Ingabe Ukuphela Kwesikhathi Kungabangela Izikhathi Zakho Ukuba Zisondelane Ndawonye?

-Delile

• Isikhathi sakho singashintsha kanjani
• Kungani lezi zinguquko zenzeka
• Lapho uzobona udokotela wakho
• Izinketho zokwelashwa
• Yini ongayilindela

Ingabe ukuphela kwesikhathi kuthinta isikhathi sakho?

I-Perimenopause yisigaba sesikhashana empilweni yokuzala yowesifazane. Imvamisa iqala phakathi neminyaka engama-40 kuya maphakathi no-40, noma ingaqala ngaphambi kwesikhathi. Ngalesi sikhathi, ama-ovari akho aqala ukukhiqiza i-estrogen encane.

Yize "ushintsho" luvame ukuhlotshaniswa nokushisa okushisayo, kungadala yonke into kusuka ekhanda nasentweni yesifuba kuya ezinguquko esikhathini sakho sokuya esikhathini.

Lezi zimpawu zivame ukuhlala cishe iminyaka emine ngaphambi kokuba isikhathi sakho siyeke ngokuphelele. Umzimba wakho uzoshintsha usuke esikhathini sokuya esikhathini uye esikhathini sokuya esikhathini ngemuva kwezinyanga eziyi-12 ngaphandle kokuphuma kwegazi noma ukubonwa.

Qhubeka ufunda ukuze ufunde kabanzi mayelana nokuthi yini ongayilindela ngesikhathi sokuphela kwesikhathi nokuthi kungasithinta kanjani isikhathi sakho senyanga.

Isikhathi sakho singashintsha kanjani

I-Perimenopause ingenza izikhathi zakho ezenzeka njalo ngokungazelelwe ngokungalindelekile.

Ngaphambi kokuphela kwesikhathi, amazinga akho e-estrogen ne-progesterone ayakhuphuka futhi awe ephethini elingaguquguquki phakathi nomjikelezo wakho wokuya esikhathini. Uma uku-perimenopause, izinguquko ze-hormone ziba ngokungajwayelekile. Lokhu kungaholela emaphethini wokopha angalindelekile.

Ngesikhathi sokuphela kwesikhathi, izikhathi zakho zingaba:

• Okungajwayelekile. Esikhundleni sokuba nesikhathi esithile njalo ezinsukwini ezingama-28, ungabathola kancane noma kaningi.
• Ukusondelana noma ukuhlukaniswa okuqhubekayo. Ubude besikhathi phakathi kwezikhathi bungashintsha inyanga nenyanga. Ezinye izinyanga ungathola izikhathi emuva emuva. Kwezinye izinyanga, ungahamba ngaphezu kwamasonto amane ngaphandle kokuthola isikhathi.
• Akukho. Ezinye izinyanga ungahle ungasitholi isikhathi. Ungahle ucabange ukuthi usesikhathini, kodwa akusemthethweni kuze kube yilapho unezikhathi zezinyanga eziyi-12 ungenasikhathi.
• Kuyasinda. Ungopha kakhulu, ucwile emaphaketheni akho.
• Khanyisa. Ukopha kwakho kungahle kube lula kangangoba awudingi ukusebenzisa i-panty liner. Kwesinye isikhathi ukubonwa kuphelelwa amandla kangangoba akubukeki kuyinkathi.
• Mfushane noma mude. Isikhathi sezikhathi zakho singashintsha, futhi. Ungahle wophe usuku olulodwa noma ezimbili noma isikhathi esingaphezu kwesonto ngesikhathi.

Kungani lezi zinguquko zenzeka

Eminyakeni eholela ekunqamukeni kokuya esikhathini, amaqanda akho ayayeka ukuvuthwa njalo. Njengoba i-ovulation iba yinto engandile, ama-hormone akhiqizwa ama-ovari - i-estrogen ne-progesterone - nawo aqala ukushintsha futhi anciphe. Lawa mahomoni ngokuvamile anesibopho sokulawula umjikelezo wokuya esikhathini.

