Amenorrhea ni iki? Ibimenyetso, Intandaro, n'Ubuvuzi

Amenorrhea ni ijambo ry’abaganga rikoreshwa iyo imihango yawe ihagaze cyangwa idatangira na gato. Ni uburyo umubiri wawe ugaragaza ko hari ikintu cyahindutse mu mikorere y’imyororokere yawe cyangwa ubuzima bwawe muri rusange.

Nubwo kubura imihango bishobora gutera impungenge, amenorrhea akenshi iba ari uburyo umubiri wawe ugaragaza impinduka nk’umunaniro, ihindagurika ry’ibiro, cyangwa ihindagurika ry’imisemburo. Gusobanukirwa icyabayeho bishobora kugufasha gukorana n’abaganga bawe kugira ngo muvure intandaro y’ibibazo kandi musubize imihango yawe mu buryo busanzwe.

Amenorrhea ni iki?

Amenorrhea ibaho iyo udafite imihango mu mezi atatu cyangwa arenga, cyangwa iyo imihango idatangira mbere y’imyaka 15. Imihango yawe iterwa n’uburinganire bw’imisemburo ikorera hamwe nk’umuzika wateguwe neza.

Iyo uburinganire bw’imisemburo buhindutse, umubiri wawe ushobora guhagarika imihango kugira ngo wirinde cyangwa wohereze imbaraga ku bindi bikorwa by’ingenzi. Tekereza ko ari uburyo umubiri wawe wirindira aho kuba ikibazo cy’imikorere y’imyororokere.

Hari ubwoko bubiri nyamukuru bwa amenorrhea. Amenorrhea y’ibanze ibaho iyo imihango itaratangira, naho amenorrhea y’uburyo bwa kabiri ibaho iyo imihango yari isanzwe ariko ikahagarara mu mezi atatu cyangwa arenga.

Ni ibihe bwoko bwa Amenorrhea?

Amenorrhea y’ibanze ibaho iyo utarafite imihango yawe ya mbere ufite imyaka 15, nubwo ufite ibindi bimenyetso by’ubugimbi nko gutera amabere. Ibi bigira ingaruka ku bagore bagera kuri 1% kandi bikunze guterwa n’indwara z’impyiko, kudahuza kw’imisemburo, cyangwa itandukaniro mu miterere y’ibice by’imyororokere.

Amenorrhea y’uburyo bwa kabiri igaragara cyane kandi ibaho iyo imihango isanzwe ihagarara mu mezi atatu cyangwa arenga. Ubu bwoko akenshi buterwa n’imikorere y’ubuzima, indwara, cyangwa impinduka z’ubuzima nk’kwokonsa umwana cyangwa menopause.

Muganga wawe azamenya ubwoko ufite hashingiwe ku myaka yawe, amateka yawe y’ubuzima, n’uko wari ufite imihango mbere. Iyi tandukaniro ifasha kuyobora uburyo bwiza bwo kuvura no gukurikirana.

Ni ibihe bimenyetso bya Amenorrhea?

Ikimenyetso nyamukuru ni ukubura imihango. Ariko kandi, bitewe n’icyo gitera amenorrhea, ushobora kubona izindi mpinduka mu mubiri wawe zigufasha kubona amakuru.

Dore ibimenyetso bisanzwe bishobora kuzana hamwe no kubura imihango:

• Kubabara amabere cyangwa impinduka mu bunini bw’amabere
• Umutwe cyangwa impinduka mu kubona
• Gutakaza umusatsi ku mutwe cyangwa gukura umusatsi mwinshi ku maso
• Umuhondo cyangwa impinduka ku ruhu
• Ubushyuhe cyangwa ibinyabutabire nijoro
• Ubwumwe bw’igitsina cyangwa impinduka mu mubyimba
• Impinduka mu mico, imihangayiko, cyangwa kwiheba
• Kwiyongera kw’ibiro cyangwa kugorana kugabanya ibiro
• Umunaniro cyangwa kugira ingufu nke
• Impinduka mu buryo bwo kuryama

Ibi bimenyetso bigaragaza ukuntu imisemburo y’imyororokere ifitanye isano n’izindi nzego z’umubiri. Gukurikirana impinduka ubonye bishobora gufasha muganga wawe kumenya intandaro y’ibibazo vuba.

