Ukunqamuka kwesikhashana kwenzeka. Akunakugwemeka.
Ngesinye isikhathi ema-40s noma ama-50s, isikhathi sakho sizoyeka futhi amazinga akho e- hormone wokuzala azokwehla. Lokhu kwehla kumazinga e-hormone kubangela ushintsho emzimbeni wakho. Ezinye zalezi zinguquko zithule njengokulahlekelwa kwethambo. Ezinye izinguquko zibonakala zibala futhi zibonisa izimpawu ezifana nokukhanya okushisayo . Ukubeka endaweni ephakathi kwalezi ziqili ezimbili yizinguquko ezenzeka ngaphansi kwebhande lakho.
Nakuba ukuyeka esikhathini sokuqala kudala ushintsho ku-vulva yakho, ubulili, urethra, nesambiso okubangela ukuba ungakhathazeki ngokuphawulekayo nokucindezeleka, ungase ukhululeke ukukhuluma ngakho. Futhi kubi nakakhulu, udokotela wakho angeke akubuze.
Izimpawu ezihambisana nezinguquko zokunqamuka kwesikhashana kulezi zingxenye zomzimba wakho zibizwa ngokuthi i-genitourinary syndrome yokumisa esikhathini (GSM). Ubufakazi bubonisa ukuthi abesifazane abangamaphesenti angama-50 abesilisa abane-menopausal bahlangabezana ne-GSM nakuba le namba kungenzeka ukuthi iphezulu ngenxa yokungabikezelwa.
Ngakho-ke Yini Eqhubekayo Ngaphansi?
I-vulva, i-vaginal, i-urethra, ne-vessie (igciwane lakho eliphansi le-genitourinary) libucayi kakhulu ekudoneni emazingeni akho e-hormone afika nokunqamuka kwesikhashana. Ngokucacile, ukuwa kwezinga lakho le-estrogen elibangela ushintsho ngendlela okubukeka ngayo isitho sakho sokuzala sangasese, uzizwa futhi usebenza.
Vulva yakho
Ngokuthakazelisayo, kucatshangwa ukuthi umsuka wegama vulva usuka kulesiLatini elisho "wrapper" noma "isembozo".
I-vulva yakho, ejwayele ukubhekwa ngokusobala njengowesifazane wakho, ingxenye ehlukile ngokuphelele ye-anatomy yakho. Yakhiwa ngezinhlaka ezimbalwa ezihlukene ezibandakanya ama-labi akho, i-clitoris yakho, ukuvulwa kwe-urethra yakho nokuvula kwesifazane sakho.
Unama-labia amabili noma amaqabunga esikhumba asebenzayo ukuvikela izakhiwo ezintekenteke ze-vulva yakho.
I-outer labia majora inkulu futhi iqukethe amangqamuzana amafutha noma izicubu ze-adipose kanye nezinwele zezinwele futhi zenza njengendlela yokuzivikela yokuvikela izakhiwo ezinesibindi se-vulva yakho. I-labia minora ihlala ngaphakathi kwamagama amakhulu. Iqukethe izinhlayiya eziningi ezikhiqiza imicibisholo ehlinzeka nge-lubrication engeza umsebenzi wokuzivikela walesi sakhiwo.
Enye yezinhlaka (kakhulu) ezibucayi ezivikelwe yi-labia yakho yi- clitoris yakho. Njengoba uqinisekile ukuthi uyazi, i-clitoris yakho inomunye, futhi umsebenzi owodwa kuphela obalulekile emzimbeni wakho. Equkethe ukuphela kwezinzwa ezingu-8,000, thinta ukuzwela ngokuvamile okuholela ekujabuliseni ngokocansi. Ngamanye amazwi, i-clitoris yakho idlala indima ebalulekile ekusebenzeni kwakho ngokocansi. I-clitoris yakho ivikelwe yi-labia yakho kanye nendwangu eyengeziwe yesikhumba eyaziwa ngokuthi i-clitoral hood noma i-prepuce.
Manje ake sibheke i-menopausal vulva yakho.
Ukwehla kwamazinga e-estrogen noma isimo se-hypoestrogenic sokunqamuka kwesikhashana kubangele ushintsho oluthile oluhle kakhulu ku-vulva yakho. Okwokuqala, ulahlekelwa yi-fat pad endaweni yakho yama-labi majora obangela ukwehla kwevolumu noma usayizi webibi zakho. Ngaphandle kwe-estrogen eyanele, kune-thinning kanye ne-shrinkage ye-labia minora okuyinto elandela ama-labi majora akho.
