Ukuqala Kwe-Menopause? Izimpawu, Izimbangela, Nokwelashwa

Ukuqala kwe-menopause yisikhathi sokuqala sokuthuthuka esiya e-menopause lapho umzimba wakho uqala ukukhiqiza i-estrogen encane. Leli qophelo liqala ngokuvamile eminyakeni engama-40, nakuba lingaqala ngaphambi noma kamuva, futhi libonisa ukuqala kokunciphisa kancane kwesistimu yakho yokuzala.

Cabanga ngokuqala kwe-menopause njengendlela yomzimba wakho yokulungiselela ngobumnene i-menopause. Ngalesi sikhathi, amazinga akho e-hormone ashintshashintsha njengomgibeli we-roller coaster, okucacisa ukuthi kungani ungase ube nezimpawu eziningi ezaziwayo nezintsha. Lokhu kushintsha kungathatha noma yikuphi kusuka ezinyangeni ezimbalwa kuya eminyakeni eminingi, futhi isipiliyoni sikawomawo wonke sihlukile.

Ziyini izimpawu zokuqala kwe-menopause?

Izimpawu zokuqala kwe-menopause zenzeka ngoba amazinga akho e-estrogen ne-progesterone ashintsha ngokungakhethi. Umzimba wakho ulungisa lezi zinguquko ze-hormone, ezingathinta konke kusuka kwisikhathi sakho sokuya esikhathini kuya ematheni akho okuphumula.

Nawa izimpawu ezivamile ongaziqaphela:

• Izikhathi ezingavamile: Izikhathi zakho zingaba mfushane, zibe de, zinzima, noma zilingane kunokujwayelekile
• Ukuqhuma kobushushu: Amaza okuqhuma kobushushu angakwenza uzizwe ubomvu futhi ukhukhumele
• Ukukhukhumela ebusuku: Ukuqhuma kobushushu okwenzeka ngenkathi ulele, ngokuvamile kuphazamisa ukuphumula kwakho
• Izinkinga zokulala: Ubunzima bokuwela ebuthongweni, ukuhlala ulele, noma ukuvuka ekuseni kakhulu
• Ukuthuthumela kwengqondo: Ukuzizwa uthukuthele kakhulu, ukukhathazeka, noma ukuhlangenwe nakho kokuguquguquka kwengqondo
• Ukubusa kwesikhumba: Ukunciphisa ukugcotshwa okungenza ubuhlobo bungabi luhle
• Ukunciphisa i-libido: Ukunciphisa isithakazelo ebuhleni
• Ukuzuza isisindo: Ngokukhethekile eduze kwesigamu sakho, ngisho noma kungekho zinguquko ekudleni noma ekuzivocavoca
• Ukudideka kwengqondo: Ubunzima bokuhlanganisa noma ukukhumbula izinto
• Ubuhlungu besifuba: Okufana nalokho ongabe uhlangenwe nakho ngesikhathi sesikhathi sakho sokuya esikhathini

Abanye abesifazane nabo bahlangabezana nezimpawu ezingavamile njengokuhlunguka kwamajozi, izinhlungu zikhanda, noma ukuguquka kokubukeka kwenwele. Lezi zimpawu zingase ziye ziye, futhi ubukhulu bazo buyahluka kakhulu kusuka kumuntu kuya komunye. Khumbula, ukuhlangenwe nakho kwalokhu kushintsha akusho ukuthi kukhona okungalungile ngawe - yindlela yomzimba wakho yokuphendula ngokwemvelo ekuthuthumeleni kwe-hormone.

Yini ebangela ukuqala kwe-menopause?

Ukuqala kwe-menopause kubangelwa ukuguga kwemvelo kwama-ovari akho. Njengoba ukhula, ama-ovari akho aqala ukukhiqiza i-estrogen ne-progesterone encane, izinhlobo ezimbili ze-hormone eziqondisa isikhombikazi sakho sokuya esikhathini futhi zisekele ukukhulelwa.

Ama-ovari akho ana inani elilinganiselwe lamaqanda, futhi njengoba leli thuthukiso lincipha ngokuhamba kwesikhathi, ukukhiqizwa kwe-hormone kuya kuba okungavamile. Lokhu akuyona into ongayivimbela noma uyilawule - kuyingxenye nje yendlela yemvelo yokuguga yilowo nalowo wesifazane ehlangana nayo.