Ni iki gitera Amenorrhea?

Amenorrhea iterwa n’ikintu cyahinduye ubutumwa busanzwe bw’imisemburo hagati y’ubwonko, amagi, n’umura. Imihango yawe ishingiye ku itumanaho rihamye hagati y’izi nzego, kandi ibintu bitandukanye bishobora guhagarika uyu mukino.

Intandaro zisanzwe za amenorrhea y’uburyo bwa kabiri harimo:

• Gutwita (ihora ari ikintu cya mbere gikwiye kuzirikanwa ku bagore bakora imibonano mpuzabitsina)
• Kwokonsa, bigabanya umusaruro w’amagi
• Gutakaza ibiro cyane cyangwa indwara z’imirire mibi
• Imikino cyangwa imyitozo ngororamubiri
• Umunaniro ukabije cyangwa impinduka zikomeye mu buzima
• Polycystic ovary syndrome (PCOS)
• Indwara z’umwijima zigira ingaruka ku mikorere y’umubiri
• Imiti imwe, cyane cyane imiti igabanya imisemburo
• Gutakaza amagi mbere y’igihe

Amenorrhea y’ibanze akenshi iterwa n’intandaro zitandukanye. Indwara z’impyiko nk’indwara ya Turner zishobora kugira ingaruka ku iterambere ry’amagi, mu gihe itandukaniro mu miterere y’ibice by’imyororokere bishobora kubuza imihango isanzwe kubaho.

Intandaro zidashimishije ariko zikomeye harimo uburibwe bw’ubwonko, indwara ziterwa n’ubudaheranwa, n’izindi ndwara zidakira. Muganga wawe azasuzuma uko uhagaze kugira ngo amenye ibintu bishobora gutera amenorrhea.

Ni ryari ukwiye kujya kwa muganga kubera Amenorrhea?

Ukwiye kuvugana na muganga wawe niba utarafite imihango mu mezi atatu yikurikiranya kandi utwite cyangwa ukoresha umwana. Gusuzuma hakiri kare bifasha kumenya intandaro zishobora kuvurwa no gukumira ingaruka zishoboka.

Shaka ubufasha bw’abaganga vuba niba ufite ibimenyetso bikomeye hamwe no kubura imihango. Ibi birimo umutwe ukomeye, impinduka mu kubona, gutakaza ibiro cyane cyangwa kwiyongera, gukura umusatsi mwinshi, cyangwa ibimenyetso byo kudahuza kw’imisemburo.

Ku bw’amenorrhea y’ibanze, tegura gahunda yo kujya kwa muganga niba utaratangira imihango ufite imyaka 15, cyangwa ufite imyaka 13 niba utaragira ibindi bimenyetso by’ubugimbi. Kugira ingamba hakiri kare bishobora gufasha kuvura indwara ziri inyuma no gushyigikira iterambere risanzwe.

Ntugatege amatwi niba ugerageza kubyara cyangwa niba kubura imihango biguteye umunaniro. Ubuzima bwawe bwo mu mutwe ni ingenzi, kandi guhangana n’ibibazo hakiri kare bikunze gutuma ibintu bigenda neza kandi ukagira amahoro yo mu mutima.

Ni ibihe bintu byongera ibyago bya Amenorrhea?

Ibintu byinshi bishobora kongera ibyago byo kurwara amenorrhea, nubwo ufite ibyago ntibisobanura ko uzabirwara. Gusobanukirwa ibi bintu bishobora kugufasha gufata ibyemezo byiza ku buzima bwawe n’imikorere yawe.

