Chimake: Chowopsa ndi chiyani?

Mkazi aliyense wopitirira zaka 45 ali ndi nthawi inayake pamoyo wake - kusamba kwa nthawi. Ichi ndi chikhalidwe chachibadwa chomwe sichikusowa chithandizo. Koma nthawi zina zimayenera kuthandiza thupi kuti likhazikitsenso ndikugonjetsa malire ovuta. Momwe mungathetsere kusamba, zoopsa ndi momwe zimadziwonetsera, tidzakambirana m'nkhani yathu.

Kodi chithunzi n'chiyani?

Chimake n'chakuti palibe kusamba kwa miyezi 12 yokha. Matendawa amayamba chifukwa cha kusintha kwa msinkhu mu thupi la mkazi, zomwe zimagwirizana ndi kutha kwa mahomoni obereka ndi estrogen ndi progesterone. Chifukwa cha matenda, opaleshoni kapena kumwa mankhwala ena, kusamba kwa thupi kumachitika. Ndi zaka zingati kuyembekezera kusamba? Chimakechi chimapezeka nthawi zambiri ali ndi zaka 45-55.

Zizindikiro

Chimake sichikuwonekera tsiku limodzi - thupi limapangitsa kuti muwonetse kuchepa kwa mahomoni. Choncho, m'pofunika kumvetsera kusintha kwa moyo wabwino. Zizindikiro - zotsutsa za kusamba kwa thupi - zikhoza kuonekera zaka zingapo kusamaliza kwa msambo kumatha. Kwa amayi oposa zaka 45, zizindikirozi zimasonyeza njira yodalirika. Panthawiyi, pakadalibe kuthekera kwa mimba, kotero musataye kulera, mwamsanga pamene msambo wataya kapena kuyima.

Ngati zotsatila zoterezi zimawonekera mwa mtsikana, ndiye kuti izi ndizoopsa zokhudzana ndi kusamba kwa msinkhu wachinyamata - kufunsana kwadzidzidzi kwa katswiri n'kofunika kuti tipewe kukula kwa matenda.

Zizindikiro za kutha msinkhu zingakhale motere:

• Kusintha kwa nthawi zonse, nthawi ndi kuchuluka kwa msambo;
• Kusinthasintha kumasinthasintha, kawirikawiri kuvutika maganizo;
• Matenda ogona;
• Kuuma mu chikazi;
• Kuthamanga kwa madontho;
• Kumverera kosamvetsetseka kwa nkhawa ndi nkhawa;
• Kuchepetsa libido;
• Mafunde otentha, akuwomba thukuta.

Kumayambiriro kwa climacteric yokha, kusamba kwake kumasiya. Ngati mwezi ulibe kwa miyezi isanu ndi iwiri, madokotala amanena pachimake. Ndizowopsya bwanji nthawi iyi mu moyo wa mkazi ndi momwe mungathetsere mawonetseredwe a zizindikiro, mudzapeza pansipa.

Kusamba kwa nthawi yoyambirira

M'madera amasiku ano, kumene moyo wolakwika, moyo wosaganizira komanso zakudya zabwino zapatsogolo, zimakhala zosavuta kuzilemba. Matendawa amaonedwa kuti ndi odwala ndipo amafunika mankhwala ochizira. Matendawa amatha kukhala ndi zaka 13 mpaka 40. Zimadziwika ndi zizindikiro zomwezo monga nthawi yomwe imakhalapo nthawi: kusagwirizana kwa msambo, kusintha kwa mwezi, kutayika kwa mantha ndi mapuloteni.

Kodi ndi choopsa chotani kwa kusamba kwa nthawi yoyamba? Popanda chithandizo choyenera nthawi yeniyeni, amatsogolera ku matenda osiyanasiyana a kubereka, mpaka kuchitsimikizo.

Kuti atsimikizidwe kuti "msinkhu wa msinkhu usanafike msinkhu", katswiri wa amayi adzatumiza kuyesera kwa ultrasound za ziwalo zapakhosi ndikupempha kuyesa mahomoni.

Kusamba kwa mimba kokha

Pamaso pa matenda osiyanasiyana a ziwalo zoberekera, nthawi zambiri zowonongeka kapena zotupa, zomwe sizingatheke kuchipatala, dokotala amapereka mankhwala oyenera. Amaletsa kapena kuimitsa ntchito ya mazira ambiri mumtambo wa mayi, zomwe zimapangitsa kuti asamasiye.

