Yiyiphi i-avareji yobudala yokuyeka ukuya exesheni? Kwaye Nantoni na onokuyilindela xa iqala

Umxholo

• Ukuchonga iminyaka yakho yokuyeka ukuya exesheni
• Kuqala nini ukuphela kwexesha?
• Iimpawu zepimenopause
• Yintoni ukuqala ukuya exesheni?
• Ukuyeka ukuya exesheni kwangoko kunye nemingcipheko yezempilo
• Ungalibazisa ukuya exesheni?
• Ufanele umbone nini ugqirha malunga nokuyeka ukuya exesheni?
• Yintoni imbonakalo?

Ushwankathelo

Ukuyeka ukuya exesheni, maxa wambi okubizwa ngokuba “kukutshintsha kobomi,” kwenzeka xa owasetyhini eyeka ukuba sexesheni ngenyanga. Ihlala ichongwa xa uhambe unyaka ungenamjikelo wokuya exesheni. Emva kokuyeka ukuya exesheni, awusayi kuphinda ukwazi ukukhulelwa.

Iminyaka yobudala yokuyeka ukuya exesheni eUnited States ingama-51, ngokweKliniki yaseMayo. Kodwa ukuya exesheni kunokwenzeka kwabasetyhini kuyo yonke i-40 kunye ne-50s, nayo.

Funda ukuze ufunde ngakumbi malunga nokuba iminyaka yakho yokuyeka ukuya exesheni iyichaphazela njani impilo yakho.

Ukuchonga iminyaka yakho yokuyeka ukuya exesheni

Akukho luvavanyo lulula olunokukuxelela ukuba uza kufika nini ukuya exesheni, kodwa abaphandi basebenzela ukudala enye.

Ukuvavanya imbali yakho yosapho kunokuba yeyona ndlela ichanekileyo yokukunceda uqikelele xa unokulufumana olu tshintsho. Uya kufikelela kwinqanaba lokuyeka ukuya exesheni ngokulinganayo nonyoko kwaye, ukuba unayo, oodade.

Kuqala nini ukuphela kwexesha?

Phambi kokuba uyeke ukuya exesheni, uya kudlula kwixesha lotshintsho, elaziwa njenge perimenopause. Esi sigaba sinokuhlala iinyanga okanye iminyaka, kwaye sihlala siqala xa ukwiminyaka yama-40 ukuya phakathi. Ngokomndilili, uninzi lwabasetyhini luba nexesha lokuphela kwexesha malunga neminyaka emine ngaphambi kokuba ixesha labo liyeke ngokupheleleyo.

Iimpawu zepimenopause

Amanqanaba akho e-hormone ayatshintsha ngexesha lokugqibela. Uya kuba namaxesha angaqhelekanga kunye nezinye iimpawu. Ixesha lakho linokuba lide okanye lifutshane kunesiqhelo, okanye zisenokuba nzima okanye zibe lula kunesiqhelo. Ukongeza, ungatsiba inyanga okanye ezimbini phakathi kwemijikelo.

Ukuyekiswa kwexesha kunokubangela ezi mpawu zilandelayo:

• kushushu
• ukubila ebusuku
• iingxaki zokulala
• ukoma kwilungu lobufazi
• utshintsho lweemvakalelo
• ukutyeba kwakho
• ukucheba iinwele
• isikhumba esomileyo
• ukulahleka kokugcwala emabeleni akho

Iimpawu ziyahluka ukusuka kumfazi ukuya kumfazi. Abanye abadingi naluphina unyango ukuze banciphise okanye balawule iimpawu zabo, ngelixa abanye abaneempawu ezinzima kakhulu befuna unyango.

Yintoni ukuqala ukuya exesheni?

Ukuyeka ukuya exesheni okwenzeka ngaphambi kweminyaka engama-40 kuthiwa ukuya exesheni ngaphambi kwexesha. Ukuba uhlangabezana nokuyeka ukuya exesheni phakathi kweminyaka engama-40 nengama-45, kuthiwa unokuqala ukuya exesheni. Phantse iipesenti ezi-5 zabasetyhini bahamba ngokukhawuleza ukuya exesheni ngokwendalo.

Oku kulandelayo kunokunyusa amathuba okuba uyeke ukuya exesheni kwangoko:

• Andizange ndibenabantwana. Imbali yokukhulelwa inokulibazisa ukuya exesheni.
• Ukutshaya. Ukutshaya kunokubangela ukuba uyeke ukuya exesheni ukuya kwiminyaka emibini ngaphambili.
• Imbali yosapho yokuyeka ukuya exesheni kwangoko. Ukuba abafazi kusapho lwakho baqale ukuya exesheni ngaphambili, kunokwenzeka ngakumbi ukuba.
• I-Chemotherapy okanye i-pelvic radiation. Olu nyango lomhlaza lunokonakalisa ii-ovari zakho kwaye lubangele ukuya exesheni ukuba kuqale kwangoko.
• Utyando lokususa ii-ovari (oophorectomy) okanye isibeleko (hysterectomy). Iinkqubo zokususa ii-ovari zakho zingakuthumela ukuya exesheni kwangoko. Ukuba isisu sakho sisuswe kodwa hayi ii-ovari, unokufumana ukuya exesheni unyaka okanye emibini ngaphambili kunokuba ubungenakuba nakho.
• Iimeko ezithile zempilo. I-rheumatoid arthritis, isifo se-thyroid, i-HIV, isifo esingapheliyo sokukhathala, kunye neengxaki ezithile ze-chromosomal zingabangela ukuba umntu ayeke ukuya esikhathini kungekudala kunokuba bekulindelwe.

