Ingabe nawe usephuzile ukuya esikhathini? Ake sixoxe nge-oligomenorrhea!

Ingabe ngezinye izikhathi uke ucabange ukuthi, "O, kungani isikhathi sami singakafiki?"? Ngemva kokulinda izinsuku eziningi, bese kuthi ngezinye izikhathi ngemva kwenyanga eyodwa noma ezimbili, kuzwakala sengathi umthwalo omkhulu engqondweni yakho? Noma kwabanye abantu, isikhathi sabo singafika izikhathi eziyisithupha noma eziyisikhombisa ngonyaka. Kuyini lokhu ngempela? Ake sixoxe ngalokhu namuhla.

Kuyini i-Oligomenorrhea?

Kalula nje, i-oligomenorrhea yilapho ukuya kwakho nyanga zonke, noma "ukuya esikhathini" njengoba sonke sikubiza kanjalo, kungajwayelekile futhi kuza kaningi. Umjikelezo wokuya esikhathini wowesifazane ophilile uvame ukwenzeka njalo ezinsukwini ezingama-28. Kodwa-ke, noma yini ephakathi kwezinsuku ezingama-21 nezingama-35 ibhekwa njengejwayelekile. Ukuya esikhathini kungahlala noma kuphi kusukela ezinsukwini ezine kuya kweziyisikhombisa. Esikhathini esiningi, uzoba nenani elifanayo lezinsuku phakathi kokuya esikhathini kwakho, ngezinye izikhathi ngisho nosuku olulodwa noma ezimbili ezihlukene.

Kodwa uma kwenzeka i-oligomenorrhea, lezi zikhathi azivamile. Ungase ungabi nesikhathi esingaphezu kwezinsuku ezingu-35. Mhlawumbe esikhundleni sokuba nesikhathi sanyanga zonke, uba nezikhathi eziyisithupha noma eziyisishiyagalombili kuphela ngonyaka. Cabanga ukuthi lokho kuyacasula kangakanani.

Uyini umehluko phakathi kwe-oligomenorrhea ne-amenorrhea?

Empeleni lezi yizinhlobo ezimbili zokuya esikhathini okungavamile. I-Amenorrhea yilapho ukuya esikhathini kuphela ngokuphelele. Lokho kusho ukuthi awukaze uye esikhathini, noma usunezinyanga eziningi bese ziyaphela.

Kodwa ku -oligomenorrhea , uya esikhathini, kodwa akwenzeki ngezinsuku ezihleliwe. Ngakho-ke, isikhathi sakho silula kunokujwayelekile. Uyawuqonda umehluko?

Sivame kangakanani lesi simo?

Eqinisweni , phakathi kuka-12% no-15.3% wabesifazane abaya esikhathini bazobhekana ne-oligomenorrhea ngesikhathi esithile empilweni yabo. Phakathi kuka-10% no-20% walabo abanobunzima bokukhulelwa banalesi simo. Ikakhulukazi, i-oligomenorrhea ivame kakhulu ngesimo esibizwa ngokuthi i-Polycystic Ovary Syndrome (PCOS) . Phakathi kuka-75% no-85% walabo abane-PCOS banezikhathi zokuya esikhathini ezingajwayelekile.

Ziyini izimpawu ze-oligomenorrhea?

Uphawu oluyinhloko ukuphuza noma ukungabikho kokuya esikhathini. Kodwa-ke, kuye ngokuthi imbangela iyini, ungase ube nezinye izimpawu. Lezi zimpawu zifaka:

• Induna.
• Ubuhlungu bekhanda.
• Ukushisa okukhulu.
• Ubuhlungu besisu.
• Ukuphuma koketshezi esithweni sangasese sowesifazane.
• Ukuphazamiseka kokubona.
• Ukukhula kwezinwele ngokweqile ebusweni nasemzimbeni.

Qaphela uma unesinye noma ngaphezulu salezi.

