Haddii qof dumar ah oo da 'u ah da'da caruurtu ay horey u samaysay caadada caadada ah, ka dibna la waayay mudo ka badan 6 bilood - tani waa tallaalka labaad ee "amenorrhea". Marka qaan-gaar ah, oo bishiiba aan muuqan, waxay ka hadlaan astaamaha asaasiga ah.
Cadaadiska labaad - sababaha
Sababaha ugu muhiimsan ee astaamaha asaasiga ah:
- raajada adegyada, marka lagu jiro muddada dheecaanka bisha ah aysan ka bixin karin xuddunta uterineine sababtoo ah nadaafadeeda ka dib geedi socodka nabarrada (oo ay ku jiraan qaaxada), hawlgallada ilmo-galeenka, iyo burburintiisa;
- ugxanta haweenka ;
- Cudurka nafaqo-xumada ugxan-la'aanta ama menopause-ka qanjirada (oo ay la socdaan ugxan-yari ma sameeyaan estrogens oo leh heerka sare ee hormoonnada gonadotropic - LH iyo FSH);
- Syndrome oo ah hypertrophy ee ugxan-yari (sababtoo ah isticmaalka dheeraadka ah ee aan loo kontoroolin ee ka hortagga uur-qaadidda, gaar ahaan monophasic, heerka hoormoonka gonadotropic wuxuu hoos u dhacayaa heerka sare ee prolactin);
- Dareemidda jidhka ee jidhka (oo leh jimicsiga jirka oo kor u kacay, gaar ahaan cayaaraha, oo leh soonka iyo anoreksiyada);
- xasaasiyad nafsaani ah (oo leh jahwareer maskaxeed, walaac joogto ah).
Cilad-baadhista labaad ee hargabka cusub
Si loo ogaado astaamaha asaasiga ah ee asaasiga ah, anamnesis wuxuu muhiim u yahay: in la ogaado sababaha suurtogalka ah ee cudurka, dhakhtarku, wuxuu waydiin karaa nidaamka walaaca haweenta haweenka, ku saabsan qaadashada ka hortaga uur-qaadidda, qarsoodiinka qanjidhada caanka ah (iyadoo la kordhinayo heerka prolactin ee jirka).
Waxaa suurtogal ah in laga shakiyo muuqaalka astaamaha labaad ee asaasiga ah sida calaamadaha: haweenka polycystic, waxaa jira timo badan, xadgudub ku ah dheef-shiid kiimikaad, maqaarka dhibaato leh. Iyadoo marin-ka-joojinta caadada u ah, calaamadaha khalkhalka nidaamka dareen-celinta madax-dhaqameedka ayaa ugu horreeya, iyo noocyada kale ee hurgunka ayaa laga yaabaa in ay noqdaan asymptomatic.
Laakiin habka ugu wanaagsan ee lagu ogaan karo cudurka wuxuu noqon karaa hubinta heerka dhiigga ee dhiigga hormoonada gonadotropic, prolactin , hormoonka ugxanta iyo qanjirka thyroid. Ultrasound waxay kaa caawin kartaa in la ogaado qashinka gudaha ilmo-galeenka, ugxan-yarta, ugxan-la'aanta. Si aad uga jawaabto su'aasha ah in uurku suurtagal yahay, haddii hurgunka labaad uu dhacay, waa in la xasuusnaadaa in aysan jirin dhalmo la'aan, markaa uurka ma imaan doono.
Amnesty secondary - daaweynta
Si aad u fahamtid sida loo daweeyo hargabka labaad, marka hore, waxaad u baahan tahay inaad ogaatid sababaha keenay. Haddii aan baaritaan buuxa ee dumarka lagu ogaanayo hargabka caadiga ah, daawo iyo daaweynba lama qori karo. Iyada oo marin-celinta ilmo-galeenka, ayaa la saarayaa, ka dibna 4 bilood gudahood, hormoonka estrogens iyo progestins ayaa loo qoraa (tusaale, Dufaston).
Iyada oo ay ku jirto hindhisada labaad, sababtoo ah menopause-ka soo baxa, estrogens ayaa loo qoraa, oo ay ku jirto hypertrophy-ka ugxan-sidaha, inta badan way iska bogsadaan. Xanuunada polycystic, ka dib marka la go'aamiyo heerka hoormoonka galmada, daawooyinka ka hortagga uur-qaadista ayaa la doortaa kuwaas oo ku haboon ujeedooyinka hormoonnada.
Sababta kor u kaca ee prolatifinku si buuxda looma oga, iyo haddii aysan jirin wax dhibaato ah ee ku dhaca pituitary (tusaale ahaan, burooyinka pituitary) iyo haweenku nuugin naas nuujin (iyo cirbadda laf-dhabarka uma baahna daaweyn), ka dibna dopamine antagonists ayaa lagula talinayaa.
Marka dillaac jidheed ama gaajo sii dheeraaday waxay ku talinayaan nidaam taxadar leh iyo nafaqo. Qof dumar ah oo leh xasaasiyad nafsaani ah waa in lagu baaro dhakhtar cilmi nafsi ah iyo daaweynta hoormoonka laguma talinayo.