Nzira yekuparara kwehutano hwekubereka mumukadzi inogona kutora makore akawanda. Izvozvo zviratidzo zvekutanga zvechiitiko ichi zvinogona kuonekwa nguva refu kusati kwapera kuguma kwemwedzi. Kuzara kwezviratidzo uye kuratidzwa kwegadziriro iyi yainzi climmacteric syndrome.
Climacteric syndrome - chii ichocho?
Climacteric syndrome - kusanganiswa kwezviratidzo, zviratidzo uye kuratidzwa, izvo zvinoratidza kupera zvishoma nezvishoma kwehutano hwekubereka. Izvozvo zviratidzo zvekutanga zvechirwere zvinowanikwa munguva ye premenopausal uye mune dzimwe nguva dzinoramba dzichiri mumadzimai emasopaopausal . Nguva yechirwere ichi ine nguva yakareba - inogona kuramba kubva pamwedzi yakawanda kusvika pamakore mashanu (30% yevakadzi).
Muchikamu chevarwere, zviratidzo zvekuenda kumwedzi nguva nenguva zvinoratidza ivo pachavo. Apo chirwere chemazuva ano chiri pakati pevakadzi, zviratidzo zvinoratidzika pachavo mune zvikamu zvenguva yemakore mashanu kusvika ku10. Maererano nekucherechedza nezvechiremba uye kunyunyuta kwevakadzi vachivakurudzira, zviratidzo zve climacteric syndrome zvinonyanya kuzivikanwa mugore rakapera nguva yekuguma, ipapo simba ravo uye nguva zhinji inoderera. Zvisinei, kupera zvachose hakuiti.
Climacteric syndrome - pathogenesis
Kuti unzwisise kuti chirwere ichi chinoratidzika sei, zvakakosha kubhadhara kune chinokonzera chinokonzera. Chikonzero chekuonekwa kwezviratidzo zvinoratidza kutanga kwekuguma kwemwedzi ndiko kuchinja kwemashure ehomoni. Madzimai, kune kuderera kwehutano hwehutachiona hwemabonde - estrogens. Zvinhu izvi hazvirevi chete basa rekubereka, asiwo hunochinja dzimwe nhengo. Kushayikwa kwavo kunoratidzwa mubasa remwoyo uye mushushi (kukanganisa kunobuda nhengo idzi kunogadzirirwa panguva yekuenda kumwedzi).
Zvinofanira kuonekwa kuti kuchinja kworudzi urwu chiratidzo chevakadzi vose vezera rakakura. Zvisinei, nguva yechitarisiko chavo, chiyero chekutaura chinogona kusiyana. Mune mamwe mamiriro ezvinhu, chirwere chinokonzera chirwere chinonzi ecmacteric syndrome chinogona kuonekwa, kana zviratidzo zvichitaura zvokuti zvinoshandura zvachose mararamiro ehupenyu. Kurwisana kwehupenyu hwekuzvarwa kwehutano, zvichienderana nevakadzi vegynecologists, zvinogona kuwedzera kune zvinhu zvinotevera:
- kuita zvekuita nguva dzose, mamiriro ekushanda akaoma;
- mamiriro anorwadza, kushungurudzika kwe endocrine uye nheyo dzenyika;
- zvinetso mu puerperium uye munguva yekuzvitakura;
- kuvhiringidza zvirongwa munhengo dzemuviri;
- overweight.
Ko menopausal syndrome inoratidzwa sei kuvakadzi?
Izvozvo zviratidzo zvekutanga zvechirwere zvinoratidzika pakarepo kana mushure mekuguma kwemwedzi kana mukati megore nekuguma kwemwedzi. Kazhinji vanachiremba vanogadzirisa maitiro, apo zviratidzo zvikuru, zvinopera kwekanguva, zvinoonekwa zvakare. Chiratidzo chechimiro chinonzi symacrome syndrome chirwere chinonzi neuropsychic chinoratidzika nekuvhiringidzwa kwepakati yenheyo system. Pakati pezvimwe zviratidzo zvinogona kuitika, vanachiremba vanoti:
- exchange-endocrine;
- kushungurudzika kweukama.
Psychoneurotic zviratidzo zve-climacteric syndrome
Iri boka rezviratidzo rinowanzoreva kuratidzwa kwekuguma kwemwedzi kunokonzerwa nehutano hwepakati yenheyo system. Zviratidzo zvekutanga zvevakadzi ava vanotanga kuona zviripo shure kwekuguma kwekugara kwenguva. Kuwanda kwehomoni muropa kunoderera, uye izvi zvinotungamirira pakugara kwemafungiro, kuwedzera kwekushaya hope. Psycho-neurotic zviratidzo zve-climacteric syndrome dzinosanganisira:
- kugona;
- memory disorder;
- kutsamwa;
- kuchema;
- kutarisira;
- kuonekwa kwekunzwa kwekutya;
- kuzvidya mwoyo;
- kuwedzera kuneta;
- kuderedza chido chepabonde.
Vasovegative zviratidzo zve climacteric syndrome
Zviratidzo zvekudyisa zvemhepo inokonzerwa nemhepo inokonzerwa nekuvhiringidzika kwemwoyo yemagetsi. Kakawanda kuchinja kweropa, kuwedzera kwebasa rekudzikisa, kuputsa kwemwoyo kunokonzera kuonekwa kwezviratidzo zviratidzo. Izvi ndezvi:
- kupisa kunopisa - kamwe-kamwe kunzwa kwekupisa, pamwe nekudzikinurwa kweganda rechiso;
- chills;
- tachycardia ;
- sweating;
- chizoro;
- manzwiro ekushaya simba mumaoko;
- headache;
- kuchinja kusinganzwisisiki muropa.
