Kodi Amenorrhea ndi chiyani?
Zamkati
- Mitundu ya amenorrhea
- Zoyambitsa zazikulu
- Momwe muyenera kuchitira
- Kodi ndizotheka kutenga pakati ndi amenorrhea
Amenorrhea ndiko kusamba kwa msambo, komwe kumatha kukhala koyambirira, pamene kusamba sikufikira achinyamata azaka 14 mpaka 16, kapena sekondale, kusamba kukuleka kubwera, mwa azimayi omwe adasamba kale kale.
Amenorrhea imatha kuchitika pazifukwa zosiyanasiyana, zina mwachilengedwe, monga kutenga mimba, kuyamwitsa kapena kugwiritsa ntchito njira zakulera, kapena matenda ena, kuchokera pakulephera kwa njira yoberekera ya mkazi, kusintha kwa mahomoni m'mimba mwake, ngakhale chifukwa cha kupsinjika, kusadya bwino zizolowezi kapena kuchita masewera olimbitsa thupi mopitirira muyeso.
Mitundu ya amenorrhea
Kusamba kwa msambo kumatha kuchitika pazifukwa zingapo, kukhala m'magulu awiri:
- Amenorrhea chachikulu: ndipamene msambo wa atsikana wazaka 14 mpaka 16 sukuwonekera, monga momwe amayembekezera nthawi yakukula kwa thupi. Pakadali pano, a gynecologist adzayesa kuchipatala ndikuyitanitsa mayeso amwazi ndi ma ultrasound, kuti awone ngati pali kusintha kwa anatomiki mthupi la abambo kapena kusintha kwa mahomoni, monga estrogen, progesterone, prolactin, TSH, FSH ndi LH.
- Amenorrhea yachiwiri: zimachitika msambo ukasiya kubwera pazifukwa zina, mwa azimayi omwe anali atasamba kale, kwa miyezi itatu, pamene kusamba kunali kokhazikika kapena kwa miyezi isanu ndi umodzi, pamene kusamba kunali kosazolowereka. Kufufuzaku kumachitikanso ndi a gynecologist, ndikuwunika kwamankhwala azachipatala, kuyeza kwa mahomoni, kuphatikiza pa transvaginal kapena pelvic ultrasound.
Ndikofunika kukayezetsa pathupi paliponse pomwe pali amenorrhea, chifukwa ndizotheka kutenga pakati ngakhale zitakhala zosasamba msambo kapena zomwe sizinachitike kwa nthawi yayitali.
Zoyambitsa zazikulu
Zomwe zimayambitsa amenorrhea ndi mimba, kuyamwitsa komanso kusamba, zomwe zimayambitsa thupi, munthawi yomwe kusintha kwama mahomoni progesterone ndi estrogen kuli kofala.
Komabe, zifukwa zina za amenorrhea zimayambitsidwa ndi matenda, mankhwala kapena zizolowezi, monga:
Zoyambitsa | ZITSANZO |
Kusamvana kwa mahomoni | - Kusintha kwa mahomoni, monga kuchuluka kwa prolactin, testosterone, hyper kapena hypothyroidism; - Kusintha kwaubongo, monga kuchotsa kapena chotupa cha pituitary; - Matenda ovuta a Polycystic; - Kutha msambo. |
Njira zoberekera zimasintha | - Kusapezeka kwa chiberekero kapena thumba losunga mazira; - Kusintha kwa kapangidwe ka nyini; - Opanda pake hymen, pamene msambo alibe kopita; - Zilonda za chiberekero kapena matenda a Asherman; |
Ovulation oletsedwa ndi zizolowezi zamoyo | - Mavuto akudya, monga anorexia; - Kuchita masewera olimbitsa thupi mopitirira muyeso, wamba mwa othamanga; - Kutaya thupi mwachangu kwambiri; - Kunenepa kwambiri; - Kukhumudwa, nkhawa. |
Mankhwala | - Njira zakulera zopitilira ntchito; - Antidepressants, monga amitriptyline, fluoxetine; - Anticonvulsants, monga phenytoin; - Antipsychotic, monga haldol, risperidone; - Antihistamines, monga ranitidine, cimetidine; - Chemotherapy. |
Momwe muyenera kuchitira
Chithandizo cha amenorrhea chimadalira chifukwa chake, chikuchitidwa mothandizidwa ndi azimayi azachipatala, omwe adzawone njira yabwino pamlandu uliwonse. Chifukwa chake, zosankha zina ndi izi:
- Kuwongolera kwa mahomoni amthupi: Zimaphatikizapo kugwiritsa ntchito mankhwala osokoneza bongo pofuna kuchepetsa kuchuluka kwa ma prolactin ndi testosterone, mwachitsanzo, kapena m'malo mwa estrogen ndi progesterone kuti mahomoni azitha kuyendetsedwa bwino.
- Kusintha kakhalidwe: momwe mungachepetsere kunenepa, kukhala ndi chakudya chopatsa thanzi komanso chopatsa thanzi, kuchita masewera olimbitsa thupi, kuphatikiza pakuchiza kukhumudwa ndi nkhawa, ngati zilipo, malinga ndi upangiri wa akatswiri azamisala.
- Opaleshoni: atha kukhazikitsanso msambo ndikuwonjezera mwayi wokhala ndi pakati, monga m'mimba yoperewera, zipsera za uterine komanso kusintha kwina kumaliseche. Komabe, pakakhala kuti palibe chiberekero ndi ovary, sikutheka kukhazikitsa ovulation kapena kusamba.
Mankhwala achilengedwe amatha kuthandiza kusachedwa kusamba chifukwa cha kusintha kwa msambo, mwa amayi omwe alibe kuchepa kwa mahomoni kapena matenda ena, ndipo zitsanzo zina ndi tiyi wa sinamoni ndi tiyi wowawa. Onani zambiri zazomwe mungachite ndi maphikidwe a tiyi posachedwa.
Kodi ndizotheka kutenga pakati ndi amenorrhea
Kutheka kwa kutenga pakati, pakakhala amenorrhea, zimadalira chifukwa. Kukonzekera kwa mahomoni kuti azitha kugwira bwino ntchito m'mimba mwake, kumatha kuwongolera kutulutsa mazira ndi kubereka, kapena kungapangitse kugwiritsa ntchito mankhwala, monga Clomiphene, mwachitsanzo, omwe amalola kutenga mimba mwachilengedwe.
Pakakhala kuti alibe ovary, ndizotheka kukhala ndi pakati, popereka mazira. Komabe, ngati kulibe chiberekero, kapena kufooka kwakukulu kwa njira zoberekera, zomwe sizingathetsedwe ndi opareshoni, kutenga mimba, poyamba, sikotheka.
Ndikofunika kukumbukira kuti amayi omwe ali ndi nthawi yosamba amatha kutenga pakati, ngakhale ndizovuta kwambiri, chifukwa chake ayenera kusamala popewa kutenga pakati. Muyenera kukambirana ndi a gynecologist kuti mwayi ndi chithandizo cha mayi aliyense ziwunikidwe, kutengera zosowa zawo ndi zofuna zawo, pokhudzana ndi mimba ndi njira zolerera.