Kodi perimenopause ndi chiyani?

Maphunziro a Zaumoyo

Amayi ambiri amaganiza zakusamba ngati chinthu chomwe amadutsamo. Kusamba Komabe, kwenikweni ndikopita — osati ulendo. Mukufika komwe mukupita mutatha chaka chonse mulibe msambo. Gawo lomwe limafikira pamenepo (mukudziwa, lomwe limakhala ndi zotentha zonse, kusinthasintha kwa malingaliro, komanso nthawi zolemetsa) limatchedwa kuti perimenopause, akuti Leah Millheiser, MD , pulofesa wothandizira zamankhwala azachipatala ndi azimayi ku University of Stanford.

Ndi zotsatira za kusinthasintha kwa milingo ya estrogen mthupi. Kusagwirizana komanso kutsika kumeneku kumatha kuwononga thupi la mayi, atero Dr. Millheiser.

Zizindikiro zakumapeto kwa nthawi

Mudzakhala ndi lingaliro labwino kwambiri kuti muli mgawo lakumapeto kwa nthawi chifukwa zizindikirazo zikufotokozera. Mukakhala ndi perimenopausal, zizindikilo zofala zimaphatikizapo:

• Kutentha ndi thukuta lausiku (lotchedwanso vasomotor zviratidzo)
• Nthawi zosasintha
• Nthawi zolemera
• Kuuma kwa nyini
• Chikondi cha m'mawere
• Kuyendetsa kotsika
• Kusintha kwamalingaliro, kuda nkhawa kapena kukhumudwa
• Mavuto a chikhodzodzo / kusadziletsa
• Kusowa tulo kapena kusokonezeka tulo
• Kulemera

Azimayi ambiri aziona zina mwa izi, atero Dr. Millheiser.

Kukula kwa zizindikirazo kumasiyanasiyana, ndipo kumatha kusiyanasiyana mwezi ndi mwezi, akutero. Mwachitsanzo, mwezi umodzi mutha kukhala ndi nyengo yanthawi zonse. Chotsatira, mutha kuchiphonya palimodzi chifukwa kuchuluka kwa estrogen kumakulepheretsani kuyamwa. Pakadali pano, mzere wanu wamtundu wa uterine ukupitilizabe kukula. Chotsatira? Nthawi yanu yotsatira ndi yolemetsa kwambiri.

Zimatenga nthawi yayitali bwanji kusintha kwa nthawi Pomaliza?

Zizindikiro zowopsa za kutha msinkhu nthawi zambiri zimayamba pang'onopang'ono komanso pang'onopang'ono, koma zimathanso kugunda mwadzidzidzi komanso mwamphamvu. Amatha kukhala chaka chimodzi, kapena amatha zaka zisanu kapena 10. Pafupifupi zaka 7.4, akuti Wolemba Mary Jane Minkin, MD , pulofesa wazachipatala ku department of obstetrics, gynecology and sayansi yobereka ku Yale University School of Medicine. Zikhala kwa nthawi yayitali bwanji inu ? Tsoka ilo, palibe njira yodziwiratu yankho la funso ili. Mukuyenera kungodikirira kuti muwone, a Dr. Minkin akutero.

Kodi msinkhu wabwinobwino wokhalako kumapeto ndi chiani?

Monga momwe sizingatheke kuneneratu kuti kutha kwa nthawi kutha kwa nthawi yayitali bwanji, ndizachidziwikire kuti nthawi yayitali itayamba liti. Ngati muli ndi zaka zapakati pa 40, ndipo mukukumana ndi zotentha komanso kusintha kwa msambo wanu, ichi chikhoza kukhala chizindikiro kuti kuchuluka kwa mahomoni kumasintha ndipo nthawi yayitali ikuchitika. Komabe, zitha kutanthauzanso china chake, chifukwa chake mungafune kuyankhula ndi dokotala kuti akuwuzeni mavuto aliwonse azaumoyo omwe amafunikira chithandizo.

Kodi achibale achikulire achikulire angakuuzeni nthawi yomwe kusamba kumayamba komanso kutenga nthawi yayitali bwanji? Nthawi zina, inde. [Mutha] kuyankhula ndi amayi anu ndi azakhali anu chifukwa pali zomwe amakonda, Dr. Minkin akufotokoza.

Dziwani, komabe, kuti ndi izi basi kuyeza. Madokotala samadziwa kwenikweni kuchuluka kwa zomwe banja limachita chifukwa palibe zambiri zodalirika pamutuwu, akutero Dr. Millheiser. Ndizosiyana kwa mkazi aliyense, akutero.

Kodi msinkhu wabwinobwino wotha kusamba ndi uti?

