Ingabe uneminyaka engaphezu kuka-40? Ingabe ukuya esikhathini kwakho, okwakuvame ukufika ngesikhathi, manje kuza njalo ezinsukwini ezimbalwa? Ingabe kuyaphela ngokuphelele kwezinye izinyanga? Noma ingabe uzizwa sengathi ujuluka futhi uthuthumela ngokuzumayo? Khona-ke ungase ube sesikhathini sokuphela kokuya esikhathini. Ungakhathazeki, lesi akusona isifo. Yisigaba semvelo sokuphila esibhekene nawo wonke owesifazane. Ake sixoxe ngalokhu ngokuningiliziwe, njengomngane.
Kalula nje, kuyini i-perimenopause?
Cabanga nje ukuthi umzimba wakho ulungiselela ukuya esikhathini, isikhathi lapho ukuya esikhathini kuphela ngokuphelele. Lesi sikhathi sokulungiselela, sokuguquka sibizwa ngokuthi i-Perimenopause. Phakathi nalesi sikhathi, inani lama-hormone akhiqizwa ama-ovari akho liyancipha kancane kancane. Umphumela oyinhloko walokhu ukuthi umjikelezo wakho wokuya esikhathini uba ngongavamile.
Kalula nje, kusho ukuthi iminyaka yakho yokuzala isiphelile. Lokhu kuyinto yemvelo kakhulu ukuyenza. Kodwa-ke, phakathi nalesi sikhathi, ungase ubhekane nokungakhululeki ngokomzimba nangokwengqondo kanye nezimpawu eziningana. Kwabanye, lesi sikhathi siphela ezinyangeni ezimbalwa, kanti kwabanye, singahlala iminyaka.
Into ebaluleke kakhulu ukukhumbula ukuthi noma ngabe ukuya kwakho esikhathini kungase kungabi njalo ngesikhathi sokuya esikhathini, usakwazi ukukhulelwa .
Ukunqamuka kokuya esikhathini yisikhathi lapho ungazange ube nesikhathi izinyanga ezingu-12 zilandelana. Ukunqamuka kokuya esikhathini yisigaba sokugcina sohambo oluya esikhathini sokunqamuka kokuya esikhathini.
Kwenzekani kuma-hormone omzimba ngalesi sikhathi?
Isizathu esiyinhloko sezinguquko eziningi ozizwayo phakathi nalesi sikhathi ukwehla kwe-hormone i-estrogen. Le hormone ikhiqizwa ama-ovary akho. Lokhu kubalulekile ekugcineni uhlelo lokuzala olunempilo.
Uma amazinga e-estrogen ehla, aphelelwa yibhalansi nenye i-hormone ebizwa ngokuthi i-progesterone, ekhiqizwa ama-ovari. Phakathi nalesi sikhathi, amazinga e-hormone akhuphuka futhi ehla njenge-roller coaster. Awafani ngolunye usuku, kodwa ngolulandelayo. Lokhu kungalingani kuyimbangela yezimpawu eziningi.
Ekugcineni, njengoba usondela ekunqamukeni kokuya esikhathini, umzimba wakho ukhiqiza i-estrogen encane kakhulu kangangokuthi ama-ovari ayayeka ukukhipha iqanda (ukuvuthwa) ngokuphelele. Ukuya esikhathini kwakho kuyayeka, futhi ulahlekelwa ikhono lokukhulelwa.
Lesi simo siqala sineminyaka emingaki? Sesibe khona isikhathi esingakanani?
I-perimenopause ngokuvamile iqala eminyakeni engu-8-10 ngaphambi kokunqamuka kokuya esikhathini. Kubantu abaningi, iqala phakathi neminyaka engu-40 . Kodwa kwabanye, ingaqala cishe phakathi neminyaka engu-30.
Ukuthi lesi sikhathi sithatha isikhathi esingakanani kuyahlukahluka kumuntu nomuntu. Ngokuvamile.Nakuba kungase kuhlale iminyaka engaba ngu-4 , kwabanye abantu kungase kuhlale isikhathi eside, mhlawumbe kuze kube yiminyaka engu-8. Kwabanye, lesi sigaba singaphela ezinyangeni ezimbalwa.
Uma ukunqamuka kokuya esikhathini kwenzeka ngaphambi kweminyaka engama-40, kubizwa ngokuthi ukunqamuka kokuya esikhathini ngaphambi kwesikhathi. Lesi simo singabangelwa izifo ezithile noma ukuhlinzwa.
Wazi kanjani ukuthi usesikhathini sokunqamuka kokuya esikhathini? Ziyini izimpawu?
Khumbula, umzimba womuntu wonke uhlukile. Ngakho akubona bonke abantu abazobhekana nalezi zimpawu ngendlela efanayo. Ungase ungazizwa ngendlela umngane wakho azizwa ngayo. Abanye abantu bangase bangazizwa lutho ngaphandle kokuya esikhathini okungajwayelekile. Kodwa abanye bangase bahlupheke kakhulu ngezinto ezifana nokushisa komzimba kanye nokushintshashintsha kwemizwelo.
