Izikhathi zokuya esikhathini ezingekho - okuyisisekelo

Ukungabikho esikhathini kokuya esikhathini sowesifazane njalo ngenyanga kubizwa nge-amenorrhea.

I-amenorrhea eyinhloko kulapho intombazane ingakaqali ukuya ezinyangeni zayo, futhi yona:

• Udlule kolunye ushintsho olujwayelekile olwenzeka ngesikhathi sokuthomba
• Uneminyaka engaphezu kwengu-15

Amantombazane amaningi aqala ukuya esikhathini aneminyaka ephakathi kwengu-9 no-18. Isilinganiso sineminyaka engaba ngu-12 ubudala. Uma kungenasikhathi esike senzeka lapho intombazane indala kuneminyaka eyi-15, kungadingeka ukuhlolwa okwengeziwe. Isidingo siphuthuma kakhulu uma eye wahlangabezana nezinye izinguquko ezejwayelekile ezenzeka ngesikhathi sokuthomba.

Ukuzalwa unezitho zobulili ezingakakhiwa ngokuphelele noma izitho zangasese kungaholela ekushodeni kwezikhathi zokuya esikhathini. Ezinye zalezi ziphutha zifaka:

• Ukuvaleka noma ukuncipha komlomo wesibeletho
• Ihubo elingenakho ukuvulwa
• Isibeletho esilahlekile noma isitho sangasese sowesifazane
• I-septum yesitho sangasese sowesifazane (udonga oluhlukanisa isitho sangasese sangasese sibe izingxenye ezimbili)

AmaHormone adlala indima enkulu emjikelezweni wokuya esikhathini kowesifazane. Izinkinga zehormone zingenzeka lapho:

• Izinguquko zenzeka ezingxenyeni zobuchopho lapho kwenziwa khona ama-hormone asiza ukuphatha umjikelezo wokuya esikhathini.
• Amaqanda awasebenzi kahle.

Noma yiziphi zalezi zinkinga zingabangelwa:

• I-anorexia (ukulahlekelwa ukudla)
• Izifo ezingamahlalakhona noma zesikhathi eside, njenge-cystic fibrosis noma isifo senhliziyo
• Ukukhubazeka kofuzo noma ukuphazamiseka
• Izifo ezenzeka esibelethweni noma ngemuva kokuzalwa
• Okunye ukukhubazeka kokuzalwa
• Ukungondleki kahle
• Izimila

Ezimweni eziningi, imbangela ye-amenorrhea eyinhloko ayaziwa.

Owesifazane one-amenorrhea ngeke abe nokuya esikhathini. Angaba nezinye izimpawu zokuthomba.

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba ukubheka ukukhubazeka kokuzalwa kwesitho sangasese sowesifazane noma kwesibeletho.

Umhlinzeki uzobuza imibuzo mayelana:

• Umlando wakho wezokwelapha
• Imithi nezithako ongahle uzithathe
• Uzivocavoca kangakanani umzimba wakho
• Imikhuba yakho yokudla

Kuzokwenziwa isivivinyo sokukhulelwa.

Ukuhlolwa kwegazi ukukala amazinga e-hormone ahlukile kungafaka:

• I-Estradiol
• FSH
• LH
• Iprolactin
• 17 i-hydroxyprogesterone
• I-Serum progesterone
• Izinga le-testosterone le-Serum
• I-TSH
• I-T3 ne-T4

Olunye uvivinyo olungenziwa lubandakanya:

• Ukuhlolwa kweChromosome noma kofuzo
• Iskena sekhanda i-CT noma ikhanda le-MRI ukusesha izicubu zobuchopho
• I-pelvic ultrasound ukubheka ukukhubazeka kokuzalwa

Ukwelashwa kuya ngesizathu sesikhathi esilahlekile. Ukuntuleka kwezikhathi okubangelwa ukukhubazeka kokuzalwa kungadinga imithi ye-hormone, ukuhlinzwa, noma kokubili.

Uma i-amenorrhea ibangelwa isimila ebuchosheni:

• Imithi inganciphisa izinhlobo ezithile zezicubu.
• Ukuhlinzwa okususa isimila nakho kungadingeka.
• Ukwelashwa ngemisebe kuvame ukwenziwa kuphela lapho ezinye izindlela zokwelapha zingasebenzi.

Uma inkinga ibangelwa yisifo se-systemic, ukwelashwa kwalesi sifo kungavumela ukuqala kokuya esikhathini.

Uma imbangela i-bulimia, i-anorexia noma ukuzivocavoca ngokweqile, izikhathi zivame ukuqala lapho isisindo sibuyela kokujwayelekile noma izinga lokuzivocavoca linciphile.

Uma i-amenorrhea ingenakulungiswa, imithi ye-hormone kwesinye isikhathi ingasetshenziswa. Imithi ingasiza owesifazane ukuthi azizwe njengabangani bakhe namalungu omndeni wabesifazane. Futhi bangavikela amathambo ekubeni angabi mncane kakhulu (i-osteoporosis).

Umbono uncike embangela ye-amenorrhea nokuthi ingalungiswa yini ngokwelashwa noma ngoshintsho lwendlela yokuphila.

Izikhathi akunakwenzeka ukuthi ziqale zodwa uma i-amenorrhea ibangelwe yilezi zimo ezilandelayo:

• Ukukhubazeka kokuzalwa kwezitho zesifazane
• I-Craniopharyngioma (isimila eduze kwendlala ye-pituitary engxenyeni yobuchopho)
• ICystic fibrosis
• Izinkinga zofuzo

Ungaba nokucindezeleka ngokomzwelo ngoba uzizwa uhlukile kubangane noma umndeni. Noma, ungahle ukhathazeke ngokuthi kungenzeka ungabe usaba nezingane.

Shayela umhlinzeki wakho uma indodakazi yakho indala kuneminyaka eyi-15 futhi ingakaqali ukuya esikhathini, noma uma ineminyaka engu-14 futhi ingakhombisi ezinye izimpawu zokuthomba.

I-amenorrhea eyinhloko; Azikho izikhathi - eziyinhloko; Izikhathi ezingekho - okuyinhloko; Ama-mens angekho - okuyinhloko; Ukungabikho kwezikhathi - okuyinhloko

• I-amenorrhea eyinhloko
• I-anatomy yesizalo ejwayelekile (isigaba esisikiwe)
• Ukungabikho esikhathini (amenorrhea)

I-Bulun SE. I-Physiology kanye ne-pathology ye-eksisi yokuzala yabesifazane. Ku: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, abahleli. Incwadi kaWilliams ye-Endocrinology. Umhlaka 14. IPhiladelphia, PA: Elsevier; 2020: isahluko 17.

Lobo RA. I-amenorrhea eyinhloko kanye neyesibili kanye nokuthomba ngaphambi kwesikhathi: i-etiology, ukuhlolwa kokuxilongwa, ukuphathwa. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. I-Gynecology ephelele. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2017: isahluko 38.

UMagowan BA, Owen P, Thomson A. Umjikelezo ojwayelekile wokuya esikhathini kanye ne-amenorrhoea. Ku: Magowan BA, Owen P, Thomson A, eds. I-Clinical Obstetrics ne-Gynecology. Umhla wesi-4. Elsevier; 2019: isahluko 4.