Yu dɔn de mis yu prɛgnɛshɔn fɔ sɔm mɔnt? Ɔ dɛn dɔn stɔp wantɛm wantɛm? If dis kin apin to yu we yu ol 30 ia, na nɔmal tin fɔ mek yu fred smɔl ɛn wɔri. Bɔku pipul dɛn kin tink se dis na fɔ lɛf fɔ gɛt bɛlɛ. bכt if i apin bifo i rich 40 ia, i kin bi bikoz fכ wan kכndyushכn we dεn kכl ‘premature ovarian failure’. Lɛ wi tek tɛm luk wetin na dis, wetin mek i kin apin, ɛn wetin yu kin du bɔt am.
Fɔ tɔk am simpul wan, wetin na Praymari Ovarian Insufficiency (POI)?
Lɛ wi ɔndastand dis simpul wan. כl uman gεt tu ovaria. dis dεm de na di tu say dεm na di uterus. dis ovaria dεm gεt tu men wok dεm. Wan na fɔ rilis wan eg ɛvri mɔnt. Di ɔda wan na fɔ mek ɔmon dɛn we impɔtant fɔ di uman bɔdi, mɔ di ɛstrojen ɛn prɔjɛstɛron .
Bɔku tɛm, uman in ovaria dɛn kin stɔp fɔ wok smɔl smɔl ɛn in mɔnt kin stɔp kpatakpata arawnd di ej we uman ol 51. Wi kin kɔl dis mɛnɔpauz .
Bɔt pan wan sik we dɛn kɔl Primary Ovarian Insufficiency (POI) , di wok we dɛn ovaria ya de du kin go dɔŋ fa fawe pas aw i kin bi, dat na bifo dɛn rich 40. Fɔ sɔm pipul dɛn, dis kin apin wantɛm wantɛm. Dat min se di mɔnt kin stɔp wantɛm wantɛm. Fɔ ɔda pipul dɛn, dɛn kin no dis sik afta we dɛn nɔ kin gɛt mɔnt fɔ mɔnt, sɔm tɛm dɛn kin ivin fɔ lɔng lɔng tɛm.
Pan ɔl we dɛn bin de kɔl dis sik "Premature Ovarian Failure," naw dɔktɔ dɛn kin lɛk fɔ yuz di wɔd "Insufficiency." dis na biכs di ovaria dεm fכ uman dεm we gεt dis kכndyushכn nכ de "fail" kכmplit wan. Dɛn jɔs nɔ de wok fayn. So, sɔntɛnde, eg kin kɔmɔt wantɛm wantɛm. Dis min se ivin wit dis kכndyushכn, sכm chans stil de fכ gεt bεlε na nכmal .
Wetin mek dis kin apin? Wetin na di tin dɛm we de afɛkt POI?
Bɔku tɛm, lɛk 90% pan di kes dɛm, dɛn nɔ kin fɛn ɛni patikyula kɔz fɔ POI. Insay mɛrɛsin, wi kin kɔl dis ``idiopathic''. Bɔt sɔntɛnde, dɛn dɔn no sɔm tin dɛn we kin mek i apin.
| Rizin | Wan simpul ɛksplen |
|---|---|
| Di tin dɛn we de mek pɔsin gɛt jɛnɛtiks | di jεnεtik kכndishכn dεm lεk Turner syndrome εn Fragile X syndrome kin afekt di wok we di ovaria dεm de du. If pɔrsin na yu famili (mama, sista) gɛt dis sik, yu kin gɛt dis sik bak. |
| Dizayd dɛn we de mek pɔsin nɔ ebul fɔ fɛt insɛf | Dis na we di bɔdi in yon imyun sistɛm mistek atak in yon ovary. Sɔm ɛgzampul dɛn na tin dɛn lɛk tayroyd sik ɛn Addison in sik . |
| Di tritmɛnt dɛn we pɔsin kin gɛt fɔ gɛt kansa | Tin dεm lεk kεmothεrapi εn rεdyush כn kin pwεl di sεl dεm na di ovaria. |
| Di ɔpreshɔn dɛn we dɛn kin du | כpεrayshכn to di ovaries כ hysterectomy kin afekt di blכd saplai to di ovaries. |
| Pɔyzin dɛn | If pɔsin de smok, peshɛnt, ɛn ɔda kemikal dɛn fɔ lɔng tɛm, i kin afɛkt di ovaria dɛn bad bad wan bak. |
Wetin na di sayn dɛm fɔ dis sik?
