Kuyini ukuphela kwesikhathi?

Imfundo Yezempilo

Abesifazane abaningi bacabanga ngokunqamuka kokuya esikhathini njengento abadlula kuyo. Ukunqamuka kokuya esikhathini , nokho, empeleni indawo okuyiwa kuyo — hhayi uhambo. Ufinyelela kule ndawo lapho usuqede unyaka oqinile ngaphandle kokuya esikhathini. Isigaba esiholela kulelo phuzu (uyazi, esinakho konke ukukhanya okucasulayo, ukushintsha kwemizwelo, nezikhathi ezinzima) empeleni kubizwa ngokuthi yi-perimenopause, kusho ULeah Millheiser, MD , uprofesa osizayo emtholampilo wezifo zokubelethisa kanye nezifo zabesifazane eStanford University.

Kungumphumela wokuguquguquka kwamazinga e-estrogen emzimbeni. Lokhu kungalingani phezulu naphansi kungadala umonakalo emzimbeni womuntu wesifazane, kusho uDkt. Millheiser.

Izimpawu ze-Perimenopause

Uzoba nombono omuhle wokuthi usesigabeni se-perimenopause ngoba izimpawu ziyasho. Uma une-perimenopausal, izimpawu ezivamile zifaka:

• Ukushisa okushisayo nokujuluka ebusuku (okwaziwa nangokuthi yizimpawu ze-vasomotor)
• Izikhathi ezingajwayelekile
• Izinkathi ezinzima
• Ukoma kwesitho sangasese sowesifazane
• Ubumnene besifuba
• Ukushayela ocansini okuphansi
• Ukushintsha kwemizwelo, imizwa yokukhathazeka noma ukucindezeleka
• Izinkinga zesinye / ukungavumelani
• Ukuphazamiseka kokuqwasha noma ukulala
• Ukuzuza kwesisindo

Iningi labesifazane lizobhekana okungenani nezinye zalezi zimpawu, kusho uDkt. Millheiser.

Ubukhulu bezimpawu buzohluka, futhi bungahluka ngisho nenyanga nenyanga, usho kanjalo. Inyanga eyodwa, ngokwesibonelo ungaba nesikhathi esijwayelekile ngokuphelele. Okulandelayo, ungakuphuthelwa ngokuphelele ngoba lokho kukhuphuka kwe-estrogen kukuvimbela ekuvuthweni. Okwamanje, ulwelwesi lwakho lwesibeletho luyaqhubeka nokwakha. Umphumela? Isikhathi sakho esilandelayo sinzima kakhulu.

Kuze kube nini ukunqamuka kwesikhathi okokugcina?

Lezi zimpawu zokulimaza kabi ezenzeka esikhathini sokuya esikhathini ngokuvamile ziqala ngokuthamba futhi kancane kancane, kepha futhi zingashaya ngokuzumayo nangokuqina okukhulu. Zingahlala unyaka, noma zingahlala iminyaka emihlanu noma eyishumi. Isilinganiso seminyaka engu-7.4, kusho UMary Jane Minkin, MD , uprofesa womtholampilo eMnyangweni Wezokubelethisa, i-gynecology kanye nesayensi yokuzala eYale University School of Medicine. Zizohlala isikhathi esingakanani wena ? Ngeshwa, ayikho indlela yokubikezela impendulo yalo mbuzo. Kumele ulinde ubone nje, kusho uDkt. Minkin.

Yimuphi unyaka ojwayelekile wesikhathi sokuya esikhathini?

Njengoba nje kungenakwenzeka ukubikezela ukuthi ukuphela kwesikhathi kuzophela isikhathi esingakanani, futhi kuyamangaza ukuthi isikhathi sokuqala kwesikhathi sizoqala nini. Uma uphakathi neminyaka engama-40, futhi uhlangabezana nokushisa okushisayo noshintsho kumjikelezo wakho wokuya esikhathini, lokho kungaba uphawu lokuthi amazinga ama-hormone ayashintsha futhi i-perimenopause iyaqhubeka. Kodwa-ke, futhi kungakhombisa okunye okuhlukile, ngakho-ke uzofuna ukukhuluma nodokotela wakho ukukhipha noma yiziphi izinkinga zezempilo ezidinga ukwelashwa.

