Ingabe Izimpawu Zokunqamuka Kokuya Esikhathini Kuhlala Isikhathi Eside Kangakanani?

-Delile

• Zihlala isikhathi esingakanani izimpawu?
• Izimpawu zokunqamuka kokuya esikhathini
• Ukuphatha izimpawu
• Ukushisa okushisayo
• Ukoma kwesitho sangasese sowesifazane
• Izinkinga zokulala nokushintsha kwemizwelo
• Ukwelashwa okwengeziwe
• Ungalufuna nini usizo
• Izinzuzo zokunqamuka kokuya esikhathini
• Umbono

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Ukubuka konke

Ukunqamuka kokuya esikhathini kuyingxenye evamile futhi engokwemvelo yokuguga.

Njengoba ufaka ama-40s, umzimba wakho kungenzeka ukhiqize i-estrogen engaphansi nencane uze ungabe usaya esikhathini. Uma usuyekile ukuya esikhathini futhi ubungasayi esikhathini izinyanga eziyi-12. uzobe usufinyelele ukunqamuka kokuya esikhathini.

Ukunqamuka kokuya esikhathini ngokwemvelo, okwenzeka ngaphandle kokungenelela kwezokwelapha, kwenzeka ngezigaba ezintathu:

• ukunqamuka kwesikhathi
• ukunqamuka kokuya esikhathini
• ukunqamuka kokuya esikhathini

Abantu abaningi badida ukunqamuka kokuya esikhathini nokuya esikhathini. I-Perimenopause yisigaba lapho owesifazane eqala ukushintshela ekunqamukeni kokuya esikhathini. Ezinye izimpawu ezivamile zesigaba se-perimenopausal zifaka:

• ukushisa okushisayo
• ukujuluka ebusuku
• ukoma kwesitho sangasese sowesifazane

Ngesikhathi sokuphela kwesikhathi, umzimba wakho uqala ukwenza i-estrogen encane. Lokhu kuyaqhubeka kuze kube unyaka owodwa noma emibili yokugcina ye-perimenopause kuze kube yilapho amazinga akho e-hormone ehla ngokushesha. Isikhathi sokuphela kwesikhathi singaqala kuze kufike eminyakeni eyi-10 ngaphambi kokungena esikhathini. Imvamisa kuqala kuma-40s akho, kepha abanye besifazane bangena esikhathini sokuya esikhathini kuma-30s abo.

Odokotela bazonquma ukuthi usufinyelele esikhathini sokuya esikhathini lapho ungazange ube nesikhathi sezinyanga eziyi-12 ezilandelanayo. Ngemuva kwalokho, uzongena esigabeni se-postmenopausal.

Uma ngabe ususwe ngokuhlinzwa ama-ovaries akho, uzothola ukuyeka ukuya esikhathini ngokuzumayo.

Zihlala isikhathi esingakanani izimpawu?

Izimpawu ze-Perimenopausal zingahlala iminyaka emine ngokwesilinganiso. Izimpawu ezihambisana nalesi sigaba zizoncipha kancane kancane ngesikhathi sokunqamuka kokuya esikhathini kanye nangemva kokuyeka ukuya esikhathini. Abesifazane asebehambe unyaka wonke bengayi esikhathini babhekwa njenge-postmenopausal.

Ukushisa okushisayo, okwaziwa nangokuthi ukushisa okushisayo, kuyimpawu evamile yokuphela kwesikhathi. Olunye ucwaningo luthole ukuthi ukukhanya okushisayo okulingene kuya kokunamandla kungaqhubeka nokudlula esikhathini esedlule futhi kugcine ngo-a. Lokho kudlula isikhathi esibekiwe esivunyelwe ngokuvamile sesikhathi sokukhanya okushisayo.

ukuthi abesifazane nabesifazane abaMnyama abanesisindo esijwayelekile baba nokuqubuka okushisayo isikhathi eside kunabesifazane nabesifazane abamhlophe abathathwa njengabakhuluphele ngokweqile.

Kuyenzeka ukuthi owesifazane abe nokunqamuka kokuya esikhathini ngaphambi kweminyaka yobudala engama-55. Ukunqamuka kokuya esikhathini kokuqala kwenzeka kubantu besifazane abadlula esikhathini ngaphambi kokuba babe neminyaka engama-45. Kubhekwa njengokuya esikhathini ngaphambi kwesikhathi uma uneminyaka yokuya esikhathini futhi uneminyaka engama-40 noma ngaphansi.

Ukunqamuka kokuqala noma ngaphambi kwesikhathi kungenzeka ngenxa yezizathu eziningi. Abanye besifazane bangangena esikhathini sokuqala noma sokuya esikhathini ngaphambi kwesikhathi ngenxa yokungenelela kokuhlinzwa, njenge-hysterectomy. Kungenzeka futhi uma amaqanda elinyazwa ngamakhemikhali noma ezinye izimo nokwelashwa.

