Olugendo lwo olwa buli mwezi lukomye? Ka tuyige ku bulwadde bw’okugenda mu maaso.

Oluusi olowooza nti, "Oh, omwezi guno sinnagenda mu nsonga?" Oba olyawo omu ku bawala bo oba bannyoko atuuse mu myaka gy’obuvubuka nga tannatuuka mu myaka gya buvubuka? Waliwo ekigambo ky’obusawo ekitegeeza ekika kino eky’okulwawo oba obutagenda mu nsonga mu bujjuvu. Kiba `(Amenorrhea)` . Oluusi kino kiyinza okuba ekya bulijjo, naye oluusi kiyinza okuba akabonero k’obulwadde obusirikitu. Kale leero, ka twogere ku `(Amenorrhea)` mu bujjuvu, nga tulinga ayogera ne mukwano gwaffe.

Okugenda mu nsonga kye ki? Mu butuufu kibaawo kitya?

Mu ngeri ennyangu, okugenda mu nsonga kitundu ku nkola omubiri gw’omuwala mwe gwetegekera okufunyisa omwana olubuto buli mwezi. Kizingiramu eddagala lingi eriyitibwa obusimu . Lowooza ku kino, kiringa enteekateeka enzibu.

Waliwo akatundu akatono naye nga kakulu nnyo mu bwongo bwaffe akayitibwa `(Hypothalamus)`. Ensigo eno efuga endwadde endala eyitibwa `(Pituitary gland)`. Kino `(Pituitary gland)` kye kiwa obubonero eri `(Ovaries)` okufulumya eggi (`(Ovulation)` oba ovulation).

Enkwaso zo mwe ziterekebwa n’okukolebwa amagi. Era zikola obusimu bubiri obukulu ennyo eri omuwala: estrogen ne progesterone.

Nga bufugibwa obusimu buno, ekitundu eky’omunda mu nnabaana wo (tukiyita endometrium) kigenda kigonvuwa mpolampola. Kiba ng’okuteekateeka omufaliso omulungi omwana gw’ayinza okusulamu singa gutuuka.

Kyokka ssinga omwana tafuna lubuto mu mwezi ogwo, ekikuta kya nnabaana ekigonvu tekikyetaagisa. Olwo ne guyiibwa okuva mu mubiri. Eno y’ensonga lwaki tukiyita ‘okugenda mu nsonga’ oba ‘ebiseera’. Enkola eno okusobola okubaawo obulungi, ebitundu ebiyitibwa `(Hypothalamus)`, `(Ovaries)` ne `(Uterus)` birina okukola obulungi.

Bika ki ebikulu eby’obulwadde bw’okugenda mu nsonga?

Waliwo ebika bibiri ebikulu ebya `(Amenorrhea).` Ka tulabe kye biri.

1. Obulwadde bw’okulemererwa okusookerwako - (Primary amenorrhea) .

Kino kitegeeza abo abatagenda mu nsonga nga bawezezza emyaka 15. Oba, bwe baba nga tebannagenda mu nsonga okumala emyaka etaano oluvannyuma lw’obubonero obusooka obw’okukula (nga okukula kw’amabeere) okutandika, kino nakyo kigwa mu kiti kino. Kino kiyinza okuva ku mbeera z’obuzaale ezibeerawo ng’azaalibwa oba embeera ezimu ezikula mu bulamu obw’oluvannyuma.

2. Obulwadde bw’okulemererwa obw’okubiri - (Secondary amenorrhea) .

Kino omuntu eyali agenda mu nsonga bulijjo bw'alekera awo okugenda mu nsonga okumala emyezi esatu oba okusingawo . Singa omuntu okugenda mu nsonga emabegako teyali ya bulijjo, okulekera awo okugenda mu nsonga okumala emyezi mukaaga nakyo kitwalibwa nga ``Secondary amenorrhea''. Ebisinga okuvaako kino bye bino:

• Okufuna olubuto
• Okuyonsa
• Situleesi ey’amaanyi
• Okubeera n’obulwadde obutawona

Obulwadde bw’okugenda mu nsonga butera kwenkana wa?

Mu butuufu, kiteeberezebwa nti abakyala nga omu ku buli bana abatalina lubuto, abayonsa oba abatayise mu nsonga ajja kufuna obulwadde bw’okugenda mu nsonga mu kiseera ekimu mu bulamu bwabwe. Kale si kya bulijjo bwe kityo.

