Ngaba ukuphela kwexesha kunokubangela ukuba amaxesha akho asondele ngakumbi?

Umxholo

• Ixesha lakho lingatshintsha njani
• Kutheni olu tshintsho lusenzeka
• Uza kubona nini ugqirha wakho
• Iinketho zonyango
• Yintoni onokuyilindela

Ngaba i-perimenopause iyalichaphazela ixesha lakho?

I-Perimenopause linqanaba lotshintsho kubomi bokuzala bomfazi. Ihlala iqala phakathi kwi-40s ukuya kwi-40s, nangona ingaqala kwangoko. Ngeli xesha, ii-ovari zakho ziqala ukuvelisa i-estrogen encinci.

Nangona "utshintsho" luhlala luhambelana nokutshisa okutshisayo, kunokubangela yonke into ukusuka kwintloko kunye nesifuba sesifuba ukuya kutshintsho kwixesha lakho lokuya esikhathini.

Ezi zimpawu zihlala zihlala malunga neminyaka emine ngaphambi kokuba ixesha lakho liyeke ngokupheleleyo. Umzimba wakho uya kutshintsha ukusuka kwixesha ukuya kwisiphelo emva kweenyanga ezili-12 ngaphandle kokuphuma kwegazi okanye ukungaboni.

Qhubeka ufunda ukuze ufunde ngakumbi malunga nento onokuyilindela ngexesha lokuya exesheni kunye nokuba inokuchaphazela njani ixesha lakho lenyanga.

Ixesha lakho lingatshintsha njani

I-perimenopause inokwenza amaxesha akho aqhelekileyo ngesiquphe angaqhelekanga.

Ngaphambi kokuphela kwexesha, i-estrogen yakho kunye namanqanaba eprogesterone aphakama kwaye awele kwipateni ehambelanayo ngexesha lokuya esikhathini. Xa ukwimeko yokuphela kwexesha, utshintsho lwehomoni luye luguquke ngakumbi. Oku kunokukhokelela kwiipateni zokopha ezingalindelekanga.

Ngexesha lokugqibela, amaxesha akho anokuba:

• Engaqhelekanga. Endaweni yokuba nexesha elithile rhoqo kwiintsuku ezingama-28, unokufumana ngaphantsi okanye rhoqo.
• Vala kunye okanye uqhubeke ngakumbi. Ubude bexesha phakathi kwamaxesha bunokwahluka ukusuka kwinyanga ukuya kwinyanga. Ezinye iinyanga unokufumana amaxesha abuyela umva. Kwezinye iinyanga, unokuhamba ngaphezulu kweeveki ezine ngaphandle kokufumana ixesha.
• Akukho. Ezinye iinyanga usenokungafumani thuba konke konke. Unokucinga ukuba usexesheni, kodwa akukho semthethweni de ube ungenaxesha kangangeenyanga ezili-12.
• Inzima. Ungopha kakhulu, ungene ngeepads zakho.
• UkuKhanya. Ukopha kwakho kunokuba lula kangangokuba kungafuneki ukuba usebenzise i-panty liner. Ngamanye amaxesha ukubonwa kuphelile kangangokuba akubonakali ngathi lixesha.
• Mfutshane okanye mde. Ixesha lamaxesha akho linokutshintsha, nalo. Ungopha nje usuku okanye ezimbini okanye ngaphezulu kweveki ngexesha.

Kutheni olu tshintsho lusenzeka

Kwiminyaka ekhokelela ekuyekeni ukuya exesheni, ii-ovari zakho ziyeke ukuvuthisa amaqanda rhoqo. Njengoko i-ovulation iba yinto engafane yenzeke, iihomoni eziveliswa ngama-ovari- i-estrogen kunye neprogesterone- nayo iqala ukuhla nokuhla. Ezi hormone zihlala zinoxanduva lokulawula umjikelo wokuya esikhathini.

