Kodi papita chaka chimodzi kuchokera pamene msambo wanu wa mwezi unatha? Kodi mukumvabe kusasangalala ndi kusintha kwa thupi lanu mutadutsa nthawi yofunika kwambiri yotchedwa kusamba? Ndiye muli mu nthawi yotchedwa "Postmenopause". Azimayi ambiri salankhula kwambiri za izi, koma iyi ndi nthawi yofunika kwambiri m'miyoyo yathu. Choncho musachite mantha, lero tikambirana za nthawi imeneyi, kusintha komwe kumachitika panthawiyi, komanso momwe mungakhalire osangalala komanso athanzi.
Mwachidule, kodi postmenopause ndi chiyani?
Kusamba pambuyo pa nthawi yopuma (Postmenopause) ndi nthawi yomwe mimba yanu imayambanso pambuyo pa miyezi 12 yotsatizana popanda kusamba . Panthawiyi, mazira anu amasiya kutulutsa mazira (ovulation). Izi zikutanthauza kuti mphamvu yanu yobereka ana yatha.
Uku si mapeto a moyo, koma chiyambi chatsopano. Zizindikiro zomwe zinali zovutitsa kwambiri panthawi ya kusamba, monga kutentha thupi ndi thukuta usiku, zimatha kuchepa pang'onopang'ono kapena kutha kwathunthu panthawiyi.
Koma panthawiyi, thupi lathu limakhala ndi hormone yochepa kwambiri ya estrogen . Homoni iyi ndi yofunika kwambiri kuti mafupa athu akhale olimba. Chifukwa chake, estrogen ikachepa, chiopsezo cha matenda a osteoporosis chimawonjezeka pang'ono.
Kodi postmenopause imatenga nthawi yayitali bwanji?
Mukangoyamba kusamba, zidzakhalapo kwa moyo wanu wonse. Mahomoni adzakhalabe otsika, nthawi yanu ya mwezi sidzabwerera, ndipo simudzathanso kutenga pakati chifukwa simudzathanso kutulutsa mazira.
Vutoli nthawi zambiri limachitika munthu ali ndi zaka pafupifupi 52. Koma limasiyana malinga ndi munthu. Chofunika si zaka zanu, koma ngati patha chaka chimodzi kuchokera pamene msambo wanu unasiya.
Kodi zizindikiro zingaonekebe panthawiyi?
Inde, anthu ambiri akhoza kukhalabe ndi zizindikiro zomwezo zomwe anali nazo panthawi ya kusamba. Koma nthawi zambiri, sizimakhala zolimba kwambiri. Zonsezi zimachitika chifukwa chakuti mahomoni obereketsa m'thupi lathu ndi otsika. Anthu ena sangakhale ndi zizindikiro konse.
Koma onani ngati muli ndi zizindikiro izi:
| Chizindikiro | Kufotokozera kosavuta |
|---|---|
| Kutentha ndi thukuta usiku | Kumva kutentha kwambiri komanso thukuta mwadzidzidzi. Anthu ena angakhale ndi vutoli kwa zaka zambiri. |
| Kuuma kwa nyini ndi kupweteka panthawi yogonana | Kuchepa kwa estrogen kumapangitsa kuti minofu ya m'chiberekero ikhale yopyapyala komanso youma, zomwe zingapangitse kugonana kukhala kowawa. |
| Kuvutika maganizo ndi kusintha kwa maganizo | Kumva chisoni, nkhawa, komanso nkhawa. Izi zitha kuchitika chifukwa cha kusintha kwa mahomoni komanso kusintha kwa moyo. |
| Kuchepa kwa chilakolako chogonana | Kusintha kwa mahomoni ndi kuuma kwa nyini kungathandize kuchepetsa chilakolako chogonana. |
| Kusowa tulo | Zinthu monga kuvutika kugona usiku ndi kudzuka pakati pa nthawi zingachitike. |
| Khungu louma, tsitsi lotayika | Zinthuzi zimatha kuchitika chifukwa kuchepa kwa estrogen kumakhudza chinyezi cha khungu ndi kukula kwa tsitsi. |
| Kusintha kwa kulemera kwa thupi | Kagayidwe ka thupi m'thupi kamachepa, zomwe zimapangitsa kuti thupi liwonjezeke. |
| Kulephera kudziletsa mkodzo | Mkodzo wochepa umatuluka popanda kuzindikira pamene ukutsokomola, kuseka, kapena kunyamula chinthu cholemera. |
Ngati zizindikirozi zili zazikulu mokwanira kuti zisokoneze moyo wanu watsiku ndi tsiku, onetsetsani kuti mwaonana ndi dokotala wanu. Pali mankhwala ochizira izi.
