Hanyar rayuwa

Un lafiya rayuwa yana taimakawa wajen rage zafin bayyanar cututtuka na menopause, inganta lafiyar zuciya da jijiyoyin jini, da samar da wasu kariya akan matsalolin lafiya da dama.

Food

Don rage zafi mai zafi

• Maimakon samun manyan abinci guda 3, rage rabo kuma shirya abinci mai kyau tsakanin abinci;
• Don shan ruwa mai yawa;
• Kauce wa ko rage yawan amfani da abubuwan kara kuzari: abubuwan sha masu zafi, kofi, barasa, jita-jita masu yaji;
• Rage yawan cin sukari mai yawa;
• Ku ci abinci mai arziki a cikin phytoestrogens akai-akai.

Jiki na jiki

Duk wani nau'i na motsa jiki ya fi rashin aikin jiki. Ga dukkan mata, musamman ma wadanda suka shiga wannan lokacin mika mulki, damotsa jiki na yau da kullun yana ba da fa'idodi masu mahimmanci da yawa:

- kula ko cimma nauyin lafiya;

- kiyaye tsarin zuciya da jijiyoyin jini cikin tsari mai kyau;

- rage asarar yawan kashi da haɗarin faɗuwa;

- rage haɗarin ciwon nono;

– tada sha’awar jima’i.

Bugu da kari, bincike ya nuna cewa mata masu zaman kansu sun fi samun sauki hotuna mai zafi matsakaici ko nauyi idan aka kwatanta da matan da ke motsa jiki akai-akai^{3, 4,47}.

Ana ba da shawarar yin aiki matsakaici aƙalla Minti na 30 a rana da kuma haɗa motsa jiki na sassauƙa cikin abubuwan yau da kullun: mikewa, tai chi ko yoga, misali. Don shawarwarin da suka dace, tuntuɓi likitan likitancin kinesiologist (kwararre a cikin aikin jiki).

Hanyoyi masu mahimmanci

Zurfafa numfashi, tausa, yoga, hangen nesa, tunani, da sauransu na iya taimakawa tare da matsalolin barci, idan akwai. Shaƙatawa na iya taimakawa wajen sauƙaƙa wasu alamun alamun hutu na al'ada (duba Ƙarin hanyoyin hanyoyin).

magani

Don magance matsalolin daban-daban da ke da alaƙa da menopause, likitoci suna amfani da nau'ikan hanyoyin 3 na pharmacological:

• general hormonal magani;
• maganin hormonal na gida;
• magungunan da ba na hormonal ba.

Gabaɗaya maganin hormonal

THEHarshen hormone yana ba da hormones waɗanda ovaries suka daina ɓoyewa. Yana ba da damar yawancin mata su ga nasu bayyanar cututtuka (haɗaɗɗen zafi, damuwa na barci, sauye-sauyen yanayi) don tsawon lokacin maganin hormone.

Yana da mahimmanci a san cewa yawancin matan da suka fara maganin maganin hormone na yau da kullum za su dawo da alamun su lokacin da suka daina jiyya saboda jiki zai sake shiga cikin canjin hormonal. Wasu mata na iya, alal misali, su ɗauki yanke shawara shan maganin hormone na ƴan shekaru sannan kuma yanke shawarar dakatar da shan shi bayan yin ritaya, sanin cewa zai kasance da sauƙi don sarrafa alamun su a wannan lokaci na rayuwa.

Tsarin maganin hormone na yau da kullum yana amfani da haɗuwa da estrogens da progestins. The estrogen kadai an keɓe wa matan da aka cire mahaifar (hysterectomy) tun lokacin da aka ɗauki tsawon lokaci, suna ƙara haɗarin ciwon daji na mahaifa. Ƙara progestin yana rage wannan haɗari.

A zamanin yau, daHarshen hormone an keɓe shi ne ga mata waɗanda alamun bayyanar al'adar al'ada ke bayyana su kuma waɗanda ingancin rayuwarsu ya lalace sosai don tabbatar da hakan. The Ƙungiyar Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararru na Kanada yana ba da shawarar cewa likitoci su rubuta mafi ƙarancin tasiri na tsawon lokaci mafi ƙanƙanta. Matsakaicin lokacin shawarar shine 5 shekaru.

Hormone far zai iya taimakawa rage asarar kashi kashi don haka rage haɗarin karaya. Koyaya, bai kamata a rubuta shi don wannan kawai dalili ba.

Maganin maye gurbin hormone wani lokaci yana da illa ba haɗari ba, amma mara dadi. Duba da likitan ku.

