Ukwelashwa kweMesopause

Unyango lwexesha lokumisa

Ukunquma kwexesha ngokwayo akusiyo isifo. Kodwa libonisa ukuba utshintsho olukhulu lwe-hormone lwenzeke emzimbeni wakho. Olu tshintsho lwe-hormone, ingakumbi amanqanaba ase-estrogen aphantsi, anokubeka engozini kwizifo ezithile kwaye kunokubangela iimpawu ezibalulekileyo ezichaphazela umgangatho wobomi. Izinyango zokwelapha zokunyuka komzimba zibangelwa ukukhululeka kwempawu, ukuthintela, okanye zombini. Iimpawu ezimbini eziqhelekileyo zokusuka komyeni abafazi abafuna unyango kuba iimpawu ze-vasomotor kunye ne-atrophy yesisu.

3 Kufuneka-Yenza Ubomi bezitshintsho utshintsho ekupheleni kwexesha lokumisa

Nangona uhlangabezana kakuhle neenguqu ze-hormone zokutshatyalaliswa kwexesha, lixesha elihle lokumisa kwaye ukhangele kakuhle indlela yakho yokuphila yangoku. Ewe, umzimba wakho uguga nokuba uyayithanda okanye awuyi. Kodwa akuthethi ukuba ufanele ukuphosa ithawula (ngaphandle kwesicatshulwa esisodwa). Ngokwenza uhlengahlengiso oluncinane ungenza iikhompi ezilandelayo ziphilise kakhulu.

• Ngaba Ufanele Uthabathe I-Hormone Alternative Treatment?

• IziNyango zokuNyuka kweMvelo ekuSebenzelweni kwexesha lokusebenza

Umdala ufumana ithuba lokuba uyazixabisa ilizwi elithi, "Impilo yintengiso."

Ukuzivocavoca

Sonke siyazi ukuba ukuzivocavoca kubalulekile kungakhathaliseki ubudala bethu. Kodwa ekumiseni kwexesha, kuthatha ukubaluleka kokubaluleka. Iinjongo zethu kufuneka zitshintshe ekungeneni kwiimfesane zethu ezincinci ukugcina umsebenzi wethu (ndiyithandi ukuthetha) izidumbu eziguga. Xa sisesigxinini sesisu kufuneka sigxininise ukuqeqeshwa kwamandla kunye nokusetyenziswa kwe-aerobic egxile ekuhlaseleni ukulahlekelwa kwemisipha eneminyaka eli-40 ubudala kunye nokulahleka kwethambo ehlobene neminyaka eqala ngokuyeka umyeni. Ukuzivocavoca ngokuqhelekileyo nako kunceda ukulawula ukuphazamiseka kwemizwelo ekutshintsheni amazinga e-hormone.

Unokuba ufuna ukucinga ngokujoyina i-yoga kwiklasi. Ukusebenza rhoqo kwe-yoga kuye kwaboniswa ukuba ugcine uguquguquko kwaye uncedise ukulahleka kwethambo kunye nokuphucula ukutshisa.

Ukutya

Kubalulekile ukuba ukhangele ukutya kwakho nokutya. Ukulandela ukutya okunempilo kubalulekile kwimpilo yakho yonke kunye nokuphila kakuhle. Ukutya okunokulinganisela kukunika zonke iivithamini kunye nezondlo ozifunayo ukuze ugcine umzimba wakho uphilile. Ngokwexesha lokumisa, ukulawulwa kwisisindo kuyinkxalabo ekubukeni kwakho intlawulo ye-caloric yemihla ngemihla ibalulekile. Kodwa kubaluleke ukuba ufumane iprotheni eyaneleyo ekudleni kwakho ukuze ukwazi ukugcina kunye / okanye ukwakha imisipha. Ukukhetha ukutya okulungileyo ekumiseni kwexesha kunokukunceda uhlale uphilile kwaye kunokukunceda ukuba uphathe iimpawu ezibangelwa ngamazinga akho e-hormone.

Nciphisa Utywala Lwamandla

Kulungile, bafazi, oku kubalulekile! Sidla kakhulu utywala kwaye asiyinto enhle kuthi. Kwabaninzi kuthi, uye waba sisisombululo sethu sokusasazela usuku. Kwaye ngelishwa, indlela esebenza ngayo kotywala yilapho uphuze ngakumbi xa ufuna ukusela.

