Ingabe ukuya kwakho nyanga zonke kuyekile? Mhlawumbe imbangela yi-Hypothalamic Amenorrhea!

Uyakhumbula ukuthi ukuya kwakho esikhathini kwanyanga zonke, noma ukuya esikhathini, kwakuvame ukufika ngesikhathi. Kodwa ingabe kuye kwaphela izinyanga ezimbalwa manje? Noma ingabe sekuyinto engajwayelekile? Nakuba ngezinye izikhathi singazinaki kakhulu lezi zinto, lokhu kuyinto okufanele siyikhathalele ngempela. Namuhla sizokhuluma ngesizathu esisodwa esiqondile esithinta ukuyeka ukuya esikhathini. Leso yi-hypothalamic amenorrhea, noma njengoba odokotela bekubiza `(Functional Hypothalamic Amenorrhea - FHA)`.

Kuyini i-Hypothalamic Amenorrhea?

Kalula nje, i-hypothalamic amenorrhea yilapho ukuya kwakho kwanyanga zonke kuyeka ngenxa yenkinga yokusebenza kwengxenye yobuchopho bakho ebizwa ngokuthi i-hypothalamus . Manje ungase uzibuze ukuthi iyini i-hypothalamus, akunjalo? Cabanga ngomzimba wakho wonke njengenkampani enkulu. I-hypothalamus ifana nesikhungo sokulawula esiyinhloko saleyo nkampani. Ilawula izinto eziningi njengokushisa komzimba, indlala, nokoma. Iphinde ilawule ezinye izinqubo ezibalulekile ezihlobene nohlelo lwethu lokuzala. Ngokukhethekile, ukuze ukuya esikhathini kwenzeke, i-hypothalamus idinga ukukhulula i-hormone ebizwa ngokuthi i-gonadotropin-releasing hormone (GnRH) . Le hormone `(GnRH)`, kanye nama-hormone `Follicle-stimulating hormone (FSH)` kanye ne -`Luteinizing hormone (LH) `,` kanye ne-`Estrogen`, kusiza umjikelezo wakho wokuya esikhathini ukuthi usebenze kahle. Ngakho-ke, uma ngesizathu esithile i-hypothalamus yakho iyeka ukukhiqiza le hormone `(GnRH)` noma iyinciphisa, ibhalansi yalawo ma-hormone nawo izolahleka. Yilapho ukuya kwakho kwanyanga zonke kuzoqala ukungajwayelekile noma kuyeke ngokuphelele.

Kuyini i-Amenorrhea?

I-Amenorrhea imane nje iwukungabikho kokuya esikhathini kwakho kwanyanga zonke. Kunezinhlobo ezimbili eziyinhloko zalokhu: 1. I-amenorrhea eyinhloko: Lokhu kusho ukuthi awukaze uye esikhathini sakho sokuqala uneminyaka engu-16, noma eminyakeni emihlanu ngemva kokufika esikhathini sokuthomba. 2. I-amenorrhea yesibili: Lokhu kusho ukuthi uke waya esikhathini njalo ngenyanga, kodwa ngokuzumayo uyeke ukuya esikhathini isikhathi esingaphezu kwezinyanga ezintathu. I-amenorrhea engapheli, esikhuluma ngayo namuhla, uhlobo lwe-amenorrhea yesibili. I-amenorrhea engapheli ithinta abesifazane ababalelwa ezigidini ezingu-1.62 abaphakathi kweminyaka engu-18 no-44 e-United States kuphela. Uma ubheka umhlaba wonke, leli nani licishe libe yizigidi ezingu-17.4. Lokhu kusho ukuthi lokhu akuyona into enganakwa.

Kungani kwenzeka i-hypothalamic amenorrhea? Ziyini izimbangela?

