Health Library
October 10, 2025
Question on this topic? Get an instant answer from August.
I-Amenorrhea yigama lezokwelapha elisetshenziswa lapho isikhathi sakho sezinyanga siyeka noma singaqali nhlobo ekuqaleni. Yindlela yomzimba wakho yokubonisa ukuthi kukhona okuye kwashintsha ohlelweni lwakho lokuzala noma empilweni yakho yonke.
Nakuba ukulahlekelwa yisikhathi sezinyanga kungase kuzwakale kukhathaza, i-amenorrhea ngokuvamile iyindlela yomzimba wakho yokuphendula ezintweni ezifana nokucindezeleka, ukuguquka kwesisindo, noma ukuguquka kwamahomoni. Ukuqonda ukuthi kwenzekani kungakusiza ukusebenzisana nodokotela wakho ukuze uqaphele noma yiziphi izimbangela ezingaphansi futhi ubuyisele umjikelezo wakho wemvelo.
I-Amenorrhea iyenzeka lapho ungayitholi isikhathi sakho sezinyanga izinyanga ezintathu noma ngaphezulu ngokuqhubekayo, noma lapho izikhathi sezinyanga zingakaqali lapho uneminyaka engu-15. Umgijimisi wakho wezinyanga uyaqonda ekuhlanganiseni okuhle kwamahomoni asebenza ndawonye njengomculo oqondiswe kahle.
Uma lokuhlangana kwamahomoni kuphazanyiswa, umzimba wakho ungase uyeke ukuba nesikhathi sezinyanga ukuze uzivikele noma uqondise amandla kweminye imisebenzi ebalulekile. Cabanga ngakho njengendlela yomzimba wakho yokuzivimbela kunokuba ukwehluleka kohlelo lwakho lokuzala.
Kunezinhlobo ezimbili eziyinhloko ze-amenorrhea. I-amenorrhea eyinhloko isho ukuthi izikhathi azikaze ziqale, kuyilapho i-amenorrhea yesibili ibhekisela ezikhathini ezaziqhele ngokujwayelekile kepha zabe sesiyekile izinyanga ezintathu noma ngaphezulu.
I-amenorrhea eyinhloko iyenzeka lapho ungakaqali isikhathi sakho sokuqala lapho uneminyaka engu-15, naphezu kokuba nezibonakaliso ezinye zokuthomba njengokukhula kwamabele. Lokhu kuchaphazela cishe abesifazane abangu-1% futhi ngokuvamile kuvela ezimweni zezakhiwo, ukungalingani kwamahomoni, noma ukwehluka kwezakhiwo ezingxenyeni zokuzala.
I-amenorrhea yesibili ivame kakhulu futhi iyenzeka lapho izikhathi eziqhele ngokujwayelekile ziyeka ngokuzumayo izinyanga ezintathu noma ngaphezulu ngokuqhubekayo. Lolu hlobo ngokuvamile luvela ngenxa yezinto zokuphila, izimo zezokwelapha, noma ukuguquka kwemvelo kwempilo njengokuncelisa noma i-menopause.
Udokotela wakho uzobona ukuthi yiluphi uhlobo olukuhlangabezana nalo ngokususelwa ebudaleni bakho, umlando wakho wezokwelapha, nokuthi uke waba nezinyanga ngaphambili yini. Lokhu kuhlukana kusiza ukuqondisa indlela efanele yokuxilonga ncebo yokwelapha.
Isibonakaliso esiyinhloko ukungabikho nje kwesikhathi sakho sezinyanga. Noma kunjalo, kuye ngalokho okubangela i-amenorrhea yakho, ungase uqaphele ezinye izinguquko emzimbeni wakho ezinikeza izikhuthazo ezibalulekile.
Nazi izimpawu ezivamile ezingase zihambisane nokulahlekelwa izikhathi sezinyanga:
Lezi zimpawu zibonisa ukuthi ama-hormone akho okuzala ahlangene kanjani nezinye izinhlelo zomzimba. Ukulandelela noma yiziphi izinguquko oziqaphelayo kungasiza udokotela wakho ukuthi aqonde imbangela eyingaphansi ngokushesha.
