Yu prɛgnɛshɔn dɔn stɔp? Lɛ wi lan bɔt amenɔria.

Yu kin tink sɔntɛnde se, "O, a nɔ gɛt mi prɛgnɛshɔn dis mɔnt yet?" Ɔ sɔntɛm wan pan yu gyal pikin ɔ sista dɛn dɔn rich di tɛm we dɛn de bɔn pikin ɛn i nɔ rich di tɛm we dɛn de bɔn yet? Wan mεdikal tεm de fכ dis kayn mεnstral we de delay כ kכmplit. Na `(Amenɔria)` . Sɔmtɛm dis kin bi nɔrmal, bɔt sɔmtɛm e kin bi sayn fɔ wan sik wae de ɔnda dis sik. So tide, lɛ wi tɔk bɔt `(Amenorrhea)` ditayli, lɛk se wi de tɔk to padi.

Wetin na menstrueshɔn? Aw i kin rili apin?

Fɔ tɔk am simpul wan, we uman kin gɛt bɛlɛ na pat pan di we aw gyal pikin in bɔdi kin rɛdi fɔ gɛt bɛlɛ ɛvri mɔnt. I gɛt bɔku kemikal dɛn we dɛn kɔl ɔmon . Tink bɔt am, i tan lɛk wan kɔmpleks plan.

wan sכmכl bכt rili imכtant gland de na wi bren we dεn kכl `(Hypothalamus)`. dis gland de kכntro כda gland we dεn kכl `(Pituitary gland)`. dis `(Pituitary gland)` na in de gi di signal dεm to di `(Ovaries)` fכ rilis wan eg (`(Ovulation)` כ ovulation).

yu ovaries na di say we dεn de stכr di eg dεm εn prodyuz. Dɛn kin mek tu ɔmon dɛn bak we rili impɔtant to gyal pikin: ɛstrojen ɛn prɔjɛstɛron.

כnda di inflכεns fכ dεn כmon dεm, di insay layn na yu uterus (wi kכl am di εndometrium) de tik sכmtεm. I tan lɛk se yu de pripia fayn matres fɔ di pikin fɔ slip insay if i kam.

Bɔt if dɛn nɔ gɛt bɛlɛ da mɔnt de, dɛn nɔ nid di uterin layn we tik igen. Dɔn dɛn kin shed am frɔm di bɔdi. Na dat mek wi kin kɔl am ‘mɛnstrueshɔn’ ɔ ‘pɛriɔd’. fכ dis prכsεs fכ apin fayn fayn wan, di כgan dεm we dεn kכl `(Hypothalamus)`, `(Ovaries)` εn `(Uterus)` fכ wok fayn fayn wan.

Wetin na di men kayn amenɔria?

Tu men kayn `(Amenorrhea).` Lɛ wi si wetin dɛn bi.

1. Praymari amenɔria - (Praymari amenɔria) .

Dis de tɔk bɔt di wan dɛn we nɔ ɛva gɛt dɛn prɛgnɛshɔn we dɛn ol 15. Ɔ, if dɛn nɔ bin gɛt dɛn prɛgnɛshɔn fɔ fayv ia afta di fɔs sayn dɛn we de sho se dɛn dɔn yɔŋ (lɛk di we aw dɛn bɔdi de gro) dɔn bigin, dis sɛf de insay dis kategori. Dis kin bi bay di jεnεtik kכndyushכn dεm we de de we dεn bכn am כ fכ sכm kכndyushכn dεm we de divεlכp leta na layf.

2. Sεkɔndari amenɔria - (Sεkɔndari amenɔria) .

Dis na we pɔsin we bin de gɛt mɔnt ɔltɛm kin stɔp fɔ gɛt mɔnt wantɛm wantɛm fɔ tri ɔ mɔ mɔnt . if pɔsin in mεnstral saykl nɔ bin de rεgulεr bifo, fכ stכp mεnstral fכ siks mכnt dεn kin tek am bak as ``Sεkכndari amenorrhea''. Di tin dɛn we kin mek pɔsin gɛt dis na:

• We uman gɛt bɛlɛ
• Laktashɔn
• Siriɔs strɛs
• Fɔ gɛt sik we nɔ de mɛn

Aw kɔmɔn tin we pɔsin kin gɛt we i gɛt amenɔria?

