Yintoni ixesha lokugqibela?

Imfundo yezeMpilo

Abasetyhini abaninzi bacinga ngokuyeka ukuya exesheni njengento abadlula kuyo. Ukuyeka ukuya exesheni , nangona kunjalo, yindawo ekuyiwa kuyo — hayi uhambo. Ufikelela kule ndawo yokufikela xa sele ugqibe unyaka oqinileyo ngaphandle kokuya exesheni. Isigaba esikhokelela kwelo nqanaba (uyazi, eyona inako konke ukukhanya okucaphukisayo, ukutshintsha kwemozulu, kunye namaxesha anzima) ngenene ibizwa ngokuba yi-perimenopause, ithi ULeah Millheiser, MD , unjingalwazi oncedisayo kwezonyango kwiYunivesithi yaseStanford.

Sisiphumo sokuguquguquka kwamanqanaba e-estrogen emzimbeni. Oku kungalingani kunye nokuhla okungalinganiyo kungonakalisa umzimba kumfazi, utshilo uGqirha Millheiser.

Iimpawu zokuphela kwexesha

Uya kuba nombono olungileyo wokuba ukwinqanaba le-perimenopause kuba iimpawu ziyaxela. Xa une-perimenopausal, iimpawu eziqhelekileyo zibandakanya:

• Ukukhanya okushushu kunye nokubila ebusuku (okwaziwa njengeempawu ze-vasomotor)
• Amaxesha angaqhelekanga
• Amaxesha anzima
• Ukoma kwelungu lobufazi
• Ukuthamba kwebele
• Ukuqhuba ngesondo okuphantsi
• Utshintsho lwemood, iimvakalelo zoxinzelelo okanye uxinzelelo
• Iingxaki zesinyi / ukungakwazi ukuzibamba
• Ukuphuthelwa okanye ukuphazamiseka kokulala
• Ukutyeba kwakho

Uninzi lwabasetyhini luya kufumana ubuncinci kwezi mpawu, utshilo uGqirha Millheiser.

Ubukrakra beempawu ezohluka, kwaye bunokwahluka inyanga nenyanga, utshilo. Ngenyanga enye, umzekelo unokuba nexesha eliqhelekileyo. Okulandelayo, unokuyiphosa iyonke ngenxa yokuba ukunyuka kwe-estrogen kukuthintela ukuba ungaphumi kwi-ovulating. Okwangoku, ulusu lwakho lwesibeleko luyaqhubeka nokwakha. Isiphumo? Ixesha lakho elilandelayo linzima kakhulu.

Ixesha elingakanani? ixesha lokuphumla okokugqibela?

Ezi zimpawu zengozi yokuyeka ukuya exesheni zihlala ziqala ngokuthamba kwaye ngokuthe ngcembe, kodwa zinokubetha ngequbuliso nangamandla amakhulu. Banokuhlala unyaka, okanye banokuhlala iminyaka emihlanu okanye elishumi. Umndilili yiminyaka eyi-7.4, utsho UMary Jane Minkin, MD , Unjingalwazi weklinikhi kwisebe lezonyango, i-gynecology kunye nesayensi yokuzala kwiYale University School of Medicine. Bazakuhlala ixesha elingakanani wena ? Ngelishwa, akukho ndlela yokuqikelela impendulo kulo mbuzo. Kuya kufuneka ulinde ukuze ubone, ugqirha Minkin uthi.

Buyintoni ubudala obuqhelekileyo besiphelo?

Njengokuba akunakwenzeka ukuqikelela ukuba kuya kuhlala ixesha elingakanani, kuyaqondakala nokuba iya kuqala nini kanye kanye. Ukuba uphakathi kwiminyaka engama-40, kwaye ufumana ukukhanya okushushu kunye notshintsho kumjikelo wakho wokuya exesheni, oko kunokuba luphawu lokuba amanqanaba ehomoni ayatshintsha kwaye ixesha lokuphumla liyaqhubeka. Nangona kunjalo, inokubonisa enye into, ke uya kufuna ukuthetha nogqirha wakho ukuze akhuphe nayiphi na imiba yezempilo efuna unyango.

Ngaba izalamane ezindala zowasetyhini zinokunika isilinganiselo sokuba ixesha lokugqibela liza kuqala nini kwaye liza kuhlala ixesha elingakanani? Ngamanye amaxesha, ewe. [Unako] ukuthetha nomama wakho kunye nomakazi wakho kuba kukho imikhwa yosapho, uGqirha Minkin ucacisa.

Qaphela, nangona kunjalo, ukuba kunjalo nje gauge. Oogqirha abazi nyani ukuba lukhulu kangakanani utyekelo losapho oludlalayo kuba akukho datha inokuthenjwa ngesihloko, utshilo uGqirha Millheiser. Kwahlukile kuwo wonke umfazi, utshilo.

Yintoni iminyaka eqhelekileyo yokuyeka ukuya exesheni?

