So wo nna a ɛba ɔsram biara no agyae? Ebia nea ɛde ba ne Hypothalamic Amenorrhea!

So wokae sɛ na wo brayɛ ɔsram biara, anaa wo brayɛ ba bere ano. Nanso so agyae asram kakraa bi ni? Anaasɛ abɛyɛ nea ɛnkɔ so daa? Ɛwom sɛ ɛtɔ mmere bi a yɛmfa yɛn adwene nsi saa nneɛma yi so kɛse de, nanso eyi yɛ biribi a ɛsɛ sɛ ɛhaw yɛn ankasa. Ɛnnɛ yɛrebɛka ntease pɔtee biako a ɛka brayɛ gyae ho asɛm. Ɛno ne hypothalamic amenorrhea, anaa sɛnea nnuruyɛfo frɛ no `(Functional Hypothalamic Amenorrhea - FHA)`.

Dɛn ne Hypothalamic Amenorrhea?

Sɛ yɛbɛka no tiawa a, hypothalamic amenorrhea yɛ bere a wo bra gyae ɔsram biara esiane ɔhaw bi a ɛwɔ w’amemene no fã bi a wɔfrɛ no hypothalamus dwumadi mu nti. Afei ebia woresusuw nea hypothalamus yɛ ho, ɛnte saa? Fa wo nipadua nyinaa sɛ adwumakuw kɛse. Hypothalamus no te sɛ beae titiriw a wɔhwɛ saa adwumakuw no so. Ɛhwɛ nneɛma pii te sɛ nipadua mu hyew, ɔkɔm, ne sukɔm so. Ɛsan nso di nneɛma bi a ɛho hia a ɛfa yɛn awo nhyehyɛe ho no so. Ne titiriw no, sɛ brayɛ bɛba a, ɛsɛ sɛ hypothalamus no yi hormone bi a wɔfrɛ no gonadotropin-releasing hormone (GnRH) . Saa `(GnRH)` hormone yi, ne hormone `Follicle-stimulating hormone (FSH)` ne `Luteinizing hormone (LH) ,` ne `Estrogen`, boa ma wo brayɛ kɔ so yiye. Enti, sɛ biribi nti wo hypothalamus gyae saa `(GnRH)` hormone yi yɛ anaasɛ ɛtew so a, saa hormone afoforo no kari pɛ nso bɛyera. Ɛno ne bere a wo nna a wobɛkɔ ɔsram biara no befi ase ayɛ nea ɛnkɔ so daa anaasɛ ebegyae koraa.

Dɛn ne Amenorrhea?

Amenorrhea yɛ wo nna a worenkɔ ɔsram biara no ara kwa. Eyi ahorow atitiriw abien na ɛwɔ hɔ: 1. Amenorrhea titiriw: Eyi kyerɛ sɛ wunnyaa wo bra a edi kan bere a woadi mfe 16, anaasɛ mfe anum wɔ bere a woadu mpanyin afe so akyi. 2. Amenorrhea a ɛto so abien: Eyi kyerɛ sɛ kan no na woakɔ bra daa ɔsram biara, nanso mpofirim ara gyae bɛboro asram abiɛsa. Hypothalamic amenorrhea a yɛreka ho asɛm nnɛ no yɛ amenorrhea a ɛto so abien bi. Hypothalamic amenorrhea ka mmea bɛyɛ ɔpepem 1.62 a wɔadi fi mfe 18 kosi 44 wɔ United States nkutoo. Sɛ wohwɛ wiase nyinaa a, saa dodow yi bɛyɛ ɔpepem 17.4. Eyi kyerɛ sɛ eyi nyɛ biribi a wobetumi abu ani agu so.

Dɛn nti na hypothalamic amenorrhea ba? Dɛn na ɛde ba?

Fa wo hypothalamus sɛ ahyɛde beae a ɛyɛ adwuma wɔ tebea a egye ntɛmpɛ mu. Ɛnya nkrasɛm firi nipadua no mu, sɛ, "Oh, nipadua yi wɔ nhyɛsoɔ kɛseɛ ase, adwennwene kɛseɛ." Sɛ ɛte saa a, hypothalamus no si gyinae sɛ, "Ɛyɛ, momma yennyae adwuma no bi kakra. Efisɛ ade a ɛho hia sen biara ma nipadua no mprempren ne sɛ ɛbɛtra ase." Ɛno ne bere a egyae saa `(GnRH)` hormone no yɛ. Enti, dɛn ne nea enti a ebia saa hypothalamus yi bɛte nka sɛ "adwennwen"?

