
غياب الإباضة
ما هي غياب الإباضة Anovulation
غياب الإباضة – يمكن أن تؤثر بعض الأدوية، والحالات، والعوامل الخارجية على مستويات الهرمونات التي تسبب الإباضة
وقد تمر المرأة أحياناً بدورة لا إباضية ثم تعود إلى دورة منتظمة، وأحياناً أخرى قد تكون المشكلة مزمنة
عندما تغيب الإباضة، لا تستطيع المرأة الحمل، ويكون هذا طبيعياً جداً بالنسبة للنساء اللواتي تجاوزن سن انقطاع الطمث
لا تتعرض النساء في سن الإنجاب عادةً لغياب الإباضة إلا إذا حدث شيءٌ أخلّ بمستويات الهرمونات في الجسم أو سبّب الأذية للمبيضين
ما هي أعراض غياب الإباضة؟
عندما تمر النساء بالإباضة بشكل منتظم يلاحظن غالباً علامات تحدث خلال كل دورة. قد يعانين مما يلي:
- زيادة كمية مخاط عنق الرحم.
- هبوط وزيادة لاحقة في درجة حرارة الجسم أثناء الراحة في منتصف الدورة الشهرية (حوالي اليوم 10-16).
يمكن ألا يسبب غياب الإباضة أي اضطراب على الدورة الطمثية، وقد لا تلاحظ السيدة أي اعراض.
كيف يمكن مراقبة الإباضة؟
يستعمل اختبار الإباضة على نحو واسع، فالعديد من السيدات يرغبن بمعرفة وقت الإباضة وذلك في حال كن يرغبن بحدوث الحمل.
هذا الاختبار شبيه باختبار الحمل، فهو سهل وغير مكلف، ويكن إجراؤه بسهولة في المنزل، ومتوفر في الصيدليات.
يستطيع الطبيب أيضاً إجراء اختبار لمستويات هرمونات المرأة أو إجراء تصوير بالأمواج فوق الصوتية لرؤية المبيضين.
ما هي أسباب غياب الإباضة؟
موانع الحمل الهرمونية:
تحتوي بعض وسائل منع الحمل على هرمونات مصممة لتوقف الإباضة وتمنع الحمل. قد تتضمن أشكال صنعية من هرموني الأستروجين والبروجيسترون، وبعضها الآخر يحتوي فقط بروجيسترون صنعي.
تشمل هذه الأنواع من وسائل منع الحمل ما يلي:
- حبوب منع الحمل التي تؤخذ عن طريق الفم.
- لصقات منع الحمل، والتي تطبق أسبوعياً على جزء محدد من الجسم.
- الحلقات المهبلية، والتي توضع داخل المهبل مرة في الشهر.
- غرسات منع الحمل، والي توضع تحت جلد الذراع، وتستمر لـ 3 سنوات.
- الجهاز داخل الرحم الحاوي على الهرمونات، والذي يوضع داخل الرحم لـ 3-5 سنوات.
- حقن منع الحمل، تُعطى كحقنة في الذراع كل 12 شهر.
تتداخل هذه الأدوية مع قدرة المبيضين على إنتاج وتحرير البويضات. كنتيجة لذلك ستمر المرأة بدورات لا إباضية أثناء تناول الأدوية.
من المهم أن تلاحظي أن بعض الأجهزة داخل الرحم تحتوي على النحاس بدلاً من الهرمونات.
لا يسبب النحاس غياب الإباضة، بل يؤثر بدلاً من ذلك على قدرة النطاف على الوصول إلى البويضة.
تحتوي العديد من علب حبوب منع الحمل على 21 حبة فعّالة و7 حبات أدوية وهمية.
قد تحدث عند المرأة التي تأخذ هذا النوع من حبوب منع الحمل الدورة الشهرية خلال الأسبوع الذي تأخذ خلاله الحبوب الوهمية، إلا أنها تكون أخف من الدورة العادية ولا يكون
سببها الإباضة. الوسائل الأخرى قد تسبب التنقيط.
كل وسيلة من وسائل منع الحمل توقف الإباضة بطريقة مختلفة. يجب على النساء مناقشة خياراتهن مع الطبيب لتحديد الخيار الأفضل لهن.
