Akukho Xesheni (Ukuya exesheni)

Umxholo

• Iimbalasane
  
• Iindidi zokungabikho exesheni
• Izinto ezibangela ukuba sexesheni
• Amayeza
• Iziphene emzimbeni
• Nini ukubona ugqirha malunga nokuya exesheni
• Yintoni onokuyilindela kugqirha
• Unyango lokungabikho exesheni
• Into onokuyenza ngoku

Yintoni ukungayi exesheni?

Iimbalasane

1. Ukungabikho exesheni, okwaziwa ngokuba yi-amenorrhea, kukungabikho exesheni. Zimbini iintlobo zokungabikho exesheni. Uhlobo luxhomekeke ekubeni ukuya exesheni akwenzekanga ngeminyaka ethile, okanye ukuba sexesheni kuye kwenzeka kwaye emva koko akakho.
2. Ukuba sexesheni kungabikho ngenxa yezizathu ezahlukeneyo. Ezona ziqhelekileyo kwezi zibandakanya oonobangela bendalo, iimeko zokuphila, kunye nokungalingani kwehomoni.
3. Kubalulekile ukuba ubone ugqirha malunga nokuya exesheni, nanjengoko unobangela usenokufuna unyango. Ukungayi exesheni kuhlala kusombulula xa unobangela unyangiwe.

Ukungabikho esikhathini, okanye i-amenorrhea, kukungabikho kwegazi lokuya esikhathini. Kuyenzeka xa intombazana ingakhange ibe sexesheni okokuqala nge-16 leminyaka yobudala. Iyenzeka ke emva koko owasetyhini engaphumeleli ukuya exesheni iinyanga ezi-3 ukuya kwezi-6.

I-Amenorrhea inokwenzeka ngezizathu ezininzi. Unobangela oqhelekileyo kukukhulelwa. Nangona kunjalo, i-amenorrhea inokubangelwa zizinto ezahlukeneyo zokuphila, kubandakanya ubunzima bomzimba kunye nenqanaba lokuzilolonga.

Ngamanye amaxesha, ukungalingani kwehomoni okanye iingxaki kumalungu okuzala kunokuba ngunobangela.

Kufuneka ubone ugqirha wakho ukuba ufumana i-amenorrhea. Unobangela osisiseko wexesha oliphosileyo unokufuna unyango.

Iindidi zokungabikho exesheni

Ezi ntlobo zimbini ze-amenorrhea zibhekiswa njengeziprayimari nezizisekondari.

I-amenorrhea yaseprayimari kuxa intombazana ekwishumi elivisayo ifikelele okanye idlulile kwiminyaka eli-16 kwaye ingekabikho exesheni lokuqala. Uninzi lwamantombazana luqala ukuba sexesheni phakathi kweminyaka eli-9 neli-18, kodwa eli-12 li-avareji yobudala.

I-amenorrhea yesibini xa umfazi eyekile ukuba sexesheni kangangeenyanga ezintathu ubuncinci. Le yindlela eqhelekileyo ye-amenorrhea.

Kwiimeko ezininzi, zombini ezi ntlobo zinokunyangwa ngokufanelekileyo.

Izinto ezibangela ukuba sexesheni

I-amenorrhea yamabanga aphantsi kunye nasesekondari inokwenzeka ngezizathu ezininzi. Abanye oonobangela bendalo, ngelixa ezinye iimeko zonyango ezifuna ukunyangwa.

• Izizathu zendalo ezinokubangela ukuba i-amenorrhea ibandakanye ukukhulelwa, ukuncancisa kunye nokuyeka ukuya exesheni.
• Izinto zokuphila zinokubandakanya ukuzivocavoca umzimba kunye noxinzelelo. Kwakhona, ukuba namafutha omzimba amancinci kakhulu okanye amanqatha omzimba amaninzi kunokubambezela okanye uyeke ukuya exesheni.
• Ukungalingani kwehormonal kunokubangela i-amenorrhea. Zihlala zibangelwa ngamathumba kwi-pituitary gland okanye kwi-thyroid gland. Amanqanaba e-estrogen asezantsi okanye amanqanaba aphezulu e-testosterone nawo anokubangela.
• Ukuphazamiseka kwemfuza okanye ukuphazamiseka kwe-chromosomal, njenge-Turner syndrome kunye neSawyer syndrome, ngamanye amaxesha kunokubangela ukuba sexesheni emva kwexesha.
• Amayeza kunokubangela amenorrhea kwamanye amabhinqa.
• I-Antipsychotic kunye ne-antidepressants zihlala zibandakanyeka.
• Amachiza e-Chemotherapy kunye namayeza anyanga uxinzelelo lwegazi oluphezulu kunokubangela iingxaki nasexesheni.
• Ukuyeka ngesiquphe iipilisi zolawulo lokuzalwa kungakhokelela kwiinyanga ezininzi zokungabikho ngaphambi kokuba umjikelo ubuyele esiqhelweni.
• Iziphene zomzimba ezinje ngengxaki yolwakhiwo kumalungu obufazi okuzala inokuba noxanduva lokungabikho okanye ukulibaziseka ukuya exesheni.
• Le micimbi inokubangelwa ziziphene zokuzalwa, amathumba, okanye usulelo olwenzeka esibelekweni okanye kungekudala emva kokuzalwa.
• Kwiimeko ezinqabileyo, amaxesha aphosiweyo anokuba luphawu lwesifo sika-Asherman. Oku kwenzeka ngenxa yokunqaba kwisibeleko emva kotyando, olunokuthintela ukuya exesheni.

