Matsalar Haila

Tsaya warin haihuwa shine lokacin da al'ada ta tsaya har abada. Ana gano shi bayan watanni 12 ba tare da al'ada ba, jini ko tabo daga farji. Tsaya warin haihuwa na iya faruwa a shekarun 40 ko 50. Amma matsakaicin shekaru shine 51 a Amurka.

Tsaya warin haihuwa abu ne na halitta. Amma alamomin jiki, kamar zafi mai tsanani, da kuma alamomin motsin zuciya na tsaya warin haihuwa na iya haifar da rashin barci, rage kuzari ko shafar yanayi. Akwai magunguna da yawa, daga canza salon rayuwa zuwa maganin hormone.

A mafi yawan lokuta, menopause yana faruwa a hankali. Watanni ko shekaru da suka gabata kafin menopause ana kiransu perimenopause ko lokacin canjin menopause. A lokacin canjin, yawan hormones din da ovaries dinku ke samarwa yana canzawa. Perimenopause na iya ɗaukar shekara 2 zuwa 8. Matsakaicin shine kusan shekaru hudu. Canjin hormone na iya haifar da alamun kamar: Lokacin haila mara kyau. Bushewar farji. Fashin zafi. Fashin dare. Matsalar bacci. Canjin yanayi. Matsalar nemo kalmomi da tuna abubuwa, wanda akai-akai ake kira brain fog. Mutane daban-daban suna da alamun menopause daban-daban. A mafi yawan lokuta, lokacin haila ba ya daidaito kafin ya ƙare. Rashin lokacin haila a lokacin perimenopause abu ne na gama gari kuma ana sa ran hakan. Sau da yawa, lokacin al'ada yana rasa wata daya sannan ya dawo. Ko kuma yana rasa watanni kaɗan sannan ya fara sake dawowa na wata-wata na wasu watanni. Zagayen lokacin haila yana daɗa gajarta a farkon perimenopause, don haka lokacin haila yana kusa da juna. Yayin da menopause ke kusa, lokacin haila yana nisa na watanni kafin ya ƙare. Har yanzu za ki iya daukar ciki a wannan lokacin. Idan kin rasa lokacin haila amma ba ki tabbata ko saboda menopause bane, ki yi la'akari da yin gwajin ciki. Ci gaba da ganin likitan ki don ziyarar lafiya da damuwar likita kafin, lokacin da bayan menopause. Je ka ga likitanka da zarar ka iya idan ka yi jini daga farjinka bayan menopause.

Ci gaba da ganin ƙwararren kiwon lafiyar ku don ziyarar lafiya da damuwa na likita kafin, lokacin da kuma bayan menopause. Ku ga ƙwararren kiwon lafiyar ku da wuri-uri idan kun zubar da jini daga farjin ku bayan menopause.

Matsalar haila na iya faruwa ne sakamakon:

• Rage yawan hormones na halitta. Yayin da kike shiga karshen shekarunka na 30, ƙwayayen halittar ku na fara samar da ƙarancin hormones ɗin da ke sarrafa haila. Ana kiransu estrogen da progesterone. Da ƙarancin su, yana da wuya a sami ciki.

  A cikin shekarunka na 40, lokacin haila na iya zama ya yi tsayi ko gajarta, ya yi nauyi ko haske, kuma ya faru sau da yawa ko kuma ba sau da yawa ba. A ƙarshe, ƙwayayen halittar ku za su daina sakin ƙwai. Sa'an nan ba za ku sake samun haila ba. Wannan yana faruwa a matsakaici a kusa da shekaru 51.

• Aikin tiyata da ke cire ƙwayayen halitta, wanda ake kira oophorectomy. Ƙwayayen halitta suna samar da hormones, ciki har da estrogen da progesterone, waɗanda ke sarrafa zagayowar haila. Aikin tiyata don cire ƙwayayen halitta yana haifar da matsala haila nan take.

  Hailarka za ta tsaya. Zai yuwu ki sami zafi da sauran alamomin matsala haila. Alamomin na iya zama masu tsanani saboda aikin tiyata yana sa hormones su ragu a lokaci ɗaya maimakon a hankali a cikin shekaru da yawa.

  Aikin tiyata da ke cire mahaifa amma ba ƙwayayen halitta ba, wanda ake kira hysterectomy, yawanci ba ya haifar da matsala haila nan take. Ba za ki sake samun haila ba. Amma ƙwayayen halittar ku har yanzu suna sakin ƙwai kuma suna samar da estrogen da progesterone na wani lokaci.

