Da alama cewa komai yana cikin tsari tare da lafiya, ga abokin tarayya kuma, kuma har yanzu akwai tsiri ɗaya akan gwajin. Tare da abin da wannan na iya zama saboda, in ji dan takarar na likita kimiyyar, mataimakin farfesa na hanya na masu zaman kansu endocrinology a Sashen Endocrinology, FUV Moscow Regional Research Clinical Cibiyar. MF Vladimirsky (MONIKI), masanin ilimin endocrinologist Irena Ilovaiskaya.
Matsakaicin shekarun mace 'yar Rasha da ta zama uwa a karon farko yana karuwa koyaushe kuma ya riga ya ketare alamar shekaru 26. Wannan yana da alaƙa da sha'awar ƙarfafa yanayin kuɗi da gina aiki. Amma yanzu an sami ilimi, akwai aiki mai kyau da kwanciyar hankali, amintaccen abokin rayuwa yana kusa, yana shirye don raba farin cikin mahaifa, amma ciki da ake so bai zo ba. Kuma wannan dalili ne don tuntuɓar likitan ku na endocrinologist kuma ku tambaye shi aƙalla muhimman tambayoyi biyar.
1. Shin munanan halaye, musamman shan taba, suna yin mummunan tasiri akan yiwuwar samun ciki?
Kaico, wannan ba labari ba ne, amma gaskiyar likita. Shan taba sigari wani abu ne mai karfi a cikin matsalar haihuwa: yawan rashin haihuwa a tsakanin matan da ke shan taba ya fi na wadanda ba sa shan taba, yayin da kashi 10 cikin XNUMX na matan da suka kai shekarun haihuwa a kasarmu suke shan taba. Karkashin tasirin nicotine, haihuwa na mace yana raguwa, kuma tsarin tsufa na ƙwai yana haɓaka. Tare da kowace sigari da aka sha, ana samun raguwar damar samun nasarar daukar ciki da kuma damar da za a yi a farkon menopause yana ƙaruwa. Idan har yanzu kuna ci gaba da samun ciki, to, rikitarwa yana yiwuwa riga a lokacin daukar ciki. Bugu da ƙari, za a iya haifar da jariri mai rauni, tare da gungun ɓangarorin daban-daban waɗanda za su kasance tare da shi har abada.
"Mace da ke shirin daukar ciki ya kamata ta daina shan taba a kalla watanni 3-4, kuma zai fi dacewa a shekara guda kafin daukar ciki," in ji masanin endocrinologist Irena Ilovaiskaya.
2. Ba ni da matsalar lafiya, ina tafiyar da rayuwa mai kyau, amma ciki ba ya faruwa ta kowace hanya. Zai iya kasancewa dawwamammen damuwa a wurin aiki ya shafi haihuwa sosai?
Matan zamani ba su la'akari da tasirin haihuwa na tsarin rayuwa mai aiki, babban aiki na jiki da damuwa a wurin aiki. A irin wannan yanayi, kwayar halitta da kanta, wacce a zahiri ke gwagwarmaya don rayuwa, tana kashe duk ayyukan sakandare, gami da haifuwa. An san abin da ake kira "wartime amenorrhea" - gazawar haila ko kuma rashin cikakkiyar haila saboda mummunar girgiza, aiki, rashin abinci mai gina jiki da damuwa akai-akai. Yanzu, duk da haka, ya zama halayen lokacin zaman lafiya kuma.
"Muna ƙara fuskantar rashin haihuwa mai tsanani - lokacin da babu matsalolin lafiya, amma har yanzu tunanin ba ya faruwa. Kuma sau da yawa yana faruwa kamar haka: da zarar ma'aurata sun daina damuwa da damuwa, shawarwari tare da likitoci da gwaje-gwaje, sun daina "kokarin" kuma, alal misali, tafi hutu don ba wa kansu damar yin numfashi a hankali, duk abin da ke aiki! Sabili da haka, ga matan da ba su da matsalolin kiwon lafiya, amma waɗanda ba za su iya yin ciki ba, muna ba da shawarar daidaita salon rayuwarsu - guje wa wasanni da yawa da aiki, tafiya da yawa, sha'awar yanayi, wasa tare da yara ƙanana - "sauya" jikinsu zuwa tunani da kuma mai zuwa. uwa,” in ji Irena Ilovaiskaya.
