Ingaba nawe usexesheni emva kwexesha? Makhe sithethe nge-oligomenorrhea!

Ngaba ngamanye amaxesha ukhe ucinge, "Owu, kutheni ingekafiki ixesha lam?"? Emva kokulinda iintsuku, kwaye ngamanye amaxesha emva kwenyanga okanye ezimbini, kuvakala ngathi ngumthwalo omkhulu engqondweni yakho? Okanye kwabanye abantu, ixesha labo linokuza amaxesha amathandathu okanye asixhenxe ngonyaka. Yintoni le ngokwenene? ​​Makhe sithethe ngayo namhlanje.

Yintoni i-Oligomenorrhea?

Ngamafutshane, i-oligomenorrhea kuxa ixesha lakho lokuya exesheni ngenyanga, okanye "ukuya exesheni" njengoko sonke sikubiza njalo, lingaqhelekanga kwaye livela rhoqo. Umjikelo wokuya exesheni womfazi osempilweni uhlala usenzeka rhoqo emva kweentsuku ezingama-28. Nangona kunjalo, nantoni na ephakathi kweentsuku ezingama-21 kunye nama-35 ithathwa njengesiqhelo. Ukuya exesheni kunokuhlala naphi na ukusuka kwiintsuku ezine ukuya kwezisixhenxe. Uninzi lwexesha, uya kuba nenani elifanayo leentsuku phakathi kokuya exesheni kwakho, ngamanye amaxesha kwanosuku olunye okanye ezimbini ezahlukeneyo.

Kodwa kwimeko ye-oligomenorrhea, la maxesha awaqhelekanga. Usenokungabi sexesheni kangangeentsuku ezingaphezu kwama-35. Mhlawumbi endaweni yokuba sexesheni ngenyanga, ufikelela kwiinyanga ezintandathu okanye ezisibhozo kuphela ngonyaka. Khawuthelekelele indlela okucaphukisa ngayo oko.

Yintoni umahluko phakathi kwe-oligomenorrhea kunye ne-amenorrhea?

Ezi ziintlobo ezimbini zokuya exesheni okungaqhelekanga. I-Amenorrhea kuxa ukuya exesheni kuyeka ngokupheleleyo. Oko kuthetha ukuba mhlawumbi awukaze uye exesheni, okanye ubuya exesheni kangangeenyanga kwaye ziyayeka.

Kodwa kwi -oligomenorrhea , uba sexesheni lakho, kodwa akwenzeki ngeentsuku ezicwangcisiweyo. Ngenxa yoko, ixesha lakho lilula kunesiqhelo. Ngaba uyayiqonda umahluko?

Ixhaphake kangakanani le meko?

Enyanisweni , phakathi kwe-12% kunye ne-15.3% yabasetyhini abasesesheni baya kuba ne-oligomenorrhea ngaxa lithile ebomini babo. Phakathi kwe-10% kunye ne-20% yabo banengxaki yokukhulelwa banale meko. Ngokukodwa, i-oligomenorrhea ixhaphake kakhulu kwisifo esibizwa ngokuba yiPolycystic Ovary Syndrome (PCOS) . Phakathi kwe-75% kunye ne-85% yabo bane-PCOS banexesha elingacwangciswanga.

Ziziphi iimpawu ze-oligomenorrhea?

Uphawu oluphambili kukufika emva kwexesha okanye ukungabikho exesheni. Nangona kunjalo, kuxhomekeke kwisizathu, unokufumana ezinye iimpawu. Ezi ziquka:

• I-acne.
• Intloko ebuhlungu.
• Ubushushu obugqithisileyo.
• Intlungu zesisu.
• Ukukhupha ulwelo oluphuma kwilungu lobufazi.
• Ukubona okuphazamisekileyo.
• Ukukhula kweenwele ezigqithisileyo ebusweni nasemzimbeni.

Lumka ukuba unenye okanye ngaphezulu kwezi.

Kutheni le nto ndingena rhoqo ngenyanga? Zithini izizathu?

Ixesha elininzi, oku kungenxa yokungalingani kwamahomoni emzimbeni wakho. Izitho zakho zokuzala kunye namadlala engqondweni yakho avelisa amahomoni ahlukeneyo ukulawula umjikelo wakho wokuya exesheni. Xa la mahomoni ekwimeko efanayo, umjikelo wakho wokuya exesheni uba yinto eqhelekileyo kakhulu. Kodwa xa amahomoni engalingani, kuyayiphazamisa le meko.

Ukongeza, izifo kunye nokuphazamiseka kwesakhiwo kwinkqubo yakho yokuzala kunokuphazamisa umjikelo wakho wokuya exesheni.

