Ukungabikho exesheni - ezisisiseko

Ukungabikho kwexesha lokuya esikhathini kwenyanga yowesifazane kuthiwa yi-amenorrhea.

I-amenorrhea yaseprayimari kuxa intombazana ingekaqali ukuya exesheni, kwaye yona:

• Uye wangena kolunye utshintsho oluqhelekileyo olwenzeka ngexesha lokufikisa
• Umdala kuno-15

Uninzi lwamantombazana luqala ukuya exesheni phakathi kweminyaka eli-9 ukuya kweli-18. Umndilili umalunga neminyaka eli-12 ubudala. Ukuba akukho zihlandlo zenzekileyo xa intombazana indala kuneminyaka eyi-15, kunokuqhubeka ukuvavanywa. Isidingo singxamiseke ngakumbi ukuba udlule kolunye utshintsho oluqhelekileyo olwenzeka ngexesha lokufikisa.

Ukuzalwa ungazaliswanga ngamalungu esini okanye amalungu e-pelvic kungakhokelela kukungabikho kwexesha lokuya exesheni. Ezinye zezi ziphene zibandakanya:

• Ukuthintela okanye ukunciphisa umlomo wesibeleko
• Ingoma engenako ukuvula
• Isibeleko esilahlekileyo okanye ubufazi
• I-septum yelungu lobufazi (udonga olwahlula ubufazi lube ngamacandelo ama-2)

IiHormone zidlala indima enkulu kumjikelo wokuya exesheni komfazi. Iingxaki zeHormone zinokwenzeka xa:

• Utshintsho lwenzeka kumalungu engqondo apho kuveliswa khona iihormoni ezinceda ukulawula umjikelo wokuya exesheni.
• Ii-ovari azisebenzi ngokuchanekileyo.

Nokuba zezi ngxaki zinokubangelwa:

• Anorexia (ukulahleka kwesidlo)
• Izifo ezingapheliyo okanye zexesha elide, ezinje ngecystic fibrosis okanye isifo sentliziyo
• Iziphene zemfuza okanye iingxaki
• Usulelo olwenzeka esibelekweni okanye emva kokuzalwa
• Ezinye iziphene zokuzalwa
• Ukungondleki
• Amathumba

Kwiimeko ezininzi, oyena nobangela we-amenorrhea oyintloko akaziwa.

Ibhinqa eline-amenorrhea aliyi kuba nokuhamba sexesheni. Unokuba neminye imiqondiso yokufikisa.

Umboneleli wezempilo uya kwenza uvavanyo lomzimba ukukhangela iziphene zokuzalwa kwilungu lobufazi okanye isibeleko.

Umboneleli uya kubuza imibuzo malunga:

• Imbali yakho yonyango
• Amayeza kunye nezongezo onokuthi uzithathe
• Ungakanani umthambo owenzayo
• Indlela otya ngayo

Kuya kwenziwa uvavanyo lokukhulelwa.

Uvavanyo lwegazi ukulinganisa amanqanaba ehomoni ahlukeneyo anokubandakanya:

• I-Estradiol
• FSH
• LH
• IProlactin
• 17 hydroxyprogesterone
• Iprogesterone yeserum
• Inqanaba le-serum testosterone
• I-TSH
• T3 kunye ne-T4

Olunye uvavanyo olunokwenziwa lunokubandakanya:

• Uvavanyo lweChromosome okanye uvavanyo lwemfuzo
• Iskena seNtloko se-CT okanye iskena se-MRI ukukhangela amathumba engqondo
• I-pelvic ultrasound ukukhangela iziphene zokuzalwa

Unyango luxhomekeke kwisizathu sexesha elilahlekileyo. Ukungabikho kwamaxesha okubangelwa ziziphene zokuzalwa kunokufuna amayeza e-hormone, utyando, okanye zombini.

Ukuba i-amenorrhea ibangelwa yithumba kwingqondo:

• Amayeza anokunciphisa iintlobo ezithile zamathumba.
• Utyando lokususa ithumba nalo luyafuneka.
• Unyango ngemitha luhlala lusenziwa kuphela xa olunye unyango lungakhange lusebenze.

Ukuba ingxaki ibangelwa sisifo esiqhelekileyo, unyango lwesi sifo lunokuvumela ukuba aye exesheni.

Ukuba unobangela yi-bulimia, i-anorexia okanye ukuzilolonga kakhulu, amaxesha aya kuqala xa ubunzima bubuyela esiqhelweni okanye inqanaba lokuzilolonga linciphile.

Ukuba i-amenorrhea ayinakulungiswa, amayeza e-hormone ngamanye amaxesha anokusetyenziswa. Amayeza anokunceda owasetyhini ukuba azive ngakumbi njengabahlobo bakhe kunye namalungu osapho ababhinqileyo. Banokukhusela amathambo ekubeni angabhityi (i-osteoporosis).

Imbonakalo ixhomekeke kwisizathu se-amenorrhea kunye nokuba inokulungiswa ngonyango okanye utshintsho kwindlela yokuphila.

Amaxesha akunakulindeleka ukuba aqale ngokwawo ukuba i-amenorrhea ibangelwe yile miqathango ilandelayo:

• Iziphene zokuzalwa kwamalungu ababhinqileyo
• I-Craniopharyngioma (ithumba kufutshane ne-pituitary gland emazantsi engqondo)
• Icystic fibrosis
• Ukuphazamiseka kwemfuza

Unokuba noxinzelelo lwengqondo kuba uziva wahlukile kubahlobo okanye kusapho. Okanye, unokuba nexhala lokuba ungangabinako ukuba nabantwana.

Tsalela umnikezeli wakho ukuba intombi yakho indala kuneminyaka eli-15 kwaye ayikaqali ukuya exesheni, okanye ukuba uneminyaka eli-14 kwaye ayibonisi zimpawu zokufikisa.

Amenorrhea yokuqala; Akukho maxesha - aphambili; Amaxesha angabikhoyo - aphambili; Iimpawu ezingekhoyo - eziphambili; Ukungabikho kwamaxesha - okokuqala

• I-amenorrhea ephambili
• I-anatomy yesibeleko yesiqhelo (icandelo elisikiweyo)
• Ukungabikho exesheni (amenorrhea)

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Lobo RA. I-amenorrhea yamabanga aphantsi kunye nasesekondari kunye nokufikisa kwangaphambili: i-etiology, uvavanyo lokuqonda isifo, ulawulo. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, ii-eds. Gynecology egqibeleleyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 38.

UMagowan BA, uOwen P, uThomson A. Umjikelo oqhelekileyo wokuya exesheni kunye ne-amenorrhoea. Ku: Magowan BA, Owen P, Thomson A, ii-eds. I-Clinical Obstetrics kunye neGynecology. Ngomhla we-4. Elsevier; I-2019: isahluko 4.