Kua roa rānei tō paheketanga? Me kōrero tātou mō te oligomenorrhea!

Kei te whakaaro koe i ētahi wā, "Āe, he aha i kore ai taku paheketanga?"? I muri i te tatari mō ngā rā, ā, i ētahi wā i roto i te kotahi, i ngā marama e rua rānei, ka rite ki te taumahatanga nui ki tō hinengaro? Ki ētahi rānei, ka tae mai ō rātou paheketanga ki te ono, ki te whitu rānei ngā wā i te tau. He aha rawa tēnei? Me kōrero tātou mō tēnei i tēnei rā.

He aha te Oligomenorrhea?

Ki te kī māmā noa, ko te oligomenorrhea he wā e kore e taurite ana tō paheketanga o ia marama, e kīia nei ko te "paheketanga" e tātou katoa, ā, he onge noa iho. Ko te huringa paheketanga o te wahine hauora ka puta i ia 28 rā. Heoi, ko te roa o te paheketanga i waenga i te 21 me te 35 rā he mea noa. Ka taea e te paheketanga te roa mai i te whā ki te whitu rā. I te nuinga o te wā, ka rite tonu te maha o ngā rā i waenga i ō paheketanga, i ētahi wā he rā kotahi, e rua rānei te wehe.

Engari mō te oligomenorrhea, he tino koretake ēnei paheketanga. Tērā pea kāore tō paheketanga e neke atu i te 35 ngā rā. Engari ko te paheketanga ia marama, e ono, e waru rānei ō paheketanga i te tau. Whakaarohia te whakarihariha o tēnā.

He aha te rerekētanga i waenga i te oligomenorrhea me te amenorrhea?

E rua ēnei momo paheketanga rerekē. Ko te amenorrhea te wā e mutu katoa ai te paheketanga. Ko te tikanga, kāore koe e paheketanga, kua maha rānei ngā marama e paheketanga ana koe, kātahi ka mutu.

Engari i roto i te oligomenorrhea , ka pā mai tō paheketanga, engari kāore e puta i ngā rā kua whakaritea. Nō reira, he māmā ake tō paheketanga i te tikanga. E mārama ana koe ki te rerekētanga?

He pēhea te noa o tēnei āhuatanga?

Ina hoki , i waenga i te 12% me te 15.3% o ngā wāhine e pāngia ana e te paheketanga ka pāngia e te oligomenorrhea i tētahi wā o ō rātou oranga. I waenga i te 10% me te 20% o te hunga e uaua ana ki te hapu ka pāngia e tēnei mate. Ina koa, he mea tino noa te oligomenorrhea me te mate e kiia nei ko te Polycystic Ovary Syndrome (PCOS) . I waenga i te 75% me te 85% o te hunga whai PCOS he koretake te paheketanga.

He aha ngā tohu o te oligomenorrhea?

Ko te tohu matua ko te tōmuri, te ngaro rānei o te paheketanga. Heoi, i runga i te take, ka pāngia pea koe e ētahi atu tohu. Kei roto i ēnei:

• Pūngāwerewere.
• Ngā mamae o te upoko.
• Ngā mura wera.
• Mamae puku.
• Te rerenga o te tara.
• Te tirohanga pōrearea.
• Te tupu nui o ngā huruhuru i te mata me te tinana.

Kia tūpato mēnā kei a koe tētahi, neke atu rānei o ēnei.

He aha te take i kore ai e taurite te paheketanga o taku marama? He aha ngā take?

I te nuinga o te wā, nā te kore taurite o ngā homoni i roto i tō tinana tēnei. Ka whakaputahia e ō whekau whakaputa uri me ō repe i roto i tō roro ngā homoni rerekē hei whakahaere i tō huringa paheketanga. Ina taurite ēnei homoni, ka tino auau tō huringa paheketanga. Engari ina kore taurite ngā homoni, ka whakararuraru i tēnei auautanga.

Hei tāpiritanga, ka taea hoki e ngā mate urutā me ngā hanganga rerekē o tō pūnaha whakaputa uri te whakararuraru i tō huringa paheketanga.

