Ukuqeda esikhathini sokuqala kuvame ukutholakala kubesifazane. Ukwephulwa okunjalo kubangela isimo sokuphazamiseka, abesifazane basalahlekelwa, abaqondi ukuthi bangabhekana kanjani nokuthi benzeni. Cabanga ngombuso ngokuningiliziwe, ukugqamisa izimbangela zalo, izimpawu zokuqeda esikhathini sokuqala kwabesifazane, izindlela zokwelapha.
Ubudala bokuqeda esikhathini sokuqala
Ngaphansi "kokuphefumula kokuqala" izifo zokwelapha zichaza isimo somzimba wesifazane, lapho kuphelelwa khona ushintsho lokuya esikhathini ngaphambi kosuku olufanele. Phakathi nonyaka, njalo ngenyanga kungabi khona imijikelezo eminingana elandelanayo, emva kwalokho bayanyamalala ngokuphelele. Ukuqala esikhathini sokuya esikhathini kuqala. Lokhu kuphulwa kuthiwa uma kungabikho ukuphuma kokuya esikhathini kuphawulwe ngaphambi kokuba owesifazane abe neminyaka engama-40 ubudala.
Ngokuvamile ubudala besilisa besilisa bephakathi kweminyaka engu-46 no-54. Uma inyangazonke zilahlekelwa njalo, ziba zikhulu kakhulu, zikhona imijikelezo embalwa, zisho ngokuqala kokuya esikhathini. Uma lesi simo siqala eminyakeni engama-35-40, ukuxilongwa kwenziwa - ukusa esikhathini sokuqala. Ukukhubazeka akuvamile - ku-1 kwabangu-100 besifazane abaneminyaka ephakathi.
Izimbangela zokuqeda esikhathini sokuqala
Izimbangela zokuqeda esikhathini sokuqala zingase zihluke. Ngenxa yalokhu, imisebenzi yokuxilonga yenziwa isikhathi eside. Ngokuvamile, odokotela bafakazela ukuthi ukwephulwa kukhishwa ngokushesha ngenxa yezizathu eziningana. Phakathi kwezici eziyinhloko, ezivusa amadlingozi, kuwumkhuba wokwabiwa:
- Ukuphazamiseka okuzenzakalelayo kwenzeka ezifweni ezifana nesifo sikashukela, i-hypothyroidism, i-thyroiditis, isifo se-Addison (ukungakwazi ukusebenza kwe-cortex ye-adrenal).
- Imiphumela ye-chemotherapy, i-radi wave irradiation - ngenxa yendlela yokwelashwa kwezinqubo ezinjenge-tumor. Ukuqala esikhathini sokuqala kokuya esikhathini kungabangelwa ukutholakala kwezidakamizwa ezinamandla (chemotherapy), okucindezela ukusebenza kwama-ovari.
- Imikhuba emibi - ukubhema kabi kuyathinta ukusebenza kwezingqimba zesondo. Ucwaningo luye lwabonisa ukuthi: 15% yabesifazane abanesimiso sokuqala esikhathini sokuqala ababhema kakhulu.
- Izimo ezicindezelayo - ngesikhathi sokucindezeleka, okuhlangenwe nakho kuhlanganiswa ngenani elikhulu le-adrenaline, elivimbela ukukhiqizwa kwama-hormone ezocansi kwabesifazane.
- I-Heredity - icatshangelwe kusenesikhathi, isandulela ngculazi ngaphambi kokuya esikhathini sokuqala i-X-chromosome, isakazwa ngomugqa wesifazane.
- Ukungenelela kokuhlinzwa ezithombeni zokuzala, ukukhipha ama-ovari - umsebenzi wokuya esikhathini ukuphazamiseka ngokuphelele, kunomkhuba wokumisa esikhathini esizayo.