Kodi ndi zoopsa zotani pakusamba kwa nthawi? Popeza kuti matendawa amayamba chifukwa cha madokotala, ndizoopsa kwa zovuta zosiyanasiyana ndi kuphwanya ziwalo. Pali chidule chakumapeto kwa mankhwala a chemotherapy kapena mankhwala a wailesi pochiza khansa, komanso pambuyo pochotsa opaleshoni ya mazira ndi chiberekero. Mankhwala ena akhoza kuchepetsa ntchito ya ziwalo zobereka. Malingana ndi cholinga cha mankhwala omwe akufunidwa, mankhwala opangidwa ndi ma ARV angagwiritsidwe ntchito panthawi yomweyo kubwezeretsa ntchito za ziwalo kapena kuchepetsa mawonetseredwe a zizindikiro. Koma nthawi zina, mankhwala oterewa safunikira kapena amatsutsana.

Ngozi Yopuma Kusamba

Kodi chiopsezo cha kusamba kwa nthawi yobadwa, ndi chithandizo choyenera? Kusamuka kwa mimba, komwe kwakhalapo chifukwa cha kusintha komwe kumachitika m'thupi, sikuwopsyeza thanzi la amayi ndipo kumaonedwa ngati chilengedwe. Koma kawirikawiri zizindikiro zomwe zimatsatira nthawiyi zimabweretsa zovuta zambiri komanso zovuta, zimasokoneza chizoloŵezi cha moyo. Nthawi zambiri amai amadandaula za zizindikiro zotero za kusamba kwa zaka 40: ziphuphu zotentha, thukuta, kusowa tulo, kusokonezeka kwa mitsempha, kusokonezeka m'moyo wogonana. Komanso, kuchepa kwa kupanga mahomoni kungayambitse kukula kwa matenda akuluakulu:

• Mavuto ndi mtima wamagetsi;
• Kutaya kapena kupweteka kwa chiberekero;
• Osteoporosis ndipo, motero, amathyola mafupa ambiri;
• Kulowetsa m'mitsempha;
• Kuuma kwa chikazi ndi ululu panthawi ya kugonana;
• Lonjezerani tsitsilo m'malo osazolowereka, kuchepetsa mawu.

Kuthamanga kwamoto kumapeto kwa kusamba

Mafunde ndi kufalikira kwa kutentha kupyolera mu thupi, kuphatikizapo reddening ya nkhope ndi kuwonjezeka thukuta. Amakhala pa mphindi 30 mpaka mphindi zingapo. Kawirikawiri amayi amadandaula za m'mawa (kuyambira 6 mpaka 8 m'mawa), madzulo (kuyambira 18 mpaka 22 koloko) komanso usiku kutentha. Tisaiwale kuti 15 peresenti ya amayi omwe ali m'zaka zapakati pazaka zapitazi amakhudzidwa ndi chizindikiro ichi. Ena otsala 85% amakhala ndi kutentha pang'ono kapena samazindikira kuti palibe vuto. Zimadziwikanso kuti amayi omwe ali ndi kulemera kwambiri, kusuta fodya, kumwa mankhwala a mahomoni kapena kuchotsa opaleshoni ya amayi amtundu wa amayi nthawi zambiri amakhala otentha kwambiri.

Kodi mungalimbane bwanji ndi mafunde?

Kodi mafunde owopsa ndi otani? Nthaŵi zambiri, samafuna chithandizo chapadera kapena chithandizo. Koma pakakhala kuti vutoli limasokoneza luso la mkazi kugwira ntchito bwino, limayambitsa kugunda kwa mtima, chizungulire, nkhawa kapena kusowa tulo, pali mwayi wopita kwa katswiri. Kodi mungatani kuti musamavutike nokha? Gwiritsani ntchito malangizo awa:

