Wanga usiri kuenda kumwedzi kwemwedzi yakawanda here? Kana kuti zvakamira kamwe kamwe here? Kana izvi zvikaitika kwauri wava nemakore ekuma30, zvakajairika kuti unzwe kutya uye kunetseka. Vanhu vazhinji vanofunga kuti uku kuenda kumwedzi. Asi kana zvikaitika usati wasvika makore makumi mana, zvinogona kunge zvichikonzerwa nechirwere chinonzi 'premature ovarian failure'. Ngationei kuti chii ichi, nei chikaitika, uye zvaunogona kuita nezvazvo.
Zvichitaurwa zviri nyore, chii chinonzi Primary Ovarian Insufficiency (POI)?
Ngatinzwisisei izvi zviri nyore. Mukadzi wese ane mazamu maviri. Aya ari kudivi rega rega rechibereko. Mazamu aya ane mabasa maviri makuru. Rimwe nderekuburitsa zai mwedzi wega wega. Rimwe nderekugadzira mahormone akakosha mumuviri wechikadzi, kunyanya estrogen neprogesterone .
Kazhinji, mazai emukadzi anomira kushanda zvishoma nezvishoma uye kuenda kumwedzi kunomira zvachose pazera remakore makumi mashanu nerimwe. Izvi tinozvidaidza kuti kuenda kumwedzi .
Zvisinei, muchirwere chinonzi Primary Ovarian Insufficiency (POI) , kushanda kwemaovari aya kunodzikira kare kupfuura zvakajairwa, kureva kuti, vasati vasvika makore makumi mana. Kune vamwe vanhu, izvi zvinogona kuitika kamwe kamwe. Izvi zvinoreva kuti kuenda kumwedzi kunomira kamwe kamwe. Kune vamwe, chirwere ichi chinoonekwa mushure mekunge kuenda kumwedzi kwave kusina kurongeka kwemwedzi yakati wandei, dzimwe nguva kunyange makore.
Kunyangwe chirwere ichi chaimbonzi "Premature Ovarian Failure," vanachiremba vava kuda kushandisa izwi rekuti "Insufficiency." Izvi zvinodaro nekuti maovari evakadzi vane chirwere ichi haana "kukundikana zvachose." Haashande zvakanaka. Saka, dzimwe nguva zai rinogona kuburitswa kamwe kamwe. Izvi zvinoreva kuti kunyangwe paine chirwere ichi, pachine mukana mudiki wekubata pamuviri nenzira yechisikigo .
Sei izvi zvichiitika? Ndezvipi zvinhu zvinokanganisa POI?
Muzviitiko zvakawanda, inenge 90% yezviitiko, hapana chikonzero chaicho chinogona kuwanikwa chePOI. Mukurapa, tinoti izvi "idiopathic". Zvisinei, mune zvimwe zviitiko, zvimwe zvinhu zvakaonekwa zvinopa chikonzero ichi.
| Chikonzero | Tsananguro iri nyore |
|---|---|
| Zvinhu zvinokonzerwa nemajini | Zvirwere zvemajini zvakaita seTurner syndrome neFragile X syndrome zvinogona kukanganisa mashandiro emaovari. Kana mumwe munhu mumhuri yako (amai, hanzvadzi) aine chirwere ichi, uri panjodzi huru yekuchibatawo. |
| Zvirwere zve autoimmune | Apa ndipo apo masoja emuviri anorwisa mazai awo nemaune. Mienzaniso inosanganisira zvirwere zvakaita sechirwere chethyroid nechirwere cheAddison . |
| Kurapa kenza | Zvinhu zvakaita se chemotherapy nemwaranzi zvinogona kukuvadza masero ari mumazai. |
| Kuvhiya | Kuvhiyiwa kwemazai kana kubviswa kwechizvaro kunogona kukanganisa kufambiswa kweropa mumazai. |
| Chepfu | Kugara kwenguva refu uchisvuta, mishonga yezvipembenene, nemamwe makemikari kunogonawo kukanganisa maovari. |
Ndezvipi zviratidzo zvechirwere ichi?
