Feem ntau ntawm cov xwm txheej, tsis muaj kev kho mob tsis xav tau. Ua ntej sau tshuaj kho mob, nws yog ib qho tsim nyog yuav tsum nrhiav qhov ua rau amenorrhea, kho cov kab mob hauv qab yog tias tsim nyog, thiab tau txais kev pab cuam puas hlwb yog tias xav tau. Qee zaum nws tau qhia tias koj muaj kev sib deev cov tshuaj hormones yog tias koj tus kws kho mob xav tias koj muaj kab mob endocrine.

Daim ntawv thov ntawm kev tiv thaiv kev ntsuas tau hais los saum toj no tso cai rau rov qab los ntawm ua poj niam hauv ntau tus poj niam:

- noj qab nyob zoo;

- saib xyuas lub cev hnyav;

- tswj kev ntxhov siab;

- kev sib haum xeeb hauv kev xyaum ua lub cev qoj ib ce.

Tshuaj

Kev kho hormonal

Tus a zes qe menyuam ua haujlwm tsis zoo nyob rau hauv ib tug hluas nkauj, a kev kho tshuaj hormonal yuav raug pom zoo rau kev txhim kho cov yam ntxwv ntawm kev sib deev thiab fertility, thiab tiv thaiv osteoporosis nyob rau hauv lub sij hawm ntev.

Rau cov poj niam uas tau txais kev phais tshem tawm ntawm lub tsev menyuam thiab zes qe menyuam ntxov heev (ua ntej lub hnub nyoog ntawm lub cev tsis muaj zog), kev hloov kho tshuaj hormones Muaj cov tshuaj estrogens THIAB progestins tuaj yeem muab los tiv thaiv kev mob pob txha thiab lwm yam kev tshwm sim tshwm sim los ntawm kev txo qis ntawm cov tshuaj hormones. Txoj kev kho no tuaj yeem tso tseg thaum muaj hnub nyoog 55 xyoos.

Ceeb toom : Txoj kev kho no tsis tuaj yeem muab rau cov poj niam uas tau muaj lawv lub tsev menyuam lossis zes qe menyuam tshem tawm rau kev mob qog noj ntshav raws li tshuaj hormones. Nws kuj tsis tuaj yeem muab tshuaj rau cov poj niam uas tau muaj zes qe menyuam castration los ntawm kev siv xov tooj cua lossis tshuaj kho mob rau mob qog noj ntshav.

Sib nrug los ntawm cov xwm txheej no, tsis muaj kev kho hormonal zoo los coj rov qab cov cai.

Tsis tas li ntawd, kev kho mob ntawm ” voj voog normalization (Piv txwv li, noj cov tshuaj progestin hauv qhov thib ob ntawm lub voj voog rau cov poj niam uas muaj lub sijhawm tsis tu ncua uas xav tau lub voj voog tsis tu ncua kom xeeb tub) tsis muaj kev tshawb fawb. Lawv tuaj yeem pab txhawb rau accentuate menstrual cycle disorders los ntawm kev cuam tshuam qhov pib ntawm ovulations. Nws tsis yog qhov tsis tu ncua ntawm lub voj voog uas suav, tab sis kev hwm ntawm lub voj voog raws li nws yog nyob rau hauv ib tug poj niam muab.

Kev kho tsis yog hormonal

Thaum amenorrhea yog vim muaj cov tshuaj prolactin siab uas txuas mus rau lub qog pituitary caj pas, bromocriptine (Parlodel®) yog ib qho tshuaj zoo heev uas txo qis cov qib prolactin thiab tso cai rau kev coj khaub ncaws rov qab. Qhov no yog tib txoj kev kho mob uas tau muab, tsuas yog tom qab yug me nyuam, rau cov poj niam uas tsis xav pub niam mis.

hlwb

Yog tias muaj amenorrhea nrog kev nyuaj siab ntxhov plawv, tus kws kho mob yuav muab kev kho mob hlwb. Kev siv cov tshuaj hormonal sib npaug tuaj yeem tham txog, nyob ntawm lub hnub nyoog ntawm tus poj niam, lub sijhawm ntawm amenorrhea thiab cov teebmeem ntawm hormonal deficiency (yog tias muaj). Txawm li cas los xij, cov tshuaj psychotropic yuav tsum raug zam, vim lawv tuaj yeem ua rau amenorrhea.

Amenorrhea txuam nrog anorexia imperatively yuav tsum tau saib xyuas los ntawm ib tug multidisciplinary pab neeg nrog rau noj zaub mov, kws kho mob hlwb, kws kho hlwb, thiab lwm yam. THE'Anorexia feem ntau cuam tshuam rau cov ntxhais hluas lossis cov ntxhais hluas.

Yog hais tias koj muaj ib tug kev puas siab puas ntsws Qhov tseem ceeb (kev tsim txom, poob ntawm ib tus neeg hlub, kev sib tsoo, thiab lwm yam) lossis kev tsis sib haum xeeb ntawm tus kheej (kev sib nrauj, teeb meem nyiaj txiag, thiab lwm yam), amenorrhea kav ntev li ob peb lub hlis lossis ntau xyoo tuaj yeem teeb tsa, tshwj xeeb tshaj yog rau cov poj niam uas muaj kev puas siab puas ntsws twb puas lawm. Qhov kev kho mob zoo tshaj yog tom qab ntawd mus ntsib kws kho mob hlwb.

Kev phais mob

Yog hais tias amenorrhea yog tshwm sim los ntawm ib tug malformation ntawm lub reproductive system, kev phais tej zaum yuav ua tau (nyob rau hauv cov ntaub ntawv ntawm imperforation ntawm lub hymen piv txwv li). Tab sis yog hais tias qhov malformation tseem ceeb heev (Turner's syndrome los yog insensitivity rau androgens), qhov kev phais yuav tsuas muaj ib tug kom hniav zoo nkauj thiab kev nplij siab ua hauj lwm los ntawm kev hloov kho cov tsos thiab functionality ntawm undeveloped kev sib deev kab mob, tab sis yuav tsis "rov qab" cov cai. .