Maqnaanshaha muddooyinka caadada - labaad

Maqnaanshaha caadada haweenka ee bil kasta waxaa loo yaqaan amenorrhea. Cudurka 'amenorrhea' waa marka haweeney caadada caadadu ku dhacdo ay joojiso caadada muddo 6 bilood ah ama ka badan.

Cudurka 'amenorrhea' labaad wuxuu ku dhici karaa isbadalada dabiiciga ah ee jirka. Tusaale ahaan, waxa ugu badan ee sababa amenorrhea waa uur. Naasnuujinta iyo dayska ayaa sidoo kale caan ah, laakiin waa sababo dabiici ah.

Haweenka qaata kaniiniyada ka hortagga uurka ama qaata irbado hoormoon ah sida Depo-Provera waxaa laga yaabaa inaysan yeelan dhiig bille ah. Markay joojiyaan qaadashada hormoonadan, waxaa laga yaabaa in muddooyinka caadadood aysan soo noqon in ka badan 6 bilood.

Waxay u badan tahay inaad yeelato muddooyin maqnaansho haddii aad:

• Cayilan yihiin
• Jimicsi aad u badan iyo waqti dheer
• Aad leedahay dufanka jirka oo aad u hooseeya (in ka yar 15% ilaa 17%)
• Aad leedahay walaac daran ama cidhiidhi nafsadeed
• Lumiso miisaan badan si lama filaan ah (tusaale ahaan, cuntooyinka adag ama xad dhaafka ah ama qalliinka ka dib caloosha)

Sababaha kale waxaa ka mid ah:

• Burooyinka maskaxda (pituitary)
• Daawooyinka daaweynta kansarka
• Daawooyinka lagu daaweeyo shisoofrani ama cilmu-nafsi
• Qanjirka 'thyroid' qanjirka 'firfircoon'
• Cudurka 'Polycystic ovarian syndrome'
• Shaqada ugxan yaraanta

Sidoo kale, nidaamyada sida fidinta iyo daaweynta (D iyo C) waxay sababi karaan unugyada nabarrada inay sameysmaan. Cadkaani waxay sababi karaan haweeney inay joojiso caadada. Tan waxaa lagu magacaabaa Asherman syndrome. Nabar nabar sidoo kale waxaa sababi kara xoogaa caabuqyo miskaha ah.

La'aan la'aanta caadada, astaamaha kale waxaa ka mid ah:

• Cabirka naaska ayaa isbedela
• Miisaanka oo kordha ama miisaan lumis
• Ka soo bixida naaska ama isbeddelka cabbirka naaska
• Finanka finanka iyo koritaanka timaha ee qaabka labka
• Qalitaanka siilka
• Isbadalka codka

Haddii amenorrhea uu sababo burooyinka pituitary, waxaa jiri kara astaamo kale oo la xiriira burooyinka, sida araga oo lumiya iyo madax xanuun.

Baadhitaan jireed iyo miskaha waa in la sameeyaa si loo hubiyo uur. Baaritaan uur ayaa la sameyn doonaa.

Tijaabooyinka dhiigga waxaa loo samayn karaa si loo hubiyo heerarka hoormoonka, oo ay ku jiraan:

• Heerarka Estradiol
• Hormone-kiciyaha follicle (heerka FSH)
• Hormoonka luteinizing (heerka LH)
• Heerka Prolactin
• Heerarka hoormoonka Serum, sida heerarka testosterone
• Hormone-kiciyaha hormoonka tayroodhka (TSH)

Tijaabooyinka kale ee la qaadi karo waxaa ka mid ah:

• Baadhitaanka 'CT' ama 'MRI scan' ee madaxa si loo baadho burooyinka
• Cad ka-qaadista xubinta taranka ilmo-galeenka
• Tijaabada hidaha
• Ultrasound ee miskaha ama hysterosonogram (pelvic ultrasound oo ku lug leh xalka cusbada gudaha ilmo galeenka)

Daaweyntu waxay kuxirantahay waxa keena amenorrhea. Xilliyada caadiga ee billaha ah badanaa waxay soo noqdaan ka dib marka xaaladda la daaweeyo.

Xilliga caadada oo yaraada buurnida awgeed, jimicsi xoog badan, ama miisaanka oo yaraada ayaa laga yaabaa inay ka jawaab celiso isbeddelka jimicsiga ama xakameynta miisaanka (faa'iido ama lumis, sida loogu baahan yahay).

Aragtida waxay kuxirantahay waxa keena amenorrhea. Xaaladaha badan ee keena amenorrhea labaad waxay ka jawaabi doonaan daaweynta.

U tag bixiyahaaga daryeelka caafimaadka aasaasiga ah ama bixiyaha xanaanada caafimaadka haweenka haddii aad seegtay wax kabadan hal xilli si laguugu ogaado loona daaweeyo, haddii loo baahdo.

Amenorrhea - heerka labaad; Muddo malahan - dugsi sare; Muddooyinka maqan - heerka labaad; Maqnaanshaha maqnaanshaha - labaad; Maqnaanshaha muddooyinka - heerka labaad

• Amenorrhea Secondary
• Jirka anatomy ee caadiga ah (qaybta la jarjaray)
• Maqnaanshaha caadada (amenorrhea)

Bulun SE. Jir-dhiska iyo cilmiga jirrada ee dhidibka taranka dumarka. Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, iyo al. Williams Buugga Buugga Endocrinology. 14aad. Philadelphia, PA: Elsevier; 2020: cutubka 17.

Lobo RA. Amenorrhea aasaasiga ah iyo heerka sare ee qaangaadhnimada: etiology, qiimeynta ogaanshaha, maaraynta. Gudaha: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Cilmiga Haweenka oo dhameystiran. 7aad ed. Philadelphia, PA: Elsevier; 2017: cutubka 38.

Magowan BA, Owen P, Thomson A. Wareegga caadada ee caadiga ah iyo amenorrhoea. Gudaha: Magowan BA, Owen P, Thomson A, eds. Dhaqtarka dhalmada iyo dumarka. 4aad. Elsevier; 2019: cutubka 4.