Infakt, dɛn se lɛk wan pan ɛvri 4 uman dɛn we nɔ gɛt bɛlɛ, we de gi pikin dɛn bɛlɛ, ɔ we nɔ dɔn pas we dɛn nɔ gɛt bɛlɛ, go gɛt amenɔria sɔm tɛm na dɛn layf. So i nɔ kɔmɔn so.

Wetin na di sayn dɛm wae de sho se yu gɛt amenɔria?

Di men sayn na we i nɔ de gɛt mɔnt. כltu, apat frכm dat, כda simptom dεm kin sho dipכnt pan di kכz fכ `(Amenorrhea). Fɔ ɛgzampul:

• Wan filin we yu kin fil wantɛm wantɛm fɔ wam bad bad wan (`Hot flashes`).
• Nipples de lik milk ivin if yu nɔ gɛt pikin.
• Di vagina dray we de dray.
• Di ed we kin at bɔku tɛm .
• Vishɔn kin chenj.
• Akni we pasmak .
• Di ia we de gro pasmak na di fes ɛn bɔdi.

Dɛn sik ya nɔ kin apin to ɔlman, bɔt if yu gɛt dɛn tin ya, i fayn fɔ go to dɔktɔ ɛn tɔk to dɛn.

Wetin na di tin dɛn we kin mek pɔsin gɛt amenɔria?

Di tin dɛm wae kin mek pɔrsin gɛt di tu kayn amenɔria bak difrɛn. Sɔm pan di tin dɛm wae kin mek pɔrsin kin gɛt dis sik na tin wae kin mek pɔrsin gɛt dis sik, bɔt ɔda wan dɛm kin bi sayn fɔ se pɔrsin gɛt mɛrɛsin.

Natural (kɔmɔn) tin dɛn we kin mek pɔsin nɔ gɛt mɔnt:

• Bεlε: Dis na di mכst kכmכn kכz fכ sεkכnd amεnoria. We pikin gɛt bɛlɛ, di bɔdi kin no se i nɔ nid fɔ pul ɔda eg ɔ gɛt prɛgnɛshɔn. So di mɔnt we i de gɛt kin stɔp.
• Lactation amenorrhea: Bɔku mama dɛn nɔ kin gɛt dɛn prɛgnɛshɔn we dɛn de gi dɛn bɛlɛ.
• Menopause: uman dεm kin stכp fכ tεm bitwin di ej dεm we de bitwin 45-55 ia.
• If dɛn dɔn du ɔpreshɔn fɔ pul yu uterus ɔ ovaria: Yu nɔ go gɛt yu prɛgnɛshɔn da tɛm de bak.

Di kɔmɔn tin dɛn we kin mek pɔsin gɛt praymari amenɔria:

If yu nɔ ɛva gɛt yu prɛgnɛshɔn we yu ol 15 ia, i kin bi bikɔs ɔf:

• Kromozom ɔ jɛnɛtik prɔblɛm: Dis na tin dɛn we de apin we dɛn bɔn am. fכ egzampl, kכndyushכn lεk Turner syndrome kin afekt di divεlכpmεnt fכ di riprodaktiv sistεm.
• di כmon prכblεm dεm we de kכz fכ prכblεm na di bren כ pituitary gland: dεn kin mek di ovaria nכ kכmכt di כmon dεm we dεn nid fכ wok fayn fayn wan.
• di strכkchכral prכblεm dεm wit di rεprכdaktiv כgan dεm: Tin dεm lεk di pat dεm we nכ de na di uterus כ vagina, כ di rεprכdaktiv sistεm we nכ de divεlכp.

