Ukwiminyaka yakho engama-40. Kodwa uvakalelwa kukuba ixesha lakho alikho njengoko lalinjalo ngaphambili. Kwezinye iinyanga ziyafika, kwezinye iinyanga azifiki. Uziva utshile ngendlela engaqhelekanga, uze uvuke ubila ebusuku. "Owu, ndingakwazi na ukunqamka kule minyaka?" Usenokuba uzibuza. Ewe, kunokwenzeka. Le meko siyibiza ngokuba yi-emenopause yasekuqaleni. Abantu abaninzi bayoyika kwaye baneentloni zokuthetha ngayo. Kodwa le yingongoma ebaluleke kakhulu ekufuneka ithethwe ngayo. Ngoko ke masithethe ngayo yonke ngokucacileyo, njengomhlobo.
Yintoni le nto yokuya exesheni kwangethuba?
Ngamafutshane, ukuyeka ukuya exesheni kukuyeka ngokupheleleyo umjikelo wenyanga womfazi wokuya exesheni. Kanye njengokuba intsimbi yokugqibela ikhala esikolweni, kufika ixesha emizimbeni yethu apho ama-ovari ayeka ukusebenza. Emva kwesi sihlandlo, amandla okufumana abantwana ayanyamalala ngokwemvelo. Oku kudla ngokwenzeka kumfazi waseSri Lanka malunga neminyaka engama-51 ubudala. Xa eyekile ukuya exesheni iinyanga ezili-12 zilandelelana, sithi ufikelele kwixesha lokuya exesheni.
Kodwa ngamanye amaxesha le "ntsimbi yokugqibela" ikhala kwangethuba. Masiyihlule ibe ngamacandelo amabini:
- Ukuya Exesheni Kwasekuqaleni: Ukuba ukuya exesheni kwenzeka ngaphambi kokuba ufikelele kwiminyaka engama-45 ubudala, sikubiza ngokuba yi-'Early Menopause'.
- Ukuya Exesheni Ngaphambi Kokuya Exesheni: Ukuba ukuya exesheni kwenzeka ngaphambi kokuba ufikelele kwiminyaka engama-40 ubudala, kubizwa ngokuba yi-'Premature Menopause'.
Zombini ezi zinto zenzeka ngaphambi kokuba kufike iminyaka eqhelekileyo. Malunga ne-5% yabasetyhini baseSri Lanka bafumana ukuya exesheni ngaphambi kokuba bafikelele kwiminyaka engama-45. Kwaye malunga ne-1% bafumana le meko ngaphambi kokuba bafikelele kwiminyaka engama-40.
Ngaba i-Premature Menopause kunye ne-Primary Ovarian Insufficiency (POI) ziyafana?
Ewe, ezi zimbini ziyabhidisa kancinci, kodwa ziimeko ezimbini ezahlukeneyo. Nangona abantu abaninzi becinga ukuba ziyafana, kukho umahluko omncinci ngokwezonyango.
- Ukuya Exesheni Ngaphambi Kwexesha: Kule meko, ama-ovari ayayeka ukusebenza ngokusisigxina . Awusayi kuze uphinde uye exesheni, kwaye awuyi kukwazi ukuba nabantwana. Kufana nokuvala ucango lwevenkile ngokusisigxina uze ulahle isitshixo.
- Ukungabikho kakuhle kwe-Ovarian (POI) esisiseko: Kulapho ama-ovari eyeka ukusebenza ngequbuliso. Kodwa oku akuhlali ixesha elide . Ngamanye amaxesha ukuya exesheni kunokuqala kwakhona. Kukho amaxesha apho abanye abantu bade bakwazi nokuba nomntwana. Kufana nocango lwevenkile oluvaliweyo, kodwa ngamanye amaxesha umniniyo uyeza aluvule kwakhona.
Ngoko ke, ukuba ixesha lakho liyaphela ngaphambi kokuba ufikelele kwiminyaka engama-40, kubaluleke kakhulu ukuthetha nogqirha wakho ukuze ufumane ukuba ngaba kukuyeka ukuya exesheni ngaphambi kwexesha okanye yi-POI.
Kutheni oku kusenzeka? Zithini izizathu zoku?
Kwiimeko ezininzi, unobangela ochanekileyo usenokungafumaneki. Uphando lubonisa ukuba malunga nama-50% abasetyhini abanaso isizathu esicacileyo soku. Nangona kunjalo, kukho izinto ezininzi eziphambili ezinokubangela esi sifo.