• Kuyenda nthawi zonse kumachepetsa kwambiri maonekedwe a zothamanga;
• Kuchepetsa kudya mafuta, zakumwa zokometsera, mowa ndi khofi;
• Pang'ono ndi kotheka, inu muli otsekedwa, zipinda zopanda kanthu ndi anthu ambiri;
• Mu zovala, muzikonda zovala zachilengedwe, zofewa;
• Tengani mvula yozizira m'mawa komanso musanagone;
• Pewani kuyendera saunas ndi kusambira;
• Nthawi zonse muzimitsa chipinda, makamaka kuchipinda;
• Nthawi zonse muzikhala ndi botolo la madzi;
• Zolemera zakuthupi zidzathetsa maonekedwe a zizindikiro: yoga, kusambira, aerobics zidzakhala zothandiza;
• Pitani kukapaka kupuma;
• Phunzirani kupuma, monga Strelnikova: Zochita zoterezi zimathandiza kuti mpweya uziyenda bwino kwa ziwalo ndi matenda, kuonetsetsa kuti magazi akuyenda bwino, kumasuka thupi.

Matenda a osteoporosis komanso opaleshoni yake pa nthawi ya kusamba

Vuto lalikulu la amayi omwe ali ndi zaka zoposa 45 ndilo kukula kwa mafupa osteoporosis. Amadziwika ndi kuphulika kwa mafupa chifukwa cha kusowa kwa kashiamu ndi collagen, zomwe zimatengedwa ndi hormone estrogen. Chifukwa cha kuti panthawi yopuma mthupi timayamba kutulutsa makina osakwanira, mwinamwake kupuma kwa mafupa kumawonjezeka. Kuonjezera apo, zotupa zoterezi zimakhala zovuta komanso kwa nthawi yayitali, pamene minofu imabwezeretsedwa pang'onopang'ono. Pofuna kuteteza thupi ku zovuta zoterezi, ndibwino kuti pitirize kutsika kwa densitometry. Imeneyi ndiyo njira yodziwira kuperewera kwa fupa pogwiritsira ntchito ultrasound. Njirayi ndi yopweteka ndipo imafika mphindi 15.

Pofuna kuthetsa vutoli, muyenera kusamalira mavitamini D. Mavitamini ena amatha kukhala ovomerezeka, monga "Calcium gluconate", "Calcium D3 Nycomed", "Calcemin". Mlingo wa tsiku ndi tsiku ndi 1000-1500 mg. Tengani mankhwala, kugawaniza kachitidwe ka 2 kulowa. Musaiwale kuti mavitamini D3 omwe amachokera ku thupi, ndiye kuwala kwa dzuwa. Choncho, palibe chomwe chingathe kuleka kuyenda maola theka la ola limodzi mu mpweya wabwino.

Zakudya zabwino panthawi yopuma

Kodi mungatani kuti muthetse vuto la kusamba ndi zakudya? Pa nthawi ya kusamba kwa thupi, kusintha kwa mahomoni kumachitika m'thupi la mkazi, zomwe zimachititsa kuti thupi liwonongeke ndipo pakufunika mavitamini ndi ma microelements. Pofuna kupewa zizindikiro zambiri zomwe zimachepetsa kuchepa kwa estrogen, muyenera kuyambiranso zakudyazo ndikutsatira ndondomeko zosavuta zomwe zimapangidwira kuti mukhale wolemera komanso kuti mukhalebe ndi mtima:

1. Kuchepetsa kuchepetsa mchere: umatsekera madzi m'thupi ndipo ukhoza kuyambitsa mpweya, kuwonjezereka kwa magazi, kukula kwa zikwapu.
2. Samalani ndi fiber. Zimayimitsa chimbudzi, zimalimbikitsa kwambiri kudya zakudya zam'mimba. Amagwiritsa ntchito tirigu wosasaka, chimanga, mkate wonse wa tirigu, amondi.
3. Chifukwa chakuti mayi yemwe adalowa nthawi ya kusamba, sadziwika kuti ataya magazi pamwezi pamodzi, palibe chosowa chachikulu chachitsulo. Musatengedwere ndi mankhwala omwe ali ndi mfundoyi. Ngati mutenga multivitamini, onetsetsani kuti simungaphatikizepo chitsulo, chifukwa kuchuluka kwa mankhwalawa kungawononge thanzi lanu.
4. Pofuna kupewa matenda a mitsempha mumapezeka zakudya zamakaka zomwe zimakhala ndi calcium.
5. Sankhani mitundu yambiri ya nsomba ndi nyama.

