Inkasta oo uu jiro qiyaasta caadiga ah ee mudada dheer ee calaamadaha menopause , haweenka dumarku waa mid gaar ah. Kala wareegista badiyaa waxay qaadataa qiyaastii afar sano, laakiin calaamadaha qaarkood ayaa laga yaabaa inay sii dheeraadaan. Ma jiraan sharciyo adag oo degdeg ah sida menopause bilaabmayo oo ay ku dhammaato jadwalkeeda.
Mudo intee le'eg ma qabtaa Perimenopause iyo Menopause?
Perimenopause , mararka qaarkood waxaa loogu yeeraa kala-guurka menopausal, wuxuu bilaabmayaa marka haweeneydu bilawdo isbeddel ku dhaca wareegga caadada (tusaale ahaan, muddo dheer ama wareega gaaban), iyo sidoo kale calaamadaha la xiriira hoos u dhaca heerarka estrogen-inta ugu badan ee kulaylka kulul.
Inta badan dumarka waxay geli karaan perimenopause mararka 40aad , celcelis ahaan da'da 47 jir. Perimenopause waxay ku dhamaaneysaa marka haweenku aanay lahayn caadada caadada 12 bilood oo isku xiga; tani waxaa loogu yeedhaa 'menopause'.
Ogow in perimenopause loola jeedo wakhti wakhti xitaa xilliga caado-qabtadu ay tilmaamayso waqti go'an - ismaandhaaf guud iyo ilo wareer.
Waqtiga waqtiga ka dambeeya ciladda menopause waxaa loo yaqaan 'postmenopause'. Inta lagu jiro xilliga dambe ee haweenka, haweenku ma lahan caadada caadada sanadka gudaheeda, inkastoo ay weli la kulmi karto calaamadaha la xiriira daciifnimada estrogen sida hoosta haweenka.
Celceliska dhererka 'perimenopause' waa afar sano, sidaas awgeed da'da ugu weyn ee haweeneyda uurka ku jirta waxay tahay 51 jir. Dabcan, inkastoo, tani waa qiyaastii celcelis ahaan mana saadaalinayso mudada saxda ah ee haweeney kasta.
Intee Ayuu Yahay Calaamadaha Calaamadaha Maan-u-Dhaca ee la Xiriira?
Inkasta oo menopause ay calaamad u tahay waqtigii ay haweenaydu aysan caadadu uureysneyn muddo 12 bilood ah mana sii deynayso (ukumaha ugxan-soociddeeda uguma sii deyneysa), calaamadaha menopause waxay ku sii jiri karaan.
Labo calaamadood oo leh calaamadaha menopause-ku-xiran ayaa ah kuleylka kuleylka iyo qallalka siilka . Labadan calaamadood ayaa ku dhaca natiijada ka timaadda luminta estrogen ee jidhka, sida caadiga ah waxaa soo saarey ugxan haween ah.
Dumarka intooda badani waxay joojiyaan in ay dareemaan shaashado kulul muddo shan sanno gudahood ah ka dib xilligii caadada ugu dambeysay. Si kastaba ha ahaatee, warbixinta ku saabsan maareynta caadooyinka caadada ayaa sheegaya in Daraasada Waayeelka ah ee Penn Ovarian ay ogaatay in in ka badan saddex-meelood hal haween ah ay sii wadeen in ay yeeshaan nalal kulul oo heer kulul ah 10 sano ama ka badan.
Dumarka bilaabay inay dareemaan kubad kulul marka ay soo galaan perimenopause waxay lahaayeen muddo dheer, celcelis ahaan 11.6 sano. Haweenka African-American waxay lahaayeen mudo ka dheer haweenka cadaanka ah.
Qalitaanka siilka, gubashada, iyo cuncunka ayaa sidoo kale dhaca kadib natiijada daciifinta estrogen. Farqiga u dhexeeya calaamaddan waxa weeye in ay ka sii darayso dumarka inay sii weynaadaan. Xaqiiqdii, wax ka yar 30 boqolkiiba haweenka ku dhaca perimenopause ama postmenopause oo qoyaan la'aan ah. Hase yeeshee, dumarku waxay gaari karaan postmenopause delayed, qiyaastii kala bar waraabinta siilka.
