Ua pau anei kou wā mahina? Malia paha ʻo ke kumu ʻo Hypothalamic Amenorrhea!

Ke hoʻomanaʻo nei ʻoe i ka hiki ʻana mai o kāu menstruation mahina, a i ʻole nā ​​​​​​manawa, i ka manawa kūpono. Akā ua pau anei ia no kekahi mau mahina i kēia manawa? A i ʻole ua lilo ia i mea maʻamau ʻole? ʻOiai i kekahi manawa ʻaʻole mākou e nānā nui i kēia mau mea, he mea kēia e pono ai mākou e hopohopo maoli. I kēia lā e kamaʻilio mākou e pili ana i hoʻokahi kumu kikoʻī e pili ana i ka pau ʻana o ka menstruation. ʻO ia ka hypothalamic amenorrhea, a i ʻole e like me ka kapa ʻana o nā kauka iā ia ʻo `(Functional Hypothalamic Amenorrhea - FHA)`.

He aha ka Hypothalamic Amenorrhea?

I ka ʻōlelo maʻalahi, ʻo ka hypothalamic amenorrhea ka wā e pau ai kou wā mahina ma muli o kahi pilikia me ka hana ʻana o kahi ʻāpana o kou lolo i kapa ʻia ʻo hypothalamus . I kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o ka hypothalamus, ʻeā? E noʻonoʻo i kou kino holoʻokoʻa e like me kahi hui nui. ʻO ka hypothalamus e like me ke kikowaena mana nui o kēlā hui. Hoʻomalu ia i nā mea he nui e like me ka mahana o ke kino, ka pōloli, a me ka make wai. Hoʻomalu pū ia i kekahi mau kaʻina hana koʻikoʻi e pili ana i kā mākou ʻōnaehana hānau. ʻO ke kikoʻī, no ka hana ʻana o ka menstruation, pono ka hypothalamus e hoʻokuʻu i kahi hormone i kapa ʻia ʻo gonadotropin-releasing hormone (GnRH) . ʻO kēia hormone `(GnRH)`, me nā hormones `Follicle-stimulating hormone (FSH)` a me `Luteinizing hormone (LH) ,` a me `Estrogen`, e kōkua i kāu pōʻaiapuni menstrual e holo mālie. No laila, inā no kekahi kumu e pau ai kāu hypothalamus i ka hana ʻana i kēia hormone `(GnRH)` a hōʻemi paha iā ia, e nalowale pū ke kaulike o kēlā mau hormones ʻē aʻe. ʻO ia ka manawa e hoʻomaka ai kāu mau wā mahina e lilo i mea maʻamau ʻole a pau loa paha.

He aha ka ʻAmenorea?

ʻO Amenorrhea wale nō ka nele o kou wā mahina. ʻElua ʻano nui o kēia: 1. Amenorrhea mua: ʻO ia hoʻi, ʻaʻole ʻoe i loaʻa i kou wā mua ma ka makahiki 16, a i ʻole ʻelima mau makahiki ma hope o ka hiki ʻana i ka wā ʻōpio. 2. Amenorrhea lua: ʻO ia hoʻi, ua loaʻa iā ʻoe nā wā mahina maʻamau, akā ua pau koke kou loaʻa ʻana no ʻekolu mahina. ʻO ka amenorrhea hypothalamic, a mākou e kamaʻilio nei i kēia lā, he ʻano amenorrhea lua. Hoʻopilikia ka amenorrhea hypothalamic i kahi 1.62 miliona mau wahine ma waena o nā makahiki 18 a me 44 ma ʻAmelika Hui Pū ʻIa wale nō. Inā ʻoe e nānā i ke ao holoʻokoʻa, ʻo kēia helu ma kahi o 17.4 miliona. ʻO ia hoʻi, ʻaʻole kēia he mea hiki ke hoʻowahāwahā ʻia.

No ke aha e kū mai ai ka amenorrhea hypothalamic? He aha nā kumu?

