Amenorrhea kuyini na? Izimbangela, izimpawu kanye nokwelashwa amenorrhea

Amenorrhea yisimo yowesifazane syndrome abaneminyaka ephakathi kwengu-16 no-45, lapho ukungabi okuphelele zokwehlukaniswa kwenzeka ngesikhathi sanoma izinyanga eziyisithupha noma ngaphezulu. Ngokuvamile lesi simanga kubonisa khona emzimbeni ezinye izinqubo bokuphila noma pathologies.

Abanye abesifazane ukuzwa ukudideka, ukuzwa uphethwe "amenorrhea". Kuyini yisifo ambalwa ukwazi. Odokotela uhlukanise amenorrhea zibe izinhlobo ezimbili eziyinhloko: yeqiniso neyamanga. Futhi, lezi zinhlobo ezilandelayo lokhu uphawu:

• Kwemithi kanye cryptomenorrhea.
• amenorrhea sokugembula bokuphila.
• amenorrhea Primary noma lesibili.

cryptomenorrhea

Nge lolu hlobo syndrome kwenzeka ukukhiqizwa evamile yama-hormone ocansini owesifazane, kodwa kukhona abanye izithiyo izakhiwo ezivamile yokwakheka sokukhishwa igazi amavesi zangasese. Cryptomenorrhea, izimpawu zazo uqale nge ukungabi zokwehlukaniswa, kungabangela ukungakhululeki abalulekile ngokomzimba. Loku kubangelwa isici isakhiwo sangasese, wesibeletho noma hymen ifomu azalwa nako. Kulesi uhlobo amenorrhea menses, bengafumananga ukuthi bangabajezisa ophumayo bahlale amashubhu fallopian, ukuqongelela izinto eziningi ezinkulu. Lokhu kuholela ekwakhekeni ukuvuvukala endaweni. Sifo "cryptomenorrhea", izimbangela kanye nokwelashwa yalesi sifo - konke ngaphansi kwekhono nochwepheshe wezokwelapha.

amenorrhea kweqiniso

Lolu hlobo amenorrhea lihlotshaniswa ukuhlukumeza izinqubo eyindilinga elihlobene ne-nokuvuthwa ejwayelekile iqanda yomzimba wowesifazane. Kulesi syndrome menses ayakhekanga nhlobo. I esibelethweni ukuvuthwa noma cha, noma akavele ku tube fallopian noma abaphatheke kabi hormone isiqondiso inqubo. Lokhu amenorrhea, izimpawu zazo baqiniseka kobuhlungu, kubangela nenzalo.

amenorrhea True ihlukaniswe izinhlobo eziningana:

• zinhlobo bokuphila.
• ifomu sokugembula.

Iqiniso amenorrhea bokuphila

Odokotela musa ndaba nemfundo sokugembula. Ngokuvamile, bokuphila ukungabi zokwehlukaniswa ngenxa yokukhulelwa, lactation, menopause noma ebuntwaneni.

Lactation amenorrhea kubangelwa inqubo ibele futhi kwenzeka emva kokubeletha. Isikhathi lesi simanga esokuba ngabanye futhi kungaba isukela izinyanga ezimbalwa iminyaka eminingana. I prolactin hormone, okuyinto Kukhululwa abesifazane ngesikhathi ibele, ingeyona i-estrogen, okuyinto yena, has ukulawula nge-ovulation. Ngenxa yalokho, ukukhiqizwa kwamaqanda ingekho, futhi akukho lapho eseqala ukuya esikhathini.

amenorrhea lactation uhlobo umuthi zemvelo. Kodwa-ke kuhle ukucabangela ukuthi ukuphumelela kwalesi ndlela 98%, inqobo nje uma ingane kungazange kufinyelele engu-6 izinyanga, it is kuphela ibele, futhi imvamisa yokudla - izikhathi eziyisithupha ngosuku. Uma lezi zimo hhayi wahlangana ke ematfuba ngeminyaka abaye bakhulelwa e abesifazane kakhulu. Ukuvimbela lokhu, udinga ukuba banakekele inzalo, ngokuxhumana udokotela wezifo zabesifazane. Lokhu amenorrhea, elibangela bokuphila, akudingi ukwelashwa. Uma owesifazane ngokuthi ubuhlungu besisu, khulula okungafanele ukulunywa, kumele ahlolwe futhi ngayo.

