Kei te maumahara koe i te wā i rite tonu ai, i matapaetia ai hoki tō huringa paheketanga? Mena kua kite koe kua mutu, kua kore rānei e rite te huringa o tō paheketanga i ngā marama kua taha ake nei, kua tae ki te wā kia aro atu koe. Ahakoa he ngāwari ki te whakakore i ēnei huringa, he tohu tonu ēnei e hiahia ana tō tinana ki te tautoko. I tēnei rā, me matapaki tātou i tētahi take nui mō tēnei āwangawanga: Te Ārai Mate Hypothalamic Mahi (FHA) .
He aha te Amenorrhea Hypothalamic?
Ki te whakarapopoto, ka puta te Amenorrhea Hypothalamic ina whakaroa, ka mutu rānei te tuku tohu noa i roto i tō hypothalamus — he wāhanga iti engari kaha o tō roro — ka mutu ai ō paheketanga. Tērā pea kei te whakaaro koe, he aha tonu te mahi a te hypothalamus?
Whakaarohia tō tinana he kamupene nui; ko te hypothalamus te "pokapū whakahaere" matua. Ka whakahaere i ngā mahi nui pēnei i te pāmahana o te tinana, te hiakai, te matewai, me te mea nui, tō pūnaha whakaputa uri. Mō te huringa paheketanga auau, me tuku e te hypothalamus te homoni tuku-Gonadotropin (GnRH) . Ka mahi tēnei homoni hei whakakorikori mō te homoni whakaoho-follicle (FSH) me te homoni Luteinizing (LH) , e mahi tahi ana me te Estrogen hei pupuri i tō huringa.
Ki te aukati, ki te whakaiti rānei tō hypothalamus i te hanga o te GnRH nā te ahotea, nā ētahi atu āhuatanga rānei, ka raruraru te toenga o ngā homoni, ka hua ake he paheketanga koretake, he paheketanga kore rānei.
He aha te Āmeneria?
Ko te amenorrhea te kupu hauora mō te korenga o te paheketanga. E rua ngā momo:
1. Te korenga o te paheketanga tuatahi: E pā ana tēnei ki tētahi āhuatanga kāore anō kia pāngia te tangata e te paheketanga tuatahi i te 16 tau te pakeke, i te rima tau rānei i muri i te tīmatanga o te pakeketanga.
2. Te korenga o te hāora tuarua: Ka puta tēnei ina he auau te paheketanga o mua, engari ka mutu mō te neke atu i te toru marama.
Kei roto te Functional Hypothalamic Amenorrhea (FHA) i te kāwai o te amenorrhea tuarua. E pāngia ana e te miriona o ngā wāhine puta noa i te ao, ā, he āhuatanga e tika ana kia arohia e te rata ngaio.
He aha te take e puta ai te FHA? He aha ngā take?
Whakaarohia tō hypothalamus hei pokapū whakahau e tauhohe ana ki tētahi āhuatanga ohorere. Mēnā ka whiwhi tohu ia kei raro te tinana i te ahotea nui, ka whakatau ia, "Me whakarite kia ora tātou, nō reira me whakamutu ngā mahi kāore e tino nui." Nō reira, ka whakamutua te whakaputa uri, ka mutu hoki te whakaputa GnRH.
He aha te momo "auautanga" e whakaoho ana i tēnei urupare?
- Te korenga o te kai totika, te whakawhāiti rānei i ngā kaora: Ahakoa nā ngā whāinga whakaiti taumaha , nā ngā tikanga noho kino rānei, ki te kore e nui te pūngao o tō tinana, ka uru ia ki te aratau oranga.
- Ngā ngoikoretanga o te kai: Kāore e ranea te whakakī noa i tō puku; me whai matūkai me ngā huaora nui tō tinana kia pai ai te mahi.
- Te whakakori tinana nui rawa: Ahakoa he pai te whakakori tinana, ka taea e te whakakori tinana nui rawa—pērā i ngā mahi whakapakari tinana kaha, i ngā whakangungu hākinakina ngaio rānei—te whakararuraru i tō pūnaha.