• Aduan a wonnya nni anaasɛ wonsiw ano: Nnipa binom to wɔn aduan ano hye esiane sɛ wɔpɛ sɛ wɔyɛ teateaa anaasɛ esiane ntadehyɛ bi nti . Sɛ eyi ba a, nipadua no nnya ahoɔden a ehia no.
• Aduan a enni mu: Sɛ wunni aduan a ɛkari pɛ a, wo nipadua no nni aduannuru ne vitamin a ehia. Ɛnyɛ nea ɛdɔɔso sɛ wubedi biribi a ɛbɛhyɛ wo yafunu ma kɛkɛ.
• Apɔw-mu-teɛteɛ a ɛboro so: Apɔw-mu-teɛteɛ ye ma nipadua no. Nanso, nnipa binom teɛteɛ wɔn apɔw mu sen sɛnea wohia, kodu baabi a wɔyɛ nnam dodo. Sɛ nhwɛso no, apɔw-mu-teɛteɛ dan mu a wɔbɛtra da mũ nyinaa, anaa nnipa a wɔpɛ agumadifo a wɔtete wɔn ho dodo.
• Adwene anaa nkate fam adwennwen a emu yɛ den: Eyi yɛ biribi a ɛka nnipa pii. Adwennwen a nneɛma te sɛ ɔhaw ahorow a ɛwɔ fie, adwuma mu ɔhaw ahorow, sɔhwɛ ahorow, ne ɔhaw ahorow a ɛwɔ ɔdɔ mu abusuabɔ mu de ba no betumi aka hypothalamus no.
• Nipadua mu srade a ɛba fam koraa: Srade dodow bi ho hia na ama hormone ahorow atumi ayɛ adwuma. Saa tebea yi nso betumi aba sɛ ɛba fam dodo a.
• Adidi mu haw ahorow: Sɛ nhwɛso no, tebea horow te sɛ Anorexia Nervosa no yɛ nea wosuro adidi ne adwemmɔne a obi wɔ wɔ aduan ho.

Mpɛn pii no, saa nneɛma yi mu biako anaa abien bom de tebea no ba `(FHA)`. Fa no sɛ, sɛ obi nnidi yiye na ɔteɛteɛ n’apɔw mu dodo a, ɛnde hypothalamus no susuw sɛ nipadua no wɔ "nkwa tebea mu", kyerɛ sɛ, ɛwɔ tebea a ɛko sɛnea ɛbɛyɛ a obenya nkwa kɛkɛ mu. Afei, ɛde ahoɔden di dwuma ma nneɛma a ɛho hia sen biara te sɛ ahome ne koma bɔ nkutoo, na egyae nneɛma bi a "ɛnyɛ nea ɛho hia mprempren" te sɛ awo. Sɛnea yɛadi kan aka no, hormone `(GnRH)` ne nea ɛma nipadua no yɛ hormone `(FSH)` ne `(LH)`. Saa hormone abien yi `(FSH)` ne `(LH)` ne nea ɛma egg fi wo ovary mu ɔsram biara, a wɔfrɛ no `ovulation`.Ɛboa sɛ wobɛyɛ. Enti sɛ `(FSH)` ne `(LH)` dodow so tew a, ovulation ne brayɛ nyinaa gyae. Yɛtaa susuw sɛ agumadifo ne Olimpikfo nkutoo na eyi to. Efisɛ wɔn dwumadi dodow no kɔ soro. Nanso, nokwarem no, tebea yi betumi aba mmeawa nkumaa, anaa obiara a wayɛ basaa esiane da biara da ɔhaw ahorow a ohyia wɔ adwumam anaa fie nti.

Dɛn ne hypothalamic amenorrhea ho sɛnkyerɛnne ahorow?

