Kutha kwa ntchito ya kubala kwa amayi ndi njira yayitali, yovuta, kuphatikizapo kusintha kwakukulu m'thupi. Mzimayi amavutika kutentha nthawi zonse. Thandizo kuti tipulumuke nthawiyi limathandiza mankhwala osokoneza bongo.
Zisonyezero za kutha kwa kusamba kwa akazi
Ziwonetsero zambiri za kutha kwa msinkhu zingathe kudziwa molondola chiyambi cha ndondomekoyi. Kwa nthawi yoyamba zizindikiro zoterezi amai amakonza zaka 45 mpaka 50. Pankhaniyi, aliyense woimira kugonana mwachilungamo, sali ofanana ndi zizindikiro zomwe zimawoneka mwa ena, pali mbali za umunthu. Pakati pa ziwonetsero zazikulu za kutha msinkhu ndi:
- Mafunde - kaŵirikaŵiri, kubwerezabwereza kutentha, kuphatikizapo reddening khungu pamaso, pamutu, ndi pachifuwa. Kawirikawiri zimapezeka madzulo ndikudutsa mphindi 2-5.
- Kutuluka kwa usiku - kuwonjezeka thukuta usiku.
- Kuthamanga kwa mtima, kusokonezeka kwa mtima.
- Nkhawa yopanda nzeru, yomwe imaphatikizapo kusintha kwa maganizo, kukwiya, kukwiya.
- Kugonjetsa kosalekeza kwa zofooka, maonekedwe a dyspnea, chiwombankhanga, kugona tulo.
- Maonekedwe a ukazi wa mukosa, kuponda kwake, kupsinjika kawirikawiri pa kugonana.
- Kuchepetsa kugonana pagalimoto.
- Ululu mu dera la lumbar, m'mimba pamunsi.
- Kuchepetsa kutsika kwa elasticity ndi elasticity khungu, maonekedwe a makwinya akuya, ubongo ndi tsitsi lophwanyika, kusintha chiwerengero (kulemera phindu).
Kodi mungachepetse bwanji zizindikiro za kusamba kwa thupi?
Poyesera kusamutsa nthawiyi mopanda phokoso, madonawa amasangalatsidwa ndi mayi wazimayi kuti ndi mankhwala ati omwe angatenge mkazi atatha kusamba. Madokotala amanena kuti kusankha mankhwala kumapangidwa payekha. Mankhwala osokoneza bongo amaphatikizidwa ndi mavitamini ndi mineral complexes, zomwe zimapangitsa kuti mankhwalawa athandizidwe. Maziko a chithandizo ndi mankhwala awa:
- Mankhwala a zomera ochokera ku chomera chokhala ndi zinthu, zofanana ndi zomangamanga kwa mahomoni achikazi;
- hormonal - pamaziko a zopangira, kupanga mahomoni, zodzaza zofanana zachilengedwe;
- Njira zopanda mphamvu zam'madzi zimagwiritsa ntchito mankhwala osokoneza bongo.
Mankhwala osokoneza bongo amatha kutuluka kuchokera kutentha
Choyamba, tiyenera kudziŵa kuti mankhwala aliwonse ayenera kusankhidwa payekha. Musanayambe mankhwala osokoneza bongo kuchokera kumatentha otentha ndi thukuta, amai amatumizidwa ku mayeso ambiri:
- Mapuloteni a mammary a ultrasound;
- Ultrasound ya ziwalo zamimba ;
- mammography;
- biochemistry ya magazi;
- kuphunzira kwa cytological.
Maphunzirowa ndi ofunikira kuti athe kupeza mankhwala omwe amachititsa mahomoni. Madokotala amapanga mahomoni ambiri a kugonana m'magazi a wodwala, podziwa kuti amasankha mankhwala oyenera kuti azisamba msinkhu, mlingo wawo, kuvomereza kwafupipafupi, ndi kukhazikitsa nthawi ya mankhwala. Mankhwalawa amachepetsa kwambiri zotsatira za kutentha, kutuluka thukuta, kuthandizira kuthetsa kuwoneka kwa kusamba.