Cabanga nge-hypothalamus yakho njengesikhungo somyalo esisebenza esimweni esiphuthumayo. Ithola imiyalezo evela emzimbeni, ithi, "O, lo mzimba ungaphansi kwengcindezi enkulu, ukucindezeleka okukhulu." Uma izwa lokho, i-hypothalamus inquma ukuthi, "Kulungile, ake siyeke umsebenzi othile isikhashana. Ngoba into ebaluleke kakhulu emzimbeni njengamanje ukusinda." Yilapho-ke iyeka ukukhiqiza leyo hormone `(GnRH)`. Ngakho-ke, yiziphi izizathu ezenza le hypothalamus ingase izizwe "icindezelekile"?

• Ukungadli ngokwanele noma ukuvimbela ukudla: Abanye abantu banciphisa ukudla kwabo ngoba befuna ukuba nomzimba omncane noma ngenxa yendlela ethile. Uma lokhu kwenzeka, umzimba awutholi amandla owadingayo.
• Ukushoda kokudla okunempilo: Uma ungadli ukudla okunempilo, umzimba wakho awunazo izakhamzimba namavithamini owadingayo. Akwanele ukudla nje okuthile okuzogcwalisa isisu sakho.
• Ukuzivocavoca ngokweqile: Ukuzivocavoca umzimba kuhle emzimbeni. Kodwa-ke, abanye abantu bavivinya umzimba ngaphezu kwalokho abakudingayo, baze babe matasa kakhulu. Isibonelo, ukuhlala ejimini usuku lonke, noma abantu abafana nabadlali abaziqeqesha ngokweqile.
• Ukucindezeleka okukhulu kwengqondo noma ngokomzwelo: Lokhu kuyinto ethinta abantu abaningi. Ukucindezeleka okubangelwa yizinto ezifana nezinkinga zasekhaya, izinkinga emsebenzini, izivivinyo, nezinkinga ebudlelwaneni bothando kungathinta i-hypothalamus.
• Amafutha omzimba aphansi kakhulu: Kudingeka inani elithile lamafutha ukuze ama-hormone asebenze. Lesi simo singavela futhi uma siphansi kakhulu.
• Izinkinga zokudla: Izimo ezifana ne- Anorexia Nervosa, isibonelo, zibonakala ngokwesaba ukudla kanye nemibono engemihle ngokudla.

Ngokuvamile, eyodwa noma ezimbili zalezi zici ziyahlangana ukuze zidale isimo `(FHA)`. Cabanga nje, uma umuntu engadli kahle futhi engavivinyi umzimba ngokweqile, khona-ke i-hypothalamus icabanga ukuthi umzimba "usesimweni sokusinda", okungukuthi, usesimweni sokulwa ukuze uphile. Bese, isebenzisa amandla kuphela ezintweni ezibaluleke kakhulu njengokuphefumula nokushaya kwenhliziyo, futhi imise ezinye izinto "ezingabalulekile njengamanje" njengokuzala. Njengoba sishilo ngaphambili, i-hormone `(GnRH)` yiyo etshela umzimba ukuthi ukhiqize ama-hormone `(FSH)` kanye `(LH)`. Lawa ma-hormone amabili `(FSH)` kanye `(LH)` yiwo abangela ukuthi ama-ovari akho akhiphe iqanda njalo ngenyanga, okubizwa ngokuthi `ukuqanda`.Kuyasiza ukuba njalo. Ngakho-ke lapho amazinga `(FSH)` kanye `(LH)` ehla, kokubili ukuvuthwa kanye nokuya esikhathini kuyayeka. Sivame ukucabanga ukuthi lokhu kwenzeka kuphela kubasubathi kanye nabasubathi be-Olimpiki. Ngoba izinga labo lomsebenzi liphezulu. Kodwa, empeleni, lesi simo singavela emantombazaneni amancane, noma kunoma ubani ocindezelekile ngenxa yezinkinga zansuku zonke emsebenzini noma ekhaya.

Ziyini izimpawu ze-amenorrhea ye-hypothalamic?