Ngokuvamile, abantu abaningi babhekana nesinye noma ngaphezulu salezi zimpawu.
| Isibonakaliso | Incazelo Elula |
|---|---|
| Ukuya esikhathini okungajwayelekile | Ukuya esikhathini kungase kube sekwephuzile, kusenesikhathi, noma kungabi bikho nhlobo kwezinye izinyanga. |
| Izinguquko ekuphumeni kwegazi | Ukopha okukhulu ngezinye izinsuku futhi kube lula kakhulu ngezinye izinsuku. |
| Ukushisa Okushisayo | Ukuzwa ukushisa nokujuluka emzimbeni wonke, ikakhulukazi ubuso nesifuba. |
| Ukujuluka Kwasebusuku | Ukujuluka kakhulu ebusuku, okuvame ukukuvusa. |
| Izinguquko zengqondo | Ukuzizwa uthukuthele, udabukile, ucindezelekile, noma ucindezelekile ngaphandle kwesizathu. |
| Izinkinga zokulala (Ukungalali) | Ukungalali, ukuvuka njalo, noma ukuzizwa ukhathele ngisho nangemva kokulala. |
| Ukoma kwesitho sangasese sowesifazane | Ukwehla kwe-estrogen kubangela ukwehla komswakama wesitho sangasese sowesifazane kanye nobuhlungu ngesikhathi socansi. |
| Isifiso sobulili esiphansi | Ukuncipha kwesifiso nesifiso socansi. |
| Izinkinga zomchamo | Ukuphuthuma komchamo. |
Njengoba ezinye zalezi zimpawu zingaba izimpawu zezinye izimo, kungcono ukukhuluma nodokotela wakho uma uhlangabezana nalezi zinto. Ngaleyo ndlela, bangaqiniseka ukuthi zibangelwa yi-perimenopause noma okunye.
Kukuziphi izimo lapho udinga ngempela ukubonana nodokotela?
Kujwayelekile ukuba nezikhathi ezingajwayelekile ngesikhathi sokuya esikhathini. Kodwa-ke, amanye amaphethini okopha adinga ukuhlolwa ukuze kunqunywe ezinye izimo zezokwelapha. Uma lokhu kwenzeka kuwe, qiniseka ukuthi ubona udokotela.
| Isici okufanele usiqaphele |
|---|
| Ukopha ngokweqile noma ukuqhekeka kwegazi okukhulu ngesikhathi sokuya esikhathini. |
| Ukushintsha ama-sanitary pad kungakapheli ihora elilodwa noma amabili. |
| Ukuya esikhathini kuthatha izinsuku ezimbalwa isikhathi eside kunokujwayelekile. |
| Ukuchama noma ukuphuma kwegazi phakathi kwemijikelezo yokuya esikhathini. |
| Ukopha ngemva kocansi . |
| Imijikelezo yokuya esikhathini ingaphansi kwezinsuku ezingu-21, okusho ukuthi yenzeka njalo. |
Kungase kube nezinye izimbangela zalolu hlobo lokopha okungavamile. Isibonelo:
- Izifo
- Ama-fibroid
- Ama-polyp
- Izifo zokujiya kwegazi
- Umdlavuza
Ngakho-ke, ungazinaki lezi zimpawu. Funa iseluleko sezokwelapha ngokushesha.
Ingabe ikhona indlela yokwelapha lezi zinkinga?
Akukho ikhambi lokuvimba inqubo yemvelo ye-perimenopause. Kuyingxenye yokuphila. Kodwa-ke, kunezinto eziningi ongazenza ukuze uphathe izimpawu ezingakhululekile futhi unikeze impumuzo.
Abanye abantu bathola impumuzo enkulu ngokushintsha indlela yokuphila elula, kodwa abanye bangadinga imithi.
Ukwelashwa kwemithi
Udokotela wakho angase ancome ukwelashwa okufana nalokhu kuye ngezimpawu zakho:
- Ama-antidepressant: Lawa asiza ezimweni ezinjengokushisa okukhulu, ukushintshashintsha kwemizwelo, ukucindezeleka kanye nokucindezeleka.
- Amaphilisi okuvimbela inzalo: Lawa aqinisa amazinga akho ama-hormone futhi anciphise izimpawu eziningi.
- Ukwelashwa Kokushintshwa Kwama-hormone (HRT): Lokhu kwelashwa kunikezwa abesifazane abaye badlula esikhathini sokunqamuka kokuya esikhathini ngaphambi kweminyaka engu-40 ukuze kwandiswe amazinga ama-hormone.
- I-Gabapentin: Nakuba lokhu kuyimithi yesifo sokuwa, kuyasiza futhi ukulawula ukushisa komzimba.
- Okhilimu besitho sangasese sowesifazane: Lokhu kusiza ekunciphiseni ukoma kwesitho sangasese sowesifazane kanye nobuhlungu ngesikhathi socansi.
