Impela, izimpawu zesifo sikashukela kubantu besifazane azihlukile kakhulu kulezo zibonakaliso "zesifo sikashukela" ezitholakala kwiziguli zesilisa. Yize kunokwehluka kwezimpawu, kepha kuncike kakhulu eminyakeni yesiguli. Isibonelo, isiguli esineminyaka engama-31 kungenzeka singakabi nazo izinguquko enhlalakahleni ekhona kwabesifazane noma emadodeni aneminyaka engama-39. Ngalesi sizathu, uhlobo lokwelashwa lwesiguli luhlala lukhethiwe ngokuhlukile, kucatshangelwa iminyaka yobudala, ubulili, isisindo somzimba nezinye izici zomzimba.
Ukwazi kahle ukuthi ungabhekana kanjani nesifo sikashukela, kufanele uqale ufunde ukuthi ungalinganisa kanjani ushukela wegazi, nokuthi wenzani njalo. Ngenhlanhla, le nqubo ingenziwa ekhaya, akudingekile ukuxhumana nesikhungo sezokwelapha ngaso sonke isikhathi.
Kepha maqondana nombuzo wokuthi lokhu kufanele kwenziwe nini ngempela, into yokuqala ukukala izinga le-glucose kulezo zimo lapho isiguli siqonda khona ukuthi impilo yaso iqala ukuwohloka noma lapho kuvela izimpawu zesifo.
Kumele kuqashelwe ukuthi izimpawu zokuqala zesifo sikashukela kubantu besifazane zihlala zihambisana nezinguquko ze-hormonal, kanye nokwephulwa cishe kwazo zonke izinqubo ze-metabolic emzimbeni.
Izimpawu zokuqala zalesi sifo
Okokuqala, ngithanda ukuqaphela iqiniso lokuthi isifo sikashukela emvamelweni wesifo yisifo esanda kunazo zonke. Ngaphandle kwalokhu, lesi sifo asitholakali ngokushesha. Lokhu kungenxa yokuthi izimpawu zokuqala zesifo zibonakala zibuthakathaka kakhulu futhi zingahlanganiswa nezimpawu zomalavuza ojwayelekile. Isibonelo, abesifazane abaneminyaka engama-32 bangathola ukuphazamiseka kwe-endocrine, ukuphazamiseka kwesistimu yenhliziyo, ukutheleleka kwesikhunta kwesikhumba namazipho, umuzwa wokukhathala okungapheli, ukukhathala nokunye okuningi.
Kungakho, ukuxilongwa kokugcina kokuba khona kwe- “matenda amnandi” kusungulwa ngesisekelo semiphumela yokuhlolwa kwegazi. Uma i-glucose idlula inkomba ye-7 mmol / l, khona-ke singasho ngokuphepha ukuthi isiguli sinesifo sikashukela. Esimweni esijwayelekile kumuntu, ushukela wegazi uhlala kuhla kusuka ku-3.5 kuya ku-6.5 mmol ilitha ngalinye.
Kuyadingeka ukuthi unake ukuthi yonke imiyalo ephathelene nokulungiselela ukudlulela kulokhu kwalandelwa kahle kangakanani. Isibonelo, odokotela batusa ukunikela ngegazi kuphela esiswini esingenalutho. Ngasikhathi sinye, ngosuku olulodwa ngaphambi kwalokhu, awukwazi ukuphuza utshwala, amaswidi, neminye imikhiqizo engathinta imiphumela yocwaningo.
Ngakho-ke, ngemuva kokuthi kucace nemithetho yokuhlonza isifo sikashukela ngendlela yaselebhu, sekuyisikhathi sokuthola ukuthi yiziphi izimpawu zesifo sikashukela ezivame ukuba khona kwabesifazane ngemuva kweminyaka engama-30. Lokhu:
- umuzwa ongapheli wokoma;
- ukuchama njalo;
- imizwa ecishe ingagculisi yendlala;
- iphunga le-acetone ephuma emlonyeni.
Kumele kuqashelwe ukuthi ngokuhamba kweminyaka, lezi zibonakaliso ziya ngokuqina kuphela. Isibonelo, kwabesifazane, uma befika eminyakeni engamashumi amathathu, izinkinga ngesibindi zingaqala ukufana, futhi kuzoba nokuphazamiseka kokuhamba kwegazi, nezinye izifo ezithile ezingalapheki.
Kukholelwa ukuthi iziguli zabesifazane ezihlaselwa yisifo sikashukela zingaba nobunzima bokukhulelwa, kanye nokukhulelwa kwengane.
Ungabona kanjani ukuba khona kwezifo emzimbeni?