Dore ibyago nyamukuru ukwiye kumenya:

• Amateka y’umuryango wa menopause ya hakiri kare cyangwa kudahuza kw’imihango
• Indwara z’imirire mibi cyangwa imirire mibi
• Imikino ikomeye, cyane cyane imikino yo kwihangana
• Indwara zidakira nk’isukari cyangwa indwara ya celiac
• Kubagwa mu kibuno cyangwa kuvurwa n’imirasire
• Imiti imwe, harimo imiti yo kuvura ihungabana n’imiti igabanya umuvuduko w’amaraso
• Umunaniro ukabije cyangwa trauma
• Kuba ufite ibiro bike cyangwa ibiro byinshi
• Kuvurwa na chemotherapy mbere

Imyaka igira uruhare, abagore begereza menopause bakunze kugira imihango idahwitse. Byongeye kandi, zimwe mu ndwara z’impyiko zirakomoka mu muryango zishobora kugira ingaruka ku iterambere ry’imyororokere no gukora imisemburo.

Kugira ibyago byinshi ntibisobanura ko uzabirwara amenorrhea, ariko ni byiza kubivugana na muganga wawe. Bashobora kugufasha gusobanukirwa ibyago byawe no kugutegurira uburyo bwo kwirinda igihe bikenewe.

Ni izihe ngaruka zishoboka za Amenorrhea?

Nubwo amenorrhea ubwayo atari ikintu kibabaza, intandaro zayo zimwe na zimwe zishobora gutera ibibazo by’ubuzima niba bitavuwe. Ibyago byihariye biterwa n’icyo gitera imihango yawe guhagarara n’igihe iyi ndwara imaze.

Ingaruka zisanzwe harimo:

• Gutakaza ubukonje bw’amagufwa (osteoporosis) kubera kugabanuka kw’imisemburo ya estrogen
• Ibibazo byo kubyara igihe ugerageza kubyara
• Ibyago byiyongereye by’indwara z’umutima kubera kugabanuka kw’imisemburo ya estrogen
• Endometrial hyperplasia niba imihango ihagaze kubera kudahuza kw’imisemburo
• Ingaruka zo mu mutwe harimo imihangayiko cyangwa kwiheba
• Gutinda gukura (muri amenorrhea y’ibanze)

Kugabanuka kw’imisemburo ya estrogen ni ikintu gikomeye cyane cyangiza ubuzima, cyane cyane ku magufwa yawe n’umutima. Iyi misemburo ifasha gukomeza amagufwa no kurinda umutima wawe, bityo kugabanuka kwayo igihe kirekire bisaba ubufasha bw’abaganga.

Inkuru nziza ni uko ingaruka nyinshi zishobora kwirindwa hakoreshejwe ubuvuzi bukwiye. Muganga wawe ashobora gukurikirana ubuzima bw’amagufwa yawe n’imisemburo, akagutegurira uburyo bwo kurinda ubuzima bwawe bw’igihe kirekire mu gihe avura intandaro y’ibibazo.

Amenorrhea ishobora kwirindwa gute?

Nubwo udashobora kwirinda intandaro zose za amenorrhea, kugira ubuzima bwiza no kubungabunga umubiri bishobora kugabanya ibyago byo kurwara ubwoko bumwe na bumwe. Fata iya mbere mu gushyigikira imikorere isanzwe y’imisemburo yawe binyuze mu nzira nziza z’ubuzima.

Dore intambwe ushobora gufata kugira ngo ugumane imihango isanzwe:

• Kugira ibiro bikwiye umubiri wawe
• Kurya indyo yuzuye ifite ibiryo bihagije n’ibintu by’ingenzi
• Gukora imyitozo ngororamubiri buri gihe ariko ukirinda imyitozo ikabije
• Guhangana n’umunaniro binyuze mu buryo bwo kuruhuka cyangwa inama
• Kuryama bihagije ku gihe kimwe
• Kugabanya inzoga no kwirinda itabi
• Gukorana n’abaganga kugira ngo muvure indwara zidakira
• Kunywa imiti nk’uko yagutegetswe kandi ugahamagara muganga niba hari ingaruka

Witondere ibimenyetso umubiri wawe ugaragaza kandi wirinda imirire mibi cyangwa imyitozo ikabije ishobora guhungabanya imisemburo yawe. Niba uri umukinnyi, korana n’abaganga b’imikino basobanukiwe uburyo bwo guhuza imikorere n’ubuzima bw’imyororokere.