• Maganin cutar kansa da maganin radiation. Wadannan magungunan cutar kansa na iya haifar da matsala haila. Suna iya haifar da alamomi kamar zafi yayin ko nan da nan bayan magani. Hailar wasu lokutan tana dawowa bayan maganin chemotherapy. Sa'an nan kuma har yanzu za ki iya samun ciki. Don haka ki iya so ki ci gaba da amfani da magungunan hana daukar ciki.

  Maganin radiation da aka yi niyya ga kugu, ciki da ƙasan kashin baya na iya haifar da matsala haila. Maganin radiation ga jiki baki ɗaya don dashen ƙwayoyin halitta kuma na iya haifar da matsala haila. Maganin radiation ga wasu sassan jiki, kamar ƙirji ko kai da wuya, ba zai shafi matsala haila ba.

• Rashin aikin ƙwayayen halitta na farko. Kimanin 1% na mutanen da ke da matsala haila suna samun ta kafin shekaru 40. Ana kiranta matsala haila ta wuri. Matsala haila ta wuri na iya faruwa ne sakamakon ƙwayayen halitta ba sa samar da yawan hormones na al'ada. Ana kiranta rashin aikin ƙwayayen halitta na farko. Yana iya faruwa ne daga canjin gene ko cutar autoimmune.

  A sau da yawa babu dalilin da ya haifar da matsala haila ta wuri. Sa'an nan masu ba da kulawar lafiya yawanci suna ba da shawarar maganin hormone. Idan aka ɗauka aƙalla har zuwa shekarun matsala haila na al'ada, maganin hormone na iya kare kwakwalwa, zuciya da ƙashi.

Mutane da aka ba da mata a haihuwa suna shiga tsaka mai wuya. Babban abin da ke haifar da hakan shine kaiwa ga shekarun tsaka mai wuya.

Sauran abubuwan da ke haifar da hakan sun hada da:

• Aikin tiyata don cire ƙwai.
• Wasu magungunan cutar kansa.

