Ingaba ukuya kwakho enyangeni kuyekile? Masifunde nge-amenorrhea.

Ngaba ngamanye amaxesha ukhe ucinge, "Owu, andikafiki exesheni kule nyanga?" Okanye mhlawumbi omnye weentombi zakho okanye oodadewenu sele efikelele exesheni kwaye akakafiki exesheni? Kukho igama lezonyango elichaza olu hlobo lokulibaziseka okanye ukungabikho ngokupheleleyo exesheni. Ligama elithi `(Amenorrhea)` . Ngamanye amaxesha oku kunokuba yinto eqhelekileyo, kodwa ngamanye amaxesha kunokuba luphawu lwesifo esifihlakeleyo. Ngoko ke namhlanje, masithethe nge `(Amenorrhea)` ngokweenkcukacha, ngokungathi sithetha nomhlobo.

Kuthetha ukuthini ukuya exesheni? Kwenzeka njani ngokwenene?

Ngamafutshane, ukuya exesheni yinxalenye yenkqubo umzimba wentombazana olungiselela ngayo ukukhulelwa umntwana inyanga nenyanga. Kubandakanya iikhemikhali ezininzi ezibizwa ngokuba zii-hormones . Cinga ngayo, kufana nesicwangciso esintsonkothileyo.

Kukho idlala elincinci kodwa elibaluleke kakhulu engqondweni yethu elibizwa ngokuba yi-`(Hypothalamus)`. Eli dlala lilawula elinye idlala elibizwa ngokuba yi-`(Pituitary gland)`. Eli `(Pituitary gland)` yilo elinika imiqondiso kwi-`(Ovaries)` ukuba ikhuphe iqanda (`(Ovulation)` okanye i-ovulation).

Amaqanda akho kulapho kugcinwa khona amaqanda aze aveliswe khona. Akwavelisa iihomoni ezimbini ezibaluleke kakhulu kwintombazana: i-estrogen kunye ne-progesterone.

Phantsi kwempembelelo yezi hormone, ulwelo lwangaphakathi lwesibeleko sakho (esilubiza ngokuba yi-endometrium) luyaqina kancinci kancinci. Kufana nokulungiselela umatrasi okhululekileyo umntwana ukuba alale kuwo xa efika.

Nangona kunjalo, ukuba umntwana akakhulelwanga ngaloo nyanga, ulwelo oluqinileyo lwesibeleko alusafuneki. Emva koko luyaphuma emzimbeni. Yiyo loo nto sikubiza ngokuba 'yinyanga' okanye 'yixesha'. Ukuze le nkqubo yenzeke ngokufanelekileyo, amalungu abizwa ngokuba yi-`(Hypothalamus)`, `(Ovaries)` kunye ne-`(Uterus)` kufuneka asebenze ngokufanelekileyo.

Ziziphi iintlobo eziphambili ze-amenorrhea?

Kukho iintlobo ezimbini eziphambili ze-`(Amenorrhea).` Makhe sibone ukuba zeziphi.

1. I-primary amenorrhea - (I-primary amenorrhea)

Oku kubhekisa kwabo bangazange baye exesheni labo beneminyaka eli-15 ubudala. Okanye, ukuba abakaze baye exesheni iminyaka emihlanu emva kokuba iimpawu zokuqala zokufikisa (umzekelo, uphuhliso lwamabele) ziqalile, oku kukwawela kolu didi. Oku kunokubangelwa ziimeko zemfuza ezikhoyo ekuzalweni, okanye ziimeko ezithile ezikhula kamva ebomini.

2. I-amenorrhea yesibini - (I-amenorrhea yesibini)

Oku kwenzeka xa umfazi owayenexesha eliqhelekileyo lokuya exesheni ngequbuliso eyeka ukuya exesheni kangangeenyanga ezintathu nangaphezulu . Ukuba umjikelo webhinqa wokuya exesheni wawungaqhelekanga ngaphambili, ukuyeka ukuya exesheni kangangeenyanga ezintandathu kuthathwa njenge-"Secondary amenorrhea". Ezona zizathu zixhaphakileyo zezi:

• Ukukhulelwa
• Ukuncancisa
• Uxinzelelo oluqatha
• Ukuba nesifo esingapheliyo

Ixhaphake kangakanani i-amenorrhea?