Saa tebea yi ho sɛnkyerɛnne titiriw a ɛda adi kɛse ne sɛ wunnya nna ɔsram biara asram abiɛsa anaa nea ɛboro saa. Nanso, sɛnkyerɛnne afoforo betumi ada adi esiane hormone a ɛnkari pɛ nti. Eyinom bi ne:

• Adwenemhaw ne Dadwen : Awerɛhow, ehu, ne dadwen betumi aba.
• Dae a wuntumi nna anaa nna ho haw: Ebia wubehu sɛ worebɔ wo ho akɔneaba na woadannan wo ho anadwo, na wuntumi nna yiye.
• Honam fam ahoɔden a wonni (ɔbrɛ): Nkate a ɛma obi te nka sɛ onni nkwa na ɔmpɛ sɛ ɔyɛ biribiara.
• Ɔkɔm a wɔte nka mpɛn pii: Ebia nnipa binom bɛte ɔkɔm nka sen sɛnea wɔtaa yɛ wɔ saa bere yi mu.
• Vaginal dryness: Eyi nso betumi afi estrogen hormone dodow a ɛso tew mu aba.
• Ɔbarima ne ɔbea nna ho akɔnnɔ a ɛba fam:
• Nwi a ɛtɔ : .
• Ti a ɛyɛ yaw : .

Kae sɛ, sɛ wunya saa sɛnkyerɛnne ahorow yi mu biako anaa abien kɛkɛ a, ɛnkyerɛ sɛ wowɔ hypothalamic amenorrhea. Nanso, sɛ wo bra agyae na wowɔ sɛnkyerɛnne afoforo te sɛ eyinom a, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn.

So PCOS betumi ama obi anya hypothalamic amenorrhea?

Polycystic ovary syndrome (PCOS) nso betumi ama mmea akɔ brayɛ a ɛnkɔ so daa anaasɛ ovulation agyae koraa. Nanso, PCOS nyɛ ade a ɛde hypothalamic amenorrhea ba tẽẽ. FHA yɛ tebea a ɛma brayɛ gyae esiane ɔhaw bi a ɛwɔ hypothalamus mu nti. Nsakrae a ɛba nkwaadɔm mu wɔ awotwaa mu na ɛde PCOS ba.

Ɔkwan bɛn so na nnuruyɛfo hu hypothalamic amenorrhea?

Oduruyɛfo bi bɛka sɛ hypothalamic amenorrhea wɔ hɔ bere a wabu nneɛma afoforo a ɛde brayɛ a ɛnkɔ so pɛpɛɛpɛ ba nyinaa akyi. Nhwɛsoɔ:

• Merehwɛ sɛ woanyinsɛn anaa.
• Wɔhwɛ sɛ ebia ɔhaw bi wɔ thyroid ntini anaa adrenal gland no ho anaa.

Wɔbɛdi kan ahwɛ saa nneɛma yi mu. Nea ɛka ho no, wo duruyɛfo no nso bɛyɛ nea edidi so yi:

• Wobebisa w’ayaresa ho abakɔsɛm a edi mũ: nneɛma te sɛ nyarewa a woadi kan anya, nnuru a wonom, ne sɛ ebia w’abusua mu obiara anya ɔhaw a ɛte saa ara anaa.
• Wɔbɛyɛ nipadua mu nhwehwɛmu ne akyi berɛmo mu nhwehwɛmu.
• Wɔhyɛ sɔhwɛ ahorow pii nso. Wɔn titiriw ne:
• Mogya mu nhwehwɛmu: Eyinom hwɛ sɛnea nkwaadɔm a ɛka brayɛ te sɛ estrogen , prolactin , follicle-stimulating hormone (FSH) , ne luteinizing hormone (LH) , dodow te.
• Mogya dodow a edi mũ (CBC): Eyi ma yenya nkwammoaa ahorow a ɛwɔ mogya no mu ho adwene.
• Nyinsɛn mu nhwehwɛmu:
• Ɛtɔ mmere bi nso a wobetumi aka akyerɛ wo sɛ yɛ MRI scan wɔ pituitary gland no mu, efisɛ pituitary gland no nso ka hormone hormone control mu.

Dɛn ne ayaresa ahorow a wɔde sa eyi?