- Te ahotea nui o te hinengaro, o te kare ā-roto rānei: Ka taea e ngā wero whaiaro, te pēhanga mahi, ngā whakamātautau, ngā raruraru whanaungatanga rānei te whakaoho i te ahotea hinengaro mau tonu , ka pā ki te hypothalamus.
- He tino iti te ngako tinana: He mea nui te ngako tinana mō te mahi hauora o ngā homoni . Mēnā ka tino iti rawa ngā taumata, ka mutu pea tō huringa.
- Ngā mate kai: Ko ngā āhuatanga pēnei i te Anorexia Nervosa he waiaro kino ki te kai ka pā kino ki tō hauora.
He maha ngā wā, ko te huinga o ēnei āhuatanga ka arahi ki te FHA. Ina kore e nui te kai o te tinana, ina nui rawa hoki te whakakori tinana, ka tahuri te hypothalamus i te kaha katoa ki ngā mahi oranga pēnei i te manawa me te tere o te ngakau, ka aukati i te whakaputa uri. Ina heke te taumata o te FSH me te LH, ka mutu te whakaputa uri , ā, ka kore te paheketanga.
Ahakoa e whakaaro ana tātou ko ngā kaitākaro tino rangatira anake ka pā tēnei ki a rātou, ka pā pea te FHA ki tētahi wahine rangatahi, ki tētahi tangata rānei e pāngia ana e te ahotea nui o ia rā.
Ngā Tohu o te Amenorrhea Hypothalamic
Ko te tohu matua ko te korenga o te paheketanga mō ngā marama e toru, neke atu rānei. Heoi anō, ka puta pea ētahi atu tohu nā te kore taurite o ngā homoni, pēnei i:
- Te Pouri me te Manukanuka : Ngā kare ā-roto o te pouri, te wehi kāore i te mārama, te riri rānei.
- Ngā raruraru moe : Ngā uauatanga ki te moe, ki te noho moe rānei.
- Te ngoikore o te pūngao (Te ngenge): He kare ā-roto tonu o te ngenge, te kore rānei o te hihiri.
- Te nui haere o te hiakai: Te hiahia nui, te piki haere rānei o te hiakai.
- Te maroke o te tara : He maha ngā wā ka puta mai i te iti o te taumata o te estrogen.
- Te iti o te hiahia moepuku.
- Te ngaro o te makawe .
- Ngā mamae o te upoko .
Kia maumahara: Ahakoa te pāngia e ēnei tohu, ehara i te mea kei a koe te FHA. Heoi, ki te mutu tō paheketanga, me toro atu ki tētahi tohunga hauora mō te tātaritanga tika.
Ka taea e te PCOS te whakaputa i te Amenorrhea Hypothalamic?
Ka taea hoki e te Polycystic Ovary Syndrome (PCOS) te arahi ki te paheketanga koretake, ki te anovulation rānei. Heoi, he rerekē te PCOS me te FHA. Ko te FHA e akiakihia ana e te ngoikore o te hypothalamus nā te ahotea o waho, te ngoikore rānei o te pūngao, engari ko te PCOS he kore taurite o ngā homoni ovarian.
Me pēhea te tautuhi a ngā tākuta i te Amenorrhea Hypothalamic?
Ka tātaritatia e te tākuta te amenorrhea hypothalamic i muri i te whakakorenga i ētahi atu take mō te mutunga o tō huringa paheketanga. Hei tauira, mā tō tākuta ēnei e:
- Tirohia mēnā kei te hapu koe.
- Arotakehia tō repe tairoi , tō repe adrenal rānei mō tētahi mahi kino kei raro iho.
Koinei ngā mahi tuatahi. Hei tāpiri, ka taea e tō tākuta te mahi i ēnei e whai ake nei:
- Arotakehia tō hītori hauora: Ka pātai atu rātou mō ō āhuatanga hauora o mua, ngā rongoā o nāianei, me ngā hītori whānau e pā ana ki ngā āwangawanga ōrite.