Njengoba i-labia minora ihluma futhi iveza ukuvimba okuncane okuvikela.
Ukulahlekelwa kwe-padding ne-lubrication kudalula izakhiwo ezingezansi ezibucayi ezifana ne-clitoris yakho nokuvula ubulili bakho, ukucasula, nokuhlukunyezwa.
Futhi uma lokho kungalungile ngokwanele, kwabanye besifazane i-clitoral hood nayo ingaba mncane, igweme noma ifinyelele ndawonye. Lezi zinguquko zivame ukwenza ukuba ubulili bubuhlungu futhi kungaholela ekunciphiseni intshisekelo kwezocansi. Kodwa kulabo besifazane abathile, lezi zinguquko zibaluleke kakhulu kangangokuba zibangela ukuzwela okwenyukayo kanye nobuhlungu obungapheliyo be-clitoral abuhlobene nobulili.
Vagina yakho
Njengokwenyama yakho, ukuyeka esikhathini sokuqala kuletha izinguquko ezingathandeki ebusweni bakho kanye.
Ukuze uqale, ubulili bakho buhlanganiswe nohlobo oluthile lwezicubu zesikhumba olunezingxenye ezintathu. Isendlalelo esiphezulu kakhulu noma esingenasisekelo sizwela kakhulu ku-estrogen. Phakathi neminyaka yakho yokuzala, amazinga e-estrogen avamile agcina ububanzi bakho besifazane obukhulu futhi buhlanjululwe kahle ngokukwakha lo ungqimba olungenasici futhi uthuthukise ukuvimba okujwayelekile. Lokhu kuvumela ukuba isiswini sikwazi ukulwa nesifo sofuba futhi sikhuthaze ukuqina noma ikhono lobulili ukuze lisule futhi lilulame. Cabanga ukubeletha.
Ngokwehla kwe-estrogen noma isimo se-hypoestrogenic sokunqamuka kwesikhashana, ubulili buqala ukuqeda i-atrophy. I-atrophy yama-vaginal yenza ukuba izindonga zesisindo zibe mncane futhi zomile zilahlekelwe ukuqina kwazo nokugcoba. Leli lining elibuhlungu elingasese lingabangela ukutshisa noma ukuvutha. Ubulili bungaba buhlungu.Lezi zinguquko zingabangela ukuthi ubulili bakho bungabhidliza kalula ngisho nasesifo esibucayi esivamile njengokwesini noma ukuhlolwa kwe-pelvic. I-atrophy yama-vaginal iholela ekusenikeni kokuvulwa kwesisu futhi ekugcineni kungabangela ukucwiliswa kwegciwane lakho lonke.
Isikhwama Sakho
Kukhona impikiswano yokuthi ngabe i-menopausal iyashintsha yini emkhakheni wakho ophansi we-urinary (isisindo ne-urethra) yi-hormone noma ihlobene neminyaka. Kodwa kukhona ubufakazi bokusekela ukuthi amazinga e-estrogen aphansi abamba iqhaza ezindabeni ze-urinary tract of menopause.
Isibilini sakho kanye ne-urethra (ithubhu ephethe umchamo ngaphandle kwesihenqo sakho) icebile kuma-receptors e-estrogen. Njenga-vulva ne-vagin yakho lapho amazinga e-estrogen wakho ewela ekumeni, lezi thambo zilahlekelwa umthamo wazo nokuqina. Isibilini sakho angeke sande njengoba sasijwayele, futhi ungase uzithole udinga ukuya endlini yokugezela kaningi. Ungase futhi uqaphele ukuthi ngezinye izikhathi uqhuma noma uqhube umchamo uma uqedile ukuvota.
Izifo ezithinta izidakamizwa zingase zivame kakhulu ekunqumeni kwamamenyu. Amazinga e-estrogen aphansi enza ukuguqulwa emzimbeni okwandisa ukuhlushwa kwama-bacterium okubangelwa yi-UTI. Futhi, i-thinre out out of your urethra yenza kube lula ukuthi amabhaktheriya angene esithombeni sakho.
