Ukunqumla komsebenzi kwenzeka. Akunakupheka.
Ngexesha elithile kuma-40s okanye ngama-50s, ixesha lakho liya kupheka kwaye amazinga e-hormone yakho yokuzala aya kuhlahlela. Oku kwehla kumazinga e-hormone kubangela utshintsho emzimbeni wakho. Ezinye zezi zitshintsho zithe cwaka njengelahleko. Ezinye iinguqu zibonakala zicacile kwaye zibonakalisa iimpawu ezifana nokutshisa okutshisa . Ukubeka kwenye indawo phakathi kwezi zimbini ezigqithiseleyo ziinguqu ezenzeka ngaphantsi kwebhanti yakho.
Nangona ukuphuma kwesikhashana kudala utshintsho kwi-vulva yakho, ubulili, urethra, kunye nesambatho esibangela ukuba ungakhathazeki ngokugqithiseleyo kunye noxinzelelo, usenokungaziva ukhululekile ukuthetha ngawo. Okubi nakakhulu, ugqirha wakho akayi kukubuza.
Iimpawu ezihambelana nokutshintshwa kwexesha lokuziyeka kwimizimba emzimbeni wakho zibizwa ngokuba yi-genitourinary syndrome yokunyuka komzimba (GSM). Ubungqina bubonisa ukuba ukuya kuma-50 ekhulwini kwabasetyhini bamadoda abafumana i-GSM nangona le nombolo inokuphakanyiswa ngenxa yokunyanzelelwa.
Ngoko Yintoni eqhubekayo phantsi?
I-vulva yakho, isondo, i-urethra, kunye ne-vestile (i-tract yakho ye-genitourinary tract) iyanqabile kakhulu ukuhla kwezinga lakho le-hormone eliza nokuphuma kwesisu. Ngokukodwa, kukuhla kwezinga lakho le-estrogen elibangela ukuba utshintsho kwindlela indlela yokujonga ngayo isisu esezantsi, ivakalelwa kwaye isebenza.
Vulva yakho
Okuthakazelisayo ngokwaneleyo, kucatshangelwa ukuba imvelaphi yegama vulva ivela kwisiLatini esithetha "i-wrapper" okanye "isimbozo".
I-vulva yakho, edlalwa ngokugqithiseleyo njengowesifazana sakho, isahlulo esipheleleyo se-anatomy yakho. Yenziwe ngamanyathelo athile ahlukeneyo kuquka i-labia yakho, i-clitoris yakho, ukuvulwa kwe-urethra kunye nokuvula kwesondo sakho.
Unamalabi amabini ahlukeneyo okanye iifumba zesikhumba ezisebenzayo ukukhusela izakhiwo ezincinci ze-vulva.
I-labia yangaphandle imitha enkulu kwaye iqulethe iiseli ezinamafutha okanye izicubu ze-adipose kwakunye neentlobo zezinwele kwaye zenza njengendlela yokukhusela izakhiwo ezincinci ze-vulva. I-labia minora ihleli ngaphakathi kwegama lebibia. Iqulethe iingqungquthela ezininzi ezivelisa iimfihlo ezibonelela nge-lubrification ekongezeni umsebenzi wokukhusela kwesi sakhiwo.
Enye yezona (ezinzulu) izakhiwo ezibucayi ezikhuselwe libia yakho yi- clitoris yakho. Njengoko uqinisekile ukuba uyazi, i-clitoris yakho inomnye, kwaye yinto eyodwa ebalulekileyo emzimbeni wakho. Equkethe ukuphela kweentsimbi eziyi-8,000, ukuthinteka komnxeba ngokuqhelekileyo kubangela ukuzonwabisa ngocansi. Ngamanye amazwi, i-clitoris yakho inendima ebalulekileyo ekusebenzeni kwakho ngokwesondo. I-clitoris yakho ikhuselwe yi-labia yakho kunye nohlu olongezelelweyo lolusu olubizwa ngokuba yi-clitoral hood okanye i-prepuce.
Ngoku ke sijonge kwi-menopausal vulva yakho.
Ukulahla kwamanqanaba e-estrogen okanye imeko ye-hypoestrogenic yokwephuka kwexesha kubangela ukuba utshintsho oluthile lube luncedo kwi-vulva yakho. Okokuqala, ulahlekelwa yinqwelo ye-fat in labi majora obangela ukuhla kwevolumu okanye ubungakanani belabi yakho. Ngaphandle kwe-estrogen eyaneleyo, kukho ukucoca kunye ne-shrinkage ye-labia minora leyo leyo ifaka i-labi majora.