Kia titiro tātou ki ētahi o ngā take matua:

Nā te koretake o ngā homoni:

• Te Mate Pūkahukahu Polycystic (PCOS): Mā te PCOS ka nui rawa ngā homoni e whakaputaina ana e tō tinana e kiia nei ko ngā androgens (pērā i te testosterone). Ka taea e tēnei te whakararuraru i te whakaputanga o te hua manu, arā, te tukanga e tukuna ai te hua manu mai i ngā ovaries.
• Ngā pukupuku e whakaputa ana i te androgen: Ka taea e ētahi momo pukupuku e puta ana i roto i ō ovaries me ngā repe adrenal te tuku i ngā homoni androgen ka whakararuraru i tō huringa paheketanga. He rite ēnei tohu ki ērā o te PCOS.
• Te mate a Cushing: I tēnei āhua, ka nui rawa te homoni cortisol e whakaputaina ana e tō tinana. Ka taea hoki e tēnei te whakararu i te taurite o ngā homoni, ā, ka pā ki tō huringa paheketanga.
• Prolactinoma: He pukupuku tēnei e tupu ana i roto i te repe pituitary. Ka puta te nui rawa o te homoni prolactin me te hekenga o ngā homoni ira tangata (hei tauira, te estrogen) e hiahiatia ana mō te paheketanga noa.
• Te ngoikore o ngā whatukuhu tuatahi: I tēnei āhuatanga, ka mutu te whakaputa hua o ō whatukuhu i mua i te wā e tika ana (i mua i te paheketanga). Ka mutu hoki te whakaputa i te homoni estrogen, e hiahiatia ana mō te paheketanga auau.
• Te Matepukupuku Hiperu: Ki te kore e mahi tika tō repe tairoiti, ka nui rawa te prolactin e whakaputaina e te repe pituitary, ā, he iti rawa te estrogen.
• Te Hyperplasia Adrenal Whanau: He āhuatanga tēnei e kitea ana i te whānautanga. I roto i tēnei āhuatanga, kāore e nui ngā whākōkī e whakaputaina ana e ngā repe adrenal hei hanga i ngā homoni e hiahiatia ana mō te paheketanga.

Ka taea e ngā mate me ētahi atu raruraru i roto i te kōpū te whakaputa:

• Mate Mumura Pelvic (PID): Ka puta te PID i ngā mate pāwera ira tangata (STI) kāore i rongoātia. Ka taea e tēnei mate me te mumura te whakararu i tō huringa paheketanga.
• Te mate a Asherman / Ngā Piringa Endometrial:Ka taea e te kiko koha e puta mai ana i roto i te kōpū, i te kaki rānei (i muri i te pokanga wahine pērā i te D&C - Dilation & Curettage) te whakararuraru i te toto noa o te paheketanga.

Ētahi atu take:

• Mate Huka: E hono ana te mate huka momo 1 me te mate huka momo 2 ki te oligomenorrhea. He nui ake te kitea i roto i te hunga he iti te taumaha (he nui ake te kitea i roto i te mate huka momo 1) me te hunga taumaha rawa (he nui ake te kitea i roto i te mate huka momo 2).
• Ngā mate kai: Ka taea e ngā āhuatanga pēnei i te bulimia me te anorexia te whakararu i te kore kai me te whakaroa, te aukati rānei i te paheketanga.
• Te korikori tinana tino kaha: Ki te nui rawa te taumahatanga e tukuna ana e koe ki tō tinana mā te korikori tinana, tērā pea kāore e taea e tō tinana te mahi tika i ngā tukanga nui pēnei i te paheketanga.

Ka pāngia hoki koe e ētahi rongoā:

• Ngā ārai hapūtanga homoni, pērā i ngā pire ārai whānau.
• Ngā rongoā ārai hinengaro.
• Ngā rongoā ārai mate haurangi.

Me pēhea te tātaritanga tika a te tākuta i tēnei mate?

Ina haere koe ki te tākuta, ka kōrero ia ki a koe, ka whakahaere whakamātautau, ka ngana ki te rapu mēnā he oligomenorrhea tōu, me te take.

