Kodi mazira anu asiya kugwira ntchito msanga kuposa momwe mumayembekezera? Tiyeni tiphunzire za Primary Ovarian Insufficiency (POI)!

Kodi msambo wanu wa mwezi wayamba kusakhazikika mwadzidzidzi? Kapena wasiya mwadzidzidzi ndipo sukuyambanso? ​​Mwina mukuyamba kuona zizindikiro za kusamba musanafike zaka 40? Zinthu ngati izi zingakupangitseni kukhala ndi mantha komanso nkhawa. Koma musadandaule. Lero tikambirana za chifukwa chimodzi chomwe chingayambitse vutoli. Ichi ndi kusakwanira kwa mazira, kapena monga momwe timatchulira mwachidule , POI (Kusakwanira kwa mazira) .

Kodi Kulephera Kwambiri kwa Ovarian (POI) ndi Chiyani?

Mwachidule, POI (Primary Ovarian Insufficiency) ndi pamene mazira anu amasiya kugwira ntchito bwino asanakwanitse zaka 40. Monga mukudziwa, mazira a mtsikana ndi tinthu tating'onoting'ono timene timapezeka mbali zonse ziwiri za chiberekero. Izi ndi ziwalo zomwe zimatulutsa dzira mwezi uliwonse, zomwe timazitcha ovulation. Kuphatikiza apo, mazira awa amapanganso mahomoni omwe ndi ofunikira pazinthu zambiri zofunika monga kusamba ndi mimba.

Kawirikawiri, dzira la mkazi limasiya kutuluka, kapena kusamba, ali ndi zaka 51. Komabe, anthu ena omwe ali ndi POI mwadzidzidzi amasiya kusamba. Kwa ena, POI imapezeka patatha miyezi kapena zaka zambiri akusamba mosasamala.

Vutoli linkatchedwa "Kulephera kwa Ovarian Premature." Koma tsopano madokotala amakonda kugwiritsa ntchito mawu oti "Insufficiency." Izi zili choncho chifukwa kafukufuku wapeza kuti akazi omwe ali ndi POI nthawi zina amakhala ndi mazira omwe amagwira ntchito, zomwe zikutanthauza kuti amatha kutulutsa mazira nthawi zina. Izi zikutanthauza kuti ngakhale munthu amene ali ndi POI nthawi zina amatha kutulutsa dzira ndikutenga mimba! Ndipotu, pakati pa 5% ndi 10% ya anthu omwe ali ndi POI amatenga mimba okha popanda chithandizo chilichonse choletsa kubereka. Ichi ndichifukwa chake POI imatchedwanso "Decreased Ovarian Reserve."

Kodi vutoli ndi lofala bwanji?

Matenda a POI ndi vuto losowa kwambiri . Limakhudza pafupifupi 1% ya akazi azaka zapakati pa 15 ndi 44. Lingakhudze onse omwe ali ndi ana komanso omwe sanakhalepo ndi ana. Komabe, limapezeka kwambiri mwa akazi azaka zopitirira 30.

Kodi POI imakhudza bwanji thupi lanu?

Kusakwanira kwa Ovarian kumayambitsa thupi lanu kukhala ndi hormone yochepa ya estrogen . Pamene estrogen imatsika, mungakumane ndi zizindikiro zofanana ndi za kusamba. Mwachitsanzo, mungakumane ndi kutentha thupi, chilakolako chogonana chichepa, komanso kusintha kwa maganizo. Zingawonjezerenso chiopsezo chanu chokhala ndi matenda ena, monga kufooka kwa mafupa ndi matenda a mtima.

Azimayi ambiri omwe ali ndi vuto la POI amavutika kukhala ndi ana, zomwe zikutanthauza kuti alibe ana.Zitha kuchitika. Komabe, dokotala wanu angakuthandizeni kutenga pakati. Pali njira zochizira izi, monga mazira a donor , in vitro fertilization (IVF) , kapena mankhwala oletsa kubereka.

Kodi zifukwa za POI ndi ziti?

Nthawi zambiri, madokotala sadziwa chomwe chimayambitsa POI . Izi zimatchedwa idiopathic POI . Komabe, kafukufuku wasonyeza kuti pafupifupi gawo limodzi mwa magawo atatu a milandu, pakhoza kukhala kulumikizana kwa majini.

