Ngati mkazi wokhala ndi msinkhu wobereka amayamba kale kusamba, kenako amatha kwa nthawi yoposa miyezi isanu ndi umodzi. Achinyamata, omwe mwezi uliwonse sanawonekere konse, amalankhula za ammorrhea oyambirira.
Chimake chakumtunda - zifukwa
Zomwe zimayambitsa matendawa:
- intrauterine synechia (adhesions), yomwe nthawi yomwe mwezi umatuluka sungathe kuchoka m'mimba chifukwa cha kuwonongeka kwapachipatala (kuphatikizapo chifuwa chachikulu), kugwira ntchito pachiberekero, ndi kupopera;
- polycystic ovary ;
- Matenda a matenda osowa zakudya m'thupi kapena kusamba kwa nthawi yayitali (ndi mazira ambiri sapanga estrogens ndi mahomoni otchedwa gonadotropic hormone - LH ndi FSH);
- Matenda a hypertrophy a mazira ochuluka (chifukwa cha kusagwiritsidwa ntchito kosagwiritsidwa ntchito kwa njira zowathandiza kulera, makamaka mthupi, mahomoni a gonadotropic amachepa ndi kuchuluka kwa prolactin);
- kutopa thupi la thupi (ndi kuwonjezeka kwa thupi, makamaka kwa othamanga, ndi kusala kudya ndi anorexia);
- psychogenic amenorrhea (ali ndi vuto la maganizo, vuto losatha).
Kusanthula kwa chimbudzi chachiwiri
Pofuna kudziwa kuti mankhwalawa ndi ofunika kwambiri, kudziwa kuti vutoli limayambitsa matenda, dokotala amatha kufunsa za vuto lachisokonezo mwa amayi, pokhudzana ndi kutenga njira zothandizira kulandira chithandizo, zokhudzana ndi zovuta zowononga m'mimba (ndi kuchuluka kwa prolactin m'thupi).
N'zotheka kukayikira maonekedwe a chimbudzi chachiwiri malinga ndi zizindikiro: mwa amayi a polycystic, pamakhala kuwonjezeka tsitsi, kuphwanya mafuta, kapangidwe ka khungu. Popanda kutha msinkhu, zizindikiro za chisokonezo cha mchitidwe wamanjenje wodalirika zimayamba kutsogolo, ndipo mitundu ina ya amenorrhea ingakhale yowonongeka.
Koma njira yabwino kwambiri yodziwira matendawa ndi kuyang'ana magazi a mkazi m'magazi a gonadotropic, prolactin , mahomoni ovari ndi mazira ndi chithokomiro cha chithokomiro. Ultrasound ikhoza kuthandizira kudziwa momwe zimakhalira mkati mwa chiberekero, mazira a polycystic, kusowa kwa ovulation. Kuti tiyankhe funso ngati mimba ikhoza kuchitika, ngati kachilombo kameneka kakuchitika, ziyenera kukumbukiridwa kuti palibe chifuwa, kotero kuti mimba sidzabwera.
Kuchulukitsa chimbudzi - mankhwala
Kuti mumvetse momwe mungachitire mankhwala achiwiri, choyamba, muyenera kudziwa zifukwa zomwe zinayambitsa. Popanda kufufuza mozama za amayi omwe amapezeka kuti ali ndi kachilombo kawiri, palibe mankhwala kapena mankhwala omwe angapangidwe. Ndi synechia mu chiberekero, amachotsedwa, ndipo mkati mwa miyezi inayi, hormone estrogens ndi progestin amalembedwa (mwachitsanzo, Dufaston).
Ndi njira yachiwiri yothandizira, chifukwa cha kuchepa kwa msinkhu, isrogens imatchulidwa, ndipo ndi hypertrophy ya mazira ambiri, nthawi zambiri amadzichira okha. Mu polycystic ovaries, atatha kudziwa kuchuluka kwa mahomoni a kugonana, kukonzekera kulera kumasankhidwa komwe kuli kofunikira kwambiri kwa mahomoni.
Chifukwa cha kuchuluka kwa prolactin sichidziwikiratu bwino, ndipo ngati palibe vuto la pituitary (mwachitsanzo, zotupa zamatenda) ndipo mkazi samayamwitsa (ndipo mankhwala osokoneza bongo sakufuna mankhwala), ndiye kuti otsutsana a dopamine akulimbikitsidwa.
Pamene kutopa kwa thupi kapena njala ya nthawi yaitali imalimbikitsa boma labwino la nkhawa ndi zakudya. Mzimayi yemwe ali ndi amenorrhea ya psychogen ayenera kuyang'anitsidwa ndi katswiri wa maganizo ndi mankhwala a hormone sakuvomerezeka.