He aha te Perimenopause? Tohutohu, Take, me te Maimoatanga

Ko te perimenopause te wā whakawhiti tūturu e arahina ana ki te menopause, ka iti haere te nui o te estrogen e whakaputahia ana e tō tinana. Ka tīmata tēnei wā i ngā tau 40 o tō oranga, ahakoa ka taea te tīmata i mua atu rānei i muri atu rānei, ā, ko te tīmatanga tēnei o te tukanga whakaheke māori o tō pūnaha whakawhānau.

Whakaarohia te perimenopause hei huarahi a tō tinana ki te whakarite māori mō te menopause. I tēnei wā, ka rereke ngā taumata o ngā homoni pērā i te tereina, nō reira ka kite pea koe i te whakaranu o ngā tohu e mohiotia ana e koe me ngā tohu hou. Ka taea e tēnei whakawhiti te roa mai i te torutoru marama ki ngā tau maha, ā, he motuhake te wheako o ia wahine.

He aha ngā tohu o te perimenopause?

Ka puta ngā tohu perimenopause nā te mea kei te huri haere ngā taumata o tō estrogen me tō progesterone. Kei te whakatika tō tinana ki ēnei huringa homoni, ka pā pea ki te katoa, mai i tō huringa marama tae atu ki ō tauira moe.

Ko ēnei ngā tohu tino noa ka kite pea koe:

• Ngā wā marama kāore i te tino rite: Ka poto ake pea ō huringa, ka roa ake rānei, ka nui ake te toto rānei, ka iti ake rānei i te mea noa.
• Ngā wera wera: Ngā ngaru o te wera ka puta pēnei i te pupuhi me te werawera.
• Ngā wera o te po: Ngā wera wera e puta ana i te po, ka raru pea tō moe.
• Ngā raruraru moe: Te uaua ki te moe, ki te moe roa rānei, ki te ara wawe rānei.
• Ngā huringa ngākau: Te ngākau pouri, te manukanuka, te rereke o ngā ngākau.
• Te maroke o te tara: Te iti haere o te hinu ka kore pea e pai te hononga.
• Te iti haere o te hiahia moepuku: Te iti haere o te hiahia ki te mahi moepuku.
• Te piki o te taumaha: Ina koa i waenganui i tō puku, ahakoa kāore he huringa ki te kai, ki te whakakori tinana rānei.
• Te ngaro o te hinengaro: Te uaua ki te aro, ki te mahara rānei.
• Te mamae o ngā u: Pēnei i te mea ka kitea e koe i roto i tō huringa marama.

Ka kite pea etahi wāhine i ngā tohu kāore i te tino noa, pērā i te mamae o ngā hononga, te mamae o te mahunga, te rerekētanga rānei o te kakano o te makawe. Ka haere mai ēnei tohu, ka haere atu rānei, ā, he rerekē te kaha mai i te tangata ki te tangata. Kia mahara, ko te wheako i ēnei huringa kāore e whakaatu he he kei a koe – ko te whakautu tūturu tēnei a tō tinana ki ngā rerekētanga homoni.

He aha ngā take o te perimenopause?

Ko te koroheketanga tūturu o ō ovaries te take o te perimenopause. I te koroheketanga, ka iti haere te nui o te estrogen me te progesterone e whakaputahia ana e ō ovaries, ko ngā homoni matua e rua e whakahaere ana i tō huringa marama me te tautoko i te haputanga.

He maha ngā hua i roto i ō ovaries, ā, i te whakaheke haere o tēnei wā, ka nui ake te koretake o te whakaputanga homoni. Kāore tēnei e taea te aukati, te whakahaere rānei – he wāhanga noa iho tēnei o te tukanga koroheketanga tūturu e wheakohia ana e ia wahine.