I-Amenorrhea ithuthukiswa lapho kukhona okuye kwaphazanyiswa izibonakaliso eziqhele ngokujwayelekile zamahomoni phakathi kobuchopho bakho, ama-ovari, nesisu. Umgijimisi wakho wezinyanga uyaqonda ekuxhumaneni okuqondile phakathi kwalezi zingxenye, futhi izinto ezihlukahlukene zingaphazanyiswa le nqubo ebucayi.
Izimbangela ezivamile ze-amenorrhea yesibili zihlanganisa:
I-amenorrhea eyinhloko ngokuvamile ivela ezingceleni ezihlukile. Izimo zezakhiwo ezifana ne-Turner syndrome zingase zichaphazele ukukhula kwama-ovari, kuyilapho ukwehluka kwezakhiwo ezingxenyeni zokuzala kungase kuvimbele ukuba nesikhathi sezinyanga okuqhele ngokujwayelekile.
Izimbangela ezingavamile kepha ezibalulekile zihlanganisa iziphumu zesibopho se-pituitary, izimo ze-autoimmune, nezifo ezithile ezingapheli. Udokotela wakho uzocubungula isimo sakho ngokukhethekile ukuze aqonde ukuthi yiziphi izinto ezingase zichaphazele i-amenorrhea yakho.
Kufanele uxhumane nodokotela wakho uma ungakaqali isikhathi sezinyanga izinyanga ezintathu ngokuqhubekayo futhi awukhulelwe noma awuncelisi. Ukubheka kwasekuqaleni kusiza ukuqonda izimbangela ezilawuleka futhi kuvimbele ukuphazamiseka okungenzeka.
Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nezibonakaliso ezikhathazayo kanye nokulahlekelwa izikhathi sezinyanga. Lokhu kuhlanganisa izinhlungu zikhanda ezinzima, ukuguquka kokubona, ukulahlekelwa yisisindo esikhulu noma ukukhuluphala, ukukhula okukhulu kwezinwele, noma izibonakaliso zokungalingani kwamahomoni.
Nge-amenorrhea eyinhloko, hlela i-aphoyintimenti uma ungakaqali isikhathi sakho lapho uneminyaka engu-15, noma lapho uneminyaka engu-13 uma ungakaqali ezinye izibonakaliso zokuthomba. Ukungenelela kwasekuqaleni kungase kuqonde izimo ezingaphansi futhi kusekele ukukhula okuqhele ngokujwayelekile.
Ungalindi uma uzama ukuthola umntwana noma uma ukulahlekelwa izikhathi sezinyanga kukubangela ukucindezeleka ngokomzwelo. Impilo yakho yengqondo ibalulekile, futhi ukubhekana nezinkinga kwasekuqaleni ngokuvamile kuholela emiphumeleni emihle kakhulu nokuthula kwengqondo.
Izinto eziningi zingase zikhulise amathuba akho okuba ne-amenorrhea, nakuba ukuba nezinto ezingozi akusho ukuthi uzoyithola ngokuqinisekile. Ukuqonda lezi zinto ezingozi kungakusiza ukwenza izinqumo ezinolwazi mayelana nempilo yakho nendlela yakho yokuphila.
Nazi izinto ezingozi eziyinhloko okufanele uzazi:
Ubudala buphinde bube nomthelela, ngabesifazane abasondela e-menopause ngokwemvelo behlangabezana nezinyanga ezingaqhele ngokujwayelekile. Ngaphezu kwalokho, izimo ezithile zezakhiwo ezidluliselwa emindenini zingase zichaphazele ukukhula kokuzala nokukhiqizwa kwamahomoni.
Ukuba nezinto ezingozi eziningi akusho ukuthi uzoba ne-amenorrhea, kodwa kufanele ukuxoxe nodokotela wakho. Bangakusiza ukuqonda ingozi yakho ngokukhethekile futhi banikeze amasu okuvimbela lapho kufaneleka.
Nakuba i-amenorrhea ngokwayo ingabi yingozi, izimbangela ezingaphansi ngezinye izikhathi zingase ziholele ekuphazamisekeni kwempilo uma zingalashwa. Izingozi ezithile ziyaqonda kulokho okubangela izikhathi zakho ukuyeka nokuthi le simo siqhubeka isikhathi esingakanani.
Ukuphazamiseka okuvamile kuhlanganisa:
Ukungabi khona kwe-estrogen kubonisa ingozi enkulu yempilo yesikhathi eside, ikakhulukazi ngamathambo akho nesistimu yakho ye-cardiovascular. Lo homoni uqondisa ekuqinisweni kwamathambo futhi uvikela inhliziyo yakho, ngakho amazinga aphansi isikhathi eside adinga ukunakekelwa kwezokwelapha.
