
Kunokuba nje ukuphela kokuya esikhathini, lolu shintsho luhilela izinguquko zamahomoni, ubuchopho, zenhliziyo, kanye nezinguquko ze-metabolic ezithinta ubuthongo, imizwa, isisindo, impilo yobulili, kanye nekhwalithi yokuphila iyonke. Ucwaningo lwaseYurophu naseSpain luya ngokuya lukhanyisa okwenzekayo emzimbeni wesifazane, futhi ngesikhathi esifanayo, imakethe ithole umthombo omusha wegolide kwezomnotho ekunqamukeni kokuya esikhathini , okusiphoqa ukuba silungise ukwahlulela kwethu futhi samukele umbono obucayi kakhulu.
Isigaba eside nesingaqondakali kahle: kusukela ekuthomeni kuya ekunqamukeni kokuya esikhathini
Ekuxoxisaneni nasekuphileni kwansuku zonke, abesifazane abaningi baqala ukuqaphela izinguquko cishe eminyakeni engama-40 : amandla amancane, ukungakhululeki okungaqondakali, ubuthongo obubi, kanye nokwehla nokwehla ngokomzwelo okuvame ukwenziwa kube okuvamile noma okubangelwa amahloni. Lesi yisigaba sokuguquka kwamahomoni ngisho noma ukuya esikhathini kuqhubeka.
Njengoba kuchazwe odokotela bezifo zabesifazane baseSpain abangochwepheshe kulesi sigaba, i-perimenopause ingahlala iminyaka eminingana futhi phakathi nalesi sikhathi izimpawu eziningi ezivamile ezihambisana nokunqamuka kokuya esikhathini ziyavela: ukushisa okukhulu, ukujuluka ebusuku, ukuphazamiseka kokulala, izinguquko zesifiso sobulili, ukoma kwesitho sangasese sowesifazane, ukukhuluphala kanye nokushintshashintsha kwemizwelo.
Ukunqamuka kokuya esikhathini kubhekwa "njengokusemthethweni" kuphela ngemva kwezinyanga ezingu-12 zilandelana ngaphandle kokuya esikhathini. Ngaleso sikhathi, iqiniso liwukuthi umzimba ubulokhu ushintsha isikhathi eside, ngokuvamile ngaphandle kokuba owesifazane ewuhlobanise nama-hormone noma ethole incazelo ecacile kumhlinzeki wakhe wezempilo.
Idatha evela kuma-barometer akamuva mayelana nokunqamuka kokuya esikhathini , akhuthazwe ngokubambisana ne-Spanish Association for the Study of Menopause, ikhombisa ukuthi phakathi kuka-75% no-80% wabesifazane banezimpawu nokuthi, cishe ingxenye yesine, babhekana nazo kakhulu, okunomthelela oqondile emsebenzini wabo, empilweni yabo yezenhlalo kanye nobudlelwano.

Ukushisa, ukozela, kanye nesimo sengqondo: lapho umzimba nengqondo zihamba ngendlela yazo
Ukushisa nokujuluka ebusuku kusalokhu kuyisibonakaliso esaziwa kakhulu sokunqamuka kokuya esikhathini, kodwa kwabesifazane abaningi, akuzona ezimbi kakhulu. Ngaphezu kokungakhululeki ngokomzimba, kuphazamisa ubuthongo ngokuphindaphindiwe , okushiya ubusuku bokungalali kanye nokusa kugcwele ukukhathala okungenakulungiswa ngenkomishi yekhofi nje.
Ochwepheshe bezempilo yokulala eSpain bagcizelela ukuthi lokhu kuphazamiseka akuyona nje into ecasulayo yesikhashana. Ucwaningo lwamuva olwenziwe e-United Kingdom, oluhlaziya abesifazane abacishe babe ngu-125.000 , lubonisa ukuthi ukuguquka kokuya esikhathini kuhlotshaniswa nezinguquko endabeni engwevu yobuchopho ezindaweni ezibalulekile zenkumbulo, ukulawulwa kwemizwelo, kanye nokwenza izinqumo—izindawo ezifanayo ezithinteka ezifweni eziwohlokayo zemizwa.
Ukuskena kwe-magnetic resonance imaging (MRI) kwezinkulungwane zabahlanganyeli kubonise ukwehla komthamo wobuchopho kwabesifazane asebekhulile, okuhambisana nokukhathazeka okukhulu, ukucindezeleka, ikhwalithi yokulala ephansi, kanye nokusetshenziswa okuphezulu kokucindezeleka. Kwabachwepheshe bezifo zokulala kwamazinyo kanye ne-neuroscience ababonisiwe kulolu cwaningo, umyalezo ucacile: ukulala okuphazamiseka kunomthelela wangempela ebuchosheni futhi akunakuncishiswa kube "izinzwa" noma ukucindezeleka okulula.
