Ngokudala, kubafazi, ii-ovari ziqala ukuvelisa i-estrogens esincinci, zinciphisa inani lezifo kunye nobubele babo kwi-hormone ye-pituitary gland, kodwa ziyaqhubeka zisebenza kude kube yimihla yokuphela kwesisu . Ngenxa yomxholo ophantsi we-estrogens egazini elide ngaphambi kokuphuma kwimizi, iimpawu ezifanayo ziqala ukuvela - i-premenopause.
Yintoni eyokuqala yokumisa umfazi kubasetyhini?
Iimpawu zokuqala zokumisa phambili kwexesha:
- Isibonakaliso sokuqala asiqhelekanga nyangazonke, kodwa, ngelo xesha, sahluke kakhulu kwizinto eziqhelekileyo. Ukuba ezinye iinguqu zenzeke kunye nexesha elingavumelekanga, njengamaxesha amakhophi aneempahla zokugawula igazi, ukubonakala phakathi kwenyanga, ukwandisa ixesha lokuya esikhathini nokunciphisa ithuba phakathi kwabo, ukujonga ngexesha lokulala, kufuneka udibane nogqirha wakho ukuze uhlolwe.
- Iidesi ziyimpawu ezingathandekiyo zesimo sokuqala, apho abafazi bachaza njengentshukumo yokushisa kwisiqingatha esiphezulu somzimba, esifana nomkhuhlane, kwanda ukujuluka.
- Ukukhathazeka okwandisiweyo kweengcambu ze-mammary, kunjalo, akufanele kudidaniswe nezilonda ezibuhlungu kwiingqungquthela, phambi koviwo apho kuqhutyelwa khona ukuba kungabandakanyi i-breast and breast cancer.
- I-Premenstrual syndrome inzima kwaye ide.
- Iyancipha umnqweno wesini kwabesetyhini, nangona kaninzi oku kubangelwa ukuziphatha okubi ngenxa yokunyuka ukomama kunye ne-mucosal atrophy.
- Ukhathala okwandisa, ukuphazamiseka kwemizwa ngokukhawuleza kunye neengxaki ezahlukeneyo zokulala.
- Ukwanda kwamanzi okanye ukungahlambuluki xa ukhwehlela.
- Ukulahleka kweenwele, ukunyuka kwezipikili ezinobunzima.
- Ukuxinezeleka, iintloko zentsholongwane, ukukhungatheka, iintliziyo zengqondo.
Kude kube nini ukuhlaselwa kuqala?
Umyinge weminyaka yobudala besetyhini ngexesha lokumisa phambili kwimihla ngemihla livela kwiminyaka engama-40 ukuya kuma-50. Nangona kunjalo, ixesha lokumisa phambili kwexesha lihlala kubafazi abahlukeneyo ngokwahlukileyo: ukususela kwiminyaka eyi-1 kuya kweyine, inyaniso inokwakhelwa kunye nexesha elingaphezulu kweminyaka eyi-10. Ukuqala kokuphuma kwimizimba kwangaphambili kungenzeka emva kweminyaka engama-30, ingakumbi nge-ovarian depletion syndrome. Kodwa abaninzi abafazi banenkxalabo nokuba kunokwenzeka yini ukukhulelwa ngaphambi kokuzimela. Kwaye nangona ngokuncipha kwamazinga e-estrogen, kuba ngabafazi abaninzi kunokuba yingxaki yokukhulelwa emva kweminyaka engama-35, ukuphambi kokumisa phambili kwithuba lixesha apho ama-ovari asebenza khona, kwaye ukukhulelwa kungafika. Ngako oko, kulungele ukuzikhusela ekukhulelweni okungafunekiyo, kodwa kufuneka ukhumbule ukuba ukuphambana nokuzimela kwexesha kuyinkqubo xa uphazamiso oluninzi luphikisana, ngokukodwa ngaphandle koviwo olufanelekileyo lomfazi kunye nokugqiba izinga lama-hormone ezesondo kwigazi, nangona zinciphisa iimpawu zokumiswa komzimba.
I-Premenopause kunye nokunyangwa kwayo
Akunjalo ngaso sonke isikhathi emva kokuphuma kwimizimba kwangaphambili ukunikezela ngamachiza. Okokuqala, ukuphucula inhlalakahle yomfazi, umntu kufuneka alandele iingcebiso ezilula:
- Akuyimfuneko ukusetyenziswa kakubi kotywala kwaye kuyacetyiswa ukuba uyeke ukutshaya ngeli xesha;
- ukuqeqeshwa rhoqo kuya kuncedisa ukuphucula impilo, kunye nemisebenzi yelanga yangaphandle ikunceda ekunciphiseni ukuphazamiseka kokulala;
- Isondlo ngethuba lokuphambi kwexesha elide kufuneka libe nobutyebi kwi-calcium (ukukhusela i-osteoporosis) kunye namavithamini;
- ngeli xesha, i-metabolism iyancitshiswa, ngoko kubalulekile ukubeka umxholo wekhalori yokutya kunye nokubeka isisindo,
ukuthintela ukukhuluphala; - Ukwanela okufunekayo kwamanzi kuyimfuneko, ngokukodwa kwindlela yamanzi acocekileyo kunye neziqhamo ezintsha.
Amachiza okonyango lweempawu ze-premenopausal anqunywe ngeefom ezinzima kwaye akukho ziphikisana. Njengomthetho, ezi zidakamizwa ze-hormone ezimiselwe kuphela emva kokumisela izinga le-estradiol, i-FSH, i-LH, i-hormone yesini yesini kunye nokuhlolwa okupheleleyo kwintombazana egazini ukucacisa ukuba kukho ukuchaswa kokubili endaweni kunye neyonyango yokumisa phambili.