Uyakhumbula ukuthi umjikelezo wakho wokuya esikhathini wawuvamile futhi ubikezelwa nini? Uma uqaphele ukuthi ukuya kwakho esikhathini kuyekile noma kwaba okungajwayelekile ezinyangeni ezimbalwa ezedlule, sekuyisikhathi sokunaka. Nakuba kulula ukungazinaki lezi zinguquko, zivame ukuba uphawu lokuthi umzimba wakho udinga ukwesekwa. Namuhla, ake sixoxe ngesizathu esibalulekile salokhu kukhathazeka: I-Functional Hypothalamic Amenorrhea (FHA) .
Kuyini i-Hypothalamic Amenorrhea?
Kalula nje, i-Hypothalamic Amenorrhea yenzeka lapho i-hypothalamus yakho—ingxenye encane kodwa enamandla yobuchopho bakho—yehlisa ijubane noma imisa ukuhanjiswa kwayo okuvamile, okubangela ukuba ukuya kwakho esikhathini kuphele. Ungase uzibuze, yini ngempela eyenziwa yi-hypothalamus?
Cabanga ngomzimba wakho njengenkampani enkulu; i-hypothalamus iyisikhungo sokulawula esiphezulu. Ilawula imisebenzi ebalulekile njengokushisa komzimba, indlala, ukoma, futhi, okubaluleke kakhulu, uhlelo lwakho lokuzala. Ukuze kube nomjikelezo wokuya esikhathini ojwayelekile, i-hypothalamus kumele ikhiphe i-Gonadotropin-releasing hormone (GnRH) . Le hormone isebenza njengesikhuthazi se -Follicle-stimulating hormone (FSH) kanye ne -Luteinizing hormone (LH) , ezisebenzisana ne -Estrogen ukuze zilondoloze umjikelezo wakho.
Uma i-hypothalamus yakho imisa noma inciphisa ukukhiqizwa kwe-GnRH ngenxa yokucindezeleka noma ezinye izici, ibhalansi yama-hormone iyaphazamiseka, okuholela ekungeneni esikhathini okungajwayelekile noma ukungabikho nhlobo esikhathini.
Kuyini i-Amenorrhea?
I-Amenorrhea yigama lezokwelapha elisho ukungabikho kokuya esikhathini. Lihlukaniswe ngezinhlobo ezimbili:
1. I-amenorrhea eyinhloko: Lokhu kubhekisela esimweni lapho umuntu engakabi nesikhathi sakhe sokuqala sokuya esikhathini eneminyaka engu-16 noma emihlanu ngemva kokuqala kokuthomba.
2. I-amenorrhea yesibili: Lokhu kwenzeka uma uke waya esikhathini esivamile ngaphambilini, kodwa kuyaphela isikhathi esingaphezu kwezinyanga ezintathu.
I-Functional Hypothalamic Amenorrhea (FHA) ingaphansi kwesigaba se-secondary amenorrhea. Ithinta izigidi zabesifazane emhlabeni jikelele, futhi iyisimo esidinga ukunakekelwa kochwepheshe bezokwelapha.
Kungani kwenzeka i-FHA? Ziyini izimbangela?
Cabanga nge-hypothalamus yakho njengesikhungo somyalo esisabela esimweni esiphuthumayo. Uma ithola izimpawu zokuthi umzimba ungaphansi kokucindezeleka okukhulu, iphetha ngokuthi, “Kudingeka sibeke phambili ukusinda, ngakho-ke masimise imisebenzi engabalulekile.” Ngenxa yalokho, imisa ukuzala futhi iyeke ukukhiqiza i-GnRH.
Uhlobo luni "lokucindezeleka" olubangela le mpendulo?
- Ukungondleki ngokwanele noma ukuncishiswa kwamakhalori: Kungakhathaliseki ukuthi kungenxa yemigomo yokwehlisa isisindo noma imikhuba yokuphila engaphilile, uma umzimba wakho ungatholi amandla anele, ungena esimweni sokusinda.
- Ukushoda kokudla okunempilo: Ukugcwalisa isisu sakho akwanele; umzimba wakho udinga izakhamzimba ezibalulekile namavithamini ukuze usebenze kahle.
