Iziphi Izimpaphe Ezishisayo? Izimpawu, Izimbangela, Nokwelapha

Izimpaphe ezishisayo yizigxobo eziqhumayo zokushisa okukhulu ezisakazekayo emzimbeni wakho, ngokuvamile zihambisana nokubila nokubomvu. Yilona elinye iphawu elivamile le-menopause, elimelela abesifazane abafika ku-75% ngesikhathi salo shintsho, nakuba zingase zenzeke nakwezinye izimo.

Cabanga ngomphefumulo oshisayo njengokuthi i-thermostat yomzimba wakho ihluleka imizuzu embalwa. Nakuba zingase zizwe zikhulu uma zenzeka, izimpaphe ezishisayo yingxenye evamile yoshintsho lwe-hormone futhi azibonisi lutho olukhulu.

Ziyini izimpawu zezimpaphe ezishisayo?

Izimpaphe ezishisayo zenza iphethini ehlukile yezimpawu abantu abaningi abayibona uma sebeyizibonile. Uphawu olukhulu yimvakalelo ezoqhuma yokushisa okukhulu okuqala esifubeni sakho noma ebusweni bese kusakazeka ngaphandle.

Nanku engase uhlangabezane nako ngesikhathi somphefumulo oshisayo:

• Amagagasi okushisa aqhuma esakazekayo emzimbeni wakho
• Ukubila okukhulu, ikakhulu ebusweni, entanyeni, nasesifubeni
• Isikhumba esibomvu, esibomvu esizizwa sishisa uma siqondwa
• Ukushisa okusheshayo kwenhliziyo noma imizwa yokushaya
• Ukuzizwa ukukhathazeka noma intukuthelo
• Ukuthandaza noma ukuthuthumela ngemuva kokuba ukushisa kuphelile
• Ukukhungatheka noma ukukhanya
• Ukuphefumula ezinye izimo

Izimpaphe eziningi ezishisayo zihlala phakathi kwesekondi lama-30 kuya kwimizuzu engu-10, okuvamile kungaba imizuzu engu-4. Ungase ube nazo izikhathi eziningi ngosuku noma ngezinye izikhathi, futhi iphethini ingashintsha ngokuhamba kwesikhathi.

Ziyini izimbangela zezimpaphe ezishisayo?

Izimpaphe ezishisayo zenzeka uma uhlelo lokuphatha ukushisa komzimba wakho luhlupheka, ngokuvamile ngenxa yoshintsho lwe-hormone. I-hypothalamus yakho, esebenza njenge-thermostat yomzimba wakho, iba nokuzwela okukhulu futhi iqala izimpendulo zokubila ngisho noma ungashisi ngempela.

Izimbangela ezivamile zihlanganisa:

• I-Menopause ne-perimenopause ngenxa yokwehla kwamaleveli e-estrogen
• Ukususwa kwe-ovari ngokuhlinzwa ngaphambi kwe-menopause yemvelo
• Ukuphathwa komdlavuza njenge-chemotherapy noma i-radiation
• Imithi ethile, kuhlanganise nezinye izidakamizwa zokucindezeleka
• Izifo ze-thyroid ezithinta ibhalansi ye-hormone
• Ukuqina nokukhathazeka, okungase kuqalise impendulo yokushisa yomzimba

Izimbangela ezingavamile zingase zihlanganise izimo zezokwelapha ezithile njenge-carcinoid syndrome noma i-pheochromocytoma, kodwa lezi ngokuvamile zihambisana nezinye izimpawu ezihlukile. Udokotela wakho angakusiza ukuthola ukuthi izimpaphe zakho ezishisayo zivela kushintsho lwe-hormone noma kwenye imbangela.

Ziyini izinhlobo zezimpaphe ezishisayo?

Izimpaphe ezishisayo ngokuvamile ziwela ezinhlotsheni ezimbili eziyinhloko ngokusekelwe ekutheni zenzeka nini. Izimpaphe ezishisayo zemini zenzeka ngesikhathi uvukile futhi uqhuba imisebenzi yakho evamile.

Ukubila ebusuku yizimpaphe ezishisayo ezenzeka ngesikhathi ulele, ngokuvamile kukuvusa ubilile ngokubila. Lezi zingase zibe nokuhlupha ngokukhethekile ngoba ziyaphula isikhathi sakho sokulala futhi zingase zidinga ukushintsha izingubo noma imibhede.