Labo abasebenza nabesifazane balesi sikhathi baphikelela ngokuthi, ngemva kweminyaka engu-45, lokho okwakuyizeluleko ezilula—ukubuka ukudla kwakusihlwa, ukuhlonipha amashejuli, ukunciphisa isikhathi sokubuka isikrini—kucishe kube “yizibopho zomzimba” uma befuna ukugcina ubuthongo obuhle. Ukudla kwakusihlwa okukhulu okwakungenamiphumela eminyakeni yabo engu-30 manje kwandisa amazinga e-cortisol futhi kuphazamise kakhulu ukulala.
Ama-hormone, ubuchopho kanye nokwelashwa kwama-hormone: okwaziwayo nokungaziwayo
I-estrogen ne-progesterone akuzona nje ama-hormone okuzala: zithonya ama-neurotransmitter njenge -serotonin ne-melatonin , ukulawulwa kwezinga lokushisa, kanye nokusetshenziswa kwe-metabolism. Yingakho, lapho kuqala ukushintshashintsha kwama-hormone, abesifazane abaningi bazizwa "bengalawuleki": ukucasuka, ukukhala ngaphandle kwesizathu esibonakalayo, ukuhleka kalula, futhi, ngesikhathi esifanayo, ukunganaki noma ukuntuleka kokugxilisa ingqondo.
Sekuyiminyaka eminingi, ezinye zalezi zimpawu ziphathwa njengezigameko zokucindezeleka ezivamile , okulandelwa imithi yokucindezeleka, ngaphandle kokubhekana nesizinda samahomoni noma izici zalesi sigaba. Indlela entsha ye-neurophysiological isikisela ukuthi ukunqamuka kokuya esikhathini kuyinqubo yezinzwa edinga umbono obanzi, ohlanganisa impilo yengqondo, i-endocrinology, kanye nemithi yokulala.
Kulesi simo, ukwelashwa kokushintsha ama-hormone (HRT) kuyisisekelo sempikiswano enkulu. Emazweni afana ne-United Kingdom, kusetshenziswa cishe ngamaphesenti ayi-15 abesifazane, kanti eSpain ukusetshenziswa kwayo kusalokhu kuphansi, ngokwengxenye ngenxa yokwesaba ingozi eyengeziwe yomdlavuza webele kanye ngokwengxenye ngenxa yokuntuleka kolwazi olulinganiselayo.
Ucwaningo lwamuva nje lubonisa ukuthi ukwelashwa ngama-hormone akukushintshi ukulahlekelwa yi-grey matter ebonakala ebuchosheni ngemva kokunqamuka kokuya esikhathini. Okungcono kakhulu, kungase kunikeze ukuthuthuka okuncane emisebenzini ethile yokuqonda, njengesikhathi sokusabela, kodwa "akuqedi" ukwehla kobuchopho okuhlobene nalesi sigaba sokuphila.
Kodwa-ke, ochwepheshe bokunqamuka kokuya esikhathini abakusebenzisa emitholampilo bakhomba ukuthi, uma kunikezwa umuthi ngendlela efanele futhi ngemithamo ephansi, kungaba yisihluthulelo kwabanye besifazane abanezimpawu ezinzima, kuthuthukiswe ikhwalithi yokuphila kwabo, ukuphumula, kanye nobuhlungu, njalo kuhlolwa ibhalansi phakathi kwezingozi nezinzuzo ngamunye kanye nokuqapha okuseduze kwezokwelapha.
Inhliziyo kanye nokunqamuka kokuya esikhathini: olunye uhlangothi lwengozi
ESpain, izifo zenhliziyo nemithambo yegazi ziyimbangela ehamba phambili yokufa kwabesifazane, ngaphambi komdlavuza. Kodwa-ke, lapho owesifazane ebonana nodokotela ngenxa yobuhlungu besifuba, ukushaya kwenhliziyo, noma ukuphelelwa umoya, izinsolo zesifo senhliziyo zivame ukuhlala ziphansi, futhi izimpawu zibangelwa ukukhathazeka, ukucindezeleka, noma izinkinga zokugaya ukudla.