Climacteric syndrome - kuoma
Mukuita, vanachiremba vanoshandisa imwe nhengo. Munyori waro ndiVP Vikhlyaeva. Nheyo iyo kugoverwa kwema-climacteric syndrome muzvidimbu zvakasiyana-siyana zvehutsinye, zvichienderana nehuwandu hwekuonekwa kwematombo:
- 1 degree (chiedza chimiro) - apo nhamba yemasipiresi pazuva haipfuuri zvikamu gumi (inowanikwa muna 47% yevarwere).
- 2 degree (kuenzanisa zvakakomba) - nhamba yezvikamu zvekurumidza kunzwa kupisa, mafungu ane 10-20 zvikamu pazuva (35% yevakadzi).
- 3 degree, kana kuti inonzi, yakaoma climacteric syndrome - inopisa moto inowanikwa kanopfuura makumi maviri pazuva. Mamiriro ehutano ehutano anotambudzika, pane dzimwe nguva mukadzi haakwanisi kutungamira mararamiro ehupenyu uye anomanikidzwa kuti apiwe kurapwa muchipatara.
Climacteric syndrome - kuongororwa
Iva nechokwadi chechimacteric syndrome kuvakadzi vanogona kungoongorora zvirwere, zvimwe zviratidzo uye zviratidzo hazvina kukwana. Kazhinji, kuongororwa kwekuputsa hakuiti kuti matambudziko. Inosanganisira:
- Kubhadhara kwekugara kana kusavapo kwenzvimbo yakadaro yekuenda kumwedzi.
- Kuongorora ropa kweropa.
- Kusagadzikana kwechirwere chetachiona chekubereka, izvo zvingave nezviratidzo zvakafanana kune avo vanorondedzerwa pamusoro apa.
- Kubvunzurudzwa kwechiremba, oculist (kuongororwa kwemamiriro ehurumende), endocrinologist.
Climacteric syndrome - kurapwa
Chirwere chemhepo chinonzi symacrome chinofanira kuitwa nenzira yakaoma. Urongwa hwehutano hunosimbiswa nachiremba mumwe oga, achifunga nezvezera remurwere, zviratidzo zvakasimba, mahomoni. Muzviitiko zvakawanda, kurapwa kunotanga nesangano rehupenyu hwehupenyu - kuramba tsika dzakaipa, kuwedzerwa muviri. Kushanda kwenguva pfupi mumuviri kurapa maminitsi mashanu kubatsira hakungoiti kuderedza zviratidzo zve climacteric syndrome, asiwo kuvandudza kushanda kwemwoyo yematambudziko.
Climacteric syndrome - kliniki mazano
Kana mukadzi ane chirwere chinonzi climacteric syndrome, vanachiremba vanokupa mazano ekutarisana nazvo kana mushure mekudzidza zvakakwana murwere wegadziriro anamnesis, kuunganidza kwe data rose. Hapana imwe nzira iyo inogona kugadzirisa matambudziko ehutano aripo, kuderedza nhamba yezvinyorwa zvemvura. Chiitiko chimwe nechimwe chakasiyana, saka chirwere chirongwa chinokurudzirwa nachiremba mumwe oga, achifunga nezvekutsvaga kwezvidzidzo uye kuongorora. Kazhinji, kurapwa kwemhepo inonzi ecmacteric syndrome kunogona kusanganisira:
- hormone replacement therapy;
- therapy with herbs;
- kushandiswa kwezvigadzirwa;
- kunamatira kune chikafu chinokosha.
Climacteric syndrome - kurapwa, zvinodhaka
Kurapa kwemaawapausal syndrome kuvakadzi kunoitwa pasi pekutarisirwa kwakasimba kwechiremba. Nheyo yezvinodhaka remishonga inonzi hormonal drugs. Nhamba, nguva yakawanda yehutungamiri uye nguva yehutano inogadzirirwa mumwe nomumwe. Pakati pemishonga inorayirwa kukanganisa kwakadaro, semhepo inonzi cavalteric syndrome, zvakakosha kusiyanisa:
- Estrogens (yakagadzwa kana pasina kukwana kwekugadzirwa nemukaka): Femoston, Divina.
- Gestagens (inoshandiswa kugadzirisa zvirwere zvekuberekwa kunoenderana nekuenda kumwedzi): Norkolut, Prozhestan, Utrozhestan.
- Kubatanidza mishonga yekudzivirira yemuromo : Logest, Novinet.
Kudzivirirwa kwema-cmacteric syndrome
Nzira dzemazuva ano dzekudzivirira menopausal syndrome zvinoreva kuve nekudzokorora kwakakwana kwemaitiro ehupenyu uye kudya. Masayendisiti ave akaratidza kuti kudya zvimwe zvokudya uye ndiro, mukadzi anogona kuzadza zvakakwana kusakwanisa kwemahara hormone, kuderedza zviratidzo zvinotevera climacteric syndrome. Zvinotenderwa mukudya kwevakadzi vakadzi vakura kupfuura makore makumi mana zvinofanira kuvapo:
- nyemba;
- garnet;
- nguva;
- kabbage;
- flax mbeu;
- karoti;
- cherry.
Zvisinei, kudya kwakanakisisa hakugoni kubvisa zvachose kubviswa kwechirwere.
Kuti kuderedza ngozi ye climacteric syndrome, vanachiremba vanopa zano:
- Tarisa muviri wehutatu.
- Bvisa kushungurudzika uye pfungwa-mupfungwa kunetseka.
- Kupfuura kana kuitika munguva yakakodzera kusarudzwa kwakarongwa.
- Tora zvirwere zvinotapukira.
- Nguva dzose unoita miedzo yekudzivirira pane gynecologist (kanenge kaviri pagore).