Ngaba nawe ungaphezulu kancinci kwiminyaka engama-40? Ngaba ixesha lakho lokuya exesheni aliqhelekanga? Ngaba uziva ushushu ngequbuliso? Ngaba ucaphuka nangenxa yezinto ezincinci? Abafazi abaninzi bahlangabezana nezinto ezinje ngeli xesha. Ezi mpawu sizibiza ngokuba ziimpawu zangaphambi kokuya exesheni. Ungakhathazeki, esi asisosifo. Linqanaba lendalo ebomini bomfazi ngamnye. Namhlanje, siza kuthetha ngale nto ngokulula, ngendlela onokuyiqonda.
Ngamafutshane, yintoni i-menopause?
Ukuya exesheni kukuyeka ngokupheleleyo ukuya exesheni kwakho ngenyanga. Ukuba awuzange ube nexesha kangangeenyanga ezili-12 zilandelelana , oogqirha bacinga ukuba ufikelele kwinqanaba elibizwa ngokuba yi-menopause. Le meko idla ngokuvela kubafazi baseSri Lanka abaphakathi kweminyaka engama-48-52. Le yinkqubo yendalo. Oku kwenzeka xa ama-ovari akho eyeka ukuvelisa iihomoni ezinxulumene nokuzala.
Ngamanye amaxesha ukuyeka ukuya exesheni kunokubangelwa lutyando (umzekelo, ukususwa kwesibeleko kunye namaqanda) okanye olunye unyango. Oku sikubiza ngokuba yi-"Induced Menopause". Olu tshintsho lweehomoni lunokubangela ukungakhululeki emzimbeni nangokweemvakalelo. Kodwa kukho unyango olunokunceda, umzekelo, unyango lweehomoni, amanye amayeza, kunye notshintsho kwindlela yokuphila.
Ngawaphi amanqanaba amathathu aphambili okuya exesheni?
Ukuya exesheni akuyonto eyenzeka ngequbuliso. Yinkqubo eyenzeka kancinci kancinci. Inezigaba ezintathu eziphambili. Kubaluleke kakhulu ukuba ukwazi oku.
| Iqonga | Ingcaciso elula |
|---|---|
| 1. Ukuphela kokuya exesheni | Eli lixesha lokutshintshela ekufikeleleni exesheni. Lingaqala malunga neminyaka esi-8-10 ngaphambi kokuba uyeke ukuya exesheni. Lidla ngokuqala kwiminyaka engama-40. Ngeli xesha, ukuveliswa kwehomoni i-estrogen kwii-ovari kuyehla kancinci kancinci. Iimpawu ezifana nokuya exesheni ngokungacwangciswanga, ubushushu obugqithisileyo, kunye nokucaphuka rhoqo kudla ngokuqala ngeli xesha. |
| 2. Ukuya exesheni | Eli lixesha kanye apho ixesha lakho lokuya exesheni liyekile kangangeenyanga ezili-12. Ngeli xesha, ama-ovari ayeka ukukhupha amaqanda ngokupheleleyo kwaye imveliso ye-hormone ye-estrogen yehla kakhulu. Eli asiloxesha elihlala ixesha elide, kodwa lixesha elithile. |
| 3. Emva kokuya exesheni | Eli linqanaba lobomi bakho emva kokuya exesheni. Uninzi lweempawu ziya kuphela ngeli xesha, kodwa abanye abantu banokuba neempawu ezingabalulekanga kangangeminyaka embalwa. Ngenxa yokuba amanqanaba e-estrogen aphantsi, umngcipheko we-osteoporosis kunye nesifo sentliziyo uphezulu kancinci ngeli xesha. |
Masifunde nangokufika kwe-menopause kwangethuba.
Ukuya exesheni, okuqhele ukwenzeka phakathi kweminyaka engama-45 nama-55, kuthathwa njengento "yendalo." Nangona kunjalo, ukuba kwenzeka ngaphambi kweminyaka engama-45, kubizwa ngokuba yi-"Early Menopause." Ukuba kwenzeka ngaphambi kweminyaka engama-40, kubizwa ngokuba yi-"Premature Menopause." Ukuba kwenzeka ngaphandle kwesizathu sezonyango okanye sotyando, imeko ikwabizwa ngokuba yi-"Primary Ovarian Insufficiency."