Di kɔmɔn tin dɛn we kin mek pɔsin gɛt sɛkɔndari amenɔria:

If yu bin de gɛt mɔnt ɔltɛm bifo ɛn yu stɔp fɔ gɛt mɔnt wantɛm wantɛm fɔ tri mɔnt ɔ mɔ, i kin bi bikɔs ɔf dɛn tin ya:

• Sɔm we dɛn we dɛn kin yuz fɔ kɔntrol pikin dɛn:Fɔ ɛgzampul, di Depo-Provera® injɛkshɔn, sɔm Intrauterine Devices (IUD), ɛn sɔm bɔn kɔntrol pils.
• Kimotɛrapi ɛn redyushɔn tɛrapi fɔ kansa.
• If yu dɔn gɛt ɔpreshɔn pan yu uterus bifo tɛm ɛn yu gɛt ska tisu: fɔ ɛgzampul, afta yu dɔn du ɔpreshɔn lɛk Dilation and Curettage (D&C).
• Siviɔs strɛs: Tink bɔt aw yu bin de strɛs we yu bin de tek yu A/L ɛgzam ɔ we yu bin fɔs bigin fɔ du nyu wok. Tin dɛn lɛk dat kin mek bak yu prɛgnɛshɔn let.
• Nɔ it fayn: We di bɔdi nɔ gɛt di rayt it we i nid, di ɔmon dɛn kin ambɔg di wok we i de du.
• Big chenj na di bɔdi wet: I nɔ bad fɔ mek yu tan lɛk tin we rili tan wantɛm wantɛm, ɔ i nɔ bad fɔ mek yu rili ebi.
• We dɛn kin du ɛksɛsayz pasmak: Sɔm gyal pikin dɛn kin tink se dɛn nid fɔ lɛf fɔ it bɔku bɔku it dɛn, dɛn nɔ kin it fayn, ɛn dɛn kin wok na di jim ɔl di de. Wan rizin fɔ dis na bikɔs dɛn kin ɛksesaiz pas aw dɛn bɔdi kin ebul fɔ du.
• Sɔm mɛrɛsin dɛn.

pan tap dat, sɔm mεdikal kכndyushכn dεm kin mek bak ``Sεkכndari amenorrhea``:

• (Primary ovarian insufficiency - POI): Dis na we di ovaria dεm stכp fכ wok bifo i rich 40 ia.
• haypothalamic amenorrhea: Na di mεnstral we de sכt biכs fכ prכblεm we de pan di wok we di haypothalamus de wok na di bren.
• Pituitary disorders: Fɔ ɛgzampul, pituitary tumor ɔ we di ɔmon prolactin de mek pasmak.
• di ɔmon dɛn we nɔ de balans lɛk polycystic ovary syndrome (PCOS), adrenal disorder, ɔ hypothyroidism .
• tכmכro dεm we nכ kεnsar כ kεnsar na di ovaria dεm (`Ovarian tumor`).
• Fat.
• Sik dɛm wae nɔr de mɛn: Fɔ ɛgzampul, kidni sik ɔr inflammatory bowel disease (IBD).

Wetin na di tin dɛn we kin mek pɔsin gɛt amenɔria?

Sɔm pipul dɛn kin gɛt dis sik. Risk factor dɛm wae kin afɛkt am na:

• If pɔrsin na yu famili dɔn gɛt amenɔria, ɔr dɔn gɛt mɛnɔpɔz kwik kwik wan.
• fכ gεt jεnεtik כ kromozom kכndishכn we de afekt di ovaria כ uterus.
• Fɔ fat ɔ fɔ lɛf fɔ it bɔku bɔku it.
• Fɔ gɛt prɔblɛm wit aw pɔsin de it.
• Fɔ ɛksesaiz pasmak.
• Fɔ fala di it we nɔ fayn fɔ yu.
• Siriɔs strɛs na yu maynd.
• Fɔ gɛt sik we dɔn te fɔ lɔng tɛm.