Zirikana ko zimwe mu ntandaro za amenorrhea, nko kudahuza kw’impyiko cyangwa indwara ziterwa n’ubudaheranwa, bidashobora kwirindwa. Fata iya mbere mu byo ushobora gukora mu gihe ukomeza kuvugana n’abaganga kugira ngo bakugire inama kandi bagufashe hakiri kare igihe bikenewe.

Amenorrhea imenyekanwa gute?

Muganga wawe azatangira aganira nawe ku mateka yawe y’ubuzima, harimo uburyo bw’imihango yawe, imikorere yawe, imiti, n’ibimenyetso byose wabonye. Iyi migani itanga amakuru akomeye ku ntandaro zishoboka.

Isuzuma ry’umubiri riza nyuma, harimo isuzuma ry’igitsina kugira ngo barebe ibice by’imyororokere yawe kandi barebe niba hari ikibazo mu miterere. Muganga wawe azareba kandi ibimenyetso byo kudahuza kw’imisemburo nko guhinduka kw’umusatsi, uruhu, cyangwa ibiro.

Ibizamini by’amaraso bigira uruhare mu kumenya indwara binyuze mu kupima urwego rw’imisemburo itandukanye. Ibi bikunze kuba harimo imisemburo yo gutwita, imikorere y’umwijima, prolactin, n’imisemburo y’imyororokere nk’estrogen na luteinizing hormone.

Isuzuma ryongeyeho rishobora kuba harimo amashusho nk’amajwi kugira ngo barebe amagi n’umura, cyangwa MRI niba muganga wawe akeka ko hari ikibazo mu bwonko. Rimwe na rimwe, gusuzuma impyiko birakenewe, cyane cyane ku bijyanye na amenorrhea y’ibanze.

Uburyo bwo kumenya indwara burasobanutse kandi burambuye kuko kumenya intandaro nyayo bigena uburyo bwiza bwo kuvura. Muganga wawe azasobanura buri kizamini n’impamvu gikenewe ku mimerere yawe.

Ni iki kivura Amenorrhea?

Ubuvuzi bwa amenorrhea bugamije kuvura intandaro y’ibibazo aho kuba gusubiza imihango gusa. Muganga wawe azategura gahunda yihariye hashingiwe ku ndwara yawe, imyaka yawe, n’uko ushaka kubyara.

Uburyo busanzwe bwo kuvura harimo:

• Guhindura imikorere y’ubuzima ku bw’intandaro ziterwa n’umunaniro, ibiro, cyangwa imyitozo ngororamubiri
• Ubuvuzi bw’imisemburo kugira ngo hagarurwe urwego rwa estrogen no kurinda amagufwa
• Imiti yo kuvura indwara nk’indwara z’umwijima cyangwa PCOS
• Ubuvuzi bw’uburumbuke niba ugerageza kubyara
• Inama z’imirire no kuvura indwara z’imirire mibi igihe bikenewe
• Kubagwa kubera ikibazo mu miterere cyangwa zimwe mu ndwara
• Ubufasha bwo mu mutwe kugira ngo uhangane n’umunaniro cyangwa indwara z’imirire mibi

Ubuvuzi bwo gusimbuza imisemburo bukunze kugirwa inama iyo amenorrhea iterwa no kugabanuka kw’imisemburo ya estrogen, cyane cyane kugira ngo birinde amagufwa yawe. Muganga wawe azapima neza inyungu n’ibyago hashingiwe ku mimerere yawe.

