Ameniorrhea chii? Zvinokonzera, zviratidzo uye kurapa kwe amenorrhea

Ameniorrhea chirwere chemamiriro emukadzi ane makore 16 kusvika ku45, umo kune kusakwana kwekuenda kumwedzi kwemwedzi mitanhatu kana kupfuura. Kazhinji kacho ichi chinoshamisa chinoratidza kuvapo mumuviri wehumwe hutano hwehutano kana hutachiona.

Vamwe vakadzi vanovhiringidzika pavanonzwa hutano hwe "amenorrhea." Vanhu vashomanana vanoziva kuti chirwere ichi chii. Vanachiremba vanosarudza amenorrhea mukati memaviri makuru makuru: chokwadi uye nhema. Mhando dzakatevera dzechiratidzo ichi dzinozivikanwa zvakare:

• Pharmacological and false amenorrhea.
• Pathological and physiological amenorrhea.
• Primary primary ororrhea.

Nhema amenorrhea

Nechirudzi urwu rwehutano, hutachiona hunogadzirwa hwemadzimai evanhukadzi huripo hunoitika, asi kune chimwe chipingamupinyi chemaitiro ezvinyorwa zvekugadziriswa kwemaitiro anopa ropa kubva munharaunda yepabonde. Nhema yenorrhea, zviratidzo zvinotanga nekusavapo kwekuenda kumwedzi, zvinogona kukonzera kusuruvara kwakanyanya. Izvi zvinokonzerwa nechirema muhutano hwemadzimai, chirwere chechirwere kana chimiro chema innate. Nechimiro cheAmeniorrhea, kubuda kwemwedzi, pasina kuwana nzvimbo, kunoramba kuri mu fallopian tubes, kuunganidza zvakawanda. Izvi zvinotungamirira pakuumbwa kwekuvhiringidza kunharaunda ino. Kuongororwa kwe "nhema amenorrhea", zvinokonzera uye kurapwa kwechirwere ichi - zvose izvi mune ruzivo rwechiremba wezvechiremba.

Chokwadi amenorrhea

Iko rudzi rwe amenorrhea runobatanidzwa nekuputsa kwehupenyu hunobatanidzwa nehuwandu hwekutsvaga kweii mumuviri wemukadzi. Muchirwere ichi, kumhanya kwemwedzi hakuumbwa zvachose. Evha haibvuni, kana kuti haina kupinda muutterin tube, kana mutemo wehomoni wekugadzirisa uhu hunovhiringidzika. Iyi amenorrhea, zviratidzo zvaro zvinenge zvisinganzwisisiki, ndicho chikonzero chekushaya vana.

Chokwadi amenorrhea inogoverwa mumarudzi akawanda:

• Physiological vari.
• Chimiro chechipatara.

Physiological true amenorrhea

Vanachiremba havatauri ku pathological phenomena. Sezvo mutemo, kusavapo kwepanyama kwekuenda kumwedzi kunobatanidzwa nekuzvitakura, lactation, kuenda kumwedzi kana mwana.

Lactational amenorrhea inokonzerwa nehutano hwekuyamwisa uye inoitika mushure mokuberekwa. Nguva yezviitiko izvi ndeyomunhu oga uye inogona kubva kumwedzi yakawanda kusvika kumakore akawanda. Iyo hormone prolactin, iyo yakanyanyiswa mumuviri wemukadzi panguva yekuyamwisa, haibvumi kutangwa kwe estrogen, iyo inotorawo, inodzora ovulation. Somugumisiro, kuvepa hazviiti, uye hakuchina kumwedzi.

Lactational amenorrhea rudzi rwekudzivirira kwepanyama. Asi zvakakosha kufunga kuti kubudirira kwemuitiro uyu kunosvika 98%, kunze kwekuti mwana wacho haasviki nemwedzi yemwedzi mitanhatu, inongova necheputi chete, uye kuwandisa kwekudya-kusvika kanomwe pazuva. Kana zvinhu izvi zvisingaremekedzwi, ipapo mikana yekuve nemimba nemukadzi yakakwirira kwazvo. Kuti udzivise izvi, iwe unofanirwa kuchengetedza kubata pamuviri, mushure mekutaurirana nemudzimai wegynecologist. Iyi amenorrhea, iyo inokonzerwa nehupenyu, haitore kurapa. Kana mukadzi ari kunetseka pamusoro pemarwadzo emimba, kusununguka kwemazuva ose uye kubata, kuongorora uye kurapwa zvinodiwa.

