Njengoba abesifazane besondela esikhathini sokuya esikhathini, isikhathi esaziwa ngokuthi yisikhathi, bangase babe engozini enkulu yokubhekana nokucindezeleka, ikakhulukazi uma benomlando odlule wokuba nawo. Eqinisweni, isifundo seminyaka eyisishiyagalolunye sathola ukuthi abesifazane abanomlando wokucindezeleka ngaphambili babenengozini enkulu yokuba nenkinga yokucindezeleka ephezulu ngesikhathi sesikhathi sokugubha.
Ngaphezu kwalokho, babenezinkinga ezimbili zokucindezeleka okukhulu ngokwanele ukuze bathole ukuxilongwa kwe-Major Depression Disorder njengoba bengena esikhathini sokuya esikhathini.
Kodwa esinye isifundo, esabandakanya abesifazane abangenawo umlando wokucindezeleka, bathole ukuthi laba besifazane nabo bangengozi kakhulu ekucindezelekeni ngesikhathi sokuguquka kokuya esikhathini sokuya esikhathini. Kulesi sifundo, kwatholakala ukuthi abesifazane besilisa ababesencane kabili engozini yabesifazane besandulela-besifazane ekuthuthukiseni izimpawu ezibalulekile zokucindezeleka. Ezinye izifundo ezifanayo nazo ziye zaveza imiphumela esekela ukufundwa kwalezi zifundo ezimbili.
Okwenza abesifazane basengozini enkulu yokucindezeleka ngesikhathi sokuphela kwesikhathi
Ukucindezeleka ngesikhathi sokuya esikhathini nokuya esikhathini kungenziwa ngezizathu eziningana. Okokuqala, ukuphuma esikhathini kuyenzeka ngesikhathi sokuphila, isikhathi lapho abesifazane besakhula futhi bebhekana nezinkinga eziningi eziphathelene nokuguga, njengokugula nokulahlekelwa ukusebenza kwentsha.
Okwesibili, ukuphuma esikhathini sesisu kuvela nezimpawu eziningi ezingathandeki, njengokukhanya okushisayo nokulala, okungashiya abesifazane bazizwe bekhathele futhi becasulwa, okufaka imizwa yokukhungatheka nokucindezeleka.
Futhi, ekugcineni, ukuyeka esikhathini sokuqala kwenza kube namazinga we-hormone estrogen, okungenzeka kube yinto enkulu ebangela ukuba imizwa ephansi ngesikhathi sokuya esikhathini.
Izimpawu Zokucindezeleka
Uma owesifazane engakaze athambekele ekucindezelekeni ngaphambi kokuya esikhathini sokuphumula, angase azinakekele izimpawu zawo noma akholelwe ukuthi abe ngumphumela wokuguga.
Kubaluleke kakhulu ukuthi bonke abesifazane, ngisho nalabo abangenawo umlando wezifo zemizwelo, baqaphele izimpawu ezilandelayo njengokusondela kokuya esikhathini:
- Usizi nokucindezeleka
- Ukulahlekelwa isithakazelo ezintweni eziye zajabulela
- Ukuthukuthela noma ukuphumula
- Ukulala ubunzima
- Izinguquko kokudla noma isisindo
- Izinkinga ngokucabanga, ukukhumbula noma ukwenza izinqumo
- Ukukhathala
- Uzwa unecala
- Uzizwa ungelutho
- Uzizwa ungenathemba
- Uzizwa ungenalutho
- Ukuba nemicabango yokuzibulala
Lapho Kufanele Ufune Usizo
Uma izimpawu zakho zibi kangangokuthi ziphazamisa impilo yakho evamile futhi zingabonakali ziba ngcono, khona-ke lesi yisizathu esihle kakhulu sokufuna usizo. Ngaphezu kwalokho, uma unemicabango yokufa noma yokuzibulala, lokhu kuyisibonakaliso esicacile kakhulu sokuthi udinga ukukhuluma nomuntu mayelana nokuthi uzizwa kanjani. Indawo enhle yokuqala kuyoba ukukhuluma nodokotela wakho we- OB / GYN noma udokotela wakho womndeni ovame ukuphatha lezi zinhlobo zokukhathazeka.
