Kum 40 vel i ni tawh. Mahse i period chu a hma ang kha a ni tawh lo niin i hria. Thla engemaw zat an lo kal a, thla engemaw zat chu an lo kal lo. Kangmei mak tak mai i nei a, zan lama thawk hah chungin i harh chhuak thin. "Aw, he kum ah hian menopause ka la nei thei ang em?" I ngaihtuah mai thei. Ni e, a thleng thei. Hetiang dinhmun hi early menopause kan ti a. Mi tam tak chuan sawi chhuah an hlau a, an zak bawk. Mahse hei hi thupui pawimawh tak, sawi zui ngai tak a ni. Chuvangin, thian ang maiin chiang takin i sawi vek ang u.
He menopause hmasa hi eng nge ni?
A awlsam zawngin sawi ila, menopause chu hmeichhe thla tin thlasik hun chhung a tawp rengna a ni. School-a bell hnuhnung ber a ri ang bawkin kan taksaah hian ovary hnathawh a chawlhsan hun a lo thleng thin. Hemi hun hnu hian fa neih theihna chu a pianphungah a bo ta a ni. Hei hi Sri Lanka rama hmeichhia kum 51 vel a thleng tlangpui a, thla 12 zet a zawna thlasik a chawlhsan chuan menopause a thleng tawh kan ti thin.
Mahse a chang chuan he "last bell" hi a ri hma deuh thin. Hmun hnih ah then ila:
- Early Menopause: Kum 45 an tlin hmaa menopause a lo awm chuan ‘Early Menopause’ kan ti thin.
- Premature Menopause: Kum 40 an tlin hmaa menopause a awm chuan ‘Premature Menopause’ an ti.
Heng pahnih hi kum pangngai beisei hmaa thleng a ni. Sri Lanka hmeichhia 5% vel chuan kum 45 an tlin hmain menopause an nei a, tin, 1% vel chuan kum 40 an tlin hmain he natna hi an nei bawk.
Premature Menopause leh Primary Ovarian Insufficiency (POI) hi thil inang an ni em?
Ni e, heng pahnih hi a buaithlak deuh a, mahse condition hrang hrang pahnih an ni. Mi tam tak chuan thil inangah ngai mah se, damdawi lamah chuan danglamna tlem a awm.
- Premature Menopause: Hetah hian ovaries te chu a thawk thei tawh lo . Thlai i nei leh tawh ngai lovang a, fa pawh i nei thei tawh lovang. Dawr kawngkhar chu a nghet taka khar a, chabi paih mai ang mai a ni.
- Primary Ovarian Insufficiency (POI): Hei hi ovary-te hnathawh a chawlhsan thut a ni. Mahse hei hi chu a awm reng lo . A châng chuan thlasik hun a inṭan leh thei bawk. Mi thenkhat phei chuan naute an nei thei hial a ni. Dawr kawngkhar khar ang mai a ni a, mahse a chang chuan a neituin a rawn hawng leh thin.
Chuvangin, kum 40 i tlin hmaa i period a tawp a nih chuan, premature menopause nge POI tih chiang taka hriat theih nan i doctor nen inbiakna neih a pawimawh hle.
Engvangin nge hetiang hi a lo awm? Hei hi eng chhan nge ni?
Thil tam takah chuan a chhan dik tak chu hmuh chhuah a ni lo mai thei. Survey-ah chuan hmeichhia 50% vel chuan hei hi chhan chiang tak an nei lo tih a tarlang. Mahse, he natna thlentu hi thil pawimawh engemaw zat a awm.