Njengoko i-labia minora iyancipha kwakhona ivelisa imfihlo encinane yokukhusela.
Ukulahleka kwe-padding kunye ne-lubrication kubonisa izakhiwo ezinzulu ezinzulu ezifana ne-clitoris yakho kunye nokuvulwa kwesondo sakho ukuze uqhube, ukucaphukisa, kunye neentlungu.
Kwaye ukuba oko akubi ngokwaneleyo, kwamanye amabhinqa i-clitoral hood nayo ingaphantsi, idibanise okanye idibanise kunye. Olu tshintsho lubangela ukuba ubulili bube buhlungu kwaye lukhokelela ekunciphiseni inzala kwisini. Kodwa kwamanye amabhinqa, olu tshintsho lubaluleke kakhulu kangangokuba lubangele ukwanda komzwelo kunye nentlungu engapheliyo ye-clitoral engahambelani ngesondo.
Vagina yakho
Njengawe-vulva yakho, ukuphuma kwindoda kukulethela utshintsho olubi kumfazi wakho.
Kubaqalayo, ubulili bakho buhlanganiswe noluhlobo olukhethekileyo lwesikhumba esakhiwa ngamathathu. Uluhlu oluphezulu okanye olungqambileyo lubuhlungu kakhulu kwi-estrogen. Ngexesha leminyaka yakho yokuzala, amazinga e-estrogen aqhelekileyo agcina ubude bakho besisu buqine kwaye buhlanjululwe ngokukwakhela okungqongqo kwaye ukhuthaze izikhalazo eziqhelekileyo. Oku kuvumela ukuba isiswini sixhathise umonakalo kwaye sikhuthaze u-elasticity okanye amandla okwesini ukuba asolule aze abuyele. Cinga ukuzala.
Ngokwehla kwe-estrogen okanye imeko ye-hypoestrogenic yokuziyeka komzimba, isisu senza i-atrophy. I-atrophy ye-vaginal yenza ukuba iindonga zobhinqa zibe zincinci kwaye zomele ukulahleka kwazo kunye ne-lubrication. Le ngxube yebhinqa ingabangela ukutshisa okanye ukutshisa. Ubundlobongela buya kuba buhlungu.Izi ntshintsho zingabangela ukuba isisu sakho siphule ngokukhawuleza nakwiimeko eziqhelekileyo zokuxhatshazwa njengento yesondo okanye uvavanyo lwe-pelvic. I-atrophy ye-vaginal iholela ekunciphiseni ukuvulwa kwesisu kwaye ekugqibeleni kungakhokelela ekunciphiseni ubufazi bakho bonke.
Sakho Isambatho
Kukho ingxoxo malunga nokuba i-menopausal ishintshela kwiphepha elingaphantsi lomchamo (i-bladder kunye ne-urethra) yi-hormone okanye inxulumene neminyaka. Kodwa kukho ubungqina bokuxhasa ukuba amanqanaba e-estrojeni aphantsi athatha igalelo kwiingxaki ze-urinary ze-menopause.
Isibilini sakho kunye ne-urethra (ityhubhu ephethe umchamo ngaphandle kwesikhumba sakho) ityebile kwiimvumi ze-estrogen. Kanye nje ne-vulva kunye ne-vagina xa amanqanaba akho e-estrogen ehla ekupheleni komzimba, ezi zicuksi zilahlekelwa ngumthamo kunye nokunyaniseka kwazo. Isibilini sakho asinakwandisa njengokuba sisetyenziselwa, kwaye unokufumanisa ukuba ufuna ukuya kwindawo yokuhlambela rhoqo. Kananjalo unokuqaphela ukuba uqhuba okanye ucoce umchamo ngamanye amaxesha xa ugqiba ukuchama.
Izifo zogqirha ze-Urinary nazo ziqheleke kakhulu ekumeni. Amanqanaba e-estrogen aphantsi adala utshintsho kwisisini esenza ukwanda kweebhaktiriya ezibangelwa yi-UTI. Kwakhona, i-lrethra yangaphandle ye-urethra yenza kube lula ukuba iibhaktheriya zingene kwi-bladder yakho.
