Ukuhlolwa Kokunqamuka Kokuya Esikhathini Nokuxilongwa

-Delile

• Izimpawu zokunqamuka kokuya esikhathini
• Ukuhlolwa ngokomzimba
• Ukuhlolwa kwama-hormone
• Ukunqamuka kokuqala
• Ukulandela ukuxilongwa

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

Ukunqamuka kokuya esikhathini

Ukunqamuka kokuya esikhathini kuyinqubo yezinto eziphilayo eyenzeka lapho amaqanda kowesifazane eyeka ukukhipha amaqanda asekhulile futhi umzimba wakhe ukhiqiza i-estrogen ne-progesterone encane.

Udokotela wakho noma i-gynecologist nayo ingakusiza ukunquma ukuthi uyaqala yini ukuya esikhathini. Bazobuza ngezimpawu zakho, balandele umjikelezo wakho, futhi mhlawumbe benze izivivinyo ezimbalwa.

Ukunqamuka kokuya esikhathini ngokuvamile kuqala phakathi kweminyaka yobudala engama-40 nengama-60, yize kuvame kakhulu ukuthi iqale cishe eminyakeni engama-51. Kungenzeka ukuthi iqale uma ungazange ube nesikhathi esikhathini esingaphezu kwezinyanga eziyisithupha. Iqinisekiswe emtholampilo ngemuva kwezinyanga ezi-12 ezigcwele ngaphandle kwesikhathi.

Izimpawu zokunqamuka kokuya esikhathini

Ungaqala ngokuqaphela izimpawu zokunqamuka kokuya esikhathini ezinyangeni ezimbalwa noma ngisho neminyaka ngaphambi kokunqamuka kokuya esikhathini. Lokhu kwaziwa njenge-perimenopause. Ezinye zezimpawu ongazibona zifaka:

• ukuncipha kwezinwele
• ukoma kwesikhumba
• ukoma kwesitho sangasese sowesifazane
• idrayivu yocansi ephansi
• ukushisa okushisayo
• ukujuluka ebusuku
• ukushintsha kwemizwa
• izikhathi ezingajwayelekile
• ukuzuza kwesisindo

Ungahamba izinyanga ngaphandle kwesikhathi ngesikhathi sesigaba se-perimenopause. Kodwa-ke, uma uphuthelwa yisikhathi futhi ungasebenzisi izinto zokuvimbela inzalo, bheka udokotela wakho noma uthathe isivivinyo ukuze uqiniseke ukuthi awukhulelwe.

Ukunqamuka kokuya esikhathini kungazitholela ngokwakho ezimweni eziningi. Khuluma nodokotela wakho ukuqinisekisa ukuxilongwa nokuthola izindlela zokunciphisa izimpawu ezikhathazayo. Lokhu kuzokunika nethuba lokubuza imibuzo mayelana nokuthi yini ongayilindela.

Ukuhlolwa ngokomzimba

Ngaphambi kokuvakashela udokotela wakho, landelela noma yiziphi izimpawu ohlangabezana nazo, ukuthi zivela kangaki, nokuthi zinzima kangakanani.Qaphela ukuthi ube nesikhathi sakho sokugcina futhi ubike noma yikuphi ukungahambi kahle ngesikhathi okungenzeka kwenzeke. Yenza uhlu lwemithi nezithasiselo ozithathayo njengamanje.

Udokotela wakho uzokubuza mayelana nosuku lwesikhathi sakho sokugcina nokuthi uzithola kaningi kangakanani izimpawu. Ungesabi ukuxoxa ngazo zonke izimpawu zakho, ezingabandakanya ukushisa, ukubona, ukushintsha kwemizwelo, inkinga yokulala, noma izinkinga zocansi.

Ukunqamuka kokuya esikhathini kuyinqubo engokwemvelo futhi udokotela wakho angakunika izeluleko zochwepheshe. Imvamisa, izimpawu ozichazayo zinikeza ubufakazi obanele bokusiza ukuxilonga ukunqamuka kokuya esikhathini.

Umhlinzeki wakho wezokunakekelwa kwempilo angaswayipha isitho sakho sangasese sangasese ukuze avivinye amazinga aso e-pH, nawo angasiza ekuqinisekiseni ukuya esikhathini. I-pH yesitho sangasese sangasese icishe ibe ngu-4.5 phakathi neminyaka yakho yokuzala. Ngesikhathi sokunqamuka kokuya esikhathini, i-pH yesitho sangasese sowesifazane ikhuphukela ebhalansi engu-6.

Uma unezimpawu zokuya esikhathini, udokotela wakho angalawula ukuhlolwa ukuze kukhishwe ezinye izimo, njengokuhluleka kwe-ovari noma isimo se-thyroid. Lezi zivivinyo zingafaka:

• ukuhlolwa kwegazi ukuhlola amazinga akho e-follicle evuselela i-hormone (FSH) ne-estrogen
• ukuhlolwa komsebenzi we-thyroid
• iphrofayili ye-lipid
• ukuhlolwa kokusebenza kwesibindi nezinso

Ukuhlolwa kwama-hormone

Udokotela wakho anga-oda ukuhlolwa kwegazi ukubheka amazinga akho e-follicle-stimulating hormone (FSH) ne-estrogen. Ngesikhathi sokunqamuka kokuya esikhathini, amazinga akho e-FSH akhula futhi amazinga akho e-estrogen ancipha.

Phakathi nengxenye yokuqala yomjikelezo wakho wokuya esikhathini, i-FSH, i-hormone ekhishwe yi-anterior pituitary gland, ivusa ukuvuthwa kwamaqanda kanye nokukhiqizwa kwehomoni ebizwa nge-estradiol.