Chiratidzo chikuru uye chinowanzoonekwa kazhinji kumwedzi kusina kurongeka kana kusaenda kumwedzi kwemwedzi yakati wandei. Zvisinei, zvimwe zviratidzo zvakafanana nezviri kuitika panguva yekuenda kumwedzi zvinogonawo kuitika. Izvi zvinokonzerwa nekuti mumamiriro ese ari maviri, huwandu hwehormone yeestrogen mumuviri hunoderera.
- Kusarongeka kwekufamba kwemwedzi: Kuenda kumwedzi kunogona kutora mwedzi yakawanda pasina kudzoka, kana kuti kunogona kumira zvachose.
- Kudikitira zvakanyanya kamwe kamwe uye kupisa (kupisa uye kudikitira husiku): Izvi zvinogona kuitika kunyanya husiku.
- Matambudziko ekurara: Kudikitira husiku kunogona kukumutsa kubva muhope.
- Kurwadziwa kwedumbu repazasi uye kuoma kwechikadzi: Dambudziko iri rinokonzerwa nekudzikira kweestrogen. Izvi zvinogonawo kukonzera kurwadziwa panguva yebonde.
- Kuderera kwechido chebonde.
- Kuomerwa nekutarisa uye kugumbuka.
- Maziso akaoma.
- Kuomerwa nekubata pamuviri (Kusabereka).
Chinhu chinonyanya kukosha ndechekuti, kana usina kuenda kumwedzi kwemwedzi inopfuura mitatu, unofanira kuona chiremba kuti azive chiri kukonzera. Izvi zvinogonawo kukonzerwa nezvimwe zvinhu zvakaita sepamuviri uye kushushikana. Saka, chiremba chete ndiye anogona kuziva chikonzero chaicho.
Unoona sei izvi, Chiremba?
Paunoenda kunoona chiremba, iye achatanga nekukubvunza nezvekufamba kwako kuenda kumwedzi, nhoroondo yezveutano hwemhuri, uye chero zviratidzo zvauri kuona. Zvadaro, iye achakuongororwa muviri.
Pamusoro pezvo, bvunzo dzinoverengeka dzakarairwa kusimbisa chirwere ichi.
- Kuongororwa Kwemazinga Emahormone: Uku ndiko kuongororwa kwakakosha zvikuru. Ropa rinotorwa uye huwandu hwemahormone akasiyana hunoongororwa.
- FSH (Follicle-Stimulating Hormone): Homoni inosimudzira maovari. Kana maovari asiri kushanda zvakanaka, uropi hunotumira FSH yakawanda. Nokudaro, huwandu hwehomoni iyi hwakanyanya muPOI.
- Estrogen: Homoni huru inogadzirwa nemazai. Mu POI, mazinga aya akaderera zvikuru.
- Prolactin: Huremu uhwu hunoongororwawo.
- Kuongororwa kwepamuviri: Kuratidza kana pamuviri uri chikonzero chekusaenda kumwedzi kwako.
- Ultrasound yepelvic: Izvi zvinogona kutarisa mamiriro emazai ako nechibereko. Mu POI, mazai anogona kunge ari madiki pane zvakajairika.
- Kuongororwa kwemajini (Karyotype testing): Kuongororwa uku kunogona kuitwa kana paine fungidziro yekuti pane chikonzero chemajini, senge Turner syndrome.
- Kuongororwa kwemasoja emuviri: Izvi zvinoitwa kana paine fungidziro yekuti pane chirwere che autoimmune.
Kana uri pasi pemakore makumi mana uye nguva yako yekuenda kumwedzi isingaenderane, kuongororwa kweropa rako kuchiratidza kuti une FSH yakakwira, uye estrogen yako yakaderera, chiremba wako angangokuona uine POI.
Ndezvipi zvinorapwa izvi?
Hapana mushonga wePOI, zvichireva kuti maovari achashanda zvakanaka zvakare. Zvisinei, kune mishonga inoshanda zvikuru yekudzora zviratidzo uye kuderedza njodzi dzehutano kwenguva refu.
Kurapwa kunoenderana nezera rako, rudzi rwezviratidzo zvako, uye kana uchida kuva nevana kana kuti kwete.