Kungani ukuya kwami ​​​​esikhathini nyanga zonke kungajwayelekile? Ziyini izimbangela?

Esikhathini esiningi, lokhu kungenxa yokungalingani kwama-hormone emzimbeni wakho. Izitho zakho zokuzala kanye nezindlala ebuchosheni bakho zikhiqiza ama-hormone ahlukene ukulawula umjikelezo wakho wokuya esikhathini. Uma la ma-hormone elinganisene, umjikelezo wakho wokuya esikhathini uba njalo kakhulu. Kodwa uma ama-hormone engalingani, kuyaphazamisa lokhu kujwayelekile.

Ngaphezu kwalokho, ukutheleleka kanye nokukhubazeka kwesakhiwo ohlelweni lwakho lokuzala nakho kungaphazamisa umjikelezo wakho wokuya esikhathini.

Ake sibheke ezinye zezizathu eziyinhloko:

Ngenxa yokungalingani kwama-hormone:

• I-Polycystic Ovary Syndrome (PCOS): I-PCOS ibangela ukuthi umzimba wakho ukhiqize ama-hormone amaningi kakhulu abizwa ngokuthi ama-androgens (njenge-testosterone). Lokhu kungaphazamisa ukukhishwa kweqanda, inqubo lapho iqanda likhishwa khona ema-ovari.
• Izimila ezikhipha i-androgen: Ezinye izinhlobo zezimila ezikhula emaqanda akho nasezindlala ze-adrenal zingakhipha ama-hormone e-androgen futhi ziphazamise umjikelezo wakho wokuya esikhathini. Lezi zimpawu zifana neze-PCOS.
• I-Cushing's syndrome: Kulesi simo, umzimba wakho ukhiqiza i-cortisol eningi kakhulu. Lokhu kungabangela nokungalingani kwama-hormone futhi kuthinte umjikelezo wakho wokuya esikhathini.
• I-Prolactinoma: Lesi isimila esikhula endlaleni ye-pituitary. Lokhu kubangela ukuthi kukhiqizwe i-hormone i-prolactin eningi kanye nokwehla kwama-hormone ocansi (isib. i-estrogen) adingekayo ukuze kube nokuya esikhathini okuvamile.
• Ukuntuleka Okuyinhloko Kwesibeletho: Kulesi simo, ama-ovari akho ayayeka ukukhiqiza amaqanda ngaphambi kwesikhathi esilindelwe (ngaphambi kokunqamuka kokuya esikhathini). Ayayeka nokukhiqiza i-hormone i-estrogen, edingekayo ukuze uye esikhathini njalo.
• I-Hyperthyroidism: Uma i-thyroid gland yakho ingasebenzi kahle, i-pituitary gland ingakhiqiza i-prolactin eningi kakhulu kanye ne-estrogen encane kakhulu.
• I-Congenital Adrenal Hyperplasia: Lesi yisimo esiba khona lapho kuzalwa. Kulesi simo, izindlala ze-adrenal azikhiqizi ama-enzyme anele okwenza ama-hormone adingekayo ukuze kube nokuya esikhathini.

Ukutheleleka nezinye izinkinga esibelethweni kungabangela:

• Isifo Sokuvuvukala Kwesitho Sangasese Sowesifazane (PID): I-PID ingabangelwa izifo ezithathelwana ngocansi ezingalashwanga (ama-STI). Lokhu kutheleleka nokuvuvukala kungaphazamisa umjikelezo wakho wokuya esikhathini.
• I-Asherman's syndrome / Ukunamathela kwe-Endometrial:Izicubu zezibazi ezakheka esibelethweni noma emlonyeni wesibeletho (ngokuvamile ngemva kokuhlinzwa kwabesifazane njenge-D&C - Dilation & Curettage) zingaphazamisa ukuphuma kwegazi okuvamile kokuya esikhathini.

