Ua pau anei kou wā mahina? E aʻo kākou e pili ana i ka amenorrhea.

Ke manaʻo nei ʻoe i kekahi manawa, "ʻAuē, ʻaʻole au i loaʻa i koʻu wā i kēia mahina?" A i ʻole ua hiki paha kekahi o kāu mau kaikamahine a mau kaikuahine paha i ka wā ʻōpio a ʻaʻole i hiki i ka wā ʻōpio? Aia kekahi huaʻōlelo lapaʻau no kēia ʻano lohi a i ʻole ka hala ʻole o ka wā ʻōpiopio. ʻO ia ʻo `(Amenorrhea)` . I kekahi manawa he mea maʻamau kēia, akā i kekahi manawa he hōʻailona ia o kahi maʻi kumu. No laila i kēia lā, e kamaʻilio kākou e pili ana iā `(Amenorrhea)` me nā kikoʻī, me he mea lā e kamaʻilio ana kākou me kahi hoaaloha.

He aha ka menstruation? Pehea lā e hana maoli ai?

I ka ʻōlelo maʻalahi, ʻo ka menstruation kekahi hapa o ke kaʻina hana e hoʻomākaukau ai ke kino o ke kaikamahine e hāpai i kahi keiki i kēlā me kēia mahina. Pili ia i nā kemika he nui i kapa ʻia he hormones . E noʻonoʻo e pili ana, ua like ia me kahi hoʻolālā paʻakikī.

Aia kekahi ʻōpū liʻiliʻi akā koʻikoʻi loa i loko o ko kākou lolo i kapa ʻia ʻo `(Hypothalamus)`. Hoʻomalu kēia ʻōpū i kahi ʻōpū ʻē aʻe i kapa ʻia ʻo `(Pituitary gland)`. ʻO kēia `(Pituitary gland)` ka mea e hāʻawi i nā hōʻailona i nā `(Ovaries)` e hoʻokuʻu i kahi hua manu (`(Ovulation)` a i ʻole ovulation).

ʻO kāu mau ovaries kahi e mālama ʻia ai a hana ʻia ai nā hua. Hoʻopuka pū lākou i ʻelua mau hormones he mea nui loa no ke kaikamahine: estrogen a me progesterone.

Ma lalo o ka mana o kēia mau hormones, e mānoanoa mālie ana ka ʻili o loko o kou uterus (kapa mākou iā ia ʻo ka endometrium). Ua like ia me ka hoʻomākaukau ʻana i kahi moena ʻoluʻolu no ka pēpē e hiamoe ai inā hiki mai ia.

Eia nō naʻe, inā ʻaʻole i hāpai ʻia kahi pēpē i kēlā mahina, ʻaʻole pono hou ka uhi ʻōpū mānoanoa. A laila ua hoʻokahe ʻia mai ke kino. ʻO ia ke kumu e kapa ai mākou iā ia he 'menstruation' a i ʻole 'periods'. I mea e hana pono ai kēia kaʻina hana, pono e hana pono nā ʻōpū i kapa ʻia ʻo `(Hypothalamus)`, `(Ovaries)` a me `(Uterus)`.

He aha nā ʻano nui o ka amenorrhea?

ʻElua ʻano nui o ka `(Amenorrhea).` E nānā kākou i ke ʻano o lākou.

1. ʻAmenorrhea mua - (ʻAmenorrhea mua)

Pili kēia i ka poʻe i loaʻa ʻole i ko lākou wā ma ka piha ʻana o 15 mau makahiki. A i ʻole, inā ʻaʻole i loaʻa iā lākou ko lākou wā no ʻelima mau makahiki ma hope o ka hoʻomaka ʻana o nā hōʻailona mua o ka wā ʻōpio (e like me ka ulu ʻana o ka umauma), hāʻule pū kēia i loko o kēia māhele. Hiki ke hana ʻia kēia e nā kūlana genetic i loaʻa i ka wā hānau a i ʻole e kekahi mau kūlana e ulu aʻe ma hope o ke ola.