Odokotela benhliziyo besifazane abavela kwi -Spanish Society of Cardiology bebelokhu bexwayisa ngalokhu kubandlulula ngokobulili iminyaka eminingi. Ukuntuleka kwabesifazane emlandweni ezivivinyweni zemitholampilo (ngokuvamile ngaphansi kwama-30% wabahlanganyeli) kusho ukuthi ubufakazi obuningi bokuvimbela nokwelashwa kwenhliziyo buthathwe kubantu besilisa, naphezu kokuthi i-anatomy yabesifazane, i-physiology, kanye ne-metabolism kusabela ngendlela ehlukile.
Ukunqamuka kokuya esikhathini kubhekwa njengenye yezinto ezibizwa ngokuthi "ifasitela elibalulekile" lokuvimbela. Ukwehla kwe-estrogen kuhlotshaniswa nezinguquko kuma -lipid, umfutho wegazi, kanye nokuzwela kwe-insulin , kanye nokusatshalaliswa kabusha kwamafutha omzimba kusukela ezinqeni nasemaqakaleni kuya esiswini, okwandisa amafutha e-visceral, okuhlobene ngqo nengozi yokuhlaselwa yinhliziyo kanye nesifo sohlangothi.
Imibhalo yokuvumelana eyanyatheliswa kuyi- Spanish Journal of Cardiology ikhuthaza ukuthi ukubonisana ngesikhathi sokunqamuka kokuya esikhathini akufanele kusagxila kuphela ekushiseni komzimba kanye nezimpawu ze-urogenital, kodwa kufanele kufake phakathi ukuhlolwa komfutho wegazi, iphrofayili yamafutha, isisindo, ukujikeleza kwesisu, imikhuba yokuphila, futhi, okubaluleke kakhulu, umlando wokubeletha njenge-preeclampsia, isifo sikashukela sokukhulelwa, noma ukuzalwa ngaphambi kwesikhathi, okubonwa manje njengezimpawu zengozi yesikhathi eside ye-cardiometabolic.
I-Osteoporosis, imisipha kanye nendima yokuzivocavoca
Enye inkinga ephakamayo ngokunqamuka kokuya esikhathini impilo yamathambo . Ukwehla kwe-estrogen kusheshisa ukulahleka kwamaminerali emathanjeni, okwandisa ingozi ye- osteoporosis , isifo lapho amathambo eba buthakathaka kangangokuthi ukukhubeka noma ukunyakaza kwansuku zonke kungabangela ukuphuka.
Ochwepheshe bezokudla kanye nochwepheshe bokusebenza kwamathambo basikhumbuza ukuthi, kusukela kulesi sigaba kuqhubeke, kubalulekile ukudlulela ngale komyalezo wakudala othi "thatha i-calcium" futhi unake i -vitamin D , eyisihluthulelo sokuthi i-calcium ifakwe kahle emathanjeni. Akukhona nje ukugwema amazinga aphansi, kodwa kumayelana nokuhlose amazinga afanele ngempela, ukuhlanganisa ukuchayeka elangeni okulawulwayo, ukudla, kanye, uma kudingeka, nokwengezwa.
Ukudla okucebile nge -calcium , njengezinhlanzi ezincane ezinamathambo (ama-sardine, ama-anchovies), imifino ethile, amantongomane, nemikhiqizo yobisi ebilisiwe, kungasiza ekuhlangabezaneni nezidingo zansuku zonke. Ngaphezu kwalokho, kubaluleke kakhulu ukubekwa kumaprotheni asezingeni eliphezulu , asakazwa kahle usuku lonke, kufaka phakathi nesidlo sasekuseni.
Esinye isici esibalulekile ukuqeqeshwa kwamandla . Izivivinyo zemitholampilo zakamuva zibonise ukuthi kokubili umsebenzi womzimba ophansi kanye nowesilinganiselo kunciphisa izimpawu zokukhathazeka kanye nokucindezeleka kwabesifazane abadlula esikhathini sokunqamuka kokuya esikhathini, kuyilapho kusiza nokugcina imisipha nokuvikela amathambo.
Ochwepheshe batusa okungenani izikhathi ezimbili noma ezintathu zamasonto onke zokuqeqeshwa kwamandla okuguquliwe, kanye nokunyakaza okwengeziwe kwansuku zonke ukuze kugwenywe " indlela yokuphila yokuhlala phansi efihliwe " yalabo abaziqeqesha isigamu sehora ngosuku kodwa bachithe usuku lonke behleli phansi.