Di men ɛn kɔmɔn sayn na we yu nɔ de gɛt mɔnt ɔltɛm ɔ we yu nɔ de gɛt mɔnt fɔ sɔm mɔnt. Bɔt ɔda sayn dɛn we fiba di wan dɛn we pɔsin kin gɛt we i dɔn pas 40 ia kin apin bak. dis na biכs insay di tu kכndyushכn dεm, di bכdi in εstrojen כmon lεvεl dεm de dכn.
- Menstrual cycle irregularities: Menstruation kin go fɔ sɔm mɔnt we i nɔ kin kam bak, ɔ i kin stɔp ɔltogɛda.
- Wantɛm we yu de swet pasmak ɛn wam yu bɔdi wam (ɔt flash ɛn swet na nɛt): Dis kin apin mɔ na nɛt.
- Prɔblɛm fɔ slip: We yu de swet na nɛt, dat kin mek yu wek frɔm slip.
- di lכw bכdi de pen εn di vagina dray: Dis kכndyushכn de kכz fכ di εstrojen we de dכn. Dis kin mek yu fil pen bak we yu de du mami ɛn dadi biznɛs.
- Di we aw pɔsin kin want fɔ du mami ɛn dadi biznɛs nɔ kin bɔku.
- I nɔ izi fɔ kɔnsɛntret ɛn i kin vɛks.
- Dray yay.
- I nɔ izi fɔ gɛt bɛlɛ fɔ pikin (Infertility).
Di tin we impɔtant pas ɔl na dat, if yu nɔr dɔn gɛt yu prɛgnɛshɔn fɔ pas 3 mɔnt, yu fɔ rili go to dɔktɔ fɔ no wetin de mek yu gɛt am. I kin kam bak bikɔs ɔf ɔda tin dɛn lɛk we i gɛt bɛlɛ ɛn we i strɛs. So, na dɔktɔ nɔmɔ go ebul fɔ no di rayt tin we mek i apin.
Aw yu go fɛn dis, Dɔktɔ?
We yu go to dɔktɔ, i go aks yu fɔs bɔt yu mɔnt saykl, yu famili mɛdikal istri, ɛn ɛni sayn we yu de gɛt. Dɔn, i go du wan ɛgzam pan in bɔdi.
Apat frɔm dat, dɛn kin ɔda fɔ du bɔku tɛst fɔ no if pɔsin gɛt dis sik.
- Ɔmon Lɛvɛl Tɛst: Dis na di tɛst we impɔtant pas ɔl. Dɛn kin tek blɔd sɛmpul ɛn chɛk di lɛvɛl we bɔku ɔmon dɛn de.
- FSH (Follicle-Stimulating Hormone): Na ɔmon we de mek di ovaria dɛn wok. if di ovaria dεm nכ de wok fayn, di bren de sεnd mכr FSH. fכ dat, di lεvεl dεm fכ dis כmon de rili hכy pan POI.
- εstrojen: Na di men כmon we di ovaria dεm de mek. Insay POI, dɛn lɛvɛl ya kin ridyus bad bad wan.
- Prolaktin: Dɛn kin chɛk dis ɔmon lɛvɛl bak.
- Tεst fכ bεlε: fכ kכnfכm if bεlε na di kכz fכ yu mis pεriכd.
- di pεlvik כltra saund: Dis kin chεk di kכndishכn fכ yu ovaria εn uterus. insay POI, di ovary dεm kin sכm sכm pas nכmal.
- Jεnεtik tεst (Karyotype testing): Dɛn kin du dis tεst if dεn saspek se na jεnεtik kכz, lεk Turner syndrome.
- Antibodi test: Dɛn kin du dɛn tin ya if dɛn tink se gɛt ɔtoimyun sik.
If yu nɔ rich 40 ia yet ɛn yu nɔ de gɛt prɛgnɛshɔn ɔltɛm, yu blɔd tɛst sho se FSH lɛvɛl go ɔp, ɛn yu ɛstrojen lɛvɛl smɔl, yu dɔktɔ go mɔs no se yu gɛt POI.
Wetin na di tritmɛnt dɛm fɔ dis?
no mɛrɛsin nɔ de fɔ POI, we min se di ovaria dɛn go wok nɔmal wan bak. Bɔt, tritmɛnt dɛn de we rili fayn fɔ kɔntrol di sik dɛn ɛn ridyus di prɔblɛm dɛn we kin apin to pɔsin in wɛlbɔdi fɔ lɔng tɛm.
Di tritmɛnt dipen pan yu ej, di kayn sik we yu gɛt, ɛn if yu want fɔ bɔn pikin ɔ yu nɔ want fɔ bɔn pikin.