I-Estradiol ifomu le-estrogen elibhekele (phakathi kwezinye izinto) ukulawula umjikelezo wokuya esikhathini nokuxhasa indlela yokuzala yabesifazane.

Ngaphezu kokuqinisekisa ukunqamuka kokuya esikhathini, lokhu kuhlolwa kwegazi kungathola izimpawu zezifo ezithile zepituitary.

Udokotela wakho angalalela ukuhlolwa kwegazi okungeziwe ukuze ahlole i-hormone yakho evuselela i-thyroid (TSH), njengoba i-hypothyroidism ingadala izimpawu ezifana nokunqamuka kokuya esikhathini.

Isivivinyo sokuxilonga esisanda kuvunywa sibiza izinyathelo inani le-anti-Mullerian hormone (AMH) egazini. Kungasiza udokotela wakho ukunquma ukuthi uzongena nini esikhathini sokuya esikhathini uma ungakenzi kanjalo.

Ukunqamuka kokuqala

Ukunqamuka kokuya esikhathini kokuqala kuqala phakathi kweminyaka yobudala engama-40 nengama-45. Ukunqamuka kokuya esikhathini ngaphambi kwesikhathi kuqala ngisho nangaphambi kwalokho, ngaphambi kweminyaka yobudala engama-40. Uma uqala ukubona izimpawu zokunqamuka kokuya esikhathini ngaphambi kokuba ube neminyaka engama-40, kungenzeka ukuthi ubhekene nokunqamuka kokuya esikhathini ngaphambi kwesikhathi.

Ukunqamuka kokuqala noma ngaphambi kwesikhathi kungenzeka ngenxa yezizathu eziningi, kufaka phakathi:

• ukukhubazeka kwe-chromosomal, njenge-Turner Syndrome
• izifo ezizimele, ezifana nesifo se-thyroid
• ukususwa kokuhlinzwa kwama-ovari (i-oophorectomy) noma isibeletho (i-hysterectomy)
• chemotherapy noma ezinye izindlela zokwelapha ngemisebe yomdlavuza

Uma ungaphansi kweminyaka engama-40 futhi ungazange ube nesikhathi esikhathini esingaphezu kwezinyanga ezintathu, bona udokotela wakho ukuze ahlolelwe ukunqamuka kokuya esikhathini noma ezinye izimbangela eziyisisekelo.

Udokotela wakho uzosebenzisa izivivinyo eziningi ezibalulwe ngenhla ngokunqamuka kokuya esikhathini, ikakhulukazi izivivinyo ezisetshenziselwa ukunquma amazinga akho e-estrogen ne-FSH.

Ukunqamuka kokuya esikhathini kusenesikhathi kungakhuphula ubungozi bokukhumuzeka kwamathambo, isifo senhliziyo, nezinye izinkinga zempilo.

Uma usola ukuthi kungenzeka ukuthi ubhekene nakho, ukuhlolelwa ukunqamuka kokuya esikhathini kungakusiza uthathe isinqumo kusenesikhathi sokuthi ungaphatha kanjani impilo yakho kanye nezimpawu zakho uma utholakala.

Ukulandela ukuxilongwa

Uma ukuyeka ukuya esikhathini sekuqinisekisiwe, udokotela wakho uzoxoxa ngezindlela zokwelashwa. Ungahle ungadingi ukwelashwa uma izimpawu zakho zingezimbi.

Kepha udokotela wakho angancoma imishanguzo ethile kanye nokwelashwa kwamahomoni ukubhekana nezimpawu ezingathinta ikhwalithi yakho yokuphila. Bangancoma nokwelashwa kwamahomoni uma usemncane lapho ufinyelela esikhathini sokuya esikhathini.

Ezinye izimpawu zingenza kube nzima ukwenza imisebenzi yansuku zonke, njengokulala, ukuya ocansini nokuphumula. Kepha ungenza ushintsho lwendlela yokuphila ukusiza ukuphatha izimpawu zakho:

• Ngokukhanya okushisayo, phuza amanzi abandayo noma shiya igumbi liye endaweni ethile epholile.
• Sebenzisa izinto zokugcoba ezenziwa ngamanzi ngesikhathi sokuya ocansini ukuze unciphise ukungaphatheki kahle kokoma kwesitho sangasese sowesifazane.
• Yidla ukudla okunomsoco, bese ukhuluma nodokotela wakho mayelana nokuthatha izithasiselo ukuze uqiniseke ukuthi uthola izakhamzimba namavithamini anele.
• Zivocavoce njalo, okungasiza ukubambezela ukuqala kwezimo ezenzeka njengoba ukhula.
• Gwema i-caffeine, ukubhema, neziphuzo ezidakayo ngangokunokwenzeka. Konke lokhu kungadala ukushisa okukhulu noma kwenze kube nzima ukulala.
• Lala kakhulu. Inani lamahora adingekayo ukulala kahle liyahlukahluka kuye ngomuntu, kepha amahora ayisikhombisa kuya kwayisishiyagalolunye ubusuku ngabunye kunconywa abantu abadala.

Thenga izinto zokugcoba ezenziwa ngamanzi online.

Ukunqamuka kokuya esikhathini kungakhuphula ubungozi bezinye izimo, ikakhulukazi lezo ezihambisana nokuguga.

Qhubeka ubone udokotela wakho ukunakekelwa kokuvimbela, kufaka phakathi ukuhlolwa okujwayelekile nokuhlolwa komzimba, ukuze uqiniseke ukuthi uyazi noma yiziphi izimo futhi uqinisekise impilo yakho engcono kakhulu njengoba ukhula.