Izimpawu zokunqamuka kokuya esikhathini

Uzobhekana nezimpawu eziningi ngenkathi udlula esikhathini (ngokwesibonelo, izikhathi zakho ziba ngokungajwayelekile). Imvamisa, umfutho, nobude bezimpawu kuyahlukahluka kumuntu nomuntu ngesikhathi sokuya esikhathini futhi njengoba usondela esikhathini sokuya esikhathini.

Uma usunqamule ukuya esikhathini (awukaze ube nesikhathi sezinyanga eziyi-12) futhi uye emuva kokuyeka ukuya esikhathini, izimpawu zingaqhubeka ngokwesilinganiso seminyaka emine kuya kwemihlanu, kepha zehla ngemvamisa namandla. Abanye besifazane babika ukuthi izimpawu zabo zihlala isikhathi eside.

Izimpawu ezivame kakhulu zifaka:

• Ukushisa okushisayo. Lokhu kukubangela ukuthi uzwe ukushisa okungazelelwe ebusweni bakho nasemzimbeni ongaphezulu. Bangakwazi ukuhlala imizuzwana embalwa kuya emizuzwini ethile noma ngaphezulu. Ukushisa okushisayo kungenzeka izikhathi eziningana ngosuku noma izikhathi ezimbalwa ngenyanga.
• Ukujuluka ebusuku. Ukushisa okushisayo ngesikhathi sokulala kungaholela ekujulukeni ebusuku. Ukujuluka ebusuku kungakuvusa futhi kukwenze uzizwe ukhathele ngokwengeziwe emini.
• Kubane ukubanda. Ungaba nokugodola, izinyawo ezibandayo, nokuqhaqhazela ngemuva kokuthi umzimba wakho usupholile kusuka ku-flash eshisayo.
• Izinguquko zesitho sangasese sowesifazane. Ukoma kwesitho sangasese sowesifazane, ukungakhululeki ngesikhathi socansi, i-libido ephansi, kanye nesidingo esiphuthumayo sokuchama yizimpawu ze-genitourinary syndrome yokunqamuka kokuya esikhathini (GSM).
• Izinguquko ezingokomzwelo. Lokhu kungabandakanya ukudangala okuncane, ukushintsha kwemizwelo nokucasuka.
• Inkinga yokulala. Izinkinga zokulala ezifana nokuqwasha zingenzeka ngenxa yokujuluka ebusuku.

Ezinye izimpawu zokuphela kwesikhathi zingafaka:

• isisa sebele
• izikhathi ezinzima noma ezilula
• ukwanda kwe-premenstrual syndrome (PMS)
• isikhumba esomile, amehlo, noma umlomo

Abanye besifazane nabo bangathola:

• ikhanda
• inhliziyo egijimayo
• ubuhlungu bemisipha namalunga
• ukugxila nezinkinga zememori
• ukulahleka kwezinwele noma ukuncipha
• ukuzuza kwesisindo

Uma uhlangabezana nenye yalezi zimpawu ezingeziwe, vakashela udokotela wakho ukukhipha ezinye izimbangela.

Ungathola noma yiziphi zalezi zimpawu phakathi nesikhathi sokugcina. Kepha ukukhanya okushisayo kwenzeka ekuqaleni kokuqala kwesikhathi.

Ukuphatha izimpawu

Ukudlula esikhathini sokuya esikhathini nokunqamuka kokuya esikhathini kungakhathaza futhi kwesinye isikhathi kube buhlungu kwabesifazane abaningi. Kodwa kuyingxenye ejwayelekile futhi ephathekayo yokuguga. Nawa amanye amathiphu wokukusiza ukuphatha izimpawu zakho.

Ukushisa okushisayo

Zama lezi zinketho ukukusiza uvikele futhi uphathe ukushisa okushisayo:

• Khomba futhi ugweme okubangela ukushisa okushisayo njengokudla okubabayo noma utshwala.
• Sebenzisa ifeni emsebenzini noma ekhaya.
• Thatha izindlela zokuvimbela inzalo zomthamo ophansi uma usesikhathini.
• Thatha ukuphefumula okuhamba kancane, okujulile lapho i-flash eshisayo iqala.
• Susa ezinye izendlalelo zezingubo lapho uzwa ukukhanya okushisayo kuza.

Ukoma kwesitho sangasese sowesifazane

Ukoma kwesitho sangasese sangasese kungalawulwa ngokusebenzisa i-lubricant esekwe emanzini, ngaphezulu kwe-counter (OTC) ngesikhathi socansi noma ngokusebenzisa i-OTC vaginal moisturizer esetshenziswa njalo ezinsukwini ezimbalwa. Udokotela wakho angakunikeza nemithi yokusiza ngokungahambi kahle kwesitho sangasese sowesifazane.

