Kutanga pazera remakore makumi matatu, kushanyira kumudzimai wemamorikari kune mukadzi kunofanirwa kuva chikonzero. Kushanyira kune nyanzvi inofanira kuitwa kamwe kamwe pagore. Pamba, mukadzi anofanira kugara achiongorora mazamu ake. Zvakanakisisa kuita izvi mumvura, mangwanani kana manheru. Ita bhudziro kuitira kuti zvigunwe zvinyoronyoro zvinyarare. Zvino simudza ruoko rumwe uye udzikandire shure kwechiso, nemimwe yeruoko rumwe rutivi kubva kumativi ose kuti uchinzwe chifukidzo, saka uongorore chechipiri yechisimbiso. Bhuti inobatsira nguva dzose kuenzanisa mvura.
Ane pamuviri kana asina pamuviri
Iyi inguva yakakura yekubereka. Ane mabasa maviri makuru - pamuviri uye pamuviri. Mimba inofanira kurongwa uye yakanyatsogadzirirwa. Kana mumwedzi mitanhatu nemapfumbamwe nehupenyu hwepabonde nguva dzose musingashandisi mishonga ipi zvayo yemukadzi haisi kutora pamuviri, zvakakosha kuongorora nekuwana zvikonzero. Kuongororwa kwomukadzi kubva kune gynecologist uye mammologist kunogona kukuvadza zvikonzero zvakasiyana-siyana.
Kushanyira kwemazuva ano kune gynecologist panguva iyi kunosanganisira: gynecological examination, kutora smear yehuwandu hwehutsanana hwemadzimai ari mukati, hutachiona hwemaviri epachiviri uye PAP test (cytological test yemukatidzi kuti isabvisa incology process). Kana zvikamu zvekuedzwa zviine kusafungirwa kwehutachiona, iyo causative agent inowanikwazve. Chiratidzo chepachirwere chinogona kunge chiri kunyunyuta kwemukadzi pamusoro pekunyora kwenguva yakareba kweuncharacteristic ruvara, zvinonhuwira, zvichikonzera kuvhiringidza uye kutsamwa. Muchiitiko ichi, iwe unofanirwa kupfuurira kuburikidza nekuongororwa kwose kwakakosha kwemukadzi kubva kune gynecologist uye mammologist.
Rimwe chete mumakore 1.5-2, zvinokurudzirwa kuti zvive nekuongorora kwe ultrasound yezvinyorwa zvemammary. Mammography panguva ino inoitwa chete kana kushanduka kwepfungwa kunowanikwa. Chinangwa chechipiri chikuru chevakadzi pazera rino ndechekudzivirira pamuviri usina kukodzera. Pakusarudza nzira yekudzivirira kubata pamuviri, zvakanakira zvinopiwa kune hormonal kana zvipingamupinyi. Mafungiro echiremba anoziva zvinhu zvehutano hwako, anofanirwa kuongororwa panguva yeongororo yemukadzi kubva kune gynecologist uye mammologist.
Paunenge uchishandisa mishonga yemakemikari, mukadzi anofanira kushanyira gynecologist kamwechete pagore. Uye ita V3H, tora smear pamaruva uye PAP test.
Kubata pamuviri usina kunaka
Iyi inguva yakaoma uye inokosha zvikuru muupenyu hwemukadzi. Maererano nehuwandu hwemashoko, nguva yekuberekwa ndeye makore 4 9. Nokudaro, mabasa makuru epadanhi ino ndeyekudzivirira kubata pamuviri, kunyanya kutora pamuviri kana kurapwa kwezvirwere zvechirwere.
Kana kukwegura kuchigadzirirwa, ipapo kugadzirira kwakakwana kunokosha: kuwedzera pane kuongorora kwechikadzi, bvunza geneticist.
Iwe unogona kushandisa, mushure mekubvunzurudza nachiremba wako, microdose hormonal contraceptives, nzira dzomugadziro, kana (kazhinji kazhinji) kubata pamuviri.
Hormonal contraception inopiwa neuchenjeri zvakanyanya, nokuti panguva ino kune ngozi yakawanda yehutachiona hwehutachiona hunobva mumoyo yevashuga, iyo inokonzerwa nekuparara zvishoma nezvishoma kwebasa rekuvhara. Kubva pamakore makumi mana nemakumi mana nemashanu, vakadzi vekuEurope vane nguva yekufananidza, inopedza makore makumi mana. Pane kuchinja, zvose kumwedzi, uye nguva uye huwandu hwekubuda ropa.
