Ekuphileni kowesifazane, kunezikhathi eziningana ezihlukahlukene zokuguquka kwe-hormone emzimbeni. Omunye wabo uyisikhathi sokuya esikhathini. Ngokuvamile lesi sigaba sibonakala ngengxenye enhle yesintu siyabuhlungu kakhulu, nakuba isigaba esivamile somzimba. Ake sicabangele ngokuningiliziwe ukuthi lesi sivunguvungu sihlobene kanjani, nokuthi singayiphatha kahle kanjani.
Ngabe besifazane baqala nini ukuya esikhathini?
Ngesikhathi sokunqamuka kwesikhashana emzimbeni wesifazane, ukukhiqizwa kwama-hormone ezocansi kunciphisa kakhulu, ngenxa yalokho ama-ovari alahlekelwa umsebenzi, futhi ikhono lokubeletha linciphisa. Le nqubo yenziwa ngezigaba ezintathu:
- I-premopause. Kulesi sikhathi, ukuhlushwa kwe-estrogen egazini kancane kancane, izinyanga zonke ziba nzima kakhulu futhi ekugcineni ziphele ngokuphelele.
- Ukunqamuka kwesikhathi. Ukungabikho kokuya esikhathini esikhathini esingaphezu konyaka.
- I-Postmopause. Ukulahlekelwa ngokuphelele komsebenzi we-ovarian, ukungabi nokuthuthukiswa kwama-hormone ocansi.
Ukuqala kokuya esikhathini kwabesifazane kuwela eminyakeni engama-40-45.
Kusukela isikhathi esingakanani ukuphela komama kuphelile?
Inqubo yonke ithatha iminyaka engaba ngu-10, ngakho-ke ukuma okuphelele ekukhiqizeni amahomoni nemisebenzi yokuzala kwenzeka eminyakeni engu 52-58. Isikhathi se-premenopausal sithatha iminyaka emihlanu futhi yisigaba esinzima kakhulu. Isikhathi sokuqeda ukuphuma esikhathini kwabesifazane singashintsha kuye ngokuthi indlela yokuphila, isimo somzimba jikelele nesimiso se-hormonal.
Ukuya esikhathini sokuya esikhathini kuthuthukisa kanjani futhi kubonakala kubesifazane?
Cishe ngemva kweminyaka engama-45, umjikelezo wokuya esikhathini uphukile, ukwabiwa kuba mncane futhi kufushane, okubonisa ukuqala kwesigaba sesandulela ngculazi. Kwezinye izimo, lesi sigaba asibangeli ukukhathazeka okhethekile, kodwa iningi liyabona lokho kubonakaliswa kokunqamuka kokuya esikhathini kwabesifazane:
- amathanga (aphonsa ngokushisa);
- ikhanda;
- ukuvuthwa okungenasidingo;
- Ukucindezeleka kwegazi kuqhuma;
- i-arrhythmia;
- ubuthakathaka nokulala;
- ukulala;
- izikhukhula;
- ukucasula;
- isimo sengqondo siyashintsha;
- isinciphiso sesifiso socansi;
- ukuphazamiseka kwemithi;
- inzuzo yesisindo;
- ukoma kwamangqamuzana omzimba kanye nesiswini;
- ukunciphisa amathambo, ukuphefumula kwamathambo;
- i-neurosis kanye nokucindezeleka.
Kumele uqaphele ukuthi zonke izimpawu ziyaphathwa, ikakhulukazi uma ufika ochwepheshe ngesikhathi bese uzivumelanisa kahle. Lapho abesifazane benenkinga yokuphila, lokhu akusho ukuthi ukuphila sekuphelile. Kulula nje, umzimba uvuselelwa ngokuhambisana nezidingo zawo zeminyaka, futhi kufanele uphathwe ngokuthula, ngaphandle kokucindezeleka okungadingekile.
Ukuqeda esikhathini sokuqala kwabesifazane - kubangela
Ezikhathini zamuva, izigameko zokuya esikhathini sokuqala ezineminyaka engu-30-36. Izinto ezikhona ezingabangela lokhu:
ukukhuluphala;- ukungondleki nokuphila;
- ukucindezeleka okuqinile njalo;
- imithwalo yengqondo;
- imisebenzi yokuhlinza emgodini wesisu;
- ukungalingani kwe-hormonal;
- Izifo zegciwane le-thyroid.
Izimpawu zokuqeda esikhathini sokuqala kwabesifazane zifana nokubonakaliswa okungenhla kwe-symacrome symacrome.
Ukuphumula esikhathini esiseduze kwabesifazane
Njengasekuseni, umvuthwandaba wokuphela kwesikhathi akuyona into evamile. Uma ukuphumula komzimba kungakaze kwenzeke ngemva kweminyaka engu-55, kunesikhathi sokuvakashela umjozi wezifo ukuze uthole ukuhlolwa okuphelele. Izizathu zokubambezeleka kwesikhathi sokugcina:
- fibroids kanye ne-uterine fibroids;
- ukuhlanganiswa ezithombeni zomzimba;
- ama-cysts ama-ovarian.
Ukunikezwa kwabesifazane abanomsebenzi wokumisa esikhathini
Emva kokuqala kokuya esikhathini, akufanele kube khona ukukhishwa kwesibeletho. Zivela ezimweni ezimbili:
- I-hormone yokwelashwa esikhundleni. Le ndlela isetshenziselwa ukuphatha izimpawu ezinzima ze-climacteric syndrome futhi iqukethe ukuphathwa kwe-progesterone. Phakathi nokwelashwa, umjikelezo ungabuyiselwa okwesikhashana. Kulesi simo, ukuhamba esikhathini esifushane (kuze kube yizinsuku ezingu-4) futhi ngaphandle kwama-clots.
- Ukuphuma kwamagciwane. Isizathu sokukhishwa okunjalo kufanele sihlolwe nodokotela, njengoba ukuphuma kwegazi isikhathi eside kungase kube uphawu lomdlavuza.