2. ʻAmenorrhea lua - (ʻAmenorrhea lua)

ʻO kēia ka wā e pau koke ai ka menstruation o ke kanaka i loaʻa mua nā menstruation maʻamau no ʻekolu a ʻoi aku paha mahina . Inā he ʻano ʻē ka menstruation o ke kanaka ma mua, ua manaʻo ʻia hoʻi ka hoʻōki ʻana i ka menstruation no ʻeono mahina he "Secondary amenorrhea". ʻO nā kumu maʻamau o kēia:

• Hāpai keiki
• Ka hānai ʻana
• Kaumaha nui
• Loaʻa i kahi maʻi mau loa

Pehea ka maʻamau o ka amenorrhea?

ʻO ka ʻoiaʻiʻo, ua manaʻo ʻia ma kahi o hoʻokahi o nā wahine ʻehā i hāpai ʻole, hānai waiū, a i ʻole i hele ʻole i ka menopause e loaʻa i ka amenorrhea i kekahi manawa o ko lākou ola. No laila, ʻaʻole ia he mea maʻamau ʻole.

He aha nā hōʻailona o ka amenorrhea?

ʻO ka hōʻailona nui ka nele o ka menstruation. Eia naʻe, ma waho aʻe o kēlā, hiki ke ʻike ʻia nā hōʻailona ʻē aʻe ma muli o ke kumu o ka `(Amenorrhea). Eia kekahi laʻana:

• Ka manaʻo koke o ka wela nui ("Hot flashes").
• Ke liki nei ka waiū o nā ʻūpē ʻoiai me ka ʻole o ke keiki.
• Maloʻo ka ʻōpū.
• ʻO ke poʻo pinepine.
• Nā loli o ka ʻike.
• ʻAkika nui loa.
• Ka ulu nui ʻana o ka lauoho ma ka maka a me ke kino.

ʻAʻole loaʻa kēia mau hōʻailona i nā kānaka a pau, akā inā loaʻa iā ʻoe kēia mau mea, he mea maikaʻi ke ʻike i ke kauka a kamaʻilio me lākou.

He aha nā kumu o ka amenorrhea?

He ʻokoʻa nō hoʻi nā kumu o nā ʻano ʻelua o ka amenorrhea. He kūlohelohe kekahi o nā kumu, aʻo kekahi paha he hōʻailona o kahi maʻi.

Nā kumu kūlohelohe (maʻamau) o ka pau ʻana o ka menstruation:

• Hāpai: ʻO kēia ke kumu maʻamau o ka amenorrhea lua. Ke hāpai ʻia kahi pēpē, ʻike ke kino ʻaʻole pono ia e hoʻokuʻu i kahi hua manu ʻē aʻe a i ʻole he wā. No laila e pau ka menstruation.
• ʻAmenorrhea lactation: ʻAʻole i loaʻa ka manawa i ka nui o nā makuahine i ka wā e hānai ai i ka waiū.
• Menopause: Hoʻopau mau ka wā o nā wahine ma waena o 45-55 mau makahiki.
• Inā ua hana ʻia ʻoe i ke ʻoki kino e wehe ai i kou ʻōpū a i ʻole nā ​​ovaries: ʻAʻole ʻoe e loaʻa i kou wā i kēlā manawa.

Nā kumu maʻamau o ka amenorrhea mua:

Inā ʻaʻole i loaʻa iā ʻoe kou wā ma mua o 15 mau makahiki, hiki ke kumu o kēia mau mea:

• Nā pilikia chromosomal a i ʻole genetic: ʻO kēia nā kūlana i loaʻa i ka wā hānau. No ka laʻana, hiki i nā kūlana e like me Turner syndrome ke hoʻopilikia i ka ulu ʻana o ka ʻōnaehana hānau.
• Nā pilikia hormonal i hoʻokumu ʻia e nā pilikia ma ka lolo a i ʻole ka pituitary gland: Hiki i kēia ke pale i nā ovaries mai ka hoʻokuʻu ʻana i nā hormones e pono ai no ka hana kūpono.
• Nā pilikia kūkulu me nā kino hānau: Nā mea e like me ka nalowale ʻana o nā ʻāpana o ka ʻōpū a i ʻole ka vagina, a i ʻole ka ʻōnaehana hānau ʻole i hoʻomohala ʻole ʻia.