Iphansi le-pelvic, ubulili kanye nekhwalithi yokuphila
Phakathi kwezimpawu ezingabonakali kangako kodwa ezivame kakhulu izinkinga zephansi le-pelvic kanye nokuwohloka kohlelo lwe-urogenital . Ukwehla kwe-estrogen kubangela ukwanda kwe-pH yesitho sangasese sowesifazane, ukoma okukhulu, kanye nezinguquko ezithweni zangasese ezingabangela ubuhlungu ngesikhathi socansi, ukutheleleka okuphindaphindwayo kwendlela yomchamo, kanye nomuzwa wokuphuthuma komchamo.
Ochwepheshe bokunqamuka kokuya esikhathini basikhumbuza ukuthi lezi zinguquko zingokomzimba kodwa azivamile ngomqondo wokuthi azinakugwenywa , nokuthi akufanele zamukelwe njengentengo okufanele zikhokhwe. Umyalezo wokuthi "ithonsi lomchamo uma uhleka liyingxenye nje yenqubo" usiza abesifazane abaningi ukuba bangafuni usizo, yize kukhona ukwelashwa kwendawo, ukwelashwa kwe-pelvic floor, kanye namasu ahlukahlukene okuthuthukisa ukusebenza kahle kanye nenduduzo.
Ngaphezu kokuzivocavoca kweKegel okwaziwayo, kunezinhlelo eziningi zokuvuselela ezihlanganisa imishini ekhethekile, ukubhucungwa, futhi, kwezinye izimo, amadivayisi okudlidliza angaphandle ukusiza ekuvuseleleni nasekuqiniseni imisipha yephansi le-pelvic. Umgomo awukona nje ukuvimbela ukungakwazi ukuzibamba komchamo kodwa futhi nokulondoloza ukusebenza kocansi kanye nenhlalakahle iyonke.
Odokotela bezifo zabesifazane kanye nodokotela bezocansi bayavuma ukuthi, ngemva kweminyaka engama-40, kuwukuhlakanipha ukuzibuza imibuzo emibili eyisisekelo ngobuqotho: ulala kahle kangakanani futhi ugaya kahle kangakanani ukudla ? Lapho ukulala nokugaya kuqala ukwehluleka, ngokuvamile kuyisibonakaliso sokuqala sokushintsha kwama-hormone kanye nomthelela wokucindezeleka okungapheli ohlelweni lokugaya ukudla okuyisihluthulelo sokuzivikela komzimba, amandla, futhi, njengoba kuya kucaca ngokwengeziwe, kanye nokulinganisela kwama-hormone.
I-Microbiota, i-strobolome nama-hormone: indima yamathumbu
Eminyakeni yamuva nje, umdlali ongaziwa kangako kodwa obalulekile uye waduma kulesi sigaba: i -estrobolome . Lokhu ukuqoqwa kwamagciwane ku-microbiota yamathumbu akwazi ukukhiqiza i-enzyme (i-beta-glucuronidase) "ephinda isebenzise" ama-estrogen angasebenzi futhi awabuyisele egazini.
Ochwepheshe bezempilo yama-hormone bachaza ukuthi, lapho ukukhiqizwa kwe-estrogen yama-ovari kwehla, ukuba ne-estrobolome elinganiselayo kungathonya kakhulu indlela owesifazane ngamunye abhekana ngayo nokunqamuka kokuya esikhathini , okwenza ushintsho lube kancane kancane noma, ngokuphambene nalokho, lube ngokuzumayo.
Nokho, isihluthulelo sisekulinganiseni. Uma umsebenzi we-beta-glucuronidase uphezulu kakhulu, i-estrogen esebenzayo ejikelezayo iyanda , okungase kube kubi kakhulu izimo ezihlobene ne-estrogen eningi, njenge-endometriosis noma ezinye izimila ezincike ku-estrogen. Ngakolunye uhlangothi, ukunqamuka kokuya esikhathini kuvame ukubona ukwehla kwalo msebenzi , okuholela ekuncipheni kwe-estrogen etholakalayo kanye, okungenzeka, ukushisa okukhulu, impilo ebuthakathaka yamathambo, kanye nokoma kwesitho sangasese sowesifazane.
Odokotela bezifo zesisu kanye nochwepheshe bezifo zamathumbu bakhomba ukuthi, yize la magciwane engakwazi ukubuyisela amazinga ama-hormone kulawo asebasha, angakwazi ukusebenzisa i-estrogen esele uma enakekelwa kahle. Yingakho amathumbu abe yinto eza kuqala emasu amaningi ezempilo ngesikhathi sokuya esikhathini.

