Izigaba zokuya esikhathini
Ungathathi isiphetho njengesifo, ngoba lena inqubo evamile yemvelo, yemvelo kuwo wonke owesifazane. NgesiGreki, ukuyeka esikhathini sokumisa kusho "isiteji", futhi nansi "izinyathelo" zayo:
Ukumiswa kwesikhashana: umjikelezo awunamkhawulo, kunenkinga: uma kune-estrogens ezanele, kanye nesigestagen - engekho. Futhi ngokuvumelana komjikelezo, ibhalansi lama-hormone kufanele kube ngezinga elithile.
Ukunqamuka kwesikhathi. Kungatholakala kuphela ngemuva kweqiniso. Lesi yisikhathi lapho ukuya esikhathini kungenayo iminyaka (lokhu kusho ukuthi izinga lama hormone ocansi emzimbeni liwile ngangokunokwenzeka).
Ukusuka kwesikhashana ngemuva kwelanga - kwenzeka ngonyaka owodwa emva kokuya esikhathini. Lesi sikhathi sokunqamuka kwesikhashana singabalwa kusukela emiphumeleni yokuhlolwa, okungukuthi, lapho i-hormone gonadotropin yehla, futhi nalapho i-estradiol ingaphansi kuka-30 pg / ml. Ungahlola nokuvuthwa kwe-follicle ngokusebenzisa i-test ekhethekile yezokwelapha AMN - kwi-hormone yokulwa ne-Muller.
Kunezidingo ezithile zezokwelapha mayelana nokuqala kokunqamuka kwesikhashana: uma ukuphuma komama kwenzeka ngaphambi kweminyaka engama-40 - umvuthwandaba ongakapheli, ngo-40-44 - ekuqaleni, kusukela eminyakeni engu-45 kuya kweyengu-52 - lokhu kuyinto evamile, emva kweminyaka engu-53 - isikhathi sekwephuzile.
Ukusabela komzimba kokuya esikhathini
Ukusabela komzimba wesifazane kuya nezinguquko ezingenakugwemeka ezingaguquguquki kungaba okungenakulinganiswa: umuntu empeleni akakhathaleli umvuthwandaba - inhlalakahle ingaba kahle kakhulu futhi owesifazane angaphefumula ngokuthula kwengqondo ukuthi "amaholide" nyangazonke aphelile. Kukhona izibalo ukuthi abesifazane abangu-14 baphakathi kwalabo abanenhlanhla. Futhi othile uhlangabezana ne "ekwindla" ngokugcwele: ukukhanya okushisayo okuvamile, ikhanda elibi kakhulu, ukukhathala, ukujuluka okukhulu, ukulala nokulala okukhulu, nokunye ukudala ukucindezeleka kwangempela ... Cishe amaphesenti angu-10 abesifazane abhekana kabi kangangokuba badinga ngisho ukukhululwa emisebenzini (lokhu okubizwa okuthiwa i-pathological menopause).
Isizathu esiyinhloko sezinhlobo zonke zezinkinga ze-"ekwindla" zowesifazane yishintsho esizindeni se-hormonal. Phela, ama-hormone wesifazane awalawuli nje kuphela uhlelo lokuzala, kodwa futhi nezinye izitho nezicubu eziningi ezibalulekile. Isibonelo, zinomthelela esikhumbeni nasezingxenyeni zamangqamuzana, ngaphezu kwalokho, ama-hormone ezocansi athembisa ngqo isimiso sezinzwa sowesifazane, ngakho-ke ngesikhathi sokumisa esikhathini, ukucasula nokukhathazeka kungavela. Ngaphezu kwalokho, ukuntuleka kwama-hormone ocansini wesifazane kungabangela ukuba i-osteoporosis (i-bone mass iyancipha) kanye nezifo zenhliziyo (ukuqoqa lipids ezilimazayo, ukumboza izindonga zemithambo yegazi).
Ukwelashwa kwemiphumela yokumisa esikhathini
Uma ufaka ochwepheshe abahlukene abanezimpawu ezahlukene - ukuqashwa okuningi akunakugwema (futhi ezinye izidakamizwa ziphikisana komunye nomunye, okuyinkimbinkimbi isimo). Isixazululo esihamba phambili kakhulu sesikhathi soshintsho i-hormone replacement therapy (HRT), eyenzelwe ukufaka esikhundleni se-hormone ye-estrogen engekho emzimbeni wesifazane. Umkhuba we-HRT emazweni aseYurophu aseNtshonalanga nase-United States unomlando oqinile futhi uphumelele ngokulinganayo. Cishe wonke owesifazane wesibini onomkhuba wokuya esikhathini uyavuma ukuqokwa kuka-HRT. Isimo ezweni lethu lihlukile - okuthandwayo "akuthandi" kunoma yikuphi ukwelashwa kwama-hormone kuthinta. Kodwa-ke, i-HRT ehlelekile kahle ingagcini nje kuphela zonke izinkathazo ezicasulayo zesikhathi esibucayi, kodwa futhi kunciphisa kakhulu ingozi yokuthuthukisa izifo ezithile ekugugeni, njenge-coronary isifo senhliziyo noma i-osteoporosis, futhi ivimbela ukuguga okusheshayo kwesikhumba, ukubuyisela ama-collagen fibers asekho, nakwezinye izifundo U-HRT angakwazi nokwandisa isikhathi sokuphila iminyaka eyishumi. Kodwa isisindo esikhulu sokwehla kwesisindo esiningi, esiningi abesifazane bethu besaba, ukwelashwa kwe-hormone akusizi.
Noma kunjalo i-HRT ayilona i-panacea, nayo inezinqinamba:
- izifo ezingokwemvelo (ngisho nasemlandweni womndeni);
- ngaphambili wahlaselwa yinhliziyo;
- i-thrombophlebitis;
- umonakalo omkhulu wesibindi.
Okunye okunye ama-hormone imithi e-homeopathic engasetshenziswa ngemiphumela enzima kakhulu yokuya esikhathini sokuya esikhathini, kanye nokuzivocavoca umzimba, ukudla okulinganiselayo okune-calcium ne-analogues yemvelo yama-hormone wesifazane (isibonelo, soya).
Ezinye izinkolelo eziphathelene nokuya esikhathini
- Ungayeka ukusebenzisa izisu zokubeletha ngokushesha uma sekuya esikhathini. Yiqiniso, omdala owesifazane, ithuba eliphansi lokuthi uzokhulelwa, ngoba ngokukhula kwesikhathi umsebenzi wokubeletha ukhula kancane kancane, kodwa awukhiphi ngokuphelele. Isivikelo singashiywa kuphela ngesikhathi se-postmenopausal, esenzeka ngemva kwezinyanga ezingu-12 emva kwesikhathi sokugcina sokuya esikhathini.
- Ukuxhamaza kungabambezeleka uma ubeletha eduze neminyaka engu-40. Sigijimela ukukuphikisa, ukubelethwa kwesikhathi sekwephuzile akuqinisekisi isivunguvungu sekwephuzile. Noma kunjalo, ukunakekelwa kwengane kungadonsela zonke ezinye izinkinga ezicindezelayo ngemuva, futhi kungenzeka ukuthi umvuthwandaba uzodlula cishe engacabangi.
- Ukunqamuka kwesikhashana kuyinkinga ephathelene nabesifazane kuphela. Hhayi kahle. Ngokweminyaka, izinguquko ze-hormones emzimbeni zenzeka kuzo zombili zobulili. Kuyiqiniso ukuthi emadodeni, ukulungiswa okunjalo komzimba kwenzeka kamuva futhi akuveli ngendlela ephawulekayo.