Abnormal true amenorrhea

Ichi chinoshamisa chinoitika kana musikana anopfuura makore gumi nemakore kana mukadzi ari muzera rakakora haawanzoenda kumwedzi. Kana izvi zvichiitika kubva pakuyaruka, zvino chiitiko chinonzi primary amenorrhea. Ndeipi rudzi urwu rwechirwere, iwe unogona kuwanikwa pane imwe nzvimbo newaini.

Kana kusavapo kwemwedzi kwaitika mushure mekunge mukadzi aine nguva dzose, zvino chiitiko ichi chinonzi secondary amenorrhea. Inogona kuva nemigumisiro yekusawirirana kwemasimoni mumuviri kana kuita mabasa emukadzi. Secondary amenorrhea, izvo zvinokonzera uye kurapa izvo zvinorondedzerwa pasi apa, zvinonyatsokwanisa kugadziriswa.

Zvinokonzera yemamorirhea chaiye

Nyanzvi dzinoziva zvikonzero zvakasiyana siyana nei amenirrhea yechokwadi inogona kuitika:

• Kukanganiswa kweChenital zvekugara nhaka. Izvi ndizvo zvinonzi chromosomal zvisiri izvo. Kana paine vakadzi vane nguva yekupedzisira (makore anopfuura 18) kutanga kwekuenda kumwedzi, saka kune chimiro chekuberekwa kwemazwi kuti aveororhea.
• Kunze kwekuvandudzwa kwemashure ehutano ndeyekusava nemunhu. Kakawanda kunofambidzana nekuneta kwepanyama, kushandiswa kwakaderera kana kushaya kwemukati nhengo dzomukati dzomukati (dystrophy, "chibereko checheche" uye vamwe).
• Kushungurudzika kunobatsirawo zvakananga pahutano hwevakadzi. Kuwedzerwa kwepfungwa, kushushikana uye kushanda kwepanyama kunogona kukonzera zvose primary amenorrhea muvechiri kuyaruka uye yechipiri.

Zvinokonzera kushandiswa kwechipiri

Sezvakataurwa kare, kusavapo kwekuenda kumwedzi kune vakadzi vanopfuura makore gumi nemasere kunonzi "secondary amenorrhea". Zvikonzero zvaro zvinogona kunge zvinotevera:

• Polycystic ovary syndrome inokonzera amenorrhea uye kushaya simba. Kazhinji inowirirana nezviratidzo zvinotevera: acne, yakakwirira yehomoni dzevarume muropa, earworm hairiness.
• Anorexia inokanganisa kuora muviri kusvika pakuneta kwemuviri nekuda kwekudya kwakasimba uye kushanda kwakanyanya. Mukutsvaka chiremera chakanaka, vamwe vakadzi vanozvidzivirira kuzvidya kana kuiramba zvachose, kutora laxatives uye diuretics, kumutsa kushambidza mushure mekudya. Zvose izvi zvinotungamirira kune anorexia uye kukurudzirwa kwechipiri kusununguka.
• Hyperprolactemia ndechimwe chezvikonzero zvinowanzoita zvechirwere chechipiri. Mune mamiriro ekumanikidzwa, prolactin inosunungurwa, ichidzivirira mavhiri uye kutanga kwekuenda kumwedzi. Iyi ndiyo inonzi hormonal amenorrhea. Asi kazhinji hyper-kupararira ndeyekuguma kwekuvhiringidzika kwemuviri mumuviri wemukadzi kana kuve nekuvandudzwa kwekuchinja mumutambo wepituitary.

Kuongororwa kwe amenorrhea

Asati asarudza kurapa, chiremba anofanira kuziva zvikonzero zvechirwere. Pamberi pechiremba kune mubvunzo: "Murwere ane hanya." Chii chakaitika mumuviri wemukadzi? " Kuti uite izvi, mabasa anotevera ekuongorora anogoverwa:

• Kuongororwa kwemu murwere nekujekesa kwezvinhu zvehupenyu hwake uye zvizvarwa zvake.
• Kuongorora kwepanyama nhengo dzomukati dzekuberekwa kwemukadzi.
• Kushandisa ultrasound kuti inzwisise kukura kwemasalies, nzvimbo isina kukwana kana kuti kusasipo kwakakwana kwenhengo dzomukati dzehutano hwekubereka. Uyewo, ultrasound inogona kugona ukuru hwechibereko, mamiriro ezvinhu e-follicular apparatus uye endometrium.

