Ukuqala uhambo lokuzimela komzimba kuhlukile kubo bonke abesifazane
Abesifazane abaningi baqala ukuphawula izimpawu abasolwa ukuthi zingabonisa ukuthi sekuya esikhathini sokuya esikhathini esingama-40. Le nkathi yesikhathi ibizwa ngokuthi i-perimenopause, okuyinto isigaba esiholela esikhathini sakho sokugcina esikhathini.
Ngesikhathi sokuqala, umsebenzi we-ovarian wesifazane uqala ukuhamba, ngakho amazinga e-estrogen emzimbeni aqala ukwehla. Ngokuncipha kwamazinga e-estrogen nezinye izinguquko ze-hormone emzimbeni, abesifazane abaningi baqala ukuzwa izimpawu ezifana nokushisa okushisayo nezinkinga zemizwelo, kanye nokushintsha emigqeni yabo yokuya esikhathini.
Sizohlola lezi (kanye nezinye) izimpawu ezivamile kanye nezimpawu abesifazane ababhekana nazo njengendlela yokuya esikhathini. Ukucacisa, ukuyeka esikhathini sokuphumula kuyisimo ngesikhathi lapho owesifazane engakaze abe nomjikelezo wokuya esikhathini ezinyangeni eziyi-12 ezilandelanayo.
Izinguquko Ekupheleni Kwesikhashana
Kwabaningi besifazane, isibonakaliso sokuqala se-periimenopause ishintsho ebude bemigqa yokuya esikhathini . Ngokuvamile, ekuqaleni, isikhathi phakathi kwenkathi yowesifazane siyokhula, uma kuqhathaniswa nemijikelezo evamile yokuya esikhathini. Khona-ke, owesifazane uzovame ukubhekana nezinkathi zokuphuza ezingase zenzeke ngesikhathi esisodwa noma ngisho nangemijikelezo eminingana. Lokhu kuyinto evamile, futhi isibonakaliso sokuthi ama-ovaries wesifazane awusayikukhipha inyanga (okuthiwa i-ovulating) nyangazonke.
Yiqiniso, uma usujwayele (ngokuvumelana nezinkathi zakho zenyanga zonke) njenge-clockwork kusukela uneminyaka engu-13, cishe uyakwazi ukubona noma yikuphi ushintsho. Kodwa, uma uke waba nezinkathi ezingavamile, lokhu kungase kungabi hit radar yakho kuze kube kamuva, futhi kulungile.
Wonke umuntu wesifazane uhlangabezana nokuhluka kwesinye isikhathi; ezinye zinezibonakaliso eziningi nezimpawu ezicacile, kanti ezinye ezinamaphutha amaningi.
Okokugcina, kubalulekile ukuthi uqaphele ukuthi usengakhulelwa ngesikhathi sokuqala, njengoba ama-ovari akho angakhipha iqanda, hhayi nje ngokuthembekile. Ngakho-ke qiniseka ukuthi ucabangela ukukhulelwa njengokungenzeka uma ulahlekelwa isikhathi.
Ukushisa Okushisayo
Ukukhanya okushisayo yilophawu oluvame kakhulu olutholwa ngabesifazane ngesikhathi sokuqala futhi ngemva nje kokuya esikhathini sokuya esikhathini. Ukushisa okuvuthayo kuvame ukuchazwa ngokuthi ukufudumala okufudumele noma umuzwa oqala ebusweni noma entanyeni bese uhamba phansi komzimba, nakuba incazelo yayo ingahluka. Ubunzima bungase buguquke, okusho ukuthi abanye besifazane ukukhanya kwabo okushisayo kuyaphazamisa kanti, kwabanye, kuyinkimbinkimbi encane.
Izindaba ezinhle ukuthi ukushisa okushisayo kuvame ukuthuthukisa kangcono isikhathi, ngoba ngokuvamile bahamba phakathi kweminyaka emihlanu yokuqala. Kodwa-ke, inani elincane labesifazane lingase liqhubeke lishisa ngokushisa emva kokumisa esikhathini.
Kuyafaneleka futhi ukuphawula ukuthi abesifazane abathola ukukhishwa kwesikhashana kokuhlinzwa, okusho ukuthi banamasondo abo abavuthwe ngokuhlinzwa, bavame ukuzwa ukukhanya okukhulu okuvame kakhulu nokushisa njalo.
