Kei te whakaaro koe i ētahi wā, "Āe, kāore anō kia pā mai taku paheketanga i tēnei marama?" Kua tae rānei tētahi o āu tamāhine, tuahine rānei ki te pakeketanga, ā, kāore anō kia pā mai tōna pakeketanga? He kupu hauora tēnei mō tēnei momo whakaroa, te kore rānei o te paheketanga. Ko te `(Amenorrhea)` . I ētahi wā he mea noa tēnei, engari i ētahi wā he tohu pea nō tētahi mate kei raro. Nō reira, i tēnei rā, me kōrero taipitopito tātou mō `(Amenorrhea)`, me te mea kei te kōrero tātou ki tētahi hoa.
He aha te paheketanga? He pēhea te puta?
Ki te kī māmā, ko te paheketanga he wāhanga o te tukanga e whakarite ai te tinana o te kōtiro ki te hapu i te tamaiti i ia marama. He maha ngā matū e pā ana ki tēnei, arā, ko ngā homoni . Whakaarohia, he rite ki tētahi mahere uaua.
He repe iti engari he mea nui kei roto i tō tātou roro, ko te `(Hypothalamus)` te ingoa. Ko tēnei repe te kaiwhakahaere o tētahi atu repe e kiia nei ko te `(Pituitary gland)`. Ko tēnei `(Pituitary gland)` te mea e tuku tohu ana ki ngā `(Ovaries)` kia tukuna he hua manu (`(Ovulation)`, te ovulation rānei).
Ko ō ovaries te wāhi e rongoa ai, e whakaputa ai hoki i ngā hua manu. E rua hoki ngā homoni e whakaputaina ana e rātou, he mea tino nui ki te kōtiro: ko te estrogen me te progesterone.
I raro i te mana o ēnei homoni, ka mātotoru haere te arai o roto o tō kōpū (e kiia ana ko te endometrium). He rite ki te whakarite i tētahi moenga whakamarie mō te pēpi kia moe ai mēnā ka whānau mai.
Heoi, ki te kore he pēpi e hapu i taua marama, kāore e hiahiatia te arai matotoru o te kōpū. Kātahi ka tukuna atu i te tinana. Koia mātou ka karanga ai ko te 'paheketanga'. Kia tika ai te mahi o tēnei tukanga, me mahi tika ngā whekau e kiia nei ko te `(Hypothalamus)`, `(Ovaries)` me te `(Uterus)`.
He aha ngā momo matua o te amenorrhea?
E rua ngā momo matua o te `(Amenorrhea).` Kia titiro tātou he aha ēnei.
1. Te korenga o te hapūtanga tuatahi - (Te korenga o te hapūtanga tuatahi)
E pā ana tēnei ki te hunga kāore anō kia pāngia e te paheketanga i te 15 tau te pakeke. Mēnā rānei kāore anō kia pāngia e te paheketanga mō ngā tau e rima i muri i te tīmatanga o ngā tohu tuatahi o te pakeketanga (hei tauira, te whanaketanga o ngā ū), ka taka hoki tēnei ki roto i tēnei wāhanga. Tērā pea nā ngā āhuatanga ira e kitea ana i te whānautanga, nā ētahi āhuatanga rānei e puta ake ana i muri mai i te ao.
2. Te korenga o te hapūtanga tuarua - (Te korenga o te hapūtanga tuarua)
Koinei te wā ka mutu ohorere te paheketanga o te wahine i mua he auau te paheketanga mō ngā marama e toru, neke atu rānei . Mena he rerekē te huringa paheketanga o te wahine i mua, ka kiia hoki te whakamutu i te paheketanga mō ngā marama e ono he "amenorrhea tuarua". Ko ngā tino take o tēnei ko:
- Te haputanga
- Te whāngai ū
- Te ahotea nui
- He mate pūmau tō te tinana
He pēhea te noa o te amenorrhea?
Ina hoki, e kiia ana ko te kotahi i roto i te whā o ngā wāhine kāore i te hapu, kāore i te whāngai u, kāore rānei i tae ki te wā pāheketanga ka pāngia e te korenga o te hāora i tētahi wā o ō rātou oranga. Nō reira, ehara i te mea onge.
