{"id":3351,"date":"2009-11-09T12:24:00","date_gmt":"2009-11-09T10:24:00","guid":{"rendered":"http:\/\/rooirose.dvlp.site\/antwoorde-op-jou-kwelvrae-oor-menopouse\/"},"modified":"2016-06-29T14:27:37","modified_gmt":"2016-06-29T12:27:37","slug":"menopouse-antwoorde-op-jou-kwelvrae","status":"publish","type":"post","link":"https:\/\/novanews.co.za\/rooirose\/menopouse-antwoorde-op-jou-kwelvrae\/","title":{"rendered":"Menopouse: antwoorde op jou kwelvrae"},"content":{"rendered":"

Is ek al daar? <\/strong><\/h4>\n

Elna\u00a0(46) en Trudie\u00a0(62) <\/strong><\/p>\n

Ek het \u2019n histerektomie gehad, maar my eierstokke behou. Ek het geen simptome van die menopouse nie. Is ek al daardeur sonder dat ek dit besef het?<\/p>\n

Suzanne\u00a0(47) <\/strong><\/p>\n

Kan ek vir die menopouse laat toets? Die menopouse begin gemiddeld op 53 maar kan enige tyd in jou veertig- of vyftigerjare begin. Hoe weet jy? Bloot op grond van die bekende tekens. Ongereelde of geen verdere menstruasie (as jy nog jou baarmoeder het) en gloede is die opvallendste, maar daar is \u2019n rits ander, soos gewrigspyne; jou blaasbeheer neem af, al gereelder urinering; jou vel raak minder elasties en jy kry maklik bloukolle; jy sit gewig aan, spesifiek om jou middel; jy\u2019s minder skerp en sukkel om te konsentreer en te onthou; jou gemoed skommel van huilerigheid na angs na buierigheid; jou libido neem af (\u2019n klein persentasie vroue ervaar \u2019n sterker seksdrang); jy sukkel met vaginale droogheid en pyn tydens seks, en bereik selde \u2019n orgasme. Dis onnodig om vir die menopouse te toets, maar \u2019n FSH-toets is beskikbaar en word gebruik om \u2019n ongewoon vroe\u00eb menopouse te bevestig.<\/p>\n

 <\/p>\n

Vroeg uitgeboul<\/h4>\n

Connie\u00a0(52) en Madeleen (40)<\/strong><\/p>\n

Wat is \u2019n vroe\u00eb menopouse? Kan dit \u2019n vroe\u00eb menopouse wees as ek ewe rustig sit en dan begin my gesig soos \u2019n oorryp tamatie gloei? Ek voel of ek van binne kan ontplof maar geen sweet slaan uit nie? Ons reken 40 – 45 as vroeg, 45 – 55 as gemiddeld en 55 – 60 as laat. Jou lewensduur hou nie verband met hoe vroeg of laat jou menopouse begin het nie.<\/p>\n

 <\/p>\n

Kan ek vryspring?<\/h4>\n

Anneke\u00a0(49) <\/strong><\/p>\n

Ek het op 42 \u2019n histerektomie gehad. Ek het gedink ek gaan dan geen menopouse h\u00ea nie, maar nou kry ek gloede?<\/p>\n

Martie\u00a0(51) <\/strong><\/p>\n

Ek het wisselvallig begin menstrueer en toe begin stap. My maandstondes het teruggekom. Kan jy die menopouse uitstel? \u2019n Volledige histerektomie, met ander woorde jou baarmoeder en eierstokke is verwyder, plaas jou onmiddellik in die menopouse. Met \u2019n gedeeltelike histerektomie, met ander woorde jou eierstokke is behou, sal jy \u2019n normale menopouse soos alle ander vroue ervaar. Jy gaan daardeur, ongeag of jy kinderloos was, baie of min kinders gehad het, miskrame gehad het, \u2019n aborsie gehad het of lewenslank \u2019n maagd was. Sekere faktore kan bydra dat jy vroe\u00ebr of later begin: rook vervroeg die menopouse met gemiddeld drie jaar; fikse vroue begin later; oorgewig en ondergewig vroue begin vroe\u00ebr. Maar jou fisiologiese samestelling bepaal maar eintlik hoe jou menopouse verloop. Menstruasie wat kom en gaan, is baie tipies van die vroe\u00eb menopouse \u2013 oefening sal dit nie verander nie. \u2019n Woordjie van waarskuwing: menstruasie n\u00e1 \u2019n jaar of langer in jou menopouse is \u2019n ernstige, lewensgevaarlike waarskuwingsteken. Gaan dadelik dokter toe.<\/p>\n

