Amenorrhea mankhwala ndi zonse muyenera kudziwa za chikhalidwe ichi

Likutchedwa amenorrhea pakalibe kusamba kwa miyezi sikisi kapena kuposa. Amenorrhea - si matenda palokha, kungakhale chizindikiro cha kuvutika zosiyanasiyana za ziwalo zoberekera kapena zotsatira za matenda osiyanasiyana neuroendocrine, zilonda ndi chosaopsa zotupa.

Malinga ndi gulu la mankhwala a matenda lagawidwa amenorrhea pulayimale ndi sekondale.

amenorrhea chachikulu amatchedwa mochedwa Kutha Msinkhu komanso zizindikiro zina za chitukuko kugonana pamaso zaka 14, pakalibe kusamba mpaka zaka 16 pansi zizindikiro yachibadwa chitukuko kugonana. Secondary amenorrhea - kusamba mochedwerapo kwa m'zinthu oposa 3 pa mzere (pa maziko a kusamba yapita zachilendo).

Zizindikiro zazikulu za amenorrhea imatengedwa kuti ndi pakalibe yachibadwa thupi kusamba ndi chonde wabwinobwino, autonomic kukanika, androgen owonjezera. Nkofunika masiyanidwe matenda, chimene chimathandiza kuona kuti pali amenorrhea. Chithandizo ikuchitika, makamaka mu magawo awiri. Mayeso oyamba - ndi kudziwa zinthu zilili chitukuko amenorrhea. Gawo lachiwiri imatengedwa kuti mwachindunji kusankha zochita kukonza.

Amenorrhea: chithandizo kuchita

Kusankha chithandizo nthawi zonse amadalira kudziwika molondola zinthu etiologic. Ngati chimake yaikulu ya kutaya pafupifupi mitundu yonse ya amenorrhea limasonyeza yaitali m'thupi mankhwala amene ntchito ndi kuwalimbikitsa uziyenda yachibadwa ya dongosolo hypothalamic-pituitary. Amenorrhea, mankhwala ndi bwino zedi, nthawi zambiri akudutsa popanda sanachite. Makamaka pamene kupatsa magulu zotsatirazi mankhwala:

- zikuchokera amene ali pano kupanga wogwirizira timadzi follikullyarnoy gawo - esitirojeni (mwachitsanzo, "estrone" "estrofem" ndi "Divigel" - formulations ngati wasonyeza akazi ndi chisokonezo dongosolo endocrine, iwo angathe kuperekedwa ndi atsikana ndi kuchedwa chitukuko kugonana);

- mankhwala, monga ndi kupanga timadzi analogue luteal gawo - progesterone (mwachitsanzo "Norkolut" "Djufaston" ndi "Utrozhestan" - mankhwala awa akhala akugwiritsidwa ntchito mankhwalawa onse amenorrhea pulayimale ndi sekondale);

- polypeptide analogs wa hypothalamic timadzi - gonadotropin-kumasuka timadzi (ndi timadzi otchedwa gonadotropin-kumasuka timadzi (GnRH), kuphatikizapo ogwira Mwachitsanzo, "cyclamate" - mankhwala akulimbikitsidwa akazi ndi PCOS, izo induces ndondomeko ovulation ndipo amathandiza mkazi kutenga mimba); bwino kuthandiza gulu la mankhwala, pamene wapezeka amenorrhea sekondale, mankhwalawa zomwe ndi kuthetsa kuyan'anila mu ntchito ya dongosolo neuroendocrine;

- amaphatikizidwa esitirojeni ndi gestagensoderzhaschie m'kamwa kulera (COCs), mwachitsanzo, "Janine" "regulon" ndi "Diana 35" (kukonzekera awa ali akulimbikitsidwa matenda a mazira polycystic).

Kutalika kwa mankhwala ndi wothandizila m'thupi zonse zimadalira zinthu zenizeni. Limodzi ndi mankhwala m'thupi angathe kuperekedwa ndi kukonzekera mwanjira Mwachitsanzo, "Remens", "Klimadinon" ndi "Mastodinon". Zikavuta kwambiri, (komanso ndi kupanda chithandizo timadzi) akhoza anasonyeza opaleshoni opaleshoni, izo akapatsidwa mosamalitsa pa zikuonetsa katswiri.