Sokugembula amenorrhea kweqiniso

Lokhu kwenzeka, uma intombazane abaneminyaka engama-16 noma owesifazane oseminyakeni yokuzala kungekho kokuya esikhathini njalo. Uma lokhu kwenzeka esikhathini sobusha, ibizwa ngokuthi amenorrhea eyinhloko. Kuyini lokhu uhlobo lwesifo, kungatholakala ngesikhathi yokwamukela uchwepheshe.

Uma amenorrhea kwenzeka ngemuva kokuthi owesifazane uye waba umjikelezo njalo, lesi simanga ke is njengoba amenorrhea yesibili ezaziwayo. Kungaba ngenxa ukungalingani hormone emzimbeni noma nokusebenza emkhakheni ngokocansi. amenorrhea Secondary, nendlela aphatha ngayo izimbangela echazwe ngezansi, ezingelapheka kahle.

Izizathu amenorrhea kweqiniso

Ochwepheshe ukukhomba izizathu eziningana ukuthi angase abe yiqiniso ka amenorrhea:

• amaphutha Esingokwemvelo bemvelo sitholwa njengefa. Lokhu okuthiwa chromosome kwezinso. Uma kukhona abesifazane emndenini ngasekupheleni (engaphezu kuka-18) ekuqaleni nokuya esikhathini, ukuze kamuva sikhulume mayelana nokuba khona yofuzo ukuze amenorrhea.
• Nokungathuthuki of umthondo - anomaly yokwakheka. Ngokuvamile ephelezelwa ukukhathala jikelele ngokomzimba, ukwakheka engaphelele yokushoda Izitho zangasese zangaphakathi nezangaphandle (sokuwohloka, "kwesibeletho kwezinsana" nokunye).
• Ukucindezeleka nako kunomthelela oqonde ngqo phezu physiology abesifazane. Ongadalwa ukucindezeleka ngokwengqondo, ngokomzwelo nangokomzimba kungabangela kokubili amenorrhea oyinhloko zixhumana nabantu yesibili.

Izimbangela amenorrhea yesibili

Njengoba kushiwo ngaphambili, ukungabi zokwehlukaniswa besifazane abaneminyaka engama-18 ebizwa ngokuthi "amenorrhea yesibili". Izizathu ke zimi kanje:

• polycystic syndrome wesibeletho kubangela amenorrhea kanye nenzalo. Ngokuvamile ephelezelwa zimpawu ezilandelayo: induna, izinga lama-hormone abangela leduna igazi, izindlebe enoboya.
• I-anorexia - yavusa isisindo ukunciphisa kuze kube ukukhathala ngenxa ukuhambisana ukudla eqinile umsebenzi ngokweqile. Ekufuneni isisindo ekahle, abanye abesifazane kanzima ukhawule ekudleni kwakho noma ngokuphelele ungayinqabela, ukuthatha laxatives futhi isisu, avuse ukuhlanza ngemva kokudla. Zonke lezi manipulations kuholele sokuzincisha kanye nokuthuthukiswa ukungazali yesibili.
• Giperprolaktenemiya ingenye yezimbangela ezivame kakhulu amenorrhea yesibili. Ukucindezeleka ikhishwe prolactin, ivimbela ukukhiqizwa kwamaqanda futhi esikhathini. Lokhu okuthiwa amenorrhea hormone. Kodwa izikhathi eziningi giperprolakteneniya kuwumphumela ukwehluleka endocrine emzimbeni womuntu wesifazane noma izinguquko ku indlala pituitary.

Ukuhlonza Ukugula amenorrhea

Ngaphambi ukwelashwa ezibekiwe, udokotela udinga ukwazi umsuka sifo. Ngaphambi udokotela ngamunye umbuzo othi: "Isiguli sinelungelo amenorrhea Kwenzekani abesifazane.?" Kuze kube yimanje, le nqubo elandelayo zokuxilonga abelwa:

• inhlolovo isiguli ukucacisa izici esimweni saso bokuphila, futhi ufuzo.
• behlolwa kwezitho zobulili zangaphandle kohlelo wesifazane.
• Ukuqhuba ultrasound ukubona kombungu, ilungiselelo ezingasadingeki ayengawazi izitho ngokugcwele noma sangaphakathi sohlelo zokuzala. Futhi ngesikhathi luhlolo ultrasound kungacacisa ukuthi ubukhulu kwesibeletho, uyisimo iyunithi follicular futhi endometrium.

