Gawo lachilengedwe la moyo wa mkazi lomwe ndi lokongola komanso lamadza ndi kusintha
Mwinamwake mwamvapo "Ndimamva kuti ndikumenyedwa" pamene mzanga wapamtima akukhala, kunena, kutentha. Koma nthawi zambiri, pokhala ndi zizindikiro kwenikweni ndi mbali ya kupuma kwa thupi, ndilo gawo lomwe limayambitsa kutha msinkhu -nthawi yomwe nthawi ya kusamba kwanu yayima kwa miyezi 12.
Kenaka, ngati mkazi sanasambe chaka chimodzi (atha msinkhu), amachedwa kukhala wamwamuna wam'mbuyo.
Ngakhale kuti zizindikiro zina za kupuma kwa thupi zimapitirirabe kupita kumapeto kwa nthawi, ambiri a iwo amakhala ochepa komanso / kapena ochepa. Ngakhale zili choncho, ndizofunika kuzindikira kuti amayi ena sawona zizindikiro zosiyana siyana-amangosiya kusamba pamene matupi awo akuganiza kuti ndi nthawi.
Zizindikiro za Kuimitsa Pakati
Zaka zomwe zizindikiro za kuperewera kwa thupi zimakhala zosiyana, koma kawirikawiri, amayi ambiri amayamba kuzindikira zozizwitsa zapakati pa 40, ndipo ali ndi zaka zakubadwa zokhala ndi zaka 47. Ndiye, msinkhu wa zaka zomwe mkazi amafika pa kusamba kwa nthawi (pamene sanakhalepo kwa chaka chimodzi) ali ndi zaka 51.
Mndandanda wa zizindikiro zomwe zimachitika kawirikawiri ndizitali, koma, kumbukirani, mkazi aliyense amakhala ndi "kusakaniza" komwe kaŵirikaŵiri (ndi kothokoza) sikuphatikizapo onsewo.
Kusintha kwa Nthawi
Kusintha kwa msambo kumakhala kozoloŵera panthawi yopuma. Nthawi yanu ingakhale yofupika, kapena ikhale yaitali. Mutha kuwona kutaya magazi kapena kuchepa pang'ono panthawi yanu.
Mwinanso mukhoza kuphonya nthawi. Ngakhale zili choncho, ndi bwino kulankhula ndi dokotala wanu za kusintha komwe mukupita kumwezi, monga kutuluka kwachilendo kungakhale chizindikiro cha vuto linalake.
Kutentha Kwambiri ndi / kapena Nsapato za Mdima.
Kutentha kotentha ndikutentha kwadzidzidzi m'bwalo lanu ndi nkhope. Kuwotcha kwa moto kumakhala kofala kwambiri panthawi yomwe imakhalapo koma nthawi zambiri zimakhala zosiyana momwe zimakhalira komanso kuuma kwake.
Mwachitsanzo, amayi ena amawotchedwa flash yotentha apa ndi apo pomwe amayi ena amawona angapo patsiku. Mofananamo, kwa akazi ena, kutentha ndikutentha pang'ono tsiku lawo, koma kwa amayi ena, iwo akhoza kufooka kwambiri.
Thuku la usiku limatanthauzira kutentha kwachangu komwe kumachitika pogona. Kutuluka kwa usiku kungasokoneze kugona kwa mkazi komwe kungabweretse kutopa kwa masana.
Kusintha kwa Mkhalidwe
Kusintha kwa thupi kumasintha ndi kusuntha kumakhala kofala panthawi yomwe imakhalapo ndipo imakhala ndi zizindikiro za kuvutika maganizo ndi nkhawa.
Komanso, ngakhale kuti ndi zachilendo kukhala okhumudwa kwambiri kuposa nthawi zonse, onetsetsani kuti mukufuna uphungu wa dokotala wanu kapena katswiri wa zamaganizo ngati mukukumana ndi zizindikiro zosalekeza, kapena ngati zikukhudza moyo wanu.
Kuuma kwa Vaginal
Kuuma kwapachikazi (kumatchedwa abrotic atrophy) kumakhala kofala panthawi yomwe imakhalapo ndipo chifukwa cha thupi lanu lachepetsedwa kupanga hormone estrogen. Kuuma kwapachikazi ndi chizindikiro chimodzi chimene chikhoza kuwonjezereka ngati mkazi akukula ndipo akhoza kugonana kuti asamamve bwino.
