Naawe ennaku zo ez’okugenda mu nsonga zikeeredde? Ka twogere ku bulwadde bwa oligomenorrhea!

Oluusi olowooza nti, "Oh, lwaki ensonga zange tezinnaba kutuuka?"? Oluvannyuma lw’okulinda ennaku, ate oluusi mu mwezi gumu oba ebiri, kiwulira ng’omugugu munene nnyo ku birowoozo byo? Oba ku bantu abamu, ensonga zaabwe ziyinza okujja emirundi mukaaga oba musanvu mu mwaka. Ddala kino kye ki? Katukwogere ku nsonga eno leero.

Oligomenorrhea kye ki?

Mu ngeri ennyangu, oligomenorrhea ye nsonga yo eya buli mwezi, oba "period" nga ffenna bwe tugiyita, etabeera ya bulijjo era nga tetera kujja nnyo. Omukyala omulamu obulungi atera okugenda mu nsonga buli luvannyuma lwa nnaku 28. Kyokka ekintu kyonna ekiri wakati w’ennaku 21 ne 35 kitwalibwa ng’ekya bulijjo. Okugenda mu nsonga kuyinza okumala wonna okuva ku nnaku nnya okutuuka ku musanvu. Ebiseera ebisinga, mujja kuba n’ennaku ze zimu wakati w’okugenda mu nsonga, oluusi n’olunaku lumu oba bbiri nga baawukanye.

Naye mu mbeera y’obulwadde bwa oligomenorrhea, ebiseera bino tebitera kubaawo nnyo. Oyinza obutagenda mu nsonga okumala ennaku ezisukka mu 35. Mpozzi mu kifo ky’okugenda mu nsonga buli mwezi, omwaka obeera n’ennaku mukaaga oba munaana zokka. Teebereza engeri ekyo gye kinyiizaamu.

Njawulo ki eriwo wakati w’obulwadde bwa oligomenorrhea n’obulwadde bwa amenorrhea?

Mu butuufu bino bika bibiri eby’okugenda mu nsonga ezitali za bulijjo. Obulwadde bwa Amenorrhea bwe buba ng’okugenda mu nsonga kukoma ddala. Ekyo kitegeeza oba tofunangako nsonga, oba omaze emyezi ng’ogenda mu nsonga olwo ne zikoma.

Naye mu oligomenorrhea , olina okugenda mu nsonga, naye tekibaawo ku nnaku ezitegekeddwa. N’olwekyo, ensonga zo zibeera ziweweevu okusinga eza bulijjo. Otegedde enjawulo eriwo?

Embeera eno ya bulijjo etya?

In fact , wakati wa 12% ne 15.3% ku bakyala abagenda mu nsonga bajja kufuna oligomenorrhea mu kiseera ekimu mu bulamu bwabwe. Wakati wa 10% ne 20% ku abo abafuna obuzibu mu kufuna embuto balina embeera eno. Okusingira ddala, obulwadde bwa oligomenorrhea butera nnyo n’embeera eyitibwa Polycystic Ovary Syndrome (PCOS) . Wakati wa 75% ne 85% ku abo abalina PCOS baba n’ensonga ezitali za bulijjo.

Bubonero ki obulaga obulwadde bwa Oligomenorrhea?

Akabonero akakulu kwe kulwawo oba obutagenda mu nsonga. Kyokka okusinziira ku kivaako, oyinza okufuna obubonero obulala. Mu bino mulimu:

• Embalabe.
• Okulumwa omutwe.
• Ebiwujjo ebibuguma.
• Obulumi mu lubuto.
• Amazzi agafuluma mu bukyala.
• Okulaba obubi.
• Enviiri ezisukkiridde okukula mu maaso n’omubiri.

Weegendereze bw’oba ​​olina ekimu oba ebisingawo ku bino.

Lwaki okugenda mu nsonga zange buli mwezi tezitera kubaawo? Biki ebivaako?

Ebiseera ebisinga kino kiva ku busimu obutakwatagana mu mubiri gwo. Ebitundu byo eby’okuzaala n’endwadde z’omubiri mu bwongo bwo bikola obusimu obw’enjawulo okufuga enzirukanya yo ey’okugenda mu nsonga. Obusimu buno bwe buba mu bbalansi, okugenda mu nsonga zibeera za bulijjo nnyo. Naye obusimu bwe buba tebulina bbalansi, kitaataaganya obutayosa buno.

Okugatta ku ekyo, yinfekisoni n’obutabeera bulungi mu nsengeka y’enkola yo ey’okuzaala nabyo bisobola okutaataaganya enkola yo ey’okugenda mu nsonga.

