Kusuta kwachitika kumakhala. N'zosapeŵeka.
Panthawi inayake mu 40s kapena 50s, nthawi yanu idzaima ndipo magulu anu a mahomoni adzabereka. Izi zimachepetsa mahomoni amachititsa kusintha kwa thupi lanu. Zina mwa kusintha kumeneku sizongokhala ngati mafupa. Kusintha kwina kuli koonekeratu komanso kozizira ngati kutentha . Kuyika kwinakwake pakati pa zinthu ziwirizi ndizo kusintha komwe kumachitika pansi pa lamba wanu.
Ngakhale kusamba kwa thupi kumapangitsa kusintha kwa mimba, chikazi, chifuwa, ndi chikhodzodzo chomwe chimakupangitsa iwe kukhala wovuta kwambiri ndi kupsinjika, iwe sungakhale womasuka kulankhula za izo. Ndipo choipa kwambiri, dokotala wanu sangakufunseni.
Zizindikiro zokhudzana ndi kusintha kwa kusamba kwa thupi mu zigawo izi za thupi lanu zimatchedwa kuti genitourinary syndrome of menopause (GSM). Umboni umasonyeza kuti amayi 50 mwa amayi 100 alionse amapezeka ndi GSM ngakhale kuti chiwerengerochi chikukwera chifukwa cha kulembedwa.
Kotero Nchiyani Chikugwa Pansi Kumeneko?
Mphuno, chiberekero, chifuwa, ndi chikhodzodzo (tsamba lanu lochepa lachibadwa) zimakhala zovuta kwambiri kumatenda anu a mahomoni omwe amabwera ndi kusamba. Mwachindunji, ndi dontho la mlingo wanu wa estrogen umene umapangitsa kusintha momwe kachilombo ka m'munsi kamayendera, kumverera ndi kumagwira ntchito.
Vulva Yanu
Chochititsa chidwi n'chakuti, amaganiza kuti chiyambi cha liwu loti vulva likuchokera ku Latin kutanthawuza "wrapper" kapena "chophimba".
Nkhumba zanu, zomwe nthawi zambiri zimatchulidwa kuti ndizobambo lanu, ndi mbali yosiyana ya thupi lanu. Zapangidwa ndi maumboni angapo osiyanasiyana kuphatikizapo labia anu, clitoris, kutsegula kwa urethra ndi kutsegula kwa chiberekero chanu.
Muli ndi ma labia awiri kapena mapepala omwe amathandiza kuti muteteze malo osalimba omwe mumakhala nawo.
Mitundu ya kunja ya labia ndi yaikulu ndipo imakhala ndi maselo olemera kapena minofu ya adipose komanso tsitsi lopaka tsitsi ndipo limakhala ngati chitsikiti choteteza kuti zisamangidwe bwino. Minara minora imangokhala mkati mwa majeremusi. Lili ndi glands zambiri zomwe zimatulutsa mpweya umene umapereka mafuta omwe amachititsa kuti chitetezochi chikhale choteteza.
Imodzi mwazinthu (zovuta) zotetezedwa zotetezedwa ndi labia yanu ndi clitoris yanu. Monga mukukhulupirira kuti mukudziwa, clitoris yanu ili ndi imodzi, ndi ntchito imodzi yokha yofunikira m'thupi lanu. Ali ndi mapeto okwana 8,000, kugwira mtima kumakhudza kugonana. Mwa kuyankhula kwina, clitoris yanu imathandiza kwambiri pa kugonana kwanu. Gulu lanu limatetezedwa ndi abambo anu komanso khungu linalake lodziwika ngati kanyumba kogwiritsa ntchito.
Tsopano tiyeni tiyang'ane pa menopausal vulva yanu.
Dontho m'masiteji a estrogen kapena mchitidwe wa hypoestrogenic wa kusamba kwa thupi umayambitsa kusintha kwakukulu kwachangu. Choyamba, mumataya mafuta anu mumasewera anu omwe mumakhala ndi mavitamini omwe amachititsa kuchepa kwa voliyumu yanu. Popanda estrogen yokwanira, palinso kupatulira ndi kupopera kwa labia minora komwe kumaphatikizapo majina anu a labia.