Kazhinji kune chido chekutsvakurudza mamwe maitiro. Kwavari zvinokwanisika kutakura:

• Hysterosalpingoscopy - nzira yekugadzirisa hutachiwana hwehutachi uhu.
• Hysteroscopy - kuongorora uterine cavity.
• MRI yeuropi kuti ione iyo pituitary.
• Laparoscopic kuongorora kuongororwa kwemavha mavari.

Basa rekuongorora marabhoreti rinomirirwa:

• UAC inowanzoongorora ropa.
• OAM inyanzvi yemujini.
• Chiyero ne gestogens kugona isrogen inoshaya.
• Hormonal colpositology study.

Mushure mekunge chiremba ane zvizere zvakasarudzwa zvekutsvakurudza kwakaitwa, achakwanisa kuziva zvakakwana chikonzero chechirwere uye rudzi rwayo. Pakukurukurirana, nyanzvi icharondedzera zvakadzama nezvekutsvaga kwe "amenorrhoea", chii chiri kuitika mumuviri, chii chakakonzera chirwere ichi, kuti chienderere mberi sei. Zvadaro nyanzvi ichagadza kurapa kwakakodzera nekuongorora kwekutevera.

Nzira dzeinororrhea mishonga

Semitemo, mushure mekunyatsoongorora nekuongorora, chiremba achapa murwere murwere nzira yekurapa amenorrhea. Muzviitiko zvakawanda, kurapa kunoshanda. Kuenda kumwedzi kwemukadzi kunodzorerwa, kubereka kwake kunovandudzika, muviri unodzokera kune wakajairika. Pane nzira dzinogadzirisa yekugadzirisa iyi syndrome. Mushonga we amenorrhea nemishonga yevanhu yakakurumbirawo. Zvisinei, zvinofanira kurangarirwa kuti munhu anofanirwa kushandura mushonga mutsva kunze kwekunge ataurirana nemumwe nyanzvi. Kutanga munyaya iyi hakusi kungoita chete, asiwo kune ngozi.

Kurapa kwekutanga amenorrhea

Kuchengetedzwa kwekuchengetedza kwemhando iyi ye amenorrhea yakaderedzwa kupedza kana kugadzirisa zvikonzero zvinokonzera chirwere. Kana ichi chiitiko chinokonzerwa nezvizvarwa zvenyama, ipapo humoni inotsiviwa nehutachiona inorondedzerwa nenzira yekugadzirira ine estrogens, progestogens.

Vachiri kuyaruka vane kunonoka pakuumbwa kwevakadzikadzi zvepabonde, sekutonga, vanorayirwa kururamiswa kwezvokudya uye kuvhidzira. Kudya kwakanyatsonaka uye mitambo kunobatsira kuvaka musimba, kumira kwehuwandu hwemamiriro ezvinhu uye vanogona kuvandudza mamiriro acho ezvinhu. Kana iyo amenorrhea isingabviswi pashure pacho, chiremba anokwanisa kupa mishonga yemashonga.

Kurapa kwechipiri chechirwere

Secondary amenorrhea, iyo chirwere chinokonzerwa nechirwere chinonzi anorexic, chinobviswa nekugadzirisa chikafu uye nehutano hwekuita. Kazhinji mumamiriro ezvinhu aya, chiremba anokurudzira kushandiswa kwemuromo kunopedza kubvisa pamuviri, izvo zvinosimbisa mahomoni.

Mu syndrome ye polycystic ovaries, chirwere chinonzi laparoscopic chinoshandiswa kubvisa chikamu chechirwere chemavha mavhiri pamwe chete nekudya kwemishonga yehomoni inogadzirisa basa rekuberekwa kwemukadzikadzi.

Ne giperprolaktenemii nyora zvinodhaka zvine dopamine agonists, izvo zvinodzivisa kuvharwa kweprolactin.

Mushure mekushandisa nzira iri pamusoro apa, chero chechipiri chemainorrhea inobviswa. Kuongororwa nevarwere vakawana kuongororwa kwakaoma uye kurapwa, taura nezvekubudirira kwehutano hwemhizha.

