Ukuqalisa uhambo lwexesha elilodwa likhethekileyo kuwo onke amabhinqa
Abasetyhini abaninzi baqala ukuphawula iimpawu abazikhanyelayo abanokubonisa ukutshatyalaliswa kwexesha kwiminyaka yabo-40. Eli xesha libizwa ngokuba yi-perimenopause, isigaba esikhokelela ekuhambeni kwakho kokugqibela.
Ngexesha lexesha, umsebenzi we-ovarian wesifazane uqala ukuhamba, ngoko amanqanaba e-estrogen emzimbeni aqala ukuhla. Ngokuncipha kwamazinga e-estrogen kunye nezinye iinguqu ze-hormone kumzimba, abaninzi abafazi baqala ukufumana iimpawu ezifana nokutshisa okutshisa kunye neengxaki zengqondo, kunye nokutshintsha kwimijikelezo yabo yokuya esikhathini.
Siza kujonga ezi (kunye nezinye) iimpawu neempawu eziqhelekileyo abafazi abanokuzifumana njengendlela yokuya esikhathini. Ukucacisa, ukuphela komntu yinqanaba ngexesha apho umfazi engazange abe nomjikelezo wesini ukuya kwiinyanga ezili-12 ezilandelelanayo.
Utshintsho kwixesha lemihla
Kubafazi abaninzi, isibonakaliso sokuqala sesigxina sitshintsho kwixesha elide lokuhamba . Ngokuqhelekileyo, ekuqaleni, ixesha eliphakathi kwamaxesha omfazi liya kwandula, xa kuthelekiswa nokujikeleza kwexesha eliqhelekileyo. Emva koko, ibhinqa liza kudla ixesha elidlulayo elinokuthi lenzeke kanye emva kwexesha okanye kwimizuzu emininzi. Oku kuyinto eqhelekileyo, kwaye uphawu lokuba amaqanda omfazi awayikukhupha amaqanda (okubizwa ngokuba yi-ovulating) ngenyanga.
Ewe, ukuba uye rhoqo (ngokwemiqathango yakho yeenyanga) njengemisebenzi yewashi ukususela ngowe-13, unako ukuphawula nayiphi na utshintsho. Kodwa, ukuba ube nexesha elingavumelekanga, oku kungenakukuhlawula i-radar yakho kude kube yimva, kwaye kulungile.
Wonke umntu wesifazana ufumana iimeko ezihlukeneyo; Ezinye zibonakalisa iimpawu kunye neempawu ezicacileyo, kunye nabanye abanezinto ezifihlakeleyo.
Ekugqibeleni, kubalulekile ukuba uqaphele ukuba unako ukukhulelwa ngexesha lokugqibela, njengoko ama-ovari akho akwazi ukukhupha iqanda, ngokungathembekanga. Ngoko qiniseka ukuba ucinga ukukhulelwa njengoko kungenzeka ukuba ulahlekelwa ixesha.
Ukutshisa okutshisa
Ukutshisa okutshatyalaliswayo kukubonakalisa uphawu oluqhelekileyo olwenziwa ngabasetyhini ekupheleni kwentsuku kwaye emva nje kokumisa umva. Ukutshisa okutshisa ngokuqhelekileyo kuchazwa njengento yokufudumala okanye imvakalelo eqalayo ebusweni okanye entanyeni kwaye ihamba emzimbeni, nangona inkcazo yayo ingahluka. Ubunzima buyahlukahluka, intsingiselo yabasetyhini abathile ukutshisa kwabo kushushu kuyonakalisa, kanti, kwabanye, kuyinkathazo encinane.
Iindaba ezilungileyo kukuba ukutshisa okutshisa kuthatha ukuphucula ngexesha, njengoko behlala besuka kwiminyaka emihlanu yokuqala. Nangona kunjalo, inani elincinci labasetyhini linokuqhubeka likhanyisa kakuhle emva kokumisa.
Kwakulungele ukuba uqaphele ukuba abafazi abasebenzisa ukunyangwa komzimba, oko kuthetha ukuba banqunyulwe i-ovari, bavame ukuba namava amaninzi kwaye atshisa.
