Yini i-Amenorrhea nokuthi ilashwa kanjani
-Delile
- Izinhlobo ze-amenorrhea
- Izimbangela eziyinhloko
- Indlela yokwelapha
- Kungenzeka yini ukuthi ukhulelwe i-amenorrhea
I-Amenorrhea ukungabikho kokuya esikhathini, okungaba okuyinhloko, lapho ukuya esikhathini kungafinyeleli kwentsha eneminyaka engu-14 kuya kwengu-16, noma kusekondari, lapho ukuya esikhathini kuyeka ukuza, kwabesifazane asebeke baya esikhathini ngaphambili.
I-Amenorrhea ingenzeka ngezimbangela ezahlukahlukene, okunye okwemvelo, njengokukhulelwa, ukuncelisa noma ukusetshenziswa okuqhubekayo kwemithi yokuvimbela inzalo, noma izifo ezithile, kusuka ekukhubazekeni kohlelo lokuzala lwabesifazane, ushintsho kumahomoni amaqanda, futhi kungabangelwa yingcindezi, ukuphazamiseka kokudla imikhuba noma ukuzivocavoca ngokweqile.
Izinhlobo ze-amenorrhea
Ukungabikho kokuya esikhathini kungenza ngezizathu eziningana, kufakwe ezinhlotsheni ezi-2:
- I-amenorrhea eyinhloko: kulapho kungayi esikhathini ukuya emantombazaneni kusuka eminyakeni eyi-14 kuya kwengu-16, njengoba bekulindelekile ngesikhathi sokukhula komzimba. Kulezi zimo, udokotela wezifo zabesifazane uzokwenza ukuhlolwa komtholampilo noku-oda ukuhlolwa kwegazi ne-ultrasound, ukuphenya ukuthi ngabe kukhona yini ushintsho olwenzeka emzimbeni nasekwenzeni ama-hormone, njenge-estrogen, i-progesterone, i-prolactin, i-TSH, i-FSH ne-LH.
- I-amenorrhea yesibili: kwenzeka lapho ukuya esikhathini kungasafiki ngasizathu simbe, kwabesifazane ababekade beya esikhathini ngaphambilini, izinyanga ezintathu, lapho ukuya esikhathini kwakujwayelekile noma izinyanga eziyisithupha, lapho ukuya esikhathini kwakuyinto engajwayelekile. Uphenyo lwenziwa futhi ngudokotela wezifo zabesifazane, ngokuhlolwa komtholampilo kwabesifazane, ukukalwa kwama-hormone, ngaphezu kwe-ultrasound yangaphansi kwesisu noma ye-pelvic.
Kubalulekile ukuhlolelwa ukukhulelwa noma kunini lapho kune-amenorrhea, njengoba kungenzeka ukuthi ukhulelwe noma ngabe kunesikhathi sokuya esikhathini ngokungajwayelekile noma ebesingekho isikhathi eside.
Izimbangela eziyinhloko
Izimbangela eziyinhloko ze-amenorrhea ukukhulelwa, ukuncelisa kanye nokunqamuka kokuya esikhathini, okuyizimbangela zemvelo zomzimba, ngezikhathi lapho ushintsho emazingeni ama-hormone progesterone ne-estrogen luvamile.