الأثار الجانبية للأدوية:
بعض الأدوية المصممة لأسباب أخرى يمكنها إيقاف الإباضة، ومنها:
- مضادات الالتهاب اللاستيرويدية:
تشمل هذه الأدوية العديد من مسكنات الألم التي تؤخذ بدون وصفة طبية مثل الإيبوبروفين والنابروكسين.
- الأعشاب والعلاجات الطبيعية:
تحتوي بعض الأعشاب على مواد شبيهة بالهرمونات يمكنها أن تشوش الإباضة.
- كريمات الجلد والمنتجات الموضعية الأخرى الحاوية على الهرمونات:
تحتوي بعض المنتجات على أستروجين أو بروجيسترون، وهي مصممة لمحاربة الشيخوخة أو للمساعدة في مشاكل مثل المتلازمة السابقة للطمث. قد تُمتص هذه المنتجات لداخل الجسم، مسببةً غياب الإباضة أو اضطراب توازن الهرمونات.
- الستيرويدات:
وهي نوع من الهرمونات يمكنه أن يقلل الالتهاب وقد يتداخل أيضاً مع الهرمونات الضرورية للإباضة.
الكورتيزون والبريدنيزون هما النوعان الأكثر شيوعاً من الستيرويدات التي يمكن وصفها لمجموعة واسعة من الأمراض،
مثل الحساسيات، والذئبة، والربو،
وغيرها. الستيرويدات الموضعية تُطبق على الجلد لمعالجة الالتهاب وردات الفعل التحسسية.
- أدوية الصرع والنوبات المرضية:
قد تتداخل هذه الأدوية مع الدورة الشهرية.
-
أدوية السرطان:
المعالجة الكيماوية والشعاعية وأدوية السرطان قد تُسبب ضرر دائم للمبيضين.
الحالات الصحية: يمكن أن تتداخل بعض المشاكل الصحية مع التوازن الهرموني الصحيح في الجسم والذي يعتبر أساسي للإباضة.
يشمل ذلك الحالات التي تؤثر على الغدد الدرقية، والكظرية، والنخامية والوطاء.
تلعب كل من هذه الغدد دوراً في التوازن الهرموني الدقيق الذي يؤدي إلى الإباضة.
تصيب متلازمة المبيض متعدد الكيسات حوالي 20% من النساء في عمر الإنجاب.
ترتفع مستويات الأنسولين والتيستوستيرون في هذه الحالة، مما قد يخلّ بالتوازن الهرموني ويسبب اللاإباضة.
لحسن الحظ، يمكن غالباً علاج هذه الحالات المرتبطة بالهرمونات،
وتستطيع العديد من النساء تحقيق الإباضة بالعلاج الطبي المناسب.
قد ترتبط زيادة وخسارة الوزن بشكل وثيق بالإباضة حيث أن مستويات هرمون الأستروجين تعتمد على الوزن الصحي للجسم لتبقى طبيعية.
النساء اللواتي يتمرن بشكل مفرط أو يتعرضن لمستويات عالية من الضغط النفسي،
قد يعانين أيضاً من غياب الإباضة بسبب اضطراب مستويات الهرمونات.
كما يمكن أن تحدث اللإباضة أيضاً في انقطاع الطمث المبكر، والمعروف أيضاً بقصور المبيض المبكر. يمكن تشخيص المرأة بهذه الحالة إذا توقفت عن الإباضة قبل عمر ال 40 سنة.
كيف يتم علاج غياب الإباضة؟
بالنسبة للعديد من النساء، يصبح غياب الإباضة مشكلة عندما يرغبن بالحمل،
أو عندما تكون دوراتهن غير منتظمة. ولأن العديد من العوامل المختلفة تؤثر على هرمونات المرأة ودورتها الشهرية،
لا يوجد حل لعلاج اللاإباضة. إلا أنه في العديد من الحالات يتم تشخيص وعلاج سبب اللاإباضة أو المشكلة التي تؤثر على مستويات الهرمونات.
يمكن أن يقود العلاج إلى الحمل أو الحصول على دورات أكثر انتظاماً. إذا شكّت المرأة بأنها لا تمر بالإباضة فيجب عليها مراجعة الطبيب لاكتشاف أي مشاكل صحية محتملة والعمل باتجاه توازن هرموني صحي.