3. Wataƙila yana da daraja yin cikakken binciken likita kafin ciki?
"Ni ba mai goyan bayan rubuta wa mutane lafiya gabaɗaya ba tare da munanan halaye ba ko kuma gano yanayin cututtuka, ba tare da koke-koke ba, cikakken bincike. A irin waɗannan lokuta, ana bayyana halayen mutum na kwayoyin halitta sau da yawa - da kansu ba matsala ba ne ko cuta, amma gaskiyar gano su na iya haifar da damuwa maras muhimmanci kuma ya haifar da ƙarin matsalolin tunani lokacin da mai haƙuri ya kasance ba dole ba ne ya gyara kansa. lafiya, ”ya jaddada Irena Ilovaiskaya.
Idan mace ta yanke shawarar zama uwa, sai ta fara ziyartar likitan mata. Zai zana gwajin algorithm kuma ya ba da shawarar kwararrun likitoci: dole ne ku ziyarci endocrinologist, likitan zuciya, likitan fata, kuma ku wuce wasu gwaje-gwaje. Dangane da sakamakon anamnesis da aka tattara, ƙila za ku yi magana da masanin ilimin halitta da sauran ƙwararrun ƙwararrun ƙwararru. Mafi mahimmanci, idan mahaifin yaron nan gaba ya yi gwajin likita a layi daya, likita zai rubuta nasa jerin gwaje-gwaje da kwararru.
4. Yaushe ya kamata iyaye masu tasowa su fara damuwa game da rashin iya haihuwa?
Idan duka iyaye masu zuwa suna da lafiya kuma suna da rayuwar jima'i mai aiki ba tare da hana haifuwa ba, likitoci sun ƙayyade irin wannan lokaci a matsayin shekara ta kalanda. Kada ku firgita a cikin wannan halin, watakila, "taurari ba su riga sun samo asali ba", amma har yanzu, bayan shekara guda na ƙoƙarin yin ciki na yaro ba tare da matsalolin likita ba, yana da daraja yin ƙarin bincike. Zai yiwu akwai latent endocrinological cuta.
“A yau al’ada ce a jinkirta aiwatar da tsare-tsaren haihuwa, duk da haka, tsofaffin mutane ne, yawan lokacin da ake ɗauka don samun nasarar daukar ciki. Tsakanin shekaru 20 zuwa 30, yiwuwar samun ciki a cikin shekara guda na "yunkurin" shine kashi 92 cikin dari, sannan ya ragu zuwa kashi 60. Wani muhimmin ci gaba - 35 shekaru: haihuwa yana raguwa sosai, ba kawai a cikin mata ba, har ma a cikin maza, kuma yiwuwar rashin lafiyar kwayoyin halitta a cikin yaro yana ƙaruwa. Saboda haka, iyaye na gaba a wannan shekarun suna ba da shawarar ganin likita bayan watanni 6, don kada su ɓata lokaci mai daraja, "in ji Irena Ilovaiskaya.
5. Shin kasancewar cututtukan endocrin da gaske yana shafar lafiyar haihuwa?
Rashin haihuwa na Endocrine yana daya daga cikin abubuwan da ke haifar da rashin haihuwa. Abubuwan Endocrine na iya haifar da rikicewar hormonal, alal misali, haɓakar samar da prolactin ta glandon pituitary yana haifar da rashin aiki na tsarin haihuwa, kuma rashin daidaituwa na al'ada na iya faruwa. Don haka, idan haila ta faru kasa da sau ɗaya a kowace kwanaki 38-40, to akwai wani dalili mai mahimmanci na binciken hormonal. Misali, zaku iya ba da gudummawar jini don sanin matakin prolactin.
“An kuma bayyana abubuwan da ke haifar da endocrin a cikin cin zarafin kwai. Idan, bisa ga sakamakon binciken, mace tana da ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta ko kuma ba ta nan gaba daya, likita zai rubuta jarrabawar da ta dace, bisa ga sakamakon da za a zabi wani magani na mutum. A sakamakon haka, za a dawo da kwatsam kwatsam ko za a iya motsa shi. Irin wannan farfadowa na iya ɗaukar daga watanni da yawa zuwa shekara, amma sakamakon - jariri mai lafiya da aka dade ana jira - ya cancanci lokaci da ƙoƙarin da aka kashe, "Irena Ilovaiskaya tabbata.