ʻO ka wā pau ʻole o ka wā mua - kumu mua

ʻO ka loaʻa ʻole o ka wā menstrual o ka wahine i kapa ʻia ʻo amenorrhea.

ʻO ka amenorrhea mua ka manawa ʻaʻole i hoʻomaka kahi kaikamahine i kāna mau mahina, a ʻo ia:

• Ua hele i loko o nā loli maʻamau i kū i ka wā ʻōpio
• ʻOi aku ma mua o 15

Hoʻomaka ka hapa nui o nā kaikamahine i ko lākou wā ma waena o 9 a 18 mau makahiki. ʻO ka awelika ma kahi o 12 mau makahiki. Inā ʻaʻole i loaʻa nā wā i ʻoi aku ka nui o ke kaikamahine ma mua o 15, pono paha ka hoʻāʻo hou. ʻOi aku ka wikiwiki o ka pono inā ua hele ʻo ia i nā loli maʻamau i kū i ka wā ʻōpio.

Hānau ʻia me nā genital a i ʻole nā ​​pelvic i hana ʻole ʻia e hiki ai i ka nele i nā manawa o ka menstrual. ʻO kekahi o kēia mau kīnā ʻole:

• Blockages a iiki paha o ka cervix
• Hymen ʻaʻohe wehena
• Loaʻa ka ʻōpū a hū paha
• Vaginal septum (kahi paia e hoʻokaʻawale i ka lua i nā ʻāpana 2)

He kuleana nui nā Hormones i ka pōʻai menstrual o ka wahine. Hiki i nā pilikia Hormone ke hana i ka wā:

• Hana ʻia nā loli i nā ʻāpana o ka lolo kahi e hana ai nā homone e kōkua i ka mālama ʻana i ka pōʻai menstrual.
• ʻAʻole holo pololei nā ovaries.

ʻO kekahi o kēia mau pilikia ma muli o:

• Anorexia (nalo o ka makemake)
• Nā maʻi maʻi mau a lōʻihi paha, e like me cystic fibrosis a i ʻole nā ​​maʻi puʻuwai
• Nā kīnā genetic a i ʻole nā ​​maʻi
• Nā maʻi i loko o ka ʻōpū a ma hope paha o ka hānau ʻana
• Nā kīnā hānau ʻē aʻe
• ʻAnoʻai maikaʻi ʻole
• Nā Tumors

I nā manawa he nui, ʻaʻole ʻike ʻia ke kumu o ka amenorrhea kumu.

ʻO ka wahine me ka amenorrhea ʻaʻole e loaʻa kahi kahe o ka menstrual. Loaʻa iā ia nā ʻōuli ʻē aʻe o ka wā ʻōpio.

E hana ka mea mālama ola i kahi hoʻokolohua kino e nānā no nā kīnā o ka hānau a me ka kōpū.

E nīnau nā mea hāʻawi e pili ana i:

• ʻO kāu moʻolelo olakino
• ʻO nā lāʻau a me nā mea hoʻopihapiha āu e lawe nei
• Ehia mau hana hoʻoikaika kino āu e hana ai
• ʻO kāu ʻano ʻai

E hana ʻia kahi hōʻike hāpai keiki.

ʻO nā hoʻokolohua koko e ana i nā pae hormonone like ʻole:

• ʻO Estradiol
• FSH
• LH
• ʻO Prolactin
• 17 hydroxyprogesterone
• Progesterone serum
• Pae testosterone serum
• TSH
• T3 a me T4

Nā hoʻokolohua ʻē aʻe i hana ʻia e hoʻopili ʻia:

• ʻO ka hoʻokolohua Chromosome a i ʻole ka hoʻokolohua moʻokalaka
• ʻImi CT poʻo a scan poʻo MRI paha e nānā i nā tumors o ka lolo
• Pelvic ultrasound e nānā i nā kīnā hānau

Pili ka mālama ʻana i ke kumu o ka wā nalowale. ʻO ka hemahema o nā wā i hoʻokumu ʻia e nā kīnā hānau e koi paha i nā lāʻau o ka hormone, ʻoki kino, a i ʻole ʻelua paha.

Inā hopena ʻia ka amenorrhea e kahi tuma i ka lolo:

• Hiki i nā lāʻau ke hōʻemi i kekahi ʻano tumors.
• Pono paha ke ʻoki e wehe i ka tumo.
• Hana wale ʻia ka radiation radiation ke hana ʻole nā ​​lāʻau ʻē aʻe.

Inā hoʻokumu ʻia ka pilikia e kahi maʻi ʻōnaehana, ʻae paha ka mālama ʻana i ka maʻi i ka menstruation e hoʻomaka.

Inā ke kumu ka bulimia, anorexia a i ʻole ka nui o ka hoʻoikaika kino, e hoʻomaka pinepine nā wā ke hoʻi ke kaumaha i ka maʻamau a i ʻole hoʻemi ʻia ka pae hoʻoikaika kino.

Inā ʻaʻole hiki ke hoʻoponopono ʻia ka amenorrhea, hiki i nā lāʻau lapaʻau hōmona ke hoʻohana ʻia i kekahi manawa. Hiki i nā lāʻau lapaʻau ke kōkua i ka wahine e like me kona mau hoaaloha a me nā lālā o ka 'ohana wahine. Hiki iā lākou ke pale i nā iwi mai ka lahilahi (osteoporosis).

Aia ka nānā i ke kumu o ka amenorrhea a inā hiki ke hoʻoponopono ʻia me ka mālama ʻana a i ʻole nā ​​loli nohona.

ʻAʻole paha e hoʻomaka nā wā ma kā lākou iho inā i hoʻokumu ʻia ka amenorrhea e kekahi o nā ʻano aʻe:

• Nā kīnā hānau o nā kino wahine
• Craniopharyngioma (kahi tumo kokoke i ka pituitary gland ma ke kumu o ka lolo)
• ʻO Cystic fibrosis
• Nā maʻi genetic

Hiki paha iā ʻoe ke kaumaha i ka naʻau no ka mea ʻokoʻa ʻoe i nā hoaaloha a ʻohana paha. A i ʻole, hopohopo paha ʻoe i hiki ʻole iā ʻoe ke hānau keiki.

Kāhea i kāu mea hāʻawi inā ʻoi aku ka nui o kāu kaikamahine ma mua o 15 a ʻaʻole i hoʻomaka i ka menstruating, a inā he 14 a hōʻike ʻole i nā ʻōuli ʻē aʻe o ka wā ʻōpio.

Amenorrhea kumu; ʻAʻohe wā - kumu; Nā wā kū ʻole - kumu mua; Nā kāne i loaʻa ʻole - kumu mua; Loaʻa ʻole o nā wā - kumu

• Amenorrhea kumu
• Anatomy uterine maʻamau (ʻoki ʻoki)
• Loaʻa ʻole o ka menstruation (amenorrhea)

Bulun SE Physiology a me nā pathology o ka wahine hānau axis. I: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. ʻO Williams Textbook of Endocrinology. 14th ed. Piladelapia, PA: Elsevier; 2020: chap 17.

Lobo RA. ʻO ka amorrhea mua a me ke kula kiʻekiʻe a me ka wā ʻōpio precocious: etiology, loiloi diagnostic, hoʻokele. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 38.

Magowan BA, Owen P, Thomson A. ʻO ke kaʻina menstrual maʻamau a me ka amenorrhoea. I: Magowan BA, Owen P, Thomson A, hua. ʻO nā Obstetrics Clinical a me nā Gynecology. ʻEhā ed. Elsevier; 2019: chap 4.