Indlela yokuguqula i-microbiota ngokudla nendlela yokuphila
Amathuluzi anamandla kakhulu okuthonya i-estroboloma ayisezokudla kanye nemithi yamakhambi . Ochwepheshe batusa ukudla okucebile ngezithelo, imifino, kanye ne-fiber , okuhlinzeka ngamavithamini, amaminerali, kanye nama-antioxidants, kanye nokukhuthaza ukuhlukahluka kwamagciwane. Ukudla okunama-polyphenols amaningi—njengamajikijolo, itiye eliluhlaza, i-cocoa emsulwa, kanye namafutha omnqumo angavamile—nawo ayasiza ekunciphiseni ukuvuvukala okuphansi okuvame ukuhambisana nalesi sigaba.
Amafutha anempilo atholakala kumafutha omnqumo, ukwatapheya, amantongomane, nezinhlanzi ezinamafutha abalulekile ekukhiqizweni kwama-hormone , ukugcina i-metabolism elinganiselayo, nokusekela impilo yenhliziyo nemithambo yegazi. Ukudla okubilisiwe—njenge-kefir, i-yogathi yemvelo, i-miso, i-tempeh, i-kimchi, ne-kombucha—nakho kunikela ngamabhaktheriya awusizo kanye nama-metabolites anomphumela ongaba khona wokulawula i-microbiota yamathumbu.
Esinye isici esiwusizo ukuhlela ukudla . Ukudla isidlo sakusihlwa kusenesikhathi nokushiya amahora amaningana phakathi kokudla kuvumela amathumbu ukuthi aphumule futhi alungise ulwelwesi lwawo, oluhlotshaniswa nokulinganisela okungcono kwamagciwane kanye nokusabela okungcono kwezakhamzimba.
Ngokuphathelene nama-probiotic , akukho mkhiqizo owodwa ofanele bonke abesifazane, kodwa ezinye izinhlobo, njenge- Lactobacillus ethile, zibonise imiphumela ethokozisayo ekulinganiseni komzimba kanye nama-hormone, ikakhulukazi ngesikhathi sokuya esikhathini. Ucwaningo luqala futhi kuma- probiotic "esizukulwaneni sesine" , agxile kakhulu ekulawuleni imisebenzi yesistimu yamathumbu kunokuwahlanganisa, yize ukusetshenziswa kwawo kusalokhu kuvivinywa kakhulu futhi kufanele kuqondiswe njalo ochwepheshe bezempilo.
Njengoba isayensi ithuthuka, izincomo ezihambisanayo kakhulu zifaka phakathi i -pantry ehlukahlukene nengacutshungulwanga kakhulu , ehlanganisa ukudla kwaseMedithera nokuzivocavoca njalo, ukuqinisekisa ukuphumula okwanele ebusuku, kanye nokunciphisa ukucindezeleka okuqhubekayo ngangokunokwenzeka.
Ukunqamuka kokuya esikhathini efasiteleni lesitolo: ukuhlanzwa kwamazinyo kanye nokumaketha kwama-hormone
Kanye nokuthuthuka kobufakazi besayensi, imakethe ibone abesifazane abaseminyakeni yokuthomba njengengxenye enesithakazelo esikhulu enamandla amakhulu okuthenga kanye nezidingo ezinganakekelwa kahle. Umphumela uba ukwanda kwezithasiselo, izimonyo, izinhlelo zokusebenza, amadivayisi, kanye nezinhlelo "eziqondene nokuthomba" ezivele zikhiqiza izigidigidi zama-euro futhi kulindeleke ukuthi ziqhubeke nokukhula eminyakeni ezayo.
Lesi simo sibangele igama elithi “menowashing” , elisetshenziselwa ukuchaza amasu okumaketha lapho imikhiqizo ejwayelekile ipakishwa khona futhi ithengiswa njengezixazululo ezithile zalesi sigaba, ngokuvamile ibiza kakhulu futhi ngaphandle kokunikeza izinzuzo ezicacile uma kuqhathaniswa nezinguqulo ezijwayelekile.
Phakathi kwezingozi eziqokonyiswe ochwepheshe bezempilo nobulili ukuvuselelwa kwezokwelapha kwe-menopause , okukuveza njengesifo esingamahlalakhona esidinga ukungenelela okuqhubekayo kanye nemikhiqizo eyenziwe ngokwezifiso. Lokhu kungavuselela ukwesaba okungafanele, kushukumisele abesifazane ekwelashweni okungadingekile, futhi kuqinise umqondo wokuthi umzimba we-menopause, empeleni, ungumzimba "onesici" odinga ukulungiswa.
