Amenorrhea ndichiyani? Zoyambitsa, zizindikiro ndi mankhwala a amenorrhea

Amenorrhea ndi chikhalidwe cha matenda mayi a zaka zapakati pa 16 ndi 45, amene anasiya msambo kumachitika panthawi ya miyezi isanu ndi umodzi kapena kuposerapo. Nthawi zambiri zodabwitsazi limasonyeza kukhalapo mu thupi la njira zina zokhudza thupi kapena pathologies.

Amayi ena kuona chisokonezo, kumva matenda "amenorrhea". Kodi ndi matenda amene ochepa mukudziwa. Madokotala m'kagulu amenorrhea mu mitundu iwiri chachikulu: woona ndi wabodza. Komanso, izi mitundu ya chizindikiro ichi:

• Pharmacological ndi cryptomenorrhea.
• Pathological ndi thupi amenorrhea.
• Chachikulu kapena sekondale amenorrhea.

cryptomenorrhea

Ndi mtundu wa matenda limapezeka kupanga yachibadwa mahomoni kugonana mkazi, koma pali mavuto ena kwa yachibadwa nyumba anatomical a kumaliseche wamagazi ndi malemba zoberekera. Cryptomenorrhea, zizindikiro zomwe kuyamba ndi kusapezeka kwa msambo, zingachititse chidwi thupi nkhawa. Izi zimachitika chifukwa cha chilema ya kapangidwe ka nyini, chiberekero kapena hymen kobadwa nako mawonekedwe. Mu mawonekedwe menses amenorrhea, sanapeze kuchoka kukhalabe machubu mazira, wambirimbiri lalikulu zedi. Zimenezi zimabweretsa mapangidwe kutupa m'deralo. Matendawa "cryptomenorrhea", amachititsa ndi mankhwala a matenda - onse mkati mwa yamtunduwu kwa dokotala.

amenorrhea chenicheni

Mtundu wa amenorrhea amagwirizana ndi kuphwanya njira ozungulira kugwirizana ndi kusasitsa yachibadwa dzira m'thupi la mkazi. Mu syndrome izi menses sumangoyambika konse. The linagwira kukula kapena ayi, kapena kumukhululukira mu mazira chubu kapena kusokonezedwa m'thupi lamulo ndondomeko. amenorrhea ichi, zizindikiro zimene ziri sabweretsa chisoni mwamtheradi, amachititsa osabereka.

amenorrhea woona lagawidwa mitundu ingapo:

• Thupi mitundu.
• Pathological mawonekedwe.

N'zoona thupi amenorrhea

Madokotala Usawasimbire kuti zochitika pathological. Childs, thupi pakalibe kusamba chifukwa cha mimba, mkaka wa m'mawere, kusintha kwa thupi, kapena mwana.

Mkaka wa m'mawere amenorrhea amayamba ndi ndondomeko yoyamwitsa komanso pambuyo pobereka. Kutalika kwa zodabwitsazi ndi mosamalitsa munthu ndipo akhoza zosiyanasiyana, kuyambira miyezi ingapo zaka zingapo. The timadzi prolactin, amene anamasulidwa mu akazi pa yoyamwitsa, si kupanga esitirojeni, amene nawonso, ndiye amailamulira ovulation. Chifukwa, ovulation zimachokeradi, ndipo palibe kusamba.

Mkaka wa m'mawere amenorrhea ndi mtundu wa njira za kulera zosiyanasiyanazi achilengedwe. Koma ndi bwino kuganizira kuti mtima kwa njira ndi 98%, malinga mwana sizinawakhudze zaka miyezi 6, izo yekha breastfed, ndi pafupipafupi kudya - maulendo asanu pa tsiku. Ngati zinthu izi ndisanakumane, ndiye Mwina kutenga pakati pa akazi ndi mkulu. Pofuna kupewa izi, muyenera kusamalira kulera, mogwirizana ndi gynecologist a. amenorrhea izi, zomwe zimabweretsa thupi, sikutanthauza chithandizo. Ngati mkazi nkhawa ululu m'mimba, kumaliseche nthenda ndi kuyabwa, ayenera kuyezedwa ndi kutengedwera.