Mankhwala osokonekera ku malo okondana
Pofotokoza madokotala kuti azisamba msinkhu, madokotala nthawi zonse amaganizira zodandaula za odwala. Amayi ambiri amapitiriza kugonana, choncho kuuma mukazi kumakhala kovuta kwa iwo: chiwerewere chimaphatikizapo kupweteka, kupwetekedwa ndi umaliseche. Izi zikudzala ndi matenda ndi chitukuko cha njira yotupa. Pofuna kupewa izi, amayi amachimuna amapereka mankhwala ndi estrogens m'njira zosiyanasiyana:
- Makandulo: Estrokad, Oviplo Klio, Ovestin;
- mazira ndi mafuta: Vagikal; Mamuna; Cicatradine.
Mankhwala omaliza kusamba
Pofufuza mafunde akukwera, thukuta, amatsimikiziridwa kuti nthawi zambiri amachititsidwa ndi chisokonezo cha dongosolo la mitsempha. Zochitika zowonongeka, zimatsindika, mantha amatsatizana ndi kuwonjezeka kwa magazi. Poika amayi kuti azitha kusamba, madokotala angathe kusintha kwambiri thanzi labwino, osapatula zochitika zomwe zimakhala zikuchitika pa nthawi yochepa. Ngati mankhwalawa, madokotala amakonda masewera achilengedwe pogwiritsa ntchito zomera za mankhwala:
- tincture ya motherwort ;
- tincture wa valerian;
- kulowetsedwa kwa peony.
Yabwino kwambiri mankhwala osokoneza bongo
Ndizosatheka kutchula zabwino zokonzekera ndi kusintha kwa msinkhu momveka bwino. Chiwalo chilichonse chachikazi ndi chokhachokha komanso zochitika zam'thupi zimasintha mosiyana. Chifukwa cha izi, kuti athandize zotsatira zabwino ndikuthandiza wodwala kusankha chithandizo cha zipsyinjo zotentha ndi kusamba, madokotala amalingalira zinthu zingapo:
- chiwonongeko;
- zaka za wodwala;
- kukhalapo kwa matenda omwe amachititsa kuti abereke.
Pakati pa magulu a mankhwala omwe amagwiritsidwa ntchito pochita zochitika za kusamba, tiyenera kudziŵika kuti:
- njira yamadzimadzi;
- osamadzi;
- makonzedwe a m'mimba;
- vitamini complexes.
Mankhwala osokoneza bongo amatha kusamba
Kuti mwamsanga izi zitheke, kuthetsa kuwonetsa kochepa kwa kutha kwa njira yobereka, madokotala amagwiritsa ntchito mankhwala osagwiritsa ntchito mahomoni m'badwo watsopano wa kusamba. Mankhwalawa amatha kusintha mkhalidwe wa maganizo, kuchepetsa mawonetseredwe a chikhalidwe cha m'mimba. Amachepetsa kwambiri kukula ndi kusokonezeka kwazomwe zimachitika. Pakati pa mankhwala osokoneza bongo, omwe alibe mankhwala otchedwa hormonal mankhwala omwe amakhala ndi climacterium kuchokera kumapiri otentha amakhala ndi malo otsogolera. Zowonongeka kwambiri:
1. Kuponderezedwa:
- Ephevelone;
- Velafax;
- Fluoxetine;
- Mapilizi;
- Malonda;
- Aktaparoxetine;
- Poroxetine;
- Paxil.
2. Antiepileptic:
- Chithunzi;
- Neuronthin;
- Kusokonezeka;
- Katen.
Mankhwala osokoneza bongo amayamba kusamba
Mankhwala osokoneza bongo omwe ali ndi chizoloŵezi chatsopano cha kutha msinkhu amapulumutsidwa pakakhala vuto limene lingagwiritsidwe ntchito pogwiritsa ntchito mankhwala osagwiritsa ntchito mahomoni. Odwala omwe akugwiritsa ntchito mankhwalawa amadziwa bwino kwambiri kuti ali ndi thanzi labwino. Komabe, chimodzi mwazovuta za chithandizo choterechi ndizochezereka kwa dokotala kamodzi kamodzi pa miyezi iwiri iliyonse. Kutalika kwa kulandira ndalama zotero kumakhala miyezi 6-12. Zina mwa mankhwala ogwiritsidwa ntchito:
- Sigetin, Derbital, Divigel, Proginova. Zokonzekera zomwe zilipo zili ndi mawonekedwe oyenerera a estrogen, angagwiritsidwe ntchito kumayambiriro ndi kumapeto kwa kusamba.