Monga momwe minda ya labiya ikukhalira komanso imatulutsa chitetezo chochepa.
Kuwonongeka kwa padding ndi mafuta kumatulutsa zinthu zovuta kwambiri monga chitukuko chanu ndi kutsegula kwa abambo anu kuti mutengeke, kukhumudwa, ndi kupwetekedwa mtima.
Ndipo ngati izo sizokwanira, mwa amayi ena chipinda chapamwamba chimatha kuchepetsanso kunja, kukanika kapena kuphatikiza limodzi. Kusintha kumeneku kumapangitsa kuti kugonana kukhale kowawa ndipo kungachititse kuchepetsa chidwi chogonana. Koma kwa amayi ena, kusintha kumeneku ndi kofunika kwambiri moti kumachititsa kuwonjezeka kwachisokonezo komanso kupweteka kwachilendo kosagwirizana ndi kugonana.
Vagina Yanu
Mofanana ndi vuto lanu, kusamba kwa nthawi kumabweretsa kusintha kosasangalatsa kwa abambo anu.
Poyamba, umaliseche wako uli ndi minofu yapadera yomwe ili ndi zigawo zitatu. Pamwamba kwambiri kapena wosanjikizana kwambiri ndi ovuta kwambiri kwa estrogen. Pakati pa zaka zanu zoberekera, miyezo yeniyeni ya estrogen imapangitsa kuti maliseche anu asakanikizidwe komanso kumangiriridwa bwino mwakumanga chingwe chokwanira komanso kulimbikitsa zobisika. Izi zimathandiza kuti abambo amenyane ndi vutoli komanso kumalimbikitsa kukomoka kapena kuthekera kwa vaginja kutambasula ndi kubwezeretsa. Taganizirani kubala kwa mwana.
Ndi kugwa kwa estrogen kapena mchitidwe wa hypoestrogenic wa kusintha kwa msinkhu, umaliseche umayamba kuwombera. Matenda a vaginito amachititsa kuti maboma akhale ochepa thupi ndi owuma komanso kutaya mafuta. Izi zowonongeka m'mimba zimayambitsa kuyabwa kapena kuyaka. Kugonana kungakhale kowawa. Zosinthazi zingapangitsenso kuti abambo anu agwetse mosavuta ngakhale kupsinjika kwazing'ono monga kugonana kapena kuyezetsa magazi. Kuthamanga kwa vaginito kumabweretsa kuvulaza kwapakati pazimayi ndipo potsiriza kumatha kufooketsa mkwati wanu wonse.
Chikhodzako
Pali kutsutsana kwina kuti ngati minofuyo imasintha kumtunda wanu wamakono (chikhodzodzo ndi urethra) ndi mahomoni kapena okhudzana ndi zaka. Koma pali umboni wotsimikizira kuti maseŵera otsika a estrogen amathandiza kuti vuto la mkodzo limasokonekera.
Chikhodzodzo ndi urethra (chubu yomwe imanyamula mkodzo kunja kwa chikhodzodzo chanu) ndi olemera mu zotengera za estrogen. Mofanana ndi nthendayi ndi vaginja pamene magulu anu a estrogen amatha kusamba, izi zimatayika kwambiri. Chikhodzodzo chanu sichikhoza kufalikira monga momwe chinkagwiritsidwira ntchito, ndipo mukhoza kupeza kuti mukusowa kupita kuchimbudzi kawirikawiri. Mwinanso mungazindikire kuti nthawi zina mumathamanga kapena kuthira mkodzo mukamaliza kukodza.
Matenda opatsirana m'mitsempha amatha kukhala ofala kwambiri pakusamba kwake. Maseŵera otsika a estrogen amapanga kusintha kwa umaliseche zomwe zimawonjezera mabakiteriya ambiri a UTI. Komanso, kachilombo koyambitsa khungu lanu kamakhala kosavuta kuti mabakiteriya alowe m'chikhodzodzo chanu.
Zimalimbikitsa Zizindikiro
Ngati muli ndi zizindikiro zochepa za GSM kapena ngati mukufuna kupewa kugwiritsa ntchito mankhwala omwe ali ndi ma hormone, mungaganizire kugwiritsa ntchito mafuta odzola kapena osakaniza. Zogulitsazi zilipo pamsika pa pharmacy, pa intaneti kapena m'masitolo apadera.
