Vaginal Atrophy Zizindikiro ndi Chithandizo Panthawi Kusamba
Kuuma kwa magazi ndi chizindikiro cha kutha kwa thupi kumene kungasokoneze umoyo wanu komanso kumakhudza kugonana kwanu, koma ndi chimodzi chimene amayi ambiri samawauza madokotala awo. Zifukwa zomwe sitikudandaula nazo zimakhala zochititsa manyazi kuti tiganizire kuti ndizosapeweka zomwe tiyenera kuvomereza. Koma ngati kuyanika kwa ubeni kapena zizindikiro zina za kugonana kwa abambo kukuvutitsani, pali chinachake chimene mungachitepo.
Imodzi mwa kuchepa kwa kusamba kwa thupi ndiko kuchepetsanso mavitamini a m'mimba ndi m'mimba monga estrogen. Kupukuta kwa minofu kumayambitsa zizindikiro zambiri zomwe zingakhale zokhumudwitsa, zosasangalatsa kapena zochititsa manyazi.
Kodi Zizindikiro Ndi Ziti?
Pamene estrogen imatha m'zaka za mimba, ziwalo zambiri za thupi lanu zimayamba kukhala zochepa. Izi ndizowona makamaka m'magazi omwe amapezeka m'thupi lanu komanso m'mimba. Pang'onopang'ono, tsamba lakumaliseche ndi lakumtunda limakhala losavuta kusintha, losafepa pang'ono komanso lovulazidwa mosavuta. Zina mwa zizindikiro za kuwonongeka kwa zoterezi ndi izi:
- Kupweteka kapena kutuluka magazi ndi kugonana
- Vaginal youma kapena kuyaka
- Kusakaniza kwamtendere
- Matenda ambiri a chikhodzodzo
- Kuwotcha kapena kufulumira ndi kukodza
- Kusamba kwa madzi m'madzi
Mutha kuona kuti mumayamba kutaya mkodzo pang'ono mukakokera, kapena kuti kugonana sikungakhale kovuta kapena kosautsa. Zingayambe kutentha mukamayambitsa, kapena mungaone kuchepa kwa madzi, omwe simunawapezepo kale.
Izi ndizisonyezero kuti mwina mukukumana ndi chiwerewere.
Kodi Mungatani Ponena za Vaginal Atrophy?
Pali njira zingapo zoyenera kuthana ndi kuuma kwa amayi ndi zizindikiro zina za kugonana kwa amayi; njira yabwino kwambiri yothandizira amayi kumenyana ndi ma ARV. Kusintha ma estrogen omwe mazira anu osapanganso ndi njira yabwino kwambiri yothetsera zizindikirozi.
Mungathe kuchita izi ndi:
- Isrogen yowonongeka. Ngati muli ndi zizindikiro zina zam'maopausal monga kutentha kotentha kapena kusintha kwa maganizo, mungafunike kuganizira mlingo wochepa wa estrogen woperekedwa mu mapiritsi, patch kapena kirimu. Mankhwalawa amatha kusintha malo otchedwa estrogen monga thupi lanu likukonzekera kusamba, kuchepetsa zizindikiro zanu.
- Wachigawo cha estrogen. Ngati kuuma kwa abinayi kapena zizindikiro za umvine ndizodandaula zanu zokha, mungaganizire estrogen yomwe imaperekedwa kudzera mu kirimu, piritsi kapena mphete yomwe imayikidwa mwachindunji mukazi. The estrogen kawirikawiri imangokhalira kumalo okhaokha ndipo alibe zotsatira zambiri.
Ngakhalenso mankhwala opangira mahomoni amakhala ndi zoopsa zina. Ngati njira ya mahomoni ndi imodzi yomwe mukuganiza kuti ndi yabwino kwa inu, kambiranani ndi wothandizira zachipatala.
Ngati simukufuna kuti mukhale ndi mankhwala otchedwa hormone, kapena ngati mukungofuna kuthana ndi zizindikiro pogwiritsa ntchito njira zopanda mahomoni, pali zina zomwe mungayese:
- Mafuta a maginito. Mafuta a m'magulu angapangitse kusiyana kwakukulu ndi ukazi wouma, makamaka pa nthawi yogonana. Pali zowonjezera madzi komanso zitsulo zamadzimadzi, zomwe zimakhala zochokera m'madzi zimakhala zochepa kwambiri zomwe zimayambitsa matendawa, komanso zotsalira za silicone zomwe zimatenga nthawi yayitali. Pali ziwerengero za zisankho, ndipo kusankha mtundu wa lubricant kuti mugwiritse ntchito kungatenge nthawi yochepa.
