Ingabe nawe uneminyaka engaphezu kuka-40? Ingabe ukuya kwakho esikhathini sekungajwayelekile? Ingabe uzizwa ushisa ngokuzumayo? Ingabe uthukuthela ngisho nangezinto ezincane kakhulu? Abesifazane abaningi babhekana nezinto ezinjengalezi phakathi nalesi sikhathi. Lokhu sikubiza ngokuthi izimpawu zangaphambi kokuya esikhathini. Ungakhathazeki, lesi akusona isifo. Yisigaba semvelo empilweni yabo bonke abesifazane. Namuhla, sizokhuluma ngalokhu kalula, ngendlela ongayiqonda.
Kalula nje, kuyini ukunqamuka kokuya esikhathini?
Ukunqamuka kokuya esikhathini kuwukuphela unomphela kokuya esikhathini kwakho kwanyanga zonke. Uma ungazange ube nesikhathi izinyanga ezingu-12 zilandelana , odokotela bacabanga ukuthi usufinyelele esigabeni esibizwa ngokuthi ukunqamuka kokuya esikhathini. Lesi simo sivame ukwenzeka kwabesifazane baseSri Lanka abaneminyaka ephakathi kuka-48-52. Lena inqubo yemvelo. Lokhu kwenzeka lapho ama-ovari akho eyeka ukukhiqiza ama-hormone ahlobene nokuzala.
Ngezinye izikhathi ukunqamuka kokuya esikhathini kungabangelwa ukuhlinzwa (isibonelo, ukususa isibeletho nama-ovari) noma olunye ukwelashwa kwezokwelapha. Lokhu sikubiza ngokuthi "Ukunqamuka kokuya esikhathini okubangelwa yi-Induced Menopause". Lezi zinguquko zama-hormone zingabangela ukungakhululeki ngokomzimba nangokomzwelo. Kodwa kunezindlela zokwelapha ezingasiza, isibonelo, ukwelashwa ngama-hormone, eminye imithi, kanye nezinguquko zendlela yokuphila.
Yiziphi izigaba ezintathu eziyinhloko zokunqamuka kokuya esikhathini?
Ukunqamuka kokuya esikhathini akuyona into eyenzeka ngokuzumayo. Kuyinqubo eyenzeka kancane kancane. Inezigaba ezintathu eziyinhloko. Kubaluleke kakhulu ukuthi ukwazi lokhu.
| Isiteji | Incazelo elula |
|---|---|
| 1. Isikhathi Sokuphela Kokuya Esikhathini So ... | Lesi yisikhathi sokushintshela ekunqamukeni kokuya esikhathini. Kungaqala cishe eminyakeni engu-8-10 ngaphambi kokunqamuka kokuya esikhathini. Ngokuvamile kuqala eminyakeni engu-40. Phakathi nalesi sikhathi, ukukhiqizwa kwe-hormone i-estrogen emaqanda kwehla kancane kancane. Izimpawu ezifana nokuya esikhathini okungajwayelekile, ukushisa okukhulu, kanye nokucasuka okuvamile zivame ukuqala phakathi nalesi sikhathi. |
| 2. Ukunqamuka kokuya esikhathini | Lesi yisikhathi esiqondile lapho ukuya esikhathini kwakho kume khona izinyanga ezingu-12. Phakathi nalesi sigaba, ama-ovari ayayeka ukukhulula amaqanda ngokuphelele futhi ukukhiqizwa kwe-hormone i-estrogen kwehla kakhulu. Lesi akusona isigaba esihlala isikhathi eside, kodwa yisikhathi esithile. |
| 3. Ngemva kokunqamuka kokuya esikhathini | Lesi yisigaba sempilo yakho ngemva kokunqamuka kokuya esikhathini. Izimpawu eziningi zizophela ngalesi sikhathi, kodwa abanye abantu bangase babe nezimpawu ezincane iminyaka embalwa ezayo. Ngenxa yokuthi amazinga e-estrogen aphansi, ingozi ye-osteoporosis nesifo senhliziyo iphakeme kancane ngalesi sikhathi. |
Ake sifunde nangokuqala kokunqamuka kokuya esikhathini.
Ukunqamuka kokuya esikhathini, okuvame ukwenzeka phakathi kweminyaka engu-45 no-55, kubhekwa “njengokwemvelo.” Kodwa-ke, uma kwenzeka ngaphambi kweminyaka engu-45, kubizwa ngokuthi “Ukunqamuka kokuya esikhathini kwasekuqaleni.” Uma kwenzeka ngaphambi kweminyaka engu-40, kubizwa ngokuthi “Ukunqamuka kokuya esikhathini kwangaphambi kwesikhathi.” Uma kwenzeka ngaphandle kwesizathu sezokwelapha noma sokuhlinzwa, lesi simo sibizwa nangokuthi “Ukungakwazi kahle kwe-Ovarian Primary.”