Izindaba ezinhle ukuthi ukuphazamiseka okuningi kuyavimbeka ngokwelashwa okuqondile. Udokotela wakho angalandelela impilo yamathambo akho namazinga ama-hormone, anikeze ukungenelela ukuze avikele inhlalakahle yakho yesikhathi eside ngenkathi eqonda imbangela eyingaphansi.
Nakuba ungakwazi ukuvimbela zonke izimbangela ze-amenorrhea, ukugcina impilo yonke nokuhlangana kungase kunciphisa amathuba akho okuba nezinye izinhlobo. Gxila ekusekeleni imijikelezo yemvelo yamahomoni yomzimba wakho ngokukhetha impilo enempilo.
Nazi izinyathelo ezisebenzayo ezingase zisize ukugcina imijikelezo yemvelo yezinyanga:
Qaphela izibonakaliso zomzimba wakho futhi gwema ukudla okukhulu noma izinhlelo zokuziqeqesha ezingase ziqede ukulingana kwamahomoni. Uma ungumdlali wezemidlalo, sisebenzisana nochwepheshe bezokwelapha ezemidlalo abaqonda ukulingana phakathi kokusebenza nempilo yokuzala.
Khumbula ukuthi ezinye izimbangela ze-amenorrhea, njengezimo zezakhiwo noma izifo ze-autoimmune, azikwazi ukuvinjelwa. Gxila kulokho ongakulawula ngenkathi uhlala uxhumene nodokotela bakho ukuze uthole ukuhlolwa okujwayelekile nokungenelela kwasekuqaleni lapho kudingeka.
Udokotela wakho uzoqala ngengxoxo ephelele mayelana nomlando wakho wezokwelapha, kuhlanganise nemizamo yakho yemvelo, indlela yokuphila, imithi, nanoma yiziphi izimpawu oziqaphelayo. Le ngxoxo inikeza izikhuthazo ezibalulekile mayelana nezimbangela ezingase zibe khona.
Ukuhlolwa komzimba kuza okulandelayo, kuhlanganise nokuhlolwa kwesisu ukuze uhlole izingxenye zakho zokuzala futhi ubheke noma yikuphi ukungalingani kwezakhiwo. Udokotela wakho uzophinde ahlole izibonakaliso zokungalingani kwamahomoni njengokuguquka ekukhuleni kwezinwele, isikhumba, noma isisindo somzimba.
Izivivinyo zegazi zidlalela indima ebalulekile ekuxilongeni ngokulinganisa amazinga ahlukahlukene ama-hormone. Lokhu ngokuvamile kuhlanganisa ama-hormone okukhulelwa, umsebenzi we-thyroid, i-prolactin, nama-hormone okuzala njenge-estrogen ne-luteinizing hormone.
Ukuhlolwa okwengeziwe kungase kuhlanganise izifundo zokubonisa njenge-ultrasounds ukuhlola ama-ovari akho nesisu, noma i-MRI scans uma udokotela wakho engabaza ngezinkinga zesibopho se-pituitary. Ngezinye izikhathi ukuhlolwa kwezakhiwo kunconywa, ikakhulukazi ezimweni ze-amenorrhea eyinhloko.
Inqubo yokuxilonga ihlangene futhi iphelele ngoba ukuqonda imbangela eqondile kunquma indlela yokwelapha ephumelelayo. Udokotela wakho uzochaza yonke i-test futhi ukuthi kungani ibalulekile esimweni sakho esithile.
Ukwelashwa kwe-amenorrhea kugxila ekubhekaneni nembangela eyingaphansi kunokubuyisela izikhathi nje. Udokotela wakho uzoklama uhlelo oluqondene nawe ngokususelwa ekuxilongweni kwakho okukhethekile, ubudala, nokuthi ufuna ukuthola umntwana yini.
Izindlela zokwelapha ezivamile zihlanganisa:
Ukwelashwa kwe-hormone replacement kuvame ukunconywa lapho i-amenorrhea ibangelwa amazinga aphansi e-estrogen, ikakhulukazi ukuze kuvikelwe impilo yamathambo akho. Udokotela wakho uzokuqonda ngokucophelela izinzuzo nezingozi ngokususelwa esimweni sakho esithile.
