Osasamba (Kusamba Kusakhalako)

Zamkati

• Mfundo Zazikulu
  
• Mitundu ya kusamba komwe kulibe
• Zomwe zimayambitsa kusamba
• Mankhwala
• Zofooka zathupi
• Nthawi yokaonana ndi dokotala za kusamba komwe kulibe
• Zomwe muyenera kuyembekezera nthawi yomwe dokotala wasankhidwa
• Chithandizo cha kusamba komwe kulibe
• Zomwe mungachite tsopano

Kodi kusamba ndi chiyani?

Mfundo Zazikulu

1. Kusamba kosadziwika, komwe kumatchedwanso amenorrhea, ndiko kusowa kwa msambo. Pali mitundu iwiri ya kusamba. Mtunduwo umadalira ngati msambo sunachitike ndi msinkhu winawake, kapena ngati msambo wachitika ndipo kenako kulibeko.
2. Kusamba kwina kumatha kuchitika pazifukwa zosiyanasiyana. Zambiri mwazinthu izi ndizomwe zimayambitsa zachilengedwe, zomwe zimachitika m'moyo, komanso kusamvana bwino kwama mahomoni.
3. Ndikofunika kukaonana ndi dokotala za kusamba komwe kulibe, chifukwa chomwe chimayambitsa vutoli chingafune chithandizo. Kusamba komwe kumakhalapo nthawi zambiri kumatha kuthana ndi vutoli.

Kusamba, kapena amenorrhea, ndiko kusowa kwa magazi akusamba. Zimachitika pamene mtsikana sanayambe kusamba ali ndi zaka 16. Zimapezekanso ndiye kuti mayi amalephera kusamba kwa miyezi 3 mpaka 6.

Amenorrhea itha kuchitika pazifukwa zambiri. Chifukwa chofala kwambiri ndimimba. Komabe, amenorrhea amathanso kuyambitsidwa ndi zinthu zosiyanasiyana pamoyo wawo, kuphatikiza kulemera kwa thupi komanso masewera olimbitsa thupi.

Nthawi zina, kusamvana kapena mahomoni okhala ndi ziwalo zoberekera akhoza kukhala chifukwa.

Muyenera kukaonana ndi dokotala ngati mukukumana ndi amenorrhea. Zomwe zimakupangitsani kusowa kwanu nthawi zina zimafunikira chithandizo.

Mitundu ya kusamba komwe kulibe

Mitundu iwiri ya amenorrhea imadziwika kuti yoyamba komanso yachiwiri.

Primary amenorrhea ndi pamene msungwana wazaka zakubadwa wafika zaka 16 kapena akadali asanakhale ndi nthawi yake yoyamba. Atsikana ambiri amayamba kusamba azaka zapakati pa 9 ndi 18, koma 12 ndi azaka zapakati.

Amenorrhea yachiwiri ndi pamene mkazi wasiya kusamba kwa miyezi itatu. Uwu ndiye mtundu wofala kwambiri wa amenorrhea.

Nthawi zambiri, mitundu yonse iwiri imatha kuthandizidwa bwino.

Zomwe zimayambitsa kusamba

Amenorrhea pulayimale ndi sekondale kumachitika pazifukwa zingapo. Zina mwazimene zimachitika mwachilengedwe, pomwe zina ndi matenda omwe amafunika kuthandizidwa.

• Zomwe zimayambitsa chilengedwe zimayambitsa amenorrhea zimaphatikizapo kutenga pakati, kuyamwitsa, komanso kusamba.
• Zamoyo zimaphatikizaponso kuchita masewera olimbitsa thupi mopitirira muyeso komanso kupsinjika. Komanso, kukhala ndi mafuta ochepa kwambiri m'thupi kapena mafuta ochulukirapo amathandizanso kuchepetsa kapena kusiya kusamba.
• Kusamvana kwa mahomoni kumatha kuyambitsa amenorrhea. Nthawi zambiri amayamba chifukwa cha zotupa pa chithokomiro kapena chithokomiro. Kuchuluka kwa estrogen kapena kuchuluka kwa testosterone kumawayambitsanso.
• Matenda amtundu kapena zovuta za chromosomal, monga Turner syndrome ndi Sawyer syndrome, nthawi zina zimatha kusamba mochedwa.
• Mankhwala atha kuyambitsa amenorrhea mwa amayi ena.
• Antipsychotic ndi antidepressants nthawi zambiri amakhala nawo.
• Mankhwala a chemotherapy ndi mankhwala omwe amachiza kuthamanga kwa magazi amathanso kuyambitsa mavuto pakusamba.
• Kuyimitsa mwadzidzidzi mapiritsi oletsa kubereka kuthenso kuyambitsa miyezi ingapo yopuma isanabwerere mwakale.
• Zofooka zakuthupi monga zovuta m'matupi azimayi zoberekera zimatha kubweretsa kusamba kapena kuchedwa kusamba.
• Izi zimatha kubwera chifukwa cha zilema zobereka, zotupa, kapena matenda omwe amachitika m'mimba kapena atangobadwa kumene.
• Nthawi zambiri, kusowa nthawi zitha kukhala chizindikiro cha Asherman's syndrome. Izi zimachitika chifukwa cha zipsera m'chiberekero pambuyo pa opareshoni, zomwe zitha kupewa kusamba.