He rerekē te wā e tīmata ai te perimenopause. He nui te āheinga o te ira, no reira, ki te tīmata wawe rānei, te mutunga rānei o te perimenopause o tō whaea, o ō tuahine rānei, ka whai pea koe i te tauira rite. Heoi, ka taea e ētahi atu take te awe i te wā.

Nōhea te haere ki te taakuta mō te perimenopause?

Me kōrero koe ki tō taakuta mena kei te pā nui ngā tohu perimenopause ki tō oranga o ia rā, ki te kore rānei koe e tino mōhio kei te noa ngā mea kei te wheakohia e koe. Ka taea e te aratohu ngaio te awhina i a koe ki te whakahaere pai ake i ngā tohu, ki te whakakore rānei i ētahi atu āhuatanga.

Whakatau he whakatau mena ka wheako koe i:

• Te toto nui rawa atu e ngākau ana i te tauraki, i te tampon rānei i ia haora.
• Te toto e roa atu ana i te whitu rā.
• Te toto i waenganui i ngā wā marama, i muri rānei i te moe.
• Ngā huringa ngākau nui e āwangawanga ana i ngā whanaungatanga, i te mahi rānei.
• Ngā wera wera e āwangawanga ana i tō moe, i ngā mahi o ia rā rānei.
• Ngā tohu e manukanuka ana koe, e kore rānei e rite ki tō tinana.

Ka taea e tō taakuta te whakau mena kei te perimenopause koe, me te kōrero mō ngā whiringa maimoatanga ka taea te awhina. Ka taea hoki e rātou te whakarite kei te hono atu ō tohu ki ētahi atu āhuatanga hauora e hiahia ana ki te aro.

He aha ngā take morearea mō te perimenopause?

Ahakoa ka haere katoa ngā wāhine ki te perimenopause, ka taea e ētahi take te awe i te wā e tīmata ai, me te kaha o ō tohu. Ka taea e te mōhiotanga ki ēnei take morearea te awhina i a koe ki te whakarite, ki te mohio rānei ki ngā mea e tumanakohia ana.

Ko ēnei ngā take ka pā pea ki tō wheako perimenopause:

• Te tau: Ko te nuinga o ngā wāhine e tīmata ana te perimenopause i ngā tau 40, ko te tau toharite e tīmata ana i te 47.
• Te hītori whānau: Mena i wheako ngā whānau wahine i te menopause wawe, i te mutunga rānei, ka whai pea koe i te raupapa rite.
• Te kai paipa: Ko ngā wāhine e kai paipa ana e tomo ana ki te perimenopause 1-2 tau i mua i te hunga kāore e kai paipa.
• Te taumaha o te tinana: Ko te iti rawa o te taumaha ka ārahi pea ki te tīmatanga wawe.
• Ngā maimoatanga mate pukupuku: Ka taea e te chemotherapy, e te radiation therapy rānei te whakaoho i te perimenopause wawe.
• Te hītori pokanga: Ko te tango i ō ovaries ka puta mai te menopause tonu, ā, ko te hysterectomy anake ka ārahi pea ki te perimenopause wawe.
• Ngā āhuatanga autoimmune: Ka taea e ētahi mate autoimmune te pā ki te whakaputanga homoni.

Ko te whai i ēnei take morearea kāore e whakamana ka uaua tō wheako perimenopause. He maha ngā wāhine e whai ana i ngā take morearea maha e whai ana i ngā tohu ngawari, ā, ko ētahi atu kāore he take morearea marama ka wheako pea i ngā whakawhiti uaua.

He aha ngā raruraru pea o te perimenopause?

Ahakoa kāore te perimenopause i te kino, ka taea e ngā huringa homoni te whakanui ake i tō morearea mō ētahi āhuatanga hauora. Ko te mōhiotanga ki ēnei raruraru pea ka awhina i a koe me tō taakuta ki te tirotiro tata atu i tō hauora i tēnei whakawhiti.

