Utshintsho lokuguga kwinkqubo yokuzala yabasetyhini

Utshintsho ekugugeni kwinkqubo yokuzala yabasetyhini ikakhulu kubangelwa kukutshintsha kwamanqanaba ehomoni. Olunye uphawu olucacileyo lokuguga lwenzeka xa amaxesha akho okuya exesheni esiyeka ngokusisigxina. Oku kwaziwa njengokuyeka ukuya exesheni.

Ixesha ngaphambi kokuyeka ukuya exesheni libizwa ngokuba lixesha lokuphumla. Inokuqala kwiminyaka eliqela ngaphambi kokuba uye exesheni. Iimpawu zokuphela kwexesha zibandakanya:

• Amaxesha amaninzi rhoqo ekuqaleni, kwaye ngamanye amaxesha amaxesha aphosiweyo
• Amaxesha amade okanye amafutshane
• Utshintsho kwinani lokuhamba kokuya esikhathini

Ekugqibeleni amaxesha akho aya kuncipha rhoqo, ade ayeke ngokupheleleyo.

Kunye notshintsho kumaxesha akho, utshintsho lomzimba kwindlela yakho yokuzala luyenzeka ngokunjalo.

UTSHINTSHO OLUDALA NEMIPHUMELELO YABO

Ukuyeka ukuya exesheni kuyinto eqhelekileyo kwinkqubo yokuguga komfazi. Uninzi lwabasetyhini banamaxesha okuyeka ukuya kwiminyaka engama-50 ubudala, nangona kunokwenzeka ngaphambi kobudala. Uluhlu oluqhelekileyo lweminyaka engama-45 ukuya kuma-55.

Ngokuyeka ukuya exesheni:

• Ama-ovari ayeke ukwenza iihomoni i-estrogen kunye neprogesterone.
• Ii-ovari ziyayeka ukukhupha amaqanda (ova, oocytes). Emva kokuyeka ukuya exesheni, awusenakukhulelwa.
• Ukuya kwakho esikhathini kuya kuyeka. Uyazi ukuba uye waya exesheni emva kokuba ungakhange ube namaxesha enyakeni omnye. Kuya kufuneka uqhubeke nokusebenzisa indlela yolawulo lokuzalwa de uhambe unyaka wonke ngaphandle kwexesha. Nakuphi na ukuphuma kwegazi okwenzeka ngaphezulu konyaka omnye emva kwexesha lakho lokugqibela akuqhelekanga kwaye kuya kufuneka kuhlolwe ngumboneleli wakho wezempilo.

Njengokuba amanqanaba ehomoni esiwa, olunye utshintsho lwenzeka kwinkqubo yokuzala, kubandakanya:

• Iindonga zangaphantsi zisiya zisiba mbinana, zome, zingabi namandla, kwaye zinokuba nomsindo. Ngamanye amaxesha isondo liba buhlungu ngenxa yolu tshintsho kwilungu lobufazi.
• Umngcipheko wosulelo lwegwele lobufazi luyanda.
• Izicubu zomzimba zangaphandle ziyancipha kwaye ziyancipha, kwaye zinokucaphuka.

Olunye utshintsho oluqhelekileyo lubandakanya:

• Iimpawu zokuyeka ukuya exesheni ezinjengokutsha, ubushushu, iintloko, kunye nengxaki yokulala
• Iingxaki kwimemori yexesha elifutshane
• Ukuncipha kwethishu yamabele
• Ukuqhuba ngesondo okungaphantsi (libido) kunye nokuphendula ngokwesondo
• Umngcipheko owandayo wokulahleka kwethambo (i-osteoporosis)
• Utshintsho kwinkqubo yokuchama, njengokuhamba rhoqo kunye nokukhawuleza kokuchama kunye nomngcipheko owandayo wosulelo lwe-urinary
• Ukuphulukana nethoni kwimisipha ye-pubic, ekhokelela kwilungu lobufazi, isibeleko, okanye isinyi se-urinary eshiye isikhundla (prolapse)

UKULAWULA UTSHINTSHO

Unyango lwehormone nge-estrogen okanye iprogesterone, iyodwa okanye idityanisiwe, inokunceda iimpawu zokuyeka ukuya exesheni ezinjengokutshisa okutshisayo okanye ukoma kwilungu lobufazi kunye nentlungu yokuhlangana. Unyango lweHormone lunobungozi, ke ayiyiyo yonke intokazi. Xoxa ngomngcipheko kunye nezibonelelo zonyango lwehomoni kunye nomboneleli wakho.

Ukukunceda ekulawuleni iingxaki ezinje ngesondo elibuhlungu, sebenzisa izinto zokuthambisa ngexesha lokwabelana ngesondo. Izithambisi zelungu lobufazi ziyafumaneka ngaphandle kommiselo. Ezi zinokukunceda kukungakhululeki kwilungu lobufazi kunye ne-vulvar ngenxa yokomisa kunye nokuncipha kwezicubu. Ukufaka ii-topical estrogen ngaphakathi kwilungu lobufazi kunokunceda ukukhulisa izicwili zangasese kunye nokwandisa ukufuma kunye nobuntununtunu. Umboneleli wakho unokukuxelela ukuba ngaba nawaphi na ala manyathelo akulungele.

Ukufumana imithambo rhoqo, ukutya ukutya okusempilweni, kunye nokuhlala ubandakanyeka kwimisebenzi kunye nabahlobo kunye nabantu obathandayo kunokunceda inkqubo yokuguga ihambe kakuhle.

OLUNYE UTSHINTSHO

Olunye utshintsho ekugugeni okulindelekileyo:

• Ukuveliswa kweHormone
• Amalungu, izicubu kunye neeseli
• Amabele
• Izintso

• Ukuyeka ukuya exesheni

UGrady D, uBarrett-Connor E. Ukuyeka ukuya exesheni. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; Ngo-2016: isahluko 240.

I-Lambert SWJ, van den Beld AW. I-Endocrinology kunye nokuguga. Ku: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, ii-eds. Incwadi ebhaliweyo kaWilliam ye-Endocrinology. Umhla we-13. IPhiladelphia, PA: Elsevier; 2016: isahluko 27.

Lobo RA. Ukuyeka ukuya exesheni kunye nokhathalelo lomfazi okhulileyo: i-endocrinology, iziphumo zokunqongophala kwe-estrogen, iziphumo zonyango lwehomoni, kunye nezinye iindlela zonyango. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, ii-eds. Gynecology egqibeleleyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 14.

I-BA emhlophe, uHarrison JR, uMehlmann LM. Umjikelo wobomi weenkqubo zokuzala zamadoda nabasetyhini. Ku: I-BA emhlophe, uHarrison JR, uMehlmann LM, ii-eds. I-Endocrine kunye nePhysology yokuzala. Umhla we-5. ISt Louis, MO: Elsevier; I-2019: isahluko 8.