Yintoni i-Amenorrhea kunye nendlela yokuphatha
Umxholo
- Iindidi ze-amenorrhea
- Izizathu eziphambili
- Unyango njani
- Ngaba kunokwenzeka ukuba ukhulelwe i-amenorrhea
I-Amenorrhea kukungabikho exesheni, okunokuba yinto yokuqala, xa ukuya exesheni kungafikeleli kulutsha oluneminyaka eli-14 ukuya kweli-16 ubudala, okanye kwisekondari, xa ukuya exesheni kuyekile, kubafazi abasele bexolile ngaphambili.
I-Amenorrhea inokwenzeka kwizizathu ezahlukeneyo, ezinye zendalo, njengokukhulelwa, ukuncancisa okanye ukusebenzisa ngokuqhubekayo izinto zokuthintela ukukhulelwa, okanye ezinye izifo, ezivela kwiziphene kwinkqubo yokuzala yowasetyhini, utshintsho kwihomoni yamaqanda, kwaye kungabangelwa luxinzelelo, ukuphazamiseka kokutya imikhwa okanye imithambo egqithisileyo.
Iindidi ze-amenorrhea
Ukungabikho exesheni kunokwenzeka ngezizathu ezininzi, kudidi olu-2:
- I-amenorrhea ephambili: kuxa kungabikho sexesheni kwamantombazana ukusuka kwiminyaka eli-14 ukuya kweli-16, njengoko kulindelwe lixesha lokukhula komzimba. Kwezi meko, ugqirha wamazinyo uza kwenza uvavanyo lweklinikhi kunye noku-odola uvavanyo lwegazi kunye ne-ultrasound, ukuphanda ukuba ngaba lukhona utshintsho kwiatomical kwinkqubo yokuzala okanye utshintsho kwiihomoni, ezinje nge-estrogen, progesterone, prolactin, TSH, FSH kunye ne-LH.
- I-amenorrhea yesibini: kuyenzeka xa uyeka ukuya exesheni ngasizathu sithile, kubafazi ababekhe baya exesheni ngaphambili, iinyanga ezi-3, xa ukuya exesheni kuqhelekile okanye iinyanga ezi-6, xa ukuya exesheni bekungahambelani. Uphando lwenziwa ngugqirha wezifo zabasetyhini, ngovavanyo lweklinikhi yamanina, imilinganiselo yehomoni, ukongeza kwi-transvaginal okanye i-pelvic ultrasound.
Kubalulekile ukuvavanyelwa ukukhulelwa nanini na xa kukho i-amenorrhea, njengoko kunokwenzeka ukukhulelwa kwanaxa kukho umjikelo wokuya exesheni ngokungekho mgaqweni okanye ebengekho ixesha elide.
Izizathu eziphambili
Oonobangela abaphambili be-amenorrhea kukukhulelwa, ukuncancisa kunye nokuyeka ukuya exesheni, ezizizizathu zendalo zomzimba, kumaxesha apho utshintsho kumanqanaba eehomoni progesterone kunye ne-estrogen ziqhelekile.
