Kusukela eneminyaka engama-30, ukuvakashela owesifazane wesimogciwane owesifazane kufanele kube yinto ephoqelekile. Ukuvakashela ochwepheshe kufanele kwenziwe kanye ngonyaka. Ekhaya, owesifazane udinga ukuhlola amabele akhe njalo. Kungcono ukwenza lokhu eshaweni, ekuseni noma kusihlwa. Lather the bust ukuze iminwe ngobumnene slide. Bese uphakamisela isandla esisodwa bese uphonsa ngemuva kwekhanda, iminwe ngakolunye uhlangothi kusuka nxazonke ukuzwa isifuba, ngakho ukuhlola okwesibili for uphawu. I-bust iyasiza kakhulu ukuphambana kwesondlo.
Okhulelwe noma ongakhulelwe
Lesi yisikhathi sokuzala esisebenzayo. Unemisebenzi emibili eyinhloko - ukukhulelwa nokukhulelwa komzimba. Ukukhulelwa kufanele kuhlelwe futhi kulungiselelwe ngokucophelela. Uma kungakapheli izinyanga ezingu-6-8 ngokuphila ngokocansi okujwayelekile ngaphandle kokusebenzisa noma yikuphi ukukhulelwa owesifazane akakhulelwe, kubalulekile ukuba ahlole futhi athole izizathu. Ucwaningo olwenziwe owesifazane olusuka kumgogeni wamazinyo kanye ne-mammologist lungabangela izimbangela ezihlukahlukene.
Ukuvakashelwa okujwayelekile kumgogeni wamazinyo phakathi nalesi sikhathi kufaka phakathi: ukuhlolwa kwegazi, ukuthatha isisindo ngezinga lokuhlanzeka kokuqukethwe kwamasipha, i-ultrasound yezitho zangasese kanye nokuhlolwa kwe-PAP (ukuhlolwa kwe-cytological komlomo wesibeletho ukukhipha inqubo ye-oncology). Uma imiphumela yokuhlolwa inokusola kokutheleleka, i-agent causative yayo iyatholakala ngokwengeziwe. Isibonakaliso sokutheleleka singaba izikhalazo zesifazane mayelana nokukhishwa okuqhubekayo kombala we-uncharacteristic, iphunga, okubangela ukushaywa nokucasula. Kulesi simo, kufanele uhambe kuzo zonke izivivinyo ezidingekayo zowesifazane ovela kumgogeni wamazinyo kanye ne-mammologist.
Ngesinye isikhathi eminyakeni engu-1.5-2, kunconywa ukuthi kuhlolwe ukuhlolwa kwe-ultrasound yamagundane we-mammary. I-Mammography phakathi nale nkathi yenziwa kuphela lapho kutholakala izinguquko ze-pathological. Umgomo wesibili oyinhloko wabesifazane kule minyaka ukugwema ukukhulelwa okungadingeki. Lapho ukhetha indlela yokuvimbela ukukhulelwa, inzuzo inikezwa kuma-hormonal noma okuyisivimbela. Umbono wodokotela owazi izici zempilo yakho, kufanele ucatshangelwe phakathi nokuhlolwa kowesifazane wesifazane wezifo zomzimba kanye nomama we-mammologist.
Uma usebenzisa izisu zokubeletha kwe-hormonal, owesifazane kufanele avakashele isiguli sezinkinga zomzimba okungenani kanye ngonyaka. Futhi yenza i-V3H, thatha isicwebe phezu kwe-flora nokuhlolwa kwe-PAP.
Ukukhulelwa ngokweqile
Lesi yisikhathi esinzima futhi esibaluleke kakhulu empilweni yowesifazane. Ngokusho kwedatha yakamuva, iminyaka yobudala bokuzala kuyiminyaka engu-4 9. Ngakho-ke, imisebenzi esemqoka kulesi sigaba kukhona ukuvimbela ukukhulelwa, ukukhulelwa okungenani kancane noma ukwelashwa kwezifo zesifo somzimba.
Uma ukukhulelwa kuhleliwe, kufanele kulungiswe ngokucophelela: ngaphezu kokuhlolwa kwegazi, thintana ne-geneticist.
Ungasebenzisa, emva kokubonisana nodokotela wakho, ukuvimbela imithi ye-hormone ye-microdose, izindlela zokuvimbela, noma (okungavamile kakhulu) ukukhulelwa komzimba.
Ukukhulelwa kwe-hormone kunikezwa ngokuqapha okukhulu, ngoba kule minyaka inengozi enkulu yokucindezeleka kwe-thrombotic kusuka ohlelweni lwe-cardiovascular, okuyingxenye ngenxa yokuqedwa kancane kancane komsebenzi we-ovarian. Kusukela eminyakeni engama-40-47, abesifazane baseYurophu banenkathi ye-premenopausal, idlula isilinganiso seminyaka engama-4. Kukhona ushintsho, kokubili umjikelezo wesimiso ngokwawo, kanye nobude nokuchichima kwegazi.
