Inkomfa yimeko yomzimba yowesifazane ohamba nophuhliso oluphambili lwenkqubo yokuzala. Ngokuqhelekileyo, eli qalisa liqala ngenxa yokulungiswa kweminyaka enxulumene neminyaka eyenzeka kumzimba wesetyhini. Abaninzi abafazi abangabakhathaleli ngokukodwa ngempilo yabo, bahlala becinga ukuba kutheni baqalisa ukuphuma kwesikhashana . Izizathu zingaba zininzi, kwaye ngamnye umfazi ahlukile.
Iimbangela zokusuka komntwana kwangaphambili kwabesetyhini
Ukutshintsha kwexesha lokumisa kwinqanaba lomfazi liyahlula zibe zigaba ezintathu: i-premenopausal, i-menopause kunye ne-postmenopause. Isigaba sokuqala senziwa eneminyaka engama-43 ubudala, kwaye ubude balo bude ukusuka kwiminyaka emibili ukuya kweyishumi. Kulo thuba kukho utshintsho kwimisebenzi yokuya esikhathini, kwaye ukuhamba kweemini kuyeka kwiminyaka eyi-50. Kukho iimeko xa ibhinqa linesimiso sokusasa kwangoko (ngaphantsi kweminyaka engama-40). Izimbangela eziphambili ezichaphazela ukubonakala kwexesha lokusuka kwimizuzu yokuqala zi:
- ubufebe, kwimeko apho ibhinqa liqala ukuyeka umama ngexesha elikuloo nto yayingunina okanye ugogo wakhe;
- okungaqhelekanga kwechromosomal;
- impilo jikelele, ubukho bezifo ezingapheliyo, iziganeko zobunzima, iingxaki ze-endocrine;
- imimiselo yomsebenzi nobomi, imo, ubukho bemikhwa emibi (ukutshaya, utywala), ukuhlala kwindlela yokuphila, ubunzima obuninzi kunye nokukwazi ukuhlangabezana nabo, ukungondleki ngokwaneleyo, ukutya, ukutyeba;
- imeko yemozulu, imeko yendalo.
Ukwazi ezi zizathu, ibhinqa lizama ukulibazisa ukuqala kwesikhashana, ukuguqula indlela yakhe yokuphila nokuthatha amanyathelo okukhusela. Eyona nto inzima kakhulu, mhlawumbi, ukulwa ne-heredity kunye ne-ecology, kodwa impilo jikelele kunye nobomi obusebenzayo, kwimeko enje, kuya kuthintela ukuphuma kwesikhashana. Nangona kunjalo, kufuneka uqalise oku kwangaphambili, ngaphandle kokulinda iimpawu zokuqala zokuqeda umama.
Indlela yokuqaphela ukuqala kwexesha lokusuka kwesikhashana?
Ukuba ukrokrela ukuphuma kwesikhashana, kodwa awuqinisekanga ngalokhu, kwaye awukwazi izizathu zokuvela "kwintlalo" enjalo, ngoko kule nto kuyimfuneko ukwazi iziganeko zokuqala zeli qa. Ukuqinisekisa ukuba oku kunjalo. Iimpawu zokunqamuka kwesisu zingaba ngolu hlobo:
- ukutshintsha kwimijikelezo yokuya esikhathini (incinci okanye ngokuphambeneyo, ukukhutshwa okukhulu);
- utshintsho lwama-hormone, olubonakaliswe ngedonsi kwinqanaba leprogesterone;
- ukungabikho komchamo ;
- ukwandiswa kwamazinga e-cholesterol kunye neshukela legazi;
- ukuvakalelwa rhoqo okutshisa.
Ezi zinto kunye nezinye iimpawu zibonisa ukuqala kokuphuma kwimizi, kodwa kungcono ukudibana nodokotela oya kuqinisekisa okanye aphikise ingcamango yakho.