Nakuba kukhona uhla olujwayelekile lokuthi izimpawu zokuhlala esikhathini eside zihlala nini, uhambo lomuntu ngamunye luhlukile. Ukuguquka ngokuvamile kuthatha cishe iminyaka emine, kodwa ezinye izimpawu zingase zinde isikhathi eside. Ayikho imithetho enzima futhi ephuthumayo njengokuqala kokuya esikhathini futhi iphela esimisweni sayo.
Kude kangakanani Ukuphela Kwesimo Nokuphela Kwesikhathi?
Ukumiswa kwesikhashana , ngezinye izikhathi okubizwa ngokuthi ukuguqulwa kwamadoda, kuqala lapho owesifazane eqala ukubhekana nezinguquko kumjikelezo wakhe wokuya esikhathini (isibonelo, imijikelezo emide noma emifushane), kanye nezimpawu ezihlobene nokwehla kwamazinga e-estrogen-ikakhulukazi ukukhanya okushisayo.
Abaningi besifazane bangena ngesinye isikhathi ngesikhathi sabo seminyaka engama- 40 , kanti abaneminyaka yobudala abaneminyaka engu-47 ubudala. Isikhathi sokuphela siphelela lapho owesifazane engakabikho isikhathi sokuya esikhathini ezinyangeni eziyi-12 ezilandelanayo; lokhu kubizwa ngokuthi i-menopause.
Qaphela ukuthi isikhathi ngasinye sibhekisela esikhathini esithile lapho ukuyeka esikhathini sokuqala kuveza iphuzu ngesikhathi-ukungaqondani okuvamile kanye nomthombo wokudideka.
Isikhathi sesikhathi emva kokuya esikhathini sokuya esikhathini esibizwa ngokuthi i-postmenopause. Ngesikhathi sokuphuma komama, owesifazane akazange abe nomjikelezo wesimiso isikhathi esingaphezu konyaka, nakuba kungenzeka ukuthi uthola izimpawu ezihlobene nokuntuleka kwe-estrogen njenge-atrophy yangasese.
Ubude obuphakathi kokumiswa kwesikhashana sekuyiminyaka emine, ngakho-ke iminyaka yobudala lapho owesifazane efinyelela esikhathini sokumisa esikhathini seminyaka engu-51 ubudala. Kodwa-ke, lokhu kungumlinganiso nje futhi awubikezeli isikhathi esinqunyiwe sesikhathi salo wesifazane ngamunye.
Kude kangakanani Izimpawu Ezihlobene Nokunqamuka Kwesimiso Ekugcineni?
Ngisho noma ukuphuma esikhathini kuveza iphuzu ngesikhathi lapho owesifazane engazange afike esikhathini ezinyangeni ezingu-12 futhi engasekho ovulating (ukukhulula noma yikuphi amaqanda emaqanda akhe), izimpawu zokuya esikhathini zingase ziqhubeke.
Izimpawu ezimbili ezihlobene nokunqamuka kokuya esikhathini ziyashisa kakhulu futhi zomile . Lezi zimpawu ezimbili zivela ngenxa yokulahlekelwa yi-estrogen emzimbeni, evame ukukhiqizwa ama-ovaries wesifazane.
Abaningi besifazane bayeke ukushisa okukhulu phakathi neminyaka emihlanu emva kokuphela kokuya esikhathini. Kodwa-ke, umbiko mayelana nokuphathwa kwezimpawu zokuya esikhathini ukuphawula ukuthi i-Penn Ovarian Aging Study yathola ukuthi ngaphezu kwengxenye eyodwa kwezintathu kwabesifazane baqhubeka benokushisa okushisa okukhulu iminyaka eyishumi noma ngaphezulu.
Abesifazane abaqala ukushisa ngokushisa ngesikhathi beqala isikhathi eside baba neminyaka eminingi, cishe isilinganiso seminyaka engu-11,6. Abesifazane base-Afrika nabamaMelika babe nobude obude kunabesifazane abamhlophe.
Ukomiswa kwamagagasi, ukushisa, nokuhlushwa nakho kwenzeka ngenxa yokuntuleka kwe-estrogen. Umehluko nalesi sibonakaliso ukuthi luvame ukubi kakhulu njengoba abesifazane bekhula. Eqinisweni, abesifazane abangaphansi kwamaphesenti angama-30 ekupheleni kwesimo sokuqala noma kokuqala kokuphuma komama ngemuva kokuma kwesisu. Kodwa njengoba abesifazane besondela ekupheleni kwesikhathi sokuphumula komzimba, cishe ingxenye engamatshumi amahlanu abika ukumelela kwesisu.
