Ingxenye yemvelo yobomi besifazane obuhle kodwa futhi igcwele ushintsho
Kungenzeka ukuthi uzwile ukuthi "Ngizizwa ngingumama" uma owesifazane ongumngani ebengenawo, ethi, ukukhanya okushisayo. Kodwa isikhathi esiningi, ukuthi izimpawu empeleni ziyingxenye yesikhathi esisodwa, okuyiyona isigaba esiholela ekunqumeni kokuya esikhathini -umzuzu ngesikhathi lapho imijikelezo yakho yokuya esikhathini isimise izinyanga ezingu-12.
Khona-ke, uma owesifazane engakangeni esikhathini (usefinyelele esikhathini sokuqala), kuthiwa yi-postmenopausal.
Ngenkathi ezinye izimpawu zokumiswa kwesikhashana zingase ziqhubekele ekuphumeni kwelanga, ezinye zazo ziba njalo futhi / noma ziphansi kakhulu. Noma kunjalo, kubalulekile ukuqaphela ukuthi abanye besifazane abakaze babone izimpawu ze-perimenopausal-bayeka ukuya esikhathini lapho imizimba yabo inquma ukuthi sekuyisikhathi.
Izimpawu Zokuqeda Isikhathi
Isikhathi lapho izimpawu zokuphela komzimba zihlukahluka, kodwa ngokuvamile, abesifazane abaningi baqala ukuqaphela izimpawu ze-perimenopausal kuma-40s, kanti abaneminyaka yobudala abaneminyaka engu-47 ubudala. Khona-ke, isilinganiso seminyaka lapho owesifazane efinyelela esikhathini sokumisa esikhathini (uma engakaze abe nonyaka owodwa) uneminyaka engu-51 ubudala.
Lolu hlu lwezimpawu ezivamile ze-perimenopausal lude, kodwa, khumbula, owesifazane ngamunye uthola "ukuxuba" okuvamile (futhi ngokubonga) akubandakanyi konke.
Izinguquko zesikhathi
Izinguquko zemijikelezo yokuya esikhathini zivamile ngesikhathi sokuqala. Izikhathi zakho zingase zibe mfushane, noma zingase zibe zide. Ungase uphuze ngokweqile noma uphephe kancane ngesikhathi sakho.
Ungase uphinde ulahle izikhathi ezithile. Noma kunjalo, kubalulekile ukukhuluma nodokotela wakho mayelana nanoma yiziphi izinguquko emjikelezweni wakho wokuya esikhathini, njengoba ukuphuma okungavamile kungabonakalisa enye inkinga yezokwelapha.
Ukushisa okushisayo kanye / noma ama-Sweats ebusuku.
Ukushisa okushisayo kuyisimo sokushisa okuzumayo esifubeni sakho nasobusweni. Ukushisa okushisayo kuvamile kakhulu ngesikhathi sokuma kodwa kuguquke kakhulu ukuthi kwenzeka kaningi kangakanani nokuqina kwawo.
Ngokwesibonelo, abanye besifazane bathola ukushisa okwedlulele lapha futhi lapho abanye besifazane babhekana nezinsuku ezimbalwa ngosuku. Ngokufanayo, kwabanye besifazane, ukushisa okushisayo kungukuphazanyiswa okuncane ngosuku lwabo kanti, kwabanye abesifazane, bangadambisa kakhulu.
Ijubane ebusuku libhekisela eshisayo esishisayo esenzeka ngesikhathi sokulala. Ukujula ebusuku kungaphazamisa umjikelezo wokulala wesifazane ongaholela ekukhathala kwesikhashana.
Izinguquko zemizwelo
Imodi iyashintsha futhi ukuguquka kuvamile esikhathini sokuqala futhi kungafaka izimpawu zokucindezeleka nokukhathazeka.
Futhi, kuyilapho kuvamile ukucasula okungaphezu kokuvamile, qiniseka ukuthi ufuna iseluleko sikadokotela wakho noma uchwepheshe wezempilo yengqondo uma uhlangabezana nezimpawu eziphikisayo, noma uma kuthinta izinga lakho lokuphila.
Ukushisa kwama-vaginal
Ukomiswa kwama-vaginal (okuthiwa i-atrophy yama-vaginal) kuvamile ngesikhathi sokuhamba komzimba futhi ngenxa yokukhiqizwa komzimba wakho kwe-hormone estrogen. Ukomiswa kwamagciwane kuyisifo esisodwa esingase sibe sikhulu njengoba owesifazane ekhula futhi angenza ucansi lungakhululekile.
