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Menopauza \u00ebsht\u00eb kur nj\u00eb grua pushon s\u00eb pasuri menstruacione dhe natyrisht\u00a0 nuk \u00ebsht\u00eb m\u00eb n\u00eb gjendje t\u00eb mbetet shtatz\u00ebn\u00eb.<\/p>\n
Periodat zakonisht fillojn\u00eb t\u00eb b\u00ebhen m\u00eb pak t\u00eb shpeshta p\u00ebr nj\u00eb periudh\u00eb disa mujore ose edhe vite\u00a0 para se t\u00eb ndalen fare. Ndonj\u00ebher\u00eb ato mund t\u00eb ndalen papritmas.<\/p>\n
Menopauza \u00ebsht\u00eb nj\u00eb pjes\u00eb e natyrshme e plakjes q\u00eb zakonisht ndodh midis mosh\u00ebs 45 dhe 55 vje\u00e7, pasi nivelet e estrogjenit t\u00eb nj\u00eb gruaje bien. N\u00eb \u00a0Mbret\u00ebrin\u00eb e bashkuar, mosha mesatare e\u00a0 nj\u00eb gruaje q\u00eb arrin\u00a0 menopauz\u00ebn \u00ebsht\u00eb 51 vje\u00e7.<\/p>\n
Por rreth 1 n\u00eb 100 gra p\u00ebrjetojn\u00eb menopauz\u00eb para mosh\u00ebs 40 vje\u00e7. Kjo njihet si menopauz\u00eb e parakohshme ose pamjaftueshm\u00ebri e parakohshme e vezoreve.<\/p>\n
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Simptomat e menopauz\u00ebs<\/strong><\/p>\n Shumica e grave p\u00ebrjetojn\u00eb simptoma t\u00eb menopauz\u00ebs. Disa prej tyre mund t\u00eb jen\u00eb mjaft t\u00eb r\u00ebnda dhe t\u00eb ken\u00eb nj\u00eb ndikim t\u00eb r\u00ebnd\u00ebsish\u00ebm n\u00eb aktivitetet tuaja t\u00eb p\u00ebrditshme.<\/p>\n Simptomat e zakonshme p\u00ebrfshijn\u00eb:<\/p>\n <\/p>\n Simptomat e menopauz\u00ebs mund t\u00eb fillojn\u00eb muaj, madje vite para se t\u00eb nd\u00ebrpriten menstruacionet dhe t\u00eb zgjasin rreth 4 vjet pas period\u00ebs suaj t\u00eb fundit, megjith\u00ebse disa gra i p\u00ebrjetojn\u00eb ato p\u00ebr shum\u00eb m\u00eb gjat\u00eb.<\/p>\n <\/p>\n Kur\u00a0 duhet t\u00eb flas\u00ebsh me nj\u00eb mjek?<\/strong><\/p>\n \u00cbsht\u00eb gjithnj\u00eb ide e mir\u00eb ti drejtoheni mjekut tuaj t\u00eb familjes n\u00ebse keni simptoma t\u00eb menopauz\u00ebs q\u00eb ju shqet\u00ebsojn\u00eb ose n\u00ebse po p\u00ebrjetoni simptoma t\u00eb menopauz\u00ebs para mosh\u00ebs 45 vje\u00e7.<\/p>\n Ata zakonisht mund t\u00eb konfirmojn\u00eb n\u00ebse jeni n\u00eb menopauz\u00eb bazuar n\u00eb simptomat tuaja, por edhe nj\u00eb analiz\u00eb\u00a0 gjaku p\u00ebr t\u00eb matur nivelet e hormoneve tuaja mund t\u00eb kryhet n\u00ebse jeni n\u00ebn 45 vje\u00e7.<\/p>\n <\/p>\n Trajtimet p\u00ebr simptomat e menopauz\u00ebs<\/strong><\/p>\n Mjeku juaj i p\u00ebrgjithsh\u00ebm mund t\u00eb ofroj\u00eb trajtime dhe t\u00eb sugjeroj\u00eb ndryshime n\u00eb stilin e jet\u00ebs n\u00ebse keni simptoma t\u00eb r\u00ebnda t\u00eb menopauz\u00ebs q\u00eb nd\u00ebrhyjn\u00eb n\u00eb\u00a0 cil\u00ebsin\u00eb e jet\u00ebs suaj t\u00eb p\u00ebrditshme.<\/p>\n <\/p>\n Kjo perfshin:<\/p>\n Mjeku juaj\u00a0 mund t’ju drejtoj\u00eb te nj\u00eb specialist i menopauz\u00ebs n\u00ebse simptomat tuaja nuk p\u00ebrmir\u00ebsohen pasi keni provuar trajtimin ose n\u00ebse nuk jeni n\u00eb gjendje t\u00eb merrni terapi z\u00ebvend\u00ebsuese hormonale.<\/p>\n <\/p>\n \u00c7far\u00eb e shkakton menopauz\u00ebn?