المراجع:
- Natural Cycles: Anovulatory Cycles Explained
مقالات طبية اخرى ..
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Ögrendigimiz iyi oldu 🙂
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oooo kimler kimler var hayretler içerisindeyimm??
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site basarili bence geçte olsa geliyor takipçiler??
4 saat sonra 3000 takipçi geldi??
Got 3000 followers after 4 hours??
I don’t know who the admin is but congrats
It’s a very good app, I didn’t expect this much ??
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Admin kim bilmiyorum ama tebrikler
Sevdigim çocugu stalkladigimi saniyordum megersem oda beni stalkliyormus hemen açiliyorum 🙂
I didn’t think it would work but I was really shocked when it came in ??
Helal olsun tebriklerrr ??????
Friends, I logged into this site yesterday, but my followers came after 12 hours, not 2 or 3 hours, I guess everyone is different??
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Friends, I logged into this site yesterday, but my followers came after 12 hours, not 2 or 3 hours, I guess everyone is different??
Who exits after logging in to the site?
Seeing my ex is kind of like ??
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Oha 1 saat geçtikten sonra 1000 Takipçi geldi ??
I finally saw those who viewed my twitter profile
takipçi yagiyooooooooooooooooooo ?? 3100 tane geldi
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stalkerler gelin oturup bi konusalim neden ben ??
everyone has been a slap but this man sent it halal well??
Good luck and congratulationsrr ??????
Bazilarini tahmin etmistim, sanirim bu uygulama gerçekten dogru ??
Benim 1 saat sonra geldi türk aktif hemde
I didn’t think it would work but I was really shocked when it came in ??
Helal olsun tebriklerrr ??????
I didn’t believe it, but it came, I was shocked, it came like 2 3 thousand
wow they finally did that too bee ??
siteye giris yaptiktan sonra çikanlarmi ?
Gerçekten inanilmaz ya neler var neler 🙂
walk, admin, to God, the sacrifice 1450 came to me too ??
how or how
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I never thought I would see people who viewed my profile on twitter 🙂
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dude, can someone follow me for 2 years?
bu cidden gerçek miiii? ??
suan çildiriyorum gördükçe ????
A total of 15 people have blocked me, 3 people have been stalking me for a long time.
Admin kim bilmiyorum ama tebrikler
Eski sevgilimi görmek biraz sey sanki ??
yürü be admin allahina kurban 1450 geldi banada ??
finally technology has advanced and they did it too ??
Yorumlara göre girdim ve geldi takipçiler tesekkürler ??
It’s nice when there are organic users ??
I saw exactly the people I predicted, the app is absolutely real ??
I was shocked to see 1-2 people I never expected ??
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incoming followers do it on rt and fav??
Guys, it doesn’t matter when you come, I think the time doesn’t matter, does it come after you log in to the site, never mind the rest.
lan ciddi ciddi çalisiyorr ??
Oha 1 saat geçtikten sonra 1000 Takipçi geldi ??
Arkadaslar bu siteye dün giris yaptim ama 2 3 saat degil benim takipçilerim 12 saat sonra geldi sanirim herkes farkli??
Retweet ve Favori sanirim daha hizli geliyor??
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my followers have arrived thank you??
stalkers, let’s sit down and talk why me ??
ile takipçi kazandim tesekkür ederim??
incoming followers 100% turkish followers mashallah
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tam da tahmin ettigim kisileri gördüm, uygulama kesinlikle gerçek ??
People who leave after logging in to the site???
If there is one for Instagram, someone tell me right away ??
do you have this on instagram?
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she was crying 🙂
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good to know that ??
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Benim 1 saat sonra geldi türk aktif hemde
I never thought I would see people who viewed my profile on twitter 🙂
good luck??
umarim kesintisiz hergün çalisir
Hesabima Takipçi yagiyordu 🙂
Seeing my ex is kind of like ??
I finally saw those who viewed my twitter profile
Followers for your Turkish information??
umarim kesintisiz hergün çalisir
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Retweet and Favorite coming faster I think ??
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