Uma ukukhanya okushisayo kuthinta ukusebenza kwakho kwansuku zonke kanye / noma ikhwalithi yokuphila, khuluma nodokotela wakho. Kunamasu amaningi wokuziphatha (isibonelo, ukugqoke izingubo ezingavamile nokusebenzisa ubusuku ebusuku), kanye nemithi (isibonelo, i-antidepressant noma i-hormone therapy) engakusiza uzizwe ungcono.
Izimpawu zamagciwane
Kwabesifazane abathile, ukumelela kwesisu nangokwemvelo kuyinkinga yabo yokuqala yokuthi ukuyeka esikhathini sokusemgwaqweni kusendleleni. Lokhu kungavela ngesimo sobuhlungu obubi, njengoba izindonga zamaginini ziba mncane futhi zincipha kakhulu ekulahlekelweni kwe-estrogen emzimbeni.
Ukwengeza kokuncelisa kwesisu nomzimba owomile, owesifazane angase ahlangabezane nezifo ezivame ukwelashwa kwe- urinary noma ukungena komchamo , njengoba ubhedu lwe-urinary tract futhi bukhula ngokuphendula ukwehla kwe-estrogen.
Ngenkathi iningi lezimpawu zokumiswa kwesikhashana ziba ngcono kangcono ngesikhathi, ubuhlungu besisu, ngeshwa, kubuhlungu kakhulu uma owesifazane ekhula. Eqinisweni, abanye besifazane abaqala ngisho nokuzwa lesi sibonakaliso kuze kube sekupheleni kwesikhathi sokuhamba kwamadoda.
Izindaba ezinhle ukuthi kukhona izindlela eziningi zokwelashwa ezitholakalayo ukuphatha lesi simbozo esingenakulungiswa esivela ku-lubricant okhungweni lwama-vaginal kanye nama-moisturizers kuma-nonhormonal and hormonal therapies.
Okokugcina, kubalulekile ukukhuluma ukuthi ngisho nangaphandle kokumelela kwamagciwane, abesifazane bangabheka isithakazelo esincane kocansi njengendlela yokuya esikhathini. Izinguquko ku-libido zingase zingabonakali emiphakathini yokuphila okucindezelayo, kodwa ekugcineni, ungase uqaphele ukuthi awubonakali unesithakazelo socansi futhi, noma ukuthi ama-orgasms wakho awunjalo.
Khumbula, i-libido iyi-amalgam yezinqubo zomzimba nezakhi zengqondo nezomzwelo. Ukuthola isixazululo cishe kuzobandakanya ukukhuluma nodokotela wakho nomlingani wakho.
Izinguquko ku-Mood
Phakathi nesikhathi esisodwa, abanye besifazane bazwa isimo sengqondo sishintsha futhi bangachaza bazizwa becasuliwe, badabukile, bekhathazeka, bengavumelani, futhi / noma bathukuthele. Njengoba izinkinga zemizwelo zithinta ubuhlobo kanye nokusebenza komsebenzi, abesifazane bayakhathazeka ngalesi sibonakaliso.
Ochwepheshe abaqiniseki ngokuphelele ukuthi kungani abanye besifazane bezwa isimo sengqondo sishintsha ngesikhathi sokumiswa kwesinye isikhathi kanti abanye abakwenzi. Kungenzeka ukuthi i-hormone shifts, njengehlasi lamazinga e-estrogen, ngalesi sikhathi idlala indima kwabanye besifazane. Lokho kusho ukuthi ezinye izinto zibandakanya ngaphandle kwama-hormone, njengenqubo yemvelo yokuguga.
Ngokwesibonelo, abesifazane bangase bazilalele ukulahlekelwa umjikelezo wabo njalo, nokuthi bangabe besabathwala abantwana, noma bangabe besengozini yokukhathazeka noma ukudabuka njengoba izingane zabo zisuka ekolishi.
