Kusamba kwa msambo - yachiwiri

Kusapezeka kwa msambo wa mkazi mwezi ndi mwezi kumatchedwa amenorrhea. Amenorrhea yachiwiri ndi pamene mayi yemwe wakhala akusamba nthawi zonse amasiya kusamba kwa miyezi 6 kapena kupitilira apo.

Amenorrhea achiwiri amatha kuchitika chifukwa cha kusintha kwachilengedwe mthupi. Mwachitsanzo, chomwe chimayambitsa amenorrhea yachiwiri ndi kutenga mimba. Kuyamwitsa ndi kusamba kumakhalanso kofala, koma zifukwa zachilengedwe.

Amayi omwe amamwa mapiritsi olera kapena omwe amalandira kuwombera kwamahomoni monga Depo-Provera sangakhale ndi magazi mwezi uliwonse. Akasiya kumwa mahomoniwa, nthawi zawo sizingabwerere kwa miyezi yopitilira 6.

Mutha kukhala osakhala ndi nthawi ngati:

• Ndi onenepa
• Chitani masewera olimbitsa thupi kwambiri komanso kwa nthawi yayitali
• Mukhale ndi mafuta ochepa kwambiri (ochepera 15% mpaka 17%)
• Khalani ndi nkhawa yayikulu kapena kupsinjika kwamaganizidwe
• Kuchepetsa thupi modzidzimutsa (mwachitsanzo, kuchokera pachakudya chokhwima kapena chopitilira muyeso kapena pambuyo pochita opaleshoni ya m'mimba)

Zina mwa zifukwa zake ndi izi:

• Zotupa za ubongo (pituitary)
• Mankhwala ochizira khansa
• Mankhwala ochizira schizophrenia kapena psychosis
• Kuchuluka kwa chithokomiro
• Matenda a Polycystic ovarian
• Kuchepetsa ntchito ya thumba losunga mazira

Komanso, njira monga dilation ndi curettage (D ndi C) zimatha kupangitsa kuti zilonda zamiyendo zipangike. Minofu imeneyi imatha kupangitsa mkazi kusiya kusamba. Izi zimatchedwa matenda a Asherman. Kung'ambika kungayambitsenso matenda ena am'mimba.

Kuphatikiza pakusakhala kusamba, zizindikilo zina zitha kuphatikiza:

• Kukula kwa m'mawere kumasintha
• Kulemera kapena kuwonda
• Kutuluka kuchokera m'mawere kapena kusintha kukula kwa mawere
• Ziphuphu zakumaso ndi kukula kwakukula kwa tsitsi lamwamuna
• Kuuma kwa nyini
• Kusintha kwa mawu

Ngati amenorrhea imayambitsidwa ndi chotupa cha pituitary, pakhoza kukhala zizindikilo zina zokhudzana ndi chotupacho, monga kutayika kwamaso ndi kupweteka mutu.

Kuyezetsa thupi ndi kuyesa m'chiuno kuyenera kuchitidwa kuti muwone ngati ali ndi pakati. Kuyezetsa mimba kudzachitika.

Mayeso amwazi amatha kuchitidwa kuti muwone kuchuluka kwa mahomoni, kuphatikiza:

• Magulu a Estradiol
• Follicle yolimbikitsa mahomoni (mulingo wa FSH)
• Mahomoni a Luteinizing (LH mulingo)
• Mulingo wa practactin
• Maselo a seramu, monga ma testosterone
• Mahomoni otulutsa chithokomiro (TSH)

Mayesero ena omwe angachitike ndi awa:

• CT scan kapena MRI scan pamutu kuti ayang'ane zotupa
• Chigawo chakumbuyo kwa chiberekero
• Kuyesedwa kwachibadwa
• Ultrasound ya m'chiuno kapena hysterosonogram (pelvic ultrasound yomwe imakhudza kuyika njira yamchere mkati mwa chiberekero)

Chithandizo chimadalira chifukwa cha amenorrhea. Nthawi zanthawi zonse pamwezi zimabweranso pambuyo poti chithandizo chathandizidwa.

Kusowa kwa msambo chifukwa cha kunenepa kwambiri, kuchita masewera olimbitsa thupi mwamphamvu, kapena kuchepa thupi kumatha kuyankha kusintha kwa masewera olimbitsa thupi kapena kuwongolera kunenepa (kupindula kapena kuchepa, pakufunika).

Maganizo amadalira chifukwa cha amenorrhea. Zambiri zomwe zimayambitsa amenorrhea yachiwiri zimayankha kuchipatala.

Onani woyang'anira wanu wamkulu wa zaumoyo kapena wothandizira zaumoyo wa amayi ngati mwaphonya nthawi yopitilira imodzi kuti mupezeke ndikuchiritsidwa, ngati kuli kofunikira.

Amenorrhea - yachiwiri; Palibe nthawi - yachiwiri; Nthawi zopanda pake - sekondale; Kutaya nthawi - sekondale; Kusowa kwa nthawi - yachiwiri

• Amenorrhea yachiwiri
• Thupi labwinobwino la chiberekero (gawo lodulidwa)
• Kutaya msambo (amenorrhea)

Bulun SE. Physiology ndi matenda amtundu woberekera wamkazi. Mwa Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, et al. Buku la Williams la Endocrinology. Wolemba 14th. Philadelphia, PA: Elsevier; 2020: chap 17.

Lobo RA. Amenorrhea oyambira ndi apamwamba komanso kutha msinkhu msanga: etiology, kuwunika matenda, kuwongolera. Mu: Lobo RA, Gershenson DM, Lentz GM, Valea FA, olemba. Gynecology Yambiri. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 38.

Magowan BA, Owen P, Thomson A. Kusamba kwanthawi zonse komanso amenorrhoea. Mu: Magowan BA, Owen P, Thomson A, eds. Zachipatala Obstetrics ndi Gynecology. Wolemba 4. Zowonjezera; 2019: chaputala 4.