Ukuqeda isisu kuqala kudla ngokufunyanwa ngabafazi. Ukwephulwa okunjalo kubangela isimo sokwesaba, abafazi balahlekelwa, abayiqondi indlela yokujongana nayo, kunye nento yokwenza. Cinga ngombuso ngokubanzi, ukugqamisa izizathu zalo, iimpawu zokuqala kokuphuma komfazi kwabasetyhini, iindlela zonyango.
Ubudala bokuqala kokuphuma kwesisu
Ngaphantsi kwe "ntshukumo yokuqala" i-gynecologists ithetha isimo somzimba womfazi, apho kukho ukupheliswa kokutshintsha kwexesha ngaphambi kokuba kufike umhla. Ngethuba lonyaka, inyanga nganye ingabi khona iindidi eziliqela ngokulandelelana, emva koko zinyamalale ngokupheleleyo. Ukuqeda umva kwangaphambili kukhula. Oku kuphulwa kuthiwa xa kungabikho kokuphuma kwimihla kuphawulwe ngaphaya kwelo bhinqa liya kuba neminyaka engama-40 ubudala.
Ngokuqhelekileyo ubudala beminyaka besifazane buphakathi kweminyaka engama-46 no-54. Xa inyanga nganye ilahlekelwa rhoqo, iyancipha kakhulu, zikhona ezimbalwa izijikelezo, zithi malunga nokuqala kwesisu. Ukuba le meko iyaqhubeka kwiminyaka engama-35-40, i-diagnostic yenziwa - ukuphuma kwesikhashana. I-Pathology ayinqabile - ku-1 kuma-100 aphakathi kwamabhinqa aphakathi.
Iimbangela zokusuka kwexesha lokuqala
Izimbangela zokusuka kwimihla yokuqala kwexesha ziyahluka. Ngenxa yoko, imisebenzi yokuxilonga yenziwa ixesha elide. Ngokuqhelekileyo, oogqirha baqinisekisa ukuba ukuphulwa kwangoko kubangelwa izizathu ezininzi. Phakathi kwezinto eziphambili, ezikhuselayo, kuyinto yesiko ukunika:
- Izifo ezihamba ngokuzenzekelayo zivela kwizifo ezifana nesifo sikashukela, i-hypothyroidism, thyroiditis, isifo sika-Addison (ukungakwazi ukusebenza kwe-correl ye-adrenal).
- Iziphumo ze-chemotherapy, i-wave radiation irradiation - ngenxa yonyango lweenkqubo ezinjenge-tumor. Ukuqala kokuqala kokuphuma kwesisu kungabangelwa ukugqithiswa kweziyobisi ezinamandla (i-chemotherapy), ephazamisa ukusebenza kwama-ovari.
- Imikhwa emibi - ukutshaya kakubi kukuchaphazela ukusebenza kweengcingo zesini. Ucwaningo luye lwabonisa: I-15% yabasetyhini abanexesha lokusuka kwimizuzu yokuqala yilapho ababhemayo abanzima.
- Iimeko ezixinzelelekileyo - ngexesha lokuxhatshazwa, amava ahlanganiswa kwinani elikhulu le-adrenaline, elivimbela ukuveliswa kwe-hormones yesini kubasetyhini.
- Ubungcungcutheko-obushukunyiswa ngethuba lokuqala, ukusukela kwimiqathango yokulala ngokwesondo i-X-chromosome, eyadluliselwa kumgca wesifazane.
- Ingenelelo yokuphanda kwimizimba yokuzala, ukususwa kwee-ovari - umsebenzi wokuya esikhathini uya kuphazamiseka ngokupheleleyo, kukho ukuphela kwesisu.