He aha ngā tohu o te āmene?
Ko te tohu matua ko te korenga o te paheketanga. Heoi, hei tāpiri atu ki tēnā, tera pea ka puta mai ētahi atu tohu i runga i te pūtake o te `(Amenorrhea). Hei tauira:
- He kare ā-whatu o te wera nui ('Hot flashes').
- E turuturu ana te waiū o ngā uma ahakoa kāore he pēpi.
- Te maroke o te tara.
- Te mamae o te upoko i ngā wā maha.
- Ngā panonitanga o te tirohanga.
- Te nui rawa o te hakihaki .
- Te tupu nui o ngā huruhuru i te mata me te tinana.
Kāore ēnei tohu e puta i te katoa, engari ki te mea kei a koe ēnei āhuatanga, he mea pai kia kite i te tākuta me te kōrero ki a ia.
He aha ngā take o te amenorrhea?
He rerekē anō hoki ngā take o ngā momo amenorrhea e rua. Ko ētahi o ngā take he mea ā-taiao, ko ētahi he tohu pea nō tētahi mate hauora.
Ngā take tūturu (noa) o te mutunga o te paheketanga:
- Hapūtanga: Koinei te tino take o te amenorrhea tuarua. Ina hapu te pēpi, e mōhio ana te tinana kāore e hiahiatia kia tukuna he hua manu anō, kia pāngia rānei e te paheketanga. Nō reira ka mutu te paheketanga.
- Ārai-whānau: He maha ngā whaea kāore e pāngia e te paheketanga i te wā e whāngai ana i te u.
- Te paheketanga: Ka mutu tonu te paheketanga o ngā wāhine i waenga i te 45-55 tau te pakeke.
- Mena kua pokangahia koe hei tango i tō kōpū, i tō ovaries rānei: Kāore koe e pāngia e te paheketanga i taua wā anō hoki.
Ngā take noa o te amenorrhea tuatahi:
Mena kāore anō kia pā mai tō paheketanga i te 15 tau te pakeke, tera pea nā ēnei āhuatanga:
- Ngā raruraru ira tangata, ira ira rānei: Ko ēnei āhuatanga e kitea ana i te whānautanga. Hei tauira, ko ngā āhuatanga pēnei i te mate Turner ka pā ki te whanaketanga o te pūnaha whakaputa uri.
- Ngā raruraru homoni e puta mai ana i ngā raruraru o te roro, o te repe pituitary rānei: Ka ārai pea ēnei i te tukunga o ngā ovaries i ngā homoni e hiahiatia ana mō te mahi tika.
- Ngā raruraru hanganga o ngā whekau whakaputa uri: Ngā mea pēnei i te ngaro o ngā wāhanga o te kōpū, o te tara rānei, te pūnaha whakaputa uri kāore anō kia tino whanake.
Ngā take noa o te amenorrhea tuarua:
Mena kua pāngia koe e te paheketanga i ngā wā katoa i mua, ā, kua mutu whakarere tō paheketanga mō ngā marama e toru, neke atu rānei, tera pea nā ēnei āhuatanga e whai ake nei:
- Ko ētahi tikanga ārai whānau:Hei tauira, te werohanga Depo-Provera®, ētahi Pūrere Intrauterine (IUD), me ētahi pire ārai whānau.
- Te rongoā matū me te rongoā irahiko mō te mate pukupuku.
- Mena kua pokangahia tō kōpū i mua, ā, he kiri mākū tō kiri: hei tauira, i muri i tētahi tikanga pēnei i te Dilation and Curettage (D&C).
- Te ahotea nui: Whakaarohia te nui o te ahotea i pā ki a koe i a koe e mahi ana i ō whakamātautau A/L, i te wā rānei i tīmata ai koe i tētahi mahi hou. Ka taea hoki e ēnei āhuatanga te whakaroa i tō paheketanga.
- Kai tōtika kore: Ki te kore te tinana e whiwhi i te kai tika e hiahiatia ana, ka raru pea te mahi a ngā homoni.