Ko ēnei ngā take hauora matua hei titiro atu:

• Te osteoporosis: Ka taea e te hekenga o te estrogen te ārahi ki te ngaro o te wheua, ka nui ake te tupono o te whati.
• Te mate ngakau: Ka awhina te estrogen ki te tiaki i tō pūnaha cardiovascular, no reira ka piki te morearea i te hekenga o ngā taumata.
• Te piki o te taumaha: Ka taea e ngā huringa homoni te whakaheke i te metabolism me te whakarereke i te huarahi e penapena ai tō tinana te ngako.
• Ngā raruraru mimi: Ka taea e te iti haere o te estrogen te pā ki te mahi o te putea mimi me te whakanui ake i te morearea o te mate.
• Te ngoikoretanga moepuku: Ka taea e te maroke o te tara me te iti haere o te hiahia moepuku te pā ki ngā whanaungatanga tata.
• Ngā huringa hauora hinengaro: Ka wheako pea etahi wāhine i te piki o te manukanuka, i te pouri rānei i tēnei whakawhiti.

Ka puta māori ēnei raruraru, ā, ka taea te aukati, te whakahaere rānei i te tiaki tika. Ka taea e ngā tirotiro noa ki tō taakuta i te wā o te perimenopause te awhina i te hopu i ngā take e puta mai ana i te tīmatanga, i te wā e ngāwari ana te maimoatanga.

Me pēhea te whakatau i te perimenopause?

Ko te whakatau i te perimenopause e hangai ana ki ō tohu me tō hītori marama, kāore i ngā whakamātautau motuhake. Ka ui tō taakuta i ngā pātai taipitopito mō ō wā marama, ō tohu, me te āwangawanga ki tō oranga.

Kāore he whakamātautau kotahi e whakatau ana i te perimenopause, nā te mea ka rereke haere ngā taumata homoni i tēnei wā. Heoi, ka tono pea tō taakuta i ngā whakamātautau toto ki te tirotiro i ō taumata homoni, ki te whakakore rānei i ētahi atu āhuatanga ka puta mai ngā tohu rite.

Ko ēnei ngā whakamātautau ka awhina pea:

• Whakamātautau FSH (Follicle Stimulating Hormone): Ko ngā taumata teitei ka whakaatu pea i te perimenopause.
• Ngā whakamātautau mahi thyroid: Ka taea e ngā raruraru thyroid te whakaatu i ngā tohu perimenopause.
• Te tatau toto katoa: Ki te tirotiro mō te anemia mena kei te wheako koe i te toto nui.
• Whakamātautau haputanga: Ki te whakakore i te haputanga, ina koa ki te koretake ngā wā marama.

Ka whakaaro hoki tō taakuta ki tō tau, ki tō hītori whānau, ki tō hauora katoa i te wā e whakatau ana i te mate. Ko te kōrero mō ō tohu me te āwangawanga ki tō kounga o te oranga te wāhanga tino nui o te tukanga whakatau.

He aha te maimoatanga mō te perimenopause?

Ko te maimoatanga mō te perimenopause e aro ana ki te whakahaere i ngā tohu me te pupuri i tō kounga o te oranga. Ko te huarahi pai e mahi ana e whakawhirinaki ana ki ngā tohu e raru ana koe, me te kaha o rātou.

Ka tūtohutia pea e tō taakuta:

• Te maimoatanga homoni: Ka taea e ngā pire whakahaere whānau iti te nui, te hormone replacement therapy rānei te awhina i te whakau i ngā taumata homoni.
• Ngā rongoā pouri: Ka taea e ētahi momo te whakaiti i ngā wera wera me te awhina i ngā huringa ngākau.
• Te estrogen tara: Ngā kirikiri, ngā mowhiti, ngā papa rānei mō te maroke o te tara.
• Ngā awhina moe: Ngā otinga poto mō te raru nui o te moe.
• Te kārati me te huaora D: Ki te tautoko i te hauora o te wheua.
• Te rongoā toto toto: Ka taea e ētahi momo te awhina i te whakaiti i ngā wera wera.

