Ukuqedwa komsebenzi wokuzala wesifazane kuyinkqubo ende, eyinkimbinkimbi, ehambisana nezinguquko eziningi emzimbeni. Owesifazane uthola ukukhanya okushisa njalo, ukushintsha kwemizwelo. Usizo lokusinda kule nkathi lisize izidakamizwa ngokunqamuka kwesikhashana.
Ukubonakaliswa kokunqamuka kwesikhashana kwabesifazane
Ukubonakaliswa okuningi kokunqamuka kwesikhashana kungaqondisa ngokunembile ukuqala kwalenqubo. Ngokokuqala ngqa izimpawu ezinjalo abesifazane bazilungisa eminyakeni engu-45-50. Kulokhu, ummeli ngamunye wezocansi ezifanele, azifani nalezi zimpawu ezibonakala kwabanye, zikhona izici zobuntu. Phakathi kokubonakaliswa okuyinhloko kokuya esikhathini sokuya esikhathini:
- Amathanga - ukuphindaphindiwe, ukuzwa okuphindaphindiwe kokushisa, okuhambisana nokubomvula isikhumba ebusweni, entanyeni nasesifuba. Ngokuvame ukwenzeka kusihlwa futhi kudlule imizuzu engu-2-5.
- Izithukuthuku ebusuku - ukujuluka okukhulu ebusuku.
- Ukushaya inhliziyo, ukuphazamiseka kwenhliziyo.
- Ukukhathazeka okungenangqondo, okuhambisana nokushintsha kwemizwa, ukucasula, ukuhlukumezeka.
- Ukuhlaselwa kwesikhashana kokubuthakathaka, ukubukeka kwe-dyspnea, ukuphola, imizwa yokulala.
- Ukubonakala komile we-vaginal mucosa, ukunciphisa kwayo, ukuhlukunyezwa okuvamile esikhathini socansi.
- Ukunciphisa ukushayela ucansi.
- Ubuhlungu esifundeni se-lumbar, esiswini esingaphansi.
- Ukunciphisa ukuqina nokunwebeka kwesikhumba, ukubukeka kwemibimbi ejulile, ubunzima nokuboya izinwele, ukushintsha isithombe (inzuzo yesisindo).
Indlela yokunciphisa izimpawu zokuya esikhathini sokuya esikhathini?
Ukuzama ukudlulisa le nkathi ngokungenabuhlungu, labesifazane banesithakazelo kumjozi wamazinyo mayelana nokuthi imiphi imithi ethatha owesifazane onomkhuba wokumisa esikhathini. Odokotela bathi ukhetho lwemithi lwenziwa ngabanye. Imithi ye-hormonal eyabelwe ihlangene namavithamini namaminerali ezinkimbinkimbi, okwandisa umphumela welashwa. Isisekelo sokwelashwa yizidakamizwa ezilandelayo ezinezinkinga zokunqamuka kwesikhashana:
- ama-phytohormones - imithi evela ezintweni eziphilayo zitshalo eziqukethe izinto, ezifana nesakhiwo kumahomoni wesifazane omvelo;
- i-hormonal - ngesisekelo se-hormone yokufakelwa, eyenziwe ngokuhlanganiswa, izilinganiso eziphelele zemvelo;
- izindlela ezingekho-hormonal - iqembu lezidakamizwa ezidambisa ukubonakaliswa kwesikhathi sokwemvelo.
Izidakamizwa ezinomthelela wokumisa esikhathini kusuka ekukhanyeni okushisayo
Okokuqala, kufanele kuqashelwe ukuthi noma yisiphi isidakamizwa kufanele sikhethwe ngamunye. Ngaphambi kokumisa izidakamizwa zokumisa esikhathini sokusuka ekukhanyeni okushisayo nokuthukumeza, owesifazane udluliselwa ekuhlolweni okuningi:
- Izindwangu zamakhemikhali ezinama-ultrasound;
- I-ultrasound yezitho zomzimba ;
- i-mammography;
- i-biochemistry yegazi;
- isifundo se-cytological.
Lezi zifundo ziyadingeka ukuze kutholakale ukuthi kungenzeka yini ukwelashwa kwe-hormone. Odokotela basungula ukuhlushwa okuqondile kwe-hormone yezocansi egazini likagulane, ngokucabangela ukuthi bakhetha izidakamizwa ezidingekayo zokunqamuka kwesikhashana, umthamo wabo, imvamisa yokungena, nokubeka isikhathi sokwelapha. Lezi zidakamizwa zinciphisa kakhulu izigameko zokushisa okushisayo, ukujuluka, usizo lokunciphisa ukubonakaliswa kokumisa esikhathini.
