Amenorrhea yog li cas thiab yuav kho li cas
Zoo Siab
- Hom mob hnyuv
- Cov tseem ceeb ua
- Yuav kho li cas
- Puas yog nws muaj peev xwm cev xeeb tub nrog kev mob plab hnyuv tws
Amenorrhea yog qhov tsis muaj kev coj khaub ncaws, uas tuaj yeem yog thawj, thaum kev coj khaub ncaws tsis cuag li 14- txog 16-xyoo-laus cov tub ntxhais hluas, lossis theem nrab, thaum kev coj khaub ncaws tsis los, hauv cov poj niam uas twb tau coj khaub ncaws ua ntej lawm.
Kev mob Amenorrhea tuaj yeem tshwm sim rau ntau yam, qee yam ntuj, xws li cev xeeb tub, pub mis niam lossis siv cov tshuaj tiv thaiv tsis tu ncua, lossis rau qee yam kabmob, los ntawm kev tsis txaus siab hauv tus pojniam deev menyuam, hloov hauv cov keeb ntawm zes qe menyuam, thiab txawm tias yog los ntawm kev ntxhov siab, kev noj tsis haum cwj pwm los yog ua kom dhau hwv.
Hom mob hnyuv
Qhaj ntawv ntawm lub sijhawm tuaj yeem tshwm sim rau ntau qhov laj thawj, tau muab faib ua 2 hom:
- Thawj tus kab mob kev nkeeg: nws yog thaum kev coj khaub ncaws ntawm cov ntxhais ntawm 14 txog 16 xyoo tsis tshwm sim, raws li xav pom los ntawm lub sijhawm ntawm kev txhim kho ntawm lub cev. Hauv cov xwm txheej no, tus kws kho mob poj niam yuav ua cov chaw kuaj mob thiab xaj kuaj ntshav thiab ultrasound, los tshawb xyuas seb puas muaj kev hloov lub cev lossis kev hloov hauv cov tshuaj hormones, xws li estrogen, progesterone, prolactin, TSH, FSH thiab LH.
- Ob txog kev mob plab zom mov: nws tshwm sim thaum kev coj khaub ncaws tsis los vim muaj qee yam, hauv cov poj niam uas tau coj khaub ncaws tas lawm, tau 3 hlis, thaum coj khaub ncaws tsis tu ncua lossis rau 6 lub hlis, thaum coj khaub ncaws tsis xwm yeem. Kev tshawb nrhiav tseem ua los ntawm tus kws kho mob poj niam, nrog kev kuaj mob gynecological, ntsuas kev ntsuas, ntxiv rau transvaginal lossis pelvic ultrasound.
Nws yog ib qho tseem ceeb rau kev kuaj cev xeeb tub thaum twg muaj kev mob plab, nws yog ib qho ua tau kom cev xeeb tub txawm hais tias poj niam coj khaub ncaws tsis xwm yeem los yog ncua sij hawm ntev.
Cov tseem ceeb ua
Lub hauv paus tseem ceeb ntawm kev mob caj dab yog kev xeeb tub, pub mis niam thiab lub cev ntas, uas yog lub hauv paus ua rau lub cev, nyob rau lub sijhawm thaum muaj kev hloov pauv rau theem ntawm cov tshuaj hormones progesterone thiab estrogen tshwm sim.