Ngabe izihlobo zesifazane ezindala zinganikeza isilinganiso sokuthi isikhathi sangaphambilini sizoqala nini nokuthi sizohlala isikhathi esingakanani? Kwesinye isikhathi, yebo. [Ungakwazi] ukukhuluma nomama wakho no-anti wakho ngoba kukhona ukuthambekela komndeni, kuchaza uDkt Minkin.

Kodwa-ke, qaphela ukuthi lokhu kunjalo nje igeji. Odokotela abazi ngempela ukuthi ukuthambekela komndeni kudlala yiphi indima ngoba ayikho imininingwane eminingi ethembekile ngesihloko, kusho uDkt Millheiser. Kuhlukile kubo bonke abesifazane, uthi.

Yini iminyaka ejwayelekile yokunqamuka kokuya esikhathini?

Ngokuqondene empeleni ukufinyelela ukunqamuka kokuya esikhathini, iminyaka yobudala emaphakathi ingama-51, ngokusho kwe- Umphakathi Wokuya Esikhathini WaseNyakatho Melika —Kodwa kuyinto ejwayelekile ukuthi abesifazane bafike esikhathini sokuya esikhathini noma nini phakathi kweminyaka engama-40 nengama-58. Kuleli qophelo, amaqanda akho awasakhiphi amaqanda futhi lawo mahomoni aguqukayo kufanele azinze. Yize abanye besifazane beba neziqubu ezishisayo phakathi nesikhathi sokunqamuka kokuya esikhathini, kusho uDkt. Minkin.

Itholakala kanjani i-perimenopause?

I-Perimenopause inqubo yemvelo ngokuphelele, futhi ukuxilongwa kusekelwe ezimpawu, kuchaza uDkt. Millheiser. Azikho izivivinyo zokuqinisekisa ukuphela kwesikhathi; ukuhlolwa kuphela ukukhipha ezinye izimo ezinezimpawu ezifanayo. Isibonelo, uma udokotela wakho engaqiniseki ukuthi izimpawu zakho zingumphumela we-perimenopause, ukuhlolwa kokukhulelwa, ukuhlolwa kwegazi, i-Pap smear, kanye / noma i-imaging ingahle ihlelwe ukuthi ihlole ezinye izinkinga zezempilo zabesifazane njenge-uterine fibroids, umdlavuza we-ovari, noma izimo ezithile ze-thyroid — ikakhulukazi uma usohlangothini olusha.

Uma owesifazane equbuka kakhulu noma ejuluka ebusuku futhi esevile eminyakeni engama-40, ngingasho ngithi kunethuba elihle lokuthi usesikhathini sokuya esikhathini, kusho uDkt. Millheiser. Kepha uma ukwiminyaka yakho yokuqala yama-40s futhi uhlangabezana nalezi zimpawu wedwa, ungahle uthande ukubhekelwa ezinye izimo.

Into enhle kakhulu owesifazane ongasondela ebangeni lobudala lokunqamuka kwesikhathi angakwenza, uDkt. Millheiser uthi, ukumane ufunde ukubona izimpawu zesifo sokunqamuka kwesikhathi ukuze akwazi ukubhekana naso ngqo. Ukwelashwa kuyatholakala, futhi izimpawu zingalawulwa.

Ukulungiselela ngolwazi kubaluleke kakhulu, esho, echaza ukuthi abesifazane abaningi bachitha iminyaka behlushwa izimpawu zokunqamuka kwamaphutha ngenxa nje yokuthi abazi kahle ukuthi kwenzekani. Uma lezi zimpawu ziqala [ukuphazamisa] ikhwalithi yempilo yakho, udinga ngempela ukukhuluma nodokotela wakho ngakho.

