Uma owesifazane oneminyaka yokubeletha usuvele eseqalile ukuya esikhathini, bese esanyamalala isikhathi esingaphezu kwezinyanga ezingu-6 - lokhu kuyi-amenorrhea yesibili. Esemncintiswaneni, labo abangekho ngenyanga abazange babonakale, bakhuluma nge-amenorrhea eyinhloko.
I-amenorrhea yesibili - izimbangela
Izimbangela eziyinhloko ze-amenorrhea yesibili:
- i-intrauterine synechia (okunamathela), ngesikhathi lapho ukukhishwa kwenyanga kungenakuphuma emgodini wesibindi ngenxa yokuqedwa kwayo ngemuva kwezinqubo ezivuthayo (kubandakanya isifo sofuba), ukusebenza kwesibeletho, nokukhwabanisa;
- i-polycystic ovary ;
- I-syndrome ye-ovarian ukungondleki noma ukuyeka esikhathini sokuqala (nge-ovaries ayifuni ama-estrogen ngezinga eliphakeme lamahomoni ase-gonadotropic - LH ne-FSH);
- I-syndrome ye-hypertrophy yama-ovari (ngenxa yokusetshenziswa okungalawuliwe kwesikhathi eside kwezizalo zokubeletha, ikakhulukazi i-monophasic, izinga lama-hormone e-gonadotropic linciphile ngezinga eliphakeme leprolactin);
- ukuphelelwa ngokomzimba komzimba (ngokuzikhandla komzimba okwandisiwe, ikakhulukazi kubagijimi, ngokuzila ukudla kanye ne-anorexia);
- i-amenorrhea yengqondo (nge-traumatic psychological, ukucindezeleka okungapheli).
Ukuxilongwa kwe-amenorrhea yesibili
Ukuze kutholakale ukuthi i-amenorrhea yesibili, i-anamnesis ibaluleke ngokuyinhloko: ukwazi ukuthi kungenzeka yini isifo, udokotela angakwazi, ngokubuza mayelana nohulumeni wokucindezeleka owesifazane, mayelana nokuthatha izithintelo zokuvimbela imithi, mayelana nezindwangu ezivela emithanjeni yamabele (enezinga eliphakeme leprolactin emzimbeni).
Kungenzeka ukusola ukubonakala kwe-amenorrhea yesibili ngokuya kwezimpawu: kubesifazane be-polycystic, ukwanda kwe-hairiness, ukuphulwa kwe-fat metabolism, isikhumba esinenkinga. Ngesikhathi sokuya esikhathini esingakapheli, izimpawu zokuphazamiseka kwesimiso sezinzwa ezizimele ziza phambili, futhi ezinye izinhlobo ze-amenorrhea zingase zikwazi ukubonakala kahle.
Kodwa indlela engcono kakhulu yokuhlolisisa lesi sifo kungaba ngokuhlola amazinga egazi labesifazane ama-hormone e-gonadotropic, i- prolactin , ama-hormone ama-ovari kanye ne-gland yegciwane. I-Ultrasound ingasiza ukuxilonga ukunamathela ngaphakathi kwesibeletho, i-polycystic ovary, ukungabi khona kwe-ovulation. Ukuze uphendule umbuzo ukuthi ukukhulelwa kungenzeka, uma kwenzeka i-amenorrhea yesibili, kufanele kukhunjulwe ukuthi ayikho ukuvuthwa, ngakho ukukhulelwa ngeke kufike.
I-amenorrhea yesibili - ukwelashwa
Ukuze uqonde indlela yokuphatha i-amenorrhea yesibili, okokuqala, udinga ukuthola izizathu ezibangele. Ngaphandle kokuhlolwa okuphelele kowesifazane otholwe ukuthi une-amenorrhea yesibili, akukho nemithi noma izidakamizwa ezingabantu ezingahle zenziwe. Nge-synechia esiswini, zisuswa, bese zingakapheli izinyanga ezingu-4, i-hormone estrogens ne-progestin inqunywe (isibonelo, i-Dufaston).
Njengoba i-amenorrhea yesibili, ngenxa yokungena esikhathini esingakapheli isikhathi eside, i-estrogens inqunywe, futhi nge-hypertrophy yama-ovari, ngokuvamile bazama ukuziphilisa. Ku-polycystic ovaries, emva kokunquma izinga le-hormone yezocansi, ukulungiswa kokubeletha kukhethwe kahle kakhulu ngezinhloso ze-hormonal.
Isizathu sokwandisa izinga leprolactin alicaci ngokuphelele, futhi uma kungenayo izinkinga nge-pituitary (isibonelo, izicubu ze-pituitary) futhi owesifazane akakondli (futhi i-amenctrhea ye-lactational ayidingi ukwelashwa), ngakho-ke izintatheli ze-dopamine zinconywa.
Lapho ukukhathala ngokomzimba noma indlala ehlala isikhathi eside uncoma umbuso omnene wokucindezeleka nokudla okunomsoco. Owesifazane one-amenorrhea yengqondo kufanele ahlolwe yi-psychotherapist kanye ne-hormone therapy ayinconywa.