Ukuyeka esikhathini sokuqala - izimpawu
Izinguquko ohlelweni lwezocansi ezenzeka ngesikhathi sokunqamuka kwesikhashana zidambisa inhlalakahle jikelele yowesifazane, ngokushintsha ngokuphelele indlela yakhe yokuphila. Izimpawu zokuqeda esikhathini sokuqala ekusebenzeni azifani nalezo ezibonakala ngenqubo efika ngesikhathi. Zibonakala ngokwephulwa kwemisebenzi yenhliziyo, isifo ne-endocrine izinhlelo.
Lapho kuqala ukuphuma esikhathini, izingqungquthela zocansi ziqala ukukhiqiza ama-hormone ngevolumu encane. Ngenxa yalokho, ukuhlushwa kwe-estrogens egazini kwehla kakhulu. Ngokushesha lesi simo senza ukuthuthukiswa kwezimpawu ezihambisanayo:
- Ukwehluleka kwesigqi sokugeleza kokuya esikhathini - lezi zinyanga zonke ziba zimbalwa , zingase zingabi khona isikhathi eside, iya ku-daub.
- Ama-tides , ukukhukhuka okwandisiwe - owesifazane emini uyazisola ukuhlaselwa ngokuzumayo kokushisa, ubuso bakhe bubomvu.
- Ukuphazanyiswa kokulala - ngenxa yezinguquko emlandweni we-hormonal, kuphazanyiswa konke okunye (ukungalali).
- Ukushisa kwesifazane - ukuphuma kwansuku zonke kunciphisa ivolumu, owesifazane uzizwa engakhululekile, isenzo socansi siba buhlungu.
- Ukwephulwa kwenqubo yokuchama - ngokuvamile kubhalwe ukunyuka kwezinqubo zokuhlukanisa umchamo.
Ukusuka esikhathini sokuqala - imiphumela
Imiphumela yokuphuma esikhathini sokuqala ishintsho emsebenzini wokuya esikhathini. Ukuphulwa okunjalo kuhambisana nalezi zenzakalo ezilandelayo:
- Ukwehlisa noma ukunciphisa isikhathi sokujikeleza;
- ukulahlekelwa kwemijikelezo eminingana yokuya esikhathini elandelanayo - izinyanga zonke kungase kungabi khona izinyanga ezimbalwa.
Izinguquko ezinjalo ziphazamisa impilo yabesifazane. Phakathi kwemiphumela yokuqala kokuya esikhathini ngaphambi kwesikhathi esinqunyiwe:
- izinguquko ezonakalisayo ezithombeni zobulili, izinqubo zokuvuvukala - i-oophoritis, i-adnexitis, i-cervicitis;
- ukuphuma kwegazi ;
- ukwephulwa komsebenzi wokuzala.
Ukuyeka esikhathini sokuqala - yini okufanele uyenze?
Ukusola izimpawu zalesi sifo, abesifazane bavame ukukhuluma nombuzo wesifo sabesifazane ngokuthi yini okufanele yenziwe uma kwenzeka ukuphuma esikhathini sokuqala. Ukuqinisekisa ukucabanga kwakho, udinga ukuya esikhungweni sezokwelapha uphinde uthole ukululekwa. Ukuhlolwa okuphelele kuzosiza ekutholeni imbangela yalesi sifo futhi kuhlinzekwe izifundo zokwelashwa ezidingekayo.
Ungamisa kanjani ukuyeka esikhathini sokuqala?
Ukuqala kokuya esikhathini sokuqala, njengokusho kwabafazi, kunzima ukukuvimbela. Akunakwenzeka ukuyeka kakade ukuqala izinguquko. Njengoba kunikezwe lezi zimo, zonke izenzo zoodokotela ekuphukeni okunjalo, njengokuya esikhathini sokuqala, zihloswe ekuthuthukiseni inhlalakahle jikelele yesiguli, ukuqeda izimpawu. Kulokhu, inkambo ngayinye yokwelashwa ikhethiwe, ehlanganisa ukungenisa izidakamizwa ze-hormonal, izinqubo ze-physiotherapy, ukunamathela ekudleni.
Ukuyeka esikhathini sokuqala - indlela yokuphatha ngayo?
