Thla tin i period chu a tawp tawh em? Amenorrhea chungchang hi i zir dawn teh ang.

A chang chuan, "Aw, tun thla chhung hian ka period ka la nei lo?" A nih loh leh i fanu emaw, i unaunu emaw zinga pakhatin puitlin hun a thleng tawh a, puitlin hun a la thleng lo a ni mai thei? Hetiang chi thlasik hun tlai emaw, thlasik awm lohna emaw tih hi damdawi lam thumal a awm. Chu chu `(Amenorrhea)` a ni. A chang chuan hei hi thil pangngai a ni thei a, mahse a chang chuan natna hnuaia awm chhinchhiahna a ni thei bawk. Chuvangin vawiinah hian `(Amenorrhea)` chungchang hi chipchiar takin sawi ila, kan thianpa nen kan inbia ang maiin.

Menstruation hi eng nge ni? Engtin nge a lo awm tak tak?

A awlsam zawngin, thla tin thla tin hmeichhe naupang taksain nau pai tura a inbuatsaih danah a tel a ni. Chemical hormone an tih tam tak a keng tel a ni . Ngaihtuah teh, ruahmanna buaithlak tak ang mai a ni.

Kan thluak ah hian gland te tak te, mahse pawimawh em em `(Hypothalamus)` an tih hi a awm a. He gland hian gland dang `(Pituitary gland)` an tih chu a thunun a ni. He `(Pituitary gland)` hian `(Ovaries)` hnenah egg (`(Ovulation)` emaw ovulation) chhuah tir turin signal a pe a ni.

I ovaries te hi egg dahkhawmna leh siamchhuahna hmun a ni. Tin, hmeichhe naupang tana pawimawh em em hormone pahnih an siam chhuak bawk a, chungte chu estrogen leh progesterone te an ni.

Heng hormone te hian i uterus chhungril (endometrium kan ti) chu a thim zauh zauh thin. Naute a lo thlen chuan a mutna tur mattress nuam tak buatsaih ang mai a ni.

Mahse, chu thlaa naute a pai loh chuan uterine lining thickened chu a ngai tawh lo. Tichuan taksa a\angin a luang chhuak \hin. Chuvang chuan ‘menstruation’ emaw ‘periods’ emaw kan ti thin. Hetiang kalphung dik tak a thlen theih nan hian taksa peng hrang hrang `(Hypothalamus)`, `(Ovaries)` leh `(Uterus)` tih te hian hna a thawk tha tur a ni.

Amenorrhea chi hrang hrangte chu engte nge ni?

`(Amenorrhea) hi chi hnih a awm.` Eng nge an nih i en ang u.

1. Primary amenorrhea - (Amenorrhea hmasa ber) 1. A rilru a buai em em a.

Hei hian kum 15 an tlin hmaa period nei ngai lote a kawk a, a nih loh leh, puitlin hun chhinchhiahna hmasa ber (entir nan, hnute thanna) a lo intan atanga kum nga chhung zet an period lo a nih chuan hei pawh hi he category-ah hian a tel ve bawk. Hei hi pian tirh atanga lo awm thin genetic condition vang emaw, nakin lawka lo awm thin condition thenkhat vang emaw a ni thei.

2. Secondary amenorrhea - (Amenorrhea pahnihna) .

Hei hi hmeichhe pakhatin a hmaa thlasik hun pangngai nei tawhin thla thum emaw a aia tam emaw chhung a thlasik a chawlhsan nghal mai thin a ni . Hmeichhiain a hmaa a thlasik hun a mumal lo a nih chuan thla ruk chhung thlasik chawlhsan chu ``Secondary amenorrhea'' anga ngaih a ni bawk. Hei hi a chhan langsar zualte chu:

• Naupai lai
• Nau hnute pek dan
• Stress nasa tak a awm
• Natna khirh tak nei

Amenorrhea hi engtiang chiahin nge a awm?

Dik tak chuan, naupai lo, nau hnute pe lo, emaw, menopause paltlang lo hmeichhia pali zinga pakhat vel chuan an dam chhungin engtik lai pawhin amenorrhea an nei ang tih an chhut a ni. Chuvangin chutiang chu a ni lo.

Amenorrhea natna lan chhuah dan chu engte nge ni?

A lan chhuah dan ber chu thlasik nei lo hi a ni. Mahse, chu bakah chuan `(Amenorrhea) awm chhan a zirin symptom dang a lo lang thei bawk. Entir nan:

• A lumna nasa tak (`Hot flashes`) tih hriat nghal mai .
• Naute nei lo pawhin hnute hnute tui chhuak .
• Vaginal a vawt lutuk.
• Lu na fo thin .
• Vision a danglam thin.
• Acne tam lutuk .
• Hmai leh taksaah sam sei lutuk.

