Ukuba ungumfazi onesifo se-thyroid esaphathwa ngugqirha wakho, usenokuba uqhubeka ulwa nempawu ezahlukeneyo .
Enye yemibuzo yokuqala ofuna ukuyicingisisa ukuba ngaba iimpawu ozifumanayo-kunye nokubonisa i-thyroid-inokuthi ixhomekeke kwixesha elilodwa okanye ikhefu.
Ukumisa isikhashana kunokuthi kube yinto elayishiwe kwabanye abesifazana, kwaye unokuba uthambekele ekucingeni "akukho ndlela, kuba ndihlala nexesha lokuya esikhathini," okanye "Ndihlala kumashumi amabini ambalwa." Kodwa kubalulekile ukuba uqonde ukuba ukuphela komzimba kuchazwa njengento apho ungenayo ixesha lokuya esikhathini .
Umyinge wexesha lokumisa umama kwi-Americakazi uneminyaka eyi-51 ubudala.
Kodwa-ke, ixesha elide lichazwa njengexesha elikhokelela ekumeni. Iinguqu kwiimonmoni zakho zinokuthi zenzeke ixesha elide kwiminyaka elishumi ngaphambi kokuba ube ngokomthetho "we-menopausal." Oku kuthetha ukuba ukuba ungumfazi osekupheleni kweminyaka engamashumi amathathu ukuya kumashumi amabini antshonalanga, unokuba usesikhathini sokuqala; nangona, abaninzi abafazi baqala ukuphela kweemeko zabo.
Biology of Perimenopause
Yintoni eyenza ukuba i-perimenopause yenzeke ukuba xa ukhula, amanqanaba akho asezantsi e-estrogen kunye neprogesterone aqala ukuhla. Ngethuba elifanayo, ukubonelelwa kwakho kwee-follicles drops, kwaye iifollicle ezisekho ziyancipha. Ukongeza, amaqanda aseleyo adala.
Ukuwa kwezemvelo kwi-estrogen eyenzeka ngexesha lokuphela kwexesha kudala kubangele iimpawu, ezifana nokutshisa okutshisa kunye nobusuku bobusuku. Njengoko amazinga akho e-hormone aqhubela phambili kunye neendlela zokumisa umva , amazinga akho okujikeleza i-follicle ekhuthaza i-hormone (i-FSH) iphakame ngokuphawulekayo, kumzamo wokuvuselela i-follicles eseleyo.
Ngelo xesha, ii-ovari zakho zinciphisa ukuveliswa kwe-estrogen.
Ekugqibeleni, i-stock of amaqanda asebenzayo aphelile, kwaye amazinga akho e-hormone ayinakubangela i-ovulation, ukuyeka ukuya kwesikhashana, kunye nokuyeka umva.
Iimpawu kunye neMpawu zoPhumela
Iimpawu kunye neempawu zexesha lokugqibela ziquka:
Ukungena kwexesha
Utshintsho olusesikhathini olungenzeka ngexesha lokuphela kwexesha libandakanya ukuhamba kwexesha elidlulileyo, ukuphuma kwegazi ngexesha elifutshane kuneeveki ezintathu, ukuhamba ngokukhawuleza okanye ukuhamba rhoqo kwiiveki ezimbini, ukuqhaqhaqhaqhaqhaqhaza, ukuphawula ngokukhawuleza emva kwesondo, kunye nexesha elibi (unayo yonke impawu kunye neempawu kwinyanga, ngaphandle kokuphuma).
Kubalulekile ukuba uqaphele ukuba ngelixa iimeko ezingenakunqunyulwa zikhunjulwa ngexesha lokuphela kwegazi, kufuneka uphononwe ukuphaphazeka okungaqhelekiyo ukulawula ukukhulelwa, i-fibroids, okanye umhlaza, kunye nokuphuma kwe-postmenopausal kufuneka kuhlolwe ngokukhawuleza ngugqirha.
Utshintsho lwebele
Ukuguqulwa kunye nesisa (ngamanye amaxesha i-lumpy) amabele angenzeka ngexesha lokuphela kwexesha, kunye nokunciphisa, ukuguquka, nokunciphisa ukuqina emabele.
Oko kwathiwa, ukuba uyaphawula nayiphi na utshintsho kwiisifuba zakho zebele, qiniseka ukuba uhlolwe ngugqirha wakho, nokuba ngaba usandul 'ukuvavanya ngokuqhelekileyo.
Imiba yeVaginal
Ngenxa yokwehla kwamanqanaba e-estrogen emzimbeni wakho, unokwazi ukuma kunye nesimo esicasulayo kwisisu. Oku kunokwenza ukuba isondo singakhuselekanga.
Imiba yeeUriyo
Ukuqala ngexesha elilodwa, unokubona ukuchama okuqhelekileyo, ukunyamekela ukusulela kwi-urinary tract and infontinence.
Iingxaki Zokulala
Ubunzima bokulala obuya kuvela ngexesha lokuphela kwexesha kubandakanya ubunzima bokulala, ukuvuswa rhoqo, ukuvusa rhoqo ukuvuthwa, ukungakwazi ukubuyela emva kokulala emva kokuvuka, ukuvuka
Ukutyeba kwakho
Ukuzuza inzuzo kuqhelekileyo kwixesha elilodwa. Abasetyhini abaninzi bayaqaphela ukuphindaphinda kwesisindo ukusuka emzimbeni osezantsi ukuya esiswini, ezinqeni, ezinqeni, nasemathangeni, kunye nokunciphisa ubunzima besisipha.
