Yu don in yu 40s. Bɔt yu kin fil lɛk se yu prɛgnɛshɔn nɔ de lɛk aw i bin de bifo. Sɔm mɔnt dɛn kin kam, sɔm mɔnt dɛn nɔ kin kam. Yu fil wan strenj bɔn, ɛn yu wek wit swet na nɛt. "Oh, a kin stil get menopause fo dis ej?" Yu go de wɔnda. Yɛs, i kin apin. Wi kin kɔl dis kɔndishɔn ali mɛnɔpos. Bɔku pipul dɛn kin fred ɛn shem fɔ tɔk bɔt am. Bɔt dis na tɔpik we rili impɔtant we wi nid fɔ tɔk bɔt. So lɛ wi tɔk bɔt ɔltin klia wan, lɛk wi padi.
Wetin na dis ali menopause?
Fɔ tɔk am simpul wan, we uman kin lɛf fɔ gɛt bɛlɛ ɔltɛm. Jɔs lɛk aw di las bɛl kin ring na skul, tɛm kin kam na wi bɔdi we di ovaria dɛn kin stɔp fɔ wok. Afta dis tɛm, di ebul fɔ bɔn pikin kin dɔnawe wit insɛf. Dis kin apin to uman na Sri Lanka we i ol lɛk 51 ia.
Bɔt sɔm tɛm dis "las bɛl" kin ring smɔl ali. Lɛ wi sheb am to tu pat:
- Menopause Early Menopause: If menopause apin bifo i rich 45 ia, wi kin kɔl am ‘Early Menopause’.
- Premature Menopause: If menopause apin bifo i rich 40 ia, dɛn kin kɔl am ‘Premature Menopause’.
Dɛn tu tin ya kin apin bifo di nɔmal ej we dɛn kin ɛkspɛkt. Na lɛk 5% pan di uman dɛm na Sri Lanka kin gɛt mɛnɔpos bifo dɛn ol 45. Ɛn lɛk 1% kin gɛt dis sik bifo dɛn ol 40 ia.
Yu tink se Primature Menopause ɛn Primary Ovarian Insufficiency (POI) na di sem tin?
Yɛs, dɛn tu tin ya kin mek pɔsin kɔnfyus smɔl, bɔt na tu difrɛn tin dɛn. Pan ɔl we bɔku pipul dɛn kin tink se dɛn na di sem tin, smɔl difrɛns de pan mɛrɛsin.
- Premature Menopause: Insay dis, di ovaria dɛn kin stɔp fɔ wok fɔ ɔltɛm . Yu nɔ go ɛva gɛt mɔnt igen, ɛn yu nɔ go ebul fɔ bɔn pikin. I tan lɛk se yu lɔk di domɔt fɔ wan stɔ fɔ ɔltɛm ɛn trowe di ki.
- Praymari Ovarian Insufficiency (POI): Dis na we di ovaria dɛn kin stɔp fɔ wok wantɛm wantɛm. Bɔt dis nɔto fɔ ɔltɛm . Sɔntɛnde, di mɔnt kin bigin bak. Sɔntɛnde, sɔm pipul dɛn kin ivin ebul fɔ bɔn pikin. I tan lɛk se dɛn de lɔk wan shɔp domɔt, bɔt sɔntɛnde di pɔsin we gɛt am kin kam ɛn opin am bak.
So, if yu prɛgnɛshɔn stɔp bifo yu ol 40 ia, i rili impɔtant fɔ tɔk to yu dɔktɔ fɔ no if na prɛmature menopause ɔ POI.
Wetin mek dis de apin? Wetin na di rizin dɛn we mek dɛn de du dis?