Ndikofunika kulankhula ndi dokotala ngati kuyanika kwa amayi kumakhala kovuta kwa inu, popeza pali njira zingapo zomwe mungayesere kuti muzigwiritsa ntchito mafuta odzola kapena osakaniza kapena mankhwala ovomerezeka.
Zovuta Kugona
Zingakhale zovuta kugona (kutchedwa kugona ) kapena kugona, makamaka ngati mukuvutika ndi kutuluka kwa usiku kapena kusintha kwa mahomoni.
Kuwonjezeka kwa Mafuta Ku Chiuno.
Mutha kuona chingwe chokwanira pa nthawi yoyamba. Kusintha kumeneku kungakhale mbali imodzi chifukwa cha kuwonongeka kwa estrogen, zomwe akatswiri amakhulupirira kuti zimayambitsa kugawidwa kwa amayi.
Kodi mungatani? Yesetsani kutsatira zakudya zathanzi, zotsika kwambiri m'magulu komanso kuchita masewero olimbitsa thupi (osachepera 30 minutes, katatu pa sabata, kuyenda kapena kuchita masewera olimbitsa thupi).
Mtima Wopweteka (Palpitations)
Kuthamanga kwa mtima kumachokera ku kusintha kwa mahomoni koma kungakhalenso zizindikiro za kuchepa kwa magazi kapena matenda a chithokomiro, choncho onetsetsani kuti mukuwona dokotala wanu chifukwa cha kusokonezeka kwa mtima.
Khungu Lonyema Ndiponso Kutaya Tsitsi
Kusintha kwa khungu ndi tsitsi kumakhalanso kofala, ndipo kungayambike pang'onopang'ono, monga momwe maitiro a estrogen akuyamba kuchepa. Chifukwa cha kusintha kwa khungu, amayi nthawi zambiri amazindikira kuti sakhala olimba komanso khungu lofewa, chifukwa cha kuchepa kwa collagen komanso kuchepa kwa madzi.
Kutayika tsitsi kumapeto kwa kutha kwa thupi kumayesedwa chifukwa cha kusalinganikirana pakati pa estrogen ndi vidiyo ya androgen mu thupi la mkazi. Izi zingachititse tsitsi kupatulira, makamaka pamwamba pa khungu ndi kutsogolo kwa mutu.
Magalimoto Ochepetsa Kugonana
Kusintha kwa mahomoni komwe kumachitika pakapita nthawi nthawi zambiri kumayambitsa kutaya chidwi kwa kugonana komwe amai ambiri omwe amawawona amapezeka.
Kuwonjezeka kwa Mavuto a Urinary
Monga momwe chikwama cha umaliseche chimakhala chochepa kwambiri kuchokera ku dontho la amai la estrogen pa nthawi ya kusamba, kukwera kwa chikhodzodzo cha mkazi ndi urethra kumapwetekanso. Zimenezi zingachititse kuti chiwerengero cha matenda otukuka m'matumbo ndiwonjezereke komanso / kapena chiwerengero chokwanira chotsitsa mkodzo (kutaya chikhodzodzo).
Kuiŵala
Mavuto a kukumbukira komanso osamvetsetsana amapezeka nthawi zonse. Musamawopsyeze ngati mukupeza kuti mukuiwala zinthu kapena simungathe kuganizira ntchito yomwe mwakhala nayo. Inde, ngati vuto liri lalikulu kapena loipa kwambiri, muyenera kufunsa dokotala wanu.
Malingana ngati mndandandawu ulipo, palinso zizindikiro zina zomwe zimapezekapo. Muyeneranso kudziwa kuti zizindikiro zosiyana siyana, monga matenda a chithokomiro , zimatha kufanana ndi zomwe zimachitika nthawi zonse. Monga tcheru, fufuzani ndi dokotala mukakhala ndi zizindikiro zosadziwika.
Kumvetsetsa Zizindikilo Zomwe Mumazichita
Kafukufuku amasonyeza kuti zizindikiro zina zowonongeka zimakhala bwino makamaka mukakhala amodzi, kuphatikizapo kukhumudwa, kukhumudwa, ndi kuvutika kukagona.
Komabe, zizindikiro zogwirizana ndi maselo otsika a estrogen m'munsi mwathupi, monga kuuma kwa umuna ndi kusadziletsa, kumangopitirirabe ndipo kungakhale kovuta kwambiri ndi ukalamba.
Kuchiza Panthawi Yopuma
Ngati zizindikiro zanu zikukhumudwitsa koma musakulepheretseni kuchita zomwe mumachita tsiku ndi tsiku, simungafunike chithandizo. Komabe, ngati zizindikiro zanu zakupangitsani kuti musamamve bwino, dokotala wanu akhoza kupereka mankhwala omwe angakuthandizeni kuti mukhale bwino. Kapena, iye angapereke chithandizo kwa mankhwala onse ndi kusintha kwa moyo.