Impumelelo yokwelapha iyahluka kuye ngembangela, kodwa abesifazane abaningi babona izikhathi zabo zibuyela lapho izinkinga ezingaphansi zilawulwa. Ezinye izimo ezingavamile zingase zidinga ukuphathwa okuqhubekayo, kodwa izimbangela eziningi ze-amenorrhea ziphendula kahle ekwelapheni okuqondile.
Nakuba ukwelashwa kwezokwelapha kubhekana nezimbangela ezingaphansi, ungase usekele ukubuyela kwakho ngamasu okuhlanza ekhaya. Lezi zindlela zisebenza kangcono kanye nokunakekelwa kwezokwelapha kochwepheshe, hhayi njengokushintsha kwakho.
Gxilisa ukondla umzimba wakho ngokudla okulinganiselayo, kuhlanganise ne-calories eyanele, amafutha anempilo, nezinto ezibalulekile njenge-calcium ne-vitamin D. Gwema ukudla okunciphisiwe, okungase kulimaze ukungalingani kwamahomoni.
Ukulawula ukucindezeleka kuba yinto ebalulekile ngoba ukucindezeleka okungapheli kungaphazanyiswa umjikelezo wakho wezinyanga. Zama amasu okuphumula njengokuphefumula okujulile, ukucamngca, i-yoga ebushelelezi, noma imisebenzi ekulethela injabulo nokuthula.
Gcina izinhlelo zokuzivocavoca ezilinganiselayo kunokuba izinhlelo zokuqeqeshwa okunzima. Ukuhamba, ukubhukuda, noma ukuqeqeshwa kwamandla okuhle kungasekele impilo yonke ngaphandle kokubeka ukucindezeleka okwengeziwe ohlelweni lwakho lokuzala.
Gcina idayari yesibonakaliso ukulandelela noma yiziphi izinguquko emzimbeni wakho, isimo sengqondo, noma amazinga wamandla. Lolu lwazi lusiza udokotela wakho ukulandelela intuthuko yakho futhi alungise izinhlelo zokwelapha njengoba kudingeka.
Woza ulungile ngolwazi oluphelele mayelana nomlando wakho wezinyanga, kuhlanganise nokuthi izikhathi zakho zaqala nini, iphethini yazo ejwayelekile, nokuthi ziyeke nini. Letha ikhalenda noma amarekhodi wohlelo lokusebenza uma ulandelela imijikelezo yakho.
Yenza uhlu lwemithi yonke, izongezelelo, nemithi yokulawula ama-hormone oyiphuzayo njengamanje noma uyisebenzise muva nje. Faka izinto ezithengiswa ngaphandle komthetho nezongezelelo zezitshalo, njengoba lezi ngezinye izikhathi zingase zichaphazele ukuba nesikhathi sezinyanga.
Bhala phansi noma yiziphi izimpawu oziqaphelayo, ngisho noma zibonakala zingahlobene nezinyanga zakho. Faka izinguquko ezinzima, isimo sengqondo, amandla, ukulala, ukukhula kwezinwele, noma isikhumba esingase sinikeze izikhuthazo ezibalulekile zokuxilonga.
Lungisa imibuzo mayelana nesimo sakho, izinketho zokwelapha, nokuthi yini okufanele uyilindele ukusuka phambili. Unganqikazi ukubuza nganoma yini ekubangela ukukhathazeka noma ukungabaza.
Cabanga ukuletha umngani othembekile noma ilungu lomndeni ukuze uthole ukusekelwa, ikakhulukazi uma uzizwa ukhathazekile nge-aphoyintimenti. Ukuba nomuntu lapho kungakusiza ukukhumbula ulwazi olubalulekile futhi uzizwe ukhululekile ukuxoxa ngezindaba ezibucayi.
I-Amenorrhea iyisibonakaliso somzimba wakho sokuthi kukhona okuye kwashintsha ekuhlanganiseni kwamahomoni akho noma impilo yakho yonke. Nakuba ukulahlekelwa izikhathi sezinyanga kungase kuzwakale kukhathaza, izimbangela eziningi ziyalashwa ngokunakekelwa kwezokwelapha okuqondile nokuguqulwa kwesitayela sempilo.