Nā kumu maʻamau o ka amenorrhea lua:

Inā ua hele mau ʻoe i ka menstruation ma mua a ua pau koke kou menstruation no ʻekolu mahina a ʻoi aku paha, aia paha ma muli o kēia mau kumu:

• ʻO kekahi mau ʻano kaohi hānau:Eia kekahi laʻana, ka inikini Depo-Provera®, kekahi mau Intrauterine Devices (IUDs), a me kekahi mau pila hoʻomalu hānau.
• ʻO ka chemotherapy a me ka radiation therapy no ka maʻi ʻaʻai.
• Inā ua hana mua ʻia ʻoe ma kou ʻōpū a loaʻa iā ʻoe ka ʻiʻo ʻeha: no ka laʻana, ma hope o ke kaʻina hana e like me ka Dilation and Curettage (D&C).
• Kaumaha nui: E noʻonoʻo i ka nui o ke kaumaha āu i loaʻa ai i kou wā e lawe ana i kāu mau hoʻokolohua A/L a i ʻole i kou hoʻomaka mua ʻana i kahi hana hou. Hiki i nā mea e like me ia ke kumu e lohi ai kou wā.
• ʻAi ʻole: Ke loaʻa ʻole i ke kino ka meaʻai kūpono e pono ai, hiki ke hoʻopilikia ʻia ka hana hormonal.
• Nā loli nui i ke kaumaha o ke kino: Ua maikaʻi ke lilo koke i wīwī loa, a i ʻole ua maikaʻi ke lilo i kaumaha loa.
• Nā hana hoʻoikaika kino koʻikoʻi: ʻO kekahi mau kaikamahine, me ka manaʻo e pono lākou e hōʻemi i ke kaumaha, ʻaʻole lākou e ʻai pono, a hoʻoikaika kino ma ka hale hoʻoikaika kino i ka lā a pau. ʻO kekahi kumu o kēia, ʻoi aku ka nui o kā lākou hoʻoikaika kino ma mua o ka hiki i ko lākou kino ke hoʻomanawanui.
• Kekahi mau lāʻau lapaʻau.

Eia kekahi, hiki i kekahi mau kūlana olakino ke hana i ka "Secondary amenorrhea":

• (Primary ovarian insufficiency - POI): ʻO kēia ka manawa e pau ai ka hana ʻana o nā ovaries ma mua o 40 mau makahiki.
• ʻO ka amenorrhea hypothalamic: Ka pau ʻana o ka menstruation ma muli o kahi pilikia i ka hana o ka hypothalamus i loko o ka lolo.
• Nā maʻi pituitary: No ka laʻana, nā ʻōpū pituitary a i ʻole ka hana nui ʻana o ka hormone prolactin.
• ʻO nā hemahema hormonal e like me ka polycystic ovary syndrome (PCOS), nā maʻi adrenal, a i ʻole hypothyroidism .
• Nā puʻupuʻu ʻaʻole maʻi kanesa a maʻi kanesa paha o nā ovaries ('Ovarian tumors').
• Ka momona.
• Nā maʻi mau: No ka laʻana, maʻi puʻupaʻa a i ʻole ka maʻi ʻōpū mumū (IBD).

He aha nā kumu pilikia no ka amenorrhea?

ʻOi aku ka nui o ka loaʻa ʻana o kēia maʻi i kekahi poʻe. ʻO nā mea pilikia e hoʻopilikia ai:

• Inā ua loaʻa i kekahi o kou ʻohana ka amenorrhea, a i ʻole ua loaʻa iā ia ka menopause mua.
• Loaʻa kahi maʻi genetic a chromosomal paha e hoʻopilikia ai i nā ovaries a i ʻole ka uterus.
• Ka momona a i ʻole ka pohō kaumaha.
• Loaʻa kahi maʻi ʻai.
• Hoʻoikaika kino nui loa.
• Ma hope o kahi ʻai pono ʻole.
• Ka pilikia nui o ka noʻonoʻo.
• Ka loaʻa ʻana o kahi maʻi lōʻihi.

