Ua lohi anei kou wā? E kamaʻilio kākou e pili ana i ka oligomenorrhea!

Ke manaʻo nei ʻoe i kekahi manawa, "Auē, no ke aha i hiki ʻole mai ai koʻu wā?"? Ma hope o ke kali ʻana no nā lā, a laila i kekahi manawa i loko o hoʻokahi a ʻelua paha mahina, ua like ia me ke kaumaha nui ma kou manaʻo? A i ʻole no kekahi poʻe, hiki mai ko lākou wā i ʻeono a ʻehiku paha manawa i ka makahiki. He aha maoli kēia? E kamaʻilio kākou e pili ana i kēia i kēia lā.

He aha ka Oligomenorrhea?

I ka ʻōlelo maʻalahi, ʻo ka oligomenorrhea ka wā e kū ʻole ai kou wā mahina, a i ʻole "menstruation" e like me kā mākou e kapa nei, a hiki pinepine ʻole mai. ʻO ka pōʻaiapuni menstruation o kahi wahine olakino e hana pinepine ʻia i kēlā me kēia 28 mau lā. Eia nō naʻe, ʻo nā mea ma waena o 21 a me 35 mau lā ua manaʻo ʻia he mea maʻamau. Hiki i ka menstruation ke mau mai ʻehā a ʻehiku mau lā. ʻO ka hapa nui o ka manawa, e loaʻa iā ʻoe ka helu like o nā lā ma waena o kou mau wā, i kekahi manawa hoʻokahi a ʻelua paha lā ka mamao.

Akā i ke ʻano o ka oligomenorrhea, he ʻano ʻē loa kēia mau wā. ʻAʻole paha ʻoe e loaʻa i kahi wā no nā lā he 35. Malia paha ma kahi o ka loaʻa ʻana o kahi wā mahina, ʻeono a ʻewalu wale nō kāu mau wā i ka makahiki. E noʻonoʻo pehea ka hoʻonāukiuki o ia mea.

He aha ka ʻokoʻa ma waena o ka oligomenorrhea a me ka amenorrhea?

ʻO kēia nā ʻano ʻelua o ka menstruation maʻamau ʻole. ʻO Amenorrhea ka wā e pau loa ai ka menstruation. ʻO ia hoʻi, ʻaʻole paha ʻoe e loaʻa i ka menstruation, a i ʻole ua loaʻa iā ʻoe nā menstruations no nā mahina a laila pau lākou.

Akā i ka oligomenorrhea , loaʻa iā ʻoe kou wā, akā ʻaʻole ia e hana i nā lā i hoʻonohonoho ʻia. No laila, ʻoi aku ka māmā o kou wā ma mua o ka maʻamau. Maopopo iā ʻoe ka ʻokoʻa?

Pehea ka maʻamau o kēia ʻano?

ʻO ka ʻoiaʻiʻo , ma waena o 12% a me 15.3% o nā wahine e menstruate e ʻike i ka oligomenorrhea i kekahi manawa o ko lākou ola. Ma waena o 10% a me 20% o ka poʻe i pilikia i ka hāpai ʻana he maʻi kēia. ʻOi aku ka maʻamau o ka oligomenorrhea me kahi maʻi i kapa ʻia ʻo Polycystic Ovary Syndrome (PCOS) . Ma waena o 75% a me 85% o ka poʻe me PCOS he mau menstruation kūpono ʻole.

He aha nā hōʻailona o ka oligomenorrhea?

ʻO ka hōʻailona nui ka wā lohi a i ʻole ka hala ʻole. Eia nō naʻe, ma muli o ke kumu, hiki iā ʻoe ke ʻike i nā hōʻailona ʻē aʻe. ʻO kēia mau mea:

• ʻAkika.
• Nā ʻeha poʻo.
• Nā ʻā wela.
• ʻEha ʻōpū.
• Hoʻokuʻu ʻia ʻana o ka ʻōpū.
• ʻIke maka ʻino.
• Ka ulu nui ʻana o ka lauoho ma ka maka a me ke kino.

E makaʻala inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau mea.

No ke aha i ʻano ʻē ai koʻu mau wā mahina? He aha nā kumu?