Ka tulabe ezimu ku nsonga enkulu:

Olw’obutakwatagana mu busimu:

• Obulwadde bwa Polycystic Ovary Syndrome (PCOS): PCOS ereetera omubiri gwo okukola obusimu bungi obuyitibwa androgens (nga testosterone). Kino kiyinza okutaataaganya okufulumya eggi, enkola eggi gye lifuluma okuva mu nkwaso.
• Ebizimba ebifulumya androgen: Ebika by’ebizimba ebimu ebikula mu nkwaso zo n’endwadde z’ekibumba bisobola okufulumya obusimu bwa androgen ne kitaataaganya enzirukanya yo ey’omu nsonga. Obubonero buno bufaananako n’obw’obulwadde bwa PCOS.
• Obulwadde bwa Cushing: Mu mbeera eno, omubiri gwo gukola nnyo obusimu obuyitibwa cortisol. Kino nakyo kiyinza okuvaako obusimu obutakwatagana ne kikosa enzirukanya yo ey’okugenda mu nsonga.
• Prolactinoma: Kino kizimba ekikula mu nseke eziyitibwa pituitary gland. Kino kireetera obusimu obusukkiridde obuyitibwa prolactin okukolebwa n’okukendeera kw’obusimu bw’okwegatta (e.g. estrogen) obwetaagisa mu nsonga eza bulijjo.
• Primary Ovarian Insufficiency: Mu mbeera eno, enkwaso zo zikoma okufulumya amagi nga bukyali okusinga bwe kyali kisuubirwa (nga tonnagenda mu nsonga). Era balekera awo okukola obusimu obuyitibwa estrogen obwetaagisa mu nsonga buli kiseera.
• Hyperthyroidism: Singa endwadde yo eya thyroid eba tekola bulungi, enseke eyinza okukola prolactin omungi ate estrogen omutono.
• Congenital Adrenal Hyperplasia: Eno embeera ebeerawo ng’azaalibwa. Mu mbeera eno, endwadde z’ekibumba tezikola enzymes zimala okukola obusimu obwetaagisa mu nsonga.

Yinfekisoni n’ebizibu ebirala mu nnabaana bisobola okuvaako:

• Obulwadde bw’okuzimba ekisambi (PID): PID esobola okuva ku ndwadde z’ekikaba ezitajjanjabiddwa (STIs). Obulwadde buno n’okuzimba bisobola okutaataaganya ensonga z’ogenda mu nsonga.
• Obulwadde bwa Asherman / Okwekwata mu lubuto:Enkovu ezikolebwa mu nnabaana oba mu nnabaana (emirundi mingi oluvannyuma lw’okulongoosebwa abakyala nga D&C - Dilation & Curettage) ziyinza okutaataaganya omusaayi ogwa bulijjo mu nsonga.

Ensonga endala:

• Ssukaali ow’ekika kya Ssukaali: Ssukaali ow’ekika kya 1 n’eky’okubiri bikwatagana n’obulwadde bwa oligomenorrhea. Businga kubeera mu bantu abagejjulukuka (basinga mu ssukaali ow’ekika kya 1) n’abagejjulukuka (basinga mu ssukaali ow’ekika eky’okubiri).
• Obuzibu mu kulya: Embeera nga bulimia ne anorexia ziyinza okuvaako obutaba na mmere nnungi ne zilwawo oba okuyimiriza okugenda mu nsonga.
• Okukola emirimu egy’amaanyi: Bw’oteeka akazito akayitiridde ku mubiri gwo ng’oyita mu dduyiro, omubiri gwo guyinza obutasobola kukola bulungi mirimu mikulu ng’okugenda mu nsonga.

Eddagala erimu era liyinza okukosa:

• Eddagala eriziyiza okuzaala eririmu obusimu, ng’empeke eziziyiza okuzaala.
• Eddagala eriweweeza ku bwongo.
• Eddagala eriweweeza ku bulwadde bw’okusannyalala.

Omusawo azuula atya mu butuufu embeera eno?

Bw’ogenda okulaba omusawo, ajja kwogera naawe, akole okukeberebwa, era agezeeko okumanya oba olina obulwadde bwa oligomenorrhea ne kiki ekibuleeta.

