Izinkathi zokuya esikhathini ezingekho - okwesibili

Ukungabikho esikhathini kokuya esikhathini sowesifazane njalo ngenyanga kubizwa nge-amenorrhea. I-amenorrhea yesibili yilapho owesifazane obe nemijikelezo ejwayelekile yokuya esikhathini eyeka ukuya esikhathini izinyanga eziyisithupha noma ngaphezulu.

I-amenorrhea yesibili ingenzeka ngenxa yezinguquko zemvelo emzimbeni. Isibonelo, imbangela evame kakhulu ye-amenorrhea yesibili ukukhulelwa. Ukuncelisa nokuncipha kokuya esikhathini nakho kuyinsakavukela, kepha izimbangela zemvelo.

Abesifazane abathatha amaphilisi okulawula ukubeletha noma abathola ama-hormone shots njengeDepo-Provera kungenzeka bangabi nakopha njalo ngenyanga. Lapho beyeka ukuthatha la mahomoni, izikhathi zabo zingase zingabuyi ngaphezu kwezinyanga eziyisithupha.

Kungenzeka ukuthi ube nezikhathi ezingekho uma:

• Bakhuluphele
• Ukuzivocavoca umzimba ngokweqile futhi isikhathi eside
• Unamafutha omzimba aphansi kakhulu (ngaphansi kuka-15% kuya ku-17%)
• Yiba nokukhathazeka okukhulu noma ukucindezeleka ngokomzwelo
• Yehlisa isisindo esiningi ngokuzumayo (ngokwesibonelo, ekudleni okuqinile noma ngokweqile noma ngemuva kokuhlinzwa kokudlula esiswini)

Ezinye izimbangela zifaka:

• Izimila zobuchopho (pituitary)
• Izidakamizwa zokwelashwa komdlavuza
• Imithi yokwelapha i-schizophrenia noma i-psychosis
• Indlala yegilo eyeqile
• Isifo se-Polycystic ovarian
• Umsebenzi owehlisiwe wamaqanda

Futhi, izinqubo ezinjenge-dilation ne-curettage (D no-C) zingadala izicubu ezibomvu. Lesi sicubu singadala ukuthi owesifazane ayeke ukuya esikhathini. Lokhu kubizwa nge-Asherman syndrome. Ukuqhuma kungabangelwa nokutheleleka okunzima kwe-pelvic.

Ngaphezu kokungayi esikhathini, ezinye izimpawu zingafaka:

• Izinguquko zosayizi webele
• Ukuzuza kwesisindo noma ukunciphisa umzimba
• Ukukhipha isifuba noma ukushintsha usayizi webele
• Izinduna nokwanda kokukhula kwezinwele ngephethini yabesilisa
• Ukoma kwesitho sangasese sowesifazane
• Izinguquko zezwi

Uma i-amenorrhea ibangelwa isimila se-pituitary, kungahle kube nezinye izimpawu ezihlobene nesimila, njengokulahleka kombono nekhanda.

Ukuhlolwa komzimba kanye nokuhlolwa kwezitho zangasese kufanele kwenziwe ukuhlola ukukhulelwa. Kuzokwenziwa isivivinyo sokukhulelwa.

Ukuhlolwa kwegazi kungenziwa ukuhlola amazinga ama-hormone, kufaka phakathi:

• Amazinga e-Estradiol
• I-follicle evuselela i-follicle (izinga le-FSH)
• I-hormone yeLuteinizing (ileveli ye-LH)
• Izinga leprolactin
• Amazinga ama-hormone weSerum, njengamazinga we-testosterone
• Ihomoni ekhuthaza i-thyroid (TSH)

Olunye uvivinyo olungenziwa lubandakanya:

• I-CT scan noma i-MRI scan yekhanda ukubheka izicubu
• I-biopsy yolwelwesi lwesibeletho
• Ukuhlolwa kofuzo
• I-Ultrasound ye-pelvis noma i-hysterosonogram (i-pelvic ultrasound ebandakanya ukufaka isisombululo sikasawoti ngaphakathi kwesibeletho)

Ukwelashwa kuya ngesizathu se-amenorrhea. Izikhathi ezijwayelekile zanyanga zonke zivame ukubuya ngemuva kokuthi isimo selashwe.

Ukuntuleka kokuya esikhathini ngenxa yokukhuluphala, ukuvivinya umzimba ngamandla, noma ukwehlisa isisindo kungaphendula ekuguqukeni kwendlela yokuzivocavoca noma ukulawula isisindo (ukuzuza noma ukwehla, njengoba kudingeka).

Umbono uncike embangela ye-amenorrhea. Izimo eziningi ezibangela i-amenorrhea yesibili zizophendula ekwelashweni.

Bona umhlinzeki wakho wezokunakekelwa kwezempilo oyisisekelo noma umhlinzeki wezokunakekelwa kwezempilo wabesifazane uma uphuthelwe isikhathi esingaphezu kwesisodwa ukuze uthole ukuxilongwa nokwelashwa, uma kudingeka.

I-amenorrhea - yesibili; Azikho izikhathi - zesibili; Izikhathi ezingekho - okwesibili; Ama-mens angekho - okwesibili; Ukungabikho kwezikhathi - kwesibili

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

I-Bulun SE. I-Physiology kanye ne-pathology ye-eksisi yokuzala yabesifazane. KuMelmed S, Auchus RJ, Goldfine AB, Koenig RJ, et al. 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.