Abanye bethu banomdla wokuxhomekeka kotywala kunabanye. Ukusetyenziswa kotywala kakhulu kungakhokelela kwiingxaki ezininzi zezokwelapha, kuquka ukufumana ubunzima bokunqongophala, ukungondleki, ukudandatheka, kunye nokugula komzimba. Kuye kwaxhunyaniswa nomngcipheko wokwanda komhlaza webele. Utywala luye lwaboniswa ukuba ukutshisa kwakho kushushu kunye nobusuku bhuquke kakhulu. Ngoko uzama ukuba nekhabe elitshisayo yetiyi okanye uhambahamba emva kweentsuku emva komsebenzi endaweni yokuzenzelela ngokuzenzekelayo iglasi yakho.

Ukuba ucinga ukuba usuxhomekeke kukuxhomekeka kotywala kufuneka uxoxe ngale ngxelo nogqirha wakho. Kubaluleke kakhulu kwimpilo yakho ukungayihoyi.

Izinketho ezi-3 zokuPhepha iiHormone okanye ezinye iiMithi zoNyango

Iyeza elongezelelweyo kunye nelinye (i-CAM) linikeza iinketho ngaphandle kwemveli yemveli yeNtshona okanye i-allopathic. Uninzi lwezi zikhetho lusekelwe kwiminyaka emininzi yokuphulukisa ezinjengamachiza aseTshayina, i-Ayurveda, kunye neyeza. Kweminye yalezi zikhetho, kukho ubungqina besayensi ukuxhasa inzuzo kwaye kubonakalise ukuba akukho nzakalo kwonyango.

Ngezinye iindlela, akukho bungqina obuxhasa ukukhuselwa okanye inzuzo. Unokukhetha ukudibanisa indlela yokudibanisa kunye ne-allopathic ne-naturopathic, homeopathic okanye i-Eastern medicine.

Naturopathy & Homeopathy

Imithi ye- naturopathic okanye i- naturopathy isekelwe kwimigaqo yokuba isifo sibangelwa ukuphazamiseka ngendlela umzimba ngokuqhelekileyo uziphilisa ngayo. Oogqirha be-Naturopathic basebenzisa iindlela ezahlukeneyo zokuphulukisa ukuze uncede umzimba wakho uphilise ngokwawo, kuquka:

• ukondlo lweklinikhi
• machiza
• i-homeopathy
• i-acupuncture
• unyango olukhanyayo

Ezinye iindlela eziqhelekileyo zokuncedisa i-homeopathic okanye imithi yamachiza ekhuthazwa ukunyanga iimpawu ze-menopausal ziquka:

• omnyama
• ikhefu elibomvu
• ginseng
• Wort St. John's wort
• gingko biloba

Ubungqina buphelelweyo ekuxhaseni inzuzo kule miyeza yamachiza. Ininzi yale mifuno ine-esrogen-efana nomsebenzi kwaye idibanisa neziyobisi ezininzi ezahlukeneyo zemithi. Ukuba uthabatha nayiphi na imithi yokwelaphuka komzimba kubalulekile ukuvumela oogqirha bakho ukuba bazi ngayo.

Amachiza aseTshayina

Amayeza aseTshayina angaphezulu kweminyaka engama-3 000 ubudala yokuphulukisa isiseko esekelwe kwingcamango eyinkimbinkimbi yokulinganisela kwamandla kwindalo kwaye ekugqibeleni kumntu.

• AmaMedi Kukunceda Ulale Ubulungile Ngethuba lokumisa

• Yiyiphi Impatho Eyona Miphumo Yomlilo?

Ukubeka nje, xa lo mandla ungagqithisi isifo. Amayeza aseShayina asetyenziswayo asebenzisa iindlela ezahlukeneyo zokuphilisa, kuquka:

• ukutya
• iifom
• i-acupuncture
• ukusetyenziswa
• amandla okuphilisa

Nangona inzuzo ecacileyo ayisekelwe ngenkxaso yobungqina benzululwazi, kukho iingxelo ezibonisa ukuba amayeza aseShayina amasiko anceda ukukhupha iimpawu zokusuka kwexesha:

• iingxaki zokulala
• kushushu
• ukuphazamiseka kwemizwelo
• iintlungu neentlungu
• iingxaki zeememori kunye neengxaki
• ukunciphisa ukuqhuba ngokwesondo

Iingcali zibonisa ukuba iidakamizwa zesiTshayina ziyinxalenye ebalulekileyo yeendlela zokonyango kwiimpawu ze-menopausal ngokukodwa njengenxalenye yendlela edibeneyo.