Mafuta a m'magulu ndibwino kwambiri ngati mukuvutika ndi kugonana. Popeza kuti abambo anu samadzimadzimadzimodzinso komanso asanagwiritse ntchito kusamba, kugwiritsa ntchito mafuta opangira mafinya kumathandiza kuchepetsa kukhumudwa, ululu, ndi zoopsa zomwe zingagwirizane ndi kugonana. Amagwira ntchito mwamsanga. Zotsatira zake ndizochita mwachidule ndipo zingafunikirenso kugwiritsidwa ntchito ngati n'kofunikira. Pali mitundu itatu ya mafuta opangira madzi:
- Madzi oyenera - Mafuta opangidwa ndi madzi ndi otetezeka kuti agwiritsidwe ntchito ndi makondomu a latex ndipo osakhala odetsa. Komabe, mafuta ena okhala ndi mafuta omwe ali ndi glycerin omwe angakhale okhumudwitsa ndipo akhoza kuonjezera chiopsezo cha matenda a yisiti. Ngati mumasankha mafuta othandizira, pewani anthu omwe ali ndi glycerin.
- Mafuta a silicone - Mafuta osungidwa ndi asilicone ali otetezeka kuti agwiritse ntchito ndi latex makondomu koma amatha kuyenga nsalu. Iwo amakhala otalikirapo kuposa madzi opangira mafuta ndipo amakhalabe ndi mphamvu m'madzi.
- Mafuta - Mafuta osungira mafuta sakhala otetezeka kugwiritsa ntchito makondomu chifukwa amatha kuchititsa kondomu kumachepetsa kuopsa kwa matenda opatsirana pogonana. Musagwiritse ntchito petroleum jelly, mafuta a mwana, kapena kutayika kwa thupi monga mafuta chifukwa ali ndi mankhwala okhumudwitsa komanso owopsa ndipo awonetsetsa kuti mumayambitsa matenda opatsirana pogonana. Komabe, mungayese kugwiritsa ntchito mafuta ambiri monga mafuta a kokonati kapena mafuta a kokonati ngati mafuta makamaka ngati muli ndi zowonjezera kapena zowonjezera.
Mosiyana ndi mavitamini a m'mimba, kugwiritsiridwa ntchito kwazimbudzi kumagwiritsidwa ntchito kusintha zizindikiro za GSM zosagwirizana ndi kugonana. Zowonjezerazi zimagwira ntchito poika chinyezi m'matumbo ndikupatsanso chithandizo chachikulu cha zizindikiro zanu. Mavitamini amadzimadzi amatha kugwiritsidwa ntchito tsiku ndi tsiku kuti athetse kuuma ndi kukhumudwa komwe kumayambitsa matenda oopsa. Mafuta a azitona ndi mafuta a kokonati angagwiritsidwe ntchito ngati zowonongeka.
Bwezerani Chosowa
Kumene mafuta ndi zowonjezera zimathandiza kuchepetsa zizindikiro za GSM, mankhwala opangidwa ndi mahomoni amachititsa kuti magazi aziyenda bwino komanso kubwereranso kumaliseche. Mwa kuyankhula kwina, amakonza vuto m'malo mochiza zizindikiro za GSM. Ngakhale kutenga ma hormoni oyenera ngati mapiritsi kapena chigamba kungachepetse kugonana kwapakati, malonda ambiri ndi zotsatira zabwino zimagwiritsidwa ntchito mwachindunji mu chikazi.
Zamagetsi zokhudzana ndi ma Estrogen: Kugwiritsa ntchito estrogen mwachindunji kumatenda a m'mimba ndi mankhwala othandiza kwambiri kwa GSM. Kawirikawiri, mudzawona kusintha kwakukulu kwa zizindikiro zanu mkati mwa masabata angapo. Pali mitundu yosiyanasiyana yosiyanasiyana ya ma totigen omwe amagwiritsa ntchito:
- Mavitamini - Zakudya zam'madzi zimagwiritsidwa ntchito kamodzi pa tsiku kwa milungu ingapo kamodzi kapena kawiri pa sabata.