Ngokwenyani ukufikelela Ukuyeka ukuya exesheni, umyinge weminyaka yobudala engama-51, ngokwe UMbutho waseMntla Melika wokuya exesheni -Kodwa kuyinto eqhelekileyo ukuba abantu basetyhini bafike ekuyekeni ukuya exesheni nangaliphi na ixesha eliphakathi kweminyaka engama-40 nama-58. Okwangoku, ii-ovari zakho azisawakhuphi amaqanda kwaye ezi zihla ngokunyuka zihormone kufuneka zizinze. Nangona abanye abafazi benamava ashushu ngexesha lokuyeka ukuya exesheni, utshilo uGqirha Minkin.

Ichongwa njani i-perimenopause?

I-Perimenopause yinkqubo yendalo ngokupheleleyo, kwaye isifo sisuselwa kwiimpawu, utshilo uGqirha Millheiser. Akukho luvavanyo lokuqinisekisa ukuphela kwexesha; iimvavanyo kuphela zokulawula ezinye iimeko ezineempawu ezifanayo. Umzekelo, ukuba ugqirha wakho akaqinisekanga ukuba iimpawu zakho ziziphumo ze-perimenopause, uvavanyo lokukhulelwa, uvavanyo lwePap smear, kunye / okanye imaging kunokuyalelwa ukuba kukhangelwe ezinye iingxaki zempilo yabasetyhini njenge-uterine fibroids, umhlaza wesibeleko, okanye iimeko ezithile ze-thyroid-ngakumbi ukuba ungakwicala elincinci.

Ukuba umntu obhinqileyo unesifuthufuthu esitshisayo okanye ukubila ebusuku kwaye ukwiminyaka yama-40 yakhe edlulileyo, ndingathi kukho ithuba elihle lokuba kwisiphelo, utshilo uGqirha Millheiser. Kodwa ukuba ukwiminyaka yakho yama-40 kwaye ufumana ezi mpawu xa uwedwa, unokufuna ukukhangelwa ezinye iimeko.

Eyona nto intle ibhinqa elisondeleyo kubudala bexesha lokuya exesheni linokuyenza, uGqirha Millheiser, kukufunda ngokulula ukuqonda iimpawu ze-perimenopause ukuze ajongane nayo ngqo. Unyango luyafumaneka, kwaye iimpawu zingalawulwa.

Ukulungiselela ngolwazi kubaluleke kakhulu, utshilo, echaza ukuba uninzi lwabasetyhini bachitha iminyaka bebandezeleka ngenxa yeempawu ze-perimenopause kuba bengakuqondi ngqo okwenzekayo. Ukuba ezi mpawu ziqala [ukuphazamisa] umgangatho wobomi bakho, kufuneka uthethe nogqirha wakho malunga nawo.

Unyango lwe-Perimenopause unyango

Unyango olucebiswa ngugqirha wakho luya kuxhomekeka kwiimpawu ezikukhathaza kakhulu, utshilo uSally Rafie, Pharm.D., Umsunguli Ulawulo lweKhemesti .

Amayeza

Abanye abantu basetyhini, umzekelo, umzabalazo kakhulu ngokutshisa okutshisayo nokubila ebusuku. Kule meko, ipilisi yolawulo lokuzalwa okanye ipeshi, okanye olunye uhlobo lonyango lwehomoni (ehambisa i-estrogen kwalapha), njengendandatho yelungu lobufazi, ijeli yesihloko, okanye into efakiweyo- estradiol - ngumgangatho wegolide. Unyango lwehormone alunakukhuseleka kuwo wonke umntu kwaye kuya kufuneka uxoxe ngomngcipheko kunye nomboneleli wakho ukuba:

• Imbali ye isifo sentliziyo okanye izinto ezinobungozi, njenge-cholesterol ephezulu
• Usapho okanye imbali yobuqu umhlaza webele
• Amanqanaba aphezulu e-triglycerides, uhlobo lwamafutha egazini lakho
• Imbali yosapho yesifo se-gallbladder
• Isifo sesibindi
• Imbali ye ukubetha okanye amahlwili egazi

Unokufumana uluhlu lweendlela zonyango ezivunyiweyo zehomoni Apha .

Olunye ukhetho lubandakanya i-anti-depressants-enje idosi ephantsi ekhetha i-serotonin uptake inhibitor (SSRI) -ngabafazi abangaphenduliyo kunyango lwehomoni. IGabapentin , amayeza aqhelekileyo asetyenziselwa ukunyanga ukuxhuzula, yinto enokubakho kwabasetyhini abangakwaziyo ukusebenzisa i-estrogen ngenxa yezinye iimeko zempilo (njenge-migraine), utshilo uGqirha Rafie.

Ezinxulumene: Eyona pilisi yolawulo lokuzalwa ilungele wena

Unyango lwekhawuntareni

Ukuba ukoma kwilungu lobufazi kunye / okanye iintlungu ngexesha lokwabelana ngesondo yeyona nto iphambili, unyango lwe-non-hormone yengingqi enje ngezithambisi zelungu lobufazi kunye nezinto zokuthambisa, yindawo elungileyo ukuqala, utshilo uGqirha Rafie. Imizekelo ibandakanya iReplens kunye neAstroglide, efumaneka kwikhawuntara.

