menopause

I-Hormone Replacement Therapy engcono kakhulu yokunqamuka kokuya esikhathini e-Hyderabad

Ukunqamuka kokuya esikhathini kuyinkathi ekuphileni kowesifazane lapho engayi esikhathini unyaka noma ngaphezulu. Kwenzeka eminyakeni engu-40-50. Kuyinqubo engokwemvelo kodwa abesifazane baba nezimpawu ezithile ngesikhathi sokunqamuka kokuya esikhathini. Kuphawula ukuphela kwempilo yokuzala yowesifazane.

Njengoba iminyaka yowesifazane ikhula, umjikelezo wokuzala uyancipha futhi ekugcineni uyayeka ngenxa ukwelashwa esikhundleni se-hormone yokunqamuka kokuya esikhathini kanye nezinye izici. Umjikelezo wokuya esikhathini uqala ekuthombeni. Njengoba ukuya esikhathini kusondela, ama-ovari aqala ukukhiqiza i-estrogen encane okuyihomoni yabesifazane ebalulekile. Njengoba izinga le-estrogen lincipha, umjikelezo wokuya esikhathini uqala ukuncipha. Iba ngokungajwayelekile futhi ekugcineni iyama. Abesifazane nabo babhekana nezinguquko ezingokomzimba ngenxa yoshintsho lwamahomoni emzimbeni. Izimpawu zenzeka ngenxa yokulungiswa komzimba wakho ezinguqukweni zamahomoni emzimbeni.

Izimpawu zokunqamuka kokuya esikhathini

Abesifazane bangase baqale ukuba nezimpawu ezithile lapho befinyelela iminyaka yokunqamuka kokuya esikhathini. Izimpawu ezijwayelekile kwabesifazane zihlanganisa okulandelayo:

• Umuzwa wokufudumala umzimba wonke obizwa ngokuthi ama-hot flashes

• Ukujuluka ebusuku

• Ukoma kwesitho sangasese sowesifazane kanye nobuhlungu ngesikhathi socansi

• Ukuphuthuma ukuchama

• Ubunzima bokulala ebusuku

• Izinguquko ezingokomzwelo njengokucasuka, ukucindezeleka, nokushintshashintsha kwemizwelo

• Ukoma kwesikhumba, amehlo, nemibimbi

• Ikhanda elibuhlungu njalo

• Ukushaya kwenhliziyo okungajwayelekile nokushaya kwenhliziyo

• Ubuhlungu bamalunga nemisipha

• I-low sex drive

• Inzuzo yesisindo

• Ukuncipha kwezinwele nokuqothuka kwezinwele

Wonke umuntu wesifazane angase angazitholi zonke lezi zimpawu ezingenhla. Ezinye izimpawu zingase zenzeke ngenxa yezinye izinkinga zezokwelapha. Ngakho-ke, kungcono ukubonisana nodokotela oqeqeshiwe futhi onolwazi. Izibhedlela ze-CARE zinethimba lodokotela bezifo zabesifazane abaqeqeshwe kakhulu nabanolwazi olunzulu.

Izimbangela zokunqamuka kokuya esikhathini

Izimbangela eziyinhloko zokunqamuka kokuya esikhathini yilezi:

• Ukukhiqizwa okuncane kwe-estrogen ne-progesterone ngenxa yokukhula kweminyaka kuyimbangela eyinhloko yokunqamuka kokuya esikhathini. Lawa mahomoni amabili alawula umjikelezo wokuya esikhathini.

• Ama-hormone akhiqizwa ama-ovari. Ukususwa kwama-ovari ngenxa yokuhlinzwa kuzoholela ekunqanyulweni kokuya esikhathini. Umjikelezo wakho wokuya esikhathini uzoma futhi uzothola izimpawu nezimpawu zokunqamuka kokuya esikhathini.

• Ukwelashwa kwamafutha ama-ovari azophazamisa ukusebenza kwama-ovari futhi angaholela ekunqamukeni kokuya esikhathini. Ukwelashwa ngemisebe kwezinye izitho ngeke kuveze noma yimuphi umthelela emisebenzini yama-ovari.

• Abanye besifazane bangase babe nokunqamuka kokuya esikhathini ngaphambi kokuba babe neminyaka engama-40 okubizwa ngokuthi ukunqamuka kokuya esikhathini ngaphambi kwesikhathi. Kungase kwenzeke ngenxa yokwehluleka kwama-ovari ukukhiqiza amahomoni anele okungenzeka ngenxa yezifo zofuzo noma ukuphazamiseka kwe-autoimmune.

Izinkinga zokunqamuka kokuya esikhathini

Ingozi yezinkinga ezithile zezokwelapha iyanda ngemva kokuya esikhathini. Izinkinga ze-menopause zihlanganisa okulandelayo:

• Isifo senhliziyo nemithambo yegazi: Ingozi yoku isifo senhliziyo liyakhula njengoba izinga le-estrogen lincipha kwabesifazane. Ngakho-ke, abesifazane kudingeka badle ukudla okunempilo, bahambe bayovivinya umzimba njalo, futhi balondoloze isisindo esivamile.

