Akukho ukuya esikhathini (Ukungayi esikhathini)

-Delile

• Amaphuzu avelele
  
• Izinhlobo zokuya esikhathini
• Izimbangela zokuya esikhathini
• Imithi
• Ukukhubazeka ngokomzimba
• Lapho uzobona udokotela mayelana nokuya esikhathini
• Yini ongayilindela lapho kuqokwa udokotela
• Ukwelashwa kokuya esikhathini
• Ongakwenza manje

Kuyini ukuya esikhathini?

Amaphuzu avelele

1. Ukungayi esikhathini, okwaziwa nangokuthi i-amenorrhea, ukungabikho kwezikhathi zokuya esikhathini. Kunezinhlobo ezimbili zokuya esikhathini. Uhlobo luxhomeke ekutheni ukuya esikhathini akukaze kwenzeke ngeminyaka ethile, noma ukuthi ukuya esikhathini kwenzeke yini bese kungabe kusaba khona.
2. Ukuya esikhathini kungenzeki ngenxa yezizathu ezahlukahlukene. Okuvame kakhulu kulezi kufaka izimbangela zemvelo, izici zendlela yokuphila, nokungalingani kwamahomoni.
3. Kubalulekile ukubona udokotela mayelana nokuya esikhathini, njengoba imbangela ingadinga ukwelashwa. Ukuya esikhathini okungajwayelekile kuvame ukuxazululwa uma imbangela yelashwa.

Ukungayi esikhathini, noma i-amenorrhea, ukungabikho kokopha esikhathini. Kwenzeka lapho intombazane ingakayi esikhathini okokuqala ngqa eneminyaka eyi-16. Kuyenzeka futhi lapho owesifazane ehluleka ukuya esikhathini izinyanga ezi-3 kuya kwezi-6.

I-Amenorrhea ingenzeka ngezizathu eziningi. Isizathu esivame kakhulu ukukhulelwa. Kodwa-ke, i-amenorrhea nayo ingadalwa yizinto ezahlukahlukene zokuphila, kufaka phakathi isisindo somzimba namazinga wokuvivinya umzimba.

Kwezinye izimo, ukungalingani kwamahomoni noma izinkinga ngezitho zokuzala kungaba yimbangela.

Kufanele ubone udokotela wakho uma uhlangabezana ne-amenorrhea. Imbangela yezikhathi zakho ozigejile ingadinga ukwelashwa.

Izinhlobo zokuya esikhathini

Izinhlobo ezimbili ze-amenorrhea zibhekiswa njengezokuqala nezesekondari.

I-amenorrhea eyinhloko kulapho intombazane eyeve eshumini nambili ifinyelele noma idlule iminyaka engu-16 futhi ingakayi esikhathini sayo sokuqala. Amantombazane amaningi aqala ukuya esikhathini aneminyaka ephakathi kwengu-9 kuya kwengu-18, kepha engu-12 yiminyaka yobudala emaphakathi.

I-amenorrhea yesibili yilapho owesifazane eyekile ukuya esikhathini okungenani izinyanga ezintathu. Le yindlela ejwayelekile kakhulu ye-amenorrhea.

Ezimweni eziningi, zombili izinhlobo zingelashwa ngempumelelo.

Izimbangela zokuya esikhathini

I-amenorrhea eyinhloko neyesibili ingenzeka ngezizathu eziningi. Ezinye izimbangela zingokwemvelo, kanti ezinye ziyizimo zezokwelapha ezidinga ukwelashwa.

• Izimbangela zemvelo ezingahle zidale i-amenorrhea zifaka phakathi ukukhulelwa, ukuncelisa ibele, nokunqamuka kokuya esikhathini.
• Izici zendlela yokuphila zingabandakanya ukuzivocavoca ngokweqile nokucindezeleka. Futhi, ukuba namafutha omzimba amancane kakhulu noma amafutha omzimba amaningi kakhulu nakho kungabambezela noma kumise ukuya esikhathini.
• Ukungalingani kwamahomoni kungadala i-amenorrhea. Imvamisa zibangelwa ngamathumba endlala ye-pituitary noma endlala yegilo. Amazinga aphansi e-estrogen noma amazinga aphezulu we-testosterone nawo angazibangela.
• Ukuphazamiseka kofuzo noma ukuphazamiseka kwe-chromosomal, njenge-Turner syndrome neSawyer syndrome, kwesinye isikhathi kungadala ukuya esikhathini sekwephuzile.
• Imithi ingadala i-amenorrhea kwabanye besifazane.
• Ama-antipsychotic kanye ne-anti-depressants kuvame ukubandakanyeka.
• Izidakamizwa ze-Chemotherapy nemithi elapha umfutho wegazi ophakeme ingadala nezinkinga zokuya esikhathini.
• Ukumisa ngokungazelelwe amaphilisi okulawula ukubeletha nakho kungaholela ezinyangeni ezimbalwa zezikhathi ezingekho ngaphambi kokuba umjikelezo ubuyele kokujwayelekile.
• Ukukhubazeka ngokomzimba njengezinkinga zokwakheka ezithweni zokuzala zabesifazane kungahle kube nesibopho sokuya esikhathini noma ukubambezeleka kokuya esikhathini.
• Lezi zinkinga zingabangelwa ukukhubazeka kokuzalwa, izicubu, noma ukutheleleka okwenzeke esibelethweni noma ngemuva nje kokuzalwa.
• Ezimweni ezingavamile, izikhathi ezingabanjwanga kungaba uphawu lwe-Asherman's syndrome. Lokhu kwenzeka ngenxa yesibazi esibelethweni ngemuva kokuhlinzwa, okungavimbela ukuya esikhathini.