ʻO ka hapa nui o ka manawa, ʻo kēia ma muli o nā hormonal i kūlike ʻole i loko o kou kino. Hoʻopuka kāu mau ʻōkana hānau a me nā kelepa i loko o kou lolo i nā hormones like ʻole e kāohi i kāu pōʻaiapuni menstrual. Ke kaulike kēia mau hormones, ua maʻamau loa kāu pōʻaiapuni menstrual. Akā i ka wā e kaulike ʻole ai nā hormones, hoʻopilikia ia i kēia maʻamau.

Eia kekahi, ʻo nā maʻi a me nā ʻano kūlike ʻole o ke ʻano i loko o kāu ʻōnaehana hānau hiki ke hoʻopilikia i kāu pōʻaiapuni menstrual.

E nānā kākou i kekahi o nā kumu nui:

Ma muli o ke kaulike ʻole o ka hormonal:

• ʻO ka Polycystic Ovary Syndrome (PCOS): Hoʻoulu ka PCOS i kou kino e hana i nā hormones he nui i kapa ʻia he androgens (e like me ka testosterone). Hiki i kēia ke hoʻopilikia i ka ovulation, ke kaʻina hana e hoʻokuʻu ʻia ai kahi hua manu mai nā ovaries.
• ʻO nā puʻupuʻu huna-Androgen: Hiki i kekahi ʻano puʻupuʻu e ulu ana i loko o kāu mau ovaries a me nā kelepa adrenal ke hoʻokuʻu i nā hormones androgen a hoʻopilikia i kāu pōʻaiapuni menstrual. Ua like kēia mau hōʻailona me nā hōʻailona o PCOS.
• ʻO ka maʻi Cushing: Ma kēia kūlana, hana nui kou kino i ka hormone cortisol. Hiki i kēia ke hana i nā hormonal imbalances a hoʻopilikia i kāu menstrual cycle.
• Prolactinoma: He puʻupuʻu kēia e ulu ana i loko o ka pituitary gland. ʻO kēia ke kumu o ka hana ʻana o ka hormone prolactin keu a me ka emi ʻana o nā hormones wahine (e.g. estrogen) e pono ai no ka menstruation maʻamau.
• ʻO ka hemahema mua o ka Ovarian: Ma kēia kūlana, ua oki kāu mau ovaries i ka hana ʻana i nā hua ma mua o ka mea i manaʻo ʻia (ma mua o ka menopause). Hoʻōki pū lākou i ka hana ʻana i ka hormone estrogen, ka mea e pono ai no ka menstruation maʻamau.
• Hyperthyroidism: Inā ʻaʻole hana pono kou kelepa thyroid, hiki i ka pituitary gland ke hana i ka prolactin nui a me ka estrogen liʻiliʻi.
• ʻO Congenital Adrenal Hyperplasia: He kūlana kēia i loaʻa i ka wā hānau. Ma kēia kūlana, ʻaʻole hana nā kelepa adrenal i nā enzymes lawa e hana i nā hormones e pono ai no ka menstruation.

Hiki i nā maʻi a me nā pilikia ʻē aʻe i loko o ka ʻōpū ke hana:

• ʻO ka maʻi mumū Pelvic (PID): Hiki ke hana ʻia ka PID e nā maʻi i laha ʻole ʻia ma ke moekolohe (STIs). Hiki i kēia maʻi a me ka mumū ke hoʻopilikia i kāu pōʻaiapuni menstrual.
• ʻO ka maʻi Asherman / Endometrial Adhesions:ʻO nā ʻiʻo ʻeha i hana ʻia i loko o ka ʻōpū a i ʻole ka cervix (pinepine ma hope o kahi ʻoki kino wahine e like me ka D&C - Dilation & Curettage) hiki ke hoʻopilikia i ke kahe koko maʻamau o ka menstrual.