Zina mwa zifukwa zomwe zingayambitse POI ndi izi:

• Matenda a Autoimmune: Mwachitsanzo, matenda a Addison, nyamakazi, kapena matenda a chithokomiro. Mu matenda amenewa, chitetezo chathu chamthupi chimaukira ziwalo zathu. Izi zitha kuwononga mazira.
• Mankhwala a khansa: Mankhwala monga chemotherapy ndi radiation amatha kuwononga mazira.
• Matenda a majini: Mwachitsanzo, Turner syndrome - yomwe imayamba chifukwa cha vuto la chimodzi mwa ma chromosome awiri a X a mkazi. Ndi Fragile X syndrome - yomwe imayamba chifukwa cha kusintha kwa jini yotchedwa FMR1.
• Kuchotsa mimba: Nthawi zina, chiberekero chikachotsedwa, magazi opita ku mazira amatha kutsekedwa, zomwe zingachepetse ntchito yawo. Komabe, ngati chiberekero chokha chachotsedwa ndipo mazira atsala, nthawi zambiri POI sichitika.
• Matenda: Matenda monga nthenda ya mumps ndi HIV amathanso kuwononga mazira. Izi zikuganiziridwa kuti zimachitika chifukwa chakuti ma antibodies opangidwa motsutsana ndi matendawa amaukira mazira.
• Kukumana ndi mankhwala oopsa kwa nthawi yayitali: Kukumana ndi mankhwala ophera tizilombo, utsi wa ndudu, ndi poizoni wina kwa nthawi yayitali kungakhalenso chifukwa.

Kodi zizindikiro za POI ndi ziti?

Chizindikiro chodziwika bwino cha POI ndi kutha kwa msambo kosakhazikika kapena kutha kwathunthu . Komabe, akazi ena sangakumane ndi zizindikiro zazikulu ngakhale atakhala ndi POI.

Zizindikiro zina zingaphatikizepo:

• Kusamba kosakhazikika kapena kuleka kwa nthawi yosamba.
• Mavuto otenga mimba.
• Kuchepa kwa chilakolako chogonana.
• Kuvuta kuyika maganizo pa chinthu.
• Mkwiyo ndi kukwiya pafupipafupi.
• Maso ouma.
• Kutentha thupi ndi thukuta usiku.
• Kuuma kwa nyini.
• Kugonana kowawa chifukwa cha kuuma kwa nyini.

Tangoganizirani, muli ndi mnzanu amene wakhala msambo kwa miyezi ingapo. Sagona usiku, amatuluka thukuta, ndipo amakwiya ndi zinthu zazing'ono. Angakane izi, nati, "Ziyenera kuti ndi nkhawa." Koma izi zitha kukhalanso zizindikiro za POI.

Kodi mungazindikire bwanji POI?

Ngati muli ndi zizindikiro izi, muyenera kuonana ndi dokotala. Dokotalayo adzakuyezani thupi , adzakuyezani m'chiuno, komanso adzakudziwitsani mbiri ya matenda anu. Dokotala wanu adzakufunsaninso za nthawi yanu ya msambo, ngati munali ndi pakati kale, komanso ngati mukugwiritsa ntchito njira zolerera. Izi zingathandize dokotala wanu kuzindikira matenda a POI.

Kenako, dokotala wanu mwina adzalamula kuti muyese magazi angapo kuti muyeze kuchuluka kwa mahomoni ena m'thupi lanu. Izi zikuphatikizapo kuwona kuchuluka kwa mahomoni a Follicle Stimulating Hormone (FSH) , Estrogen, ndi Prolactin .

Mayeso ena omwe dokotala angagwiritse ntchito ndi awa:

• Kuyeza karyotype ndi kuyesa magazi kuti aone ngati pali matenda a majini.
• Kuyeza kwa ultrasound m'chiuno ndi njira yowunikira mazira ndi chiberekero.
• Kuyesa mimba .
• Kuyesa kwa ma antibodies kuti aone ngati ali ndi matenda a autoimmune.

Madokotala amazindikira matenda a POI ngati muli ndi zaka zosakwana 40 ndipo:

• Ngati simukuchita msambo pamwezi kapena ngati msambo wanu ndi wosakhazikika.
• Kuyezetsa magazi kumasonyeza kuti kuchuluka kwa mahomoni anu kuli pamlingo wa mkazi amene wasiya kusamba.

Kodi POI imachiritsidwa bwanji?

