Chifukwa Chomwe Amayi Ena Amapeza Kunenepa Pafupifupi Kusamba

Zamkati

• Nthawi yoberekera yaikazi
• 1. Kusamba Kusanachitike
• 2. Nthawi yomaliza
• 3. Kusamba
• 4. Kusamuka
• Momwe kusintha kwama mahomoni kumakhudzira kagayidwe kake
• Kulemera kumasintha nthawi yayitali
• Kulemera kumasintha pakutha kapena pambuyo pake
• Momwe mungapewere kunenepa mozungulira kusamba
• Mfundo yofunika

Kunenepa kwambiri pakutha kwa msambo kumakhala kofala kwambiri.

Pali zinthu zambiri zomwe zikusewera, kuphatikizapo:

• mahomoni
• kukalamba
• moyo
• chibadwa

Komabe, njira yoleka kusamba ndiyokha kwambiri. Zimasiyana mkazi ndi mkazi.

Nkhaniyi ikufotokoza chifukwa chomwe azimayi ena amalemera pakapita nthawi komanso atatha kusamba.

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Nthawi yoberekera yaikazi

Pali nthawi zinayi zosintha mahomoni zomwe zimachitika m'moyo wamayi.

Izi zikuphatikiza:

• kusanachitike
• kusintha kwa nthawi
• kusamba
• kusiya kusamba

1. Kusamba Kusanachitike

Kusamba kwa msambo ndilo nthawi ya kubala kwa mkazi pamene ali ndi chonde. Umayamba msinkhu, kuyamba ndi msambo woyamba mpaka kumapeto.

Gawo ili limatenga pafupifupi zaka 30-40.

2. Nthawi yomaliza

Kutha msinkhu kumatanthauza "kuzungulira kusamba." Munthawi imeneyi, kuchuluka kwa estrogen kumakhala kosasintha komanso kuchuluka kwa progesterone kumachepa.

Mzimayi amatha kuyamba kusintha nthawi iliyonse pakati pa zaka za m'ma 30s ndi ma 50 oyambirira, koma kusintha kumeneku kumachitika mzaka za 40 ndipo kumakhala zaka 4-11 ().

Zizindikiro zakumapeto kwa nthawi ndizo:

• kutentha ndi kusalolera kutentha
• kusokonezeka kwa tulo
• kusintha kwa msambo
• kupweteka mutu
• kusintha kwa malingaliro, monga kukwiya
• kukhumudwa
• nkhawa
• kunenepa

3. Kusamba

Kusamba kumachitika mwalamulo mzimayi atakhala kuti sanasambe kwa miyezi 12. Zaka zapakati pa kusamba ndi zaka 51 ().

Mpaka nthawi imeneyo, amamuwona ngati perimenopausal.

Amayi ambiri amakhala ndi zizindikilo zoyipa kwambiri pakanthawi kochepa, koma ena amawona kuti zizindikilo zawo zimakula mchaka choyamba kapena ziwiri zitatha.

4. Kusamuka

Kusamba kwanyengo kumayamba nthawi yomweyo mkazi atapita miyezi 12 popanda nthawi. Mawu oti kusintha kwa thupi ndi kusamba kwa nthawi zambiri amagwiritsidwa ntchito mosiyanasiyana.

Komabe, pali kusintha kwa mahomoni ndi thupi komwe kumatha kupitilirabe pambuyo pa kusamba.

Mzimayi amasintha nthawi yayitali m'thupi mwake zomwe zimatha kubweretsa zizindikilo, kuphatikiza kusintha thupi.

Momwe kusintha kwama mahomoni kumakhudzira kagayidwe kake

Pakadutsa nthawi, kuchuluka kwa progesterone kumachepa pang'onopang'ono komanso mosasintha, pomwe mayendedwe a estrogen amasintha kwambiri tsiku ndi tsiku komanso tsiku lomwelo.

Kumayambiriro kwa nthawi, nthawi zambiri m'mimba mwake mumatulutsa estrogen yambiri. Izi zimachitika chifukwa cha kuwonongeka kwa mayankho pakati pa thumba losunga mazira, hypothalamus, ndi pituitary gland ().

Pambuyo pake, nthawi yakusamba ikakhala yosasinthasintha, thumba losunga mazira limatulutsa estrogen pang'ono. Amatulutsa zocheperako panthawi yomwe akusamba.

Kafukufuku wina akuwonetsa kuti milingo yayikulu ya estrogen imatha kulimbikitsa phindu la mafuta. Izi ndichifukwa choti milingo yayikulu ya estrogen imalumikizidwa ndi kunenepa komanso mafuta owonjezera thupi mzaka zobereka (, 5).

Kuyambira pa kutha msinkhu mpaka kumapeto, azimayi amakonda kusunga mafuta m'chiuno ndi ntchafu zawo ngati mafuta onenepa kwambiri. Ngakhale kungakhale kovuta kutaya, mafuta amtunduwu sawonjezera chiopsezo cha matenda kwambiri.

Komabe, pakutha kwa msambo, ma estrogen ochepa amalimbikitsa kusungidwa kwamafuta m'mimba monga mafuta owoneka bwino, omwe amalumikizidwa ndi kukana kwa insulin, mtundu wa 2 shuga, matenda amtima, ndi mavuto ena azaumoyo ().

Kusintha kwa kuchuluka kwa mahomoni pakusintha kwa msambo kumatha kubweretsa kunenepa komanso kuwonjezeka kwa matenda angapo.

Kulemera kumasintha nthawi yayitali

Akuyerekeza kuti azimayi amapeza pafupifupi mapaundi 2-5 (1-2 kgs) pakusintha kwa perimenopausal ().

Komabe, ena amalemera kwambiri. Izi zikuwoneka ngati zowona makamaka kwa amayi omwe ali onenepa kale kapena onenepa kwambiri.

