Menopausal cov poj niam: yog vim li cas thiab thaum twg muaj yog, lub ntsiab cov tsos mob. Kho menopausal syndrome

Yuav ua li cas yuav noob neej tsis nrhiav kom circumvent nws, lub rooj sib tham nws nyob rau hauv txhua rooj plaub tsis pom nrias tej. Nws yog hais txog cov laus uas muaj hnub nyoog. Qhov no ntuj cov txheej txheem yog ib qho rau tag nrho cov uas muaj sia nyob, tab sis feem ntau ntawm tag nrho cov nws ntshai ntawm lub ncaj ncees txiv neej pw. Aging feem ntau kom meej meej tshwm thaum ib tug poj niam pib lawm lub sij hawm. Muaj hnub nyoog, thaum zoo li no, tej zaum nws yuav sib txawv, tab sis nyob rau hauv Feem ntau nws yog 48-50 xyoo.

Yog vim li cas muaj?

Muaj yog ib tug menopausal lub sij hawm, feem ntau vim hais tias lub zes qe menyuam ntaug qub hauj lwm. Nrog kwv yees li 45-46 xyoo, tus nqi ntawm cov tshuaj hormones ua los ntawm lawv (thiab tshwj xeeb tshaj yog progesterone, estradiol, androgens) pib kom txo tau, thiab rau 5 xyoo nce mus txog pes tsawg. Thaum lub sij hawm ntxiv seb gonadotropins. Lub zes qe menyuam yog tsuas ib ob peb cov hauv paus, thiaj li muaj yog tsis muaj poj niam, thiab yog li ntawd, cev xeeb tub yuav tsis yooj yim sua. Txawm li cas los, cov kev hloov thiab lub mere pom ntawm lub cev. Vim ib qho kev nce ntawm connective cov ntaub so ntswg thiab lub zes qe menyuam ua tsawg wrinkles. Vim tus ntse yuav txo tau nyob rau hauv lub menopausal estrogen yuav ua tau ntau yam ntawm pathologies thiab nyob rau hauv lwm yam ntaub so ntswg ntawm tus poj niam lub cev.

Menopausal syndrome thiab nws cov tsos mob

Tu siab, menopausal lub sij hawm kis tau tsis muaj ib txoj lw. Qhov tsim nyog ntawm cov extinction ntawm fertility thiab txoj kev loj hlob ntawm tus txheej txheem ntawm cov laus yog cov tsos multifactor kab mob. Nws yog hu ua tus menopausal syndrome. Feem ntau cov tsos mob yog nws thiaj li hu ua surge. Qhov no zoo nkaus li khaus tshav kub thiab tawm hws nyob rau tib lub sij hawm. Piav nws zoo li yog yooj yim: nrog kev hloov nyob rau hauv hormonal theem zoo heev txo thiab functionality thermoregulatory chaw nyob rau hauv lub hypothalamus, uas ua rau kub nce sharply, ua rau lawv nthuav cov hlab ntsha. Feem ntau muaj cov tshav kub thaum hmo ntuj. Teeb nyob rau hauv lub kev nyab xeeb cov tsos mob tshwm sim thaum tus xov tooj ntawm kub flushes yog tsawg tshaj li 10 lub sij hawm ib hnub twg, tab sis ib tug complex - yam tsawg kawg 20. Nyob rau hauv tas li ntawd, menopausal poj niam yuav tsum tau nrog los ntawm lwm yam kev mob, xws li:

• neurovegetative (mob taub hau, daim tawv nqaij dryness, nkees nkees, povtseg edema, allergic kev tig cev, qaug dab peg, dermographism li al.);
• endocrine thiab metabolic (nqhis dej, mob ntshav qab zib, mob nyob rau hauv cov pob qij txha, qhov chaw mos Atrophy, mob nyob rau hauv cov pob qij txha, etc ...);
• psycho-lub siab lub ntsws (txob taus, tearfulness, qaug zog, obsessions, kev nyuaj siab, nco puas, kev hloov nyob rau hauv ob peb vas thiab qab los noj mov, thiab lwm yam).

diagnostics

nws yog tej zaum kuj heev tsis yooj yim rau kev tshawb nrhiav menopausal syndrome, thiab yog li ntawd cov neeg mob feem ntau poob mus rau hauv kev kawm txoj tib neeg lub hlwb, kev kho, thiab txawm mob hlwb lub tsev kho mob. Tsim kom muaj ib qho tseeb mob yuav pab cov neeg mob rov hais dua mus rau lub tides, raws li zoo raws li ib tug soj ntsuam ntshav seb cov tshuaj hormones. Yog li, cov tshuaj no ntau yuav tsum tau significantly txo thiab lub zog FSH.

kho

Raws li cov kws kho mob, koj yuav tau kho tag nrho cov menopausal lub sij hawm. Cov kev kho mob muaj peev xwm yuav hormonal los yog tsis. Ua ntej, raws li kev qhia tau hais tias, nws yog ntau npaum thiab yuav pab tau txo cov tsos mob yam xyuam xim. Nws twb hu ua txoj kev kho ntawm cov tshuaj no-progestin txoj kev kho (HRT). Ntawm cov hoob kawm, kev siv ntawm tej kev kho mob yuav tsum tau yuav raws li tus kws kho mob, vim hais tias nws muaj ib tug xov tooj ntawm contraindications, nyob rau hauv particular nws:

• raum tsis ua hauj lwm;
• thrombophlebitis;
• endometriosis;
• lub mis mob cancer;
• uterine los ntshav;
• coagulopathy, thiab lwm tus neeg.

Tsis tas li ntawd, nws yuav tsum tau kom zoo xaiv cov tshuaj. Tus neeg mob yuav tsum tau kuaj tsis tu ncua, hwm cov kev cai thiab hormone hloov txoj kev kho. Cov kev kho mob lub sij hawm yuav tsum muaj tsawg kawg yog 1-2 lub xyoo.