Ukwelashwa Kwesikhashana
Ukunqamuka kwesikhashana ngokwayo akuyona isifo. Kodwa kubonisa ukuthi ushintsho olukhulu lwe-hormone lwenzekile emzimbeni wakho. Lawa ma-hormone ashintsha, ikakhulukazi amazinga e-estrogen aphansi, akubeka engozini yezifo ezithile futhi angabangela izimpawu ezibalulekile ezithinta izinga lakho lokuphila. Izinketho zokwelashwa zokumisa esikhathini sokungena kumbe kungenxa yokuphumula komzimba, ukuvimbela, noma kokubili. Izimpawu ezimbili ezivame ukwedlula esikhathini lapho abesifazane befuna ukwelashwa yizimpawu ze-vasomotor kanye ne-atrophy yesifazane.
3 Kumelwe-Yenza Ukuphila Kwesitayela Izinguquko Ekunqumeni Kwesikhathi Sokuqalisa
Ngisho noma ukubhekana kahle nezinguquko ze-hormonal yokuya esikhathini, kuyisikhathi esihle sokuma isikhashana futhi ubuke kahle indlela yakho yokuphila yamanje. Yebo, umzimba wakho uguga ukuthi uyayithanda yini noma cha. Kodwa akusho ukuthi kufanele uphonse ithawula (ngaphandle kwesaga esiyinqaba). Ukwenza izinguquko ezincane ungenza amashumi eminyaka alandelayo abe ngcono kakhulu okwamanje.
-
Ingabe Kufanele Uthathe Ukwelashwa KwamaHhommone Ukuguqula Isikhathi?
-
Izixazululo Zokwemvelo Zokunqamuka Kwesimiso Eqinisweni Okusebenzayo
Umuntu omdala uthola ithuba lokuthi uyakwazisa leli zwi, "Ezempilo ngumcebo."
Ukuzivocavoca
Sonke siyazi ukuthi ukuzivocavoca kubalulekile kungakhathaliseki ukuthi siphila. Kodwa ngesikhathi sokuya esikhathini, kuthatha ukubaluleka kokubaluleka. Ukugxila kwethu kudinga ukuguquka kusuka ekungenikeni kwe-jeans yethu ekhanda ukuze silondoloze umsebenzi kithi (ngiyakuzonda ukukusho) izidumbu eziguga. Uma sisesimeni sokumisa sidinga ukugxila ekuqeqeshweni kwamandla kanye nokuzivocavoca kwamandla aerobic ukulwa nokulahlekelwa kwemisipha ehlobene iminyaka yobudala eyaqala eminyakeni engu-40 ubudala nokulahlekelwa kwethambo elihlobene nobudala eliqala ngokumisa esikhathini. Ukuvivinya umzimba ngokulinganisela nakho kusiza ukuphatha ukuphazanyiswa kwemizwelo okushintsha amazinga e-hormone.
Ungase ufune ngisho nokucabangela ukujoyina isigaba se-yoga. Ukujwayela kwe-yoga njalo kuye kwaboniswa ukugcina ukuguquguquka kwakho nokusiza ngokulahleka kwethambo kanye nokuthuthukisa ukukhanya okushisayo.
Ukudla
Kubalulekile ukubheka ukudla nokudla kwakho. Ukulandela ukudla okunempilo kubalulekile empilweni yakho yonke kanye nokuphila kahle. Ukudla okulinganiselayo kuzokunika wonke amavithamini nezakhi okudinga ukugcina umzimba wakho uphilile. Ekuqedeni kwesikhathi, ukuphathwa kwesisindo kuyinkinga ukubuka ukudla kwakho kwe-caloric yansuku zonke kubalulekile. Kodwa kubaluleke kakhulu ukuthi uthole amaprotheni anele ekudleni kwakho ukuze ukwazi ukugcina kanye / noma ukwakha imisipha. Ukukhetha ukudla okulungile kokuya esikhathini kungakusiza ukuba uhlale uphilile futhi kungakusiza nokuphatha izimpawu ezibangelwa amazinga e-hormone wakho ashintshayo.
Nciphisa Ukuphuza Utshwala Kakho
Kulungile, madodakazi, lokhu kubalulekile! Siphuza kakhulu utshwala futhi akusihle kithi. Kwabaningi bethu, sekuye kwaba isisombululo sethu sokuhamba sosuku olucindezelayo. Futhi ngeshwa, indlela esebenza ngayo utshwala yilapho uphuza khona ngokwengeziwe ukuthi udinga ukuphuza.
