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Wednesday, February 2, 2011

Merawat menopause


Adakah semua wanita akan mengalami masalah putus haid ini?



Tidak semua wanita yang mencapai keperingkat putus haid mengalami masalah yang saya nyatakan tadi. Sebahagian besar wanita menempuhi peringkat ini dengan tabah tanpa gangguan. Keadaan ini mungkin ada kaitan dengan caragaya hidup, taraf sosio-ekonomi dan pendidikan wanita. Di kalangan masyarakat luar bandar jarang sekali kita mendengar wanita yang mengeluh-kesah akibat putus haid.Wanita dalam masyarakat moden khususnya mereka yang berpendidikan tinggi dan taraf ekonomi tinggi sering mengalami masalah putus haid. Ini mungkin ada kaitan dengan caragaya hidup yang penuh dengan berbagai cabaran dan tekanan dan tabiat makan yang sangat berbeda dengan wanita luar bandar. 


Kaedah-kaedah rawatan

1. Bagi mengatasi masalah jiwa dan emosi yang berkaitan dengan putus haid, sokongan dari orang yang rapat dengannya seperti suami, anak-anak, sadara-mara dan rakan adalah penting. Suami perlu memahami perubahan akibat putus haid dan memberi bantuan dengan nasihat dan kata-kata yang menaikkan semangat dan keyakinan diri wanita tersebut. Jika masalah yang dialami itu teruk, perlulah ia mendapat nasihat daripada kaunselor atau doktor. Kebanyakan daripada masalah-masalah tersebut hanyalah sementara dan akan lenyap dengan sendirinya.

2.Rawatan khusus bagi wanita yang putus haid ialah dengan memberi ubat hormon estrogen secara terus-menerus. Hormon estrogen boleh didapati dalam berbagai bentuk; Pil yang dimakan; ‘implant’ yang disuntikkan beberapa bulan sekali; Krim yang disapu dan lain-lain. Pil hormon ini mengandungi estrogen dan perlu dimakan setiap hari untuk beberapa tahun. Tujuan memberi ubat pil ini ialah untuk mengatasi masalah kemerosotan hormon yang biasanya dikeluarkan oleh ovari. Terdapat dua jenis pakej rawatan hormon estrogen;
a) Yang mengandungi oestrogen sahaja.
b) Yang mengadungi oestrogen dan progesterone dan jenis ini menyebabkan haid keluar balik setiap bulan. Setiap wanita yang memakan pil hormon mestilah diawasi oleh doktor pakar sakit puan. Pemeriksaan perlu dilakukan sekurang-kurangnya tiga bulan sekali. Ujian ‘Pap smear’ untuk mengesan kanser pangkal rahim dan pemeriksaan payudara untuk mengesan kanser dilakukan setahun sekali.



 3.Pemakanan yang seimbang dan tidak berlebihan dalam karbohidrat seperti gula, nasi, mee coklat, kuih- muih, ais krim dan lain-lain.
4.Kawal timbang berat mengikut carta ‘ukuran tinggi-berat badan’.

5.Lakukan riadah yang sesuai dengan perbadi masing-masing setiap hari.

6.Amalkan ibadah dan suruhan Allah s.w.t. dengan tekun. Solat , puasa, zikir dan membac Al-Quran telah dibuktikan boleh memberi ketenangan dan ketenteraman fikiran.
7. Makan vitamin-vitamin tambahan seperti vitamin B Kompleks, Vit. C - 600mg , Vit E - 400 IU, Kalsium - 600 mg , Fish oil 1000mg setiap hari.
8. Didapati memakan Aspirin - 100 mg setiap hari mungkin memberi banyak faedah kesihatan tetapi jika anda memakan ubat sakit jantung atau lain-lain ubat khusus anda dinasihatkan untuk bertanya dengan seorang pakar terlebih dahulu samada aspirin itu boleh dimakan bersama.




Can I have sex after the menopause?


The truth is that there’s no reason why you can’t continue to enjoy a happy and satisfying sex life during and after the menopause, if you want to.
Many women enjoy wonderful sex lives after they’ve passed the menopause – and continue to do so for a very long time. We have even uncovered some evidence that:
  • women who are interested in sex are more likely to be orgasmic after the 'change’ than younger females.
  • they are also more likely to be multi-orgasmic!
There are three main reasons for this.
  1. After the ‘change' women are glad to be able to quit worrying about contraception.
  2. By the time they reach 50 or so, a lot of women have gained a great deal of love-making experience and skill.
  3. Very often, they now have partners who actually know what they’re doing in bed! (Though of course, a few postmenopausal women – notably certain film stars – decide to take ‘toy boys’ as lovers.)
In 2009, one of us (Christine Webber) conducted a survey among women aged 45-65. The findings showed that in that age group 26 per cent of women were definitely up for sex, while 29 per cent ‘quite liked it’. Only 6 per cent were not at all keen, and 16 per cent said that they’d be more interested if they had a new partner! 

How could the menopause affect my sex life adversely?

It’s fair to say that many women have a great time in bed after they pass the menopause. However, others don’t.
These are some problems that can occur.
  • Night sweats and hot flushes. These can be counterproductive to relaxation and romance. At night, such symptoms produce an intolerable feeling of heat, often accompanied by profuse sweating, and even a feeling of acute claustrophobia. If the sufferer has to throw off the bed sheets and open the windows when night sweats are at their worst, she’s not going to feel like absorbing even more body heat from her sexual partner!
  • Relative oestrogen deficiency can bring about vaginal dryness and thinning of the vaginal lining. The lack of lubrication and support for the vaginal walls can reduce arousal during sex and increase friction, which in turn may produce soreness, burning or irritation.
  • Irregular periods can make the timing of spontaneous love-making difficult. (However, the menopause shouldn’t really cause badly irregular periods; if yours are ‘all over the place' consult your doctor.)
  • stress urinary incontinence (SUI) can occasionally arise during love-making – or during a climax.
  • Some women are conscious of dry skin, changes in the shape of their breasts and of a gradual redistribution of weight away from their breasts towards their waistline.
  • Loss of libido can occur; a minority of women complain that after the menopause they simply lose their desire for sex. Husbands may feel rejected because of this, and so relationship difficulties can arise.
  • Psychological symptoms such as mood swings, insomnia and depression can make it difficult to enjoy sex.
The good news is that all these problems can usually be remedied - chiefly through commonsense advice from a doctor (or from a therapist who is experienced in dealing with menopause problems), together with sympathy, understanding and love from the woman’s partner.
Also, there will soon be some new treatments which will allegedly boost a woman’s libido.
 

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