Kuvamise ukuthi isidingo sezindlela ucwaningo olwengeziwe. Lezi zihlanganisa:

• Hysterosalpingoscopy - Indlela ukuzimisela amashubhu Fallopian.
• Hysteroscopy - the lesizalo ingaphakathi cwaningo.
• MRI zobuchopho ukuze abone isimo indlala pituitary.
• Laparoscopic wesibeletho luhlolo zokuxilonga.

Kuyinto aphoyintimenti esiyisibopho ukuhlolwa laboratory:

• Kla - CBC.
• OAM - urinalysis.
• Isampula ekutholweni nge progesterone-estrogen nokuswela.
• Kwama-hormone cwaningo colpocytologic.

Uma udokotela esandleni kuyoba isethi egcwele iziphetho ezisekelwe izifundo kwenziwa, it uzokwazi ngokwanele ukuhlonza imbangela isifo kanye kumiswa uhlobo yayo. Phakathi Uchwepheshe kokubonisana uzokutshela ngokuningiliziwe mayelana uphethwe "amenorrhea" kwenzekani emzimbeni ezibangela isifo, ukuthi uqhubeke kanjani. Khona-ke onguchwepheshe uzoqoka ukwelashwa okufanele ukuthi bahlole njalo.

Izindlela zokwelapha amenorrhea

Njengomthetho, ngemva ahlolwe kahle emzimbeni futhi olubanzi ukuxilongwa udokotela ngeke eluleke isiguli ukuthi ziphathwa kanjani amenorrhea. Ezimweni eziningi, uphathwa ngempumelelo. umjikelezo sowesifazane kokuya esikhathini kubuyiselwa, ke siya wenzalo kangcono, izitho zomzimba kuza emuva evamile. Kukhona izindlela olandelanayo yokuyala yalesi sifo. Okusatshalalisiwe njengendlela yokwelapha isimo amenorrhea amakhambi abantu. Nokho, qaphela ukuthi noma aphendukele ekuthengiseni imithi ehlukile kufanele kube kuphela emva kokubonisana onguchwepheshe. Initiative kule ndaba ingaba hhayi kuphela ingaphumeleli, kodwa futhi ziyingozi.

Ukwelashwa nokuvikelwa amenorrhea eyinhloko

ukuphathwa okulondoloza yalolu hlobo amenorrhea ukususa noma ukulungisa izimbangela ukuthi kumkhathaze izimpawu. Uma lomkhuba kubangelwa izici zofuzo eziyingozi, kunikezelwe yokwelapha hormone ngesimo amalungiselelo equkethe estrogens, progestogens.

Intsha nge kunqanda kumiswa Izitho zangasese zesifazane, njengoba umthetho, baqokwa ukulungiswa amandla kanye nokuzivocavoca. A imisebenzi Ukudla kanye nezemidlalo olinganiselayo ukusiza ukwakha imisipha, ukuzinza isimo jikelele kanye bayakwazi ukulungisa isimo. Uma amenorrhea emva lokhu kuqhubeka, Udokotela angase anikeze isiguli imithi hormone.

Ukwelashwa amenorrhea yesibili

Secondary amenorrhea syndrome, okuyinto kubangelwa isimo anorexic, aqedwa kokulungisa indlela yokudla kanye nokuzivivinya ezingeni lokuzivivinya. Kaningi kulesi simo, udokotela uncoma ukusetshenziswa zokuvimbela inzalo temlomo uyazonga ukuthi usimamise hormone.

Ngo polycystic syndrome esibelethweni yakhetha ukuhlinzwa laparoscopic sokususwa izingxenye sokugembula ngokuhlanganyela izidakamizwa wesibeletho hormone normalizing umzimba female zokuzala.

Lapho giperprolaktenemii ekuphathweni ebekiwe izidakamizwa equkethe Dopamine agonists, okuyinto ukuvimba uketshezi anda prolactin.

