Ngemuva kweminyaka engama-35, ukuzala kwalowo wesifazane kuqala ukwehla, ikakhulukazi ngemva kweminyaka engama-40. Lokhu kungenxa yokunciphisa endaweni yokugcina ama-ovari, ukuphakama okukwenzeka eminyakeni engu-38-39, kanye nokuwohloka kwezakhiwo zamaseli wesondo. Ikhono lokukhulelwa abesifazane besifazane abaneminyaka engu-40-45 linamaphesenti angu-2-2.5 aphansi kunezingane ezineminyaka engu-25 ubudala, kodwa kule nkathi kuqeda ngokuphelele imijikelezo yomuntu ngamunye kanye nokuqala kokukhulelwa akunakwenzeka. Amaphilisi okubeletha emva kweminyaka engama-35 kufanele aqokwe umjozi wezinkinga zokubeletha ngokucabangela izici ezibhekene nezinengozi nokuphikisana. Indlela yokuvikela abesifazane ngesikhathi sokuqala kanye nokunqamuka kwesikhashana?
Ngemuva kweminyaka engama-35
Eminyakeni engu-35-39, uhlelo lokuzala lokubeletha luqala ukuphela. Ama-ovari anciphisa ukukhiqizwa kwe-progesterone ne-estrogen, ukwandisa ingozi ye-thrombosis kanye nezifo zenhliziyo, okwandisa izifo ezingelapheki, ngakho-ke ukukhulelwa komlomo kufanele kube nokwethenjelwa, okuphephile, okungenani imiphumela emibi kanye nephrofayili enhle yokubekezela. Kule minyaka, kungcono ukuthatha ama-COC amancane (i- Yarina , Lindineth , uJanine ). Ngaphandle kwesenzo sephrofayela, ukuhlanganiswa kokubeletha komlomo kuhlanganiswe ukunciphisa imvamisa yokuphuma kwamagciwane okubangelwa yi-adenomyosis kanye ne-myoma ye-uterine, ukuvimbela ukuthuthukiswa kwe-osteoporosis, ukunciphisa ukumelana ne-insulin.
Ngemuva kweminyaka engu-40-45
Amathuba okukhulelwa eminyakeni engu-40-45 i-10% kuphela, kungani ukubeletha kubaluleke kakhulu kule minyaka? Ngokwezibalo, abesifazane abangu-25-30% kule nkathi yobudala banengxenye yemijikelezo yokuya esikhathini nokukhulelwa, futhi ukukhulelwa okungazelelwe kube nemiphumela ephakeme kuyoba nenkinga yezinkinga ezibangelwa ukuhlukumezeka kokubeletha komntwana. Ukuphazamiseka kwezokwelapha kokukhulelwa kungaholela ekukhuleni kwe-symacrome ejulile futhi ibe yisizinda sokuthuthukiswa kwe-oncology yezitho zobulili. Ukusetshenziswa kwama-COC eneminyaka engama-40-45 kunqunyelwe izimo ezithile: ukuvuthwa kwesikhashana kufanele kuphawulwe, izici zemijikelezo kufanele zishintshwe (ukukhalelwa kwesikhashana kubambezelwe, kufushane).
Indlela yokuvimbela ukukhulelwa emva kweminyaka engu-40-45:
- abesifazane besifazane abaneminyaka engu-40-45 abanesikhathi sokuya esikhathini sokuqala bangathatha i-COC encane baze bahlangabezane nezidingo lapho ukusetshenziswa kwabo kungahambisani khona nabesifazane emva kweminyaka engama-35. Izinzuzo: ukuya esikhathini esijwayelekile, ukuvikelwa kwezicubu zamathambo, ukwelashwa nokuvimbela izimpawu ze-urogenital;
- abesifazane besifazane abaneminyaka engama-40-45 ubudala abanesifo se-ovulation ngezikhathi ezithile ngokumelene nemvelaphi ye-PMS, ukuphuma kwegazi okungenayo i-uterine, ukungena esikhathini esiyingozi ukuthatha i-COC ngaphandle kokubonisana nodokotela wezifo ezingavamile. Uchwepheshe kufanele ahlole ingozi yokuthatha izisu zokubeletha kwe-hormone futhi, uma kunesidingo, anikele nge-hormone replacement therapy.
Amalungiselelo okuvimbela ukuvimbela ukubeletha uLINDINET , UJES ubekezelele kahle, anikeze umthelela wokuvimbela ukuvimbela ukuvimbela ukuvimbela ukuvimbela umkhuhlane, ukuvimbela umdlavuza we-endometrial, ama-ovaries, isisu. Uma kungabikho ingozi ye-thrombosis, ukukhuluphala ngokweqile kanye ne-cardiovascular pathologies, abangabhemi bangasebenzisa iminyaka engaba ngu-50.
Ngemuva kweminyaka engama-50 kanye nokuya esikhathini
Abesifazane esikhathini sokuphela komuntu kanye nesikhathi esibeletha sokubeletha basengozini yokukhulelwa, umsebenzi wezabasebenzi ngokuvamile uthathwa ngokumelene nesizinda se-pathology esingapheli, lapho ama-10-15% amacala aphela ngokufa komuntu ngamunye. Yingakho ukhetho lokubeletha olufanele ngemuva kweminyaka engu-50, luhlinzeka ngokuphila ngokocansi njalo isimo esidingekayo. Izakhi zokuvimbela izidakamizwa ze-Hormone kufanele zixazulule imisebenzi eminingana: ukuhlinzeka ngokuvikelwa okuthembekile ekukhulelwe okungafuneki, ukuba nezimfanelo zokuvimbela nokuvimbela. Ama-COC (i-gestagen + estrogen) ahlangabezana nazo zonke izidingo ezidingekayo ekukhulelweni kokubeletha kwabesifazane emva kweminyaka engu-50. Bathembekile, banciphisa izimpawu zokuya esikhathini, abaphazamisi izinqubo zokuqeda umzimba, ukuqeda ubuhlungu obuyisifo sofuba, ukulawula umjikelezo wesimiso, ukuphuza ukuguga komzimba wesifazane.
Umbuzo wokumisa i-COC ekupheleni komuntu kunqunywa ngabanye. Isilinganiso seminyaka sokuqala kokuya esikhathini sokuzalwa kweminyaka engu-51, ochwepheshe batusa ukuthi bathathe izithwala zokubeletha ngaphakathi kwe-hormones kungakapheli unyaka ngemva kokuya esikhathini sokugcina, bese beka ukusebenzisa i-COC bese uqala ukwelashwa kokufaka endaweni.