Kepha ngaphezu kwazo zonke izimpawu ezingenhla zalesi sifo, kubantu besifazane ngemuva kweminyaka engama-30, kuvame ukuba nolunye ushintsho enhlalakahleni.
Owesifazane kufanele anake noma yiluphi ushintsho enhlalakahleni futhi, uma kunesidingo, thintana nodokotela wakho. Uma kukhona ushintsho enhlalakahleni, udokotela uzonquma ngezindlela zokuxilonga nokwelashwa.
Izinguquko ezinjalo zingafaka:
- Ukonakala okubukhali embonweni, okuwukuthi isithombe siba sibucayi futhi sishubile.
- Ukukhathala kuyanda.
- I-mucosa yesitho sangasese sowesifazane iba yomile kakhulu.
- Isiguli siba nolaka ngokwengeziwe futhi kwesinye isikhathi sikhononda ngokuzizwa sikhathele.
- Umuzwa wokugoba ubonakala emilenzeni.
- Umuzwa odabukisayo emilenzeni nasezingalweni kungenzeka.
- Ukwakheka kwama-purroc noma okubizwa ngokuthi “izilonda zokukhala” kungavela kunoma iyiphi ingxenye yomzimba.
Kuyiqiniso, izinkomba zokuqala ukuthi noma yimuphi owesifazane kufanele azinakee zingukungahambisani nokuya esikhathini kanye noshintsho olubi esilinganisweni somzimba. Uma okungenani eyodwa yezimpawu ezingenhla ivela kwabesifazane ngemuva kwamashumi amathathu, udinga ukukala ushukela wegazi ngokushesha.
Kuyiqiniso, zonke izinkomba ezingenhla zingaba khona kwabesifazane abangaphansi kweminyaka engama-30. Ngakho-ke, nganoma yiluphi ushintsho empilweni kanye nokuvela kwanoma yiziphi izimpawu ezintsha, kufanele ngokushesha ufune izeluleko ezengeziwe kudokotela wakho.
Phakathi kwezimpawu eziphambili zomtholampilo ezibonisa ukuthi unesifo sikashukela, okulandelayo kungabonakala:
- ukwehla kwezinga lokushisa komzimba ngaphansi kwama-degree angamashumi amathathu nanhlanu;
- ukukhula kwezinwele emzimbeni kukhuphuka, noma, ngakolunye uhlangothi, zingaqala ukuphuma kakhulu;
- ukukhula okuphuzi kungavela emzimbeni;
- izinqubo ezivame ukuvuvukala esithweni sangasese sangasese noma i-dysbiosis.
Okunye okubonakalayo iqiniso lokuthi zonke izibonakaliso ezingenhla zingavela bobabili kwabesifazane abaneminyaka engama-33 nasezigulini esezikhulile. Ngenxa yalesi sizathu, iziguli zesifazane, ngokwesibonelo, eneminyaka engama-38, zivame ukudida izimpawu zokuqala zesifo sikashukela nolunye uguquko oluhlobene nobudala bama-hormone.
Yini enye okudingeka uyikhumbule?
Kwesinye isikhathi, iziguli zingathola lezi zimpawu ezingenhla uma zinokuxilongwa okuhlukile, okubizwa ngokuthi yi-insipidus yesifo sikashukela.
Lesi sifo singathinta bobabili abesifazane abangaphansi kweminyaka engama-30, kanye neziguli ezingaphezulu kwamashumi amathathu.
Lokhu kugula kuvela ngenxa yezizathu eziningi.
Izizathu eziphambili yilezi ezilandelayo:
- Ukuba khona kwe-neoplasms enobungozi.
- Izifo ezithathelanayo.
- Ukuthuthukiswa kwe-sarcodiosis.
- Ukuba khona kwe-metastasis.
- Ukwephulwa kwesakhiwo semithambo yegazi.
- Izinguquko emithanjeni yobuchopho, okungukuthi i-aneurysm.
- Ukuthuthukiswa kokugula okunjenge-syphilis.
- Encephalitis
- Izifo ze-Autoimmune.
- I-Meningitis
Kepha kwesinye isikhathi kunzima ukuthola izimbangela zangempela zesifo sikashukela kubantu besifazane, abantu abaningi badida ushukela noshukela. Ukugwema leli phutha, kufanele uthintane nodokotela ngokushesha uma kuvela izimpawu.
Udinga futhi ukukhumbula ukuthi i-insipidus yesifo sikashukela ingaba nezinye izimpawu. Okungukuthi:
- ukuhlukaniswa kwe-bladder kungenzeka;
- izinkinga nge-neurology;
- umfutho wegazi ophansi njalo.