Izinketho zokwelashwa ze-Perimenopause

Izindlela zokwelashwa ezinconyelwa udokotela wakho kuzoya ngezimpawu ezikukhathaza kakhulu, kusho uSally Rafie, Pharm.D., Umsunguli we Usokhemisi Wokulawula Ukuzalwa .

Imithi

Abanye besifazane, isibonelo, balwa kakhulu ngeziqubu ezishisayo nokujuluka ebusuku. Kulezi zimo, iphilisi lokulawula ukuzalwa elinomthamo ophansi noma isichibi, noma olunye uhlobo lokwelashwa kwamahomoni (okuletha i-estrogen endaweni yangakini), njengendandatho yesitho sangasese sowesifazane, ijeli ewumgogodla, noma okufakwayo — okufana estradiol - yizinga legolide. Ukwelashwa kweHormone kungenzeka kungaphephi kuwo wonke umuntu futhi kufanele uxoxe ngobungozi nomhlinzeki wakho uma une:

• Umlando we Isifo senhliziyo noma izinto ezinobungozi, njenge-cholesterol ephezulu
• Umndeni noma umlando womuntu siqu we umdlavuza webele
• Izinga eliphakeme lama-triglycerides, uhlobo lwamafutha egazini lakho
• Umlando womndeni wesifo se-gallbladder
• Isifo sesibindi
• Umlando we unhlangothi noma amahlule egazi

Ungathola uhlu lwezindlela zokwelashwa zamahomoni ezivunyelwe lapha .

Ezinye izinketho zifaka imishanguzo yokulwa nengcindezi — njenge umthamo ophansi okhetha i-serotonin uptake inhibitor (SSRI) -wabesifazane abangaphenduli ekwelashweni kwe-hormone. UGabapentin , umuthi ojwayele ukusetshenziselwa ukwelapha ukuquleka, uyindlela engaba khona kwabesifazane abangakwazi ukusebenzisa i-estrogen ngenxa yezinye izimo zezempilo (njenge-migraine), kusho uDkt. Rafie.

OKUSHIWO: Iphilisi lokulawula inzalo elihle kakhulu kuwe

Ukwelashwa kwamakhasimende

Uma ukoma kwesitho sangasese sowesifazane futhi / noma ubuhlungu ngesikhathi socansi yikona okuyisona esiyinhloko, izindlela zokwelapha ezingezona ezomzimba ezifana nezithambisi zesitho sangasese sowesifazane nezithambisi, ziyindawo enhle yokuqala, kusho uDkt. Rafie. Izibonelo zifaka phakathi i-Replens ne-Astroglide, etholakala ngaphezu kwekhawunta.

Futhi uma konke iyakuhlupha? Yebo, ungazisebenzisa lezi zindlela zokwelapha ngokuhlanganyela. Imiphumela emibi ayitholakali noma ayikho. Kodwa-ke, uma ukhetha ukuthatha amaphilisi okulawula ukubeletha anomthamo ophansi kungenzeka ngokuphelele ukuthi ngeke wazi nokuthi i-perimenopause iyenzeka.

Ngicabanga ukuthi abesifazane badinga ukubona ukuthi uma besemaphilisi okulawula ukuzalwa kwamahomoni kungazifihla izimpawu zokunqamuka kwesikhathi, usho kanjalo. Lokho kungaba yinto enhle, kepha [abanye besifazane] bafuna ngempela ukwazi ukuthi kwenzekani [ngemizimba yabo].

