Ukutshisa okutshisayo kunye nezibopho zasebusuku ziqhelekileyo
Uninzi lwabasetyhini abanomdla wokumelana nomyeni baqhelanise nokutshisa okutshisayo kunye nokukhupha ebusuku okuphawula lo tshintsho. Ixesha lonyango lokutshisa okutshisayo yiimpawu ze-vasomotor.
Ukutshisa okufudumele ngokuqhelekileyo kuqale ngokukhawuleza, kunye nomvakalelo wokushisa oqala malunga nesifuba nesobuso, kwaye usasazeka. Ivakalelo lokushisa, kunye ne-sweat enzima kwaye ngezinye izikhathi i- palpitations , iphela malunga nemizuzu emibili ukuya kwezine.
Emva koko, abanye abafazi baziva bexakeka, bexhaphaza, kwaye baziva bexhalabile.
Ngexa eqhelekileyo, ukukhanya okutshisayo kunokuphazamisa abafazi ababafumanayo. Nangona abanye besetyhini bevutha enye idlamlilo elitshisayo ngemini, abanye banalo nganye kwiiyure yonke imini nobusuku. Ukongezelela kokuphazamiseka nokungaxhatshazi, ukukhanya okutshisayo kunokuphazamisa ubuthongo xa kwenzeka ebusuku.
Ukutshisa okutshisa ngexesha lokuqeda
Ukufikelela kuma-80 ekhulwini kwabasetyhini ekuhlaleni kwexesha lokutshisa. Ziyinto eqhelekileyo ekupheleni kwenguqu yesikhashana, ngaphambi nje kokuba umfazi angene emva kokusesikweni kokuphuma kwesisu.
Nangona bekuye kucatshulwa ukuba ukutshisa okutshisa kwimizuzwana emininzi, kukho uphando olukhulayo lokuba lunokuhlala ixesha elide kunokuba likholelwa ngaphambili. Ngokombutho waseMordopop Menopause Society, kubaninzi abasetyhini, ukutshisa okutshisayo kudlulileyo iminyaka emihlanu ukuya kweyisixhenxe, kodwa kwabanye, banokuhlala iminyaka emi-10 ukuya kwe-15. Abanye besetyhini banokubakho ukutshisa okutshisa iminyaka engaphezu kwe-20.
Iingxaki zeVasomotor Symptoms
Ngexesha lokutshintsha kwexesha , amazinga e-hormone estrogen aqala ukuwa. Ukulahleka kwe-estrogen kukuphazamisa amandla omzimba wokulawula ukushisa ngokufanelekileyo, kubangela impendulo yokuthukuthela kwiqondo eliphantsi elingaphantsi kwamaqondo okushisa.
Ivakalelo lokushisa ngexesha lokutshisa okubangelwa kukuvulwa ngokukhawuleza kwemithambo yegazi eduze kwesikhumba, kulandelwa ukwanda kwegazi.
Ukuphalaza kunciphisa ubushushu bomzimba obuncinane kwaye ke kunokukhokelela ekuthungeni ukunyusa izinga lokushisa libuye liqhelekile.
Ionyango zeHormonal for Symptoms Symptoms
Ukwelashwa kwe-hormone ye-Menopausal (MHT) iyasebenza kakhulu ekuphatheni iimpawu ze-vasomotor ezixhomekeke kakhulu. Abasetyhini abane-hysterectomy (ukususwa kwesibeletho) bangathatha i-estrogen yodwa. Ibhinqa elisenayo isisu sayo iya kutyunjwa i-estrogen kunye neprogesin. Iprogesin iyadingeka ukunciphisa umngcipheko womhlaza wesibeleko.
Nangona kunjalo, ngenxa yokuba i-MHT inxulumene nokuhlaselwa kwintliziyo , umdlavuza webele , ama- blood clots , kunye nemivimbo yabasetyhini abadala be-postmenopausal, abafazi bayacetyiswa ukuba basebenzise umthamo omncinci kwithuba elincinci lexesha elikhoyo (ungaphantsi kweminyaka emihlanu).
Abasetyhini abanembali yeemeko ezithile, kubandakanywa nomhlaza wesifuba, isifo senhliziyo, i-blood clots, i-heart attack, kunye ne-stroke kufuneka ziqwalasele ezinye iindlela zokwelashwa kwe-hormone. Abafazi abasengozini enkulu yezi ngxaki kufuneka baqwalasele ezinye iindlela.
Unyango lweHormonal for Hot Flashes
Abasetyhini abangenakusebenzisa i-hormone, okanye abangakhethayo, baninzi nezinye iindlela. I-North American Menopause Society iphakamisa iintlobo ezahlukeneyo zonyango olungenalo i-hormonal:
- Ukunyangwa kwengqondo-yokuziphatha
- I-hypnosis yekliniki
- Ityuwa yeParoxetin
- I-serotonin i-reuptake / norepinephrine reuptake inhibitors, eyaziwa nangokuthi yi-SSRI
- Clonidine
Ngokuqinisekileyo, unyango olungcono kuwe luyasebenza kuwe. Abafazi abaninzi abanokutshisa okutshatyalaliswayo bathi bafumana ukukhulula kwiinkqubo ezifana nokunciphisa ubushushu beklasi, basebenzisa abalandeli, bembethe kwiingqimba ezinokuthi zityholole kalula, kwaye ziphephe izinto ezibangelwa kukutya okunesonka.
> Imithombo:
> Ulawulo lwe-Nonhormonal of Symptoms Associated-Associated Symptoms: I-Journal ye-North American Menopause Society Nov. 2015 Vol. 22, No. 11, 1155-77.
> I-Thurston RC, i-Joffe H. Vasomotor Izimpawu kunye nokunquma kwexesha: Ukufunyanwa kwiSifundo seMpilo yabasetyhini kulo lonke uhlanga. Iiklinikhi ze-Obstetrics kunye ne-Gynecology yaseNyakatho Melika . 2011; 38 (3): 489-501. i-doi: 10.1016 / j.ogc.2011.05.006.