He maha ngā wāhine e kite ana he pai te whakakotahitanga o ngā maimoatanga hauora me ngā huringa noho. Ka mahi tahi tō taakuta me koe ki te kimi i te rite o ngā maimoatanga e whakautu ana ki ō tohu motuhake i te wā e whakaaro ana ki tō hauora katoa me ō hiahia.

Me pēhea te tiaki i a koe i te kāinga i te wā o te perimenopause?

Ka taea e te tiaki whaiaro i te wā o te perimenopause te whakapai ake i tō wheako me te awhina i a koe ki te whakahaere i ngā tohu tūturu. Ko ngā huringa iti, pumau te tino whakarereke i tō mātauranga me tō oranga pai.

Ko ēnei ngā rautaki mahi e kitea ana e te maha o ngā wāhine he awhina:

• Noho makariri: Kakahu i ngā paparanga, whakamahia ngā pūhau, kia iti ake te pāmahana o tō ruma moe i te po.
• Whakakori tinana: Whakataurite ki te 30 meneti o te mahi i te nuinga o ngā rā ki te awhina i te ngākau, te moe, me te whakahaere taumaha.
• Kai pai: Aro ki ngā kai kōnati-nui, whakaitihia te caffeine me te waipiro, kainga ngā kai noa ki te whakau i te kaha.
• Whakahaere i te ahotea: Whakamātau i ngā tikanga whakahaerenga pērā i te manawa hohonu, te whakaaroaro, te yoga rānei.
• Tūpato ki te moe: Pupuri i te mahinga moe mau, hanga he taiao moe pai.
• Wai inu: Inu wai nui i te rā katoa.
• Whakamahia ngā hinu: Ka taea e ngā hinu wai te awhina i te maroke o te tara.
• Tirotirohia ō tohu: Tūhono i te puka ki te tautuhi i ngā tauira me ngā take.

Kia mahara ko te mea e mahi ana mō tetahi tangata kaore pea e mahi mō tētahi atu. Kia manawanui ki a koe i te wā e kimi ana koe i ngā rautaki e awhina ana i a koe ki te pai i tēnei whakawhiti.

Me pēhea te whakarite mō tō whakatau ki te taakuta?

Ko te whakarite mō tō whakatau ki te taakuta ka taea te awhina i a koe ki te whiwhi i te tino pai o tō haerenga me te whakarite ka kōrero koe i ngā mea katoa e nui ana ki a koe. Ko te whakarite pai ka ārahi ki te tiaki pai ake me ngā tūtohu maimoatanga whaiaro ake.

I mua i tō whakatau, kohikohia ēnei korero:

• Te puka tohu: Tirohia ō wā marama, ō wera wera, ō huringa ngākau, me ō tauira moe mō te kotahi marama iti rawa.
• Te hītori hauora: Tuhia ngā pokanga, ngā rongoā o nāianei, me te hītori whānau o te menopause.
• Te rārangi pātai: Tuhia ngā āwangawanga motuhake, ngā tohu rānei e hiahia ana koe ki te kōrero.
• Te rārangi rongoā: Whakauruhia ngā taapiri, ngā rongoā kore-tuku, me ngā rongoā otaota.
• Ngā korero noho: ō tikanga whakakori tinana, kai, taumata ahotea, me te kai paipa, te inu waipiro rānei.

Kaua e whakaroa ki te kawe mai i tētahi hoa whakawhirinaki, i tētahi mema whānau rānei mō te tautoko mena ka pai ake tō wheako. Ka taea e te whai i tētahi te awhina i a koe ki te mahara ki ngā korero nui me te whakarato tautoko ngākau i te wā ka raru pea te kōrero.

He aha te mea nui mō te perimenopause?