Zithini iimpawu zokuya exesheni?
Usenokuba nenye okanye ngaphezulu kwezi mpawu njengoko utshintshela ekufikeleleni exesheni. Ayinguye wonke umntu oza kuba nazo zonke. Abanye abantu bazifumana kakhulu, ngelixa abanye besenokungaziboni kwaphela.
| Iimpawu eziqhelekileyo | Ezinye iimpawu abanye abantu abanokuzibona |
|---|---|
| - Ukuya exesheni okungacwangciswanga (ukopha kwegazi okuninzi okanye okuncinci kunangaphambili) | - Ukubetha kwentliziyo ngokukhawuleza |
| - Ubushushu obugqithisileyo - ukuziva ubushushu busasazeka emzimbeni wonke ngequbuliso | - Intloko ebuhlungu |
| - Ukubila ebusuku | - Intlungu yamalungu kunye nemisipha |
| - Ukoma kwesitho sangasese sowesifazane (ubunzima ngexesha lokwabelana ngesondo) | - Utshintsho kwiminqweno yesondo |
| - Ukufuna ukuchama rhoqo | - Ubunzima bokugxila okanye ukulahleka kwenkumbulo |
| - Ukungalali | - Ukunyuka kobunzima bomzimba |
| - Ukutshintsha kweemvakalelo (umsindo oqhelekileyo, usizi) | - Ukulahleka okanye ukuncitshiswa kweenwele |
| - Ulusu olomileyo, amehlo kunye nomlomo |
Ukuba ezi mpawu zinzima ngokwaneleyo ukuba zingaphazamisa ubomi bakho, ungabi nazintloni zokuthetha nogqirha wakho ngazo.
Zithini iindlela zonyango kunye nendlela yokulawula iimpawu?
Ukuya exesheni yinkqubo yendalo, ngoko ke ayinguye wonke umntu ofuna unyango. Unyango lumalunga nokulawula iimpawu eziphazamisa ubomi bakho. Kungcono ukuthetha nogqirha wakho ukuze akukhethele unyango olukufaneleyo.
1. Unyango lweeHormone
Olu lolona nyango luphambili olusebenza kubantu abaninzi. Lubandakanya ukutshintsha iihomoni zomzimba ezinciphayo (i-estrogen kunye ne-progesterone) ngaphandle. Oku kunokubonelela ngoncedo olukhulu kwiimpawu ezinje ngobushushu kunye nokoma kwelungu lobufazi. Kunokunceda nokuthintela i-osteoporosis.
- Unyango lwe-Estrogen (ET): I-hormone ye-estrogen yodwa inikwa. Ezi ziza ngeendlela ezahlukeneyo, njengeepilisi, iipatches, iikhrimu, kunye neejeli. Le ndlela idla ngokunikezelwa kubafazi abasuswe isibeleko.
- Unyango oludibeneyo lwe-estrogen kunye ne-progestogen (EPT): Kubafazi abangakhange basuswe isibeleko sabo, i-hormone efana ne-progesterone inikwa kunye ne-estrogen.
Eyona nto ibalulekileyo:Unyango lweehomoni lunokuba neengozi ezithile, ngoko ke ngugqirha wakho kuphela onokugqiba ukuba oku kulungile na kuwe ngokusekelwe kwimbali yakho yempilo.
2. Unyango olungelulo olwe-hormone
Unyango lweehomoni alufanelekanga kuye wonke umntu (umzekelo, abo banembali yomhlaza webele). Kwabo bantu nakwabo bangawathandiyo amahomoni, kukho ezinye iindlela.
- Utshintsho kwindlela yokuphila:
- Ukutya: Ukunciphisa ukutya okuneziqholo kunye nekofu kunokunceda ekulawuleni ukurhawuzelelwa bubushushu. Faka ukutya okuqulethe ii-phytoestrogens, ezifana nesoya, iitshizi, iilentils, kunye nembewu yeflaxseed.
- Ukuzilolonga: Ukuzilolonga imihla ngemihla akuncedi nje kuphela kwimpilo yengqondo kodwa kuqinisa namathambo. Ukuzilolonga okufana neyoga kunokunceda ekuzoleni kwengqondo.
- Ukuphepha izinto ezibangela ubushushu: Gcina igumbi lakho lokulala lipholile ebusuku. Kuphephe ukutshaya.