Mankhwala a Zizindikiro Zomwe Zimapangidwira
Ngati dokotala akukulimbikitsani mankhwala kuti athetse zizindikiro zanu zoyipa, iye angapereke mankhwala othandizira kuti asamalowe m'malo mwake (estrogen kapena kuphatikizapo estrogen ndi progestin, mawonekedwe a ma progesterone a hormone). Mankhwala opatsirana am'madzi amatha kutengedwa mwachizolowezi (mwachitsanzo, chikopa cha khungu) kapena kwanuko (mwachitsanzo, vaginisitini ya m'mimba kuti athe kuchiza).
Mankhwala osamalidwa a homoni sangathe kutengedwa ndi amayi onse, ndipo amakhala ndi zoopsa zaumoyo, ngakhale kwa amayi abwino. Ichi ndichifukwa chake ngati mankhwala opatsirana amadzimadzi amatchulidwa, amatengedwa kwa nthawi yochepa kwambiri (kawirikawiri osapitirira zaka zisanu).
Malinga ndi zizindikiro zanu zosiyana, dokotala wanu angagwiritse ntchito mankhwala ena monga mankhwala odetsa nkhawa kuti athandize maganizo anu kapena ngakhale kutentha kwanu.
Zamoyo Zosintha Zomwe Zingakuthandizeni
Amayi ambiri amasankha njira ya "chirengedwe" kuti athetse vuto lachidziwitso cha matendawa kapena kungofuna kuyesera kuti ayambe kupeza chithandizo popanda mankhwala. Koma ngati mumagwiritsa ntchito mankhwala kapena ayi, mutha kupindula mwa kupanga moyo wotsatira kusintha:
- Kudya zakudya zathanzi komanso zabwino zomwe zimaphatikizapo zipatso zosiyanasiyana, ndiwo zamasamba, ndi mbewu zonse.
- Pezani pafupifupi 1 mg mpaka 1,200 mg ya kashiamu patsiku, ndipo ngati simukupeza calcium yokwanira mu chakudya chanu (ndiyo njira yabwino) yang'anani mankhwala othandizira calcium motsogoleredwa ndi dokotala wanu.
- Muzichita masewera olimbitsa thupi nthawi zonse
- Sungani diary chakudya kuti mudziwe ngati zomwe mukudya zimapangitsa kuti zizindikiro zanu zikhale zovuta (kapena, mwachiyembekezo, ndibwino).
Mawu Ochokera
Ndikofunika kutchula kuti amayi ena samawona chilengedwe. Mwachitsanzo, amayi omwe ali ndi ziwalo zonse za m'mimba ndi mazira awo omwe amachotsedwa amachotsedwa nthawi zambiri amayamba kupaleshoni (kumatchedwanso kuchepa kwa thupi).
Zizindikiro za mitsempha, makamaka kutentha kwa moto, zingakhale zovuta kwambiri kwa amayi omwe adayamba kuchepetsa kusamba, ndiye chifukwa chake amayi ambiri amapita ku mankhwala omwe amachititsa mankhwala (ngati angathe) motsogoleredwa ndi amayi awo.
Pomalizira, kupatula opaleshoni, palinso zina zomwe zimayambitsa kusamba kwa thupi monga ngati mayi ali ndi miyendo ya m'mimba kapena amatenga mankhwala enaake.
> Zotsatira:
> Ahsan M, Mallick AK, Singh R, Prasad RR. Kuyeza kwa matenda a menopausal pakapita nthawi ndi kupita kuchipatala kuchipatala chachikulu. J Basic Clinic Reprod Sci 2015; 4: 14-9.
> American College of Obstetrics ndi Gynecologists. (2015). Mafunso Omwe Amadzifunsa Kawirikawiri: Kutha Kwambiri Kusamba.
> American Congress of Obstetricians ndi Gynecologists Education Booklet. (2010). Kusintha kwa Mid Mid: Kusintha kwa Pakati pa Kusamuka kwa Mimba.
> Brubaker M. University of California, San Diego (2016). Kusamalira Mimba Kumayambiriro Pulogalamu Yake Yoyamba ku San Diego.
> North American Menopause Society. (2014). Zomwe Zimayambira Mwezi: Buku la Clinician, 5th ed. Mayfield Heights, OH: North American Menopause Society.