Bubonero ki obulaga obulwadde bw’okugenda mu nsonga?

Obubonero obukulu bwe butagenda mu nsonga. Naye ng’oggyeeko ekyo, obubonero obulala buyinza okulabika okusinziira ku kivaako `(Amenorrhea). Okugeza nga:

• Okuwulira ebbugumu ery’amaanyi mu bwangu (`Hot flashes`).
• Enfuli ezikulukuta amata ne bwe kiba nga tolina mwana.
• Okukala kw’obukyala.
• Okulumwa omutwe emirundi mingi .
• Okwolesebwa kukyuka.
• Embalabe ezisukkiridde .
• Enviiri ezisusse okukula mu maaso n’omubiri.

Obubonero buno tebulabika mu buli muntu, naye bw’oba ​​olina ebintu bino, kiba kirungi n’ogenda ew’omusawo n’oyogera naye.

Biki ebivaako obulwadde bw’okusannyalala?

Ebivaako ebika bino ebibiri eby’okusannyalala nabyo bya njawulo. Ebimu ku bivaako biba bya butonde, ate ebirala biyinza okuba akabonero akalaga embeera y’obujjanjabi.

Ebintu eby’obutonde (ebya bulijjo) ebivaako okulekera awo okugenda mu nsonga:

• Okufuna olubuto: Kino kye kisinga okuvaako obulwadde bwa secondary amenorrhea. Omwana bw’afuna olubuto, omubiri gumanya nti tekyetaagisa kufulumya ggi eddala wadde okugenda mu nsonga. Kale okugenda mu nsonga kukoma.
• Lactation amenorrhea: Bamaama bangi tebagenda mu nsonga nga bayonsa.
• Okuva mu nsonga: Okugenda mu nsonga z’abakyala kutera okukoma enkalakkalira wakati w’emyaka 45-55.
• Bw’oba ​​olongooseddwa okuggyamu nnabaana oba enkwaso: Naawe mu kiseera ekyo tojja kugenda mu nsonga.

Ebitera okuvaako obulwadde bw’okusannyalala obusookerwako:

Bw’oba ​​tofunangako nsonga zo ng’owezezza emyaka 15, kiyinza okuba nga kiva ku:

• Ebizibu by’ensengekera y’obutonde oba obuzaale: Zino mbeera ezibeerawo ng’azaalibwa. Okugeza embeera nga Turner syndrome ziyinza okukosa enkula y’enkola y’okuzaala.
• Ebizibu by’obusimu ebiva ku buzibu mu bwongo oba mu nseke: Bino biyinza okulemesa enkwaso okufulumya obusimu obwetaagisa okukola obulungi.
• Ebizibu by’enzimba y’ebitundu by’okuzaala: Ebintu ng’ebitundu bya nnabaana oba mu bukyala ebibula, oba enkola y’okuzaala etali nnungi.

Ebitera okuvaako obulwadde bw’okusannyalala obw’okubiri:

Bw’oba ​​obadde ogenda mu nsonga buli kiseera emabegako n’olekera awo okugenda mu nsonga okumala emyezi esatu n’okusoba, kiyinza okuba nga kiva ku bintu bino wammanga:

• Enkola ezimu ez’okuziyiza okuzaala:Okugeza empiso ya Depo-Provera®, ebyuma ebimu ebiyitibwa Intrauterine Devices (IUDs), n’empeke ezimu eziziyiza okuzaala.
• Obujjanjabi bwa ddagala n’obusannyalazo ku kookolo.
• Bw’oba ​​omaze okulongoosebwa nnabaana wo era ng’olina enkovu: okugeza, oluvannyuma lw’okulongoosebwa nga Dilation and Curettage (D&C).
• Situleesi ey’amaanyi: Lowooza ku situleesi gy’obaddeko ng’okola ebigezo bya A/L oba ng’osooka okutandika omulimu omupya. Ebintu ng’ebyo nabyo bisobola okukuleetera okugenda mu nsonga okulwawo.
• Endya embi: Omubiri bwe tegufuna mmere nnungi gye gwetaaga, enkola y’obusimu eyinza okutaataaganyizibwa.
• Enkyukakyuka ennene mu buzito bw’omubiri: Si kibi okugonvuwa ennyo mu bwangu, oba si kibi okuzitowa ennyo.
• Enkola y’okukola dduyiro ennyo: Abawala abamu, nga balowooza nti beetaaga okugejja, tebalya bulungi, n’okukola dduyiro mu jjiimu olunaku lwonna. Ensonga emu lwaki kino kibeerawo kwe kuba nti bakola dduyiro mungi okusinga emibiri gyabwe gye gisobola.
• Eddagala erimu.