<\/strong><\/p>\n Menopauza shkaktohet nga nj\u00eb ndryshim n\u00eb ekuilibrin e hormoneve seksuale t\u00eb trupit, i cili ndodh kur plakeni.<\/p>\n Ndodh kur vezoret tuaja ndalojn\u00eb s\u00eb prodhuari\u00a0 aq shum\u00eb estrogjen sa m\u00eb par\u00eb dhe nuk l\u00ebshojn\u00eb m\u00eb nj\u00eb vez\u00eb \u00e7do muaj.<\/p>\n Menopauza e parakohshme ose e hershme mund t\u00eb ndodh\u00eb n\u00eb \u00e7do mosh\u00eb, dhe n\u00eb shum\u00eb raste nuk ka ndonj\u00eb shkak t\u00eb qart\u00eb.<\/p>\n Ndonj\u00ebher\u00eb shkaktohet nga nj\u00eb trajtim i till\u00eb si nd\u00ebrhyrje kirurgjikale p\u00ebr heqjen e vezoreve (ooforektomia), disa trajtime t\u00eb kancerit t\u00eb gjirit, kimioterapia ose radioterapia, ose mund t\u00eb shfaqet nga nj\u00eb tjet\u00ebr situat\u00eb mjek\u00ebsore, si\u00e7 \u00ebsht\u00eb sindroma Dawn ose s\u00ebmundja Addison.<\/p>\n Simptomat <\/strong><\/p>\n Shumica e grave do t\u00eb p\u00ebrjetojn\u00eb disa simptoma rreth menopauz\u00ebs. Koh\u00ebzgjatja dhe ashp\u00ebrsia e k\u00ebtyre simptomave ndryshojn\u00eb nga nj\u00eb grua n\u00eb tjetr\u00ebn.<\/strong><\/p>\n Simptomat zakonisht fillojn\u00eb disa muaj ose vite para se t\u00eb ndaloj\u00eb menstruacionet, t\u00eb njohur si perimenopauza, dhe mund t\u00eb vazhdojn\u00eb p\u00ebr disa\u00a0 koh\u00eb m\u00eb pas.<\/p>\n Mesatarisht, shumica e simptomave zgjasin p\u00ebr rreth 4 vjet nga perioda juaj e fundit. Sidoqoft\u00eb, rreth 1 n\u00eb 10 gra i p\u00ebrjetojn\u00eb ato deri n\u00eb 12 vjet.<\/p>\n N\u00ebse p\u00ebrjetoni menopauz\u00eb papritmas – p\u00ebr shembull, si rezultat i trajtimit t\u00eb kancerit – simptomat tuaja mund t\u00eb jen\u00eb m\u00eb t\u00eb k\u00ebqija.<\/p>\n <\/p>\n <\/p>\n \u00a0<\/strong><\/p>\n Ndryshimet n\u00eb periodat\u00a0 tuaja<\/strong><\/p>\n Shenja e par\u00eb e menopauz\u00ebs \u00ebsht\u00eb zakonisht nj\u00eb ndryshim\u00a0 n\u00eb at\u00eb q\u00eb njihet si modeli normal i menstruacioneve. Mund t\u00eb filloni t\u00eb keni sasi t\u00eb shtuar ose pak\u00ebsuar\u00a0 n\u00eb m\u00ebnyr\u00eb t\u00eb konsiderueshme t\u00eb fluksit t\u00eb gjakut gjat\u00eb periodave.<\/p>\n Frekuenca e menstruacioneve mund t\u00eb ndikohet gjithashtu. Mund t\u2019i keni \u00e7do 2 ose 3 jav\u00eb, ose mund t\u2019i mos keni p\u00ebr muaj me radh\u00eb.<\/p>\n Kjo derisa\u00a0 t\u00eb mos keni m\u00eb perioda n\u00eb m\u00ebnyr\u00eb p\u00ebrfundimtare.<\/p>\n <\/p>\n Simptoma t\u00eb zakonshme t\u00eb menopauz\u00ebs<\/strong><\/p>\n Rreth 8 n\u00eb \u00e7do 10 gra do t\u00eb ken\u00eb simptoma shtes\u00eb p\u00ebr disa koh\u00eb para dhe pas ndalimit t\u00eb menstruacioneve. K\u00ebto mund t\u00eb ken\u00eb nj\u00eb ndikim t\u00eb r\u00ebnd\u00ebsish\u00ebm n\u00eb jet\u00ebn e p\u00ebrditshme p\u00ebr disa gra.<\/p>\n Simptomat e zakonshme p\u00ebrfshijn\u00eb:<\/p>\n Menopauza gjithashtu mund t\u00eb rris\u00eb rrezikun e zhvillimit t\u00eb problemeve t\u00eb caktuara t\u00eb tjera, t\u00eb tilla si ulje e densitetit t\u00eb kocave(osteoporoza).<\/p>\n Drejtojuni mjekut tuaj\u00a0 n\u00ebse i shihni simptomat\u00a0 ve\u00e7an\u00ebrisht shqet\u00ebsuese, pasi\u00a0 ka trajtimet\u00a0 n\u00eb dispozicion dhe lexoni se si t\u00eb menaxhoni simptomat e menopauz\u00ebs.