- Ukuzivocavoca ngokweqile: Nakuba ukuzivocavoca kunempilo, ukuqeqesha ngokweqile—njengezindlela zokuzivocavoca eziqinile noma ukuqeqeshwa kobungcweti kwezemidlalo—kungafaka ukucindezeleka okukhulu emzimbeni wakho.
- Ukucindezeleka okukhulu ngokomzwelo noma kwengqondo: Izinselele zomuntu siqu, ingcindezi yomsebenzi, izivivinyo, noma izinkinga zobudlelwano zingabangela ukucindezeleka kwengqondo okungapheli , okuthinta i-hypothalamus.
- Amafutha omzimba aphansi kakhulu: Amafutha omzimba abalulekile ekusebenzeni kahle kwamahomoni . Uma amazinga ehla kakhulu, umjikelezo wakho ungase ume.
- Izinkinga zokudla: Izimo ezifana ne -Anorexia Nervosa zihilela imibono eyingozi ngokudla engathinta kakhulu impilo yakho.
Ngokuvamile, inhlanganisela yalezi zici iholela ku-FHA. Uma umzimba ungasebenzi kahle futhi uvivinya umzimba ngokweqile, i-hypothalamus idlulisela wonke amandla emisebenzini esekela impilo njengokuphefumula nokushaya kwenhliziyo, ivala ukuzala. Lapho amazinga e-FSH ne-LH ehla, ukuvuthwa kwamaqanda kuyayeka, okuholela ekungangeni esikhathini sakho.
Nakuba sivame ukucabanga ukuthi lokhu kuthinta kuphela abasubathi abangochwepheshe, i-FHA ingenzeka kunoma yimuphi owesifazane osemusha noma umuntu obhekene nokucindezeleka okukhulu kwansuku zonke.
Izimpawu ze-Hypothalamic Amenorrhea
Uphawu oluyinhloko ukungabikho kokuya esikhathini izinyanga ezintathu noma ngaphezulu. Kodwa-ke, ukungalingani kwama-hormone kungabangela ezinye izimpawu, njengalezi:
- Ukucindezeleka Nokukhathazeka : Imizwa yokudabuka, ukwesaba okungachazeki, noma ukucasuka.
- Ukuphazamiseka kokulala : Ubunzima bokulala noma ukuhlala ulele.
- Amandla aphansi (Ukukhathala): Umuzwa oqhubekayo wokukhathala noma ukuntuleka kwesisusa.
- Ukwanda kwendlala: Ukufisa okukhulu noma ukwanda kwendlala.
- Ukoma kwesitho sangasese sowesifazane : Ngokuvamile kubangelwa amazinga aphansi e-estrogen.
- Isifiso socansi esiphansi.
- Ukulahlekelwa izinwele .
- Ubuhlungu bekhanda .
Khumbula: Ukubhekana nalezi zimpawu akusho ukuthi une-FHA ngokuzenzakalelayo. Kodwa-ke, uma isikhathi sakho sesiphelile, sicela uxhumane nochwepheshe wezempilo ukuze uthole ukuxilongwa okunembile.
Ingabe i-PCOS ingadala i-Hypothalamic Amenorrhea?
I-Polycystic Ovary Syndrome (PCOS) ingaholela nasekuhambeni kwezitho zangasese okungajwayelekile noma ekuvuthweni. Kodwa-ke, i-PCOS ne-FHA zihlukile. I-FHA iqhutshwa ukungasebenzi kahle kwe-hypothalamic ngenxa yokucindezeleka kwangaphandle noma ukuntuleka kwamandla, kanti i-PCOS ihilela ukungalingani kwama-hormone esibelethweni.
Odokotela bakuthola kanjani ukuthi i-Hypothalamic Amenorrhea ibangelwa yi-Hypothalamic Amenorrhea?
Udokotela uzoxilonga i-hypothalamic amenorrhea kuphela ngemva kokukhipha ezinye izimbangela zokuphela komjikelezo wakho wokuya esikhathini. Isibonelo, udokotela wakho uzokwenza okulandelayo:
- Hlola ukuthi ukhulelwe yini.
- Hlola i-thyroid gland yakho noma i-adrenal gland ukuthola noma yikuphi ukungasebenzi kahle okucashile.