Ezinye izindlela zokwelapha

Ngokwe Ukwelashwa kwemvelo namakhambi (njenge-red clover, i-black cohosh, noma i-soy), uDkt Rafie unxusa abesifazane ukuthi baxoxe ngokusetshenziswa kwalezi zithasiselo nabahlinzeki babo bezokunakekelwa kwempilo ngoba a) imininingwane ixutshiwe futhi b) imboni ayilawulwa yi-Food and Drug Administration, okusho ukuthi ukuthi ukuphepha nokusebenza akufakazelwanga. Ngokusho kweNational Institutes of Health Office of Dietary Supplements, ezinye izifundo zikhombisile lokho I-black cohosh, ikakhulukazi, empeleni ingase ibe yimbi kakhulu imvamisa nobukhulu bokukhanya okushisayo .

Ngezinye izindlela zokwelapha kuhlala kuhlaziywa ubungozi / inzuzo lapho wonke umuntu, ngosizo lomhlinzeki wakhe wezokunakekelwa kwempilo, kufanele abheke ngokucophelela [ngaphambi kokukusebenzisa], kusho uDkt. Rafie.

Izinguquko ezilula zendlela yokuphila zingasiza kakhulu futhi. UDkt. Minkin uncoma ukugqoka ngezendlalelo ukunciphisa ukungaphatheki kahle kwezimpawu ze-vasomotor njengokushiswa okushisayo nokujuluka ebusuku. Ubuye futhi asikisele ukunaka izinto ezingabangela. Isibonelo, abanye besifazane bathola ukuthi iwayini elibomvu kanye / noma ukudla okubabayo kukhulisa imvamisa nobude bokukhanya okushisayo, ngakho-ke bayasusa (noma banciphise ukusetshenziswa) kwalezi zinto ekudleni kwabo, usho kanjalo.

UDkt. Minkin uphinde agcizelele ukubaluleka kokugcina isisindo somzimba esinempilo ngesikhathi sokuya esikhathini nangaphezulu ngoba isisindo esiningi siyisiphikiso senkinga yezinkinga zempilo.

Ukudla okunomsoco nokuzivocavoca umzimba [kuzosiza], akukho mbuzo ngakho, usho kanjalo, enezela ukuthi kuyinto ejwayelekile ukuthi owesifazane azuze phakathi kwamakhilogremu angu-5 kuya ku-8 ngesikhathi sesikhathi sokuya esikhathini — noma edla ukudla okunempilo nokuvivinya umzimba okuningi — ngiyabonga futhi kulezo zinguquko ze-hormonal.

Ngabe abesifazane bangakhulelwa ngesikhathi sokuya esikhathini?

Noma ungadingi noma ufuna ukuthatha amaphilisi wokulawula inzalo ephansi ukusiza ngokushisa okushisayo, kungahle kube nenzuzo eyodwa ebalulekile yokuwasebenzisa ngesikhathi sokuphela kwesikhathi-ukuvimbela inzalo. Ngoba, yebo, wena can ukhulelwe ngesikhathi sokuphela kwesikhathi .

Konke kubuyela emuva kumjikelezo wokuya esikhathini ongalindelekile owenzeka ngalesi sikhathi, uthi. Ngamanye amagama, ungahle ungazi kahle ukuthi nini, noma uma, uvula amaqanda . Ikhwalithi yamaqanda, ngakho-ke amathuba okukhulelwa, ayancipha, kunjalo ( ngaphansi kwamathuba ama-5% ngokwe-American Society for Reproductive Medicine ) -Kodwa kungenzeka ukuthi kuhlala kunjalo.

Ngokuqinisekile abantu abavundile njengoba babenjalo ngenkathi beneminyaka engama-22, kodwa basavundile baze bahambe ngalowo nyaka womlingo ngaphandle kwesikhathi, kuchaza uDkt. Minkin.

Futhi uma izinto zokuvimbela inzalo zomlomo kungezona ezakho? Kulungile. Vele uqiniseke ukuthi usebenzisa uhlobo oluthile lokuvimbela inzalo . Mina sengilethe izingane ezintathu kwabesifazane abaneminyaka engama-47, kusho uDkt. Minkin.