Wasu mata suna shan hormones haka ci gaba da tafiya, wato, suna shan estrogens da progestins kowace rana. Haila sai ta tsaya. Yawancin lokaci, ba sa dawowa lokacin da maganin hormone ya tsaya, idan ya dade sosai. Wasu mata suna shan magani cyclic, da kuma shan progestin kawai kwanaki 14 a wata da estrogen kowace rana. Hormonal far cyclically yana haifar da "lokacin karya" ko zub da jini janyewa (ba ya danganta da ovulation, kamar yadda yake a cikin maganin hana haihuwa).

Classic hormone far

A Kanada, conjugated equine estrogens (Premarin®) sun daɗe mafi wajabta. Ana fitar da waɗannan estrogens daga fitsarin majiyoyi masu ciki kuma ana gudanar da su ta baki. Duk da haka, wannan ba haka yake ba. 1^er Fabrairu 2010, an cire Premarin® daga jerin magungunan da tsarin inshorar magunguna na jama'a na Quebec ke rufe, saboda karuwar farashin siyarwar sa.². (Premplus®, haɗin haɗin equine equine estrogen da progesterone na roba, an kuma cire su.)

Tun daga wannan lokacin, likitoci zasu iya rubuta kowane ɗayan estrogens masu zuwa. Waɗannan allunan da za a sha da baki.

- Rarraba®: oestradiol-17ß;

- Eyes®: etropipate (wani nau'i na estrone);

- CES®: roba conjugated estrogens.

Estrogens yawanci ana rubuta su a hade tare da roba progestins : medroxy-progesterone acetate (MPA) irin su duba® ko micronized progesterone daga shuke-shuke kamar Prometrium®. Micronized progesterone wani nau'i ne na hormone "bioidentical" (duba ƙasa).

Bioidentical hormone far

The hormones bioidentical suna da tsarin kwayoyin halitta iri ɗaya kamar sinadarai masu ɓoye daga ovaries: estradiol-17ß (babban estrogen da jikin mace ke samarwa) da kuma progesterone. Ana hada su a cikin dakin gwaje-gwaje daga tsire-tsire irin su waken soya ko dawa na daji.

Bioidentical estradiol-17ß ana gudanarwa ta dermal, wanda ke bambanta shi da maganin hormone na al'ada. Ana samuwa a cikin nau'i na kan sarki (Estraderm®, Oesclim®, Estradot®, Sandoz-Estradiol Derm® ko Climara®) ko daga gel (Estrogel®).

Bugu da kari gaoestradiol-17, likitocin da ke amfani da maganin kwayoyin halitta yawanci suna rubutawa micronized progesterone. Dabarar micronization tana canza progesterone zuwa ƙananan ƙwayoyin cuta waɗanda jiki ke ɗauka da kyau. Ana bayar da wannan ta baka (Prometrium®)

An wajabta magungunan kwayoyin halitta masu kama da shekaru da yawa a Kanada da Faransa (sunan bio-m duk da haka kwanan nan). A lokacin rubutawa, waɗannan magungunan sun kasance kawai tsarin inshora na jama'a na Quebec a wasu takamaiman lokuta. Koyaya, yawancin tsare-tsaren inshora masu zaman kansu suna maida su.

ra'ayi. Hakanan yana yiwuwa a siyan kan-da-counter m shirye-shirye na bioidentical estrogens, a cikin nau'i na cream dauke da fili na 3 na halitta estrogenic kwayoyin mata, estradiol, estriol da estrone. Duk da haka, babu wani bayanan kimiyya da ya tabbatar da tasirin su kuma yawancin likitoci suna ba da shawara a kansu. Hakanan zaka iya samun a cikin kantin magani shirye-shiryen magistral na progesterone a cikin nau'i na cream. Waɗannan an hana su a hukumance. A cewar D^re Sylvie Dodin, shayar da progesterone ta fata ba shi da inganci, ya bambanta da yawa daga wata mace zuwa wata kuma baya samar da isasshen hankali don kare mahaifa. Ka tuna cewa shan isrogen kadai yana ƙara haɗarin ciwon daji na mahaifa, kuma cewa ƙari na progesterone yana taimakawa rage wannan hadarin.

Maganin hormonal na gida

Yin amfani da estrogen a cikin ƙananan allurai, a farji, yana nufin sauke alamun da ke da alaƙa rashin bushewa kuma zuwa ga bakin ciki na mucous membranes. Duk da haka, ba shi da wani tasiri na warkewa a kan zafi mai zafi, rashin barci, da kuma yanayin yanayi. Maganin maganin hormone na gida baya haifar da illa da haɗari da ke tattare da maganin hormone na gaba ɗaya.