Pathological amenorrhea chenicheni

chodabwitsa Izi zimachitika ngati mtsikana wamkulu kuposa zaka 16 kapena mkazi wa msinkhu wobereka palibe kusamba zonse. Ngati zimenezi zachitika wachinyamata, amatchedwa amenorrhea chachikulu. Kodi ndi mtundu wa matenda, angapezeke pa phwando katswiri.

Ngati amenorrhea chinachitika pamene mayi wakhala mkombero zonse, ndiye chodabwitsa amadziwika kuti amenorrhea sekondale. Zimakhala chifukwa m'thupi vutoli m'thupi kapena nchito za dera kugonana. amenorrhea Secondary, ndi chithandizo cha zimayambitsa amene ali pansipa, tiyenera tikonze bwino.

Zifukwa amenorrhea chenicheni

Akatswiri kudziwa zifukwa zingapo zimene zikhoza kukhala zoona wa amenorrhea:

• zolakwa chathu chofuna zachilengedwe cholowa. Izi otchedwa kuvutika khromozomu. Ngati pali akazi mu banja la malemu (pa zaka 18) chiyambi cha kusamba, ndiye ife tikhoza kulankhula za pamaso pa kutengera za kumtundu kuti amenorrhea.
• Underdevelopment a kumaliseche - anatomical anomaly. Kawirikawiri limodzi ndi onse thupi kutopa, zosalongosoka mapangidwe kupanda mkati ndi kunja maliseche (dystrophy, "infantile chiberekero" ndi zina zotero).
• Nkhawa komanso kumakhudza mwachindunji pa Maphunziro Akakhalidwe Kazolengedwa akazi. Kuchuluka kusokonezeka maganizo, maganizo ndi thupi nkhawa chifukwa onse amenorrhea yaikulu mu unyamata ndi sekondale.

Zimayambitsa amenorrhea yachiwiri

Monga tanena kale, pakalibe kusamba mu akazi achikulire kuposa zaka 18 amatchedwa "amenorrhea yachiwiri". Zifukwa zake ndi izi:

• polycystic yamchiberekero syndrome amachititsa amenorrhea ndi osabereka. Kawirikawiri limodzi ndi zizindikiro zotsatirazi: ziphuphu zakumaso, mkulu mlingo wa mahomoni mwamuna magazi, makutu cheya.
• Anorexia - izo chikwiyire kuchepetsa kunenepa mpaka kutopa chifukwa cha kugwilizana ndi zakudya okhwima kuchita masewera olimbitsa thupi kwambiri. Pofuna kulemera abwino, akazi ena kwambiri asagwiritse zakudya zanu kapena kwathunthu zimenezo, kumwa mankhwala ofewetsa tuvi ndi okodzetsa, imfayo kusanza mukatha kudya. mwai izi zonse zimalambira anorexia chitukuko cha osabereka sekondale.
• Giperprolaktenemiya ndi chimodzi mwa zomwe zimakonda amenorrhea sekondale. Maganizo adzamasulidwa prolactin kutchinga ovulation ndi kusamba. Izi otchedwa m'thupi amenorrhea. Koma makamaka giperprolakteneniya chifukwa cha endocrine kulephera m'thupi la mayi kapena kusintha mu pituitary England.

Kupeza Vuto amenorrhea

Pamaso mankhwala mankhwala, dokotala ayenera kudziwa za chiyambi cha matenda. Pamaso dokotala ndi funso lakuti: "Wodwala amenorrhea Kodi chinachitika mu akazi.?" Kuti zimenezi zitheke, ndi kutsatira matenda amapatsidwa:

• kafukufuku mtima kudziwa makhalidwe a uliri thupi, ndi majini.
• Kupenda thupi ziwalo kunja kugonana dongosolo mkazi.
• Kuchititsa ultrasound kudziwa malformations, anomalous makonzedwe a alibe ziwalo zonse amakumana cha ziwalo zoberekera. Komanso pa ultrasound Kupenda angathe kudziwa kukula kwa chiberekero, mkhalidwe wa unit follicular ndi endometrium.