- Whakahaerehia he whakamātautau tinana me te whakamātautau pelvis.
- Tonoa he whakamātautau tātaritanga motuhake. Ko ngā whakamātautau matua ko:
- Ngā whakamātautau toto: Hei aromatawai i ngā taumata homoni he mea nui ki tō huringa, pērā i te Estrogen , te Prolactin , te FSH (Follicle-Stimulating Hormone) , me te LH (Luteinizing Hormone) .
- Te tatau toto katoa (CBC): Hei mārama ki te hauora o ō pūtau toto whānui.
- Whakamātautau haputanga:
- Matawai MRI o te repe pituitary: I ētahi wā, ka tūtohu pea tō tākuta i tēnei, nā te mea he mahi nui tā te repe pituitary ki te whakahaere i ō homoni.
He aha ngā maimoatanga e wātea ana?
Ko te rongo pai, ka taea te rongoā i te hypothalamic amenorrhea! Ko te nuinga o ngā tākuta e taunaki ana kia whakarerekētia te āhua noho , tae atu ki:
- Te whakaiti i te nui rawa o te korikori tinana: Ki te whai wāhi koe ki ngā korikori tinana kaha, me whakaiti pea tō taumata korikori tinana.
- Te pikinga o te taumaha (mēnā e tika ana):Mena kei raro iho tō taumaha i te awhe hauora, ka ārahihia koe me pēhea te whakapiki i tō taumaha kia hauora.
- Te whakahaere i te ahotea: Mā ngā mahi pēnei i te yoga, te whakaaroaro, me ngā mahi whakangahau whakamarie ka āwhina i a koe ki te whakahaere i te ahotea hinengaro.
Tērā pea ka tukuna koe e tō tākuta ki tētahi tohunga kai . Mā rātou koe e āwhina ki te whakatau i ngā matūkai e hiahiatia ana e tō tinana, te nui o te kaora e taunakitia ana mō ia rā, me pēhea te pupuri i te Taupū Papatipu Tinana (BMI) hauora e tika ana mō tō taumata mahi.
Ki ētahi, he tino whai hua te Whakaora Whanoke Hinengaro (CBT) , inā koa mō te hunga e pāngia ana e ngā mate kai, e uaua ana rānei ki te whakaae ki tō rātou āhua. He taputapu pai hoki mō te ako i ngā tikanga whakahaere ahotea whai hua.
I ētahi wā onge, ka tohua pea e tō tākuta he rongoā homoni, he pire ārai whānau, he rongoā rānei hei āwhina i te whakahoki mai i tō huringa paheketanga.
Kia pēhea te roa o te maimoatanga?
He rerekē te roa o te wā whakaora i ia tangata, i runga i tō tau, tō taumaha, ō taumata mahi, me ō ira. Heoi, mā te maimoatanga tonu, ka kite te nuinga o te tangata i te hokinga mai o te huringa paheketanga i roto i te toru ki te ono marama .
Ka taea te ārai i te amenorrhea hypothalamic?
Āe, tino tika! Ko te mea nui ko te aro atu ki ngā tino take o tēnei mate:
- Kai i tētahi kai taurite e tika ana mō tō taumata mahi.
- Āta karohia te whakawhāititanga kaiora koretake.
- Kimihia ngā huarahi whai hua hei whakahaere me te whakaiti i tō ahotea.
- Āta karohia te whakakorikori tinana nui rawa, tino kino rānei.
He whakarāpopototanga noa iho: Whakarongo ki tō tinana. Hoatu ki a ia te okiokinga, te kai, me te rangimārie hinengaro e tika ana mōna.
He aha te pānga o tēnei ki tōku tinana?
Haunga te korenga o tō paheketanga, ka taea e tēnei āhuatanga te arahi ki ngā āwangawanga mō te wā poto me te wā roa, tae atu ki:
- Te kore tamariki: Ki te kore ō huringa auau, kāore pea te whakaputa uri e puta, ka uaua ai te hapu.
