Ukunqamuka kwesikhashana, noma i-perimenopause ngephutha kakhulu, yisikhathi lapho umzimba wakho uqala ukusabela lapho uhlaselwa amazinga e-estrogen namanye ama-hormone. Wonke owesifazane uzothola lokhu ngokuhlukile, ngakho-ke ukuyeka kwakho esikhathini sokuphumula kungase kungalingani nomngane wakho. Kodwa izimpawu ezithile zokuvimbela ukuphuma esikhathini zivame kakhulu, ezinye azivamile, kanti ezinye ziyingozi futhi akufanele zikhishwe.
Nasi uhlu lwezinto ongayibona uma ufaka ukufika esikhathini.
Izimpawu Ezivamile
- Ukungahleleki kokuya esikhathini: Ngokuvamile isibonakaliso sokuqala sokuya esikhathini esizayo sishintsha ubude bomjikelezo wakho. Kungenzeka kube isikhathi eside phakathi kwezikhathi, kufushane phakathi kwezikhathi, noma inhlanganisela yale mibini.
- Ukushisa okushisayo nokujula ebusuku: Ukushisa okushisayo kuyisimo sokuthi "ukuqhuma," noma umuzwa wokushisa okungazelelwe, ngokuvamile uhambisane nokujuluka. Uma lokhu kwenzeka ngesikhathi sokulala, kubizwa ngokuthi ama-sweats ebusuku. Ukukhanya okushisayo yilophawu lokuya esikhathini sokuvame ukukhulunywa ngabesifazane-cishe amaphesenti angu-75 abesifazane azobahlangabeza njengoba bephuma esikhathini sokuya esikhathini.
- I-mood ishintshela : Njengoba i-estrogen ne-progesterone yehla, abanye besifazane bazichaza ngokuthi "bangokomzwelo." Bika ukuthi kulula ukubhekana nezimpendulo ezingokomzwelo ezinjengokudabuka, intukuthelo, ukucasula noma injabulo. Ngenxa yokuthi bazibona ngokungazelelwe, abafazi bakuthola lokhu kuphazamiseka futhi kungenzeka bafune usizo ngaloluphawu.
- Izikhwehlela: Zombili imithi ye-migraines kanye nekhanda lokukhwabanisa ingakhuphuka ngesikhathi sokuya esikhathini. Njengoba ikhanda le-migraine liyizinsiza, futhi njengoba isimiso semisipha singenakwenzeka nakakhulu ngesikhathi sokuya esikhathini, i-migraines ingaba njalo futhi kunzima ukuyilawula.
- Ukuqwashisa: Abesifazane abaningi babika umkhuba omkhulu wokuvuka. Ngezinye izikhathi lokhu kubangelwa ukujula ebusuku futhi ngezinye izikhathi ngenxa yokuzikhukhumeza kwegazi, kokubili okuvame kakhulu ngesikhathi sokuya esikhathini. Uma sebevukile, bakuthola kunzima ukubuyela emuva ukulala futhi bangabhekana nokulahlwa ubuthongo ngenxa yalokho.
- Ukomile kwama-vaginal kanye nezinkinga zomchamo: Lesi sibonakaliso sinye futhi abesifazane abafuna usizo. Njengoba i-estrogen ingatholakali kancane, izindonga zesibindi, i-urethra, ne-vagin ziba zimanzi futhi ziguquguquke. Lokhu kwenza izicubu zilimale kalula futhi zithandeke kakhulu ekutheleleni.
- Inzuzo yesisindo : Umzimba wakho uzokuphuza ngokweminyaka yobudala, ngakho ukuzuza kwesisindo kuvamile ekunqumeni kokuya esikhathini. Inhlanganisela yokushintsha amaphethini we-fat deposit, isisindo esingaphansi kwesisindo, kanye nokuhamba kancane kwe-metabolism kungakunika isisu esikhulu nangesandla "somlilo" kanye nemilenze ekuthumelela ekuzivocavoca ukuze uthole usizo.
- Imemori kanye nezinguquko zengqondo: Lesi sibonakaliso, futhi, siyabangela abesifazane. Nakuba ukulahlekelwa kwememori ethile kuvamile ngokuguga-ikakhulukazi ukubuyiswa kwezwi kanye nenkumbulo yesikhathi esifushane-uma izinguquko zengqondo ziphazamisa ikhono lakho lokwenza izinto zansuku zonke, kuwumqondo omuhle ukubenza bahlolwe ngumhlinzeki wakho wokunakekelwa kwezempilo.
- Ukukhathala: Abanye besifazane bazwa ukukhathala okukhulu ngesikhathi sokuya esikhathini, nakuba ngenhlanhla ngokuvamile kuvamile, futhi ukulungiswa komzimba wakho ku-estrogen ephansi. Uma ukukhathala kukuvimbela ekwenzeni imisebenzi yakho yansuku zonke, noma kunjalo-noma uma ihlala izinyanga ezingaphezu kwezinyanga ezimbili-bheka umhlinzeki wezempilo ukulawula ezinye izimbangela.