Ebibuuzo ebikubuuziddwa (Medical History):

Nga tonnagenda kulaba musawo, teekateeka ebyafaayo ebikwata ku butabeera bulungi mu nsonga. Kuuma likodi y’ebintu ng’omuwendo gw’ennaku wakati w’okugenda mu nsonga okumala waakiri emyezi ebiri. Omusawo ajja kukubuuza ebibuuzo nga:

• Ennaku yo eya bulijjo eri etya: ennaku mmeka wakati w’okugenda mu nsonga, omusaayi gubula n’ebirala Okumanya enzirukanya yo eya bulijjo kijja kuyamba omusawo okutegeera obuzibu bw’ekizibu.
• Ebyafaayo by’obujjanjabi bw’amaka go: Singa omuntu mu maka go aba n’embeera ereeta oligomenorrhea (e.g. PCOS), naawe otera okubufuna.
• Emize gyo n’engeri gy’obeera: Bajja kubuuza ku mmere gy’olya n’engeri gy’okola dduyiro balabe oba birina kye bikwata ku kino. Era bayinza okubuuza oba weegatta nga tolina bukuumi balabe oba obuzibu buva ku STI.
• Ebika by’eddagala ly’okozesa: Ebintu ng’empeke z’obusimu eziziyiza okuzaala, eddagala eriwonya endwadde z’obwongo, eddagala ly’okusannyalala, n’eddagala eriweweeza ku bulwadde bwa steroids bisobola okuvaako oligomenorrhea.

Ebigezo:

• Okukebera omubiri: Feesi yo, ensingo, amabeere n’olubuto bijja kwekebejjebwa okulaba oba waliwo obubonero bwonna obuyinza okuba nga buvaako oligomenorrhea.
• Okukeberebwa mu nseke z’omumwa gwa nnabaana:Omusawo ajja kuyingiza engalo eriko ggalavu mu bukyala ate engalo endala mu bukyala okukebera oba waliwo ebizimba oba ebikula munda mu mubiri. Kino kiyinza okukutawaanya katono, naye kikulu okuzuula obulwadde.
• Okukebera obukyala obuyitibwa vaginal speculum exam: Ekyuma ekiyitibwa speculum kikozesebwa okugaziya obukyala n’omumwa gwa nnabaana okukebera oba bivaamu omusaayi, okuzimba, enkovu n’ebirala.. Era oyinza okutwalibwa ekyuma ekikuba omumwa gwa nnabaana okukebera oba temuli yinfekisoni.
• Okukebera olubuto: Olubuto lukwatibwako okukebera oba waliwo ebizimba, ebizimba oba ebitundu ebiruma ng’onyigiddwa.

Ebigezo by’okukuba ebifaananyi ebiyinza okukolebwa mulimu:

• CT scans: Esobola okuzuula ebintu ng’ebizimba ebivaako omusaayi.
• Ultrasound z’omu kifuba n’olubuto: Laga obubonero bw’embeera ng’okuzimba ne PCOS.
• MRI scan (Magnetic Resonance Imaging - MRI): Esobola okukakasa nti waliwo obulwadde bwa prolactinoma.

Okukebera Omusaayi:

Okukebera omusaayi kuyinza okukebera obusimu bwo ne ssukaali mu musaayi. Omusawo ayinza okukebera obusimu nga buno:

• Thyroid-Stimulating Hormone (TSH): Singa kino kiba kitono, kiyinza okuba akabonero akalaga nti obulwadde bwa thyroid bukendeera.
• Follicle-Stimulating Hormone (FSH): Singa kino kiba kinene, kiyinza okuvaako Primary Ovarian Insufficiency.
• Luteinizing Hormone (LH): Bw’ogeraageranya ne FSH, emiwendo gya LH egy’amaanyi giyinza okuyamba okuzuula PCOS.
• Prolactin: Ebirungo bya prolactin ebingi biyinza okulaga nti olina obulwadde bwa prolactinoma.
• 17-OHP: Obulwadde bwa Congenital Adrenal Hyperplasia busobola okuzuulibwa ku mutendera guno.
• Ssukaali mu musaayi: Okukebera HbA1c kusobola okuzuula ssukaali.

Jjukira nti ebigezo bino byonna tebikolebwa ku buli muntu. Okukebera kw’olonda kujja kusinziira ku bubonero bwo n’omusawo ky’alowooza.

Bujjanjabi ki obukolebwa ku kino? (Obujjanjabi)

Oligomenorrhea ejjanjabwa okusinziira ku kivaako.

• Obujjanjabi bw’obusimu: Singa oligomenorrhea yo eva ku busimu obutakwatagana, omusawo ayinza okukuwa empeke eziziyiza okuzaala oba obujjanjabi obulala obw’obusimu.
• Okulongoosa: Singa wabaawo ebizimba ebivaamu ekirungo kya androgen ekisusse, omusawo ayinza okukuwa amagezi okubiggyamu ng’olongoosezza.
• Enkyukakyuka mu bulamu:Singa ekizibu kino kiva ku bbula ly’emmere oba okukola emirimu gy’omubiri ekisusse, ojja kwetaaga okukola enkyukakyuka mu mmere yo n’engeri gy’okola dduyiro.