Okugatta ku ekyo, embeera z'obujjanjabi ezimu nazo zisobola okuleeta ``Secondary amenorrhea``:

• (Primary ovarian insufficiency - POI): Kino kye kiseera enkwaso bwe zikoma okukola nga tezinnaweza myaka 40.
• Hypothalamic amenorrhea: Okulekera awo okugenda mu nsonga olw’obuzibu mu nkola ya hypothalamus mu bwongo.
• Obuzibu mu nseke: Okugeza ebizimba mu nseke oba okukola ennyo obusimu obuyitibwa prolactin.
• Obutakwatagana mu busimu nga polycystic ovary syndrome (PCOS), obuzibu mu kibumba oba hypothyroidism .
• Ebizimba ebitali bya kookolo oba ebya kookolo eby’enkwaso (`Ovarian tumors`).
• Obunene.
• Endwadde ezitawona: Okugeza, obulwadde bw’ekibumba oba obulwadde bw’ekyenda ekizimba (IBD).

Biki ebiyinza okuvaako obulwadde bw’okugenda mu nsonga?

Abantu abamu batera okufuna embeera eno. Ebintu eby’akabi ebigikosa mulimu:

• Singa omuntu mu maka go abadde n’obulwadde bw’okugenda mu nsonga, oba ng’amaze okuva mu nsonga nga bukyali.
• Okubeera n’embeera y’obuzaale oba ensengekera y’obutonde (chromosomal condition) ekosa enkwaso oba nnabaana.
• Omugejjo oba okugejja.
• Okubeera n’obuzibu mu kulya.
• Dduyiro asusse.
• Okugoberera endya etali nnungi.
• Situleesi ey’amaanyi mu birowoozo.
• Okubeera n’obulwadde obumaze ebbanga eddene.

Obulwadde bw’okugenda mu nsonga busobola okuleeta ebizibu?

Obulwadde bwa Amenorrhea si bwa bulabe eri obulamu. Kyokka ezimu ku mbeera ezikireeta ziyinza okuvaako ebizibu ebimala ebbanga eddene. N’olwekyo, ssinga okugenda mu nsonga zikomye, kikulu okugenda ew’omusawo okumanya ekivaako. Omuntu alina obulwadde bw’okutabuka emitwe atera okufuna bino wammanga:

• Osteoporosis (okugonza amagumba) oba obulwadde bw’emisuwa: Kino kiva ku kukendeera kw’obusimu obuyitibwa estrogen.
• Okukaluubirirwa okuzaala oba obutazaala.
• Obulumi mu kifuba: Kino kiva ku buzibu mu nsengeka y’ebitundu by’okuzaala.

Ozuula otya obulwadde bwa (Amenorrhea)?

Bw’oba ​​osubiddwa okugenda mu nsonga okumala emyezi esatu egy’omuddiring’anwa, laba omusawo. Ajja kukubuuza ku bubonero bwo, ebyafaayo by’amaka go, n’ensoma yo. Olwo, bajja kukola okukebera omubiri n’okukebera ekisambi.

Bikebere ki ebikolebwa ku bulwadde bw’okugenda mu nsonga?

Omusawo ayinza okwetaaga okukola ebigezo ebimu, gamba nga:

• Okukebera olubuto.
• Okukebera omusaayi: Kebera obusimu bw’omubiri n’okukebera oba temuli bulwadde bwa thyroid oba adrenal gland.
• Okukebera obuzaale: Bw’oba ​​olina obulwadde bw’enkwaso obusookerwako (POI) era nga tonnaweza myaka 40.
• (MRI) Scan: Singa wabaawo okuteebereza nti waliwo ekizibu ku nseke y’omubiri (pituitary gland).
• Ultrasound scan: Singa wabaawo okuteebereza nti waliwo obuzibu mu nkwaso oba nnabaana.

Kikulu okulondoola enkola yange ey’okugenda mu nsonga?

