Kukholelwa kakhulu ukuthi uketshezi kwamanzi ngesikhathi sokuya esikhathini kuyinto evamile, futhi akusikho isongo. Eqinisweni, lokhu akusiyo njalo indaba. Ngokuvamile, ukuphuma kwamagciwane nokuphuma esikhathini kungabonisa ukuthi kunezifo ezibi kakhulu.
Ukuphuma kwamagciwane ngokuphuma esikhathini
Ngenkinga yokuphuma ngesikhathi sokuya esikhathini, owesifazane angase ahlangane ngezigaba ezahlukene zokuya esikhathini. Ngakho-ke, izimbangela kanye nokwelashwa kokuphuma kwegazi esikhathini sokunqamuka kwesikhashana kulungiswa ngokusho kwesikhathi sokuguquka kwenkathi okwavela kuyo. Kodwa ngokuyinhloko izimbangela zokugaya nokunqamuka kwesikhashana yilezi:
- izifo zemizimba;
- ukuphazamiseka kwe-hormonal;
- ukuthatha noma yimiphi imithi;
- izifo zezinye izitho nezinhlelo.
Khumbula ukuthi yonke inkathi yokunqamuka kwesikhashana isesimweni sehlukaniswe ngezigaba ezintathu: i-perimenopause, i-menopause kanye ne-postmenopause.
Ukukhipha igazi ngesikhathi sokuhamba kwesikhathi
Isizathu esiyinhloko sokuphuma kwamagciwane nokuphuma esikhathini sokuya esikhathini esiyimvelo kukhona ukuphazamiseka kwe-hormonal. Kule ndaba, ukuphuma esikhathini sokuya esikhathini nokuya esikhathini kungase kube kokubili futhi kuncane. Ukuhlala kwabo njalo kuyanyamalala. Uma ama-hormone yimbangela yokuphuma kwegazi, ngakho konke kubhekwa njengokujwayelekile. Kodwa-ke, ukuze ungaphuthelwa imbangela eyingozi kakhulu yokugaya kusukela kwesibeletho ekupheleni kwesikhathi, kufanele uqaphele lokhu:
- umlingisi wegazi (amandla kanye ne-periodicity);
- ukubukeka kwezindwangu;
- ukuvela kokuphuma kwegazi emva kokulala;
- ukungabi khona kwezinyanga ezintathu noma ngaphezulu;
- ukuphuma kwegazi phakathi kokuya esikhathini.
Njengoba ukugeleza okungavamile ngaphambi kokuya esikhathini kungase kube umphumela wesifo esibi:
- i-fibroids yama-uterine (ingabangela ukuphuma kwegazi okukhulu esikhathini sokuya esikhathini, ikakhulukazi ngesikhathi sokuhamba kwesikhathi);
- i-polyps ye-endometrium ;
- i-endometrial hyperplasia;
- i-polycystic ovarian syndrome;
- isifo se-thyroid;
- izinkinga nge-clotting system;
- Ungakhohlwa mayelana nokukhulelwa okungenzeka, ngoba kuvunyelwe ngokuphelele ekuqedeni kokuya esikhathini sokuqala.
Ngokuvamile imbangela yokuphuma isikhathi eside ngokunqamuka kwesikhashana kuyisisetshenziswa se- intrauterine . IUD ikhuphuka kakhulu umthamo wokuhamba esikhathini, kanye nokukhathazeka kwabo.
Ukukhipha igazi ngesikhathi sokuphuma komama
Isikhathi se-postmenopausal sibonakala ngokungahlali ngokuphelele kokuya esikhathini. Ngakho-ke, ngisho nokwabiwa kwegazi okungenani kufanele kube yisikhathi sokunakwa. Njengoba ngokuyinhloko ukwephulwa okunjalo kungabonakalisa ukuba khona komdlavuza. Umzuzu omuhle ekuboneni ukuphuma kwegazi esikhathini sokuya esikhathini kungukuthi isifo sokuqala sesifo. Futhi, ukuvumela ukukhomba imbangela ekuqaleni kwesigaba bese uqala ukwelashwa ngesikhathi.
Okuwukuphela kwendlela eyamukelekayo yokuvela kokuphuma kwesikhatsi kuvunyelwe esimweni se-hormone therapy esikhundleni. Bese kunjalo
Ukwelapha uketshezi lwe-uterine nokuya esikhathini
Kubalulekile ukuthi uqaphele ukuthi ngegazi lomzimba, izimbangela zalokho kufanele zenzeke. Ukutholwa ngokucophelela kuyosiza ekutholeni indlela engcono kakhulu, indlela yokuyeka ukuphuma kwegazi ngesikhathi sokuya esikhathini nokubeka ukwelashwa.
Ngesikhathi sokuya esikhathini, ngokuvamile usebenzisa i-hormone replacement therapy, evumela ukusimamisa isizinda se-hormonal. Ngaphambi kokuba kube nezifo ezinzima, ngezinye izikhathi awukwazi ukwenza ngaphandle kokungenelela kokuhlinzwa.
Ngezifo ezingokwemvelo, ukuhlinzekwa kuhlanganiswe ne-irradiation kanye nokwelapha ngezidakamizwa ze-chemotherapeutic.