Njengoba lezi zinguquko ze-hormonal zenzeka, zingaba nomthelela kokungaphezu nje kwesikhathi sakho. Ungahle uzwe:

• isisa sebele
• ukuzuza kwesisindo
• ikhanda
• ubunzima bokugxila
• ukukhohlwa
• ubuhlungu bemisipha
• izifo zomgudu womchamo
• ukushintsha kwemizwa
• kunciphise ukushayela ucansi

Yize kunzima ukulinganisa ukuthi lezi zimpawu zizohlala isikhathi esingakanani, kungalindelwa ukuthi ziqhubeke kahle ziye esikhathini sokuya esikhathini. Lokhu kungaba noma kuphi kusuka ezinyangeni ezimbalwa kuye eminyakeni engaba yishumi nambili kusukela lapho kuqala izimpawu.

Lapho uzobona udokotela wakho

Uma uku-perimenopause, kujwayelekile ukuthi izikhathi zakho zingalingani futhi zisondelane. Kepha kwesinye isikhathi la maphethini wokopha angajwayelekile angakhombisa inkinga eyisisekelo.

Bheka udokotela wakho uma:

• Ukopha kusinda ngokungavamile kuwe noma ucwilisa iphedi elilodwa noma amaningi noma amathamponi ngehora
• uthola isikhathi sakho kaningi ukwedlula wonke amasonto amathathu
• izikhathi zakho zihlala isikhathi eside kunokujwayelekile
• wopha ngesikhathi socansi noma phakathi kwezikhathi zokuya esikhathini

Yize ukuphuma kwegazi okungajwayelekile esikhathini esithile ngokuvamile kungenxa yokushintshashintsha kwamahomoni, futhi kungaba uphawu lokuthi:

• Ama-polypsLokhu kukhula okwakha ulwelwesi lwangaphakathi lwesibeletho noma umlomo wesibeletho. Imvamisa ayinomdlavuza, kepha kwesinye isikhathi ingaphenduka umdlavuza.
• Ama-FibroidsLokhu nakho kuyizibeletho esibelethweni. Zihluka ngosayizi kusuka ezimbewini ezincane kuya kumasimu amakhulu ngokwanele ukwelula isibeletho ngaphandle kwesimo. Ama-Fibroids ngokuvamile awunawo umdlavuza.
• I-endometrial atrophyUkwehla kwesimo se-endometrium (ulwelwesi lwesibeletho sakho). Lokhu kuncipha kwesinye isikhathi kungadala ukopha.
• I-endometrial hyperplasiaLokhu ukuqina kolwelwesi lwesibeletho.
• Umdlavuza wesibelethoLo ngumdlavuza oqala esibelethweni.

Udokotela wakho uzokwenza ukuhlolwa ukuze ahlole izimbangela zokopha okungavamile kwe-perimenopausal. Ungahle udinge okukodwa noma okuningi kwalokhu kuhlolwa:

• I-pelvic ultrasoundKulolu vivinyo, udokotela wakho usebenzisa amaza omsindo ukudala isithombe sesibeletho sakho, umlomo wesibeletho, nezinye izitho zangasese. Idivayisi ye-ultrasound ingafakwa esithweni sakho sangasese (i-transvaginal ultrasound) noma ibekwe phezu kwesisu sakho esingezansi (i-ultrasound yesisu).
• I-Endometrial biopsyUdokotela wakho uzosebenzisa ithubhu elincane ukususa isampula lezicubu emgqeni wakho wesibeletho. Leso sampuli iya ebhodini ukuze ihlolwe.
• I-HysteroscopyUdokotela wakho uzokufaka ishubhu elincane elinekhamera ekugcineni ngesitho sakho sangasese. Lokhu kuvumela udokotela wakho ukuthi abone ingaphakathi lesibeletho sakho futhi athathe i-biopsy uma kudingeka.
• I-SonohysterographyUdokotela wakho uzofaka uketshezi esibelethweni sakho ngepayipi, kuyilapho i-ultrasound ithatha izithombe.