Utshintsho lwemodi
Abasetyhini babika ingxaki yezimo zengqondo kwixesha elilodwa njengolukhuni, ukuguquka kwemizwelo, ukukwazi ukujamelana noxinzelelo, ukukhathazeka okukhulu, ukuxhalabisa nokuxinezeleka.
Ukulahleka kweenwele kunye / okanye ukukhula
Ukucuthwa okanye ukulahlekelwa kweenwele ezivela entloko okanye umzimba kungenzeka, kwakunye nokulahleka kweentloko zendoda ezilahlekileyo kwiitempile. Abanye abafazi bahlakulela izinwele ezingafunekiyo kwiinki, umlomo ophezulu kunye nesisu.
Utshintsho lwesikhumba
Isikhumba, isikhumba esiqhekezayo, imibimbi evelele ngakumbi, kunye nangomntu omdala oqala ukuhamba okanye imeko ebizwa ngokuba yi-formication (i-hatchy, i-tingly sensation under the skin) ibonakala ngexesha.
Ezinye iimpawu ze-perimenopausal ziquka:
- Ukutshisa okushisayo
- Ukukhupha ebusuku
- Ubunzima beethambo
- Iqondo le-cholesterol ephakamileyo
- Ukukhathala okanye ukungabi namandla
- Iingxaki ezinxulumene neentliziyo: kubandakanywa intliziyo yokukhawuleza, iintliziyo zentliziyo , kunye nentliziyo engavumelekanga
- Iingxaki zokuxininisa kunye nenkumbulo
- Iintlungu kunye kunye nentlungu
- Ukulala ngesondo
Ingaba i-Your Thyroid okanye i-Perimenopause?
Njengoko ubona, zininzi iimpawu-ukukhathala, ukuguquka kwesisindo, kunye nokulahleka kweenwele , umzekelo, -kuqhelekileyo kwiimeko zentlobo ze-thyroid kunye nokuphela kwexesha.
Unokuxelela njani okubangela iimpawu zakho?
Okokuqala, kufuneka uqinisekise ukuba unyango lwakho lwe-thyroid lulungiswe . Oko kuthetha ukuba i-TSH yakho kunye ne-T4 yamahhala aphezulu kumanqanaba afanelekileyo anikezela ngokukhululekile ukukhulula kwiimpawu.
Okwesibini, kunceda ukugcina umkhondo wakho wokuhamba, iimpawu kunye neempawu zeenyanga eziliqela, ukubonisa ugqirha wakho. Gcina ikhalenda okanye isatifiketi esilandela ixesha lakho lokuya esikhathini, kuquka iimpawu ze-PMS, ubunzima bokuhamba kwakho kokuya esikhathini, kunye neminye impawu (njengamabala kunye nombala.)
Ukuba unemiqondiso ebalulekileyo yexesha elilodwa, okanye iimpawu ezingenakuxhaswa ngonyango olufanelekileyo lwe-thyroid, kwaye uneminyaka engaphezulu kwama-40, ixesha lokufuna ukusebenza kunye nodokotela wakho ukuvavanya isimo sakho se-hormonal.
Ukuphononongwa kweshedyuli yakho, iimpawu, uvavanyo lwe-FSH, uvavanyo lwee-hormone zesondo (umzekelo, isrogen kunye neprogesterone), ukuhlolwa kwe-pelvic, kunye neentsapho ezinzulu kunye nembali yonyango lonyango, lunokunceda ugqirha wakho ukuba azibonele ukuba ufumana i-perimenopause.
Ekugqibeleni, ukuba kukho ukungalingani okukhulu kwi-hormone yakho yesondo edala izibonakaliso, ugqirha wakho unokubonisa ukuba imishanguzo (umzekelo, i-hormone yonyango yokutshintshwa) okanye ukuguquka kwendlela yokuphila ukukunceda ukubuyisela umlinganiselo kunye nokunciphisa iimpawu.
ILizwi
Isantya se-hypothyroidism sikhuphuka kakhulu ngexesha lokuphela kwexesha kwaye emva kokuphuma kwesisu; Nangona kunjalo, kubalulekile ukuqonda ukuba i-thyroid yakho ayihambelani ngqo neempawu zokunqamuka kwesisu (ezininzi zazo zibangelwa ukudibanisa ubuninzi bolahleko lwe-estrogen kunye nobudala bunyusa).
Ngokubanzi, umyalezo wokubuya ekhaya kukuba ukuba unenkxalabo yokukhathala, ukuzuza ubunzima, ukuxinezeleka, okanye ezinye iimpawu zokulinganisela kwe-hormonal, qi ni sekise ukuba ucele ukuhlolwa kwe-thyroid ngokucacileyo kumboneleli wakho wezempilo.
> Imithombo:
> del Ghianda S, i-Tonacchera M, i-Vitti P. I-Thyroid kunye nokwexeshana. I-Climacteric . 2014 Juni; 17 (3): 225-34.
> Umbutho weMenopause waseNyakatho Melika. (2014). UmSebenzi wokuNqumla umNxeba: Isikhokelo seNtsholongwane, 5. Ii-Heights Heights, OH: I-North American Menopause Society.