Perimenopause

Perimenopause zvinoreva kuti "pedyo nemenopause" uye zvinoreva nguva iyo muviri wako unoita shanduko yemusikirwo kuenda ku menopause, ichiratidza kupera kwemakore ekubereka. Perimenopause inonziwo menopausal transition.

Vakadzi vanotanga perimenopause pamazera akasiyana. Ungacherechedza zviratidzo zvekuenderera mberi kuenda ku menopause, sekusanzwisisika kwemwedzi, pane imwe nguva mumakore ako emakumi mana. Asi vakadzi vamwe vanonzwa kuchinja pakutanga sema30 avo.

Pamusoro pe estrogen — homoni huru yevakadzi — mumuviri wako inokwira uye inodonha zvisina kufanana panguva ye perimenopause. Mitambo yako yemwedzi ingarebesa kana kupfupika, uye ungatanga kuva nemitambo yemwedzi umo ma ovary ako asingaburitsi zai (ovulate). Unogona zvakare kuona zviratidzo zvakaita se menopause, senge kupisa, matambudziko ekurara uye kuoma kwevagina. Kurapwa kuripo kubatsira kudzikamisa zviratidzo izvi.

Kana wapfuura mwedzi gumi nemiviri uchisatevedzana pasina nguva yemwedzi, wave kusvika ku menopause, uye nguva ye perimenopause yapfuura.

Mukupinda kwemavambo ekukura, kuchinja kuri nyore nyore - uye vamwe vasiri nyore - mumuviri wako kunogona kuitika. Unogona kuwana: Matambudziko asinganzwisisiki. Sezvo ovulation inenge isingatarisirwi, nguva iri pakati pemwedzi inogona kureba kana kupfupika, kuyerera kwako kunogona kunge kuri kwakapfava kusvika kwakakura, uye unogona kusapfuura mamwe mazuva. Kana uine kuchinja kwenguva refu kwemazuva manomwe kana kupfuura pakureba kwemwedzi wako, unogona kunge uri muperimenopause yekutanga. Kana uine nguva yemazuva makumi matanhatu kana kupfuura pakati pemwedzi, unogona kunge uri muperimenopause yekupedzisira. Kuwedzera kupisa uye matambudziko ekurara. Kuwedzera kupisa kunoitika panguva yeperimenopause. Simba, kureba uye huwandu zvinosiyana. Matambudziko ekurara kazhinji anokonzerwa nekupisa kana kuwedzera kwemasikati, asi dzimwe nguva hope dzinorova kunyangwe pasina. Kuchinja kwemanzwiro. Kuwedzera kwemanzwiro, kushatirwa kana kuwedzera njodzi yekudonha kunogona kuitika panguva yeperimenopause. Chikonzero chezviratidzo izvi chingave kusagadzikana kwehope zvine chekuita nekupisa. Kuchinja kwemanzwiro kunogona zvakare kukonzerwa nezvinhu zvisina chekuita nekuchinja kwehomoni yeperimenopause. Matambudziko epachivande neebladder. Kana mazinga e-estrogen achipera, tishu dzako dzepachidziva dzinogona kurasikirwa nekukwesha nekukura, zvichiita kuti pabonde rive marwadzo. Estrogen yakaderera inogona zvakare kukusiya uri panjodzi yakawanda yekuvhunduka kana zvirwere zvepachidziva. Kurasikirwa netone yetishu kunogona kuita kuti urase mvura. Kudzikira kwekuzvara. Sezvo ovulation isinganzwisisiki, kugona kwako kuita pamuviri kunodzikira. Zvisinei, chero bedzi uchiri kuwana mwedzi, pamuviri unogoneka. Kana uchida kudzivirira pamuviri, shandisa kudzivirira pamuviri kusvika wapedza mwedzi kwemazuva gumi nemaviri. Kuchinja pabonde. Panguva yeperimenopause, kusimudzira pabonde uye chido zvinogona kuchinja. Asi kana waiva nehukama hwakanaka pabonde usati wasvika menopause, izvi zvinogona kuenderera mberi kuburikidza neperimenopause uye kupfuura. Kurasikirwa nemapfupa. Nemazinga e-estrogen ari kudzikira, unotanga kurasikirwa nemapfupa nekukurumidza kupfuura iwe unovadzosa, uchikwidza njodzi yako yeosteoporosis - chirwere chinokonzera mapfupa anokurumidza kupwanya. Kuchinja kwemazinga echolesterol. Kudzikira kwemazinga e-estrogen kunogona kutungamira pakuchinja kwakaipa mumazinga ako eropa echolesterol, kusanganisira kuwedzera kwecholesterol yakaderera-density lipoprotein (LDL) - "yakaipa" cholesterol - iyo inoita kuti njodzi yemoyo iwedzere. Panguva imwe chete, cholesterol yakakwirira-density lipoprotein (HDL) - "yakanaka" cholesterol - inodzikira muvakadzi vazhinji sezvo vakura, izvo zvinoitawo kuti njodzi yemoyo iwedzere. Vakadzi vamwe vanotsvaka rubatsiro rwekurapa nezviratidzo zvavo zveperimenopausal. Asi vamwe vanoshivirira kuchinja kana kungasawanikwa zviratidzo zvakakomba zvinoda kutarisirwa. Nekuti zviratidzo zvinogona kunge zviri nyore uye zvichiuya zvishoma nezvishoma, ungasazive pakutanga kuti zvese zvine chekuita nechinhu chimwe chete - kuchinja kwehomoni kwekuchinja kwemavambo. Kana uine zviratidzo zvinokanganisa hupenyu hwako kana kunaka kwako, sekupisa, kuwedzera kwemanzwiro kana kuchinja pabonde kunokunetsa, ona chiremba wako.

