Ukunqamuka kwamamenyu okwakhayo - kuyini, izimpawu, imiphumela

Igama elinjalo ngokuthi "umvuthwandaba wokufakelwa" lisetshenziswe kaningi ekukhuleni komzimba. Ngaphansi kwalo kuwumkhuba ukuqonda ngokungazelelwe, ukuphela kwesikhashana kwezingcansi zobulili zowesifazane. Inqubo yokwelashwa okuqhubekayo ohlelweni lokuzala izenziwa. Ake sicabangele ngokuningiliziwe izindlela ezenzekayo zokuqaliswa kwayo, amalungiselelo, izimpawu zesiphetho somsebenzi.

Ukufakelwa kokufakelwa kokumisa okwesikhashana

Ukunqamuka kwamadoda okwesikhashana okwenziwe kabi kwabesifazane kuhambisana nokuncipha okubukhali ekugxilweni kwama-estrogens. Kulesi simo, intombazane ilungisa ukwakheka kwezibonakaliso ezithile ezifakazela ukuqedwa kohlelo lokuzala. Isidingo sokuxhaphazwa okunjalo kubangelwa ubunzima bezinqubo zokwelashwa ezinjalo izifo ezifana:

• i-fibroma;
• i-myoma;
• i-endometriosis.

Ungabangela kanjani ukusikhipha esikhathini sokufakelwa?

Kunezindlela eziningana zokwenza umkhuba wokumisa esikhathini esizayo. Ukuzikhethela kwabo kusekelwe ekutholeni kokuhlola kanye ne-anamnesis: ingabe kukhona izinqubo ezingapheli ohlelweni lokuzala, ukuvuvukala. Uma ukhuluma ngokuthi ungenza kanjani ukuyeka esikhathini esizayo, odokotela babiza izindlela ezilandelayo zenqubo:

1. Ukuhlinzwa. Indlela engcono kakhulu. Umgomo uthola ngokususa ngokuphelele ama-ovari (ovariectomy). Isetshenziselwa izicubu ezimbi ezinkingeni zobulili, isisu, umdlavuza webele. Le nqubo ayinakuphikiswa ngokuphelele - owesifazane angeke abe namabantwana.
2. Umsindo. Ngalendlela, ukuqedwa komsebenzi wokuzala kanye nomsebenzi wama-ovari kuyaphumelela ngenxa ye-radiological irradiation yezinhlayiya ngokwazo. Isetshenziselwa ekwelapheni izicubu ezinonya esibelethweni nakuma-ovari. Izinguquko ezenzeka ezithombeni zezocansi ngokwazo zibhekwa njengengxenye eguquguqukayo: ukubuyiselwa kokubeletha kungenzeka, kodwa hhayi ngaso sonke isikhathi.
3. I-Medicated. Indlela evamile isetshenziselwa njengengxenye yokwelashwa okunzima. Kulesi simo, izidakamizwa, okufana nezidakamizwa ze-hormonal of origin synthetic. Ngemuva kokuqedwa komsebenzi wezinhlayiya zocansi zesilwane sowesifazane kuvuselelwe ngokuphelele.

Ukunqamuka kwamamenyu okufakelwa - izimpawu

Inqubo yenziwa kancane kancane. Njengoba i-hormone ihlanganiswa, intombazane ingakwazi ukubona ukubonakala kwezibonakaliso ezihambisana nesethulo somvuthwandaba womzimba wakhe. Phakathi kwabo kukhona:

1. Ukuphulwa kwesistimu ye-psycho-vegetative. Into yokuqala isiguli esibheka ngayo ukubonakala kwemizwa yesikhashana yama-hot-flashes-waves. Imvamisa yabo ingahluka kusuka ezimweni ezingavamile kuya izikhathi ezingu-20 ngosuku. Ngesikhathi esifanayo, abesifazane abangama-20% kuphela abayeka ukuzizwa ngonyaka, abanye - babhekene neminyaka engu-3-5.
2. Izifo zengqondo. Thinta umsebenzi wesistimu yezinzwa. Kubonakala ekukhuseni okukhulu, ukwesaba, ukuphazamiseka kokulala, ukufisa ukudla, ukunciphisa i-libido.
3. Ukuntuleka kwe-Estrogen. Lesi sibonakaliso, esihambisana nomvuthwandaba wokufakelwa, siyabonakala ngendlela yokomisa okwedlulele kwesifazane, ukubonakala kokushaywa endaweni yangasese. Ngesikhathi sezocansi, kutholakala izinzwa ezibuhlungu, okuwumphumela wokugcoba okuncane kwesigcawu somzimba, isisu.
4. Yehlisa umsebenzi wengqondo. Kutholakale ukuthi i-estrogens ithinta izinqubo zokusebenzisa umzimba ebuchosheni. Ngisho namantombazane amancane abhekana nokukhubazeka kwememori, kaningi - isikhathi esifushane, okwenziwe imicimbi.