Ngemva ofeza indlela ngenhla aqede noma yikuphi amenorrhea yesibili. Izibuyekezo ekubulaleni iziguli ezigulela kwavele luhlolo olunzulu kanye nokwelashwa, khuluma ngezinto ukusebenza zokwelapha okhokhelwayo.

imithi yesintu amenorrhea

Ngo imithi ehlukile, zikhona izindlela eziningi ukuthi kukhona eminyaka ukusiza abesifazane babhekane nalesi sifo njengoba amenorrhea. Kodwa-ke, yokwelashwa popular, kufanele kuthathwe ngokuqapha. Kuyinto luhlolo saziso kanye nokubonisana nodokotela. Okokuqala, qiniseka ukuthi amenorrhea akuyona phetho sokukhulelwa. Libuye iphuzu elibaluleke kakhulu iwukuba azizwani iguliswa izithako amakhambi, nalo contraindication zokupheka eziningi of imithi yendabuko. Uma udokotela wakho engazimisele ngokumelene komzimba futhi akukho, ungasebenzisa omunye zokupheka ezilandelayo:

• Roots Rhodiola rosea e isamba 50 g we nechobozekile futhi uthele 500 ml vodka (40%). Sokunika endaweni emnyama esimweni uphawu izinsuku ezingu-15. Thatha tincture kudingeka 10-20 lehla kwi isipuni esigcwele amanzi kathathu ngosuku ngaphambi kokudla izinyanga ezintathu.
• Nechobozekile ingilazi izithelo viburnum e isigamu ilitha amafutha omnqumo futhi bagcizelele kwezinsuku ezingu-10. Ngemva kwalokhu ubunzima isiphuzo esiswini esingenalutho ngesikhathi sokulala futhi amabili wezipuni izinyanga ezintathu.

• Wehlisa oqoshiwe parsley 100g 1.5 litre amanzi, abilisiwe imizuzu 20 futhi sokunika 2 ihora. Umhluzi okuholela kuyadingeka ukuba bayiphuze ngenxa usuku lonke, njalo ezinyangeni ezimbili. Ngemva kwalokho, inani etholwe ikhambi zingancishiswa isigamu ilitha, futhi bayaqhubeka ukuphuza ezinye izinyanga eziyisithupha.
• Almond - izingcezu 20, geranium ishiya - izingcezu 20, lalamula elikhuhluziwe - 2 izicucu, izimbali hawthorn - 2 wezipuni, camphor powder - 1 g, tincture valerian - 1 isipuni, uwoyela peppermint - 20 amathonsi. Zonke izithako kumele zixutshwe bese kuthathwe kathathu ngosuku ngaphambi kokudla.
• Lungiselela ingxube amakhambi: velvet Amur, sembabazane, esikhwameni kamalusi, licorice impande, ezithathwe 1 okuyingxenye nezingxenye ezine Knotweed. Zonke izithako kumele nepepper futhi ifomu omisiwe. Ababili wezipuni ingxube ukugcwalisa ilitha lamanzi abilayo futhi imizuzu kuze abilayo ukuze wesithathu. Khona-ke udinga ususa emlilweni futhi sokunika cishe ihora ngaphansi hood. Okulandelayo udinga ukuba nzima aphuze isipuni emavikini amabili kathathu ngosuku.
• Lungiselela umhluzi kusuka 500 g zikaphayini izinaliti e ezimbili amalitha amanzi. Ubilise isigamu sehora futhi bagcizelele 2 amahora. Khona-ke 100 g emhlabathini ginger impande abiliswe 1 litre amanzi kuze kuphele isigamu sehora kanye sokunika imizuzu 40. Lungiselela lokushisa okugeza ka 38? C, uthele ke amabili umhluzi ngokungeza ithisipuni elilodwa thuja uwoyela. Thatha nsuku okugeza edingekayo ukuze umuntu nengxenye ihora sikhathi izinsuku ezingu-10.

Ukuvimbela amenorrhea

Abesifazane bakhumbule njalo mayelana ekulondolozeni impilo yabo isesimweni esihle. Gwema emuva-breaking ukucindezeleka ngokomzimba, ezingokwengqondo nezingokomzwelo, okuyinto Yiqiniso, umphumela elimazayo emzimbeni. Kubalulekile ukugcina isisindo sakho ezingeni kuyinsakavukela bokuphila, ekuvimbeleni ukungondleki noma ukukhuluphala. Ukukhulelwa kufanele kuhlelwe, ukuthatha izinto zokuvimbela inzalo uma kunesidingo. Lapho ukucindezeleka Kunconywa ezithambile opholile izimali herbal, izindlu zokugeza, isithako nomuthi. Amakilasi ejimini ubuze nomqeqeshi professional, futhi ugweme ukunqwabelana. Isikhathi ukudlula ngihlolwa kwegciwane esikhungweni sezempilo for ekuhlonzweni kanye nokwelashwa kwezifo.