Hiki i ka amenorrhea ke hoʻoulu i nā pilikia?

ʻAʻole hoʻoweliweli ke amenorrhea i ke ola. Eia nō naʻe, hiki i kekahi o nā kūlana e hoʻoulu ai i ia mea ke hoʻoulu i nā pilikia lōʻihi. No laila, inā ua pau kou wā, he mea nui e ʻike i ke kauka e ʻike i ke kumu. ʻOi aku ka nui o ka ʻike ʻana o ke kanaka me ka amenorrhea i kēia mau mea:

• ʻO ka Osteoporosis (ka lahilahi o nā iwi) a i ʻole ka maʻi cardiovascular: Hoʻokumu ʻia kēia e ka emi ʻana o ka hormone estrogen.
• Ka paʻakikī i ka loaʻa ʻana o nā keiki a i ʻole ka hānau ʻole ʻana.
• ʻEha Pelvic: Hana ʻia kēia e kahi pilikia kūkulu i nā ʻōpū hānau.

Pehea e ʻike ai i ka amenorrhea (ʻaʻole hiki ke ʻike ʻia)?

Inā ua hala kou wā no ʻekolu mahina i ka lālani, e ʻike i ke kauka. E nīnau ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona, ​​​​kou mōʻaukala ʻohana, a me kou pōʻaiapuni menstrual. A laila, e hana lākou i kahi hoʻokolokolo kino a me kahi hoʻokolokolo pelvic.

He aha nā hoʻokolohua e hana ʻia no ka amenorrhea?

Pono paha ke kauka e hana i kekahi mau hoʻokolohua, e like me:

• He hoʻāʻo hāpai.
• Nā hoʻāʻo koko: E nānā i nā pae hormone a nānā no ka maʻi thyroid a i ʻole ka maʻi adrenal.
• Ka hoʻāʻo ʻana i ka moʻo: Inā loaʻa iā ʻoe ka lawa ʻole o ka ovarian mua (POI) a aia ma lalo o 40 mau makahiki.
• (MRI) Scan: Inā he kānalua no kahi pilikia me ka pituitary gland.
• ʻO ke nānā ʻana i ka ultrasound: Inā he kānalua no kahi pilikia me nā ovaries a i ʻole ka uterus.

He mea nui anei ka mālama ʻana i kaʻu pōʻaiapuni menstrual?

ʻAe, ʻoiaʻiʻo nō. Hiki i kekahi manawa ke paʻakikī iki ka loaʻa ʻana o ke kumu o ka amenorrhea. Inā ʻaʻole he kumu maopopo, e like me ka hāpai ʻana a i ʻole ka menopause, e noi aku kāu kauka iā ʻoe e mālama i kahi puke moʻolelo o nā loli i kāu pōʻaiapuni menstrual. Hiki i kēia ke lilo i mea kōkua nui no ke kauka i ka hana ʻana i kahi hōʻailona.

E kākau i kēia mau mea ma kahi puke liʻiliʻi a i ʻole ma kahi polokalamu ma kāu kelepona:

• ʻEhia ka lōʻihi o kou wā?
• I ka manawa hea i loaʻa ai iā ʻoe kou mau menstruations?
• He aha nā lāʻau lapaʻau āu e lawe ai?
• Ua hana anei ʻoe i kekahi mau hoʻololi i kāu meaʻai a i ʻole ka hoʻoikaika kino?
• Ke kaumaha nei ʻoe a hopohopo paha?

Pehea e mālama ʻia ai ʻo Amenorrhea?

Inā ua pau kou wā ma muli o ka menopause, ka lactation, a i ʻole ka hāpai ʻana, ʻaʻohe pono o kahi lāʻau kūikawā.