Yu tink se amenɔria kin mek yu gɛt prɔblɛm dɛn?

Amenɔria nɔ kin mek pɔsin in layf de pan denja. Bɔt sɔm pan de tin dɛm wae kin mek pɔrsin gɛt am kin mek pɔrsin gɛt prɔblɛm fɔ lɔng tɛm. So, if yu prɛgnɛshɔn dɔn stɔp, i impɔtant fɔ go to dɔktɔ fɔ no wetin mek yu gɛt am. Pɔsin we gɛt amenɔria kin gɛt dɛn tin ya:

• כstioporosis (di bon dεm de tכn) כ di kכdivaskyul sik: Dis kin kכmכt we di כmon εstrojen de dכn.
• I nɔ kin izi fɔ bɔn pikin ɔ i nɔ kin ebul fɔ bɔn pikin.
• di pen na di bכdi: Dis kin kכz fכ wan strכkchכral prכblεm na di riprodaktiv כgan dεm.

Aw fɔ no if yu gɛt (Amenorrhea)?

If yu dɔn mis yu prɛgnɛshɔn fɔ tri mɔnt insay wan row, go to dɔktɔ. I go aks yu bɔt yu sik, yu famili histri, ɛn yu mɔnt saykl. Dɔn, dɛn go du ɛgzam fɔ dɛn bɔdi ɛn ɛgzam na dɛn bɛlɛ.

Us tɛst dɛn kin du fɔ mek pɔsin gɛt amenɔria?

Di dɔktɔ kin nid fɔ du sɔm tɛst dɛn, lɛk:

• Wan tɛst fɔ no if uman gɛt bɛlɛ.
• Blɔd tɛst: Chɛk di ɔmon lɛvɛl ɛn chɛk fɔ tayroyd ɔ adrenal gland sik.
• Jɛnɛtik tɛst: If yu gɛt praymari ovarian insufficiency (POI) ɛn yu nɔ rich 40 ia yet.
• (MRI) Skan: If dɛn tink se prɔblɛm de wit di pituitary gland.
• Ultrasound scan: If yu tink se prɔblɛm de wit di ovaria ɔ di uterus.

Yu tink se i impɔtant fɔ kip trak bɔt di saykl we a de gɛt we a de gɛt mɔnt?

Yɛs, fɔ tru. Sɔntɛnde, i nɔ kin izi fɔ fɛn di tin we kin mek pɔsin gɛt amenɔria. If yu nɔ gɛt klia rizin, lɛk we yu gɛt bɛlɛ ɔ we yu nɔ gɛt bɛlɛ, yu dɔktɔ go aks yu fɔ rayt wan dayari bɔt di chenj dɛn we de apin na yu mɔnt saykl. Dis kin bi big ɛp fɔ di dɔktɔ fɔ no if i gɛt di sik.

Rayt dɛn tin ya na smɔl notbuk ɔ na ap na yu fon:

• Aw lɔŋ yu dɔn gɛt yu prɛgnɛshɔn?
• Ustɛm yu las gɛt yu prɛgnɛshɔn?
• Us mɛrɛsin dɛn yu kin tek?
• Yu dɔn mek ɛni chenj pan yu it ɔ ɛksesaiz?
• Yu de fil strɛs ɔ yu de wɔri?

Aw dɛn kin trit Amenɔria?

If yu prɛgnɛshɔn dɔn stɔp bikɔs yu dɔn lɛf fɔ gɛt bɛlɛ, yu de gi yu pikin milk, ɔ yu gɛt bɛlɛ, yu nɔ nid spɛshal tritmɛnt.