Vakadzi vamwe vanotsvaka rubatsiro rwekurapa nekuda kwezviratidzo zveperimenopause. Asi vamwe vanongoshivirira kuchinja kana kuti havaoni zviratidzo zvakakomba zvinoda rubatsiro. Sezvo zviratidzo zvingave zvisinganzwikwi uye zvichiuya zvishoma nezvishoma, ungasazive pakutanga kuti zvose zvakabatana nechinhu chimwe chete—kuchinja kwehomoni panguva yekuchinja kwe menopause. Kana uine zviratidzo zvinokanganisa hupenyu hwako kana kuti utano hwako, zvakadai seflashes inopisa, kuchinja kwemanzwi kana kuchinja pabonde kunokunetsa, ona chiremba wako.

Paunofamba neperimenopause, kugadzirwa kwemuviri wako kwe-estrogen ne-progesterone, mahomoni makuru emadzimai, kunokwira nekudonhera. Zvimwe zvezvinhu zvaunosangana nazvo panguva yeperimenopause zvinokonzerwa nekuderera kwe-estrogen.

Menopause chikamu chakajairika muhupenyu. Asi inogona kuitika kare muvakadzi vamwe kupfuura vamwe. Kunyange zvisiri nguva dzose zvakasimba, uchapupu hwakati hunoita kuti zvive nyore kuti utange perimenopause pazera diki, kusanganisira:

• Kufuma. Kutanga kweMenopause kunoitika makore 1 kusvika ku2 kare muvakadzi vanofuma kupfuura muvakadzi vasingafumi.
• Nhoroondo yemhuri. Vakadzi vane nhoroondo yemhuri yeMenopause ekutanga vangave neMenopause ekutanga ivo pachavo.
• Kurapwa kenza. Kurapwa kenza ne chemotherapy kana pelvic radiation therapy kwakabatana neMenopause ekutanga.
• Hysterectomy. Hysterectomy inobvisa mhombwe yako, asi kwete ma ovary ako, kazhinji haina kukonzera menopause. Kunyange zvazvo usisina periods, ma ovary ako achiri kuburitsa estrogen. Asi kuvhiya kwakadaro kunogona kukonzera menopause kuitika kare kupfuura avhareji. Uyewo, kana uine ovary imwe yabviswa, ovary inosara ingarega kushanda nekukurumidza kupfuura zvaitarisirwa.