Isikhathi sokuqala kwe-menopause sihluka kakhulu. I-genetics idlala indima ebalulekile, ngakho uma umama wakho noma odadewenu baqala ukuqala kwe-menopause ngokushesha noma kamuva, ungase ulandele iphethini efanayo. Noma kunjalo, ezinye izinto zingathinta isikhathi futhi.

Nini okumele ubone udokotela ngokuqala kwe-menopause?

Kufanele ukhulume nodokotela wakho uma izimpawu zokuqala kwe-menopause zithinta impilo yakho yansuku zonke noma uma ungaqiniseki ukuthi lokho okuhlangenwe nakho kuyinto evamile. Ukuthola isiqondiso sobuchwepheshe kungakusiza uphathe izimpawu ngokuphumelelayo futhi ukhale izimo ezinye.

Hlela i-aphoyintimenti uma uhlangabezana nalokhu okulandelayo:

• Ukuphuza igazi elinzima kakhulu okunyakazisa i-pad noma i-tampon njalo ngehora
• Ukuphuza igazi okuthe xaxa izinsuku eziyisikhombisa
• Ukuphuza igazi phakathi kwezikhathi noma ngemva kokuziphatha
• Ukuthuthumela kwengqondo okukhulu okuhlupha ubuhlobo noma umsebenzi
• Ukuqhuma kobushushu okuhlupha ubuthongo bakho noma imisebenzi yansuku zonke
• Izimpawu ezikukhathazayo noma ezibukeka zingavamile emzimbeni wakho

Udokotela wakho angaqinisekisa ukuthi uqala yini i-menopause futhi axoxe ngezinketho zokwelapha ezingakusiza. Bangase futhi baqinisekise ukuthi izimpawu zakho azihlobene nezinye izimo zempilo ezingase zidinga ukunakekelwa.

Ziyini izinto ezingase zikubeke engozini yokuqala kwe-menopause?

Nakuba wonke owesifazane ekugcineni ezohlangana nokuqala kwe-menopause, izinto ezithile zingathinta ukuthi kuqala nini futhi ubukhulu bezimpawu zakho kungaba yini. Ukuqonda lezi zinto ezingase zikubeke engozini kungakusiza ulungiselele futhi wazi ukuthi yini okulindeleke.

Izinto ezingase zithinte isipiliyoni sakho sokuqala kwe-menopause zihlanganisa:

• Iminyaka: Abesifazane abaningi baqala ukuqala kwe-menopause eminyakeni engama-40, ngeminyaka evamile ecishe ibe ngu-47
• Umlando womndeni: Uma amalungu omndeni wesifazane ahlangabezana ne-menopause ekuseni noma kamuva, ungase ulandele isikhathi esifanayo
• Ukubhema: Abesifazane ababhema ngokuvamile baqala ukuqala kwe-menopause eminyakeni engu-1-2 ngaphambi kwabangebhemi
• Isisindo somzimba: Ukuba nokukhuluka kwesisindo kungase kuholele ekuqaleni okusheshayo
• Ukwelashwa komdlavuza: I-chemotherapy noma i-radiation therapy ingase iqalise ukuqala kwe-menopause ngokushesha
• Umlando wokucutshungulwa: Ukukhipha ama-ovari akho kuzodala i-menopause ngokushesha, kuyilapho i-hysterectomy yodwa ingase iholele ekuqaleni okusheshayo kwe-menopause
• Izimo ze-autoimmune: Izifo ezithile ze-autoimmune zingathinta ukukhiqizwa kwe-hormone

Ukuba nalezi zinto ezingase zikubeke engozini akusho ukuthi uzoba ne-menopause enzima. Abesifazane abaningi abanezinye izinto ezingase zikubeke engozini basaphila izimpawu ezilula, kuyilapho abanye abangenazo izinto ezingase zikubeke engozini ebonakalayo bangase bahlangabezane nokuthuthuka okunzima.

Ziyini izinhlupheko ezingase zenzeke ngokuqala kwe-menopause?

Nakuba ukuqala kwe-menopause ngokwakho kungabi yingozi, ukuguquka kwe-hormone kungase kukhulise ingozi yakho yezimo ezithile zempilo. Ukuqaphela lezi zinhlupheko ezingase zenzeke kuzokusiza wena nodokotela wakho ukuba nilandele impilo yakho eduze ngalesi sikhathi sokuthuthuka.

