Ngati muli ndi vuto la chithokomiro limene dokotala akukuthandizani, mukhoza kukhala mukulimbana ndi zizindikiro zosiyanasiyana .
Funso limodzi loyambirira lomwe mukufunikira kulingalira ndiloti zizindikiro zomwe mukukumana nazo-komanso kunena za chithokomiro chanu-zikhoza kukhala zokhudzana ndi kuimirira kapena kutha kwa nthawi.
Kusuta nthawi kungakhale mawu olemetsa kwa amayi ena, ndipo mwina mumakonda kuganiza kuti "palibe njira, chifukwa ndikudakali pa nthawi ya kusamba," kapena "Ndili ndi zaka makumi anayi zokha basi." Koma ndikofunika kumvetsa kuti kusamba kwa thupi kumatanthauzidwa ngati mfundo yomwe simunakhale nayo nthawi ya kusamba kwa chaka.
Avereji ya zaka za kusamba kwa amayi ku America ali ndi zaka 51.
Komabe, nthawi zonse, imatchulidwa ngati nthawi yomwe imayambitsa kusamba. Kusintha kwa mahomoni anu kumachitika ngati zaka khumi musanayambe kukhala "menopausal". Izi zikutanthauza kuti ngati ndinu mkazi wanu kumapeto kwa zaka makumi atatu mpaka zaka makumi anayi, mukhoza kukhala pachiyambi; ngakhale, amayi ambiri amayamba nthawi yambiri pazaka makumi anayi.
Biology Yopitirira Kusintha
Chomwe chimachititsa kuti munthu ayambe kukulirapo ndikuti pamene mutha msinkhu, mayendedwe anu oyambirira a estrogen ndi progesterone amayamba kuchepa. Panthawi imodzimodziyo, kupatsa kwanu kwa madontho a follicles, ndipo ma follicles otsalira saganizira zolimbikitsa. Kuwonjezera apo, mazira otsalira ndi okalamba.
Dontho lachilengedwe la estrogen limene limapezeka pakapita nthawi limayambitsa zizindikiro, monga kutentha ndi kutuluka usiku. Momwe mahomoni anu akugwedezeretsanso ndi kuyandikira kwa msambo, njira zanu zozungulira follicle zimayambitsa hormone (FSH) ikukwera mwakuya, pofuna kuyesetsa kuti mapulogalamu otsalirawo aswe.
Pa nthawi yomweyi, mazira amatha kuchepetsa kupanga estrogen.
Potsirizira pake, mazira anu otetezeka amatha, ndipo magulu anu a mahomoni sangathe kuyambitsa ovulation, kusamuka kwa msambo, ndi kutha kwa msambo kumachitika.
Zizindikiro ndi Zizindikiro Za Kusintha kwa Thupi
Zizindikilo za kuimirira nthawi ndizo:
Kusamba kwa miyambo
Kusintha kwa msambo zomwe zingachitike pakapita nthawi kumaphatikizapo kuchepa kwa msambo, kutuluka mwazifupi patatha milungu itatu, kupitiliza kupenya kapena kuthamanga milungu iwiri iliyonse, kutsekedwa ndi kupunduka, kuunika koyang'ana kugonana, ndi nthawi zamphindi (muli ndi zizindikiro zonse za kusamba, popanda magazi).
Ndikofunika kuzindikira kuti ngakhale kutaya magazi kumatha kuyembekezera panthawi yomwe imakhalapo, kutaya mwadzidzidzi kosafunika koyenera kuwonetsetsa kuti kutuluka mimba, kutentha, kapena khansara, komanso kutuluka mwadzidzidzi kumayambiriro kwa dokotala kuyenera kuyesedwa mwamsanga ndi dokotala.
Kusintha kwa Mimba
Kutupa ndi kuchepa (nthawi zina lumpy) mawere akhoza kuchitika panthawi yokha, komanso kugwa, kugwedezeka, ndi kuchepa mu mawere.
Izi zikuti, ngati muwona kusintha kulikonse m'matenda anu, onetsetsani kuti mwayang'anitsitsa ndi dokotala wanu, ngakhale mutangoyamba kumene kuwonetsa mammogram.
Nkhani za Vaginal
Chifukwa cha kuchepa kwa maselo a estrogen mu thupi lanu, mukhoza kuona kuuma ndi kumverera kokwiya muchitini. Izi zingapangitse kugonana kukhala kosasangalatsa.
Nkhani Zogonana
Kuyambira pakuyamba, mukhoza kuona kuti nthawi zambiri mumachoka, mumakonda kugwidwa ndi matenda a mkodzo , komanso mumakhala ndi nkhawa.
Mavuto Ogona
Mavuto ogona omwe angakhalepo pakapita nthawi amaphatikizapo kuvutika kugona, kuwuka nthawi zambiri, kudzuka nthawi zambiri kuti amuke, kusowa kubwerera kukagona atadzuka, akudzuka msanga
Kulemera kwa kulemera
Kulemera kwa msinkhu kumakhala kofala pokhapokha. Amayi ambiri amaonanso kugawidwa kwa kulemera kwa thupi mpaka kumimba, m'chiuno, m'chiuno, ndi m'tchafu, komanso kuchepa kwa minofu.
