Thla tin i thlasik hun, a nih loh leh i period hun chhung chu a hun takah a lo thleng thin tih i hre reng em. Mahse, thla engemaw zat chu a tawp tawh em? A nih loh leh a mumal lo ta em ni? Chûng thilte chu a châng chuan ngaihsak vak lo mah ila, hei hi kan ngaihtuah tak tak tûr a ni. Vawiin hian thlasik chawlhna tichhe thei chhan bik pakhat kan sawi dawn a ni. Chu chu hypothalamic amenorrhea a ni a, doctor-te’n `(Functional Hypothalamic Amenorrhea - FHA)` an tih angin a ni.
Hypothalamic Amenorrhea hi eng nge ni?
A awlsam zawngin, hypothalamic amenorrhea chu i thluak hmun pakhat
, hypothalamus an tih hnathawh that lohna avanga thla tin i period a tawp hian a ni. Tunah chuan hypothalamus hi eng nge a nih i ngaihtuah mai thei, a dik em? I taksa pum pui hi company lian tak angin ngaihtuah rawh. Hypothalamus hi chu company control center ber ang mai a ni. Taksa lumna, riltam, tuihal ang chi thil tam tak a thunun thei a ni. Kan reproductive system nena inzawm process pawimawh thenkhat pawh a control bawk. A bik takin, thlasik a awm theih nan hypothalamus hian
gonadotropin-releasing hormone (GnRH) tih hormone a chhuah a ngai a ni. He `(GnRH)` hormone hian hormone
`Follicle-stimulating hormone (FSH)` leh
`Luteinizing hormone (LH) ,` leh `Estrogen` te nen hian i thlasik hun chu a kal tluang thei a ni. Chuvangin, eng emaw chhan vanga i hypothalamus hian he `(GnRH)` hormone hi a siam chhuah loh emaw, a tihtlem emaw chuan, chu hormone dangte balance pawh a bo vek ang. Chutih hunah chuan thla tin i period chu a mumal lo tan ang a, a tawp vek ang.
Amenorrhea chu eng nge ni?
Amenorrhea chu thla tin i period loh vang mai a ni. Hei hi chi hnih a awm a, chungte chu: 1.
Primary amenorrhea: Hei hian kum 16 i tlin hma, a nih loh leh puitlin hun i thlen atanga kum nga hnuah i period hmasa ber i nei lo tihna a ni. 2.
Secondary amenorrhea: Hei hian a hmain thla tin period pangngai i nei tawh a, mahse rang takin thla thum aia rei i nei tawh lo tihna a ni.
Tunlaia kan sawi tak Hypothalamic amenorrhea hi secondary amenorrhea chi khat a ni. United States-ah ringawt pawh hian hypothalamic amenorrhea hian hmeichhe kum 18 leh 44 inkar maktaduai 1.62 vel a vei a ni. Khawvel pum hi i en chuan he zat hi maktaduai 17.4 vel a ni. Hei hi ngaihthah theih thil a ni lo tihna a ni.
Engvangin nge hypothalamic amenorrhea hi a lo awm? A chhante chu engte nge ni?
I hypothalamus hi emergency-a hnathawk command center angin ngaihtuah rawh. Taksa atang hian message a dawng a, "Aw, he taksa hi pressure nasa tak hnuaiah, stress nasa tak hnuaiah a awm a ni," tih a ni. Chu chu a hriat chuan hypothalamus chuan, "Awle, hna thenkhat chu rei vak lo i chawlhsan ang u. A chhan chu tuna taksa tana pawimawh ber chu dam khawchhuah hi a ni," tiin thutlukna a siam ta a ni. Chutah chuan chu `(GnRH)` hormone chu a siam chhuak tawh lo. Chuti a nih chuan, he hypothalamus hian "stress" a neih theih chhante chu engte nge ni?
- Chaw ei tam loh emaw, ei khap emaw: Mi ṭhenkhat chuan an ei leh in chu an khap tlat a, chu chu an taksa hring duh vang emaw, fashion engemaw avâng emaw a ni . Chutiang a lo thlen chuan taksain a mamawh chakna a hmu lo.