Ukuba ucinga ukuba unokufumana iimpawu zokuyeka ukuya exesheni kwangoko, thetha nogqirha wakho. Banokwenza iimvavanyo ezahlukeneyo ukufumanisa ukuba sele ungene kwisigaba sokuyeka ukuya exesheni na.

Uvavanyo olusandula ukwamkelwa olubizwa ngokuba luvavanyo lwePicoAMH Elisa lilinganisa inani leAnti-Müllerian Hormone (AMH) egazini. Olu vavanyo luyanceda ukufumanisa ukuba ngaba uza kungena exesheni kungekudala okanye ukuba sele unayo.

Ukuyeka ukuya exesheni kwangoko kunye nemingcipheko yezempilo

Ukufumana ukuya exesheni kwangoko kufuneka ube nexesha elifutshane lokuphila.

Ukwafumanise ukuba ukuya exesheni kwangoko kunokunyusa umngcipheko wokuphuhlisa imiba ethile yezonyango, enje:

• isifo sentliziyo, isifo sentliziyo, okanye ukubetha
• i-osteoporosis okanye ukuphuka kwethambo
• ukudakumba

Kodwa ukuqala ukuya exesheni kwangoko kunokuba nezibonelelo ezithile, nako. Ukuyeka ukuya exesheni kwangoko webele, i-endometrial, kunye nomhlaza we-ovari.

Izifundo zibonise abasetyhini abaya exesheni emva kweminyaka engama-55 benomngcipheko omalunga neepesenti ezingama-30 wokuba nomhlaza webele kunabo bafumana utshintsho ngaphambi kweminyaka engama-45. Ixesha labo lobomi.

Ungalibazisa ukuya exesheni?

Akukho ndlela iqinisekileyo yokulibazisa ukuya exesheni, kodwa ezinye iinguqulelo kwindlela yokuphila zinokudlala indima.

Ukuyeka ukutshaya kunokunceda ukuhlehlisa ukuqala kokuyeka ukuya exesheni. Nazi iingcebiso ezili-15 zokuyeka ukutshaya.

Uphando lucebisile ukuba ukutya kwakho kunokuchaphazela iminyaka yokuyeka ukuya exesheni, nako.

Uphononongo lwango-2018 lufumene ukuchitha isixa esikhulu seentlanzi ezinamafutha, iimbotyi ezintsha, ivithamin B-6, kunye ne-zinc yokulibazisa ukuya exesheni kwendalo. Nangona kunjalo, ukutya ipasta eninzi kunye nelayisi kwakudityaniswa nokuyeka ukuya exesheni kwangoko.

Enye into efunyenwe ichitha izixa eziphezulu zevithamini D kunye necalcium inokudibaniswa nomngcipheko omncinci wokuyeka ukuya exesheni kwangoko.

Ufanele umbone nini ugqirha malunga nokuyeka ukuya exesheni?

Qhubeka ubona ugqirha wakho rhoqo ngexesha lokuya exesheni kunye nokuyeka ukuya exesheni. Banokukunceda ukunciphisa naziphi na iinkxalabo onokuba nazo malunga nolu tshintsho lubalulekileyo ebomini bakho.

Imibuzo yokubuza ugqirha wakho inokubandakanya:

• Loluphi unyango olufumanekayo ukunceda iimpawu zam?
• Ngaba zikhona iindlela zendalo zokunciphisa iimpawu zam?
• Zeziphi iintlobo zamaxesha eziqhelekileyo onokuzilindela ngexesha lokugqibela?
• Ndiza kuqhubeka ixesha elingakanani ndisebenzisa ulawulo lokuzalwa?
• Yintoni endifanele ukuba ndiyenza ukugcina impilo yam?
• Ngaba ndiza kufuna naluphi na uvavanyo?
• Ndingalufumana phi ulwazi oluthe kratya malunga nokuyeka ukuya exesheni?

Kubalulekile ukuba ubone ugqirha wakho kwangoko ukuba unayo nayiphi na into eyophayo kwilungu lobufazi emva kokuba uyekile ukuya exesheni. Oku kunokuba ngumqondiso wengxaki enkulu yempilo.

Yintoni imbonakalo?

Ukuyeka ukuya exesheni kuyinxalenye yendalo yokwaluphala. Ungalindela ukulufumana olu tshintsho malunga nexesha elifanayo neliye unyoko.

Ngelixa ukuya exesheni kunokubangela iimpawu ezingamkelekanga, zininzi iindlela zonyango ezinokunceda. Eyona ndlela onokuyithatha kukwamkela utshintsho lomzimba wakho kwaye wamkele esi sahluko sitsha sobomi.