Kubalulekile ukuthi ukhulume nodokotela wakho uma ukomuka kwamagciwane kuyinkinga kuwe, njengoba kunezinketho eziningi ongayisebenzisa ukuze uzame ukufaka umshini wokugcoba ogciniwe noma umanyolo noma ngisho nemithi yokugqoka igciwane.
Ukukhathazeka Ukulala
Ungase uthole kunzima ukulala (okuthiwa ukuleleka ) noma uhlale ulele, ikakhulukazi uma uhlushwa yi-sweats ebusuku noma ukushintshashintsha kwama-hormone.
Ukwandiswa Kwamafutha Emzimbeni.
Ungase uqaphele i-waistline ekhulayo ekupheleni kwesikhathi. Lokhu kuguquka kungahle kuyingxenye ngenxa yokulahleka kwe-estrogen, okuyinto ochwepheshe bakholelwa ukuthi kubangele ukubuyiswa kwamafutha kwabesifazane.
Yini ongayenza? Zama ukulandela ukudla okunempilo, okuncane kwe-carbohydrate nokuthola ukuzivocavoca njalo (okungenani imizuzu engu-30, kathathu ngesonto, ukuhamba noma ukwenza olunye uhlobo lokuzivocavoca kwe-aerobic).
Inhliziyo Ephazamisayo (I-Palpitations)
I-palpitations yenhliziyo ingenxa yokushintsha kwe-hormone kodwa ingaba nezibonakaliso ze-anemia noma isifo se-thyroid, ngakho-ke qiniseka ukuthi ubona udokotela wakho nganoma yikuphi ukuphazamiseka kwenhliziyo.
I-Dry Skin ne-Hair Loss
Izinguquko zesikhumba nezinwele nazo zivamile, futhi zingase ziqale ngesikhathi sokuqala, njengoba amazinga e-estrogen eqala ukwehla. Ukuze izinguquko zesikhumba, abesifazane bavame ukubona ukuqina okuncane nokukhwabanisa isikhumba, okubangelwa ukunciphisa i-collagen nokunciphisa amandla okubamba amanzi.
Kukholelwa ukuthi ukulahlekelwa izinwele ekunqopheni kokuya esikhathini kubangelwa ukungalingani phakathi kwama-estrogen namazinga we-androgen emzimbeni wesifazane. Lokhu kungabangela izinwele zinciphise, ikakhulukazi phezulu kwesikhumba kanye nangaphambili kwekhanda.
Idrayivu yocansi eyancishisiwe
Ukushintshashintsha kwama-hormone okwenzeka ngesikhathi sokuhamba kwesikhathi kuvame ukulahlekelwa isithakazelo kwezocansi abaningi besifazane ababhekana nakho.
Izinkinga ze-Urinary ezanda
Njengalokhu uhlaka lwebhinqa luba mncane ukusuka ekudoneni emazingeni e-estrogen wesifazane ngesikhathi sokuya esikhathini, ukugqoka kwesisu sowesifazane kanye ne-urethra nakho kuyaphunga. Lokhu kungaholela ekukhuleni kwenani lezifo zokugula kwamagciwane kanye / noma izimo eziphakeme zokungasebenzi komchamo (ukulahlekelwa kwesilawuli sekhanda).
Ukukhohlwa
Izinkinga zezinkumbulo nezokuhlushwa zivame ukuhamba ngesikhathi sokuqala. Ungesabi uma uthola ukukhohlwa izinto noma ungakwazi ukugxila emsebenzini owenzile. Yiqiniso, uma inkinga inzima noma ikhula kakhulu, kufanele uxhumane nodokotela wakho.
Uma nje lolu hlu lukhona, kusekhona ezinye izimpawu ze-perimenopausal ongazizwa. Kumele uqaphele ukuthi izimpawu zezimiso ezahlukene, ezifana nezifo ze-thyroid , zingalingisa lezo zikhathi ezithile. Njengokuqapha, hlola nodokotela wakho noma nini lapho uthola izimpawu ezingavamile.
Ukuqonda Izimpawu Ze-Postmenopausal
Ucwaningo lubonisa ukuthi ezinye izimpawu ze-perimenopausal cishe ziyakwazi ukuthuthukisa uma u-postmenopousal, kuhlanganise nokucindezeleka, ukucasula, nobunzima bokulala.
Ngakolunye uhlangothi, izimpawu ezihlobene namazinga aphansi e-estrogen emzimbeni wakho, njengomile owomile kanye nokungahlambuluki, kuvame ukuhlala isikhathi eside futhi kungase kube yinkinga enkulu yobudala.