Kurapa Kwekutsiva Mahormone (HRT)
Uku ndiko kurapwa kukuru. Kunosanganisira kupa mahormone eestrogen neprogesterone ayo maovari ako asingachabudisi kunze, muchimiro chemapiritsi, majeli, mapete eganda, kana mhete dzemunhengo.
Mabhenefiti eHRT:
- Zviratidzo zvakaita sekupisa uye kuoma kwechikadzi zvinodzorwa.
- Inogona kudzivirira kubva kuosteoporosis . Estrogen ihormone inokosha pakusimbisa mapfupa.
- Zvinobatsira kuderedza njodzi yezvirwere zvemwoyo.
- Kugara zvakanaka kwepfungwa kunovandudza.
Vanachiremba vanowanzo kurudzira kutora mushonga uyu wehomoni kusvika wasvika pakuguma kuenda kumwedzi (makore 51-52). Taura nachiremba wako nezvezvakanaka nezvakaipa zvekurapa uku wosarudza nzira inokunakira.
Kuchinja mararamiro nezvimwe zvinhu
Pamusoro pekurapwa nemahormone, zvinhu izvi zvakakosha zvikuru pakuchengetedza hutano hwako hwese.
- Wana calcium yakakwana nevhitamini D: Izvi zvakakosha kuti mapfupa arambe akasimba. Idya chikafu chakaita sezvigadzirwa zvemukaka nehove diki. Kana zvichidikanwa, chiremba wako achakupa mamwe mapiritsi.
- Kurovedza muviri nguva dzose: Kurovedza muviri kwakadai sekufamba nekumhanya zvakanaka pamoyo. Kurovedza muviri kunorema kwakakosha zvikuru pamapfupa.
- Kuramba uine huremu hwakanaka.
- Kana uri kufunga nezvekuva nevana: Kunyangwe uine POI, vakadzi vanosvika 5-10% vanokwanisa kubata pamuviri nenzira yechisikigo. Asi hazvizivikanwe. Saka kana uri kutarisira mwana, unogona kutaura nachiremba wezvekubereka nevana vevakadzi kuti mukurukure nzira dzakadai se `(IVF)` nedzimwe nzira.
Kurarama nepfungwa dzakaipa uye kugara zvakanaka mupfungwa
Zvakajairika kunzwa kusuruvara, kuora mwoyo, uye hasha paunonzwa nezvechirwere chakadai. Izvi zvinogona kuoma kutsungirira, kunyanya kana wanga uchiri kutarisira kuva nevana.
Yeuka kuti hausi wega panguva ino. Kutaura nezvemanzwiro ako nemurume wako, mhuri yako, kana shamwari yaunovimba nayo kunogona kukubatsira kuti unzwe wakasununguka.
Kana uchinzwa kuzvidya mwoyo kana kusuruvara nekuda kwechirwere ichi, taura nachiremba wako nezvazvo. Kana zvichidikanwa, unogona kutsvaga rubatsiro kubva kuna chiremba wepfungwa kana mupi wezano. Nekurapwa kwakakodzera uye rutsigiro, unogona kurarama hupenyu hwakanaka uye hunofadza nechirwere ichi.
Mharidzo Yekuenda Nayo Kumba
- Kusakwana kweOvarian (Primary Ovarian Insufficiency) ndiko kurasikirwa nebasa reovarian usati wasvika makore makumi mana. Uku hakusi kuenda kumwedzi.
- Chiratidzo chikuru ndechekusaenda kumwedzi zvisina kurongeka kana kusaenda kumwedzi kwemwedzi yakati wandei. Kana ukamira kuenda kumwedzi kwemwedzi inopfuura mitatu, unofanira kuona chiremba.
- Kazhinji hazvigoneke kuwana chikonzero chaicho cheizvi, saka haisi mhosva yako.
- Kurapa kwehomoni (HRT) kunogona kudzora zviratidzo uye kudzivirira hutano hwemapfupa nemoyo.
- Kunyangwe vaine POI, vamwe vakadzi vachiri nemukana mudiki wekubata pamuviri.
- Zvakajairika kunzwa sekunge wabatwa nechirwere ichi. Taura nevadikanwi vako panguva iyi, uye tsvaga mazano echiremba kana zvichidikanwa.
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