Izinkathazo ezinkulu zempilo okumele uzilandele zihlanganisa:

• I-Osteoporosis: Ukwehla kwe-estrogen kungase kuholele ekunciphilekeni kwama-bone, okwenza ukugqwala kube lula
• Isifo senhliziyo: I-estrogen ikusiza ukuvikela uhlelo lwakho lokuphefumula, ngakho ingozi iyakhuphuka njengoba amazinga ehlisa
• Ukuzuza isisindo: Ukuthuthumela kwe-hormone kungase kunciphisa i-metabolism futhi kuguqule indlela umzimba wakho ogcina ngayo amanoni
• Izinkinga zokukhishwa kwesisu: Ukunciphisa kwe-estrogen kungase kuthinte umsebenzi wesibindi futhi kukhulise ingozi yokutheleleka
• Ukuphazamiseka kobudlelwane: Ukubusa kwesikhumba nokunciphisa i-libido kungase kuthinte ubuhlobo obuseduze
• Ukuthuthumela kwengqondo: Abanye abesifazane bahlangabezana nokukhathazeka okukhulu noma ukucindezeleka ngalesi sikhathi sokuthuthuka

Lezi zinhlupheko zithuthuka kancane futhi ngokuvamile zingavikeleka noma ziphathwe ngokunakekelwa okufanele. Ukuhlola okuvamile nodokotela wakho ngesikhathi sokuqala kwe-menopause kungakusiza uthole noma yiziphi izinkinga ezivelela ekuseni lapho kulula ukuziphatha.

Ukuqala kwe-menopause kunqunywa kanjani?

Ukuqala kwe-menopause kunqunywa ngokuyinhloko ngezimpawu zakho nomlando wesikhathi sakho sokuya esikhathini kunokuhlolwa okuqondile. Udokotela wakho uzokuqondisa imibuzo eningiliziwe mayelana nezikhathi zakho, izimpawu, nokuthi zikuthinta kanjani impilo yakho.

Alukho uvivinyo olulodwa oluqinisekisa ukuqala kwe-menopause ngoba amazinga e-hormone ashintshashintsha kakhulu ngalesi sikhathi. Noma kunjalo, udokotela wakho angase a-ode ama-blood test ukuhlola amazinga akho e-hormone noma ukukhipha ezinye izimo ezingase zibangele izimpawu ezifanayo.

Uvivinyo olungase lube usizo luhlanganisa:

• I-FSH (Follicle Stimulating Hormone) test: Amazinga aphezulu angase abonise ukuqala kwe-menopause
• Ukuhlolwa komsebenzi we-thyroid: Izinkinga ze-thyroid zingase zilinganise izimpawu zokuqala kwe-menopause
• Ukuhlanganiswa kwegazi okuphelele: Ukuhlola i-anemia uma uhlangabezana nokuphuza igazi elinzima
• Uvivinyo lokukhulelwa: Ukuqeda ukukhulelwa, ikakhulu uma izikhathi zingavamile

Udokotela wakho uzokubheka futhi iminyaka yakho, umlando womndeni, nempilo yakho yonke lapho enza ukuxilongwa. Ingxoxo mayelana nezimpawu zakho nokuthi zikuthinta kanjani ikhwalithi yakho yokuphila ngokuvamile iyona ingxenye ebaluleke kakhulu yenqubo yokuxilongwa.

Yini ukwelashwa kokuqala kwe-menopause?

Ukwelashwa kokuqala kwe-menopause kugxile ekulawuleni izimpawu nasekugcineni ikhwalithi yakho yokuphila. Indlela esebenza kangcono kakhulu ixhomeke ekutheni iziphi izimpawu ezikukhathazayo kakhulu nokuthi zingakanani.

Udokotela wakho angase akukhuthaze ukuba ube:

• Ukwelashwa kwe-hormone: Amaphilisi e-birth control e-low-dose noma i-hormone replacement therapy angakusiza uqondise amazinga e-hormone
• Ama-antidepressants: Izinhlobo ezithile zinganciphisa ukuqhuma kobushushu futhi zisize ngokuguquguquka kwengqondo
• I-estrogen yesikhumba: Ama-creams, ama-rings, noma amaphilisi ngokukhethekile ukubusa kwesikhumba
• Usizo lobuthongo: Izixazululo zesikhathi esifushane zokuphazamiseka kobunzima bokuphumula
• I-calcium ne-vitamin D: Ukuze usekele impilo yama-bone
• Imithi ye-blood pressure: Ezinye izinhlobo zingakusiza ukunciphisa ukuqhuma kobushushu

Abesifazane abaningi bathola ukuthi ukusetshenziswa kwezokwelapha kanye nokuthuthuka kwesitayela sempilo kusebenza kangcono. Udokotela wakho uzosebenza nawe ukuthola ibhalansi efanele yokwelashwa okuqondisa izimpawu zakho ngokukhethekile ngenkathi ucabanga ngempilo yakho yonke nezinketho zakho.