Chenjerera
Ndiyo panguva iyi iyo ngozi yezvirwere zvechirwere inowedzera: endometriosis, uterine myomas, hyperplastic processes (zvinoshandiswa mu mucous membrane ye chibereko).
Mukadzi anofanira kushanyira kamwechete kamwe mwedzi mitanhatu. Iko kuongorora kunosanganisira ultrasound yezvikamu zvepachiviri, kuongororwa kwezvirwere, kuongorora kwePAP.
Inokurudzirwa kuti iongorore ruzivo rwemakumbo emakumbo (mammography) kamwe chete makore mashanu nemashanu.
Kunyanya zvakanyatsocherechedza mazamu haafaniri kubereka vakadzi uye kutora nzira dzese dzekuongorora mukadzi kubva kune gynecologist uye mammologist. Munguva iyi, mukadzi anofanira kubhadhara zvakanakira iye pachake, kumutoro wake, kune kudya. Sengozi yekuwedzera zvirwere zvakawanda zvekare - mwoyo uye zvinomera-vascular, kuora-kunowedzera. Mukadzi anofanira kudzokorora kudya - inofanira kuderedzwa nechetatu kana hafu ichienzanisa nehuwandu hwaidyiwa mumakore makumi maviri. Kunyanya kunopiwa miriwo, michero, hove, zvokudya zvegungwa - zvitubu zveprotini uye fiber. Nguva dzose basa rekuita uye kurara zvinotarisirwa kwemaawa masere.
Pane imwe nguva - izvi zvakakosha zvikuru - bhosi inofanira kunge yakanyatsoshandiswa nehukuru hwayo, pasinei nenyaya "squeeze" chifuyo mudiki. Kana zvisina kudaro, kubva mumakore mazhinji ekutambudzika nyore nyore kune zvisimbiso, kutarisira. Bust inofanira kutarisirwa. Zuva rimwe nerimwe unoda kuzvidururira nemvura inotonhorera kana kupukuta netauro rinowedzerwa mumvura inotonhora. Zvakakosha kushandisa zvidimbu zvakanaka zvezamu, zvakatengwa pamishonga. Uye zvechokwadi vanoita gymnastics nemagetsi ekudzivirira, kuitira kuti mishonga yegumbo iri mumatusus akanaka.
Dzivisa Syndrome
Iyi makore gumi muhupenyu hwemukadzi - nguva yekusarudzwa kwemwedzi (nguva kubva pakuderera kwekutanga mumabasa emapapiro omukati kusvikira pakupera kwekuguma kwemwedzi), kuenda kumwedzi uye kutanga kwemazuva ekupedzisira (kubvira pakupedzisira kuenda kumucheto kusvika kumagumo emasvosve, kunopera kusvika makore 8). Chirwere chemazuva ano chinowirirana nehupenyu hunochinja huwandu (anenge 80%) yevakadzi. Zvinoratidzika mukuputsa kwezvinomera zvevirusi-vascular, mukushandura mumamiriro ekufunga-mupfungwa. Zvirwere zvakakomba zvakanyanya zvinogona kukura: osteoporosis, urogenital disorders, chirwere chemwoyo.
Munguva iyi, zvakakosha kuongororwa kwete chete gynecologist uye mammologist, asiwo endocrinologist, cardiologist, phlebologist, nezvimwe. Ne climacteric syndrome yemuviri munyoro, kudya kwemaitiro uye kuvedza muviri kunowedzera ne phyto-estrogens.
Nekavhareji uye yakaoma climacteric, hormone replacement therapy (HRT) inorayirwa. Chinangwa chayo-kuzadza hutachiona hunoita mavhamusi kuvakadzi vane hutachiona hwemadzimai evanhukadzi. Kusarudzwa kunokwanisika chete mushure mekuongororwa zvakakwana kune gynecologist-endocrinologist.
Nguva yeHRT kushandiswa haisi makore anopfuura mashanu. Muchiitiko ichi, zvakakosha kuitisa kuongororwa kwemunhu wezvikomborero uye njodzi yeCS pane imwe neimwe yenyaya.
Mumwe gynecologist anorondedzera kuedza kunosanganisira ropa kugovera test, kuongorora biochemical uye lipidype yeropa, ultrasound yenhengo dzepachiviri uye mudumbu remuviri, uye osteodensitometry (kutsvakurudza kwemafupa emapfupa, chimiro). Kumamlologu mushure memakore makumi mashanu anofanira kufamba nguva dzose sezvinorayirwa nemudzimai wegynecologist.