Zikuyimira zaka 45+: kusamuka kwa mimba

Iyi ndi nthawi yomwe mkazi aliyense amayembekezera, nthawi zambiri ndi chisangalalo, ndipo nthawi zina ndi mantha, chifukwa kusamba kwa nthawi zambiri kumayenderana ndi msinkhu wopitirira. Koma mukhoza kuyang'ananso kuchokera kumbali ina, chifukwa zochitika zonse ndi kupusa kwa unyamata zinasiyidwa, palibe chifukwa chodziyang'anira pa ntchito, moyo umakhazikitsidwa kale ndipo wakonzedweratu, ana akhala atakula kale - mwaufulu - ufulu! Mukhoza kupeza nthawi yokha, dziwani maloto omwe sanafikepo, yambani kuyenda mwathunthu, mutengere nthawi yambiri ndi theka lanu lachiwiri. Ndipo kuvutika chifukwa cha zotsatira za kutha kwa thupi sikofunika: mankhwala amasiku ano amapereka mipata yambiri kuti athetse ndi kuthetsa.
Zotsatira za kusamba kwa nthawi
Musati mutenge pachimake ngati matenda, chifukwa izi ndizochitika zachilengedwe, zachibadwa kwa mkazi aliyense. M'chi Greek, kutaya nthawi kumatanthauza "makwerero", ndipo apa pali "masitepe" ake:

Kuperewera kwa thupi: kuyendayenda sikokwanira, pali vuto: pamene pali estrogens yokwanira, ndi gestagen - osakwanira. Ndipo chifukwa cha kusinthasintha kwa kayendetsedwe ka maselo, kuchuluka kwa mahomoniwa kuyenera kukhala pamtunda wina.

Kusamba kwa nthawi. Izo zikhoza kutsimikiziridwa kokha pambuyo pa chowonadi. Iyi ndiyo nthawi yomwe kusamba sikupita kwa chaka (izi zikutanthauza kuti mlingo wa mahomoni ogonana mu thupi wagwa mochuluka momwe zingathere).

Kupuma kwa mthupi - kumapezeka chaka chimodzi pambuyo pa kutha kwa msambo. Nthawi imeneyi ya kusamba kwa thupi ikhoza kuwerengedwa kuchokera ku zotsatira za mayesero, kutanthauza kuti, pamene gonadotropin imatha kuchepa, komanso pamene estradiol ili pansi pa 30 pg / ml. Mukhozanso kuyesa kusasitsa kwa follicles pogwiritsa ntchito mayeso apadera azachipatala AMN - pa anti-Muller hormone.

Pali njira zina zamankhwala zokhudzana ndi kuyambira kwa kusamba kwa thupi: ngati kusamba kwa mimba kusanafike zaka 40 - kutha msinkhu, mu 40-44 - kumayambiriro, kuyambira zaka 45 mpaka 52 - izi ndizochitika, pambuyo pa zaka 53 - mochedwa.

Mmene thupi limayankhira pamene akusamba
Zomwe thupi la mkazi likuchita ndi zosasinthika zokhudzana ndi zaka zingakhale zosadalirika: munthu samasamala kwenikweni pachimake - ubwino ukhoza kukhala wabwino ndipo mkazi akhoza kupuma ndi mtendere wa mumtima kuti "maholide" amatha mwezi uliwonse. Pali ziwerengero kuti amayi 14 aliwonse mwa iwo omwe ali ndi mwayi. Ndipo wina akukumana ndi "yophukira" mwathunthu: Kuwotcha kwafupipafupi, kupweteka kwa mutu, kutopa, kuwonjezeka thukuta, kusowa tulo, ndi ena ngakhale kukhala ndi maganizo ovutika maganizo ... Azimayi 10% amavutika kwambiri moti amafunikira ngakhale kumasulidwa kuntchito (ichi ndi chomwe chimatchedwa kuti pathological menopause).