Uma unganqikazi ukuhlanganyela ocansini nomlingani wakho, bheka udokotela wakho.

Izinkinga zokulala nokushintsha kwemizwelo

Zama lezi zinketho ukugwema izinkinga zokulala:

• Gwema ukudla okukhulu, ukubhema, ikhofi noma i-caffeine ngemuva kwemini.
• Gwema ukulala phakathi nosuku.
• Gwema ukuzivocavoca umzimba noma ukuphuza utshwala ngaphambi kwesikhathi sokulala.
• Phuza ubisi olufudumele noma itiye elifudumele elingena-caffeine ngaphambi kokulala.
• Lala egumbini elimnyama, elithulile nelipholile.
• Phatha ukukhanya okushisayo ukuze uthuthukise ukulala.

Ukunciphisa ukucindezeleka, ukudla okulungile, nokuhlala uvivinya umzimba kungasiza ekushintsheni kwemizwelo nezinkinga zokulala. Udokotela wakho angakunikeza nemithi yokusiza ngokushintsha kwemizwelo.

Kufanele ukhulume nodokotela wakho mayelana nokuphatha izimpawu zakho nokulawula ezinye izimo ezingadala izimpawu zakho, njengokucindezeleka noma i-asthma. Kuyasiza futhi ukujoyina iqembu lokusekela labesifazane ekunqamukeni kokuya esikhathini ukuze ube nendawo ephephile yokwabelana ngezinkinga zakho nezinkinga zakho.

Ukwelashwa okwengeziwe

Udokotela wakho futhi angakunikeza ukwelashwa kwe-menopausal hormone therapy (MHT) ukusiza ukuphatha izimpawu zakho. I-MHT (eyaziwa ngokuthi i-hormone replacement therapy, noma i-HRT) inganciphisa:

• ukushisa okushisayo
• ukujuluka ebusuku
• izinkinga zokulala
• ukucasuka
• ukoma kwesitho sangasese sowesifazane

I-MHT ingasiza futhi ekunciphiseni kwamathambo futhi inciphise ukuguquguquka kwemizwelo nezimpawu zokucindezeleka ezinomusa. Imiphumela emibi ye-MHT ifaka phakathi:

• ukopha esithweni sangasese
• ukuqunjelwa
• ukuvuvukala kwamabele noma isisa
• ikhanda
• ukuguquka kwemizwelo
• isicanucanu

khombisa ukuthi abesifazane abathatha i-MHT basengozini eyengeziwe yokuhlaselwa yisifo senhliziyo, isifo sohlangothi kanye namahlule egazi. Izingozi ziyefana nakwabesifazane abasebenzisa amaphilisi okuvimbela inzalo, nezimagqabhagqabha namasongo. Kodwa-ke, abesifazane abathatha i-MHT badala, futhi izingozi ziyakhula ngeminyaka.

Abesifazane abaningi abakwazi ukuthatha i-MHT ngenxa yokugula okwedlule njengomdlavuza noma ngoba bathatha eminye imithi.

Ucwaningo olwengeziwe luthole ukuthi ingozi yokuthola umdlavuza webele ingakhuphuka ngeminyaka emihlanu noma ngaphezulu yokusetshenziswa okuqhubekayo kwe-MHT (kwe-estrogen ene-progestogen, hhayi i-estrogen kuphela).

Abesifazane abasuswe isibeletho bazosebenzisa ukwelashwa kwe-estrogen kuphela.

Khuluma nodokotela wakho ukuze ufunde kabanzi mayelana nokwelashwa kwe-hormonal ngaphambi kokwenza isinqumo sokuyisebenzisa.

Ungalufuna nini usizo

Kuvamile futhi kujwayelekile ukuhlangabezana nezikhathi ezingajwayelekile lapho une-perimenopausal.

Kodwa-ke, ezinye izimo, njenge-polycystic ovary syndrome (i-PCOS) noma umdlavuza womlomo wesibeletho, nazo zingadala ukopha okungajwayelekile. Bheka udokotela wakho ukukhipha ezinye izimbangela uma:

• ngokungazelelwe uhlangabezana nezikhathi ezinzima kakhulu noma izinkathi ngamahlule egazi
• ube nezikhathi ezihlala isikhathi eside kunokujwayelekile
• ibala noma wopha ngemuva kocansi
• ibala noma wopha ngemuva kwesikhathi sakho
• babe nezikhathi ezisondelene ndawonye

I-osteoporosis nesifo senhliziyo yizingozi zezempilo zesikhathi eside ezihambisana nokunqamuka kokuya esikhathini. Lokho kungenxa yokuthi i-estrogen ibamba iqhaza elibalulekile ekuvikeleni amathambo akho nenhliziyo yakho. Ngaphandle kwe-estrogen, usengozini eyengeziwe yazo zombili izifo.