- Ukunciphisa i-libido: Abesifazane abaningi bayaqaphela ukuthi isifiso sabo sobulili sinciphisa lapho beba yisifo sengculaza. Ngezinye izikhathi lokhu kuyindlela yokuphendula okwesikhashana kuma-hormone shifts, kanti ngezinye izikhathi kuyasabela kwezinye izinto ezinjengokucindezeleka noma izimo zokuphila ezinzima. Uma uqaphela ukuthi unesifiso socansi kaningi noma ungabonakali ukuwujabulela, futhi lokhu kubangela izinkinga empilweni yakho noma ebuhlotsheni bakho, khuluma nodokotela wakho noma umhlinzeki mayelana nokwelashwa okungenzeka.
Izibonakaliso Ezengeziwe
Bheka udokotela wakho noma umhlinzeki wezokwelapha uma ubona noma yiziphi izimpawu ezilandelayo:
- Ukuphuma kwegazi elikhulu: Uma uthola ukuthi izikhathi zakho ziba nzima futhi kufanele ushintshe i-tampon yakho noma i-maxi pad ngaphezu kweyodwa ihora amahora ayisishiyagalombili, ukuphuma kwakho kungalimaza impilo yakho. Ukusuka ngokweqile kungaba isibonakaliso sezicubu ze-fibroid, ama-polyps we-uterine noma umdlavuza we-uterine. Kungenza futhi ube nesifo esingelapheki futhi kufanele uhlolwe ngudokotela wezokwelapha.
- Umfutho wegazi ophezulu: Hlola ingcindezi yakho yegazi njalo ezinyangeni ezimbalwa, futhi uma eba ngaphezu kuka 140/80, yenza i-aphoyintimenti ukuba uyihlole. Umfutho wegazi ophezulu ungakubeka engozini yesifo senhliziyo noma isifo sohlangothi futhi kungase kube isibonakaliso sezinkinga zempilo ezingathí sina.
- Izinhliziyo zomzimba: Ezinye izintambo zenhliziyo noma izibambo ezingavamile zingavamile phakathi nesikhathi esiseduze nokuya esikhathini. Kodwa uma kwenzeka njalo, noma ehambisana nokuphefumula okukhathazayo, ukuphelelwa amandla, ukuhlunguzeka kwesifuba, ukukhathazeka, noma ukucabangela, kungaba izibonakaliso zesifo senhliziyo noma isifo senhliziyo.
- Ukucindezeleka: Ukunqamuka kwesikhashana yisikhathi sokushintsha kwemizwa nokudabuka ngokulahlekelwa kokuphila. Uma uzizwa udabukile isikhathi esiningi, noma uma uzizwa ungenathemba, ucasulwa, ulahlekelwa injabulo ezintweni owazijwayele ukuzijabulela noma ucabange ngokufa noma ukuzilimaza, yenza i-aphoyintimenti ukuze ubone ukuthi ucindezelekile yini emtholampilo. Ezinye zokwelashwa zokucindezeleka nazo ziyasebenza nakweminye impawu ze-menopausal.
Ezinye Izimpawu
Njengoba ukuphuma esikhathini kuyomphumela wayo emzimbeni nasesimweni sakho, kunezibonakaliso eziningi ongazibona ngalesi sikhathi. Abesifazane baye babika izindlela eziningi ezingavamile ukuthi umzimba wabo uphendule ekushintsheni kwamahomoni, kufaka phakathi:
- Umfutho wegazi ophansi
- Isizungu
- Ukushaya ezindlebeni (Izinhlamvu)
- I-asthma
- Ukuhlanganisa ama-muscle nemisipha
- Amaphupho ayingqayizivele
- Ukuzithoba
- Ukulahlekelwa izinwele
- Ukuvutha ukuzwa emlonyeni
- Shintsha iphunga lokuphefumula noma "ukunambitheka okubi" emlonyeni
- Shintsha iphunga lomzimba
- Okuhlangenwe nakho okungavamile kwemizwa efana ne "imizwa ekhukhumezayo" ekhanda, ukugubha, ukuphazamiseka, ukushaya, "ukushuswa kagesi"
Uma uthola noma yikuphi kwalokhu, hlola nomhlinzeki wakho wezempilo ukuze ubone ukuthi ingumphumela ohlangothini wokumisa esikhathini noma into engathí sina.
Imithombo:
I-National Institute on Ukuguga, Ukunqamuka Kwesikhashana: Indaba Yowesifazane Omunye, Indaba Yowesifazane Wonke , Izikhungo Zikazwelonke Zempilo, I-NIH Publication No. 01-3886 Feb. 2001. http://www.niapublications.org/pubs/menopause/menopause.pdf
I-North American Menopause Society, (NAMS), I- Menopause Guidebook: Ukusiza Abesifazane Ukwenza Izinqumo Zempilo Eyaziwa Ngokwemvelo Ngaphambi Kokuphela Kwenkathi Nengaphandle , I-6th Edition , iNyakatho Yomndeni YaseMelika Enyakatho, 2006.