Lezi yizinyathelo zokuqala. Ngaphezu kwalokho, udokotela wakho angenza okulandelayo:
- Buyekeza umlando wakho wezokwelapha: Bazokubuza ngezimo zakho zempilo zangaphambilini, imithi yamanje, kanye nanoma yimuphi umlando womndeni onezinkinga ezifanayo.
- Yenza ukuhlolwa ngokomzimba kanye nokuhlolwa kwe-pelvic.
- Oda izivivinyo zokuxilonga ezithile. Izivivinyo ezibalulekile zivame ukufaka:
- Ukuhlolwa kwegazi: Ukuhlola amazinga ama-hormone abalulekile emjikelezweni wakho, njenge -Estrogen , i-Prolactin , i-FSH (i-Follicle-Stimulating Hormone) , kanye ne-LH (i-Luteinizing Hormone) .
- Inani eliphelele legazi (i-CBC): Ukuze uthole ukuqonda ngempilo yakho iyonke yamaseli egazi.
- Ukuhlolwa kokukhulelwa:
- Ukuskena kwe-pituitary gland nge-MRI: Kwezinye izimo, udokotela wakho angase akuncome lokhu, njengoba i-pituitary gland idlala indima ebalulekile ekulawuleni ama-hormone akho.
Yiziphi izindlela zokwelapha ezitholakalayo?
Izindaba ezinhle ukuthi i-hypothalamic amenorrhea ingelapheka! Odokotela batusa kakhulu izinguquko zendlela yokuphila , okuhlanganisa:
- Ukunciphisa ukuzivocavoca ngokweqile: Uma uhlanganyela ekuzivocavoceni okunamandla kakhulu, kungadingeka ukuthi ulinganisele izinga lomsebenzi wakho.
- Ukwanda kwesisindo (uma kudingeka):Uma isisindo somzimba wakho singaphansi kwesilinganiso esinempilo, uzoqondiswa ukuthi ungazuza kanjani isisindo esinempilo.
- Ukulawula ukucindezeleka: Imikhuba efana ne-yoga, ukuzindla, kanye nezinto zokuzilibazisa ezizolile ingakusiza ukuthi ulawule ukucindezeleka kwengqondo.
Udokotela wakho angakudlulisela kuchwepheshe wezokudla . Bazokusiza ukuthi unqume izakhamzimba ezidingwa ngumzimba wakho, ukudla kwakho kwama-calories nsuku zonke okunconywayo, kanye nendlela yokugcina i -Body Mass Index (BMI) enempilo efanele izinga lomsebenzi wakho.
Kwabanye, i-Cognitive Behavior Therapy (CBT) ingaba usizo olukhulu, ikakhulukazi kulabo ababhekene nezinkinga zokudla noma ubunzima bokwamukela isimo sabo. Futhi iyithuluzi elihle kakhulu lokufunda amasu okuphatha ukucindezeleka asebenzayo.
Ezimweni ezingavamile, udokotela wakho angase akunikeze ukwelashwa ngama-hormone, amaphilisi okuvimbela inzalo, noma eminye imithi yokusiza ukubuyisela umjikelezo wakho wokuya esikhathini.
Kuthatha isikhathi esingakanani ukwelashwa?
Isikhathi sokululama siyahlukahluka kumuntu nomuntu kuye ngobudala bakho, isisindo, amazinga omsebenzi, kanye nofuzo. Kodwa-ke, ngokwelashwa okuqhubekayo, abantu abaningi babona umjikelezo wabo wokuya esikhathini ubuyela ezinyangeni ezintathu kuya kweziyisithupha .
Ingabe i-hypothalamic amenorrhea ingavinjelwa?
Yebo, impela! Isihluthulelo ukubhekana nezimbangela eziyinhloko zalesi simo:
- Yidla ukudla okulinganiselayo okufanele izinga lakho lomsebenzi.
- Gwema ukunciphisa ama-caloric okungadingekile.
- Thola izindlela ezisebenzayo zokuphatha nokunciphisa ukucindezeleka kwakho.
- Gwema ukuzikhandla ngokomzimba ngokweqile noma ngokweqile.
Kalula nje: Lalela umzimba wakho. Mnike ukuphumula, ukondleka, nokuthula kwengqondo okufanele.
Lokhu kuthinta kanjani umzimba wami?
