Nguva yekuenda kumwedzi - yekutanga

Kusavapo kwemwedzi wemukadzi wemwedzi wekuenda kumwedzi kunonzi amenorrhea.

Primary amenorrhea ndipo apo musikana asati atanga kumwedzi kwake, uye iye:

• Wapfuura nedzimwe shanduko dzakajairika dzinoitika panguva yekuyaruka
• Mukuru kune gumi nemashanu

Vazhinji vasikana vanotanga kumwedzi pakati pemakore gumi nemapfumbamwe kusvika pagumi nepfumbamwe. Avhareji ndeyekutenderera makore gumi nemaviri. Kana pasina nguva dzakaitika kana musikana akura kupfuura gumi neshanu, kumwezve kuyedzwa kunogona kudiwa. Iko kudiwa kunonyanya kukurumidza kana akapfuura nedzimwe shanduko dzinoitika dzinoitika panguva yekuyaruka.

Kuzvarwa uine nhengo dzisina kukwana dzebonde kana nhengo dzechiuno dzinogona kukonzera kushomeka kwemwedzi. Zvimwe zvezvikanganiso izvi zvinosanganisira:

• Kuvharika kana kudzikira kwemuromo wechibereko
• Hymen iyo isina kuvhurwa
• Chibereko chinoshaya kana nyinyo
• Vaginal septum (madziro anopatsanura nyinyo muzvikamu zviviri)

Mahormone anoita basa rakakura pakuenda kumwedzi kwemukadzi. Zvinetso zveHormone zvinogona kuitika kana:

• Shanduko dzinoitika kune zvikamu zvehuropi uko mahormone anobatsira kubata kumwedzi kutenderera kunogadzirwa.
• Mazai aya haasi kushanda nemazvo.

Zvimwe zvezvinetso izvi zvinogona kunge zvichikonzerwa ne:

• Anorexia (kurasikirwa nechido)
• Zvirwere zvisingaperi kana zvenguva refu, senge cystic fibrosis kana chirwere chemwoyo
• Kuremara kwemageneti kana kusagadzikana
• Zvirwere zvinoitika mudumbu kana mushure mekuberekwa
• Humwe urema hwekuzvara
• Chikafu chisina kunaka
• Mamota

Muzviitiko zvakawanda, chikonzero chekutanga amenorrhea hachizivikanwe.

Mukadzi ane amenorrhea haazove nekuyerera kwekuenda kumwedzi. Anogona kunge aine zvimwe zviratidzo zvekuyaruka.

Anopa hutano anoita bvunzo dzepanyama kuti aone kutadza kwekuberekwa kwemukadzi kana chibereko.

Iye mupi achabvunza mibvunzo nezve:

• Nhoroondo yako yekurapa
• Mishonga uye zvinowedzera iwe zvaungave uchitora
• Kuita muviri kwakadii
• Maitiro ako ekudya

Kuedzwa kwepamuviri kuchaitwa.

Ropa bvunzo kuyera akasiyana mahormone mazinga anogona kusanganisira:

• Estradiol
• FSH
• LH
• Prolactin
• 17 hydroxyprogesterone
• Serum progesterone
• Serum testosterone chikamu
• TSH
• T3 uye T4

Mimwe bvunzo inogona kuitwa inosanganisira:

• Chromosome kana kuongorora majini
• Musoro CT scan kana musoro MRI scan kuti utarise matumbo ehuropi
• Pelvic ultrasound kutsvaga hurema hwekuzvara

Kurapa kunoenderana nechikonzero cheiyo isipo nguva. Kushaikwa kwenguva iyo inokonzerwa nehurema hwekuzvarwa kunogona kuda mishonga yemahormone, kuvhiyiwa, kana zvese zviri zviviri.

Kana iyo amenorrhea ichikonzerwa nebundu muuropi:

• Mishonga inogona kudzikisira mamwe marudzi emamota.
• Kuvhiya kubvisa bundu kunogona kudiwa zvakare.
• Radiation kurapwa inowanzoitwa chete kana kumwe kurapwa kusati kwashanda.

Kana dambudziko racho richikonzerwa nechirwere chehurongwa, kurapwa kwechirwere kunogona kubvumira kuenda kumwedzi.

Kana iyo mhaka iri iyo bulimia, anorexia kana yakawandisa kurovedza muviri, nguva dzinowanzo tanga apo huremu hunodzokera kune hwakajairwa kana iyo nhanho yekurovedza muviri yaderera.

Kana iyo amenorrhea isingakwanise kugadziriswa, mishonga yemahormone dzimwe nguva inogona kushandiswa. Mishonga inogona kubatsira mukadzi kunzwa zvakanyanya seshamwari dzake uye nhengo dzemhuri dzevakadzi. Vanogona zvakare kuchengetedza mapfupa kuti asanyanya kuonda (osteoporosis).

Maonero anoenderana nechakonzera iyo amenorrhea uye kana ichigona kugadziriswa nekurapwa kana shanduko yemararamiro.

Nguva haigone kutanga yega kana iyo amenorrhea yakakonzerwa neimwe yeanotevera mamiriro:

• Kuremara kwekuzvarwa kwenhengo dzechikadzi
• Craniopharyngioma (bundu padyo nepituitary gland pazasi peuropi)
• Cystic fibrosis
• Matambudziko eGenetic

Unogona kushushikana mupfungwa nekuti unonzwa wakasiyana neshamwari kana mhuri. Kana, iwe unogona kunetseka kuti ungatadza kuve nevana.

Fonera waunopa kana mwanasikana wako akura kupfuura gumi nemashanu uye asati atanga kuenda kumwedzi, kana aine makore gumi nemana uye asingaratidze zvimwe zviratidzo zvekuyaruka.

Primary amenorrhea; Hapana nguva - yekutanga; Nguva dzekusavapo - chepuraimari; Kusaziva nguva - chikuru; Kusavapo kwenguva - kutanga

• Primary amenorrhea
• Yakajairwa uterine anatomy (cheka chikamu)
• Kushaya kwekuenda kumwedzi (amenorrhea)

Bulun SE. Physiology uye hutachiona hwevakadzi hwekubereka axis. Mune: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Chinyorwa cheEndocrinology. 14th ed. Philadelphia, PA: Elsevier; 2020: chits. 17.

Lobo RA. Yekutanga uye yechipiri amenorrhea uye yekutanga kuyaruka: etiology, kuongororwa kuongororwa, manejimendi. Mune: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Yakakwana Gynecology. 7th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 38.

Magowan BA, Owen P, Thomson A. Iyo yakajairwa kumwedzi uye amenorrhoea. Mune: Magowan BA, Owen P, Thomson A, eds. Clinical Obstetrics uye Gynecology. 4th ed. Elsevier; 2019: chits.