Kodi inunso muli ndi zaka zoposa 40? Kodi nthawi yanu yayamba kusakhazikika? Kodi mwadzidzidzi mumamva kutentha? Kodi mumakwiya ngakhale pazinthu zazing'ono? Azimayi ambiri amakumana ndi zinthu ngati izi panthawiyi. Izi timazitcha zizindikiro za premenopause. Musadandaule, iyi si matenda. Ndi gawo lachilengedwe m'moyo wa mkazi aliyense. Lero, tikambirana izi mosavuta, m'njira yomwe mungamvetse.
Mwachidule, kodi kusamba nthawi yapakati n’chiyani?
Kusamba ndi kutha kwa msambo kwa mwezi uliwonse. Kunena zoona, ngati simunakhale ndi msambo kwa miyezi 12 yotsatizana , madokotala amaona kuti mwafika pa siteji yotchedwa menopause. Vutoli nthawi zambiri limapezeka mwa akazi aku Sri Lanka azaka zapakati pa 48-52. Izi ndi zachibadwa. Izi zimachitika pamene mazira anu amasiya kupanga mahomoni okhudzana ndi kubereka.
Nthawi zina kusamba kungayambitsidwe ndi opaleshoni (monga kuchotsa chiberekero ndi mazira) kapena chithandizo china chamankhwala. Timachitcha kuti "Kusamba Koyambitsidwa". Kusintha kwa mahomoni kumeneku kungayambitse kusasangalala kwakuthupi ndi kwamaganizo. Koma pali mankhwala omwe angathandize, mwachitsanzo, chithandizo cha mahomoni, mankhwala ena, ndi kusintha kwa moyo.
Kodi magawo atatu akuluakulu a kusamba ndi ati?
Kusamba si chinthu chomwe chimachitika mwadzidzidzi. Ndi njira yopita pang'onopang'ono. Ili ndi magawo atatu akuluakulu. Ndikofunikira kwambiri kuti mudziwe izi.
| Gawo | Kufotokozera kosavuta |
|---|---|
| 1. Kusamba nthawi yonse ya kusamba | Iyi ndi nthawi yosinthira ku kusamba. Imatha kuyamba pafupifupi zaka 8-10 isanafike nthawi yosamba. Nthawi zambiri imayamba m'zaka za m'ma 40. Panthawiyi, kupanga mahomoni a estrogen kuchokera m'mazira kumachepa pang'onopang'ono. Zizindikiro monga kusamba kosakhazikika, kutentha thupi, komanso kukwiya pafupipafupi nthawi zambiri zimayamba panthawiyi. |
| 2. Kusamba | Iyi ndi nthawi yeniyeni yomwe msambo wanu waima kwa miyezi 12. Mu gawoli, mazira amasiya kutulutsa mazira kwathunthu ndipo kupanga kwa hormone ya estrogen kumachepa kwambiri. Iyi si nthawi yomwe imatenga nthawi yayitali, koma nthawi yeniyeni. |
| 3. Pambuyo pa kusamba | Iyi ndi nthawi ya moyo wanu mutatha kusamba. Zizindikiro zambiri zimatha panthawiyi, koma anthu ena akhoza kukhala ndi zizindikiro zochepa kwa zaka zingapo. Popeza kuchuluka kwa estrogen kumakhala kochepa, chiopsezo cha matenda a osteoporosis ndi matenda a mtima chimakhala chokwera pang'ono panthawiyi. |
Tiyeni tiphunzirenso za kusamba msanga.
Kusamba kwa nthawi yochepa, komwe kumachitika pakati pa zaka 45 ndi 55, kumaonedwa kuti ndi "kwachilengedwe." Komabe, ngati kumachitika munthu asanakwanitse zaka 45, kumatchedwa "Kusamba Koyambirira." Ngati kumachitika munthu asanakwanitse zaka 40, kumatchedwa "Kusamba Koyambirira." Ngati kumachitika popanda chifukwa chilichonse chachipatala kapena opaleshoni, vutoli limatchedwanso "Kusakwanira Kwambiri kwa Ovarian."
Kodi zizindikiro za kusamba ndi ziti?
