Munyori: Roger Morrison
Zuva Rekusika: 2 Gunyana 2021
Gadziridza Zuva: 13 Mbudzi 2024
Anonim
Chii chinonzi Amenorrhea uye maitiro ekurapa - Utano
Chii chinonzi Amenorrhea uye maitiro ekurapa - Utano

Zvemukati

Amenorrhea ndiko kusavapo kwekuenda kumwedzi, uko kunogona kuve kwekutanga, kana kuenda kumwedzi kusinga svike vechidiki vane makore gumi nemana- kusvika gumi nematanhatu, kana sekondari, apo kuenda kumwedzi kunomira kuuya, mumadzimai akatoenda kumwedzi kare.

Amenorrhea inogona kuitika pazvikonzero zvakasiyana siyana, zvimwe zvakasikwa, sekubata, kuyamwisa kana kushandisa kuenderera kwekubata, kana zvimwe zvirwere, kubva mukuremara muhurongwa hwekubereka kwemukadzi, shanduko mumahormone emazai, uye kunyange kukonzerwa nekushushikana, kusagadzikana kudya tsika kana kurovedza muviri zvakanyanya.

Mhando dze amenorrhea

Kusavapo kwekuenda kumwedzi kunogona kuitika nekuda kwezvikonzero zvakati, kuverengerwa mumhando mbiri:

  • Primary amenorrhea: ndipo apo kuenda kumwedzi kwevasikana kubva pamakore gumi nemana kusvika gumi nematanhatu hakuonekwe, sezvingatarisirwa nenguva yekukura kwemuviri. Muzviitiko izvi, gynecologist ichaita kiriniki yekuongorora uye kuronga ropa uye ultrasound bvunzo, kuongorora kana paine anatomical shanduko mune yekubereka system kana shanduko mumahormone, senge estrogen, progesterone, prolactin, TSH, FSH uye LH.
  • Sekondari amenorrhea: zvinoitika kana kuenda kumwedzi kukamira nekuda kwechimwe chikonzero, mumadzimai akange atanga kuenda kumwedzi kare, kwemwedzi mitatu, apo kuenda kumwedzi kwaive kwakajairika kana kwemwedzi mitanhatu, apo kuenda kumwedzi kwanga kusiri kwekutevera. Iko kuferefeta kunoitwawo naana gynecologist, pamwe nekiriniki gynecological bvunzo, zviyero zvehomoni, kuwedzera kune transvaginal kana pelvic ultrasound.

Izvo zvakakosha kuti uongororwe kuve nepamuviri chero paine amenorrhea, sezvo zvichikwanisika kuve nepamuviri kunyangwe pazviitiko zvisina kujairika zvekuenda kumwedzi kana iyo yanga isipo kwenguva yakareba.


Zvinokonzera

Zvinonyanya kukonzeresa amenorrhea kubata pamuviri, kuyamwisa uye kupera kuenda kumwedzi, zvinova zvikonzero zvakasikwa zvemuviri, munguva dzinochinja panhanho dzemahormone progesterone uye estrogen zvakajairika.

Nekudaro, zvimwe zvikonzero zve amenorrhea zvinokonzerwa nezvirwere, mishonga kana maitiro, akadai se:

ZvinokonzeraMIENZANISO
Hormonal kusaenzana

- Shanduko mumahormone, senge yakawandisa prolactin, testosterone, hyper kana hypothyroidism;

- Brain shanduko, senge kudzikisira kana pituitary bundu;

- Polycystic ovary chirwere;

- Kutanga kuenda kumwedzi.

Kubereka system inochinja

- Kushayikwa kwechibereko kana mazai;

- Shanduko muchimiro chechikadzi;

- Imperforate hymen, kana kuenda kumwedzi kusina kwekuenda;

- Uterine mavanga kana Asherman's syndrome;


Ovulation inodzivirirwa nemaitiro ehupenyu

- Kudya kusagadzikana, senge anorexia;

- Kuita muviri zvakanyanya, kunozivikanwa nevatambi;

- Yakanyanya kukurumidza kurasikirwa uremu;

- Kufutisa;

- Kushungurudzika, kushushikana.

Mishonga

- Zvirongwa zvekudzivirira kubata pamuviri zvinoramba zvichishandiswa;

- Zvinodzvinyirira, senge amitriptyline, fluoxetine;

- Anticonvulsants, senge phenytoin;

- Antipsychotic, senge haldol, risperidone;

- Antihistamines, senge ranitidine, cimetidine;

- Chemotherapy.

Kurapa sei

Mushonga we amenorrhea unoenderana nechikonzero, chiri kuitwa nekutungamirwa naana gynecologist, anozoona yakanakisa sarudzo yezviitiko zvese. Nekudaro, dzimwe sarudzo ndedze:

  • Kugadziriswa kwemahormone emuviri: inosanganisira kushandiswa kwemishonga kudzora prolactin uye testosterone mazinga, semuenzaniso, kana kutsiva eestrogen uye progesterone mazinga ekuchengetedza mahormone akagadziriswa.
  • Kuchinja mararamiro: sei kudzikisa huremu, kudya kwakadzikama uye kune hutano, kurovedza muviri zvine mwero, mukuwedzera pakurapa kushushikana uye kushushikana, kana zviripo, sekutungamira kwepfungwa.
  • Kuvhiya: inogona kumisazve kuenda kumwedzi uye kuwedzera mukana wekuva nepamuviri, senge mune isina kukwana hymen, uterine mavanga uye kumwe shanduko mukati memukadzi. Zvisinei, kana paine kusavapo kwechibereko uye ovary, hazviite kumisikidza ovulation kana kuenda kumwedzi.

Marapirwo echisikigo anogona kubatsira mune dzimwe nguva kunonoka kuenda kumwedzi nekuda kweshanduko yekuenda kumwedzi, mumadzimai asina akakosha mahormone dysregulation kana zvimwe zvirwere, uye mimwe mienzaniso sinamoni tii uye agonized tii. Ona zvimwe pamusoro pezvaungaite uye tii yekubikisa yekunonoka kuenda kumwedzi.


Zvinoita here kubata pamuviri ne amenorrhea

Iko mukana wepamuviri, mune amenorrhea, zvinoenderana nechikonzero. Kugadziriswa kwemahormone kune akajairika mashandiro emazai, anogona kudzora ovulation uye kubereka, kana ivo vanogona kukwezva nekushandiswa kwemishonga, senge Clomiphene, semuenzaniso, iyo inobvumira nhumbu nenzira yechisikigo.

Mune zviitiko zvekushaikwa kweiyo ovary, zvinokwanisika kuve nepamuviri, nekupa mazai. Nekudaro, mune zviitiko zvekushayikwa kwechibereko, kana hurema hukuru hwesisitimu yekubereka, iyo isina kugadziriswa nekuvhiya, nhumbu, pakutanga, hazvigoneke.

Izvo zvakakosha kuti urangarire kuti vakadzi vane nguva dzisina kujairika vanogona kubata pamuviri, kunyangwe zvichinyanya kuoma, uye nekudaro matanho ekuchengetedza anofanira kutorwa kudzivirira nhumbu dzisingadiwe. Iwe unofanirwa kutaurirana nachiremba wemadzimai kuitira kuti mikana nemarapirwo emukadzi wega wega zviongororwe, zvinoenderana nezvavanoda uye zvavanoda, zvine chekuita nepamuviri uye nzira dzekudzivirira.

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