Indlela Ukucindezeleka Kuthathwa Ngayo Ngesikhathi Sokuqeda Isikhathi
Njengamanje, kubonakala sengathi inhlanganisela ye- hormone therapy esikhundleni (HRT) kanye nama-antidepressants iyindlela ephumelela kakhulu yokucindezeleka ehambisana nokuphela kwesikhashana nokuya esikhathini, ikakhulukazi uma ukucindezeleka kunzima kakhulu. Nakuba kungenakuqinisekiswa ukuthi yiyiphi indima e-estrogen eyadlala ekucindezelekeni kwe-menopausal, ukwesekwa kubonakala kusiza kokubili izimpawu zemizwa yokunqamuka kwesikhashana kanye nezinye izimpawu, ezifana nokushisa okushisayo nokuhlupheka kokulala.
Enye indlela yokwelashwa kwe-hormone odokotela abangase bayinikeze isisu sokubeletha ngomlomo ophansi oqukethe i-estrogen ne-progestin. Lawa maphilisi asiza ukugcina amazinga e-hormone azinzile futhi angakwazi ukulawula ukungcola kwabesifazane be-perimenopausal.
Abanye odokotela bangakhetha ukusebenzisa inhlanganisela ehlukene ye-conjugated equine estrogens (etholakala emcimbini wamahhashi akhulelwe), i-progestins (i-synthetic progesterone), noma i-estrogen ye-bioidentical ne-progesterone (efana ne-estrogen yabantu ne-progesterone).
Khuluma nodokotela wakho mayelana nezingozi nezinzuzo ezihlobene nezinhlobo ezehlukene ze-HRT njengoba zihlotshaniswa nobungozi obuningi bezinkinga ezithile kanye nezinkinga zenhliziyo.
Imithombo:
Boyles, uSalynn. "Ukubhekana Nokunqamuka Kwesimeni? Ukucindezeleka Kunengozi." I-WebMD Health News. I-WebMD, LLC. Ishicilelwe: ngo-Ephreli 3, 2006. Ibukezwe ngu: Louise Chang, MD.
"Ukucindezeleka Nokunqamuka Kwesikhashana." I-North American Menopause Society. I-North American Menopause Society.
"Ukucindezeleka ngesikhathi esisodwa: Ngaphezu kwamahomoni kuphela." I-Harvard Health Publications . I-Harvard Medical School. Isibuyekezo sokugcina: Agasti 1, 2008.
UGraziottin, Allesandra, no-Audrey Serafini. "Ukucindezeleka nokuya esikhathini: kungani ama-antidepressants akwanele." Impilo yokuzala yokuthumela. 15.2 (June 2009): 76-81.
"Ingabe Ukunqamuka Kwesikhashana Kungabangela Ukuguquka Kwakho Mood, Ukucindezeleka Noma Ukukhathazeka?" Ukuphulukisa. Umtholampilo waseCleveland. Ishicilelwe: Juni 3, 2015.
Miller, Magnolia. "Yini Ebangelwa Ukucindezeleka Ekupheleni Kwesimo?" Ezempilo . I-Healthline Networks, Inc. Ishicilelwe: Mashi 13, 2013.
"Ukunqamuka kwesikhashana nempilo yengqondo." Womenshealth.gov. UMnyango WezeMpilo waseMelika kanye Nezinsizakalo Zabantu. Kugcine ukubuyekezwa: September 29, 2010.
U-Parry, uBarbara L. "Izinkinga Ezikhethekile Endabeni Yokunqamuka Kwesikhashana Ne-Major Depression Disorder." Times Psychiatric . UBM Medica, LLC. Ishicilelwe: September 11, 2013.
"Izimpawu Zokucindezeleka." I-WebMD . I-WebMD, LLC. Ibukezwe nguJoseph Goldberg, MD: Agasti 21, 2014.