Ngā pātai e pātaihia ana ki a koe (Hītori Hauora):

I mua i tō haerenga ki te kite i tō tākuta, whakaritea he hītori taipitopito mō ō paheketanga koretake. Puritia he tuhinga mō ngā mea pēnei i te maha o ngā rā i waenga i ngā paheketanga mō te rua marama pea te iti rawa. Ka pātai atu tō tākuta ki a koe i ngā pātai penei:

• He aha te āhua o tō huringa paheketanga noa: e hia ngā rā i waenganui i ngā paheketanga, e hia te toto e ngaro ana, me ētahi atu? Mā ​​te mōhio ki tō huringa noa ka āwhina i tō tākuta ki te mārama ki te kaha o te raruraru.
• Te hītori hauora o tō whānau: Mena kei tētahi o tō whānau tētahi mate e puta ai te oligomenorrhea (hei tauira, te PCOS), he nui ake te tūponotanga ka pāngia koe e taua mate.
• Ō whanonga me tō momo noho: Ka pātai atu rātou mō tō kai me ō whanonga whakakori tinana kia kite ai mēnā he pānga ki tēnei. Tērā pea ka pātai atu rātou mēnā kei te moe tāne koe me te wahine kāore he tiaki, kia kite ai mēnā he mate tuku iho i te taatai.
• Ngā momo rongoā e whakamahia ana e koe: Ka taea e ngā mea pēnei i ngā pire ārai whānau homoni, ngā rongoā mō ngā mate hinengaro, ngā rongoā mō te mate haurangi, me ngā steroids te whakaputa i te oligomenorrhea.

Ngā Whakamātautau:

• Whakamātautau Tinana: Ka tirotirohia tō mata, tō kaki, ō ū, me tō puku kia kitea ai mēnā he tohu kei te puta ai te oligomenorrhea.
• Whakamātautau rectovaginal:Ka kuhua e te tākuta tētahi maihao karapu ki roto i te tara, me tētahi atu maihao ki roto i te nono hei tirotiro mō ngā puku, ngā tipu rānei i roto i te tinana. Tērā pea he āhua kore whakamarie tēnei, engari he mea nui mō te tautuhi mate.
• Whakamātautau i te mirimiri tara: Ka whakamahia he taputapu e kiia nei ko te mirimiri tara hei whakawhanui i te tara me te kaki o te wahine hei tirotiro mēnā he toto, he pupuhi, he kiko koha, me ētahi atu. Ka taea hoki te tango i te mirimiri kaki o te wahine hei tirotiro mēnā he mate.
• Whakamātautau puku: Ka pāngia te puku hei tirotiro mēnā he puku, he kopikopiko, he wāhi rānei e mamae ana ina pēhia.

Ko ngā whakamātautau whakaahua ka taea te mahi ko:

• Ngā matawai CT: Ka taea te kite i ngā mea pēnei i ngā pukupuku e puta ai te toto.
• Ngā whakamātautau ultrasound o te hope me te puku: Ka whakaatuhia ngā tohu o ngā mate pēnei i te pupuhi me te PCOS.
• Matawai MRI (Magnetic Resonance Imaging - MRI): Ka taea te whakaū i te aroaro o te prolactinoma.

Ngā Whakamātautau Toto:

Ka taea e ngā whakamātautau toto te tirotiro i ō taumata homoni me ō taumata huka toto. Tērā pea ka tirohia e tō tākuta ngā taumata homoni penei:

• Homoni Whakaoho Tairoiro (TSH): Mena he iti tēnei, he tohu pea tēnei o te hypothyroidism.
• Te Hormone Whakaoho Follicle (FSH): Mena he nui tēnei, ka puta pea te ngoikore o te ovary tuatahi.
• Hormone Luteinizing (LH): Ki te whakaritea ki te FSH, ka taea e ngā taumata LH teitei te āwhina i te tautuhi i te PCOS.
• Prolactin: Ko ngā taumata prolactin teitei ka tohu pea i te prolactinoma.
• 17-OHP: Ka taea te kite i te Congenital Adrenal Hyperplasia i tēnei taumata.
• Huka toto: Ka taea e te whakamātautau HbA1c te kite i te mate huka.

Kia maumahara, kāore ēnei whakamātautau katoa e mahia ana mō te katoa. Ka whakawhirinaki ngā whakamātautau e whiriwhiria e koe ki ō tohu me ngā whakaaro o tō tākuta .

He aha ngā maimoatanga mō tēnei? (Maimoatanga)

Ka rongoatia te oligomenorrhea i runga i te take.

• Te rongoā homoni: Mena na te koretake o te taurite o te homoni i puta ai tō oligomenorrhea, ka tohua pea e tō tākuta he pire whakahaere whānau, he maimoatanga homoni rānei.
• Pokanga: Mena he pukupuku e whakaputa ana i te nui rawa o te androgen, ka tūtohu pea tō tākuta kia tangohia ma te pokanga.
• Ngā huringa āhua noho:Mena nā te korenga o ngā kai totika, nā te nui rawa rānei o te korikori tinana i puta ai tēnei raruraru, me huri e koe tō kai me tō mahinga korikori tinana.