Kunezinye izimpawu ezingase ziqale ngesikhathi sokumisa futhi ziphikelele kulo lonke izwe lokuhamba ngemva kwesikhathi. Lokhu kufaka:
- Izinkinga zokulala
- Imodi ishintshe njengokucindezeleka nokukhathazeka
- Izinguquko ezinengqondo ezifana nokulahlekelwa imemori
- Izinhlungu ze-muscle nezokuhlanganyela
Nakuba, nakuba abesifazane abaningi bethi lezi zimpawu zenza ukuyeka esikhathini, isikhathi singase sibe yinto engavamile. Ngamanye amazwi, kuyinkimbinkimbi ukwazi ukuthi lezi zimpawu zivela ngokuntuleka kwe- estrogen emzimbeni noma izinqubo zemvelo ezihambisana nokuguga.
Izingosi Ezithinta Ukunqamuka Kwesimiso Isikhathi Nezibonakaliso
Njengomntwana wokukhulelwa nokukhulelwa, ukuqala kwesikhashana kuqala futhi kuphelile ngezikhathi ezihlukene kumfazi ngamunye. Kunezici eziningi kakhulu ezithonya isikhathi kanye nesipiliyoni sesikhathi esisodwa lapho owesifazane ngamunye ebhala khona indaba yakhe.
I-Genetics, indlela yokuphila, ukudla, ukucindezeleka, impilo ejwayelekile, kanye nemibono yamasiko yizo zonke izici zokuthi uzothola nini izimpawu ezihlobene nokuya esikhathini.
Lokhu kuthiwa, iningi labesifazane lizobhekana "nokunqamuka kwesikhashana" esikhathini sewindi lesikhathi seminyaka emibili kuya kweyishumi, mhlawumbe kusukela emashumini amabili kuya kwaphakathi kwawo.
Kodwa ngisho noma uqala okuningi noma uqede kamuva, kungenzeka usenayo inguquko yakho yokumisa esikhathini esizayo. Futhi kungakhathaliseki ukuthi awusoze uzizwe ushayela nje, noma uqhubeke unayo ekupheleni kweminyaka engu-60, kungaba "okujwayelekile" kuwe.
Izwi elivela
Uma izimpawu ezihlobene nokukhipha isisu zibangele ukukhathazeka noma ukungathinti kabi izinga lakho lokuphila noma ukusebenza kwansuku zonke, zixoxisane nodokotela wakho.
Kunezinhlobo eziningi zokwelashwa ngaphandle lapho ukukusiza ukuba ubhekane nalezi zimpawu ezingenakulungiswa ezifaka imithi emibili ye-hormonal non-hormonal, kanye nemithi yokwelashwa engafanele .
> Imithombo:
> Goodman NF, uCobin RH, iGinzburg SB, Katz IA, Woode DE. I-American Association of Endocrinologists yezokwelapha Iziqondiso Zezokwelapha Zokuzivocavoca Ngokwemitholampilo yokuxilongwa nokwelashwa kokunqamuka kokuya esikhathini: isifingqo esiphezulu sezincomo . Endocr Pract. 2011 Nov-Dec; 17 (6): 949-54.
> Huang AJ et al. Izimpawu zamagciwane kuma-postmenopausal abesifazane: ukucindezela ngokweqile, umlando wemvelo, kanye nezici zobungozi. Ukunqamuka kwesikhathi. 2010 Jan-Feb; 17 (1): 121-26.
> Kaunitz AM, Manson JE. Ukuphathwa Kwezimpawu Zezinsizwa. I-Obstetrics & Gynecology . 2015; 126 (4): 859-876. i-doi: 10.1097 / aog.0000000000001058.
> Ukunqamuka kwesikhashana. WomensHealth.gov. https://www.womenshealth.gov/menopause/menopause-basics.
> I-North American Menopause Society. Umkhuba Wokumisa Isikhathi: Umhlahlandlela Wabahlengikazi, 5th ed. 2014 Mayfield Heights, OH: I-North American Menopause Society.