E noʻonoʻo i kou hypothalamus ma ke ʻano he kikowaena kauoha e hana ana i ka wā pilikia. Loaʻa iā ia nā leka mai ke kino mai, e ʻōlelo ana, "Auē, aia kēia kino ma lalo o ke kaomi nui, he nui ke kaumaha." Ke ʻike ʻo ia i kēlā, hoʻoholo ka hypothalamus, "ʻAe, e hoʻōki kākou i kekahi o ka hana no kekahi manawa. No ka mea, ʻo ka mea nui loa no ke kino i kēia manawa, ʻo ia ke ola." ʻO ia ka manawa e pau ai ka hana ʻana i kēlā hormone `(GnRH)`. No laila, he aha nā kumu e manaʻo ai kēia hypothalamus "kaumaha"?

• ʻAʻole ʻai nui a i ʻole ka palena ʻana i ka meaʻai: Hoʻopaʻa kekahi poʻe i kā lākou ʻai ʻana no ka mea makemake lākou e wīwī a i ʻole no kekahi ʻano lole . Ke hana ʻia kēia, ʻaʻole loaʻa i ke kino ka ikehu e pono ai.
• Nā hemahema o ka meaʻai: Ke ʻai ʻole ʻoe i ka meaʻai kaulike, nele kou kino i nā meaʻai a me nā wikamina e pono ai. ʻAʻole lawa ka ʻai wale ʻana i kahi mea e hoʻopiha ai i kou ʻōpū.
• Hoʻoikaika kino nui: He mea maikaʻi ka hoʻoikaika kino no ke kino. Eia nō naʻe, hoʻoikaika kino kekahi poʻe ma mua o ka mea e pono ai, a hiki i ka lilo ʻana i mea hana nui. Eia kekahi laʻana, e noho ana ma ka hale hoʻoikaika kino i ka lā a pau, a i ʻole makemake ka poʻe i nā mea pāʻani e hoʻomaʻamaʻa nui ana.
• ʻO ke kaumaha nui o ka noʻonoʻo a i ʻole ka naʻau: He mea kēia e hoʻopilikia ai i nā poʻe he nui. ʻO ke kaumaha i hoʻokumu ʻia e nā mea e like me nā pilikia ma ka home, nā pilikia ma ka hana, nā hoʻokolohua, a me nā pilikia i nā pilina aloha e hiki ke hoʻopilikia i ka hypothalamus.
• Haʻahaʻa loa ka momona o ke kino: Pono kahi nui o ka momona no ka hana ʻana o nā hormones . Hiki ke loaʻa kēia ʻano inā haʻahaʻa loa.
• Nā maʻi ʻai: ʻO nā kūlana e like me Anorexia Nervosa, no ka laʻana, ua hōʻike ʻia e ka makaʻu i ka ʻai ʻana a me nā manaʻo maikaʻi ʻole i ka meaʻai.

I ka manawa pinepine, hui pū kekahi a ʻelua paha o kēia mau mea e hoʻoulu ai i ke kūlana `(FHA)`. E noʻonoʻo, inā ʻaʻole ʻai pono kekahi a hoʻoikaika kino nui, a laila manaʻo ka hypothalamus aia ke kino i ke "ʻano ola", ʻo ia hoʻi, i ke kūlana hakakā no ke ola wale nō. A laila, hoʻohana ia i ka ikehu no nā mea nui loa e like me ka hanu ʻana a me ka puʻuwai, a hoʻōki i kekahi mau mea "ʻaʻole pono i kēia manawa" e like me ka hānau ʻana. E like me kā mākou i ʻōlelo ai ma mua, ʻo ka hormone `(GnRH)` ka mea e hōʻailona ai i ke kino e hana i nā hormones `(FSH)` a me `(LH)`. ʻO kēia mau hormones ʻelua `(FSH)` a me `(LH)` ke kumu e hoʻokuʻu ʻia ai kahi hua manu mai kāu ovary i kēlā me kēia mahina, i kapa ʻia ʻo `ovulation`.He mea kōkua ia. No laila, ke emi nā pae o `(FSH)` a me `(LH)`, e pau ka ovulation a me ka menstruation. Manaʻo pinepine mākou he hiki wale kēia i nā mea pāʻani a me nā Olympians. No ka mea, kiʻekiʻe ko lākou pae hana. Akā, ʻo ka ʻoiaʻiʻo, hiki ke loaʻa kēia ʻano i nā kaikamahine ʻōpio, a i ʻole kekahi mea i kaumaha ma muli o nā pilikia o kēlā me kēia lā ma ka hana a ma ka home paha.

He aha nā hōʻailona o ka amenorrhea hypothalamic?