Makhe sijonge ezinye zezizathu eziphambili:

Ngenxa yokungalingani kwamahomoni:

• I-Polycystic Ovary Syndrome (PCOS): I-PCOS ibangela ukuba umzimba wakho uvelise iihomoni ezininzi kakhulu ezibizwa ngokuba yi-androgens (ezifana ne-testosterone). Oku kunokuphazamisana ne-ovulation, inkqubo apho iqanda likhutshwa khona kwii-ovari.
• Iithumba ezikhupha i-androgen: Ezinye iintlobo zeethumba ezikhula kwii-ovari zakho nakwii-adrenal glands zinokukhupha ii-androgen hormones kwaye ziphazamise umjikelo wakho wokuya esikhathini. Ezi mpawu zifana nezo ze-PCOS.
• I-Cushing's syndrome: Kule meko, umzimba wakho uvelisa i-cortisol eninzi kakhulu. Oku kunokubangela ukungalingani kwamahomoni kwaye kuchaphazele umjikelo wakho wokuya exesheni.
• I-Prolactinoma: Le yithumba elikhula kwi-pituitary gland. Oku kubangela ukuba kuveliswe i-hormone ye-prolactin engaphezulu kunye nokwehla kwee-hormone zesini (umz. i-estrogen) ezifunekayo ukuze umntu abe sexesheni eliqhelekileyo.
• Ukungasebenzi kakuhle kwe-Ovarian: Kule meko, ama-ovari akho ayayeka ukuvelisa amaqanda ngaphambi kwexesha elilindelweyo (ngaphambi kokuya exesheni). Ayayeka nokuvelisa i-hormone ye-estrogen, efunekayo xa usexesheni rhoqo.
• I-Hyperthyroidism: Ukuba i-thyroid gland yakho ayisebenzi kakuhle, i-pituitary gland inokuvelisa i-prolactin eninzi kakhulu kunye ne-estrogen encinci kakhulu.
• I-Congenital Adrenal Hyperplasia: Le yimeko ekhoyo xa umntwana ezalwa. Kule meko, amadlala e-adrenal awavelisi ii-enzymes ezaneleyo zokwenza ii-hormones ezifunekayo xa usexesheni.

Iintsholongwane kunye nezinye iingxaki kwisibeleko zingabangela:

• Isifo Sokudumba Kwesinqe (PID): I-PID inokubangelwa zizifo ezidluliselwa ngesondo ezinganyangwanga (ii-STI). Olu sulelo kunye nokudumba kunokuphazamisa umjikelo wakho wokuya exesheni.
• Isifo sika-Asherman / Ukunamathela kwe-Endometrial:Izicwili ezikhula kwisibeleko okanye emlonyeni wesibeleko (ngokuqhelekileyo emva kotyando lwe-gynecological olufana ne-D&C - Dilation & Curettage) zinokuphazamisa ukopha okuqhelekileyo kokuya exesheni.

Ezinye izizathu:

• Isifo seswekile i-Mellitus: Zombini isifo seswekile sohlobo 1 nohlobo 2 zinxulunyaniswa ne-oligomenorrhea. Sixhaphake kakhulu kubantu abatyebe kancinci (sixhaphake kakhulu kwisifo seswekile sohlobo 1) kunye nabatyebe kakhulu (sixhaphake kakhulu kwisifo seswekile sohlobo 2).
• Iingxaki zokutya: Iimeko ezifana ne-bulimia kunye ne-anorexia zinokubangela ukungondleki kakuhle kokutya kunye nokulibazisa okanye ukuyeka ukuya exesheni.
• Umsebenzi womzimba ogqithisileyo: Xa ubeka umzimba wakho uxinzelelo olukhulu ngokuzilolonga, umzimba wakho usenokungakwazi ukwenza iinkqubo ezibalulekileyo njengokuya exesheni.

Amanye amayeza anokuchaphazela:

• Izithinteli zokukhulelwa ezisetyenziswa kwiihomoni, njengeepilisi zokulawula ukukhulelwa.
• Ii-antipsychotics.
• Amayeza okulwa nesifo sokuwa.

Ugqirha uyixilonga njani ngokuchanekileyo le meko?

Xa usiya kugqirha, uza kuthetha nawe, enze uvavanyo, aze azame ukufumanisa ukuba unayo na i-oligomenorrhea kunye nokuba yintoni unobangela.

