Kodi Avereji ya Zaka Zoleza Kusamba Ndi Chiyani? Komanso Zomwe Muyenera Kuyembekezera Zikayamba

Zamkati

• Kudziwa msinkhu wanu wosamba
• Kodi nthawi yoyambira imayamba liti?
• Zizindikiro za kutha kwa nthawi
• Kodi kusamba msanga ndi kotani?
• Kusamba kwa msambo komanso zoopsa zathanzi
• Kodi mungachedwetse kusamba?
• Kodi muyenera kuwona liti dokotala za kusamba?
• Maganizo ake ndi otani?

Chidule

Kusamba, komwe nthawi zina kumatchedwa "kusintha kwa moyo," kumachitika mzimayi akasiya kusamba mwezi uliwonse. Nthawi zambiri zimapezeka kuti mwatha chaka osasamba. Pambuyo pa kusintha kwa thupi, simudzakhalanso ndi pakati.

Zaka zapakati pa kusamba ku United States ndi zaka 51, malinga ndi Mayo Clinic. Koma kusamba kumatha kuchitika kwa akazi mzaka zawo za 40s ndi 50s, nawonso.

Pemphani kuti mudziwe zambiri zamomwe msinkhu wanu wosinthira umakhudzira thanzi lanu.

Kudziwa msinkhu wanu wosamba

Palibe mayeso osavuta omwe angakuuzeni mukafika kumapeto, koma ofufuza akuyesetsa kuti apange chimodzi.

Kuwona mbiri ya banja lanu ikhoza kukhala njira yolondola kwambiri yothandizira kukudziwitsani nthawi yomwe mungasinthe. Mutha kufika kumapeto kwa msinkhu wofanana ndi amayi anu ndipo, ngati muli nawo, alongo.

Kodi nthawi yoyambira imayamba liti?

Musanayambe kusamba, mudzadutsa munthawi yosintha, yotchedwa perimenopause. Gawoli limatha miyezi kapena zaka, ndipo nthawi zambiri limayamba mukakhala pakati pa 40 mpaka 40. Pafupifupi, azimayi ambiri amakhala ndi nthawi yopuma pafupifupi zaka zinayi nyengo yawo isanathe.

Zizindikiro za kutha kwa nthawi

Mahomoni anu amasintha panthawi yomwe amakhala. Mutha kukhala ndi nthawi zosasinthasintha limodzi ndi zizindikilo zina zosiyanasiyana. Nthawi yanu ikhoza kukhala yayitali kapena yayifupi kuposa masiku onse, kapena itha kukhala yolemetsa kapena yopepuka kuposa nthawi zonse. Kuphatikiza apo, mutha kudumpha mwezi umodzi kapena iwiri pakati pamaulendo.

Kutha nthawi kumatha kuchititsanso izi:

• kutentha
• thukuta usiku
• mavuto ogona
• kuuma kwa nyini
• zosintha
• kunenepa
• tsitsi lochepera
• khungu lowuma
• kutaya kukhuta m'mabere ako

Zizindikiro zimasiyanasiyana mkazi ndi mkazi. Ena safuna chithandizo chilichonse kuti athetse kapena kusamalira zizindikilo zawo, pomwe ena omwe ali ndi zizindikilo zowopsa amafunikira chithandizo.

Kodi kusamba msanga ndi kotani?

Kusamba komwe kumachitika asanakwanitse zaka 40 kumatchedwa kusamba msanga. Ngati mukumva kusamba kwa zaka zapakati pa 40 ndi 45, mukuti mukusamba msanga. Pafupifupi 5% ya azimayi amadwala msambo mwachibadwa.

Zotsatirazi zingakulitse mwayi womwe mungakhale nawo kusamba koyambirira:

• Sanakhalepo ndi ana. Mbiri yakutenga mimba ingachedwetse zaka zakutha.
• Kusuta. Kusuta kumatha kubweretsa kusamba kwa thupi kuyamba zaka ziwiri zapitazo.
• Mbiri yabanja yakusamba koyambirira. Ngati azimayi am'banja mwanu adayamba kusiya kusamba kale, nanunso mutha kutero.
• Chemotherapy kapena radiation ya m'chiuno. Mankhwalawa amatha kuwononga mazira ambiri ndikupangitsa kuti asambe msambo kuyamba msanga.
• Kuchita opaleshoni kuti muchotse thumba losunga mazira (oophorectomy) kapena chiberekero (hysterectomy). Njira zochotsera thumba losunga mazira zingakutumizireni kusamba nthawi yomweyo. Ngati mutachotsa chiberekero koma osati mazira anu, mutha kusamba chaka chimodzi kapena ziwiri kuposa momwe mungachitire.
• Matenda ena. Matenda a nyamakazi, matenda a chithokomiro, kachilombo ka HIV, matenda otopa kwambiri, ndi matenda ena a chromosomal angayambitse kusamba kwa msambo kuposa momwe amayembekezera.

