I period pawh a tlai em? Oligomenorrhea chungchang hi han sawi ila!

A chang chuan, "Aw, engvangin nge ka period hi a la lo thleng lo?"? Ni tam tak i nghah hnuah, a chang chuan thla khat emaw thla hnih emaw hnuah i rilruah phurrit lian tak ang maiin i hria em? A nih loh leh mi thenkhat tan chuan kum khatah vawi ruk emaw vawi sarih emaw an period a lo thleng thei bawk. Hei hi eng nge ni tak tak? Hemi chungchang hi vawiin hian han sawi ila.

Oligomenorrhea hi eng nge ni?

A awlsam zawngin, oligomenorrhea chu i thla tin period, a nih loh leh kan sawi zawng zawng "period" chu a mumal lo va, a lo thleng tam lo hle a ni. Hmeichhe hrisel tak thlasik hun hi ni 28 danah a thleng tlangpui. Mahse, ni 21 leh 35 inkar eng pawh hi thil pangngai anga ngaih a ni. Menstruation hi khawi hmunah pawh ni li atanga ni sarih thleng a awm thei. A tam zawkah chuan i period inkar ni zat inang vek i nei ang a, a chang chuan ni khat emaw ni hnih emaw pawh inhlat thei ang.

Mahse oligomenorrhea-ah chuan heng period te hi a mumal lo hle. Ni 35 aia rei period i nei lo mai thei. Thla tin period neih ai chuan kum khatah period paruk emaw pariat emaw chauh i nei mai thei. Chu chu a lungchhiatthlâkzia chu han ngaihtuah teh.

Oligomenorrhea leh amenorrhea hi eng nge an danglamna?

Hengte hi a takah chuan thlasik hun pangngai lo chi hnih a ni. Amenorrhea chu thlasik a tawp vek chuan a ni. Chu chu period i nei ngai lo tihna a ni a, thla tam tak chhung period i nei tawh a, chutah chuan an tawp ta tihna a ni.

Mahse oligomenorrhea -ah chuan i period i nei a, mahse ni ruat saah chuan a thleng lo. Chuvangin i period chu a pangngai aia light zawk a ni. A danglamna chu i hrethiam em?

Hetiang dinhmun hi engtiang chiahin nge a awm?

In fact , hmeichhe thlasik nei zinga 12% leh 15.3% inkar chuan an dam chhungin engtik lai pawhin oligomenorrhea an nei ang. Nau pai harsat zinga 10% leh 20% inkar chuan he natna hi an nei a ni. A bik takin oligomenorrhea hi Polycystic Ovary Syndrome (PCOS) tih hming puin a awm fo thin. PCOS vei zinga 75% leh 85% inkar chuan period mumal lo an nei thin.

Oligomenorrhea natna lan chhuah dan chu engte nge ni?

A symptom ber chu period tlai emaw absent emaw a ni. Mahse, a chhan a zirin symptom dang i nei thei. Chung zingah chuan:

• Acne a awm.
• Lu na.
• Hot flash a rawn chhuak ta.
• Pum natna.
• Vaginal atanga chhuak.
• Mit hmuhna lama harsatna nei.
• Hmai leh taksaah sam sei tam lutuk.

Heng zinga pakhat emaw a aia tam emaw i neih chuan fimkhur rawh.

Engvangin nge thla tin ka period hi a mumal lo em em? A chhante chu engte nge ni?

A tam zawkah chuan hei hi i taksaa hormone inthlauhna vang a ni. I thluaka i reproductive organ leh glands te hian i thlasik hun control turin hormone hrang hrang an siam chhuak thin. Heng hormone te hi a balance chuan i thlasik hun hi a regular hle a ni. Mahse hormone a inthlau chuan he regularity hi a tibuai thin.

Chu bakah, i reproductive system-a infection leh structural abnormalities te hian i thlasik hun a tibuai thei bawk.