Imibuzo ebuzwa kuwe (Imbali Yezonyango):

Ngaphambi kokuba uye kugqirha wakho, lungiselela imbali eneenkcukacha malunga nokungahambi kakuhle kwexesha lakho lokuya exesheni. Gcina irekhodi lezinto ezifana nenani leentsuku phakathi kwexesha ubuncinane iinyanga ezimbini. Ugqirha wakho uza kukubuza imibuzo efana nale:

• Unjani umjikelo wakho wesiqhelo wokuya exesheni: zingaphi iintsuku ezikhoyo phakathi kokuya exesheni, lingakanani igazi eliphumayo, njl. Ukwazi umjikelo wakho wesiqhelo kuya kunceda ugqirha wakho aqonde ubunzulu bengxaki.
• Imbali yezonyango yosapho lwakho: Ukuba umntu kusapho lwakho unesifo esibangela i-oligomenorrhea (umz. i-PCOS), nawe unokuba naso.
• Imikhwa yakho nendlela ophila ngayo: Baza kukubuza malunga nokutya kwakho kunye nemikhwa yakho yokuzilolonga ukuze babone ukuba ingaba inefuthe na koku. Basenokukubuza nokuba uyabelana ngesondo ungakhuselekanga ukuze babone ukuba ingxaki ibangelwa yi-STI.
• Iintlobo zamayeza owasebenzisayo: Izinto ezifana neepilisi zokulawula ukuzalwa ngamahomoni, amayeza ezigulo zengqondo, amayeza esifo sokuwa, kunye neesteroids zinokubangela i-oligomenorrhea.

Iimviwo:

• Uvavanyo Lomzimba: Ubuso bakho, intamo, amabele, kunye nesisu sakho ziya kuhlolwa ukuze kubonwe ukuba kukho naziphi na iimpawu ezinokubangela i-oligomenorrhea.
• Uvavanyo lwe-rectovaginal:Ugqirha uza kufaka umnwe ogqunywe iglavu kwilungu lobufazi kunye nomnye umnwe kwi-anus ukujonga ukuba akukho maqhuqhuva okanye ukukhula emzimbeni. Oku kunokuba yinto engathandekiyo kancinci, kodwa kubalulekile ekuxilongweni.
• Uvavanyo lwe-speculum yesitho sangasese sowesifazane: Isixhobo esibizwa ngokuba yi-speculum sisetyenziselwa ukwandisa isitho sangasese somfazi kunye nesesibeleko ukujonga ukopha, ukudumba, izicubu ezibomvu, njl. Kungasetyenziswa ne-cervical swab ukujonga usulelo.
• Uvavanyo lwesisu: Isisu siyaphathwa ngesandla ukuze kuhlolwe amaqhuma, amaqhuma, okanye iindawo ezibuhlungu xa zicinezelwe.

Uvavanyo lomfanekiso olunokwenziwa luquka:

• Ii-CT scans: Zingabona izinto ezifana neethumba ezibangela ukopha.
• Ii-ultrasound zePelvic nezesisu: Zibonisa iimpawu zeemeko ezifana nokudumba kunye nePCOS.
• Iskeni se-MRI (iMagnetic Resonance Imaging - i-MRI): Ingaqinisekisa ukuba kukho i-prolactinoma.

Uvavanyo lwegazi:

Uvavanyo lwegazi lunokujonga amanqanaba eehomoni zakho kunye namanqanaba eswekile egazini. Ugqirha wakho unokujonga amanqanaba eehomoni anje ngala:

• I-Thyroid-Stimulating Hormone (TSH): Ukuba oku kuphantsi, kusenokuba luphawu lwe-hypothyroidism.
• IHormone Evuselela I-Follicle (FSH): Ukuba oku kuphezulu, kunokubangela ukungoneli kwe-Ovarian yokuqala.
• I-Luteinizing Hormone (LH): Xa ithelekiswa ne-FSH, amanqanaba aphezulu e-LH anokunceda ekuxilongeni i-PCOS.
• I-Prolactin: Amanqanaba aphezulu e-prolactin anokubonisa ukuba une-prolactinoma.
• 17-OHP: I-Congenital Adrenal Hyperplasia inokubonwa kweli nqanaba.
• Iswekile egazini: Uvavanyo lwe-HbA1c lunokufumanisa isifo seswekile.

Khumbula, ayizizo zonke ezi mvavanyo ezenzelwa wonke umntu. Uvavanyo olukhethayo luya kuxhomekeka kwiimpawu zakho kunye noko ugqirha wakho akucingayo.

Zithini iindlela zokunyanga oku? (Unyango)

I-oligomenorrhea inyangwa ngokuxhomekeke kwisizathu.

• Unyango lweHormone: Ukuba i-oligomenorrhea yakho ibangelwa kukungalingani kwehomoni, ugqirha wakho unokukunika iipilisi zokulawula ukuzalwa okanye ezinye iindlela zonyango lwehomoni.
• Utyando: Ukuba kukho iithumba ezivelisa i-androgen eninzi kakhulu, ugqirha wakho unokucebisa ukuba zisuswe ngotyando.
• Utshintsho kwindlela yokuphila:Ukuba le ngxaki ibangelwa kukungabikho kokutya okunesondlo okanye ukwenza umthambo kakhulu, kuya kufuneka wenze utshintsho kwindlela otya ngayo kunye nenkqubo yakho yokuzilolonga.