Ngokufanayo, ukuhamba kwesikhathi kungenziwa ngesikhathi sokuphila komfazi lapho abazali bakhe begula noma befa, noma lapho yena ngokwakhe ehlangabezana nokushintsha ngokubambisana (isibonelo, isehlukaniso). Ezinye izindaba zengculazi zingase ziqale ngokuzungeze isikhathi sokumisa isikhashana esingenza owesifazane aze azwele ngisho nezingqinamba ezingokomzwelo.
Uma ukhathazekile ngesimo sakho sengqondo, ikakhulukazi uma ubhekene nokudabuka okuthinta ubuhlobo bakho kanye / noma ukusebenza kwakho nsuku zonke, qiniseka ukubona udokotela wakho noma uchwepheshe wezempilo yengqondo.
Ngaphandle kokudabuka okukhulu, ezinye izimpawu zokucindezeleka zingabandakanya ukulahlekelwa injabulo ezintweni owake wazijabulela (okubizwa ngokuthi i-anhedonia), imizwa yecala futhi engenamsebenzi, ushintsho ekufuneni kwakho noma emaphethweni okulala, kanye / noma imicabango yokufa noma yokuzibulala.
Izinguquko ku-Pattern Patterns
Ukulahlekelwa ukulala kuphazamisekile, kodwa nokho, lokhu kuyinkinga evamile yabesifazane njengoba beya esikhathini sokuya esikhathini. Kunezizathu eziningi zokuthi isibonelo sakho sokulala singashintsha ngalesi sikhathi empilweni yakho. Isibonelo, kungenzeka ngenxa yokushisa okushisa ebusuku, izinkinga zemizwelo ezinjengezizwa zikhathazekile noma zicindezelekile, noma nje zicindezeleke zomsebenzi omatasa noma isimiso sokuphila.
Ngaphezu kwalokho, ukuvuswa kwamathuba okulala ebusuku ngenxa yokukhathazeka okuyisisekelo okufana nokugula okungenalutho noma i-apnea yokulala ingase iqale okwamanje.
Yiqiniso, kunezixazululo eziningi ezingenzeka, kuhlanganise nemithi yokwelapha, kanye nokusebenzisa isikhathi esifushane imithi engakusiza ukuthi uthole iphethini lakho lokulala libuyele evamile.
Shintsha Ukubukeka
Kunezinye izibonakaliso eziningi nezimpawu ezingase zenzeke njengoba owesifazane esondela ekuqedeni kokuya esikhathini, futhi kungenzeka ukuthi kungenzeka (okungenani kancane) avele ekushintsheni kwe-hormone ehambisana nokulahlekelwa umsebenzi we-ovarian.
Ezinye zalezi zinguquko okufanele ziqaphele kufaka:
- Ukulahlekelwa izinwele
- Isikhumba esikhulayo (isibonelo, ukulahlekelwa umswakama wesikhumba kanye neminye imibimbi)
- Ukwandisa i-waistline ngenxa yokwabiwa kabusha kwamafutha emzimbeni
- I-acne
Izwi elivela
Uhambo lokuya esikhathini lihlukile kulowo wesifazane, futhi kunzima ukubikezela ukuthi yiziphi izimpawu noma yikuphi owesifazane oyedwa oyozizwa futhi lapho ezohlangana nazo. Qiniseka ukuthi izimpawu eziningi ezifana nokushisa okushisayo nezinkinga zemizwelo ziba ngcono.
Noma kunjalo, kunezindlela zokuzilawula endleleni, ngakho uxoxe nabo nodokotela wakho-kufanele uzwe kahle. Lokho kusho, zama ukwamukela lolu shintsho lwemvelo ngokusemandleni akho, ukwazi ukuthi awodwa.
> Imithombo:
> I-Boston Women's Health Book Collective, Amalungu Ethu, Ethu. ENew York, NY: iSon & Schuster Trade; 2011.
> I-North American Menopause Society. (2014). Umkhuba Wokuqeda Isikhathi: Umhlahlandlela Wezitholampilo, 5 Mayfield Heights, OH: I-North American Menopause Society.
> Simon JA et al. I-low-dose paroxetine 7.5mg yezibonakaliso ze-menopausal vasomotor: izilingo ezimbili ezilawulwa ngokungahleliwe. Ukunqamuka kwesikhathi. 2013 Oct; 20 (10): 1027-35.