- Ngā panonitanga nui o te taumaha o te tinana: Kāore he aha te mea ka tino hiroki ohorere koe, kāore rānei he aha te mea ka tino taumaha rawa koe.
- Ngā mahi whakakori tinana tino kaha: Ko ētahi o ngā kōtiro, e whakaaro ana me whakaiti te taumaha, kāore e kai tika, ā, ka whakakori tinana i te whare takaro i te rā roa. Ko tētahi take mō tēnei he nui ake tā rātou whakakori tinana i tā te tinana e kaha ai.
- Ētahi rongoā.
Hei tāpiritanga, ka taea hoki e ētahi āhuatanga hauora te whakaputa i te "amenorrhea tuarua":
- (Te ngoikore o ngā whatukuhu tuatahi - POI): Koinei te wā ka mutu te mahi a ngā whatukuhu i mua i te 40 tau te pakeke.
- Te amenorrhea hypothalamic: Te mutunga o te paheketanga nā te raruraru o te mahi a te hypothalamus i roto i te roro.
- Ngā mate pituitary: Hei tauira, ngā pukupuku pituitary, te nui rawa rānei o te homoni prolactin.
- Ngā kore taurite o ngā homoni pērā i te polycystic ovary syndrome (PCOS), ngā mate adrenal, te hypothyroidism rānei .
- Ngā pukupuku kore-matepukupuku, matepukupuku rānei o ngā ovaries ('Ngā pukupuku ovarian').
- Te momonatanga.
- Ngā mate pūmau: Hei tauira, te mate tākihi, te mate mumura rānei o te whekau (IBD).
He aha ngā āhuatanga mōrearea mō te amenorrhea?
He nui ake te tūponotanga o ētahi tāngata ki te pāngia e tēnei mate. Ko ngā āhuatanga mōrearea e pā ana ki tēnei mate ko:
- Mena kua pāngia tetahi o tō whānau e te amenorrhea, kua pāngia rānei e te menopause wawe.
- He āhuatanga ira, he āhuatanga ira rānei kei roto e pā ana ki ngā ovaries, ki te kōpū rānei.
- Te momona, te ngaronga taumaha rānei.
- He mate kai tō te tangata.
- Te nui rawa o te whakakori tinana.
- Te whai i tētahi kai hauora kore.
- Te ahotea hinengaro nui.
- Te pāngia e te mate mō te wā roa.
Ka taea e te amenorrhea te whakaputa raruraru?
Ehara te amenorrhea i te mea morearea ki te ora. Heoi, ko ētahi o ngā āhuatanga e hua ai tēnei ka pā mai he raruraru roa. Nō reira, ki te mutu tō paheketanga, he mea nui kia kite i te tākuta kia kitea ai te take. Ko te tangata e pāngia ana e te amenorrhea ka pāngia e ēnei e whai ake nei:
- Te osteoporosis (te angiangi o ngā wheua) te mate rānei o te pūnaha manawa: Ka puta tēnei i te hekenga o te homoni estrogen.
- Te uaua ki te whānau tamariki, te kore rānei e taea te whānau tamariki.
- Mamae o te hope: Ka puta mai tēnei i tētahi raruraru hanganga o ngā whekau whakaputa uri.
Me pēhea te tautuhi i te mate (Amenorrhea)?
Mena kua toru marama karapīpiti tō paheketanga, tirohia he tākuta. Ka pātai atu ia ki a koe mō ō tohu, tō hītori whānau, me tō huringa paheketanga. Kātahi ka whakahaerehia he whakamātautau tinana me te whakamātautau hope.
He aha ngā whakamātautau e mahia ana mō te amenorrhea?
Me mahi pea e te tākuta ētahi whakamātautau, pēnei i:
- He whakamātautau hapūtanga.
- Ngā whakamātautau toto: Tirohia ngā taumata homoni, me te tirotiro mō ngā mate o te repe tairoi, te repe adrenal rānei.
- Whakamātautau ira: Mena he ngoikore tō whatukuhu tuatahi (POI) ā, kei raro iho i te 40 tau te pakeke.