Usengcupheni eyengeziwe yokutheleleka ngomgudu womchamo ngoba ukunqamuka kokuya esikhathini kungadala ukuthi umchamo wakho womile, ucasuke noma uvuvuke. Ukutheleleka kwesitho sangasese sangasese nakho kungavela kaningi ngoba isitho sakho sangasese sesomile futhi saba mncane.

Bika izimpawu zokuya esikhathini lapho uvakashele udokotela. Hlola udokotela wakho uma uqhubeka nokuba nezimpawu ze-menopausal ezingabekezeleleki noma ezihlala ngaphezu kweminyaka emihlanu ngemuva kwesikhathi sakho sokugcina sokuya esikhathini.

Izinzuzo zokunqamuka kokuya esikhathini

Yize ukunqamuka kokuya esikhathini kungadala izimpawu ezingakhululekile kwabanye besifazane, le nqubo yemvelo ineziphazamiso ezingenzeka, nayo. Kunezinzuzo eziningana ezingaba khona zokunqamuka kokuya esikhathini okufanele uzicabangele:

• Umbono oqondile. Lesi, esinye sezifundo ezinkulu kakhulu zesikhathi eside ukugxila kwabesifazane abaneminyaka ephakathi, sithole ukuthi iningi labesifazane linemiqondo emihle noma engathathi hlangothi maqondana nokunqamuka kokuya esikhathini. Iningi labesifazane alufuni usizo lwangaphandle lokunqamuka kokuya esikhathini.
• Alukho ushintsho ekuziphatheni kwezempilo noma kwezempilo. Ucwaningo olufanayo luthole ukuthi impilo nokuziphatha kwabesifazane akunakwenzeka ukuthi kuguquke ngokunqamuka kokuya esikhathini. Lokho kusho ukuthi uma usuvele uphila impilo enempilo, ungahle unamathele kuyo.
• Ukuhlakanipha kokuhlangenwe nakho. Ukunqamuka kokuya esikhathini kuyahambisana nokuguga, okuthwala nenani lesipiliyoni sempilo. Isazi sokusebenza kwengqondo uSylvia Gearing, PhD, utshele i-American Psychology Association's Monitor on Psychology ukuthi, ngokwesipiliyoni sakhe, abantu besifazane abaya esikhathini baye bakhulisa “ukucaciseleka, ukuthatha isinqumo, ukuhlakanipha ngokomzwelo,” nokunye okuhle.
• Akukho ukuya esikhathini. Abanye besifazane bathanda ukuya esikhathini kuphela ngokuya esikhathini, ikakhulukazi uma behlangabezana nezikhathi ezinzima, ukuqunjelwa, noma i-PMS. Lapho umjikelezo wakho wanyanga zonke ume, asikho isidingo sokuthenga amathamponi, amaphedi, noma eminye imikhiqizo yokuya esikhathini.
• Akunasidingo sokulawulwa kokuzalwa ngaphandle kwezikhathi zonyaka owodwa.

Kusenokwenzeka ukuthi ukhulelwe ngesikhathi sokuphela kwesikhathi, ngakho-ke ungakuyeki ukulawula inzalo zisuka nje. Ngemuva konyaka ungenasikhathi sakho, kwamukelwa ngokuvamile ukuthi ukukhulelwa akunakwenzeka ngaphandle kokungenelela kwezokwelapha, okungaba ukukhululeka kwabanye besifazane.

Usazodinga ukuzivikela ezifweni ezithathelwana ngocansi.

Umbono

Impilo ngemuva kokunqamuka kokuya esikhathini ayihlukile kakhulu kunokuphila phakathi neminyaka yakho yokuzala. Khumbula ukudla okufanele, ukuzivocavoca umzimba, nokuthola ukunakekelwa kwempilo okujwayelekile, kufaka phakathi izivivinyo zamazinyo nezamehlo.

Izimpawu zokunqamuka kokuya esikhathini zigcina nini futhi isikhathi esingakanani kumuntu ngamunye. Kujwayelekile ngalezi zimpawu phakathi nesikhathi sonke sokungena esikhathini futhi ungene emuva kokuyeka ukuya esikhathini ukuhlala.

Ukudla okunomsoco nokuvivinya umzimba njalo kuzokusiza ugcine amathambo aqinile, kuyilapho ukuvakashelwa odokotela njalo kuzokusiza ukuthi ubambe izinkinga kusenesikhathi.