Kwaye ukuba yonke into ikukhathaza? Ewe, ungalusebenzisa olu nyango ngokudibeneyo. Iziphumo ebezingalindelekanga zincinci okanye azikho kwaukubakho. Nangona kunjalo, ukuba ukhetha ukuthatha iipilisi zedosi ephantsi yolawulo lokuzalwa kunokwenzeka ngokupheleleyo awuyi kuqaphela ukuba i-perimenopause iyenzeka.

Ndicinga ukuba abantu basetyhini kufuneka baqonde ukuba bakwiipilisi zokulawula ukuzalwa kwehomoni ezinokuthi zizifihle iimpawu zokuphela kwexesha, utshilo. Ingayinto entle leyo, kodwa [abanye abantu basetyhini] bafuna ukwazi ukuba kuqhubeka ntoni [ngemizimba yabo].

Olunye unyango

Ngoko unyango lwezendalo kunye nolwemvelo (njenge-clover ebomvu, i-cohosh emnyama, okanye i-soy), uGqirha Rafie ubongoza abantu basetyhini ukuba baxoxe ngokusetyenziswa kwezi zongezelelo kunye nabanikezeli babo bezempilo kuba a) Idatha ixutyiwe kwaye b) umzi mveliso awulawulwa luLawulo lwezoKutya kunye noLawulo ukuba ukhuseleko nokusebenza kungangqiniswanga. Ngokwe-National Institutes of Health Office of Dietary Supplements, ezinye izifundo zibonisile ukuba I-cohosh emnyama, ngokuthe ngqo, inokuthi iyenze mandundu ngakumbi imeko kunye nobukrakra bezinto ezishushu .

Nge [ezinye iindlela zonyango] kuhlala kuhleli uhlalutyo lomngcipheko / lwesibonelelo sokuba umntu ngamnye, ngoncedo lomboneleli wabo wezempilo, kufuneka ajonge ngononophelo [ngaphambi kokusebenzisa], utshilo uGqirha Rafie.

Utshintsho kwindlela yokuphila elula kunokuba luncedo ngokunjalo. Ugqirha Minkin ucebisa ukuba unxibe kwiileya ukunciphisa ukungahambi kakuhle kweempawu ze-vasomotor njengokukhanya okushushu kunye nokubila ebusuku. Ucebisa ukuba uhoye izinto ezinokubangela. Umzekelo, abanye abantu basetyhini bafumanisa ukuba iwayini ebomvu kunye / okanye ukutya okuneziqholo kwandisa ukwanda kwexesha kunye nexesha lokutshisa okushushu, ngenxa yoko bayasusa (okanye banciphise ukusetyenziswa) kwezi zinto kukutya kwabo, utshilo.

Ugqirha Minkin ukwagxininisa ukubaluleka kokugcina ubunzima bomzimba obusempilweni ngexesha lokuya exesheni nangaphaya ngoba ubunzima obugqithisileyo sisichaso kwingxaki ezininzi zempilo.

Ukutya okunesondlo kunye nokuzilolonga [kuya kunceda], akukho mathandabuzo ngako, utshilo, esongeza ukuba kuyinto eqhelekileyo ukuba umntu obhinqileyo azuze phakathi kweeponti ezi-5-8 ngexesha lesigaba sokugqibela- nokuba nokutya okusempilweni kunye nokuzilolonga okuninzi- enkosi kwakhona kolo tshintsho lwehomoni.

Ngaba abantu basetyhini banokukhulelwa ngexesha lokugqibela?

Nokuba awudingi okanye awufuni ukuthatha iipilisi zedosi ephantsi yolawulo lokuzalwa ukuze uncede ngokutshisa okushushu, kunokubakho isibonelelo esinye esibalulekileyo sokuzisebenzisa ngexesha le-perimenopause-contraception. Kungenxa yokuba, ewe, wena unako ukhulelwe ngexesha lokuphela kwexesha .

Konke kubuyela kwimijikelezo yokuya esikhathini engalindelekanga eyenzeka ngeli xesha, utshilo. Ngamanye amagama, usenokungazi ngokuthe ngqo ukuba, kwaye nini, Uhambisa amaqanda . Umgangatho wamaqanda, kwaye ngenxa yoko amathuba okuba ukhulelwe, ayancipha, ewe ( ngaphantsi kwamathuba ama-5% ngokweAmerican Society for Reproductive Medicine ) -Kodwa kungenzeka ukuba kuhlala kunjalo.

Ngokuqinisekileyo abantu abayikuchuma njengokuba babenjalo xa babeneminyaka engama-22, kodwa bahlala becolile baze bahambe loo nyaka womlingo ngaphandle kwexesha, uGqirha Minkin uyachaza.

Kwaye ukuba izinto zokucwangcisa ngomlomo azikho kuwe? Kulungile. Qiniseka ukuba usebenzisa uhlobo oluthile lokuthintela ukukhulelwa . Ndihambise iintsana ezintathu kwabafazi abaneminyaka engama-47 ubudala, utshilo uGqirha Minkin.