ʻO ka hōʻailona nui a maopopo loa o kēia maʻi, ʻo ia ka loaʻa ʻole o ka wā mahina no ʻekolu mahina a ʻoi aku paha. Eia nō naʻe, hiki ke ʻike ʻia nā hōʻailona ʻē aʻe ma muli o ke kaulike ʻole o ka hormonal. ʻO kēia mau mea:

• Kaumaha a me ka Hopohopo : Hiki ke manaʻo i ke kaumaha, ka makaʻu, a me ka hopohopo.
• ʻO ka hiamoe ʻole a i ʻole nā ​​​​pilikia hiamoe: E ʻike paha ʻoe iā ʻoe iho e hoʻolei a huli ana i ka pō, ʻaʻole hiki ke hiamoe pono.
• ʻAʻohe ikaika kino (palaualelo): He manaʻo o ke ola ʻole a me ka makemake ʻole e hana i kekahi mea.
• Ke pōloli pinepine nei: Manaʻo paha kekahi poʻe i ʻoi aku ka pōloli ma mua o ka maʻamau i kēia manawa.
• Ka maloʻo o ka ʻōpū : Hiki ke hana ʻia kēia e ka emi ʻana o nā pae hormone estrogen.
• Haʻahaʻa ka makemake moe kolohe:
• Ka nalowale o ka lauoho :
• Nā ʻeha poʻo :

E hoʻomanaʻo, ʻo ka loaʻa ʻana o hoʻokahi a ʻelua paha o kēia mau hōʻailona ʻaʻole ia he manaʻo he hypothalamic amenorrhea kou. Eia nō naʻe, inā ua pau kou mau wā a loaʻa iā ʻoe nā hōʻailona ʻē aʻe e like me kēia, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka.

Hiki i ka PCOS ke hoʻoulu i ka hypothalamic amenorrhea?

Hiki i ka maʻi polycystic ovary (PCOS) ke hoʻoulu i nā pōʻaiapuni menstrual kūpono ʻole a i ʻole ka pau ʻana o ka ovulation i nā wahine. Eia nō naʻe, ʻaʻole ʻo PCOS ke kumu pololei o ka hypothalamic amenorrhea. ʻO ka FHA kahi kūlana e pau ai ka menstruation ma muli o kahi pilikia i loko o ka hypothalamus. Hoʻokumu ʻia ka PCOS e nā loli hormonal i loko o nā ovaries.

Pehea e ʻike ai nā kauka i ka hypothalamic amenorrhea?

E hoʻoholo ke kauka aia ka amenorrhea hypothalamic ma hope o ka kāpae ʻana i nā kumu ʻē aʻe o ka menstrual irregularity. Eia kekahi laʻana:

• Ke nānā nei au inā ua hāpai ʻoe.
• Nānā lākou e ʻike inā he pilikia me ka ʻōpū thyroid a i ʻole ka ʻōpū adrenal.

E nānā mua ʻia kēia mau mea. Eia kekahi, e hana pū kāu kauka i kēia mau mea:

• E nīnau ʻia kāu mōʻaukala olakino piha: nā mea e like me kou mau maʻi ma mua, nā lāʻau lapaʻau āu e lawe ai, a inā paha ua loaʻa i kekahi o kou ʻohana nā pilikia like.
• E hana ʻia kahi hoʻokolohua kino a me kahi hoʻokolohua pelvic.
• Ua kauoha ʻia kekahi mau hoʻokolohua like ʻole. ʻO nā mea nui:
• Nā hoʻāʻo koko: Nānā kēia i nā pae o nā hormones e hoʻopilikia ai i ka menstruation, e like me ka estrogen , prolactin , follicle-stimulating hormone (FSH) , a me ka luteinizing hormone (LH) .
• Helu koko piha (CBC): Hāʻawi kēia i kahi manaʻo o nā ʻano o nā cell i loko o ke koko.
• Hoʻāʻo hāpai:
• I kekahi manawa e noi ʻia paha ʻoe e hana i kahi MRI scan o ka pituitary gland, ʻoiai ke pili pū nei ka pituitary gland i ka kaohi ʻana i ka hormone.

He aha nā lāʻau lapaʻau no kēia?

