Kodi Kuwonjezeka Kwa Nthawi Yomwe Kungayambitse Nthawi Yanu Yoyandikira Kwambiri?

Zamkati

• Momwe nthawi yanu ingasinthire
• Zomwe zimasinthira
• Nthawi yoti muwone dokotala wanu
• Zosankha zothandizira
• Zomwe muyenera kuyembekezera

Kodi kusintha kwa nthawi kumakhudza nthawi yanu?

Perimenopause ndi gawo losinthira m'moyo wobereka wa mkazi. Nthawi zambiri zimayamba mukamatha zaka 40, ngakhale zimatha kuyamba kale. Panthawiyi, mazira anu amayamba kupanga estrogen yochepa.

Ngakhale "kusintha" nthawi zambiri kumalumikizidwa ndikuwala kotentha, kumatha kuyambitsa chilichonse kuyambira mutu komanso kukoma kwa mawere kusintha pakusamba kwanu.

Zizindikirozi zimatha pafupifupi zaka zinayi nthawi yanu isanakwane. Thupi lanu limasintha kuchoka pakutha mpaka kumapeto kwa miyezi 12 popanda kutuluka magazi kapena kuwona.

Pitilizani kuwerenga kuti muphunzire zambiri pazomwe mungayembekezere pakutha kwa nthawi komanso momwe zingakhudzire kusamba kwanu.

Momwe nthawi yanu ingasinthire

Nthawi yomwe imatha kusintha nthawi imatha kupangitsa kuti nthawi yomwe mumakhala yanthawi yomweyo musamayende bwino.

Musanapite nthawi, kuchuluka kwanu kwa estrogen ndi progesterone kumakwera ndikugwa mosasinthasintha mukakhala kusamba. Mukakhala kumapeto, kusintha kwa mahomoni kumakhala kosavuta. Izi zitha kubweretsa magazi mosayembekezereka.

Pakati pa nthawi, nthawi yanu ikhoza kukhala:

• Zachilendo. M'malo mokhala ndi nthawi kamodzi masiku 28 alionse, mutha kuwapeza pang'ono kapena pafupipafupi.
• Kuyandikana kwambiri kapena kupatukana. Kutalika kwa nthawi pakati pa nyengo kumatha kusiyanasiyana mwezi ndi mwezi. Miyezi ingapo mutha kupeza nthawi zobwereranso. Mu miyezi ina, mutha kupitilira milungu inayi musanapeze nthawi.
• Kulibe. Miyezi ina mwina simukhala ndi nthawi. Mutha kuganiza kuti muli kumapeto, koma sizovomerezeka mpaka mutakhala osapumira kwa miyezi 12.
• Kulemera. Mutha kutuluka magazi kwambiri, ndikudumphira m'matumba anu.
• Kuwala. Kutaya magazi kwanu kumatha kukhala kopepuka kotero kuti simufunika kuti mugwiritse ntchito zingwe zamkati. Nthawi zina kuwonera kumakomoka kotero kuti sikuwoneka ngati nthawi.
• Mfupi kapena yayitali. Kutalika kwa nthawi yanu kumasinthanso. Mutha kutuluka magazi kwa tsiku limodzi kapena awiri kapena kupitilira sabata limodzi.

Zomwe zimasinthira

M'zaka zomwe zimayambitsa kusamba, thumba lanu losunga mazira limasiya kutulutsa mazira pafupipafupi. Pamene ovulation imayamba kuchepa, mahomoni opangidwa ndi thumba losunga mazira - estrogen ndi progesterone - amayambanso kusinthasintha ndikuchepa. Mahomoni amenewa ndi omwe amachititsa kuti azisamba.

Pamene kusintha kwa mahomoni uku kumachitika, kumatha kukhala ndi gawo osati nthawi yanu yokha. Muthanso kumva:

• chikondi cha m'mawere
• kunenepa
• kupweteka mutu
• zovuta kukhazikika
• kuyiwala
• kupweteka kwa minofu
• matenda opatsirana mumkodzo
• amasintha malingaliro
• kuchepa pagalimoto

Ngakhale kuli kovuta kulingalira kuti zizindikirozi zikhala zazitali bwanji, atha kuyembekezeredwa kupitilira mpaka kusamba. Izi zitha kupezeka paliponse kuyambira miyezi ingapo mpaka zaka khumi ndi ziwiri kuyambira pomwe matenda amayamba.

Nthawi yoti muwone dokotala wanu

Mukakhala kuti mumatha nthawi yayitali, sizachilendo kuti kusamba kwanu kusasunthike komanso kuyandikira limodzi. Koma nthawi zina kutuluka magazi kosazolowereka kumatha kuwonetsa vuto.

Onani dokotala wanu ngati:

• Kutuluka magazi ndikokulemera kwambiri kwa inu kapena mumalowerera m'mapepala amodzi kapena angapo kapena tampons mu ola limodzi
• mumayamba kusamba nthawi zambiri kuposa milungu itatu iliyonse
• nthawi yanu imakhala nthawi yayitali kuposa masiku onse
• mudatuluka magazi panthawi yogonana kapena pakati pa msambo

Ngakhale kutuluka kwachilendo nthawi yayitali kumachitika chifukwa cha kusinthasintha kwa mahomoni, itha kukhalanso chizindikiro cha:

• Mitundu yambiriIzi ziphuphu zomwe zimapanga mkatikati mwa chiberekero kapena khomo pachibelekeropo. Nthawi zambiri amakhala opanda khansa, koma nthawi zina amatha kukhala khansa.
• FibroidsPalinso zophuka m'chiberekero. Amasiyana kukula kuchokera ku nthanga zazing'ono mpaka misa yayikulu yokwanira kutambasulira chiberekero. Fibroids kawirikawiri si khansa.
• Matenda a EndometrialKuchepetsa kuchepa kwa endometrium (gawo la chiberekero chanu). Kupatulira uku nthawi zina kumatha kutulutsa magazi.
• Endometrial hyperplasiaUku ndikukula kwa chiberekero cha chiberekero.
• Khansara ya chiberekero.Iyi ndi khansa yomwe imayambira muchiberekero.