Bɔku tɛm, dɛn nɔ kin no di rayt tin we mek i apin. Sɔv sho se lɛk 50% pan uman dɛn nɔ gɛt ɛni klia rizin fɔ dis. Bɔt sɔm men tin dɛn de we kin mek pɔsin gɛt dis sik.
| Mek | Simpul Ɛksplen |
|---|---|
| Tritmɛnt fɔ kansa | Tin dεm lεk kemothεrapi כ rεdyushכn tεrapi kin pwεl di kεnsar sεl dεm, bכt dεn kin pwεl wi hεlty ovari dεm bak. |
| Ɔpreshɔn | If yu gɛt ɔfɔrektɔmi, we de pul ɔl tu di ovaria dɛn, yu go gɛt mɛnɔpauz wantɛm wantɛm. ivin if dεn lεf di ovaria dεm intakt we dεn de kכl di hysterectomy, sכmtεm di bכdi we de gi dεm kin rεdכks, we kin mek di mεnopos bifo tεm. |
| Famili istri | If pɔsin lɛk yu mama, yu sista, ɔ yu anti bin dɔn lɛf fɔ gɛt bɛlɛ kwik kwik wan, yu go gɛt prɔblɛm smɔl. Dis na sɔntin we kɔmɔt frɔm yu jin. |
| Di kɔndishɔn dɛn we de na di jɛnɛtiks | sכm prכblεm dεm na di kromozom, lεk Turner's syndrome כ Fragile X syndrome, kin mek di ovary dεm nכ de divεlכp fayn fayn wan. |
| Di sik dɛn we pɔsin kin gɛt we i de fɛt insɛf | Dis na we wi bɔdi in yon imyun sistɛm de atak wi yon ovary. Pipul wae gɛt sik lɛk rεumatoid at at ɛn tayroyd sik kin de pan denja. |
| Fɔ smok | Di uman dɛn we de smok kin gɛt smɔl estrogen, we kin mek dɛn go tru wan ɔ tu ia bifo di uman dɛn we nɔ de smok. |
| Ɔda infɛkshɔn ɛn sik dɛn | Sɔm vayral infɛkshɔn lɛk mɔmp, HIV/AIDS, ɛn kɔndishɔn lɛk chronic fatigue syndrome kin pwɛl di ovaria dɛn bak. |
Mɛmba se bɔku tɛm dis kin apin fɔ rizin dɛn we yu nɔ ebul fɔ kɔntrol. So nɔ ɛva tink se, "Dis na mi fɔlt."
Aw a go no if a gɛt dis sik? Wetin na di sayn dɛm we de sho se yu gɛt dis sik?
Di fɔs ɛn impɔtant sayn fɔ dis na we yu nɔ de gɛt mɔnt . Di mɔnt kin stɔp fɔ mɔnt ɛn afta dat i kin bigin bak. Ɔ di nɔmba fɔ di de dɛn we pɔsin kin gɛt in mɔnt kin bɔku ɔ i kin go dɔŋ, ɛn di blɔd kin chenj. Apat frɔm dis, ɔl di sayn dɛm we dɛn kin si we pɔsin de du nɔmal mɛnɔpos kin si bak pan dis kes.
| Di sayn we de sho se di sik de | Wetin dis de mek yu fil? (Wetin Yu Go Fil) |
|---|---|
| Hot Flash dɛn we de mek pɔsin fil | Wantɛm wantɛm, yu kin fil wam ɛn swet ɔlsay na yu bɔdi, mɔ na yu fes ɛn yu nɛk. Dis kin las fɔ sɔm minit dɛn. |
| Nayt Swet dɛn | We yu wek na nɛt we yu de swet. Ivin di bed sheet dɛn kin wet. |
| Di vagina dray we de dray | Vagina dray ɛn pen we yu de du mami ɛn dadi biznɛs. It kin apin bak. |
| Nɔ ebul slip | Fɔ gɛt prɔblɛm fɔ slip na nɛt, ɔ fɔ wek ɔltɛm. |
| Di chenj dɛn we pɔsin kin gɛt na in maynd | Fɔ vɛks izi wan, fɔ gɛt bad bad tin fɔ du wit smɔl smɔl tin dɛm, fɔ jɔs fil sɔri (dipreshɔn), ɛn fɔ fil frayd wae nɔr gɛt sɛns (wɔri de wɔri). |
| Prɔblɛm dɛn we de na di urinary system | Nid fɔ pis bɔku tɛm. Bɔku tɛm we pɔsin kin gɛt urinary tract infection (UTI). |
| Ɔda tin dɛn we de apin | Dray skin, yay, ɛn mɔt, joyn ɛn mɔsul dɛn de pen, i nɔ de want fɔ du mami ɛn dadi biznɛs igen, i nɔ de mɛmba ɛn pe atɛnshɔn igen, i nɔ de lɔs in ia, ɛn i nɔ de chenj in wet. |
Aw dɔktɔ kin no kɔrɛkt wan bɔt dis sik?
