Thla tam tak chhung chu i period i hloh tawh em? A nih loh leh an tawp thut mai em ni? Kum 30 bawr velah hetiang thil hi i chungah a lo thleng a nih chuan tlema hlauhna leh lungkhamna i neih chu thil pangngai a ni. Mi tam tak chuan hei hi menopause niin an ngai. Mahse kum 40 tlin hmaa thleng a nih chuan ‘premature ovarian failure’ an tih natna vang pawh a ni thei. Hei hi eng nge a nih, engvangin nge a lo awm tih leh eng nge i tih theih tih hi han thlir ila.
A awlsam zawngin, Primary Ovarian Insufficiency (POI) hi eng nge ni?
Hei hi awlsam takin i hrethiam ang u. Hmeichhia tin hian ovary pahnih an nei vek a. Chungte chu nausen pum sir lehlamah a awm a. Heng ovary te hian hna pawimawh pahnih an nei a. Pakhat chu thla tin egg pakhat chhuah tir hi a ni. A dang chu hmeichhe taksa tana pawimawh hormone siam chhuah a ni a, a bik takin estrogen leh progesterone .
A tlangpuiin hmeichhe ovary te chu zawi zawiin a thawk tawh lo va, kum 51 vel ah chuan thlasik pawh a tawp vek a, hei hi menopause kan ti a ni.
Mahse, Primary Ovarian Insufficiency (POI) tih dinhmunah chuan heng ovary te hnathawh hi a tlangpui aiin a tlahniam hma hle a, chu chu kum 40 an tlin hmain a tlahniam a, mi thenkhat tan chuan hetiang hi a thleng nghal thei a ni. Chu chu thlasik chu a tawp nghal tihna a ni. Midang tan chuan he natna hi thla tam tak chhung, a chang chuan kum tam tak chhung pawh thlasik a awm loh hnuah hmuhchhuah a ni.
He natna hi a hmain "Premature Ovarian Failure" tia koh ni mah se, tunah chuan doctor-te chuan "Insufficiency" tih thumal hi hman an duh zawk. Hei hi a chhan chu hetiang natna vei hmeichhiate ovary hi "failed" vek a nih loh vang a ni. An efficient lo zawk chauh a ni. Chuvangin, a chang chuan egg chu a chhuak nghal mai thei. Chumi awmzia chu hetiang dinhmun hi awm mahse, a pianphung anga naupai theihna chance tlemte chauh a la awm tihna a ni .
Engvangin nge hetiang hi a lo awm? POI tichhe thei thilte chu engte nge ni?
A tam zawkah chuan 90% vel chu POI thlen chhan bik hmuh tur a awm lo . Damdawi lamah chuan hei hi ``idiopathic'' kan ti thin. Mahse, ṭhenkhatah chuan a thlentu thil ṭhenkhat chu hmuhchhuah a ni.
| Chhan | A sawifiahna awlsam tak |
|---|---|
| Genetic factors atanga lo chhuak a ni | Genetic condition Turner syndrome leh Fragile X syndrome te hian ovary hnathawh a tichhe thei a ni. I chhungkuaa mi (nu, unaunu) hian he natna hi a neih chuan nang pawhin i vei theihna a sang zawk. |
| Autoimmune lama harsatna awm thei | Hei hi taksa ngeia immune system-in a ovary a beih sual hian a ni. Entirnan, thyroid natna leh Addison natna ang chi natna te hi a ni. |
| Cancer enkawl dan tur | Chemotherapy leh radiation ang chi thilte hian ovary chhunga cell awmte a tichhe thei a ni. |
| Surgery neih a ni | Ovary-a surgery emaw hysterectomy emaw hian ovary-a thisen kalna a nghawng thei a ni. |
| Toxins te pawh a awm | Hun rei tak chhung meizuk, pesticide leh chemical dang ei hian ovary a nghawng tha lo thei bawk. |
Hetiang natna lan chhuah dan hi engte nge ni?
A lan chhuah dan ber leh langsar ber chu thlasik mumal lo emaw, thla engemaw zat chhung thlasik nei lo emaw hi a ni. Mahse, menopause laia kan hmuh ang chi symptom dang pawh a awm thei bawk. Hei hi a chhan chu he dinhmun pahnihah hian taksaa estrogen hormone level a tlahniam vang a ni.
- Menstrual cycle mumal lo: Menstruation hi thla tam tak chhung chu a kir leh lo thei a, a tawp vek thei bawk.
- Sudden over sweating and hot flashes (hot flashes and night sweats): Hei hi a bik takin zan lamah a thleng thei.
- Mut lama harsatna: Zan lama thawk hah hian mut a kaitho thei che a ni.
- Pum hnuai lam na leh vaginal dryness: Hetiang dinhmun hi estrogen tlahniam vang a ni. Hei hian sex hman laiin natna a thlen thei bawk.
- Sex drive a tlahniam.
- Thil ngaihtuah harsa leh thinrimna.
- Mit a vawt.
- Nau pai harsat (Infertility).
A pawimawh ber chu, thla 3 aia rei i period loh chuan eng nge a chhan hriat tumin doctor i pan ngei tur a ni . Thil dang, naupai leh rilru hahna vang pawh a ni thei. Chuvangin a chhan dik tak chu Doctor chauhin a hre thei a ni.
Engtin nge hei hi i hmuh theih, Doctor?
Doctor i pan chuan i thlasik hun chhung, chhungkaw damdawi lam chanchin leh i natna lan chhuah dan eng pawh a zawt hmasa ang che. Tichuan, taksa enfiahna a nei ang.
Hei bakah hian he natna hi finfiah turin test eng emaw zat tih a ni bawk.
