Perimenopause

Perimenopause waxay la macno tahay "ku dhow menopause" waxayna tixraacaysaa waqtiga jirkaagu ku sameeyo isbedelka dabiiciga ah ee menopause, taasoo calaamad u ah dhammaadka sanadaha taranka. Perimenopause waxaa sidoo kale loo yaqaanaa kala guurka menopause.

Haweenku waxay bilaabaan perimenopause da'o kala duwan. Waxaa laga yaabaa inaad aragto calaamadaha horumarka ku wajahan menopause, sida caadada aan caadiga ahayn, mararka qaarkood da'da 40-ka. Laakiin haween qaar waxay dareemaan isbeddello ilaa da'da dhexe ee 30-ka.

Heerka estrogen - hormoonka ugu weyn ee dheddigga - jirkaaga waxa uu kor u kacayaa oo hoos u dhacaya si aan simanayn inta lagu jiro perimenopause. Wareegyada caadadaada waxay sii dheeraan karaan ama gaaban karaan, waxaana laga yaabaa inaad bilowdo inaad yeelato wareegyo caadada ah oo uusan ugxan-sidahaagu ku sii daynin ukun (ovulate). Waxaad sidoo kale la kulmi kartaa calaamado la mid ah menopause, sida kulul, dhibaatooyinka hurdada iyo qalalka farjiga. Daaweyn ayaa diyaar u ah in lagu yareeyo calaamadahaas.

Markaad marto 12 bilood oo isku xigta oo aan lahayn caadada, waxaad si rasmi ah u gaartay menopause, muddada perimenopause-na way dhammaatay.

Marka uu wareegga caadada uu socdo, isbedelo yar yar - iyo kuwa aan aad u yarayn - ayaa laga yaabaa inay ku dhacaan jirkaaga. Waxaa laga yaabaa inaad la kulanto: Caadada aan joogtada ahayn. Marka ugxanta ay noqoto mid aan la saadaalin karin, muddada u dhaxaysa caadada waxay noqon kartaa mid dheer ama gaaban, socodkaagu wuxuu noqon karaa mid khafiif ah ilaa mid culus, waxaadna ka maqnaan kartaa qaar ka mid ah caadada. Haddii aad la kulanto isbedel joogto ah oo ah toddoba maalmood ama ka badan dhererka wareegga caadadaada, waxaa laga yaabaa inaad ku jirto marxaladda hore ee perimenopause. Haddii aad haysato boos ah 60 maalmood ama ka badan inta u dhaxaysa caadada, waxaad u badan tahay inaad ku jirto marxaladda dambe ee perimenopause.\nKulul iyo dhibaatooyinka hurdada. Kululku waa wax caadi ah inta lagu jiro perimenopause. Xoogga, dhererka iyo inta jeer ee ay dhacaan way kala duwan yihiin. Dhibaatooyinka hurdada badanaa waxay la xiriiraan kulul ama dhididka habeenkii, laakiin mararka qaarkood hurdadu waxay noqotaa mid aan la saadaalin karin xitaa iyada oo aan lahayn. \nIsbedelada niyadda. Isbeddellada niyadda, xanaaqa ama khatarta sii kordheysa ee niyad jabku waxay ku dhici karaan inta lagu jiro perimenopause. Sababta calaamadahaas waxay noqon kartaa carqaladaynta hurdada ee la xiriirta kulul. Isbedelada niyadda waxaa sidoo kale sababi kara arrimo aan la xiriirin isbedelada hoormoonka ee perimenopause.\nDhibaatooyinka xubinta taranka iyo kaadi haysta. Marka heerka estrogen uu yaraado, unugyada xubinta tarankaaga waxay lumin karaan saliida iyo dabacsanaanta, taasoo keenta xanuunka galmada. Estrogen-ka hooseeya wuxuu sidoo kale kaa dhigi karaa mid aad ugu nugul infekshinka kaadi mareenka ama xubinta taranka. Lumaynta qiyaasta unugyada waxay gacan ka geysan kartaa daadinta kaadida.\nDhalmada oo yaraanaya. Marka ugxanta ay noqoto mid aan joogto ahayn, awooddaada aad u uur yeelato way yaraataa. Si kastaba ha ahaatee, inta aad haysato caadada, uurku wali waa suurtogal. Haddii aad rabto inaad ka fogaato uurka, isticmaal qalabka ka hortagga uurka ilaa aad 12 bilood aanad lahayn caadada.\nIsbedelada hawlaha galmada. Inta lagu jiro perimenopause, kacsiga galmada iyo rabitaanku way isbedeli karaan. Laakiin haddii aad haysatay xidhiidh galmo oo ku qanacsan ka hor menopause, tani waxay u badan tahay inay sii socon doonto inta lagu jiro perimenopause iyo ka dib.\nLuridda lafta. Heerka estrogen oo hoos u dhacaya, waxaad bilaabaysaa inaad si dhakhso ah u lumiso lafta marka loo eego sida aad u beddesho, taasoo kordhinaysa khatarta osteoporosis - cudur keena lafo jilicsan.\nIsbedelada heerka kolestaroolka. Heerka estrogen oo hoos u dhacaya waxay keeni kartaa isbedelo aan wanaagsanayn heerka kolestaroolka dhiigaaga, oo ay ku jiraan kororka kolestaroolka low-density lipoprotein (LDL) - kolestaroolka "xumaa" - kaas oo gacan ka geysta kordhinta khatarta cudurrada wadnaha. Isla waqtigaas, kolestaroolka high-density lipoprotein (HDL) - kolestaroolka "wanaagsan" - wuxuu yaraadaa haween badan iyagoo da' weynaanaya, taasoo sidoo kale kordhinaysa khatarta cudurrada wadnaha. Qaar ka mid ah haweenku waxay raadsadaan daryeel caafimaad oo loogu talagalay calaamadahooda perimenopausal. Laakiin kuwa kalena waxay u dulqaataan isbedelada ama si fudud uma la kulmaan calaamado aad u daran oo u baahan dareen. Sababtoo ah calaamaduhu waxay noqon karaan kuwo qarsoon oo si tartiib tartiib ah u imanaya, waxaa laga yaabaa inaadan markiiba ogaanin inay dhammaantood isku xiran yihiin wax isku mid ah - isbeddellada hoormoonka ee wareegga caadada. Haddii aad hayso calaamado carqaladeeya noloshaada ama caafimaadkaaga, sida kulul, isbeddellada niyadda ama isbedelada hawlaha galmada ee ku walaacsan, la tasho dhakhtarkaaga.