Izidakamizwa ezomile endaweni eseduze
Lapho ebeka imithi yokunqamuka kwesikhashana, odokotela bahlale bebheka izikhalazo zeziguli. Abesifazane abaningi bayaqhubeka nokulala ngokocansi, ngakho-ke ubomvu buba yinkinga kubo: isenzo socansi sihambisane nokuhlukumezeka, ukuhlukumezeka ku-vaginal mucosa. Lokhu kugcwele ukutheleleka kanye nokuthuthukiswa kwenqubo yokuvuvukala. Ukuze ugweme lokhu, izifo zezinkinga zokubeletha zibeka izidakamizwa nama-estrogens ngezindlela ezihlukahlukene:
- Amakhandlela: Estrokad, Oviplo Klio, Ovestin;
- ama-gel namafutha: i-Vagikal; Feminela; Cicatradine.
Imithi yokumisa esikhathini
Ekuhlaziyeni amathrafikhi avukayo, ukuthuthumela, kusungulwa ukuthi ngokuvamile kubangelwa ukukhathazeka kwesimiso sezinzwa. Okuhlangenwe nakho okuphazamisayo, ukucindezeleka, ukwesaba kuhambisana nokwanda kwegazi. Ukubeka odokotela besifazane ngesikhathi sokuya esikhathini, odokotela bangathuthukisa kakhulu impilo yonke, kungabikho ukubonakaliswa komuntu ngamunye. Njengoba izidakamizwa ezinjalo, odokotela bakhetha izidakamizwa zemvelo ngokusekelwe kwezitshalo zokwelapha:
- i-tincture ye- motherwort ;
- i-tincture ye-valerian;
- ukumnika kwe-peony.
Imithi emihle yokumisa esikhathini
Akunakwenzeka ukubiza amalungiselelo amahle kakhulu ngokuya esikhathini sokungapheli. Isitho ngasinye sezinsikazi singumuntu ngamunye kanye nesimo se-menopausal sokudlulisa ngokuhlukile. Njengoba kunikezwe lesi sici, ukuze kutholakale imiphumela emihle kakhulu futhi kusize isiguli sikhethe ukwelashwa kwezikhukhula ezishisayo ngokunqamuka kwesikhashana, odokotela bacabangela izici eziningana:
- isimo se-hormonal;
- iminyaka yesiguli;
- ukutholakala kwezifo ezithintekayo zesistimu yokuzala.
Phakathi kwamaqembu ezidakamizwa asetshenziselwa ukuphatha ukubonakaliswa kokuya esikhathini, kufanele kuqashelwe:
- izindlela ze-hormonal;
- okungekho-hormonal;
- amalungiselelo e-homeopathic;
- i-vitamin complexes.
Izidakamizwa ezingekho-hormonal ezinekhono lokumisa esikhathini
Ukuze kutholakale ngokushesha umphumela, ukuqedwa kwemibonakaliso emnene yokuphela kwesistimu yokuzala, odokotela basebenzisa izidakamizwa ezingekho ze-hormone esizukulwaneni esisha sokuya esikhathini. Le mithi ingathuthukisa isimo sengqondo, sinciphise ukubonakaliswa kwemvelo ye-neurological. Zinciphisa kakhulu ukuqina nobude bokuphazamiseka okuphakama. Phakathi kwezidakamizwa, izidakamizwa ezingekho ze-hormone ezine-climacterium ezivela emifuleni eshisayo zithatha indawo ehamba phambili. Okuvame ukusetshenziswa kakhulu:
1. Ukucindezeleka:
- I-Efvelone;
- I-Velafax;
- I-Fluoxetine;
- I-Plizil;
- I-Adress;
- Aktaparoxetine;
- I-Poroxetine;
- I-Paxil.
2. Antiepileptic:
- Convalis;
- I-Neuronthin;
- Ukugxeka;
- Katen.