A chhan lian tak tak thenkhat han thlir ila:

Hormone inthlauhna avang hian:

• Polycystic Ovary Syndrome (PCOS): PCOS hian i taksain hormone androgens an tih (testosterone ang chi) a siam tam lutuk a. Hei hian ovulation a tibuai thei a, chu chu ovary atanga egg chhuah dan a ni.
• Androgen-secreting tumors: I ovary leh adrenal glands-a tumor chi thenkhat lo awm hian androgen hormone a tichhuak thei a, i thlasik hun a tibuai thei bawk. Heng symptoms te hi PCOS symptoms nen a inang hle.
• Cushing’s syndrome: Hetiang dinhmunah hian i taksain hormone cortisol a siam tam lutuk a. Hei hian hormone imbalance a thlen thei bawk a, i thlasik hun a tichhe thei bawk.
• Prolactinoma: Hei hi pituitary gland-a lo awm thin tumor a ni. Hei hian hormone prolactin a siam tam lutuk a, thlasik pangngaia sex hormone (e.g. estrogen) mamawh a tihhniam bawk.
• Primary Ovarian Insufficiency: Hetiang dinhmunah hian i ovary-te chuan beisei aia hmain (menopause hmain) egg an siam chhuak tawh lo. Tin, thlasik hun pangngaia mamawh hormone estrogen an siam chhuah pawh an titawp bawk.
• Hyperthyroidism: I thyroid gland a thawk tha lo a nih chuan pituitary gland hian prolactin a siam tam lutuk thei a, estrogen pawh a tlem lutuk thei bawk.
• Congenital Adrenal Hyperplasia: Hei hi nau piang laia awm thin a ni. Hetiang dinhmunah hian adrenal glands hian thlasik hun atana mamawh hormone siam turin enzyme a siam tling lo.

Nausen pum chhunga natna hrik leh harsatna dangte hian:

• Pelvic Inflammatory Disease (PID): PID hi enkawl loh mipat hmeichhiatna hmanga kai theih natna (STI) avanga lo awm thei a ni. He natna hrik leh inflammation hian i thlasik hun a tibuai thei a ni.
• Asherman-a natna / Endometrial Adhesions: A rilru a hah lutuk chuan a rilru a buai em em a.Uterus emaw cervix-a scar tissue lo awm (Gynecological surgery D&C - Dilation & Curettage ang chi hnuah a tam zawk) hian thlasik thisen chhuak pangngai a tibuai thei a ni.

A chhan dangte chu:

• Diabetes Mellitus: Type 1 leh type 2 diabetes pahnih hi oligomenorrhea nen an inzawm a ni. Mi thau lo (type 1 diabetes-ah a tam zawk) leh thau lutuk (type 2 diabetes-ah a tam zawk)-ah a tam zawk.
• Ei leh in lama harsatna: Bulimia leh anorexia ang chi natna hian ei leh in lama harsatna a thlen thei a, thlasik hun a tikhawtlai emaw, a titawp emaw thei bawk.
• Extreme physical activity: Exercise hmanga i taksaah harsatna i siam lutuk chuan i taksa hian thlasik ang chi thil pawimawh tak tak a ti tha thei lo mai thei.

Damdawi thenkhat chuan hetiang hian a nghawng thei bawk:

• Hormone hmanga naupai venna, naupai venna damdawi ang chi.
• Antipsychotics damdawi a ni.
• Antiepileptic damdawi a ni.

Engtin nge doctor hian he natna hi dik taka a hriat theih ang?

Doctor i pan chuan a biak ang che, test a kalpui ang a, oligomenorrhea i vei em tih leh a chhan chu eng nge ni tih hriat a tum ang.