Mungathe kukumana ndi chimodzi kapena zingapo mwa zizindikirozi pamene mukusiya kusamba. Si aliyense amene angakumane nazo zonse. Anthu ena amakumana nazo kwambiri, pomwe ena sangakumane nazo konse.
| Zizindikiro zodziwika bwino | Zizindikiro zina zomwe anthu ena angakumane nazo |
|---|---|
| - Kusamba kosakhazikika (kutuluka magazi ambiri kapena ochepa kuposa kale) | - Kugunda kwa mtima mwachangu |
| - Kutentha - kumva kutentha mwadzidzidzi kufalikira mthupi lonse | - Mutu |
| - Thukuta la usiku | - Kupweteka kwa mafupa ndi minofu |
| - Kuuma kwa nyini (kuvuta pogonana) | - Kusintha kwa chilakolako chogonana |
| - Kufuna kukodza pafupipafupi | - Kuvuta kuyang'ana kwambiri kapena kutaya kukumbukira |
| - Kusowa tulo | - Kulemera kwa thupi |
| - Kusintha kwa maganizo (kukwiya pafupipafupi, chisoni) | - Tsitsi limataya kapena kuonda |
| - Khungu louma, maso ndi pakamwa |
Ngati zizindikirozi zili zazikulu mokwanira kuti zisokoneze moyo wanu, musachite manyazi kulankhula ndi dokotala wanu za izi.
Kodi mankhwala ndi otani ndipo mungatani kuti muchepetse zizindikiro zake?
Kusamba ndi njira yachilengedwe, kotero si aliyense amene amafunika chithandizo. Chithandizo chimadalira kuthana ndi zizindikiro zomwe zikusokoneza moyo wanu. Ndi bwino kulankhula ndi dokotala wanu kuti akusankheni chithandizo choyenera.
1. Chithandizo cha Mahomoni
Uwu ndiye mankhwala akuluakulu omwe amagwira ntchito kwa anthu ambiri. Umaphatikizapo kusintha mahomoni omwe amachepa m'thupi (estrogen ndi progesterone) omwe amapangidwa kunja. Izi zingathandize kwambiri ku zizindikiro monga kutentha thupi komanso kuuma kwa m'mimba. Zingathandizenso kupewa matenda a osteoporosis.
- Chithandizo cha Estrogen (ET): Homoni ya Estrogen yokha imaperekedwa. Izi zimabwera m'njira zosiyanasiyana, monga mapiritsi, ma patches, mafuta odzola, ndi ma gel. Njira imeneyi nthawi zambiri imaperekedwa kwa akazi omwe achotsedwa chiberekero chawo.
- Mankhwala ophatikizana a Estrogen ndi progestogen (EPT): Kwa amayi omwe sanachotsedwe chiberekero, mahomoni ofanana ndi progesterone amaperekedwa pamodzi ndi estrogen.
Chofunika kwambiri:Chithandizo cha mahomoni chingakhale ndi zoopsa zina, kotero dokotala wanu yekha ndi amene angadziwe ngati izi ndi zoyenera kwa inu kutengera mbiri yanu ya thanzi.
2. Mankhwala Osakhala a mahomoni
Chithandizo cha mahomoni sichili choyenera aliyense (monga omwe ali ndi mbiri ya khansa ya m'mawere). Kwa anthu omwe sakonda mahomoni, pali njira zina.
- Kusintha kwa moyo:
- Zakudya: Kuchepetsa zakudya zokometsera ndi khofi kungathandize kuchepetsa kutentha thupi. Phatikizani zakudya zomwe zili ndi phytoestrogens, monga soya, nsawawa, mphodza, ndi mbewu za fulakesi.
- Kuchita Masewera Olimbitsa Thupi: Kuchita masewera olimbitsa thupi tsiku ndi tsiku sikungothandiza thanzi la maganizo komanso kulimbitsa mafupa. Kuchita masewera olimbitsa thupi monga yoga kungathandize kukhala ndi mtendere wamaganizo.
- Kupewa zinthu zomwe zimayambitsa kutentha: Sungani chipinda chanu chogona chozizira usiku. Pewani kusuta fodya.