ʻO ka nūhou maikaʻi, aia kahi lāʻau lapaʻau no ka hypothalamic amenorrhea! Paipai nui nā kauka i nā hoʻololi ʻana i ke ʻano o ka nohona . ʻO kēia mau mea:

• Ka palena ʻana i ka hoʻoikaika kino nui: Inā hoʻoikaika kino nui ʻoe, pono paha ʻoe e hōʻemi iki.
• E hoʻonui i ke kaumaha (inā pono): Inā ʻaʻole ʻoe kaumaha, ua ʻōlelo ʻia e hoʻonui ʻoe i kekahi kaumaha ma ke ʻano olakino.
• Ke ʻimi nei i nā ala e hōʻemi ai i ke kaumaha: Hiki iā ʻoe ke hoʻāʻo e hoʻokele i ke kaumaha ma o nā mea e like me ka yoga, ka noʻonoʻo ʻana, a me nā hana leʻaleʻa.

Hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi meaʻai . E kōkua kēia iā ʻoe e hoʻomaopopo pono i nā meaʻai e pono ai kou kino, ehia mau calorie āu e ʻai ai i kēlā me kēia lā, a pehea e mālama ai i kahi helu helu kino olakino (BMI) e pili ana i kāu pae hana. Loaʻa pū kekahi poʻe i ka pōmaikaʻi mai ke aʻo ʻana i ke olakino noʻonoʻo , e like me ka cognitive behavioral therapy (CBT) . He mea kōkua nui kēia no ka poʻe i loaʻa i kahi maʻi ʻai a i ʻole e kānalua e ʻae he maʻi ko lākou. Hiki iā ia ke kōkua iā ʻoe e aʻo i nā ala e hoʻokele ai i ke kaumaha. I nā hihia kakaikahi, hiki i kāu kauka ke kuhikuhi i ka hormone therapy, nā pila hoʻomalu hānau, a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe e hiki ke kōkua iā ʻoe e loaʻa kou wā.

Pehea ka lōʻihi o ka mālama ʻana?

Hiki ke ʻokoʻa kēia mai kēlā kanaka a kēia kanaka. Aia ia i nā mea e like me kou makahiki, ke kaumaha, ka pae hana, a me nā genetics. Akā ma ke ʻano laulā, pono ia ma kahi o ʻekolu a ʻeono mahina o ka mālama mau ʻana ma mua o ka hoʻomaka hou ʻana o kou wā.

Hiki ke pale ʻia ka amenorrhea hypothalamic?

ʻAe, ʻoiaʻiʻo nō! ʻO ka mea nui e hana ai, ʻo ia ke pale aku i nā kumu nui e kōkua ai i kēia maʻi.

• E ʻai i nā nui e kūpono i kāu pae hana.
• Mai hōʻemi i nā calorie me ke kumu ʻole.
• E ʻimi i nā ala e hōʻemi a mālama ai i ke kaumaha.
• E hōʻemi i ka hoʻoikaika kino nui a hiki ʻole ke hoʻomanawanui.

I ka ʻōlelo maʻalahi, e hoʻolohe i kou kino. E hāʻawi iā ia i ka hoʻomaha, ka meaʻai, a me ke olakino noʻonoʻo e pono ai.

Pehea ka hopena o kēia maʻi i koʻu kino?

ʻAʻole wale ia he nalowale o kou wā mahina, akā hiki nō hoʻi iā ia ke hana i nā pilikia pōkole a me ka wā lōʻihi. Eia kekahi o nā hopena e hiki ai i ka hala ʻana o kou wā ke loaʻa i kou olakino:

• ʻAʻole hānau keiki: Inā ʻaʻole kūpono ka menstruation a ʻaʻole hiki mai ka ovulation, lilo ia i mea paʻakikī ke hāpai i kahi keiki.
• Ka hōʻino ʻana o ke olakino o ka iwi: Hiki i kēia ke alakaʻi i nā maʻi lahilahi o ka iwi e like me ka osteoporosis , no ka mea, he mea nui ka hormone estrogen i ka mālama ʻana i nā iwi i ikaika.
• Hoʻonui ʻia ka pilikia o ka maʻi cardiovascular.
• Nā pilikia ʻili a me ka lauoho: Nā mea e like me ka nalowale o ka lauoho, ka ʻāʻī.

Hiki ke hāpai me ka amenorrhea hypothalamic?