| Unobangela | Ingcaciso elula |
|---|---|
| Unyango lomhlaza | Izinto ezifana ne-chemotherapy okanye unyango lwe-radiation zinokutshabalalisa iiseli zomhlaza, kodwa zingonakalisa nama-ovari ethu asempilweni. |
| Utyando | Ukuba utyando lwe-oophorectomy, olususa omabini ama-ovari, uya kuba nokuya exesheni ngoko nangoko. Nokuba ama-ovari ashiywe esempilweni ngexesha lotyando lwe-hysterectomy, ngamanye amaxesha ukunikezelwa kwegazi kuwo kunokuncipha, okubangela ukuya exesheni ngaphambi kwexesha. |
| Imbali yosapho | Ukuba umntu ofana nomama wakho, udadewenu, okanye umakazi wakho uye wafikelela exesheni kwangethuba, usemngciphekweni omkhulu kancinci. Oku kuvela kwimfuza yakho. |
| Iimeko zofuzo | Ezinye iingxaki ze-chromosome, ezifana ne-Turner's syndrome okanye i-Fragile X syndrome, zibangela ukuba ama-ovari angakhuli kakuhle. |
| Izifo ezichaphazela umzimba | Kulapho amajoni omzimba wethu ehlasela khona ama-ovari ethu. Abantu abanezifo ezifana ne-rheumatoid arthritis kunye nesifo se-thyroid basengozini. |
| Ukutshaya | Abafazi abatshayayo banezinga eliphantsi le-estrogen, nto leyo enokubangela ukuba bafikelele kwixesha lokuyeka ukuya exesheni kunyaka okanye emibini ngaphambi kwabantu abangatshayiyo. |
| Ezinye izifo kunye nosulelo | Ezinye izifo ezibangelwa yintsholongwane ezifana ne-mumps, i-HIV/AIDS, kunye neemeko ezifana ne-chronic fatigue syndrome nazo zingonakalisa ama-ovari. |
Khumbula, oku kudla ngokwenzeka ngezizathu ezingaphaya kwamandla akho. Ngoko ke ungaze ucinge ukuba, "Le yimpazamo yam."
Ndingazazi njani ukuba ndinayo le meko? Zithini iimpawu?
Uphawu lokuqala nolubaluleke kakhulu loku kukungahlali ixesha elide . Ukuya exesheni kunokuyeka kangangeenyanga kuze kuqale kwakhona. Okanye inani leentsuku zokuya exesheni linokwanda okanye linciphe, kwaye inani lokopha linokutshintsha. Ukongeza koku, zonke iimpawu ezibonwa ngexesha lokuya exesheni eliqhelekileyo zinokubonakala nakule meko.
| Uphawu | Oku kukwenza uzive njani? (Indlela onokuthi uzive ngayo) |
|---|---|
| Ubushushu Obushushu | Ukuziva ubushushu ngequbuliso nokubila umzimba wonke, ingakumbi ubuso nentamo. Oku kungathatha imizuzu eliqela. |
| Ukubila Ebusuku | Ukuvuka ebusuku ubila. Kwaneengubo zokulala zinokuba manzi. |
| Ukoma kwesisu | Ukoma kwesisu kunye nentlungu ngexesha lokwabelana ngesondo. Kunokubakho nokurhawuzelelwa. |
| Ukungalali | Ubunzima bokulala ebusuku, okanye ukuvuka rhoqo. |
| Utshintsho lwengqondo | Ukucaphuka lula, ukwenzakala ngezinto ezincinci, ukuziva nje ulusizi (ukudakumba), kunye nokuziva uloyiko olungenangqiqo (uxhalaba). |
| Iingxaki zenkqubo yomchamo | Ukufuna ukuchama rhoqo. Ukwanda kosulelo lwendlela yomchamo (UTIs). |
| Ezinye iimpawu | Ulusu olomileyo, amehlo, nomlomo, iintlungu zamalungu nezihlunu, umnqweno wesondo ophantsi, inkumbulo engaphantsi kunye nengqalelo engaphantsi, ukulahleka kweenwele, kunye notshintsho lobunzima. |
Ugqirha uyixilonga njani ngokuchanekileyo le meko?
Ukuba ungaphantsi kweminyaka engama-45 kwaye uneempawu ezichazwe apha ngasentla, qiniseka ukuba ubonana nogqirha wakho. Musa ukuzama ukuzixilonga ngokujonga izinto kwi-intanethi. Ugqirha wakho uza kwenza oku kulandelayo:
1. Baza kukubuza imibuzo: malunga nomjikelo wakho wokuya exesheni, nokuba kukho nabani na kusapho lwakho okhe wayifumana le nto, kunye nangamanye amayeza owasebenzisayo.
2. Wenza uvavanyo lomzimba: Wenza uvavanyo lomzimba ngokubanzi.
3. Uvavanyo lwegazi: Olu lolona lubalulekileyo. Igazi lakho liza kuhlolwa amanqanaba eehomoni, ingakumbi ihomoni ebizwa ngokuba yi-FSH (Follicle-Stimulating Hormone). Eli nqanaba leehomoni liyanda kakhulu ngexesha lokuya exesheni. Ukongeza, izinto ezifana neehomoni ze-thyroid ziya kuhlolwa ukuze kubonwe ukuba kukho ezinye iimeko zempilo.
Emva kwezi mvavanyo, ugqirha uya kugqiba ukuba ngaba une-menopause ngaphambi kwexesha okanye unenye ingxaki yempilo.
Ziziphi iindlela zonyango zoku? Ngaba zinokuguqulwa?
Ngelishwa, ukuyeka ukuya exesheni akunakubuyiselwa kwimeko yasemva kokukhulelwa. Oko kukuthi, ama-ovari awakwazi ukuvuselelwa. Nangona kunjalo, kukho unyango oluninzi olusebenzayo lokunceda ukulawula iimpawu kunye nokunciphisa iingozi zempilo zexesha elide.