- Vaginal moisturizers. Mafuta a mavitamini ndi abwino kwa nthawi yayitali, koma nthawi zambiri amathandizanso kugwiritsa ntchito mphamvu zamadzimadzi. Zosakaniza zowonjezera zimagwira ntchito masiku angapo ndipo zimatha kupangitsa kuti mazira ndi mazenera amkati aziwoneka bwino komanso amphamvu. Kuwagwiritsa ntchito tsiku lililonse kapena tsiku lililonse lachitatu kungathandize kuchepetsa ndi kuchepetsa zizindikiro.
- Muzigonana. Kupitiriza ndi kugonana ndi njira yabwino kwambiri yobweretsera magazi m'deralo ndikudyetsa maselo a m'mimba. Lankhulani ndi mnzanuyo za mavuto omwe muli nawo, ndipo kambiranani njira zoyenera. Zambiri zomwe zimalimbikitsa komanso kukondweretsa, komanso kutsegula maliseche, zimapangitsa kuti dera lanu likhale lamtendere komanso labwino. Osatikakamiza chirichonse chomwe chimapweteka, koma musalole izi kusintha mthupi lanu kuchotsa chisangalalo ndi ubwenzi umene kugonana kumabweretsa ubale.
- Phunzirani zochita masewero a pelvic. Zochita zapelvic pansi monga zochitika za Kegel ndi zina zapamwamba za mankhwala a Pilates ndi zabwino kwambiri kuti muteteze malo anu opatsirana pogonana. Zimathandizira kusunga zosangalatsa zogonana ndi zokondweretsa, komanso kuthandizira kugonana kosabisa. Zochita zanu zingakhale zosawoneka kwa ena, koma zingathe kusintha kusiyana kwa chiwerewere chanu.
Mwamwayi, makhothiwa adakalipo pa mankhwala achilengedwe ndi mankhwala otha msinkhu. Ngakhale kuti amayi ena amapereka chithandizo chochuluka ndi mapuloteni a progesterone kapena black cohosh , kafukufuku sapitiriza kutsimikizira mankhwalawa.
Kodi Pa Horizon?
Kafukufuku wam'mbuyomu akupitirira, ndipo palinso mankhwala ovomerezeka otchedwa estrogen receptor modulators (SERM) omwe amayesedwa kuti azitsatiridwa ndi ubini ndi atrophy. Zina mwa mankhwalawa zakhala zikugwiritsidwa ntchito poyendetsa matenda a mitsempha, koma ena akukonzedwa kuti athe kuthandizira zizindikiro zina za mimba.
Dokotala aliyense, namwino kapena wothandizira wina yemwe amagwira ntchito nthawi zonse ndi amayi am'mawa amadziwa kuti zizindikiro za m'mimba ndizovuta. Odziwa ntchitoyi akhoza kukhala njira yabwino kwambiri yothandizira anthu omwe akudwala panopa komanso akhoza kunena za zifukwa zanu zoopsa. Muli ndi ufulu wokhala omasuka ndikupitirizabe kusangalala ndi thupi lanu ndi moyo wanu, choncho ngakhale mutakhala kuti simungathe kumvetsetsa nkhani ya ukazi wouma, muli ndi zambiri zomwe mungapindule pochita zimenezi. Musalole manyazi amakulepheretseni kupeza thandizo lomwe mukusowa.
Zotsatira:
> Boston Women's Health Book Collective, Matupi Athu, Okha: Kusamba, > Touchstone / Simon > ndi Shuster, New York. 2006.
> North American Menopause Society, (NAMS), Buku Lokambirana la Kukhazikitsa Kwaokha : Kuwathandiza Akazi Kupanga Zosankha Zaumoyo Zodziwika Pakati pa Kusamba ndi Kupitirira, 6th > Edition >, > North American Menopause Society, 2006. Kuchokera 22 > Feb, > 2008.
> Van der Laak, JAWM, et al, "Zotsatira za Replens® pazithunzithunzi za m'mimba pochiza matenda a postmenopausal: cytomorphology versus > kompyuta > cytometry", J Clin Pathol, > June, > 2002; Vol. 55: 6-6: 446-451, Retrieved 22 > Feb, > 2008.