ISoothe Symptoms
Ukuba unempawu ezintle ze-GSM okanye ukuba ufuna ukuphepha ukusebenzisa nayiphi na imithi esekelwe kwi-hormone, unokucinga ukuba usebenzisa i-lubricant okanye i-moisturizer. Ezi mveliso zifumaneka kwi-counter kwi-pharmacy yakho, kwi-intanethi okanye kwiivenkile ezizodwa.
Iibluegagantshini zevaginal yinto ekhethekileyo xa ukhathazwa ngesondo. Ekubeni ubulili bakho abuzibhokozi kunye nokuyenza ngaphambi kokumisa umva, ukusebenzisa i- lubricant ye-vaginal kuya kunceda ukunciphisa ukungqubuzana, intlungu kunye nokuxhwaleka okungahambelana nomsebenzi wesondo. Ba sebenza ngokukhawuleza. Impembelelo yabo iyimfuneko emfutshane kwaye ingadinga ukusetyenziswa kwakhona njengoko kuyimfuneko. Kukho iintlobo zentathu zokugcoba:
- Amanzi-based based lubricants are safe to use with laterx condoms and non-stain. Nangona kunjalo, ezinye iifutha zamanzi ezisezantsi ziqulethe i-glycerin ezinokubangela ukucasula kwaye zinokunyusa umngcipheko wezonyango. Ukuba ukhetha i-lubricant esekelwe ngamanzi, gweba abo bane-glycerin.
- I- silicone-based-lubricants-based-lubricants are safe to use with latex condoms kodwa ziyakwazi ukubola. Baye basebenza ixesha elide kunamanzi abisiweyo kunye nokugcina impembelelo emanzini.
- I-oli-based - I-oil-based based lubricants ayikhuselekanga ukuyisebenzisa kunye neekondom ze-latex njengoko zinokubangela ukuba ikhondom ye-latex idibanise ukwandisa umngcipheko wokungabikho kwezifo ezithathelwana ngesondo. Akufanele usebenzise i-petroleum jelly, i-oil oil, okanye i-lotion yomzimba rhoqo njenge-lubricant njengoko iqukethe iikhemikhali ezivuthayo kunye neyingozi kwaye ziboniswe ukwandisa umngcipheko wezilwanyana zesifo. Nangona kunjalo, unokuzama ukusebenzisa ioli yendalo enjengeoli yomnquma okanye i-coconut i-oli njenge-lubricant ngokukodwa xa unengxaki kwizongezo okanye idayi.
Ngokungafani neentsimbi zangasese zomzimba, i- moisturizers yamanzi isetyenziselwa ukuphucula ezinye iimpawu ze-GSM ezingahambelani ngesondo. Ezi zinyunyuzi zisebenza ngokufaka umswakama kwiimbophu kunye nokubonelela ngokukhululeka kweempawu zakho. Iimvumba zentsholongwane zentsholongwane zivame ukusetyenziswa imihla ngemihla ukuze kuphuculwe ukoma kunye nokucaphuka okubangelwa yi-vulcovaginal atrophy. Ioli yeolive kunye neoli yekokoni ingasetyenziselwa njengama-moisturizer.
Faka iNdawo elahlekileyo
Xa izitya kunye neentsholongwane zixhasayo iimpawu ze-GSM, iimveliso ezine-hormone zithuthukisa ukuhamba kwegazi kwaye zibuyisele ubungakanani kunye nokunyaniseka kwisisu sakho. Ngamanye amazwi, balungisa ingxaki kunokuba baphathe impawu ze-GSM. Nangona kuthatha i-hormone ye-systemic kwifomu yepilisi okanye i-patch inokunciphisa i-atrophy yamanzi, ezininzi iimveliso kunye neziphumo ezingcono zisetyenziselwa ngqo kwisini.
Iimveliso ezinee-Estrogen: Ukusebenzisa i-estrogen ngokuthe ngqo kwiisisu zomzimba zonyango luyinkqubo efanelekileyo ye-GSM. Ngokuqhelekileyo, uza kubona ukuphucuka okukhulu kwiimpawu zakho kwiiveki ezimbalwa. Kukho iindlela ezimbalwa ezahlukileyo ze -estrogen zokusetyenziswa kwezesini ezibandakanya:
- Ukhilimu wamagciwane - Ngokuqhelekileyo, izicwina zamaginjini zisetyenziswe kanye ngosuku ngosuku lweeveki ezimbalwa emva kwesinye ukuya kwiihlandlo ezimbini kwiveki yokunyanga.