Qaphela
Kule nkathi ingozi yezifo zesifo somzimba ikhula: i-endometriosis, i-myteras ye-uterine, izinqubo ezingenasisindo (izinguquko embranini yesikhumba esibelethweni).
Owesifazane kumele avakashele okungenani kanye njalo ezinyangeni ezingu-8. Ukuhlolwa kuhlanganisa i-ultrasound yezitho zomzimba, ukuhlolwa kwegazi, ukuhlolwa kwe-PAP.
Kunconywa ukwenza ukuhlolwa kwe-radiographic yezinhlayiya ze-mammary (mammography) kanye njalo eminyakeni eyi-1.5-2.
Ngokucophelela ukuqapha isifuba akufanele kubelethe abesifazane futhi kuqhubeke izindlela zokuhlola owesifazane ovela kumamazi wezifo zamasosha kanye nomtholampilo. Phakathi nalesi sikhathi, owesifazane kufanele akhokhele ngokukhethekile yena, isisindo sakhe, ekudleni. Njengengozi yokuhlakulela izifo eziningi ze-extragenital - inhliziyo kanye ne-vegetative-vascular, ukukhuluphala - kwanda. Owesifazane udinga ukubuyekezwa nokudla - kufanele kuncishiswe yiyesithathu noma isigamu uma kuqhathaniswa nomthamo odliwe eminyakeni engama-20. Okuthandwayo kunikelwa imifino, izithelo, izinhlanzi, izilwane zasolwandle - imithombo yamaprotheni ne-fiber. Umsebenzi wokulala kanye nokulala okudingekayo njalo kuyadingeka okungenani amahora angu-8.
Kunoma yikuphi ubudala - lokhu kubaluleke kakhulu - ibra kufanele libe nobukhulu bayo ngobukhulu, kungenjalo "cindezela" isifuba esincane. Uma kungenjalo, kusukela eminyakeni eminingi yokuhlukunyezwa okulula kunamasimbali, ukukhathazeka. Ibhuti kufanele ilondolozwe. Nsuku zonke udinga ukuwuthululela ngamanzi apholile noma usule ithawula elithambile emanzini abandayo. Kudingekile ukusebenzisa izikhwama ezinhle zesifuba, kuthengwa ekhemisi. Futhi ngokuqinisekile ukwenza izivocavoca ezinama-dumbbells alula, ukuze imisipha ye-bust isuke i-tonus enhle.
Gwema i-Syndrome
Le minyaka eyishumi empilweni yowesifazane - isikhathi sokumisa esikhathini sokuqala (isikhathi esukela ekuhlakeni kokuqala komsebenzi wama-ovari kuze kube sekupheleni kokuphela kwesimiso), ukuyeka esikhathini sokuqala kanye nokuqala kokuphuma kwamadoda emva kokuya esikhathini (kusukela esikhathini sokugcina ukuya ekupheleni kwe-ovaries, kuthatha iminyaka engama-8). I-symacrome syndrome ehambisana nezinguquko zomzimba iqala iningi (cishe ngo-80%) yabesifazane. Ibonakala ngokuhlukumeza uhlelo lwe-vegetative-vascular, ekushintsheni kwezimo zengqondo-ngokomzwelo. Izifo ezithinta izidakamizwa zingahlakulela: ukuphefumula kwamathambo, izifo ze-urogenital, izifo zenhliziyo.
Phakathi nalesi sikhathi, kubalulekile ukubonisana nonogynecologist kanye ne-mammologist kuphela, kodwa futhi ne-endocrinologist, i-cardiologist, i-phlebologist, njll. Nge-symacrome symprome yefomu elimnene, ukudla okunomsoco nokuzivocavoca kuyahambisana ne-phyto-estrogens.
Nge-average and severe climacteric, i-hormone replacement therapy (i-HRT) inqunywe. Umgomo wayo - ukugcwalisa umsebenzi we-hormone wama-ovarikazi kwabesifazane abahlangabezana nokuntuleka kwama-hormone ocansi. Ukuqokwa kungenzeka kuphela emva kokuhlolwa ngokucophelela kwesifo sokubeletha-isazi se-endocrinologist.
Ubude besicelo se- HRT abukho ngaphezu kweminyaka emihlanu. Kulesi simo, kubalulekile ukuhlola ukuhlolwa kwezinzuzo kanye nenengozi ye-SIC kwimeko ngayinye ethize.
Udokotela wamazinyo uchaza ukuhlolwa okuhlanganisa ukuhlolwa kwegazi, ukuhlaziywa kwezinto eziphilayo kanye ne-lipid spectrum yegazi, i-ultrasound yezitho zangasese kanye nesigxobo esiswini, ne-osteodensitometry (uphenyo lwamathambo, isakhiwo). Kumamlologu emva kweminyaka engama-50 kufanele uhambe kaningi njengoba kunqunywe umjozi wezifo zokwelapha.