Ukwelashwa kokuya esikhathini sokuqala kwabesifazane kwenziwa ngabanye. Ukuhlolwa okude, okuyinkimbinkimbi kuqala ngaphambi kwenqubo yokwelapha. Ibeka ngokuqondile imbangela yokubonakala kwezinguquko ezimbi. Inkambo yokwelashwa kwalesi sifo ihlanganisa:
- ukuthatha izidakamizwa ze-hormonal;
- ukulungisa ukudla;
- ukuqhuba umzimba.
Amalungiselelo okuya esikhathini sokuqala
Ukusuka esikhathini sokuqala, okwelashwa kwakhe kukhethwe udokotela kuphela, kungenziwa kuphela ukwelashwa kwe-hormonal. Isisekelo salezi zidakamizwa yi-estrogens. Ukuntuleka okuqondile kwalezi zakhi eziphilayo kubangela izimpawu zokuya esikhathini sokuqala kwabesifazane. Ngaphezu kwalokho, izidakamizwa ezisetshenziselwa ukwelashwa, ziqukethe i-hormone yesibini ye-sex - progesterone.
Lezi zinhlanganisela zemvelo zikhona emalungiselelweni okwelapha ezinhlanganisweni ezihlukahlukene. Ngesisekelo semiphumela, udokotela ukhethe imithi efanelekayo kowesifazane. Phakathi kokuvame ukusetshenziselwa ukulwa nokuya esikhathini sokuqala:
- I-Divine;
- Ovestin ;
- I-Angelique;
- I-Divissek;
- Femoston.
I-HRT ekuqaleni kokuya esikhathini sokuqala
Ukwelashwa kwe-hormone esikhundleni (HRT) kuyimpoqo phambi kwalezi zimpawu ezilandelayo:
- izibhamu ezishisayo;
- ukushintsha kwemizwa;
- ukuphazamiseka kokuchama;
- ukuyeka ukuphuma esikhathini ngaphambi kokuba uneminyaka engama-40.
Ama-hormone ekuqaleni kokuya esikhathini sokuya esikhathini ayenciphisa ukugxila kwabo egazini. Ngenxa yalokhu, kuyadingeka ukuba uthathe kanye nezidakamizwa. Inkambo yokwelashwa isungulwa odokotela. Imithi, isilinganiso sayo, imvamisa yokwamukelwa kanye nobude bokusetshenziswa kuboniswa. U-HRT unemiphumela enhle emzimbeni wesifazane njengo:
- ukujwayelekile komfutho wegazi;
- hlela izinguquko ze-atherosclerotic;
- ukuvimbela izinguquko zethambo;
- ukuthuthukiswa kwesisindo somzimba;
- ukubonakaliswa kwemibono yokunciphisa kwehla.
Ungakuvimbela kanjani ukugwema esikhathini sokuqala?
Ukwephulwa okunjalo, njengokuya esikhathini sokuqala kwabesifazane, ekuqinisekiseni odokotela kungavinjelwa. Ukukhuluma ngendlela yokuvimbela ukufika esikhathini sokuqala, odokotela batusa okulandelayo:
Ukuzivocavoca njalo - ukuvivinya umzimba kunomphumela omuhle esimweni somzimba. Imidlalo, i-pilates, i-gymnastics, i-yoga ifanelekile.
2. Ukudla okunempilo. Izakhamuzi zeluleka abesifazane ukuthi babe nezifo ezithathelwanayo, banciphise okuqukethwe kwekhalori kwezitsha. Ngesikhathi esifanayo, ukudla inyama, usawoti kanye nophuzo kuvinjelwe. Nciphisa ubukhulu bezinxenye, ukwandisa imvamisa yokudla ukudla. Ukudla kufanele kube nalokhu:
- inhlanzi;
- izinhlanzi zasolwandle;
- iningi lemifino nezithelo;
- imikhiqizo yobisi.
3. Ukuqaphela ukuhlanzeka komuntu siqu. Indima ebalulekile idlalwe ukubamba njalo njalo kwezindlu zangasese zangaphandle.