Izinketho zokwelashwa

Yikuphi ukwelashwa okunconyelwa udokotela wakho kuya ngesizathu sokuphuma kwakho kwegazi ngokungajwayelekile nokuthi kuthinta kangakanani izinga lempilo yakho.

Uma ukuphuma kwegazi kungenxa yamahomoni futhi kungaphazamisi impilo yakho yansuku zonke, ukugqoka iphedi ekhuluphele noma itampu nokuthwala isikhindi sangaphansi esingeziwe kunganele ukukudlulisa kulesi sigaba se-perimenopausal.

Izindlela zokwelapha zeHormone, kufaka phakathi amaphilisi okulawula ukubeletha noma i-intrauterine device (IUD) nayo ingasiza. Lokhu kungasiza bobabili ukukhanyisa izikhathi zakho nokuzigcina njalo ngokuvimbela ulwelwesi lwakho lwesibeletho ukuthi lungakhuli kakhulu.

Ukukhula okufana ne-fibroids noma ama-polyps kungadinga ukwelashwa uma kubangela izimpawu. Ama-polyps angasuswa nge-hysteroscopy. Kunezinqubo ezimbalwa ezingasusa i-fibroids:

• Ukuhlanganiswa komthambo wesibelethoUdokotela wakho ujove umuthi emithanjeni ehambisa igazi esibelethweni. Umuthi usika ukugeleza kwegazi kuye kuma-fibroids, kubangele ukuthi banciphe.
• I-Myolysis. Udokotela wakho usebenzisa amandla kagesi noma i-laser ukuqeda ama-fibroids futhi anqamule ukunikezwa kwegazi. Le nqubo ingenziwa futhi ngokusebenzisa amakhaza amakhulu (i-cryomyolysis).
• I-MyomectomyNgale nqubo, udokotela wakho ususa i-fibroids kepha ushiya isibeletho sakho singekho. Kungenziwa kusetshenziswa ukusikeka okuncane (ukuhlinzekwa nge-laparoscopic) noma ngokuhlinzwa nge-robotic.
• I-HysterectomyNgale nqubo, udokotela wakho uzosusa sonke isibeletho. Yinkqubo ehlasela kakhulu i-fibroids. Lapho usuthole isibeletho, ngeke ukwazi ukukhulelwa.

Ungakwazi ukwelapha i-endometrial atrophy ngokuthatha i-hormone progestin. Kuza njengephilisi, ukhilimu wesitho sangasese sowesifazane, ukudubula, noma i-IUD. Ifomu olithathayo lincike eminyakeni yakho nohlobo lwe-hyperplasia onayo. Udokotela wakho futhi angasusa izindawo ezijiyile zesibeletho sakho nge-hysteroscopy noma inqubo ebizwa ngokuthi i-dilation ne-curettage (D no-C).

Ukwelashwa okuyinhloko komdlavuza wesibeletho ukuthi kube ne-hysterectomy. Imisebe, i-chemotherapy, noma i-hormone therapy nayo ingasetshenziswa.

Yini ongayilindela

Njengoba uqhubeka ngesigaba se-perimenopausal futhi uye esikhathini sokuya esikhathini, izikhathi zakho kufanele zenzeke kancane kancane. Uma ukuyeka ukuya esikhathini sekuqalile, akufanele kube khona ukopha nhlobo.

Uma uhlangabezana nanoma yikuphi ukopha okungalindelekile noma ezinye izinguquko zokuya esikhathini, khuluma nodokotela wakho. Bangakwazi ukunquma ukuthi ngabe lolu shintsho luboshelwe yini esikhathini esithile noma uma kuwuphawu lwesinye isimo esingaphansi.

Futhi gcina udokotela wakho enolwazi nganoma yiziphi ezinye izimpawu zesikhashana ongase uhlangane nazo. Lapho bazi ngokwengeziwe, uhlelo lwakho lokunakekela luzoba lusizo ngokwengeziwe.