Yee, ddala. Okuzuula ekivaako obulwadde bw’okusannyalala oluusi kiyinza okuba ekizibu katono. Okuggyako nga waliwo ekivaako ekyeyoleka, gamba ng’olubuto oba okuva mu nsonga, omusawo ajja kukusaba okuwandiika diary y’enkyukakyuka mu nnaku z’omwezi. Kino kiyinza okuyamba ennyo omusawo mu kuzuula obulwadde.

Wandiika bino wammanga mu katabo akatono oba ku pulogulaamu eri ku ssimu yo:

• Omaze bbanga ki ng’ogenda mu nsonga?
• Wasemba ddi okugenda mu nsonga?
• Eddagala ki ly’omira?
• Waliwo enkyukakyuka yonna gy’okoze mu mmere yo oba mu dduyiro?
• Owulira nga oli ku situleesi oba okweraliikirira?

Obulwadde bwa Amenorrhea bujjanjabwa butya?

Singa ensonga zo ziyimiridde olw’okuva mu nsonga, okuyonsa oba okufuna olubuto, tekyetaagisa bujjanjabi bwa njawulo.

Mu mbeera endala, obujjanjabi bw’ofuna bujja kusinziira ku kivaako obulwadde bw’okugenda mu nsonga. Okusinziira ku kino, obujjanjabi buyinza okuli:

• Okugoberera enteekateeka y’endya n’okukola dduyiro ekuyamba okukuuma obuzito obulungi obukugwanidde.
• Obukodyo bw'okuddukanya situleesi .
• Okukyusa eddaala ly’okukola dduyiro (bw’oba ​​okola ekisusse, kikendeeze, bw’oba ​​tolina, yongerako katono).
• Obujjanjabi bw’obusimu: Nga omusawo bw’amulagira.
• Okulongoosa: Kino tekitera kukolebwa.

Okugatta ku ekyo, omusawo ayinza okukuwa amagezi ku bujjanjabi obumu okumalawo ebizibu ebiva mu kugwa mu nsonga:

• Obujjanjabi bwa Estrogen: Okukendeeza ku bbugumu n’okukala kw’obukyala.
• Ebirungo bya Calcium ne Vitamin D: Amagumba gakuume nga magumu.
• Okutendekebwa mu maanyi: Okusitula obuzito oba dduyiro anyweza ebinywa.

Nze nneetaaga okulongoosebwa olw’obulwadde bw’okugenda mu nsonga?

Nedda, emirundi egisinga tekikwetaagisa kulongoosebwa. Kyokka omusawo ayinza okukuwa amagezi okulongoosebwa mu mbeera zino wammanga:

• Singa wabaawo enkyukakyuka mu mubiri eremesa omusaayi okufuluma mu bukyala (e.g., septum y’obukyala oba imperforate hymen).
• Bw’oba ​​olina ekizimba mu pituitary.
• Singa wabaawo enkovu mu nnabaana.

Obulwadde bw’okugenda mu nsonga bujja kumala bbanga ki? Okugenda mu nsonga kinaaddamu okutandika?

Emirundi mingi obulwadde bwa Amenorrhea busobola okuwona. Bw’ofuna obujjanjabi, ensonga zo zirina okutandika okudda ku nteekateeka . Oluusi kiyinza okutwala emyezi mitono okugenda mu nsonga okuddamu naye abantu abasinga bakikola. Yogerako n’omusawo wo ku by’oyinza okusuubira n’obujjanjabi.

Ebiseera ebisinga, okugenda mu nsonga kujja kuddamu okutandika ng’ekizibu ekivaako kimaze okujjanjabibwa. Kyokka, kiyinza okutwala ekiseera okuddamu okufuuka bulijjo.

Oluusi, oyinza obutagenda mu nsonga olw’ekizibu ky’obulamu. Bwe kiba bwe kityo, omusawo ajja kwogera naawe ku ngeri gy’oyinza okukolamu bw’oba ​​oyagala okuzaala omwana.

Obulwadde bw’okugenda mu nsonga busobola okuziyizibwa?