 <\/p>\n

Warm mammas<\/h4>\n

Alta\u00a0(50) <\/strong><\/p>\n

Verklaar asseblief vir my \u2019n gloed? Kan medisyne dit wegneem? Jou hormoonverandering gooi jou temperatuurbeheermeganisme deurmekaar, en tot jou liggaam daarby aanpas \u2013 indien ooit \u2013 ervaar jy \u2019n ongemak wat van binne af kom. Baie vroue raak bloedrooi. Min vroue sweet tydens \u2019n gloed, hoewel hulle veral snags van \u2019n nagsweet wakker word. Jy kan van enkeles per maand tot ses per dag ervaar oor \u2019n tydperk van \u2019n paar maande tot dekades. Elke vrou het haar eie patroon. Vroue met ligte gloede hanteer dit maklik, maar vroue wat ontsettende en selfs angswekkende gloed op gloed kry, kry baie swaar sonder medisyne. Hormoonterapie (HT) is die beste bewese medisyne. Kruiehulp word steeds as \u2019n placebo beskou. Daar word ook nou geglo dat Oosterse vroue vanwe\u00eb hul genetiese samestelling soja-estrogeen effens anders as Westerse vroue metaboliseer. Hierdie terapie is vir hulle doeltreffender as vir ons. Party vroue ervaar dat koffie, wyn, gekruide kos en sjokolade gloede vererger. Let op of jy iets aan jou gloede kan koppel en skakel dit uit.<\/p>\n

 <\/p>\n

M\u00f3\u00e9t ek HT gebruik?<\/h4>\n

Jennilee\u00a0(55) <\/strong><\/p>\n

My dokter het vir my vyf jaar gelede HT voorgeskryf maar ek gebruik dit nie. Ek kry net so een keer per maand vir \u2019n minuut of twee warm, dis al. Gaan ek later spyt wees dat ek HT ignoreer het.<\/p>\n

Elna\u00a0(46) <\/strong><\/p>\n

Ek het op 33 \u2019n histerektomie gehad en ervaar geen menopousale simptome nie. Moet ek HT gebruik? Jou menopouse is so uniek soos jy, en jy moet jou menopouse volgens jou eie stel simptome en eie gesondheidsoorwegings bestuur. As jy kan baat vind by die voordele is dit goed vir j\u00f3\u00fa spesifiek. Die hoofvoordele is dat dit veral gloede wegneem as dit jou erg vang en dat jy skelet bou as jou beendigtheid laag is. Die huidige denke is dat \u2019n maksimum van sewe jaar HT voordelig is vir jou hart, terwyl \u2019n dekade van HT geen verdere beskerming verskaf nie. Vroue wat reeds hartkwale het, moenie HT gebruik nie. HT het ook bewese \u201cbyvoordele\u201d soos dat dit die middeljare se middellyfrolletjies keer en libido en konsentrasie verbeter. Talle vroue ervaar hulle is op HT gesonder, lewenslustiger en verstandelik skerper. Die belangrike konsep om te snap is die geleentheidsvenster: daardie eerste tien jaar van jou menopouse. Vroue kry die meeste voordeel as hulle HT in die ven stertydperk gebruik. Daarna vervaag die voordele. As jy HT gaan gebruik, begin sodra jou menopouse begin en gebruik dit vir sewe tot tien jaar. Dan heroorweeg jy sake: jy kan aangaan tot sestig of sewentig as jy HT voordelig ervaar, as jou hart gesond is en\/of as jy steeds sukkel met simptome soos gloede en swak konsentrasie. Maar moenie met HT begin as (a) jy nog nie menopousaal is nie en (b) as jy reeds \u2019n dekade of langer in jou menopouse is nie.<\/p>\n