Ziyini izimpawu zokunqamuka kokuya esikhathini?
Ungase ube nezimpawu eyodwa noma ngaphezulu njengoba ushintshela ekunqamukeni kokuya esikhathini. Akuwona wonke umuntu ozobhekana nazo zonke. Abanye abantu babhekana nazo kakhulu, kanti abanye bangase bangaziboni nhlobo.
| Izimpawu ezivamile | Ezinye izimpawu abanye abantu abangase bazibone |
|---|---|
| - Ukuya esikhathini okungajwayelekile (ukopha okuningi noma okuncane kunangaphambili) | - Ukushaya kwenhliziyo okusheshayo |
| - Ukushisa okukhulu - umuzwa oshisayo osakazeka emzimbeni wonke ngokuzumayo | - Ikhanda elibuhlungu |
| - Ukujuluka ebusuku | - Ubuhlungu bamalunga nemisipha |
| - Ukoma kwesitho sangasese sowesifazane (ubunzima ngesikhathi socansi) | - Ushintsho esifisweni sobulili |
| - Isidingo sokuphuza njalo | - Ubunzima bokugxilisa ingqondo noma ukulahlekelwa inkumbulo |
| - Ukungalali | - Ukwanda kwesisindo somzimba |
| - Ukushintsha kwesimo sengqondo (intukuthelo evamile, ukudabuka) | - Ukulahlekelwa izinwele noma ukuncipha |
| - Isikhumba esomile, amehlo nomlomo |
Uma lezi zimpawu zinkulu ngokwanele ukuthi zingaphazamisa impilo yakho, ungabi namahloni okukhuluma nodokotela wakho ngakho.
Yiziphi izindlela zokwelapha nokuthi izimpawu zingalawulwa kanjani?
Ukunqamuka kokuya esikhathini kuyinqubo yemvelo, ngakho akuwona wonke umuntu odinga ukwelashwa. Ukwelashwa kumayelana nokulawula izimpawu eziphazamisa impilo yakho. Kungcono ukukhuluma nodokotela wakho ukuze akukhethele ukwelashwa okufanele.
1. Ukwelashwa ngama-hormone
Lokhu ukwelashwa okuyinhloko okusebenza kubantu abaningi. Kuhilela ukufaka esikhundleni ama-hormone omzimba anciphayo (i-estrogen ne-progesterone) ngaphandle. Lokhu kunganikeza impumuzo ebalulekile ezimpawini ezifana nokushisa komzimba kanye nokomisa kwesitho sangasese sowesifazane. Kungasiza futhi ekuvimbeleni i-osteoporosis.
- Ukwelashwa nge-Estrogen (ET): I-hormone ye-estrogen yodwa enikezwayo. Lawa eza ngezindlela ezahlukene, njengamaphilisi, ama-patches, okhilimu, nama-gel. Le ndlela ivame ukunikezwa abesifazane abakhishwe isibeletho sabo.
- Ukwelashwa okuhlanganisiwe kwe-estrogen ne-progestogen (EPT): Kwabesifazane abangakasuswa isibeletho sabo, i-hormone efana ne-progesterone inikezwa kanye ne-estrogen.
Into ebaluleke kakhulu:Ukwelashwa ngama-hormone kungaba nezingozi ezithile, ngakho udokotela wakho kuphela onganquma ukuthi lokhu kulungile yini kuwe ngokusekelwe emlandweni wakho wezempilo.
2. Ukwelashwa Okungewona ama-hormone
Ukwelashwa ngama-hormone akufanele wonke umuntu (isibonelo, labo abanomlando womdlavuza webele). Kulabo bantu kanye nalabo abangawathandi ama-hormone, kunezinye izinketho.
- Izinguquko zendlela yokuphila:
- Ukudla: Ukunciphisa ukudla okubabayo kanye nekhofi kungasiza ekulawuleni ukushisa okukhulu. Faka ukudla okuqukethe ama-phytoestrogen, njenge-soy, ama-chickpeas, ama-lentile, kanye nembewu ye-flax.
- Ukuzivocavoca: Ukuzivocavoca kwansuku zonke akugcini nje ngokusiza empilweni yengqondo kodwa futhi kuqinisa amathambo. Ukuzivocavoca okufana ne-yoga kungasiza ekuthuleni kwengqondo.