Asɛmpa no ne sɛ aduru bi wɔ hɔ a wɔde sa hypothalamic amenorrhea! Nnuruyɛfo kamfo kyerɛ titiriw sɛ wɔnyɛ nsakrae wɔ asetra mu . Eyinom bi ne:

• Apɔw-mu-teɛteɛ a ɛboro so a wobɛto ano hye: Sɛ woteɛteɛ w’apɔw mu pii a, ebia ebehia sɛ wotew so kakra.
• Ma wo mu duru nkɔ soro (sɛ ɛho hia a): Sɛ wo mu duru sua a, wɔkamfo kyerɛ sɛ wo mu duru nkɔ soro kakra wɔ ɔkwan a ɛfata so.
• Akwan a wobɛfa so atew adwennwen so a wobɛhwehwɛ: Wubetumi abɔ mmɔden sɛ wubedi adwennwen ho dwuma denam nneɛma te sɛ yoga, adwennwen, ne anigyede a ɛma obi dwo so.

Ebia wo duruyɛfo nso de wo bɛkɔ akɔma obi a onim aduan ho ɔbenfo . Eyi bɛboa wo ma woate aduannuru a wo nipadua hia, calories dodow a ɛsɛ sɛ wudi da biara, ne sɛnea wobɛkɔ so anya nipadua mu duru (BMI) a ɛyɛ papa a egyina wo dwumadi dodow so ase ankasa. Nnipa binom nso nya adwenemyare ho afotu , te sɛ adwene mu nneyɛe ho ayaresa (CBT) so mfaso. Eyi boa nnipa a wɔwɔ adidi mu haw anaa wɔmpɛ sɛ wobegye atom sɛ wɔwɔ bi no titiriw. Ebetumi nso aboa wo ma woasua akwan a wobɛfa so adi adwennwen so. Wɔ tebea horow a ɛntaa nsi mu no, wo duruyɛfo nso betumi akyerɛw wo hormone ayaresa, awo ano aduru, anaa nnuru afoforo a ebetumi aboa wo ma woakɔ bra.

Bere tenten ahe na ayaresa gye?

Eyi betumi ayɛ soronko wɔ onipa biara ho. Egyina nneɛma te sɛ mfe a woadi, wo mu duru, dwumadi dodow, ne awosu so. Nanso mpɛn pii no, egye bɛyɛ asram abiɛsa kosi asia ayaresa a ɛkɔ so daa ansa na wo nna afi ase bio.

So wobetumi asiw hypothalamic amenorrhea ano?

Yiw, akyinnye biara nni ho! Ade titiriw a ɛsɛ sɛ woyɛ ne sɛ wobɛkwati nneɛma atitiriw a ɛde tebea yi ba no.

• Didi dodow a ɛfata wo dwumadi dodow.
• Mfa calories ano hye a ɛho nhia.
• Hwehwɛ akwan a wobɛfa so atew adwennwen so na woadi ho dwuma.
• To apɔw-mu-teɛteɛ a ɛtra so a wuntumi nnyina ano ano hye.

Sɛ yɛbɛka no tiawa a, tie wo nipadua. Ma no ahomegye, aduan pa, ne adwene mu yiyedi a ehia.

Ɔkwan bɛn so na saa tebea yi ka me nipadua?

Ɛnyɛ sɛ ɛyɛ wo nna a wobɛhwere ɔsram biara nko, na mmom ebetumi de ɔhaw ahorow a ɛtra hɔ bere tiaa ne bere tenten nyinaa nso aba. Nkɛntɛnso a sɛ woankɔ nna a, ebetumi anya wɔ w’akwahosan so no bi ni:

• Awo a wontumi nwo: Sɛ brayɛ nkɔ so daa na ovulation mma a, ɛbɛyɛ den sɛ wobenyinsɛn abofra.
• Nnompe akwahosan a ɛsɛe: Eyi betumi ama wɔanya nyarewa a ɛma nnompe yɛ mmerɛw te sɛ nnompe mu yare , efisɛ hormone estrogen ho hia yiye na ama nnompe ayɛ den.
• Asiane a ɛkɔ soro sɛ obi benya koma ne ntini mu yare.
• Honam ani ne ti nhwi ho haw: Nneɛma te sɛ ti nhwi a ɛtɔ, akisikuru.

So ebetumi aba sɛ wubenyinsɛn hypothalamic amenorrhea?