Pali zambiri pakufunika njira zina kafukufuku. Njirazi ndi monga:

• Hysterosalpingoscopy - Njira kwa mtima wa Ukalawu.
• Hysteroscopy - ndi uterine M'mimbamo la phunzirolo.
• Kujambula ubongo kudziwa chikhalidwe cha pituitary England.
• Laparoscopic yamchiberekero matenda bwino.

Ndi kuvomerezedwa poika mayesero zasayansi:

• KLA - malamulowa.
• OAM - urinalysis.
• Chitsanzo kwa mtima ndi progesterone-esitirojeni kulandidwa.
• Mahomoni colpocytologic kuphunzira.

Kamodzi dokotala pa dzanja adzakhala akonzedwa zonse zimene apeza pa maphunziro kucitika, izo adzatha mokwanira kupeza chifukwa cha matenda ndi mapangidwe a mtundu wake. Pa upo katswiri adzatiuza mwatsatanetsatane za matenda "amenorrhea" chimene chimachitika m'thupi timayambitsa matenda, momwe muchokera. Ndiye katswiri adzaika chithandizo choyenera kuchita chiphasochi chizolowezi.

Njira zochepetsera amenorrhea

Monga ulamuliro, pambuyo bwinobwino ndi mabuku matenda a dokotala kulangiza wodwalayo mmene tiyenera kuchitira amenorrhea. Nthawi zambiri mankhwala othandiza. Mkazi msambo wabwezeretsedwa, izo akupeza chonde bwino, Maphunziro Akakhalidwe Kazolengedwa akubwera kubwerera mwakale. Pali njira ndiwofatsa chilango cha matenda izi. Kutumizidwa monga mankhwala wowerengeka mankhwala amenorrhea. Komabe, dziŵani kuti achisangalalo mankhwala njira ayenera kukhala yekha atakambirana ndi katswiri. Initiative pa nkhani imeneyi kungakhale osati osamveka, komanso yoopsa.

Chithandizo cha amenorrhea chachikulu

chithandizo ndiwofatsa a mtundu umenewu amenorrhea ndi kuchotsa kapena kukonza zimene zimayambitsa kuti tifulumizane zizindikiro. Ngati chodabwitsa ndi chifukwa cha chibadwa, izo akapatsidwa mankhwala timadzi m'malo mwa mawonekedwe a kukonzekera munali estrogens, progestogens.

Achinyamata ndi kuchedwa mapangidwe maliseche wamkazi, monga ulamuliro, amasankhidwa ndi malangizo mphamvu ndi thupi. A moyenera chakudya ndi masewera ntchito kuthandiza kumanga minofu, normalization chikhalidwe ambiri ndipo amatha kukonza zinthu. Ngati amenorrhea pambuyo zimenezi zikapitirira, adokotala akhoza mankhwala mankhwala m'thupi.

Mankhwalawa amenorrhea yachiwiri

Secondary amenorrhea matenda, chimene chayambitsa ndi boma anorexic, inathetsedwa ndi kukonza zakudya ndi mlingo wa masewera olimbitsa thupi. Nthawi zambiri imeneyi, dokotala akuonetsa ntchito m'kamwa kulera yosalekerera kuti ziziyenda mahomoni.

Mu syndrome polycystic n'kuwasanganiza anadza opaleshoni laparoscopic kwa kuchotsa mbali pathological molumikizana ndi mankhwala yamchiberekero m'thupi normalizing ubereki wamkazi thupi.

Pamene giperprolaktenemii Kwalamulidwa utsogoleli wa mankhwala okhala dopamine agonists, amene angalepheretse kuchuluka katulutsidwe wa prolactin.

