Kodi msambo wanu wa mwezi watha? Mwina chifukwa chake ndi Hypothalamic Amenorrhea!

Kodi mukukumbukira kuti kusamba kwanu kwa mwezi uliwonse, kapena kusamba, kunkabwera pa nthawi yake. Koma kodi kwatha kwa miyezi ingapo tsopano? Kapena kwakhala kosakhazikika? Ngakhale kuti nthawi zina sitisamala kwambiri zinthuzi, ichi ndi chinthu chomwe tiyenera kuda nkhawa nacho. Lero tikambirana za chifukwa chimodzi chomwe chimakhudza kutha kwa kusamba. Ndicho hypothalamic amenorrhea, kapena monga momwe madokotala amachitcha `(Functional Hypothalamic Amenorrhea - FHA)`.

Kodi Hypothalamic Amenorrhea ndi chiyani?

Mwachidule, hypothalamic amenorrhea ndi pamene nthawi yanu ya mwezi imasiya chifukwa cha vuto la kugwira ntchito kwa gawo la ubongo wanu lotchedwa hypothalamus . Tsopano mwina mukudabwa kuti hypothalamus ndi chiyani, sichoncho? Ganizirani thupi lanu lonse ngati kampani yayikulu. Hypothalamus ili ngati malo olamulira akuluakulu a kampani imeneyo. Imalamulira zinthu zambiri monga kutentha kwa thupi, njala, ndi ludzu. Imawongoleranso njira zina zofunika zokhudzana ndi njira yathu yoberekera. Makamaka, kuti msambo uchitike, hypothalamus imafunika kutulutsa mahomoni otchedwa gonadotropin-releasing hormone (GnRH) . Homoni iyi ya `(GnRH)`, pamodzi ndi mahomoni a `Follicle-stimulating hormone (FSH)` ndi `Luteinizing hormone (LH) ,` ndi `Estrogen`, zimathandiza kuti msambo wanu uziyenda bwino. Chifukwa chake, ngati pazifukwa zina hypothalamus yanu yasiya kupanga hormone iyi ya `(GnRH)` kapena kuichepetsa, kuchuluka kwa mahomoni enawo kudzatayikanso. Pamenepo ndi pomwe nthawi yanu ya mwezi uliwonse idzayamba kusakhazikika kapena kuyimitsa konse.

Kodi Amenorrhea ndi chiyani?

Amenorrhea ndi kusakhalapo kwa msambo wanu pamwezi. Pali mitundu iwiri ikuluikulu ya izi: 1. Amenorrhea yoyamba: Izi zikutanthauza kuti simunayambe kusamba muli ndi zaka 16, kapena zaka zisanu mutakwanitsa msinkhu. 2. Amenorrhea yachiwiri: Izi zikutanthauza kuti mwakhala mukusamba mwezi uliwonse nthawi zonse, koma mwadzidzidzi siyani kusamba kwa miyezi yoposa itatu. Amenorrhea ya hypothalamic, yomwe tikulankhula lero, ndi mtundu wa amenorrhea yachiwiri. Amenorrhea ya hypothalamic imakhudza akazi pafupifupi 1.62 miliyoni azaka zapakati pa 18 ndi 44 ku United States kokha. Mukayang'ana padziko lonse lapansi, chiwerengerochi ndi pafupifupi 17.4 miliyoni. Izi zikutanthauza kuti ichi si chinthu chomwe chinganyalanyazidwe.

N’chifukwa chiyani hypothalamic amenorrhea imachitika? Kodi zimayambitsa chiyani?

Ganizirani za hypothalamus yanu ngati malo olamulira omwe amagwira ntchito pakagwa ngozi. Imalandira mauthenga ochokera ku thupi, akuti, "O, thupi ili lili pansi pa kupsinjika kwakukulu, kupsinjika kwakukulu." Pamene ikumva zimenezo, hypothalamus imaganiza kuti, "Chabwino, tiyeni tisiye ntchito ina kwakanthawi. Chifukwa chinthu chofunikira kwambiri pa thupi pakali pano ndikukhala ndi moyo." Pamenepo ndiye pamene imasiya kupanga hormone ya `(GnRH)`. Ndiye, ndi zifukwa ziti zomwe hypothalamus iyi ingamve ngati "yopsinjika"?