Abanye bethu banomthelela kakhulu ekuxhasweni kotshwala kunabanye. Ukusebenzisa utshwala obuningi kungabangela izinkinga eziningi zezokwelapha, kuhlanganise nokuzuza kwesisindo, ukungondleki, ukucindezeleka, nokucindezeleka komqondo. Kuye kwahlanganiswa nengozi eyengeziwe yokwelashwa kwebele. Utshwala luye lwaboniswa ukwenza ukushisa kwakho nokushisa kwakho kushaye kakhulu. Ngakho-ke zama ukuthatha indebe elishisayo yetiyi we-herbal noma uhambe ngezinsuku ezimbalwa emva komsebenzi esikhundleni sokukhulisa ngokuzenzekelayo ingilazi yakho.
Uma ucabanga ukuthi usuqale ukuxhomeka kotshwala kufanele ukhulume nalokhu nodokotela wakho. Kubaluleke kakhulu empilweni yakho ukungayinaki.
3 Izinketho zokugwema amahomoni noma ezinye izidakamizwa zemithi
Imithi ehambisanayo neyehlukile (CAM) inikeza izinketho ngaphandle kwemithi yendabuko yaseWestern or allopathic. Eziningi zalezi zinketho zisekelwe emisebenzini yeminyaka eminyaka yokuphulukisa njenge-Chinese-medicine, Ayurveda, kanye nemithi yokwelapha. Kweminye yalezi zindlela, kukhona ubufakazi besayense bokusekela ukuzuzwa nokufakazela ukuthi akukho ukulimala kokwelashwa.
Ngezinye izinketho, abukho ubufakazi bokusekela ukuphepha noma ukuzuza. Ungakhetha ukuhlanganisa indlela yokuhlanganisa ehlanganisa kokubili i-allopathic ne-naturopathic, homeopathic, noma imithi yaseMpumalanga.
I-Naturopathy ne-Homeopathy
Imithi ye- naturopathic noma i- naturopathy isekelwe isimiso sokuthi isifo sibangelwa ukuwohloka ngendlela umzimba ngokuvamile ophulukisa ngayo. Odokotela be-naturopathic basebenzisa izindlela ezihlukahlukene zokuphulukisa ukuze basize umzimba wakho uphulule ngokwawo, kubandakanya:
- ukudla okunomsoco
- imithi yamagciwane
- i-homeopathy
- i-acupuncture
- ukwelashwa okulula
Eminye imithi ejwayelekile ye-homeopathic noma ye-herbal eyanconywa ukuthi iphathwe izimpawu zesifo se-menopausal ihlanganisa:
- black cohosh
- clover obomvu
- ginseng
- Wort St. John's wort
- gingko biloba
Ubufakazi bukhawulelwe ekusizeni ukuhlomula kulezi zindlela zokwelapha. Eziningi zalezi zitshalo zinomsebenzi onjengo-estrogen futhi zithinta izidakamizwa eziningi zemithi ehlukene. Uma uthatha noma yimaphi amakhambi okwelashwa kokuya esikhathini, kubalulekile ukuvumela bonke odokotela bakho bazi ngalokhu.
Imithi yamaShayina
Umuthi waseShayina ungumkhuba wokuphulukisa oneminyaka engaphezu kuka-3 000 ubudala ngokusekelwe emcimbini onzima wokulinganisela kwamandla endaweni yonke futhi ekugcineni kumuntu ngamunye.
-
Amamedi Okukusiza Ukulala Ngcono Ngesikhathi Sokuya esikhathini
-
Iyiphi Imithi Ehle kakhulu Yokhanyisa Kwakho Okushisayo?
Kalula nje, lapho leli gciwane lingasebenzi kahle. Imithi yamaShayina yendabuko isebenzisa izindlela ezihlukahlukene zokuphulukisa, kufaka phakathi:
- ukudla
- amakhambi
- i-acupuncture
- ukuzivocavoca
- amandla okuphulukisa
Nakuba inzuzo eqondile engakasekelwa ubufakazi obuningi besayensi, kunemibiko ebonisa ukuthi imithi yendabuko yaseShayina isiza ekunciphiseni izimpawu zokusinda kokuya esikhathini:
- izinkinga zokulala
- ukushisa okushisayo
- ukuphazamiseka kwemizwelo
- ama-aches nezinhlungu
- izinkumbulo kanye nezinkinga zokuhlushwa
- kunciphise ukushayela ucansi
Ochwepheshe basikisela ukuthi imithi yendabuko yaseShayina iyingxenye ebalulekile yokhetho lwezokwelapha izimpawu ze-menopausal ikakhulukazi njengengxenye yendlela edidiyelwe.