Pali njira zingapo zochizira matenda a POI. Zimatengera zaka zanu, zizindikiro zanu, komanso ngati mukufuna kukhala ndi ana . Mankhwala ochizira matenda oyamba a ovary ndi awa:

• Kupatsa thupi lanu mahomoni omwe mazira anu sakupanganso.
• Kuchiza zizindikiro za POI (monga thukuta la usiku, kuuma kwa nyini).
• Kuchepetsa chiopsezo cha matenda ena omwe angayambitsidwe ndi POI.
• Kuchiza matenda omwe amayambitsa zizindikiro za POI.

Chithandizo Chosintha Mahomoni (HRT)

Mankhwala obwezeretsa mahomoni (HRT) amalowa m'malo mwa mahomoni omwe mazira anu sakupanga. Izi zitha kuchitika mwa kukupatsani estrogen yokha kapena kukupatsani estrogen ndi progesterone zonse ziwiri.Chithandizo cha mahomoni chingathandize kuchepetsa zizindikiro za POI, monga thukuta usiku ndi kuuma kwa nyini. Chingathandizenso kuchepetsa chiopsezo chanu cha osteoporosis ndi matenda ena omwe angachitike ndi POI. Dokotala wanu angakupatseni chithandizo cha mahomoni m'njira zosiyanasiyana, monga mapiritsi, mafuta odzola, ma gels, ma patches, kapena mphete za nyini.

Ngati muyamba kugwiritsa ntchito HRT, muyenera kumwa mankhwala mpaka zaka zomwe nthawi zambiri mumayamba kusamba mwachibadwa (zaka zapakati pa 51 ndi 52). Muyenera kukambirana za ubwino ndi kuipa kwa HRT ndi dokotala wanu ndikusankha ngati ndi yoyenera kwa inu.

Kuwonjezera pa HRT, mankhwala ena ndi awa:

• Kumwa mapiritsi a calcium ndi vitamini D kuti muchepetse chiopsezo cha mafupa ofooka.
• Chitani masewera olimbitsa thupi nthawi zonse, kwezani zolemera (kuti mafupa anu akhale ndi thanzi labwino), ndipo pitirizani kukhala ndi kulemera kwabwino.
• Ngati mukufuna kuyamba banja ndikukhala ndi ana, ndikofunikira kufufuza njira zina zochiritsira kusabereka .

Ngati simukukonzekera kutenga mimba, musaiwale kulankhula ndi dokotala wanu za njira zolerera.

Kodi izi zingatheke? Kodi mazira a m'mimba ayambanso kugwira ntchito?

Ayi, Kulephera Kwambiri kwa Ovarian sikungatheke. Madokotala amatha kuchiza zizindikiro, zotsatirapo zake, ndi matenda ena okhudzana nazo, koma sangachiritsidwe kwathunthu.

Pafupifupi 25% ya akazi omwe ali ndi POI amatha kutulutsa mazira kamodzi kokha atapezeka kuti ali ndi matendawa . Komabe, pakadali pano palibe chithandizo chomwe chingapangitse mazira anu kuyambanso kugwira ntchito. Chithandizo cha POI chimayang'ana kwambiri pakuchepetsa zizindikiro ndikuchepetsa chiopsezo cha mavuto ena azaumoyo omwe angabwere chifukwa cha POI.

Kodi POI ingapewedwe?

Kulephera Kwambiri kwa Ovarian Nthawi zambiri sikungatheke kupewedwa. Komabe, akazi omwe ali pachiwopsezo chachikulu chokhala ndi POI angafune kuganizira zosunga chonde ngati akukonzekera kukhala ndi ana. Ngati mukuda nkhawa ndi POI, lankhulani ndi dokotala wanu.

Ndani amene ali pachiwopsezo chachikulu cha izi?

Anthu otsatirawa ali pachiwopsezo chachikulu chotenga matenda a Primary Ovarian Insufficiency:

• Kwa iwo omwe ali ndi zaka zoposa 35 .
• Makolo enieni kwa iwo omwe ali ndi POI.
• Kwa iwo omwe ali ndi matenda a autoimmune kapena matenda enaake a majini.
• Anthu omwe adachitidwa opaleshoni ya m'chiuno, chemotherapy, kapena radiation therapy.

Kodi moyo udzakhala bwanji ndi POI? (Zomwe zidzachitike)

Kulephera kwa Ovarian koyamba nthawi zambiri kumakhala vuto losatha.Azimayi ambiri omwe ali ndi vutoli amafunika kumwa mankhwala a mahomoni kwa nthawi yayitali kuti athetse zizindikiro ndikuchepetsa chiopsezo cha zovuta.

