Perimenopause

Perimenopause bisobanura "hafi ya menopause" kandi igaragaza igihe umubiri wawe uba urimo guhinduka kijyambere ujya muri menopause, ikaba igaragaza iherezo ry'imyaka yo kubyara. Perimenopause ikunze kwitwa igihe cyo guhinduka kwa menopause.

Abagore batangira perimenopause mu myaka itandukanye. Ushobora kubona ibimenyetso byerekana ko ugenda ujya muri menopause, nko kudakunda imihango, rimwe na rimwe mu myaka yawe ya 40. Ariko bamwe mu bagore bahura n'impinduka hakiri kare mu myaka yabo ya 30.

Igipimo cya estrogen - ikirungo nyamukuru cy'abagore - mu mubiri wawe kizamuka kandi kigabanuke mu buryo budasanzwe muri perimenopause. Imihango yawe ishobora kurambirana cyangwa igufi, kandi ushobora gutangira kugira imihango aho ibiyobyabwenge byawe bitarekura intanga (ovulate). Ushobora kandi kugira ibimenyetso bisa n'ibya menopause, nko guhura n'ubushyuhe bukabije, ibibazo byo kurara no kumye mu gitsina. Hari ubuvuzi buhari kugira ngo bufashe mu kugabanya ibyo bimenyetso.

Iyo umaze amezi 12 yikurikiranya udafite imihango, uba umaze kugera muri menopause, kandi igihe cya perimenopause kirangira.

Mu gihe cyo guhinduka kwa menopause, hari impinduka nto - ndetse n'izindi zikomeye - zishobora kubaho mu mubiri wawe. Ushobora guhura na: Ibihe bidakurikiranye. Kubera ko ovulation iba idakurikiza igihe, igihe kiri hagati y'ibihe bishobora kuba kirekire cyangwa kigufi, amaraso yawe ashobora kuba make cyangwa menshi, kandi ushobora kudakora igihe. Niba ufite impinduka ihoraho y'iminsi irindwi cyangwa irenga mu gihe cy'ukwezi kwawe, ushobora kuba uri mu ntangiriro za perimenopause. Niba ufite igihe cy'iminsi 60 cyangwa irenga hagati y'ibihe, birashoboka ko uri mu mpera za perimenopause.\nUbushyuhe bukabije n'ibibazo byo kurara. Ubushyuhe bukabije busanzwe muri perimenopause. Ubukana, igihe n'umubare bihinduka. Ibibazo byo kurara bikunze guterwa n'ubushyuhe bukabije cyangwa ibyuya byijoro, ariko rimwe na rimwe ibitotsi bihinduka nubwo bitabayeho.\nImpinduka z'imitekerereze. Impinduka z'imitekerereze, kurakara cyangwa ibyago byiyongereye byo kwinjira mu gihombo bishobora kubaho muri perimenopause. Impamvu y'ibimenyetso nk'ibi ishobora kuba ikibazo cyo kurara gifitanye isano n'ubushyuhe bukabije. Impinduka z'imitekerereze zishobora kandi guterwa n'ibintu bidafitanye isano n'impinduka z'imisemburo ya perimenopause.\nIbibazo byo mu gitsina n'umuyoboro w'inkari. Iyo urwego rwa estrogen rugabanuka, imyenda yawe yo mu gitsina ishobora kubura amavuta n'ubushobozi bwo gukomera, bigatuma imibonano mpuzabitsina iba ibabaza. Estrogen nke ishobora kandi kukugira mu kaga cyo kwandura mu myanya y'ubugabo cyangwa mu gitsina. Kubura ubushobozi bw'imikaya bishobora gutera kudafata neza inkari.\nKubura ubushobozi bwo kubyara. Kubera ko ovulation iba idakurikiza igihe, ubushobozi bwawe bwo gutwita bugabanuka. Ariko, mugihe ukora igihe, gutwita biracyashoboka. Niba ushaka kwirinda gutwita, koresha uburyo bwo kuboneza urubyaro kugeza igihe utagiye mu gihe cy'amezi 12.\nImpinduka mu mibonano mpuzabitsina. Muri perimenopause, ubushake n'ibyishimo by'imibonano mpuzabitsina bishobora guhinduka. Ariko niba wari ufite imibonano mpuzabitsina myiza mbere ya menopause, ibi bizakomeza muri perimenopause no nyuma yayo.\nKubura amagufwa. Iyo urwego rwa estrogen rugabanuka, utangira kubura amagufwa vuba kurusha uko uyasubiza, bikongera ibyago byo kugira osteoporosis - indwara itera amagufwa adakomeye.\nImpinduka z'urwego rwa cholesterol. Kugabanuka kw'urwego rwa estrogen bishobora gutera impinduka mbi mu rwego rwa cholesterol yawe mu maraso, harimo izamuka rya cholesterol ya lipoprotein (LDL) - cholesterol "mibi" - itera ibyago byiyongereye by'indwara z'umutima. Muri icyo gihe, cholesterol ya lipoprotein (HDL) - cholesterol "nziza" - igabanuka mu bagore benshi uko bakura, ibyo bikongera ibyago by'indwara z'umutima. Bamwe mu bagore bashaka ubufasha bw'abaganga kubera ibimenyetso byabo bya perimenopausal. Ariko abandi bahanganira n'impinduka cyangwa nta bimenyetso bikomeye bagira bikeneye ubufasha. Kubera ko ibimenyetso bishobora kuba bito kandi bigatera buhoro buhoro, ushobora kutamenya mbere ko byose bifitanye isano n'ikintu kimwe - impinduka z'imisemburo mu gihe cyo guhinduka kwa menopause. Niba ufite ibimenyetso bikubuza kubaho neza, nko kubura ubushyuhe bukabije, impinduka z'imitekerereze cyangwa impinduka mu mibonano mpuzabitsina zikubuza amahoro, reba muganga.