Waxaa jira calaamado kale oo laga yaabo inay bilaabaan inta lagu guda jiro cudurka perimenopause oo ay sii socoto dhammaanba postmenopause. Kuwaas waxaa ka mid ah:
- Dhibaatooyinka hurdo
- Xaaladuna waxay isbeddeshaa sida niyad-jabka iyo walwalka
- Isbedelka fahamka sida xasuusta xusuusta
- Muruqyada iyo xanuunada wadajirka ah
Inkasta oo, inkasta oo haween badani ay calaamadahaas u muujiyaan caado-qabatada, wakhtigu wuxuu noqon karaa mid aan toos ahayn. Si kale haddii loo dhigo, waa nasiibdarro in la ogaado haddii calaamadahani yihiin kuwo run ahaantii ka imanaya la'aanta estrogen ee jidhka ama geedi socodka dabiiciga ah ee la socda da'da.
Calaamadaha Saameynta Saameynta Menaphause Duration iyo Calaamadaha
Sida qaangaarnimada iyo uurka, perimenopause wuxuu bilaabmaa wuxuuna ku dhamaanayaa waqtiyo kala duwan ee dumarka. Waxaa jira waxyaabo badan oo saameynaya waqtiga iyo waayo-aragnimada of perimenopause in haweeney kasta ay qorto sheeko gaar ah.
Genetics, qaab nololeedka, cuntada, culeyska, caafimaadka guud, iyo aragtida dhaqameed waa dhammaan walxaha marka iyo sida aad si qoto-dheer u la socdaan calaamadaha cudurka menopause.
Taas oo la yiraahdo, inta badan haweenku waxay la kulmi doonaan "menopause" mudo ah laba ilaa iyo 10 sano oo ah xilligaas, laga yaabo inay bartamahooda bartamahoodii bartamahooda bartamahoodii.
Laakiin xitaa haddii aad bilowdo waqti hore ama dhammaad ka dib, waxaad weli ku jiri kartaa qaybtaada u ah miyir-qabka caafimaadka qaba. Iyo haddii aad waligaa dareentid hal shidad kulul, ama sii wado inay ku soo galaan 60ka sano ee dambe, waxay noqon kartaa "caadi" adiga.
Ereyga
Haddii calaamadaha menopause-ku xiran ay sababaan walwal ama si xun u saameyntaada tayada noloshaada ama shaqo maalmeedka, kala hadal dhakhtarkaaga.
Waxaa jira daaweyno badan oo kaa caawinaya sidii aad ula qabsan lahayd calaamadaha aan fiicneyn oo ay ku jiraan daawooyinka hoormoonada iyo kuwa aan hormoonka ahayn, iyo sidoo kale daaweyn kale .
> Ilo:
> Goodman NF, Cobin RH, Ginzburg SB, Katz IA, Woode DE. Xirfadlayaasha Caafimaadka ee Dhakhtarka Xanuunka Caafimaadka ee Endocrinologists Tilmaamaha Caafimaadka ee Hawlgallada Caafimaad ee Cilmi-baarista iyo daaweynta Menopause: Soo koobista talooyinka . Imtixaanka indhaha. 2011 Nov-Dec; 17 (6): 949-54.
> Huang AJ et al. Calaamadaha siilka dumarka ah ee dumarka postmenopausal: shaki la'aan, taariikhda dabiiciga ah, iyo waxyaabo halis ah. Menopause. 2010 Jan-Feb; 17 (1): 121-26.
> Kaunitz AM, Manson JE. Maareynta Calaamadaha menopausal. Dhaqtarka & Gynecology . 2015; 126 (4): 859-876. doi: 10.1097 / aog0000000000001058.
> Menopause. WomensHealth.gov. https://www.womenshealth.gov/menopause/menopause-basics.
> Ururka North American Menopause. Maqaalka Menopause: Tilmaamaha Bukaanka, 5th ed. 2014 Mayfield Heights, OH: Society North American Menopause Society.