Chikhalidwe Chimene Chinayambitsidwa ndi Kusintha kwa Hormone
Kuthamanga kwa nkhope kumatchulidwa bwino ngati kutentha, kutentha komwe kumachititsa nkhope, khosi, ndi chifuwa kuti ziwoneke bwino. Kaŵirikaŵiri zimatsagana ndi kutenthedwa kozizira , kutentha kwadzidzidzi ndi kotentha kwa thupi lomwe lingathe kukhalapo kuyambira masekondi 30 mpaka mphindi zisanu.
Kuwotcha ndi kutentha kwa nkhope kumakhala ndi zizindikiro zofala zomwe zingakhale zosavuta kumangokhalira kukhumudwa kwambiri.
Ngakhale pali zambiri zomwe zimayambitsa mikhalidwe iyi, kusamba kwa thupi ndi chimodzi mwazofala kwambiri.
Azimayi ambiri sangadabwe kumva kuti kutentha kwakukulu kumachitika pafupifupi 80 peresenti ya amayi am'maopausal, nthawi zambiri mogwirizana ndi kutuluka kwa chifuwa.
Mmene Kumayambira Kutha Kumayambitsa Kuwala Kwambiri
Kuwotcha ndi kutentha kwa nkhope kumachitika chifukwa cha kuchepa kwa malo omwe aikidwa pamtunda wa ubongo (wotchedwa hypothalamus). Kusintha kwa mankhwala m'gawo limenelo la ubongo nthawi zina kumapusitsa kuti aganizire kuti kutentha kwa thupi kumakhala kotsika kwambiri kapena kotsika kwambiri.
Panthawi yotentha, mitsempha yamagazi khungu imakula mofulumira, kuyambitsa redness ndi kutentha, kutentha. Poyankha, thupi lidzasiya kutentha kwake mofulumira, kuchepetsa ziwiya ndi kutentha kutentha. Ichi ndichifukwa chake amai nthawi zambiri amamveka thukuta ndikuyamba kunjenjemera nthawi yotentha.
Kupuma kwa mimba kumayambitsa matendawa mwa kusintha kusintha kwake kwa thupi.
Pa nthawi ya kusintha kwa thupi, mazira amayamba kuyima kugwira ntchito, kuchititsa ma level estrogen kusiya. Estrogen, mahomoni omwe ali pakati pa abambo opatsirana pogonana, amathandizanso kukhazikitsa malo oyendetsa kutentha kwa ubongo. Monga magulu a estrogen akugwa kapena akusinthasintha, thupi lachilengedwe limatha kupita ku haywire mpaka palimodzi ndikubwezeretsedwa.
Kuchiza
Ngakhale kutentha kapena kuthamanga kwa nkhope sikuchiritsidwa pa se, zimatha kuyendetsedwa. Njira yabwino kwambiri ndiyo mankhwala a estrogen, omwe angatengedwe pamlomo (pakamwa) kapena transdermally (kudzera pakhungu). Amayi omwe ali ndi chiberekero chosagwiritsidwa ntchito, progesterone iyenera kulamulidwa pang'onopang'ono kuti zisawonongeke minofu ya uterine.
Palinso madokotala ambiri omwe sali odwala omwe amatha kuchipatala, kuphatikizapo a Brisdelle (paroxetine) ovutika maganizo. Mankhwala ena a magazi, monga clonidine, asonyezedwa kuti achepetse kuthamanga mwa kuyendetsa mankhwala m'kakhungu ka ubongo ku lamulo la kutentha. Mankhwala ena amaphatikizapo progestins, Effexor (venlafaxine), ndi Neurontin (gabapentin).
Kukonzekera zitsamba zomwe zili ndi soy zimaganiziranso kuti kuchepetsa kuphulika kwa amayi ena. (Zomwezo sizingathe kunenedwa pa ginseng, black cohosh, kapena St. John's Wort yomwe nthawi zambiri imagulitsidwa ngati yopindulitsa populumutsidwa ndi zizindikiro za menopausal.)
Popeza chakudya chowotcha komanso kupsinjika maganizo kungawonongeke, kuyamwa kotsekemera ndi zakudya zokometsera pa nthawi ya kusamba kungakuthandizeni, monga momwe mungathandizire yoga ndi zinthu zina zomwe zimalimbikitsa kupuma msanga.
Zina zomwe sizinagwiritsidwe ntchito zachipatala zimaphatikizapo kuchepetsa kuchepa kwa khofi ndi / kapena kumwa mowa, monga kuvala zovala zonyansa.
Kusiya kusuta kumalimbikitsidwanso.
> Zosowa
> Freedman, R. "Kuwotcha kwa minofu: Mankhwala, endocrinology, mankhwala .: J Steroid Biochem Mol Biol . 2014 Jul; 142: 115-20.
> North American Menopause Society. Zomwe Zimayambira Kumapeto: Buku la Clinician (Buku la 5). 2014; ISBN 978-0-692-26135-4.