Nangona kukho uluhlu oluqhelekileyo malunga nexesha lokugcina umama wokugqibela, uhambo lomfazi ngamnye luhlukile. Ukutshintsha kuthatha iminyaka emine, kodwa ezinye iimpawu zihlala ixesha elide. Akukho mithetho ekhuni kwaye ekhawulezayo njengoko kuqalisa ukuphuma kwimizi kwaye iphelile kwishedyuli yaso.
Kude kube nini ixesha elide kunye nexesha lokuphela kwexesha lokugqibela?
Ukuphela kwexesha, ngamanye amaxesha okubizwa ngokuba nguguquko lwe-menopausal, luqala xa ibhinqa liqala ukufumana utshintsho kwimijikelezo yakhe yokuya esikhathini (umzekelo, ixesha elide okanye elifutshane), kwakunye neempawu ezinxulumene nokwehla kwamanqanaba e-estrogen-ngokugqithiseleyo ukutshisa okutshisa.
Ininzi yabasetyhini bangena kwixesha elilodwa ngexesha lawo ngama-40s , kunye nobudala obuphakathi kweminyaka engama-47. Ukuphela kwexesha kuphelile xa umfazi engazange abe nexesha lokuhamba ukuya kwiinyanga ezili-12 ezilandelelanayo; oku kubizwa ngokuba ngumyeni.
Qaphela ukuba i-perimenopause ibhekisele kwixesha elide kodwa ukuphela komntu kubhekisela kwinqanaba ngexesha-ukungaqondi kakuhle kunye nomthombo wokudideka.
Ixesha lexesha emva kokumisa umva libizwa ngokuba yi-postmenopause. Ngethuba lokuhamba emva kokuphuma kwimizi, owesifazane akazange abe nomjikelezo wesisithuba ngaphezu konyaka, nangona usenokuba nezibonakaliso ezinxulumene nokusilela kwe-estrogen njenge-vagro atrophy.
Ubude bomyinge wexesha elimisiweyo liyiminyaka emine, ngoko ubudala obuninzi apho owesifazane efikelela kwindoda yokuzalwa ngumntwana oneminyaka engama-51 ubudala. Nangona kunjalo, oku kungumyinge kwaye awuqapheli ixesha elichanekileyo lokuba nantoni na.
Kude Kangakanani Impawu Ezixhomekeke Ekupheleni Kwesisu?
Nangona ukunyuka kwesisu kuphawula ngethuba ngexesha apho umfazi engazange abuyele kwisithuba seenyanga ezili-12 kwaye akayikho i-ovulating (ukukhulula nawaphi na amaqanda kumanki ayo), iimpawu zokuphuka komzimba ziyaqhubeka.
Iimpawu eziqhelekileyo eziqhelekileyo zokuxhumela umama zitshisa kakhulu kwaye zome . Ezi zimpawu zimbini zivela ngenxa yokulahleka kwe-estrogen emzimbeni, ngokuqhelekileyo okuveliswa ngamaqanda omfazi.
Abaninzi abasetyhini bayeke ukutshisa kushushu ngaphakathi kweminyaka emihlanu emva kokugqibela kokuya esikhathini. Nangona kunjalo, ingxelo malunga nokulawulwa kweempawu zokuya esikhathini uyachaza ukuba i-Penn Ovarian Ageing Study yafumanisa ukuba ngaphezu kweyesithathu kweyabasetyhini baqhubeka benokufudumala ukutshisa okutshisa iminyaka eli-10 okanye ngaphezulu.
Abasetyhini abaqala ukutshisa xa beqala ukungena kwimizuzu emine, baba nomyinge wama-11.6 iminyaka. Abafazi base-Afrika nabamaMerika babekho ixesha elide kunabesifazane abamhlophe.
Ukomisa umgudu, ukutshisa, kunye nokukhwabanisa kwakhona kwenzeka ngenxa yesweleko se-estrogen. Ukwahlukana nalo mqondiso kukuba luya kuba lubi ngakumbi xa abafazi bekhula. Enyanisweni, ngaphantsi kweepesenti ezingama-30 yabasetyhini ekupheleni kwexesha okanye kwixesha lokuqala emva kokuphuma emva kokuphuma kwamathuba omzimba. Kodwa njengokuba abafazi bafikelela emva kwexesha lokuhamba emva kwexesha, emva kwengxelo yesiqingatha se-vaginal dryness.