Ezinye izizathu:

• Isifo Sikashukela: Zombili izifo zesifo sikashukela zohlobo 1 nohlobo 2 zihlotshaniswa ne-oligomenorrhea. Zivame kakhulu kubantu abanesisindo esingaphansi (ezivame kakhulu kubantu abanesifo sikashukela sohlobo 1) kanye nabantu abakhuluphele ngokweqile (ezivame kakhulu kubantu abanesifo sikashukela sohlobo 2).
• Izinkinga zokudla: Izimo ezifana ne-bulimia kanye ne-anorexia zingabangela ukuntuleka kokudla okunempilo futhi zibambezele noma ziyeke ukuya esikhathini.
• Umsebenzi womzimba onzima kakhulu: Uma ucindezela umzimba wakho kakhulu ngokuzivocavoca, umzimba wakho ungase ungakwazi ukwenza izinqubo ezibalulekile njengokuya esikhathini.

Eminye imithi ingathinta futhi:

• Izindlela zokuvimbela inzalo zama-hormone, njengamaphilisi okuvimbela inzalo.
• Ama-antipsychotic.
• Imithi yokulwa nesifo sokuwa.

Udokotela usithola kanjani lesi simo ngokunembile?

Uma uya kudokotela, uzokhuluma nawe, enze izivivinyo, futhi azame ukuthola ukuthi une-oligomenorrhea nokuthi iyini imbangela.

Imibuzo ebuzwe kuwe (Umlando Wezokwelapha):

Ngaphambi kokuthi uye kudokotela wakho, lungisa umlando onemininingwane wokungahambi kahle kwakho kokuya esikhathini. Gcina irekhodi lezinto ezifana nenani lezinsuku phakathi kokuya esikhathini okungenani izinyanga ezimbili. Udokotela wakho uzokubuza imibuzo efana nalokhu:

• Unjani umjikelezo wakho wokuya esikhathini ojwayelekile: zingaki izinsuku phakathi kokuya esikhathini, lingakanani igazi elilahlekile, njll. Ukwazi umjikelezo wakho ojwayelekile kuzosiza udokotela wakho aqonde ubucayi benkinga.
• Umlando wezokwelapha womndeni wakho: Uma othile emndenini wakho enesifo esibangela i-oligomenorrhea (isb. i-PCOS), kungenzeka ukuthi nawe ube naso.
• Imikhuba yakho nendlela yakho yokuphila: Bazokubuza ngemikhuba yakho yokudla kanye nokuzivocavoca ukuze babone ukuthi inawo yini umthelela kulokhu. Bangase bakubuze nokuthi uya ocansini olungavikelekile yini ukuze babone ukuthi le nkinga ibangelwa yi-STI.
• Imithi oyiphuzayo: Amaphilisi okuvimbela inzalo enziwa ngama-hormone, imithi yokugula ngengqondo, imithi yesifo sokuwa, kanye nama-steroid konke kungabangela i-oligomenorrhea.

Izivivinyo:

• Ukuhlolwa Komzimba: Ubuso bakho, intamo, amabele, kanye nesisu kuzohlolwa ukuze kubonakale ukuthi kukhona yini izimpawu ezingase zibangele i-oligomenorrhea.
• Ukuhlolwa kwe-rectovaginal:Udokotela uzofaka umunwe ogqokwe ngeglavu esithweni sangasese sowesifazane kanye nomunye umunwe endunu ukuze ahlole noma yiziphi izigaxa noma ukukhula emzimbeni. Lokhu kungaba yinto engakhululekile, kodwa kubalulekile ekuxilongweni.
• Ukuhlolwa kwe-speculum yesitho sangasese sowesifazane: Idivayisi ebizwa ngokuthi i-speculum isetshenziselwa ukwandisa isitho sangasese sowesifazane kanye nesitho sangasese sowesifazane ukuze kuhlolwe ukopha, ukuvuvukala, izicubu zesilonda, njll. Kungase kuthathwe i-swab yesitho sangasese sowesifazane ukuze kuhlolwe ukutheleleka.
• Ukuhlolwa kwesisu: Isisu siyaphathwa ukuze kuhlolwe amaqhubu, amaqhubu, noma izindawo ezibuhlungu uma zicindezelwa.

