Uma owesifazane ekhononda mayelana nokuhluleka komjikelezo, i-gynecologist owaziwayo uyomthumela ngokushesha, kokuqala, ekuhlolweni ku-endocrinologist. Okubalulekile ukuthi ama-hormone akhiqizwa yi-gland yegciwane yilezi zinto ezisebenza ngokujwayelekile kwezitho zokuzala emzimbeni wesifazane. Uma isizinda se-hormonal sihle, izitho "zezinsikazi" zisebenza ngokulinganisela nangokucacile. Ukuphulwa kwalo, okokuqala, kubangela ukubambezeleka kokuya esikhathini. Lokhu kuvame ukuba omunye wezimpawu zokuqala zokuthi kukhona ukungafani emgodini (akusho nje ukubhekana nomsebenzi wabo).
Ucwaningo lwadokotela luye lwafakazela ukuthi kusuka ku-35% ukuya kwabangu-80% besifazane abanesifo sofuba esivamile, njengoba i-hypothyroidism (ukungabi nokusebenza komgogodla), kunokwephulwa okukhulu komjikelezo wokuya esikhathini. Abesifazane abanjalo bavame ukugcina i-hypomenstrual syndrome (lapho ukuya esikhathini kunobuthakathaka ngokuphawulekayo), kanye nezinye izinhlobonhlobo zalesi sifo. I-Hypomenorrhœa yisimo lapho inani eliphelele lokugeleza kokuya esikhathini liyehla (ngaphansi kuka-25 ml.). I-Oligomenarea yilapho isikhathi sokuya esikhathini sincishisiwe sibe yizinsuku ezimbili noma ngisho nanye. I-Opmomenoreia ibangela ukubambezeleka, ukubambezeleka kokuya esikhathini, okubonakala ukwanda esikhathini esiphakathi kwabo (amasonto angu-7-9). I-Spaniomenorea yinkinga lapho ukuya esikhathini kwenzeka ngokungajwayelekile - kusuka izikhathi ezimbili kuya kwezi-5 ngonyaka. Ngokuvamile kunezimo lapho owesifazane engenalo uhlobo olulodwa lwe-syndrome, kodwa inhlanganisela yamafomu amaningana ngesikhathi esisodwa. Futhi isizathu se-hypomenstrual syndrome eyinhloko (lapho ukuya esikhathini kunobuthakathaka kusukela ekuqaleni), nangokwesibini (lapho isimo esinjalo senziwa ngokuhamba kwesikhathi) ezimweni eziningi kunesifo se-gland yegciwane. Into engathandeki kakhulu ukuthi cishe ingxenye yesigameko i-hypomenstrual syndrome igeleza phakathi kwe-amenorrhea - ukuphela kokuphela kokuya esikhathini.
Uma sisho ngokugcwele ngomphumela wegciwane le-thyroid emjikelezweni wesifazane, khona-ke ngaphezu kweziphazamiso ezibalwe ngenhla, abanye bangathuthuka. Ngezinye izikhathi zibhekene nokwanda kwenani lokuphuma kwegazi kanye nokwanda esikhathini sokuya esikhathini. Ukuphaphaza ngokweqile (izidakamizwa) ezifweni zegciwane le-thyroid akuyona into ejwayelekile kune-amenorrhea.
Imiphumela ye-dysfunction ye-thyroid (ikakhulukazi i-hypothyroidism) ingabangela ukuthi umjikelezo wesifazane uqala ukuvuthwa. Lokhu ukuphambuka ohlelweni lokuzala, lapho kufika esikhathini, kodwa akukho ukuvuthwa, okungukuthi, akunakwenzeka ukukhulelwa. Ngakho-ke izifo ze-thyroid zingabangela ukungasebenzi, okuba ukuxilongwa okudabukisayo kwabesifazane banamuhla.
Naphezu kwemiphumela engaba khona, noma yikuphi kwalokhu kuphulwa komjikelezo wesifazane kunamandla kakhulu ekwelapheni. Ukubeka ama-hormone e-thyroid, okuvumela ukuba uzuze imiphumela emihle bese uhola impilo egcwele. Kubalulekile ukuthi abesifazane bakhumbule ukuthi umjikelezo wokuya esikhathini uhambelana nesimo se-barometer yesimo se-gland. Ngakho-ke noma yikuphi ukuphulwa okudingayo ukuze ufune iseluleko hhayi kuphela kumgogeni wezinzwa, kodwa futhi uphinde uhlole ukuhlolwa okuphelele kwe-endocrinological.