Ubuvuzi bugira ingaruka zitandukanye bitewe n’intandaro, ariko abagore benshi babona imihango yabo igarutse iyo ibibazo by’inyuma bivuwe. Zimwe mu ndwara zidashimishije zishobora gusaba ubuvuzi buhoraho, ariko intandaro nyinshi za amenorrhea zivurwa neza hakoreshejwe ubuvuzi bukwiye.

Uburyo bwo kuvura mu rugo muri Amenorrhea?

Nubwo ubuvuzi bw’abaganga buvura intandaro z’ibibazo, ushobora gushyigikira ubuvuzi bwawe binyuze mu buryo bworoshye bwo kuvura mu rugo. Ibi bintu bikorera neza hamwe n’ubuvuzi bw’abaganga, atari ukubusimbuza.

Fata iya mbere mu kugaburira umubiri wawe indyo yuzuye, harimo ibiryo bihagije, amavuta meza, n’ibintu by’ingenzi nk’umucanga na vitamine D. Wirinda imirire mibi, ishobora kongera kudahuza kw’imisemburo.

Guhangana n’umunaniro biba ingenzi kuko umunaniro ukabije ushobora guhungabanya imihango yawe. Gerageza uburyo bwo kuruhuka nk’gupima umwuka, gutekereza, yoga yoroshye, cyangwa ibikorwa bikuzanira ibyishimo n’amahoro.

Kora imyitozo ngororamubiri yo hagati aho kugira ngo wirinde gukora cyane. Kugenda, koga, cyangwa imyitozo yoroshye yo gukomeza umubiri bishobora gushyigikira ubuzima muri rusange bidashyira umuvuduko ku mikorere y’imyororokere.

Andika ibimenyetso byose ubonye, impinduka mu mubiri wawe, imico, cyangwa ingufu. Aya makuru afasha muganga wawe gukurikirana uko ugendera no guhindura gahunda y’ubuvuzi uko bikenewe.

Wategura gute inama yawe na muganga?

Tegura amakuru arambuye ku mateka yawe y’imihango, harimo igihe imihango yawe yatangiye, uburyo bwayo busanzwe, n’igihe yahagaze. Zana kalendari cyangwa ibyanditswe by’app niba ukora imihango.

Andika imiti yose, ibinyabutabire, n’imiti igabanya imisemburo ukoresha ubu cyangwa wari ukoresha vuba. Harimo ibyo ugura mu maduka n’ibinyabutabire by’ibimera, kuko bishobora kugira ingaruka ku mihango.

Andika ibimenyetso byose wabonye, nubwo bisa ntibifitanye isano n’imihango yawe. Harimo impinduka mu biro, imico, ingufu, kuryama, gukura umusatsi, cyangwa uruhu bishobora gutanga amakuru akomeye yo kumenya indwara.

Tegura ibibazo ku ndwara yawe, uburyo bwo kuvura, n’icyo witeze mu gihe kiri imbere. Ntukabe ikibazo cyo kubaza ibyo bikuteye impungenge cyangwa udasobanukiwe.

Tekereza kuzana inshuti cyangwa umuryango wawe kugira ngo bagushyigikire, cyane cyane niba uhangayikishijwe n’inama. Kugira umuntu uri aho bishobora kugufasha kwibuka amakuru akomeye no kumva utekanye uganira ku bintu byihariye.

Icyo ukwiye kumenya kuri Amenorrhea?

Amenorrhea ni ikimenyetso umubiri wawe ugaragaza ko hari ikintu cyahindutse mu mubiri wawe cyangwa ubuzima bwawe muri rusange. Nubwo kubura imihango bishobora gutera impungenge, intandaro nyinshi zishobora kuvurwa hakoreshejwe ubuvuzi bukwiye n’impinduka mu mibereho.

Intambwe ikomeye ni ukugisha inama muganga vuba aho gutegereza ko imihango igaruka ubwayo. Kumenya indwara hakiri kare no kuvura bishobora kwirinda ingaruka kandi bikunze gusubiza imihango mu buryo busanzwe.