Ɔda tɛm dɛn, di tritmɛnt we yu go gɛt go dipen pan wetin mek yu gɛt amenɔria. Fɔ fala dis, di tritmɛnt dɛn kin inklud:

• Fɔ fala di it ɛn ɛksesaiz plan we go ɛp yu fɔ gɛt wɛlbɔdi wet we fit yu.
• Tɛknik dɛn we dɛn kin yuz fɔ kɔntrol strɛs .
• Fɔ chenj di lɛvɛl we yu de du ɛksɛsayz (if yu de du tumɔs, ridyus am, if nɔto so, inkrisayz am smɔl).
• Ɔmon tritmɛnt: As di dɔktɔ tɛl am.
• Ɔpreshɔn: Dɛn nɔ kin du dis ɔltɛm.

Apat frɔm dat, di dɔktɔ kin tɛl yu fɔ du sɔm tritmɛnt dɛn fɔ mek yu nɔ gɛt di bad bad tin dɛn we kin apin we yu gɛt amenɔria:

• εstrojen tεrapi: Ridyus di hot flash εn di vagina dray.
• Kalsiɔm ɛn Vitamin D sɔpɔtmɛnt: Kip di bon dɛn strɔng.
• Trenin fɔ mek yu gɛt trɛnk: Fɔ es yu wet ɔ fɔ du ɛksɛsayz we de mek yu mɔsul dɛn strɔng.

A nid ɔpreshɔn fɔ mek a gɛt amenɔria?

Nɔ, bɔku tɛm i nɔ kin nid fɔ du ɔpreshɔn. Bɔt yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn pan dɛn tin ya:

• if chenj de na di bכdi we de mek bכdi nכ de kכmכt na di vagina (e.g., vagina septum כ imperforate hymen).
• If yu gɛt pituitary tumor.
• If ska tisu de na di uterus.

Aw lɔŋ amenɔria go las? Yu tink se yu go bigin fɔ gɛt mɔnt bak?

Bɔku tɛm, dɛn kin mɛn amenɔria. We yu gɛt tritmɛnt, yu prɛgnɛshɔn fɔ bigin fɔ kam bak di tɛm we yu bin dɔn plan fɔ du am . Sɔntɛnde, i kin tek sɔm mɔnt fɔ mek yu prɛgnɛshɔn kam bak, bɔt bɔku pipul dɛn kin du dat. Tɔk to yu dɔktɔ bɔt wetin yu kin ɛkspɛkt wit tritmɛnt.

Bɔku tɛm, di mɔnt go bigin bak wans dɛn dɔn trit di ɔndalayn kɔz. Bɔt, i kin tek sɔm tɛm fɔ mek i bi rɛgyula bak.

Sɔntɛnde, yu nɔ kin ɛva gɛt yu prɛgnɛshɔn bikɔs ɔf yu wɛlbɔdi prɔblɛm. If na so i bi, yu dɔktɔ go tɔk to yu bɔt di tin dɛn we yu go ebul fɔ du if yu want fɔ bɔn pikin.

Yu tink se dɛn kin ebul fɔ mek pɔsin nɔ gɛt amenɔria?

Gud wɛl bɔdi abit kin ɛp fɔ mek yu nɔr gɛt sɔm pan de tin dɛm wae kin mek yu gɛt ``sɛkɔndari amenɔria.`` Tray dɛn tin ya:

• Fɔ fala wan fayn it ɛn ɛksɛsayz plan we go fayn fɔ yu.
• Yu fɔ no bɔt yu mɔnt saykl (so yu go no wantɛm wantɛm if yu mis yu mɔnt).
• Kip ɔltɛm gaynɛkɔlɔjik apɔntinmɛnt , inklud fɔ du ɛgzam na yu bɛlɛ ɛn fɔ du Pap tɛst.
• Gɛt inof slip .

Ustɛm yu fɔ go to dɔktɔ bɔt amenɔria?