Abanye abantu bahlangabezana nezimpaphe ezishisayo ezilula ezibangela ukufudumeka okuncane nokubila okuncane. Abanye banezigameko ezinzima ngokubila okukhulu nokungakhululeki okukhulu okungaphazanyiswa imisebenzi yansuku zonke.

Nini okufanele ubona udokotela ngezimpaphe ezishisayo?

Kufanele uhlele i-aphoyintimenti nodokotela wakho uma izimpaphe ezishisayo zithinta kakhulu ikhwalithi yakho yokuphila noma ukulala. Nakuba izimpaphe ezishisayo zivamile, ngezinye izikhathi zidinga ukunakekelwa kwezokwelapha.

Xhumana nodokotela wakho uma uhlangabezana nalokhu okulandelayo:

• Izimpaphe ezishisayo eziyaphula umsebenzi, ukulala, noma imisebenzi yansuku zonke
• Izimpawu ngaphambi kweminyaka engu-40 noma ngemuva kweminyaka engu-60
• Izimpaphe ezishisayo ezihambisana nezikhathi ezingavamile noma ezinye izimpawu ezinkulu
• Ukubila okukhulu ebusuku okuhlanza izingubo zakho noma imibhede
• Izimpaphe ezishisayo ezihambisana nobuhlungu besifuba, ukuphefumula okunzima, noma ukukhungatheka
• Izimpawu eziyanda ngokuhamba kwesikhathi noma ezingathuthuki

Udokotela wakho angaqinisekisa ukuthi izimpawu zakho zihambisana yini neshintsho le-hormone evamile noma uma zingase zibonise enye isimo esidinga ukwelashwa. Bangase futhi baxoxe ngezinketho zokusiza ukuphatha izimpawu zakho ngokuphumelelayo.

Ziyini izici ezingase zikhulise amathuba okuthola izimpaphe ezishisayo?

Izici eziningi zingase zikhulise amathuba akho okuhlangabezana nezimpaphe ezishisayo noma zenze zibe nzima kakhulu. Ubudala yiyona nto enkulu, njengoba izimpaphe eziningi ezishisayo zenzeka ngesikhathi se-perimenopause ne-menopause lapho amazinga e-hormone ehla ngokwemvelo.

Izici ezingase zikhulise amathuba okuthola izimpaphe ezishisayo zihlanganisa:

• Ukuba phakathi kweminyaka engu-45-55 ngesikhathi se-menopause yemvelo
• Ukuba nomlando womndeni we-menopause yasekuqaleni noma izimpaphe ezishisayo ezinkulu
• Ukubhema, okungase kuqalise i-menopause ngokushesha
• Ukuba nesisindo esiningi, njengoba amanoni omzimba angase athinte amazinga e-hormone
• Amazinga aphezulu okucindezeleka noma izifo zokukhathazeka
• Ezinye izizwe, ngabesifazane base-Afrika-American ngokuvamile bahlangabezana nezimpawu ezinkulu
• Ukuba ususiwe ama-ovari ngokuhlinzwa
• Ukuthatha imithi ethile njenge-tamoxifen noma ezinye izidakamizwa zokucindezeleka

Izici ezingavamile ezingase zikhulise amathuba okuthola izimpaphe ezishisayo zingase zihlanganise izimo ezithile ze-autoimmune noma izifo ze-genetic ezithinta ukukhiqizwa kwe-hormone. Noma kunjalo, lezi ngokuvamile zihambisana nezinye izimpawu ezisiza odokotela ukuthola imbangela.

Ziyini izinkinga ezingase zenzeke ngenxa yezimpaphe ezishisayo?

Nakuba izimpaphe ezishisayo ngokwazo zingabi yingozi, zingase ziholele ezinkingeni zesibili ezithinta inhlalakahle yakho yonke. Inkinga evamile yukuhlupheka kokulala, ikakhulukazi ngenxa yokubila ebusuku.

