Ngaba ixesha lakho lokuya exesheni aliqhelekanga njengoko ukhula? Oku kusenokuba kungenxa yokungasebenzi kakuhle kwesibeleko.

Ngaba ubungayi exesheni kangangeenyanga? Okanye ziye zaphela ngequbuliso? Ukuba oku kuyenzeka kuwe xa uneminyaka engama-30, kuyinto eqhelekileyo ukuziva usoyika kwaye ukhathazekile. Abantu abaninzi bacinga ukuba oku kukuyeka ukuya exesheni. Kodwa ukuba kwenzeka ngaphambi kweminyaka engama-40, kusenokuba kungenxa yemeko ebizwa ngokuba yi-'premature ovarian failure'. Makhe sijonge ukuba yintoni le, kutheni isenzeka, kwaye ungenza ntoni ngayo.

Ngamafutshane, yintoni iPrimary Ovarian Insufficiency (POI)?

Masiyiqonde le nto ngokulula. Wonke umfazi unama-ovari amabini. La akwicala lesibeleko. La ma-ovari anemisebenzi emibini ephambili. Omnye kukukhupha iqanda inyanga nenyanga. Omnye kukuvelisa iihomoni ezibalulekileyo emzimbeni wabasetyhini, ngakumbi i-estrogen kunye ne -progesterone .

Ngokwesiqhelo, amaqanda omfazi ayayeka ukusebenza kancinci kancinci kwaye ukuya exesheni kuyeke ngokupheleleyo xa sele eneminyaka engama-51 ubudala. Oku sikubiza ngokuba yi-menopause .

Nangona kunjalo, kwimeko ebizwa ngokuba yiPrimary Ovarian Insufficiency (POI) , ukusebenza kwezi ovaries kwehla kakhulu ngaphambi kwexesha eliqhelekileyo, oko kukuthi, ngaphambi kokuba ufikelele kwiminyaka engama-40. Kwabanye abantu, oku kunokwenzeka ngequbuliso. Oko kuthetha ukuba ukuya exesheni kuyema ngequbuliso. Kwabanye, le meko ifunyaniswa emva kokuba ukuya exesheni kungazange kuhambe kakuhle kangangeenyanga, ngamanye amaxesha kwaneminyaka.

Kutheni oku kusenzeka? Ziziphi izinto ezichaphazela i-POI?

Kwiimeko ezininzi, malunga ne-90% yamatyala, akukho sizathu sithile sifumanekayo se-POI. Kwizonyango, oku sikubiza ngokuba yi-"idiopathic". Nangona kunjalo, kwezinye iimeko, kuye kwachongwa izinto ezithile ezibangela oko.

Zithini iimpawu zale meko?

Uphawu oluphambili noluqhelekileyo kukuba sexesheni ngokungacwangciswanga okanye ukungabikho kwexesheni kangangeenyanga eziliqela. Nangona kunjalo, ezinye iimpawu ezifana nezo zibonakala ngexesha lokuya exesheni nazo zinokubakho. Oku kungenxa yokuba kuzo zombini ezi meko, amanqanaba e-estrogen emzimbeni ayancipha.

• Ukungahambi kakuhle komjikelo wokuya exesheni: Ukuya exesheni kunokuthatha iinyanga kungabuyi, okanye kungaphela ngokupheleleyo.
• Ukubila okugqithisileyo ngequbuliso kunye nobushushu obugqithisileyo (ubushushu obugqithisileyo kunye nokubila ebusuku): Oku kunokwenzeka ingakumbi ebusuku.
• Iingxaki zokulala: Ukubila ebusuku kunokukuvusa ebuthongweni.
• Intlungu yesisu esisezantsi kunye nokoma kwelungu lobufazi: Le meko ibangelwa kukuncipha kwe-estrogen. Oku kunokubangela intlungu ngexesha lokwabelana ngesondo.
• Ukuncipha kwenkanuko yesini.
• Ubunzima bokugxila kunye nokucaphuka.
• Amehlo omileyo.
• Ubunzima bokukhulelwa umntwana (Ukungazali).

Uyifumana njani le nto, Gqirha?

Xa usiya kugqirha, uza kuqala akubuze ngomjikelo wakho wokuya exesheni, imbali yezonyango zosapho, kunye nazo naziphi na iimpawu onazo. Emva koko, uza kwenza uvavanyo lomzimba.

Ukongeza, kulandelwa iimvavanyo ezininzi ukuqinisekisa le meko.