Heng symptoms te hi mi zawng zawngah a awm vek lo a, mahse heng thilte hi i neih chuan Doctor hmu a, biak a tha.

Amenorrhea hi engte nge ni?

Amenorrhea chi hnih awm chhan pawh a inang lo. A chhan thenkhat chu a pianphung a ni a, a then chu damdawi lam dinhmun chhinchhiahna a ni thei bawk.

Thlasik chawlhsan chhan pianphung (common) te:

• Naupai: Hei hi secondary amenorrhea thlentu ber a ni. Naute a pai lai hian taksain egg dang chhuah a ngai lo tih emaw, period neih a ngai lo tih a hria a. Chuvangin thlasik hun chu a tawp ta a ni.
• Lactation amenorrhea: Nu tam tak chuan nau hnute an pek laiin an period an nei lo.
• Menopause: Hmeichhia te hi kum 45-55 inkar ah hian an period hi a tawp reng thin.
• I uterus emaw ovaries emaw lakchhuahna tur surgery i neih tawh chuan: Chutih lai pawhin i period i nei lovang.

Primary amenorrhea thlentu tlangpui:

Kum 15 i tlin hmaa i period i la nei ngai lo a nih chuan:

• Chromosomal emaw genetic problems: Hengte hi pian tirh atanga awm thin dinhmun a ni. Entirnan, Turner syndrome ang chi hian reproductive system hmasawnna a nghawng thei a ni.
• Thluak emaw pituitary gland-a harsatna awm avanga hormone lama harsatna: Hengte hian ovary-te hnathawh dan tur dik tak neih theihna tura hormone mamawh a chhuah loh nan a veng thei a ni.
• Reproductive organs-a structurel problems: Nausen pum emaw, nausen pum emaw hmun thenkhat bo, emaw, naupai chakna (underdeveloped reproductive system) ang chi thil.

Secondary amenorrhea thlentu tlangpui:

A hmaa thlasik i neih fo tawh a, thla thum emaw a aia rei emaw i thlasik kha i chawlhsan nghal a nih chuan a hnuaia thilte vang a ni thei:

• Naupai ven dan thenkhat:Entirnan, Depo-Provera® injection, Intrauterine Devices (IUD) thenkhat, leh naupai venna pill thenkhat te.
• Cancer natna vei tan chemotherapy leh radiation therapy hmanga enkawl a ni.
• I nausen pum surgery i neih tawh a, scar tissue i neih chuan: entirnan, Dilation and Curettage (D&C) ang chi procedure i tih hnuah.
• Stress na tak: A/L exam i neih lai emaw, hna thar i thawh tirh emaw khan engzat nge i stress tih kha han ngaihtuah teh. Chutiang thil chuan i period a ti tlai thei bawk.
• Ei leh in \ha lo: Taksain a mamawh ei leh in mumal a dawn loh chuan hormone hnathawh a tibuai thei a ni.
• Taksa rih zawng inthlak danglamna lian tak: Taksa thau lutuk hi a pawi lo, a nih loh leh a rit lutuk pawh a pawi lo.
• Extreme exercise routines: Hmeichhe thenkhat chuan an taksa rihna tihtlem a ngai nia inngai, chaw ei tha lo, nilengin gym-ah workout an nei thin. A chhan pakhat chu an taksain a tih theih aia tam exercise an tih vang a ni.
• Damdawi thenkhat.

Chu bakah, damdawi lam dinhmun thenkhat chuan ``Secondary amenorrhea`` a thlen thei bawk:

• (Primary ovarian insufficiency - POI): Hei hi kum 40 an tlin hmaa ovary hnathawh a chawlhsan hun a ni.
• Hypothalamic amenorrhea: Thluaka hypothalamus hnathawh danah harsatna a awm avanga thlasik chawlhsan a ni.
• Pituitary disorders: Entirnan, pituitary tumor emaw hormone prolactin siam tam lutuk emaw.
• Hormone inthlauhna, polycystic ovary syndrome (PCOS), adrenal disorder, a nih loh leh hypothyroidism .
• Ovary-a cancer ni lo emaw cancer nei emaw (`Ovarian tumors`) a awm.
• Thau lutuk.
• Natna rei tak: Entirnan, kal natna emaw, inflammatory bowel disease (IBD) emaw.

Amenorrhea vei theihna tur risk factors te chu engte nge ni?

