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Normálna menštruácia? Kedy ide o bežné prejavy a kedy už ísť k lekárovi

Napísal TS 10. jún 2020

Menštruácia je neoddeliteľnou súčasťou života ženy. Pri každej však môže prebiehať odlišne, a tak sú pri stanovovaní "normálna" menštruácia trochu opatrní aj odborníci. To, že ženám občas mesiačiky vynechajú alebo že pri nich pocíti silnejšie kŕče.

menstruation_shutterstock

Kedy určite zbystriť a zveriť sa do rúk lekára?

Prvé mesiačiky, takzvaná menarche, u väčšiny dievčat nastáva medzi 12. a 14. rokom života. V súčasnosti sa priemerný vek nástupu menštruácie pohybuje okolo 12 rokov a 6 mesiacov. Hornú vekovú hranicu odborníci zvyčajne stanovujú na 15 rokov a 6 mesiacov. Hoci je každé dievčenské telo jedinečné, ak do tohto veku dievča menštruáciu nedostane, je vhodné navštíviť lekára a zistiť príčinu oneskorenia. "Hoci menštruáciu poznáme ako mesačnú periódu, v prvých rokoch vôbec nemusí byť pravidelná. K stabilizácii cyklu zvyčajne dochádza až po dvoch až troch rokoch po menarche. Ak je však aj po tejto dobe menštruácie ďalej nepravidelná, opäť je veľmi doporučované poradiť sa s odborníkom, "hovorí gynekológ a sexuológ Pavel Turčan.

Tak, ako je individuálny vek nástupu prvej menštruácie, je individuálny aj samotný priebeh: pravidelnosť, dĺžka, intenzita krvácania, sprievodné prejavy a tak ďalej. Napriek tomu však existujú určité hranice, podľa ktorých je posudzovaná "normálnosť" ženskej periódy. Menštruácia zvyčajne nastáva každých 21 až 35 dní, trvá od dvoch do siedmich dní a priemerne pri nej žena stratí 20 až 80 ml krvi. Toto rozpätie je pomerne široké, a tak sa pri posudzovaní normálnosti menštruácie musí prihliadať predovšetkým k tomu, čo je normálne pre danú ženu, prípadne s ohľadom na jej situáciu - teda napríklad na to, či začala či naopak prestala užívať hormonálnu antikoncepciu alebo prešla na jej iný typ alebo či nevstupuje do obdobia perimenopauzy, kedy cyklus vplyvom hormonálnych zmien začína byť viac či menej nepravidelný.

Vynechávanie menštruácie je bežné. Príčiny môžu byť nevinné aj vážne

Nepravidelná menštruácia je rozšíreným problémom, s ktorým sa počas svojich plodných rokov stretáva takmer každá žena. Vynechanie menštruácie sa odborne nazýva amenorea a je rozlišovať medzi amenoreou primárnu a sekundárnu. O primárne amenorei sa hovorí, ak dievča nezačne do 15. roku života spontánne menštruovať, napríklad kvôli hormonálnym problémom či problémom s vaječníkmi či maternicou. Ako sekundárna amenorea sa potom označuje trojmesačné a dlhší výpadok menštruácie u ženy, ktorá predtým už viacmenej pravidelne menštruovala a zároveň nie je tehotná ani v menopauze. "Príčiny sekundárnej amenorey môžu byť rôzne, zvyčajne sú to rôzne hormonálne výkyvy spôsobené stresom, náhlym úbytkom alebo nárastu váhy, ale napríklad tiež poruchami hypofýzy, štítnej žľazy alebo nadobličiek. A potom sú to rôzne choroby, napríklad syndróm polycistických ovárií či nádor na vaječníkoch. S vynechávaním menštruácie sa tiež často stretávajú aktívne športovkyne, pri ktorých za amenoreou stojí nadmerná fyzická záťaž, "vysvetľuje lekár Pavel Turčan.

