Ko te perimenopause he wā nui i te oranga o te wahine, i te mea e arahina ana ki te menopause. Ka taea te tīmata o tēnei kaupae i te tekau tau atu i te 30 o ō tau, ā, ka roa pea mō ngā tau maha. Ko te āhuatanga matua o te perimenopause ko te huringa o ngā homoni, inā koa te estrogen me te progesterone. Ka taea e ēnei huringa homoni te tuku i te whānuitanga o ngā tohu tinana me ngā tohu hinengaro, pēnei i ngā wā whakawātea koretake, ngā wera wera, ngā huringa ngākau, me te raruraru moe.
I te nuinga o te wā ka wehea te perimenopause ki ngā wāhanga e rua: te kaupae o mua me te kaupae o muri. I te kaupae o mua, āe pea ka noho tonu ngā huringa o te marama, engari ka tīmata ngā huringa homoni. I te taenga atu ki te kaupae o muri o te perimenopause, ka noho koretake ngā wā, ā, koinei te tohu o te hekenga o te hua. Ahakoa pea ka manukanuka etahi wāhine ki te hapu i tēnei wā, he mea tonu pea, inā koa i te kaupae o mua.
He mea nui kia mārama ki ēnei huringa homoni. Kāore i te pānga noa ki tō kaha ki te hapu, engari ka pā ano ki tō hauora whānui. No reira, ki te whakaaro koe, "Ka taea te hapu i te wā o te perimenopause?", he whakaaro pai kia kōrero ki te kaiwhakarato hauora mō tō āhuatanga me ngā whiringa pai mōu.
Ko te perimenopause te kaupae whakawhiti i mua i te menopause, e puta ana i te nuinga o te wā i ngā wāhine i roto i ō rātou tekau tau e 40, engari i etahi wā i te tekau tau atu i te 30 o ō rātou tau. I tēnei kaupae, ka heke te hua, engari he mea tonu pea te haputanga.
Ka rereke ngā taumata o te estrogen me te progesterone, ā, ka arahi ki te ovulation koretake. Ahakoa ka iti ake te whakataurite o te ovulation, āe pea ka noho hua tonu etahi huringa.
Ka roa pea ngā wā, ka poto, ka taimaha, ka mā, ā, ka uaua ake te aroturuki i te ovulation me ngā matapihi hua.
Ahakoa ka heke te hua, he mea tonu pea te whakahaputanga ki te puta te ovulation. Me whakamahi tonu e ngā wāhine e hiahia ana ki te karo i te haputanga te whakahaere whānau tae noa ki te whakau i te menopause (marama tekau mā rua e whai ake nei kahore he wā).
Ka taea e ngā tohu pēnei i ngā wera wera, ngā wera po, me te maroke o te tara te tohu i te heke o te hua, ahakoa kāore e whakau i te kore hua.
Mō te hunga e whawhai ana ki te whakahaputanga, ka taea e ngā maimoatanga hua pēnei i te IVF, te rongoā homoni te āwhina. Heoi, ka heke ngā reiti angitu me te pakeke.
Raru/Whakaaro |
Whakaahuatanga |
---|---|
Te Piki o te Raru o te Ngākau Kore |
Nō te pakeketanga o ngā hua me ngā rereketanga homoni, he teitei ake ngā reiti ngākau kore. |
Ngā Koretake Chromosomal |
Ngā tūponotanga teitei ake o ngā āhuatanga ira pēnei i te mate Down. |
Te Mate Huka Whakawhanau |
He nui ake te tūponotanga o ngā māmā pakeke ki te whanake i te mate huka i te wā haputanga. |
Te Pehanga Teitei o te Toto & Preeclampsia |
Te piki o te tūponotanga o te toto teitei, ka taea te arahi ki ngā raruraru mō te whaea me te pēpi. |
Te Whānau Wawe & Te Taumaha Iti o te Whanau |
Ka whānau wawe pea ngā pēpi, kāore rānei he taumaha iti. |
Te Tukunga Cesarean (C-section) |
Te tūponotanga teitei ake o te hiahia ki te C-section nō ngā raruraru mahi. |
Ngā Raruraru Maimoatanga Hua |
Ka hiahiatia pea ngā hangarau whakahaputanga āwhina, engari he iti ake ngā reiti angitu me ngā tūponotanga teitei ake. |
Ngā Wero Whakaora Whai muri i te Whānau |
Ka roa pea te whakaora nō ngā take e pā ana ki te pakeke. |
He maha ngā whiringa o ngā wāhine e hiahia ana ki te whakahaputanga i te wā o te perimenopause, ahakoa me mōhio rātou ki ngā wero me ngā tūponotanga e pā ana ki te haputanga i te wā pakeke.