Ɔmon Riplesmɛnt Tɛrapi (HRT) .
Dis na di men tritmɛnt. I min fɔ gi di ɔmon dɛn we yu ovaria nɔ de mek na do igen, we na pil, jel, pat pan yu skin, ɔ vagina ring.
Di bɛnifit dɛn we HRT kin gi:
- Dɛn kin kɔntrol di simptom dɛm lɛk wam flash ɛn vagina dray.
- I kin protɛkt yu frɔm ɔstioporosis . Ɛstrojen na ɔmon we impɔtant fɔ mek di bon dɛn strɔng.
- I de ɛp fɔ ridyus di risk fɔ gɛt at sik.
- Di we aw pɔsin de fil fayn na in maynd kin bɛtɛ.
Dɔktɔ dɛn kin se yu fɔ tek dis ɔmon tɛrapi te yu menɔpauz (we ol 51-52 ia). Tɔk to yu dɔktɔ bɔt di gud ɛn bad tin dɛn we dis tritmɛnt gɛt ɛn pik di we we go fayn fɔ yu.
Laif stayl chenj ɛn ɛkstra tin dɛn
Apat frɔm ɔmon tritmɛnt, dɛn tin ya rili impɔtant fɔ mek yu kɔntinyu fɔ gɛt wɛlbɔdi.
- Gɛt inof kalsiɔm ɛn vaytamɛn D: Dɛn tin ya impɔtant fɔ mek yu bon dɛn strɔng. It tin dɛn lɛk dairy prodakt ɛn smɔl fish. If nid de, yu dɔktɔ go gi yu ɔda tablɛt dɛn.
- Ɛksesaiz ɔltɛm: Ɛksesaiz lɛk fɔ waka ɛn rɔn kin fayn fɔ di at. Ɛksesaiz fɔ bia wet rili impɔtant fɔ di bon dɛn.
- Fɔ mek yu gɛt wɛlbɔdi wet.
- If yu de tink bɔt fɔ bɔn pikin: Ivin wit POI, lɛk 5-10% pan di uman dɛn gɛt di abiliti fɔ gɛt bɛlɛ we natin nɔ de du. Bɔt i nɔ shɔ. So if yu de op fɔ bɔn pikin, yu kin tɔk to ɔbstetrician ɛn gaynecologist fɔ tɔk bɔt di tɛknik dɛm lɛk `(IVF)` ɛn ɔda opshɔn dɛm.
Liv wit POI ɛn mental wɛlbɔdi
Na nɔmal tin fɔ fil bad, fil bad, ɛn vɛks we yu kam fɔ no bɔt dis kayn sik. Dis kin tranga fɔ bia wit dis, mɔ if yu bin stil de op fɔ pikin dɛn.
Mɛmba se nɔto yu wangren de dis tɛm. We yu tɔk to yu man, yu fambul, ɔ yu padi we yu abop pan bɔt aw yu de fil, dat go ɛp yu fɔ fil fayn.
If yu de fil wɔri ɔr pwɛl hat bikɔs ɔf dis sik, tɔk to yu dɔktɔ bɔt am. If nid de, yu kin aks fɔ ɛp frɔm saykayatrist ɔ advaysa. If yu gɛt di rayt tritmɛnt ɛn sɔpɔt, yu kin liv wɛl bɔdi layf wit dis sik.
Mɛsej we dɛn kin kɛr go na os
- Praymari Ovarian Insufficiency (POI) na di ovarian fכnshכn we de lכs bifo i rich 40. Dis nכto mεnopos.
- Di men sayn na we yu nɔ de gɛt di tɛm ɔltɛm ɔ we yu nɔ de gɛt am fɔ sɔm mɔnt. If yu prɛgnɛshɔn stɔp fɔ pas 3 mɔnt, yu fɔ rili go to dɔktɔ.
- Bɔku tɛm, i nɔ kin izi fɔ fɛn patikyula rizin fɔ dis, so nɔto yu fɔlt.
- Ɔmon riplesmɛnt tɛrapi (HRT) kin kɔntrol di sayn dɛm ɛn protɛkt bon ɛn at wɛlbɔdi.
- Ivin wit POI, sɔm uman dɛn stil gɛt smɔl chans fɔ gɛt bɛlɛ.
- Na nɔmal tin fɔ fil se dis diagnosis dɔn pasmak. Tɔk to di wan dɛn we yu lɛk insay dis tɛm, ɛn go to dɔktɔ if nid de.
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