Ponena za izo kufikira kusintha kwa msambo, zaka zapakati ndi 51, malinga ndi Bungwe la North American Menopause Society - koma si zachilendo kuti azimayi amatha kusamba nthawi iliyonse azaka zapakati pa 40 ndi 58. Pakadali pano, mazira anu samatulutsanso mazira ndipo ma mahomoni omwe amasinthasintha ayenera kukhazikika. Ngakhale azimayi ena amawotcha nthawi yonse yosamba, atero Dr. Minkin.

Kodi matenda a perimenopause amapezeka bwanji?

Kutha msinkhu ndimachitidwe achilengedwe, ndipo kuzindikira ndikozikidwa pazizindikiro, Dr. Millheiser akufotokoza. Palibe mayesero kuti atsimikizire nthawi; mayesero okha kuti athetse mikhalidwe ina yomwe ili ndi zizindikiro zofananira. Mwachitsanzo, ngati dokotala sakudziwa kuti matenda anu amayamba chifukwa chakumapeto kwa nthawi, kuyesedwa kwa mimba, kuyesa magazi, Pap smear, ndi / kapena kujambula kumatha kulamulidwa kuti mufufuze mavuto azimayi ena monga uterine fibroids, khansa ya ovari, kapena matenda ena a chithokomiro-makamaka ngati muli ocheperapo.

Ngati mayi akuchita kutentha kapena kutuluka thukuta usiku ndipo ali ndi zaka za m'ma 40, ndinganene kuti ali ndi mwayi wokhala kumapeto kwa nthawi, Dr. Millheiser akuti. Koma ngati muli ndi zaka zoyambirira za 40 ndipo mukukumana ndi zizindikilo izi muli nokha, mungafune kuyang'aniridwa ndi zina.

Chinthu chabwino kwambiri chomwe mayi akuyandikira zaka zakumapeto kwa msambo angathe kuchita, Dr. Millheiser akuti, ndikungophunzira kuzindikira zizindikiritso za msambo kuti athe kuyang'anizana nawo. Chithandizo chilipo, ndipo zizindikilozo zitha kuyendetsedwa.

Kukonzekera ndi chidziwitso ndikofunikira kwambiri, akutero, pofotokoza kuti azimayi ambiri amatha zaka zambiri akuvutika ndi zizindikiritso zakumapeto kwa nthawi chifukwa chongodziwa zomwe zikuchitika. Ngati zizindikirozi zikuyamba [kusokoneza] moyo wanu, mukufunikadi kukambirana ndi dokotala wanu.

Njira zosankha zochiritsira

Chithandizo chomwe dokotala akukulangizani chimadalira zizindikiro zomwe zimakuvutitsani kwambiri, atero a Sally Rafie, Pharm.D., Woyambitsa wa Wodwala Wobereka .

Mankhwala

Akazi ena, mwachitsanzo, kulimbana kwambiri ndi moto ndi thukuta usiku. Nthawi izi, mapiritsi oletsa kubereka kapena chigamba chochepa, kapena mtundu wina wa mankhwala a mahomoni (omwe amapereka estrogen kwanuko), monga mphete ya nyini, gel osakaniza, kapena cholowetsa-monga kutha - ndiye mulingo wagolide. Chithandizo cha mahomoni sichingakhale chotetezeka kwa aliyense ndipo muyenera kukambirana zoopsa ndi omwe amakupatsani ngati muli ndi:

• Mbiri ya matenda amtima kapena zoopsa, monga cholesterol yambiri
• Banja kapena mbiri yakale ya khansa ya m'mawere
• Mulingo wapamwamba wa triglycerides, mtundu wamafuta m'magazi anu
• Mbiri ya banja la matenda am'mimba
• Matenda a chiwindi
• Mbiri ya sitiroko kapena kuundana kwa magazi

Mutha kupeza mndandanda wazithandizo zovomerezeka za mahomoni Pano .

Njira zina ndi monga mankhwala opondereza kupsinjika, monga mlingo wochepa wosankha serotonin uptake inhibitor (SSRI) -kwa amayi omwe samvera mankhwala a mahomoni. Gabapentin , mankhwala omwe amagwiritsidwa ntchito pochiza kugwidwa, ndi njira yomwe amayi omwe sangathe kugwiritsa ntchito estrogen chifukwa cha matenda ena (monga migraine), a Dr. Rafie akutero.

ZOKHUDZA: Piritsi labwino kwambiri kwa inu

Mankhwala ochiritsira

Ngati kuuma kwa nyini ndipo / kapena kupweteka panthawi yogonana ndiye nkhawa yoyamba, mankhwala osagwiritsa ntchito mahomoni ngati mankhwala opangira ukazi ndi mafuta, ndi malo abwino kuyamba, atero Dr. Rafie. Zitsanzo ndi monga Replens ndi Astroglide, zomwe zimapezeka pakauntala.

