota ittisa da’umsa kanneen akka impilaanoolii ykn kan harka keessa galu akkasumas kan keessoo gadameessaa keessa kaa’amu luuppii jedhamu fayyadaman baay’een xuriinsaanii guyyaa saddeetiifi isaa ol irra turuu nidanda’a.
- Sa’aatii 1:00 ykn 2:00 keessatti moodesii (erbee) tokko kan jijjiirrattan yoo ta’e. kunis dhiigni sun baay’inaan dhangala’uu waan agarsiisuuf ilalamuun gaariidha.
- Dhiigni baay’ee dhangala’uun moodesii lama walfaana kan fayyadamtan yoo ta’e.
- Halkan hirriba keessaa ka’uun moodesii jijjiiruun yoo isin barbaachise.
- Dhiiga kantaraa inchii tokko kan caalu yoo isinirraa dhangala’e.
- Yeroo laguu isinirra jirutti garaa dhukkubbii hamaan yoo isin quunname.
- Dhala godhachuu barbaaddanii dhala argachuu yoo baattan.
- Yoo xiqqaate waggaa tokkoof laguu osoo hinargin turtanii yoo deebitanii argitan ykn sababa umuriin dubartiin tokko laguu arguu dhaabdee turtee yoo deebitee argite.
7.2. Dhukkubbii yeroo marsaa laguufi furmaatasaa
Dhukkubbiin yeroo marsaa laguu kan dhufu sababa jijjiiramu hormoonotaaf inzaayimotaa irraan kan ka’e kan dhufuudha. Kunis enzaayiimiin piroostaagilaandiin jedhamu maashaawwan gadameessaa akka isaan garmalee kottoonfatan gochuun dhukkubbiin akka itti dhaga’amu godhu. Yeroo kana dhukkubbiin kun baay’inaan itti dhaga’ama jechuudha.
Dhukkubbiin yeroo marsaa laguu dubartoota baay’ee kan qabuuf darbee darbees hanga mana yaalaa ciisanii yaalamuutti kan geessisuudha.
Dhukkubbiin yeroo marsaa laguu kunis dubartoota dhibba keessaa dubartoota 60-90 ta’an irraatti baay’inaan kan muldhatudha. Dhukkubbiin kunis shamarran muraasa irratti dhibeen kun hammaataa ta’ee hojii idilee isaaniirraa ykn mana barnootaasaanii irraallee yeroo hambisu argaa jirra.
Garaa ciniinnaan ykn garaa dhukkubbiin yeroo marsaa laguu kunis baay’inaan dubartoota marsaa laguu akkuma arguu jalqabaniin gara waggaa lamaa jalqabaatiif akkasumas dubartoota laguunsaanii dhaabbachuuf jedhu gara dhumaatti kan hammaatuudha.
Walumaagalatti dhukkubbii ykn ciniinnaa yeroo marsaa laguu bakka lamatti qoodnee ilaaluu dandeenya. Isaanis:
- primary dysmenorrhea ykn garaa ciniinnaa kan dhibee gadameessaa wajjin walhinqabanneedha. Akaakuun dhukkubbii yeroo marsaa laguu kun yeroo baay’ee shamarraan hin da’iiniifi umurii dargagummaa keessa jiran irratti baay’inaan kan muldhatu yoo ta’u.
Dubartiin tokko osoo laguun itti hin dhufiin guyyaa tokko dursee ykn guyyaa laguun inni jalqabaa itti dhuferraa kaasee guyyaa 2-3tti dhukkuba. Akaakuun dhukkubbii kun namoota baay’eerratti kan mul’atuudha. Kaanaafuu dhibeen kun umurii 25 boodaafi erga da’anii boodaa isaan dhiisaa deema.
- Secondary dysmenorrhea: Dhukkubbiin wayita marsaa laguu inni lammataa kun dhibee gadameessaatiin kan dhufu yoo ta’u, dhibeen kun umurii 30 boodaafi dubartoota da’anirratti kan mul’atu ta’ee osoo laguun itti hindhufiin torbaan tokko ykn guyyoota muraasa dursee wayita dhukkubuu jalqabu, wayita laguun ittidhufu ittifooyya’aa deema.
Akaakuu dhukkubbii yeroo marsaa laguu kun sababoota garaagaraa irraan kan ka’e waan dhufuuf deemanii qoratamuunis baay’ee barbaachisaadha. Dabalataanis jeeqamuu ykn itti baay’achuu marsaa laguufi dhukkubbii wayita walqunnamtii waliin walqabata.
Walumaagalatti shamarraan umrii dargagummaa keessa jirtan kana beektanii yoo kan isin dhukkubu ta’e dawaa kan dhukkubbii kana isiniif xiqqeessu ogeessa mariisistanii osoo marsaan laguu keessanii hindhufiin itti qophooftu.
Hub: Shamarraan hundi kan dhukkubbiin marsaa laguu keessanii hammaataa ta’e, kan jeeqamuu marsaa laguu waliin walqabatu, kan dhukkubbii wayita walquunnamtii saalaatiin walqabatuufi umurii 25f isaa ol keessa jirtan ogeessa fayyaa mariisisuu hindagatiinaa.
Dhukkubbiin yeroo marsaa laguu baay’inaan kan itti heddummaatu yoo ta’e shamarran mana keessatti maalfaa gochuu qabu?
- Sochii qaamaa gochuu. Sochii qaamaa torbanitti yeroo sadii olii gaochuun maashaawwan gadameessaa kottonfatanii turan diriirsuun akkasumas inzaayimoota sana jijjiiruu keessattillee qooda guddaa fudhata jedha.
- Bishaan ho’aa erbee xiqqootti gootanii naannawa handhuuraa gadiirra kaa’uu. Kunis maashaan gadameessaa akka diriiftan gochuun dhukkubbii yeroo marsaa laguu hir’isuu keessaati qooda guddaa qaba.
- Nyaataa elementii maagniziyeemiidhaan badhaadhan kanneen akka baaqelaa, itittuu, atarafaa nyaachuunis gaariidha.
- Naannawa handhuuraa gadiifi dugdaa dibata qal’aadhaan sukkuumuu ykn ‘massage’ gochuunis gaariidha.
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- Buna baay’inaan dhuguu dhiisuu
- Tamboo aarsuu dhiisuu ykn naannawa namoonni baay’inaan tamboo aarsanirraa fagaachuu
- Dhiphina ykn muddama hamaa hir’isuu
- Alkoolii dhuguu dhiisuu
- Akkasumas walqunnamtiin saalaa dhukkuba kana hir’isuu keessatti gahee qaba.
Gama biraatiin namoota dhukkubni kun itti heddummaatu qorichoonni dhukkubbii kana fooyyessuuf kennaman waan jiraniif bitatanii fayyadamuunis gaariidha.
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