Nzira dzevanhu dze amenorrhearapa

Mune mishonga isiri yemazuva ano, pane dzakawanda mapeji anobatsira vakadzi kwemazana emakore kuti vararame nehosha yakadaro seamenorrhea. Kurapa kwevanhu, zvisinei, kunofanira kutorwa nekuchenjerera. Kuongororwa uye kubvunzurudzwa nechiremba kunosungirwa. Kutanga, iwe unofanirwa kuve nechokwadi chokuti amenorrhea haisi iyo yekuita pamuviri. Uyewo zvakakosha zvikuru kuvepo kwehutano hwehutachiona hwekudyara kwezvinhu, izvo zvinorevawo kupesana kune mapoka akawanda emishonga yemagariro. Kana chiremba wako asiri kurwisana naro uye pasina kurwara, iwe unogona kushandisa imwe yezvikorekedzo zvinotevera:

• Mitsara ye rhodiola rosea mune chiyero cha 50 g gira uye inodururira 500 ml yevodka (40%). Simbisa munzvimbo ine rima munzvimbo yakavharwa kwemazuva gumi nemashanu. Tora tincture unoda madonhi 10-20 pa spoonful yemvura katatu pazuva musati wadya kwemwedzi mitatu.
• Kupwanya girasi yemichero ye viburnum muhafu yeirimu yamafuta omuorivhi uye inopa kwemazuva gumi. Mushure meizvi, dambudziko uye kunwa pane zvisina chinhu mudumbu uye usati waenda kunorara mapeji maviri emwedzi mitatu.

• Dhidzai 100 g yeparsley yakadyiwa muna 1.5 litita emvura, shandisa maminitsi makumi maviri uye mupe maawa maviri. Muto unoguma unofanirwa kudhakwa zuva rese, uye saizvozvo kwemwedzi miviri. Mushure mokudaro, iyo yakawanda yemhinduro yakatorwa inogona kuderedzwa kusvika hafu yeitare uye inoramba ichimwa kwemwedzi mitanhatu.
• Almond - Zvidimbu makumi maviri, geranium mashizha - makapu makumi maviri, emamoni ane zest - 2 zvidimbu, hawthorn maruva - 2 maspuni, pikisori yekamphor - 1 g, valerian infusion - 1 kipuni, peppermint mafuta - madonhwe makumi maviri. Zvose zvinoshandiswa zvinofanira kusanganiswa uye kutorwa katatu zuva nezuva vasati vadya.
• Gadzirira musanganiswa wemishonga: Amur velvet, nettle, bhegi refudzi, midzi ye licorice, inotorwa mu 1 chikamu, uye zvikamu zvina zvegondo rinokunda. Zvose zvinoshandiswa zvinofanira kunge zviri mumhepo yakaoma uye yakaomeswa. Mafupuni maviri echitsuwa ichidururira litari yemvura inodziya uye kubika pamusoro pemhepo yakadzika kusvika apisa chetatu. Ipapo iwe unoda kubvisa kubva pakupisa uye unomira pasi pechivako kweinenge awa. Zvadaro, unoda kushungurudza uye kunwa papuniki yevhiki mbiri katatu pazuva.
• Gadzirira decoction ya 500 g pine nendira mumamita maviri emvura. Birai hafu yenguva uye uomirire maawa maviri. Zvadaro, magiramu 100 evhu ginger anovirisa muna 1 litre yemvura kwehafu yeawa uye kusimbisa maminitsi makumi mana. Gadzirira kushambidza nechitonho che 38 ° C, chengetedza mabhiri maviri mukati mawo, uwedzere 1 teaspoon ye thuja mafuta. Tora bhaji yakadaro inodiwa zuva nezuva kwehafu yeawa mumazuva gumi.

Kudzivirira kweinororrhea

Mukadzi anofanira kugara achiyeuka kuchengetedza hutano hwake mune imwe nyika. Zvakakosha kudzivisa zvakanyanya muviri, zvepfungwa uye zvepfungwa, izvo, zvechokwadi, zvinokanganisa muviri. Zvakakosha kuchengetedza uremu hwako pahutano hwemamiriro ezvinhu, kwete kubvumira kupera kana kuora. Mimba inofanira kurongwa, kana zvichifanira, kutora mishonga yekudzivirira. Mukana wekushungurudzika, unyoro hwakanaka hunogadzirisa zvirongwa, mabhati, zvinyorwa zvinokurudzirwa zvinokurudzirwa. Makirasi muimba yekurovedza anobvumirana nemudzidzisi wezvidzidzo uye kudzivisa kuwandisa. Nokufamba kwenguva, vanoenda kuchipatara kuongororo yezvokurapa kwekuona nguva nekurapa kwezvirwere.