Nā kumu ʻē aʻe:

• ʻO ka maʻi diabetes Mellitus: ʻO ka maʻi diabetes type 1 a me type 2 e pili pū ana me ka oligomenorrhea. ʻOi aku ka maʻamau i ka poʻe kaumaha ʻole (ʻoi aku ka maʻamau i ka maʻi diabetes type 1) a me ke kaumaha nui (ʻoi aku ka maʻamau i ka maʻi diabetes type 2).
• Nā maʻi ʻai: ʻO nā kūlana e like me ka bulimia a me ka anorexia hiki ke hana i nā hemahema meaʻai a hoʻopaneʻe a hoʻōki paha i ka menstruation.
• Hana kino nui loa: Ke kau ʻoe i ke kaumaha nui ma kou kino ma o ka hoʻoikaika kino, ʻaʻole hiki i kou kino ke hana pono i nā kaʻina hana koʻikoʻi e like me ka menstruation.

Hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i:

• ʻO nā lāʻau pale hānau hormonal, e like me nā pila hoʻomalu hānau.
• Nā lāʻau lapaʻau antipsychotic.
• Nā lāʻau antiepileptic.

Pehea e ʻike pololei ai ke kauka i kēia maʻi?

Ke hele ʻoe e ʻike i ke kauka, e kamaʻilio ʻo ia me ʻoe, e holo i nā hoʻokolohua, a e hoʻāʻo e ʻike inā he oligomenorrhea kou a he aha ke kumu.

Nā nīnau i nīnau ʻia iā ʻoe (Mōʻaukala Lapaʻau):

Ma mua o kou hele ʻana e ʻike i kāu kauka, e hoʻomākaukau i kahi moʻolelo kikoʻī o kāu mau hewa o ka menstruation. E mālama i kahi moʻolelo o nā mea e like me ka helu o nā lā ma waena o nā menstruation no ʻelua mahina ma ka liʻiliʻi. E nīnau kāu kauka iā ʻoe i nā nīnau e like me:

• Pehea ke ʻano o kou pōʻaiapuni maʻamau: ehia mau lā ma waena o nā pōʻaiapuni, ehia ka nui o ke koko i nalowale, a pēlā aku. ʻO ka ʻike ʻana i kāu pōʻaiapuni maʻamau e kōkua i kāu kauka e hoʻomaopopo i ke koʻikoʻi o ka pilikia.
• ʻO ka mōʻaukala olakino o kou ʻohana: Inā loaʻa i kekahi o kou ʻohana kahi maʻi e hoʻoulu ai i ka oligomenorrhea (e like me PCOS), ʻoi aku ka nui o kou loaʻa ʻana iā ia.
• Kou mau ʻano a me kou nohona: E nīnau lākou e pili ana i kāu ʻai a me kāu mau ʻano hoʻoikaika kino e ʻike inā he hopena ko lākou i kēia. Hiki paha iā lākou ke nīnau inā he moe kolohe pale ʻole kāu e ʻike inā ua hoʻokumu ʻia ka pilikia e kahi STI.
• ʻO nā ʻano lāʻau lapaʻau āu e hoʻohana ai: ʻO nā mea e like me nā pila hoʻomalu hānau hormonal, nā lāʻau lapaʻau no nā maʻi noʻonoʻo, nā lāʻau lapaʻau no ka epilepsy, a me nā steroid hiki ke hana i ka oligomenorrhea.

Nā hoʻokolohua:

• Hoʻokolokolo Kino: E nānā ʻia kou maka, ʻāʻī, umauma, a me ka ʻōpū e ʻike inā he mau hōʻailona e hiki ke hoʻoulu i ka oligomenorrhea.
• Hoʻokolohua Rectovaginal:E hoʻokomo ke kauka i kahi manamana lima i loko o ka vagina a me kekahi manamana lima ʻē aʻe i loko o ka anus e nānā i nā puʻupuʻu a i ʻole nā ​​​​​​mea ulu i loko o ke kino. Hiki ke lilo i mea ʻoluʻolu ʻole, akā he mea nui ia no ka hōʻoia ʻana.
• Hoʻokolokolo speculum vaginal: Hoʻohana ʻia kahi mea i kapa ʻia he speculum e hoʻonui i ka vagina a me ka cervix e nānā no ke kahe ʻana o ke koko, ka pehu ʻana, nā ʻiʻo ʻeha, a me nā mea ʻē aʻe. Hiki ke lawe ʻia kahi swab cervical e nānā no ka maʻi.
• Hoʻokolokolo ʻōpū: Hoʻopā ʻia ka ʻōpū e nānā i nā puʻupuʻu, nā puʻupuʻu, a i ʻole nā ​​​​wahi e ʻeha i ke kaomi ʻia.