"Bayan\xa0tsawon\xa0haiła,\xa0haddarin\xa0samun\xa0wasu\xa0cututtuka\xa0na\xa0ƙaruwa.\xa0Misalan\xa0sun\xa0hada\xa0da:\n\n- Cututtukan\xa0zuciya\xa0da\xa0jijiyoyin\xa0jinin.\xa0Wannan\xa0ana\xa0kiransa\xa0cututtukan\xa0jijiyoyin\xa0jiki.\xa0Lokacin\xa0da\xa0matakan\xa0estrogen\xa0suka\xa0fāɗi,\xa0haddarin\xa0samun\xa0cututtukan\xa0jijiyoyin\xa0jiki\xa0yana\xa0ƙaruwa.\xa0Cututtukan\xa0zuciya\xa0shine\xa0babban\xa0dalilin\xa0mutuwa\xa0a\xa0tsakanin\xa0mata\xa0da\xa0maza.\n- Kashi\xa0mai\xa0rauni,\xa0wanda\xa0aka\xa0sanya\xa0masa\xa0suna\xa0osteoporosis.\xa0Wannan\xa0matsalar\xa0yana\xa0sanya\xa0kashi\xa0ya\xa0zama\xa0mai\xa0taurin\xa0kai\xa0da\xa0rauni,\xa0wanda\xa0ke\xa0haifar\xa0da\xa0haddarin\xa0ɓarkewar\xa0kashi.\xa0A\xa0cikin\xa0shekaru\xa0kaɗan\xa0bayan\xa0tsawon\xa0haiła,\xa0za\xa0a\xa0 iya\xa0 rasa\xa0yawan\xa0kashi\xa0da\xa0sauri.\xa0Wannan\xa0yana\xa0ƙara\xa0haddarin\xa0osteoporosis.\xa0Kashi\xa0da\xa0akan\xa0ɓarke\xa0bayan\xa0tsawon\xa0haiła\xa0sun\xa0hada\xa0da\xa0kashin\xa0baya,\xa0ƙugu\xa0da\xa0wrists.\n- Rashin\xa0ikon\xa0sarrafa\xa0fitsari,\xa0wanda\xa0aka\xa0sanya\xa0masa\xa0suna\xa0incontinence na fitsari.\xa0Yayin\xa0da\xa0tsire-tsire\xa0na\xa0farji\xa0da\xa0urethra\xa0suka\xa0canja,\xa0za\xa0a\xa0 iya\xa0samun\xa0buƙatar\xa0fitsari\xa0da\xa0sauri\xa0da\xa0ƙarfi\xa0sau\xa0da\xa0yawa.\xa0Sai\xa0za\xa0a\xa0 iya\xa0 rasa\xa0fitsari,\xa0wanda\xa0aka\xa0sanya\xa0masa\xa0suna\xa0urge\xa0incontinence.\xa0Ko\xa0kuma\xa0za\xa0a\xa0 iya\xa0 rasa\xa0fitsari\xa0lokacin\xa0da\xa0ake\xa0tusa,\xa0dariya\xa0ko\xa0ɗagawa,\xa0wanda\xa0aka\xa0sanya\xa0masa\xa0suna\xa0stress\xa0incontinence.\xa0Za\xa0a\xa0 iya\xa0samun\xa0cututtukan\xa0fitsari\xa0sau\xa0da\xa0yawa.\n- Matsalolin\xa0jima'i.\xa0Tsawon\xa0haiła\xa0yana\xa0sanya\xa0farji\xa0ya\xa0 bushe\xa0da\xa0rasa\xa0yawan\xa0sa.\xa0Wannan\xa0yana\xa0 iya\xa0haifar\xa0da\xa0rashin\xa0daɗi\xa0da\xa0ɗan\xa0jinin\xa0wani\xa0lokaci\xa0lokacin\xa0jima'i.\xa0Haka\xa0ma,\xa0ƙarancin\xa0ji\xa0a\xa0wurin\xa0yana\xa0 iya\xa0rage\xa0sha'awar\xa0jima'i,\xa0wanda\xa0aka\xa0sanya\xa0masa\xa0suna\xa0libido.\n- Karuwar\xa0nauyi.\xa0Mata\xa0da\xa0yawa\xa0suna\xa0ƙaruwar\xa0nauyi\xa0a\xa0lokacin\xa0da\xa0bayan\xa0tsawon\xa0haiła\xa0saboda\xa0ƙonawa\xa0na\xa0kalori,\xa0wanda\xa0aka\xa0sanya\xa0masa\xa0suna\xa0metabolism,\xa0yana\xa0ragewa."

Yawancin mutane za su iya gane alamun fara shekarar daukar ciki. Idan kuna da damuwa game da rashin daidaito na lokacin al'ada ko zafi mai zafi, ku tattauna da kwararren kiwon lafiyar ku.

Gwaje-gwaje ba safai ake buƙata don gano shekarar daukar ciki ba. Amma a wasu lokuta, ƙwararren kiwon lafiyar ku na iya ba da shawarar gwajin jini don bincika matakan ku na:

• Follicle-stimulating hormone (FSH) da estrogen (estradiol). FSH yana ƙaruwa kuma estrogen yana raguwa yayin shekarar daukar ciki. Domin hormones suna ƙaruwa da raguwa yayin perimenopause, yana iya zama da wahala a gane daga waɗannan gwaje-gwajen ko kuna cikin shekarar daukar ciki.
• Thyroid-stimulating hormone (TSH). Thyroid mai aiki sosai, wanda ake kira hyperthyroidism, na iya haifar da alamun kamar na shekarar daukar ciki.

Za ku iya samun gwaje-gwaje na gida don bincika matakan FSH a fitsarinku ba tare da takardar sayan magani ba. Gwaje-gwajen suna nuna ko kuna da matakan FSH mafi girma. Wannan na iya nufin cewa kuna cikin perimenopause ko shekarar daukar ciki.

Amma matakan FSH suna ƙaruwa da raguwa yayin zagayen al'ada. Don haka gwaje-gwajen FSH na gida ba za su iya gaya muku ko kuna cikin shekarar daukar ciki ba.

Ba a buƙatar magani ga menopause. Magunguna suna nufin rage alamun cututtuka da hana ko sarrafa yanayin da ke faruwa tare da tsufa. Magunguna na iya haɗawa da:

• Maganin hormone. Maganin estrogen yana aiki sosai wajen rage zafi na menopause. Hakanan yana rage sauran alamomin menopause kuma yana rage asarar ƙashi.

