La ukuyeka kwangaphambili Lithuba lexesha apho owasetyhini kufuneka adlule phambi kokuyeka ukuya exesheni, okwenzeka kwi-a utshintsho olukhulu lwehomoni kunye nokubangela utshintsho oluthile exesheni lakhe. Abasetyhini abaninzi banengxaki yamaxesha amaninzi kwaye ngenxa yoku siya kuhlalutya ukuba kutheni kusenzeka kwaye wenze ntoni ukujongana nayo ngeyona ndlela ilungileyo.
Kweli nqanaba ibhinqa lifikelela kwiminyaka yobudala apho sele yongeza nge-ovulation encinci, apho ukukhutshwa kwehomoni zesini (iprogesterone kunye ne-estrogen) iguqulwa kwaye ichukunyiswe Ukuya exesheni okungaqhelekanga. Abasoloko bephuma ukopha kakhulu, kwabanye abafazi babangela ukumisa okuphezulu kunye namaxesha ngaphandle kokuya esikhathini kwaye ngaphandle kokutshintsha okukhulu.
Yintoni i-premenopause?
Ukuyeka ukuya exesheni sisigaba athi umntu obhinqileyo adlule kuso xa sele emdala. Ngeli xesha ubudala babo bokuzala buyancipha kwaye uqala ukungabikho exesheni. Phakathi kolunye utshintsho, unokufumana utshintsho emzimbeni okanye ngokwasengqondweni, olufana nokuxhalaba, ukudakumba okanye ukutshintsha kweemvakalelo.
Unokuba nomgama omde owuhambayo de ufikelele ekuyekeni ukuya exesheni, ukusuka iminyaka emibini ukuya kwesixhenxe phambi kwama-40 nama-50 eminyaka ubudala. Ngexesha le nkqubo unokuba ekhatshwa lutshintsho oluninzi, njengokungalingani kwehomoni, ukoma kwelungu lobufazi okanye ukubila ebusuku. Nangona i-premenopause ingenzeka ngeendlela ezimbini ezahlukeneyo kwabasetyhini:
- Abasetyhini banokungena ixesha elide ukuya kuthi ga kunyaka ngaphandle kokuya exesheni kwaye sele ehambile, engaziva utshintsho olukhulu ebomini bakhe.
- O bonisa utshintsho lwehomoni kunye notshintsho ngexesha le nkqubo, enemithetho emininzi yaye kwezinye iimeko ide ibe buhlungu. Ukuya kuthi ga kwi-25% yabasetyhini abahluphekayo kule nkqubo.
Kutheni ukuya exesheni okungaqhelekanga kwenzeka kwi-perimenopause?
Ngeli xesha umjikelezo wokuya esikhathini udala inguqu. Oku kungenxa yokuba Amanqanaba eprogesterone kunye ne-estrogen ayenyuka kwaye ehla. Ngokungalandeli ipateni engqongqo, ama-ovari avelisa ukuya exesheni ngokungaqhelekanga nangosuku olungalunganga. Ukongeza kokuya esikhathini ngokungaqhelekanga, ukopha okukhulu kunokwenzeka kwaye apho iintsuku zokuya esikhathini zinde kuneentsuku ze-7 okanye ngaphezulu kunesiqhelo.
Ukusondela kwixesha lokuyeka ukuya exesheni kuxa i-ovulation iya kunyamalala kwaye ke kwi-endometrium yathi i-detachment ayiyi kwenzeka ngaphandle kokubangela ukuhamba kokuya esikhathini. Xa unexesha leenyanga ezili-12 ngaphandle kokuya exesheni, unokutsala umnyango wokuyeka ukuya exesheni.
Xa kukho ukopha kwilungu lobufazi ngexesha lokuyeka ukuya exesheni
Omnye unobangela wokopha i-vaginal atrophy. Oku kubangelwa ukuba emva kokuba ukuyeka ukuya exesheni kungene apho kwenzeka khona amaxesha ngamaxesha. Kungenxa yokuncipha kwe-estrogen kwi-endometrium kwaye ibangela ukuba i-mucosa ejikeleza ngaphakathi kwesibeleko ibe mncinci kakhulu. Kungoko oku kukopha kwenzeka.
- Ngakolunye uhlangothi, kuyimfuneko ukuhlalutya ukuba kukho ubukho be i-uterine fibroids. Babizwa i-leiomyomas okanye i-fibroids; Ukukhula okungenawo umhlaza ngaphakathi kwisibeleko, ukuba kukhulu, kubangela intlungu ye-pelvic, ukuqhina, iingxaki zokuchama, kunye nokopha.
- El endometrial polyp Ziyi-benign tumors ezikhula kwi-endometrium kunye nomlomo wesibeleko. Kuyimfuneko ukuba ubasuse ukuze kungavelisi ukopha okukhulu.
- endometritis Lusulelo kunye nokuvuvukala kwentambo yesibeleko, okubangelwa yintsholongwane okanye isifo esithathelwana ngesondo. Unyango lwakho luya kuxhomekeka ekubeni yintoni unobangela.
- Omnye unobangela uya kuba i-endometrial hyperplasia, ngenxa yokukhula ngokugqithisileyo kweeseli kwinwebu yesibeleko.
- Ezinye iimeko, kodwa kuncinci okunokwenzeka kuya kuba yi umhlaza we-endometrial kunye nomhlaza wesibeleko. Ziyi-tumor ezimbi ezibekwe kule mimandla kwaye apho kuya kubakho uhlobo olukhethekileyo lonyango.
- Ukuthatha amanye amayeza Zisenokuba ngunobangela. Ezo zisetyenziswa njengonyango lwehomoni ukuya esikhathini kunokubangela oku kopha.
Xa ujongene nayo nayiphi na ingxaki yokuphuma kwegazi, kufuneka uye kwi-a ugqirha wosapho ukuba athunyelwe kwi-gynecologist. Uluhlu lweemvavanyo luya kwenziwa, kubandakanywa i-ultrasound ye-transvaginal, i-hysteroscopy yokufaka ikhamera okanye i-biopsy ye-endometrium.