- Nutritional deficiencies: Ei leh in inthlau tak i ei loh chuan i taksain a mamawh nutrients leh vitamins a tlachham thin. I pum tikhat tur thil ei mai mai a tawk lo.
- Exercise tam lutuk: Exercise hi taksa tan a tha. Mahse, mi ṭhenkhat chuan an mamawh aia tam exercise an la a, an thawkrim lutuk phah a ni. Entirnan, nilengin gym-a awm te, emaw, infiammi training nasa lutuk duh mi te.
- Rilru emaw rilru lama harsatna nasa tak: Hei hi mi tam tak nghawng thei thil a ni. In lama harsatna, hnathawhna hmuna harsatna, exam, leh hmangaihna nena inzawmna lama harsatna te ang chi thil avanga stress hian hypothalamus a nghawng thei a ni.
- Taksa thau tlem hle: Hormone hnathawh theih nan thau engemaw zat a ngai a. Hetiang dinhmun hi a hniam lutuk chuan a awm thei bawk.
- Ei leh in lama harsatna: Entirnan, Anorexia Nervosa ang chi natna hi ei leh in hlauhna leh ei leh in lama ngaihdan tha lo tak tak a ni.
Vawi tam tak chu heng zinga pakhat emaw pahnih emaw hi a inzawm khawm a, chu chuan `(FHA)` natna a thlen thin. Ngaihtuah teh, mi pakhatin ei leh in tha lo leh exercise a tih tam lutuk chuan hypothalamus chuan taksa chu "survival mode"-ah a awm niin a ngai a, chu chu dam khawchhuahna tur chauha indona dinhmunah a awm tihna a ni. Tichuan, thawk leh thinlung thawk ang chi thil pawimawh ber berte tan chauh chakna a hmang a, "tunah chuan thil pawimawh lo" thenkhat, chi thlah dan ang chite chu a titawp bawk. Kan sawi tawh ang khan hormone `(GnRH)` hian taksain hormone `(FSH)` leh `(LH)` a siam chhuah theihna tura signal petu a ni. Heng hormone pahnih `(FSH)` leh `(LH)` te hi thla tin i ovary atanga egg chhuah tir thintu an ni a, chu chu
`ovulation` an ti a ni.A nih chuan a pui hle. Chuvangin `(FSH)` leh `(LH)` level a tlahniam chuan ovulation leh menstruation pahnih hi a tawp ta a ni. Hetiang hi infiammi leh Olympian-te chungah chauh a thleng niin kan ngai fo thin. A chhan chu an activity level a sang hle a ni. Mahse, a nihna takah chuan he dinhmun hi hmeichhe naupangteah emaw, hnathawhna hmun emaw, in lama nitin harsatna avanga stress nei tu pawhah a awm thei a ni.
Hypothalamic amenorrhea natna lan chhuah dan chu engte nge ni?
Hetiang dinhmun chhinchhiahna ber leh langsar ber chu thla thum emaw a aia rei emaw chhung thla tin period i neih loh hi a ni. Mahse, hormone inthlauhna avang hian symptom dang a lang thei bawk. Chung zingah chuan:
- Depression leh Anxiety : Lungngaihna, hlauhna leh lungkhamna a awm thei.
- Mut theih lohna emaw mut harsatna emaw: Zanah i tossing leh turning i hmu thei a, mut tha thei lo i ni thei.
- Taksa chakna tlakchham (laziness): Nunna nei lo anga inhriatna leh engmah tih duh lo anga inhriatna.
- riltam tam zawka inhriatna: Mi thenkhat chuan he hun chhung hian a tlangpui aia riltam zawkin an inhria thei.
- Vaginal dryness: Hei hi estrogen hormone level tlahniam vang pawh a ni thei.
- Sex drive hniam tak:
- Sam tlakchham : .
- Lu na : 1.1.
Heng symptom pakhat emaw pahnih emaw i neih chauh hian hypothalamic amenorrhea i nei tihna a ni lo tih hre reng ang che. Mahse, i period a tawp tawh a, heng ang symptom dang i neih chuan doctor pan a tha ber.
PCOS hian hypothalamic amenorrhea a thlen thei em?