I nā hihia ʻē aʻe, e hilinaʻi ka lāʻau lapaʻau āu e loaʻa ai i ke kumu o kou amenorrhea. No laila, hiki i nā lāʻau lapaʻau ke komo pū me:

• Ma hope o kahi papaʻai a me ka hoʻoikaika kino e kōkua iā ʻoe e mālama i kahi kaumaha olakino e kūpono iā ʻoe.
• Nā ʻano hana hoʻokele koʻikoʻi .
• Ke hoʻololi nei i ka pae o ka hoʻoikaika kino (inā ʻoe e hana nui ana, e hoʻēmi iā ia, inā ʻaʻole, e hoʻonui iki).
• Lāʻau hormonal: E like me ke kauoha a ke kauka.
• ʻOki kino: Hana kākaʻikahi loa kēia.

Eia kekahi, hiki i ke kauka ke ʻōlelo i kekahi mau lāʻau lapaʻau e hōʻoluʻolu i nā hopena ʻaoʻao o ka amenorrhea:

• Lapaʻau Estrogen: E hōʻemi i nā ʻā wela a me ka maloʻo o ka ʻōpū.
• Nā mea hoʻohui Kalikuma a me ka Wikamina D: E hoʻoikaika i nā iwi.
• Hoʻomaʻamaʻa ikaika: Ka hāpai kaumaha a i ʻole nā ​​​​hoʻomaʻamaʻa e hoʻoikaika ai i nā ʻiʻo.

Pono anei au i ke ʻoki kino no ka amenorrhea?

ʻAʻole, ʻaʻole pono ke ʻoki kino i ka hapa nui o nā hihia. Eia nō naʻe, hiki i kāu kauka ke ʻōlelo aku i ke ʻoki kino i nā hihia aʻe:

• Inā he loli kino e pale ai i ke kahe ʻana o ke koko mai loko mai o ka vagina (e like me ka septum vaginal a i ʻole ka hymen imperforate).
• Inā he puʻupuʻu pituitary kou.
• Inā he ʻiʻo palapū i loko o ka ʻōpū.

Pehea ka lōʻihi o ka amenorrhea? E hoʻomaka hou anei ka menstruation?

Hiki ke ho'ōla pinepine ʻia ka amenorrhea. Me ka mālama ʻana, pono e hoʻomaka kou mau wā e hoʻi mai i ka manawa kūpono . I kekahi manawa hiki ke hala i kekahi mau mahina no ka hoʻi ʻana mai o kou wā, akā hana ka hapa nui o ka poʻe. E kamaʻilio me kāu kauka e pili ana i nā mea āu e manaʻo ai me ka mālama ʻana.

ʻO ka maʻamau, e hoʻi hou ka menstruation ke mālama ʻia ke kumu kumu. Eia nō naʻe, e lōʻihi paha ka manawa e lilo hou ai i mea maʻamau.

I kekahi manawa, ʻaʻole paha ʻoe e loaʻa i kou wā ma muli o kahi pilikia olakino. Inā pēlā, e kamaʻilio kāu kauka me ʻoe e pili ana i kāu mau koho inā makemake ʻoe e loaʻa kahi pēpē.

Hiki ke pale ʻia ka amenorrhea?

Hiki i nā ʻano olakino maikaʻi ke kōkua i ka pale ʻana i kekahi o nā kumu o ka "amenorrhea lua." E hoʻāʻo i kēia mau mea:

• E hahai i kahi papaʻai olakino a me ka hoʻolālā hoʻoikaika kino e kūpono iā ʻoe.
• E makaʻala i kāu pōʻaiapuni menstrual (no laila e ʻike koke ʻoe inā e hala ʻoe i kahi menstrual).
• E mālama i nā manawa hoʻokolokolo gynecological maʻamau , me ka hoʻokolokolo pelvic a me kahi hōʻike Pap.
• E hiamoe pono .

I ka manawa hea e ʻike ai ʻoe i ke kauka e pili ana i ka amenorrhea?