• Kusadya mokwanira kapena kuchepetsa chakudya: Anthu ena amaletsa kudya chifukwa chofuna kukhala ochepa thupi kapena chifukwa cha mafashoni ena. Izi zikachitika, thupi silipeza mphamvu zomwe limafunikira.
• Kusowa zakudya: Ngati simudya zakudya zokwanira, thupi lanu silikhala ndi michere ndi mavitamini omwe limafunikira. Sikokwanira kungodya chakudya chodzaza m'mimba mwanu.
• Kuchita masewera olimbitsa thupi mopitirira muyeso: Kuchita masewera olimbitsa thupi n'kothandiza thupi. Komabe, anthu ena amachita masewera olimbitsa thupi mopitirira muyeso, mpaka kufika pokhala otanganidwa kwambiri. Mwachitsanzo, kukhala ku gym tsiku lonse, kapena anthu ngati othamanga omwe amachita masewera olimbitsa thupi mopitirira muyeso.
• Kupsinjika maganizo kapena maganizo kwambiri: Izi ndi zomwe zimakhudza anthu ambiri. Kupsinjika maganizo komwe kumachitika chifukwa cha mavuto a kunyumba, mavuto kuntchito, mayeso, ndi mavuto muubwenzi wachikondi kungakhudze hypothalamus.
• Mafuta ochepa kwambiri m'thupi: Mafuta enaake amafunika kuti mahomoni agwire ntchito. Matendawa amathanso kuchitika ngati ali ochepa kwambiri.
• Matenda a kudya: Mwachitsanzo, matenda monga Anorexia Nervosa amadziwika ndi mantha odya komanso malingaliro oipa okhudza chakudya.

Kawirikawiri, chimodzi kapena ziwiri mwa zinthuzi zimakumana kuti zibweretse vuto la `(FHA)`. Tangoganizirani, ngati wina sakudya bwino komanso sakuchita masewera olimbitsa thupi mopitirira muyeso, ndiye kuti hypothalamus imaganiza kuti thupi lili mu "mode yopulumuka", kutanthauza kuti, likumenyana kuti lipulumuke. Kenako, limagwiritsa ntchito mphamvu pazinthu zofunika kwambiri monga kupuma ndi kugunda kwa mtima, ndipo limaletsa zinthu zina "zosafunikira pakadali pano" monga kubereka. Monga tanenera kale, hormone `(GnRH)` ndiyo imauza thupi kuti lipange mahomoni `(FSH)` ndi `(LH)`. Mahomoni awiriwa `(FSH)` ndi `(LH)` ndi omwe amachititsa kuti dzira lituluke m'chiberekero chanu mwezi uliwonse, chomwe chimatchedwa `ovulation`.Zimathandiza kukhala choncho. Choncho pamene kuchuluka kwa `(FSH)` ndi `(LH)` kumachepa, ovulation ndi kusamba zonse zimasiya. Nthawi zambiri timaganiza kuti izi zimachitika kwa othamanga ndi osewera Olimpiki okha. Chifukwa kuchuluka kwa zochita zawo kumakhala kwakukulu. Koma, kwenikweni, vutoli lingachitike kwa atsikana achichepere, kapena aliyense amene ali ndi nkhawa chifukwa cha mavuto a tsiku ndi tsiku kuntchito kapena kunyumba.

Kodi zizindikiro za hypothalamic amenorrhea ndi ziti?

Chizindikiro chachikulu komanso chodziwika bwino cha vutoli ndichakuti simukhala ndi msambo pamwezi kwa miyezi itatu kapena kuposerapo. Komabe, zizindikiro zina zingawonekere chifukwa cha kusakhazikika kwa mahomoni. Izi zikuphatikizapo:

• Kuvutika maganizo ndi nkhawa : Kumva chisoni, mantha, komanso nkhawa zimatha kuchitika.
• Kusowa tulo kapena mavuto ogona: Mungapeze kuti mukugwedezeka usiku, osagona bwino.
• Kusowa mphamvu zakuthupi (ulesi): Kumva ngati wopanda moyo komanso wosafuna kuchita chilichonse.
• Kumva njala pafupipafupi: Anthu ena angamve njala kwambiri kuposa masiku onse panthawiyi.
• Kuuma kwa nyini : Izi zitha kuchitikanso chifukwa cha kuchepa kwa mahomoni a estrogen.
• Chilakolako chochepa chogonana:
• Kutaya tsitsi :
• Mutu :

Kumbukirani, kukhala ndi chimodzi kapena ziwiri mwa zizindikirozi sizikutanthauza kuti muli ndi hypothalamic amenorrhea. Komabe, ngati msambo wanu wasiya ndipo muli ndi zizindikiro zina ngati izi, ndi bwino kupita kwa dokotala.

Kodi PCOS ingayambitse hypothalamic amenorrhea?

Matenda a Polycystic ovary syndrome (PCOS) angayambitsenso kusamba kosakhazikika kapena kuletsa kwathunthu kwa ovulation mwa akazi. Komabe, PCOS si chifukwa chachindunji cha hypothalamic amenorrhea. FHA ndi vuto lomwe msambo umatha chifukwa cha vuto mu hypothalamus. PCOS imayamba chifukwa cha kusintha kwa mahomoni m'mazira.