Ngati mukuganiza kuti mwina mukukumana ndi zizindikiro zakusamba msambo, lankhulani ndi dokotala wanu. Amatha kuyesa zosiyanasiyana kuti adziwe ngati mwalowa kusamba.

Kuyesedwa kovomerezedwa kumene kotchedwa PicoAMH Elisa kuyeza kuchuluka kwa Anti-Müllerian Hormone (AMH) m'magazi. Kuyesaku kumathandizira kudziwa ngati posachedwa mulowa kumapeto kapena ngati muli kale.

Kusamba kwa msambo komanso zoopsa zathanzi

Kukumana ndi kusamba msanga kumafunikira kukhala ndi moyo wautali.

awonanso kuti kusamba msanga kungakulitse chiopsezo chanu chokhala ndi zovuta zina zamankhwala, monga:

• matenda a mtima, matenda a mtima, kapena stroke
• kufooka kwa mafupa kapena kuphwanya kwa mafupa
• kukhumudwa

Koma kuyamba kusamba koyambirira kungakhale ndi maubwino ena, nawonso. Kutha msinkhu koyambirira kwa khansa ya m'mawere, endometrial, ndi yamchiberekero.

Kafukufuku wasonyeza kuti amayi omwe amatha kusamba atakwanitsa zaka 55 ali ndi chiopsezo chachikulu cha 30 chodwala khansa ya m'mawere kuposa omwe amasintha asanakwanitse zaka 45. Akatswiri amakhulupirira kuti chiwopsezo chowonjezeka ichi chimachitika chifukwa amayi omwe amadwala kusamba pambuyo pake amakhala ndi estrogen yambiri moyo wawo.

Kodi mungachedwetse kusamba?

Palibe njira yotsimikizika yochedwetsera kusamba, koma kusintha kwamachitidwe ena kumatha kutengapo gawo.

Kusiya kusuta kumatha kuthandizira kuchedwetsa nthawi yosiya kusamba koyambirira. Nawa maupangiri 15 oti musiye kusuta.

Kafukufuku akuwonetsa kuti zomwe mumadya zingakhudze msinkhu wosiya kusamba, nawonso.

Kafukufuku wa 2018 adapeza kudyetsa nsomba zochuluka kwambiri, nyemba zatsopano, vitamini B-6, ndi zinc zimachedwetsa kusintha kwachilengedwe. Komabe, kudya pasitala wambiri woyengedwa ndi mpunga kunalumikizidwa ndi kusamba koyambirira.

Zina zomwe zimapezeka kuti zimadya vitamini D ndi calcium zambiri zitha kulumikizidwa ndi chiopsezo chochepa chakumaliza kusamba.

Kodi muyenera kuwona liti dokotala za kusamba?

Pitirizani kukaonana ndi dokotala nthawi zonse mukamatha kusamba. Amatha kuthandiza kuchepetsa nkhawa zilizonse zomwe mungakhale nazo pakusintha kwakukulu pamoyo wanu.

Mafunso oti mufunse dokotala angaphatikizepo:

• Ndi mankhwala ati omwe akupezeka kuti athandizire zizindikilo zanga?
• Kodi pali njira zachilengedwe zochepetsera matenda anga?
• Kodi ndi nyengo ziti zomwe zimakhala zachilendo kuyembekezera nthawi yakumapeto?
• Ndiyenera kupitiliza kugwiritsa ntchito njira zakulera mpaka liti?
• Kodi ndiyenera kuchita chiyani kuti ndikhale wathanzi?
• Kodi ndifunikira mayeso aliwonse?
• Kodi ndingapeze kuti zambiri zokhudzana ndi kusintha kwa msambo?

Ndikofunika kuti muwone dokotala wanu nthawi yomweyo ngati muli ndi magazi kumaliseche mukatha kusamba. Izi zikhoza kukhala chizindikiro cha matenda aakulu.

Maganizo ake ndi otani?

Kusamba ndi gawo lachilengedwe la ukalamba. Mutha kuyembekezera kusinthaku nthawi yomweyo mayi anu.

Ngakhale kusamba kumatha kubweretsa zizindikiro zina zosavomerezeka, pali mankhwala ambiri omwe angathandize. Njira yabwino kwambiri yomwe mungatengere ndikulandira kusintha kwa thupi lanu ndikulandila mutu watsopanowu.