Unyango oluphambili luUnyango Lokutshintshwa Kwehomoni (HRT) - Oku kuquka ukunika iihomoni i-estrogen kunye ne-progesterone ezilahlekileyo emzimbeni.
Kutheni unyango lwe-HRT lubalulekile?
- Ilawula kakhulu iimpawu eziphazamisayo ezifana nokutsha, ukungakwazi ukulala, kunye nokoma kwesitho sangasese sowesifazane.
- Inceda ekuthinteleni i-osteoporosis ekuhambeni kwexesha.
- Inciphisa umngcipheko wesifo sentliziyo .
- Inceda ukugcina umgangatho wobomi bakho.
Oogqirha badla ngokucebisa ukuba uthathe i-HRT ude ufikelele kwiminyaka yokuya exesheni ngokwendalo (malunga neminyaka engama-51 ubudala). Nangona kunjalo, ayifanelekanga kuye wonke umntu (umzekelo, abo banembali yomhlaza webele). Ke ngoko, kufuneka uxoxe ngezinto ezilungileyo nezingalunganga zolu nyango nogqirha wakho ukuze agqibe ukuba yintoni ekulungeleyo.
Kuthekani ngethemba lokuba nabantwana?
Enye yezona zinto zidanisayo xa umntwana eyeka ukuya exesheni kwangethuba kukulahlekelwa lithemba lomntwana. Akunakwenzeka ukuba ukhulelwe ngokwendalo emva kokuba uyeke ukuya exesheni. Nangona kunjalo, akufuneki ulahle ithemba ngokupheleleyo. Kukho nezinye iindlela zokwenza oku:
- Unyango lwe-IVF: Umntwana angadalwa ngeteknoloji ye-IVF kusetyenziswa amaqanda afunyenwe komnye umntu onikelayo (Amaqanda eDonor).
- Ukuqandisa Amaqanda: Ukuba uthatha amaqanda akho uwaqandise ngaphambi kokuba uqale unyango lomhlaza, ungawasebenzisa loo maqanda ukuze ube nomntwana kamva.
- Ukwamkelwa komntwana: Enye indlela kukwamkelwa komntwana.
Ungathetha nogqirha wezifo zabesifazane kunye nogqirha wezifo zabesifazane ngale nto uze uxoxe ngeyona ndlela ifanelekileyo kuwe.
Zithini iingozi ezihlala ixesha elide zokuya exesheni kwangethuba?
Ezi azizompawu nje ezicaphukisayo. Ihomoni i-estrogen ngumkhuseli obalulekileyo emizimbeni yethu. Ukulahlekelwa yiyo kwiminyaka eyadlulayo kunokukhokelela kwiingozi ezininzi zempilo ezihlala ixesha elide.
- I-Osteoporosis: I-estrogen inceda ukugcina amathambo ethu omelele. Xa ilahlekile, amathambo akhawuleza abe buthathaka. Nokuba ukuwa okuncinci kunokubangela ukuba ithambo liphuke.
- Isifo Sentliziyo: Ihomoni i-estrogen ikhusela intliziyo kunye nemithambo yegazi yethu. Njengoko olo khuselo luphela ngaphambi kwexesha, umngcipheko wesifo sentliziyo kunye nestroke uyanda.
- Uxinzelelo: Uxinzelelo lunokwenzeka ngenxa yotshintsho lweehomoni kunye noxinzelelo olubangelwa yile meko.
- Izifo zenkqubo yemithambo-luvo: Ezinye izifundo zibonisa ukuba umngcipheko wokufumana izifo ezifana ne-dementia kunye nesifo sikaParkinson unokwanda kancinci.
Yingakho kubaluleke kakhulu ukuthetha nogqirha wakho malunga nonyango olufana ne-HRT.
Umyalezo Wokuya Ekhaya
- Ukuyeka ukuya exesheni ngaphambi kokuba ufikelele kwiminyaka engama-45 kubizwa ngokuba yi-'Early Menopause', kwaye ukuyeka ukuya exesheni ngaphambi kokuba ufikelele kwiminyaka engama-40 kubizwa ngokuba yi-'Premature Menopause'.
- Ukuba ungaphantsi kweminyaka engama-45 kwaye uneempawu ezifana nokuya exesheni okungaqhelekanga kunye nobushushu obugqithisileyo, qiniseka ukuba ubonana nogqirha.
- Zininzi izizathu zoku, kodwa uninzi lwexesha akukho sizathu sicacileyo. Asikuko ukuba unetyala.
- Nangona le meko ingenakuguqulwa, kukho unyango olusebenzayo, olufana ne-HRT, lokulawula iimpawu kunye nokunciphisa iingozi zempilo zexesha elide.
- Ukuba unethemba lokuba nabantwana, thetha nogqirha wakho malunga neendlela onokukhetha kuzo.
- Awuwedwa. Ukuthetha ngale nto neqabane lakho, usapho, okanye umhlobo othembekileyo kunokukunceda uzive ukhululekile ngakumbi.
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