Ukwelashwa Phakathi Nesikhathi Sokuqala
Uma izimpawu zakho zicasula kepha zingakuvimbeli ukuba ungene emisebenzini yakho yansuku zonke, ungase ungadingi ukwelashwa. Ngakolunye uhlangothi, uma izimpawu zakho ze-perimenopausal zikwenza ungakhululeki, udokotela wakho anganikeza ukwelashwa okungakusiza uzizwe ungcono. Noma, angase asikise ukwelashwa kokubili imithi kanye nezinguquko zokuphila.
Imithi Yezimpawu ZePimenopause
Uma udokotela wakho uncoma imithi yokukhulula izimpawu zakho ze-perimenopausal, angase abonise ukuthi i- hormone substitution therapy (i-estrogen noma inhlanganisela ye-estrogen ne-progestin, ifomu yokwenziwa komshini we-hormone progesterone). I-hormone-substitution therapy ingathathwa ngendlela ehlelekile (isibonelo, isikhumba sesikhumba) noma endaweni yangakini (isibonelo, isrogen yesiswini ukuphatha owomile).
I-hormone-substitution therapy ayikwazi ukuthathwa yibo bonke abesifazane, futhi ithwala izingozi zempilo, ngisho nabesifazane abaphilile. Yingakho uma ukwelashwa kwe-hormone kushintshiwe, kuthathwa isikhathi esifushane esidingekayo (ngokuvamile angaphezu kweminyaka emihlanu).
Ngokuya ngezibonakaliso zakho eziyingqayizivele, udokotela wakho angase abheke enye imithi yokwelapha njengesixazululi sokucindezeleka ukuze usize ukuzinzisa isimo sakho noma ngisho nokuphatha ukukhanya kwakho okushisayo.
Indlela Yokuphila Yokushintsha
Abesifazane abaningi bakhetha umzila "wemvelo" we-perimenopausal symptom relief noma bamane banquma ukuzama kuqala ukuze babone ukuthi bangathola yini usizo ngaphandle kwemithi. Kodwa ngabe usebenzisa imithi noma cha, ungasenzuzo ngokwenza izinguquko zokuphila ezilandelayo:
- Yidla ukudla okunempilo nokulinganisela okuhle okuhlanganisa izithelo, imifino kanye nezinhlamvu ezihlukahlukene.
- Thola okungenani u-1000 kuya ku-1,200 mg we-calcium ngosuku, futhi uma ungatholi i-calcium eyanele ekudleni kwakho (okuyindlela engcono kakhulu) cabanga nge-supplement calcium ngaphansi kokuqondiswa nodokotela wakho.
- Ukuzivocavoca njalo
- Gcina idayari yokudla ukuze uthole ukuthi yini oyidlayo eyenza izimpawu zakho zibi nakakhulu (noma, ngethemba, kungcono!).
Izwi elivela
Kubalulekile ukuphawula ukuthi abanye besifazane abakwazi ukubhekana nemvelo. Isibonelo, abesifazane abanesisindo somzimba esiphelele ngamabili kanye nama-ovari abo asuswe bavame ukuzwa ukuphumula komzimba ngokushesha (okubizwa nangokuthi i-menopause).
Izimpawu ze-menopausal, ikakhulukazi ukushisa okushisa, kungaba nzima kakhulu kwabesifazane abaye baholela ekunqumeni kwesikhashana, yingakho abesifazane abaningi behamba nge-hormone substitution therapy (uma bekwazi) ngaphansi kokuqondiswa kwengqondo yabo.
Okokugcina, ngaphandle kokuhlinzwa, kunezinye izimbangela zokunqamuka kwesikhashana okubangelwa ukwelashwa njengokungathi owesifazane unemisebe ye-pelvic noma uthatha uhlobo oluthile lwe-chemotherapy.
> Imithombo:
> Ahsan M, Mallick AK, Singh R, ePrasad RR. Ukuhlolwa kwezimpawu ze-menopausal ngesikhathi sokumiswa kwesimo kanye nokuma ngemva kokuhamba kwamaphesenti esibhedlela esibhedlela. UJ Basic Clin Reprod Sci 2015; 4: 14-9.
> I-American College ye-Obstetrics ne-Gynecologists. (2015). Imibuzo evame ukubuzwa: Iminyaka Yokunqamuka Kweminyaka.
> I-American Congress of Obstetricians kanye neGynecologists Education Booklet. (2010). Ukuguqulwa kweMidlife: Isikhathi sokuphela kokuya esikhathini sokuya esikhathini.
> Brubaker M. University of California, eSan Diego (2016). Uhlelo Lwezempilo Lwemenyu Yokumisa Isikhathi Okokuqala Ngomusa Walo eSan Diego.
> I-North American Menopause Society. (2014). Umkhuba Wokumisa Isikhathi: Umhlahlandlela Wabahlengikazi, 5th ed. Mayfield Heights, OH: I-North American Menopause Society.