Perimenopause inguva inokosha muhupenyu hwemukadzi sezvo inotungamira ku menopause. Iyi nhanho inogona kutanga pakutanga sepakati pemakore emakumi matatu nemashanu uye inogona kutorwa kwemakore akawanda. Chinhu chikuru cheperimenopause kuchinja kwemahomoni, kunyanya estrogen neprogesterone. Kuchinja uku kwemahomoni kunogona kukonzera zviratidzo zvakasiyana-siyana zvemuviri nemweya, sekusanzwisisika kwemwedzi, kupisa, kushanduka kwemanzwiro, uye dambudziko rekutora hope.
Perimenopause kazhinji inoparadzaniswa muzvikamu zviviri: nhanho yekutanga nenhanho yekupedzisira. Munhanho yekutanga, kumwedzi kunogona kunge kuchiri kuitika kazhinji, asi kuchinja kwemahomoni kunotanga kuitika. Sezvaunosvika nhanho yekupedzisira yeperimenopause, kumwedzi kazhinji kunova kusina kunaka, izvo zvinoratidza kudonha kwekuzvara. Kunyange vakadzi vamwe vangave vachitya pamusoro pekukura nepamuviri panguva ino, zvichiri kuitika, kunyanya munhanho yekutanga.
Zvakakosha kunzwisisa kuchinja uku kwemahomoni. Hazvikutadzi chete kugona kwako kuita nepamuviri asi zvinogona kukanganisawo hutano hwako hwese. Saka, kana uri kufunga, "Unogona kuita nepamuviri panguva yeperimenopause?" zvakakosha kutaura nachiremba nezvemamiriro ako ezvinhu nezvisarudzo zvakanakisa kwauri.
Perimenopause inguva yekuchinja usati waenda ku menopause, kazhinji inoitika muvakadzi panguva yemakore avo emakumi mana asi dzimwe nguva pakutanga sepakati pemakore avo emakumi matatu nemashanu. Panguva ino, kuzvara kunodzikira, asi pamuviri zvichiri kuitika.
Estrogen neprogesterone mazinga anochinja, zvichikonzera ovulation isina kunaka. Kunyange ovulation isingachanji, mamwe maitiro anogona kunge achiri kubereka.
Kumwedzi kunogona kuwedzera, kupfupika, kuwedzera, kana kudzikira, zvichiita kuti kufuridzira ovulation nemahwindo ekubereka kuve kwakaoma.
Kunyangwe kuzvara kuchidzikira, kubata pamuviri zvichiri kuitika kana ovulation ikaitika. Vakadzi vanoda kudzivirira pamuviri vanofanira kuramba vachishandisa zvinodzivirira pamuviri kusvikira menopause ichasimbiswa (mwedzi gumi nembiri yakatevedzana pasina kumwedzi).
Zviratidzo sekupisa, kupererwa nehope usiku, nekukoma kwevagina zvinogona kuratidza kudzikira kwekuzvara, kunyange zvisingasimbisire kushaya simba rekubereka.
Kune avo vanotambura nekubata pamuviri, kurapwa kwekuzvara sekunge IVF kana hormone therapy kunogona kubatsira. Zvisinei, kubudirira kunodzikira nekuwedzera kwezera.
Dambudziko/Chinhu chekufunga |
Tsananguro |
---|---|
Kuwedzera Kwenjodzi yekurasikirwa nePamuviri |
Nekuda kwezviyo zvakwegura nekuchinja kwemahomoni, mitengo yekurasikirwa nepamuviri yakakwira. |
Chromosomal Abnormalities |
Mikana yakakwira yemamiriro ezvinhu emajini senge Down syndrome. |
Gestational Diabetes |
Amai vakwegura vanonyanya kukurumidza kuita chirwere cheshuga panguva yepamuviri. |
Kuderera Kweropa Nekuwedzera KwePreeclampsia |
Kuwedzera kwenjodzi yehypertension, izvo zvinogona kukonzera matambudziko kune amai nembabwa. |
Kuberekwa Kwakakurumidza Nekurema Kurema |
Vana vanogona kuberekwa vasati vasvika nguva kana vane uremu hwakaderera. |
Cesarean Delivery (C-section) |
Mikana yakakwira yekuda C-section nekuda kwezvinetso zvebasa. |
Matambudziko ekurapa kweKuzvara |
Assisted reproductive technologies inogona kudiwa asi ine mitengo yakaderera yekubudirira uye njodzi yakakwira. |
Matambudziko ekudzoreredza Postpartum |
Kudzoreredzwa kunogona kutora nguva yakareba nekuda kwezvinhu zvine chekuita nekuchembera. |
Vakadzi vanoda kubata pamuviri panguva yeperimenopause vane sarudzo dzakawanda, kunyange zvazvo vanofanira kuziva nezvematambudziko nenjodzi dzine chekuita nepamuviri rekare.