Ukuphumula kokuqala - iimpawu
Utshintsho kwinkqubo yesondo eyenzeka ngokumelana nokuphuphuma kwimizi kunzima kakhulu ukuhlala kakuhle komfazi, ngokutshintsha ngokupheleleyo indlela yakhe yokuphila. Iimpawu zokuqala kwexesha lokumisa emsebenzini azifani nalezo ezibonakala ngeenkqubo ezifike ngexesha. Ziyabonakala ngokuphulwa kwemisebenzi ye-cardiovascular, i-nervous and endocrine systems.
Ngokuqala kokusuka kwimizi, izilonda zesini ziqala ukuvelisa ama-hormone kwivolumu encinci. Ngenxa yoko, ukugxininiswa kwe-estrogens egazini iyancipha ngokukhawuleza. Ngokukhawuleza le nto ibangela ukuba uphuhliso lweempawu ezihambelanayo:
- Ukungaphumeleli kwesigqirha sokuhamba kwamanyanga - iinyanga zonke ziba zincinci , mhlawumbi zingekho kwixesha elide, iya kwi-daub.
- Iidanga , kwanda ukujuluka - umfazi ngexesha lomhla uyazisola ngokuhlaselwa ngokukhawuleza kobushushu, ubuso bakhe bubomvu.
- Ukuphazamiseka kokulala-ngenxa yeenguqu kwimvelaphi ye-hormonal, kuphazamise ukuphumla (ukusalalisa).
- Ukunyuka kwesisu - ukukhutshwa kwansuku zonke kunciphisa umthamo, loo ntokazi ibona ihlazo, isenzo sesondo siyaba buhlungu.
- Ukuphululwa kwenkqubo yokucocwa - ngokuqhelekileyo kubhalwe ukunyuka kwiinkqubo zokuhlukana komchamo.
Ukuphuma komntu kwangaphambili - iziphumo
Imiphumo yokususela kwimihla yokusuka kwimihla yokuqala ishintsho ekusebenzeni kwexesha. Ukuphulwa okunjalo kuhambelana nezi zilandelayo:
- Ukwandisa okanye ukunciphisa ixesha lokujikeleza;
- Ukulahleka kweendlela ezininzi zokuhamba ukuya kwimihla-yenyanga kungabikho kwiinyanga eziliqela.
Olu tshintsho luchaphazela kakhulu impilo yabasetyhini. Phakathi kweemiphumo zokuqala kokuyeka umyeni phambi kwexesha elimiselweyo:
- utshintsho olwenyisayo kwiintlobano zesini, iinkqubo ezivuthayo - i-oophoritis, i-adnexitis, i-cervicitis;
- ukuphuma kwegazi ;
- ukuphulwa komsebenzi wokuzala.
Ukuqeda umva kwangaphambili - wenzeni?
Ukugxeka iimpawu zale ntsholongwane, abafazi bahlala bejongana nombuzo wesifo somzimba malunga nokuba yintoni okumele yenziwe xa kusenokwenzeka ukuba ukuphuma kwimihla yokuphuphuma komzimba kwenzeka. Ukuqinisekisa ukucinga kwakho, kufuneka ufike kwisikhungo sonyango kwaye ufumane iingcebiso. Uviwo olunzulu luya kunceda ukuchonga imbangela yesifo kunye nokunika ikhosi yoqeqesho oluyimfuneko.
Ungayeka njani ukuyeka umva kwangaphambili?
Ukuqala kokuqala kwesikhashana, njengokuba i-gynecologists ithi, kunzima ukukhusela. Akunakwenzeka ukumisa sele sele iqalile utshintsho. Ngenxa yokuba le meko, zonke izenzo zogqirha kwizophulo ezinjalo, njengento yokuqala yokunquma, zijolise ekuphuculeni inhlalakahle jikelele yesigulane, ukususa iimpawu. Kule meko, ikhosi nganye yonyango ikhethiweyo, equka ukubandakanywa kweziyobisi ze-hormonal, iinkqubo ze-physiotherapy, ukuthobela ukutya.
Ukuphuma kwimizuzu yokuqala - indlela yokunyanga?
