Meonopuse, maitiro echisikigo ekubereka, anoratidza kuguma kwemakore ekubereka mukadzi kubereka. Izvo zvinowanzoitika pakati pemakore makumi matanhatu nemakumi mashanu nemashanu, kunyangwe zvakadaro nguva chaiyo yavanhu. Kuenda kumwedzi kunoratidzwa nekubvumirwa kwekuenda kumwedzi uye kuderera mumahombekombe ekubereka, kunyanya estrogen uye progesterone. Shanduko iyi, yakaratidzirwa nekushanduka kwakasiyana mumuviri uye kwepamoyo, kunogona kukanganisa zvakanyanya hutano hwemukadzi uye kugara zvakanaka. Kunzwisisa matanho, zviratidzo, uye manejimendi, uye manejimendi ekumusoro anokosha kuti aise chikamu ichi chehupenyu nekuvimba uye nyaradzo.
I. Shanduko yeKumirira:
A. Perimenopause: chikamu chakatangira
Tsanangudzo uye nguva: Perimenopause zvinoreva nguva yekuchinja inotungamira kumwedzi, panguva yekuchinja kwehomoni kunoitika, uye kuenda kumwedzi kunogona kuitika.
Shanduko mumahormone emazinga uye yekuenda kumwedzi: Estrogen uye Progenterone Levels inochinja, ichitungamira mukuenda kumatende ekuenda kumwedzi, yakadai seyakaenzana, ipfupi kana nguva refu kana shanduko dzinoyerera.
Zviratidzo zvakajairika uye zvinonetsa: Vakadzi vanogona kusangana nevasomotor zviratidzo (zvinopisa zvehusiku, ziya ziya), vanonhuwirira, mhepo inoshanduka, yakaoma yakaoma, uye shanduko muLibhito.
B. Menapause: Kubvumidzwa kwekuenda kumwedzi
Tsanangudzo uye nguva: Menapause chinotsanangurwa chinotsanangurwa sekusavapo kwekuenda kumwedzi kwemwedzi gumi nembiri inoteedzana. Avhareji yezera remasikirwo emwedzi mumakore makumi mashanu nemashanu.
Shanduko dzepamoyo uye hemomoni yekuchinja: estrogent uye Progenterone kugadzirwa kunoitika, zvichitungamira mukushanduka kwemabasa emuviri akasiyana siyana uye masisitimu, kusanganisira kubereka, nemichero, uye masisitimu ematare.
Kukanganisa hutano kubereka uye kubereka: menpause chiratidzo chekuguma kwemukadzi kubereka kwemukadzi, nekuderera kweOvarian basa uye kubereka kwekubereka.
C. Postmenopause: Hupenyu Pashure Pokumumanikidza
Tsanangudzo uye Nguva yekutora: PostmenoPause zvinoreva nhanho inotevera meonopause, ichitambanudza mune zvakasara zvehupenyu hwemukadzi.
Kuenderera mberi nekuchinja kweHormonal uye neHechi Kufunga
Nzvimbo refu-yehutano hutano uye kudzivirira kwechirwere: Vakadzi postmenomusal vari panjodzi yekuwedzera kwesteoporosis, chirwere chemwoyo, uye zvimwe zvinokambaira. Mararamiro ekugadziridzwa uye matanho ekudzivirira akakosha kuti ugare uine hutano uye kuderedza njodzi yechirwere.
Ii. Zviratidzo zveMenepause:
A. Vasomotor zviratidzo
Kupenya kunopisa uye ziyaats dzezuva nezuva: Kamwe kamwe, kunzwa kwakasimba kwekupisa, kazhinji kunofambidzana nekupenya, kutsvaira, uye plpitations.
Kuwanda uye kuomarara: Vasomotor zviratidzo zvinosiyana zvakanyanya pakati pevakadzi, nevamwe vachiona dzimwe nguva nyoro nyoro uye vamwe vachigara vachigara zvakanyanya.
Chishandiso pamabasa ezuva nezuva uye kurara kwemhando yezuva nezuva: Kupisa kwehusiku kunogona kukanganisa maitiro ekurara, zvichitungamira kuneta, kushungurudzika, uye nguva yemasikati inoshanda.
B. Genitaurinary zviratidzo
Kuoma kweVagness uye kusagadzikana: kuderedza estrogen mazinga kunogona kutungamira kuoma kwemakona, kupisa, kupisa, uye kusagadzikana panguva yekuita zvepabonde.
Urinary inoshanduka uye isingachinjiki: Shanduko mu turakiti reimba yemari, yakadai seyakawedzerwa nguva, kukurumidza, uye kusakwana, kunogona kuitika kushomeka kweEstrogen.
Kuita zvepabonde uye kushamwaridzana kwekunetseka: zviratidzo zvehukama
C. Psychological Zviratidzo
Kushandisirwa kwemanzwiro uye kushushikana kwepamoyo: mahormonal fletuations panguva yekumusoro anogona kubatsira mukushanduka kwemhepo, kusagadzikana, kunetseka, uye kushungurudzika.
Kushushikana uye kushungurudzika: Vakadzi vanogona kuona kusimudzira kunzwa kwekushushikana, kusuwa, kana kushungurudzika panguva yekuenda kumwedzi, kwaida kutsigirwa kwepamoyo uye kuraira.
Kuverengera Kuchinja uye Ndangariro Zvine Kunetseka
III. Kuongororwa kweMenoPause:
A. Clinical Ongororo uye Nhoroondo Yezvechiremba: Vanopa hutano vanoongorora zviratidzo zvevakadzi, nhoroondo yekurapa, uye maitiro ekuenda kumwedzi kuona nhanho yekuenda kumwedzi.