Kukho ezinye iimpawu ezingase ziqalise ngexesha lokugqibela kwaye ziqhubeke zonke emva kokuphuma emva kwexesha. Ezi ziquka:
- Iingxaki zokulala
- Iimoya zitshintsha njengexinzelelo kunye nexhala
- Izinguqu ezinengqiqo ezifana nokulahleka kwememori
- Ubuhlungu besisundu kunye
Nangona kunjalo, ngelixa amaninzi amabhinqa anikezela ukuba le mpawu igqithise ukuphela komntu, ixesha lingaba lihambelane. Ngamanye amazwi, kunzima ukungazi ukuba ezi zimpawu zivela ngokusweleka kwe- estrogen emzimbeni okanye kwiinkqubo zendalo ezihamba kunye nokuguga.
Izinto ezithintela ukuCima kwexesha kunye neZimpawu
Njengobushushu kunye nokukhulelwa, ukuqala kwimizuzu iqala kwaye iphelile ngamaxesha ahlukeneyo kumfazi ngamnye. Kukho izinto ezininzi ezinokuthintela ixesha kunye namava okwexeshana apho onke amabhinqa aya kubhala ibali lakhe.
I-Genetics, indlela yokuphila, ukutya, uxinzelelo, impilo jikelele, kunye nenkcubeko yimiba yimiba yexesha kwaye ngokukhawuleza uza kuba neempawu ezinxulumene nomntu.
Oko kuthethwa, ininzi yabasetyhini iya kuba nexesha "lokuphuka komyeni" kwiwindow yexesha elingama-2 ukuya kwe-10, mhlawumbi ukususela kwiminyaka-ntsuku ukuya kwiminyaka eyi-50.
Kodwa nangona uqala ekuqaleni okanye uphelile kamva, usenokuba neyakho inguqu yexesha lokuyeka umyeni. Kwaye nokuba awunakuze ufune ukutshisa, okanye uqhubeke uhamba nabo kwiminyaka engama-60 ubudala, kunokuthi "kuqhelekileyo" kuwe.
ILizwi
Ukuba iimpawu zakho ezinxulumene nesikhokelo senza umxhala okanye ungathinteli kakubi umgangatho wobomi okanye ukusebenza kwansuku zonke, xubusha nodokotela wakho.
Kukho uninzi lwezonyango ngaphandle apho ukukunceda ukuhlangabezana nalezi zibonakaliso ezingenakunqwenelekayo kuquka zombini amayeza e-hormonal non-hormonal, kunye nezinye iindlela zokwelapha .
> Imithombo:
> Goodman NF, uCobin RH, iGinzburg SB, Katz IA, Woode DE. Umbutho waseMerika weeNtsholongwane zeeMpilo zeeNtsholongwane zeeNkcazo zezoNyango zezoNyango zeZiklinikhi zokuxilongwa kunye nokunyangwa kokunyuka komzi: isishwankathelo esiphezulu seengcebiso . Endocr Pract. Ngo-2011 uNgo-Dec; 17 (6): 949-54.
> Huang AJ et al. Izimpawu zamagciwane kumabhinqa angama-postmenopausal: ubunzima obubiweyo, imbali yendalo kunye nemingcipheko. Ukunquma kwexesha. 2010-Jan-Feb; 17 (1): 121-26.
> Kaunitz AM, Manson JE. Ulawulo lweMpawu zeMenopausal. I-Obstetrics & Gynecology . 2015; 126 (4): 859-876. i-doi: 10.1097 / aog.0000000000001058.
> Ukumisa isikhashana. WomensHealth.gov. https://www.womenshealth.gov/menopause/menopause-basics.
> Umbutho weMenopause waseNyakatho Melika. UmSebenzi wokuThumela umzi: Isikhokelo soMtholampilo, umhla wesi-5. 2014 Mefield Heights, OH: I-North American Menopause Society.