If yu nɔ rich 45 ia yet ɛn yu gɛt di sayn dɛn we wi dɔn tɔk bɔt, go mɔs go to yu dɔktɔ. Nɔ tray fɔ no yusɛf bay we yu de luk tin dɛn na di intanɛt. Yu dɔktɔ go du dɛn tin ya:
1. Dɛn go aks yu kwɛstyɔn dɛn: bɔt yu mɔnt saykl, if ɛnibɔdi na yu famili dɔn gɛt dis, ɛn bɔt ɔda mɛrɛsin dɛn we yu de tek.
2. I de du wan fyzikal ɛgzam: I de du wan jenɛral fyzikal ɛgzam.
3. Blɔd tɛst: Dis na di tin we impɔtant pas ɔl. Dɛn go chɛk yu blɔd fɔ si if yu gɛt ɔmon, mɔ wan ɔmon we dɛn kɔl FSH (Follicle-Stimulating Hormone). dis כmon lεvεl de inkrεs bכku bכku wan we uman de mεnopos. Apat frɔm dat, dɛn go chɛk tin dɛn lɛk tayroyd ɔmon fɔ si if ɛni ɔda mɛrɛsin de.
Afta dɛn tɛst ya, di dɔktɔ go no if yu gɛt mɛnɔpauz bifo tɛm ɔ ɔda wɛlbɔdi prɔblɛm.
Wetin na di tritmɛnt dɛm fɔ dis? Yu tink se dɛn kin chenj am?
Bɔt i sɔri fɔ no se, we uman kin lɛf fɔ gɛt bɛlɛ nɔ kin chenj. dat min se di ovaria dεm nכ kin ebul fכ riaktiv. Bɔt bɔku tritmɛnt dɛn de we go ɛp fɔ mɛn di sik dɛn ɛn fɔ ridyus di prɔblɛm dɛn we kin apin to pɔsin we gɛt wɛlbɔdi fɔ lɔng tɛm.
Di men tritmɛnt naכmon riplesmεnt tεrapi (HRT) - dis involv fכ gi di bכdi in εstrojen εn projεstεron כmon dεm we nכ de na do.
Wetin mek HRT tritmɛnt impɔtant?
- I kin kɔntrol bɔku pan di sayn dɛm we de mɔna yu lɛk fɔ bɔn, nɔr kin slip, ɛn fɔ mek yu vagina dray.
- I de ɛp fɔ mek yu nɔ gɛt ɔstioporosis fɔ lɔng tɛm.
- I de ridyus di risk fɔ gɛt at sik .
- I de ɛp fɔ mek yu kɔntinyu fɔ liv fayn layf.
Dɔktɔ dɛn kin se yu fɔ tek HRT te yu rich di ej fɔ natura l menopause (arawnd 51 ia ol). Bɔt i nɔ fayn fɔ ɔlman (fɔ ɛgzampul, di wan dɛn we gɛt histri bɔt bɔdi kansa). So, yu fɔ tɔk to yu dɔktɔ bɔt di gud ɛn bad tin dɛn we dis tritmɛnt gɛt fɔ disayd wetin go fayn fɔ yu.
Wetin wi go se bɔt di op fɔ bɔn pikin?