- Hormone Level Testing: Hei hi test pawimawh ber a ni. Thisen sample lak a ni a, hormone eng emaw zat level enfiah a ni.
- FSH (Follicle-Stimulating Hormone): Ovary tichaktu hormone a ni. Ovaries te hian hna a thawk tha lo a nih chuan thluak hian FSH tam zawk a thawn chhuak thin. Chuvangin he hormone level hi POI-ah a sang hle a ni.
- Estrogen: Ovary atanga hormone siam chhuah ber a ni. POI-ah chuan heng level te hi nasa takin a tlahniam a ni.
- Prolactin: He hormone level pawh hi enfiah thin a ni.
- Pregnancy test: Naupai hi i period loh chhan a nih leh nih loh finfiah nan.
- Pelvic ultrasound: Hei hian i ovary leh uterus dinhmun a enfiah thei a ni. POI-ah chuan ovary chu a tlangpui aia te a ni thei.
- Genetic testing (Karyotype testing): He test hi genetic cause rinhlelhna a awm chuan tih theih a ni a, chu chu Turner syndrome ang chi hi a ni.
- Antibody test: Hengte hi autoimmune natna rinhlelhna a awm chuan tih thin a ni.
Kum 40 hnuai lam i nih a, i period a mumal lo a, i thisen test-ah FSH level a sang a, i estrogen level a hniam a nih chuan i doctor chuan POI a nei tih a hmuchhuak mai thei.
Hei hi eng enkawlna nge ni?
POI hi damdawi a awm lo a, chu chu ovary te chu a pangngaiin a thawk leh dawn tihna a ni. Mahse, a natna lan chhuah dan control nan leh hun rei tak chhunga hriselna atana hlauhawmna tihziaawmna tur enkawlna tha tak tak a awm a ni.
Enkawlna chu i kum, i natna lan chhuah dan leh fa neih i duh leh duh loh a zirin a innghat a ni.
Hormone thlak danglamna (HRT) hmanga enkawlna (HRT) .
Hei hi a enkawlna ber a ni. I ovary-in pawn lam atanga a siam chhuah tawh loh hormone estrogen leh progesterone te, pill, gel, vun patch emaw, vaginal ring emaw angin pek a ni.
HRT hlawkna: 1.1.
- Symptoms hot flashes leh vaginal dryness te chu control theih a ni.
- Osteoporosis lakah a veng thei a ni . Estrogen hi ruh chakna atana pawimawh tak hormone a ni.
- Lung natna hlauhawmna tihziaawmna atan a pui.
- Rilru hriselna a tha zawk.
Doctor-te chuan he hormone therapy hi menopause (kum 51-52) thleng ei turin an rawt tlangpui. He enkawlna thatna leh that lohna chungchang hi i doctor nen sawiho la, i duh ber tur chu thlang rawh.
Nunphung inthlak danglamna leh extras te
Hormone therapy bakah hian heng thilte hi i hriselna zawng zawng vawng reng turin a pawimawh hle.
- Calcium leh vitamin D tling tawk la rawh: Hengte hi ruh nghet taka vawn nan a pawimawh hle. Dairy products leh sangha te ang chi ei tur ei thin ang che. A tul chuan i doctor chuan tablet dang a pe leh ang che.
- Exercise neih fo: Kal leh tlan ang chi exercise hi thinlung tan a tha hle. Weight-bearing exercise hi ruh tan a pawimawh hle.
- Rihna hrisel tak vawn reng.
- Fa neih i ngaihtuah a nih chuan: POI nei pawhin hmeichhia 5-10% vel hian pianphung anga nau pai theihna an nei a. Mahse a chiang lo. Chuvangin fa i beisei a nih chuan obstetrician leh gynecologist te nen inbiain `(IVF)` ang chi technique leh duhthlan tur dangte i sawipui thei ang.
POI leh rilru hahdamna nena nun
Hetiang dinhmun i hriat hian lungngaihna, beidawng leh thinrim hi thil pangngai tak a ni. Hei hi tuar harsa a ni thei a, a bîk takin fa i la beisei a nih chuan.
Hetih lai hian nangmah chauh i ni lo tih hre reng ang che. I pasal, chhungte, a nih loh leh i ṭhian rintlak tak nêna i rilru put hmang sawipui chuan i rilru hahdam lehzual tûrin a ṭanpui thei che a ni.
Hetiang dinhmun avang hian lungkhamna emaw, lungngaihna emaw i neih chuan i doctor nen sawiho rawh. A tul chuan rilru lam doctor emaw, counselor emaw hnenah tanpuina i dil thei bawk. Enkawlna leh puihna dik tak i neih chuan he natna nen hian nun hrisel, hlim takin i nung thei ang.
Take-Home Thuchah a ni
- Primary Ovarian Insufficiency (POI) chu kum 40 an tlin hmaa Ovarian function hloh hi a ni a, hei hi menopause a ni lo.
- A lan chhuah dan ber chu thla engemaw zat chhung period mumal lo emaw, absent emaw a ni. Thla 3 aia rei i period a tawp chuan doctor i pan ngei ngei tur a ni.
- Hei hi chhan chiang tak hmuh theih a nih loh fo avangin i sualna a ni lo.
- Hormone replacement therapy (HRT) hian natna lan chhuah dan a thunun thei a, ruh leh thinlung hriselna a humhim thei bawk.
- POI nei pawhin hmeichhe thenkhat chuan naupai theihna chance tlemte an la nei tho.
- He diagnosis hian a ti buai hle tih hi thil pangngai tak a ni. Hemi hun chhung hian i hmangaih tak takte nen inbia la, a tul chuan damdawi lam thurawn la bawk ang che.
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