Txawm li cas los xij, lwm cov laj thawj ntawm kev mob plab yog tshwm sim los ntawm cov kab mob, noj tshuaj los yog cwj pwm, xws li:
| Ua rau | PIAV |
| Hormonal tsis txaus | - Hloov cov tshuaj hormones, xws li ntau dhau lawm prolactin, testosterone, hyper lossis hypothyroidism; - Hloov hlwb, xws li deregulation lossis pituitary hlav; - Polycystic zes qe menyuam mob; - Lub cev ntas thaum ntxov. |
Kab ke hauv tsev hloov | - Qog ntawm lub tsev menyuam lossis ob lub zes qe menyuam; - Hloov pauv ntawm tus qauv ntawm lub paum; - Imperforate hymen, thaum coj khaub ncaws tsis muaj tus mus; - Mob raum lossis mob Asherman syndrome; |
| Ovulation inhibited los ntawm kev coj ua lub neej | - Noj kev tsis zoo, xws li tsis nco qab; - Kev tawm dag zog ntau dhau, ib txwm muaj ntawm kev ncaws pob; - Ceeb thawj sai heev; - Kev pham; - Muaj kev ntxhov siab, ntxhov siab. |
| Cov tshuaj kho mob | - Cov ntsiab lus siv rau kev siv tas mus li; - Tshuaj tiv thaiv kab mob, xws li amitriptyline, fluoxetine; - Anticonvulsants, xws li phenytoin; - Antipsychotic, xws li haldol, risperidone; - Cov tshuaj antihistamines, xws li ranitidine, cimetidine; - Kev kho cov tshuaj. |
Yuav kho li cas
Cov kev kho mob rau cov neeg mob caj dab yog nyob ntawm qhov laj thawj, ua nrog kev qhia ntawm tus kws kho mob poj niam, leej twg yuav txiav txim siab cov kev xaiv zoo tshaj plaws rau txhua kis. Yog li, qee qhov kev xaiv yog:
- Kev kho ntawm lub cev qib theem: suav nrog kev siv cov tshuaj los tswj cov qib prolactin thiab testosterone, piv txwv li, lossis hloov cov tshuaj estrogen thiab qib progesterone kom cov tshuaj hormones ntau yog tswj.
- Pauv pauv txoj kev ua neej: yuav ua li cas kom poob ceeb thawj, muaj kev noj zaub mov zoo thiab noj zaub mov zoo, xyaum ua kom lub cev qoj ib nrab, ntxiv rau kev kho mob kev ntxhov siab thiab ntxhov siab, yog tias muaj, raws li kev puas siab puas ntsws cov lus qhia.
- Kev phais mob: tuaj yeem tsim kho lub cev ntas thiab ua kom muaj peev xwm ua kom cev xeeb tub, xws li hauv lub suab nkauj tsis zoo, qog ntawm lub plab thiab qee qhov kev hloov pauv ntawm qhov chaw mos. Txawm li cas los xij, thaum tsis muaj lub tsev menyuam thiab lub zes qe menyuam, nws tsis muaj peev xwm tsim kom muaj qe menyuam los yog poj niam txiv neej.
Cov kev kho mob ntuj tuaj yeem pab qee qhov kev ncua sij hawm vim muaj kev hloov hauv lub cev ntas, rau cov poj niam tsis muaj teeb meem loj lawm los yog muaj lwm yam kab mob, thiab qee qhov piv txwv yog cov tshuaj yej cinnamon thiab cov tshuaj yej agonized. Saib ntxiv txog yuav ua li cas thiab cov dej tshuaj yej cov txiaj ntsig ntawm kev coj khaub ncaws lig.
Puas yog nws muaj peev xwm cev xeeb tub nrog kev mob plab hnyuv tws
Lub sijhawm ntawm cev xeeb tub, nyob rau hauv cov mob ntawm amenorrhea, nyob ntawm qhov ua rau. Kev kho cov tshuaj hormones rau kev ua haujlwm tsis zoo ntawm lub zes qe menyuam, tuaj yeem tswj tau qe menyuam thiab yug menyuam, lossis lawv tuaj yeem tsim tau los ntawm kev siv tshuaj, xws li Clomiphene, piv txwv, uas tso cai rau cev xeeb tub hauv ib txoj hauv kev.
Thaum tsis muaj lub qe menyuam, nws tseem tuaj yeem cev xeeb tub, los ntawm kev pub lub qe. Txawm li cas los xij, yog tias tsis muaj lub tsev menyuam, lossis tseem ua haujlwm tsis zoo ntawm lub cev yug menyuam, uas tsis yog daws nrog kev phais mob, cev xeeb tub, thaum xub thawj, tsis tuaj yeem ua tiav.
Nws yog ib qho tseem ceeb kom nco ntsoov tias cov poj niam uas muaj lub cev tsis xwm yeem tuaj yeem cev xeeb tub, txawm hais tias nws yuav nyuaj dua, thiab yog li ntawd yuav tsum ceev faj kom tsis txhob muaj kev xeeb menyuam. Koj yuav tsum muaj kev sib tham nrog tus kws kho mob poj niam thiaj li hais tias muaj peev xwm thiab kev kho mob rau txhua tus poj niam raug ntsuas, raws li lawv cov kev xav tau thiab xav tau, hais txog kev xeeb tub thiab cov txheej txheem tiv thaiv.
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