Ezimweni eziningi, cha ukwelashwa ayidingeki. Ngaphambi kokunquma ukwelashwa, kubalulekile ukuthola imbangela ye-amenorrhea, ukwelapha isifo esiwumsuka uma kunesidingo, futhi uthole ukwesekwa ngokwengqondo uma kudingeka. Kwesinye isikhathi kuphakanyiswa ukuthi ube namahomoni ocansi uma udokotela wakho esola ukuthi unesifo se-endocrine.

Ukusetshenziswa kwezinyathelo zokuvimbela okukhulunywe ngazo ngenhla kuvumela ukubuya kwe kokuya esikhathini kwabesifazane abaningi:

- Ukudla okunempilo;

- ukugcinwa kwesisindo esinempilo;

- ukulawula ukucindezeleka;

- ukulinganisela ekusebenzeni kokuzivocavoca umzimba.

Imithi

Ukwelashwa kwamahomoni

Endabeni a ukungasebenzi kahle kwe-ovarian kowesifazane osemusha, a ukwelashwa kwamahomoni izophakanyiswa ukuze kuthuthukiswe izici zobulili nokuzala, nokuvimbela ukukhumuzeka kwamathambo esikhathini eside.

Kwabesifazane abaye bahlinzwa ngokuhlinzwa kokukhishwa kwesibeletho nama-ovari kusenesikhathi (ngaphambi kweminyaka ecatshangwayo yokunqamuka kokuya esikhathini), ukwelashwa esikhundleni se-hormone ahlanganisa ama-estrogen KANYE nama-progestin angase anikezwe ukuvimbela ukukhumuzeka kwamathambo kanye neminye imiphumela ebangelwa ukwehla kwamazinga e-hormone ajikelezayo. Lokhu kwelashwa kungamiswa phakathi kweminyaka yobudala engama-55.

Isexwayiso : Lokhu kwelashwa akukwazi ukunikezwa abesifazane abakhishwe isibeletho noma ama-ovari ngenxa yomdlavuza oncike kumahomoni. Angeke futhi inikezwe abesifazane abaye bathenwa i-ovarian nge-radiotherapy noma i-chemotherapy yomdlavuza webele.

Ngaphandle kwalezi zimo, akukho ukwelashwa kwama-hormone okusebenza ngempumelelo ukuletha ukubuya kwemithetho.

Ngaphezu kwalokho, ukwelashwa kwe-” ukujwayeza umjikelezo (Isibonelo, ukuthatha i-progestin yokwenziwa engxenyeni yesibili yomjikelezo kwabesifazane abanezikhathi ezingavamile abangathanda ukuthi umjikelezo ovamile ukhulelwe) akunasisekelo sesayensi. Bangakwazi ngisho nokufaka isandla ekukhuliseni ukuphazamiseka komjikelezo wokuya esikhathini ngokufaka engcupheni ukuqala kokuphuma kwamaqanda okuzenzakalelayo. Akukona ukujwayela komjikelezo okubalulekile, kodwa inhlonipho yomjikelezo njengoba injalo kowesifazane othile.

Ukwelashwa okungewona ama-hormonal

Uma i-amenorrhea ibangelwa ukukhishwa kwe-prolactin ephezulu exhunywe nesifo se-benign pituitary gland, i-bromocriptine (i-Parlodel®) iyisidakamizwa esisebenza kahle kakhulu esehlisa amazinga e-prolactin futhi sivumele ukuya esikhathini ukuthi kubuye. Lena impatho efanayo enikezwa, ngemva nje kokubeletha, kwabesifazane abangafuni ukuncelisa.

Ezengqondo

Uma i-amenorrhea ihambisana ukuphazamiseka kwengqondo, udokotela angase anikeze ukwelashwa kwengqondo. Ukusetshenziswa okufanayo kokwelashwa kwe-hormonal kungaxoxwa ngakho, kuye ngeminyaka yowesifazane, ubude be-amenorrhea kanye nemiphumela emibi yokuntuleka kwe-hormonal (uma ikhona). Kodwa-ke, izidakamizwa ze-psychotropic kufanele zigwenywe, ngoba zingaholela ku-amenorrhea.

I-Amenorrhea ehlobene ne-anorexia idinga ukuqapha ithimba lezinhlaka eziningi okuhlanganisa isazi sezokudla, isazi sokusebenza kwengqondo, udokotela wengqondo, njll. THE'I-anorexia ngokuvamile kuthinta amantombazane asakhula noma abesifazane abasebasha.

Uma une ukuhlukunyezwa kwengqondo okubalulekile (ukudlwengulwa, ukulahlekelwa othandekayo, ingozi, njll.) noma izingxabano zomuntu siqu (isehlukaniso, izinkinga zezezimali, njll.), i-amenorrhea ehlala izinyanga ezimbalwa noma ngisho neminyaka ingangena, ikakhulukazi kowesifazane obhalansi yakhe yengqondo yayivele intekenteke. Ukwelashwa okungcono kakhulu ukuxhumana nodokotela wengqondo.

Ukwelapha okuhlinzwa

Uma i-amenorrhea ibangelwa ukungasebenzi kahle kwesistimu yokuzala, ngezinye izikhathi ukuhlinzwa kungenziwa (uma kwenzeka ukonakala kwe-hymen njengesibonelo). Kodwa uma ukukhubazeka kubaluleke kakhulu (i-Turner's syndrome noma ukungezwani ne-androgens), ukuhlinzwa kuzoba nomsebenzi wezimonyo nokunethezeka kuphela ngokushintsha ukubukeka nokusebenza kwezitho zobulili ezingathuthukisiwe, kodwa ngeke "kubuyise" imithetho. .