Kana mukadzi ane makore ekurera vana atova akagadzira nguva yokuenda kumwedzi, uye akazopera kwemwedzi inopfuura 6 - iyi ndiyo yechipiri inorrhea. Muvechiri kuyaruka, avo vane mwedzi usingaonekwi zvachose, vanotaura nezvekutanga primary amenorrhea.
Secondary amenorrhea - zvinokonzera
Zvinokonzera zvinokonzera chikamu chinonzi amenorrhea:
- intrauterine synechia (kubata), panguva iyo panguva yekubuda kwemwedzi haikwanisi kusiya chibereko chemukati nekuda kwekudzimwa kwayo shure kwekuvhiringidza kwakanyanya (kusanganisira tuberculosis), kushanda pachibereko, uye kubatwa kwayo;
- polycystic ovary ;
- chirwere chekuvhara kwevakawanda kana kusati kwasvika kumwedzi (ane mavharosi haaiti isurogen ine yakakwirira yehomoni yeGonadotropic - LH neFSH);
- syndrome ye hypertrophy ye mavhai (nemhaka yekusadzora kushandiswa kwenguva refu kwemishonga yekudzivirira, zvikurukuru monophasic, uwandu hwehomoni yegonadotropic inoderera nehuwandu hweprolactin);
- kupera mumuviri kwemuviri (pamwe nekuwedzera kuedza muviri, kunyanya mumitambo, nekutsanya uye anorexia);
- psychogenic amenorrhea (ane mupfungwa mupfungwa, kusagadzikana kusingaperi).
Kuongororwa kwechipiri chechirwere
Nokuda kwekuonekwa kwechipiri amenorrhea, anamnesis inonyanya kukosha: kuziva nezvechikonzero chinokonzera chirwere, chiremba anogona, kuburikidza nekubvunza nezvehurumende yekudzvinyirira mumukadzi, nezvekutora mishonga yekudzivirira kubata pamuviri, pamusoro pezvinyorwa kubva kumaronda emamota (ane kuwedzera kweprolactin mumuviri).
Zvinokwanisika kufungidzira kuonekwa kwechipiri yemenorrhea maererano nezviratidzo: mumadzimai e-polycystic, pane kuwedzera kuveura, kutyora kwemafuta metabolism, kunetseka kweganda. Nokuva nenguva isati yambopera, zviratidzo zvekuvhiringidza kwehutongi hwehutongi hunoenda mberi, uye dzimwe mhando dzeamenorrhea dzinogona kunge dzisingakwanisi kuita.
Asi nzira yakanakisisa yekuongorora nayo chirwere ichi inogona kuva nekucherechedza ropa remukadzi remadononi e gonadotropic, prolactin , mahomoni ovarian uye chirwere chetachiona. Ultrasound inogona kubatsira kuongorora hutano mukati memukuchi, polycystic ovary, kusavapo kwehuvhu. Kuti upindure mubvunzo iwoyo kana pamuviri zvichikwanisika, kana yechipiri amenorrhea yakaitika, inofanira kuyeukwa kuti hapana kuvhara, saka kuberekwa hakuzovi.
Secondary amenorrhea - kurapa
Kuti unzwisise nzira yekubata nayo yechipiri chemainorrhea, kutanga kune zvose, unoda kuziva zvikonzero zvakakonzera. Pasina kuongororwa kwakazara kwomudzimai akaongororwa ane wechipiri amenorrhea, kana mishonga kana mishonga yevanhu inogona kurongerwa. Ne synechia mudumbu, vanobviswa, uye mumwedzi mina, hormone estrogens uye progestin inorayirwa (somuenzaniso, Dufaston).
Nechipiri chetemenorrhea, nekuda kwekumera nguva isati yasvika, estrogens inorayirwa, uye ne hypertrophy ye maevari, vanowanzozvidzivirira pachavo. Mu polycystic ovaries, mushure mokugadzirisa hutachiona hwemadzimai evanhu, zvirongwa zvekudzivirira pamuviri zvakasarudzwa izvo zvakakodzerwa zvakakwana nokuda kwehomoni.
Chikonzero chekuwedzera kweprolactin hachina kunyatsojeka, uye kana pasina matambudziko nepituitary (somuenzaniso, maronda epituitary) uye mukadzi haafaniri kudya (uye lactational amenorrhea haadi chirwere), saka vanopikisa dopamine vanokurudzirwa.
Apo kupera mumuviri kana kupera kwenguva refu kunorumbidza hunyoro hurumende yekuzvidya mwoyo uye kudya kunovaka muviri. Mukadzi ane psychogenic amenorrhea anofanira kuongororwa nenyanzvi yepfungwa uye hormone therapy haifaniri kukurudzirwa.