If yu dɔn mis yu prɛgnɛshɔn fɔ tri mɔnt insay wan row, yu fɔ rili go to dɔktɔ. Dɔn bak, if yu nɔ gɛt prɛgnɛshɔn ɛn yu gɛt ɛni wan pan dɛn sayn ya, go to dɔktɔ:

• Prɔblɛm wit balans, kɔdineshɔn, ɔr vishɔn (dɛn kin bi sayn fɔ siriɔs kɔndishɔn).
• di milk we de kכmכt frכm di brεst ivin we yu nכ gεt pikin.
• If yu notis se di ia we yu nɔ want de gro na yu bɔdi.
• If yu dɔn pas 15 ia, bɔt yu nɔr dɔn gɛt yu fɔs prɛgnɛshɔn yet.

Wetin bak a fɔ aks di dɔktɔ?

We yu go to dɔktɔ, nɔ fɔgɛt fɔ aks dɛn kwɛstyɔn ya:

• Wetin na di rizin fɔ mi amenɔria?
• Us tritmɛnt opshɔn dɛn a gɛt? Wetin na di gud ɛn bad tin dɛn we ɛni wan pan dɛn gɛt?
• A nid fɔ go to dɔktɔ we de mɛn di sik we dɛn kɔl endokrinologist fɔ mek dɛn gi mi ɔmon tɛrapi?
• a kin geht bele ivin if a geht `(Amenorrhea)`?
• Afta mi prɛgnɛshɔn bigin bak, a kin gɛt amenɔria bak?

Yu tink se i nɔmal fɔ gɛt amenɔria afta yu dɔn stɔp di pils fɔ kɔntrol bɔn pikin?

Yɛs, sɔm pipul dɛn kin gɛt mis tɛm (pɔst-pil amenorrhea) afta dɛn dɔn stɔp di bɔn kɔntrol pils. dis na biכs yu bכdi de "yus to" fכ prodyuz di כmon dεm we i nid fכ ovulate εn gεt pεriכd bak. I kin tek tri mɔnt fɔ mek yu bɔdi bigin fɔ gɛt mɔnt bak. If yu stil nɔ gɛt yu prɛgnɛshɔn fɔ 4 to 6 mɔnt afta yu dɔn stɔp di pil, tɔk to yu dɔktɔ.

Yu tink se amenɔria na wan kayn tin we kin mek pɔsin nɔ ebul fɔ bɔn pikin?

Nɔ, amenɔria nɔto wan kayn pɔsin we nɔ ebul fɔ bɔn pikin. Bɔt we pɔsin nɔ gɛt bɛlɛ, i kin mek i nɔ pɔsibul fɔ gɛt bɛlɛ. If yu de op fɔ bɔn pikin, ɛn yu menstrual saykl nɔ de ɔltɛm ɔ i dɔn stɔp, go to dɔktɔ fɔ advays.

Fɔ dɔn, dis na wetin a gɛt fɔ tɛl una (Take-Home Message)

If yu dɔn pas 15 ia bɔt yu nɔ bigin fɔ gɛt mɔnt yet, ɔ if yu bin dɔn gɛt prɛgnɛshɔn ɔltɛm ɛn naw yu dɔn stɔp, nɔ panik, bɔt fɔ tru, go to dɔktɔ. Bɔku tɛm, amɛnɔria na sayn fɔ wan sik we pɔsin kin trit. Wae yu dɔktɔ dɔn no wetin mek yu nɔr gɛt prɛgnɛshɔn, yu kin gɛt tritmɛnt fɔ ɛp yu mɔnt saykl fɔ kam bak to nɔmal. Yu kin nid fɔ mek sɔm chenj dɛn na yu layf ɔ tek ɔmon tɛrapi. De tin wae impɔtant pas ɔl na fɔ tɔk to yu dɔktɔ bɔt dis ɛn gɛt di rayt advays. Nɔ wɔri bɔt am yu wan.

` Amenɔria, we yu de stɔp fɔ gɛt mɔnt, we yu de gɛt mɔnt, we yu nɔ de gɛt tɛm, praymari amenɔria, sɛkɔndari amenɔria, ɔmon imbalans