Izinkinga ezingase zenzeke zihlanganisa:

• Ukuphelelwa ubuthongo obuhlala njalo ngenxa yokubila okuvamile ebusuku
• Ukukhathazeka okwandayo noma ukucindezeleka ngenxa yengcindezi yezimpawu
• Ukukhuluphala ukugxila emsebenzini noma ngesikhathi semisebenzi yansuku zonke
• Ukuhlazeka komphakathi okuholela ekuhlukaniseni
• Ukuqina kobuhlobo ngenxa yoshintsho lwendlela noma izinkinga zokuthandana
• Ukungena engozini okwandayo ngenxa yokuqina

Ngokungavamile, izimpaphe ezishisayo ezinkulu zingase zinikeze ukuphelelwa amanzi uma ukubila kukhulu futhi ukungenisa amanzi akwanele. Abanye abantu futhi bathuthukisa ukucasuka kwesikhumba ngenxa yokubila okuvamile noma ukushintsha izingubo.

Izindaba ezinhle ukuthi izinkinga eziningi ziyathuthuka uma uthola izindlela ezisebenzayo zokuphatha izimpaphe zakho ezishisayo. Ukusebenzisana nodokotela wakho kungasiza ukuvimbela lezi zinkinga zesibili ezingase zenzeke.

Ungazivimbela kanjani izimpaphe ezishisayo?

Nakuba ungakwazi ukuvimbela ngokuphelele izimpaphe ezishisayo ngesikhathi se-menopause, ungathatha izinyathelo zokunciphisa ubukhulu bazo nobukhulu bazo. Abesifazane abaningi bathola ukuthi ukuthola nokuqeda izinto eziqala izimpawu kwenza umehluko omkhulu.

Izindlela zokuvimbela zihlanganisa:

• Ukugcina indawo epholile ngabalandeli noma i-air conditioning
• Ukugqoka izinto ezinzima, eziphefumula ngezigaba
• Ukuqeda izinto eziqala izimpawu njengokudla okunoshukela, i-caffeine, noma utshwala
• Ukuphatha ukucindezeleka ngezindlela zokuphumula noma ukuzindla
• Ukugcina isisindo esinempilo ngokudla nokuzivocavoca
• Ukugcina umzimba uhlale unamanzi usuku lonke
• Ukuyeka ukubhema uma kusebenza
• Ukugcina idayari yezimpawu ukuthola izimo

Ukuzivocavoca njalo kungase kube usizo ngokukhethekile, njengoba kusiza ukuphatha ukushisa komzimba wakho nokunciphisa ukucindezeleka. Noma kunjalo, gwema ukuzivocavoca okunzima eduze nesikhathi sokulala njengoba kungase kuqalise ukubila ebusuku.

Izimpaphe ezishisayo zitholakala kanjani?

Ukuthola izimpaphe ezishisayo ngokuvamile kulula ngokusekelwe encwadini yakho yezimpawu. Udokotela wakho uzokubuza ngesikhathi, ubukhulu, nobukhulu bezigameko zakho, kanye nomlando wakho wezokwelapha.

Umhlinzeki wakho wezokunakekelwa kwezempilo angase akusize ngesikhathi sakho sokuya esikhathini, umlando womndeni, imithi, nanoma yiziphi ezinye izimpawu ozibonayo. Bazofuna futhi ukwazi ukuthi yini eqala izimpaphe zakho ezishisayo nokuthi zithinta kanjani impilo yakho yansuku zonke.

Ngezinye izikhathi ukuhlolwa kwegazi kusiza ukuhlola amazinga e-hormone, ikakhulukazi uma uhlangabezana nezimpaphe ezishisayo ezineminyaka engavamile. Udokotela wakho angase ahlole i-estrogen, i-follicle-stimulating hormone (FSH), noma ama-hormone e-thyroid ukuqinisekisa i-menopause noma ukukhipha ezinye izimo.

Ezimweni ezingavamile lapho izimpawu zingavamile noma zinkulu, ukuhlolwa okwengeziwe kungase kudingeke ukuqeda ezinye izimo zezokwelapha ezingase zibangele izimpawu ezifanayo.

Yikuphi ukwelashwa kwezimpaphe ezishisayo?

Izinketho zokwelapha zihlanganisa ukushintsha indlela yokuphila kuya emithini, kuye kokuthi izimpawu zakho zinkulu kangakanani nokuthi zithinta kangakanani impilo yakho. Abesifazane abaningi baqala ngezindlela ezingelona ukwelashwa ngaphambi kokucinga ngemithi.