Kodi madokotala amazindikira bwanji hypothalamic amenorrhea?

Dokotala angaganize kuti hypothalamic amenorrhea imapezeka atachotsa zifukwa zina zonse zomwe zimayambitsa kusakhazikika kwa msambo. Mwachitsanzo:

• Ndikuyang'ana ngati muli ndi pakati.
• Amafufuza ngati pali vuto lililonse ndi chithokomiro kapena adrenal gland.

Zinthu izi zidzayang'aniridwa kaye. Kuphatikiza apo, dokotala wanu adzachitanso izi:

• Mbiri yanu yonse ya matenda idzafunsidwa: zinthu monga matenda anu akale, mankhwala omwe mumamwa, komanso ngati pali wina aliyense m'banja mwanu amene wakhala ndi mavuto ofanana.
• Kuyezetsa thupi ndi chiuno kudzachitika.
• Mayeso osiyanasiyana amalamulidwanso. Mayeso akuluakulu ndi awa:
• Kuyezetsa magazi: Izi zimayang'ana kuchuluka kwa mahomoni omwe amakhudza kusamba, monga estrogen , prolactin , follicle-stimulating hormone (FSH) , ndi luteinizing hormone (LH) .
• Kuchuluka kwa magazi (CBC): Izi zimakupatsani lingaliro la mitundu ya maselo m'magazi.
• Mayeso a mimba:
• Nthawi zina mungapemphedwenso kuti mujambule MRI ya pituitary gland, chifukwa pituitary gland imagwiranso ntchito polamulira mahomoni.

Kodi mankhwala ochizira izi ndi otani?

Nkhani yabwino ndi yakuti pali mankhwala a hypothalamic amenorrhea! Madokotala makamaka amalimbikitsa kusintha moyo . Izi zikuphatikizapo:

• Kuchepetsa kuchita masewera olimbitsa thupi mopitirira muyeso: Ngati mumachita masewera olimbitsa thupi kwambiri, mungafunike kuchepetsa pang'ono.
• Kunenepa (ngati kuli kofunikira): Ngati muli ndi thupi lochepa, ndi bwino kuti munenepe pang'ono m'njira yoyenera.
• Kupeza njira zochepetsera kupsinjika maganizo: Mungayesere kuchepetsa kupsinjika maganizo pogwiritsa ntchito zinthu monga yoga, kusinkhasinkha, ndi zosangalatsa zotonthoza.

Dokotala wanu angakutumizireninso kwa katswiri wazakudya . Izi zikuthandizani kumvetsetsa bwino zakudya zomwe thupi lanu limafunikira, kuchuluka kwa ma calories omwe muyenera kudya tsiku lililonse, komanso momwe mungasungire index ya body mass index (BMI) yathanzi kutengera kuchuluka kwa zochita zanu. Anthu ena amapindulanso ndi upangiri wa zaumoyo wamaganizo , monga cognitive behavioral therapy (CBT) . Izi zimathandiza makamaka kwa anthu omwe ali ndi vuto la kudya kapena omwe sakufuna kuvomereza kuti ali nalo. Zingakuthandizeninso kuphunzira njira zothanirana ndi nkhawa. Nthawi zina, dokotala wanu angakupatseninso mankhwala a mahomoni, mapiritsi oletsa kubereka, kapena mankhwala ena omwe angakuthandizeni kuyamba msambo.

Kodi chithandizo chimatenga nthawi yayitali bwanji?

Izi zitha kusiyana malinga ndi munthu. Zimatengera zinthu monga zaka zanu, kulemera kwanu, kuchuluka kwa zochita zanu, komanso majini anu. Koma nthawi zambiri, zimatenga miyezi itatu kapena isanu ndi umodzi kuti mulandire chithandizo chokhazikika musanayambenso msambo.

Kodi hypothalamic amenorrhea ingapewedwe?

Inde, ndithudi! Chofunika kwambiri ndi kupewa zifukwa zazikulu zomwe zimayambitsa vutoli.

• Idyani molingana ndi kuchuluka kwa zochita zanu.
• Musachepetse ma calories popanda chifukwa.
• Pezani njira zochepetsera ndi kulamulira kupsinjika maganizo.
• Chepetsani kuchita masewera olimbitsa thupi mopitirira muyeso komanso mosapiririka.

Mwachidule, mvetserani thupi lanu. Lipatseni mpumulo, zakudya, komanso thanzi labwino la maganizo lomwe likufunikira.

Kodi vutoli limakhudza bwanji thupi langa?