Moyo wokhudzana ndi kugonana pa nthawi ya kusamba

Ndi mawonetsedwe ena amtundu wanji amene amatha kusamba? Chowopsa ndi nthawi ya kusamba, choncho ndi kuphwanya muzochitika zogonana. Amayi ambiri a msinkhu wa menopausal ali ndi mavuto m'moyo wogonana. Zizindikiro zosasangalatsa zomwe zikugwirizana ndi nthawiyi, zimapangitsa kuchepa kwa msinkhu wa libido.

Ndi mavuto ati mu moyo wapamtima omwe amachititsa kuti ayambe kusamba? Ndemanga za amayi zimachitira umboni zodandaula zotere monga kuyanika kwa umaliseche, kupweteka panthawi yogonana, kusowa chilakolako ndi chilakolako cha kugonana. Kuonjezera apo, mavuto monga kubwereka kwamtendere kapena kusamalidwa kwa abambo, musapatse mpata wokondana kwambiri ndi mnzanuyo.

Kawirikawiri, pokhala ndi zodandaula zoterezi, amayi amalamulidwa kuti asamalowe m'malo. Ndi ukazi wouma, amavutika ndi chithandizo cha mafuta, ndipo chiberekero chotsitsa chimakhazikika ndi chipangizo chapadera - pessary. Pofuna kupewa chiberekero, ndibwino kuti amayi onse opitirira zaka makumi asanu ndi awiri mphambu zisanu ndi ziwiri (45) azichita zochitika za Kegel nthawi zonse.

Mankhwala othandizira odwala opatsirana pogonana

Kodi mungachotse bwanji kusamba kwa nthawi? Ndi zizindikiro zovuta zomwe zimapangitsa mkazi kuti asakhale ndi moyo wathanzi, dokotala akhoza kupereka mankhwala othandizira mankhwala, omwe ndi, kulamula kukonzekera kwa maselo a estrojeni. Kuchiza koteroko kudzakuthandizani kulimbana ndi maonekedwe osiyanasiyana a kusowa kwa mahomoni ndipo kungakhale njira yowonetsera chitukuko cha matenda opatsirana. Gwiritsani ntchito mankhwala osokoneza bongo m'malo moyenera - mpaka zaka zisanu. Perekani mankhwala otsatirawa:

1. Mapiritsi "Klimonorm", "Premarin", "Femoston".
2. Chipangizo cha intrauterine "Mirena".
3. Mavitamini odzola kapena kirimu "Ovestin".
4. Majekeshoni "Gynodian Depot".
5. Zojambula zam'madzi "Estraderm", "Menorest".
6. Mankhwala opatsirana pogonana.

Zotsutsana ndi zotsatira zolakwika za mankhwala

Musapereke mankhwala othandizira amayi:

• Khansara, makamaka bere ndi endometrium;
• Kuvutika kuchokera ku endometriosis;
• Kukhala ndi matenda a mtima wamagetsi;
• Ndi matenda a chiwindi;
• Pamaso pa uterine fibroids.

Mankhwala othandizira ena omwe amachititsa mankhwalawa amachititsa zotsatira zosiyanasiyana:

• Edema;
• Phindu lolemera;
• Kupatula;
• Kutupa kwa chifuwa.

Choncho, katswiri yekha angathe kupereka chithandizo pambuyo pa mayesero ndi mayesero osiyanasiyana.

Phytotherapy pa nthawi ya kusamba

Kodi mungatani kuti muthetse vuto la kusamba kwa chithandizo chamankhwala? Pochotseratu zizindikiro zokhudzana ndi kusamba kwa thupi, mankhwala a phytotherapy amagwiritsidwa ntchito kwambiri. Nazi zida zothandiza:

1. Tincture ocoka wa oregano angathandize. Pochita izi, ma gramu 10 a zitsamba amaumirira sabata mowa. Tengani madontho 40 patsiku.
2. Wiritsani 20 g wa masamba a rosemary mu kapu yamadzi. Imwani theka supuni ya tiyi musanadye chakudya 1 nthawi patsiku.
3. Mwabwino relieves mantha mantha, mkwiyo wa beet madzi ndi uchi. Imwani kangapo patsiku pa supuni 2.

Poyamba zizindikiro za kusamba kwa thupi zimalankhula ndi dokotala za chitetezo ndi kufunika kokhala ndi mankhwala ndi njira zochepetsera kuti athetse zizindikiro zowawa ndikukhala ndi thanzi labwino.