Ndipo ngati Chilichonse akukuvutitsani? Inde, mutha kugwiritsa ntchito mankhwalawa molumikizana. Zotsatira zoyipa ndizochepa kapena kulibeko. Komabe, ngati mungasankhe kumwa mapiritsi ochepetsa mphamvu zakulera ndizotheka simungazindikire kuti kusintha kwa nthawi kumachitika.

Ndikuganiza kuti azimayi akuyenera kuzindikira kuti ngati ali ndi mapiritsi oletsa kubereka omwe amatha kubisala, atero. Icho chingakhale chinthu chabwino, koma [akazi ena] amafunadi kudziwa zomwe zikuchitika [ndi matupi awo].

Njira zochiritsira zina

Ponena za mankhwala achilengedwe ndi zitsamba (monga red clover, cohosh wakuda, kapena soya), Dr. Rafie amalimbikitsa azimayi kuti akambirane zakugwiritsa ntchito mankhwalawa ndi omwe amawapatsa chithandizo chifukwa a) zidziwitso ndizosakanikirana ndipo b) makampaniwa sakulamulidwa ndi Food and Drug Administration, kutanthauza kuti chitetezo ndi magwiridwe antchito sizinatsimikizidwe. Malinga ndi National Institutes of Health Office of Dietary Supplements, kafukufuku wina wasonyeza kuti cohosh wakuda, makamaka, atha kukulitsa kuchuluka komanso kutentha kwa kutentha .

Ndi [njira zochiritsira zosagwiritsidwa ntchito] nthawi zonse kumakhala kuwunika koopsa / phindu kuti munthu aliyense, mothandizidwa ndi omwe amawathandiza, ayenera kuyang'anitsitsa [asanagwiritse ntchito], a Dr. Rafie akutero.

Kusintha kwa moyo wosavuta kungathandizenso. Dr. Minkin amalimbikitsa kuvala m'magawo kuti muchepetse kusapeza kwa zizindikilo za vasomotor ngati kutentha ndi thukuta usiku. Amanenanso kuti kumvetsera zomwe zingayambitse. Mwachitsanzo, azimayi ena amawona kuti vinyo wofiira ndi / kapena zakudya zokometsera zokometsera zimawonjezera kutentha komanso kutentha kwa nthawi yayitali, motero amachotsa (kapena kuchepetsa kumwa) zinthuzo pazakudya zawo, akutero.

Dr. Minkin akugogomezeranso kufunikira kokhalabe ndi thupi lolemera nthawi yakumapeto ndi kupitirira chifukwa kulemera kopitilira muyeso ndikutsutsana ndi mavuto ambiri azaumoyo.

Kudya koyenera komanso kuchita masewera olimbitsa thupi [kungathandize], palibe funso pankhaniyi, akutero, ndikuwonjeza kuti ndichizolowezi kuti mayi azipeza mapaundi pakati pa 5-8 panthawi yomwe amatha kusintha - ngakhale atakhala ndi zakudya zopatsa thanzi komanso kuchita masewera olimbitsa thupi ambiri - zikomo kachiwiri kusintha kwa mahomoni.

Kodi azimayi amatha kutenga pakati nthawi yakusintha?

Ngakhale simukufuna kapena mukufuna kumwa mapiritsi oletsa kubereka ochepa kuti muthandize pakuthwa kwamoto, pakhoza kukhala phindu limodzi lofunikira pakuwagwiritsa ntchito pakatikati pa nthawi ya kulera. Chifukwa, inde, inu angathe khalani ndi pakati panthawi yomwe mumatha .

Zonsezi zimabwerera kumasamba osadziwikiratu omwe amapezeka panthawiyi, akutero. Mwanjira ina, mwina simudziwa nthawi yeniyeni, kapena ngati, mukutulutsa mazira . Ubwino wa mazira, chifukwa chake mwayi wokhala ndi pakati, umachepa, inde ( mwayi wochepera 5% malinga ndi American Society for Reproductive Medicine ) - koma kuthekera kumatsalira.

Anthu ndithudi sali achonde monga momwe analiri pamene anali 22, komabe akadali achonde mpaka atapita chaka cha matsenga chimenecho popanda nthawi, Dr. Minkin akufotokoza.

Ndipo ngati njira zakulera zakumwa sizili za inu? Palibe vuto. Onetsetsani kuti mukugwiritsa ntchito njira zakulera . Ndabereka ana atatu kwa amayi azaka 47, Dr. Minkin akuti.