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"Perimenopause – Kuelewa Mabadiliko Kabla ya Kukoma Hedhi Perimenopause ni awamu ya mpito ya asili inayoongoza kwa menopause, kwa kawaida hutokea kwa wanawake katika miaka ya 40, ingawa inaweza kuanza mapema au baadaye. Wakati huu, viwango vya homoni vinabadilika-badilika, na kusababisha dalili kama hedhi isiyo ya kawaida, mawimbi ya joto, mabadiliko ya hisia, usumbufu wa usingizi, na mabadiliko katika viwango vya nishati. Katika video hii, tunaeleza perimenopause ni nini, kwa nini inatokea, na jinsi inavyoathiri afya ya kimwili na kihisia. Video hii pia inashughulikia vidokezo vya kudhibiti dalili za perimenopause, ikiwa ni pamoja na mabadiliko ya mtindo wa maisha, chakula, mazoezi, usimamizi wa msongo wa mawazo, na lini kutafuta mwongozo wa kimatibabu. Utajifunza jinsi ufahamu wa mapema na utunzaji wa kibinafsi unaweza kufanya mpito huu kuwa rahisi na wenye afya. Video hii ni muhimu kwa wanawake, walezi, na mtu yeyote anayetafuta kuelewa hatua hii muhimu ya maisha. Penda, shiriki, na ujiandikishe kwa video zaidi za afya ya wanawake na ufahamu." _________________________________________________________________________________ Hospitali za Apollo ni kundi la hospitali za wataalamu wa fani mbalimbali linaloongoza nchini India. Pia zipo katika nchi kadhaa za eneo la Asia-Pasifiki. Madaktari zaidi ya 8000 hutoa matibabu ya hali ya juu katika hospitali zaidi ya 70 za kundi hili katika miji 27. Zinabobea katika - Magonjwa ya Moyo, Mifupa, Mgongo, Neuolojia na Upasuaji wa Neurologi, Gastroenterolojia, Gynakolojia, Onkolojia, Upandikizaji wa Viungo, ICU, Dharura, Tiba ya Kuzuia, Robotiki, Upasuaji wa Kupunguza Uzito, Nephrolojia na Urololojia, na Upasuaji wa Tumbo la Chini. Apollo Hospitals is the leading multi-specialty hospitals group in India. It is also present in several countries in the Asia-pacific region. Over 8000 doctors provide best in class treatment at the groups 70+ hospitals in 27 cities. It specializes in - Cardiology, Orthopaedics, Spine, Neurology & Neurosurgery, Gastroenterology, Gynaecology, Oncology, Transplants, ICU, Emergency, Preventive Medicine, Robotics, Bariatric Surgery, Nephrology & Urology and Colorectal Surgery. Follow Apollo Hospitals on Social Media for Regular Updates: Facebook - / theapollohospitals Twitter - / hospitalsapollo Instagram - / theapollohospitals Linkedin - / apollo-hospitals Namaste, I'm Dr. ShIiva Singh Shekawa. I'm a senior consultant, obstetrician and gynecologist at Apollo Women's Hospital, Chennai. Let's talk about perimenopause and the management strategy dealing with it today. So perimenopause is a transition period which happens before menopause and it can range from one to two years to five to seven years in individual women. Some people may feel a lot of mood swings result into the hormonal changes. There can be hot flushes which might be coming and going. There can be urinary infections in women. There can be uh associated uh hormonal disorders, newly diagnosed thyroid problems. And weight gain is another concern which many people come up at this time with. A lot or a whole section of the problems can be dealt with by good lifestyle modifications. So by lifestyle modifications, I mean definitely the first thing is diet. So uh eating a balanced, nutritious, healthy diet is important. And even more important is not eating certain stuff like processed food, uh or food which is too oily, uh too spicy. uh The food which has a lot of preservatives in it. So we include a lot of freshly cooked food, a lot of vegetables and fruits in our diet. So I'd advise to eat fruits, at least one whole fruit a day. which can be local seasonal. We can include a lot of seeds, nuts, which will provide essential fatty acids as well as phytoestrogens. Whole grains, legumes are also good sources of phytoestrogens and they help also reducing the sugar, reducing the salt content. Very important is the time of eating. So please eat your food or meal on time, especially the dinners. If you have early dinners, it's amazing. Late night dinners are the biggest culprit, believe me. The second thing which I like oh everybody to look into is the physical activity, the exercise part of it. One, on average to be very active physically daily in a routine part is one thing. And second, to include some form of exercise in your daily routine. So exercise again can include cardio, part of it, stretch and flexibility, which includes things like yoga and pilates and strength training. Lifting those little weights in the gym do help a lot, ah especially in perimenopause and menopause. Help in maintaining your muscle mass helps in maintaining your bone mineral density. And the third part is following a good routine, sleeping on time, giving yourself six to eight hours of good night's sleep and not just napping during daytime. Along with this, if we can incl