Qondisa Izimpawu
Uma unezimpawu ezincane ze-GSM noma uma ufuna ukugwema ukusebenzisa noma iyiphi imithi yokwelapha, ungacabangela ukusebenzisa i-lubricant noma i-moisturizer. Le mikhiqizo iyatholakala ngaphezu kwekhasi ekhemisi yakho, ezitolo ze-intanethi noma ezikhethekile.
Amafutha omgogodla angcono kakhulu uma ukhathazwa ubulili. Njengoba ubulili bakho akuzibophezeli kanye nokwenza ngaphambi kokuya esikhathini, ukusebenzisa i- lubricant yangasese kuyasiza ekunciphiseni ukuxabana, ubuhlungu, nokuhlukunyezwa okungase kuhlotshaniswe nomsebenzi wocansi. Basebenza ngokushesha. Umphumela wabo usemfushane futhi uyodinga ukusetshenziselwa uma kudingeka. Kunezinhlobo ezintathu zezigcoba zangasese:
- Amanzi agxile emanzini aphephile ukusebenzisa izikhondomu ze-latex futhi ayengabonakali. Kodwa-ke, amanye amavulumu asekelwe ngamanzi aqukethe i-glycerin engacasula futhi ingangandisa ingozi yesifo semvubelo. Uma ukhetha i-lubricant esekelwe ngamanzi, gwema labo abane-glycerin.
- Amakhemikhali asekelwe -amakhemikhali aphethwe ngamakhemikhali aphephile ukusebenzisa amakhondomu aphethwe yi-latex kodwa angangcola indwangu. Zisikhathi esiningi esisebenza kunamanzi okusekelwa ngamanzi futhi zigcine umphumela wazo emanzini.
- Amafutha-asekelwe - Amafutha asekelwe ngamafutha awaphephile ukusebenzisa amakhondomu e-latex ngoba angabangela ikhondomu ye-latex ukuba aphule ukwandisa ingozi yokuthola izifo ezithathelwana ngocansi. Akufanele usebenzise i-petroleum jelly, i-oil oil, noma i-body lotion ejwayelekile njengendlela yokugcoba njengoba iqukethe amakhemikhali angakhayo futhi ayingozi futhi eye yaboniswa ukwandisa ingozi yezifo zangasese. Kodwa-ke, ungase uzame ukusebenzisa amafutha omzimba amaningi njengamafutha omnqumo noma amafutha kakhukhunathi njengamafutha okugcoba ikakhulukazi uma uzwela izithasiselo noma udayi.
Ngokungafani nokugcoba kwamagciwane, ama- moisturizers asegundini asetshenziselwa ukuthuthukisa ezinye zezimpawu ze-GSM ezingahlobene nocansi. Lezi zitholampilo zisebenza ngokufaka umswakama ezinhlobonhlobo futhi zinikeze ukukhululeka kwezimpawu zakho. Ama-moisturizers ama-vaginal ngokuvamile asetshenziswa nsuku zonke ukuze kuthuthukiswe ukoma nokucasuka okubangelwa i-vulvovaginal atrophy. Amafutha omnqumo namafutha kakhukhunathi angase asetshenziswe njengama-moisturizers wesifazane.
Faka esikhundleni okulahlekile
Lapho amakhemikhali kanye nama-moisturizers anciphisa izimpawu ze-GSM, imikhiqizo equkethe ama-hormone empeleni ithuthukise ukugeleza kwegazi futhi ubuyele ubukhulu nokuqina kwebhinqa lakho. Ngamanye amazwi, balungisa inkinga kunokuba nje baphathe izimpawu ze-GSM. Nakuba ukuthatha ama-hormone ajwayelekile ngendlela yephilisi noma i-patch inganciphisa ukutholakala kwe-vagin atrophy, imikhiqizo eminingi nemiphumela emihle isetshenziselwa ngqo emkhathini.
Imikhiqizo equkethe i-Estrogen: Ukusebenzisa i-estrogen ngqo kumathisini omzimba wesisu kuyindlela yokwelapha i-GSM ephumelela kakhulu. Ngokuvamile, uzobona ukuthuthukiswa okukhulu kwezimpawu zakho phakathi kwamasonto ambalwa. Kunezinhlobo ezimbalwa ezahlukahlukene ze -estrogen ezihlosiwe zokusetshenziswa kwesisindo ezihlanganisa:
- Ukhilimu wama-vaginal - Ngokujwayelekile, ama-creams asetshenziselwa ukwenziwa kanye ngosuku ngosuku lwamaviki ambalwa bese kuthi kube ngesinye isikhathi kuya kwesinye ngesonto ukwelashwa kwesondlo.