Kuenda kumwedzi kusina kuenzana chiratidzo cheperimenopause. Kazhinji izvi zvinowanzoitika uye hapana chekunetseka nezvazvo. Zvisinei, ona chiremba wako kana:

• Kuenda kweropa kuri kukura kwazvo — uri kuchinja tampons kana mapads awa imwe neimwe kana maviri kwemaawa maviri kana kupfuura
• Kuenda kweropa kunogara kwenguva yakareba kupfuura mazuva manomwe
• Kuenda kweropa kunoitika pakati pemwedzi
• Kuenda kumwedzi kunowanzoitika pazuva shoma kupfuura 21

Zviratidzo zvakadai izvi zvinogona kureva kuti kune dambudziko nesimba rako rekuberekesa rinoda kurapwa nekurapwa.

Perimenopause inzira — kuchinja kwakapfava. Hapana bvunzo kana chiratidzo chimwe chete chinokwana kusimbisa kana wapinda muperimenopause. Chiremba wako anofunga nezvezvinhu zvakawanda, kusanganisira makore ako, nhoroondo yemwedzi wako, uye zviratidzo kana kuchinja kwemuviri kwauri kusangana nazvo. Vamwe vanachiremba vangarayira bvunzo dzekuongorora mahomoni ako. Asi kunze kwekutarisa kushanda kwetayirodi, kunogona kukanganisa mahomoni, bvunzo yemahomoni haina kukosha kana kubatsira mukuongorora perimenopause. Kutarisirwa paMayo Clinic Timu yedu inotarisira yevanachiremba veMayo Clinic inogona kukubatsira nezvematambudziko ako ehutano ane chekuita neperimenopause Tanga pano

Dealing with Perimenopause Symptoms

Many women experience perimenopause symptoms, which can be managed with various medications. These symptoms often include hot flashes and night sweats.

Hormone Therapy (Estrogen):

Estrogen therapy is often the most effective treatment for perimenopause and menopause symptoms like hot flashes and night sweats. Doctors prescribe the lowest dose of estrogen possible to relieve symptoms. If a woman still has her uterus, she'll also need progestin along with estrogen. Estrogen can help prevent bone loss. There are different ways estrogen can be delivered:

• Systemic Estrogen: This is taken as a pill, patch, spray, gel, or cream. It's absorbed throughout the body.
• Vaginal Estrogen: This is applied directly to the vagina using a tablet, ring, or cream. It releases a small amount of estrogen absorbed by the vaginal tissue, helping with vaginal dryness, discomfort during sex, and some urinary issues.

Other Medications:

• Antidepressants (SSRIs): Some antidepressants can help reduce hot flashes. These might be a good option if estrogen isn't suitable for health reasons, or if a woman needs an antidepressant for another condition.
• Gabapentin (Neurontin): This medication, usually used for seizures, can also help reduce hot flashes. It might be a good choice for women who can't take estrogen or who also experience migraines.
• Fezolinetant (Veozah): This is a hormone-free option for treating hot flashes. It works by affecting the part of the brain that controls body temperature.

Important Considerations:

It's crucial to discuss all treatment options, along with the potential risks and benefits, with your doctor. Your individual needs and suitable treatment options may change over time, so it's important to review your care plan yearly.

Additional Information:

• Mayo Clinic: You can find more information about perimenopause care and other women's health topics on the Mayo Clinic website. They offer resources, expert opinions, and ways to stay up-to-date on women's health.

Important Note: This information is for general knowledge and does not constitute medical advice. Always consult with a healthcare professional for personalized recommendations and treatment plans.