Enyanisweni, kuqikelelwa ukuba malunga nomfazi omnye kwabane abangakhulelwanga, abangancancisiyo, okanye abangakhange baye exesheni baya kuba ne-amenorrhea ngaxa lithile ebomini babo. Ngoko ke akuqhelekanga kangako.

Zithini iimpawu ze-amenorrhea?

Uphawu oluphambili kukungabikho kokuya exesheni. Nangona kunjalo, ukongeza koko, ezinye iimpawu zinokuvela kuxhomekeke kwisizathu se-`(Amenorrhea). Umzekelo:

• Ukuziva ngequbuliso kobushushu obukhulu (`Ubushushu obugqithisileyo`).
• Iingono ezivuza ubisi nangona zingenamntwana.
• Ukoma kwesisu.
• Intloko ebuhlungu rhoqo.
• Utshintsho lombono.
• I-acne egqithisileyo.
• Ukukhula kweenwele ngokugqithisileyo ebusweni nasemzimbeni.

Ezi mpawu azibonakali kuye wonke umntu, kodwa ukuba unazo ezi zinto, kungcono ukubona ugqirha uze uthethe naye.

Zithini izizathu ze-amenorrhea?

Izizathu zeentlobo ezimbini ze-amenorrhea nazo zahlukile. Ezinye zezizathu zendalo, ngelixa ezinye zinokuba luphawu lwesifo esithile.

Izizathu zendalo (eziqhelekileyo) zokuyeka ukuya exesheni:

• Ukukhulelwa: Le yeyona nto ixhaphakileyo ebangela i-amenorrhea yesibini. Xa umntwana ekhulelwe, umzimba uyazi ukuba akufuneki ukhuphe elinye iqanda okanye ube sexesheni. Ngoko ke ukuya exesheni kuyaphela.
• I-Lactation Amenorrhea: Oomama abaninzi ababi sexesheni ngelixa bencancisa.
• Ukuya exesheni: Ixesha labasetyhini lidla ngokuma ngokusisigxina phakathi kweminyaka engama-45-55.
• Ukuba ukhe wenziwa utyando lokususa isibeleko sakho okanye ama-ovari: Awuyi kuba sexesheni lakho ngelo xesha.

Izizathu eziqhelekileyo ze-primary amenorrhea:

Ukuba awukaze ube nexesha lakho uneminyaka eli-15 ubudala, kusenokwenzeka ukuba oku kubangelwa zezi zinto zilandelayo:

• Iingxaki zeChromosomal okanye zemfuza: Ezi ziimeko ezikhoyo ekuzalweni. Umzekelo, iimeko ezifana neTurner syndrome zinokuchaphazela uphuhliso lwenkqubo yokuzala.
• Iingxaki zehomoni ezibangelwa ziingxaki kwingqondo okanye kwi-pituitary gland: Ezi zinokuthintela ama-ovari ekukhupheni iihomoni ezifunekayo ukuze kusebenze kakuhle.
• Iingxaki zesakhiwo samalungu okuzala: Izinto ezifana neendawo ezilahlekileyo zesibeleko okanye i-vaginal, okanye inkqubo yokuzala engaphuhliswanga kakuhle.

Izizathu eziqhelekileyo ze-amenorrhea yesibini:

Ukuba ubusiya rhoqo exesheni ngaphambili uze ngequbuliso uyeke ukuya exesheni kangangeenyanga ezintathu nangaphezulu, oku kusenokubangelwa zezi zinto zilandelayo:

• Ezinye iindlela zokulawula ukukhulelwa:Umzekelo, inaliti yeDepo-Provera®, ezinye izixhobo ze-Intrauterine (IUDs), kunye nezinye iipilisi zokulawula ukuzalwa.
• Unyango lwe-chemotherapy kunye nonyango lwe-radiation lomhlaza.
• Ukuba ukhe watyandwa ngaphambili kwisibeleko sakho kwaye unezicwili zesilonda: umzekelo, emva kwenkqubo efana neDilation and Curettage (D&C).
• Uxinzelelo olukhulu: Cinga ngoxinzelelo owawunalo xa wawubhala iimviwo zakho ze-A/L okanye xa wawuqala umsebenzi omtsha. Izinto ezinjalo zinokubangela ukuba ixesha lakho lokuya exesheni lifike kade.
• Ukutya okungondleki kakuhle: Xa umzimba ungafumani izondlo ezifanelekileyo ozifunayo, ukusebenza kwamahomoni kunokuphazamiseka.
• Utshintsho olukhulu kubunzima bomzimba: Kulungile ukuba ngequbuliso ube mncinci kakhulu, okanye kulungile ukuba mkhulu kakhulu.
• Iindlela zokuzilolonga ezigqithisileyo: Amanye amantombazana, ecinga ukuba kufuneka anciphise umzimba, angatyi kakuhle, aze azilolonge ejimini imini yonke. Esinye sezizathu zoku kukuba alolonga ngaphezu kokuba imizimba yawo inokukwazi ukumelana nako.
• Amanye amayeza.