Polycystic ovary syndrome (PCOS) hian hmeichhiaah pawh thlasik hun mumal lo emaw, ovulation tihtawp vek emaw a thlen thei bawk. Mahse, PCOS hi hypothalamic amenorrhea thlentu direct a ni lo. FHA hi hypothalamus-a harsatna awm vangin thlasik a tawp thin a ni. PCOS hi ovary-a hormone inthlak danglam vang a ni.
Engtin nge doctor-te hian hypothalamic amenorrhea hi an hriat theih?
Doctor chuan thlasik hun mumal lo thlentu dang zawng zawng a paih chhuah hnuah hypothalamic amenorrhea a awm tih a sawi chhuak ang. Entir nan:
- Nau i pai em tih ka check a.
- Thyroid gland emaw adrenal gland-ah harsatna a awm em tih an enfiah thin.
Heng thilte hi enfiah hmasak a ni ang. Chu bakah, i doctor chuan a hnuaia mite hi a ti bawk ang:
- I medical history kimchang chu zawh a ni ang: i natna hmasa te, damdawi i ei dan te, leh i chhungkuaa tu pawhin hetiang harsatna hi an nei tawh em tih te.
- Physics exam leh pelvic exam neih a ni ang.
- Test hrang hrang eng emaw zat order a ni bawk. A bulpui berte chu:
- Thisen test: Hengte hian thlasik hun tichhe thei hormone level a enfiah a, chu chu estrogen , prolactin , follicle-stimulating hormone (FSH) , leh luteinizing hormone (LH) te hi a ni.
- Complete blood count (CBC): Hei hian thisen chhunga cell chi hrang hrangte hriat theihna a pe a ni.
- Naupai test: 1.1.
- A chang chuan pituitary gland MRI scan tir turin an ti thei bawk a, pituitary gland pawh hormone control-naah a inrawlh avangin.
Hei hi eng enkawlna nge ni?
Thu lawmawm tak chu hypothalamic amenorrhea enkawlna a awm tih hi a ni! Doctor te chuan
nunphung tihdanglam hi an rawt ber a ni . Chung zingah chuan:
- Exercise tam lutuk tihtlem: Exercise i tih tam chuan tlem i tihtlem a ngai mai thei.
- I taksa rihna tipung (a tul chuan): I thau loh chuan hrisel takin i taksa rihna engemaw zat tihpun a tha.
- Stress tihtlem dan tur zawn: Yoga, meditation, leh calming hobby ang chi thil hmangin stress control i tum thei ang.
I doctor chuan
dietitian hnenah pawh a refer thei che a ni . Hei hian i taksain eng nutrient nge a mamawh tih chiang takin a hriat theih nan, nitin calorie engzat nge i ei tur tih te, i activity level a zirin healthy
body mass index (BMI) i neih theih dan tur te a hriat theih nan a pui ang che. Mi thenkhat chuan rilru lam hriselna counseling
, cognitive behavioral therapy (CBT) ang chi te pawh an hlawkpui bawk. Hei hi ei leh in lama harsatna nei emaw, an neih thu pawm duh lo emaw tan chuan a \angkai hle. Stress control dan tur zir turin a pui thei bawk. A tlem berah chuan i doctor chuan hormone therapy, birth control pill, emaw, i period neih theihna tura ṭanpui thei damdawi dang emaw a pe thei bawk.
Enkawlna hian eng chen nge a daih?
Hei hi mi tin a inang lo thei. I kum, i rih zawng, i activity level, leh genetics ang chi thilah a innghat a ni. Mahse a tlangpuiin, i period a tan leh
hmain thla thum atanga thla ruk vel enkawl chhunzawm zel a ngai a ni.
Hypothalamic amenorrhea hi ven theih a ni em?
Ni e, a dik ngei ang! Thil tih tur ber chu he natna thlentu ber berte hi pumpelh hi a ni.
- I activity level nena inmil zat ei rawh.
- Calorie hi a tul lovah khap suh.
- Stress tihtlem leh enkawl dan tur zawng rawh.
- Exercise tam lutuk, tuar theih loh chu tihtlem rawh.
A awlsam zawngin
i taksa thu hi ngaithla rawh. A mamawh chawlhna, ei leh in leh rilru hahdamna pe rawh. He dinhmun hian engtin nge ka taksa a nghawng?