Uma ubheka izithombe, eziningi kakhulu ku-Intanethi, uzokwazi ukubona kahle ukuthi isiguli sinesifo sikashukela.
Kungenzeka yini ukugwema ukubukeka nokukhula kwalesi sifo?
Iziguli eziningi zinentshisekelo embuzweni wokuthi ungasigwema kanjani lesi sifo. Ukunqoba ukugula, kufanele uqonde ukuthi ngubani ngqo owela iqembu eliyingozi leziguli ezingaba khona.
Isibonelo, kunombono wokuthi kaningi kunokuthi, abesifazane abaneminyaka engaphezu kwengama-35 abanenkinga yokukhuluphala kakhulu bahlaselwe yisifo “esimnandi”. Yize eminyakeni yamuva nje kuyaziwa ukuthi lesi sifo kwesinye isikhathi sitholakala kubantu besifazane abaneminyaka engamashumi amathathu.
Kumele kuqashelwe ukuthi amantombazane amaningi awaziboni ngokushesha izimpawu zalesi sifo. Lokhu kungenxa yokuthi ukubonakaliswa kokuqala, ngoba kufana kakhulu nezimpawu zokulimala okujwayelekile noma ukwehluleka kwe-hormonal.
Ukuze uvimbele ukukhula kwesifo, kufanele kuqondwe ukuthi ngubani ovame ukuwela eqenjini eliyingozi:
- Labo bantu abanokubekezelela i-glucose.
- Abesifazane abanesifo sikashukela sokukhulelwa ngesikhathi sokukhulelwa.
- Omama abazala ingane enesisindo esingamakhilogremu amane noma ngaphezulu.
- Uma ngesikhathi sokukhulelwa owesifazane alahlekelwe yingane yakhe noma iyiphi i-pathologies esobala abekhona.
Kuhle futhi ukukhathazeka ngalabo abamele abesifazane abaye bahlangabezana nokubonakaliswa kokuqala kokuya esikhathini. Okungukuthi, lapho eneminyaka engama-36 yowesifazane enezimpawu zokuqala zale nkinga.
Uma noma yimuphi umuntu wesifazane ethola okungenani eyodwa yalezi zimpawu, kufanele avakashele njalo i-endocrinologist futhi ahlole impilo yakhe.
Ungasithola kanjani isifo emzimbeni?
Ngakho-ke, sekushiwo ngenhla ezimweni lapho owesifazane kufanele ikakhulukazi ahlole impilo yakhe ngokucophelela futhi aqiniseke ukuthi awunazo izimpawu zokuqala zesifo sikashukela. Manje kudingekile ukuthi ufunde ukuthi lokhu kuhlonza kusebenza kanjani, nokuthi yikuphi ukwenziwa ngamacebo okumele kwenziwe kuqala.
Okokuqala, kufanele kuphawulwe ukuthi noma iyiphi intombazane engaphezu kweminyaka engama-34 kufanele ihlole njalo izinga leshukela egazini lakhe. Lokhu kufanele kwenziwe okungenani kanye ngenyanga. Futhi, ngokuhlala njalo, kufanele kuvakashelwe i-endocrinologist nabanye ochwepheshe.
Ngokuvamile, ubuciko bomzimba wowesifazane bubhekene neqiniso lokuthi uhlelo lwe-endocrine luhlobene kakhulu nesizinda se-hormonal, futhi, ngokufanelekile, kuthinta ngqo umsebenzi cishe wazo zonke izitho zangaphakathi nezinhlelo eziningi ezibalulekile. Lokhu kuqashelwa ikakhulukazi ngabesifazane abaneminyaka engama-37.
Kumele kuqashelwe ukuthi kunezindlela eziningana zesifo sikashukela. Isibonelo, kunefomu elithambile elingabandakanyi ukukhulisa amazinga kashukela ngaphezulu kwamamitha ayisishiyagalombili / L. Kepha ngokuqina okulinganiselayo, kungenzeka ukukhuphula ushukela ufike ezingeni elingu-12 mmol / l, kanti kuvela ezinye izimpawu zalesi sifo. Kepha esigabeni sesithathu sesifundo sikashukela, uhlala ephakeme kuno-12 mmol / l, kukhona futhi umsebenzi wezinso ophazamisekile kanye ne-retinopathy.
Ukwelapha isifo sikashukela ukuthatha imishanguzo ekhethekile eyehlisa ushukela wegazi. Futhi ngesifo sohlobo 1, i-insulin iyajova. Yebo, futhi, futhi, benza ukwelashwa kwako konke ukugula okuhlangana.
Izimpawu zokuphazamiseka kwesifo sikashukela kubantu besifazane zichazwe kuvidiyo kule ngxenye.