Ukongeza, ezinye iimeko zonyango zinokubangela "i-Secondary amenorrhea":

• (Ukungakwazi ukusebenza kakuhle kwesibeleko - POI): Oku kwenzeka xa ama-ovari eyeka ukusebenza ngaphambi kokuba afikelele kwiminyaka engama-40 ubudala.
• I-Hypothalamic amenorrhea: Ukuyeka ukuya exesheni ngenxa yengxaki ekusebenzeni kwe-hypothalamus engqondweni.
• Iingxaki zepituitary: Umzekelo, iithumba zepituitary okanye ukuveliswa kakhulu kwehomoni iprolactin.
• Ukungalingani kwamahomoni okufana ne -polycystic ovary syndrome (PCOS), iingxaki ze-adrenal, okanye i-hypothyroidism .
• Izimila ezingezizo zomhlaza okanye ezingengomhlaza zama-ovari (`izimila ze-Ovarian`).
• Ukutyeba kakhulu.
• Izifo ezingapheliyo: Umzekelo, isifo sezintso okanye isifo samathumbu esibangelwa kukudumba (IBD).

Ziziphi izinto ezibangela umngcipheko we-amenorrhea?

Abanye abantu banamathuba amaninzi okufumana le meko. Izinto ezibangela umngcipheko ziyichaphazela ziquka:

• Ukuba kukho umntu kusapho lwakho oye waba ne-amenorrhea, okanye oye wafikelela kwixesha lokuyeka ukuya exesheni kwangethuba.
• Ukuba nesifo semfuza okanye se-chromosome esichaphazela ama-ovari okanye isibeleko.
• Ukutyeba kakhulu okanye ukwehla kobunzima.
• Ukuba nengxaki yokutya.
• Ukuzilolonga kakhulu.
• Ukulandela ukutya okungafanelekanga.
• Uxinzelelo oluqatha lwengqondo.
• Ukuba nesifo esingapheliyo.

Ngaba i-amenorrhea ingabangela iingxaki?

I-Amenorrhea ayisongeli ubomi. Nangona kunjalo, ezinye zeemeko eziyibangelayo zinokubangela iingxaki ezihlala ixesha elide. Ngoko ke, ukuba ixesha lakho liyekile ukuya exesheni, kubalulekile ukubona ugqirha ukuze ufumane unobangela. Umntu one-amenorrhea unamathuba amaninzi okuhlangabezana nezi zinto zilandelayo:

• I-Osteoporosis (ukuncitshiswa kwamathambo) okanye isifo sentliziyo: Oku kubangelwa kukuncipha kwe-hormone ye-estrogen.
• Ubunzima bokufumana abantwana okanye ukungafumani bantwana.
• Intlungu yesinqe: Oku kubangelwa yingxaki yesakhiwo kwizitho zokuzala.

Ungayixilonga njani (i-Amenorrhea)?

Ukuba uphoswe kukuya exesheni kangangeenyanga ezintathu zilandelelana, bonana nogqirha. Uza kukubuza ngeempawu zakho, imbali yosapho lwakho, kunye nomjikelo wakho wokuya exesheni. Emva koko, baza kwenza uvavanyo lomzimba kunye novavanyo lwe-pelvic.

Ziziphi iimvavanyo ezenziwayo ze-amenorrhea?

Ugqirha usenokufuna ukwenza uvavanyo oluthile, olufana nolu:

• Uvavanyo lokukhulelwa.
• Uvavanyo lwegazi: Jonga amanqanaba eehomoni kwaye ujonge ukuba azikho na izifo ze-thyroid okanye ze-adrenal gland.
• Uvavanyo lwe-genetic: Ukuba une-primary ovarian insufficiency (POI) kwaye ungaphantsi kweminyaka engama-40 ubudala.
• (MRI) Iskeni: Ukuba kukho isikrokro sokuba kukho ingxaki kwi-pituitary gland.
• I-ultrasound scan: Ukuba kukho isikrokro sokuba kukho ingxaki kwi-ovari okanye kwi-uterus.