- Matawai (MRI): Mēnā kei te whakapaetia he raruraru kei te repe pituitary.
- Matawai Ultrasound: Mena kei te whakapaehia he raruraru ki ngā ovaries, ki te kōpū rānei.
He mea nui kia aroturukihia taku huringa paheketanga?
Āe, tino pono. He uaua pea te kimi i te pūtake o te amenorrhea i ētahi wā. Ki te kore he take mārama, pērā i te haputanga, te menopause rānei, ka tono tō tākuta kia tuhia e koe he pukapuka rātaka mō ngā huringa o tō huringa paheketanga. He āwhina nui tēnei mā te tākuta ki te whakatau i te mate.
Tuhia ngā mea e whai ake nei ki tētahi pukatuhi iti, ki tētahi taupānga rānei i tō waea pūkoro:
- Kia pēhea te roa o tō paheketanga?
- Nōnahea te wā whakamutunga i puta ai ō paheketanga?
- He aha ngā rongoā e tangohia ana e koe?
- Kua mahia e koe ētahi huringa ki tō kai, ki tō whakakori tinana rānei?
- Kei te pāngia koe e te ahotea, e te manukanuka rānei?
Me pēhea te rongoā mō te Amenorrhea?
Mena kua mutu tō paheketanga nā te paheketanga o te tau, te whāngai ū, te haputanga rānei, kāore he maimoatanga motuhake e hiahiatia ana.
I ētahi atu wā, ko te maimoatanga ka whiwhi koe ka whakawhirinaki ki te take o tō amenorrhea. Nō reira, ko ngā maimoatanga ka uru atu ki:
- Te whai i tētahi mahere kai me te whakakori tinana hei āwhina i a koe ki te pupuri i tētahi taumaha hauora e tika ana mōu.
- Ngā tikanga whakahaere ahotea .
- Te whakarerekē i te taumata o te korikori tinana (ki te nui rawa āu mahi, whakaitihia, ki te kore, whakanuia ake).
- Maimoatanga homoni: E ai ki te whakahau a te tākuta.
- Pokanga: He tino onge te mahi i tēnei.
Hei tāpiritanga, ka tūtohu pea te tākuta i ētahi maimoatanga hei whakamamae i ngā pānga taha o te amenorrhea:
- Te rongoā mō te Ētorogen: Whakaitihia te werawera me te maroke o te tara.
- Ngā tāpiringa konupūmā me te Huaora D: Kia kaha tonu ngā wheua.
- Whakangungu kaha: Te hiki taumaha, ngā mahi rānei hei whakapakari i ngā uaua.
Me pokanga ahau mō te amenorrhea?
Kāo, kāore e hiahiatia he pokanga i te nuinga o ngā wā. Heoi, ka tūtohu pea tō tākuta kia pokangahia i ngā wā e whai ake nei:
- Mena he huringa ā-tinana e aukati ana i te rere o te toto i waho o te tenetene (hei tauira, te septum tenetene, te hymen imperforate rānei).
- Mena he pukupuku pituitary tōu.
- Mena he kiko koha kei roto i te kōpū.
Kia pēhea te roa o te korenga o te hāora? Ka tīmata anō te paheketanga?
He maha ngā wā ka taea te whakaora i te amenorrhea. Mā te maimoatanga, me tīmata te hoki mai o ō paheketanga i te wā tika . I ētahi wā ka roa pea ētahi marama ka hoki mai tō paheketanga, engari ko te nuinga o te iwi ka pērā. Kōrero ki tō tākuta mō ngā mea ka taea e koe te tumanako mai i te maimoatanga.
I te nuinga o te wā, ka hoki anō te paheketanga ina rongoātia te take matua. Heoi, tera pea ka roa te wā ka hoki anō te paheketanga ki te auau.
I ētahi wā, kāore pea koe e pāngia e te paheketanga nā te mea he raruraru hauora. Mena koinei te āhua, ka kōrero tō tākuta ki a koe mō ō kōwhiringa mena kei te hiahia koe ki te whānau tamariki.
Ka taea te ārai i te amenorrhea?
