Uma ungowesifazane onenkinga yegciwane ephathwa ngudokotela wakho, kungenzeka usaqhubeka ulwa nezimo ezihlukahlukene .
Omunye wemibandela yokuqala okudingeka uyicabangele ukuthi ngabe izimpawu ozizwayo-futhi ngokufakazela i-thyroid yakho-ingase ihlotshaniswe nesimiso sokuqala noma ukuyeka esikhathini.
Ukunqamuka kwesikhashana kungaba yimiyalo elayishiwe kwabanye besifazane, futhi ungase uthande ukucabanga ukuthi "ayikho indlela, ngoba ngisenesikhathi sokuya esikhathini," noma "Ngineminyaka engamashumi amane kuphela." Kodwa kubalulekile ukuqonda ukuthi ukukhipha esikhathini sokumisa kuchazwa njengephuzu lapho ungazange ube khona esikhathini sokuya esikhathini .
Isilinganiso seminyaka yokumisa esikhathini samadoda aseMelika sineminyaka engu-51 ubudala.
Ukumiswa kwesikhashana , noma kunjalo, kuchazwa njengenkathi eholele ekunqumeni kokuya esikhathini. Ukushintshwa kwamahomoni akho kungenzeka uma nje iminyaka eyishumi ngaphambi kokuthi usebenze ngokusemthethweni "i-menopausal." Lokhu kusho ukuthi uma ungowesifazane osekupheleni kweminyaka engamashumi amathathu kuya kwamashumi amathathu, ungase ube ekuqaleni kokuqala; nakuba, iningi labesifazane liqala ukufika esikhathini sokuqala.
I-Biology ye-Perimenopause
Okubangela ukuphela kwesikhashana ukuthi uma ukhula, amazinga akho okuqala ase-estrogen ne-progesterone aqala ukwehla. Ngesikhathi esifanayo, ukunikezwa kwakho kwamaconsile we-follicles, kanti izintambo eziseleyo azizweli kakhulu ekukhuthazeni. Ngaphezu kwalokho, amaqanda asele asekhulile.
Ukuwa kwezemvelo e-estrogen eyenzeka ngesikhathi sokuqala kudala kubangela izimpawu, njengokukhanya okushisayo nokuthumba ebusuku. Njengoba amazinga e-hormone akho eqhubeka nokuyeka izindlela zokumisa esikhathini , amazinga akho okusakaza i-follicle evuselela i-hormone (i-FSH) ikhuphuka ngokumangalisayo, ngomzamo wokugqugquzela i-follicles esele ukuba ivule.
Ngesikhathi esifanayo, ama-ovari akho abuyele ekukhiqizeni i-estrogen.
Ekugcineni, isamba sakho samaqanda asebenzayo siphelile, futhi amazinga akho e-hormone awakwazi ukususa i-ovulation, ukuyeka kokuya esikhathini nokuya esikhathini.
Izimpawu Nezibonakaliso ZePimenopause
Izimpawu zezimpawu zokuzimela zihlanganisa:
Ukungalaleli kokuya esikhathini
Izinguquko zesisu ezingase zenzeke ngesikhathi sokuhamba kwesikhathi zihlanganisa ukugeleza kokuya esikhathini esibi kakhulu, ukugeleza ngezikhathi ezincane kunamaviki amathathu, ukuphawula okuqhubekayo noma ukugeleza njalo ngemva kwamasonto amabili, ukugubungula nokuchoboza, ukuqhekeka okulula emva kocansi, kanye nezikhathi ezinzima (unayo yonke izimpawu nezimpawu isikhathi sokuya esikhathini, ngaphandle kokuphuma).
Kubalulekile ukuthi uqaphele ukuthi ngenkathi ezinye izimo ezingenakulinganiswa zingalindelwa ngesikhathi sokuphela komzimba, noma yikuphi ukuphaphazeka okungavamile okungavamile kufanele kuhlolwe ukulawula ukukhulelwa, i-fibroids, noma umdlavuza, futhi konke ukuphuma kwe-postmenopausal kufanele kuhlolwe ngokushesha udokotela.
Izinguquko zesisu
Ukwephuka kanye nesineke (ngezinye izikhathi i-lumpy) kungase kwenzeke ngesikhathi sokuhamba kwesikhathi, kanye nokwehla, ukugoqa, nokwehlisa ukuqina emabele.
Lokho kusho, uma ubona noma yikuphi ukuguqulwa kwezicubu zakho zesifuba, qiniseka ukuthi uthola ukuthi uhlolwe udokotela wakho, noma ngabe usanda kuba nesimiso sokuhlola esijwayelekile.
Izinkinga Zomvini
Ngenxa yokunciphisa amazinga e-estrogen emzimbeni wakho, ungabona ukuma nomzwelo othukuthele ngaphakathi kwesifazane. Lokhu kungenza ubulili bungakhululekile.
Izinkinga zase-Urinary
Ukuqala ngesikhathi sokuhamba kwesikhathi, ungase ubone ukuvuthwa okuvame ukwanda, ukuthambekela kokutheleleka kwamagciwane , nokucindezeleka kokungahambisani nokucindezeleka.
Izinkinga Zokulala
Izinkinga zokulala ezingase ziphakame ngesikhathi sokuqala zifaka ubunzima bokulala, ukuvuka njalo, ukuvuka njalo ukuvuthwa, ukungakwazi ukubuyela emuva ukulala emva kokuvusa, ukuvuka ekuseni
Ukutholakala kwesisindo
Ukuzuza kwesisindo kuvamile ekupheleni kwesikhathi. Abesifazane abaningi bayaqaphela ukubuyiswa kwesisindo kusuka emzimbeni ophansi kuya esiswini, okhalweni, izintambo, namathanga, kanye nokwehla kwesisindo somzimba.