Sikuti kungokhala kutaya nthawi yanu ya mwezi uliwonse, komanso kungayambitse mavuto a nthawi yochepa komanso a nthawi yayitali. Nazi zina mwa zotsatira zomwe kuphonya nthawi yanu ya mwezi kungayambitse pa thanzi lanu:

• Kusabereka: Ngati msambo sukuyenda bwino ndipo ovulation sikuchitika, zimakhala zovuta kutenga pakati.
• Kuwonongeka kwa thanzi la mafupa: Izi zingayambitse matenda ochepetsa mafupa monga osteoporosis , chifukwa mahomoni a estrogen ndi ofunikira kwambiri pakulimbitsa mafupa.
• Kuwonjezeka kwa chiopsezo cha matenda a mtima.
• Mavuto a khungu ndi tsitsi: Zinthu monga kutayika kwa tsitsi, ziphuphu.

Kodi ndizotheka kutenga mimba ndi hypothalamic amenorrhea?

Mwayi wanu woti mutenge mimba muli mu vutoli ndi wochepa kwambiri. Izi zili choncho chifukwa nthawi zambiri ovulation sichitika chifukwa cha kusintha kwa nthawi yanu ya msambo. Komabe, ovulation nthawi zina imachitika. N'kovutanso kunena nthawi yeniyeni yomwe nthawi yanu ya msambo idzabwerere mwakale. Kumbukirani, mutha kutulutsa ovulation ndikutenga mimba musanayambe msambo wanu woyamba. Chifukwa chake, ngati mukuchita zogonana ndipo simukufuna kutenga mimba, ndikofunikira kwambiri kulankhula ndi dokotala wanu za njira zolerera.

Kodi mavuto omwe angakhalepo chifukwa cha vutoli ndi ati?

Hypothalamic amenorrhea ingayambitse kuchepa kwa estrogen m'thupi. Estrogen ndi homoni yofunika kwambiri m'thupi lathu. Ntchito imodzi ya estrogen ndikusunga mafupa athanzi komanso olimba. Popanda estrogen, akazi amakhala pachiwopsezo chachikulu cha matenda a osteoporosis ndi matenda a mtima. Estrogen imathandizanso kusunga malingaliro anu. Pamene estrogen ili yochepa, zizindikiro monga kupsinjika maganizo ndi nkhawa zimatha kuchitika.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati simunakhale ndi msambo kwa miyezi itatu, pitani kwa dokotala. Ngakhale simukufuna kutenga pakati, kusasamba kosakhazikika kungakhale chizindikiro cha mavuto ena. Ndipo kungayambitse mavuto a nthawi yayitali.

Hypothalamic amenorrhea ndi chimodzi mwa zifukwa zomwe zingalepheretse kusamba kwanu. Ngakhale sizingawoneke ngati nkhani yaikulu, kusamba kosasinthasintha kungakhale chizindikiro cha mavuto ena azaumoyo. Chifukwa chake, ngati simunakhale ndi msambo kwa miyezi itatu kapena kuposerapo, lankhulani ndi dokotala wanu. Iye akhoza kuchita mayeso kuti adziwe chifukwa chake simukusamba, ndikukupatsani chithandizo chomwe mukufuna kuti muyambenso kusamba kwanu.

Mwachidule, tiyeni tikumbukire (Uthenga Wopita Nawo Kunyumba)

Wokondedwa, ndikukhulupirira kuti tsopano mwamvetsa bwino za vuto lotchedwa hypothalamic amenorrhea lomwe takambirana lero. Zinthu zofunika kwambiri kukumbukira ndi izi:

• Ngati msambo wanu watha kwa miyezi yoposa itatu, musaunyalanyaze. Onetsetsani kuti mwapeza upangiri wa dokotala.
• Zomwe zimayambitsa hypothalamic amenorrhea ndi kupsinjika maganizo kwambiri, kudya zakudya zosakwanira, komanso kuchita masewera olimbitsa thupi mopitirira muyeso.
• Pali mankhwala a vutoli. Chithandizo chachikulu ndi kusintha moyo wabwino .
• Kuchepa kwa estrogen kungayambitse zotsatirapo za nthawi yayitali monga kufooka kwa mafupa komanso chiopsezo chowonjezeka cha matenda a mtima .
• Simuli nokha. Pali anthu ambiri omwe ali ndi mavuto ofanana. Ndi upangiri woyenera wachipatala ndi chithandizo, vutoli lingathe kuthetsedwa.

Ndikofunikira kwambiri kusamalira thanzi lanu. Chifukwa chake, ngati muli ndi kukayikira kapena mavuto, musaope kulankhula ndi dokotala. Ndikufunirani thanzi labwino!