- Divine, Klimonorm, Klimen, Trieskvens. Yankhulani ndi mankhwala ophatikiza a mahomoni. Chifukwa cha maonekedwe ake, amagwiritsidwa ntchito kuthetsa mawonetseredwe osiyanasiyana a kusamba kwa thupi (thukuta, mantha, kutentha, kuthamanga kwa mtima).
Njira zothandizira kuti asamakhale ndi matenda a m'mimba amayamba kusamba
Malinga ndi chitsimikizo cha akatswiri a amai, njira zina zothandizira anthu kuti azisamba msinkhu zimathandiza kuchepetsa kuchuluka kwa chiwonetsero cha nthawi ino. Komabe, tiyenera kudziwa kuti si odwala onse omwe amatha kupeza zotsatira zowonongeka pogwiritsa ntchito mankhwala osokoneza bongo ndi kuyamba kusamba. Amene adamva zotsatira za ndalamazi amawayankha bwino. Mankhwala opatsirana pogonana ali ndi zotsatira zofanana pa thupi ngati mankhwala osagwiritsa ntchito mahomoni m'mabambo a amayi oyembekezera. Pakati pa mankhwala ogwiritsidwa ntchito pakupita kwa nthawi, tikhoza kusiyanitsa zotsatirazi:
- Chimake-hel;
- Sepia;
- Pulsatilla ;
- Chithunzi;
- Lachezis;
- Climadinone.
Mankhwala a zitsamba kwa amayi am'maopausal
Asayansi akhala akukhazikitsa kukhalapo kwa zomera, momwe zimakhalira kuti pali zinthu, malingana ndi momwe zimakhalira ndi zotsatira pa thupi lachikazi, mofanana ndi mahomoni. Iwo ankatchedwa phytoestrogens. Mwachindunji pamaziko a zigawozikulu za zomera, zamakonzedwe zamakono zimalengedwa panthawi yopuma. Iwo amatha kuonetsetsa kuti kayendedwe kamene kamayambitsa kayendedwe ka mahomoni, mofanana ndi estradiol. Zina mwazogwiritsidwa ntchito ndi:
- Posachedwa;
- Mamuna;
- Climadinone;
- Akazi.
Mavitamini ndi mchere posamba
Pakati pa kusamba, thupi lachikazi limafuna mchere wochuluka ndi mavitamini. Chofunika kwambiri pa umoyo wa amayi ndi:
- Vitamini E - imayambitsa ntchito ya mazira ochuluka, imayambitsa kupanga progesterone ndi estrogen, imachepetsa kupanikizika kwa m'mimba, imalimbitsa makoma amphamvu;
- vitamini A - antioxidant, yomwe imachepetsa chiopsezo chopanga chotupa cha ziwalo za mammary, chiberekero;
- Vitamini C - antioxidant yomwe imakhudza kwambiri chitetezo;
- Vitamini D - amathandiza kupanga calcium;
- B1 ndi B6 - kumayendetsa ntchito yotonthoza, kuyendetsa ntchito ya ndondomeko yamanjenje, kusintha maganizo, kuwonetsa kugona.
Mavitamini ndi mavitamini omwe amatha kukhala nawo bwino amalola kuti pakhale bwino kwambiri pochizira maonekedwe a kusamba. Motero, kukonzekera kashiamu ndi kuchepa kwa thupi kumalimbitsa minofu ya mafupa, kuchepetsa chiopsezo cha osteoporosis (Calcium gluconate, Calcium D3 Nycomed). Mmodzi mwa vitamini complexes omwe amalimbikitsidwa pa nthawi ya kusamba:
- ClimadinonUnough;
- Hypotrilone;
- Doppelherz ndizothandiza;
- Mphepo yamkuntho.