  Mai ba ka kulawar lafiya na iya ba da shawarar estrogen a mafi ƙarancin kashi da lokacin da ake buƙata don rage alamun cututtukanka. Ya fi kyau a yi amfani da shi ga mutanen da ke ƙasa da shekaru 60 kuma a cikin shekaru 10 na farkon menopause.

  Idan har yanzu kuna da mahaifa, za ku buƙaci progestin tare da estrogen. Estrogen kuma yana taimakawa wajen hana asarar ƙashi.

  Amfani da maganin hormone na dogon lokaci na iya haifar da wasu haɗarin cututtukan zuciya da kansar nono. Amma fara hormones a kusa da lokacin menopause ya nuna fa'idodi ga wasu mutane. Yi magana da mai ba ka kulawar lafiya game da ko maganin hormone na iya zama lafiya a gare ku.

• Estrogen na farji. Don rage bushewar farji, za ku iya shafa estrogen a farji ta amfani da kirim, allura ko zobe na farji. Wannan maganin yana ba ku ƙaramin adadin estrogen, wanda ƙwayoyin farji ke ɗauka. Zai iya taimakawa wajen rage bushewar farji, ciwo yayin saduwa da wasu alamomin fitsari.

• Prasterone (Intrarosa). Kuna saka wannan hormone ɗin ɗan adam dehydroepiandrosterone (DHEA) a cikin farji. Yana taimakawa wajen rage bushewar farji da ciwo yayin saduwa.

• Gabapentin (Gralise, Neurontin). An amince da Gabapentin don magance fitsari, amma kuma an nuna yana taimakawa wajen rage zafi. Wannan magani yana da amfani ga mutanen da ba za su iya amfani da maganin estrogen ba da kuma waɗanda kuma suna da zafi na dare.

• Fezolinetant (Veozah). Wannan magani ba shi da hormones. Yana magance zafi na menopause ta hanyar toshe hanya a kwakwalwa wanda ke taimakawa wajen sarrafa zafin jiki. An amince da shi ta FDA don sarrafa alamomin menopause. Zai iya haifar da ciwon ciki, matsalolin hanta da kuma sa matsalolin bacci su yi muni.

• Oxybutynin (Oxytrol). Wannan magani yana magance mafitsara mai aiki da rashin iya riƙe fitsari. An kuma nuna yana rage alamomin menopause. Amma a cikin tsofaffi, yana iya haɗuwa da raguwar fahimta.

• Magunguna don hana ko magance yanayin raunin ƙashi da ake kira osteoporosis. Mai ba ka kulawar lafiya na iya ba da shawarar magani don hana ko magance osteoporosis. Magunguna da dama na iya taimakawa wajen rage asarar ƙashi da haɗarin fashewa. Mai ba ka kulawar lafiya kuma na iya rubuta bitamin D don taimakawa wajen ƙarfafa ƙashi.

• Ospemifene (Osphena). Ana ɗauka ta baki, wannan maganin selective estrogen receptor modulator (SERM) yana magance ciwon saduwa da aka haɗa shi da raunin ƙwayoyin farji. Wannan magani ba ga mutanen da suka kamu da kansar nono ko waɗanda ke da haɗarin kamuwa da kansar nono ba.

Maganin hormone. Maganin estrogen yana aiki sosai wajen rage zafi na menopause. Hakanan yana rage sauran alamomin menopause kuma yana rage asarar ƙashi.

Mai ba ka kulawar lafiya na iya ba da shawarar estrogen a mafi ƙarancin kashi da lokacin da ake buƙata don rage alamun cututtukanka. Ya fi kyau a yi amfani da shi ga mutanen da ke ƙasa da shekaru 60 kuma a cikin shekaru 10 na farkon menopause.

Idan har yanzu kuna da mahaifa, za ku buƙaci progestin tare da estrogen. Estrogen kuma yana taimakawa wajen hana asarar ƙashi.

Amfani da maganin hormone na dogon lokaci na iya haifar da wasu haɗarin cututtukan zuciya da kansar nono. Amma fara hormones a kusa da lokacin menopause ya nuna fa'idodi ga wasu mutane. Yi magana da mai ba ka kulawar lafiya game da ko maganin hormone na iya zama lafiya a gare ku.

Kafin yanke shawara kan kowace hanya ta magani, yi magana da mai ba ka kulawar lafiya game da zabin ka da haɗarin da fa'idodin kowanne. Duba zabin ku a kowace shekara. Buƙatunka da zabin magani na iya canzawa.