Ukushintsha indlela yokuphila okungasiza kuhlanganisa:

• Ukugqoka ngezigaba ongazisusa kalula
• Ukusebenzisa umoya noma ukugcina indawo yakho ipholile
• Ukuzivocavoca ngokuphumula okujulile ngesikhathi sezimpaphe ezishisayo
• Ukuqeda izinto eziqala izimpawu njengokudla okukhethekile noma ukucindezeleka
• Ukuzivocavoca njalo, ikakhulukazi i-yoga noma i-tai chi
• Ukugcina isimiso sokulala esinempilo

Ukwelashwa kwezokwelapha udokotela wakho angase akusize kuhlanganisa:

• I-Hormone replacement therapy (HRT) yezimpawu ezinkulu
• Imithi yokucindezeleka ephansi engase icishe ubukhulu bezimpaphe ezishisayo
• I-Gabapentin, imithi yokulwa nokuhlwitha okusisiza abanye abesifazane
• I-Clonidine, imithi yokucindezeleka kwegazi engase icishe izimpawu

Ukwelashwa okunye njenge-acupuncture, izithasiselo zezimila, noma i-cognitive behavioral therapy kungase futhi kunikeze impumuzo kwabanye abantu. Hlala uxoxa ngalezi zinketho nodokotela wakho ukuqinisekisa ukuthi ziphephile esimweni sakho esithile.

Ungaziphatha kanjani izimpaphe ezishisayo ekhaya?

Ukuphathwa ekhaya kugxile ekuhlaleni upholile, ukunciphisa izinto eziqala izimpawu, nokuba nezindlela ezilungile uma umphefumulo oshisayo uqala. Ukuqala ukulungiselela nokukwazi ukuthi yini esebenza kangcono emzimbeni wakho.

Izindlela zokusheshisa impumuzo zihlanganisa:

• Ukunatha amanzi abandayo noma ukunatha ama-ice chips
• Ukusebenzisa umoya wesandla noma i-cold compress entanyeni yakho
• Ukuphuma ngaphandle ukuze uthole umoya omusha uma kungenzeka
• Ukususa izigaba zangaphandle zezingubo
• Ukuthatha imfutho ejulile, ehamba kancane ukuze usize umzimba wakho uthole impumuzo

Ngezimpaphe ezishisayo ebusuku, gcina iglasi lamanzi abandayo eduze kombhede wakho bese usebenzisa i-pajamas noma imibhede ehlanza ukubila. Umoya omncane obhekene nombhede wakho ungase futhi unikeze impumuzo ngaphandle kokuphazanyiswa umlingani wakho.

Cabanga ukugcina ukushintsha kwezingubo emsebenzini noma emotweni yakho ngezigameko ezibila kakhulu. Abesifazane abaningi bathola ukuthi ukuba nenhlelo kunciphisa ukukhathazeka okungenza izimpaphe ezishisayo zizwe zibi kakhulu.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ukuza ulungile e-aphoyintimenti yakho kusiza udokotela wakho ukuqonda isimo sakho kangcono futhi ancome ukwelashwa olufanele kakhulu. Qala ngokugcina idayari yezimpawu okungenani isonto ngaphambi kokuya kwakho.

Letha ulwazi mayelana nalokhu okulandelayo:

• Lapho izimpaphe zakho ezishisayo zaqala nokuthi zenzeka kaningi kangakanani
• Ukuthi zihlala isikhathi esingakanani futhi ubukhulu bazo
• Noma yiziphi izinto eziqala izimpawu ozitholile
• Indlela izimpawu ezithinta ngayo ukulala nemisebenzi yansuku zonke
• Yonke imithi nezithasiselo ozithathayo
• Umlando wakho wokuya esikhathini nomlando womndeni we-menopause

Bhala imibuzo ofuna ukuyibuza, njengokuthi izimpawu zakho zivamile yini, yiziphi izinketho zokwelapha ezingase zisebenze kuwe, nokuthi ungalindela nini ukuthuthuka. Unganqikazi ukuxoxa ngendlela izimpaphe ezishisayo ezithinta ngayo ubuhlobo bakho noma impilo yakho yomsebenzi.

