Kuyesa Kwamasamba ndi Kuzindikira

Zamkati

• Zizindikiro za kusamba
• Kuyesa kwakuthupi
• Kuyesedwa kwa mahomoni
• Kusamba koyambirira
• Pambuyo pofufuza

Timaphatikizapo zinthu zomwe timaganiza kuti ndizothandiza kwa owerenga athu. Ngati mutagula maulalo omwe ali patsamba lino, titha kupeza ndalama zochepa. Nayi njira yathu.

Kusamba

Kusamba ndi njira yachilengedwe yomwe imachitika pomwe mazira azimayi amasiya kutulutsa mazira okhwima ndipo thupi lake limatulutsa estrogen ndi progesterone yocheperako.

Dokotala wanu kapena mayi wazachipatala amathanso kukuthandizani kudziwa ngati mukuyamba kusintha. Afunsa za zizindikilo zanu, kutsata kayendedwe kanu, ndipo mwina atha kuyesa pang'ono.

Kusamba kwa nthawi zambiri kumayamba pakati pa zaka 40 ndi 60, ngakhale ndizofala kwambiri kuti zimayamba pafupifupi zaka 51. Zikuyenera kuti zidayamba ngati simunakhalepo ndi miyezi yopitilira sikisi. Zimatsimikiziridwa mwachipatala patatha miyezi 12 yathunthu popanda nthawi.

Zizindikiro za kusamba

Mutha kuyamba kuwona zisonyezo zakusamba kwa miyezi ingapo kapena zaka zisanathe. Izi zimadziwika kuti perimenopause. Zina mwazizindikiro zomwe mungazindikire ndi izi:

• tsitsi lochepera
• kuuma kwa khungu
• kuuma kwa nyini
• kugonana kotsika
• kutentha
• thukuta usiku
• amasintha malingaliro
• nthawi zosasintha
• kunenepa

Mutha kupita miyezi ingapo osadutsa nthawi. Komabe, ngati mwaphonya msambo ndipo simukugwiritsa ntchito njira zolera, pitani kuchipatala kapena kukayezetsa kuti muone ngati mulibe pakati.

Kusamba kwa thupi kumatha kudziwona nokha nthawi zambiri. Lankhulani ndi dokotala wanu kuti mutsimikizire kuti ali ndi matendawa ndikuzindikirani njira zochepetsera zodetsa nkhawa. Izi zikupatsanso mwayi wofunsa mafunso pazomwe mungayembekezere.

Kuyesa kwakuthupi

Musanapite kukaonana ndi dokotala, tsatirani zizindikiro zilizonse zomwe mukukumana nazo, zimachitika kangati, komanso kukula kwake.Dziwani nthawi yomwe mudakhala ndi nthawi yomaliza ndikunena zosayenerera munthawi yomwe ikadachitika. Lembani mndandanda wa mankhwala ndi zowonjezera zomwe mukugwiritsa ntchito pano.

Dokotala wanu adzakufunsani za tsiku lomaliza komanso momwe mumamvera nthawi zambiri. Musaope kukambirana zizindikiro zanu zonse, zomwe zingaphatikizepo kuwotcha, kuwona, kusinthasintha kwa malingaliro, kuvuta kugona, kapena mavuto azakugonana.

Kusamba ndi njira yachilengedwe ndipo dokotala akhoza kukupatsani upangiri waluso. Kawirikawiri, zizindikiro zomwe mumalongosola zimapereka umboni wokwanira wothandizira kuzindikira kuti akusamba.

Wopereka chithandizo chamankhwala amatha kusoka nyini yanu kuti ayese kuchuluka kwa pH, komwe kumathandizanso kutsimikizira kusamba. Ukazi pH ndi pafupifupi 4.5 m'zaka zanu zobereka. Pakati pa kusintha kwa thupi, pH ya abambo imakwera kufika pa 6.

Ngati mukukhala ndi zizindikiro zakutha msinkhu, dokotala wanu atha kuyitanitsa mayeso kuti athetse zovuta zina, monga kulephera kwamchiberekero kapena vuto la chithokomiro. Mayesowa atha kuphatikiza:

• kuyesa magazi kuti muwone kuchuluka kwanu kwama follicle olimbikitsa mahomoni (FSH) ndi estrogen
• kuyesa kwa ntchito ya chithokomiro
• mbiri yamadzimadzi
• kuyesa kwa chiwindi ndi impso

Kuyesedwa kwa mahomoni

Dokotala wanu akhoza kuyitanitsa mayeso a magazi kuti muwone kuchuluka kwanu kwa ma follicle-stimulating hormone (FSH) ndi estrogen. Mukamasiya kusamba, kuchuluka kwanu kwa FSH kumawonjezeka ndipo mayendedwe anu a estrogen amachepetsa.

Pakati pa theka lanu la kusamba, FSH, mahomoni omwe amatulutsidwa ndi anterior pituitary gland, amathandizira kusasitsa mazira komanso kupanga hormone yotchedwa estradiol.