ʻO nā hoʻokolohua kiʻi e hiki ke hana ʻia:

• Nā scan CT: Hiki ke ʻike i nā mea e like me nā puʻupuʻu e hoʻoulu ai i ke kahe koko.
• ʻO ka ultrasounds pelvic a me ka ʻōpū: Hōʻike i nā hōʻailona o nā kūlana e like me ka bloating a me ka PCOS.
• MRI scan (Magnetic Resonance Imaging - MRI): Hiki ke hōʻoia i ke alo o ka prolactinoma.

Nā hoʻāʻo koko:

Hiki i nā hoʻokolohua koko ke nānā i kāu mau pae hormone a me nā pae kō koko. Hiki i kāu kauka ke nānā i nā pae hormone e like me kēia:

• ʻO ka Hormone Hoʻoulu Thyroid (TSH): Inā haʻahaʻa kēia, he hōʻailona paha ia o ka hypothyroidism.
• ʻO ka Hormone Hoʻoulu Follicle (FSH): Inā kiʻekiʻe kēia, hiki iā ia ke hana i ka Primary Ovarian Insufficiency.
• Luteinizing Hormone (LH): Ke hoʻohālikelike ʻia me FSH, hiki i nā pae LH kiʻekiʻe ke kōkua i ka ʻike ʻana i ka PCOS.
• Prolactin: Hiki i nā pae prolactin kiʻekiʻe ke kuhikuhi i kahi prolactinoma.
• 17-OHP: Hiki ke ʻike ʻia ka Congenital Adrenal Hyperplasia ma kēia pae.
• Kō koko: Hiki i ka hoʻāʻo HbA1c ke ʻike i ka maʻi diabetes.

E hoʻomanaʻo, ʻaʻole hana ʻia kēia mau hoʻokolohua āpau no nā kānaka āpau. ʻO nā hoʻokolohua āu e koho ai e pili ana i kāu mau hōʻailona a me ka manaʻo o kāu kauka .

He aha nā lāʻau lapaʻau no kēia? (Lāʻau lapaʻau)

Hoʻohana ʻia ka mālama ʻana i ka oligomenorrhea ma muli o ke kumu.

• Hoʻōla Hormone: Inā hana ʻia kāu oligomenorrhea e kahi ʻano hormonal imbalance, hiki i kāu kauka ke kuhikuhi i nā pila hoʻomalu hānau a i ʻole nā ​​​​lāʻau lapaʻau hormone ʻē aʻe.
• ʻoki kino: Inā he mau puʻupuʻu e hana ana i ka nui o ka androgen, hiki i kāu kauka ke ʻōlelo aku e wehe iā lākou ma ke ʻoki kino.
• Nā loli o ke ʻano o ka nohona:Inā pilikia kēia pilikia ma muli o ka nele i nā meaʻai a i ʻole ka hana kino nui, pono ʻoe e hoʻololi i kāu papaʻai a me ka hoʻoikaika kino.

Aia kekahi ala e pale aku ai i kēia? (Ka pale ʻana)

ʻAʻohe ala kikoʻī e pale aku ai i ka oligomenorrhea. Eia nō naʻe, i ka wā e ʻike ʻia ai ke kumu, e paipai kāu kauka i ka lāʻau kūpono.

He aha ka mea e hana inā loaʻa iā ʻoe ka oligomenorrhea? Pono ʻoe e hopohopo?

ʻAʻole pilikia koʻikoʻi ka Oligomenorrhea ponoʻī. Eia nō naʻe, he mea nui e ʻike i ke kumu o ia mea. ʻO kēia no ka mea hiki i kekahi mau kūlana kumu ke hoʻoulu i nā pilikia. No ka laʻana, ʻo ka PID a me ka PCOS i mālama ʻole ʻia hiki ke alakaʻi i ka hānau ʻole. Eia kekahi, inā ʻaʻole e hemo pono ka uhi ʻōpū ma muli o ka oligomenorrhea, aia kahi pilikia o ka hoʻomohala ʻana i nā kūlana e like me ka endometrial hyperplasia a me ka maʻi ʻaʻai endometrial .