Ingaba kubalulekile na ukulandelela umjikelo wam wokuya exesheni?

Ewe, ngokuqinisekileyo. Ukufumana unobangela we-amenorrhea ngamanye amaxesha kunokuba nzima kancinci. Ngaphandle kokuba kukho unobangela ocacileyo, njengokukhulelwa okanye ukuyeka ukuya exesheni, ugqirha wakho uya kukucela ukuba ugcine idayari yotshintsho kumjikelo wakho wokuya exesheni. Oku kunokuba luncedo kakhulu kugqirha ekuxilongeni.

Bhala oku kulandelayo kwincwadi encinci okanye kwi-app ekwifowuni yakho:

• Ube nexesha elingakanani usiya exesheni?
• Ugqibele nini ukuya exesheni?
• Ingaba uthatha awaphi amayeza?
• Ngaba ukhe wenza utshintsho kwindlela otya ngayo okanye kwindlela ozilolonga ngayo?
• Ngaba uziva uxinezelekile okanye uxhalabile?

Iphathwa njani i-Amenorrhea?

Ukuba ixesha lakho liyekile ngenxa yokuya exesheni, ukuncancisa, okanye ukukhulelwa, akukho nyango lukhethekileyo lufunekayo.

Kwezinye iimeko, unyango olufumanayo luya kuxhomekeka kwisizathu se-amenorrhea yakho. Ngoko ke, unyango lungabandakanya:

• Ukulandela isicwangciso sokutya kunye nokuzilolonga esikunceda ugcine ubunzima obusempilweni obukufaneleyo.
• Iindlela zokulawula uxinzelelo .
• Ukutshintsha izinga lomthambo (ukuba wenza kakhulu, nciphisa, ukuba akunjalo, nyusa kancinci).
• Unyango lweHormonal: Njengoko ugqirha emyalele.
• Utyando: Oku kwenziwa rhoqo.

Ukongeza, ugqirha unokucebisa unyango oluthile lokunciphisa iziphumo ebezingalindelekanga ze-amenorrhea:

• Unyango lwe-estrogen: Ukunciphisa ubushushu kunye nokoma kwesitho sangasese sowesifazane.
• Izongezo zeCalcium kunye neVitamin D: Gcina amathambo eqinile.
• Uqeqesho lokuqinisa: Ukuphakamisa iintsimbi okanye ukwenza umthambo oqinisa izihlunu.

Ngaba kufuneka ndityandwe ngenxa ye-amenorrhea?

Hayi, utyando alufuneki kwiimeko ezininzi. Nangona kunjalo, ugqirha wakho unokucebisa utyando kwiimeko ezilandelayo:

• Ukuba kukho utshintsho olubonakalayo oluthintela ukuphuma kwegazi kwilungu lobufazi (umz., i-vaginal septum okanye i-imperforate hymen).
• Ukuba unesifo se-pituitary.
• Ukuba kukho izicubu zesilonda esibelekweni.

I-amenorrhea iza kuhlala ixesha elingakanani? Ngaba ukuya exesheni kuya kuqala kwakhona?

I-Amenorrhea idla ngokunyangwa. Ngonyango, ixesha lakho lokuya exesheni kufuneka liqale ukubuyela ngexesha elicwangcisiweyo . Ngamanye amaxesha kungathatha iinyanga ezimbalwa ukuba ixesha lakho libuye, kodwa uninzi lwabantu luyabuya. Thetha nogqirha wakho malunga noko unokukulindela ngonyango.

Ngokwesiqhelo, ukuya exesheni kuya kuphinda kuqalise xa unobangela unyangiwe. Nangona kunjalo, kungathatha ixesha ukuba kuphinde kube yinto eqhelekileyo.

Ngamanye amaxesha, usenokungafiki exesheni ngenxa yengxaki yempilo. Ukuba kunjalo, ugqirha wakho uza kuthetha nawe malunga neendlela onokukhetha kuzo ukuba ufuna ukuba nomntwana.

Ngaba i-amenorrhea ingathintelwa?