| Chhan | Hrilhfiahna awlsam tak |
|---|---|
| Cancer enkawl dan tur | Chemotherapy emaw, radiation therapy emaw ang chi thilte hian cancer cell a tichhia thei a, mahse kan ovary hrisel tak takte pawh a tichhe thei bawk. |
| Inzai | Oophorectomy i neih chuan ovary pahnih a paih chhuak a nih chuan menopause nghal mai tur a ni. Hysterectomy neih laiin ovary te chu a awm reng a nih pawhin a chang chuan thisen kalna chu a tlahniam thei a, chu chuan a hun hmaa menopause a thlen thei a ni. |
| Chhungkaw chanchin | I nu, i farnu, i pi ang mi pakhatin menopause hma a neih chuan i hlauhawmna a sang deuh hlek a ni. Hei hi i genes atanga lo chhuak a ni. |
| Genetic dinhmun (genetic) a awm | Chromosomal problem thenkhat, Turner’s syndrome emaw Fragile X syndrome te hian ovary te chu a lo thang tha lo thin. |
| Autoimmune Natna te | Hei hi kan taksa ngeiin keimahni Ovary a beih hian a ni. Rheumatoid arthritis leh thyroid natna ang chi natna nei te chu an hlauhawm hle. |
| Meizial zuk | Hmeichhia meizuk thinte hian estrogen level a hniam zawk a, hei hian menopause a paltlang hma thei a, menopause hi menopause nei lote aiin kum khat emaw kum hnih emaw vel a paltlang hma thei a ni. |
| Hri kai leh natna dang | Viral infection thenkhat, mumps, HIV/AIDS, leh chronic fatigue syndrome ang chi condition te pawhin ovary a tichhe thei bawk. |
Hei hi i thunun theih loh chhan vangin a thleng fo tih hre reng ang che. Chuvangin, "Hei hi ka sualna a ni," tih hi ngaihtuah ngai suh.
Engtin nge he natna hi ka nei tih ka hriat theih ang? Eng nge a lan chhuah dan?
Hei hi a lan chhuah hmasak ber leh pawimawh ber chu thlasik hun mumal lo hi a ni . Thla tam tak chhung thlasik chu a tawp a, a tan leh thei bawk. A nih loh leh thlasik ni zat a pung emaw a tlem emaw thei a, thisen chhuah zat pawh a danglam thei bawk. Hei bakah hian normal menopause-a symptoms hmuh zawng zawng pawh he case-ah hian hmuh theih a ni bawk.
| Symptom a ni | Hei hian eng nge a neihtîr che? (I Hriat Turte) . |
|---|---|
| Hot Flashes a awm | Taksa zawng zawngah, a bik takin hmai leh kawr chhungah lumna leh thawk hah nghal vat. Hei hi minute engemaw zat a daih thei. |
| Zan lama Sweats te | Zanah thawk harh chhuak. Bed sheet pawh a hnim thei. |
| Vaginal a vawt lutuk | Sex hman laiin vaginal dryness leh na. Itching pawh a awm thei bawk. |
| Mu thei lo | Zana mut harsa, emaw, harh fo. |
| Rilru lam inthlak danglamna | Thinrim awlsam, thil tenawm tak avanga hliam, lungngaih mai mai (depression), leh hlauhna (irrational fear) (anxiety) te. |
| Urinary system lama harsatna awm thei | Zun chhuah a ngai fo thin. Urinary tract infection (UTIs) a awm fo thin. |
| Thil dang pawh a awm | Vun, mit leh hmui vawt, ruh leh ruh na, mipat hmeichhiatna lama duhna tlahniam, hriatrengna leh ngaihvenna tlahniam, sam tlakchham, leh taksa rihna inthlak danglam. |
Engtin nge doctor hian he natna hi dik taka a hriat theih ang?
Kum 45 hnuai lam i nih a, a chunga kan sawi tak symptoms i neih chuan doctor pan ngei ngei tur a ni. Internet-a thil enin mahni inhriatchhuah tum suh. I doctor chuan a hnuaia mite hi a ti ang:
1. Zawhna an zawt ang che: i thlasik hun chhung chungchang te, i chhungte zingah hetiang hi an nei tawh em tih te, leh damdawi dang i ei lai te.
2. Taksa enfiahna a ti: Taksa enfiahna tlangpui a ti.
3. Thisen test: Hei hi a pawimawh ber a ni. I thisenah hormone level a awm leh awm loh enfiah a ni ang a, a bik takin FSH (Follicle-Stimulating Hormone) tih hormone a awm leh awm loh enfiah a ni ang. He hormone level hi menopause lai hian nasa takin a sang chho thin. Hei bakah hian thyroid hormone ang chi thil te chu damdawi lam thil dang a awm leh awm loh enfiah a ni ang.
Heng test neih zawh hian doctor chuan premature menopause emaw hriselna lama harsatna dang emaw i neih leh neih loh a hre thei ang.
Hei hi eng enkawlna nge ni? A let leh thei ang em?
Vanduaithlak takin menopause hi reversible a ni lo. Chu chu ovaries te chu reactivate theih a ni lo tihna a ni. Mahse, a natna lan chhuah dan enkawlna leh hun rei tak chhunga hriselna atana hlauhawm tihziaawmna tur enkawlna tha tak tak a awm nual.