Pozor na zosilnenie krvácanie, špinenie mimo menštruáciu či zrazeniny

Pre posúdenie, či s vašou menštruáciou nie je niečo v neporiadku, je potrebné mať prehľad nielen o pravidelnosti cyklu a jeho dĺžke, ale tiež napríklad o intenzite krvácania. Lekári sa zvyčajne zhodujú, že by pri bežnej menštruácii žena nemala krvácať dlhšie ako sedem dní a nemala by krvácať natoľko silno, aby jej vložka či tampón úplne nasiakli za menej ako tri hodiny. "Silné krvácanie môže značiť narušenie hormonálnej rovnováhy, ale aj problémy s maternicou, ako sú napríklad polypy či maternice, endometriózu, adenomyóza či ešte horšie rakovinu maternice. Preto by najmä ženy nad 35 rokov veku alebo s rizikovými faktormi mali zbystriť, ak začnú pri menštruácii krvácať výrazne viac než obvykle, a bez odkladu sa nechať vyšetriť, "varuje gynekológ. Rovnako tak by sa pri bežnej menštruácii nemali v menštruačnej krvi tvoriť väčšie krvné zrazeniny. Obvyklé potom nie je ani to, aby žena krvácala či takzvane špinila mimo menštruačné dni. Ak k nemu dochádza, môže to značiť celý rad problémov od poranenia vagíny cez polypy, maternice či pohlavné choroby ako chlamýdie alebo kvapavka až po rakovinu krčka maternice, maternice alebo vaječníkov.

Zmenila sa intenzita kŕčov? Zbystrite!

Menštruačné kŕče patria medzi jedny z najbežnejších prejavov menštruácie. Spôsobujú ich zvyčajne kontrakcie maternice, ktorá sa tak snaží vypudiť odlupujúcu sa výstelku maternice. Väčšinou sa dostavujú deň až dva dni pred začiatkom menštruačného krvácania a trvajú dva až štyri dni. Niektoré ženy pociťujú kŕče len mierne, iné kvôli nim doslova trpia. Ak sa zvýši u vás náhle bolestivosť inokedy miernych kŕčov, opäť to môže ukazovať na to, že vaša menštruácia neprebieha normálne. Bolestivé kŕče môžu indikovať fibroidy maternice, endometriózu, adenomyóza, panvové zápalovú choroba či niektoré pohlavné choroby. Častou príčinou však býva aj zvýšený stres.

Prvá pomoc? Nechajte sa vyšetriť a upokojte hormóny

Ako už bolo povedané, menštruácia je veľmi individuálnou záležitosťou, u ktorej nie je celkom jednoduché nastaviť mierky, čo je normálne a čo už vybočuje. Ženy by preto mali jej prejavy pozorne sledovať, a predovšetkým si viesť záznamy o pravidelnosti svojho cyklu. Pokiaľ na svojej menštruácii neskôr spozorujú výraznejšie zmeny, nemali by sa hanbiť navštíviť odborníka. Veľmi často môžu byť na vine ich hormóny, ktoré sa nejakým spôsobom dostali z rovnováhy. Lekár im tak buď môže predpísať hormonálnu liečbu, alebo im odporučiť zmeny v životnom štýle, ktoré rozbúrené hormóny upokoja. Práve to, ako žijeme, totiž naše hormóny často silne ovplyvňuje. Začať by sa pritom malo hlavne odbúraním stresu a úpravou stravy. Tá by mala obsahovať veľa čerstvého ovocia bohatého na flavonoidy, hodí sa aj zvýšiť prísun horčíka. Dodať telu potrebné prvky môžu aj kvalitné doplnky stravy, napríklad Sarapis Mensis. Ten okrem rady minerálov, vitamínu a ďalších dôležitých prvkov obsahuje tiež fytoestrogény, ktoré vďaka svojej podobnosti s hormóny estrogény pomáhajú harmonizovať ženskú hormonálnu sústavu, priaznivo pôsobí pri kŕčoch a napomáhajú porovnávať mesačné krvácanie.

