Amenorrhoea feem ntau hu ua qhov tsis muaj kev coj khaub ncaws rau rau lub hlis lossis ntau dua. Amenorrhea tsis tas yuav yog tus kab mob ywj pheej, nws tuaj yeem yog cov tsos mob ntawm ntau yam pathologies ntawm lub cev xeeb tub lossis qhov tshwm sim ntawm ntau yam kab mob neuroendocrine, malignant thiab benign neoplasms.
Raws li kev faib tawm kho mob, tus kab mob tau muab faib ua thawj thiab theem nrab amenorrhea.
Primary amenorrhea yog hais txog kev ncua sij hawm ntawm menarche, nrog rau lwm cov cim qhia ntawm kev sib deev ib txwm muaj hnub nyoog qis dua 14 xyoo, qhov tsis muaj kev coj khaub ncaws mus txog 16 xyoo nrog cov cim qhia ntawm kev sib deev. Secondary amenorrhea - ncua kev coj khaub ncaws ntau tshaj 3 lub voj voog ua ke (tawm tsam keeb kwm ntawm kev coj khaub ncaws yav dhau los).
Cov tsos mob tseem ceeb ntawm amenorrhea yog suav tias yog qhov tsis muaj cev nqaij daim tawv cev xeeb tub thiab cev xeeb tub, kev ua haujlwm tsis raug cai, androgen ntau dhau. Kev kuaj mob sib txawv yog qhov tseem ceeb ntawm no, uas yuav pab txiav txim siab tias nws yog amenorrhea uas tam sim no. Kev kho mob feem ntau yog ua nyob rau hauv ob theem. Thawj theem yog kev txheeb xyuas qhov ua rau amenorrhea. Qhov thib ob yog suav tias yog qhov kev xaiv ncaj qha ntawm kev ntsuas kho.
Amenorrhoea: kho hauv kev xyaum
Txoj kev xaiv kev kho mob ib txwm nyob ntawm kev txheeb xyuas qhov tseeb ntawm etiological yam. Kev kho hormonal mus sij hawm ntev tau pom tias yog qhov kev xaiv tseem ceeb rau kev tshem tawm yuav luag txhua hom amenorrhea, txoj haujlwm uas yog los txhawb kev ua haujlwm ntawm lub cev hypothalamus-pituitary. Amenorrhea, kev kho mob uas zoo heev, feem ntau ploj mus yam tsis muaj kab. Tshwj xeeb tshaj yog thaum sau cov tshuaj hauv qab no:
- uas muaj cov khoom siv hloov pauv rau cov tshuaj hormone ntawm theem follicular - estrogen (piv txwv li, "Folliculin", "Estrofem" thiab "Divigel" - cov tshuaj no tau qhia rau cov poj niam uas muaj kab mob endocrine, lawv tuaj yeem ua tau. muab tshuaj rau cov menyuam ntxhais nrog ncua kev loj hlob ntawm kev sib deev);
- cov tshuaj uas suav nrog cov tshuaj sib xyaw ua ke ntawm cov tshuaj hormones luteal theem - progesterone (piv txwv li, Norkolut, Duphaston thiab Utrozhestan - cov tshuaj no tau siv los kho ob qho tib si thawj thiab theem nrab amenorrhea);
- analogues ntawm polypeptide hormone ntawm hypothalamus - gonadoliberin (cov tshuaj hormones no hu ua gonadotropin-tso cov tshuaj hormones (GnRH), ntawm lawv, piv txwv li, "Cyclomat" zoo - cov tshuaj no tau pom zoo rau cov poj niam uas muaj cov zes qe menyuam polycystic., nws induces txheej txheem ntawm ovulation thiab pab ib tug poj niamcev xeeb tub); Cov tshuaj ntawm pab pawg no pab tau zoo thaum kuaj pom amenorrhea thib ob, kev kho mob uas yog tshem tawm kev cuam tshuam hauv kev ua haujlwm ntawm cov kab mob neuroendocrine;
- ua ke estrogen- thiab progestogen-muaj cov tshuaj tiv thaiv qhov ncauj (COCs), piv txwv li, Janine, Regulon thiab Diane-35 (cov tshuaj no tau pom zoo rau polycystic ovary syndrome).
Lub sijhawm kho nrog tshuaj hormonal ib txwm nyob ntawm qhov xwm txheej tshwj xeeb. Nyob rau tib lub sijhawm nrog kev kho hormonal, kev npaj homeopathic, piv txwv li, Remens, Klimadinon thiab Mastodinon, kuj tuaj yeem raug sau tseg. Hauv cov xwm txheej hnyav dua (nrog rau qhov tsis muaj txiaj ntsig ntawm kev kho cov tshuaj hormonal), kev phais kev phais yuav raug qhia, nws raug sau nruj me ntsis raws li cov lus qhia ntawm tus kws kho mob tshwj xeeb.