Kuvutika maganizo nthawi zambiri kumakupangitsani kumva chisoni, kusungulumwa, komanso ngati kuti mwataya chinachake. Kumva kumeneku kungakhale kwakukulu makamaka ngati mukuyesetsabe kutenga mimba. Pali magulu othandizira ndi maupangiri othandizira kuti akuthandizeni panthawiyi. Ndi thandizoli, mutha kuthana ndi malingaliro anu ndikupeza njira zothetsera vutoli.

Ndi mavuto ena ati azaumoyo omwe angayambitsidwe ndi POI?

Azimayi omwe ali ndi vuto la POI amakhala ndi estrogen yochepa. Ngati estrogen ili yochepa, mumakhalanso pachiwopsezo cha mavuto ena azaumoyo. Ena mwa mavutowa ndi awa:

• Matenda a mafupa
• Matenda a mtima
• Hypothyroidism (Chithokomiro chosagwira ntchito bwino)
• Kusabereka
• Nkhawa ndi Kuvutika Maganizo

Kodi muyenera kupita kwa dokotala liti?

Ngati simunakhale ndi msambo kwa miyezi itatu, pitani kwa dokotala nthawi yomweyo. Pali zifukwa zambiri zomwe zingachititse kuti msambo wanu usiye, kuphatikizapo mimba, nkhawa, kapena kusintha kwa mahomoni. Dokotala wanu angakuthandizeni kudziwa chomwe chikuchititsa kuti msambo wanu usiye.

Kodi muyenera kufunsa dokotala chiyani?

Ngati muli ndi vuto lalikulu la ovarian insufficiency, mungafune kufunsa dokotala wanu mafunso monga awa:

• Kodi Kulephera kwa Ovarian Yoyamba Kumakhudza Bwanji Thanzi Langa Lonse?
• Kodi ndifunika chithandizo chobwezeretsa mahomoni (HRT)? Kwa nthawi yayitali bwanji?
• Kodi ndikufunika njira zolerera?
• Kodi ndingapeze kuti thandizo la maganizo ndi uphungu?
• Kodi njira yabwino kwambiri yopezera mwana ndi iti?

Kodi kusiyana kotani pakati pa POI ndi Kulephera kwa Ovarian Premature / Menopause Premature?

Madokotala angagwiritse ntchito mawuwa mosiyanasiyana pofotokoza za kusamba asanakwanitse zaka 40. Kusamba msanga ndi nthawi imene kusamba kumasiya musanakwanitse zaka 40 ndipo simungathe kutenganso mimba. Mu POI, mazira nthawi zina amatha kusiya kugwira ntchito kwakanthawi, kotero ndizosiyana pang'ono.

Kodi mungatenge mimba ndi POI?

Inde, pali mwayi woti mayi amene ali ndi vuto la POI akhoza kutenga mimba. Ngati muli ndi vuto la POI ndipo mukufuna kutenga mimba, dokotala wanu wobereka angakulangizeni zomwe mungachite. Komanso, ngati simukufuna kutenga mimba, lankhulani ndi dokotala wanu za njira zopewera kutenga mimba.

Pomaliza, zomwe muyenera kukumbukira

Kulephera Kwambiri kwa Ovarian (POI) ndi vuto lomwe mazira anu amasiya kugwira ntchito asanakwanitse zaka 40. Izi zingayambitse zizindikiro zosasangalatsa ndikuwonjezera chiopsezo cha matenda monga osteoporosis kapena matenda a mtima.

Ndizachibadwa kumva chisoni komanso nkhawa mukazindikira kuti muli ndi matenda a POI. Makamaka ngati mukuyembekezera kukhala ndi mwana. Koma ndi chithandizo choyenera komanso chithandizo, mutha kupitiriza kukhala ndi moyo wathanzi. Lankhulani ndi dokotala wanu za nkhawa zanu. Pezani thandizo kwa mnzanu, banja lanu, ndi anzanu kuti akuthandizeni kuthana ndi vutoli. Kumbukirani, simuli nokha.

Kusagwira bwino ntchito kwa mazira , kusakwanira kwa mazira, kusabereka msanga, kusamba msanga, thanzi la akazi, kusalinganika kwa mahomoni, kusabereka