Rashin lokacin haila - na biyu

Rashin jinin haila duk wata ana kiranta amenorrhea. Secondorr amenorrhea ita ce lokacin da macen da take jinin al'ada ta daina samun al'adarta tsawon watanni 6 ko fiye.

Amenorrhea na biyu na iya faruwa saboda sauyin yanayi a cikin jiki. Misali, mafi yawan abin da ke haifar da amenorrhea na biyu shine ciki. Shayar nono da haila ma al'ada ce, amma sababin dabi'a ne.

Matan da ke shan ƙwayoyin hana daukar ciki ko waɗanda ke karɓar homon kamar Depo-Provera mai yiwuwa ba za su sami jinin wata ba. Lokacin da suka daina shan wadannan kwayoyin halittar, kwanakinsu na iya dawowa sama da watanni 6.

Kusan kuna iya samun lokutan baya nan idan kun:

• Yayi kiba
• Motsa jiki da yawa kuma na dogon lokaci
• Yi ƙananan kitsen jiki (ƙasa da 15% zuwa 17%)
• Yi tsananin damuwa ko damuwa na motsin rai
• Rage nauyi mai yawa ba zato ba tsammani (alal misali, daga tsaurara matakan abinci ko bayan tiyata)

Sauran dalilai sun hada da:

• Brain (pituitary) ciwace
• Magunguna don maganin ciwon daji
• Magunguna don magance schizophrenia ko psychosis
• Ciwan glandar thyroid
• Polycystic ovarian ciwo
• Rage aikin kwayayen

Hakanan, hanyoyin kamar faɗaɗawa da warkarwa (D da C) na iya haifar da ƙwayar tabo ta samar. Wannan kyallen na iya sa mace ta daina jinin haila. Wannan ana kiransa ciwon Asherman. Hakanan za'a iya haifar da rauni saboda wasu cututtukan ƙwayoyin cuta masu ƙarfi.

Baya ga rashin lokacin al'ada, wasu alamomin na iya hadawa da:

• Girman nono
• Rage nauyi ko rage nauyi
• Fitar ruwa daga nono ko canjin girman nono
• Acne da kuma kara girma gashi a cikin tsarin namiji
• Rashin farji
• Canjin murya

Idan amorrorrhea ta kasance sanadiyar ƙwayar cuta ta pituitary, akwai wasu alamun alamomin da suka danganci ƙari, kamar ɓata gani da ciwon kai.

Dole ne ayi gwajin jiki da na pelvic don bincika ciki. Za'a yi gwajin ciki.

Ana iya yin gwajin jini don bincika matakan hormone, gami da:

• Matakan Estradiol
• Tsarin hormone mai motsa jiki (matakin FSH)
• Luteinizing hormone (matakin LH)
• Matakan Prolactin
• Matakan hormone na jini, kamar matakan testosterone
• Hormone mai motsa motsa jiki (TSH)

Sauran gwaje-gwajen da za'a iya yi sun haɗa da:

• CT scan ko MRI na kai don neman ƙari
• Biopsy na rufin mahaifa
• Gwajin kwayoyin halitta
• Duban dan tayi na kogin hysterosonogram (pelvic duban dan tayi wanda ya hada da sanya ruwan gishiri a cikin mahaifa)

Jiyya ya dogara da dalilin amosanin jini. Lokaci na al'ada kowane wata yakan dawo bayan an magance halin.

Rashin lokacin al'ada saboda kiba, motsa jiki mai karfi, ko ragin nauyi na iya amsawa ga canjin tsarin motsa jiki ko kula da nauyi (riba ko asara, kamar yadda ake buƙata).

Hangen nesa ya dogara da dalilin amosanin jini. Yawancin yanayin da ke haifar da sanyin ciki na biyu zai amsa magani.

Dubi mai ba da kiwon lafiya na farko ko mai ba da kula da lafiyar mata idan ka rasa sama da lokaci ɗaya don a iya bincika ka kuma a ba ka magani, idan an buƙata.

Amenorrhea - na biyu; Babu lokaci - na biyu; Rashin lokacin - sakandare; Rashin menses - na biyu; Rashin lokaci - na biyu

• Secondorr amenorrhea
• Anatwararren ƙwayar mahaifa na al'ada (yanki)
• Rashin jinin haila (amenorrhea)

Bulun SE. Ilimin halittar jiki da ilimin yanayin ilimin haihuwa na mata. A cikin Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, et al. Littafin Williams na Endocrinology. 14th ed. Philadelphia, PA: Elsevier; 2020: babi na 17.

Lobo RA. Amenorrhea na farko da sakandare da balaga: ilimin ilimin halittu, binciken bincike, gudanarwa. A cikin: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. M Gynecology. 7th ed. Philadelphia, PA: Elsevier; 2017: babi na 38.

Magowan BA, Owen P, Thomson A. Tsarin al'ada na al'ada da amenorrhoea. A cikin: Magowan BA, Owen P, Thomson A, eds. Clinical Obetetrics da Gynecology. 4th ed. Elsevier; 2019: sura 4.