Iyini into ebalulekile mayelana nezimpaphe ezishisayo?

Izimpaphe ezishisayo yingxenye evamile yoshintsho lwe-hormone oluthinta izigidi zabesifazane, ikakhulukazi ngesikhathi se-menopause. Nakuba zingase zingakhululeki futhi zihluphe, azibi yingozi futhi ngokuvamile ziyathuthuka ngokuhamba kwesikhathi.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi unezinketho zokuphatha izimpawu zakho. Kungaba ngokushintsha indlela yokuphila, ukwelashwa kwezokwelapha, noma ukuxuba kokubili, abesifazane abaningi bathola izindlela ezisebenzayo zokunciphisa umthelela wezimpaphe ezishisayo empilweni yabo yansuku zonke.

Unganqikazi ukukhuluma nodokotela wakho mayelana nezimpawu zakho. Bangakusiza ukwakha uhlelo oluqondene nezidingo zakho nezinkathazo zakho, ukuqinisekisa ukuthi uhamba ngalolu shintsho ngokunethezeka ngangokunokwenzeka.

Imibuzo evamile ebuzwa mayelana nezimpaphe ezishisayo

Isikhathi esingakanani izimpaphe ezishisayo zihlala isikhathi esingakanani ngesikhathi se-menopause?

Izimpaphe ezishisayo ngokuvamile zihlala iminyaka engu-4-5 ngokulinganisela, nakuba lokhu kuyahlukahluka kakhulu kumuntu nomuntu. Abanye abesifazane bahlangabezana nazo izinyanga ezimbalwa kuphela, kanti abanye bangase babe nazo iminyaka engu-10 noma ngaphezulu. Ubukhulu nobukhulu ngokuvamile buyancipha ngokuhamba kwesikhathi njengoba umzimba wakho uqondana namazinga e-hormone aphansi.

Amadoda angase athole izimpaphe ezishisayo?

Yebo, amadoda angase athole izimpaphe ezishisayo, nakuba kungavamile kunabesifazane. Izimpaphe zamadoda ezishisayo ngokuvamile zenzeka ngenxa yama-testosterone aphansi, ngokuvamile ngenxa yokwelashwa kwezokwelapha komdlavuza we-prostate, ubudala, noma imithi ethile. Izimpawu zifana nalezo abesifazane abazihlangabezana nazo, kuhlanganise ukufudumeka okuzoqhuma, ukubila, nokubomvu.

Izimpaphe ezishisayo zibi kakhulu ngezikhathi ezithile zosuku?

Abesifazane abaningi baphawula ukuthi izimpaphe zabo ezishisayo zilandela izimo, ngokuvamile zenzeka kaningi kusihlwa noma ngezikhathi zokucindezeleka. Ukubila ebusuku kuvamile kuba nokuhlupha ngoba kuyahlupha ukulala. Ukugcina idayari yezimpawu kungakusiza ukuthola izimo zakho siqu futhi uhlele ngokufanele.

Ukudla kungase kuthinte izimpaphe ezishisayo?

Ukudla neziphuzo ezithile kungase kuqalise izimpaphe ezishisayo kwabesifazane abanye. Izinto eziqala izimpawu ezivamile zihlanganisa ukudla okunoshukela, i-caffeine, utshwala, neziphuzo ezishisayo. Ngakolunye uhlangothi, abanye abesifazane bathola ukuthi ukudla okunama-phytoestrogens, njengemikhiqizo yesoya, kungase kusize ukunciphisa izimpawu. Into ebalulekile ukuthola izinto eziqala izimpawu zakho siqu ngokubuka ngokucophelela.

Ingabe izimpaphe ezishisayo zisho ukuthi ngingena ngempela e-menopause?

Izimpaphe ezishisayo yisibonakaliso esinamandla shintsho le-hormone, kodwa azisho ngokuzenzakalelayo ukuthi ungena e-menopause ephelele. Zivame ukuqala ngesikhathi se-perimenopause, engase iqale eminyakeni eminingi ngaphambi kokuba izikhathi zakho ziphele ngokuphelele. Udokotela wakho angakusiza ukuthola isimo sakho se-menopause ngokuhlola izimpawu nokuhlola ama-hormone uma kudingeka.