 <\/p>\n

Die vetjies …<\/h4>\n

Connie\u00a0(62) <\/strong><\/p>\n

Hoekom sit \u2019n mens gewig aan met die menopouse?<\/p>\n

Wanda (42) <\/strong><\/p>\n

Maak HT \u2019n verskil aan jou gewig? Gewigstoename met die aanvang van die menopouse is \u2019n normale, fisiologiese verskynsel, met vetverskuiwing van die heupe na die middellyf by 80% van vroue, al eet hulle korrek. Maar vroue verloor gewig op HT, mits dit die regte een vir hulle is.<\/p>\n

Verminder HT jou seksdrang? Die menopouse verminder libido, nie HT nie. HT verb\u00e9ter jou seksdrang juis omdat dit jou hormoonbalans herstel na die vlakke in jou dertiger- en veertigerjare. Verder werk dit vaginale droogheid te\u00eb \u2013 \u2019n groot oorsaak van pyn en ongemak tydens seks. Vroue wat net met vaginale droogheid sukkel, vind vaginale estrogeen uitstekend.<\/p>\n

 <\/p>\n

Die regte oomblik<\/h4>\n

Debbie\u00a0(35) <\/strong><\/p>\n

As ek van 35 af \u2019n estrogeenaanvulling gebruik, sal ek die geleidelike val in my estrogeen te\u00ebwerk en \u2019n ligter menopouse beleef?<\/p>\n

N\u00e9len\u00a0(49) <\/strong><\/p>\n

Ek gebruik \u2019n Mirena. Hoe sal ek weet my menopouse het begin? Jy gebruik HT nooit \u201cvoorkomend\u201d nie. Vir die meeste vroue begin die menopouse in elk geval geleidelik. Die Mirena verbloem nie die menopouse nie; jy sal op die Mirena gloede ervaar. Die Pil verbloem wel die menopouse. As jy \u2019n vyftigplusser is, kan jy oorgaan na \u2019n laedosis-kontrasepsiepil, waarop jy dan simptome sal ervaar as jy menopousaal is. Nota: Jy kan tot reg voor jou menopouse met \u2018n baba verras word. Gebruik jou voorbehoeding tot jou ginekoloog jou amptelik menopousaal verklaar.<\/p>\n

 <\/p>\n

Newe-effekte …<\/h4>\n

Marianne\u00a0(49)<\/strong><\/p>\n

Gaan ek op HT weer begin menstrueer? Ek sien regtig nie kans daarvoor nie!<\/p>\n

Mercia\u00a0(53)<\/strong><\/p>\n

Wat van die kankerrisiko? Niemand in my familie het borskanker nie. DEBBIE (35) Moet jy HT bly gebruik as jy newe-effekte ervaar? Met die jongste, aaneenlopende kombinasie HT menstrueer vroue glad nie. Wat risiko\u2019s betref: Die kankerrisiko is maar net 0,3% groter op HT, teenoor die groot voordeel vir beendigtheid en die ander pluspunte. Gee jou ses weke kans op HT. As jy dan steeds newe-effekte ervaar, vra jou dokter vir \u2019n ander soort HT wat beter by jou pas.<\/p>\n