Ngaba ikho indlela yokuthintela oku? (Ukuthintela)

Akukho ndlela ithile yokuthintela i-oligomenorrhea. Nangona kunjalo, xa sele ifunyenwe imbangela, ugqirha wakho uya kucebisa unyango olufanelekileyo.

Kwenzeka ntoni ukuba une-oligomenorrhea? Ngaba kufuneka ukhathazeke?

I-oligomenorrhea ngokwayo ayiyongxaki inkulu. Nangona kunjalo, kubalulekile ukufumanisa ukuba yintoni ebangela oku. Oku kungenxa yokuba ezinye iimeko ezifihlakeleyo zinokubangela iingxaki. Umzekelo, i-PID enganyangwanga kunye ne-PCOS zinokukhokelela ekungazali. Kwakhona, ukuba ulwelo lwesibeleko aluphumi kakuhle ngenxa ye-oligomenorrhea, kukho umngcipheko wokukhula kweemeko ezifana ne -endometrial hyperplasia kunye nomhlaza we-endometrial .

Ndifanele ndibonane nogqirha nini?

Ukuba ubungayi exesheni lakho kangangeentsuku ezingaphezu kwama-35, okanye ukuba ubungayi exesheni kangangeenyanga, ngokuqinisekileyo kuya kufuneka ubone ugqirha. Ukuya exesheni emva kwexesha okanye ukungayi exesheni akuqhelekanga. Kubalulekile ukufumana unobangela nokuthintela iingxaki ezihlala ixesha elide.

Ngaphambi kokuba uye kugqirha, bhala phantsi ixesha lakho kwikhalenda okanye kwi-app. Oku kuya kunceda ugqirha wakho aphendule imibuzo malunga nokuba yintoni eqhelekileyo kunye nokuba yintoni engaqhelekanga. Ii-apps ezininzi zikuvumela ukuba urekhode izinto ezifana nezi:

• Iintsuku ezichanekileyo apho ixesha lokuqala nelokuphela kokuya exesheni.
• Ingakanani igazi eliphumayo (ngaba linzima, lilula, okanye liqhelekile?).
• Iimpawu ozibonayo ngaphambi, ngexesha, nasemva kokuya exesheni.

Yeyiphi imibuzo ebalulekileyo ekufuneka uyibuze ugqirha?

• "Ngaba kufuneka ndikhathazeke ngokuba ukuya kwam exesheni kuya kuba yinto engaqhelekanga?"
• "Ngaba ukuya kwam exesheni okungaqhelekanga kuya kuyichaphazela indlela endikwazi ngayo ukuba nabantwana?"
• "Ukuba ndifuna ukukhulisa umntwana, zeziphi iindlela zonyango endinazo?"
• "Ngaba kuya kufuneka ndithathe unyango lwehomoni ixesha elide ukulawula i-oligomenorrhea?"

Buza imibuzo efana nale uze ucime amathandabuzo akho.

Ngaba i-oligomenorrhea iyayichaphazela inzala? (Ukungazali)

Ewe, i-oligomenorrhea inokuba luphawu lwemeko echaphazela ukuzala, njenge-PCOS. Ukungalingani kwamahomoni okubangela ukuya exesheni okungacwangciswanga nako kunokwenza kube nzima ukuba ukhulelwe.

Ngaba i-PCOS kunye ne-oligomenorrhea ziyafana?

Hayi. Nangona kunjalo, i-PCOS kunye nokungafiki rhoqo exesheni kudla ngokudibana. I-Oligomenorrhea inokuba luphawu lwe-PCOS.

Okokugqibela, kufuneka ndikuxelele oku...

Ukuba ixesha lakho lokuya exesheni aliqhelekanga, musa ukoyika. Zininzi izizathu zokuba umjikelo wakho wokuya exesheni ungabi njalo, uninzi lwazo alunabungozi. Nangona kunjalo, ukuba ubungekho exesheni ixesha elide, ngokuqinisekileyo kuya kufuneka ubone ugqirha. Kwakhona, qaphela ezinye iimpawu, ezinje ngokopha okungakanani, nokuba unentlungu esiswini, okanye ukukhupha ulwelo olungaqhelekanga kwilungu lobufazi. Yabelana ngalo lonke olu lwazi nogqirha wakho. Uya kukwazi ukubona unobangela wokuya kwakho exesheni elingaqhelekanga aze akunike unyango olufunayo. Impilo yakho ibaluleke kakhulu kuwe, ngoko ke kubalulekile ukuba unikele ingqalelo kwezi zinto.

I- Oligomenorrhea, ukuya exesheni ngenyanga, ukuya exesheni kade, ukuya exesheni okungaqhelekanga, iihomoni, i-PCOS, impilo yabasetyhini