ʻO nā wā paʻewa ʻole - kekona

ʻO ka loaʻa ʻole o ka wā menstrual o ka wahine i kapa ʻia ʻo amenorrhea. ʻO ka amenorrhea lua ke hiki i kahi wahine i loaʻa i nā maʻamau maʻamau ke oki i ka loaʻa ʻana o kāna mau manawa no 6 mau mahina a ʻoi paha.

Hiki i ka amenorrhea lua ma muli o nā hoʻololi kūlohelohe i ke kino. ʻO kahi laʻana, ʻo ke kumu maʻamau o ka amenorrhea lua ke hāpai. ʻO ka hānai a me ka menopause ka mea maʻamau, akā nā kumu kūlohelohe.

ʻO nā wahine e lawe i nā lāʻau hoʻomake hānau a i ʻole e loaʻa nā pana hormone e like me Depo-Provera ʻaʻole paha he kahe o ka mahina. Ke ho'ōki lākou i ka laweʻana i kēia mau homoniuma, ʻaʻole paha e hoʻi ko lākou mau manawa ma mua o 6 mau mahina.

Loaʻa paha iā ʻoe kahi wā e hele ʻole ai inā ʻoe:

• Ua momona
• Hoʻomaʻamaʻa nui a no nā wā lōʻihi
• Loaʻa ka momona o ke kino haʻahaʻa (ma lalo o 15% a 17%)
• Loaʻa ka hopohopo nui a i ʻole ka kaumaha kaumaha
• Lilo i ka nui o ke kaupaona hikiwawe (no ka laʻana, mai kaʻai koʻikoʻi a koʻikoʻi paha a ma hope paha o ke kahakaha ʻana o ka gastric)

Nā kumu ʻē aʻe e:

• ʻO nā tumors o ka lolo (pituitary)
• Nā lāʻau no ka mālama ʻana i ka maʻi ʻaʻai
• Nā lāʻau lapaʻau e mālama ai i ka schizophrenia a i ʻole ka psychosis
• Kelepona thyroid overactive
• ʻO Polycystic ovarian syndrome
• Hoʻoemi i ka hana o nā ovaries

Eia kekahi, ʻo nā kaʻina hana e like me ka dilation a me curettage (D a me C) hiki ke hana i nā kikoʻu makaʻu. Hiki i kēia kiko ke hoʻopau i ka wahine i ka menstruating. Kapa ʻia kēia ʻo Asherman Syndrome. Hoʻokumu ʻia paha ka scarring e kekahi mau maʻi pelvic koʻikoʻi.

Ma waho o ka loaʻa ʻole o ka manawa menstrual, hiki i nā ʻōuli ʻē aʻe ke hoʻopili pū:

• Hoʻololi ka nui o ka umauma
• Loaʻa kaupaona a hōʻemi kino paha
• Hoʻokuʻu ʻia mai ka umauma a i ʻole hoʻololi i ka nui o ka umauma
• Huehue a hoʻonui i ka ulu ʻana o ka lauoho i ke ʻano kāne
• Maloʻo maloʻo
• Hoʻololi leo

Inā kumu ʻia ka amenorrhea e kahi pituitary tumor, aia paha he mau hōʻailona ʻē aʻe e pili ana i ka tumo, e like me ka nalo ʻana o ka hihiʻo a me ka ʻeha poʻo.

Pono e hana i kahi hōʻike kino a me kahi hōʻike pelvic e nānā no ka hāpai ʻana. E hana ʻia kahi hōʻike hāpai keiki.

Hiki ke hana i nā hoʻokolohua koko e nānā i nā pae hormone, me:

• Nā pae Estradiol
• Follicle stimulate hōmona (pae FSH)
• Luteinizing hormone (pae LH)
• Pae Prolactin
• Nā pae hormone serum, e like me nā pae testosterone
• ʻO ka hormone stimulate hormone (TSH)

Nā hoʻokolohua ʻē aʻe i hana ʻia e komo pū me:

• CT scan a MRI scan o ke poʻo e nānā i nā tumors
• ʻO Biopsy o ka uhi o ka kōpū
• Ke hoʻāʻo genetic
• Ultrasound o ke pelvis a i ʻole hysterosonogram (pelvic ultrasound e pili ana i ke kau ʻana i ka wai paʻakai i loko o ka kōpū)

Kaukaʻi hilinaʻi nui i ke kumu o ka amenorrhea. Hoʻi pinepine nā manawa maʻamau o ka mahina ma hope o ka mālama ʻia ʻana o ke ʻano.

ʻO ka nele o ka manawa menstrual ma muli o ka momona, hoʻoikaika kino, a i ʻole ke kaupaona hiki ke pane i ka loli o ka hana hoʻoikaika kino a i ʻole ka mālama ʻana i ke kaupaona (loaʻa a pohō paha, e like me ka mea e pono ai).

Aia ka nānā i ke kumu o ka amenorrhea. ʻO ka hapa nui o nā kūlana e hopena i ka amenorrhea lua e pane i ka lāʻau.

E ʻike i kāu kahu mālama ola mua a i ʻole mea lawelawe olakino wahine inā ua hala ʻoe ma mua o hoʻokahi manawa i hiki ai iā ʻoe ke kuhi a mālama ʻia, inā pono.

Amenorrhea - kekona; ʻAʻohe wā - kekona; Nā wā kū ʻole - kekona; Nā kāne hele ʻole - kekona; Loaʻa ʻole o nā wā - kekona

• Amenorea lua
• 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, et al. 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.