Nguva yekuenda kumwedzi - yechipiri

Kusavapo kwemwedzi wemukadzi wemwedzi wekuenda kumwedzi kunonzi amenorrhea. Sekondari amenorrhea ndipo apo mukadzi anga achigara achienda kumwedzi achimira kuenda kumwedzi kwemwedzi mitanhatu kana kupfuura.

Sekondari amenorrhea inogona kuitika nekuda kweshanduko yechisikigo mumuviri. Semuenzaniso, chinonyanya kukonzeresa chechipiri amenorrhea kubata pamuviri. Kuyamwisa uye kuenda kumwedzi zvakare zvakajairika, asi zvisikwa zvikonzero.

Vakadzi vanotora mapiritsi ekudzivirira kubereka kana vanogamuchira mahormone shots akadai saDepo-Provera vanogona kunge vasina chero kubuda ropa pamwedzi. Kana varega kutora aya mahormone, nguva dzawo dzinogona kusadzoka kweanopfuura mwedzi mitanhatu.

Iwe unogona kunge uine nguva dzekusavapo kana iwe:

• Vakafutisa
• Exercise zvakawandisa uye kwenguva yakareba yenguva
• Iva nemafuta mashoma kwazvo emuviri (asingasviki 15% kusvika 17%)
• Iva nekuzvidya mwoyo kwakanyanya kana kushungurudzika mupfungwa
• Rasikirwa nehuremu hwakawanda kamwe kamwe (semuenzaniso, kubva pakudya kwakasimba kana kwakanyanya kana mushure mekuvhiyiwa kwepamuviri)

Zvimwe zvikonzero zvinosanganisira:

• Brain (pituitary) mamota
• Mishonga yekurapa kenza
• Mishonga yekurapa schizophrenia kana psychosis
• Yakawandisa thyroid gland
• Polycystic ovarian chirwere
• Yakaderedzwa mashandiro emazai

Zvakare, maitiro akadai sekudzoreredza uye kupora (D uye C) anogona kukonzeresa turu turu kuumba. Tissue iyi inogona kukonzera kuti mukadzi arege kuenda kumwedzi. Izvi zvinonzi Asherman syndrome. Kupenga kunogona zvakare kukonzerwa nehumwe hutachiona hutachiona hwechiuno.

Pamusoro pekusava nemwedzi, zvimwe zviratidzo zvinogona kusanganisira:

• Kukura kwemazamu shanduko
• Kurema kana kurema
• Kubuda kubva pazamu kana kuchinja mukukura kwezamu
• Acne uye kuwedzera bvudzi kukura mune yechirume pateni
• Vaginal kuoma
• Izwi rinochinja

Kana amenorrhea ichikonzerwa nechirwere chepituitary, panogona kunge paine zvimwe zviratidzo zvine chekuita nebundu, sekuona kurasikirwa uye kutemwa nemusoro.

Kuongorora kwemuviri uye kuongorora kwepamuviri kunofanirwa kuitwa kuti uone kana uine nhumbu. Kuedzwa kwepamuviri kuchaitwa.

Kuongororwa kweropa kunogona kuitwa kutarisa huwandu hwehomoni, kusanganisira:

• Estradiol mazinga
• Follicle inosimudzira mahormone (FSH mwero)
• Luteinizing mahormone (LH mwero)
• Chikamu cheprolactin
• Serum mahormone mazinga, senge testosterone mazinga
• Utachiona hunokurudzira hormone (TSH)

Mimwe bvunzo inogona kuitwa inosanganisira:

• CT scan kana MRI scan yemusoro kutsvaga mamota
• Biopsy yemukati wechibereko
• Kuongorora genetic
• Ultrasound yepelvis kana hysterosonogram (pelvic ultrasound iyo inosanganisira kuisa saline solution mukati mechibereko)

Kurapa kunoenderana nechikonzero che amenorrhea. Kazhinji mwedzi wemwedzi kazhinji anodzoka mushure mekunge mamiriro acho arapwa.

Kushaikwa kwekuenda kumwedzi nekuda kwekufutisa, kurovedza muviri zvine simba, kana kurasikirwa uremu kunogona kupindura shanduko mukurovedza muviri kana kudzora uremu (kuwana kana kurasikirwa, pazvinodiwa).

Maonero anoenderana nechikonzero che amenorrhea. Mazhinji emamiriro ezvinhu anokonzera yechipiri amenorrhea anozopindura kurapwa.

Ona wako wekutanga wezvehutano mutapi kana mukadzi wekuchengeta hutano kana iwe wakarasikirwa kanopfuura kamwechete nguva kuitira kuti ugone kuongororwa uye kurapwa, kana zvichidikanwa.

Amenorrhea - yechipiri; Hapana nguva - yechipiri; Nguva dzekusavapo - chechipiri; Mendi isipo - yechipiri; Kusavapo kwenguva - yechipiri

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

Bulun SE. Physiology uye hutachiona hwevakadzi hwekubereka axis. MuMelmed S, Auchus RJ, Goldfine AB, Koenig RJ, et al. 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.