Wan pan di big tin dɛn we kin mek pɔsin in at pwɛl we i dɔn bigin fɔ gɛt bɛlɛ na we i nɔ gɛt op fɔ pikin. I nɔ pɔsibul fɔ gɛt bɛlɛ natin nɔ de du am afta yu dɔn lɛf fɔ gɛt bɛlɛ. Bɔt, yu nɔ nid fɔ lɛf fɔ gɛt op kpatakpata. Opshɔn dɛn de fɔ dis bak:
- IVF Tritmεnt: dεn kin mek pikin tru IVF tεknכlכji we dεn de yuz eg dεm we dεn gεt frכm כda dכna (Donor Eggs).
- Eg Friz: If yu tek yu eg ɛn friz bifo yu bigin sɔntin lɛk kansa tritmɛnt, yu kin yuz dɛn eg dɛn de fɔ bɔn pikin leta.
- Fɔ adopt pikin: Wan ɔda tin we yu kin du na fɔ adopt pikin.
Yu kin tɔk to dɔktɔ we de mɛn uman ɛn uman bɔt dis ɛn tɔk bɔt di bɛst we fɔ yu.
Wetin na di risk dɛm wae kin kam fɔ lɔng tɛm wae pɔrsin kin gɛt mɛnɔpauz kwik?
Dis nɔto jɔs sɔm sayn dɛn we kin mek pɔsin vɛks. Di ɔmon we dɛn kɔl ɛstrojen na impɔtant tin we de protɛkt wi bɔdi. If yu lɔs da ɔmon de sɔm ia bifo dis tɛm, dat kin mek yu gɛt bɔku prɔblɛm dɛn we go mek yu gɛt wɛlbɔdi fɔ lɔng tɛm.
- Ɔstioporosis: Ɛstrojen de ɛp fɔ mek wi bon dɛn strɔng. We i lɔs, di bon dɛn kin brok kwik kwik wan. Ivin we pɔsin fɔdɔm smɔl, i kin mek in bon brok.
- At sik: Di ɔmon we dɛn kɔl ɛstrojen de protɛkt wi at ɛn blɔd vesel dɛn. As da protɛkshɔn de de west bifo tɛm, di risk fɔ gɛt at sik ɛn strok de bɔku.
- Pwɛl hat: Pwɛl hat kin kam bikɔs ɔf di chenj dɛm na di ɔmon ɛn di strɛs we dis sik kin kam wit.
- Narvous system disease: Sɔm stɔdi dɔn sho se de risk fɔ gɛt sik lɛk dis maynia sik ɛn Pakinsin sik kin go ɔp smɔl.
Dis na di rizin we mek i rili impɔtant fɔ tɔk to yu dɔktɔ bɔt tritmɛnt lɛk HRT.
Mɛsej we dɛn kin kɛr go na os
- fכ sכt fכ mεnstral bifo i rich 45 ia dεn kכl am ‘Early Menopause’, εn we i sכt bifo i rich 40 ia dεn kכl am ‘Premature Menopause’.
- If yu nɔ rich 45 ia yet ɛn yu gɛt sɔm sayn dɛn lɛk we yu nɔ de gɛt bɛlɛ ɔltɛm ɛn we yu de wam, yu go mɔs go to dɔktɔ.
- Bɔrku rizin kin de fɔ dis, bɔt bɔrku tɛm nɔr kin gɛt klia rizin. Dis nɔto yu fɔlt.
- Pan ɔl we dɛn nɔ go ebul fɔ chenj dis sik, dɛn gɛt fayn tritmɛnt dɛn lɛk HRT fɔ kɔntrol di sik dɛn ɛn fɔ ridyus di prɔblɛm dɛn we kin apin to pɔsin we gɛt wɛlbɔdi fɔ lɔng tɛm.
- If yu de op fɔ bɔn pikin, tɔk to spɛshal pɔsin bɔt di tin dɛn we yu go ebul fɔ du.
- Nɔto yu wan de. We yu tɔk bɔt dis wit yu patna, yu fambul, ɔ yu padi we yu kin abop pan, dat kin ɛp yu fɔ fil fayn.
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