Kodwa-ke, ezinye izimbangela ze-amenorrhea zibangelwa izifo, imishanguzo noma imikhuba, efana nale:
| Izimbangela | IZIBONELO |
| Ukungalingani kweHormonal | - Izinguquko kumahomoni, njenge-prolactin eyeqile, i-testosterone, i-hyper noma i-hypothyroidism; - Izinguquko zobuchopho, njengokuncishiswa komthetho noma isimila se-pituitary; - I-Polycystic ovary syndrome; - Ukunqamuka kokuqala. |
Izinguquko ohlelweni lokuzala | - Ukungabikho kwesibeletho noma amaqanda; - Izinguquko esakhiweni sowesifazane sangasese; - I-hymen engaphelele, lapho ukuya esikhathini kungenandawo yokuya kuyo; - Izibazi zesibeletho noma i-Asherman's syndrome; |
| Ukuvuthwa kuvinjelwe yimikhuba yokuphila | - Ukuphazamiseka kokudla, njenge-anorexia; - Ukuzivocavoca umzimba ngokweqile, okuvamile kubadlali; - Ukwehla kwesisindo esisheshayo kakhulu; - Ukukhuluphala; - Ukudana, ukukhathazeka. |
| Imithi | - Izindlela zokuvimbela inzalo zokusetshenziswa okuqhubekayo; - Izidambisi zomzimba, njenge-amitriptyline, i-fluoxetine; - Ama-Anticonvulsants, njenge-phenytoin; - I-Antipsychotic, efana ne-haldol, risperidone; - Ama-antihistamine, njenge-ranitidine, i-cimetidine; - Ukwelashwa ngamakhemikhali. |
Indlela yokwelapha
Ukwelashwa kwe-amenorrhea kuya ngesizathu, kwenziwa ngokuholwa udokotela wezifo zabesifazane, ozonquma inketho engcono kakhulu ecaleni ngalinye. Ngakho-ke, ezinye izinketho yilezi:
- Ukulungiswa kwamazinga ama-hormone omzimba: kufaka phakathi ukusetshenziswa kwezidakamizwa ukulawula amazinga e-prolactin ne-testosterone, ngokwesibonelo, noma ukushintshwa kwamazinga e-estrogen ne-progesterone ukugcina amazinga e-hormone elawulwa.
- Ukushintsha imikhuba yokuphila: ukwehlisa kanjani isisindo somzimba, ube nokudla okunomsoco nokunempilo, uzijwayeze ukuvivinya umzimba ngokulingene, ngaphezu kokulapha ukudangala nokukhathazeka, uma kukhona, ngokweseluleko sodokotela bengqondo.
- Ukuhlinzwa: kungavuselela ukuya esikhathini futhi kwandise namathuba okukhulelwa, njengasesithunzini esingafakwanga kahle, izibazi zesibeletho kanye nezinguquko ezithile esithweni sangasese. Kodwa-ke, lapho kukhona ukungabikho kwesibeletho ne-ovary, akunakwenzeka ukusungula i-ovulation noma ukuya esikhathini.
Ukwelashwa kwemvelo kungasiza kwezinye izimo zokubambezeleka kokuya esikhathini ngenxa yezinguquko kumjikelezo wokuya esikhathini, kwabesifazane abangenawo ama-hormone dysregulation noma ezinye izifo, kanti ezinye izibonelo itiye lesinamoni netiye elibuhlungu. Bona okuningi mayelana nokuthi wenzeni kanye nezindlela zokupheka zetiye zokuya esikhathini sekwephuzile.
Kungenzeka yini ukuthi ukhulelwe i-amenorrhea
Amathuba okukhulelwa, ezimweni ze-amenorrhea, kuya ngesizathu. Ukulungiswa kwamahomoni ekusebenzeni okujwayelekile kwama-ovari, kungalawula ama-ovulation nokuzala, noma kungenziwa ngokusetshenziswa kwemithi, njengeClomiphene, ngokwesibonelo, evumela ukukhulelwa ngendlela engokwemvelo.
Ezimweni zokungabikho kwe-ovary, kungenzeka futhi ukuthi ukhulelwe, ngokunikela ngamaqanda. Kodwa-ke, ezimweni zokungabikho kwesibeletho, noma ukukhubazeka okukhulu kohlelo lokuzala, olungaxazululwa ngokuhlinzwa, ukukhulelwa, ekuqaleni, akunakwenzeka.
Kubalulekile ukukhumbula ukuthi abesifazane abanezikhathi ezingajwayelekile bangakhulelwa, yize kunzima kakhulu, ngakho-ke kufanele kuthathwe izinyathelo zokugwema ukukhulelwa okungafunwa. Kufanele ube nengxoxo nodokotela wezifo zabesifazane ukuze kutholakale amathuba nokwelashwa kowesifazane ngamunye, ngokuya ngezidingo zabo kanye nezidingo zabo, maqondana nokukhulelwa nezindlela zokuvimbela inzalo.
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