I-Ayurveda
I-Ayurveda efana nemithi yamaShayina yindlela yokuphulukisa yasendulo engaphezu kweminyaka engu-3 000 ubudala. I-Ayurveda ivela eNdiya futhi yaziwa ngokuthi "isayensi yokuphila." Abasebenzi be-Ayurvedic basebenzisa amasu amaningi okuphulukisa ahlukene, okufaka:
- ukudla okunomsoco
- ukuxoshwa
- ukuhlanzwa
- i-yoga
- ukuphefumula
- ukusikhipha imithi
I-Ayurveda iyindlela yokwelapha ehambisanayo ehambisanayo futhi ehlukile. Ngeshwa, kunzima ukusebenzisa uhlelo lokucwaninga lwezocwaningo lwaseWestern kuya kulefilosofi yokuphulukisa, ubufakazi obukhawulelwe kakhulu bukhona ukuphawula ngokusebenza kwayo. Kodwa lokho akusho ukuthi akuphumelelisi ekusizeni ukuphatha izimpawu ze-menopausal.
Izizathu Ezi-3 Ukuthi Ukwelashwa KwamaHormone Okungenziwa Ngama-Hormone Kungaba Ikhethelo Elihle
Izimpawu zokuguquka kwe-menopausal futhi ekugcineni ukuya esikhathini sokuqala zibangelwa ukulahlekelwa kancane kancane komsebenzi we-ovarian. Amazinga aphansi aphethwe amahomoni akho ama-ovari anesibopho ngqo sezimpawu kanye nezinguquko zokuya esikhathini. Ukuguqula lawo mahomoni kwenza umqondo omkhulu, ikakhulukazi kwabesifazane abanobuhlungu kakhulu. Njenganoma yimiphi imithi, kunezingozi ezihlobene nokusetshenziswa kwayo, kodwa ngokuvamile izinzuzo zomuthi zidlula izingozi. Udokotela wakho angakusiza ukuthi unqume ukuthi ngabe i-hormone replacement therapy (HRT) ikulungele yini.
Kuyasebenza Kakhulu Ekuphatheni Izimpawu
I-hormone therapy esikhundleni sokusebenza esikhundleni siphume kakhulu ekuphulukiseni izimpawu zokuya esikhathini sokuqala ikakhulukazi izimpawu ze-vasomotor kanye ne-atrophy yesifazane. Eqinisweni, i-estrogen ene-progesterone noma engenayo i-progesterone ikhonjiswe ukuthi iyindlela yokwelapha ephumelela kunazo zonke izimpawu ze-vasomotor, kufaka phakathi ukuthunga ebusuku nokushisa okushisayo okuhambisana nokunqamuka kwesikhashana.
Ukuguqula i-Estrogen Kuyindlela yokwelapha nokuvimbela
Ukushintsha ama-hormone akho ama-ovari kuyasebenza ekuphatheni izimpawu eziningi zokuya esikhathini sokuya ngaphandle kwezimpawu ze-vasomotor kanye ne-atrophy yesisu. Kubuye kusize ukunciphisa ezinye izinguquko ezingenakugwemeka emzimbeni wakho oseguga. Ukuthatha i-HRT ukuvimbela ukulahleka kwamathambo okungaholela ekutheni i- osteoporosis ibhekwe njengokuvimbela.