He ara hei ārai i tēnei? (Te ārai)

Kāore he huarahi motuhake hei ārai i te oligomenorrhea. Heoi, ina kitea te pūtake, ka tūtohu tō tākuta i te maimoatanga tika.

He aha ngā mea ka puta mēnā he oligomenorrhea tōu? Me āwangawanga koe?

Ehara te oligomenorrhea i te raruraru nui. Heoi, he mea nui kia kitea te take. Nā te mea ka taea e ētahi āhuatanga taketake te whakararuraru. Hei tauira, ko te PID me te PCOS kāore i rongoatia ka arahi pea ki te kore tamariki. Waihoki, ki te kore e pakaru tika te arai o te kōpū nā te oligomenorrhea, tera pea ka pāngia e ngā āhuatanga pēnei i te endometrial hyperplasia me te mate pukupuku endometrial .

Kia pēhea te wā me toro atu ahau ki te tākuta?

Mena kua neke atu i te 35 ngā rā e ngaro ana tō paheketanga, mēnā rānei kua maha ngā marama e ngaro ana tō paheketanga, me toro atu koe ki te tākuta. Ehara i te mea noa te roa o te paheketanga, te ngaro rānei o te paheketanga. He mea nui kia kitea te pūtake me te ārai i ngā raruraru roa.

I mua i tō haerenga ki te tākuta, tuhia tō paheketanga ki roto i tētahi maramataka, i tētahi taupānga rānei. Mā tēnei ka āwhina i tō tākuta ki te whakautu i ngā pātai mō ngā mea e tika ana, me ngā mea e rerekē ana. He maha ngā taupānga ka taea e koe te tuhi i ngā mea pēnei i:

• Ko ngā rā tonu ka tīmata ai, ka mutu ai hoki te paheketanga.
• E hia te toto e puta mai ana (he taumaha, he māmā, he noa rānei?).
• Ngā tohu ka pā ki a koe i mua, i te wā o te paheketanga, me muri i tō paheketanga.

He aha ngā pātai nui hei pātai atu ki te tākuta?

• "Me manukanuka rānei ahau kei koretake te paheketanga o taku paheketanga?"
• "Ka pāngia rānei ahau e te koretake o taku paheketanga ki te whānau tamariki?"
• "Ki te hiahia ahau ki te whāngai i tētahi tamaiti, he aha ngā kōwhiringa maimoatanga kei a au?"
• "Me tango e au te rongoā homoni mō te wā roa hei whakahaere i te oligomenorrhea?"

Pātaihia ēnei pātai, ā, whakamāramahia ō feaa.

He pānga tō te oligomenorrhea ki te momonatanga? (Kāore e taea te whānau tamariki)

Ae, ko te oligomenorrhea he tohu pea nō tētahi mate e pā ana ki te momonatanga, pērā i te PCOS. Ka taea hoki e ngā kore taurite o ngā homoni e hua ai te paheketanga koretake te whakauaua i a koe ki te hapu.

He rite tonu te PCOS me te oligomenorrhea?

Kāo. Heoi, he maha ngā wā ka puta tahi te PCOS me te kore auau o te paheketanga. He tohu pea te oligomenorrhea o te PCOS.

Hei whakamutunga, me kī atu tēnei e au ki a koe...

Ki te kore tō paheketanga e taupatupatu, kaua e mataku. He maha ngā take e kore ai tō huringa paheketanga e taupatupatu, ko te nuinga o ēnei kāore he kino. Heoi, ki te mea kua roa koe e ngaro ana i tō paheketanga, me toro atu koe ki te tākuta. Kia aro atu hoki ki ētahi atu tohu, pēnei i te nui o te toto e pā ana ki a koe, mēnā he mamae tō puku, he rere rerekē rānei o te tara. Kōrerohia ēnei mōhiohio katoa ki tō tākuta. Ka taea e ia te tohu i te take o tō paheketanga kore taupatupatu, me te hoatu i te maimoatanga e hiahiatia ana e koe. He mea nui tō hauora ki a koe, nō reira he mea nui kia aro atu koe ki ēnei mea.

` Oligomenorrhea, paheketanga o ia marama, paheketanga tōmuri, paheketanga koretake, homoni, PCOS, hauora wahine