 <\/p>\n

Die einde<\/h4>\n

Marietjie\u00a0(62) <\/strong><\/p>\n

My dokter het ges\u00ea dis nou tyd dat die natuur sy gang gaan en my van HT afgehaal. Ek was byna dood! Behalwe gloede, het ek skielik \u2019n oorverdowende dreuning in my kop gehad, en ek was huilerig, buierig en depressief. Ek is n\u00e1 ses maande na \u2019n ander arts, wat ges\u00ea het ek is te jonk om my vrouwees op te gee. Ek is terug op HT \u2013 met die vaste voorneme om dit tot die dag van my dood te gebruik. Watter risiko\u2019s loop ek met twintig of dertig jaar op HT? Daar is nie borskanker in my familie nie. Hoe staak jy HT? Jy kan so lank aangaan as wat jy goed vaar. Vir vroue wat verby die geleentheidsvenster is, raai ek aan dat hul ginekoloog elke jaar hul hele gesondheidsprofiel oorweeg en op grond daarvan besluit of hulle moet aangaan. Hy sal jou afhaal as jy byvoorbeeld vroe\u00eb tekens van \u2019n harttoestand toon, as jou bloeddruk hoog raak, of as kanker by jou gediagnoseer word. Die beste manier om HT te staak is om jouself stadig daarvan te speen: neem dit vir \u2019n maand elke tweede dag, en dan vir nog \u2019n paar weke elke derde dag, voor jy finaal stop.<\/p>\n

 <\/p>\n

Jou opsies<\/h4>\n
    \n
  • Nie lus vir menstruasie nie? Kyk na die jongste een, gekombineerde aaneenlopende HT. Elke pil bevat estrogeen en progesteroon sodat jy nie menstrueer nie.<\/li>\n
  • Vir vroue wat \u2019n histerektomie gehad het, is daar ongeopponeerde estrogeen, of\u00a0estrogeen alleen. Slegs vroue wat \u2019n histerektomie gehad het, gebruik hierdie HT.<\/li>\n
  • Vir vroue sonder \u2019n histerektomie is daar gekombineerde sekwensi\u00eble HT. In jou\u00a0pakkie is 21 estrogeen- en 7 progesteroonpille, wat jou menstruele siklus naboots\u00a0sodat jy bly menstrueer. Anders as op die Pil mag jy ni\u00e9 die progesteroonfase oorslaan\u00a0omdat jy nie wil menstrueer nie \u2013 dit verhoog jou risiko op baarmoederkanker.<\/li>\n<\/ul>\n

     <\/p>\n

    Al drie is beskikbaar as<\/h4>\n
      \n
    • Pilletjies wat jy daagliks drink.<\/li>\n
    • Plakkers wat een of twee keer per week vervang word. Hulle is effens duurder\u00a0maar vermoedelik veiliger omdat die aktiewe hormoon regstreeks in jou bloedstroom\u00a0opgeneem word en nie in die lewer verander word nie.<\/li>\n<\/ul>\n

       <\/p>\n

      Vir vaginale droogheid<\/h4>\n

      Die estrogeenring, vaginale setpille en estrogeenroom. Die estrogeen in laasgenoemde word deur die liggaam opgeneem, en is net veilig vir vroue wat \u2019n histerektomie gehad het.<\/p>\n","protected":false},"excerpt":{"rendered":"

      Is ek al daar? Elna\u00a0(46) en Trudie\u00a0(62) Ek het \u2019n histerektomie gehad, maar my eierstokke behou. Ek het geen simptome van die menopouse nie. Is ek al daardeur sonder dat ek dit besef het? Suzanne\u00a0(47) Kan ek vir die menopouse […]<\/p>\n","protected":false},"author":4,"featured_media":51138,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[667],"tags":[5097,136,1528,2792,4772,4773,5093],"class_list":["post-3351","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gesondheid","tag-anti-aging","tag-gesondheid","tag-menopouse","tag-leef-gesond","tag-jy-vra","tag-veroudering","tag-teenveroudering"],"acf":[],"yoast_head":"\nMenopouse: antwoorde op jou kwelvrae | rooi rose<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/novanews.co.za\/rooirose\/menopouse-antwoorde-op-jou-kwelvrae\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Menopouse: antwoorde op jou kwelvrae | rooi rose\" \/>\n<meta property=\"og:description\" content=\"Is ek al daar? 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