B. Chiratidzo kuongorora uye kuenda kumwedzi
C. Laboratory bvunzo: Kuongororwa kweropa kuyera mahomoni mahomoni, senge follicle-inosimudzira hormone (FSH) uye Estradolil, inogona kubatsira kusimbisa mamiriro ekumira.
D. Kufungidzira Zvidzidzo: Pelvic Ultrasound uye Bone density scan (dexa scan) inogona kuitwa kuti iongorore nhengo yekubereka hutano uye pfupa desity, zvichiteerana.
Iv. Management Sarudzo dzeMenopausal zviratidzo:
A. Lifestyle modhi
Kudya uye Kudya Kwekudya: Kudya chikafu chine mwero mune michero, miriwo, uye mapuroteni anotyisa anogona kutsigira hutano hwese uye kuderedza zviratidzo zvechiratidzo.
Kugara uchirovedza muviri uye kuita zvemuviri
Kushushikana Management maitiro: Kudzidzira nzira dzekuzorora, Pfungwa, kudzora kwakadzika kurovedza muviri, uye kushushikana maitiro kunogona kubatsira kupedza kusagadzikana uye kusimudzira hutano hwepamoyo.
B. Hormoni kutsiva kurapa (HRT)
Estrogen Therapy: systemic kana yemuno estrogen yekutsiva inogona kuderedza Vasomotor zviratidzo, genitouriner zviratidzo, uye aginal atrophy.
Estrogen-Progestin musanganiswa wekurapa
Zvakanakira, njodzi, uye kufunga: HRT inogona kupa zvinyoronyoro Zvisarudzo zvakasarudzika zvekurapa zvinofanirwa kufunga nezvezera remukadzi, zviratidzo, nhoroondo yekurapa, uye zvinhu zvine njodzi.
C. Mishonga yeHormonil
Sarudza Serotonin Reuptor (SSris): Mishonga yeAndidepressant, yakadai seParoxetine uye venlafaxine, inogona kubatsira kupedza Vasomotor zviratidzo uye nekuvhiringidzika kwemweya.
GABHIPENTIN NEPRAGABALIN: Mishonga inofungidzira, yakadai saGabhonti uye pregabalin, yakaratidza kushanda mukudzora kupisa kupisa uye kugadzirisa hunhu hwerara.
Antidepressants uye Anticonvulsants: Dzimwe mishonga, dzakadai saDuloxetin uye dzinogona kutaurwa kubva ku-mishonga yekubvisa zviratidzo zveMenopausal, kusanganisira Vasomotor zviratidzo uye kusagadzikana kwemweya.
D. Complementary uye imwe nzira dzekurapa
Zvikuru zvemishonga: phytoestrogenic miriwo, senge dema cohosh, soy isofllavones, uye clover tsvuku, inowanzo shandiswa kuderedza zviratidzo zvechiratidzo, kunyangwe humbowo hwekuita musanganiswa.
Acupuncture uye echinyakare Chinese Media: acupuncture uye echinyakare mishonga yeChinese chingapa zvinyatso zorora kune vamwe vakadzi vanopisa, vanonhuwira vachipenya, uye nekuchinja kwemood.
Maitiro emuviri
V. Long-tomment Health kufunga:
A. Osteoporosis uye pfupa dzehutano Calcium, vitamin D, kuremerwa kwemarembo, uye mishonga yepafupa inogona kubatsira kuchengetedza hutano pfupa.
B. ColdiovasCular Hosha Hosha: Kushomeka kweEstrogen kunosanganiswa neyakawedzera njodzi yechirwere chemwoyo, kusanganisira chirwere checorery artery, kurohwa, uye kutadza kwemoyo. Mararamiro anogadziridzwa, sekusvuta kuuraya, nekugara uchirovedza muviri, uye tsika dzakanaka dzekudya, dzinogona kuderedza zvombo zvengozi.
C. COLGETITE DECTE uye Dementia: Zvimwe Zvidzidzo zvinoratidza kuti memokusausal kurapa kunogona kukanganisa basa rekuziva uye kuderedza njodzi ye dementia mune vakadzi postmenopausal. Nekudaro, kumwezve kutsvagisa kunodiwa kuti uvhiringidze mhedzisiro yeEstrogen Therapy pane yekuziva kuchembera uye dementia njodzi.
D. Kugara Utano Hutano uye Kuchengetedza Vakadzi Vanofanira Kugara Utano Hutano hwehutano, kusanganisira Mammography Kuedza, LIPID Mbiri, uye kuongorora uye kuwona uye kuongorora uye kuwongorora hutano hwehutano hutano.
Mumepause is a tansformative yehupenyu nhanho iyo inopa akasiyana matambudziko nemikana yehutano hwevakadzi uye hutano. Nokunzwisisa matanho, zviratidzo, uye zvingangoongororwa, uye sarudzo dzekutarisira dzinoenderana nekumhanyira, vakadzi vanogona kufamba ichi shanduko nechivimbo, kusimba, uye kupa simba. Vagadziri vehutano vanotamba chinzvimbo chakakosha pakupa kutarisirwa kwakazara, kutsigirwa, uye dzidzo kubatsira vakadzi vanokudza hutano hwavo uye kunaka kwehupenyu panguva uye mushure mekunzwa kwemwedzi uye mushure mekumira. Nenzira yeHolisistic yekunyora manejimendi, kusanganisira mararamiro ekugadzirisa, kurapa kwemahomoni, uye kupindirana-kwakavakirwa, vakadzi vanogona kugamuchira chitsauko ichi chehupenyu nehupfumi hwehusimba, nyasha, uye kusimba.