Dokotala wanu adzakuyesani kuti awone zomwe zimayambitsa kutuluka magazi kwachilendo. Mungafunike mayesero amodzi kapena angapo:

• Pelvic ultrasoundPachiyeso ichi, dokotala wanu amagwiritsa ntchito mafunde akumveka kuti apange chithunzi cha chiberekero chanu, chiberekero, ndi ziwalo zina zam'mimba. Chida cha ultrasound chitha kulowetsedwa mumaliseche anu (transvaginal ultrasound) kapena kuyikidwa pamimba mwanu (m'mimba mwa ultrasound).
• Zolemba za EndometrialDokotala wanu adzagwiritsa ntchito chubu kuti achotsepo khungu lanu. Zitsanzozi zimapita ku labu kukayesedwa.
• Zowonongeka.Dokotala wanu adzaika chubu chochepa kwambiri chomwe chili ndi kamera kumapeto kudzera mumaliseche anu muchiberekero chanu. Izi zimathandiza dokotala kuti awone mkati mwa chiberekero chanu ndikutenga biopsy ngati kuli kofunikira.
• SonohysterographyDokotala wanu amalowetsa madzi m'mimba mwanu kudzera mu chubu, pomwe ultrasound imatenga zithunzi.

Zosankha zothandizira

Ndi chithandizo chiti chomwe dokotala wanu amalimbikitsa chimadalira chifukwa cha magazi anu osadziwika komanso momwe zimakhudzira moyo wanu.

Ngati kutuluka magazi kumachitika chifukwa cha mahomoni ndipo sikusokoneza moyo wanu watsiku ndi tsiku, kuvala pedi kapena tampon wandiweyani komanso kunyamula kabudula wamkati wowonjezera kungakhale kokwanira kuti muthe kudutsa mu gawo la perimenopausal.

Njira zochizira mahomoni, kuphatikiza mapiritsi oletsa kubereka kapena chipangizo cha intrauterine (IUD) chingathandizenso. Izi zitha kuthandiza kuti muchepetse nthawi yanu komanso kuti muzisunga pafupipafupi poletsa chiberekero chanu kuti chisakule kwambiri.

Kukula ngati ma fibroids kapena ma polyps kumafunikira chithandizo ngati akuwonetsa zizindikiro. Tinthu ting'onoting'ono titha kuchotsedwa ndi hysteroscopy. Pali njira zingapo zomwe zingachotsere ma fibroids:

• Kuphatikiza kwamitsempha ya m'mimba.Dokotala wanu amalowetsa mankhwala m'mitsempha yomwe imapereka magazi m'chiberekero. Mankhwalawa amadula magazi kupita ku ma fibroids, ndikuwapangitsa kuchepa.
• Myolysis. Dokotala wanu amagwiritsa ntchito magetsi kapena laser kuti awononge ma fibroids ndikudula magazi awo. Njirayi itha kuchitidwanso pogwiritsa ntchito kuzizira kwambiri (cryomyolysis).
• MyomectomyNdi njirayi, dokotala wanu amachotsa ma fibroids koma amasiya chiberekero chanu. Ikhoza kuchitidwa pogwiritsa ntchito zing'onozing'ono (opaleshoni ya laparoscopic) kapena ndi opaleshoni ya robotic.
• KutsekemeraNdi njirayi, dokotala wanu adzachotsa chiberekero chonse. Ndi njira yowonongeka kwambiri ya fibroids. Mukakhala ndi chiberekero, simudzatha kutenga pakati.

Mutha kuchiza endometrial atrophy potenga progestin ya mahomoni. Zimabwera ngati mapiritsi, zonona zamaliseche, kuwombera, kapena IUD. Mawonekedwe omwe mumatenga amatengera zaka zanu ndi mtundu wa hyperplasia womwe muli nawo. Dokotala wanu amathanso kuchotsa malo olimba a chiberekero chanu ndi hysteroscopy kapena njira yotchedwa dilation and curettage (D ndi C).

Chithandizo chachikulu cha khansa ya chiberekero ndikukhala ndi chiberekero. Radiation, chemotherapy, kapena hormone therapy itha kugwiritsidwanso ntchito.

Zomwe muyenera kuyembekezera

Mukamapita kupyola gawo la perimenopausal ndikumaliza kusamba, nthawi yanu izikhala yocheperako. Akasiya kusamba, sayenera kutaya magazi ngakhale pang'ono.

Ngati mukukumana ndi magazi mwadzidzidzi kapena kusintha kwa msambo, lankhulani ndi dokotala. Amatha kudziwa ngati zosinthazi zikumangirizidwa pakadutsa nthawi kapena ngati ali chizindikiro cha vuto lina.

Komanso dziwitsani adotolo za zizindikiritso zina zomwe mungakumane nazo pakanthawi kochepa. Akamadziwa zambiri, mapulani anu adzakuthandizani.