Izinguquko zendlela yokuphila
Ngisho nangaphandle kwemithi, uzozwa umehluko omkhulu ngalezi zinto:
- Ukudla okuhle: Yidla ukudla okucebile ngezithelo, imifino, okusanhlamvu okuphelele, amaprotheni angenamafutha amaningi, namafutha anempilo. Nciphisa ukudla okunoshukela omningi namafutha amaningi.
- Ukuzivocavoca: Ukuzivocavoca okufana nokuhamba, ukuhamba ngezinyawo, nokuphakamisa izinsimbi kuqinisa amathambo. Ukuzivocavoca kuthuthukisa nokuphila kahle kwengqondo.
- Izingubo ezilula: Gqoka izembatho eziningana ongazikhumula uma uzizwa ushisa.
- Lala kahle ebusuku: Yeka ukubuka i-TV noma ifoni yakho ngaphambi kokulala bese wenza okuthile okuzolisayo, njengokufunda incwadi noma ukulalela umculo.
- Nciphisa i-caffeine notshwala: Izinto ezifana netiye, ikhofi, notshwala zingandisa ukushisa komzimba.
- Gwema ukubhema:Ukunqamuka kokuya esikhathini kungase kwenzeke kusenesikhathi futhi izimpawu zingase zibe zimbi kakhulu kubantu ababhemayo.
- Gcina isisindo esinempilo.
Ezinye izingozi zempilo kanye nokukhulelwa okufanele uziqaphele ngalesi sikhathi
Izingozi zempilo
I-perimenopause iletha izingozi eziningi zempilo. I-hormone i-estrogen isiza ekuvikeleni amathambo ethu. Uma incipha, amathambo aba mancane futhi aphuke kalula, isimo esaziwa ngokuthi i-osteoporosis . Futhi kwandisa ingozi yesifo senhliziyo. Yingakho kubalulekile ukudla ukudla okucebile nge-calcium ne-vitamin D, kanye nokuzivocavoca umzimba.
Kungenzeka ukukhulelwa
Yebo, usengakhulelwa. Ngisho noma ukuya kwakho esikhathini kungajwayelekile, uma usaya esikhathini, kungenzeka ukuthi uyakhipha amaqanda. Ngakho-ke, ngaphandle kokuthi uhlela ukuba nezingane, kubalulekile ukusebenzisa izindlela zokuvimbela inzalo kuze kube yilapho udokotela wakho ethi kuphephile.
Eminye imibuzo ongase ube nayo engqondweni
Ingabe lokhu kuzothinta impilo yami yocansi?
Yebo, kungakwenza. Ukoma kwesitho sangasese sowesifazane kungenza ucansi lube buhlungu. Kunganciphisa nesifiso socansi. Kunezixazululo zalokhu. Ungathola impumuzo ngokusebenzisa amafutha okugcoba. Khuluma nodokotela wakho ngalokhu.
Ingabe i-perimenopause iyaphazamisa ubuthongo?
Yebo. Ukujuluka ebusuku kungavusa ebuthongweni. Futhi, izinguquko zamahomoni zingabangela ukungakwazi ukulala.
Kuzwakala kanjani ukushisa kwelanga?
Kufana negagasi lokushisa elizumayo elisakazeka emzimbeni wakho wonke. Uyajuluka bese ubuso bakho buphenduka bube bomvu. Lokhu kubangelwa ukwehla kwamazinga e-estrogen. Lesi simo singahlala izinyanga, mhlawumbe iminyaka.
Kungani ukukhuluphala kwenzeka phakathi nalesi sikhathi?
Izinguquko zama-hormone zibambezela ijubane lokugaya ukudla emzimbeni. Ngakho-ke, ukukhuluphala kuvamile kakhulu. Lokhu kungalawulwa ngokudla okunempilo kanye nokuzivocavoca njalo.
Ukuphela kwesikhathi sokunqamuka kokuya esikhathini kuyisiqalo sesahluko esisha empilweni. Lesi sikhathi singaba nzima ngokomzimba nangokomzwelo. Uma unalezi zimpawu futhi zingasabekezeleleki, khuluma nodokotela wakho. Angakusiza ukuthi wenze lolu shintsho lube lula.
Umlayezo Wokuya Nawe Ekhaya
- Isikhathi sokuphela kokuya esikhathini akusona isifo, kodwa yisikhathi sokuguquka kwemvelo esenzeka ngaphambi kokuya esikhathini.
- Ukuya esikhathini okungajwayelekile, ukushisa okukhulu, izinkinga zokulala, kanye nokushintsha kwemizwelo kuyizimpawu ezivamile.
- Uma izimpawu zingabekezeleleki, noma uma kukhona ukopha okungavamile, qiniseka ukuthi ubona udokotela.
- Indlela yokuphila enempilo, okungukuthi, ukudla okuhle kanye nokuzivocavoca umzimba, kungalawula izimpawu eziningi.
- Njengoba kusengenzeka ukukhulelwa phakathi nalesi sikhathi, qhubeka nokusebenzisa izindlela zokuvimbela inzalo uma kudingeka.
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