He haʻahaʻa loa kou manawa e hāpai ai i kou wā ma kēia ʻano. ʻO kēia no ka mea ʻaʻole i hana pinepine ʻia ka ovulation ma muli o nā loli i kāu pōʻaiapuni menstrual. Eia nō naʻe, hiki ke hana ʻia ka ovulation i kekahi manawa. He mea paʻakikī hoʻi ke ʻōlelo pololei i ka wā e hoʻi ai kāu pōʻaiapuni menstrual i ka maʻamau. E hoʻomanaʻo, hiki iā ʻoe ke ovulate a hāpai ma mua o ka hoʻomaka ʻana o kou wā mua. No laila, inā he moekolohe ʻoe a ʻaʻole makemake ʻoe e hāpai, he mea nui loa ia e kamaʻilio me kāu kauka e pili ana i ka kaohi hānau.

He aha nā pilikia e hiki mai ana o kēia maʻi?

Hiki i ka amenorrhea hypothalamic ke hoʻohaʻahaʻa i nā pae estrogen i loko o ke kino. He hormone koʻikoʻi loa ka Estrogen no ko mākou kino. ʻO kekahi o nā hana a ka estrogen, ʻo ia ka mālama ʻana i nā iwi olakino a ikaika. Me ka ʻole o ka estrogen, ua nui ka pilikia o nā wāhine i ka osteoporosis a me nā maʻi puʻuwai. Kōkua pū ka Estrogen i ka mālama ʻana i kou ʻano. Ke haʻahaʻa nā pae estrogen, hiki ke loaʻa nā hōʻailona e like me ke kaumaha a me ka hopohopo.

Āhea wau e ʻike ai i ke kauka?

Inā ʻaʻole i loaʻa kou wā no ʻekolu mahina, e ʻike pono i ke kauka. ʻOiai inā ʻaʻole ʻoe e hoʻāʻo nei e hāpai, hiki i nā wā kūpono ʻole ke hōʻailona o nā pilikia ʻē aʻe. A hiki iā lākou ke alakaʻi i nā pilikia lōʻihi.

ʻO ka amenorrhea hypothalamic kekahi kumu e pau ai kou wā. ʻOiai ʻaʻole paha he mea nui ia, hiki i nā wā kūpono ʻole ke hōʻailona o nā pilikia olakino ʻē aʻe. No laila, inā ʻaʻole i loaʻa iā ʻoe kou wā no ʻekolu mahina a ʻoi aku paha, e kamaʻilio me kāu kauka. Hiki iā ia ke holo i nā hoʻokolohua e ʻike ai i ke kumu ʻaʻole ʻoe e loaʻa i kou wā, a hāʻawi iā ʻoe i ka lāʻau lapaʻau āu e pono ai e hoʻomaka hou i kou wā.

I ka hōʻuluʻulu manaʻo, e hoʻomanaʻo kākou (Leka Lawe-Home)

E kuʻu aloha, ke lana nei koʻu manaʻo ua ʻike maikaʻi ʻoe i ke kūlana i kapa ʻia ʻo ka hypothalamic amenorrhea a kākou i kūkākūkā ai i kēia lā. ʻO nā mea nui e hoʻomanaʻo ai:

• Inā ua pau kou wā mahina no ʻekolu mahina a ʻoi, mai hoʻowahāwahā iā ia. E ʻimi pono i ke kōkua lapaʻau.
• ʻO nā kumu nui o ka amenorrhea hypothalamic he nui ke kaumaha, ka meaʻai kūpono ʻole, a me ka hoʻoikaika kino nui.
• Aia nā lāʻau lapaʻau no kēia maʻi. ʻO ka lāʻau lapaʻau nui ka hana ʻana i nā hoʻololi maikaʻi i ke ʻano o ka nohona .
• ʻO ka emi ʻana o nā pae estrogen hiki ke hoʻoulu i nā hopena lōʻihi e like me ka nāwaliwali o nā iwi a me ka hoʻonui ʻia o ka maʻi puʻuwai .
• ʻAʻole ʻoe hoʻokahi. Nui ka poʻe me nā pilikia like. Me ke aʻo lapaʻau kūpono a me ke kākoʻo, hiki ke mālama ʻia kēia kūlana.

He mea nui loa ka mālama ʻana i kou olakino. No laila, inā he kānalua a pilikia paha kāu, mai makaʻu e kamaʻilio me ke kauka. Makemake au iā ʻoe i ke olakino maikaʻi!