Estradiol ndi mtundu wa estrogen womwe umayang'anira (mwa zina) kuwongolera msambo ndikuthandizira njira zoberekera zazimayi.

Kuphatikiza pakutsimikizira kusamba, kuyezetsa magazi kotereku kumatha kuzindikira zisonyezo zamatenda ena am'mimba.

Dokotala wanu akhoza kuyitanitsa mayeso owonjezera amwazi kuti muwone mahomoni anu opatsirana ndi chithokomiro (TSH), chifukwa hypothyroidism imatha kuyambitsa zizindikilo zomwe zimafanana ndi kusintha kwa thupi.

Chiyeso chovomerezedwa posachedwa chotchedwa kuchuluka kwa mahomoni a anti-Mullerian (AMH) m'magazi. Zitha kuthandiza dokotala kudziwa nthawi yomwe adzasinthe ngati simunayambe kale.

Kusamba koyambirira

Kusamba koyambirira ndiko kusamba komwe kumayamba pakati pa zaka 40 ndi 45. Kusamba msanga kumayamba ngakhale kale, musanakwanitse zaka 40. Mukayamba kuona zizindikiro za kusamba musanakwanitse zaka 40, mwina mukuyamba kusamba msanga.

Kusamba msanga kapena msanga kusanachitike kumatha kuchitika pazifukwa zingapo, kuphatikiza:

• zolakwika za chromosomal, monga Turner Syndrome
• Matenda osokoneza bongo, monga matenda a chithokomiro
• Kuchotsa opaleshoni yamchiberekero (oophorectomy) kapena chiberekero (hysterectomy)
• chemotherapy kapena njira zina zochizira ma radiation za khansa

Ngati simunakwanitse zaka 40 ndipo simunakhalepo ndi miyezi yopitilira 3, onani dokotala wanu kuti akayezetse kusamba msanga kapena zina zomwe zimayambitsa.

Dokotala wanu amagwiritsa ntchito mayeso omwewo omwe atchulidwa pamwambapa pakutha msinkhu, makamaka mayeso omwe amagwiritsidwa ntchito kuti adziwe kuchuluka kwanu kwa estrogen ndi FSH.

Kusamba kwa msambo kumachulukitsa chiopsezo chanu cha kufooka kwa mafupa, matenda amtima, ndi mavuto ena azaumoyo.

Ngati mukuganiza kuti mwina mukukumana nazo, kuyesedwa kuti musiye kusamba kungakuthandizeni kusankha koyambirira kwamomwe mungasamalire thanzi lanu komanso zizindikilo zanu mukapezeka.

Pambuyo pofufuza

Kusamba kukatsimikiziridwa, dokotala wanu akambirana njira zamankhwala. Simungasowe chithandizo chilichonse ngati matenda anu sali ovuta.

Koma dokotala wanu angakulimbikitseni mankhwala ndi mankhwala ochiritsira mahomoni kuti athane ndi zizindikilo zomwe zingakhudze moyo wanu. Angathenso kulangiza chithandizo cha mahomoni ngati muli achichepere mukayamba kusamba.

Zizindikiro zina zimatha kukupangitsani kukhala kovuta kuchita zinthu za tsiku ndi tsiku, monga kugona, kugonana, ndi kupumula. Koma mutha kusintha kusintha kwa moyo wanu kuti muthandize kuthana ndi zizindikilo zanu:

• Kwa zotentha, imwani madzi ozizira kapena siyani chipinda kwina komwe kuli kozizira.
• Gwiritsani ntchito mafuta opangira madzi panthawi yogonana kuti muchepetse kusowa kwa ukazi.
• Idyani chakudya chopatsa thanzi, ndipo lankhulani ndi dokotala wanu zakumwa zowonjezerapo kuti muwonetsetse kuti mukupeza zakudya zokwanira ndi mavitamini.
• Muzichita masewera olimbitsa thupi nthawi zonse, zomwe zingathandize kuchepetsa zochitika zomwe zimachitika mukamakula.
• Pewani caffeine, kusuta, ndi zakumwa zoledzeretsa momwe mungathere. Zonsezi zimatha kuyambitsa kutentha kapena kupangitsa kuti kukhale kovuta kugona.
• Muzigona mokwanira. Kuchuluka kwa maola ogona bwino kumasiyana pamunthu ndi munthu, koma maola asanu ndi awiri mpaka asanu ndi anayi usiku uliwonse amalimbikitsidwa kwa akulu.

Gulani mafuta opangira madzi pa intaneti.

Kusamba kwa thupi kumatha kuwonjezera chiopsezo cha zinthu zina, makamaka zomwe zimakhudzana ndi ukalamba.

Pitirizani kuwona dokotala wanu kuti akuthandizireni, kuphatikizapo kuyezetsa pafupipafupi komanso kuyezetsa thupi, kuti muwonetsetse kuti mukudziwa zochitika zilizonse ndikuwonetsetsa kuti muli ndi thanzi labwino mukamakalamba.