Ukungabikho kwexesha - yesibini

Ukungabikho kwexesha lokuya esikhathini kwenyanga yowesifazane kuthiwa yi-amenorrhea. I-amenorrhea yesibini kuxa owasetyhini ebesoloko esiba sexesheni esiyeka ukuya exesheni iinyanga ezi-6 okanye ngaphezulu.

I-amenorrhea yesibini inokwenzeka ngenxa yotshintsho lwendalo emzimbeni. Umzekelo, esona sizathu siqhelekileyo se-amenorrhea yesibini kukukhulelwa. Ukuncancisa kunye nokuyeka ukuya exesheni kuqhelekile, kodwa izizathu zendalo.

Abasetyhini abathatha iipilisi zolawulo lokuzalwa okanye abafumana i-hormone shots ezifana neDepo-Provera abanakho ukuphuma kwenyanga. Xa beyeka ukuthatha ezi hormone, amaxesha abo anokungabuyi ngaphezulu kweenyanga ezi-6.

Kungenzeka ukuba ungabikho amaxesha ukuba:

• Batyebile
• Zilolonge kakhulu kwaye ixesha elide
• Unamafutha omzimba asezantsi kakhulu (ngaphantsi kwe-15% ukuya kwi-17%)
• Unobunzima obukhulu okanye uxinzelelo lweemvakalelo
• Ukuphulukana nobunzima obuninzi ngesiquphe (umzekelo, kwizidlo ezingqongqo okanye ezigabadeleyo okanye emva koqhaqho lwesisu)

Ezinye izizathu zibandakanya:

• Brain (pituitary) amathumba
• Iziyobisi zonyango lomhlaza
• Amayeza okunyanga i-schizophrenia okanye i-psychosis
• Idlala lengqula eligqithisileyo
• Isifo sePolycystic ovarian
• Umsebenzi owehlisiweyo wamaqanda

Kwakhona, iinkqubo ezinjenge-dilation kunye ne-curettage (D no-C) zinokubangela ukuba izicwili ezinqabileyo zenze. Esi sihlunu sinokubangela ukuba umfazi ayeke ukuba sexesheni. Oku kubizwa ngokuba yi-Asherman syndrome. Ukuqhekeka kunokubangelwa zizifo ezithile ezinobuzaza.

Ukongeza ekubeni ungayi exesheni, ezinye iimpawu zinokubandakanya:

• Utshintsho lwesayizi webele
• Ukutyeba okanye ukunciphisa umzimba
• Ukuchithwa kwebele okanye utshintsho kubungakanani bebele
• Amabala kunye nokwanda kokukhula kweenwele kwipateni eyindoda
• Ukoma kwelungu lobufazi
• Ilizwi liyatshintsha

Ukuba i-amenorrhea ibangelwa yi-pituitary tumor, kunokubakho ezinye iimpawu ezinxulumene nethumba, njengokulahleka kombono kunye nentloko.

Uvavanyo lomzimba kunye nokuhlolwa kwe-pelvic kufuneka kwenziwe ukukhangela ukukhulelwa. Kuya kwenziwa uvavanyo lokukhulelwa.

Uvavanyo lwegazi lunokwenziwa ukujonga amanqanaba ehomoni, kubandakanya:

• Amanqanaba e-estradiol
• I-follicle evuselela i-hormone (inqanaba le-FSH)
• Ihomoni yeLuteinizing (inqanaba le-LH)
• Inqanaba leprolactin
• Amanqanaba ehomoni yeSerum, njengamanqanaba e testosterone
• Idlala lengqula elikhuthaza amadlala (TSH)

Olunye uvavanyo olunokuthi lwenziwe lubandakanya:

• Ukuskena i-CT okanye ukuskena i-MRI entloko ukujonga amathumba
• I-Biopsy yelining yesibeleko
• Uvavanyo lwemfuzo
• I-Ultrasound ye-pelvis okanye i-hysterosonogram (i-pelvic ultrasound ebandakanya ukubeka isisombululo se-saline ngaphakathi kwesibeleko)

Unyango luxhomekeke kwisizathu se-amenorrhea. Amaxesha aqhelekileyo enyanga ahlala ebuya emva kokuba imeko inyangwa.

Ukunqongophala kwexesha lokuya exesheni ngenxa yokutyeba kakhulu, ukuzilolonga ngamandla, okanye ukwehla kobunzima kunokuphendula kutshintsho kwindlela yokwenza umthambo okanye kulawulo lobunzima (inzuzo okanye ilahleko, njengoko kufuneka).

Imbonakalo ixhomekeke kwisizathu se-amenorrhea. Uninzi lweemeko ezibangela i-amenorrhea yesibini ziya kuphendula kunyango.

Jonga umboneleli wakho wokuqala wezempilo okanye umboneleli wezempilo ukuba uphose ixesha elingaphezulu kwesinye ukuze ufumane isifo kwaye unyangwe, ukuba kufuneka njalo.

Amenorrhea - yesibini; Akukho zihlandlo - ezisekondari; Amaxesha okungabikho - yesibini; Iimpawu ezingekhoyo - eziziisekondari; Ukungabikho kwamaxesha - kwesibini

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

IBulun SE. I-physiology kunye ne-pathology ye-axis yokuzala yabasetyhini. KwiMelmed S, Auchus RJ, Goldfine AB, Koenig RJ, et al. Incwadi ebhaliweyo kaWilliam ye-Endocrinology. Umhla we-14. IPhiladelphia, PA: Elsevier; 2020: isahluko 17.

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.