Muzviitiko zvakawanda, kwete kuchirapa hazvidiwi. Usati watsanangura kurapwa, zvakakosha kuti uwane chikonzero cheamenorrhea, kurapa hosha iri pasi kana zvichidikanwa, uye kuwana rubatsiro rwepfungwa kana zvichidikanwa. Dzimwe nguva zvinokurudzirwa kuti uve nehomoni dzepabonde kana chiremba wako achifungidzira kuti une chirwere che endocrine.

Kushandiswa kwemaitiro ekudzivirira ataurwa pamusoro apa kunobvumira kudzoka kwe jeko muvakadzi vakawanda:

– Kudya zvine utano;

- kuchengetedza uremu hune hutano;

- kudzora kunetseka;

- mwero mukuita kurovedza muviri.

Mishonga

Hormonal treatments

Panyaya ye kusashanda zvakanaka kwe ovarian mumusikana, a kurapwa kwehomoni ichakurudzirwa kukudziridzwa kwehutano hwepabonde uye kubereka, uye kudzivirira osteoporosis munguva refu.

Kune vakadzi vakavhiyiwa kubviswa kwechibereko uye ovary kare kwazvo (vasati vafunga zera rekuenda kumwedzi), hormone kutsiva kurapa inosanganisira estrogens UYE maprogestin anogona kupihwa kudzivirira osteoporosis nemimwe mhedzisiro inokonzerwa nekudzikira kwemahomoni ekutenderera. Kurapa uku kunogona kumiswa pazera remakore makumi mashanu nemashanu.

yambiro : Mushonga uyu haugone kupihwa kuvakadzi vakabviswa chibereko kana maovari nekuda kwegomarara rinoenderana nehomoni. Izvo zvakare hazvigone kurongerwa kuvakadzi vakave ne ovarian castration neradiotherapy kana chemotherapy yekenza yemazamu.

Kunze kwemamiriro ezvinhu aya, hapana kurapwa kwehomoni kunobatsira kuunza kudzoka kwemitemo.

Mukuwedzera, marapirwo e” cycle regularization (Semuyenzaniso, kutora progestin yekugadzira muchikamu chechipiri chenguva yevakadzi vane nguva dzisiri dzenguva vangada kutenderera nguva dzose kubata pamuviri) haina hwaro hwesainzi. Vanogona kutoita kuti kuwedzere kusagadzikana kwekuenda kumwedzi nekukanganisa kungoerekana kwatanga kweovulation. Haisi iyo yenguva dzose yekutenderera kunokosha, asi kuremekedzwa kwekutenderera sezvazviri mumukadzi akapiwa.

Non-hormonal treatment

Apo amenorrhea inokonzerwa nehuwandu hweprolactin yakabatanidzwa kune benign pituitary gland tumor, bromocriptine (Parlodel®) mushonga unoshanda zvikuru unoderedza mazinga eprolactin uye unobvumira kuenda kumwedzi kudzoka. Aya ndiwo mabatirwo anoitwa, achangobva kusununguka, kuvakadzi vasingadi kuyamwisa.

Psychotherapy

Kana amenorrhea inoperekedzwa ne kusagadzikana kwepfungwa, chiremba anogona kupa psychotherapy. Kushandiswa kwakafanana kwemishonga yehomoni inogona kukurukurwa, zvichienderana nezera remukadzi, nguva yeamenorrhea uye kuipa kwekushaya simba kwehomoni (kana iripo). Zvisinei, mishonga ye psychotropic inofanira kudziviswa, sezvo inogona kutungamirira kune amenorrhea.

Amenorrhea ine chekuita neanorexia inoda kutariswa neboka remarudzi akawanda kusanganisira nyanzvi yezvokudya, chiremba wepfungwa, chiremba wepfungwa, nezvimwewo.Anorexia kazhinji inobata vasikana vechidiki kana vakadzi vechidiki.

Kana iwe une mupfungwa mupfungwa zvakakosha (kubatwa chibharo, kurasikirwa nemudiwa, tsaona, zvichingodaro) kana kukakavara kwevanhu (kurambana, matambudziko emari, nezvimwewo), amenorrhea inotora mwedzi yakati wandei kana kunyange makore inogona kusimuka, kunyanya mumukadzi ane chiyero chepfungwa chaive chatove chisina kusimba. Mushonga wakanyanya wobva wabvunza chiremba wepfungwa.

Kuvhiya kurapa

Kana amenorrhea ichikonzerwa nekusagadzirika kwemaitiro ekubereka, kuvhiyiwa dzimwe nguva kunogona kuitwa (muchiitiko chekusvibiswa kwehymen semuenzaniso). Asi kana kukanganisa kwakakosha zvakanyanya (Turner's syndrome kana kusanzwa kune androgens), kuvhiyiwa kunongova nekushongedza uye kunyaradza basa nekugadzirisa chitarisiko uye kushanda kwenhengo dzepabonde dzisina kugadzirwa, asi "hazvizodzosere" mitemo. .