Zdroj foto: Shutterstock

37 komentárov

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    The articles and knowledge in Muscle Muscle are for informational functions only.
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    At one level, it is sadly vandalized by a bunch of rival high school college students
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    It is mostly beneficial for these individuals
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    You can click on the numbers within the parentheses (1, 2,
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    Open to all makes and fashions, the occasion introduced out some fantastic quick Fords.
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    Spinach is often a good supply of magnesium, as one cup (180 g) of
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    If an athlete is trying to max out or bench press big dumbbells, it is essential
    to use a spotter. A spotter may help an athlete maintain an excellent dumbbell bench press type and ensure
    safety. The first part of the dumbbell bench press will set you up for success.
    As an athlete lies down on the bench and set themselves, they should maintain their feet firmly planted on the
    ground, tighten their core, and pull their shoulder blades together.
    With your back and core tight and your toes firmly on the ground, press the dumbbells while squeezing
    your pecs. You should feel a squeeze in the middle of
    your chest as you press the weight. As Quickly
    As you're comfortable together with your grip strength on the dumbbells,
    kick each dumbbell up to your shoulders and lay back
    on the bench.
    This switches you from eccentric-concentric contraction to isometric contraction. Overall, it's good for
    constructing power, as isometric contraction is nice for getting
    stronger. With resistance bands, the more they stretch, the more resistance they have.
    With that, in the bottom vary of the bench press, the band has much less pressure, virtually to a negligible level, so the burden load is not
    actually more difficult than it usually can be without the band.
    Nonetheless, as you press up, the band stretches, so when you attain the mid to prime vary, the band
    adds resistance so what would usually be the easier a half of the lift becomes tougher.

    The dumbbells ought to come collectively at the high of
    every rep. Straighten your arms, but don’t lock your elbows.

    Locking your arms means your joints are supporting the
    load somewhat than your muscles. You could discover that certain variations are hard in your joints or simply ineffective.

    All in all, if you want to build an impressive
    chest, and higher body horizontal pushing strength, the bench press is the simplest and environment friendly method to do so.
    However, you'll be preserving the dumbbells at your centerline all through the train.
    The dumbbells will keep pressed collectively and you'll simply press up and down in a straight path.
    The act of compacting the dumbbells collectively throughout the motion does a
    really great job of preserving lots of rigidity in your pecs.

    Any higher inclination (45 or 60°) and the upper pec activation decreases, and the train becomes extra
    of a shoulder exercise than a chest train. Do
    not add more weight in your bench press till you'll be
    able to raise the current weight with good form. Purpose to
    carry out these exercises 2-3 instances per week,
    permitting for adequate relaxation and recovery between workouts.
    This stood as a record for 18 years till Joe Nordquest broke it by 1 kilogram
    (2.2 lb) in 1916. No, the dumbbell bench press just isn't commonly practiced in CrossFit.

    When it involves dumbbells, they're most commonly accomplished because people don’t have entry to a bench.
    Some studies show that dumbbells activate the pecs better
    than barbell bench press. Nonetheless, what the barbell may lack in activation it makes up for it in complete load.

    Lifters have interaction the delts at completely different angles all through the raise to enhance power.

    While the pectorals deal with the lion’s share of the work, lifters rely on the triceps to supply stability throughout the carry and to finish the lockout.
    With dumbbells, it’s possible to alter the grip, which engages the triceps more to boost definition. The anterior deltoids
    are located on the front facet of your shoulder. They
    work with the pectoralis main to flex and rotate your shoulders.

    Set up your dream house fitness center at present with our wide range of fitness gear.
    Your hand grip ought to be overhand with the thumbs placed underneath the bar and
    across the top of the fingers. Don't place your thumbs behind the bar or locked beneath the fingers.
    Athletic Perception Sports Psychology and Train Organization was established in 1999, serving as
    a hub for sports activities psychology, exercise, and
    dieting. Additionally, prioritize post-workout restoration by incorporating stretching, foam rolling,
    and high quality sleep into your routine. Correcting these mistakes
    will not only enhance your kind but also maximize the effectiveness of the train.
    To keep proper kind, retract your shoulder blades, hold
    your feet flat on the floor, and keep away from flaring your elbows excessively.
    Decrease the dumbbells to chest level in a managed manner and press them upward
    following a natural arc. Another possibility is to do this exercise on a decline bench, which higher emphasizes
    the pectoralis major. To do a decline bench press, follow the identical fundamental steps as a normal bench press, just from a declined place.