Ayurveda

I-Ayurveda njengamachiza aseTshayina yindlela yokuphilisa yasendulo engaphezulu kweminyaka engama-3 000 ubudala. I-Ayurveda yavela eNdiya kwaye yaziwa ngokuba "isayensi yobomi." Abasebenzi be-Ayurvedic basebenzisa iindlela ezahlukeneyo zokuphilisa, kuquka:

• ukondla
• ukuxutywa
• u kucoca
• yoga
• ukuphefumla
• ukuxilisa unyango

I-Ayurveda yindlela ekhethiweyo ekhethiweyo kunye nelinye uhlobo lweyeza. Ngelishwa, kunzima ukusebenzisa i-West yophando yophando yophando kule nfilosofi yokuphulukisa, ngoko ubungqina obuncitshiswa kakhulu bufumaneke ukubeka izimvo ngokusebenza kwayo. Kodwa oko akuthethi ukuba akusebenzi kakuhle ekunakekeleni iimpawu ze-menopausal.

Izizathu ezi-3 zokuba iHormone Replacement Alternative Therapy ingaba yinto ekhethekileyo

Iimpawu zenguqu ye-menopausal kwaye ekugqibeleni ukuphela kwesigxina kubangelwa ukulahlekelwa ngokukhawuleza komsebenzi we-ovari. Amanqanaba aphantsi aphethwe ngama hormones akho ovariya ayenaxanduva ngokuthe ngqo kwiimpawu kunye nokutshintshwa kwesisu. Ukutshintshwa kwama-hormone kwenza kube nengqondo eninzi, ingakumbi kubasetyhini abanempawu kakhulu. Njengawo nawaphi na amayeza, kukho iingozi ezinxulumene nokusetyenziswa kwayo, kodwa kaninzi izibonelelo zonyango zigqithise kakhulu ingozi. Ugqirha wakho unokukunceda ukuba unqume ukuba i-hormone yonyango yokwenza indawo (HRT) ilungile.

Kusebenza kakhulu ekuphatheni izibonakaliso

I-hormone yonyango yokutshintshwa kwindlela ephumelela kakhulu ekuphatheni iimpawu zokuphuka komzimba ngokukhethekileyo iimpawu ze-vasomotor kunye ne-vagro-atrophy. Enyanisweni, i-estrogen kunye okanye ngaphandle kweprogesterone ibonakaliswe ukuba yonyango oluphambili lweempawu ze-vasomotor, kubandakanywa ukuphosa ebusuku kunye nokutshisa okutshisayo okuhambisana nokuphuma kwesisu.

Ukutshintshwa kwe-Estrogen Kuyonyango kunye nokukhusela

Ukutshintsha ii-hormone zakho ze-ovari ziyasebenza ekuphatheni ezininzi iimpawu zokuqeda isisu ngaphezu kweempawu ze-vasomotor kunye ne-atrophy yamanzi. Kwakhona kunceda ukucotha ezinye iinguqu ezingenakupheka kumzimba wakho oguga. Ukuthatha i-HRT ukukhusela ukulahleka kwethambo okungakhokelela ekutheni i- osteoporosis ithathwa njengokuthintela.

Awuyi-Hormone Yokutshintshwa Kwamayeza Omzimba

Sifumane indlela ende ukusuka kwindlela efanayo-yohlobo lwe-HRT oomama abayalelwe. Kukho iindlela ezininzi ezahlukeneyo kunye neziphumo ezikhoyo. Uninzi lwezikhetho zokutshintshwa kwehommone luqulethe uhlobo oluthile lwezinto zesendalo okanye lwe-estrogen kunye neprogesterone. Oku kuyinyaniso kumayeza amaninzi akwa-HRT, kungekhona nje kuphela kwiifom ezongeziweyo. Ukongeza kwindlela kunye noxinaniso lwamahomoni, kukho iindlela ezahlukeneyo ze-HRT enokuzikhetha kuzo, kuquka:

• ngomlomo
• transdermal
• ngqangi
• zesini

Ukuba usenayo isisu sakho kufuneka uthabathe iprogesterone ngaphezu kwe-estrogen ukukhusela umgca wesibeleko sakho ekuphuhliseni i- hyperplasia ye-endometrial . Kweemeko ezithile, ugqirha wakho unokubonisa ukuba indawo ye-testosterone ithathe indawo. Ngokuxhomekeke kwimbali yakho kunye neempawu zakho, ugqirha wakho unokucetyiswa ukuba uzame olunye uhlobo lwemithi ye-hormonal, ebizwa ngokuba yi-SERM okanye i-modro-receptor modulator.

I-HRT ngoku iyakulungele ukulungiswa ukuphatha iimpawu zakho ngelixa unciphisa ingozi yakho.

3 Imithi Ukuba iTransal Replacement Treatment Isona Isisombululo esifanelekileyo

Kukho imeko ezithile zeeklinikhi xa usebenzisa i-hormone ayifanelekanga. Mhlawumbi unembali yomntu wesifo somhlaza okanye isifo se-clotting disorder kwaye ugqirha wakho uxelele ukuba amahomoni aphikisiwe. Ukuba unempawu ezinzima ze-vasomotor unokufuna ukuqwalasela enye yale miyeza engeyiyo.

Paroxetine

I-Paroxetine okanye i-Paxil yile yeklasi yezilwanyana ezibizwa ngokuba yi-SSRI okanye i-serotonin reuptake inhibitors. Uphando luye lwabonisa ukuba i-SSRIs kunye neyasetyenziswa ekuphatheni ukudakumba kukunceda ukukhulula iimpawu ze-vasomotor ezinxulumene namazinga aphantsi e-estrogen kumabhinqa angama-menopausal. Ekubeni iinguqu ze-hormone zokutshatyalaliswa komzimba zingabangela ukuba uxinzelelo lwe-SSRI lube lukhethi olufanelekileyo kwabanye abafazi. Kodwa ezi nzuzo zimele zilungelelaniswe nemiphumo emibi ye-SSRIs, equka ukufumana ubunzima kunye nokunciphisa iingxaki zesondo-ezimbini eziqhelekileyo eziqhelekileyo kubasetyhini bamadoda.

Clonidine

Ngokungafani nePaxil, ene-FDA imvume yokunyanga iimpawu ze-vasomotor, i-Clonidine isetyenziswe ngaphandle kwelebula ukuphatha iimpawu ze-vasomotor. Olunye ubungqina luye lwaxhasa izibonelelo zaloo mishanguzo wegazi ukunciphisa ukutshisa okutshisa.

Gabapentin

Njenga-clonidine, i-gabapentin ayiyiyo i-FDA evunyelwe ukunyangwa kwamaza atshisayo. Leliyeza elisebenzisayo ukukhusela ukukhawuleka, kodwa uye waboniswa ukunciphisa iimpawu ze-vasomotor. Ayisebenzisi njenge-estrogen kodwa yindlela enhle kunye nePaxil kunye ne-clonidine ukuphatha iimpawu ze-vasomotor kubasetyhini abangenakuyithatha i-estrogen.

ILizwi

Ukuqeda i-Menopause kubangela utshintsho oluninzi emzimbeni wakho. Yinto eqhelekileyo kwaye ayiyiyo isifo. Nangona kunjalo, utshintsho lwe-hormonal of menopause lungenza iimpawu ezingathandekiyo kunye nemiba yempilo yexesha elide elichaphazela umgangatho wobomi. Ukwenza indlela yokuphila elula kunye nokudibanisa iindlela ezahlukeneyo zokwelapha kunokukunceda ukuba uphile kakuhle ngokugqithisa nokugqithisa.

> Imithombo:

> Ikholeji yase-American College of Obstetricians kunye neGynecologists (2014). I-ACOG isetyenziselwa i-bulletin n.141: Ulawulo lweMpawu zeMenopausal. I-Obstet Gynecol 2014; 123: 202-16.

> Umbutho weMimopho yaseMntla yaseMelika. (2014). Ukusetyenziswa kwexesha lokusesikweni Umhlahlandlela wezonyango. Mayfield, Ohio.