Haween qaarkood waxay raadiyaan daryeel caafimaad oo ku saabsan calaamadahooda perimenopause. Laakiin kuwa kalena waxay u dulqaataan isbeddellada ama si fudud uma la kulmaan calaamado aad u daran oo u baahan dareen. Sababtoo ah calaamaduhu waxay noqon karaan kuwo qarsoon oo si tartiib tartiib ah u imanaya, markii hore waxaa laga yaabaa inaadan ogaanin inay dhammaantood isku xiran yihiin wax isku mid ah - isbeddellada hoormoonka ee kala guurka menopause. Haddii aad qabto calaamado carqaladeeya noloshaada ama caafimaadkaaga, sida kulaylka, isbeddellada niyadda ama isbeddellada hawlaha galmada ee ku walaacsanaya, la tasho dhakhtarkaaga.

Markaad marayso marxaladda perimenopause, wax soo saarka jirkaaga ee estrogen iyo progesterone, oo ah hoormoonada ugu muhiimsan ee dumarka, wuxuu kor u kacayaa oo wuu hoos u dhacayaa. Isbeddelada badan ee aad ku aragto inta lagu jiro perimenopause waxay sabab u tahay yaraanta estrogen.

Menopause waa marxalad caadi ah oo nolosha ka mid ah. Laakiin waxay ku dhici kartaa haween qaarkood ka hor intaysan ku dhicin kuwa kale. Inkasta oo aan had iyo jeer ahayn mid go'aan ah, haddana caddeymo qaar ayaa soo jeedinaya in qaar ka mid ah arrimuhu ay ka dhigi karaan inay u badan tahay inaad bilawdo perimenopause da' yar, oo ay ku jiraan:

• Sigaar cabista. Bilawga menopause wuxuu dhacaa 1 ilaa 2 sano ka hor haweenka sigaarka caba marka loo eego haweenka aan sigaarka cabin.
• Taariikhda qoyska. Haweenka leh taariikh qoyska oo ah menopause hore waxay la kulmi karaan menopause hore iyagoo iska leh.
• Daawaynta kansarka. Daawaynta kansarka ee kiimoterabi ama daawaynta shucaaca ee miskaha ayaa lala xiriiriyay menopause hore.
• Hysterectomy. Hysterectomy oo ka saaraya ilmo galeenkaaga, laakiin aan ka saarin ugxantaada, caadi ahaan ma keento menopause. Inkasta oo aadan mar dambe haysan caadada, haddana ugxantaadu wali waxay soo saartaa estrogen. Laakiin qalliinka noocaas ahi wuxuu keeni karaa in menopause ka hor yimaado celceliska. Sidoo kale, haddii aad ka saarto hal ugxan, ugxanta hartay waxay joojin kartaa shaqada ka hor inta aan la filayn.

Caadada aan joogtada ahayn waa astaan ​​muujinaysa perimenopause. Inta badan waqtiyada tani waa caadi waxaana jira wax aad uga walwasho. Si kastaba ha ahaatee, booqo dhakhtarkaaga haddii:

• Dhiig bax aad u daran yahay — waxaad isku beddelayaa tampons ama pads saacad kasta ama laba saacadood muddo laba saacadood ama ka badan
• Dhiig baxu uu ka badan yahay toddoba maalmood
• Dhiig baxu uu ka dhaco inta u dhaxaysa caadada
• Caadadu si joogto ah uga yimaadaan ka yar 21 maalmood

Astaamo noocan oo kale ah waxay muujin karaan in dhibaato ka jirto nidaamkaaga taranka oo u baahan baaritaan iyo daaweyn.

Perimenopause waa hab socod - kala guur tartiib tartiib ah. Ma jiraan baaritaan ama calaamad keliya oo ku filan si loo ogaado haddii aad gashay perimenopause. Dhakhtarkaagu waxa uu tixgeliyaa waxyaabo badan, oo ay ka mid yihiin da'daada, taariikhda caadadaada, iyo calaamadaha ama isbeddellada jirka ee aad la kulmayso. Dhakhaatiir qaar waxay dalban karaan baaritaanno si ay u hubiyaan heerarka hoormoonkaaga. Laakiin marka laga reebo baaritaanka shaqada qanjirka thyroid-ka, kaas oo saameyn kara heerarka hoormoonka, baaritaanka hoormoonku aad ayuu u yar yahay ama faa'iido uma laha qiimeynta perimenopause. Daryeelka Mayo Clinic Kooxdayada daryeelka leh ee Mayo Clinic khubarada ah waxay ku caawin karaan walaacyadaada caafimaad ee la xiriira perimenopause Halkan ka bilow

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.