Ukuphuma kwegazi kwi-Postmenopausal

Umxholo

• Yintoni ukuphuma kwegazi kwilungu lobufazi?
• Yintoni ebangela ukopha emva kokuyeka ukuya exesheni?
• Polyp zesisu
• I-endometrial hyperplasia
• Umhlaza we-Endometrial
• I-atrophy ye-endometriyo
• Umhlaza womlomo wesibeleko
• Iimpawu zokopha emva kokuyeka ukuya exesheni
• Kufunyanwa njani ukopha emva kokuyeka ukuya exesheni?
• I-ultrasound yangaphantsi
• IHysteroscopy
• Uphathwa njani ukopha emva kokuyeka ukuya exesheni?
• Uthintelo
• Into onokuyenza
  
• Uyintoni umbono wokuphuma kwegazi emva kokuyeka ukuya exesheni?

Yintoni ukuphuma kwegazi emva kokuyeka ukuya exesheni?

Ukopha kwePostmenopausal kwenzeka kwilungu lobufazi lomfazi emva kokuba eye waya exesheni. Xa umntu obhinqileyo ehambe iinyanga ezili-12 ngaphandle kwexesha, uthathwa ngokuba usexesheni.

Ukulawula iingxaki ezinzulu zonyango, abasetyhini abane-postmenopausal ukopha kufuneka bahlale bebonana nogqirha.

Yintoni ukuphuma kwegazi kwilungu lobufazi?

Ukopha kwilungu lobufazi kunokuba nezizathu ezahlukeneyo. Oku kubandakanya imijikelo yesiqhelo yokuya exesheni kunye nokopha emva kokuyeka ukuya exesheni.Ezinye izizathu zokopha kwilungu lobufazi zibandakanya:

• ukwenzakala okanye ukubetha
• umhlaza womlomo wesibeleko
• usulelo, kubandakanya usulelo lomchamo

Ukuba ufumana ukopha kwilungu lobufazi kwaye une-postmenopausal, ugqirha wakho uya kubuza malunga nexesha lokuphuma kwegazi, inani legazi, naziphi na iintlungu ezongezelelekileyo, okanye ezinye iimpawu ezinokubakho.

Ngenxa yokuba ukopha okungaqhelekanga kwilungu lobufazi kunokuba luphawu lomhlaza womlomo wesibeleko, wesibeleko, okanye we-endometrium, kuya kufuneka ufumane ukopha okungaqhelekanga kuvavanywa ngugqirha.

Yintoni ebangela ukopha emva kokuyeka ukuya exesheni?

Ukopha kunokubakho kubantu basetyhini abasemva kwamadoda ngenxa yezizathu ezininzi. Umzekelo, abasetyhini abathatha unyango lokutshintsha i-hormone banokuba nokopha kwilungu lobufazi kwiinyanga ezimbalwa emva kokuqala iincindi zamadlala. Kwakhona kunokwenzeka ukuba umfazi owayecinga ukuba usexesheni ukuba aqalise i-ovulation. Ukuba oku kuyenzeka, ukopha kunokwenzeka kwakhona.

Kukho iimeko ezahlukeneyo ezinokubangela ukuphuma kwegazi emva kokuyeka ukuya exesheni.

Ezinye zezizathu eziqhelekileyo zibandakanya: ii-polyps, i-endometrial hyperplasia, kunye ne-endometrial atrophy.

Polyp zesisu

Iipryps zesisu azikhuli. Nangona zilungile, ezinye iipolyps zinokuba ngumhlaza ekugqibeleni. Olona phawu kuphela kwizigulana ezinee-polyps luya kufumana ukopha ngokungaqhelekanga.

Iipryps zesibeleko zixhaphake ikakhulu kubafazi abaye bayeka ukuya exesheni. Nangona kunjalo, abafazi abancinci banokuzifumana.

I-endometrial hyperplasia

I-endometrial hyperplasia kukuqina kwe-endometrium. Yinto enokubangela ukopha emva kokuyeka ukuya exesheni. Ihlala ibangelwa xa kukho ukugqitha kwe-estrogen ngaphandle kweprogesterone eyaneleyo. Kwenzeka rhoqo kwabasetyhini emva kokuyeka ukuya exesheni.