Imithi

Ukukhubazeka ngokomzimba

Lapho uzobona udokotela mayelana nokuya esikhathini

Intombazane eyeve eshumini nambili engakaqali ukuya esikhathini okungenani ngeminyaka eyi-16 kufanele ibonane nodokotela.Uhambo oluya ehhovisi likadokotela nalo luyadingeka uma eneminyaka yobudala eyi-14 noma ngaphezulu futhi engakahlangabezani nakho noma yini izimpawu zokuthomba okwamanje. Lezi zinguquko zizofaka okulandelayo ngokulandelana kwezinombolo zokubukeka:

1. i-thelarche (ukukhula kwamabele)
2. i-pubarche (ukuthuthukiswa kwezinwele ezisesidlangalaleni)
3. ukuya esikhathini (ukuqala kwesikhathi sokuya esikhathini)

Abesifazane abasesikhathini nentsha kufanele babonane nodokotela wabo uma begeje izikhathi ezintathu noma ngaphezulu zilandelana.

Yini ongayilindela lapho kuqokwa udokotela

Uma ubona udokotela wakho mayelana ne-amenorrhea, udokotela wakho uzokwenza ukuhlolwa komzimba bese ekubuza imibuzo eminingana. Zilungiselele ukukhuluma ngomjikelezo wakho wokuya esikhathini, indlela ophila ngayo, nezinye izimpawu ohlangabezana nazo.

Udokotela wakho uzophinde a-oda ukuhlolwa kokukhulelwa uma ungazange ube nesikhathi ezinyangeni ezintathu. Uma leso simo sikhishwa ngaphandle, ungadinga izivivinyo eziningi ukuthola imbangela eyisisekelo sezikhathi zakho ezingabanjwanga. Lezi zivivinyo zokuxilonga zingafaka:

• Ukuhlolwa kwegazi, okuzovumela udokotela wakho ukuthi ahlole amazinga ama-hormone emzimbeni wakho. Iprolactin, i-luteinizing hormone, ne-follicle stimulating hormone konke kuhlobene nokuya esikhathini. Ukunquma lawa mazinga kungasiza udokotela wakho ukunquma noma ukukhipha imbangela yezikhathi zakho ezingekho.
• I-Ultrasound ukuhlolwa kwe-imaging okusebenzisa amaza omsindo wemvamisa ephezulu ukudala izithombe ezinemininingwane engaphakathi komzimba wakho. Inika amandla udokotela wakho ukubuka izitho ezahlukahlukene, njengama-ovari nesibeletho, futhi ahlole ukukhula okungavamile.
• I-CT scan olunye uhlobo lokuhlolwa kwe-imaging olusebenzisa amakhompyutha nemishini ye-X-ray ejikelezayo ukwakha izithombe ezihlukanisayo zomzimba. Lezi zithombe zivumela udokotela wakho ukuthi afune uquqaba nezicubu ezithweni zakho zezitho zomzimba nezitho zomzimba.

Ukwelashwa kokuya esikhathini

Ukwelashwa kwe-amenorrhea kuyahluka kuye ngesizathu esiyimbangela. Ukungalingani kwehormonal kungaphathwa ngamahomoni okwengeza noma okwenziwa, angasiza ukulinganisa amazinga ama-hormone.

Udokotela wakho angafuna futhi ukususa ama-ovarian cysts, scar tissue, noma izilonda zesibeletho okubangela ukuthi uphuthelwe yisikhathi sakho sokuya esikhathini.

Udokotela wakho futhi angancoma ukuthi wenze ushintsho olulula lwendlela yokuphila uma isisindo sakho noma ukuzivocavoca umzimba kunomthelela esimweni sakho. Cela udokotela wakho ukuthi akuthumele kudokotela wezokudla noma kudokotela wezokudla, uma kunesidingo.

Lezi zingcweti zingakufundisa ukuthi ungaphatha kanjani isisindo sakho nomsebenzi womzimba ngendlela enempilo.

Ongakwenza manje

Hlela i-aphoyintimenti nodokotela wakho ukuze bakwazi ukuthola imbangela ye-amenorrhea yakho. Qiniseka ukuthi unamathela ohlelweni lwakho lokwelashwa futhi uya kuzo zonke izikhathi zokulandelwa.

Njalo xhumana nodokotela wakho uma isimo sakho singathuthuki ngokwelashwa noma ukulungiswa kwendlela yokuphila.