Izinguquko zemizwelo
Abesifazane babika izinkinga eziningana zemizwelo ngesikhathi sokuphela kwesimo njengokucasula, ukuguquguquka kwemizwelo ngokushesha, ukungakwazi ukubhekana nokucindezeleka, ukukhathazeka ngokweqile, ukukhathazeka nokucindezeleka.
Ukulahlekelwa Izinwele kanye / noma Ukukhula
Ukwehliswa noma ukulahlekelwa izinwele okuvela ekhanda noma emzimbeni kungenzeka, kanye nokulahleka kwezinwele zezintambo zesilisa ezithandwayo emathempelini. Abanye besifazane bahlakulela izinwele ezingafuneki kulesi sikhukhunya, i-lip phezulu, nesisu.
Izinguquko Zesikhumba
Isikhumba esinomzimba, isikhumba esibi, imibimbi evelele kakhulu, ngisho nokuqala komuntu omdala noma isimo esibizwa ngokuthi i-formication (i-sensicy, sensation under the skin) ibonakala ngesikhathi sokuqala.
Ezinye izimpawu ezivamile ze-perimenopausal zifaka:
- Ukushisa okushisayo
- Izithukuthuku ebusuku
- Isisindo samathambo esiphansi
- Amazinga we-cholesterol ephakeme
- Ukukhathala noma ukungabi namandla
- Izinkinga ezihlobene nenhliziyo : kubandakanya ukushaya kwenhliziyo okusheshayo, ukushaya inhliziyo kwenhliziyo, nokushaya kwenhliziyo okungavamile
- Izinkinga zokucindezeleka nezinkumbulo
- Ama-muscle nama-joint joint kanye nobuhlungu
- I-low sex drive
Ingabe Yakho I-Thyroid noma i-Perimenopause?
Njengoba ubona, kunezibonakaliso eziningi-ukukhathala, izinguquko zesisindo, nokulahleka kwezinwele , isibonelo, -ukuvamile kokubili ukungalahleki kwegciwane kanye nokuphela kwesimo.
Ungatshela kanjani ukuthi yini edala izimpawu zakho?
Okokuqala, kudingeka uqiniseke ukuthi ukwelashwa kwakho kwe-thyroid kulungiselelwe . Lokhu kusho ukuthi i-TSH yakho ne-T4 yakho mahhala emazingeni afanelekayo anikeza ngokukhululekile ukukhululeka okuvela kumpawu.
Okwesibili, kuyasiza ukulandelela umjikelezo wakho wokuya esikhathini , izici, nezimpawu zezinyanga ezimbalwa, ukukhombisa udokotela wakho. Gcina ikhalenda noma ishadi elilandelela izikhathi zakho zokuya esikhathini, kufaka phakathi izimpawu ze-PMS, ubukhulu bokugeleza kokuya esikhathini, nezinye izici (njengezingcezu nombala.)
Uma unezibonakaliso eziphawulekayo zokumiswa kwesikhashana, noma izimpawu ezingenakhululwa ukwelashwa kahle kwe-thyroid, futhi ungaphezu kuka-40, sekuyisikhathi sokufuna ukusebenza nodokotela wakho ukuhlola isimo sakho se-hormonal.
Ukubuyekezwa kwesimiso sakho, izimpawu, ukuhlolwa kwe-FSH, ukuhlolwa kwamahomoni ocansi (isibonelo, estrogen kanye ne-progesterone), ukuhlolwa kwe-pelvic, nomlando ophelele womndeni kanye nomlando wezokwelapha, kungasiza udokotela wakho ukuba anqume ukuthi ubhekene nesimo sokuqala.
Okokugcina, uma kunokungalingani okuphawulekayo kuma-hormone akho ocansi abangela izimpawu, udokotela wakho angase anikeze imithi (isibonelo, i-hormone substitution therapy) noma izinguquko zendlela yokuphila ukusiza ukubuyisela ukulinganisela nokunciphisa izimpawu.
Izwi kusuka
Isilinganiso se-hypothyroidism sikhuphuka kakhulu ngesikhathi sokuhamba komzimba nangemva kokumisa esikhathini; Kodwa-ke kubalulekile ukuqonda ukuthi i-thyroid yakho ayihlobene ngokuqondile nezimpawu zokuya esikhathini sokuya esikhathini (eziningi zazo zibangelwa ukuhlanganiswa okuyinkimbinkimbi kokubili ukulahleka kwe-estrogen nokukhula kwesikhathi).
Ngokuvamile, umlayezo wokuthatha ekhaya uwukuthi uma unenkinga yokukhathala, ukuzuza isisindo, ukucindezeleka, noma ezinye izimpawu zokulinganisela kwe-hormonal, qiniseka ukuthi ucela ukuhlolwa kwe-thyroid ngokugcwele kumhlinzeki wakho wezempilo.
> Imithombo:
> del Ghianda S, Tonacchera M, Vitti P. I-Thyroid nokuya esikhathini. I-Climacteric . 2014 Jun; 17 (3): 225-34.
> I-North American Menopause Society. (2014). Umkhuba Wokumisa Isikhathi: Umhlahlandlela Wabahlengikazi, 5th ed. Mayfield Heights, OH: I-North American Menopause Society.