Ukuhlolwa kwezithombe okungenziwa kufaka phakathi:

• Ukuskena kwe-CT: Kungabona izinto ezifana nezimila ezibangela ukopha.
• Ukuhlolwa kwe-ultrasound kwe-pelvic kanye nesisu: Kubonisa izimpawu zezimo ezifana nokuqunjelwa kanye ne-PCOS.
• Ukuskena kwe-MRI (I-Magnetic Resonance Imaging - i-MRI): Kungaqinisekisa ukuba khona kwe-prolactinoma.

Ukuhlolwa Kwegazi:

Ukuhlolwa kwegazi kungahlola amazinga akho ama-hormone kanye namazinga kashukela egazini. Udokotela wakho angahlola amazinga ama-hormone afana nalawa:

• I-hormone Evuselela I-thyroid (TSH): Uma lokhu kuphansi, kungaba uphawu lwe-hypothyroidism.
• I-Follicle-Stimulating Hormone (FSH): Uma lokhu kuphezulu, kungabangela ukuntuleka kwe-Ovarian Eyinhloko.
• I-Luteinizing Hormone (LH): Uma kuqhathaniswa ne-FSH, amazinga aphezulu e-LH angasiza ekuxilongeni i-PCOS.
• I-Prolactin: Amazinga aphezulu e-prolactin angase abonise i-prolactinoma.
• 17-OHP: I-Congenital Adrenal Hyperplasia ingatholakala kuleli zinga.
• Ushukela egazini: Ukuhlolwa kwe-HbA1c kungabona isifo sikashukela.

Khumbula, akuzona zonke lezi zivivinyo ezenzelwa wonke umuntu. Izivivinyo ozikhethayo zizoncika ezimpawini zakho kanye nalokho okucatshangwa udokotela wakho .

Yiziphi izindlela zokwelapha lokhu? (Ukwelashwa)

I-oligomenorrhea iphathwa kuye ngokuthi imbangela iyini.

• Ukwelashwa ngama-hormone: Uma i-oligomenorrhea yakho ibangelwa ukungalingani kwama-hormone, udokotela wakho angase akunikeze amaphilisi okuvimbela ukubeletha noma ezinye izindlela zokwelapha ngama-hormone.
• Ukuhlinzwa: Uma kukhona izimila ezikhiqiza i-androgen eningi kakhulu, udokotela wakho angase akuncome ukuthi zisuswe ngokuhlinzwa.
• Izinguquko zendlela yokuphila:Uma le nkinga ibangelwa ukuntuleka kokudla okunempilo noma ukuvivinya umzimba ngokweqile, kuzodingeka wenze izinguquko ekudleni kwakho kanye nokuzivocavoca umzimba.

Ingabe ikhona indlela yokuvimbela lokhu? (Ukuvimbela)

Ayikho indlela ethile yokuvimbela i-oligomenorrhea. Kodwa-ke, uma imbangela isitholakele, udokotela wakho uzoncoma ukwelashwa okufanele.

Kwenzekani uma une-oligomenorrhea? Ingabe kufanele ukhathazeke?

I-oligomenorrhea ngokwayo ayiyona inkinga enkulu. Kodwa-ke, kubalulekile ukuthola ukuthi yini ebangela lokhu. Lokhu kungenxa yokuthi ezinye izimo eziyisisekelo zingabangela izinkinga. Isibonelo, i-PID engalashwanga kanye ne-PCOS kungaholela ekungazalini. Futhi, uma ulwelwesi lwesibeletho lungaphumi kahle ngenxa ye-oligomenorrhea, kunengozi yokukhula kwezimo ezifana ne -endometrial hyperplasia kanye nomdlavuza we-endometrial .