Ukusetyenziswa kwexesha elide kwe-estrogen kunokukhokelela kumngcipheko okhulayo we-endometrial hyperplasia. Ingakhokelela kumhlaza wesibeleko ukuba awunyangwa.

Umhlaza we-Endometrial

Umhlaza we-Endometrial uqala kwisibeleko. I-endometrium ngumaleko wesibeleko. Ukongeza ukopha okungaqhelekanga, abaguli banokufumana iintlungu zangasese.

Le meko ihlala ifunyanwa kwangoko. Kubangela ukopha okungaqhelekanga, okuqapheleka lula. Isibeleko sinokususwa ukunyanga umhlaza kwiimeko ezininzi. Malunga nabasetyhini abane-postmenopausal ukopha banomhlaza we-endometrial.

I-atrophy ye-endometriyo

Le meko ibangela ukuba ulwelo lwe-endometrium lube lucekeceke kakhulu. Inokwenzeka nakwabasetyhini abase-postmenopausal. Njengoko ulwelwesi luthamba, ukuphuma kwegazi kunokwenzeka.

Umhlaza womlomo wesibeleko

Ukopha emva kokuyeka ukuya exesheni kuhlala kungeyongozi. Nangona kunjalo, inokuba luphawu olunqabileyo lomhlaza womlomo wesibeleko. Umhlaza womlomo wesibeleko uhlala uqhubeka kancinci. Ngamanye amaxesha oogqirha banokuchonga ezi seli ngexesha loviwo rhoqo.

Utyelelo lonyaka kugqirha wezifo zabasetyhini lunokunceda ekufumaneni kwangoko kwanokuthintela umhlaza womlomo wesibeleko. Oku kunokwenziwa ngokubeka iliso kwi-Pap smears engaqhelekanga.

Ezinye iimpawu zomhlaza womlomo wesibeleko zinokubandakanya iintlungu ngexesha lokwabelana ngesondo okanye ukukhutshwa okungaqhelekanga kwilungu lobufazi, kubandakanya nabasetyhini abasemva kwe-postmenopausal.

Iimpawu zokopha emva kokuyeka ukuya exesheni

Abasetyhini abaninzi abafumana ukuphuma kwegazi emva kokuyeka ukuya exesheni abanakuba nezinye iimpawu. Kodwa iimpawu zinokubakho. Oku kunokuxhomekeka kwisizathu sokopha.

Iimpawu ezininzi ezenzeka ngexesha lokuyeka ukuya exesheni, njengokutshisa okutshisayo, zihlala ziqala ukwehla ngexesha le-postmenopausal. Kukho, nangona kunjalo, ezinye iimpawu abanokufumana kuzo abantu ababhinqileyo emva kokuyeka ukuya exesheni.

Iimpawu ze-postmenopausal yabasetyhini banokufumana:

• ukoma kwilungu lobufazi
• yehle i-libido
• ukuphuthelwa
• ukungakwazi ukuzibamba koxinzelelo
• ukonyuka kosuleleko lomchamo
• ukutyeba kwakho

Kufunyanwa njani ukopha emva kokuyeka ukuya exesheni?

Ugqirha unokuqhuba uvavanyo lomzimba kunye nohlalutyo lwembali yezonyango. Banokuqhuba i-Pap smear njengenxalenye yovavanyo lwe-pelvic. Oku kungabonisa umhlaza womlomo wesibeleko.

Oogqirha banokusebenzisa ezinye iinkqubo ukujonga ngaphakathi kwilungu lobufazi kunye nesibeleko.

I-ultrasound yangaphantsi

Le nkqubo ivumela oogqirha ukuba bajonge ii-ovari, isibeleko kunye nomlomo wesibeleko. Kule nkqubo, itekhnoloji ifaka iprosesa kwilungu lobufazi, okanye icele isigulana ukuba siyifakele yona.

IHysteroscopy

Le nkqubo ibonisa izicubu ze-endometrium. Ugqirha ufaka i-fiber optic scope kwilungu lobufazi kunye nomlomo wesibeleko. Ugqirha ke emva koko upompa igesi yekharbon diokside ngesithuba. Oku kunceda ukwandisa isibeleko kwaye kwenza ukuba isibeleko sibonakale lula.