Njengoko olu tshintsho lwehomoni lwenzeka, lunokuba nefuthe elingaphezulu nje kwexesha lakho. Unokuba namava:

• ukuthamba kwebele
• ukutyeba kwakho
• intloko ebuhlungu
• ubunzima bokugxila
• ukulibala
• iintlungu zemisipha
• usulelo lomchamo
• utshintsho kwiimvakalelo
• ukwehla kwesondo

Ngelixa kunzima ukuqikelela ukuba ezi mpawu ziya kuhlala ixesha elingakanani, banokulindeleka ukuba baqhubeke kakuhle ukuya exesheni. Oku kunokuba naphi na ukusukela kwiinyanga ezimbalwa ukuya kuthi ga kwiminyaka elishumi elinambini ukusuka xa kuqala iimpawu.

Uza kubona nini ugqirha wakho

Xa ukwimeko yokuma eximenopause, kuyinto eqhelekileyo ukuba ixesha lakho lingahambelani kwaye lisondele kunye. Kodwa ngamanye amaxesha ezi patheni zokopha ngokungaqhelekanga zinokubonisa ingxaki esembindini.

Jonga ugqirha wakho ukuba:

• Ukopha kuyasinda ngokungaqhelekanga kuwe okanye ufunxa iphedi enye okanye ezingaphezulu okanye iisampulu ngeyure
• ufumana ixesha lakho rhoqo ngaphezu kweeveki ezintathu
• amaxesha akho ahlala ixesha elide kunesiqhelo
• wopha ngexesha lokwabelana ngesondo okanye phakathi kwamaxesha

Nangona ukopha okungaqhelekanga kwi-perimenopause kuhlala kungenxa yokutshintsha kwehomoni, inokuba luphawu loku:

• IipolypsUkukhula kwezi zinto kwenzeka ngaphakathi ngaphakathi kwesibeleko okanye umlomo wesibeleko. Zihlala zingenamhlaza, kodwa ngamanye amaxesha zinokujika zibe ngumhlaza.
• IifibroidsOku kukhula kwakhona esibelekweni. Ziyahluka ngobukhulu ukusuka kwimbewu encinci ukuya kwizihlwele ezikhulu ngokwaneleyo ukuba zolule isibeleko ngaphandle kwemilo. Iifibroids zihlala zingenawo umhlaza.
• I-atrophy ye-endometriyoUbunzima bokuncipha kwe-endometrium (umgca wesibeleko sakho). Oku kuncipha ngamanye amaxesha kunokubangela ukopha.
• I-endometrial hyperplasiaOku kukuqina kwencindi yesibeleko.
• Umhlaza wesibelekoLo ngumhlaza oqala esibelekweni.

Ugqirha wakho uya kwenza uvavanyo ukujonga izizathu zokuphuma kwegazi ngokungaqhelekanga. Unokufuna olunye okanye nangaphezulu kwezi mvavanyo:

• Iipelvic ultrasoundKolu vavanyo, ugqirha wakho usebenzisa amaza esandi ukwenza umfanekiso wesibeleko sakho, umlomo wesibeleko kunye namanye amalungu e-pelvic. Isixhobo se-ultrasound sinokufakwa kwilungu lakho lobufazi (transvaginal ultrasound) okanye sibekwe ngaphezulu kwesisu sakho esisezantsi (isisu se-ultrasound).
• I-biopsy ye-EndometriyoUgqirha wakho uya kusebenzisa ityhubhu encinci ukususa isampulu yethishu kulusu lwakho lwesibeleko. Isampulu iya elebhu ukuvavanywa.
• IHysteroscopyUgqirha wakho uya kubeka ityhubhu ebhityileyo enekhamera ekugqibeleni kwilungu lakho lobufazi kwisibeleko sakho. Oku kuvumela ugqirha wakho ukuba abone ngaphakathi kwesibeleko sakho kwaye athathe i-biopsy xa kufuneka njalo.
• SonohysterographyUgqirha wakho uya kufaka inaliti kwisibeleko sakho ngombhobho, ngelixa i-ultrasound ithatha imifanekiso.

