I ka nui o na hihia, aole nā lāʻau lapaʻau ʻaʻole pono. Ma mua o ke kuhikuhi ʻana i ka lāʻau lapaʻau, pono e ʻimi i ke kumu o ka amenorrhea, mālama i ka maʻi kumu inā pono, a loaʻa ke kākoʻo noʻonoʻo inā pono. Manaʻo ʻia i kekahi manawa e loaʻa iā ʻoe nā hormones sex inā kānalua kāu kauka he maʻi endocrine kou.

ʻO ka hoʻohanaʻana i nā hana pale i'ōleloʻia ma luna nei e hiki ai ke hoʻihoʻi mai menstruation i kekahi mau wahine:

– ʻAi maikaʻi;

- mālama i ke kaumaha olakino;

- hoʻoponopono pilikia;

- ka hoʻohaʻahaʻa i ka hoʻomaʻamaʻa kino.

ka lapaʻauʻia

Nā lāʻau homoni

I ka hihia a hana ʻino o ka ovarian i ka wahine opio, a lapaʻau hormonal e manaʻo ʻia no ka hoʻomohala ʻana i nā hiʻohiʻona wahine a me ka ulu ʻana, a me ka pale ʻana i ka osteoporosis i ka wā lōʻihi.

No nā wahine i hoʻopau ʻia i ka wehe ʻana i ka ʻōpū a me nā ovaries i ke kakahiaka nui (ma mua o ka makahiki i manaʻo ʻia he menopause), hōʻano hou hormonone hiki ke hāʻawi ʻia nā estrogens a me nā progestins no ka pale ʻana i ka osteoporosis a me nā hopena ʻē aʻe e pili ana i ka hoʻohaʻahaʻa ʻana o ke kiʻekiʻe o ka hormone. Hiki ke hooki i keia lapaau ma kahi o 55 makahiki.

'Ōlelo Aʻo : ʻAʻole hiki ke kuhikuhi ʻia kēia lāʻau lapaʻau i nā wahine i wehe ʻia ko lākou ʻōpū a i ʻole nā ​​ovaries no ka maʻi kanesa pili i ka hormone. ʻAʻole hiki ke kuhikuhi ʻia i nā wahine i loaʻa i ka castration ovarian e ka radiotherapy a i ʻole ka chemotherapy no ka maʻi maʻi umauma.

Ma waho aʻe o kēia mau kūlana, ʻaʻohe lāʻau lapaʻau hormonal e hoʻihoʻi mai i nā lula.

Eia hou, nā lāʻau lapaʻau o " hoʻoponopono pōʻaiapuni (No ka laʻana, ʻo ka lawe ʻana i kahi progestin synthetic ma ka ʻāpana ʻelua o ka pōʻai no nā wahine me nā manawa ʻole e makemake i ka pōʻai maʻamau e hāpai) ʻaʻohe kumu ʻepekema. Hiki iā lākou ke hāʻawi i ka hoʻoikaika ʻana i nā maʻi o ka menstrual cycle ma o ka hoʻololi ʻana i ka hoʻomaka ʻana o nā ovulations. ʻAʻole ia ka mea maʻamau o ka pōʻai, akā ʻo ka mahalo o ka pōʻai e like me ia i loko o ka wahine i hāʻawi ʻia.

Lapaʻau ʻole-hormonal

Ke loaʻa ka amenorrhea ma muli o ka huna ʻana o ka prolactin kiʻekiʻe i hoʻopili ʻia i kahi maʻi maʻi pituitary gland, ʻo ka bromocriptine (Parlodel®) he lāʻau lapaʻau maikaʻi loa e hoʻohaʻahaʻa i nā pae prolactin a hiki ke hoʻi mai ka menstruation. ʻO ia ka hana like i hāʻawi ʻia, ma hope o ka hānau ʻana, i nā wahine makemake ʻole e hānai.

Hoʻomalu

Inā hele pū ʻia ka amenorrhea me maʻi maʻi psychological, hiki i ke kauka ke hāʻawi i ka psychotherapy. Hiki ke kūkākūkā ʻia ka hoʻohana like ʻana o nā lāʻau hormonal, ma muli o ka makahiki o ka wahine, ka lōʻihi o ka amenorrhea a me nā hopena ʻino o ka hemahema hormonal (inā loaʻa). Eia naʻe, pono e pale ʻia nā lāʻau psychotropic, no ka mea hiki iā lākou ke alakaʻi i ka amenorrhea.

Pono ka Amenorrhea pili me ka anorexia i ka nānā ʻana e kahi hui multidisciplinary me ka meaʻai meaʻai, psychotherapist, psychiatrist, etc. THE'Anorexia pili pinepine i nā kaikamahine ʻōpio a i ʻole nā ​​wahine ʻōpio.

Ināʻoe he ke kūlana o ka naʻau mea nui (ka hoʻopaʻapaʻa, make ʻana o ka mea aloha, ulia, a me nā mea ʻē aʻe) a i ʻole nā ​​paio pilikino (ka hemo ʻana, nā pilikia kālā, a me nā mea ʻē aʻe), hiki ke hoʻokomo ʻia ka amenorrhea mau mahina a i ʻole mau makahiki, ʻoi aku hoʻi i loko o kahi wahine i palupalu ke kaulike. ʻO ka lāʻau lapaʻau maikaʻi loa a laila e nīnau i kahi psychotherapist.

ʻO keʻano maʻamau

Inā hoʻokumu ʻia ka amenorrhea ma muli o ka hemahema o ka ʻōnaehana hānau, hiki ke hana ʻia i kekahi manawa (inā he imperforation o ka hymen no ka laʻana). Akā inā he mea koʻikoʻi loa ka malformation (Turner's Syndrome a i ʻole insensitivity i androgens), e loaʻa i ke kaʻina kahi hana hoʻonaninani a me ka hōʻoluʻolu ma o ka hoʻololi ʻana i ke ʻano a me ka hana o nā mea i hoʻomohala ʻole ʻia, akā ʻaʻole e "hoʻihoʻi" i nā lula. .