Ko te perimenopause he wāhanga tūturu, noa o te haerenga o te oranga o ia wahine, ehara i te āhuatanga hauora e hiahia ana ki te wehi, ki te ngāwari rānei i roto i te wahangu. Ahakoa ka uaua ngā tohu, ko te mōhiotanga ki ngā mea kei te puta i roto i tō tinana, me te mōhiotanga kei te wātea ngā maimoatanga whai hua ka taea te whakahaere pai ake i tēnei whakawhiti.

Ko te mea tino nui hei mahara ko te kore koe e mamae i ngā tohu kore pai. Ahakoa mā ngā huringa noho, ngā maimoatanga hauora, te whakakotahitanga rānei o ngā mea e rua, he maha ngā huarahi hei pupuri i tō kounga o te oranga i te wā o te perimenopause.

He motuhake te wheako o ia wahine ki te perimenopause, no reira kia manawanui ki a koe i te wā e whakawhiti ana koe i tēnei huringa. Mā te tautoko me ngā korero tika, ka taea e koe te neke atu i tēnei whakawhiti me te mohio, te mana, me te whakahaere i tō hauora.

Ngā pātai e ui pinepinetia ana mō te perimenopause

E hā roa te roa o te perimenopause?

Ko te perimenopause e wha tau te roa i te toharite, engari ka poto pea i te torutoru marama, ka roa pea i te tekau tau. Ka whakaarohia kua tae koe ki te menopause ina kāore koe i whai wā marama mō te 12 marama. He rerekē te roa mai i te wahine ki te wahine, kāore hoki he huarahi ki te kī tika te roa o tō whakawhiti.

Ka taea tonu te hapu i te wā o te perimenopause?

Ae, ka taea tonu te hapu i te wā o te perimenopause, nā te mea kei te whakawhānau tonu koe, ahakoa kāore i te tino rite. Mena kaore koe e hiahia ki te hapu, kia mau tonu ki te whakahaere whānau tae noa ki te kotahi tau kua kore koe i whai wā marama. Kōrero ki tō taakuta mō ngā whiringa whakahaere whānau pai i tēnei wā, nā te mea ka taea hoki e ētahi tikanga te awhina i te whakahaere i ngā tohu perimenopause.

He noa te toto nui i te wā o te perimenopause?

Ka noa te toto nui i te wā o te perimenopause nā te rerekētanga homoni, engari ehara i te mea me whakakahore. Ahakoa he noa te piki o te toto, ko te ngākau i te tauraki, i te tampon rānei i ia haora, te toto e roa atu ana i te whitu rā, te toto rānei i waenganui i ngā wā marama me tirotirohia e tō taakuta ki te whakakore i ētahi atu āhuatanga.

Ka ngaro ngā tohu perimenopause i muri i te menopause?

He maha ngā tohu perimenopause, ina koa ngā wera wera me ngā wā marama kāore i te tino rite, ka pai ake i muri i te menopause ina whakau ngā taumata homoni i ō taumata iti hou. Heoi, ka taea e ētahi tohu pērā i te maroke o te tara me ngā huringa o te matotoru o te wheua te haere tonu, te kino rānei me te kore maimoatanga. He rerekē te wheako o ia wahine, ā, ka hiahia pea etahi tohu ki te whakahaere tonu.

He rongoā tūturu e mahi ana mō te perimenopause?

Ka taea e ētahi tikanga tūturu te awhina i te whakahaere i ngā tohu perimenopause, ahakoa he rerekē ngā mōhiohio pūtaiao. Ko te whakakori tinana noa, ngā tikanga whakaiti ahotea, me te pupuri i te taumaha hauora ka tino whai hua. Ka kite pea etahi wāhine i te whakaora mā ngā hua soya, te black cohosh, te acupuncture rānei, engari he mea nui te kōrero ki tō taakuta mō ngā rongoā tūturu katoa ki te whakarite kei te haumaru, kāore hoki e pā ki ētahi atu maimoatanga.