Umphumela we-Perimenopause Ngengozini Yakho Yokuhlasela Kwekhanda
Kwabaningi besifazane, ukuphela kwesinye isikhathi kungase kube yisikhathi esibucayi esigcwele imijikelezo engavamile yokuya esikhathini, ukukhanya okushisayo, ukoma komzimba wesifazane, ukuphazamiseka kwemizwelo, nobunzima bokulala.
Ngaphezu kwalokho, lesi sikhathi esicabangela ukukhathazeka singase sibi nakakhulu kubafudula kanye nokuhlaselwa ikhanda. Ngokwe-2016 isifundo se- Headache, ingozi ye-migraineurs yokuthuthukisa ikhanda eliphakeme lekhanda eliphakathi kwesikhashana ngesikhathi esisodwa - esichazwa ngokuthi linamahloni angu-10 noma ngaphezulu ngenyanga - yayinkulu, uma kuqhathaniswa nabesifazane be-premenopausal abane-migraines.
Kuyini Ukuphela Kwemvelo?
Ukumiswa kwesikhashana yisikhathi sesikhathi nje ngaphambi kokuya esikhathini. Kulaba besifazane abaningi, bangena phakathi kwengu-40s - iminyaka yobudala ibe ngu-47 - futhi bafinyelele esikhathini sokumisa cishe eminyakeni emine. Ukuhamba kwesikhathi sokuqala kubonakala ngokushintsha kwamazinga e-estrogen kanye nemijikelezo emifushane yokuya esikhathini. Njengoba abesifazane beqhubekela phambili ekupheleni kwesikhashana, amazinga e-estrogen aqala ukwehla, futhi ahlakulela ukungahleleki kokuya esikhathini, ngaphezu kwezimpawu ezifana nokushisa okushisayo nokumelela kwesisu . Uma owesifazane eyeka ukuya esikhathini ukuya emnyakeni owodwa ( ukuyeka ukuya esikhathini ), lokhu kuyisignali ukuthi ama-ovarie akhe ayeke ukukhiqiza i-estrogen.
Kungani Ingozi Ekhulayo Yezinhlayiya Zekhanda Eliphezulu-I-Frequency During the Pause?
Incazelo ecacile yokuthi kungani ama-migraineurs angase abe namahloni ekhanda eliphakeme ngesikhathi sokuhamba kwesikhathi akucacile. Ochwepheshe bacabanga ukuthi izinguquko ze-hormone ezenzeka ngesikhathi sokuqala - ikakhulukazi ukwehla kwe-estrogen - kungaba incazelo.
Lokhu kwehla kwe-estrogen kuhlotshaniswa nokwehla kwe-serotonin ebuchosheni, okwenza kusebenze uhlelo lwezinhlungu ezintathu, okubangela i-migraine.
Ukwengeza, abesifazane besesimweni sokuhamba kwesikhathi bavame ukugeleza kokuya esikhathini esiningi (ukuphuma kwegazi ngaphezulu) ngesikhathi sokuya esikhathini, okungabangela ukungabi nensimbi . Lokhu nakho kungabangela ukuhamba kwemigudu.
Futhi, ukugeleza kokunyuka okunzima kuhlobene nokukhululwa kwe-prostaglandin emzimbeni. I-Prostaglandin ihileleke ezinkambisweni eziningana, kuhlanganise nokuvumela uketshezi lwe-uterine ukuba luchithe, kanye nokuthi kungabangela ukuguqulwa kwamagraines.
Ingabe Izinwele Zenhloko Ziyathuthukisa Ngemva Kokuya Kwesimiso?
Ucwaningo lwezesayensi luphikisana ngokuthi ngabe ikhanda, ikakhulukazi i-migraines, liyathuthuka uma owesifazane e-postmenopousal, okusho lapho engakaze abe nokuya esikhathini ukuya kwezinyanga ezingu-12.
