7 July 2025
I-New Delhi: Emisebenzini yomtholampilo, abesifazane abaningi abaneminyaka engaphambi kwengama-40 bahlangabezana nezinkinga ezihlukahlukene ezingaqondile kodwa eziqhubekayo, okuhlanganisa ukukhathala okungachazwanga, ukushintshashintsha kwemizwelo, ubunzima bokugxilisa ingqondo, kanye nokungajwayelekile okuncane emijikelezweni yabo yokuya esikhathini. Lezi zimpawu zivame ukuvela uma lungekho ushintsho olukhulu lwendlela yokuphila noma ukugula okubonwayo, okushiya abantu abaningi bedidekile ngokuthi yini edala ushintsho. Ezimweni eziningi, lezi zimpawu zakuqala zibonisa uguquko lwamahomoni olungokwemvelo kodwa oluvame ukuphuthelwa: i-perimenopause, ebizwa nangokuthi i-climacteric - isigaba esandulela ukuya esikhathini lapho amazinga e-estrogen ne-progesterone eqala ukushintshashintsha.
Ekusebenzelaneni ne-TV9 english, uDkt. Manjula Anagani, Padmashree Awardee, Umqondisi Womtholampilo, I-Robotic Gynecologist & HOD, Care Vatsalya, Women and Child Institute, CARE Hospitals, Banjara Hills, Hyderabad, decoded perimenopause kwabesifazane abaneminyaka engu-40.
I-Pemenopause yisikhathi ngaphambi kokuya esikhathini, lapho ama-ovari akhiqiza khona i-estrogen encane. Ngokuvamile iqala ekuqaleni kwawo-40s, kodwa abanye abantu baba nezimpawu ngaphambi kwesikhathi.
Okwenza lesi sigaba sibe nzima ukusisebenzisa ukuthi sivamise ukungabonakali. Abesifazane basenesikhathi, nokho bangase bangahambi ngendlela. Ukuhlolwa kwegazi kungase kungavezi lutho mayelana. Noma kunjalo, umzimba uthola izinguquko zangempela ze-hormonal.
Ukushintsha Kwemizwa Akukona "Ukusabela Ngokweqile"
Enye yezinkomba zokuqala ze-perimenopause ngokuvamile imizwa. Abesifazane abaningi babika ukuzizwa becasukile, bekhathazekile, noma becindezelekile ngaphandle kwesizathu esisobala. Lokhu akulona ushintsho lobuntu, kodwa kunalokho ukushintshashintsha kwamahomoni okuthinta ama-neurotransmitters afana ne-serotonin ne-dopamine. Ngeshwa, emikhayeni eminingi yamaNdiya, lezi zinguquko zemizwelo zinqatshwa njengokucabanga ngokweqile noma okubangelwa ingcindezi yangaphandle. Bambalwa abantu besifazane ababuzwayo ukuthi ngabe lokhu abakuzwayo kungokwebhayoloji yini. Ngenxa yalokho, abantu abaningi badonsa kanzima buthule.
Inkungu yobuchopho ayikho nje ekhanda lakho.
Olunye uphawu oluvamile, kodwa oluvame ukunganakwa, inkungu yobuchopho. Amagama afika kancane. Amashifu okugxilisa ingqondo. Inkumbulo izizwa ipholile. Kwabesifazane abajwayele ukuhlanganisa izindima eziningi, lokhu kungase kucasule.
Lezi zinguquko azikhombisi ukuthi kukhona okungahambi kahle ngokwemizwa. Ezimweni eziningi, zihlotshaniswa nokushintshashintsha kwamazinga e-estrogen, okuthinta ukucija kwengqondo nokucaca kwengqondo. Nokho, ukungazinaki kungase kuholele ekungazethembini nasekucindezelekeni ngokweqile.
I-Slow Metabolism Surprise
Abesifazane abaningi abaneminyaka engamashumi amane babona ukuzuza kwesisindo sesisu, ngisho noma amazinga abo okudla kanye nokusebenza kwawo kuhlala njalo. Lokhu akukhona ukwehluleka kwesiyalo. Njengoba amazinga e-estrogen ehla, ukuzwela kwe-insulin kuyashintsha, amaphethini okugcinwa kwamafutha ayahluka, futhi umzimba uyahamba kancane.
Ngeshwa, abesifazane abaningi basabela ngokudla kancane noma ukuvivinya umzimba ngokweqile, kokubili okungase kubangele imiphumela emibi. Umzimba udinga ngempela ukudla okunomsoco, ukuqeqeshwa kwamandla, futhi, okubaluleke kakhulu, ukwamukelwa kancane kancane kwebhayoloji eguqukayo.
Kungani Abesifazane BaseNdiya Bevame Ukuphuthelwa
E-India, kukhona ukugcizelela kwamasiko ekuthombeni, ukuzala, nokunqamuka kokuya esikhathini, kuyilapho ngokunganaki amashumi eminyaka aphakathi. Abesifazane abaningi abakaze baziswe nge-perimenopause noma banxuswe ukuthi baqaphe izimpawu zabo.
Ngenxa yalokho, bavame ukuvakashela odokotela kuphela ngemva kokuba izinkinga zabo zingabekezeleleki. Bangase baphenywe ngokungadingekile uma abakudinga ngempela kuwulwazi, ukuqinisekiswa, nokusekelwa kwamahomoni.
Yini Engasiza?
1. Qala ingxoxo kusenesikhathi. Ukuqwashisa kuvumela abesifazane ukuthi baqonde ukuthi kwenzekani ngaphambi kokuba kube namandla.
2. Gcina umbhalo walokho izinguquko. Isimo semizwa, imijikelezo, ubuthongo, namazinga wamandla—ukugcina ijenali kungase kukusize ubone amaphethini.
3. Cabangela umsebenzi wegazi, kodwa ungathembeli kuwo kuphela. I-Pemenopause itholakala ikakhulukazi ngokusekelwe ezimpawini kunamanani alebhu.
4. Bonana nodokotela wakho wezifo zabesifazane. Ukwelashwa kusuka ekushintsheni indlela yokuphila kuye kosizo lwamahomoni futhi kuhambisana nezidingo zomuntu ngamunye.
Kungani Lesi Sigaba Sidinga Ukunakwa
I-Pemenopause ayiyona inhlekelele; kuyinguquko. Nokho, ngaphandle kolwazi noma usizo, kungase kuzwakale njengokulahlekelwa ukulawula. Ukubona izinkomba nokuxoxisana ngazo ngokukhululekile kwenza abesifazane bakwazi ukunqamula lesi sigaba ngokuzethemba okukhulu kanye nokwesaba okuncane. I-Midlife ayisona isiqalo sokuya phansi; kunalokho, kuphawula inguquko. Wonke umuntu wesifazane ufanelwe ukwazi ukuthi umzimba wakhe umtshelani.
Isixhumanisi Esiyisethenjwa
https://www.tv9english.com/health/the-forgotten-midlife-what-women-in-their-40s-need-to-know-about-perimenopause-article-10867070.ht