- Mankhwala operekedwa ndi dokotala:
- Mlingo wochepa wa mankhwala ena oletsa kuvutika maganizo (monga SSRIs, SNRIs) ungathandize kuchepetsa kutentha thupi komanso kusintha kwa maganizo.
- Mafuta odzola ndi mafuta odzola a nyini angagwiritsidwe ntchito pochiza kuuma kwa nyini.
Mankhwala aliwonse mwa awa ayenera kumwedwa pokhapokha ngati dokotala wakupatsani upangiri .
Kodi muyenera kupita kwa dokotala liti?
Ngakhale kuti nthawi imeneyi imakhala yofala kwambiri, zizindikiro zina zimatha kukhala chizindikiro cha vuto lina la thanzi. Choncho ngati muli ndi chimodzi mwa izi, onetsetsani kuti mwaonana ndi dokotala kuti akupatseni malangizo.
| Samalani ndi zizindikiro izi! | |
|---|---|
| - Kutuluka magazi ambiri kuposa masiku onse panthawi ya msambo. | |
| - Kutuluka kwa magazi ambiri oundana. | |
| - Msambo umatenga masiku opitilira 7. | |
| - Nthawi yoti munthu azitha kusamba nthawi ziwiri ndi yosakwana masiku 21. | |
| - Kutuluka magazi nthawi ya msambo kapena pambuyo pogonana. | |
Mafunso ena omwe mungakhale nawo
Kodi n'zotheka kutenga mimba panthawiyi?
Inde. Pali mwayi wochepa wokhala ndi pakati kwa miyezi 12 mutasiya kwathunthu kusamba. Choncho, ngati simukufuna kukhala ndi ana, ndikofunikira kugwiritsa ntchito njira zolerera mpaka dokotala atatsimikizira kuti mwafika pachimake cha kusamba.
Kodi zimakhudza moyo wogonana?
Inde, zingakhudzidwe. Chifukwa cha kuchepa kwa mahomoni, nyini imatha kuuma ndipo kugonana kungakhale kowawa. Anthu ena angavutikenso ndi chilakolako chogonana. Komabe, anthu ena saopa kutenga mimba ndipo angasangalale kwambiri ndi kugonana momasuka panthawiyi. Lankhulani ndi dokotala wanu za izi. Pali njira zothandizira pa izi.
Kodi amuna nawonso ali ndi vuto la kusamba?
Funso limene anthu ambiri amafunsa ndi ili. Kuchuluka kwa testosterone mwa amuna kumachepa pang'onopang'ono akamakalamba. Izi zimatchedwa Andropause. Komabe, mosiyana ndi kuchuluka kwa estrogen mwa akazi, izi si kusintha kwadzidzidzi. Zimachitika pang'onopang'ono kwambiri moti amuna ena sazizindikira. Chifukwa chake, sizingafanane ndi kusamba kwa akazi.
Kusamba ndi gawo lachibadwa komanso labwinobwino la ukalamba. Ngakhale mukudziwa kuti ikubwera, kukhala ndi zizindikiro zake nthawi zina kungakhale kovuta. Koma simuyenera kudutsa nokha. Lankhulani ndi dokotala wanu za zizindikiro zanu ndi momwe zikukhudzira moyo wanu. Pali mankhwala omwe angakuthandizeni kumva bwino.
Uthenga Wopita Nawo Kunyumba
- Kusamba si matenda, koma ndi chinthu chachilengedwe chomwe chimachitika m'moyo wa mkazi aliyense.
- Zizindikiro zomwe zimagwirizanitsidwa nazo zingakhale zosasangalatsa, koma pali mankhwala omwe angathandize kuziletsa.
- Kambiranani momasuka ndi dokotala za zizindikiro zanu. Izi zikuthandizani kupeza njira yabwino kwambiri yothetsera vutoli.
- Kusintha moyo monga kudya bwino komanso kuchita masewera olimbitsa thupi kungathandize kwambiri.
- Samalani kwambiri thanzi la mafupa ndi mtima wanu mukatha kusamba.
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