Thla tin i period hloh mai bakah hun rei lote chhung leh hun rei tak chhung harsatna a thlen thei bawk. I period neih loh hian i hriselna a nghawng theih dan thenkhat chu hetiang hi a ni:
- Nau pai theih lohna: Thlasik a mumal lo a, ovulation a awm loh chuan nau pai a harsa thin.
- Ruh hriselna a chhiat: Hei hian ruh tithianghlimtu natna, osteoporosis , a thlen thei a, ruh chakna tura hormone estrogen hi a pawimawh hle a ni.
- Lung leh thisen zam natna vei theihna a sang.
- Vun leh sam lama harsatna: Sam tlakchham, hmai vun ang chi thil.
Hypothalamic amenorrhea vangin naupai theih a ni em?
Hetiang dinhmunah hian i awm lai hian nau i pai theihna chance a tlem hle. Hei hi a chhan chu i thlasik hun inthlak danglam vangin ovulation a awm lo tlangpui. Mahse,
a chang chuan ovulation a awm thei. Tin, i thlasik hun chhung chu engtikah nge a pangngai ang tih chiang taka sawi a harsa bawk. I period hmasa ber tan hmain ovulate leh naupai i ni thei tih hre reng ang che. Chuvangin, mipat hmeichhiatna lama inhmang leh nau pai duh lo i nih chuan
i doctor nen birth control chungchang sawipui a pawimawh hle. Hetiang dinhmun avanga harsatna awm thei te chu engte nge ni?
Hypothalamic amenorrhea
hian taksaah estrogen a ti hniam thei a. Estrogen hi kan taksa tana hormone pawimawh tak a ni. Estrogen hnathawh pakhat chu ruh hrisel leh chak tak neih hi a ni. Estrogen tel lo chuan hmeichhiate hian
ruh natna leh thinlung natna an vei theihna a sang hle. Estrogen hian i mood a vawng reng thei bawk. Estrogen level a hniam chuan depression leh anxiety ang chi symptoms a awm thei.
Engtikah nge Doctor ka hmuh ang?
Thla thum chhung i period loh chuan doctor pan ngei ngei tur a ni. Nau pai tum lo mah la, period mumal lo hi harsatna dang chhinchhiahna a ni thei. Tin, hun rei tak chhung harsatna an thlen thei bawk.
Hypothalamic amenorrhea hi i period a tawp theihna chhan pakhat chauh a ni. Thil lian tak angin a lang lo mai thei a, mahse, period mumal lo hi hriselna lama harsatna dangte chhinchhiahna a ni thei bawk. Chuvangin, thla thum emaw a aia rei emaw i period loh chuan i doctor nen inbia ang che. I period i neih loh chhan hriat tumin test a kalpui thei a, i period tan leh theihna tura i mamawh enkawlna a pe thei bawk.
A tawi zawngin, i hre reng ang u (Take-Home Message) .
Duh tak takte u, tunah chuan vawiin a kan sawiho tawh hypothalamic amenorrhea an tih natna hi in hriatthiam ka beisei. Hriat reng tur pawimawh tak takte chu:
- Thla thum aia rei i period a tawp tawh a nih chuan ngaihthah suh. Damdawi lam thurawn la ngei ang che.
- Hypothalamic amenorrhea thlentu ber chu stress lutuk, ei leh in tha tawk lo, leh exercise tam lutuk te hi a ni.
- Hetiang dinhmun hi enkawlna tur a awm. Enkawlna ber chu nunphung tha taka thlak danglam hi a ni .
- Estrogen level tlahniam hian hun rei tak chhung nghawng a nei thei a, chu chu ruh chak lo leh thinlung natna vei theihna a tipung thei a ni .
- Nangmah chauh i ni lo. Hetiang harsatna nei hi an tam hle. Damdawi lam thurawn leh puihna dik tak nen chuan he natna hi enkawl theih a ni.
I hriselna enkawl hi a pawimawh hle. Chuvangin rinhlelhna emaw harsatna i neih chuan Doctor biak pawh hlau suh. Hriselna tha tak i neih theih nan duhsakna ka hlan e!
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