Kusintha kwa Mkhalidwe
Akazi amafotokoza mavuto amtundu wambiri panthawi yomwe imakhala yosakwiya, kusinthasintha kwadzidzidzi, kusakhoza kuthana ndi nkhawa, kukhumudwa kwakukulu, nkhawa, ndi kupsinjika maganizo.
Kutaya tsitsi ndi / kapena kukula
Kupukuta tsitsi kapena kupweteka kwa tsitsi kumutu kapena thupi kungabwereke, kuphatikizapo kupsa tsitsi kwa abambo pamutu. Azimayi ena amapanga tsitsi losafunika pa chibwano, mkamwa wapamwamba, ndi mimba.
Kusintha kwa Khungu
Khungu lofewa, khungu lofewa, makwinya otchuka kwambiri, ngakhalenso achikulire omwe amayamba kutulutsa thupi kapena chikhalidwe chotchedwa formication (chilakolako, kutengeka pansi pa khungu) chikuwonekera poyambira.
Zizindikiro zina zodziwika bwino ndizo:
- Kutentha kumatentha
- Kutuluka kwa usiku
- Pansipa mafupa
- Mitsempha yapamwamba ya cholesterol
- Kutopa kapena kusowa kwa mphamvu
- Mavuto okhudzana ndi mtima: kuphatikizapo kupweteka kwa mtima, kugwidwa mtima , komanso kugunda kwa mtima
- Mavuto okhwima ndi kukumbukira
- Minofu ndi mgwirizano ndikumva ululu
- Kugonana kochepa
Kodi ndi Chithokomiro Chanu Kapena Kuchepetsa Nthawi?
Monga momwe mukuonera, pali zizindikiro zambiri-kutopa, kusintha kwa kulemera, ndi kutayika tsitsi , mwachitsanzo, -ndizo zachizoloŵezi zosawonongeka za chithokomiro ndi nthawi.
Kodi mungadziwe bwanji chomwe chimachititsa zizindikiro zanu?
Choyamba, muyenera kuonetsetsa kuti chithandizo chanu cha chithokomiro chimakonzedweratu . Izi zikutanthauza kuti TSH yanu ndi T4 yaulere ali pamagulu oyenera omwe amapereka chithandizo chachikulu kuchokera ku zizindikiro.
Chachiwiri, ndizothandiza kudziwa momwe mukukhalira, zizindikiro, ndi zizindikiro kwa miyezi ingapo, kuti muwonetse dokotala wanu. Sungani kalendala kapena tchati chimene chimayang'ana nthawi ya kusamba, kuphatikizapo zizindikiro za PMS, kuchepa kwa kusamba kwanu, ndi zina (monga mazenera ndi mtundu.)
Ngati muli ndi zizindikiro zazikulu zowonongeka kwa thupi, kapena zizindikiro zomwe sichimasulidwa ndi chithandizo chabwino cha chithokomiro, ndipo muli ndi zaka zoposa 40, ndi nthawi yoti mufunikire kugwira ntchito ndi dokotala wanu kuti muone ngati muli ndi vuto lotani.
Kuwunika ndondomeko yanu, zizindikiro, kuyezetsa FSH, kuyesa mahomoni ogonana (mwachitsanzo, estrogen ndi progesterone), kufufuza mwakachetechete, ndi mbiri yeniyeni ya zachipatala komanso zachipatala, zingathandize dokotala kudziwa ngati mukukumana ndi vutoli.
Potsiriza, ngati pali kusiyana kosayerekezereka pakati pa mahomoni ogonana omwe akuyambitsa zizindikiro, dokotala wanu angapereke mankhwala (monga mankhwala omwe amachititsa kuti mankhwala asinthidwe) kapena kusintha kwa moyo kumathandiza kuwongolera ndi kuchepetsa zizindikiro.
Mawu ochokera
Mlingo wa hypothyroidism umakwera kwambiri pakapita nthawi ndi pambuyo pa kutha kwa thupi; Komabe, nkofunika kumvetsetsa kuti chithokomiro chanu sichinayanjane mwachindunji ndi zizindikiro za kusamba kwa mimba (zambiri za izo zimachokera ku kuphatikizana kovuta kwa estrogen kutaya ndi kuwonjezeka zaka).
Zonsezi, uthenga wochokera kunyumba ndi wakuti ngati mukulimbana ndi kutopa, kupindula, kuvutika maganizo, kapena zizindikiro zina za kuchepetsa mphamvu ya mahomoni, onetsetsani kuti mukupempha chithandizo cha chithokomiro chochokera kuchipatala chanu.
> Zotsatira:
> G Ganda S, Tonacchera M, Vitti P. Chithokomiro ndi kusamba. Kusintha kwa malo . 2014 Jun; 17 (3): 225-34.
> North American Menopause Society. (2014). Mmene Mungayambira Kusamba: Buku la Clinician, 5th. Mayfield Heights, OH: North American Menopause Society.