Ukushisa Okushisayo Namahlaya Ebusuku Kuvamile
Abaningi besifazane abanomthelela wokuya esikhathini basuke bejwayele ukukhanya okushisayo nokujula ebusuku okuphawula lolu shintsho. Igama lezokwelapha lokushisa okushisayo yizimpawu ze-vasomotor.
Ukushisa okuvuthayo kuvame ukuqala ngokuzumayo, ngomzwelo wokushisa oqala eduze kwesifuba nesobuso phezulu, bese usakazeka. Umzwelo wokushisa, ohambisana nokujuluka okunzima futhi ngezinye izikhathi uphuzo , uhlala cishe imizuzu emibili kuya kwemibili.
Ngemva kwalokho, abanye besifazane bazizwa behlaselwa, beqhaqhazela futhi bezwa ukukhathazeka.
Nakuba kujwayelekile, ukukhanya okushisayo kungaphazamisa abesifazane ababazwayo. Ngenkathi abanye besifazane besilinganiso segesi elilodwa elishisayo ngosuku, abanye banalo lonke ihora lonke imini nobusuku. Ngaphandle kokuphazamiseka nokungakhululeki, ukukhanya okushisayo kungaphazamisa ubuthongo lapho kwenzeka ebusuku.
Ukushisa Okushisayo Ekupheleni Kwesikhathi
Kuze kube ngamaphesenti angu-80 abesifazane besipiliyoni sokushisa eshisayo. Zivamile kakhulu ekupheleni kokuguquka kokuya esikhathini, ngaphambi nje kokuba owesifazane angena esikhathini sokuqala kokuya esikhathini.
Nakuba kwakucatshangwa ukuthi ukukhanya okushisayo kwamiswa phakathi neminyaka embalwa, kukhula okucwaninga ukuthi bangakwazi ukuhlala isikhathi eside kunokuba bakholwa ngaphambilini. Ngokusho kweNorth American Menopause Society, kwabesifazane abaningi, ukukhanya okushisayo kuphele iminyaka emihlanu kuya kwesikhombisa, kodwa kwabanye, bangakwazi ukuhlala iminyaka engu-10 kuya kwengu-15. Abanye besifazane bangase babe nokushisa okushisayo iminyaka engaphezu kwengu-20.
Izimbangela Zama-Vasomotor Symptoms
Ngesikhathi sokushintsha kokuya esikhathini , amazinga e-hormone estrogen aqala ukuwa phansi. Ukulahlekelwa kwe-estrogen kuyaphazamisa ikhono lomzimba lokulawula ukushisa ngokufanele, okwenza impendulo yokujuluka ezingeni eliphansi kunamalungu okushisa omzimba.
Umzwelo wokushisa ngesikhathi sokushisa okushisayo kubangelwa ukuvula ngokungazelelwe kwemithwalo yegazi eduze kwesikhumba, kulandelwa ukwanda kwegazi.
Ukushaywa phansi kunciphisa izinga lokushisa lomzimba futhi kungase kuholele ekuthukeleni ukwandisa izinga lokushisa libuyele evamile.
Ukwelashwa kwamaHormonal for Symptoms of Vasomotor
Ukwelashwa kwe-hormone ye- menopausal (MHT) iyasebenza kakhulu ekuphatheni izimpawu ze-vasomotor ezilinganiselayo kakhulu. Abesifazane abanesifo se-hysterectomy (ukususwa kwesibeletho) bangathatha i-estrogen yedwa. Owesifazane osenayo isisu sakhe uyobe enqunywe inhlanganisela ye-estrogen ne-progestin. I-progestin iyadingeka ukunciphisa ingozi yomdlavuza wesibeletho.
Kodwa-ke, ngenxa yokuthi i-MHT ihlotshaniswa nokuhlaselwa kwenhliziyo , umdlavuza webele , ama- blood clots , kanye nemivimbo emikhakha yabesifazane besifazane abakwa-postmenopausal, abesifazane bayelulekwa ukuba basebenzise umthamo omncane kakhulu isikhathi esincane kakhulu (esingaphezu kweminyaka emihlanu).
Abesifazane abanomlando wezimo ezithile, kuhlanganise nomdlavuza webele, isifo senhliziyo, ama-clots egazi, ukuhlasela kwenhliziyo, kanye nokushaya isifo kufanele babheke ezinye izindlela zokwelashwa kwe-hormone. Abesifazane abasengozini enkulu yalezi zinkinga kufanele bacabangele nezinye izindlela.
Ukwelashwa Okungekho-Hormonal for Flashes Hot
Abesifazane abangakwazi ukusebenzisa ama-hormone, noma abangakhetha ukungena, baneminye indlela eminingi. I-North American Menopause Society ikhuthaza izinhlobonhlobo ezahlukene zokwelashwa okungezona ama-hormonal:
- Ukwelashwa kwengqondo-yokuziphatha
- I-hypnosis yezokwelapha
- I-Paroxetine usawoti
- I-serotonin ye-reuptake / i-norepinephrine reuptake inhibitors, eyaziwa nangokuthi i-SSRI
- I-Clonidine
Yiqiniso, ukwelashwa okungcono kunakho okukusebenzelayo. Abesifazane abaningi abanokushisa okushisayo bathi basithola impumuzo emaqhinga njengokunciphisa izinga lokushisa kwamakamelo, besebenzisa abalandeli, begqoke ezingxenyeni ezingasetshenziswa kalula, futhi bagweme izimbangela ezinjengokudla okubabayo.
> Imithombo:
Ukuphathwa kwe-Nonhormonal Yezinkomba ZamaVasomotor Ahlanganisiwe Nokunqamuka Kwesimo Sokuqala: I-Journal ye-North American Menopause Society Nov. 2015 Vol. 22, No. 11, 1155-77.
> Thurston RC, Joffe H. Vasomotor Izimpawu Nokunqamuka Kwesimiso: Ukuthola okuvela eSifundweni Sempilo Yabesifazane Kuzo Zonke Isizwe. Imitholampilo ye-Obstetrics and Gynecology eNyakatho Melika . 2011; 38 (3): 489-501. i-doi: 10.1016 / j.ogc.2011.05.006.