    Press the burden towards the ceiling, then decrease slowly to the beginning place.

    If you’re aiming for improved muscle balance and joint health, the flat dumbbell press
    is the superior choice. For most power gains, the barbell bench press might be better suited.
    Since the flat bench press is sort of a demanding train, it’s finest to
    perform it near the beginning of a exercise when you’re not overly fatigued.
    If your objective is strength, give consideration to lifting in the 1-5 rep
    range. Nonetheless, if you’re looking to construct muscle, it’s higher to raise in the 8-12
    rep vary. To refine dumbbell and barbell chest presses, have interaction in paused reps.
    This amps up rigidity and enhances muscle stimulation. Incline variations target the
    upper pecs more, and flat bench targets general chest improvement.

    When first studying how to master the dumbbell bench
    press, an athlete should use an appropriate weight. Making An Attempt to lift an extreme amount of weight can cause an athlete to
    develop bad habits and study improper kind.
    Moreover, it may be dangerous and harmful to lift too much weight.
    Good dumbbell bench press form requires athletes to maintain their arms at a 45-degree angle.

    Sure, performing the dumbbell bench press can affect your
    mood—the dumbbell bench press and exercise normally affects your mind.
    Exercise causes your brain to launch endorphins which might positively impact your mood.
    Moreover, exercise can enhance your sleep, and
    getting higher-quality sleep can put you in a better temper.

    Moving the burden too quickly may cause harm, and you won’t maximize your
    features.
    By addressing common questions and misconceptions, we hope
    to supply readability and confidence to those seeking to incorporate this exercise into their health routine.
    Keep In Mind, everyone’s health journey is exclusive, so tailor your
    strategy to go properly with your individual targets and capabilities.
    Yes, the flat bench press strengthens the muscles answerable for good posture, such as the higher again and shoulders.

    First of all, the bench press will burn a ton of energy as a outcome of the exercise is so
    taxing. Second of all, the more muscle you build, the extra
    calories you burn while resting. As such, if you're coaching bench press regularly, it'll
    contribute tremendously to bettering your metabolism. The best part about getting stronger at bench press is it
    doesn’t only get you stronger at bench press!
    It will reinforce in all of your pushing workouts, like overhead press.

    Not only that, however it will enhance your capacity
    to create force, which is important in sports. If
    you need to throw farther, punch harder, resist drive coming at you, bench press will
    get you there.
    This compound movement not solely builds power but also promotes muscular
    hypertrophy and joint health when performed correctly.
    Incorporating the flat dumbbell bench press into your routine can result in significant enhancements
    in upper physique power and aesthetics. The flat dumbbell press is among the most effective workouts for
    constructing power and size in your chest muscular tissues.
    It serves as a cornerstone movement in strength coaching routines and is suitable for beginners
    and superior lifters alike. Unlike its barbell counterpart, the flat dumbbell press presents greater flexibility and allows for a extra pure range of motion, making
    it a well-liked choice among fitness lovers. If you prepare chest twice
    per week, you can do the flat bench press throughout one exercise and save the incline for
    the opposite exercise.
    I’ve additionally shared common problems and solutions
    to a bench press power that is below average. Prepare with a
    full vary of motion by bringing the dumbells all the method in which down to
    the chest earlier than urgent them up. Be patient, keep working towards the bench press, and
    often overload in small weight increments. This completes
    a three-point contact (feet-floor, buttocks-bench, back-bench) for maximal stability.

    Whereas the Overhead Barbell Press is a great upper body
    pushing exercise too, the Bench Press allows for higher power just because it’s simpler to progress with.
    Keep your shoulders (rear delts) on the bench all through the carry.

    A good cue is to consider pushing yourself away from the bar somewhat than urgent the bar away out
    of your chest. I liken these three bench press variations to squatting through completely different ranges of
    motion. When we expose ourselves to different ranges of motion we’re
    going to coach the tissues used in those ranges to be extra resilient.