Vakadzi vamwe vanogona kuchiita nepamuviri zvakasikwa kana ovulation ikaitika.
Kufuridzira ovulation kuburikidza ne basal body temperature, ovulation predictor kits, kana hormone testing kunogona kubatsira kuziva mahwindo ekubereka.
In Vitro Fertilization (IVF): Inowedzera mikana yekubata pamuviri uchishandisa mazai ako kana emunyori.
Egg Donation: Inovandudza mitengo yekubudirira yepamuviri kune vakadzi vane mazai ane huwandu hushoma.
Hormone Therapy: Mishonga senge Clomid kana gonadotropins inokurudzira ovulation.
Egg Freezing (Oocyte Cryopreservation): Inobatsira vakadzi kuchengetedza kuzvara kwekubata pamuviri kwenguva yemberi.
Embryo Freezing: Embryos yakabatanidzwa inogona kuchengetwa kuti ishandiswe gare gare.
Kubvunza nyanzvi yekuzvara kunobatsira kuongorora hutano hwekubereka nesarudzo dzekurapa.
Kuchengeta uremu hwakanaka, kudya zvokudya zvakakwana, kuderedza kushushikana, uye kudzivisa kusvuta/doro kunogona kuvandudza kuzvara.
Pamuviri panguva yeperimenopause inogona kuitika asi ine matambudziko nekuda kwekudzikira kwekuzvara nekuwedzera kwenjodzi dzehutsanana. Vakadzi vanogona kubata pamuviri zvakasikwa kana ovulation ichiri kuitika, asi kufuridzira kuzvara kwakakosha. Assisted reproductive technologies (ART), senge IVF, egg donation, ne hormone therapy, inopa mamwe masarudzo ekubata pamuviri. Nzira dzekuchengetedza kuzvara, senge egg kana embryo freezing, inogona kubatsira avo vanoronga pamuviri weramangwana. Kubvunza nyanzvi yekuzvara nekugamuchira mararamiro ane hutano kunogona kuvandudza mikana yekubata pamuviri nekugonesa pamuviri wakachengeteka. Kurongeka kwemishonga kwakakosha pakufamba nepamuviri panguva yeperimenopause.
1. Ndingachiri kubata pamuviri panguva yeperimenopause here?
Hungu, chero uchichiri kuita ovulation, pamuviri inogona kuitika. Zvisinei, kuzvara kunodzikira zvakanyanya, uye ovulation inova isina kunaka, zvichiita kuti kubata pamuviri kuve kwakaoma.
Pamuviri panguva ino ine njodzi yakakwira, kusanganisira kurasikirwa nepamuviri, chromosomal abnormalities (semuenzaniso, Down syndrome), gestational diabetes, kuderera kweropa, kuberekwa kwakakurumidza, uye kuda C-section.
Kufuridzira ovulation, kuchengeta mararamiro ane hutano, uye kubvunza nyanzvi yekuzvara kunogona kubatsira. Assisted reproductive technologies (ART), senge IVF kana egg donation, inogona zvakare kuvandudza mitengo yekubudirira.
Hungu, kana uchida kudzivirira pamuviri, zvinodzivirira pamuviri zvakakosha kusvikira menopause ichasimbiswa (mwedzi gumi nembiri yakatevedzana pasina kumwedzi). Kubata pamuviri zvakasikwa zvichiri kuitika panguva yeperimenopause.
Egg freezing inonyanya kushanda pazera duku, asi vakadzi vamwe vane perimenopause vanogona kunge vachiri kukodzera. Mazai emunyori kana embryo freezing inogona kunge iri sarudzo dzakanaka dzekubata pamuviri panguva ino.
Chiziviso: August ipuratifomu yemashoko ehutano uye mhinduro dzayo haisi zano rekurapa. Gara uchibvunza nyanzvi yezvekurapa ine rezinesi pedyo newe usati waita chero shanduko.
Yakagadzirwa muIndia, kune nyika