Ka taea tonu e etahi wāhine te whakahaputanga tūturu ki te puta te ovulation.
Ka taea te awhina i te aroturuki i te ovulation mā te pāmahana tinana taketake, ngā kete whakataurite ovulation, te whakamātautau homoni ki te kimi i ngā matapihi hua.
In Vitro Fertilization (IVF): Ka piki ake ngā tūponotanga o te whakahaputanga mā te whakamahi i ngā hua ake, te hunga tuku rānei.
Te Tuku Hua: Ka pai ake ngā reiti angitu o te haputanga mō ngā wāhine he iti te kounga o ngā hua.
Te Rongoā Homoni: Ka whakaohooho e ngā rongoā pēnei i te Clomid, te gonadotropins te ovulation.
Te Toki Hua (Oocyte Cryopreservation): Ka āwhina i ngā wāhine ki te tiaki i te hua mō te haputanga a muri ake.
Te Toki Embryo: Ka taea te pupuri i ngā embryo kua whakahaputanga mō te whakamahinga a muri ake.
Ka āwhina te kōrero ki te tohunga hua ki te aromatawai i te hauora whakahaputanga me ngā whiringa maimoatanga.
Ka taea te whakapai ake i te hua mā te pupuri i te taumaha hauora, te kai i te kai tōtika, te whakaiti i te ahotea, me te karo i te wāhine/waipiro.
He mea tonu pea te haputanga i te wā o te perimenopause, engari he wero nō te heke o te hua me te piki o ngā tūponotanga hauora. Ka taea e ngā wāhine te whakahaputanga tūturu ki te puta tonu te ovulation, engari he mea nui te aroturuki i te hua. Ka tukuna e ngā hangarau whakahaputanga āwhina (ART), pēnei i te IVF, te tuku hua, me te rongoā homoni, ētahi atu whiringa mō te whakahaputanga. Ka taea e ngā tikanga tiaki hua, pēnei i te toki hua, te toki embryo, te āwhina i te hunga e whakamahere ana mō te haputanga a muri ake. Ka taea te whakapai ake i ngā tūponotanga o te whakahaputanga me te whakarite i te haputanga haumaru mā te kōrero ki te tohunga hua me te whakauru i te noho hauora. He mea nui te aratohu hauora tika mō te whakatere i te haputanga i te wā o te perimenopause.
1. Ka taea tonu te hapu i te wā o te perimenopause?
Āe, kia ovulating tonu koe, he mea tonu pea te haputanga. Heoi, ka heke nui te hua, ka noho koretake te ovulation, ā, ka uaua ake te whakahaputanga.
Ka puta mai te haputanga i tēnei kaupae me ngā tūponotanga teitei ake, tae atu ki te ngākau kore, ngā koretake chromosomal (hei tauira, te mate Down), te mate huka whakawhanau, te pehanga toto teitei, te whānau wawe, me te hiahia ki te C-section.
Ka taea te āwhina i te aroturuki i te ovulation, te pupuri i te noho hauora, me te kōrero ki te tohunga hua. Ka taea hoki e ngā hangarau whakahaputanga āwhina (ART), pēnei i te IVF, te tuku hua, te whakapai ake i ngā reiti angitu.
Āe, ki te hiahia koe ki te karo i te haputanga, he mea tika te whakahaere whānau tae noa ki te whakau i te menopause (marama tekau mā rua e whai ake nei kahore he wā). He mea tonu pea te whakahaputanga tūturu i te wā o te perimenopause.
He pai ake te toki hua i te wā taitamariki, engari āe pea ka noho tonu etahi wāhine perimenopausal hei whiringa. Ka pai ake pea ngā hua tuku, te toki embryo hei whiringa mō te whakahaputanga i tēnei kaupae.