Inā ua hala ʻoe i kou wā no ʻekolu mahina i ka lālani, pono ʻoe e ʻike i ke kauka. Eia kekahi, inā hala ʻoe i kahi wā a loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​​​e ʻike i ke kauka:

• Nā pilikia me ke kaulike, ka hoʻonohonoho ʻana, a i ʻole ka ʻike (hiki i kēia ke lilo i mau hōʻailona o kahi maʻi koʻikoʻi).
• Ka wai waiū mai nā umauma mai ʻoiai me ka loaʻa ʻole o ke keiki.
• Inā ʻike ʻoe i ka ulu ʻana o ka lauoho i makemake ʻole ʻia ma kou kino.
• Inā ʻoe ma luna o 15 mau makahiki, akā ʻaʻole i loaʻa i kou wā mua.

He aha hou aʻe kaʻu e nīnau aku ai i ke kauka?

Ke hele ʻoe i ke kauka, mai poina e nīnau i kēia mau nīnau:

• He aha ke kumu o koʻu amenorrhea?
• He aha nā koho lapaʻau aʻu e loaʻa ai? He aha nā pōmaikaʻi a me nā pōʻino o kēlā me kēia?
• Pono anei au e ʻike i kahi endocrinologist no ka hormone therapy?
• Hiki iaʻu ke hāpai inā loaʻa iaʻu ka ʻAmenorrhea?
• Ma hope o ka hoʻomaka hou ʻana o koʻu wā, hiki iaʻu ke loaʻa hou i ka amenorrhea?

He mea maʻamau anei ke loaʻa ʻana o ka amenorrhea ma hope o ka hoʻōki ʻana i nā lāʻau hoʻomalu hānau?

ʻAe, hiki i kekahi poʻe ke loaʻa i kahi wā i hala ʻole ai ka wā (post-pill amenorrhea) ma hope o ka hoʻōki ʻana i nā lāʻau hoʻomalu hānau. ʻO kēia no ka mea ke "maʻa" nei kou kino i ka hana ʻana i nā hormones e pono ai e ovulate a loaʻa hou ka wā. Hiki ke hala a hiki i ʻekolu mahina no kou kino e hoʻomaka hou ai ka menstruation. Inā ʻaʻole ʻoe i loaʻa i kou wā no ʻehā a ʻeono mahina ma hope o ka hoʻōki ʻana i ka lāʻau, e kamaʻilio me kāu kauka.

He ʻano hānau ʻole anei ka amenorrhea?

ʻAʻole, ʻaʻole he ʻano hānau ʻole ka amenorrhea. Eia nō naʻe, ʻo ka nele o ka menstruation hiki ke hiki ʻole ke hāpai. Inā ʻoe e manaʻolana ana e loaʻa kahi pēpē, a ʻaʻole kūpono kou pōʻaiapuni menstrual a ua pau paha, e ʻike i ke kauka no ka ʻōlelo aʻo.

ʻO ka mea hope loa, eia kaʻu e ʻōlelo aku ai iā ʻoe (Leka Lawe-Home)

Inā ʻoi aku ʻoe ma mua o 15 mau makahiki akā ʻaʻole i hoʻomaka ka menstruation, a inā paha ua loaʻa iā ʻoe nā wā maʻamau ma mua a ua pau i kēia manawa, mai hopohopo, akā e ʻike pono i ke kauka. ʻO ka Amenorrhea ka hōʻailona o kahi maʻi hiki ke mālama ʻia. Ke ʻike kāu kauka i ke kumu o kou mau wā i hala, hiki iā ʻoe ke loaʻa ka lāʻau lapaʻau e kōkua i kāu menstrual cycle e hoʻi i ka maʻamau. Pono paha ʻoe e hana i kekahi mau hoʻololi i ke ʻano o ka nohona a i ʻole e lawe i ka lāʻau lapaʻau hormone. ʻO ka mea nui loa, ʻo ke kamaʻilio ʻana me kāu kauka e pili ana i kēia a loaʻa ka ʻōlelo aʻoaʻo kūpono. Mai hopohopo wale no ia mea.

ʻAmenorrhea , pau ʻana o ka menstruation, ka pōʻaiapuni menstruation o kēlā me kēia mahina, nalowale o nā menstruations, amenorrhea mua, amenorrhea lua, hormonal imbalance