I ka manawa hea e pono ai iaʻu ke ʻike i ke kauka?

Inā ua hala ʻoe i kou wā no nā lā he 35 a ʻoi, a inā ua hala ʻoe i kou wā no nā mahina, pono ʻoe e ʻike i ke kauka. ʻAʻole maʻamau ka hala ʻana o kou wā a i ʻole ka hala ʻana o kou wā. He mea nui e ʻimi i ke kumu a pale i nā pilikia lōʻihi.

Ma mua o kou hele ʻana i ke kauka, e hoʻopaʻa i kou wā maʻi ma kahi kalena a i ʻole polokalamu. E kōkua kēia i kāu kauka e pane i nā nīnau e pili ana i ka mea maʻamau a me ka mea ʻē. ʻAe nā polokalamu he nui iā ʻoe e hoʻopaʻa i nā mea e like me:

• ʻO nā lā kikoʻī e hoʻomaka ai a e pau ai ka menstruation.
• ʻEhia ka nui o ke koko e puka mai ana (he kaumaha paha, he māmā, a he maʻamau paha?).
• Nā hōʻailona āu e ʻike ai ma mua, i ka wā, a ma hope o kou wā.

He aha nā nīnau koʻikoʻi e nīnau aku ai i ke kauka?

• "Pono anei au e hopohopo e pili ana i ka lilo ʻana o koʻu mau wā i mea kūpono ʻole?"
• "E hoʻopilikia anei koʻu mau wā kūpono ʻole i koʻu hiki ke hānau keiki?"
• "Inā makemake au e hānai i kahi keiki, he aha nā koho lapaʻau e loaʻa iaʻu?"
• "Pono anei au e lawe i ka lāʻau lapaʻau hormone i ka wā lōʻihi e kāohi ai i ka oligomenorrhea?"

E nīnau i nā nīnau e like me kēia a e hoʻopau i kou mau kānalua.

Hoʻopilikia anei ka Oligomenorrhea i ka hānau keiki? (Infertility)

ʻAe, hiki i ka oligomenorrhea ke lilo i hōʻailona o kahi kūlana e hoʻopilikia ai i ka momona, e like me PCOS. ʻO nā kaulike ʻole hormonal e hoʻoulu ai i nā wā kūpono ʻole hiki ke paʻakikī iā ʻoe ke hāpai.

He like anei ka PCOS a me ka oligomenorrhea?

ʻAʻole. Eia nō naʻe, hele pinepine pū ka PCOS a me nā wā kakaʻikahi. Hiki i ka Oligomenorrhea ke lilo i hōʻailona o ka PCOS.

ʻO ka mea hope loa, pono wau e haʻi iā ʻoe i kēia ...

Inā he ʻano ʻē kou wā, mai hopohopo. Nui nā kumu e hiki ai i kou pōʻaiapuni menstrual ke ʻano ʻē, ʻo ka hapa nui o ia mau mea he mea ʻino ʻole. Eia nō naʻe, inā ua hala kou wā no ka manawa lōʻihi, pono ʻoe e ʻike i ke kauka. Eia kekahi, e makaʻala i nā hōʻailona ʻē aʻe, e like me ka nui o ke kahe koko āu e loaʻa nei, inā he ʻeha kou ʻōpū, a i ʻole ka hoʻokahe ʻana o ka vaginal. E kaʻana like i kēia ʻike āpau me kāu kauka. E hiki iā ia ke kuhikuhi i ke kumu o kou wā ʻē aʻe a hāʻawi iā ʻoe i ka lāʻau lapaʻau āu e pono ai. He mea nui loa kou olakino iā ʻoe, no laila he mea nui e makaʻala i kēia mau mea.

ʻOligomenorrhea , ka menstruation mahina, ka wā lohi, ka menstruation kūpono ʻole, nā hormones, PCOS, ke olakino wahine