Uphawu oluyinhloko nolusobala kakhulu lwalesi simo ukuthi awunayo inyanga yonke izinyanga ezintathu noma ngaphezulu. Kodwa-ke, ezinye izimpawu zingase zivele ngenxa yokungalingani kwama-hormone. Lezi zimpawu zifaka:

• Ukucindezeleka Nokukhathazeka : Ukuzizwa udabukile, wesaba, futhi ukhathazekile kungenzeka.
• Ukungalali kahle noma izinkinga zokulala: Ungase uzithole uzulazula futhi ujikajika ebusuku, ungakwazi ukulala kahle.
• Ukuntuleka kwamandla omzimba (ubuvila): Umuzwa wokungabi nampilo nokungafuni ukwenza lutho.
• Ukuzizwa ulambile kaningi: Abanye abantu bangase bazizwe belambile kakhulu kunokujwayelekile phakathi nalesi sikhathi.
• Ukoma kwesitho sangasese sowesifazane : Lokhu kungabangelwa futhi ukwehla kwamazinga e-estrogen hormone.
• Isifiso esiphansi socansi:
• Ukulahlekelwa izinwele :
• Ubuhlungu bekhanda :

Khumbula, ukuba nesibonakaliso esisodwa noma ezimbili zalezi akusho ukuthi une-hypothalamic amenorrhea. Kodwa-ke, uma ukuya kwakho esikhathini sekuphelile futhi unezinye izimpawu ezifana nalezi, kungcono ukubona udokotela.

Ingabe i-PCOS ingadala i-amenorrhea ye-hypothalamic?

I-Polycystic ovary syndrome (PCOS) ingabangela nemijikelezo yokuya esikhathini engajwayelekile noma ukuyeka ngokuphelele ukuvuthwa kwamaqanda kwabesifazane. Kodwa-ke, i-PCOS akuyona imbangela eqondile ye-hypothalamic amenorrhea. I-FHA yisimo lapho ukuya esikhathini kuyeka khona ngenxa yenkinga ku-hypothalamus. I-PCOS ibangelwa izinguquko zama-hormone kuma-ovari.

Odokotela bakuthola kanjani ukuthi i-hypothalamic amenorrhea ayitholakali?

Udokotela uzophetha ngokuthi i-hypothalamic amenorrhea ikhona ngemva kokukhipha zonke ezinye izimbangela zokungajwayelekile kokuya esikhathini. Isibonelo:

• Ngiyohlola ukuthi ukhulelwe yini.
• Bayahlola ukuze babone ukuthi kukhona yini inkinga ngendlala yegilo noma indlala ye-adrenal.

Lezi zinto zizohlolwa kuqala. Ngaphezu kwalokho, udokotela wakho uzokwenza okulandelayo:

• Umlando wakho wezokwelapha ophelele uzobuzwa: izinto ezifana nezifo zakho zangaphambilini, imithi oyiphuzayo, nokuthi ngabe kukhona yini emndenini wakho oke waba nezinkinga ezifanayo.
• Kuzohlolwa umzimba kanye nokuhlolwa kwe-pelvic.
• Kuphinde ku-odwe izivivinyo eziningana ezahlukene. Eziyinhloko yilezi:
• Ukuhlolwa kwegazi: Lokhu kuhlola amazinga ama-hormone athinta ukuya esikhathini, njenge- estrogen , i-prolactin , i-follicle-stimulating hormone (FSH) , kanye ne-luteinizing hormone (LH) .
• Ukubalwa kwegazi okuphelele (i-CBC): Lokhu kunikeza umbono wezinhlobo zamaseli egazini.
• Ukuhlolwa kokukhulelwa:
• Ngezinye izikhathi ungase ucelwe ukuthi wenze i-MRI scan ye-pituitary gland, njengoba i-pituitary gland nayo ihilelekile ekulawuleni ama-hormone.

Yiziphi izindlela zokwelapha lokhu?