Kodi n'zotheka kukhala ndi magazi m'mimba mwa amayi panthawi ya postmenopause?
Ayi ndithu. Izi ndizofunikira kwambiri. Kutuluka magazi m'mimba mwa mkazi panthawi ya postmenopause sikwabwinobwino . Nthawi zina, kuuma kwa m'mimba mwa mkazi kungayambitse kadontho kakang'ono ka magazi kutuluka mutagonana. Komabe, ngati mukutuluka magazi mwanjira ina iliyonse, kungakhale chizindikiro cha kukhuthala kwa chiberekero (endometrial hyperplasia), uterine fibroids, matenda (endometritis), kapena khansa. Chifukwa chake, ngakhale mutakhala ndi magazi ochepa, muyenera kuwona dokotala.
Zoopsa pa thanzi zomwe muyenera kuzidziwa mutatha kusamba
Pamene mahomoni otchedwa estrogen, omwe kale anali oteteza thupi lathu, akuchepa, chiopsezo chotenga matenda ena chikuwonjezeka pang'ono panthawiyi. Palibe choopa, chifukwa tingadziteteze ku matenda amenewa podziwa izi.
1. Kuchepa kwa mafupa (Osteoporosis)
Pambuyo pa kusamba, kuchuluka kwa mafupa kumachepa mofulumira chifukwa cha kuchepa kwa estrogen. Kulemera kwa mafupa kumatha kuchepa ndi pafupifupi 1% - 2% pachaka. Mafupa akachepa kwambiri, ngakhale kugwa pang'ono kumawonjezera chiopsezo cha kusweka kwa mafupa.
- Kodi chingachitike n’chiyani?
- Idyani zakudya zokhala ndi calcium yambiri: Phatikizani mkaka, tchizi, yogati, nsomba zazing'ono zokhala ndi zipolopolo (salyo, halibut), masamba obiriwira monga sipinachi, kale, ndi chimanga cholimba muzakudya zanu.
- Vitamini D: Vitamini D ndi yofunika kwambiri kuti thupi lizitha kuyamwa calcium. Vitamini D imapezeka chifukwa cha kuwala kwa dzuwa m'mawa. Ngati pakufunika kutero, muthanso kumwa vitamini D yowonjezera ngati dokotala wakupatsani upangiri.
- Maseŵero Olimbitsa Thupi: Zinthu monga maseŵero onyamula zolemera ndi kuyenda mwachangu zimalimbitsa mafupa.
- Kuyesa Kuchuluka kwa Mafupa: Dokotala wanu angakulangizeni kuti muyese kuchuluka kwa mafupa anu, ngati pakufunika kutero.
2. Matenda a mtima
Kusamba kusanachitike, mahomoni otchedwa estrogen amathandiza kuteteza mtima ndi mitsempha yamagazi. Koma chitetezo chimenecho chikachepa panthawi ya kusamba, chiopsezo chotenga matenda monga matenda a mtima ndi sitiroko chimawonjezeka. Komanso, popeza anthu ambiri sachita masewera olimbitsa thupi mokwanira panthawiyi, mwayi wokhala ndi cholesterol yambiri komanso kuthamanga kwa magazi umawonjezekanso.
