Ngakhale pali kusiyana kwachidziwitso kwa nthawi yayitali yodalirika , ulendo wa mkazi aliyense ndi wapadera. Kusinthako kumatenga pafupifupi zaka zinayi, koma zizindikiro zina zimatha nthawi yaitali. Palibe malamulo ovuta komanso ofulumira monga kuyambira kwa kutha kwa thupi ndipo kumathera panthawi yake.
Kodi Kutentha Kwambiri Ndi Kutha Kwambiri Kumatha Kutalika Motani?
Nthawi zina, nthawi zina amatchedwa kusintha kwa mimba, imayamba pamene mkazi ayamba kusintha kusintha kwake kumwezi (mwachitsanzo, nthawi yayitali kapena yochepa), komanso zizindikiro zokhudzana ndi kuchepa kwa mayendedwe a estrogen-makamaka kuwala kwa moto.
Amayi ambiri amalowa nthawi zina ali ndi zaka 40 , ndipo ali ndi zaka 47. Pakati pa nthawi imatha pamene mkazi sanafike msambo kwa miyezi 12 yotsatizana; izi zimatchedwa kusamba.
Zindikirani kuti nthawi yomwe imatuluka nthawi imatha nthawi yomwe kusamba kumatanthauza nthawi nthawi-kusamvetsetsana komwe kumabweretsa chisokonezo.
Nthaŵi ya pambuyo pa kutha kwa thupi imatchedwa postopopause. Panthawi yomwe mayi amasiya kusamba, mayi sanayambe kusamba kwa nthawi yoposa chaka chimodzi, ngakhale kuti amatha kukhala ndi zizindikiro zokhudzana ndi kusowa kwa estrogen monga kugonana kwa atsikana.
Pafupifupi kutalika kwake kwa zaka zinayi, choncho zaka zakubadwa zomwe mkazi amatha kusamba ndizo zaka 51. Komabe, izi ndizowerengeka ndipo sizikudziwiratu nthawi yeniyeni ya mkazi aliyense.
Kodi Zidzakhala Zotalika Zotani Kusamba Kwambiri?
Ngakhale kuti kusamba kwa thupi kumapereka mfundo pa nthawi imene mkazi sanapite msambo kwa miyezi 12 ndipo sakhalanso ovulating (kutulutsa mazira ake m'mimba mwake), zizindikiro za kusamba kwa thupi zingapitirire.
Zizindikiro ziwiri zokhudzana ndi kusamba kwa thupi zimatentha kwambiri komanso zimauma . Zizindikiro ziwirizi zimachitika chifukwa cha imfa ya estrogen mu thupi, yomwe imapangidwa ndi mazira a mkazi.
Amayi ambiri amasiya kutentha kwambiri mkati mwa zaka zisanu atatha kumaliza. Komabe, lipoti lonena za kasamalidwe ka zizindikiro za kusamba limanena kuti Phunziro la Ovini la Penn Ovarian likupeza kuti oposa theka la azimayi anapitirizabe kutentha kwambiri kwa zaka khumi kapena kuposerapo.
Azimayi omwe anayamba kutentha kwambiri pamene adalowa nthawi yayitali anakhala ndi nthawi yayitali, pafupifupi zaka 11.6. Azimayi a ku Africa ndi America anali ndi nthawi yaitali kuposa akazi oyera.
Udzu wouma, kuyaka, ndi kunyowa amakhalanso chifukwa cha kusowa kwa estrogen. Kusiyanitsa ndi chizindikiro ichi ndikuti zimakhala zikuipiraipira pamene amayi akula. Ndipotu, amayi osachepera 30 pa 100 aliwonse amayamba kuchepa kapena amayamba msinkhu wam'mawendo. Koma pamene amayi amapita kumapeto kwa nthawi yopuma, pafupifupi theka la lipoti lamawina.
Pali zizindikilo zina zomwe zingayambe panthawi yomwe imakhalapo nthawi zonse ndipo zimapitirizabe kusamba. Izi zikuphatikizapo:
- Mavuto ogona
- Chikhalidwe chimasintha monga kupsinjika maganizo ndi nkhawa
- Kusintha kwadzidzidzi monga kukumbukira kukumbukira
- Zowawa zamphongo ndi zomangira
Ngakhale, ngakhale amayi ambiri amati zizindikirozi zimatha kusamba, nthawi imakhala yosayembekezereka. Mwa kuyankhula kwina, ndizosamvetsetsa ngati zizindikirozi zilidi kuchokera ku kusowa kwa estrogen mu thupi kapena kuchokera ku masoka omwe amapita ndi ukalamba.
Zomwe Zimakhudza Kusamba Kwambiri Nthawi ndi Zizindikiro
Monga kutha msinkhu ndi kutenga mimba, nthawi zonse imayamba ndikumatha nthawi zosiyana kwa mkazi aliyense. Pali zifukwa zambiri zomwe zimakhudza nthawi ndi zochitika za nthawi yomwe mayi aliyense amalemba nkhani yake.
Genetics, moyo, chakudya, nkhawa, thanzi labwino, ndi chikhalidwe ndizochitika nthawi komanso momwe mungayang'anire zizindikiro zokhudzana ndi kusamba kwa thupi.
Izi zikunenedwa kuti amayi ambiri adzawona "kusamba kwa nthawi" muwindo wa zaka ziwiri mpaka khumi, mwina kuchokera pakati pa makumi asanu ndi awiri mpaka makumi asanu ndi awiri.
Koma ngakhale mutayamba kale kapena kutha mapeto, mutha kukhala ndi mtundu wanu wa kusamba kwabwino. Ndipo ngati simunamvepo kutentha komweku, kapena mupitirize kukhala nawo mpaka zaka za m'ma 60, zingakhale "zachibadwa" kwa inu.
Mawu Ochokera
Ngati zizindikiro zokhudzana ndi kusamba kwa thupi zimakuchititsani kukhala ndi nkhawa kapena kusokoneza umoyo wanu kapena kugwira ntchito tsiku ndi tsiku, kambiranani ndi dokotala wanu.
Pali mankhwala angapo kunja uko kuti akuthandizeni kulimbana ndi zizindikiro zosasangalatsa zomwe zimaphatikizapo mankhwala onse a hormonal komanso osamadzimadzi, komanso njira zina zothandizira .
> Zotsatira:
> Goodman NF, Cobin RH, Ginzburg SB, Katz IA, Woode DE. Msonkhano wa American of Clinical Endocrinologists Malangizo a Zamankhwala Othandizira Amagulu a Kachilombo kafukufuku ndi chithandizo cha kusamba kwa thupi: executive summary of recommendations . Chitetezo cha Endocr. 2011 Nov-Dec; 17 (6): 949-54.
> Huang AJ et al. Zizindikiro za m'mimba mwa amayi am'mawopa azimayi: kudzidzimutsa, mbiri yachilengedwe, ndi zoopsa. Kusamba kwa nthawi. 2010 Jan-Feb; 17 (1): 121-26.
> Kaunitz AM, Manson JE. Kusamalira Zizindikiro za Mwamuna. Zovala zamaliseche & Gynecology . 2015; 126 (4): 859-876. lembani: 10.1097 / aog.0000000000001058.
> Kusamuka kwa mimba. MadziMachiyama.gov. https://www.womenshealth.gov/menopause/menopause-basics.
> North American Menopause Society. Zomwe Zimayambira Mwezi: Buku la Clinician, 5th ed. 2014 Mayfield Heights, OH: North American Menopause Society.