Indlela yokunakekela wena ekhaya ngesikhathi sokuqala kwe-menopause?

Ukunakekela wena ngesikhathi sokuqala kwe-menopause kungathuthukisa kakhulu indlela ozizwa ngayo futhi kukusize ulawule izimpawu ngokwemvelo. Ukuthuthuka okuncane, okuqhubekayo ngokuvamile kwenza umehluko omkhulu ekududuzeni nasekulungiseni kwakho.

Nawa amasu asebenzayo abesifazane abaningi abawuthola usizo:

• Hlala upholile: Gqoka izigqoko, sebenzisa abalandeli, futhi gcina ukushisa kwegumbi lakho lokuphumula liphansi ebusuku
• Zivocavoca njalo: Hlose imizuzu engama-30 yomsebenzi izinsuku eziningi ukuze usize ngengqondo, ubuthongo, nokuphatha isisindo
• Dla kahle: Gxila ekudleni okunama-calcium amaningi, nciphisa i-caffeine ne-alcohol, futhi udle ukudla okuvamile ukuze uqondise amandla
• Lawula ukucindezeleka: Zama amasu okuphumula njengokuphefumula okujulile, ukucamngca, noma i-yoga
• Beka phambili ubuthongo: Namathela esikhathini sokulala esiqondile futhi udale indawo yokuphumula enhle
• Hlala ugibele: Phuza amanzi amaningi usuku lonke
• Sebenzisa ama-lubricants: Ama-lubricants amanzi angakusiza ngokubusa kwesikhumba
• Landelela izimpawu zakho: Gcina idayari ukuze ubone izibonelo nezici

Khumbula ukuthi lokho okusebenza komunye umuntu kungase kungasebenzi komunye. Beka isineke ngawe njengoba uthola ukuthi yiziphi izindlela ezikusiza uzizwe kangcono ngalesi sikhathi sokuthuthuka.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ukulungiselela i-aphoyintimenti yakho nodokotela kungakusiza uthole okuningi kakhulu ekuhambeleni kwakho futhi kuqinisekise ukuthi uxoxa ngakho konke okubalulekile kuwe. Ukulungiselela okuhle kuholela ekunakekelweni okungcono nasezincomeneni zokwelapha ezithuthukisiwe.

Ngaphambi kwe-aphoyintimenti yakho, buza lolu lwazi:

• Idayari yezimpawu: Landelela izikhathi zakho, ukuqhuma kobushushu, ukuthuthumela kwengqondo, namathe akho okuphumula okungenani inyanga
• Umlando wezokwelapha: Qaphela noma yikuphi ukucutshungulwa, imithi yamanje, nomlando womndeni we-menopause
• Uhlu lwemibuzo: Bhala izinkathazo noma izimpawu ozifuna ukuxoxa ngazo
• Uhlu lwemithi: Faka izithasiselo, imithi yokuthengisa, nemithi yemifino
• Ulwazi lwesitayela sempilo: Imikhuba yakho yokuzivivinya, ukudla, amazinga okucindezeleka, nokubhema noma ukusetshenziswa kwe-alcohol

Ungangabazi ukuletha umngani othembekile noma ilungu lomndeni lokuthola ukwesekwa uma lokho kungakwenza uzizwe ukhululekile. Ukuba nomuntu lapho kungakusiza ukukhumbula ulwazi olubalulekile futhi unikeze ukwesekwa ngokomzwelo ngalokho okungase kuzizwe njengengxoxo ebuthakathaka.

Iyini into ebalulekile mayelana nokuqala kwe-menopause?