Kunenepa kumathanso kupezeka ngati gawo la ukalamba, ngakhale kusintha kwa mahomoni.

Ofufuzawo adayang'ana pakulemera ndi kusintha kwa mahomoni kwa azimayi azaka za 42-50 pazaka zitatu.

Panalibe kusiyana pakulimbitsa thupi pakati pa iwo omwe amapitilizabe kukhala ndiubweya wamba ndi omwe adayamba kusamba ().

Study of Women's Health Across the Nation (SWAN) ndi kafukufuku wamkulu wowunikira omwe atsata azaka zapakati pazaka zonse.

Phunziroli, azimayi adapeza mafuta m'mimba ndikuchepetsa minofu ().

China chomwe chimapangitsa kunenepa pakanthawi kochepa kungakhale kuchuluka kwa njala ndi kudya kwa kalori komwe kumachitika chifukwa cha kusintha kwama mahomoni.

Kafukufuku wina, milingo ya "hormone yanjala," ghrelin, idapezeka kuti ndiyokwera kwambiri pakati pa azimayi omwe ali ndi nthawi yozizira, poyerekeza ndi azimayi a premenopausal ndi postmenopausal ().

Magawo otsika a estrogen kumapeto kwa nthawi yolephera kusamba amathanso kusokoneza magwiridwe antchito a leptin ndi neuropeptide Y, mahomoni omwe amayang'anira kukhuta komanso kudya (,).

Chifukwa chake, azimayi omwe akuchedwa kutha msinkhu omwe ali ndi milingo yotsika ya estrogen amatha kuthamangitsidwa kuti adye ma calories ambiri.

Zotsatira za Progesterone pa kulemera panthawi ya kusintha kwa msambo sizinaphunzirenso mochuluka.

Komabe, ofufuza ena amakhulupirira kuti kuphatikiza kwa otsika a estrogen ndi progesterone zitha kukulitsa chiopsezo cha kunenepa kwambiri ().

Kusinthasintha kwa estrogen, progesterone, ndi mahomoni ena kumatha kubweretsa kukulitsa chilakolako ndi kupindula kwamafuta nthawi yakumapeto.

Kulemera kumasintha pakutha kapena pambuyo pake

Kusintha kwa mahomoni komanso kunenepa kumatha kupitilirabe pamene azimayi amasiya nthawi yolekerera ndikutha msambo.

Woneneratu za kunenepa atha kukhala msinkhu womwe kusamba kumachitika.

Kafukufuku wa azimayi opitilira 1,900 adapeza kuti omwe adayamba kusamba asanakwanitse zaka 51 amakhala ndi mafuta ochepa mthupi ().

Kuphatikiza apo, palinso zinthu zina zingapo zomwe zingapangitse kunenepa mukatha kusamba.

Amayi a Postmenopausal nthawi zambiri amakhala osagwira ntchito kuposa momwe anali achichepere, zomwe zimachepetsa kugwiritsidwa ntchito kwamagetsi ndikuwononga minofu (,).

Amayi a menopausal amakhalanso ndi kusala kudya kwa insulin komanso insulin kukana, komwe kumapangitsa kunenepa ndikuwonjezera chiwopsezo cha matenda amtima (,).

Ngakhale kugwiritsa ntchito kwake kumakhala kopikisana, mankhwala othandizira ma hormone awonetsa mphamvu pakuchepetsa mafuta am'mimba ndikuwonjezera mphamvu ya insulin pakutha kapena pambuyo pake ().

Kumbukirani kuti kuchuluka komwe kumapezeka m'maphunziro sikukhudza azimayi onse. Izi zimasiyanasiyana pakati pa anthu.

Kupeza mafuta kumayambanso kuchitika pakutha kwa thupi. Komabe, sizikudziwika ngati izi zimachitika chifukwa cha kuchepa kwa estrogen kapena ukalamba.

Momwe mungapewere kunenepa mozungulira kusamba

Nazi zinthu zingapo zomwe mungachite kuti muchepetse kunenepa pakutha kwa kusamba:

• Kuchepetsa carbs: Chepetsani ma carbs kuti muchepetse kuchuluka kwa mafuta am'mimba, omwe amayendetsa zovuta zamagetsi (,).
• Onjezani CHIKWANGWANI: Idyani zakudya zamtundu wapamwamba zomwe zimaphatikizanso nthanga za fulakesi, zomwe zimathandizira kuti insulin izindikire ().
• Kulimbitsa thupi: Yesetsani kuchita masewera olimbitsa thupi kuti mukhale ndi thupi lokwanira, kuwonjezera mphamvu, ndikumanga ndikusamalira minofu yolimba (,).
• Pumulani ndi kupumula: Yesetsani kupumula musanagone ndikugona mokwanira kuti mahomoni anu ndi njala zizisamalidwa bwino ().

Ngati mutsatira izi, mwina ndizotheka kuti muchepetse panthawiyi.

Nayi chitsogozo chatsatanetsatane chotsitsira kunenepa nthawi komanso pambuyo pakusamba.

Ngakhale kulemera kumakhala kofala panthawi yakutha, pali njira zomwe mungatenge kuti muchepetse kapena kusintha izi.

Mfundo yofunika

Kusamba kungakhale kovuta, mwakuthupi ndi mwamalingaliro.

Komabe, kudya zakudya zopatsa thanzi komanso kuchita masewera olimbitsa thupi komanso kupuma mokwanira kumathandiza kupewa kunenepa komanso kuchepetsa matenda.

Ngakhale zingatenge nthawi kuti musinthe momwe zinthu zimachitikira mthupi lanu, yesetsani kuchita zonse zomwe mungathe kuti musinthe zosinthazi zomwe zingachitike ndi ukalamba.