Zawhna zawh che (Medical History):

Doctor i pan hmain i thlasik hun dik lo chanchin chipchiar takin buatsaih hmasa phawt ang che. Thla hnih tal period inkar ni engzat nge awm tih ang chi thilte record siam rawh. I doctor chuan hetiang zawhnate hi a zawt ang che:

• I thlasik hun pangngai chu eng ang nge ni: period inkar ni engzat nge awm, thisen hloh zat, etc. I thlasik hun pangngai hriat hian i doctor hnenah harsatna nasatzia a hrethiam ang.
• I chhungkaw damdawi lam chanchin: I chhungkuaa mi pakhatin oligomenorrhea (e.g. PCOS) thlen thei natna a neih chuan nang pawhin i vei theihna a sang zawk.
• I tih dan leh nunphung: I ei leh in leh exercise tih dan te chu he thila nghawng a neih leh neih loh en turin an zawt ang. He harsatna hi STI vang a nih leh nih loh en turin invenna tel lova sex i hman leh neih loh an zawt thei bawk.
• Damdawi i ei mekte: Hormonal birth control pill, rilru lam natna damdawi, epilepsy damdawi leh steroid te hian oligomenorrhea a thlen thei vek a ni.

Exam hrang hrang:

• Physical Exam: I hmai, i kawng, i hnute leh i pum te chu oligomenorrhea thlen thei tur symptom a awm em tih enfiah a ni ang.
• Rectovaginal exam hmanga enfiah:Doctor chuan gloved finger chu vagina-ah a dah ang a, finger dang chu anus-ah a dah ang a, taksa chhunga lumps emaw growth emaw a awm leh awm loh a enfiah ang. Hei hi a nuam lo deuh thei a, mahse diagnosis atan chuan a pawimawh hle.
• Vaginal speculum exam: Vagina leh cervix tihzauh nan hmanraw speculum an tih hmangin thisen chhuah, hring, scar tissue, etc. Cervical swab lak pawhin natna hrik a awm leh awm loh enfiah theih a ni bawk.
• Abdominal exam: Abdomen hi palpate a ni a, press a nih chuan lumps, lumps emaw hmun na emaw a awm leh awm loh enfiah a ni.

Imaging test tih theih turte chu:

• CT scan: Thisen chhuahna thlentu tumor ang chi thil a hmuchhuak thei.
• Pelvic leh abdominal ultrasounds: Bloating leh PCOS ang chi natna chhinchhiahna a lang.
• MRI scan (Magnetic Resonance Imaging - MRI): Prolactinoma a awm leh awm loh a finfiah thei.

Thisen test dan: 1.1.

Thisen test hian i hormone level leh thisen sugar level a enfiah thei a ni. I doctor chuan hetiang hian hormone level a enfiah thei ang:

• Thyroid-Stimulating Hormone (TSH): Hei hi a hniam chuan hypothyroidism chhinchhiahna a ni thei.
• Follicle-Stimulating Hormone (FSH): Hei hi a tam chuan Primary Ovarian Insufficiency a thlen thei.
• Luteinizing Hormone (LH): FSH nena khaikhin chuan LH level sang hian PCOS hriatchhuahna kawngah a pui thei a ni.
• Prolactin: Prolactin level sang chuan prolactinoma a awm tih a tilang thei.
• 17-OHP: Hetiang level-ah hian Congenital Adrenal Hyperplasia hmuhchhuah theih a ni.
• Thisen thlum: HbA1c test hian zunthlum a hriat theih.

Heng test zawng zawng hi mi zawng zawng tan tih vek a ni lo tih hre reng ang che. Test i thlan tur chu i symptoms leh i doctor ngaihdanah a innghat ang.

Hei hi eng enkawlna nge ni? (Tihdamna)

Oligomenorrhea hi a chhan a zirin enkawl a ni.

• Hormone therapy: I oligomenorrhea hi hormone inthlauhna avanga lo awm a nih chuan i doctor chuan birth control pill emaw hormone treatment dang emaw a pe thei ang.
• Surgery: Tumors androgen tam lutuk siamtu a awm chuan i doctor chuan surgery hmanga lakchhuah a rawt thei ang.
• Nunphung inthlak danglamna:He harsatna hi ei leh in lama harsatna emaw, taksa tihchak lutuk vang emaw a nih chuan i ei leh in leh exercise tih danah inthlak danglamna i siam a ngai dawn a ni.