Mankhwala

Zofooka zathupi

Nthawi yokaonana ndi dokotala za kusamba komwe kulibe

Mtsikana amene sanayambe kusamba ndi zaka zosachepera 16 ayenera kukaonana ndi dokotala. Ulendo wopita ku ofesi ya adokotala ndiwofunikanso ngati ali ndi zaka 14 kapena kupitilira apo ndipo sanakumanepo nawo zilizonse zizindikiro zakutha msinkhu panobe. Zosinthazi zikuphatikiza zotsatirazi m'mawonekedwe owerengeka:

1. thelarche (kukula kwa mawere)
2. pubarche (chitukuko chakumaso kwa tsitsi)
3. kusamba (kuyamba kwa msambo)

Azimayi ndi achinyamata omwe akusamba ayenera kukaonana ndi dokotala ngati ataya nthawi zitatu kapena zingapo motsatizana.

Zomwe muyenera kuyembekezera nthawi yomwe dokotala wasankhidwa

Mukawona dokotala wanu za amenorrhea, dokotala wanu adzakuyesani ndikukufunsani mafunso angapo. Khalani okonzeka kukamba za kusamba kwanu, moyo wanu, ndi zizindikiro zina zomwe mukukumana nazo.

Dokotala wanu ayeneranso kuyitanitsa mayeso apakati ngati simunakhalepo ndi miyezi itatu. Ngati izi sizingachitike, mungafunike kuyesedwa kambiri kuti mudziwe chomwe chikuyambitsa nthawi yomwe mwasowa. Mayesero awa atha kuphatikizira:

• Kuyezetsa magazi, komwe kumalola dokotala wanu kuti awone kuchuluka kwa mahomoni mthupi lanu. Prolactin, mahomoni a luteinizing, ndi mahomoni opatsa chidwi a follicle zonse zokhudzana ndi kusamba. Kuzindikira milingo iyi kungathandize dokotala kudziwa kapena kuthana ndi zomwe zimayambitsa kusowa kwanu.
• Ultrasound ndiyeso yojambula yomwe imagwiritsa ntchito mafunde akumafupipafupi kuti apange zithunzi zamkati mwa thupi lanu. Zimamuthandiza dokotala wanu kuti aziwona ziwalo zosiyanasiyana, monga mazira ndi chiberekero, ndikuwonanso kukula kosazolowereka.
• CT scan ndi mtundu wina wamayeso ojambula omwe amagwiritsa ntchito makompyuta ndikusinthasintha makina a X-ray kuti apange zithunzi zofananira za thupi. Zithunzi izi zimalola dokotala wanu kuti ayang'ane misa ndi zotupa m'matenda anu ndi ziwalo zanu.

Chithandizo cha kusamba komwe kulibe

Chithandizo cha amenorrhea chimasiyana kutengera chomwe chimayambitsa. Kusamvana kwa mahomoni kumatha kuchiritsidwa ndi ma hormone owonjezera kapena opangira, omwe atha kuthandiza kuthana ndi mahomoni.

Dokotala wanu angafunenso kuchotsa zotupa za m'mimba, zilonda zopweteka, kapena zotupa za chiberekero zomwe zikukusowetsani nthawi yakusamba.

Dokotala wanu angakulimbikitseninso kusintha moyo wanu wosavuta ngati kulemera kwanu kapena kuchita masewera olimbitsa thupi kukuthandizani kuti mukhale ndi thanzi labwino. Funsani dokotala wanu kuti akutumizireni kwa katswiri wazakudya kapena wazakudya, ngati kuli kofunikira.

Akatswiriwa angakuphunzitseni momwe mungachepetsere kulemera kwanu komanso kuchita masewera olimbitsa thupi mwanjira yathanzi.

Zomwe mungachite tsopano

Konzani nthawi yokumana ndi dokotala wanu kuti athe kudziwa chifukwa cha amenorrhea yanu. Onetsetsani kuti mukutsatira dongosolo lanu la mankhwala ndikupita kumisonkhano yonse yotsatira.

Nthawi zonse muziyankhulana ndi dokotala ngati vuto lanu silikusintha ndi mankhwala kapena kusintha kwa moyo.