Imikhwa emihle yempilo inokunceda ukuthintela ezinye zezizathu ze-"secondary amenorrhea." Zama ezi zinto:

• Landela ukutya okunempilo kunye nesicwangciso sokuzilolonga esikufaneleyo.
• Lumka ngomjikelo wakho wokuya exesheni (ukuze wazi kwangoko ukuba uphoswe kukuya exesheni).
• Hlala usenza idinga rhoqo kugqirha wezifo zabasetyhini , kuquka uvavanyo lwe-pelvic kunye novavanyo lwe-Pap.
• Lala ngokwaneleyo .

Ufanele uye nini kugqirha malunga ne-amenorrhea?

Ukuba uphoswe kukuya exesheni kangangeenyanga ezintathu zilandelelana, ngokuqinisekileyo kuya kufuneka ubone ugqirha. Kwakhona, ukuba uphoswe kukuya exesheni kwaye unezinye zeempawu ezilandelayo, bona ugqirha:

• Iingxaki ngokulinganisela, ukulungelelanisa, okanye ukubona (ezi zinokuba ziimpawu zemeko embi kakhulu).
• Ukukhupha ubisi emabeleni nokuba akukho mntwana.
• Ukuba ubona ukukhula kweenwele okungafunekiyo emzimbeni wakho.
• Ukuba uneminyaka engaphezu kwe-15 ubudala, kodwa awukayi exesheni lakho lokuqala.

Yintoni enye endifanele ndiyibuze kugqirha?

Xa usiya kugqirha, ungalibali ukubuza le mibuzo:

• Yintoni ebangela i-amenorrhea yam?
• Ziziphi iindlela zonyango endinazo? Zithini iingenelo kunye neengxaki zalo naluphi na unyango?
• Ngaba kufuneka ndidibane nogqirha we-endocrinologist ukuze ndifumane unyango lwe-hormone?
• Ngaba ndingakhulelwa nokuba ndine-`(Amenorrhea)`?
• Emva kokuba ndiqale ukuya exesheni kwakhona, ndingaphinda ndibe ne-amenorrhea?

Ngaba kuqhelekile ukuba ne-amenorrhea emva kokuyeka iipilisi zokulawula ukuzalwa?

Ewe, abanye abantu banokufumana ukungafiki exesheni (i-amenorrhea emva kwepilisi) emva kokuyeka iipilisi zokulawula ukuzala. Oku kungenxa yokuba umzimba wakho "uyaqhela" ukuvelisa iihomoni ezifunekayo ukuze ukhuphe amaqanda kwaye uphinde ube nexesha kwakhona. Kungathatha ukuya kuthi ga kwiinyanga ezintathu ukuba umzimba wakho uqale kwakhona ukuya exesheni. Ukuba awukafiki exesheni lakho kangangeenyanga ezine ukuya kwezintandathu emva kokuyeka ipilisi, thetha nogqirha wakho.

Ngaba i-amenorrhea luhlobo lokungabi nabantwana?

Hayi, i-amenorrhea ayilohlobo lokungazali. Nangona kunjalo, ukungabikho kokuya exesheni kunokwenza kube nzima ukukhulelwa. Ukuba unethemba lokuba nomntwana, kwaye umjikelo wakho wokuya exesheni awuqhelekanga okanye uyekile, bona ugqirha ukuze akunike ingcebiso.

Okokugqibela, nantsi into endifuna ukuyithetha kuwe (Umyalezo Wokubuyela Ekhaya)

Ukuba uneminyaka engaphezu kwe-15 ubudala kodwa awukaqali ukuya exesheni, okanye ukuba ubukhe waya exesheni rhoqo kwaye ngoku uyekile, ungoyiki, kodwa ngokuqinisekileyo bonana nogqirha. I-Amenorrhea idla ngokuba luphawu lwemeko enokunyangwa. Nje ukuba ugqirha wakho afumanise unobangela wokungayi kwakho exesheni, ungafumana unyango oluza kunceda umjikelo wakho wokuya exesheni ubuyele esiqhelweni. Kusenokufuneka wenze utshintsho oluthile kwindlela ophila ngayo okanye uthathe unyango lweehomoni. Eyona nto ibalulekileyo kukuthetha nogqirha wakho ngale nto kwaye ufumane icebiso elifanelekileyo. Ungakhathazeki ngayo wedwa.

I- Amenorrhea, ukuyeka ukuya exesheni, umjikelo wenyanga wokuya exesheni, ukulahlekelwa lixesha lokuya exesheni, i-amenorrhea yokuqala, i-amenorrhea yesibini, ukungalingani kwamahomoni