    The decline bench press emphasizes the decrease part of your lower chest (which known as the sternocostal head).

    The term 'bench press' on its own will at all times
    check with a flat bench press. There are 6 primary
    foundational actions that should be skilled in fitness - Push,
    Pull, Squat, Lunge, Hinge, and Rotation.
    Tuck your elbows barely in in path of the torso to permit
    you to stack the dumbbells directly above your elbows.
    2– Subsequent, push the alternative weight up whereas bending your different arm.

    Some key cues, which you’ve probably collect by now are,
    you need to decrease the bar to your neck degree and your elbows must be direction beneath the bar, so
    they are going to be at 90˚ together with your body.
    In addition to the dynamic muscles of the lift that we simply went
    over, you have stabilizer muscle tissue... Your forearm ought
    to be completely vertical when the bar touches your chest.

    Be that as it could, you may be following a program that only has you hitting bench press once a week and
    in addition overhead press once a week. You may also be at a extra superior stage the place you want extra time for
    recovery between sessions, so coaching bench press once every week is
    finest. General, the same is true for alternating dumbbell chest presses as well.

    Keeping your legs up like it will considerably enhance the demand in your
    core stability, which in turn allows for larger ranges of
    power. That said, since you can’t drive force from your
    ft, you won’t be succesful of lift as a lot.
    Firstly, flaring your elbows introduces inside rotation into the motion. Brace your core by taking
    in a deep breath and pushing your diaphragm outwards earlier than every rep.

    This stabilizes your torso. By incorporating each, you’ll construct an even bigger,
    fuller, broader chest and acquire the eye of all onlookers.
    In a gym, you won’t should look onerous to search out an adjustable bench, so you'll have
    the ability to decide and choose your angle.
    If you play sports or just wish to be stronger together with your
    pressing strength generally, then it’s by
    no means a nasty idea to offer your self publicity to urgent from different angles.
    Your buttocks ought to stay flat on the bench during the bench press.
    Do Not emulate the powerlifter fashion of arching your again a lot that
    your glutes carry off the bench. Your eyes should be roughly aligned with the entrance of the barbell rack uprights.


    He’s not simply an armchair fitness expert; Patrick practices what he preaches!

    He has competed at a high level in numerous sports, including rugby, triathlon, rock climbing, trampolining, powerlifting, and, most lately, rise up paddleboarding.
    When not lecturing, coaching, researching,
    or writing, Patrick is busy having fun with the sunny local
    weather of Cyprus, where he has lived for the final 20-years.


    Your physique, with its strengths and weaknesses, is exclusive, and simply because lifters seem to be 20–30% stronger within the flat bench press on common, it doesn’t imply that the same essentially applies
    to you. How a lot weight you can raise in every train will rely, amongst different
    issues, in your individual physique construction, making you
    more or less proficient at one or the opposite. Many individuals really feel that the incline press places less stress on their shoulder joint
    compared with the standard bench press.
    Its simplicity and effectiveness make it a staple in gyms
    worldwide. In this complete guide, we’ll discover flat bench exercises,
    the muscle tissue they aim, advantages, variations, widespread
    errors, and tricks to maximize your outcomes. None of this means the barbell bench press is a nasty exercise, but doing bench press with dumbbells gets
    around all of those drawbacks. In addition, adding dumbbell
    bench presses to your workouts will enhance exercise selection. Research tell us that selection is simply as important
    as, units, reps, and weight for constructing muscle and power (1).
    The greatest train for you is determined by your individual objectives and
    abilities.
    The higher the load, the greater the effect on muscle fiber recruitment.
    As you bench press extra, it’s a good suggestion to provide your self publicity to all three bench press variations every so often to make sure you’re not leaving any pec fibers undertrained.

    All three of these bench press variations will prepare the pecs, triceps, and
    anterior delts to varied degrees. For the sake
    of getting slightly extra granular on this article, I’ll highlight
    which pec fibers each variation sometimes trains extra of.
    The incline bench press will entail bench urgent on an incline bench.

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