- Kodi chingachitike n’chiyani?
- Zakudya zabwino: Chepetsani zakudya zokhala ndi mafuta ambiri, mchere, ndi shuga. Idyani ndiwo zamasamba, zipatso, nyemba, tirigu wonse, ndi nsomba.
- Kuchita masewera olimbitsa thupi nthawi zonse: Chitani zinthu monga kuyenda kapena kusambira kwa mphindi zosachepera 30 patsiku.
- Pewani kusuta: Kusuta fodya kumavulaza kwambiri mtima.
- Kusamalira matenda osatha:Ngati muli ndi matenda monga matenda a shuga, kuthamanga kwa magazi, kapena cholesterol, samalani bwino malinga ndi upangiri wa dokotala wanu.
3. Mavuto a mkodzo ndi ziwalo zoberekera (Genitourinary syndrome of menopause)
Ngakhale kuti dzinali ndi lovuta pang'ono, limangotanthauza mavuto omwe ali mu nyini ndi mkodzo omwe amayamba chifukwa cha kuchepa kwa estrogen.
- Kuuma kwa nyini: Minofu imakhala yopyapyala, youma, ndipo imatha kuyabwa ndi kutupa. Izi zingapangitse kugonana kukhala kowawa.
- Mavuto a mkodzo: Pamene minofu ya chikhodzodzo ndi urethra ikufooka, mungakumane ndi matenda opatsirana m'mitsempha ya mkodzo pafupipafupi ndipo zimakuvutani kulamulira mkodzo wanu.
- Kodi chingachitike n’chiyani?
- Mungagwiritse ntchito mafuta odzola m'mimba ndi mafuta odzola omwe amapezeka pamsika.
- Ngati mavutowa akupitirira, dokotala wanu angakulangizeni mafuta odzola okhala ndi estrogen kapena mankhwala ena.
Postmenopause ndi thanzi la maganizo
Nthawi ino ingakhale yovuta mwakuthupi komanso m'maganizo.
- Zinthu monga nkhawa, mkwiyo, ndi kuvutika maganizo zingachitike.
- Mungamve chisoni kuti nthawi imene munali ndi ana yatha.
- Kumva ngati munthu akukalamba kungakhale kovuta.
Maganizo amenewa ndi achibadwa. Simuli nokha. Kulankhula za izi ndi mnzanu wodalirika kapena wachibale wanu kungakuthandizeni kwambiri. Kapena, kulankhula ndi mlangizi kapena dokotala wa matenda amisala kungakupatseni mphamvu zambiri kuti muthane ndi gawo latsopanoli la moyo.
Chithandizo ndi kusintha kwa moyo kuti muchepetse zizindikiro
Pali njira zosiyanasiyana zothanirana ndi mavuto omwe amabwera panthawiyi.
Chithandizo chamankhwala
Malinga ndi zizindikiro zanu, dokotala wanu angakulangizeni mankhwala monga:
- Chithandizo cha Mahomoni (HT): Ichi ndi chithandizo chothandiza kwambiri pa zizindikiro zambiri. Chimaphatikizapo kusintha mahomoni osowa ndi mahomoni ochokera kunja kwa thupi. Komabe, chimakhala ndi zoopsa zina (monga magazi kuundana, khansa ya m'mawere), kotero dokotala wanu yekha ndi amene angasankhe ngati izi zili zoyenera kwa inu kutengera mbiri yanu ya thanzi.
- Mankhwala Oletsa Kuvutika Maganizo: Mitundu ina ya mankhwala oletsa kuvutika maganizo ingathandize kuchepetsa kusinthasintha kwa maganizo komanso kutentha thupi.
- Mafuta odzola kumaliseche: Mafuta odzola okhala ndi estrogen angagwiritsidwe ntchito pochiza kuuma ndi kupweteka kwa m'maliseche.