Ngesikhathi esifanayo, abesifazane abaningi babona ukungafani phakathi kwenkulumo yokumaketha nokuhlangenwe nakho kwabo kwangempela . Izifundo ezenziwe eSpain zibonisa ukuthi iningi labantu likholelwa ukuthi imikhiqizo ayenzi okwanele ukuyisekela ngempela, nokuthi abazizwa bemelelwe ekukhangiseni ngalesi sigaba sempilo.
Ukuze kuqinisekiswe ukuthi ukubonakala kwamanje akube yinto edlulayo noma indlela yokuthengisa nje, ochwepheshe bezokuxhumana kanye nezempilo yomphakathi bagcizelela ukubaluleka kolwazi lwezempilo : ukufunda ukufunda amalebula, ukuqaphela izithembiso ezimangalisayo, ukufuna izimpawu ezisezingeni eliphezulu, nokubeka phambili ulwazi oluvunyelwe yizinhlangano zesayensi nezinhlangano ezizimele.

Ukushintsha indaba: kusukela ekuvinjelweni kwangasese kuya empilweni yomphakathi
Nakuba lesi simo singase sibonakale sinzima kakhulu, umyalezo owodwa uyaphindwa ngodokotela bezifo zabesifazane, odokotela bezifo zenhliziyo, ososayensi bezinzwa, kanye nabaxhumanisi besayensi: ukunqamuka kokuya esikhathini kuyinguquko engenakugwenywa, kodwa umthelela wayo uyashintshashintsha . Akubonisi ukwehla kowesifazane, kodwa kunalokho ukuqala kwesigaba esisha, esinobude besikhathi sokuphila samanje, esingahlanganisa ingxenye yempilo.
Ukulungiselela leso sikhathi akusho ukuthi kufanele uhlale umatasa, kodwa kunalokho kufanele uthole ulwazi kusenesikhathi , ubuze imibuzo, ulalele umzimba wakho, futhi unganciphisi izimpawu eziphazamisa ukuphumula, ukugxilisa ingqondo, impilo yocansi, noma ukusebenza kahle emsebenzini. Idatha ikhombisa ukuthi iphesenti elikhulu labesifazane libhekene nokwehla kokukhiqiza kanye nokubonakala kobungcweti ngenxa yalezi zimpawu, futhi abaningi bahlala bethule ngenxa yokwesaba ukwahlulelwa emsebenzini.
Ezingeni lezenhlalo namasiko, amazwi ahlukahlukene abiza ukuba khona okukhulu kwabesifazane abaseminyakeni ephakathi kwabezindaba, amafilimu, kanye nokukhangisa, abavezwa ngokwahlukana kwabo futhi banganciphisi isithombe esivamile sowesifazane othukuthele onesifo sokushisa. Kukhona futhi izicelo zokufakwa kokuqukethwe mayelana nokuphela kokuya esikhathini kanye nokuya esikhathini emfundweni yezocansi kanye nezempilo kusukela ebuntwaneni, ukuze izizukulwane ezintsha zikhule zinombono onolwazi oluthe xaxa futhi zingathwali umthwalo ongaphansi ngenxa yokucwaswa.
Okwamanje, amasu ahambisanayo kakhulu okubhekana nokunqamuka kokuya esikhathini nempilo enhle ahlala efana kakhulu nanjalo njalo: ukudla okulinganiselayo, ukuzivocavoca njalo, inhlanzeko yokulala kahle, ukusekelwa ngokomzwelo, kanye nobudlelwano obubalulekile kodwa obuvulekile nezindlela zokwelapha ezitholakalayo. Phakathi kwemithi nezithembiso ezingenalutho ezivela emakethe, kunendawo eyanele yokuzinakekela kanye nokuvimbela, uma kusetshenziswa kahle, okungenza umehluko omkhulu endleleni lesi sigaba eside sempilo esibhekana ngayo.
Ngakho-ke, ukunqamuka kokuya esikhathini akube yisiqephu esihlushwa buthule futhi kuba yindaba yezempilo yomphakathi, ucwaningo kanye namalungelo , lapho ulwazi oluqinile, ukulalela kochwepheshe kanye nokuzimela kwabesifazane kunesisindo esifanayo noma esingaphezu kwanoma yimuphi umkhiqizo wemfashini.