Hokwan a wowɔ sɛ wubenyinsɛn bere a wowɔ tebea yi mu no sua koraa. Eyi te saa efisɛ mpɛn pii no, ovulation mma esiane nsakrae a ɛba wo brayɛ mu nti. Nanso, ɛtɔ mmere bi a ovulation betumi aba. Ɛyɛ den nso sɛ wobɛka bere pɔtee a wo brayɛ bɛsan aba sɛnea na ɛte kan no. Kae sɛ wubetumi ayɛ ovulate na woanyinsɛn ansa na wo bra a edi kan afi ase. Enti, sɛ wo ne obi da na wompɛ sɛ wunyinsɛn a, ɛho hia paa sɛ wo ne wo duruyɛfo kasa fa awo ano aduru ho.

Dɛn ne nsɛnnennen a ebetumi afi tebea yi mu aba?

Hypothalamic amenorrhea betumi ama estrogen a ɛba nipadua no mu no so atew. Estrogen yɛ hormone a ɛho hia paa ma yɛn nipadua. Estrogen dwumadi biako ne sɛ ɛbɛma nnompe a ɛte apɔw na ayɛ den. Sɛ mmea nni estrogen a, asiane kɛse wom sɛ wobenya nnompe mu yare ne komayare. Estrogen nso boa ma wo adwene kɔ so tra hɔ. Sɛ estrogen dodow sua a, sɛnkyerɛnne te sɛ adwenemhaw ne dadwen betumi aba.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ woankɔ nna asram abiɛsa a, akyinnye biara nni ho sɛ kɔ oduruyɛfo nkyɛn. Sɛ woremmɔ mmɔden sɛ wubenyinsɛn mpo a, nna a ɛnkɔ so daa no betumi ayɛ ɔhaw afoforo ho sɛnkyerɛnne. Na wobetumi de nsɛnnennen a ɛtra hɔ kyɛ aba.

Hypothalamic amenorrhea yɛ ade biako pɛ nti a ebia wo bra agyae. Bere a ebia ɛrenyɛ te sɛ asɛm kɛse no, nna a ɛnkɔ so daa betumi ayɛ akwahosan ho haw afoforo ho sɛnkyerɛnne. Enti, sɛ woankɔ nna asram abiɛsa anaa nea ɛboro saa a, wo ne wo duruyɛfo nkasa. Obetumi ayɛ nhwehwɛmu de ahu nea enti a worennya wo bra, na wama wo ayaresa a wuhia na ama woafi ase bio.

Sɛ yɛbɛbɔ no mua a, momma yɛnkae (Take-Home Message) .

Mo dɔfo, mewɔ anidaso sɛ afei de moanya tebea a wɔfrɛ no hypothalamic amenorrhea a yɛkaa ho asɛm nnɛ no ase yiye. Nneɛma a ɛho hia paa a ɛsɛ sɛ wokae ne:

• Sɛ wo nna a wobɛkɔ ɔsram biara no agyae bɛboro asram abiɛsa a, mmu w’ani ngu so. Hwɛ hu sɛ wobɛhwehwɛ aduruyɛfo afotu.
• Nneɛma atitiriw a ɛde hypothalamic amenorrhea ba ne adwennwen a ɛboro so, aduan pa a wonnya nni, ne apɔw-mu-teɛteɛ a ɛtra so.
• Ayaresa ahorow wɔ hɔ a wɔde sa tebea yi. Ayaresa titiriw ne sɛ wɔbɛyɛ nsakrae pa wɔ asetra mu .
• Estrogen dodow a ɛso tew betumi de nneɛma a ɛtra hɔ kyɛ te sɛ nnompe a ɛyɛ mmerɛw ne komayare ho asiane a ɛkɔ soro aba .
• Ɛnyɛ wo nko ara. Nnipa pii wɔ hɔ a wɔwɔ ɔhaw a ɛte saa ara. Sɛ wonya aduruyɛ mu afotu ne mmoa a ɛfata a, wobetumi adi tebea yi ho dwuma.

Ɛho hia paa sɛ wohwɛ w’akwahosan so. Enti, sɛ wowɔ adwenem naayɛ anaa ɔhaw bi a, nsuro sɛ wo ne oduruyɛfo bɛkasa. Mepɛ sɛ mo akwahosan pa!