• I-Osteoporosis: Yisimo lapho amathambo eba buthakathaka futhi ingozi yokuphuka iyanda. . Ngesikhathi sokuya esikhathini, ukuminyana kwamathambo kuqala ukuncipha ngokushesha okwandisa ingozi ye-osteoporosis.

• Ukungakwazi ukuchama: Kuyinkinga evamile kwabesifazane ngemva kokunqamuka kokuya esikhathini. Ukungalawuleki komchamo kwenzeka ngenxa yokuthi izicubu nezicubu zesitho sangasese sowesifazane kanye ne-urethra zilahlekelwa ukunwebeka. Abesifazane baphinde baphathwe yizifo zomgudu womchamo.

• Imisebenzi yocansi: Abesifazane baphelelwa isithakazelo ocansini ngemva kokunqamuka kokuya esikhathini ngenxa yokoma kwesitho sangasese sowesifazane kanye nokulahlekelwa ukunwebeka. Abesifazane bavame ukuzwa ukungakhululeki ngesikhathi socansi ngemva kokuya esikhathini.

• Ukukhula kwesisindo: Kuyinkinga evamile ebonakala kwabesifazane ngesikhathi sokunqamuka kokuya esikhathini. Lokhu kwenzeka ngenxa yokuthi i-metabolism iyancipha. Abesifazane kufanele badle kancane futhi bazivocavoce ukuze bagcine isisindo somzimba esijwayelekile.

Ukuxilongwa kokunqamuka kokuya esikhathini

Kufanele ukhulume nodokotela uma uqala ukuba nezimpawu zokunqamuka kokuya esikhathini futhi ungaphezu kweminyaka engama-45 ubudala. Udokotela wakho angase akucele ukuthi uhlole igazi ukuze wazi izinga lamahomoni emzimbeni wakho. Ngokuvamile, i-FSH ne-Oestradiol iyalinganiswa. Amazinga aphezulu e-FSH kanye nokuntuleka komjikelezo wokuya esikhathini izinyanga ezingu-12 noma ngaphezulu kusiza ekuxilongeni ukunqamuka kokuya esikhathini. 

Ukwelashwa kokunqamuka kokuya esikhathini

Uzodinga ukuthatha imishanguzo uma uhlushwa izimpawu ezinzima zokunqamuka kokuya esikhathini noma uma zithinta izinga lakho lempilo. Ukwelashwa ngama-hormone kuwukwelashwa okuvame kakhulu okunconywe udokotela ukuze alawule izimpawu ezinzima zokunqamuka kokuya esikhathini. Udokotela angakwazi futhi ukukunikeze eminye imithi esekelwe izimpawu zakho.

Izinguquko zokuphila

Odokotela batusa nokwenza izinguquko endleleni yokuphila ukuze kuncishiswe izimpawu ezincane ukuya kwezilingene zokunqamuka kokuya esikhathini. Amanye amathiphu okuqeda izimpawu zokunqamuka kokuya esikhathini anikezwa ngezansi:

• Gqoka izingubo ezikhululekile nezikhululekile ikakhulukazi ebusuku kanye nesimo sezulu esifudumele ukuze unciphise ukushisa.

• Lawula isisindo ngokunciphisa ukudla kwamakhalori nokuzivocavoca umzimba ngokusesilinganisweni.

• Khuluma nodokotela uma uzizwa udabukile futhi ucindezelekile futhi uhlangabezana nokushintshashintsha kwemizwelo, nokuqwasha.

• Thatha izithako ezihlanganisa i-calcium, i-vitamin D, ne-magnesium. Izithasiselo zizosiza ekugcineni amazinga wamandla futhi zinciphise ingozi ye-osteoporosis.

• Zijwayeze ukuzindla nokuphefumula ukuze uphumuze ingqondo

• Gwema ukubhema notshwala. Abesifazane abasesikhathini sokunqamuka kokuya esikhathini kufanele bakugweme ukuphuza utshwala futhi bayeke ukubhema.

• Abesifazane kufanele balawule ukulala ngokwenza i-yoga nezinye izindlela zokuphumula.

• Abesifazane kufanele benze izinguquko ekudleni kwabo futhi kufanele bazame ukudla ukudla okunempilo ukuze bakhulise amazinga abo amandla. Kufanele bafake ukudla okunothe nge-calcium nokudla okune-magnesium ekudleni kwabo. Kufanele banciphise ukudla kwekhalori ukuze balawule isisindo.

Odokotela base-CARE Hospitals bakunikeza ukunakekelwa okungcono kakhulu nolwazi olusekelwe ezimfanelweni zakho, umlando wezokwelapha, nolunye ulwazi.