Isinyathelo esibaluleke kakhulu ukufuna ukubheka kwezokwelapha ngokushesha kunokulinda ukubona uma izikhathi zibuyela zodwa. Ukuxilongwa kwasekuqaleni nokwelashwa kungase kuvimbele ukuphazamiseka futhi ngokuvamile kubuyisele umsebenzi wemvelo wezinyanga.
Khumbula ukuthi i-amenorrhea ichaphazela abesifazane abaningi futhi ayibonisi ukwehluleka komuntu siqu noma ubuthakathaka ngakho. Udokotela wakho ulapho ukuze akusize ukuqonda ukuthi kwenzekani futhi uqambe uhlelo lokwelapha oluphumelelayo.
Ngokunakekelwa okuqondile, abesifazane abaningi abane-amenorrhea bangalindela imiphumela emihle, kungakhathaliseki ukuthi lokho kusho ukubuyiselwa kokuzala, ukuvikelwa kwempilo yesikhathi eside, noma ukuphathwa okuphumelelayo kwezimo ezingaphansi. Uthatha isinyathelo esibalulekile ngokufuna ulwazi nokusekelwa kwezokwelapha.
Yebo, ukucindezeleka okungapheli kungenza ngempela ukuphazanyiswa komjikelezo wakho wezinyanga okwanele ukuyeka izikhathi ngokuphelele. Uma ukhona ngaphansi kokucindezeleka okukhulu, umzimba wakho ukhulula amazinga aphezulu e-cortisol, angaphazanyiswa ama-hormone alawula ukukhishwa kwama-ovule nokuba nesikhathi sezinyanga. Umgijimisi wakho uqonda ukubhekana nokucindezeleka kunokusebenza kokuzala, ubabona njengokungabalulekile ngezikhathi ezinzima.
Kufanele uxhumane nodokotela wakho uma ulahlekelwa izikhathi ezintathu ngokuqhubekayo futhi awukhulelwe noma awuncelisi. Noma kunjalo, uma uhlangabezana nezinye izimpawu ezikhathazayo njengezinhlungu zikhanda ezinzima, ukuguquka kokubona, noma izinguquko ezinkulu zesondlo, ungalindi isikhathi eside kangako. Themba izimpawu zakho zomzimba futhi funani ukunakekelwa ngokushesha uma ukhathazekile nganoma yiziphi izinguquko ozibonayo.
Abesifazane abaningi abane-amenorrhea bangabuyisela ukukhiqiza kwabo lapho imbangela eyingaphansi ilawulwa. Ikhona ukufuna ukubheka kwezokwelapha nokwelashwa kunokuvumela isimo siqhubeke singalashwa. Ezinye izimo zezakhiwo ezingavamile zingase zichaphazele ukukhiqiza kwesikhathi eside, kodwa izimbangela eziningi ezivamile njengokucindezeleka, ukuguquka kwesisindo, noma i-PCOS ziphendula kahle ekwelapheni ngokubuyela kokuzala okuqhele ngokujwayelekile.
Yebo, futhi imizwa yakho iyalungile. Ukulahlekelwa izikhathi sezinyanga kungase kubangele ukukhathazeka mayelana nempilo yakho, ukukhiqiza, nobusika. Lezi zimpendulo zomzwelo ziqhele ngokujwayelekile futhi ziyaqondakala. Unganqikazi ukuxoxa ngale mizwa nodokotela wakho noma ucabange ngokusekelwa ngokwelashwa uma umthelela womzwelo ukhulu. Ukunakekela impilo yakho yengqondo kubaluleke kakhulu njengokubhekana nezinye izici zomzimba.
Yebo, abesifazane abanye bahlangabezana ne-amenorrhea yesikhashana ngemva kokuyekisa ukudla imithi yokulawula ama-hormone, ikakhulukazi ngemva kokusetshenziswa isikhathi eside. Lokhu ngezinye izikhathi kubizwa ngokuthi "i-post-pill amenorrhea" futhi ngokuvamile kuyaqina phakathi nezinyanga ezimbalwa njengoba ukukhiqizwa kwamahomoni akho wemvelo kuqala kabusha. Noma kunjalo, uma izikhathi zakho zingabuyeli phakathi kwezinyanga ezintathu kuya kweziyisithupha ngemva kokuyekisa ukudla imithi yokulawula ama-hormone, kufanele ukuxoxe nodokotela wakho ukuze uqonde ezinye izimbangela.
6Mpeople
Get clear medical guidance
on symptoms, medications, and lab reports.