Ukuba ukutshisa kushushu kukuchaphazela ukusebenza kwakho kwansuku zonke kunye / okanye umgangatho wobomi, thetha nodokotela wakho. Kukho ubuchule beendlela zokuziphatha (umzekelo, ukugqoka iimpahla kunye nokusebenzisa ibhola ebusuku), kunye nemithi (umzekelo, unyango oluxhatshazwayo okanye i-hormone therapy) onokukunceda uzive ungcono.
Iimpawu zeVaginal
Kwababhinqa abathile, ukumelela kwamanzi ngamanzi kuyinkenkqalazo yabo yokuqala yokuhamba kwindoda. Oku kungena ngesimo sobuhlungu bobulili, njengoko izindonga zesisu ziba mncinci kwaye zincinci ngaphantsi kokulahlekelwa kwe-estrogen emzimbeni.
Ukongezelela ekubambeni kwesisu kunye nokumelela, umfazi unokufumana izifo ezithintekayo zokungena kumanzi okanye ukungahambisani nokuvuthwa kwamanzi , njengoko umgca wephepha lomchamo uphazamisa ekuphenduleni kwe-estrogen.
Ngelixa ubuninzi beempawu ezihamba phambili zihamba ngcono ngexesha, ubume obunxinxileyo, ngelanga, ludla ngokugqithisa njengoko umfazi ekhula. Enyanisweni, abanye abesifazana abaqala ukufumana le mpawu kude kube sekupheleni kwexesha lokuhamba emva kwexesha.
Iindaba ezilungileyo kukuba kukho uluhlu lwezonyango ezikhoyo ukuphatha le mpawu engabonakaliyo evela kwi-lubinal-vaginal lubricants and moisturizers kwiimithi zonyango ezingekho kwi-hormonal kunye neyonyango.
Ekugqibeleni, kubalulekile ukukhankanya ukuba nangaphandle kokumelela kwamabhinqa, abasetyhini banokubona isantya esincinane kwisini njengendlela yokumisa umama. Utshintsho kwi-libido lungaqondakali kwingxubusho yobomi obuxinezelekileyo, kodwa ekugqibeleni, unokubona ukuba awubonakali unomdla kwisondo, okanye ukuba i-orgasms yakho ayifani.
Khumbula, i-libido i-amalgam yeenkqubo zenyama kunye neengqondo zengqondo kunye neemvakalelo. Ukufumana isisombululo kuya kubandakanya ukuthetha kunye noogqirha kunye neqabane lakho.
Utshintsho kwiMood
Ngexeshana, abanye besetyhini baziva beguquka kwaye bangachaza ukuba bacaphukile, baxakekile, banxunguphekile, baneliseki, kwaye / okanye bathuka. Ekubeni iingxaki zengqondo zichaphazela ubudlelwane kunye nokusebenza komsebenzi, abafazi bayaxhalabela malunga nale mpawu.
Iingcali aziqinisekanga ngokucacileyo ukuba kutheni abanye besetyhini baziva beguquka ngexesha lokuphela kweminye kwaye abanye abakwenzi. Kungenzeka ukuba i-hormone shifts, njenge-drop in levels of estrogen, ngeli xesha lidlala indima kwabanye bafazi. Oko kwathiwa, ezinye izinto zibandakanyeka ngaphandle kwee-hormone, ezifana nenkqubo yemvelo yokuguga.
Ngokomzekelo, abasetyhini banokulila ukulahlekelwa ngumjikelezo wabo rhoqo, kunye nokuba abanakho ukuzala abantwana, okanye banokuba besengozini yokuxhalaba okanye ukuxhalaba njengoko abantwana babo behamba kwiikholeji.
Ngokufanayo, ukuhamba kwexesha kungenzeka ngexesha ngexesha lobomi bowesifazane xa abazali bakhe begula okanye befa, okanye xa yena ufumana utshintsho kubambiswano (umzekelo, umtshato). Eminye imiba yempilo ingaqala ngokukhawuleza ngexesha lexesha elide elenza ukuba intombi ibe neengxaki kwiimithintelo zengqondo.