Ochwepheshe basikisela ukuthi izifundo eziphikisanayo (okusho ukuthi abanye babonisa ukuthi imishanguzo iphuthumayo ngemuva kokumisa isikhashana futhi abanye ibonisa ukuthi bayakhubazeka) kusho ukuthi ezinye izici zithinta amathuba okuba nemigraini ngemuva kokumisa esikhathini. Isibonelo, ukucindezeleka kungandisa ingozi yowesifazane yokuba nemigraines eminingi. Futhi, ukusebenzisa imithi yokunciphisa ubuhlungu ekunciphiseni izimpawu ezihlobene nokuya esikhathini, njengemisipha noma ubuhlungu obuhlangene kungabangela uhlobo lwekhanda esikhathini sokumisa esikhathini esibizwa ngokuthi i -headache-overuse headache .
Ukwelapha Amathumba Ekhanda
Izindaba ezinhle ukuthi kunezindlela zokwelapha ukukusiza uma uqaphela ukuhlaselwa kwekhanda ngaphezulu njengoba usondela ekumeni. Ngokwesibonelo, ukuguqula imikhuba yokulala enempilo, ukudla kahle, ukuvivinya umzimba nsuku zonke nokuphathwa kokucindezeleka kungasiza ezinhlokweni zakho futhi kuzokwenza ngcono impilo yakho yonke.
Ngaphezu kwalokho, udokotela wakho angabheka imithi yokuvimbela ikhanda .
Futhi, ukwelashwa kwe-hormone ye-menopausal kungasetshenziswa ngesikhathi sokumisa noma ukuphuma esikhathini sokuqala ukuze kunciphise ukushisa okushisayo kanye ne-vagin atrophy, futhi bangase babe nebhonasi eyengeziwe yokunciphisa imishanguzo. Nakuba ukwelashwa kwe-hormone kungenza izimangaliso kwabanye besifazane, kuthatha izinkinga zempilo, futhi kungenzeka ukuthi akufanelekile ngokusekelwe emlandweni wakho wezokwelapha. Ingxoxo ecabangelayo iyadingeka nodokotela wakho siqu ngaphambi kwalokhu kungabekwa.
Ngaphansi
Ukumiswa kwesikhashana yisikhathi sesikhathi esibonisa ukuthi ukwehla kwe- estrogen emzimbeni wesifazane.
Nakuba izinguquko ezingokwenyama nezingokwenyama ezenzeka ngabesifazane zingase zibe nokukhathazeka, sicela wazi ukuthi awodwa. Izinkulungwane zabanye besifazane bahlangabezana nesimiso sokuqala ngesikhathi esifanayo nawe. Khumbula futhi, isikhathi sokuphela kanye nokuyeka esikhathini sokuqala akuzona izimo zezempilo, kodwa kunezigaba zokuguga kokuzala - noma kunalokho izingxenye zohambo lokuba ngowesifazane.
Uma ukholwa ukuthi usondela esikhathini sokuya esikhathini, sicela uvakashele udokotela wakho ukuze uthole ukubonisana nokuthi ungaphatha kanjani izimpawu zakho (kubandakanya izinwele kanye nezinye izimpawu ezihlobene nomama ezifana nokukhanya okushisayo ). Udokotela wakho angaphinde ahlinzeke ngolwazi lokuthi ungayinakekela kangcono umzimba wakho, ikakhulukazi inhliziyo yakho namathambo, okungathintwa nezinguquko ze-hormonal nezindala eziphathelene nokuya esikhathini.
Imithombo:
UMartin, VT, Pavlovic, J., Fanning, KM, Buse, DC, Reed, ML, & Lipton, RB (2016). Ukumiswa kwesikhashana kanye nokunqamuka kwesikhashana kuhlangene neHigh Frequency Headache ku-Women With Migraine: Imiphumela ye-American Migraine Prevalence and Prevention Study. Inhloko, Feb; 56 (2): 292-305.
I-North American Menopause Society. (2014). Umkhuba Wokumisa Isikhathi: Umhlahlandlela Wabahlengikazi, 5th ed. Mayfield Heights, OH: I-North American Menopause Society.
QAPHELA: Ulwazi olukulesi sayithi lunguzinhloso zemfundo kuphela. Akufanele isetshenziswe njengengxenye yokunakekelwa ngumuntu udokotela olayisenisi. Sicela ubheke udokotela wakho ukuze ahlolwe futhi aphathwe noma yiziphi izimpawu noma isimo sezokwelapha .