- Isangqa sevaginal - Amacenge aseVaginal akhululwa kwaye agcinwe kwisisini iintsuku ezintathu ngelo xesha.
- Ithebulethi yeVaginal - Amacwecwe aseVaginal asetshenziswe kwishedyuli eninzi njengezicwenga zamanzi kodwa zivame ukuba zincinci.
Ummiselo we-Estrogen Receptor Modulator: I- SERM yinkalo yeehomoni zokwenza izinto zombini ezenza njenge-estrogen kunye nomsebenzi we-estrogen kwiindawo ezahlukeneyo zomzimba wakho. Umzekelo we-SERM ngu-tamoxifen onamandla anxamnye ne-estrogen esetyenziselwa ukhathaza umdlavuza webele kodwa kwaye kubangela ukutshisa okutshisayo kunye nokomama wesisu. I-SERM espemifene entsha iboniswe ukuba yonyango olufanelekileyo kwi-GSM kwaye i-FDA ivume imvume yokuphatha isifo sezesondo ezibuhlungu ezinxulumene ne-GSM. Nangona kunjalo, nangona uphando lwexesha lokuqala lubonisa umonakalo olwa-anti-estrogen kwiisifuba zesifuba esifana ne-tamoxifen, akukho idatha eyaneleyo yokucebisa ukusetyenziswa kwayo kwabasetyhini abaneembali zomhlaza wesifuba.
I-DHEA yeVaginal: Enye inketho yokunyanga kwe-GSM iyimphambili ye-hormonal kwi-estrogen ebizwa ngokuba yi-prasterone. I-Prasterone okanye i-DHEA i-FDA ivunyelwe ukunyanga iimpawu ze-GSM. Ingeniso yesalathiso esisetyenziswa rhoqo imihla ngemihla. Xa usesiswini, i-hormone i-DHEA iguqulwa ibe yi-estrogen ngamaseli elalini lakho. Izifundo zakuqala zibonisa ukuba ngenxa yokuthi i-estrogen iveliswa ngaphakathi kwaye isetyenziswe ngokuthe ngqo ngamaseli akho esisipilini, akukho nto ifakwe kwi-isrogen kwigazi lakho. Le ngongoma ebalulekileyo yabasetyhini abanako ukuba i-estrogen ingakhuselekanga ukuyisebenzisa.
Vagina yakho: Yisebenzise okanye uyilahle
Yikholwa okanye cha, ukuhlala ngesondo ngokuxhomekeka kwimiqathango yokuncika kwesisu kukunceda ugcine isilwanyana esisempilo.
Umsebenzi wesondo ngokuqhelekileyo ukwandisa ukuhamba kwegazi kwiisisu zakho zesisu. Olu konyuka ekuphumeni kwegazi lunceda ukukhuthaza impilo yezilwanyana nokugcina ezinye ze-elasticity and thickness of the vaginal. Kwaye, akufanele ukwesaba ukuthatha izinto ezandleni zakho, ngokoqobo. Ukuvuselela i-clitoral ngokugcoba okanye ukusebenzisa i-vibrator yindlela efanelekileyo yokukhuthaza ukuhamba kwegazi.
Nangona uthabatha ukulala, kufuneka ugcine impilo yakho yesini. Xa kuziwa kwizilwanyana zakho, kufuneka usebenzise okanye ulahlekelwa yiyo.
ILizwi
Ukuwa kwe-menopausal kwi-estrogen kuletha utshintsho oluninzi emzimbeni wakho. Ezinye zeenguqu ziyinto engamnandi kwaye unokukhetha ukufuna unyango kubo, njengempawu ezihambelana ne-genitourinary syndrome yokumisa. Ezi zimpawu ziqhelekileyo kwaye ziphathwa ngokulula ngeendlela ezahlukeneyo ezikhoyo. Ungabi neentloni ukuxoxa ngezi ngxaki ngogqirha wakho. Ngokubambisana, wena kunye nogqirha wakho unokwenza isicwangciso sonyango esiza kukunceda uphile kakuhle ngexesha lakho leminyaka.
> Umthombo:
> Ulawulo lweMpawu zeMenopausal. Jonga i-Bulletin Nombolo 141. Ikholeji yaseMerika yamaZiko kunye namaGynecologists. I-Obstet kunye neGynecol 2014; 123: 202-216.