Izinguquko zokuguga ohlelweni lokuzala lwabesifazane

Izinguquko zokuguga ohlelweni lokuzala lwabesifazane kubangelwa ikakhulu ukuguquka kwamazinga ama-hormone. Uphawu olulodwa olucacile lokuguga lwenzeka lapho izikhathi zakho zokuya esikhathini ziyeka unomphela. Lokhu kwaziwa ngokuthi ukunqamuka kokuya esikhathini.

Isikhathi ngaphambi kokunqamuka kokuya esikhathini sibizwa ngokuthi yi-perimenopause. Kungase kuqale iminyaka eminingana ngaphambi kwesikhathi sakho sokugcina sokuya esikhathini. Izimpawu zokunqamuka kwesikhathi zifaka:

• Izikhathi ezivame kakhulu ekuqaleni, bese kuthi ngezikhathi ezithile ezingabanjwanga
• Izikhathi ezinde noma ezifushane
• Izinguquko enanini lokugeleza kokuya esikhathini

Ekugcineni isikhathi sakho sokuya esikhathini sizokwehla kakhulu, size siyeke ngokuphelele.

Kanye nezinguquko ezikhathini zakho, izinguquko zomzimba kumgudu wakho wokuzala ziyenzeka futhi.

IZINGUQUKO EZIKHULU NEMIPHUMELA YABO

Ukunqamuka kokuya esikhathini kuyingxenye evamile yenqubo yokuguga yowesifazane. Iningi labesifazane liyanqamuka ukuya eminyakeni engama-50 ubudala, noma kungenzeka ngaphambi kweminyaka leyo. Ibanga elijwayelekile leminyaka yobudala lingu-45 kuye ku-55.

Ngokunqamuka kokuya esikhathini:

• Ama-ovari ayayeka ukwenza ama-hormone i-estrogen ne-progesterone.
• Amaqanda nawo ayayeka ukukhipha amaqanda (ova, oocyte). Ngemuva kokunqamuka kokuya esikhathini, awusakwazi ukukhulelwa.
• Isikhathi sakho sokuya esikhathini siyaphela. Uyazi ukuthi usudlulile esikhathini sokuya esikhathini ngemuva kokuba ungazange ube nezikhathi zonyaka owodwa. Kufanele uqhubeke nokusebenzisa indlela yokulawula ukubeletha uze uhambe unyaka wonke ngaphandle kwesikhathi. Noma yikuphi ukuphuma kwegazi okwenzeka ngaphezu konyaka owodwa ngemuva kwesikhathi sakho sokugcina akujwayelekile futhi kufanele kuhlolwe ngumhlinzeki wakho wezokunakekelwa kwempilo.

Njengoba amazinga ama-hormone ehla, ezinye izinguquko zenzeka ohlelweni lokuzala, kufaka phakathi:

• Izindonga zesitho sangasese sowesifazane ziba zincane, zome, zinganweki kancane, futhi mhlawumbe zicasuke. Kwesinye isikhathi ucansi luba buhlungu ngenxa yalezi zinguquko ezithweni zangasese.
• Ingozi yakho yesifo sangasese semvubelo yesifo iyanda.
• Izicubu zangasese zangaphandle ziyancipha futhi zinciphe, futhi zingacasuka.

Olunye ushintsho olujwayelekile lubandakanya:

• Izimpawu zokunqamuka kokuya esikhathini njengokushisa okushisayo, imoodness, ikhanda elibuhlungu, nenkinga yokulala
• Izinkinga ngememori yesikhashana
• Ukwehla kwezicubu zamabele
• I-low sex drive (libido) nempendulo yezocansi
• Ingozi eyengeziwe yokulahleka kwethambo (i-osteoporosis)
• Izinguquko zesistimu ye-Urinary, njengokuvama nokuphuthuma kokuchama kanye nengozi eyengeziwe yokutheleleka ngomgudu womchamo
• Ukulahleka kwethoni emisipheni ye-pubic, okuholela ekutheni isitho sangasese sowesifazane, isibeletho, noma isinye somchamo siphume endaweni (i-prolapse)

UKULAWULA IZINGUQUKO

Ukwelashwa kweHormone nge-estrogen noma i-progesterone, kukodwa noma kuhlanganisiwe, kungasiza izimpawu zokunqamuka kokuya esikhathini njengokushisa okushisayo noma ukoma kwesitho sangasese sowesifazane kanye nobuhlungu ngokuya ocansini. Ukwelashwa kweHormone kunezingozi, ngakho-ke akubona bonke abesifazane. Xoxa ngobungozi kanye nezinzuzo zokwelashwa kwama-hormone nomhlinzeki wakho.

Ukusiza ukuphatha izinkinga ezinjengokuya ocansini okubuhlungu, sebenzisa i-lubricant ngesikhathi sokuya ocansini. Ama-moisturizers esitho sangasese sowesifazane ayatholakala ngaphandle kwemithi kadokotela. Lokhu kungasiza ngokungahambi kahle kwesitho sangasese sowesifazane kanye nesitho sangasese ngenxa yokomiswa nokuncipha kwezicubu. Ukufaka i-topical estrogen ngaphakathi esithweni sangasese kungasiza ukujiya izicubu zangasese futhi kwandise umswakama nokuzwela. Umhlinzeki wakho angakutshela ukuthi ngabe enye yalezi zinyathelo ikulungele yini.

Ukuvivinya umzimba njalo, ukudla ukudla okunempilo, nokuhlala ubandakanyeka emisebenzini nabangane nabathandekayo kungasiza inqubo yokuguga ihambe kahle.

EZINYE IZINGUQUKO

Ezinye izinguquko zokuguga ongazilindela:

• Ukukhiqizwa kwehormone
• Izitho, izicubu namaseli
• Amabele
• Izinso

• Ukunqamuka kokuya esikhathini

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I-Lamberts SWJ, i-van den Beld AW. I-Endocrinology nokuguga. Ku: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, abahleli. Incwadi kaWilliams ye-Endocrinology. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2016: isahluko 27.

Lobo RA. Ukunqamuka kokuya esikhathini nokunakekelwa kowesifazane ovuthiwe: i-endocrinology, imiphumela yokushoda kwe-estrogen, imiphumela yokwelashwa kwamahomoni, nezinye izindlela zokwelashwa. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. I-Gynecology ephelele. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 14.

I-BA emhlophe, uHarrison JR, uMehlmann LM. Umjikelezo wempilo wezinhlelo zokuzala zabesilisa nabesifazane. Ku: White BA, Harrison JR, Mehlmann LM, abahleli. I-Endocrine nePhysology Yokuzala. Umhlaka 5. ISt Louis, MO: Elsevier; 2019: isahluko 8.