Nangona kunjalo, ezinye izizathu ze-amenorrhea zibangelwa zizifo, amayeza okanye imikhwa enje:
| Oonobangela | IMIZEKELO |
| Ukungalingani kwehormonal | -Utshintsho kwiihormone, ezinje ngeprolactin engaphezulu, testosterone, hyper okanye hypothyroidism; -Utshintsho lweBongo, njengokucinywa komthetho okanye ithumba lesikhumba; - Isifo sePolycystic ovary syndrome; - Ukuyeka ukuya exesheni. |
Inkqubo yokuzala iyatshintsha | Ukungabikho kwesibeleko okanye ii-ovari; - iinguqu kubume lobufazi; -Umculo ongagqibelelanga, xa ukuya exesheni kungekho apho unokuya khona; - izilonda zesibeleko okanye isifo sika-Asherman; |
| I-Ovulation ethintelwe yimikhwa yokuphila | - iingxaki zokutya, ezinje ngeanorexia; Umsebenzi ogqithisileyo womzimba, oqhelekileyo kwiimbaleki; -Ukunciphisa umzimba ngokukhawuleza okukhulu; - Ukutyeba kakhulu; -Uxinzelelo, uxinzelelo. |
| Amayeza | -Izicwangcisi zokusetyenziswa rhoqo; - Ukudakumba, okufana neamitriptyline, fluoxetine; - ii-Anticonvulsants, ezinje nge phenytoin; - I-Antipsychotic, efana ne-haldol, risperidone; - ii-antihistamines, ezinjenge-ranitidine, i-cimetidine; - Unyango ngamayeza. |
Unyango njani
Unyango lwe-amenorrhea luxhomekeke kwisizathu, senziwa ngokukhokelwa ngugqirha wezifo zabasetyhini, oya kugqiba ukhetho olufanelekileyo kwimeko nganye. Ke, ezinye iindlela zezi:
- Ukulungiswa kwamanqanaba ehomoni yomzimba: kubandakanya ukusetyenziswa kwamachiza ukulawula amanqanaba eprolactin kunye ne testosterone, umzekelo, okanye ukubuyisela amanqanaba e-estrogen kunye neprogesterone ukugcina amanqanaba ehomoni elawulwa.
- Ukutshintsha imikhwa yokuphila: indlela yokwehlisa ubunzima, ukutya ukutya okusempilweni nokunesondlo, ukuziqhelanisa nokwenza umthambo ngokuphakathi, ukongeza kunyango lokudakumba noxinzelelo, ukuba lukhona, ngokwesikhokelo sikagqirha wengqondo.
- Ugqirha: unokuphinda aqalele ukuya exesheni kwaye andise amathuba okuba ukhulelwe, njengakwi-hymen engafakwanga, amabala wesibeleko kunye notshintsho oluthile kwilungu lobufazi. Nangona kunjalo, xa kukho ukungabikho kwesibeleko kunye ne-ovary, akunakwenzeka ukuseka i-ovulation okanye ukuya exesheni.
Unyango lwendalo lunokunceda kwezinye iimeko zokulibaziseka kokuya exesheni ngenxa yotshintsho kumjikelo wokuya exesheni, kwabasetyhini ngaphandle kokudakumba okubonakalayo kwehomoni okanye ezinye izifo, kwaye eminye imizekelo yitiye yesinamon kunye neti ebuhlungu. Bona ngakumbi malunga nokwenziwayo kunye neendlela zokupheka zeti malunga nokuya exesheni.
Ngaba kunokwenzeka ukuba ukhulelwe i-amenorrhea
Ubukho bokukhulelwa, kwimeko ye-amenorrhea, kuxhomekeke kwisizathu. Ukulungiswa kwehomoni ekusebenzeni kwesiqhelo kwee-ovari, kunokulawula ii-ovulation kunye nokuzala, okanye zinokubangelwa kukusetyenziswa kwamayeza, anjengeClomiphene, umzekelo, evumela ukukhulelwa ngendlela yendalo.
Kwimeko yokungabikho kwe-ovary, kunokwenzeka ukuba ukhulelwe, ngokunikela ngamaqanda. Nangona kunjalo, kwimeko yokungabikho kwesibeleko, okanye ukukhubazeka okukhulu kwenkqubo yokuzala, engasonjululwanga ngotyando, ukukhulelwa, ekuqaleni, akunakwenzeka.
Kubalulekile ukukhumbula ukuba abasetyhini abanamaxesha angaqhelekanga banokukhulelwa, nangona kunzima kakhulu, kwaye ke ngoko kufuneka kuthathwe amanyathelo okuthintela ukukhulelwa okungafunekiyo. Kuya kufuneka uncokole nogqirha wabasetyhini ukuze kuvavanywe amathuba kunye nonyango lomntu ngamnye wasetyhini, ngokweemfuno zabo kunye neemfuno zabo, ngokunxulumene nokukhulelwa kunye neendlela zokucwangcisa.
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