Hhayi Ukwelashwa KwamaHhomeni Okumama Wakho
Sifinyelele indlela ende ukusuka kokulingana okulingana nese-HRT ukuthi omama bethu babekiwe. Kunezinhlobo eziningi ezihlukahlukene nezindlela ezikhona ezikhona. Izinketho eziningi zokushintshwa kwe-hormone ziqukethe uhlobo oluthile lwemvelo noma oluphilayo lwe-estrogen ne-progesterone. Lokhu kuyiqiniso kuma-pharmacy amaningi akwa-HRT, hhayi nje ngefomu elihlanganisiwe. Ngaphandle kohlobo kanye nokuhlushwa kwe-hormone, kunezinhlobo ezahlukene ze-HRT ongakhetha kuyo, kufaka phakathi:
- ngomlomo
- transdermal
- i-topical
- ubulili
Uma usenalo isisu sakho kuzodingeka uthathe progesterone ngaphezu kwe-estrogen ukuvikela uketshezi lwesisu sakho ekuthuthukiseni i-hyperplasia ye-endometrial . Ezimweni ezithile, udokotela wakho angase asikisele ukufaka esikhundleni se-testosterone. Kuye ngomlando wakho nezibonakaliso zakho, udokotela wakho angase akhombise ukuthi uzame olunye uhlobo lwemithi ye-hormonal, ebizwa ngokuthi i-SERM noma i-modro-receptor modulator ekhethiwe.
I-HRT manje ingakwazi ukulungiswa kangcono ukuphatha izimpawu zakho ngenkathi unciphisa izingozi zakho.
Imithi Uma Ukwelashwa KwamaHormonal esikhundleni Sokukhetha Akufanele
Kunezimo ezithile zemitholampilo uma ukusebenzisa ama-hormone akufanelekile. Mhlawumbe unomlando womuntu siqu womdlavuza webele noma i-blood clotting disorder futhi udokotela wakho utshele ukuthi amahomoni aphikisiwe. Uma unezimpawu ezinkulu ze-vasomotor ungase uthande ukucabangela enye yale mithi ye-nonhormonal.
I-Paroxetine
I-Paroxetine noma i-Paxil ingokwesigaba semithi eyaziwa njenge-SSRI noma i-serotonin reuptake inhibitors. Ucwaningo luye lwabonisa ukuthi ama-SSR futhi asetshenziselwa ukuphatha ukucindezeleka nawo asiza ukukhulula izimpawu ze-vasomotor ezihambisana namazinga aphansi okuthiwa yi-estrogen kumabhinqa angama-menopause. Njengoba ushintsho lwe-hormone lokuya esikhathini sokuya esikhathini lungabangela ukucindezeleka i-SSRI ingase ibe ukukhetha okufanele kwabanye besifazane. Kodwa lezi zinzuzo zidinga ukulingana nemiphumela emibi ye-SSRI eminingi, ehlanganisa ukuzuza kwesisindo nokunciphisa izinkinga zokushayela ngezocansi ezivele zivame abesifazane besilisa.
I-Clonidine
Ngokungafani ne-Paxil, ene-FDA evunyelwe ukwelashwa kwezimpawu ze-vasomotor, i-Clonidine isetshenziswa ngaphandle kwelebuli ukuphatha izimpawu ze-vasomotor. Olunye ubufakazi luye lwasekela izinzuzo zale mithi ye-blood pressure ukunciphisa ukushisa okushisayo.
I-Gabapentin
Njenge-clonidine, i-gabapentin ayiyona i-FDA evunyelwe ukwelashwa kokushisa okushisayo. Kuyinto imithi esetshenziselwa ukuvimbela ukuqubuka, kodwa futhi kuboniswe ukunciphisa izimpawu ze-vasomotor. Awuphumelelanga njenge-estrogen kodwa kuyindlela enhle kanye ne-Paxil ne-clonidine ukuphatha izimpawu ze-vasomotor kwabesifazane abangakwazi ukuthatha i-estrogen.
Izwi elivela
Ukunqamuka kwesikhathi kudala izinguquko eziningi emzimbeni wakho. Kuyinto inqubo evamile hhayi isifo. Kodwa-ke, izinguquko ze-hormonal zokuya esikhathini sokuqala zingabangela izimpawu ezingathandeki nezinkinga zezempilo zesikhathi eside ezithinta izinga lakho lokuphila. Ukwenza ukuphila okulula ukuguqula nokuhlanganisa izindlela ezahlukene zokwelapha kungakusiza ukuba uphile kahle ngokumisa esikhathini nangaphezulu.
> Imithombo:
> I-American College of Izidakamizwa kanye Gynecologists (2014). I-ACOG yokubhalisa isaziso no.141: Ukuphathwa Kwempawu Zokunakekela Amadoda. I-Obstet Gynecol 2014; 123: 202-16.
> I-North American Menopause Society. (2014). Ukuzikhandla kokumisa isikhashana Umhlahlandlela weMtholampilo. Mayfield, Ohio.