Pambuyo pochita njira pamwamba kumatha amenorrhea aliyense sekondale. Reviews cha odwala amene anakumana kufufuza mabuku ndi chithandizo, kulankhula za mphamvu ya mankhwala akatswiri.

mankhwala Traditional amenorrhea

Mankhwala zina, pali maphikidwe ambiri amene ali zaka kuthandiza akazi kupirira matenda monga amenorrhea. A mankhwala otchuka Komabe, ayenera kumwedwa mosamala. Ndi Kupenda kuvomerezedwa ndi kufunsa dokotala. Choyamba, onetsetsani kuti amenorrhea si chifukwa cha mimba. Ndi mfundo yofunika kwambiri ndi sayanjana ndi zosakaniza mankhwala, amene alinso contraindication kuti maphikidwe ambiri mankhwala. Ngati dokotala wanu ndi chifuwa ndipo palibe, mungathe kugwiritsa ntchito imodzi maphikidwe zotsatirazi:

• Kayamba Rhodiola rosea mu kuchuluka kwa 50 g wa wosweka ndi kutsanulira 500 ml ya mowa wamphamvu (40%). Adzapatsa m'malo a mdima boma losindikizidwa kwa masiku 15. Tengani tincture ayenera 10-20 akutsikira pa amsupuni wa madzi katatu tsiku pamaso chakudya kwa miyezi itatu.
• Wosweka galasi zipatso viburnum mu lita imodzi theka la mafuta ndi kunena masiku 10. Pambuyo kupsyinjika ichi ndi kumwa pa chopanda kanthu m'mimba pogona ndi supuni awiri kwa miyezi itatu.

• Muzilankhula akanadulidwa ya parsley 100g mu lita 1.5 madzi, yophika Mphindi 20 adzapatsa ola 2. The msuzi chifukwa n'kofunika kumwa tsiku lonse, ndi zina mkati miyezi iwiri. Pambuyo pake, ndalama zimene munalandira ndi njira akhoza kusanduka theka lita imodzi, ndi kupitiriza kumwa miyezi isanu ndi umodzi.
• Amondi - zidutswa 20, geranium masamba - zidutswa 20, ndimu zest - zidutswa 2, maluwa hawthorn - supuni 2, camphor ufa - 1 g, valerian tincture - 1 supuni, peppermint mafuta - 20 madontho. onse zosakaniza ayenera kusakaniza ndi kumwedwa katatu pa tsiku pamaso chakudya.
• Konzani chisakanizo cha zitsamba: Amur veleveti, nettle, chikwama m'busa, licorice muzu, anatengedwa pa 1 mbali ndi mbali zinayi Knotweed. onse zosakaniza ayenera milled ndi zouma mawonekedwe. supuni awiri osakaniza kudzaza lita imodzi ya madzi otentha ndipo simmer mpaka otentha kwa wachitatu. Ndiye muyenera kuchotsa kutentha ndi kumva kwa ola limodzi pansi pa nyumba. Kenako muyenera Usatong'olere ndi kumwa supuni mu masabata awiri katatu patsiku.
• Konzani msuzi ku singano 500 ga paini malita awiri a madzi. Wiritsani kwa theka la ola ndi kunena maola 2. Ndiye 100 ga pansi ginger wodula bwino muzu yophika mu 1 lita imodzi ya madzi kwa theka la ola ndi adzapatsa Mphindi 40. Konzani osamba kutentha 38 C, kutsanulira mu izo msuzi awiri powonjezera supuni imodzi ya mafuta thuja. Amasamba tsiku ndi koyenera kuti theka maola pa masiku 10.

Kupewa amenorrhea

Akazi kukumbukira nthawi zonse za thanzi lawo bwino. Pewani kumbuyo kusiya thupi, maganizo ndi maganizo nkhawa, amene kumene, kuwononga zimakhudzanso thupi. Nkofunika kusunga thupi lako pa msinkhu wa ponseponse thupi, kuteteza kutupikana kapena kunenepa. Mimba ayenera kukonzekera, kutenga kulera ngati n'koyenera. Pamene maganizo tikulimbikitsidwa zofewa ululu chindapusa azitsamba, osambira, tinctures. Makalasi pa ochitira masewera a fufuzani ndi mphunzitsi akatswiri ndi kupewa zimamuchulukira. Nthawi pochitika zachipatala Kupenda momwe ziriri pano pa kuchipatala chifukwa kudziwika oyambirira ndi mankhwala a matenda.