Kuwala Kwambiri ndi Kutentha Kwausiya Ndizozoloŵera
Amayi ambiri omwe amatha kusamba amadziwika bwino ndi kutentha ndi kutentha kwa usiku komwe kumaonetsa kusinthaku. Mawu a zamankhwala chifukwa cha kutentha kwa moto ndi zizindikiro zapadera.
Kutentha kwamoto kumayambira mwadzidzidzi, ndikumverera kotentha kumayamba kuzungulira chifuwa ndi nkhope, ndikufalikira. Kumverera kwa kutentha, limodzi ndi thukuta lolemera ndi nthawi zina kumatenda , kumakhala kwa mphindi ziwiri kapena zinayi.
Pambuyo pake, akazi ena amamva kukhumudwa, kunjenjemera, ndi nkhawa.
Ngakhale kutentha kwathunthu, kutentha kwakukulu kungasokoneze amayi omwe amawawona. Ngakhale kuti amayi ena amawotcha kansalu imodzi yotentha tsiku, ena amakhala ndi ora lililonse usiku ndi usana. Kuwonjezera pa kusokoneza ndi kusasangalatsa, kutentha kotentha kumatha kusokoneza kugona pamene kumachitika usiku.
Kutentha Kwambiri Pakutha Kwa Kusamba
Pafupifupi 80 peresenti ya amayi omwe ali ndi vuto la kuchepa kwa thupi amayamba kutentha. Zimakhala zofala kwambiri kumapeto kwa kusintha kwa msambo, pomwe mayiyo asanalowe kumapeto kwake.
Ngakhale kuti nthawi ina ankaganiza kuti kutentha kwaima kwaima kwa zaka zingapo, zikuwonjezeka kafufuzidwe kuti akhoza kukhala motalikirapo kuposa momwe ankakhulupirira kale. Malinga ndi North American Menopause Society, kwa amayi ambiri, kutentha kwakukulu kwa zaka zisanu ndi zisanu ndi ziwiri, koma kwa ena, kumatha zaka 10 mpaka 15. Azimayi ena amatha kutentha kwambiri kwa zaka zoposa 20.
Zifukwa za Zizindikiro za Vasomotor
Pakati pa kusintha kwa kusamba kwa thupi , maselo a hormone estrogen ayamba kugwa. Kutaya kwa estrogen kumapangitsa mphamvu ya thupi kuyendetsa kutentha bwino, kuchititsa yankho la thukuta pamtambo wotsika kwambiri kuposa wachibadwa.
Kumverera kwa kutentha nthawi yotentha kumabwera chifukwa cha kutseguka kwa mitsempha ya magazi pafupi ndi khungu, kenaka kuwonjezeka kwa magazi.
Kuwombera kumachepetsa kutentha kwa thupi ndiyeno kungachititse kuti kunjenjemera kuwonjezere kutentha kumbuyo kwachibadwa.
Matenda a Hormonal for Symptoms Symptoms
Manopausal hormone therapy (MHT) ndi yothandiza kwambiri pochiza zizindikiro zapopopotomu zomwe zimakhala zochepa kwambiri. Akazi omwe ali ndi hysterectomy (kuchotsa chiberekero) angathe kutenga estrogen yekha. Mkazi yemwe ali ndi chiberekero chake adzalamulidwa kuphatikizapo estrogen ndi progestin. Progestin imafunika kuchepetsa chiopsezo cha khansa ya uterine.
Komabe, chifukwa chakuti MHT imakhudzana ndi matenda a mtima , khansa ya m'mawere , magazi , ndi zilonda m'mabambo akuluakulu omwe amachititsa amayi kumbuyo, amayi amalangizidwa kuti azigwiritsa ntchito mlingo wawung'ono kwambiri nthawi yochuluka kwambiri (osapitirira zaka zisanu).
Akazi omwe ali ndi mbiri ya zikhalidwe zina, kuphatikizapo khansa ya m'mawere, matenda a mtima, amagazi a magazi, matenda a mtima, ndi kukwapulidwa ayenera kuganizira njira zina zothandizira odwala. Azimayi omwe ali pangozi yaikulu chifukwa cha mavuto ameneŵa ayenera kuganiziranso njira zina.
Mankhwala Osamadzi a Hormoni Opaka Mafuta Otsatsa
Azimayi omwe sangagwiritse ntchito mahomoni, kapena osasankha, ali ndi njira zina zambiri. Nyuzipepala ya North American Menopause Society imalimbikitsa mitundu yosiyanasiyana ya mankhwala osapanga:
- Chithandizo chamaganizo
- Kusamalidwa kwachipatala
- Paroxetine mchere
- Kusankha serotonin reuptake / norepinephrine reuptake inhibitors, yotchedwanso SSRI
- Clonidine
Inde, mankhwala abwino kwambiri kwa inu ndi omwe amakugwiritsani ntchito. Azimayi ambiri omwe amawotcha kwambiri amati amapeza mpumulo ku njira monga kuchepetsa kutentha kwa firimu, kugwiritsa ntchito mafani, kuvala m'zigawo zomwe zingathe kutsukidwa mosavuta, komanso kupeŵa zokopa monga zakudya zonunkhira.
> Zotsatira:
> Nonhormonal Management of Symptoms-Associated Symptoms: Journal of The American American Menopause Society . 22, No. 11, 1155-77.
> Thurston RC, Joffe H. Vasomotor Zizindikiro ndi Kusuta Kwambiri: Zotsatira za Phunziro la Azimayi Amoyo Padziko Lonse. Zipatala za Amuna ndi Amayi a ku North America . 2011; 38 (3): 489-501. lembani: 10.1016 / j.ogc.2011.05.006.