Izidakamizwa ze-Hormonal nge-menopause
Izidakamizwa ze-hormonal ezinezizukulwane ezintsha zokuqeda ukuphuma esikhathini ziza ekuhlanguleni lapho kwenzeka khona umphumela okulindelekile wokusetshenziswa kwezidakamizwa ezingekho ze-hormone. Iziguli ezithatha izidakamizwa ziphawula ukuthuthuka okusheshayo enhlalakahle jikelele. Kodwa-ke, enye yezinkinga zelashwa elinjalo ukuvakashelwa okuphoqelekile kudokotela okungenani kanye nezinyanga ezimbili. Isikhathi sokwamukela imali enjalo sifinyelela ezinyangeni ezingu-6-12. Phakathi kwezidakamizwa ze-hormonal ezisetshenzisiwe:
- Sigetin, Derbital, Divigel, Proginova. Amalungiselelo ekubunjwa kwawo aqukethe i-analogue yokufakelwa kwe-estrogen, ingasetshenziswa kokubili ezinkathini zokuqala nokuya esikhathini sokugcina.
- I-Divina, iKlimonorm, iKlimen, iTrieskvens. Hlanganisa nemithi ehlanganisiwe yama-hormonal. Ngenxa yokwakhiwa kwayo, zisetshenziselwa ukuqeda ukubonakaliswa okuhlukahlukene kokunqamuka kwesikhashana (ukuthuthumela, ukwesaba, ukushisa okushisayo, ukushaya kwenhliziyo).
Amakhambi ase-homeopathic okuya esikhathini sokuya esikhathini
Ngokusho kokuqinisekiswa kwama-gynecologists, ezinye izixazululo ze-homeopathic zokusiza esikhathini sokuphumula ziyanciphisa ukuvama nokuqina kwemibonakaliso yalesi sikhathi. Kodwa-ke, kufanele kuqaphele ukuthi akuzona zonke iziguli ezikwazi ukuthola umphumela olindelekile ngokuthatha amakhambi asekhaya ngokuqala kokuya esikhathini. Labo abaye baba nomuzwa wokuthi imiphumela yalezi zimali baphendule kahle kubo. I-Homeopathy inomthelela ofanayo emzimbeni njengezidakamizwa ezingekho ze-hormone kuma-menopausal abesifazane. Phakathi kwezidakamizwa ezisetshenziswa esikhathini sokuya esikhathini, singakwazi ukuhlukanisa okulandelayo:
- Isimo sezulu-hel;
- I-Sepia;
- I-Pulsatilla ;
- I-Climacoplane;
- I-Lachezis;
- I-Climadinone.
Imithi yamagciwane yamakhosikazi ase-menopausal
Ososayensi baye basungula ukuba khona kwezitshalo, ekubunjweni kwazo okukhona izinto, ngokusho kwesakhiwo nomphumela emzimbeni wesifazane, ofanayo nama-hormone. Bayibizwa ngokuthi yi-phytoestrogens. Ngokuqondile ngesisekelo sezinto ezinjalo zezitshalo, amalungiselelo anamuhla akhiwa ngesikhathi sokuya esikhathini. Bakwazi ukuvuselela ngokushesha isimiso somthetho wokuzala ngenxa yendawo yokubangela impendulo ye-hormonal, njenge-estradiol. Phakathi kwama-phytoestrogens asetshenziselwa yilawa:
- I-Estroel;
- I-Feminalgin;
- I-Climadinone;
- I-Feminal.
Amavithamini namaminerali ekumeni
Ngesikhathi sokuya esikhathini, isidumbu sowesifazane sidinga amaminerali amaningi namavithamini. Okubaluleke kakhulu empilweni yabesifazane yilezi:
- i-vitamin E - ivuselela umsebenzi wama-ovari, ilawula ukukhiqizwa kwe-progesterone ne-estrogen, iyancipha ukucindezela komzimba, iqinisa izindonga ze-vascular;
- i-vitamin A - i-antioxidant, eyanciphisa ingozi yokwakheka kwesisu sezintuthwane ze-mammary, isisu;
- i-vitamin C - i-antioxidant ethonya kakhulu ukuzivikela;
- I-vitamin D - kusiza ukufana ne-calcium;
- B1 no-B6 - badlala indima yamanxeba, baqondise umsebenzi wesistimu yezinzwa, bathuthukise isimo, bavame ukulala.
Inhlanganisela enhle yamavithamini namaminerali ivumela ukufezekisa impumelelo enkulu ekwelapheni ukubonakaliswa kokuya esikhathini. Ngakho-ke, amalungiselelo e-calcium ngokuya esikhathini sokuya esikhathini aqinisa izicubu zethambo, ukunciphisa ingozi ye-osteoporosis (i-calcium gluconate, i-Calcium D3 Nycomed). Phakathi kwamavithamini ama-complexes anconywa ngesikhathi sokuya esikhathini:
- I-ClimadinonUkuningi;
- I-hypotrilone;
- I-Doppelherz iyimpahla;
- I-Cyclime.