Nang pawh hi kum 40 aia tlem lo i ni em? I period chu a mumal lo tawh em? I lum nghal vat em? Thil tenawm ber pawh i thinrim em? Hetih hun chhung hian hmeichhe tam takin hetiang thil hi an tawng thin. Hengte hi premenopause symptoms kan ti a. Lungngai suh, hei hi natna a ni lo. Hmeichhe tin nunah chuan natural stage a ni. Vawiin hian he thu hi awlsam takin, i hriatthiam theih dan tur angin kan sawi dawn a ni.
A awlsam zawngin, menopause chu eng nge ni?
Menopause chu thla tin i period chawlhsan rengna a ni. To be precise, if you have not had a period for 12 consecutive months , doctor-te chuan menopause an tih stage i thleng tawh niin an ngai. Hetiang dinhmun hi Sri Lanka hmeichhia kum 48-52 inkar ah a awm tlangpui. Hei hi thil awmdan pangngai a ni. Hei hi i ovary-in reproduction nena inzawm hormone a siam chhuah tawh loh chuan a thleng thin.
A chang chuan menopause hi surgery (entir nan, nausen pum leh ovary lakchhuah) emaw, damdawi dang emaw avanga lo awm thei a ni. Hei hi ``Induced Menopause'' kan ti a. Heng hormone inthlak danglamna hian taksa leh rilru lama harsatna a thlen thei a ni. Mahse, a ṭanpui thei enkawlna a awm a, entîr nân, hormone therapy, damdawi dang, leh nunphung tihdanglamna te.
Menopause stage lian pathumte chu engte nge ni?
Menopause hi thil thleng nghal mai a ni lo. Zawi zawiin a kal zel a ni. Stage lian pathum a nei a. Hei hi i hriat a pawimawh hle.
| Dawhsan | Hrilhfiahna awlsam tak |
|---|---|
| 1. Perimenopause tih hi a ni | Hei hi menopause lama inthlak hun a ni. Menopause hma kum 8-10 vel atanga tan theih a ni. Kum 40 chho atang khan a intan tlangpui. Hemi hun chhung hian ovary atanga hormone estrogen siam chhuah chu a tlahniam zauh zauh a. Hetih hun chhung hian thlasik mumal lo, hot flashes, leh thinrim fo ang chi symptoms te hi a intan fo thin. |
| 2. Menopause tih a ni | Hei hi thla 12 chhunga i period a tawp hun tak tak a ni. He phase chhung hian ovaries te hian egg an chhuah tir vek a, hormone estrogen siamchhuahna pawh nasa takin a tlahniam thin. Hei hi hun rei tak chhunga awm phase a ni lo va, hun bituk bik a ni. |
| 3. Menopause hnu lama awm | Hei hi menopause hnua i nun stage a ni. Hetih lai hian symptom tam zawk chu a reh mai ang a, mahse mi thenkhat chuan kum engemaw zat chu symptoms na lo tak tak an nei leh thei bawk. Estrogen level a hniam avangin he hun chhung hian ruh natna leh thinlung natna vei theihna a sang deuh hlek a ni. |
Menopause hma lam pawh i zir ve ang u.
Kum 45 leh 55 inkar vela thleng thin, menopause hi "natural" anga ngaih a ni. Mahse, kum 45 hmaa a lo awm chuan ``Early Menopause'' an ti a , kum 40 hmaa lo awm a nih chuan ``Premature Menopause'' an ti a, damdawi lam emaw, surgery emaw avanga lo awm a nih chuan ``Primary Ovarian Insufficiency'' an ti bawk.
Menopause symptoms te chu engte nge ni?
Menopause-a i inthlak chuan heng symptom pakhat emaw a aia tam emaw i nei thei. Mi zawng zawngin an tawng vek dawn lo. Mi thenkhat chuan nasa takin an tawng a, thenkhat erawh chuan an tawng ngai lo mai thei.
| A lan chhuah dan tlangpui | Mi thenkhatin an tawn theih symptom dang |
|---|---|
| - Thlasik mumal lo (a hma aia thisen chhuak tam emaw tlem emaw) . | - Lungphun chak tak |
| - Hot flashes - taksa pum puiah lumna darh nghal mai | - Lu na |
| - Zan lama thawk hah | - Joint leh muscle na |
| - Vaginal dryness (mipat hmeichhiatna hman laiin harsatna) . | - Mipat hmeichhiatna lama duhna inthlak danglamna |
| - Zun chhuah a ngai fo | - Thil ngaihtuah harsa emaw, hriatrengna hloh emaw |
| - Mu thei lo | - Taksa rihna tihpun |
| - Mood inthlak danglam (thinrim fo, lungngaihna) . | - Sam tlakchham emaw, sam hring emaw |
| - Vun, mit leh hmui a vawt |
Heng symptoms te hi i nun tibuai thei khawpa na a nih chuan i doctor hnenah hemi chungchang hi sawipui zak suh.
Eng enkawl dan nge a nih a, engtin nge a natna lan chhuah dan control theih ang?
Menopause hi thil awmdan pangngai a nih avangin mi zawng zawng hian enkawl an mamawh vek lo. Enkawlna chu i nun tibuaitu symptoms te enkawl hi a ni. I tana tha tur enkawlna tur thlang turin doctor nen inbiakna neih a tha ber.
