Ukunqamuka kokuya esikhathini

-Delile

• Kuyini ukuya esikhathini kokuhlinzwa?
• Imiphumela emibi yokuya esikhathini
• Izingozi zokunqamuka kokuya esikhathini
• Izinzuzo zokunqamuka kokuya esikhathini
• Kungani wenza i-oophorectomy?
• Ukuphatha izimpawu zokunqamuka kokuya esikhathini
• Umbono

Kuyini ukuya esikhathini kokuhlinzwa?

Ukunqamuka kokuya esikhathini lapho ukuhlinzwa, hhayi inqubo yemvelo yokuguga, kubangela ukuthi owesifazane anqamule ukuya esikhathini. Ukunqamuka kokuhlinzwa kwenzeka ngemuva kwe-oophorectomy, ukuhlinzwa okususa ama-ovari.

Ama-ovari angumthombo oyinhloko wokukhiqizwa kwe-estrogen emzimbeni wesifazane. Ukususwa kwabo kudala ukunqamuka kokuya esikhathini ngokushesha, yize umuntu eneminyaka eminingi ehlinzwa.

Ngenkathi ukuhlinzwa ukukhipha ama-ovari kungasebenza njengenqubo ezimele yodwa, kwesinye isikhathi kwenziwa ngaphezu kwe-hysterectomy ukunciphisa ubungozi bokuthola izifo ezingamahlalakhona. I-hysterectomy ukususwa kokuhlinzwa kwesibeletho.

Izikhathi ziyama ngemuva kwe-hysterectomy. Kepha ukuba ne-hysterectomy akuholeli ekunqamukeni kokuya esikhathini ngaphandle kokuthi ama-ovari asuswe nawo.

Imiphumela emibi yokuya esikhathini

Ukunqamuka kokuya esikhathini kuvame ukwenzeka kwabesifazane abaphakathi kweminyaka engama-45 nengama-55 ubudala. Owesifazane usesikhathini ngokusemthethweni sokuya esikhathini lapho isikhathi sakhe sesinqamukile izinyanga eziyi-12. Kodwa-ke, abanye besifazane bazoqala ukuzwa izimpawu ze-perimenopausal eminyakeni ngaphambi kwalesi sikhathi.

Ezinye izimpawu ezivamile phakathi nesikhathi sokuphela kwesikhathi nokunqamuka kokuya esikhathini zihlanganisa:

• izikhathi ezingajwayelekile
• ukushisa okushisayo
• Ukugodola
• ukoma kwesitho sangasese sowesifazane
• ukuguquka kwemizwelo
• ukuzuza kwesisindo
• ukujuluka ebusuku
• ukuncipha kwezinwele
• isikhumba esomile

Izingozi zokunqamuka kokuya esikhathini

Ukunqamuka kokuya esikhathini okuhlinzwa kunemiphumela emibi eminingi ukudlula leyo yokunqamuka kokuya esikhathini, kufaka phakathi:

• ukulahleka kwesisindo samathambo
• libido ephansi
• ukoma kwesitho sangasese sowesifazane
• ukungazali

Ukunqamuka kokuya esikhathini nakho kubanga ukungalingani kwamahomoni. Ama-ovari nezindlala ze-adrenal zikhiqiza i-progesterone ne-estrogen, ama-hormone abesilisa besifazane. Lapho womabili amaqanda esuswa, izindlala ze-adrenal azikwazi ukukhiqiza ama-hormone anele ukugcina ibhalansi.

Ukungalingani kweHormonal kungakhuphula ubungozi bokuthuthuka kwezimo ezahlukahlukene kubandakanya isifo senhliziyo kanye ne-osteoporosis.

Ngaleso sizathu, futhi kuya ngomlando wakho wezokwelapha, abanye odokotela bangancoma noma bangancomi ukwelashwa ngama-hormone replacement (HRT) ngemuva kwe-oophorectomy ukunciphisa ubungozi besifo. Odokotela bazokugwema ukunikeza i-estrogen kwabesifazane abanomlando womdlavuza webele noma we-ovari.

Izinzuzo zokunqamuka kokuya esikhathini

Kwabanye besifazane, ukukhipha ama-ovari kanye nokuthola ukuya esikhathini kokuhlinzwa kungasindisa impilo.

Eminye imidlavuza iyachuma ku-estrogen, engadala ukuthi abesifazane babe nomdlavuza besebancane. Abesifazane abanomlando womdlavuza we-ovari noma webele emindenini yabo basengozini enkulu yokuthola lezi zifo ngoba izakhi zofuzo zabo zingase zingakwazi ukucindezela ukukhula kwesimila.

Kulokhu, i-oophorectomy ingasetshenziswa njengendlela yokuvimbela ukunciphisa ingozi yokuba nomdlavuza.