Hei hi ven dan tur a awm em? (Invenna) 1.1.

Oligomenorrhea ven dan tur chiang tak a awm lo. Mahse, a chhan hriat chian a nih veleh i doctor chuan enkawl dan tur dik tak a rawt ang.

Oligomenorrhea i neih chuan eng nge thleng? I lungkham tur em ni?

Oligomenorrhea ngei pawh hi harsatna lian tham a ni lo. Amaherawhchu, a chhan hriat chian a pawimawh. Hei hi a chhan chu underlying condition thenkhat hian complication a thlen thei a ni. Entirnan, PID leh PCOS enkawl loh chuan nau pai theih lohna a thlen thei a ni. Tin, oligomenorrhea avanga uterine lining a shed tha lo a nih chuan endometrial hyperplasia leh endometrial cancer ang chi natna a awm theihna a awm bawk

Engtik hunah nge doctor ka hmuh ang?

Ni 35 aia tam i period lo a nih chuan, emaw, thla tam tak chhung i period lo a nih chuan doctor pan ngei ngei tur a ni. Period tlai emaw missed emaw hi thil pangngai a ni lo. A chhan zawn chhuah a pawimawh a, hun rei tak chhunga harsatna awm thei tur ven a pawimawh.

Doctor i pan hmain i period kha calendar emaw app emaw ah record hmasa phawt ang che. Hei hian i doctor-in thil pangngai leh thil pangngai lo chungchanga zawhnate a chhang thei ang. App tam takah chuan hetiang hi record theih a ni:

• Thlasik tan leh tawp ni dik tak.
• Thisen engzat nge chhuak (a rit em, a rit em, a pangngai em?).
• I period hma, i period lai leh i period hnua i hmuh thin symptoms.

Doctor hnena zawh tur pawimawhte chu engte nge ni?

• "Ka period a irregular dawn tih hi ka ngaihtuah tur em ni?"
• "Ka period mumal lo hian ka fa neih theihna a nghawng dawn em ni?"
• "Naupang ka neih duh chuan eng enkawlna kawng nge ka neih?"
• "Oligomenorrhea control nan hormone therapy rei tak ka ei a ngai dawn em ni?"

Hetiang zawhna hi zawt la, i rinhlelhnate chu tifai rawh.

Oligomenorrhea hian nau neih theihna a nghawng em? (Nau pai theih lohna) .

Ni e, oligomenorrhea hi PCOS ang chi, nau neih theihna tichhe thei dinhmun chhinchhiahna a ni thei. Hormone imbalances, period mumal lo thlentu hian naupai a ti harsa thei bawk.

PCOS leh oligomenorrhea hi thil inang an ni em?

No. Mahse, PCOS leh period infrequent hi a awm dun fo thin. Oligomenorrhea hi PCOS chhinchhiahna a ni thei.

A tawp berah chuan hei hi ka hrilh a ngai a ni...

I period a mumal lo a nih chuan hlauthawng suh. I thlasik hun hi a mumal lo thei a, a tam zawk chu a hlauhawm lo. Mahse, hun rei tak chhunga i period a tlakchham a nih chuan doctor pan ngei ngei tur a ni. Tin, symptom dang, thisen chhuah tam zia te, pum na i neih leh neih loh emaw, vaginal discharge danglam tak emaw te pawh ngaihven bawk ang che. Heng zawng zawng hi i doctor hnenah hrilh rawh. I period mumal lo chhan chu a chiang thei ang a, i mamawh enkawlna a pe thei ang che. I hriselna hi i tan a pawimawh em em a, chuvangin heng thilte hi i ngaihven a pawimawh hle.

` Oligomenorrhea, thla tin thlasik, hun tlai, thlasik mumal lo, hormone, PCOS, hmeichhe hriselna