Iinketho zonyango

Luluphi unyango olucebiswa ngugqirha wakho kuxhomekeke kwisizathu sokuphuma gazi kwakho ngokungaqhelekanga kunye nokuba luchaphazela kangakanani umgangatho wobomi bakho.

Ukuba ukopha kungenxa yehomoni kwaye akuphazamisi kubomi bakho bemihla ngemihla, ukunxiba iphedi eshinyeneyo okanye itampu kunye nokuthwala isibini sangaphantsi seebhulukhwe kunokwanela ukukufumana kwesi sigaba se-perimenopausal.

Unyango lweHormone, kubandakanya iipilisi zokulawula ukuzalwa okanye isixhobo se-intrauterine (IUD) sinokunceda. Oku kunokunceda bobabini ukuba banciphise amaxesha akho kunye nokuwagcina rhoqo ngokuthintela ukubethelelwa kwesibeleko sakho ekuxineni kakhulu.

Ukukhula okufana ne-fibroids okanye i-polyps kunokufuna unyango ukuba ngaba kubangela iimpawu. Iipolyps zinokususwa kunye ne-hysteroscopy. Kukho iinkqubo ezimbalwa ezinokususa i-fibroids:

• Ukudityaniswa komthambo wesibelekoUgqirha wakho utofa iyeza kwimithambo ehambisa igazi esibelekweni. Iyeza lisika ukuhamba kwegazi liye kwii-fibroids, zibangele ukuba zinciphe.
• Unyango. Ugqirha wakho usebenzisa umbane okanye i-laser ukutshabalalisa i-fibroids kwaye unqumle ukunikezelwa kwegazi. Le nkqubo inokwenziwa kwakhona kubanda kakhulu (cryomyolysis).
• MyomectomyNgale nkqubo, ugqirha wakho ususa i-fibroids kodwa ushiya isibeleko sakho sihleli. Inokwenziwa kusetyenziswa ukubetheka okuncinci (utyando lwe-laparoscopic) okanye ngoqhaqho lweerobhothi.
• Uhlobo lweHysterectomyNgale nkqubo, ugqirha wakho uyakususa sonke isibeleko. Yeyona nkqubo ingena gwenxa yefibroids. Nje ukuba ube nesibeleko, ngekhe ukwazi ukukhulelwa.

Unyange i-endometrium atrophy ngokuthatha i-hormone progestin. Kuza njengepilisi, ukhilimu wesini, ukudubula, okanye i-IUD. Ifom oyithathayo ixhomekeke kubudala bakho kunye nohlobo lwe-hyperplasia onayo. Ugqirha wakho unokususa iindawo ezixineneyo zesibeleko sakho nge-hysteroscopy okanye inkqubo ebizwa ngokuba yi-dilation kunye ne-curettage (D no-C).

Unyango oluphambili lomhlaza wesibeleko kukuba nesibeleko. Imitha, ichemotherapy, okanye unyango lwehomoni nazo zinokusetyenziswa.

Yintoni onokuyilindela

Njengoko uqhubela phambili kwinqanaba le-perimenopausal kunye nokuya esikhathini, amaxesha akho kufuneka avele ngaphantsi nangaphantsi. Xa ukuyeka ukuya exesheni sekuqalile, akufuneki kubekho naliphi na ukopha konke konke.

Ukuba ufumana naluphi na ukopha okungalindelekanga okanye olunye utshintsho olusexesheni, thetha nogqirha wakho. Banokumisela ukuba olu tshintsho lubotshelelwe kwi-perimenopause okanye ngaba luphawu lwenye imeko ebambekayo.

Gcina ugqirha wakho enolwazi malunga naziphi na ezinye iimpawu zexesha elizayo onokuba uhlangabezana nazo. Okukhona besazi, kokukhona kuya kuba luncedo ngakumbi isicwangciso sakho sokhathalelo.