Mi thenkhat chuan he natna hi an nei tam zawk. A nghawng thei risk factors te chu:

• I chhungkuaa mi pakhatin amenorrhea a nei a nih chuan, emaw, menopause hma a nei tawh a nih chuan.
• Ovaries emaw uterus emaw tichhe thei genetic emaw chromosomal condition neih.
• Thau lutuk emaw, taksa rihna tihtlem emaw.
• Ei leh in lama harsatna nei.
• Exercise tam lutuk.
• Ei leh in hrisel lo zawm.
• Rilru lama harsatna nasa tak.
• Hun rei tak natna nei.

Amenorrhea hian harsatna a thlen thei em?

Amenorrhea hi nunna atana hlauhawm a ni lo. Mahse, a thlentu dinhmun thenkhat chuan hun rei tak chhung harsatna a thlen thei a ni. Chuvangin i period a tawp tawh a nih chuan a chhan hriat tumin doctor pan a pawimawh. Amenorrhea vei chuan a hnuaia mite hi a tawng tam zawk thin:

• Osteoporosis (ruh hring) emaw, rilru lam natna: Hei hi hormone estrogen tlahniam vang a ni.
• Fa neih harsat emaw, nau pai theih lohna emaw.
• Pelvic pain: Hei hi reproductive organs-a structural problem avanga lo awm a ni.

Engtin nge (Amenorrhea) hi kan hriat theih ang?

Thla thum chhung zet a zawna i period i neih loh chuan Doctor pan rawh. I natna lan chhuah dan te, i chhungkaw chanchin te, leh i thlasik hun chhung te a zawt ang che. Tichuan, taksa enfiahna leh pelvic exam an nei ang.

Amenorrhea hi eng test nge tih thin?

Doctor chuan test thenkhat a tih a ngai mai thei a, chungte chu:

• Naupai test a ni.
• Thisen test: Hormone level enfiah a, thyroid emaw adrenal gland natna a awm leh awm loh enfiah.
• Genetic testing: Primary ovarian insufficiency (POI) i neih a, kum 40 hnuai lam i nih chuan.
• (MRI) Scan: Pituitary gland-a harsatna awm nia rinhlelh a awm chuan.
• Ultrasound scan: Ovaries emaw uterus emaw a harsatna awm nia rinhlelh a awm chuan.

Ka thlasik hun chhung hi chhinchhiah reng a pawimawh em?

Ni e, a dik ngei ang. Amenorrhea thlentu zawn chu a chang chuan a harsa deuh thei. A chhan chiang tak, naupai emaw, menopause emaw a awm loh chuan i doctor chuan i thlasik hun inthlak danglamna chu diary-ah ziak turin a ti ang che. Hei hi doctor tan chuan diagnosis siamna kawngah tanpuitu lian tak a ni thei.

Notebook te tak teah emaw, i phone-a app-ah emaw a hnuaia mi hi ziak la:

• Eng chen nge i period i neih tawh?
• Engtikah nge i period i neih hnuhnun ber?
• Eng damdawi nge i ei thin?
• I ei leh in emaw, exercise emaw i tihdanglam tawh em?
• I stress emaw, i lungkham em?

Amenorrhea hi engtin nge enkawl a nih?

Menopause, lactation, emaw naupai avanga i period a tawp tawh chuan enkawlna bik a ngai lo.

Thil dang dangah chuan i enkawl dan tur chu i amenorrhea chhan a zirin a innghat ang. Chutiang chuan enkawlna hrang hrangte chu:

• I taksa rihna hrisel tak i neih theihna tura puitu diet leh exercise plan zawm.
• Stress enkawl dan tur .
• Exercise level thlak danglam (i tih tam lutuk chuan tihtlem la, a nih loh chuan tlem tal tipung rawh).
• Hormone hmanga enkawlna: Doctor-in a tih angin.
• Surgery: Hei hi tih a tlem hle.

Chu bâkah, doctor chuan amenorrhea-in a nghawng ṭha lo tihziaawmna tûr damdawi ṭhenkhat a rawt thei bawk:

• Estrogen therapy: Hot flashes leh vaginal dryness tihziaawmna.
• Calcium leh Vitamin D supplement: Ruh tichak turin.
• Strength training: Weight lifting emaw, taksa ruh tichaktu exercise emaw.

Amenorrhea vangin operation ka mamawh em?

Ni lo, surgery hi a tam zawkah chuan a ngai lo. Mahse, i doctor chuan a hnuaia thil thlengah hian operation neih a rawt thei ang:

• Taksa inthlak danglamna a awm a, chu chuan vagina atanga thisen a chhuak thei lo (e.g., vaginal septum emaw imperforate hymen emaw).
• Pituitary tumor i neih chuan.
• Nausen pum chhungah scar tissue a awm chuan.