Mā ngā tikanga hauora pai ka āwhina i te ārai i ētahi o ngā take o te "amenorrhea tuarua." Whakamātauria ēnei mea:
- Whāia he kai hauora me he mahere whakakori tinana e pai ana ki a koe.
- Kia tūpato ki tō huringa paheketanga (kia mōhio tonu ai koe mēnā ka ngaro tō paheketanga).
- Me whai tonu i ngā wā tirotiro a te tākuta wahine , tae atu ki te whakamātautau hope me te whakamātautau Pap.
- Kia nui te moe .
Āhea koe me toro atu ki te tākuta mō te amenorrhea?
Mena kua toru marama karapīpiti tō paheketanga, me toro atu koe ki te tākuta. Waihoki, ki te ngaro tō paheketanga, ā, kei a koe tētahi o ngā tohu e whai ake nei, toro atu ki te tākuta:
- Ngā raruraru ki te taurite, te taunga, te tirohanga rānei (he tohu pea ēnei o tētahi mate kino).
- Te putanga mai o te waiū mai i ngā ū ahakoa kāore he tamariki.
- Ki te kite koe i te tupu o ngā huruhuru kāore e hiahiatia i tō tinana.
- Mena kua neke atu i te 15 tau te pakeke, engari kāore anō kia pāngia e tō paheketanga tuatahi.
He aha atu anō taku e pātai atu ai ki te tākuta?
Ina haere koe ki te tākuta, kaua e wareware ki te pātai i ēnei pātai:
- He aha te take o taku amenorrhea?
- He aha ngā kōwhiringa maimoatanga kei a au? He aha ngā painga me ngā huakore o ia mea?
- Me toro atu ahau ki te tākuta endocrinologist mō te rongoā homoni?
- Ka taea e au te hapu ahakoa kei a au te `(Amenorrhea)`?
- I muri i te tīmatanga anō o taku paheketanga, ka taea e au te pāngia anō e te amenorrhea?
He mea noa te pāngia e te amenorrhea i muri i te whakamutu i te tango pire ārai whānau?
Ae, tera pea ētahi tāngata ka pāngia e te korenga o te paheketanga (amenorrhea i muri i te whakamutu i te pire whakawhanau). Nā te mea kei te "whakamahia" tō tinana ki te whakaputa i ngā homoni e hiahiatia ana hei whakaputa uri me te whakahoki mai i te paheketanga. Ka roa pea te toru marama ka tīmata anō te paheketanga o tō tinana. Mena kāore anō kia pāngia e te paheketanga mō ngā marama e whā ki te ono i muri i te whakamutu i te pire, kōrero ki tō tākuta.
He momo kore tamariki te amenorrhea?
Kāo, ehara te amenorrhea i te momo kore tamariki. Heoi, mā te korenga o te paheketanga ka kore e taea te hapu. Mena kei te tumanako koe kia whānau he pēpi, ā, he rerekē, kua mutu rānei tō huringa paheketanga, tirohia he tākuta mō ētahi tohutohu.
Hei whakamutunga, koinei taku e mea atu nei ki a koe (Karere hei tango ki te kāinga)
Mena kua neke atu i te 15 tau te pakeke engari kāore anō kia tīmata te paheketanga, mēnā rānei kua auau ō paheketanga i mua, ā, kua mutu inaianei, kaua e mataku, engari me toro atu ki te tākuta. Ko te amenorrhea he tohu noa iho o tētahi mate ka taea te rongoā. Kia kitea e tō tākuta te take o ō paheketanga i ngaro, ka taea e koe te whiwhi maimoatanga hei āwhina i tō huringa paheketanga kia hoki ki te āhua noa. Me huri pea koe i ētahi momo noho, me tango rānei i te rongoā homoni. Ko te mea nui ko te kōrero ki tō tākuta mō tēnei mea, me te tiki i te tohutohu tika. Kaua e manukanuka ki tēnei mea ko koe anake.
` Ārai mate, mutu te paheketanga, huringa paheketanga o ia marama, ngaronga o te paheketanga, ārai mate tuatahi, ārai mate tuarua, kore taurite o ngā homoni











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