1. Hormone hmanga enkawlna
Hei hi mi tam zawk tan chuan enkawlna ber a ni. Taksa hormone tlahniam (estrogen leh progesterone) te chu pawn lam atanga thlak a ni. Hei hian natna lan chhuah dan, hot flashes leh vaginal dryness ang chi atanga relief nasa tak a pe thei a ni. Osteoporosis venna atan pawh a pui thei bawk.
- Estrogen Therapy (ET): Estrogen hormone chauh pek thin a ni. Chungte chu chi hrang hrang a awm a, chu chu pill, patch, cream, leh gel te hi a ni. Hetiang method hi hmeichhia, an nausen (uterus) lakchhuah tawhte tan an hmang tlangpui.
- Estrogen leh progestogen combination therapy (EPT): Hmeichhia an nausen (uterus) lakchhuah lohte chu estrogen nen hian progesterone ang chi hormone pek a ni.
A pawimawh ber chu:Hormone therapy hian hlauhawmna engemaw zat a nei thei a, chuvangin i hriselna chanchin a zirin hei hi i tan a tha em tih chu i doctor chauhvin a hre thei ang.
2. Hormone hmanga enkawlna ni lo
Hormone therapy hi mi zawng zawng tan (entir nan, hnute cancer history nei tawh tan) a tha lo. Chutiang mite leh hormone duh lo tan chuan duhthlan tur dang a awm.
- Nunphung inthlak danglamna:
- Diet: Chaw rimtui leh coffee tihtlem hian hot flashes control nan a pui thei a ni. Phytoestrogens awmna ei tur, soy, chickpeas, lentils, leh flaxseed te pawh telh bawk ang che.
- Exercise: Nitin exercise hian rilru hriselna a pui mai bakah ruh a tichak bawk. Yoga ang exercise hian rilru hahdamna a pui thei a ni.
- Heatstroke thlentu pumpelh dan: Zanah i mutna pindan chu a lum reng tur a ni. Meizial zuk loh tur.
- Doctor-in damdawi a pekte: 1.1.
- Antidepressant thenkhat (e.g. SSRI, SNRI) dose tlem hian hot flash leh mood swing control a pui thei a ni.
- Vaginal cream leh lubricants te hi vaginal dryness enkawl nan hman theih a ni.
Heng damdawi zinga eng pawh hi doctor thurawn hnuaiah chauh ei tur a ni .
Engtikah nge doctor i hmuh ang?
Hemi hun chhung hian period mumal lo hi a awm fo thin nachungin, symptom thenkhat chu hriselna lama harsatna dang a awm tih chhinchhiahna a ni thei. Chuvangin a hnuaia mi hi i neih chuan doctor pan ngei ngei tur a ni.
| Heng symptoms te hi fimkhur rawh! | |
|---|---|
| - Thlasik laiin a tlangpui aia thisen chhuak nasa zawk. | |
| - Thisen zam lian tak tak kal tlang. | |
| - Ni 7 aia rei thlasik hun. | |
| - Thlasik vawi hnih inkar hi ni 21 aia tlem a ni. | |
| - Thlasik lai emaw, mipat hmeichhiatna hman zawh hnu emawa thisen chhuak. | |
Zawhna dang thenkhat i nei thei bawk
Hetih hun chhung hian naupai theih a ni em?
Awle. I period a tawp vek hnuah thla 12 thleng naupai theihna chance tlemte a awm. Chuvangin, fa i duh loh chuan i doctor-in i menopausal vek tih a finfiah hma loh chuan birth control hman a pawimawh.
Sex nun a nghawng em?
Ni e, a nghawng thei a ni. Hormone level a tlahniam avangin vagina chu a vawt thei a, mipat hmeichhiatna hman pawh a na thei hle. Mi thenkhat chuan mipat hmeichhiatna lama duhna tlahniam an tawng thei bawk. Amaherawhchu, mi thenkhat chuan naupai an hlau lo deuh a, he hun chhung hian zalen takin sex an hmang thei a ni. Hemi chungchang hi i doctor nen inbia ang che. Hemi kawngah hian tanpui theih dan tur a awm.
Mipa pawh hian menopause an nei em?
Hei hi mi tam takin an zawh thin a ni. Mipa testosterone level hi an upat deuh deuh chuan a tlahniam zauh zauh a. Hei hi Andropause an ti a. Mahse, hmeichhiate estrogen level ang lo takin hei hi thil danglam nghal a ni lo. Zawi zawiin a thleng a, mipa thenkhat pawhin an hre lo. Chuvangin hmeichhiaah chuan menopause nen tehkhin theih a ni lo.
Menopause hi tar chakna pianphung leh pangngai tak a ni. A lo thleng dawn tih hre mah la, a natna lan chhuah dan nena nun chu a chang chuan a harsa thei hle. Mahse, nangmah chauhin i paltlang a ngai lo. I doctor nen i symptoms te leh i nun a nghawng dan te sawipui rawh. I rilru hahdamna tur enkawlna a awm.
Take-Home Thuchah a ni
- Menopause hi natna a ni lo va, hmeichhe tin nunah thil thleng (natural event) a ni.
- A kaihhnawih symptoms te hi a nuam lo thei a, mahse a control thei tur enkawlna a awm.
- I natna lan chhuah dan tur chu doctor nen zalen takin sawipui rawh. Hei hian i tana solution tha ber i hmuh theih nan a pui ang che.
- Ei leh in tha leh exercise ang chi nunphung inthlak danglamna hian hahdamna nasa tak a pe thei a ni.
- Menopause hnuah i ruh leh thinlung hriselna hi a bik takin enkawl rawh.
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