• Uvavanyo lweNqanaba leeHomoni: Olu lolona vavanyo lubalulekileyo. Kuthathwa isampuli yegazi kwaye kuhlolwa amanqanaba eehomoni ezininzi.
• I-FSH (iHormone evuselela ii-Follicle): Ihomoni evuselela ii-ovari. Ukuba ii-ovari azisebenzi kakuhle, ingqondo ithumela i-FSH engaphezulu. Ke ngoko, amanqanaba ale homoni aphezulu kakhulu kwi-POI.
• I-estrogen: Yihomoni ephambili eveliswa zii-ovari. Kwi-POI, la manqanaba ancitshiswa kakhulu.
• I-Prolactin: Eli nqanaba le-hormone nalo liyajongwa.
• Uvavanyo lokukhulelwa: Ukuqinisekisa ukuba ukukhulelwa yimbangela yokuba uphoswe yinyanga.
• I-ultrasound ye-pelvic: Oku kunokujonga imeko yama-ovari akho kunye nesibeleko. Kwi-POI, ama-ovari asenokuba mancinci kunesiqhelo.
• Uvavanyo lwemfuza (uvavanyo lweKaryotype): Olu vavanyo lungenziwa ukuba kukho ukurhanelwa kwesizathu semfuza, njenge-Turner syndrome.
• Uvavanyo lwee-antibodies: Olu lwenziwa ukuba kukho ukurhanelwa kwesifo sokuzikhusela komzimba.

Ukuba ungaphantsi kweminyaka engama-40 ubudala kwaye ixesha lakho lokuya exesheni aliqhelekanga, uvavanyo lwakho lwegazi lubonisa amanqanaba aphezulu e-FSH, kwaye amanqanaba akho e-estrogen aphantsi, ugqirha wakho unokukufumanisa une-POI.

Zithini iindlela zonyango zoku?

Akukho nyango lwe-POI, oko kuthetha ukuba ama-ovari aya kusebenza ngokuqhelekileyo kwakhona. Nangona kunjalo, kukho unyango olusebenzayo kakhulu lokulawula iimpawu kunye nokunciphisa iingozi zempilo zexesha elide.

Unyango luxhomekeke kwiminyaka yakho, uhlobo lweempawu zakho, kunye nokuba ufuna ukuba nabantwana okanye awufuni.

Unyango Lokutshintshwa Kwehomoni (HRT)

Olu lolona nyango luphambili. Lubandakanya ukunika iihomoni ze-estrogen kunye ne-progesterone ezingasaveliswayo ngamaqanda akho ngaphandle, ngendlela yeepilisi, iijeli, amabala esikhumba, okanye iiringi zesini.

Iingenelo ze-HRT:

• Iimpawu ezinje ngobushushu kunye nokoma kwelungu lobufazi ziyalawulwa.
• Ingakhusela kwi-osteoporosis . I-estrogen yi-hormone ebalulekileyo kumathambo aqinileyo.
• Inceda ekunciphiseni umngcipheko wesifo sentliziyo.
• Impilo-ntle yengqondo iyaphucuka.

Oogqirha badla ngokucebisa ukuba usebenzise olu nyango lwehomoni de uyeke ukuya exesheni (ubudala obuphakathi kwama-51 nama-52). Thetha nogqirha wakho malunga neengenelo kunye neengxaki zolu nyango uze ukhethe indlela ekufaneleyo.

Utshintsho kwindlela yokuphila kunye nezinto ezongezelelweyo

Ukongeza kunyango lweehomoni, ezi zinto zibaluleke kakhulu ekugcineni impilo yakho iyonke.

• Fumana i-calcium kunye ne-vitamin D eyaneleyo: Ezi zibalulekile ekugcineni amathambo eqinile. Yitya ukutya okufana neemveliso zobisi kunye neentlanzi ezincinci. Ukuba kuyimfuneko, ugqirha wakho uza kukunika iipilisi ezongezelelweyo.
• Ukuzilolonga rhoqo: Ukuzilolonga okufana nokuhamba nokubaleka kulungile entliziyweni. Ukuzilolonga okuthwala ubunzima kubaluleke kakhulu emathanjeni.
• Ukugcina ubunzima obusempilweni.
• Ukuba ucinga ngokuba nabantwana: Nokuba une-POI, malunga ne-5-10% yabasetyhini banako ukukhulelwa ngokwendalo. Kodwa akuqinisekanga. Ngoko ke ukuba ulindele umntwana, ungathetha nogqirha wezifo zabesifazane kunye nogqirha wezifo zabesifazane ukuze nixoxe ngeendlela ezifana ne-`(IVF)` kunye nezinye iindlela.

Ukuphila ne-POI kunye nempilo-ntle yengqondo

Kuqhelekile ukuba buhlungu, uphoxeke, kwaye ube nomsindo xa ufumanisa ngemeko efana nale. Oku kunokuba nzima ukumelana nako, ingakumbi ukuba ubusenethemba lokuba nabantwana.

Ukuba uziva uxhalabile okanye udandathekile ngenxa yesi simo, thetha nogqirha wakho ngaso. Ukuba kuyimfuneko, ungafuna uncedo kugqirha wengqondo okanye kumcebisi. Ngonyango olufanelekileyo nenkxaso, ungaphila ubomi obusempilweni nobonwabisayo nale meko.