Izindaba ezinhle ukuthi kukhona ukwelashwa kwe-hypothalamic amenorrhea! Odokotela batusa kakhulu ukwenza izinguquko endleleni yokuphila . Lokhu kufaka phakathi:

• Ukunciphisa ukuzivocavoca ngokweqile: Uma uvivinya umzimba kakhulu, kungadingeka unciphise kancane.
• Ukwanda kwesisindo (uma kudingeka): Uma unesisindo esingaphansi kwesisindo, kutuswa ukuthi ukhuluphale kancane ngendlela enempilo.
• Ukuthola izindlela zokunciphisa ukucindezeleka: Ungazama ukulawula ukucindezeleka ngezinto ezifana ne-yoga, ukuzindla, kanye nezinto zokuzilibazisa ezizolisayo.

Udokotela wakho angakuthumela kudokotela wezokudla . Lokhu kuzokusiza ukuthi uqonde kahle ukuthi yiziphi izakhamzimba ezidingwa ngumzimba wakho, ukuthi mangaki amakhalori okufanele uwadle nsuku zonke, nokuthi ungayigcina kanjani i -body mass index enempilo (BMI) ngokusekelwe ezingeni lomsebenzi wakho. Abanye abantu bayazuza futhi ekwelulekweni ngempilo yengqondo , njengokwelashwa kokuziphatha kwengqondo (CBT) . Lokhu kuyasiza kakhulu kubantu abanenkinga yokudla noma abangathandi ukuvuma ukuthi banayo. Kungakusiza futhi ufunde izindlela zokuphatha ukucindezeleka. Ezimweni ezingavamile, udokotela wakho angase akunikeze nokwelashwa ngama-hormone, amaphilisi okulawula ukubeletha, noma eminye imithi engakusiza ukuthi uye esikhathini.

Kuthatha isikhathi esingakanani ukwelashwa?

Lokhu kungahluka kumuntu nomuntu. Kuncike ezintweni ezifana neminyaka yakho, isisindo, izinga lomsebenzi, kanye nezakhi zofuzo. Kodwa ngokuvamile, kuthatha izinyanga ezintathu kuya kweziyisithupha zokwelashwa okuqhubekayo ngaphambi kokuba isikhathi sakho siqale futhi.

Ingabe i-hypothalamic amenorrhea ingavinjelwa?

Yebo, nakanjani! Isihluthulelo ukugwema izimbangela eziyinhloko ezibangela lesi simo.

• Yidla ngamanani afanele izinga lomsebenzi wakho.
• Unganciphisi amakhalori ngokungadingekile.
• Thola izindlela zokunciphisa nokuphatha ukucindezeleka.
• Nciphisa ukuvivinya umzimba ngokweqile nokungabekezeleleki.

Kalula nje, lalela umzimba wakho. Mnike ukuphumula, ukudla okunempilo, kanye nenhlalakahle yengqondo oyidingayo.

Lesi simo sithinta kanjani umzimba wami?

Akukhona nje kuphela ukulahlekelwa ukuya esikhathini kwakho kwanyanga zonke, kodwa kungabangela nezinkinga zesikhashana nezesikhathi eside. Nazi ezinye zemiphumela ukwehluleka ukuya esikhathini okungaba nayo empilweni yakho:

• Ukungazali: Uma ukuya esikhathini kungajwayelekile futhi ukukhishwa kwamaqanda kungenzeki, kuba nzima ukukhulelwa umntwana.
• Ukuwohloka kwempilo yamathambo: Lokhu kungaholela ezifweni ezinciphisa amathambo njenge- osteoporosis , njengoba i-hormone i-estrogen ibaluleke kakhulu ekugcineni amathambo eqinile.
• Ingozi eyengeziwe yesifo senhliziyo.
• Izinkinga zesikhumba nezinwele: Izinto ezifana nokulahlekelwa izinwele, induna.

Kungenzeka yini ukukhulelwa nge-hypothalamic amenorrhea?