- Ukugwema izimbangela ze-heatstroke: Gcina ikamelo lakho lokulala lipholile ebusuku. Gwema ukubhema.
- Imithi enqunywe udokotela:
- Imithamo ephansi yemithi ethile yokucindezeleka (isib. ama-SSRI, ama-SNRI) ingasiza ekulawuleni ukushisa okukhulu kanye nokushintshashintsha kwemizwelo.
- Okhilimu besitho sangasese sowesifazane kanye nezinto zokugcoba zingasetshenziswa ukwelapha ukoma kwesitho sangasese sowesifazane.
Noma yimiphi yale mithi kufanele ithathwe kuphela ngaphansi kweseluleko sikadokotela .
Kufanele ubonane nini nodokotela?
Nakuba ukuya esikhathini okungajwayelekile kuvame phakathi nalesi sikhathi, ezinye izimpawu zingaba uphawu lwenye inkinga yezempilo. Ngakho-ke uma unanoma yikuphi kwalokhu okulandelayo, qiniseka ukuthi ubona udokotela ukuze akunike iseluleko.
| Qaphela lezi zimpawu! | |
|---|---|
| - Ukopha kakhulu kunokujwayelekile ngesikhathi sokuya esikhathini. | |
| - Ukudlula kwamahlule amakhulu egazi. | |
| - Ukuya esikhathini okuhlala izinsuku ezingaphezu kweziyi-7. | |
| - Isikhathi esiphakathi kokuya esikhathini okubili singaphansi kwezinsuku ezingu-21. | |
| - Ukopha ngesikhathi sokuya esikhathini noma ngemva kocansi. | |
Eminye imibuzo ongase ube nayo
Kungenzeka yini ukukhulelwa phakathi nalesi sikhathi?
Yebo. Kunethuba elincane lokukhulelwa kuze kube yizinyanga eziyi-12 ngemuva kokuba isikhathi sakho sesiphelile ngokuphelele. Ngakho-ke, uma ungafuni abantwana, kubalulekile ukusebenzisa izindlela zokuvimbela inzalo kuze kube yilapho udokotela wakho eqinisekisa ukuthi usunqamukile ngokuphelele esikhathini.
Ingabe kuyayithinta impilo yocansi?
Yebo, kungathinteka. Ngenxa yokwehla kwamazinga ama-hormone, isitho sangasese sowesifazane singaba some futhi ucansi lungaba buhlungu. Abanye abantu bangase bazizwe benciphile isifiso socansi. Kodwa-ke, abanye abantu abasabi kakhulu ukukhulelwa futhi bangajabulela ucansi ngokukhululeka phakathi nalesi sikhathi. Khuluma nodokotela wakho ngalokhu. Kunezindlela zokusiza ngalokhu.
Ingabe amadoda nawo ayayeka ukuya esikhathini?
Lona umbuzo abantu abaningi abawubuzayo. Amazinga e-testosterone kwabesilisa ancipha kancane kancane njengoba bekhula. Lokhu kubizwa ngokuthi i-Andropause. Kodwa-ke, ngokungafani namazinga e-estrogen kwabesifazane, lokhu akulona ushintsho olusheshayo. Kwenzeka kancane kangangokuthi amanye amadoda awakuboni nokukubona. Ngakho-ke, akunakuqhathaniswa nokunqamuka kokuya esikhathini kwabesifazane.
Ukunqamuka kokuya esikhathini kuyinto evamile futhi engokwemvelo yokuguga. Ngisho noma wazi ukuthi kuyeza, ukuphila nezimpawu zako kungaba yinselele ngezinye izikhathi. Kodwa akudingeki udlule kukho wedwa. Khuluma nodokotela wakho ngezimpawu zakho nokuthi zithinta kanjani impilo yakho. Kunezindlela zokwelapha ezingakusiza uzizwe ungcono.
Umlayezo Wokuya Nawe Ekhaya
- Ukunqamuka kokuya esikhathini akusona isifo, kodwa yisenzakalo semvelo esenzeka empilweni yawo wonke owesifazane.
- Izimpawu ezihambisana nakho zingase zingakhululeki, kodwa kunezindlela zokwelapha ezingasiza ekuzilawuleni.
- Khuluma nodokotela ngokukhululekile ngezimpawu zakho. Lokhu kuzokusiza ukuthola ikhambi elingcono kakhulu kuwe.
- Ukushintsha indlela yokuphila njengokudla okuhle nokuzivocavoca kungaletha impumuzo enkulu.
- Nakekela impilo yakho yamathambo nenhliziyo yakho ngemva kokunqamuka kokuya esikhathini.
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