Unyango lwexesha lokusuka kwimiba yokuqala kwintombazana eyenziwa ngabanye. Uviwo olude, olunzima luqala kuqala kwenkqubo yokwelapha. Iqokelela ngokuthe ngqo imbangela yokubonakala kweenguqulelo ze-climacteric. Inkambo yokonyango kwesi sifo iquka:
- ukuthatha izidakamizwa zamachiza;
- ukulungiswa kokutya;
- ukuqhuba umzimba.
Ukulungelelaniswa kwexesha lokuqala
Ukumiswa komntu kwangaphambili, unyango lwakhe olukhethiweyo kuphela ngugqirha, lunokupheliswa kuphela ngonyango lwe-hormonal. Isiseko salezi yobisi yi-estrogens. Ukungabikho ngokuthe ngqo kwezi zixhobo ze-biological kubangela iimpawu zokuqala kokuphuma komfazi kwabasetyhini. Ukongezelela, iziyobisi ezisetyenziswa kunyango, ziqulethe i-hormone yesibini-progesterone yesibini.
Ezi zixhobo ze-biological zikhoyo kwizilungiselelo zokwelapha kwiintlobo ezahlukeneyo. Ngenxa yesiseko seziphumo, ugqirha ukhetha amachiza afanelekileyo kumfazi. Phakathi kwezinto eziqhelekileyo ezisetyenziselwa ukulwa nokusesikweni kokuqala kwesisu:
- Divina;
- Ovestin ;
- Angelique;
- Divissek;
- Femoston.
I-HRT ekuqaleni kwesikhashana
I-hormone ye-hormone ye-hormone (HRT) iyimfuneko phambi kweempawu ezilandelayo:
- iifolo ezitshisayo;
- utshintsho lwengqondo;
- iingxaki zokucoca;
- ukuyeka ukuphuma kokuya esikhathini ngaphambi kokuba uneminyaka engama-40.
IiHormone kwixesha lokusuka kwexesha lokuqala liyanciphisa ukugxininiswa kwegazi. Ngenxa yoko, kubalulekile ukuba uwathathe kunye namachiza. Inkqubo yokonyango imiselwa ngamagqirha. Iyeza, umyinge wayo, ixesha lokubamkela kunye nobude bokusetyenziswa kuboniswa. I-HRT ineziphumo ezintle kumzimba wesifazane njengokuba:
- ukujongwa kwengcinezelo yegazi;
- ukuyeka utshintsho lwe-atherosclerotic;
- ukuthintelwa kweenguqu zethambo;
- ukuphuculwa kwesikhumba;
- ukubonakaliswa kwemibonakalo ye-climacteric.
Unokuthintela njani ukukhulelwa komntwana kwangaphambili?
Ukuphulwa okunjalo, njengokuqala kokuphuma komfazi kwabasetyhini, ngokuqinisekiswa kwamagqirha kunokuthintela. Ukuthetha malunga nokuthintela ukuthatha ixesha lokuyeka, oogqirha bancomela oku kulandelayo:
1. Ukusebenza rhoqo ngokomzimba - ukuzivocavoca umzimba kunempembelelo emihle kwimeko yomzimba. Imidlalo, i-pilates, i-gymnastics, i-yoga ifanelekile.
2. Ukutya okufanelekileyo. Izondlo zicebisa abasetyhini abaneempawu ezibangelwa zizifo zonyango, ukunciphisa umthamo weekhalori weitya. Ngexesha elifanayo, ukungenisa inyama, ityuwa, kunye notywala kuncitshisiwe. Ukunciphisa ubungakanani beziqephu, ukwandisa ixesha lokutya lokutya. Ukutya kufuneka kuqulethe:
- intlanzi;
- zokutya kwezilwanyana;
- ezininzi zemifuno neziqhamo;
- iimveliso zobisi.
3. Ukuqwalasela ukucoceka kobuqu. Inxaxheba ebalulekileyo idlalwe ngokubamba rhoqo kunye nokuhlala rhoqo kwindlu yangasese yangaphandle.