Amayeza

Iziphene emzimbeni

Nini ukubona ugqirha malunga nokuya exesheni

Intombazana ekwishumi elivisayo engakhange iqale ukuya exesheni ubuncinci ngeminyaka eli-16 kufuneka ibonane nogqirha. Uhambo oluya kwiofisi kagqirha luyimfuneko kwakhona ukuba uneminyaka eli-14 okanye ngaphezulu kwaye akakhange abe namava nayiphi na imiqondiso yokufikisa okwangoku. Olu tshintsho luya kubandakanya oku kulandelelanayo kwimbonakalo:

1. thelarche (ukukhula kwamabele)
2. i-pubarche (ukukhula kweenwele ze-pubic)
3. sexesheni (ukuqala kwexesha lokuya exesheni)

Ukuya exesheni kwabasetyhini kunye nolutsha kufuneka babone ugqirha wabo ukuba baphose amaxesha amathathu okanye nangaphezulu ngokulandelelana.

Yintoni onokuyilindela kugqirha

Xa ubona ugqirha wakho malunga ne-amenorrhea, ugqirha wakho uya kwenza uvavanyo lomzimba kwaye akubuze uthotho lwemibuzo. Zilungiselele ukuthetha ngomjikelo wakho wokuya exesheni, indlela ophila ngayo, kunye nazo naziphi na ezinye iimpawu ohlangabezana nazo.

Ugqirha wakho uya ku-odola uvavanyo lokukhulelwa ukuba khange ube nexesha kwiinyanga ezintathu. Ukuba loo meko ayikhutshelwa ngaphandle, unokufuna iimvavanyo ezingaphezulu ukumisela oyena nobangela wamaxesha akho aphosiweyo. Olu vavanyo lokuqonda isifo lunokubandakanya:

• Uvavanyo lwegazi, oluya kuvumela ugqirha wakho ukuba ajonge amanqanaba ehomoni emzimbeni wakho. Iprolactin, i-luteinizing hormone, kunye ne-follicle evuselelayo yehomoni konke kunxulumene nokuya exesheni. Ukuchonga la manqanaba kunokunceda ugqirha wakho amisele okanye akhuphe ngaphandle kwesizathu sokungabikho kwakho.
• I-Ultrasound luvavanyo lokucinga olusebenzisa amaza esandi aphakamileyo ukwenza imifanekiso eneenkcukacha ezingaphakathi komzimba wakho. Inceda ugqirha wakho ukuba ajonge amalungu ahlukeneyo, anje ngee-ovari kunye nesibeleko, kwaye ajonge ukukhula okungaqhelekanga.
• Ukuvavanywa kwe-CT lolunye uhlobo lovavanyo lokucinga olusebenzisa iikhompyuter kunye noomatshini abajikelezayo beX-ray ukwenza imifanekiso enamacandelo omzimba. Le mifanekiso ivumela ugqirha wakho ukuba akhangele ubunzima kunye neethumba kwiincindi nakwizitho zakho.

Unyango lokungabikho exesheni

Unyango lwe-amenorrhea luyahluka ngokuxhomekeka kwisizathu esingunobangela. Ukungalingani kwehormonal kunganyangwa ngehomoni eyongezelelekileyo okanye eyenziweyo, enokunceda ukubuyisela amanqanaba ehomoni ngokuthe ngqo.

Ugqirha wakho unokufuna ukususa ii-ovari cysts, izicwili ezibomvu, okanye izilonda zesibeleko ezibangela ukuba uphoswe lixesha lokuya esikhathini.

Ugqirha wakho unokucebisa ukuba wenze utshintsho olulula kwindlela ophila ngayo ukuba ubunzima bakho okanye ukuzilolonga rhoqo kunegalelo kwimeko yakho. Buza ugqirha wakho ukuba akuthumele kwingcali yokutya okanye kwisondlo, ukuba kukho imfuneko.

Ezi ngcali zinokukufundisa indlela yokulawula ubunzima bakho kunye nomsebenzi womzimba ngendlela esempilweni.

Into onokuyenza ngoku

Cwangcisa ixesha lokuqeshwa nogqirha wakho ukuze babone unobangela we-amenorrhea yakho. Qiniseka ukuba uyabambelela kwisicwangciso sakho sonyango kwaye uye kuzo zonke iindibano zokulandelwa.

Njalo qhagamshelana nodokotela wakho ukuba imeko yakho ayiphuculanga ngonyango okanye ukuguqulwa kwendlela yokuphila.