Amathuba akho okukhulelwa ngenkathi ukulesi simo aphansi kakhulu. Lokhu kungenxa yokuthi ukuvuthwa kweqanda ngokuvamile akwenzeki ngenxa yezinguquko emjikelezweni wakho wokuya esikhathini. Kodwa-ke, ukuvuthwa kweqanda kungenzeka ngezinye izikhathi. Kunzima futhi ukusho ukuthi umjikelezo wakho wokuya esikhathini uzobuyela nini esimweni esijwayelekile. Khumbula, ungakhipha iqanda bese ukhulelwa ngaphambi kokuba uqale ukuya esikhathini. Ngakho-ke, uma usebenza ocansini futhi ungafuni ukukhulelwa, kubaluleke kakhulu ukukhuluma nodokotela wakho mayelana nokulawula inzalo.

Yiziphi izinkinga ezingaba khona ngenxa yalesi simo?

I-hypothalamic amenorrhea ingabangela amazinga aphansi e-estrogen emzimbeni. I-estrogen iyi-hormone ebaluleke kakhulu emzimbeni wethu. Omunye wemisebenzi ye-estrogen ukugcina amathambo aphilile futhi aqinile. Ngaphandle kwe-estrogen, abesifazane basengozini enkulu ye- osteoporosis nesifo senhliziyo. I-estrogen nayo iyasiza ekugcineni isimo sakho sengqondo. Lapho amazinga e-estrogen ephansi, izimpawu ezifana nokucindezeleka nokukhathazeka zingavela.

Kufanele ngimbone nini udokotela?

Uma ungazange uye esikhathini izinyanga ezintathu, qiniseka ukuthi ubonana nodokotela. Ngisho noma ungazami ukukhulelwa, ukuya esikhathini okungajwayelekile kungaba uphawu lwezinye izinkinga. Futhi kungaholela ezinkingeni zesikhathi eside.

I-Hypothalamic amenorrhea ingenye yezizathu ezenza ukuthi ukuya kwakho esikhathini kume. Nakuba kungase kungabonakali njengento enkulu, ukuya esikhathini okungajwayelekile kungaba uphawu lwezinye izinkinga zempilo. Ngakho-ke, uma ungazange uye esikhathini izinyanga ezintathu noma ngaphezulu, khuluma nodokotela wakho. Angenza izivivinyo ukuthola ukuthi kungani ungayi esikhathini sakho, futhi akunike ukwelashwa okudingayo ukuze uqale ukuya esikhathini futhi.

Ngamafuphi, masikhumbule (Umyalezo Wokuya Ekhaya)

Ngiyabonga, ngithemba ukuthi usuyaqonda kangcono isimo esibizwa ngokuthi i-hypothalamic amenorrhea esixoxe ngaso namuhla. Izinto ezibaluleke kakhulu okufanele uzikhumbule yilezi:

• Uma ukuya kwakho nyanga zonke sekume isikhathi esingaphezu kwezinyanga ezintathu, ungakushayi indiva. Qiniseka ukuthi ufuna iseluleko sezokwelapha.
• Izimbangela eziyinhloko ze-hypothalamic amenorrhea ukucindezeleka ngokweqile, ukungondleki kahle, kanye nokuzivocavoca ngokweqile.
• Kukhona ukwelashwa kwalesi simo. Ukwelashwa okuyinhloko ukwenza izinguquko ezinhle endleleni yokuphila .
• Ukwehla kwamazinga e-estrogen kungabangela imiphumela yesikhathi eside njengobuthakathaka bamathambo kanye nengozi eyengeziwe yesifo senhliziyo .
• Awuwedwa. Kunabantu abaningi abanezinkinga ezifanayo. Ngeseluleko sezokwelapha esifanele kanye nokusekelwa, lesi simo singaphathwa.

Kubaluleke kakhulu ukunakekela impilo yakho. Ngakho-ke, uma unemibuzo noma izinkinga, ungesabi ukukhuluma nodokotela. Ngikufisela impilo enhle!