Txawm hais tias tib neeg nrhiav kev hla dhau los, kev sib ntsib nrog nws yog qhov kev zam tsis tau. Nws yog hais txog cov laus. Cov txheej txheem ntuj no yog yam ntxwv ntawm txhua yam kab mob nyob, tab sis kev sib deev ncaj ncees yog qhov ntshai tshaj plaws ntawm nws. Kev laus yog pom tseeb tshaj plaws thaum ib tug poj niam nkag mus rau lub sij hawm menopausal. Lub hnub nyoog ntawm qhov no tshwm sim txawv, tab sis feem ntau nws yog 48-50 xyoo.
Vim li cas thiaj tshwm sim?
Muaj lub sijhawm tsis muaj zog, feem ntau vim tias kev ua haujlwm ntawm zes qe menyuam nres. Txij li thaum muaj hnub nyoog 45-46 xyoo, qhov ntim ntawm cov tshuaj hormones lawv tsim (thiab feem ntau progesterone, estradiol, androgens) pib txo qis, thiab hauv 5 xyoos nws nce mus txog xoom. Qee lub sij hawm, qib ntawm gonadotropins nce. Tsuas yog ob peb follicles tseem nyob hauv zes qe menyuam, yog li tsis muaj kev coj khaub ncaws, thiab, raws li, cev xeeb tub yuav ua tsis tau. Tib lub sijhawm, hom kab mob hauv nruab nrog cev kuj hloov pauv. Vim qhov nce hauv cov ntaub so ntswg, zes qe menyuam uame me thiab wrinkled. Vim yog qhov txo qis hauv cov tshuaj estrogen thaum lub sij hawm cev xeeb tub, ntau yam pathologies tuaj yeem tshwm sim hauv lwm cov ntaub so ntswg ntawm tus poj niam lub cev.
Menopausal syndrome thiab nws cov tsos mob
Hmoov tsis zoo, lub caij nyoog poj niam tsis dhau yam tsis muaj kab. Qhov tshwm sim ntawm kev ploj tuag ntawm kev ua me nyuam thiab kev loj hlob ntawm cov txheej txheem kev laus yog qhov tshwm sim ntawm cov kab mob multifactorial. Nws hu ua menopausal syndrome. Nws cov tsos mob feem ntau yog qhov hu ua flush. Qhov kev xav ntawm kev kub ntxhov thiab tawm hws tib lub sijhawm. Nws tsis yog qhov nyuaj los piav qhia nws cov tsos: nrog kev hloov pauv hauv keeb kwm hormonal, kev ua haujlwm ntawm qhov chaw thermoregulation hauv hypothalamus kuj tseem txo qis, vim qhov kub nce siab thiab ua rau cov hlab ntsha nthuav dav. Ua npaws feem ntau hnov thaum hmo ntuj. Ib qho kev mob me me ntawm cov tsos mob tshwm sim thaum cov dej ntws tsis tshaj 10 zaug hauv ib hnub, thiab ib qho nyuaj - 20 lossis ntau dua. Tsis tas li ntawd, lub caij nyoog tsis muaj zog tuaj yeem nrog lwm cov tsos mob, tshwj xeeb:
- neurovegetative (mob taub hau, tawv nqaij qhuav, tsaug zog, o ntawm cov extremities, kev tsis haum tshuaj, convulsions, dermographism, thiab lwm yam);
- endocrine-metabolic (nqhis dej, ntshav qab zib, mob pob qij txha, qhov chaw mos atrophy, mob pob qij txha, thiab lwm yam);
- psycho-emotional (chim chim, tearfulness, qaug zog, obsessions, kev nyuaj siab, nco impairment, hloov mus ob peb vas thiab qab los noj mov, thiab lwm yam).
Diagnosis
Kev kuaj mob menopausal syndrome qee zaum nyuaj, thiab yog li ntawd cov neeg mob feem ntau xaus rau hauv kev kho mob hlwb, kev kho mob, thiab txawm tias tsev kho mob puas hlwb. Kev tsis txaus siab ntawm cov neeg mob txog kev kub nyhiab, nrog rau kev kuaj ntshav rau cov tshuaj hormones, pab tsim kev kuaj mob kom raug. Yog li, qib ntawm estrogen yuav txo qis, thiab FSH nce.
Kho kom raug
Raws li cov kws kho mob tau sau tseg, nws tseem tuaj yeem kho lub sijhawm tsis muaj zog. Kev kho mob tej zaum yuav los yog tsis yog hormonal. Thawj, raws li kev paub dhau los qhia, muaj txiaj ntsig zoo dua thiab pab kom nyab xeeb txo cov tsos mob. Nws yog hu ua estrogen-progestin therapy (HRT). Tau kawg, kev siv cov kev kho mob yuav tsum tau pom zoo nrog tus kws kho mob, vim hais tias nws muaj ntau contraindications, tshwj xeeb tshaj yog:
- raum tsis ua haujlwm;
- thrombophlebitis;
- endometriosis;
- mob qog noj ntshav mis;
- uterine los ntshav;
- coagulopathy thiab lwm yam.
Ntxiv rau, cov tshuaj yuav tsum raug xaiv kom raug. Tus neeg mob yuav tsum tau kuaj xyuas tsis tu ncua, ua raws li cov cai thiab cov cai ntawm kev kho tshuaj hormone. Lub sijhawm kho yuav tsum yog tsawg kawg 1-2 xyoos.
