U-Amenorrhea ukuphela kokungena kokuya esikhathini kwentombazane engaphezu kweminyaka engu-15 ubudala. Ngesikhathi esifanayo, ukungabi khona kwenyanga njalo izinyanga eziyisithupha noma ngaphezulu. I-Amenorrhea ingaba yimihlobo emibili:
- Imvelo: ukungabi khona kwezinsuku kuze kube sekuqaleni kokukhulelwa, ngesikhathi sokukhulelwa, uma owesifazane eqala ukuya esikhathini.
- I-pathological: inezinhlobo eziningana zezigaba:
- ngobunzima: obumnene, olinganiselayo, obunzima (kuthatha iminyaka engaphezu kwemibili);
- ngesikhathi senzeke: okuyinhloko, eyesibili (ngokuphindaphindiwe ngemva kokukhipha isisu nokudlulisa izifo ezivuthayo zesistimu yokuzala).
I-amenorrhea eyinhloko: ukwelashwa
Imbangela ye-amenorrhea eyinhloko ingase ibe khona ukubunjwa kwe-tumor ku-cortex ye-cerebral, kanye nezinqubo zokuvuvukala (i-meningoencephalitis, i-arachnoiditis).
Ezimweni eziningi, uhlobo oluyinhloko lwe-amenorrhea lwenzeka kule ntombazane ngenxa yokutheleleka kwe-intrauterine (toxoplasmosis) noma idluliselwe izifo ezithathelwanayo ebuntwaneni nasekukhuleni.
I-Amenorrhea ingaba uphawu lwe-psychosomatic ngenxa yokucindezeleka okungokomzwelo okwesikhashana, izimo ezicindezelayo, ukwesaba okukhulu.
Ukwelashwa kwe-amenorrhea eyinhloko kwenziwa ngendlela eyinkimbinkimbi:
- ne-amenorrhea kubalulekile ukuhlela ngokufanele ukudla komfazi, okumele kuhlanganise uhla olugcwele lwamaprotheni, amafutha, ama-carbohydrate namaminerali;
- sebenzisa izindlela ze-physiotherapy (electrophoresis usebenzisa isisombululo se-vitamin B1);
- ukuthatha vitamin E amasonto amathathu.
Uma engekho umthelela wokwelashwa, udokotela angaphinde abeke izidakamizwa ze-hormonal (folliculin). Ukwelashwa okugcwele izinyanga ezintathu ngokuphazamiseka kwamasonto amabili.
Indlela yokuphatha i-amenorrhea yesibili?
I-amenorrhea yesibili ingase ibe khona ngenxa yobungqina be-anorexia nervosa kule ntombazane. Kulesi simo, izindlela zokwelashwa eziphumelela kakhulu zindlela zokwelashwa nokudla okunomsoco kahle (ngokuvamile nge-catheter). Uma kungenakho izakhi ezinamandla, udokotela ubeka ukwelashwa kwe-hormonal.
Njengombonakaliso wesibili, i-amenorrhea ingathuthuka ngemuva kokulethwa okubonakala ngokuphuma kwegazi esikhathini sokuhamba kwesikhathi. Emantombazaneni angama-nulliparous angabanjwa ngenxa yokudla ngokweqile kwama-contraceptive ama-hormonal, ama-sedative, ama-antidepressants aqinile.
Inkambo yokwelashwa okungenani inyanga, kuyilapho kubalulekile ukukhetha ngokucophelela ngemithi nge-amenorrhea kanye nesilinganiso (parlodel, gonadotropin, clomiphene citrate) kanye nodokotela wakho.
Ngokuvamile umuntu angaqaphela ukungabikho kokuya esikhathini lapho owesifazane ephilile enhle ehlela ingane. Ukuhlela okusebenzayo kuphazamisa umsebenzi wamahomoni we-hypothalamus futhi ukulungiswa okunjalo kokukhulelwa kuhlehlisa isikhathi sokuqala kokukhulelwe isikhathi esingenamkhawulo. Ukuphumelela ekusebenzisaneni nabesifazane abanjalo kungukuthi i-psychotherapy, ukuqokwa kwama-sedative kanye nama-antispasmodics. Ngokuvamile nge-amenorrhea, udokotela anganikeza amavithamini ukuze avuselele igciwane.
Ukwelashwa kwe-amenorrhea ngamakhambi
Ngaphambi kokusebenzisa amakhambi okwelapha e-amenorrhea, kubalulekile ukuqhuba ukuhlolwa kokukhulelwa ukuze kunqume ukuthi kufanele yini ukusebenzisa i-infusions kanye ne-decoctions. Ukusebenza kahle kakhulu
Kungenzeka yini ukwelapha i-amenorrhea?
Iningi ukwelashwa kwe-amenorrhea lihambisana nokuqokwa kwezidakamizwa ze-hormone ezingashintsha ukungabi nama-hormone adingekayo futhi zisebenzise i-pituitary gland, i-hypothalamus futhi igcizelele ukukhiqizwa kwama-hormone ngama-ovari. Ngokwelashwa okukhethiwe kahle, kungenzeka ukulahla i-amenorrhea yesibili, kodwa ifomu eliyinhloko lidinga ukulungiswa okuningiliziwe ngudokotela, ogama lakhe lokuhlaziya lingase lihluke.