Uphathwa njani ukopha emva kokuyeka ukuya exesheni?

Unyango luxhomekeke kwisizathu sokopha, nokuba ukuphuma kwegazi kunzima, kwaye ukuba zikhona iimpawu ezongezelelekileyo. Ngamanye amaxesha, ukopha akunakufuna unyango. Kwezinye iimeko apho umhlaza ukhutshiwe ngaphandle, unyango lunokubandakanya oku kulandelayo:

• Iikhrimu ze-Estrogen: Ugqirha wakho unokumisela i-estrogen cream ukuba ukopha kwakho kungenxa yokuncipha kunye ne-atrophy yethishu yakho yelungu lobufazi.
• Ukususwa kwePolyp: Ukususwa kwePolyp yinkqubo yotyando.
• Iprogestin: Iprogestin lonyango olungena endaweni yehomoni. Ugqirha wakho unokuyincoma ukuba izicubu zakho ze-endometrium zigqithile. Iprogestin inokunciphisa ukwanda kwezicubu kunye nokunciphisa ukopha.
• I-Hysterectomy: Ukuphuma kwegazi okungenakunyangwa ngeendlela ezingafunekiyo kunokufuna i-hysterectomy. Ngexesha lokukhulelwa kwesibeleko, ugqirha wakho uya kususa isibeleko sesigulana. Inkqubo inokwenziwa nge-laparoscopically okanye ngotyando oluqhelekileyo lwesisu.

Ukuba ukopha kungenxa yomhlaza, unyango luya kuxhomekeka kuhlobo lomhlaza kunye nenqanaba lawo. Unyango oluqhelekileyo lwe-endometrium okanye umhlaza womlomo wesibeleko kubandakanya utyando, ichemotherapy, kunye nonyango lwemitha.

Uthintelo

Ukopha kwe-Postmenopausal kunokuba yinto enobungozi okanye kunokuba sisiphumo sesimo esibi kakhulu njengomhlaza. Nangona usenokungakwazi ukuthintela ukopha okungaqhelekanga kwilungu lobufazi, unokufuna uncedo ngokukhawuleza ukuze ufumane isifo kunye nesicwangciso sonyango endaweni, nokuba siyintoni na isizathu. Xa umhlaza ufunyaniswe kwangethuba, amathuba okusinda aphezulu. Ukuthintela ukopha okungaqhelekanga kwasemva kokuyeka ukuya exesheni, esona sicwangciso silungileyo kukunciphisa umngcipheko wezinto ezinokubangela oko.

Into onokuyenza

• Phatha i-endometrial atrophy kwangethuba ukwenzela ukuyikhusela ekuqhubekeni komhlaza.
• Ndwendwela ugqirha wakho wezifo zonyango ukuze uhlolwe rhoqo. Oku kunokunceda ekufumaneni iimeko ngaphambi kokuba zibe yingxaki ngakumbi okanye zikhokelele ekuphumeni kwegazi lasemva kokuyeka ukuya exesheni
• Gcina ubunzima obusempilweni, kulandela ukutya okusempilweni kunye nokuzilolonga rhoqo. Oku kuphela kunokuthintela iingxaki ezahlukeneyo kunye neemeko kuwo wonke umzimba.
• Ukuba ugqirha wakho uyayincoma, cinga ngonyango olungena endaweni yehomoni. Oku kunokunceda ukukhusela umhlaza we-endometrium. Kukho iingxaki, nangona kunjalo, ekufuneka uxoxe ngazo nogqirha wakho.

Uyintoni umbono wokuphuma kwegazi emva kokuyeka ukuya exesheni?

Ukopha kwePostmenopausal kuhlala kunyangwa ngempumelelo. Ukuba ukopha kwakho kungenxa yomhlaza, imbonakalo ixhomekeke kuhlobo lomhlaza nakwinqanaba apho kwafunyaniswa khona. Inqanaba lokusinda kweminyaka emihlanu limalunga neepesenti ezingama-82.

Nokuba yintoni unobangela wokopha, gcina indlela yakho esempilweni kwaye uqhubeke nokwenza utyelelo rhoqo kugqirha wezifo zabasetyhini. Banokunceda ekufumaneni nayiphi na enye imeko kwangethuba, kubandakanya umhlaza.