Zirikana ko amenorrhea igira ingaruka ku bagore benshi kandi ntibigaragaza ko hari ikintu kibabaza cyangwa ubusembwa. Muganga wawe ariho kugufasha gusobanukirwa icyabayeho no gutegura gahunda y’ubuvuzi ikwiye.

Hamwe n’ubuvuzi bukwiye, abagore benshi barwaye amenorrhea bashobora kwitega ibyiza, haba gusubiza ubushobozi bwo kubyara, kurinda ubuzima bw’igihe kirekire, cyangwa kuvura neza indwara ziri inyuma. Ufata intambwe ikomeye ushaka amakuru n’ubufasha bw’abaganga.

Ibibazo byakunze kubaho kuri Amenorrhea

Q1: Umunaniro ushobora guhagarika imihango yanjye burundu?

Yego, umunaniro ukabije ushobora guhungabanya imihango yawe bihagije kugira ngo ihagarare burundu. Iyo uri munaniro ukomeye, umubiri wawe ukora cortisol nyinshi, ishobora guhungabanya imisemburo igenga umusaruro w’amagi n’imihango. Umubiri wawe ubanza guhangana n’umunaniro aho gukora imikorere y’imyororokere, ubibona nk’ibintu bitari ngombwa mu bihe bigoye.

Q2: Ni igihe kingana iki gishobora kuba giteganijwe nta kibazo mbere yo gushaka ubufasha?

Ukwiye kuvugana na muganga wawe niba ubuze imihango mu mezi atatu yikurikiranya kandi utwite cyangwa ukoresha umwana. Ariko kandi, niba ufite ibindi bimenyetso bikomeye nk’umutwe ukomeye, impinduka mu kubona, cyangwa impinduka zikomeye mu biro, ntutegereze igihe kirekire. Izera uko umubiri wawe umeze kandi shaka ubufasha vuba niba uhangayikishijwe n’impinduka ubonye.

Q3: Ubushobozi bwanjye bwo kubyara buzahungabana burundu niba mfite amenorrhea?

Abagore benshi barwaye amenorrhea bashobora gusubiza ubushobozi bwabo bwo kubyara iyo intandaro y’ibibazo ivuwe. Ikintu nyamukuru ni ukugisha inama muganga no kuvurwa aho kureka iyi ndwara ikomeza idavuwe. Zimwe mu ndwara z’impyiko zishobora kugira ingaruka ku bushobozi bwo kubyara mu gihe kirekire, ariko intandaro nyinshi zisanzwe nk’umunaniro, impinduka z’ibiro, cyangwa PCOS zivurwa neza ubushobozi bwo kubyara bugasubira mu buryo busanzwe.

Q4: Ni ibisanzwe kumva uhangayitse kubera kubura imihango?

Yego rwose, kandi ibyiyumvo byawe ni byiza. Kubura imihango bishobora gutera imihangayiko ku buzima bwawe, kubyara, n’ubugore. Ibi byiyumvo ni ibisanzwe kandi bisobanuka. Ntukabe ikibazo cyo kubivugana na muganga wawe cyangwa gufata inama niba ingaruka zo mu mutwe ari nyinshi. Kwita ku buzima bwawe bwo mu mutwe ni ingenzi kimwe no guhangana n’ibibazo by’umubiri.

Q5: Imiti igabanya imisemburo ishobora gutera amenorrhea na nyuma yo kuyihagarika?

Yego, bamwe mu bagore bagira amenorrhea by’igihe gito nyuma yo guhagarika imiti igabanya imisemburo, cyane cyane nyuma yo kuyikoresha igihe kirekire. Ibi rimwe na rimwe bita “post-pill amenorrhea” kandi bikunze gukira mu mezi make uko gukora imisemburo yawe bisubira mu buryo busanzwe. Ariko kandi, niba imihango yawe idagarutse mu mezi atatu cyangwa atandatu nyuma yo guhagarika imiti igabanya imisemburo, ni byiza kubivugana na muganga wawe kugira ngo umenye izindi ntandaro.