Ukuba unomdla malunga nomoya wakho, ingakumbi xa unesihlwili esichaphazela ulwalamano lwakho kunye / okanye ukusebenza kwakho kwansuku zonke, qiniseka ukuba ubone ugqirha okanye ingcali yezempilo yengqondo.
Ngaphandle kokudabuka okukhulu, ezinye iimpawu zokudandatheka zingabandakanya ukulahlekelwa kwintlalo kwimisebenzi owaye uyijabulela (ebizwa ngokuthi i-anedonia), iimvakalelo zecala kunye nokungabi nantoni, ukutshintsha kwimeko yakho yokutya okanye ukulala, kunye / okanye iingcamango zokufa okanye ukuzibulala.
Utshintsho kwiimodeli zokulala
Ukulahlekelwa ubuthongo kuyaxhalabisa, kodwa ke, esi sikhalazo esinoqhelekileyo sabasetyhini njengoko besondela ekupheleni komyeni. Kukho izizathu ezininzi zokuba umzekelo wokulala wakho unokutshintsha ngeli xesha ebomini bakho. Ngokomzekelo, kungenziwa ngenxa yokukhanya okutshisa ebusuku, iingxaki zesimo sengqondo ezifana nokuziva uxhalabile okanye uxinezelekileyo, okanye nje ukuxinzelelo komsebenzi oxakekileyo okanye ishedyuli yobomi.
Ukongezelela, ukuvuswa kwamaxesha onke ebusuku ngenxa yokuphazamiseka kokulala okuphambili okufana nokugula okungenasiphako okanye ukuphalama kokulala kungenzeka ukuba kwenzeke ngeli xesha.
Ewe, kukho ezininzi iindlela zokulungisa, kuquka nezonyango zokuziphatha, kunye nokusetyenziswa kwexesha elifutshane lemithi elinokukunceda ufumane iphethini yakho yokulala ejwayelekile.
Utshintsho olubonakalayo
Kuninzi nezinye iimpawu kunye neempawu ezinokuthi zenzeke njengoko ibhinqa lisondela ekupheleni komzimba, kwaye iyakwazi ukuhlawula (ubuncinci) kwiinguqu ze-hormone ezinxulumene nokulahlekelwa komsebenzi we-ovarian.
Ezinye zalezi zinguqu ukuba ziqaphele ziquka:
- Ukulahleka kweenwele
- Isikhumba esikhulileyo (umzekelo, ukulahlekelwa ngumswakama wesikhumba kunye neminye imibimbi)
- Ukwandisa i-waistline ngenxa yokwabiwa kwakhona kwamafutha emzimbeni
- Acne
ILizwi
Uhambo oluya ekuphumeni komzimba luyingqayizivele kuwo onke amabhinqa, kwaye kunzima ukuqikelela ukuba yeyiphi impawu nawuphi na umfazi oza kuba namava kwaye xa uya kuhlangana nabo. Qinisekisa nokuba ezinye iimpawu ezifana nokutshisa okutshisa kunye neengxaki zengqondo ziya kuphucula.
Nangona kunjalo, kukho iindlela zokuzilawula endleleni, ngoko uxoxe nabo nodokotela wakho-ufanele uziva kakuhle. Oku kuthethi, zama ukufumana le nguqulelo yendalo ngokusemandleni akho, ukwazi ukuba awodwa.
> Imithombo:
> IBoston's Health Book Collective, Iibhodi Zethu, Zethu. ENew York, NY: uSimon & Schuster Trade; 2011.
> Umbutho weMenopause waseNyakatho Melika. (2014). UmSebenzi wokuThumela umzi: Isikhokelo soMtholampilo, umhla wama-5 kaMeyifield, OH: UMbutho weMiopause waseMntla American.
> Simon JA et al. I-dose ephantsi ye-paroxetine 7.5mg yezibonakaliso zesifo se-menopausal: iilingo ezimbini ezilawulwa ngokungahleliwe. Ukunquma kwexesha. 2013 Oct; 20 (10): 1027-35.