Waliwo engeri y’okuziyiza kino? (Okuziyiza) .

Tewali ngeri ntongole ey’okuziyiza oligomenorrhea. Kyokka, bw’amala okuzuulibwa ekivaako, omusawo ajja kukukuwa amagezi ku bujjanjabi obutuufu.

Kiki ekibaawo singa oba olina obulwadde bwa oligomenorrhea? Olina okweraliikirira?

Oligomenorrhea yennyini si kizibu kya maanyi. Kyokka kikulu okumanya ekibuleeta. Kino kiri bwe kityo kubanga embeera ezimu ezisirikitu ziyinza okuleeta ebizibu. Okugeza, PID ne PCOS ezitajjanjabiddwa bisobola okuvaako obutazaala. Ate era, singa ekitundu kya nnabaana tekiyiwa bulungi olw’obulwadde bwa oligomenorrhea, waliwo akabi k’okufuna embeera nga endometrial hyperplasia ne kookolo w’omu lubuto .

Nsaana okulaba omusawo ku ssaawa mmeka?

Bw’oba ​​omaze ennaku ezisoba mu 35 nga togenda mu nsonga, oba ng’omaze emyezi nga togenda mu nsonga, mazima ddala wandibadde olaba omusawo. Okulwawo okugenda mu nsonga oba okusubwa si kya bulijjo. Kikulu okuzuula ekivaako n’okuziyiza ebizibu ebiwangaala.

Nga tonnagenda wa musawo, wandiika okugenda mu nsonga mu kalenda oba app. Kino kijja kuyamba omusawo wo okuddamu ebibuuzo ebikwata ku biki ebya bulijjo n’ebitali bya bulijjo. Apps nnyingi zikusobozesa okukwata ebintu nga:

• Ennaku entuufu okugenda mu nsonga lwe kutandikira n’okuggwaako.
• Omusaayi emeka ogufuluma (muzito, muweweevu, oba gwa bulijjo?).
• Obubonero bw’olaba nga tonnagenda mu nsonga, ng’ogenda mu nsonga n’oluvannyuma lw’okugenda mu nsonga.

Bibuuzo ki ebikulu by’olina okubuuza omusawo?

• "Nsaana okweraliikirira nti ensonga zange zitagenda mu maaso?"
• "Okugenda mu nsonga zange ezitali za bulijjo kinaakosa obusobozi bwange obw'okuzaala?"
• "Bwe mba njagala okuzaala omwana, bujjanjabi ki bwe nnina?"
• "Nja kwetaaga okumira eddagala ly'obusimu okumala ebbanga eddene okusobola okufuga oligomenorrhea?"

Buuza ebibuuzo nga bino era olongoose okubuusabuusa kwo.

Obulwadde bwa Oligomenorrhea bukosa obuzaale? (Obutazaala) .

Yee, oligomenorrhea eyinza okuba akabonero k’embeera ekosa okuzaala, gamba nga PCOS. Obutakwatagana mu busimu obuleeta okugenda mu nsonga obutali bwa bulijjo nakyo kiyinza okukukaluubiriza okufuna olubuto.

PCOS ne oligomenorrhea kintu kimu?

Nedda Kyokka, PCOS n’okugenda mu nsonga ezitatera kubaawo bitera okubaawo awamu. Oligomenorrhea eyinza okuba akabonero ka PCOS.

Nsembayo, nnina okukubuulira kino...

Bw’oba ​​ng’ogenda mu nsonga terutera kusattira. Waliwo ensonga nnyingi lwaki okugenda mu nsonga kiyinza obutaba kya bulijjo, ng’ezisinga tezirina bulabe. Wabula bw’oba ​​omaze ebbanga ddene nga togenda mu nsonga, mazima ddala wandibadde olaba omusawo. Ekirala weetegereze obubonero obulala, gamba ng’omusaayi gw’ovaamu, oba olina obulumi mu lubuto, oba amazzi agafuluma mu bukyala agatali ga bulijjo. Amawulire gano gonna gagabana n’omusawo wo. Ajja kusobola okuzuula ekikuviirako okugenda mu nsonga ezitali za bulijjo n’okukuwa obujjanjabi bwe weetaaga. Obulamu bwo bukulu nnyo gy’oli, n’olwekyo kikulu okufaayo ku bintu bino.

` Oligomenorrhea, okugenda mu nsonga buli mwezi, okulwawo okugenda mu nsonga, okugenda mu nsonga ezitali za bulijjo, hormones, PCOS, obulamu bw'abakyala