- Indandatho yama-vaginal - Amasongo omgogodla akhululwa ngokuqhubekayo futhi afakwa emgodini izinyanga ezintathu ngesikhathi.
- Ithebhulethi yamaVaginal - Amathebulethi aseVaginal asetshenziselwa isimiso esifana nezitshalo zangasese kodwa zivame ukungcola kancane.
I-Selective Estrogen Receptor Modulator: I- SERM iyisigaba samahomoni zokwenziwa kokubili okusebenza njenge-estrogen nokuvimbela umsebenzi we-estrogen ezinxenyeni ezihlukene zomzimba wakho. Isibonelo se-SERM yi-tamoxifen enamandla anti-estrogen esetshenziselwa ukwelapha umdlavuza webele kodwa futhi ibangela ukushisa okushisayo nokumelela kwesisu. I-SERM ospemifene entsha ikhonjiswe ukuthi iyindlela yokwelapha esebenzayo ye-GSM futhi i-FDA ivumelekile ukuphatha isifo sobulili obubuhlungu obuhlobene ne-GSM. Kodwa-ke, nakuba izifundo zakuqala zikhomba umphumela we-anti-estrogen emathisini asebele esifana ne-tamoxifen, akukho idatha eyanele yokuncoma ukusetshenziswa kwayo kwabesifazane abanomlando wesifo somdlavuza webele.
I-DHEA yama-vaginal: Enye indlela yokwelapha i-GSM iyisandulela se-hormonal ku-estrogen okuthiwa i-prasterone. I-Prasterone noma i-DHEA i-FDA evunyelwe ukuphatha izimpawu ze-GSM. Kuyinto yokufakelwa kwesisindo esetshenziswa nsuku zonke. Kanye esiswini, i-hormone DHEA iguqulwa ibe yi-estrogen ngamaseli asesithombeni sakho. Izifundo zakuqala zikhomba ukuthi ngenxa yokuthi i-estrogen ikhiqizwa ngaphakathi futhi isetshenziswe ngokuqondile ngamangqamuzana akho angasese, akukho ukungena kwe-estrogen engxenyeni yakho yegazi. Leliphuzu elibalulekile kwabesifazane aba-estrogen kungenzeka ukuthi abaphephile ukuyisebenzisa.
I-Vagina Yakho: Yisebenzise Noma Yilahle
Ukukholelwa noma cha, ukuhlala ocansini ekukhuleni kwesikhathi kusiza ukugcina ubulili obuhle.
Umsebenzi wocansi njalo ukwandisa ukugeleza kwegazi emathangeni akho omzimba. Lokhu kwanda ekugezeni kwegazi kusiza ukukhuthaza impilo yangasese futhi kugcine ukuqina nokuqina kwesifazane. Futhi, akufanele ukwesabe ukuthatha izinto ezandleni zakho, ngokoqobo. Ukubamba iqhaza ngokuqondile ngokushaya indlwabu noma ukusetshenziswa kwe-vibrator kuyindlela enhle kakhulu yokugqugquzela ukugeleza kwegazi.
Ngisho noma uthatha ikhefu ekulaleni, udinga ukugcina impilo yakho yangasese. Uma kuziwa emlonyeni wakho wesifazane udinga ngempela ukuyisebenzisa noma uzolahlekelwa yiyo.
Izwi elivela
Ukuwa kwe-menopausal ku-estrogen kuletha izinguquko eziningi emzimbeni wakho. Ezinye zalezi zinguquko azijabulisi futhi ungakhetha ukuzifuna ukwelashwa, njengezimpawu ezihlobene ne-genitourinary syndrome yokumisa esikhathini. Lezi zimpawu zivamile futhi ziphathwa kalula ngezindlela ezihlukahlukene ezitholakalayo. Ungabi namahloni okuxoxa ngalezi zimpawu nodokotela wakho. Ngokubambisana, wena nodokotela wakho ungenza uhlelo lwezokwelapha oluzokusiza ukuba uphile kahle phakathi neminyaka yakho ye-menopausal.
> Umthombo:
> Ukuphathwa Kwezimpawu ZeMenopausal. Hlanganisa i-Bulletin No. 141. Ikholeji yaseMelika Yezinambuzane Nezazi ZamaGynecologists. I-Obstet ne-Gynecol 2014; 123: 202-216.