Enkawlna ber chuHormone Replacement Therapy (HRT) - Hei hian taksaa estrogen leh progesterone hormone awm lo chu pawn lam atanga pek a ni.
Engvangin nge HRT enkawl hi a pawimawh?
- A tam zawkah chuan kang natna, mut theih lohna, leh vaginal dryness ang chi symptoms buaithlak tak tak te chu a control thei a ni.
- Hun rei tak chhung chu ruh natna (osteoporosis) a veng thei.
- Lung natna vei theihna a ti tlem .
- I nunphung (quality of life) vawng reng turin a pui thin.
Doctor-te chuan natural menopause (kum 51 vel) i tlin hma loh chuan HRT ei turin an rawt tlangpui. Mahse, mi zawng zawng tan (entir nan, hnute cancer history nei tawhte tan) a tha lo. Chuvangin, he enkawlna thatna leh that lohna te hi i doctor nen sawihoin i tana tha ber tur i rel tur a ni.
Fa neih beiseina chu engtin nge ni ang?
Menopause hma lama beidawnna lian ber pakhat chu naupang tan beiseina hloh hi a ni. Menopause hnuah pawh natural takin naupai theih a ni lo. Amaherawhchu, beiseina i thlahthlam vek a ngai lo. Hei pawh hi duhthlan tur a awm a:
- IVF Enkawlna: Naupang chu IVF technology hmangin donor dang (Donor Eggs) hnen atanga egg lakchhuah hmangin siam theih a ni.
- Egg Freezing: Cancer enkawlna ang chi thil i tan hmain i egg i la a, i freeze chuan, chu egg chu a hnua naute neih nan i hmang thei ang.
- Adoption: Thil tih theih dang chu fa adopt hi a ni.
Hemi chungchangah hian obstetrician leh gynecologist te nen inbiain i tan a tha ber tur chu i sawiho thei ang.
Menopause hma hian hun rei tak chhunga hlauhawmna awm thei te chu engte nge ni?
Hengte hi symptom tibuaitu thenkhat chauh an ni lo. Hormone estrogen hi kan taksaah venghimtu pawimawh tak a ni. Kum tam tak kalta a chu hormone chu hloh chuan hun rei tak chhunga hriselna atana hlauhawm engemaw zat a thlen thei a ni.
- Osteoporosis: Estrogen hian kan ruhte a tichak a. A bo chuan ruhte chu a chhe nghal vat thin. Tlu tenau pawhin ruh a tikehsawm thei.
- Heart Disease: Estrogen hormone hian kan thinlung leh thisen kalna kawng a venghim a. Chu venhimna chu a hun hmaa a hmanral chuan thinlung natna leh stroke vei theihna a sang chho zel a ni.
- Depression: Depression hi hormone inthlak danglamna leh he natna avanga stress awm vang a ni thei.
- Nervous system natna: Zirchianna thenkhatah chuan dementia leh Parkinson’s disease ang chi natna vei theihna hi tlem a sang thei hle.
Hei vang hian HRT ang chi enkawlna chungchangah doctor nen inbiakna neih a pawimawh hle.
Take-Home Thuchah a ni
- Kum 45 hmaa thlasik chawlhsan chu ‘Early Menopause’ an ti a, kum 40 an tlin hmaa chawlhsan chu ‘Premature Menopause’ an ti bawk.
- Kum 45 hnuai lam i nih a, period mumal lo leh hot flash ang chi symptom i neih chuan doctor pan ngei ngei tur a ni.
- Hei hi chhan tam tak a awm thei a, mahse a tam zawkah chuan a chhan chiang tak a awm lo. Hei hi i sualna a ni lo.
- Hetiang dinhmun hi tihdanglam theih ni lo mah se, damdawi tha tak tak, HRT ang chi, natna lan chhuah dan control leh hun rei tak chhunga hriselna atana hlauhawm tihziaawmna tur a awm.
- Fa neih i beisei a nih chuan specialist nen i duhthlan tur chungchang sawipui rawh.
- Nangmah chauh i ni lo. Hemi chungchâng hi i kawppui, chhûngte, a nih loh leh i ṭhian rintlak tak nêna sawipui chuan i rilru a hahdam zâwk thei a ni.
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