Abagore bamwe bashaka ubuvuzi kubera ibimenyetso byo gucura umugore. Ariko abandi bakihanganira ihindagurika cyangwa se ntibagira ibimenyetso bikomeye bihagije bisaba ubuvuzi. Kubera ko ibimenyetso bishobora kuba bito kandi bigakurikirana buhoro buhoro, ushobora kutamenya mbere ko byose bifitanye isano - ihinduka ry'imisemburo mu gihe cyo gucura umugore.

Niba ufite ibimenyetso bikubuza kubaho neza cyangwa imibereho myiza, nka guhumeka umuriro, guhinduka kw'imitekerereze cyangwa guhinduka mu mibonano mpuzabitsina bikuhangayikishije, reba muganga wawe.

Uko ugenda unyura muri perimenopoz, umubiri wawe ukora estrogene na progesterone, imisemburo y'igitsina gore y'ingenzi, izamuka kandi igwa. Impinduka nyinshi uhura nazo muri perimenopoz iterwa no kugabanuka kw'estrogene.

Menopause ni igihe gisanzwe mu buzima. Ariko ishobora kubaho hakiri kare mu bagore bamwe ugereranyije n'abandi. Nubwo atari ukuri buri gihe, ibimenyetso bimwe na bimwe bigaragaza ko ibintu bimwe na bimwe bishobora gutuma bishoboka ko utangira perimenopause hakiri kare, birimo:

• Ukoresha itabi. Gutangira kwa menopause bibaho hakiri imyaka 1 kugeza kuri 2 mu bagore bakoresha itabi ugereranyije n'abagore badakoresha itabi.
• Amateka y'umuryango. Abagore bafite amateka y'umuryango wa menopause hakiri kare bashobora guhura na menopause hakiri kare.
• Kuvurwa kanseri. Kuvurwa kanseri hakoreshejwe chemotherapy cyangwa radiotherapy ya pelvic byahujwe na menopause hakiri kare.
• Hysterectomy. Hysterectomy ikuramo umura, ariko idakuraho ovaire, isanzwe ntabwo itera menopause. Nubwo utakiri kubona imihango, ovaire zawe zigikora estrogen. Ariko ubwo buryo bwo kubaga bushobora gutuma menopause ibaho hakiri kare ugereranyije n'ibisanzwe. Nanone, niba ufite ovaire imwe yakuweho, ovaire isigaye ishobora guhagarika gukora vuba kurusha ibyari biteganyijwe.

Ibihe bidahwitse ni ikimenyetso cy'igihe cyo gucura. Akenshi ibi biba bisanzwe kandi nta cyo ugomba kwitaho. Ariko, reba muganga wawe niba:

• Uterwa amaraso menshi cyane — uhinduranya utwenda cyangwa ibindi bikoresho buri saha cyangwa ebyiri mu gihe cy'amasaha abiri cyangwa arenga
• Amaraso akamara iminsi irenga irindwi
• Amaraso aza hagati y'ibihe
• Ibihe bihora biba bitarenze iminsi 21

Ibimenyetso nk'ibi bishobora kugaragaza ko hari ikibazo mu mubiri w'imyanya y'ubuzima bw'imyororokere gisaba isuzuma n'ubuvuzi.

Perimenopause ni inzira – ihinduka buhoro buhoro. Nta kizami kimwe cyangwa ikimenyetso kimwe gihagije kigaragaza ko winjiye muri perimenopause. Muganga wawe atekereza ibintu byinshi, birimo imyaka yawe, amateka y’imihango yawe, n’ibimenyetso cyangwa impinduka z’umubiri urimo guhura na zo. Bamwe mu baganga bashobora gutegeka ibizami kugira ngo barebe urwego rw’imisemburo yawe. Ariko uretse gusuzuma imikorere y’umwijima, ishobora kugira ingaruka ku misemburo, gupima imisemburo birakenerwa cyangwa bifitiye akamaro gake mu gusuzuma perimenopause. Kwitabwaho muri Mayo Clinic Ikipe yacu yita ku barwayi igizwe n’inzobere za Mayo Clinic irashobora kugufasha mu bibazo byawe by’ubuzima bifitanye isano na perimenopause. Tangira hano