Ukunqamuka kokuya esikhathini nakho kungasiza ukunciphisa izinhlungu ezivela ku-endometriosis. Lesi simo senza izicubu zesibeletho zikhule ngaphandle kwesibeletho. Lezi zicubu ezingajwayelekile zingathinta ama-ovari, amashubhu e-fallopian, noma ama-lymph node futhi zibangele ubuhlungu obukhulu be-pelvic.

Ukususa ama-ovari kungamisa noma kunciphise ukukhiqizwa kwe-estrogen futhi kwehlise izimpawu zobuhlungu. Ukwelashwa kokufaka i-Estrogen imvamisa akuyona inketho kwabesifazane abanalo mlando.

Kungani wenza i-oophorectomy?

I-oophorectomy ibangela ukunqamuka kokuya esikhathini. Ezimweni eziningi, ukususa ama-ovari kuyindlela yokuvikela izifo. Kwesinye isikhathi yenziwa eceleni kwe-hysterectomy, inqubo esusa isibeletho.

Abanye besifazane bathambekele ekubeni nomdlavuza kusuka emlandweni womndeni. Ukunciphisa ubungozi bokuthola umdlavuza othinta impilo yabo yokuzala, odokotela bangaphakamisa ukuthi kususwe eyodwa noma womabili amaqanda. Kwezinye izimo, bangadinga nokuthi isibeletho sabo sisuswe.

Abanye besifazane bangakhetha ukuthi ama-ovari abo asuswe ukunciphisa izimpawu ezivela ku-endometriosis kanye nobuhlungu obungapheli be-pelvic. Ngenkathi kunezindaba ezithile zempumelelo ekuphathweni kobuhlungu be-oophorectomy, le nqubo ingahle ingasebenzi ngaso sonke isikhathi.

Ngokuvamile, uma ama-ovari akho ejwayelekile, kunconywa kakhulu ukuthi ungasuswa njengekhambi lezinye izimo ze-pelvic.

Ezinye izizathu abantu besifazane abangafuna ukususa womabili amaqanda futhi zenze ukunqamuka kokuya esikhathini yilezi:

• i-ovary torsion, noma ama-ovari asontekile athinta ukugeleza kwegazi
• ama-cysts ama-ovarian aphindaphindiwe
• izimila ze-ovarian ezinobungozi

Ukuphatha izimpawu zokunqamuka kokuya esikhathini

Ukuze kuncishiswe imiphumela engemihle yokunqamuka kokuya esikhathini, odokotela bangancoma ukwelashwa ngokufaka ama-hormone. I-HRT ilwa nama-hormone owalahlile ngemuva kokuhlinzwa.

I-HRT ibuye yehlise ubungozi bokuhlaselwa yisifo senhliziyo futhi ivimbele ukulahleka kwesisindo samathambo kanye ne-osteoporosis. Lokhu kubaluleke kakhulu kwabesifazane abasebasha abasuse ama-ovari ngaphambi kokunqamuka kokuya esikhathini.

Abesifazane ngaphansi kuka-45 abasuswe amaqanda futhi abangathathi i-HRT basengozini enkulu yokuba nomdlavuza kanye nezifo zenhliziyo nezinzwa.

Kodwa-ke, i-HRT iphinde ihlotshaniswe nengozi eyengeziwe yomdlavuza webele kwabesifazane abanomlando womndeni onamandla womdlavuza.

Funda ngezinye izindlela ze-HRT.

Ungaphatha futhi izimpawu zakho zokuhlinzwa kokuya esikhathini ngokushintsha kwezindlela zokuphila ezisiza ukunciphisa ukucindezeleka nokunciphisa izinhlungu.

Zama okulandelayo ukunciphisa ukungakhululeki okuvela ekukhanyeni okushisayo:

• Phatha isiphephetha-moya.
• Phuza amanzi.
• Gwema ukudla okubabayo ngokweqile.
• Nciphisa ukuphuza utshwala.
• Gcina ikamelo lakho lokulala lipholile ebusuku.
• Gcina umlandeli eceleni kombhede.

Kukhona nezinye izinto ongazenza ukuze unciphise ukucindezeleka:

• Gcina umjikelezo wokulala okunempilo.
• Ukuzivocavoca umzimba.
• Zindla.
• Joyina iqembu lokusekela labesifazane bangaphambi nangemva kokuya esikhathini.

Umbono

Abesifazane abathola ukuya esikhathini kokuhlinzwa kusukela ku-oophorectomy banciphisa amathuba abo okuba nomdlavuza wokuzala.

Kodwa-ke, basengozini enkulu yokuthuthukisa ezinye izindaba zezempilo. Lokhu kubaluleke kakhulu kwabesifazane abasuswe ama-ovari ngaphambi kokunqamuka kokuya esikhathini ukuya ngokwemvelo.

Ukunqamuka kokuya esikhathini kungahle kudale imiphumela emibi eminingi engathandeki. Qiniseka ukuthi uxoxa ngazo zonke izindlela zokwelashwa nodokotela wakho ngaphambi kokuthatha isinqumo nge-oophorectomy.