Ukuba ibhinqa lokubeletha liye lase lisa ixesha lokuya esikhathini, kwaye linyamalale ixesha elidlulileyo kwiinyanga ezili-6 - le nxalenye yesibini ye-amenorrhea. Kwiintsholongwane, abo bangabonakali nenyanga, bathetha nge-amenorrhea yokuqala.
I-amenorrhea yesiSekondari - izizathu
Izizathu ezibalulekileyo ze-amenorrhea yesibini:
- intrauterine synechia (ngokubambelela), ngexesha apho ukukhutshwa kwenyanga kungenakukushiya isigxina sobungozi ngenxa yokupheliswa kwayo emva kweenkqubo ezivuthayo (kubandakanya isifo sofuba), ukusebenza kwimbindi, kunye nokutshitshiswa kwayo;
- ovary polycystic ;
- isifo sokungondleki kwesondlo se-ovari okanye ukuyeka ukuphuma kwesantya (kunye nama-ovari asenzi ama-estrogens anezinga eliphezulu lee-hormone ze-gonadotropic - i-LH ne-FSH);
- I-syndrome ye-hypertrophy yama-ovari (ngenxa yokusetyenziswa okungapheliyo kwexesha elide lokukhusela i-contraceptive, ngokukodwa i-monophasic, izinga le-hormonone ye-gonadotropic linciphile ngezinga eliphezulu leprolactin);
- ukuphelelwa ngumzimba komzimba (ngokunyuka komzimba, ngakumbi kwiimbaleki, ngokuzila ukudla kunye ne-anorexia);
- i-amenorrhea yengqondo (kunye noxinzelelo lwengqondo, uxinzelelo olungapheliyo).
Ukuxilongwa kwe-amenorrhea yesibini
Ukuxilongwa kwe-amenorrhea yesibili, i-anamnesis ibaluleke ngokubalulekileyo: ukukwazi malunga nesisifo esithile, ugqirha unokukwazi, ngokubuza malunga nolawulo loxinzelelo kwintombi, malunga nokuthatha i-contraceptive, malunga nezicathulo ezivela kwiimpawu ze-mammary (ngezinga eliphezulu leprolactin emzimbeni).
Kunokwenzeka ukukrokra ukuvela kwe-amenorrhea yesibini ngokwempawu: kwiisetyhini ze-polycystic, kukho ukwanda kwentsimbi, ukuphulwa kwe-fatabetism, i-skinatic problem. Ngaphambi kokunquma kwimiqathango yokumelana nomzimba, iimpawu zokuphazamiseka kwenkqubo ye-nervous autonomic ziza phambili, kwaye ezinye iintlobo ze-amenorrhea zingaba zizinzi.
Kodwa indlela efanelekileyo yokufumanisa esi sifo ingaba ngowamazinga egazi lomfazi we-horonone ye-gonadotropic, i- prolactin , i-hormone ye-ovari kunye ne-thyroid gland. I-Ultrasound inokukunceda ukuxilonga ukuxhamla ngaphakathi kwesibeletho, i-polycystic ovary, ukungabi khona kwe-ovulation. Ukuze uphendule umbuzo ukuba ukukhulelwa kwenzeka, ukuba i-amenorrhea yesibini iyenzeka, kufuneka kukhunjulwe ukuba akukho nto yokukhulelwa, ngoko ukukhulelwa akuyi kuza.
I-amenorrhea yesibini - unyango
Ukuqonda indlela yokuphatha i-amenorrhea yesibini, okokuqala, kufuneka ufumane izizathu ezibangele. Ngaphandle kokuhlolwa ngokubanzi kwintombazana efunyaniswa ne-amenorrhea yesibini, akukho namachiza okanye izilwanyana ezingamiselweyo. Nge synechia kwisibeleko, zisuswa, kwaye emva kweenyanga ezine, i-hormone estrogens kunye neprogestin imiselwe (umzekelo, iDufaston).
Nge-amenorrhea yesibini, ngenxa yokusilela kwimihla yokuphela kwesisu, i-estrogens imiselwe, kwaye kunye ne-hypertrophy ye-ovaries, bavame ukuzifumana. Kwi-polycystic ovaries, emva kokumisela izinga le-hormone yesondo, amalungiselelo okukhusela akhethwe ngokufanelekileyo afanelekileyo kwiinjongo ze-hormonal.
Isizathu sokwandisa izinga leprolactin alicaciswanga ngokupheleleyo, kwaye ukuba akukho ziingxaki kunye ne-pituitary (umzekelo, izifo zesisu) kwaye lona wesifazane akayondli (kunye ne-lactational amenorrhea ayifuni unyango), ke i-dopamine-antagonists iyacetyiswa.
Xa ukuphelelwa ngumzimba okanye ukulala kwindlala ixesha elide kukuphakamisa ulawulo oluncinci loxinzelelo kunye nokutya. Ibhinqa ene-psychologic amenorrhea kufuneka ihlolwe ngu-psychotherapist kunye neyeza le-hormone.