Imititi ikunzwe gukoreshwa mu kuvura ibimenyetso bya perimenopause. Ubuvuzi bwa hormone. Ubuvuzi bwa estrogeni ya sisitemu - iboneka mu binyobwa, agapasi ko mu ruhu, imiti yo kunyunyuza, imiti yo kwisiga cyangwa amavuta - buracyari uburyo bwiza cyane bwo kugabanya ubushyuhe bwinshi bwo mu gihe cya perimenopause na menopause ndetse n'ibitotsi byijoro. Bitewe n'amateka yawe bwite n'ay'umuryango wawe, muganga wawe ashobora kugutegurira estrogeni mu gipimo gito cyane gikenewe kugira ngo igufashe kugabanya ibimenyetso. Niba ugifite umura, uzakenera progestin uhereye kuri estrogeni. Estrogeni ya sisitemu ishobora kugufasha gukumira igihombo cy'amagufwa. Estrogeni yo mu gitsina. Estrogeni ishobora gutangwa mu gitsina hakoreshejwe imiti yo mu gitsina, impeta cyangwa amavuta. Ubu buvuzi butanga umwanya muto wa estrogeni, uwo mwanya ukaba ariwo ufatwa n'ingingo z'igitsina. Bishobora kugufasha kugabanya umwuma mu gitsina, kubabara mu gihe cy'imibonano mpuzabitsina ndetse na bimwe mu bimenyetso byo kwinjira. Imiti yo kuvura ihungabana. Imiti imwe yo kuvura ihungabana ifitanye isano n'itsinda ry'imiti yitwa selective serotonin reuptake inhibitors (SSRIs) ishobora kugabanya ubushyuhe bwinshi bwo mu gihe cya menopause. Imiti yo kuvura ihungabana mu gucunga ubushyuhe bwinshi ishobora kuba ingirakamaro ku bagore badashobora gufata estrogeni kubera impamvu z'ubuzima cyangwa ku bagore bakeneye imiti yo kuvura ihungabana kubera indwara yo mu mutwe. Gabapentin (Neurontin). Gabapentin yemewe kuvura indwara zifata ubwonko, ariko kandi byagaragaye ko ifasha kugabanya ubushyuhe bwinshi. Iyi miti ifitiye akamaro abagore badashobora gukoresha ubuvuzi bwa estrogeni kubera impamvu z'ubuzima ndetse n'abafite migraine. Fezolinetant (Veozah). Iyi miti ni uburyo butagira hormone bwo kuvura ubushyuhe bwinshi bwo mu gihe cya menopause. Ikora mu kuburizamo inzira mu bwonko ifasha kugenzura ubushyuhe bw'umubiri. Mbere yo gufata icyemezo ku buryo ubwo aribwo bwose bwo kuvura, banza uganire na muganga wawe ku byo ushobora gukora n'ibyiza n'ibibi byabyo. Suzuma ibyo ushobora gukora buri mwaka, kuko ibyo ukeneye n'uburyo bwo kuvura bishobora guhinduka. Amakuru y'inyongera Kwitaho perimenopause muri Mayo Clinic Gukuraho endometrium Gusaba gahunda Hari ikibazo kuri amakuru yatsinzwe hepfo kandi wongere ushyireho ifishi. Ibibazo by'ubuzima bw'abagore - ukoresheje imeri yawe Bona amakuru mashya ava ku bahanga ba Mayo Clinic ku bibazo by'ubuzima bw'abagore, indwara zikomeye kandi zigoye, ubuzima bwiza n'ibindi. Kanda kugira ngo urebe icyitegererezo kandi wiyandikishe hepfo. Imeri 1 Ikosa Agasanduku k'imeli gasabwa Ikosa Shyiramo aderesi yemewe ya imeili Menya byinshi ku ikoreshwa ry'amakuru na Mayo Clinic. Kugira ngo tugutange amakuru afatika kandi akubere ingirakamaro, kandi twumve amakuru afatika, dushobora guhuza amakuru yawe ya imeili n'amakuru y'imikorere yawe kuri website hamwe n'andi makuru dufite kuri wewe. Niba uri umurwayi wa Mayo Clinic, ibi bishobora kuba birimo amakuru y'ubuzima abarindwe. Niba duhuje aya makuru n'amakuru yawe y'ubuzima abarindwe, tuzabyita byose nk'amakuru y'ubuzima abarindwe kandi tuzakoresha cyangwa tugaha ayo makuru nkuko byavuzwe mu itangazo ryacu ry'amabwiriza y'ibanga. Ushobora guhagarika imeri igihe icyo aricyo cyose ukande kuri link yo guhagarika imeri iri muri iyo meri. Kwiyandikisha Urakoze cyane ku kwandikisha! Vuba aha uzatangira kwakira amakuru mashya y'ubuzima ya Mayo Clinic wasabye muri imeili yawe. Mbabarira ikintu cyaragiye nabi mu kwandikisha wawe Nyamuneka, gerageza ukongera nyuma y'iminota mike Ongera