Ngaphandle kokungabikho kwesikhathi sakho, lesi simo singaholela kokubili ekukhathazekeni kwesikhathi esifushane nesikhathi eside, okuhlanganisa:
- Ukungazali: Uma ungenayo imijikelezo evamile, ukukhishwa kwamaqanda kungase kungenzeki, okwenza kube nzima ukukhulelwa.
- Impilo yamathambo ebuthakathaka: Ungase ube sengozini ye -osteoporosis noma ukuncipha kwamathambo, njengoba i-estrogen ibalulekile ekugcineni amandla amathambo.
- Ingozi eyengeziwe yesifo senhliziyo.
- Izinkinga zesikhumba nezinwele: Njengokuncipha kwezinwele noma induna engapheli.
Ngingakhulelwa yini ngenkathi ngine-amenorrhea engaphansi kwe-hypothalamic?
Amathuba akho okukhulelwa aphansi kakhulu uma ukulesi simo ngoba ukuvuthwa kweqanda akuvamile ukwenzeka. Kodwa-ke, kungenzeka ukuthi ukuvuthwa kweqanda kungazelelwe . Kunzima futhi ukubikezela ukuthi umjikelezo wakho uzobuyela nini esimweni esijwayelekile. Khumbula, ungavuvukala futhi ukhulelwe ngisho nangaphambi kokuba umjikelezo wakho wokuqala ubuye. Ngakho-ke, uma usebenza ocansini futhi ungahleli ukukhulelwa, kubalulekile ukuxoxa ngezinketho zokuvimbela inzalo nodokotela wakho.
Yiziphi izinkinga ezingaba khona?
I-Hypothalamic amenorrhea ingaholela emazingeni aphansi e-estrogen . I-estrogen ibalulekile empilweni yakho, okuhlanganisa nokugcina amathambo aqinile. Ngaphandle kwe-estrogen eyanele, ubhekene nengozi eyengeziwe ye- osteoporosis nesifo senhliziyo. I-estrogen iphinde isekele ukulawulwa kwemizwa; amazinga aphansi angabangela izimpawu zokucindezeleka nokukhathazeka .
Kufanele ngimbone nini udokotela?
Uma isikhathi sakho sokuya esikhathini sesiphelile izinyanga ezintathu, kufanele ubone udokotela. Ngisho noma ungazami ukukhulelwa, ukungabikho kwesikhathi sakho sokuya esikhathini kusebenza njengesixwayiso sezinkinga eziyisisekelo ezingaholela ezinkingeni zempilo zesikhathi eside.
I-Hypothalamic amenorrhea ingenye yezizathu eziningi ezingenza ukuthi ukuya kwakho esikhathini kume. Nakuba kungase kubonakale kuncane, imijikelezo engajwayelekile ingaholela ezinkingeni ezinkulu zempilo. Uma ungazange uye esikhathini izinyanga ezintathu noma ngaphezulu, khuluma nodokotela. Bangenza izivivinyo ezidingekayo ukuze bathole imbangela futhi banikeze uhlelo lokwelapha ukubuyisela umjikelezo wakho.
Umlayezo Wokuya Nawe Ekhaya
Sithemba ukuthi lolu lwazi luzokusiza ukuthi uqonde kangcono i-hypothalamic amenorrhea. Njengengxenye yomphakathi waseNirogi Lanka, khumbula la maphuzu abalulekile:
- Uma isikhathi sakho sokuya esikhathini sesidlule izinyanga ezintathu, ungasinaki. Funa iseluleko sezokwelapha ngokushesha.
- Izinto ezibangela ukucindezeleka ngokweqile, ukuntuleka kokudla okunempilo, kanye nokuzivocavoca ngokweqile.
- Lesi simo singelapheka. Isisekelo sokululama ukwenza izinguquko zendlela yokuphila enempilo.
- Amazinga aphansi e-estrogen angaholela ezingozini zesikhathi eside njengamathambo abuthaka kanye nesifo senhliziyo.
- Awuwedwa. Ngesiqondiso nokusekelwa okufanele kwezokwelapha, lesi simo singaphathwa ngempumelelo.
Ukubeka impilo yakho phambili kubalulekile. Uma unemibuzo noma ukungabaza, ungangabazi ukuxhumana nochwepheshe wezempilo. Ngikufisela impilo enhle!
