Njengoko abafazi besondela ekunqumeni umyeni, ixesha elibizwa ngokuba lixesha elilodwa , bangase babe mngcipheko omkhulu wokuba bacinezelekile, ingakumbi ukuba banembali yangaphambili yokuba nayo. Enyanisweni, uphando lweeminyaka ezisibhozo lufumanisa ukuba abafazi abaneembali yokuqala yokudakumba babenomngcipheko ophindwe kane wokuba nomlinganiselo ophezulu wokudandatheka ngexesha lexesha le-perimenopausal.
Ukongezelela, babesichengeni kabini umngcipheko wokuba bexinezelekile okwaneleyo ukufumanisa ukuxilongwa kwe-Major Depression Disorder njengoko bangena ekumeni.
Kanti olunye uphando, olubandakanya abafazi abangenazo iimbali zokudakumba, befumanisa ukuba aba bafazi babesengozini yokuxinezeleka ngexesha lokutshintshela ekumeni. Kule sifundo, kwafunyaniswa ukuba abafazi be-menopausal babenomngcipheko kabini kubafazi be-premenopausal ekuphuhliseni iimpawu zokudakumba okukhulu. Ezinye izifundo ezifanayo ziye zavelisa iziphumo ezixhasa ukufunyaniswa kwezi zifundo ezimbini.
Kutheni i-Awesifazane ejongene nengozi enkulu yokudandatheka ngexesha lokwephuka kwexesha
Ukudandatheka ngexesha lokunqamuka kwexesha kunye nokuphela kwexesha kungenzeka ngezizathu ezininzi. Okokuqala, ukuphuma kwesisu kwenzeka ngexesha lokuphila, ixesha apho abafazi bekhulile kwaye bejongana nemiba emininzi ehlobene nokuguga, njengokugula nokulahlekelwa kobutsha.
Okwesibini, ukuphuma kwimizi ngokwayo kuza nempawu ezininzi ezingathandekiyo, njengokutshisa okutshisayo nokulala, okungabashiya abafazi bekhathele kwaye becasulwa, kubangele ukuvakalelwa nokudakumba.
Kwaye, ekugqibeleni, ukuphuma kwindoda kuzisa amanqanaba ehlayo ye-hormone isrogen, enokuthi ibe negalelo elikhulu kwiimeko ezincinci ngexesha lokuphela kwesisu.
Iimpawu zoxinzelelo
Ukuba ibhinqa lingazange lithandwe kukudandatheka ngaphambi kokumisa umva, ingayigcina impawu zayo okanye zikholelwe ukuba zibe yimiphumo yokukhula.
Kubaluleke kakhulu ukuba bonke abafazi, nangabo abangenayo imbali yokukhathazeka kwemizwelo, baqaphele ezi zilandelayo zibonakaliso njengendlela yokuphuma kwindoda:
- Usizi noxinzelelo
- Ukulahlekelwa ngumdla kwizinto eziye zazinandipha
- Ukutshatyalaliswa okanye ukungazinzi
- Ukulala ubunzima
- Utshintsho kwisondlo okanye ubunzima
- Iingxaki ngokucinga, ukukhumbula okanye ukwenza izigqibo
- Ukukhathala
- Uvakalelwa unetyala
- Ndiziva ndingenanto
- Ndiziva ndingenathemba
- Ndiziva ndingenakunceda
- Ukuba neengcinga zokuzibulala
Xa Ufuna Uncedo
Ukuba iimpawu zakho zibi ngokwaneleyo ukuba ziphazamisekile ukuba ube nobomi obuqhelekileyo kwaye azibonakali ziba ngcono, ke le sizathu esihle kakhulu sokufuna uncedo. Ukongeza, ukuba unengcamango yokufa okanye ukuzibulala, oku kuphawu olucacileyo kukuba kufuneka uxoxe nomntu malunga nendlela ozivakalelwa ngayo. Indawo enokuqala ukuqala kuyakuba kukuthetha nodokotela wakho we- OB / GYN okanye ugqirha wakho wosapho odla ukuphatha ezi ntlobo zeengxaki.
Indlela Ukuxinezeleka Kuqhutyelwa Ngethuba Ngophi
Okwangoku, kubonakala ukuba udibaniso lwe- hormone therapy (HRT) kunye ne-anti-depressants yindlela efanelekileyo kakhulu yokudakumba ehambisana nokuphela kwesikhashana kunye nokuyeka umyeni, ngakumbi ukuba uxinzelelo lukhulu kakhulu. Nangona kungenakuqinisekiswa ukuba yiyiphi indima e-estrogen eyenzekayo ekudakaleni kwe-menopausal, ukuxhaswa kubonakala kukunceda zombini iimpawu zentshukumo yokuduka kwesisu kunye nezinye iimpawu, ezifana nokutshisa okutshisa kunye nobunzima bokulala.
Olunye uhlobo lwamayeza e-hormone oogqirha abanokumisela luleko lokuzala umlomo ophantsi lwe-estrogen kunye neprogesin. Ezi pilisi zinceda ukugcina amazinga e-hormones azinzileyo kwaye angakwazi ukulawula ukunyameka kwintombi yase-perimenopausal.
Abanye oogqirha banokukhetha ukusebenzisa iintlobo ezahlukeneyo ze-conjugated equine estrogens (ezivela kumchamo wamahhashi akhulelweyo), i-progesin (progesterone yokwenziwa), okanye i-estrogen kunye neprogesterone (efana ne-esrogen yabantu kunye ne-progesterone).
Thetha nogqirha wakho malunga nobungozi kunye neenzuzo ezinxulumene neendlela ezahlukeneyo ze-HRT njengoko zidibaniswe nobungozi obuninzi beekliniki ezithile kunye neengxaki ze-cardiovascular.
Imithombo:
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"Ukudandatheka kunye nokunquma kwexesha." I-North American Menopause Society. I-North American Menopause Society.
"Ukudandatheka kwixesha elilodwa: Ngaphezu kwamahomoni." Harvard Health Publications . School Harvard Medical School. Uhlaziyo lokugqibela: Agasti 1, 2008.
IGraziottin, Allesandra kunye no-Audrey Serafini. "Ukudandatheka kunye nokunquma kwesikhashana: kutheni i-antidepressants ayanele." Impilo yokuzala. 15.2 (ngoJuni 2009): 76-81.
"Ngaba Ukuphela Kwexesha Kudala Ukunyuka Kwakho, Ukuxinezeleka okanye Ukuxhalaba?" Iimpawu zoLwazi. Kliniki yaseCleveland. Ishicilelwe: Juni 3, 2015.
Miller, Magnolia. "Yintoni Ebangelwa Ukudandatheka Kwimizuzu?" LwezeMpilo . I-Healthline Networks, Inc. Ipapashwe: Matshi 13, 2013.
"Ukunquma kwexesha kunye neMpilo yengqondo." Womenshealth.gov. ISebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu. Kugcine ukuhlaziywa: Septemba 29, 2010.
U-Parry, uBarbara L. "Imiba ekhethekileyo ekunqophiseni kwexesha kunye neNgxaki enkulu yokuPhepha." Ixesha leengqondo . UBM Medica, LLC. Ishicilelwe: Septemba 11, 2013.
"Iimpawu zoxinzelelo." WebMD . WebMD, LLC. Ukuhlaziywa nguJoseph Goldberg, MD: Agasti 21, 2014.