Ukuqala kwe-menopause kuyindlela yemvelo, evamile yokuhamba kwempilo yilowo nalowo wesifazane, hhayi isimo sezempilo esidinga ukwesatshiswa noma ukukhuthazelwa ngokuthula. Nakuba izimpawu zingase zibe nzima, ukuqonda ukuthi kwenzekani emzimbeni wakho nokukwazi ukuthi ukwelashwa okuphumelelayo kukhona kungenza lokhu kushintsha kube lula kakhulu.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi awudingi ukuhlupheka ngezimpawu ezingathandeki. Kungaba ngokuguqulwa kwesitayela sempilo, ukwelashwa kwezokwelapha, noma ukusetshenziswa kokubili, kunezindlela eziningi zokugcina ikhwalithi yakho yokuphila ngesikhathi sokuqala kwe-menopause.

Isipiliyoni sikawomawo wonke ngokuqala kwe-menopause sihlukile, ngakho beka isineke ngawe njengoba uhamba ngalokhu kushintsha. Ngokusekelwa okulungile nolwazi, ungase uhambe ngalokhu kushintsha uzizwa ulwazi, unamandla, futhi ulawula impilo yakho.

Imibuzo evamile ebuzwa mayelana nokuqala kwe-menopause

Ukuqala kwe-menopause kuthatha isikhathi esingakanani?

Ukuqala kwe-menopause ngokuvamile kuthatha iminyaka emine ngokulinganayo, kodwa kungaba mfushane njengezinyanga ezimbalwa noma ubude njengeminyaka eyishumi. Ucabanga ukuthi ufike e-menopause uma ungakaze ube nesikhathi sokuya esikhathini izinyanga eziyi-12 ezilandelayo. Ubude buhluka kakhulu kusuka kowesifazane kuya kowesifazane, futhi asikho isindlela yokubikezela ukuthi lokhu kushintsha kuzothatha isikhathi esingakanani.

Ungase ukukhulelwa ngesikhathi sokuqala kwe-menopause?

Yebo, ungase ukukhulelwa ngesikhathi sokuqala kwe-menopause ngoba usaphuma amaqanda, ngisho noma kungavamile. Uma ungafuni ukukhulelwa, qhubeka usebenzisa ukuvimbela ukukhulelwa kuze kube yilapho ungakaze ube nesikhathi sokuya esikhathini unyaka wonke. Xoxa nodokotela wakho ngezinketho ezinhle kakhulu zokuvimbela ukukhulelwa ngalesi sikhathi, njengoba ezinye izindlela zingakusiza futhi ulawule izimpawu zokuqala kwe-menopause.

Kuyinto evamile yini ukuphuza igazi elinzima ngesikhathi sokuqala kwe-menopause?

Ukuphuza igazi elinzima kungaba yinto evamile ngesikhathi sokuqala kwe-menopause ngenxa yokuhlukahluka kwe-hormone, kodwa akuyona into okumele uyiphikise. Nakuba ukwanda okuthile kokuphaphama kwegazi kuyinto evamile, ukunyakazisa i-pad noma i-tampon njalo ngehora, ukuphuza igazi okuthe xaxa izinsuku eziyisikhombisa, noma ukuphuza igazi phakathi kwezikhathi kufanele kuhlolwe udokotela wakho ukuze akhiphe ezinye izimo.

Izimpawu zokuqala kwe-menopause ziyophela yini ngemva kwe-menopause?

Izimpawu eziningi zokuqala kwe-menopause, ikakhulu ukuqhuma kobushushu nezinkathi ezingavamile, ziyathuthuka ngemva kwe-menopause lapho amazinga e-hormone eqondile emazingeni abo amasha aphansi. Noma kunjalo, ezinye izimpawu njengokubusa kwesikhumba nokunciphisa ukubola kwama-bone kungase ziqhubeke noma zibe zimbi ngaphandle kokwelashwa. Isipiliyoni sikawomawo wonke sihlukile, futhi ezinye izimpawu zingase zidinga ukuphathwa okuqhubekayo.

Ingabe kunezindlela zemvelo ezisebenza ngempela zokuqala kwe-menopause?

Ezinye izindlela zemvelo zingasiza ekulawuleni izimpawu zokuqala kwe-menopause, nakuba ubufakazi besayensi buhluka. Ukuzivocavoca okuvamile, amasu okuthuthukisa ukucindezeleka, nokugcina isisindo esinempilo kungaba nemiphumela emihle. Abanye abesifazane bathola ukukhululeka ngemikhiqizo yesoya, i-black cohosh, noma i-acupuncture, kodwa kubalulekile ukuxoxa nganoma yiziphi izindlela zemvelo nodokotela wakho ukuze uqinisekise ukuthi ziphephile futhi azikwazi ukusebenzisana nezinye izindlela zokwelapha.