- Mphete yamaginito - mphete zamagetsi zimamasulidwa ndipo zimayikidwa mukazi kwa miyezi itatu panthawi imodzi.
- Mapiritsi a magalasi - Mapiritsi a magalasi amagwiritsidwa ntchito pa ndondomeko yofanana ndi timadzi timadzi koma timakhala osasokonezeka.
Selective Estrogen Receptor Modulator: SERMs ndi gulu la mahomoni opangidwa omwe amachititsa monga estrogen ndikuletsa ntchito ya estrogen m'magulu osiyanasiyana a thupi lanu. Chitsanzo cha SERM ndi tamoxifen yomwe ndi anti-estrojeni yamphamvu yogwiritsira ntchito khansa ya m'mawere komanso imayambitsa kutentha ndi kutentha kwa amayi. Kachilombo ka SERM katsopano kakonzedwa kuti ndi chithandizo chabwino kwa GSM ndipo ali ndi FDA yovomerezeka kuti adziwe chizindikiro cha kugonana kowawa kamene kamagwirizanitsidwa ndi GSM. Komabe, ngakhale kuti maphunziro oyambirira amasonyeza kuti anti-estrogen imakhudza minofu ya m'mawere yofanana ndi tamoxifen, palibe deta yokwanira yomwe imalimbikitsa ntchito yake kwa amayi omwe ali ndi mbiri ya khansa ya m'mawere.
DHEA Yamagetsi: Njira ina yothandizira GSM ndi yowopsa kwa estrogen yotchedwa prasterone. Prasterone kapena DHEA ndi FDA yomwe imavomereza kuti ikhale ndi matenda a GSM. Ndizogwiritsira ntchito mmimba zomwe zimagwiritsidwa ntchito tsiku ndi tsiku. Kamodzi m'mimba, ma ARV amatha kukhala estrogen ndi maselo mu chikazi chanu. Maphunziro oyambirira amasonyeza kuti chifukwa estrogen imapangidwira mkati ndikugwiritsidwa ntchito mwachindunji ndi maselo anu azimayi, palibe kuyamwa kwa estrogen m'magazi anu. Izi ndi mfundo yofunikira kwa amai omwe ali estrogen sangakhale otetezeka kuti agwiritse ntchito.
Vagina Yanu: Gwiritsani Ntchito Icho Kapena Ikani Kutaya
Khulupirirani kapena ayi, kukhala ndi nthawi yogonana kumathandiza kuti mukhale ndi thanzi labwino.
Zochitika zogonana nthawi zonse zimapangitsa kuti magazi aziyenda m'magazi anu. Kuwonjezeka kwa magazi kumathandizira kulimbikitsa thanzi lakumayi ndikusunga zowonjezera ndi kutaya kwa ubenda. Ndipo, simuyenera kuopa kutenga zinthu mmanja mwanu, kwenikweni. Kuwongolera mwachidule magulu pogwiritsa ntchito maliseche kapena kugwiritsa ntchito vibrator ndiyo njira yabwino kwambiri yolimbikitsira magazi.
Ngakhale mutapuma pang'ono, muyenera kukhala ndi thanzi labwino. Mukafika pazikazi zanu mumayenera kuigwiritsa ntchito kapena mutayitaya.
Mawu Ochokera
Dontho la menopausal mu estrogen limabweretsa kusintha kwa thupi lanu. Zina mwa kusintha kumeneku ndizosasangalatsa ndipo mungasankhe kufufuza mankhwala, monga zizindikiro zokhudzana ndi matenda opatsirana pogonana. Zizindikiro izi ndizofala ndipo zimakhala zosavuta mosavuta ndi zosiyanasiyana zomwe mungapeze. Musamachite manyazi kuti mukambirane ndi zizindikiro izi ndi dokotala wanu. Pamodzi, inu ndi dokotala wanu mukhoza kupanga dongosolo la mankhwala limene lingakuthandizeni kuti mukhale ndi moyo bwino muzaka zanu zam'tsogolo.
> Chitsime:
> Kutha kwa Zizindikiro za Mwamuna. Yesetsani Bulletin No. 141. Kalasi ya American Of Obstetricians ndi Gynecologists. Chotupa ndi Gynecol 2014; 123: 202-216.