- Hauora ngoikore o te wheua: Tērā pea ka tūpono koe ki te pāngia e te osteoporosis , te angiangi rānei o te wheua, nā te mea he mea nui te estrogen hei pupuri i te kaha o te wheua.
- Te pikinga ake o te mōrearea o te mate pūnaha toto.
- Ngā raruraru kiri me te makawe: Pērā i te angiangi o te makawe, te hakihaki pumau rānei.
Ka taea e au te hapu me te amenorrhea hypothalamic?
He tino iti te tūponotanga ka hapu koe i tēnei āhua nā te mea kāore te whakaputanga o te hua i te nuinga o te wā e puta. Heoi, tera pea ka puta te whakaputanga o te hua i te kore e tūmanakohia . He uaua hoki te matapae i te wā ka hoki mai tō huringa ki te āhua noa. Kia maumahara, tera pea ka puta te whakaputanga o te hua ka hapu koe i mua i te hokinga mai o tō huringa tuatahi. Nō reira, ki te mea kei te moe tāne koe, ā, kāore koe e whakamahere ana i te haputanga, he mea nui kia kōrerohia ngā kōwhiringa ārai whānau me tō tākuta.
He aha ngā raruraru pea ka pā mai?
Ka taea e te amenorrhea hypothalamic te arahi ki te iti o ngā taumata estrogen . He mea nui te estrogen mō tō hauora, tae atu ki te pupuri i ngā wheua kia kaha. Ki te kore e ranea te estrogen, ka nui ake te tūponotanga o te osteoporosis me te mate ngakau. Ka tautoko hoki te estrogen i te whakahaere i te wairua; ka taea e ngā taumata iti te whai wāhi ki ngā tohu o te pouri me te manukanuka .
Āhea ahau me toro atu ki te tākuta?
Mena kua toru marama te korenga o tō paheketanga, me toro atu koe ki te tākuta. Ahakoa kāore koe e ngana ana ki te hapu, ko te korenga o tō paheketanga he tohu whakatūpato mō ngā raruraru kei raro i te mahunga ka arahi pea ki ngā raruraru hauora mō te wā roa.
Ko te amenorrhea hypothalamic tētahi o ngā take maha ka mutu ai tō paheketanga. Ahakoa he iti noa te āhua, ka taea e ngā huringa koretake te arahi ki ngā raruraru hauora nui. Mena kāore koe i paheketanga mō ngā marama e toru, neke atu rānei, kōrero ki te tākuta. Ka taea e rātou te mahi i ngā whakamātautau e tika ana hei tautuhi i te take me te whakarato i tētahi mahere maimoatanga hei whakaora i tō huringa.
Karere Tangohia ki te Kāinga
Ko te tumanako ka āwhina ēnei mōhiohio i a koe ki te mārama ake ki te hypothalamic amenorrhea. Hei wāhanga o te hapori o Nirogi Lanka, kia maumahara ki ēnei kōrero matua:
- Mena kua neke atu i te toru marama te korenga o tō paheketanga, kaua e warewarehia. Rapua he tohutohu hauora i te wā tonu.
- Ko ngā mea matua e pā ana ki tēnei mate ko te ahotea nui rawa, te kore kai pai, me te nui rawa o te whakakori tinana.
- Ka taea te rongoā i tēnei mate. Ko te pūtake o te whakaoranga ko te huri i te āhua noho hauora.
- Ka taea e ngā taumata estrogen iti te arahi ki ngā mōrearea mō te wā roa pērā i te ngoikore o ngā wheua me te mate ngakau.
- Kāore koe i te mokemoke. Mā te arataki me te tautoko hauora tika, ka taea te whakahaere angitu i tēnei āhuatanga.
He mea nui te whakaaro nui ki tō hauora. Mēnā he pātai āu, kaua e mangere ki te whakapā atu ki tētahi tohunga hauora. Kia ora, kia ora tonu koe!