Emize emirungi egy'obulamu giyinza okuyamba okuziyiza ebimu ku bivaako ``secondary amenorrhea.`` Gezaako ebintu bino:

• Goberera enteekateeka y’endya ennungi n’okukola dduyiro ekusaanira.
• Weetegereze enzirukanya yo ey’okugenda mu nsonga (olwo ojja kumanya amangu ddala bw’oba ​​osubiddwa okugenda mu nsonga).
• Keep regular gynecological appointments , omuli okukeberebwa ekisambi n’okukeberebwa Pap.
• Funa otulo otumala .

Ddi lw’osaanidde okulaba omusawo ku bulwadde bw’okugenda mu nsonga?

Bw’oba ​​osubiddwa okugenda mu nsonga okumala emyezi esatu egy’omuddiring’anwa, mazima ddala wandibadde olaba omusawo. Ekirala, bw’osubwa okugenda mu nsonga n’ofuna obubonero bwonna ku buno wammanga, genda ew’omusawo:

• Ebizibu by‟okutebenkera, okukwatagana, oba okulaba (bino biyinza okuba obubonero bw‟embeera ey‟amaanyi).
• Amata agafuluma mu mabeere ne bw’oba ​​tolina mwana.
• Bw’olaba enviiri ezitayagala nga zikula ku mubiri gwo.
• Bw’oba ​​olina emyaka egisukka mu 15, naye nga tonnagenda mu nsonga yo esooka.

Kiki ekirala kye nsaanidde okubuuza omusawo?

Bw’ogenda ew’omusawo, tewerabira okubuuza ebibuuzo bino:

• Ensonga lwaki obulwadde bwange obw’okugenda mu nsonga y’eruwa?
• Bujjanjabi ki bwe nnina? Biki ebirungi n’ebibi ebiri mu buli emu?
• Nze nneetaaga okulaba omusawo w’endwadde z’omu lubuto okujjanjaba obusimu?
• Nsobola okufuna olubuto ne bwe mba nnina `(Amenorrhea)`?
• Oluvannyuma lw’okugenda mu nsonga okuddamu okutandika, nsobola okuddamu okufuna obulwadde bw’okubulwa ekibumba?

Kya bulijjo okufuna obulwadde bw’okusannyalala oluvannyuma lw’okulekera awo empeke z’okuziyiza okuzaala?

Yee, abantu abamu bayinza okusubwa okugenda mu nsonga (post-pill amenorrhea) oluvannyuma lw’okulekera awo empeke eziziyiza okuzaala. Kino kiri bwe kityo kubanga omubiri gwo "gumanyiira" okukola obusimu obwetaagisa okufulumya eggi n'okuddamu okugenda mu nsonga. Kiyinza okutwala emyezi esatu omubiri gwo okuddamu okutandika okugenda mu nsonga. Bw’oba ​​n’okutuusa kati tonnagenda mu nsonga okumala emyezi ena oba mukaaga ng’omaze okuyimiriza empeke, yogerako n’omusawo wo.

Obulwadde bw’okuzaala kika kya butazaala?

Nedda, obulwadde bwa amenorrhea si kika kya butazaala. Kyokka obutagenda mu nsonga kiyinza okulemesa okufuna olubuto. Bw’oba ​​olina essuubi ly’okuzaala omwana, ate ng’ennaku z’omwezi tezitambula bulungi oba nga zikomye, laba omusawo akuwe amagezi.

Nsembayo, bino bye nnina okukugamba (Take-Home Message)

Bw’oba ​​olina emyaka egisukka mu 15 naye nga tonnatandika kugenda mu nsonga, oba ng’edda ogenda mu nsonga bulijjo nga kati okomye, tosattira, naye mazima ddala laba omusawo. Obulwadde bwa Amenorrhea butera okuba kabonero akalaga embeera esobola okujjanjabibwa. Omusawo bw’amala okumanya ekikuviiriddeko okugenda mu nsonga, osobola okufuna obujjanjabi okuyamba okugenda mu nsonga okudda mu mbeera eya bulijjo. Oyinza okwetaaga okukyusakyusa mu bulamu oba okumira eddagala eriweweeza ku busimu. Ekisinga obukulu kwe kwogera n’omusawo wo ku nsonga eno n’ofuna amagezi amatuufu. Tofaayo ku nsonga eyo yokka.

` Okugenda mu nsonga, okulekera awo okugenda mu nsonga, okugenda mu nsonga buli mwezi, okufiirwa okugenda mu nsonga, okugenda mu nsonga okusooka, okugenda mu nsonga okw’okubiri, obutakwatagana mu busimu