Amalungiselelo okwesikhashana sokumisa esikhathini

Ukuze uqalise isiguli kulo mbuso, kusetshenziselwa abaphikisi be-gonadotropin. Ukusetshenziswa isikhathi eside kwalezi zinto kuvimbela ukuhlanganiswa kwe-pituitary gland yokumisa i-hormone kanye ne-follicle-ukuvuselela. Ngenxa yalokho, i-estradiol incishisiwe egazini legazi. Uma wenza ukukhwabanisa, izijovo ezilandelayo zenkimbinkimbi yokufakelwa zisetshenziswa:

• Lucrin;
• I-Buserelin;
• Diferelin.

Ukulungiselela kubonakala ngesenzo eside, ngakho-ke isidingo sokusebenza kwansuku zonke asikho. Umthamo olawulwayo wezidakamizwa usebenza emahoreni angu-24-72. Kulesi simo, imithi yokwelapha yenziwe ngokwayo. Ngaphezu kwalokho, izinqubo ezilandelayo zingasetshenziswa ngenqubo:

• ama-gestagens - i-Norkolut;
• ama-antigonadotropins - i-Danazol.

Phuma ekuqedeni kwamamenyu okwesikhashana

Amantombazane anenqubo enjalo, evame ukuba nesithakazelo embuzweni wokuthi bangasinda kanjani ekugcineni komzimba, kwenzekani ngemuva kokuphela kokuthatha imithi. Kufanele kuqaphele ukuthi isikhathi esidingekayo sokubuyiselwa kwezigulane zocansi akufani nonke. Ekuvuseleleni kabusha komsebenzi kubonisa ukuqala kokugeleza kokuya esikhathini. Ukumiswa kokumisa okwesikhashana emva kwama-hormone kunesikhathi esingalingani. Ukukhishwa kwamasondo ku-10-16 amasonto emva kokusetshenziswa kokugcina kwesidakamizwa ngendlela yamajojo. Uma ngabe yenziwa ngokusemthethweni - amasonto angu-4-10.

Phuma ekuqedeni kwamamenyu okwesikhashana - izimpawu

Akuzona njalo owesifazane ongaqonda ukuthi ushiye ngokuphelele leli zwe. Kumele kuqashelwe ukuthi isibonakaliso esiyinhloko senkinga enjalo njengendlela yokuphefumula, - ukuvuthwa, kubonakala ngemva kwamasonto angu-8-14. Kulesi simo, okulandelayo kungabonwa:

• isimo sengqondo sishintsha;
• ukushisa okuyisisekelo okuyisisekelo;
• ukwandisa umthamo wokukhulelwa kwesisu;
• ukuvuvukala kwezilonda ezincelisayo.

Ukumiswa kwesikhathi kokuzikhandla - imiphumela

Lesi simo cishe silawulwa ngokuphelele odokotela, okungukuthi, umzimba awukwazi ukushiya umkhuba wokumisa esikhathini esizayo. Endabeni yezifundo ezingakhethiwe, ukungabikho kwemibandela nemiyalelo yezokwelapha, izinkinga zingase zenzeke. Ngokwenzayo, lokhu akuvamile. Lokhu kufaka:

• i-atresia yama-ovarian follicles - ukubhujiswa kwama-germ cells angakafiki ukuvuthwa;
• ukuguqulwa kocingo olusebenzayo lwezicubu ze-endometrial - amangqamuzana athuthuka ngokuphindaphindiwe. Ngenxa yalokho, kuyinkinga ukubuyisela umjikelezo wokuya esikhathini.

Ngingakwazi yini ukukhulelwa nge-menopause yokufakelwa?

Lo mbuzo uthakazelisa amantombazane aphila ngokuhlanganyela ngokocansi. Odokotela bachaza ukuthi ukukhulelwa, ngaphandle kokushiya umkhuba wokumisa esikhathini esifanele, akuyona into engokoqobo. Isistimu yokuzala isesimweni esinjalo sokuthi i-ovulation ayitholakali. Ukuhlushwa kwezidakamizwa kugcinwa ezingeni elithile, okungafani ngokuphelele nale nqubo. Kodwa ngesikhathi esifanayo kufanelekile ukukhumbula ukuthi emva kokuphela kokuthatha imithi udinga ukunakekelwa kokubeletha.

Ukukhulelwa emva kokumisa esikhathini esizayo

Ukubuyiselwa kokuya esikhathini emva kokunqamuka kokumiswa kokubeletha kwenzeka ngemuva kwamasonto 4-10 emva kokuqedwa kokusungulwa kwezidakamizwa ze-hormonal. Mayelana nokuhlelwa kokukhulelwa, kungafika ezinyangeni ezingu-3-4. Kubalulekile ukuthatha leli qiniso, sebenzisa izisu zokuvimbela ukuvimbela ukubeletha okungadingeki. Odokotela batusa ukusebenzisa izindlela zokuvimbela, ukuqeda amaphilisi e-hormonal. Lokhu kuzosiza ukunciphisa umthwalo ohlelweni lokuzala. Ukuhlela ukukhulelwa kulawulwa udokotela ocabangela isimo somzimba, oqhuba ukuhlolwa kwamazinga e-hormone, ukuhlola izinqubo ze-ovulatory, nokuhlola nge-ultrasound.