- Amayeza abhalwe ngugqirha:
- Iidosi eziphantsi zezinye ii-antidepressants (umz. ii-SSRI, ii-SNRI) zinokunceda ekulawuleni ukurhawuzelelwa bubushushu kunye nokutshintsha kwemood.
- Iikhrimu zesini kunye nezinto zokuthambisa zingasetyenziselwa ukunyanga ukoma kwesini.
Naliphi na kula mayeza kufuneka lithathwe kuphela phantsi kwengcebiso kagqirha .
Ufanele uye nini kugqirha?
Nangona ukungakwazi ukuya exesheni rhoqo kuqhelekile ngeli xesha, ezinye iimpawu zinokuba luphawu lwenye ingxaki yempilo. Ngoko ke ukuba unayo nayiphi na kwezi zilandelayo, qiniseka ukuba ubona ugqirha ukuze akunike ingcebiso.
| Lumka kwezi mpawu! | |
|---|---|
| - Ukopha kakhulu kunesiqhelo ngexesha lokuya exesheni. | |
| - Ukuphuma kwamahlwili egazi amakhulu. | |
| - Ukuya exesheni kuthatha iintsuku ezingaphezu kwe-7. | |
| - Ixesha eliphakathi kokuya exesheni kabini lingaphantsi kweentsuku ezingama-21. | |
| - Ukopha ngexesha lokuya exesheni okanye emva kokwabelana ngesondo. | |
Eminye imibuzo onokuba nayo
Ngaba kunokwenzeka ukuba ukhulelwe ngeli xesha?
Ewe. Kukho ithuba elincinci lokukhulelwa ukuya kuthi ga kwiinyanga ezili-12 emva kokuba ixesha lakho liphelile ngokupheleleyo. Ngoko ke, ukuba awufuni bantwana, kubalulekile ukusebenzisa ucwangciso lokuzala de ugqirha wakho aqinisekise ukuba sele ufikelele exesheni ngokupheleleyo.
Ingaba iyayichaphazela ubomi besondo?
Ewe, inokuchaphazeleka. Ngenxa yokwehla kwamanqanaba e-hormone, isini sinokuba mdaka kwaye ukulala ngesondo kunokuba buhlungu. Abanye abantu banokuziva benciphile umnqweno wesondo. Nangona kunjalo, abanye abantu abakoyiki kangako ukukhulelwa kwaye banokonwabela isondo ngokukhululekileyo ngeli xesha. Thetha nogqirha wakho ngale nto. Kukho iindlela zokunceda ngale nto.
Ngaba amadoda nawo ayayeka ukuya exesheni?
Lo ngumbuzo abantu abaninzi abawubuzayo. Amanqanaba e-testosterone kumadoda ayehla kancinci kancinci njengoko ekhula. Oku kubizwa ngokuba yi-Andropause. Nangona kunjalo, ngokungafaniyo namanqanaba e-estrogen kubasetyhini, olu asilotshintsho oluvela ngequbuliso. Lwenzeka kancinci kangangokuba amanye amadoda awaluboni. Ngenxa yoko, alunakuthelekiswa nokuya exesheni kwabasetyhini.
Ukuya exesheni yinto eqhelekileyo neqhelekileyo yokwaluphala. Nangona uyazi ukuba kuza, ukuhlala neempawu zako ngamanye amaxesha kunokuba ngumceli mngeni. Kodwa akufuneki ukuba udlule kuko wedwa. Thetha nogqirha wakho malunga neempawu zakho nendlela ezichaphazela ngayo ubomi bakho. Kukho unyango olunokukunceda uzive ungcono.
Umyalezo Wokuya Ekhaya
- Ukuya exesheni akusiso isifo, kodwa sisiganeko sendalo esenzeka kubomi bomfazi ngamnye.
- Iimpawu ezinxulumene nayo zinokuba zingathandeki, kodwa kukho unyango olunokunceda ekuzilawuleni.
- Thetha ngokukhululekileyo nogqirha malunga neempawu zakho. Oku kuya kukunceda ufumane isisombululo esifanelekileyo kuwe.
- Utshintsho kwindlela yokuphila efana nokutya okunempilo kunye nokuzilolonga kunokubonelela ngesiqabu esikhulu.
- Lumka ngokukodwa impilo yakho yamathambo nentliziyo emva kokuya exesheni.
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