Amenorrhea hi eng chen nge a awm ang? Menstruation hi a intan leh dawn em ni?

Amenorrhea hi tihdam theih a ni fo. Enkawlna a awm chuan i period chu a hun takah a lo thleng leh tan tur a ni . A châng chuan i period a lo kir leh theih nân thla engemaw zât a la ngai thei a, mahse mi tam zâwk chuan chutiang chu a ni. Enkawlna hmanga i beisei theih turte chu i doctor nen sawiho rawh.

A tlangpuiin, a chhan bulpui enkawl a nih veleh thlasik hi a intan leh ang. Mahse, a regular leh theih nan hun engemaw chen a la ngai mai thei.

A chang chuan, hriselna lama harsatna avangin i period i nei ngai lo mai thei. Chutiang a nih chuan i doctor chuan naute neih i duh chuan i duhthlan turte a sawipui ang che.

Amenorrhea hi ven theih a ni em?

Hriselna tha tak neih hian ``secondary amenorrhea`` thlentu thenkhat chu a veng thei a ni.`` Heng thilte hi han ti ve teh:

• I duh ang ei leh in hrisel leh exercise plan zawm rawh.
• I thlasik hun chhung hi hre reng ang che (chuvangin period i neih loh chuan i hre nghal mai ang).
• Gynecological appointment neih reng reng , chutah chuan pelvic exam leh Pap test te pawh a tel.
• Mut tam rawh .

Amenorrhea chungchangah engtikah nge doctor i hmuh ang?

Thla thum chhung zet a zawna i period i neih loh chuan doctor pan ngei ngei tur a ni. Tin, period i neih loh a, a hnuaia symptoms te hi i neih chuan doctor pan tur a ni:

• Balance, coordination, emaw vision lama harsatna (hengte hi natna khirh tak chhinchhiahna a ni thei).
• Nau nei lo pawhin hnute atanga bawnghnute chhuak.
• I taksaah sam duh loh zawng a lo awm tih i hriat chuan.
• Kum 15 aia upa i nih a, mahse i period hmasa ber i la nei lo a nih chuan.

Doctor hnenah eng nge zawh belh tur?

Doctor i pan dawnin heng zawhnate hi zawh theihnghilh suh ang che:

• Ka amenorrhea hi eng nge ni?
• Eng enkawlna kawng nge ka neih? An thatna leh that lohna chu engte nge ni?
• Hormone therapy atan endocrinologist ka hmuh a ngai em?
• `(Amenorrhea)` ka neih pawhin nau ka pai thei ang em?
• Ka period a tan leh hnuah amenorrhea ka nei leh thei ang em?

Birth control pills tihtawp hnua amenorrhea neih hi thil pangngai a ni em?

Ni e, mi thenkhat chuan naupai venna pill an chawlhsan hnuah period miss (post-pill amenorrhea) an nei thei. Hei hi i taksain ovulate leh period neih leh theihna tura hormone a siam chhuah "a hman thiam" vang a ni. I taksain thla thum a mamawh leh theih nan thla thum vel a la ngai thei. Pill i chawlhsan hnu thla li atanga thla ruk chhung i la period loh chuan i doctor nen inbia ang che.

Amenorrhea hi nau pai theih lohna chi khat a ni em?

Ni lo, amenorrhea hi nau pai theih lohna chi khat a ni lo. Amaherawhchu, thlasik a awm loh avangin naupai theih loh a ni thei. Naute neih i beisei a, i thlasik hun a mumal lo emaw, a tawp tawh emaw a nih chuan doctor hnenah thurawn dil rawh.

A tawp berah chuan hei hi ka sawi tur che u a ni (Take-Home Message) .

Kum 15 aia upa tawh mah la, thlasik i la nei tan lo a nih chuan, a hmaa period pangngai i neih tawh a, tunah chuan i chawlhsan tawh a nih chuan hlau suh, mahse doctor pan ngei ang che. Amenorrhea hi enkawl theih a nihna chhinchhiahna a ni tlangpui. I doctor-in i period neih loh chhan a hriat veleh i thlasik hun chu a pangngaia a lo awm leh theih nan enkawlna i dawng thei ang. I nunphung tihdanglam emaw, hormone therapy emaw i lak a ngai mai thei. A pawimawh ber chu i doctor nen hemi chungchang hi sawipui a, thurawn dik tak lak hi a ni. Chumi ringawt pawh ngaihtuah buai suh.

` Amenorrhea, thlasik chawlhsan, thla tin thlasik hun, period hloh, primary amenorrhea, secondary amenorrhea, hormone inthlauhna