Amenorrhea - Izizathu

Akukho okubangela imizwa enjalo enobudlova kubantu besifazane abaneminyaka yobudala yokubeletha, njengokuya esikhathini, ikakhulukazi ukungabi khona kwabo. Amantombazane amancane abheke phambili ekutholeni kwawo njengesibonakaliso sokukhula, abesifazane abasha bahlale bekhathazekile: "Ingabe ukhulelwe ngempela?", Futhi abesifazane besifazane abaneminyaka ephakathi nesikhathi ukungena esikhathini kuyisibonakaliso sokuqala sesivunguvungu ...

Uma "izinsuku ezibucayi" zowesifazane oneminyaka engu-16-45 ubudala zingenzeki ezinyangeni eziyisithupha noma ngaphezulu, zikhuluma nge-amenorrhea. I-Amenorrhea ayikwazi ukubizwa ngokuthi yisifo esizimele, kunalokho kuwubufakazi bokuthi kukhona khona ukuphazamiseka emzimbeni wesifazane: kwengqondo-ngokomzwelo, izakhi zofuzo, ezomzimba, i-biochemical.

Izimbangela ze-amenorrhea

Ngenxa yezimbangela ezibangela ukuqeda kokuya esikhathini, singakwazi ukuhlukanisa izinhlobo ezilandelayo ze-amenorrhea:

• Amaminorrhea amanga - kuyilapho ama-ovaries kanye nesisu esisetshenziswayo zonke izinqubo ze-hormonal ezidingekayo zenzeka, kodwa ukukhishwa kokuya esikhathini akukwazi ukuphuma ngaphandle ngenxa yeziphambeko kwisakhiwo sezitho zangasese;
• i-amenorrhea yeqiniso - isizathu sokungaqali kokuya esikhathini sikhona ekungabikho kwe-ovulation kanye nezinqubo ezidingekayo zokujikeleza emzimbeni.

Kanti, kuye ngokuthi izimbangela zokubangela, i-amenorrhea yangempela yenzeka:

• ezokuphila - ngenxa yobudala (ubuntwana, ukuyeka esikhathini sokuqala) noma izimo zemvelo (ukukhulelwa, ukukhwabanisa);
• i-pathological - ebangelwa ukuphulwa emzimbeni wesifazane.

I-amenorrhea eyinhloko neyesibili kanye nezimbangela ezibangela

Isimo, lapho owesifazane engakaze abe nesikhathi, uhlukaniswa njenge-amenorrhea eyinhloko. Uma ukuya esikhathini kuyakuma emva kwesikhathi esithile emva kokuqala, khona-ke kuyinamorrhea yesibili.

Izimbangela eziyinhloko ze-amenorrhea eyinhloko:

1. Izakhi zofuzo:

• kamuva kwaqala kokuya esikhathini emlandweni womndeni (umama nodade);
• I-Turner's syndrome - ukuthuthukiswa ngokwanele kwezigulane zesondo.

2. Izici ezithinta izidakamizwa:

• ukuthuthukiswa ngokwanele ngokomzimba - ukuqina, isisindo somzimba esincane;
• Amaphutha ekuthuthukiseni izitho zangasese - ukutheleleka kwe-hymen noma umsele ongasese.

3. Izici zemiqondo:

• ukucindezeleka;
• i-anorexia;
• umsebenzi owenziwe ngokweqile.

Izimbangela eziyinhloko ze-amenorrhea yesibili yilezi:

1. I-Anorexia, ukwehla okubukhali kwesisindo somzimba ngenxa yokulandela ukudla okunzima nokuzikhandla ngokweqile ngokomzimba.
2. I-polycystic ovary.
3. Ekuqaleni (kwabesifazane abangaphansi kweminyaka engama-40) ukuphuma esikhathini.
4. I-hyperprolactinemia - ukwanda kwezinga legazi leprolactin.

Amamorrhea okusebenzisana

Ukungabikho komjikelezo wokuya esikhathini esikhathini sokubeletha, ngokuncelisa ingane kubizwa ngokuthi i-lactational amenorrhea. Lesi simo somzimba wesifazane kuyindlela yokwelapha ngokwemvelo. Phakathi nalesi sikhathi, ukuvuthwa akukwenzeka, ngakho-ke, akunakwenzeka ukukhulelwa. Khuluma ngokusebenza komsebenzi we-postpartum amenorrhea kungaba kuphela izinyanga eziyisithupha zokuqala ngemuva kokubeletha, uma nje umntwana ebelethwe ngamabele futhi uthola isifuba ngokufunwa okungenani izikhathi ezingu-6 ngosuku.

I-amenorrhea yengqondo

I-Amenorrhea, eyenzeka ngokumelene nokwedlulele kwemithwalo ejulile yengqondo nengokomzwelo, ibizwa ngokuthi i-psychogenic. I-amenorrhea kaningi yengqondo eyenzeka kaningi emantombazaneni asesimweni esinezinzwa zesifo esingazinzile ngemva kokuhlukunyezwa kwengqondo, ukucindezeleka kwengqondo (ukuhlolwa, ukungena esikoleni), noma ngenxa yesifiso esinamandla sokuthola isibalo "esihle," ngenxa yokudla okunzima nokuzikhandla ngokweqile ngokomzimba. Ukwelapha isimo esinjalo kuyadingeka ngaphansi kokuqondiswa kwesazi sokusebenza kwengqondo, ukuthumela ukwelashwa kokuqeda ukucindezeleka nokuletha indlela yokuphila ejwayelekile.