Ana iya isar da isrojin a cikin farji ta amfani da a cream, A zobe or Allunan. Tasirinsu iri daya ne. Ana saka kirim na farji da allunan a cikin farji ta hanyar amfani da applicator. Zoben farji mai ciki na isrogen an yi shi da filastik mai sassauƙa. Ya shiga zurfin cikin farji kuma dole ne a canza shi kowane watanni 3. Yawancin mata suna jurewa da kyau, amma wasu suna ganin ba shi da daɗi ko kuma wani lokaci suna da halin motsi da fitowa daga cikin farji.

A farkon jiyya, lokacin da mucosa na farji ya yi bakin ciki sosai, estrogen da ake shafa a cikin farji na iya yaduwa cikin jiki. Koyaya, ba a sami rahoton wani mummunan sakamako na tsawon lokaci na kiwon lafiya a allurai da aka ba da shawarar ba.

Magungunan da ba na hormonal ba

Magungunan da ba na hormonal ba na iya taimakawa wajen rage wasu alamun bayyanar menopause.

Da zafi walƙiya

Antidepressants. Nazarin ya nuna cewa wasu magungunan kashe kwayoyin cuta na iya rage zafi mai zafi (amma tasirin bai wuce na maganin hormone ba) ko akwai rashin ciki ko a'a. Wannan zaɓin na iya zama zaɓi mai ban sha'awa ga macen da ke da alamun damuwa da walƙiya mai zafi, amma wanda ba ya son ɗaukar hormones.

Magungunan antihypertensive. Clonidine, maganin da ake amfani da shi don rage hawan jini, an nuna yana da ɗan tasiri fiye da placebo wajen kawar da walƙiya mai zafi. Duk da haka, ba a amfani da wannan magani sosai saboda yana haifar da illoli da yawa, kamar bushewar baki, bacci da maƙarƙashiya.

Akan bushewar farji

An nuna Replens® Moisturizing Gel a matsayin ingantaccen danshin farji wajen kawar da ƙaiƙayi da haushi da kuma zafi yayin jima'i. Ana shafa shi kowane kwanaki 2 zuwa 3.

A kan sauye-sauyen yanayi

Yin amfani da magungunan rage damuwa, anxiolytics da magungunan barci bai kamata su kasance cikin arsenal na kulawar menopause na asali ba. Dole ne takardar sayan magani ta cika ma'auni iri ɗaya da ƙaƙƙarfan irin na kowane lokaci na rayuwa.

Maganin osteoporosis

Ana amfani da magungunan da ba na hormonal ba don ƙara yawan kashi kuma rage haɗarin karaya. Duba sashin jiyya na Likita na takaddar gaskiyar Osteoporosis.

Magance matsalolin barci

Wasu ra'ayoyin don sauƙaƙe barci: motsa jiki akai-akai, amfani da hanyoyi daban-daban don shakatawa (numfashi mai zurfi, tausa, da dai sauransu), guje wa maganin kafeyin da barasa da shan chamomile na Jamus ko shayi na valerian kafin barci.⁶. Duba kuma Mafi Kyawun Barci - Jagora Mai Kyau.

Rayuwar jima'i

Nazarin ayan nuna cewa mata da rayuwar jima'i mai aiki suna da ƙarancin bayyanar cututtuka a lokacin menopause fiye da waɗanda ke da ƙarancin jima'i ko rashin aiki⁷. Amma ba a san ko akwai dalili da alaƙa ba ko kuma daidaituwa ce mai sauƙi tsakanin su biyun.

Ko ta yaya, a bayyane yake cewa lokacin haila da alamu da yawa ke nuna yana kawo cikas ga rayuwar jima'i. Duk da haka, mutum na iya kula da rayuwar jima'i mai aiki da gamsarwa ta hanyar amfani da maganin hormone na farji, moisturizer na farji ko mai mai.

Ka tuna cewa motsa jiki yana iya tayar da sha'awar mata. Don kula da libido aiki, yana da mahimmanci don kula da kyakkyawar sadarwa tare da ma'aurata da kuma kula da damuwa a gaba ɗaya (aiki, da dai sauransu).

Testosterone. Bayar da testosterone ga matan da suka biyo bayan hailar har yanzu wani abu ne na gefe a Arewacin Amurka. Duk da haka, likitoci suna da yawa suna yin hakan don dawowa da haɓaka sha'awar jima'i, musamman a cikin matan da aka cire duka ovaries. Abubuwan da za su iya haifar da amfani da testosterone a cikin mata har yanzu ba a fahimta sosai ba. Don haka dole ne mu dauki wannan magani a matsayin gwaji.

Tuntubi Takardun Gaskiyar Matsalar Rashin Jima'i ta Mace.

kari

Shawarwari ɗaya kawai na hukuma ya shafi amfani da kariyar calcium da bitamin D don yaƙiosteoporosis, a wasu lokuta. Don ƙarin cikakkun bayanai, duba takardar kan osteoporosis da waɗanda aka sadaukar da waɗannan samfuran 2.