Ngingayibona nini udokotela?

Uma ubulokhu ungekho esikhathini sakho izinsuku ezingaphezu kuka-35, noma uma ubulokhu ungekho esikhathini izinyanga, kufanele nakanjani ubone udokotela. Ukuya esikhathini sekwephuzile noma ukungayi esikhathini akuvamile. Kubalulekile ukuthola imbangela nokuvimbela izinkinga zesikhathi eside.

Ngaphambi kokuthi uye kudokotela, bhala phansi isikhathi sakho sokuya esikhathini ekhalendeni noma kuhlelo lokusebenza. Lokhu kuzosiza udokotela wakho ukuphendula imibuzo mayelana nokuthi yini evamile nokuthi yini engajwayelekile. Izinhlelo zokusebenza eziningi zikuvumela ukuthi uqophe izinto ezifana nalezi:

• Izinsuku eziqondile lapho ukuya esikhathini kuqala futhi kuphela khona.
• Lingakanani igazi eliphumayo (linzima, lilula, noma lijwayelekile?).
• Izimpawu ozibonayo ngaphambi, ngesikhathi, nangemva kokuya esikhathini kwakho.

Yimiphi imibuzo ebalulekile okufanele uyibuze udokotela?

• "Ingabe kufanele ngikhathazeke ngokuthi ukuya kwami ​​​​esikhathini kuzoba okungajwayelekile?"
• "Ingabe ukuya kwami ​​​​esikhathini okungajwayelekile kuzothinta ikhono lami lokuthola abantwana?"
• "Uma ngifuna ukwamukela ingane, yiziphi izindlela zokwelapha enginazo?"
• "Ingabe kuzodingeka ngithathe ukwelashwa kwama-hormone isikhathi eside ukuze ngilawule i-oligomenorrhea?"

Buza imibuzo efana nale bese ususa ukungabaza kwakho.

Ingabe i-oligomenorrhea iyayithinta inzalo? (Ukungazali)

Yebo, i-oligomenorrhea ingaba uphawu lwesimo esithinta ukuzala, njenge-PCOS. Ukungalingani kwama-hormone okubangela ukuya esikhathini okungajwayelekile nakho kungenza kube nzima ngawe ukukhulelwa.

Ingabe i-PCOS kanye ne-oligomenorrhea ziyinto efanayo?

Cha. Kodwa-ke, i-PCOS kanye nokuya esikhathini okungajwayelekile kuvame ukwenzeka ndawonye. I-Oligomenorrhea ingaba uphawu lwe-PCOS.

Ekugcineni, kufanele ngikutshele lokhu...

Uma ukuya kwakho esikhathini kungajwayelekile, ungesabi. Kunezizathu eziningi ezenza ukuthi umjikelezo wakho wokuya esikhathini ungabi njalo, eziningi zazo ezingenangozi. Kodwa-ke, uma usuphelelwe yisikhathi isikhathi eside, kufanele nakanjani ubone udokotela. Futhi, qaphela ezinye izimpawu, njengokuthi uphuma igazi elingakanani, kungakhathaliseki ukuthi unezinhlungu zesisu, noma uketshezi olungavamile lwesitho sangasese sowesifazane. Yabelana ngalo lonke lolu lwazi nodokotela wakho. Uzokwazi ukuthola imbangela yokuya kwakho esikhathini okungajwayelekile futhi akunike ukwelashwa okudingayo. Impilo yakho ibaluleke kakhulu kuwe, ngakho-ke kubalulekile ukunaka lezi zinto.

I- Oligomenorrhea, ukuya esikhathini kwanyanga zonke, ukuya esikhathini sekwephuzile, ukuya esikhathini okungajwayelekile, ama-hormone, i-PCOS, impilo yabesifazane