Nthawi zambiri, ayi mankhwala sichifunika. Musanapereke chithandizo, ndikofunikira kupeza chomwe chimayambitsa amenorrhea, kuchiza matendawo ngati kuli kofunikira, ndikupeza chithandizo chamalingaliro ngati chikufunika. Nthawi zina amanenedwa kuti muli ndi mahomoni ogonana ngati dokotala akukayikira kuti muli ndi matenda a endocrine.

Kugwiritsa ntchito njira zodzitetezera zomwe zatchulidwa pamwambapa zimalola kubwereranso kwa kusamba mwa akazi angapo:

- Kudya bwino;

- kusunga kulemera kwabwino;

- kuwongolera kupsinjika;

- kudziletsa pochita masewera olimbitsa thupi.

Mankhwala

Chithandizo cha m`thupi

Pankhani ya kukanika kwa ovarian mwa mtsikana, a mankhwala m'thupi adzaperekedwa kwa chitukuko cha makhalidwe kugonana ndi chonde, ndi kupewa osteoporosis kwa nthawi yaitali.

Kwa amayi omwe adachitidwapo opaleshoni yochotsa chiberekero ndi mazira ochuluka kwambiri (asanafike zaka zakutha msinkhu), m`malo mankhwala opangidwa ndi ma estrogen NDI ma progestin atha kuperekedwa kuti apewe kufooketsa mafupa ndi zotulukapo zina zobwera chifukwa cha kuchepa kwa kuchuluka kwa timadzi ta m'magazi. Mankhwalawa atha kuyimitsidwa akafika zaka 55.

chenjezo : Mankhwalawa sangaperekedwe kwa amayi omwe achotsedwa chiberekero kapena mazira chifukwa cha khansa yodalira mahomoni. Komanso sangaperekedwe kwa amayi omwe adataya chiberekero ndi radiotherapy kapena chemotherapy ya khansa ya m'mawere.

Kupatula pazimenezi, palibe mankhwala a mahomoni omwe amathandiza kuti malamulo abwererenso.

Kuonjezera apo, chithandizo cha " kuzungulira kukhazikika (Mwachitsanzo, kutenga progestin yopangidwa mu gawo lachiwiri la msambo kwa amayi omwe ali ndi msambo wosakhazikika omwe akufuna kuti atenge mimba nthawi zonse) zilibe maziko asayansi. Angathenso kuthandizira kukulitsa vuto la msambo mwa kusokoneza kuyambika kwa ovulation modzidzimutsa. Sikuti kukhazikika kwa mkombero kumawerengedwa, koma ulemu wa mkombero monga momwe uliri mwa mkazi wopatsidwa.

Non-hormonal mankhwala

Pamene amenorrhea ndi chifukwa cha kuchuluka kwa prolactin komwe kumagwirizanitsidwa ndi chotupa chosaopsa cha pituitary gland, bromocriptine (Parlodel®) ndi mankhwala othandiza kwambiri omwe amachepetsa mlingo wa prolactin ndikulola kuti msambo ubwerere. Izi ndizomwe zimaperekedwa, atangobereka kumene, kwa amayi omwe sakufuna kuyamwitsa.

Psychotherapy

Ngati amenorrhea limodzi ndi matenda amisala, dokotala angapereke chithandizo chamaganizo. Kugwiritsiridwa ntchito kofanana kwa mankhwala a mahomoni kungakambidwe, kutengera zaka za mkazi, nthawi ya kukomoka komanso zotsatira zoyipa za kusowa kwa mahomoni (ngati zilipo). Komabe, mankhwala a psychotropic ayenera kupewedwa, chifukwa angayambitse amenorrhea.

Amenorrhea yokhudzana ndi anorexia imafuna kuyang'aniridwa ndi gulu lamagulu osiyanasiyana kuphatikizapo akatswiri a zakudya, psychotherapist, psychiatrist, ndi zina zotero.Anorexia nthawi zambiri imakhudza atsikana achichepere kapena atsikana.

Ngati muli ndi kusokonezeka maganizo kwambiri (kugwiriridwa, kutayika kwa wokondedwa, ngozi, ndi zina zotero) kapena mikangano yaumwini (kusudzulana, mavuto a zachuma, ndi zina zotero), amenorrhea yomwe imatha miyezi ingapo kapena zaka ingayambike, makamaka kwa mkazi yemwe malingaliro ake anali ofooka kale. Chithandizo chabwino kwambiri ndiye kukaonana ndi psychotherapist.

Chithandizo cha opaleshoni

Ngati amenorrhea imayamba chifukwa cha kusokonekera kwa ubereki, nthawi zina opaleshoni imatha kuchitidwa (mwachitsanzo, ngati hymen yawonongeka). Koma ngati malformation ndi yofunika kwambiri ( Turner's syndrome kapena kusagwirizana ndi androgens ), opaleshoniyo idzakhala ndi zodzoladzola komanso zotonthoza ntchito mwa kusintha maonekedwe ndi machitidwe a ziwalo zogonana zosasinthika, koma "sadzabwezeretsa" malamulo. .