Ukumiswa kwemvelo kwangaphambili - kuyini?

Njengoba uneminyaka yobudala, kwabesifazane, ama-ovari aqala ukukhiqiza ama-estrogen amancane, anciphisa inani le-follicles nokuzwela kuma-hormone we-pituitary gland, kodwa aqhubeka esebenza kuze kube yilapho sekuqeda ukufika esikhathini . Ngenxa yokuqukethwe okuphansi kwe-estrogens egazini isikhathi eside ngaphambi kokuya esikhathini, izimpawu ezifanayo ziqala ukuvela - ukuzimela komuntu kuqala.

Kuyini ukukhulelwa kwezingane kuqala?

Izibonakaliso zokuqala zokuqala komzimba:

1. Isibonakaliso sokuqala singavamile nyanga zonke, kodwa, ngesikhathi esifanayo, sihluke kancane kokujwayelekile. Uma ezinye izinguquko zenzeka kanye nezinkathi ezingavamile, njengezikhathi ezinomlando ezinamaqabunga egazi, ukubona phakathi kwezinyanga zenyanga, ukwandisa isikhathi sokuya esikhathini nokunciphisa isikhathi phakathi kwabo, ukubona ngesikhathi sokulala, kufanele uthintane nodokotela wakho ukuze ahlole.
2. Ama-tide ayimpawu engathandeki kakhulu ephawulekayo kokuzimela komzimba, okuyinto abesifazane abachaza ngayo njengokushisa komzimba engxenyeni engenhla yomzimba, efana nesifo somkhuhlane, ukukhukhuma okukhulu.
3. Ukuzwela okwenyuka kwama-glands, kodwa akufanele kudidaniswe izidumbu ezibuhlungu ezigulini, lapho kuhlolwa khona ukukhipha amakhemikhali webele nesifuba.
4. I-Premenstrual syndrome inzima futhi ihlala isikhathi eside.
5. Kunciphisa isifiso sobulili kwabesifazane, nakuba ngokuvamile lokhu kubangelwa ubulili obubuhlungu ngenxa yokwanda okomama nge-mucosal atrophy.
6. Ukukhathala okwandisa, ukuguquka kwemizwa ngokungazelelwe kanye nezinkinga ezihlukahlukene zokulala.
7. Ukwandisa ukuchama noma ukungaziphathi kahle uma ukhwehlela.
8. Ukulahlekelwa izinwele, izipikili ezikhulayo ezikhulayo.
9. Ukucindezeleka, ikhanda lokukhwabanisa okukhulu, ukucasula, ukushaya inhliziyo.

Ukuthatha isikhathi sokubeletha kungakapheli isikhathi esingakanani?

Isilinganiso sobudala besifazane esikhathini sokuzibophezela kwangaphambi kokuqala kwesimanje sivela eminyakeni engu-40 kuya kweyengu-50. Kodwa-ke, isikhathi sokusuka esikhathini sokuqala sithatha abesifazane abahlukene ngokuhlukile: kusukela eminyakeni eyi-1 kuya kwengu-4, iqiniso lingaswelwa futhi isikhathi esingaphezu kweminyaka eyi-10. Ukwelashwa kokuqala kokuqala kungenzeka ngemva kweminyaka engu-30, ikakhulukazi nge-ovarian depletion syndrome. Kodwa abesifazane abaningi bakhathazekile ukuthi kungenzeka yini ukukhulelwa esikhathini sokuqala. Futhi nakuba kunciphisa amazinga e-estrogen, kwabesifazane abaningi kungase kube yinkinga yokukhulelwa emva kweminyaka engama-35, ukukhishwa kwesikhashana ngaphambi kwesikhathi kuyisikhathi lapho ama-ovari asebenza khona, futhi ukukhulelwa kungase kufike. Ngakho-ke, kubalulekile ukuzivikela ekukhulelwe okungafuneki, kodwa kufanele ukhumbule ukuthi ukukhulelwa kwesikhashana sekuyisikhathi lapho ukuvimbela imithi eminingi kunqatshelwe khona, ikakhulukazi ngaphandle kokuhlolisisa owesifazane nokuqaphela izinga lama hormone ezocansi egazini, noma ngabe kunciphisa izimpawu zokumisa esikhathini sokuqala.

I-premopause nokuphathwa kwayo

Hhayi njalo nokuzibophezela kwangaphambili ukunikeza imithi. Okokuqala, ukuthuthukisa inhlalakahle yomfazi, umuntu kufanele alandele izincomo ezilula:

• Akudingekile ukuhlukunyezwa utshwala futhi kunconywa ukuthi uyeke ukubhema ngalesi sikhathi;
• ukuzivocavoca njalo kuzosiza ukuthuthukisa inhlalakahle, nemisebenzi yangaphandle yansukuzonke kusiza ekunciphiseni ukuphazamiseka kokulala;
• Ukudla okunomsoco ngesikhathi sokumisa esikhathini sokuqala kufanele kube ne-calcium ecebile (ekuvimbeleni i-osteoporosis) namavithamini;
• ngalesi sikhathi, ukunciphisa umzimba kunciphile, ngakho kubalulekile ukuqapha okuqukethwe kwekhalori kokudla nokubeka isisindo, ukuvimbela ukukhuluphala;
• Kudingeka ukondla okwanele, ikakhulukazi ngendlela yamanzi ahlanzekile nezithelo ezintsha.

Imithi yokwelapha izimpawu ze-premenopausal inqunywe ngamafomu aqinile futhi akukho ukuphikisana. Njengomthetho, lezi zidakamizwa ze-hormonal ezibekiwe emva kokunquma izinga le-estradiol, i-FSH, i-HH, izinga lamahomoni wesilisa wesilisa kanye nokuhlolwa okuphelele kowesifazane egazini ukucacisa ukuba khona kokuphikisana kokubili kokufaka endaweni kanye nokwelashwa okumangalisayo kokumisa esikhathini sokuqala.