- Mankhwala ena: Mankhwala monga Gabapentin ndi Oxybutynin nthawi zina amaperekedwa kuti achepetse kutentha thupi.
Kusintha kwa moyo
Kupatula mankhwala, palinso zinthu zambiri zomwe mungachite nokha.
- Kuchita masewera olimbitsa thupi nthawi zonse: Zinthu monga kuyenda, yoga, ndi kunyamula zolemera zimalimbitsa mafupa ndi minofu. Ndizabwinonso pa thanzi la maganizo.
- Idyani zakudya zopatsa thanzi: Idyani zakudya zokhala ndi mafuta ochepa, shuga, ndi mchere wochepa, komanso zokhala ndi ndiwo zamasamba zambiri, zipatso, ndi zitsamba. Chepetsani kumwa mowa.
- Khalani ndi kulemera kwabwino: Kulamulira kulemera kwa thupi lanu kungakutetezeni ku matenda monga matenda a mtima ndi matenda a shuga.
- Khalani ochezeka: Khalani pamodzi ndi anzanu, chitani ntchito zothandiza anthu ammudzi, kapena chitani zinthu zomwe mumakonda. Izi zikupatsani chithandizo chamaganizo chomwe mukufunikira.
- Kusinkhasinkha: Kuchita zinthu monga kusinkhasinkha kumathandiza kwambiri pakukhazika mtima pansi komanso kuchepetsa nkhawa.
Mafunso Ofunsidwa Kawirikawiri
Kodi n'zotheka kutenga mimba pambuyo pa kusamba?
Ngati msambo wanu watha kwa chaka chimodzi, simungathe kutenga mimba chifukwa simukutulutsa mazira. Komabe, ngati simukufuna kukhala ndi ana mpaka chaka chimodzi mutasiya msambo wanu, lankhulani ndi dokotala wanu za kugwiritsa ntchito njira zolerera.
Kodi mayeso a Pap ayenera kuchitidwa ngakhale panthawi ya postmenopause?
Inde, ndithudi. Si bwino kusiya kukaonana ndi dokotala chifukwa choti mwasiya kusamba. Muyenera kupitiriza kukaonana ndi dokotala wanu za matenda a Pap smears, mammograms, ndi zina zotero monga momwe dokotala wanu akulangizira.
Kodi thupi langa lidzabwerera momwe linalili pambuyo pa kusamba?
Ayi, thupi lanu silidzabwerera momwe linalili musanayambe kusamba. Komabe, kwa ambiri, zizindikiro zosasangalatsa monga kutentha thupi, thukuta, ndi kusinthasintha kwa maganizo zidzachepa ndipo mudzayamba kumva mpumulo waukulu. Komabe, kwa ena, zizindikirozi zitha kukhalapo kwa zaka zambiri.
Uthenga Wopita Nawo Kunyumba
- Postmenopause ndi gawo la moyo wanu lomwe limayamba mutasiya kusamba kwa miyezi 12 yotsatizana.
- Panthawiyi, chiopsezo cha matenda a osteoporosis ndi matenda a mtima chimawonjezeka chifukwa cha kuchepa kwa estrogen.
- Kutuluka magazi m'mimba mwa mkazi nthawi ya postmenopause sikwachilendo. Ngati izi zitachitika, pitani kwa dokotala nthawi yomweyo.
- Zakudya zabwino, kuchita masewera olimbitsa thupi nthawi zonse, komanso kusunga kulemera koyenera ndizofunikira kwambiri panthawiyi.
- Kambiranani momasuka ndi dokotala wanu za vuto lililonse la thupi kapena la maganizo lomwe mukukumana nalo. Pali mankhwala othandiza pa izi.
- Uku si mapeto a moyo, koma mwayi watsopano wosamalira thanzi lanu bwino ndikukhala mosangalala.
💬 Comments (0)
Palibe ndemanga zomwe zatumizidwa pano. Onjezani ndemanga yanu pano koyamba.
Onjezani ndemanga yanu