Chifukwa chachikulu cha mavuto onse a "autumn" a mkazi ndi kusintha kwa mahomoni. Ndipotu, mahomoni azimayi amalamulira osati ziwalo zoberekera zokha, komanso ziwalo zina zofunikira kwambiri. Mwachitsanzo, zimakhudza khungu komanso mazira, kuphatikizapo, mahomoni opatsirana pogonana amakhudzidwa kwambiri ndi kayendedwe ka mitsempha ya mkazi, kotero panthawi ya kusamba, kukwiya ndi mantha zimatha kuwonekera. Kuwonjezera apo, kusowa kwa mahomoni a chiwerewere amatha kupangitsa osteoporosis (kupweteka kwa mafupa kumachepa) ndi matenda a mtima (kuphatikiza mankhwala oopsa, kutseka mitsempha ya mitsempha).

Chithandizo cha zotsatira za kusamba kwa mimba
Ngati mumagwiritsa ntchito akatswiri osiyanasiyana omwe ali ndi zizindikiro zosiyana-siyana, amai ambiri sangathe kupeŵa (ndipo mankhwala ena ndi otsutsana kwa wina ndi mzake, omwe amatsutsana ndi vutoli). Njira yowonjezera yowonjezera nthawi ya kusintha ndi ma ARV (replacement therapy) (HRT), omwe apangidwa kuti atengere hormone ya estrogen yomwe ilibe mu thupi lachikazi. Mchitidwe wa HRT m'mayiko a Kumadzulo kwa Ulaya ndi United States uli ndi mbiri yolimba komanso yopambana mochititsa chidwi. Pafupi mkazi aliyense wachiwiri yemwe akuyembekezera kusamba amalandira kusankhidwa kwa HRT. Mkhalidwe wathu m'dzikoli ndi wosiyana - wotchuka "wosakonda" chifukwa cha mankhwala alionse omwe amachititsa mahomoni. Komabe, bungwe lokonzekera bwino la HRT limangotsutsa zovuta zonse zowopsya, komanso zimachepetsa kwambiri chiopsezo cha matenda ena mu ukalamba, monga matenda a mtima kapena matenda otupa thupi, komanso amalepheretsa ukalamba msanga, kubwezeretsa zikhopolo za collagen m'maselo, ndipo malinga ndi maphunziro ena HRT ikhoza kuwonjezera chiyembekezo cha moyo kwa zaka 10. Koma azimayi ambiri omwe amaopa, ma ARV ambiri sathandiza.

Ndipo komabe HRT sizowonjezereka, imakhalanso ndi zotsutsana:

• matenda opatsirana (ngakhale mu mbiri ya banja);
• kale anali ndi vuto la mtima;
• thrombophlebitis;
• chiwindi chachikulu cha chiwindi.

Dziwani ngati mankhwalawa ndi ovomerezeka, ndipo katswiri yekha angathe kudziwa njira yoyenera yothetsera (malinga ndi zotsatira za mayesero).

Njira ina yopangira mahomoni ndi mankhwala ophera tizilombo toyambitsa matenda omwe angagwiritsidwe ntchito popanda zotsatira zoopsa za kutha kwa thupi, komanso kuchita masewera olimbitsa thupi, zakudya zamtundu wa calcium komanso zofanana zachilengedwe (mwachitsanzo, soya).

Nthano zina zokhudzana ndi kusamba

• Mukhoza kusiya kugwiritsa ntchito njira za kulera pakangopita msambo. Inde, mayi wamkulu, mwayi wocheperapo kuti atenge mimba, chifukwa kuti msinkhu wobereka kumakhala kosalekeza, koma sikunatengedwe konse. Chitetezo chikhoza kungosiyidwa pa nthawi ya postmenopausal, yomwe imapezeka patapita miyezi 12 kuchokera kumapeto.
• Kutha kumatha kuchedwa ngati mutabala pafupi zaka 40. Tikufulumira kukutsutsa iwe, kubadwa mochedwa sikutitsimikizira kumapeto kwa nthawi. Komabe, kusamalira mwana kungathe kukankhira mavuto ena onse kumbuyo, ndipo nkutheka kuti pachimake chidzadutsa mosavuta.
• Kusuta nthawi ndi vuto limene limakhudza akazi okha. Osati ndendende. Ndi msinkhu, kusintha kwa mahomoni kumachitika pakati pa amuna ndi akazi. Zoona, mwa amuna, kubwezeretsedwa kotere kwa thupi kumachitika mtsogolo ndipo sikupitirirabe.