Amenorrhea yachiwiri
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Zamkati
- Nchiyani chimayambitsa amenorrhea yachiwiri?
- Kusamvana kwa mahomoni
- Zomangamanga
- Zizindikiro za amenorrhea yachiwiri
- Kuzindikira amenorrhea yachiwiri
- Chithandizo cha amenorrhea yachiwiri
Kodi amenorrhea yachiwiri ndi chiyani?
Amenorrhea ndiko kusamba kwa msambo. Amenorrhea yachiwiri imachitika mukakhala kuti mwakhala mukusamba kamodzi komanso mumasiya kusamba kwa miyezi itatu kapena kupitilira apo. Amenorrhea yachiwiri ndi yosiyana ndi amenorrhea yoyamba. Nthawi zambiri zimachitika ngati simunakhale ndi msambo woyamba kufika zaka 16.
Zinthu zingapo zimatha kubweretsa vutoli, kuphatikizapo:
- ntchito zakulera
- mankhwala ena omwe amachiza khansa, psychosis, kapena schizophrenia
- kuwombera kwa mahomoni
- matenda monga hypothyroidism
- kukhala wonenepa kwambiri kapena wonenepa kwambiri
Nchiyani chimayambitsa amenorrhea yachiwiri?
Pa msambo wabwinobwino, kuchuluka kwa estrogen kumakwera. Estrogen ndi hormone yomwe imayambitsa chitukuko cha kugonana ndi kubereka mwa amayi. Kuchuluka kwa estrogen kumapangitsa kuti chiberekero chikule ndikukula. Pamene chingwe cha m'mimba chimakulirakulira, thupi lanu limatulutsa dzira mu imodzi mwa mazira ambiri.
Dzira limasweka ngati umuna wa abambo sukuuphatikiza. Izi zimapangitsa milingo ya estrogen kutsika. Mukamatha kusamba mumatulutsa chiberekero cholimba komanso magazi owonjezera kudzera mu nyini. Koma njirayi imatha kusokonezedwa ndi zinthu zina.
Kusamvana kwa mahomoni
Kusalinganika kwama mahomoni ndiye chifukwa chofala kwambiri cha amenorrhea yachiwiri. Kusagwirizana kwa mahomoni kumatha kuchitika chifukwa cha:
- zotupa pamatenda am'mimba
- chithokomiro chopitilira muyeso
- magulu otsika a estrogen
- milingo yayikulu ya testosterone
Kuletsa kubala mahomoni kumathandizanso ku amenorrhea yachiwiri. Depo-Provera, kuwombera kwa mahomoni, ndi mapiritsi oletsa mahomoni, atha kukupangitsani kusowa nthawi yakusamba. Mankhwala ena, monga chemotherapy ndi ma antipsychotic, amathanso kuyambitsa amenorrhea.
Zomangamanga
Zinthu monga polycystic ovary syndrome (PCOS) zimatha kuyambitsa kusamvana kwama mahomoni komwe kumabweretsa kukula kwa ma ovari cysts. Matenda a ovarian ndi abwino, kapena osapatsirana khansa, misala yomwe imayamba m'mimba mwake. PCOS itha kuchititsanso amenorrhea.
Minofu yovunda yomwe imakhalapo chifukwa cha matenda am'mimba kapena njira zingapo zotulutsa mankhwala (D ndi C) zitha kupewanso kusamba.
D ndi C zimaphatikizapo kuchulukitsa khomo pachibelekeropo ndikuthira chiberekero chopangidwa ndi chida chooneka ngati supuni chotchedwa curette. Njirayi imagwiritsidwa ntchito pochotsa minofu yochulukirapo m'chiberekero. Amagwiritsidwanso ntchito pofufuza ndikuchiza magazi osabadwa a uterine.
Zizindikiro za amenorrhea yachiwiri
Chizindikiro chachikulu cha amenorrhea yachiwiri chimasowa nthawi kusamba motsatira. Azimayi amathanso kumva:
- ziphuphu
- kuuma kwa nyini
- kuzama kwa mawu
- Kukula kwambiri kapena kosafunikira kwa tsitsi lathupi
- kupweteka mutu
- kusintha kwa masomphenya
- Kutuluka kwamabele
Itanani dokotala wanu ngati mwaphonya nthawi zoposa zitatu zotsatizana, kapena ngati zina mwazizindikiro zanu zikuwonjezeka.
Kuzindikira amenorrhea yachiwiri
Dokotala wanu ayambe akufuna kuti muyesedwe kuti musakhale ndi pakati. Dokotala wanu amatha kuyesa magazi angapo. Mayesowa amatha kuyeza kuchuluka kwa testosterone, estrogen, ndi mahomoni ena m'magazi anu.
Dokotala wanu amathanso kugwiritsa ntchito mayeso amakanema kuti mupeze amenorrhea yachiwiri. Kuyeza kwa MRI, CT, ndi mayeso a ultrasound amalola dokotala wanu kuwona ziwalo zanu zamkati. Dokotala wanu adzakhala akuyang'ana zotupa kapena zophuka zina m'mimba mwanu kapena m'chiberekero.
Chithandizo cha amenorrhea yachiwiri
Chithandizo cha amenorrhea yachiwiri chimasiyanasiyana kutengera chomwe chimayambitsa matenda anu. Kusamvana kwa mahomoni kumatha kuchiritsidwa ndi ma hormone owonjezera kapena othandizira. Dokotala wanu angafunenso kuchotsa zotupa zamchiberekero, minofu yofiira, kapena kumangiriza kwa chiberekero kukupangitsani kuti musowe msambo.
Dokotala wanu angakulimbikitseninso kuti musinthe zina ndi zina m'moyo ngati kulemera kwanu kapena kuchita masewera olimbitsa thupi kukuthandizani kuti mukhale ndi thanzi labwino. Funsani dokotala wanu kuti atumizidwe kwa katswiri wazakudya kapena wazakudya, ngati kuli kofunikira. Akatswiriwa angakuphunzitseni momwe mungakwaniritsire kulemera kwanu komanso kuchita masewera olimbitsa thupi mwanjira yathanzi.