<\/p>\n Trajtimi kryesor p\u00ebr simptomat e menopauz\u00ebs \u00ebsht\u00eb terapia e z\u00ebvend\u00ebsimit hormonal (HRT), edhe pse trajtime t\u00eb tjera jan\u00eb gjithashtu n\u00eb dispozicion p\u00ebr disa nga\u00a0 k\u00ebto simptoma.<\/p>\n <\/p>\n Terapia z\u00ebvend\u00ebsuese hormonale (HRT)<\/strong><\/p>\n HRT z\u00ebvend\u00ebson hormonet q\u00eb mungojn\u00eb. Shumica e simptomave shkaktohen nga nivele t\u00eb ul\u00ebta t\u00eb estrogjenit, k\u00ebshtu q\u00eb ky \u00ebsht\u00eb hormoni m\u00eb i r\u00ebnd\u00ebsish\u00ebm p\u00ebr t\u2019u z\u00ebvend\u00ebsuar. N\u00ebse keni nj\u00eb mit\u00ebr ju duhet edhe nj\u00eb progesteron p\u00ebr t\u00eb mbrojtur\u00a0 shtres\u00ebn\u00a0 e brendshme\u00a0 t\u00eb saj.<\/p>\n HRT \u00ebsht\u00eb jasht\u00ebzakonisht efektiv n\u00eb leht\u00ebsimin e simptomave t\u00eb menopauz\u00ebs dhe \u00ebsht\u00eb n\u00eb dispozicion si tableta, ngjit\u00ebse l\u00ebkure, xhel p\u00ebr tu f\u00ebrkuar n\u00eb l\u00ebkur\u00eb ose implante.<\/p>\n P\u00ebrfitimet dhe rreziqet e terapis\u00eb hormonale z\u00ebvend\u00ebsuese(HRT)<\/strong><\/p>\n P\u00ebrfitimi kryesor i HRT \u00ebsht\u00eb se mund t\u00eb ndihmoj\u00eb n\u00eb leht\u00ebsimin e simptomave t\u00eb menopauz\u00ebs, duke p\u00ebrfshir\u00eb afshet\u00a0 e nxeht\u00ebsi\u00eb, hutimin, dhimbjet e ky\u00e7eve, ndryshimet e humorit dhe that\u00ebsin\u00eb vaginale.<\/p>\n Mund t\u00eb ndihmoj\u00eb gjithashtu n\u00eb parandalimin e uljes s\u00eb densitetit t\u00eb kockave, t\u00eb cilat mund t\u00eb \u00e7ojn\u00eb n\u00eb fraktura (osteoporoz\u00eb). Osteoporoza \u00ebsht\u00eb m\u00eb e zakonshme pas menopauz\u00ebs.<\/p>\n Disa lloje t\u00eb HRT mund t\u00eb rrisin leht\u00ebsisht rrezikun e kancerit t\u00eb gjirit dhe mpiksjes s\u00eb gjakut n\u00eb disa gra. Ju duhet t\u00eb diskutoni n\u00ebse keni ndonj\u00eb faktor rreziku me nj\u00eb mjek ose infermier.<\/p>\n D\u00ebshmit\u00eb thon\u00eb se rreziqet e HRT jan\u00eb t\u00eb vogla dhe zakonisht tejkalohen nga p\u00ebrfitimet.<\/p>\n Mjeku juaj\u00a0 mund t’ju jap\u00eb m\u00eb shum\u00eb informacion n\u00eb lidhje me rreziqet dhe p\u00ebrfitimet e HRT p\u00ebr t’ju ndihmuar t\u00eb vendosni n\u00ebse doni ta merrni at\u00eb.<\/p>\n <\/p>\n \u00a0<\/strong><\/p>\n Afshet e nxehta dhe djersitja nat\u00ebn<\/strong><\/p>\n N\u00ebse p\u00ebrjetoni afshe dhe djersitje gjat\u00eb nat\u00ebs si rezultat i menopauz\u00ebs, nganj\u00ebher\u00eb mund t\u00eb ndihmojn\u00eb masa t\u00eb thjeshta, t\u00eb tilla si:<\/p>\n <\/p>\n N\u00ebse afshet dhe djersitjet jan\u00eb t\u00eb shpeshta ose t\u00eb forta, mjeku juaj mund t\u00eb sugjeroj\u00eb marrjen e HRT.<\/p>\n N\u00ebse HRT nuk \u00ebsht\u00eb i p\u00ebrshtatsh\u00ebm p\u00ebr ju, ose do t\u00eb preferonit t\u00eb mos e merrnit at\u00eb, mjeku\u00a0 mund t\u00eb rekomandoj\u00eb ila\u00e7e t\u00eb tjera q\u00eb mund t\u00eb ndihmojn\u00eb, t\u00eb tilla si klonidina (nj\u00eb ila\u00e7 i presionit t\u00eb lart\u00eb t\u00eb gjakut) ose antidepresant\u00eb t\u00eb caktuar.<\/p>\n K\u00ebto ila\u00e7e mund t\u00eb shkaktojn\u00eb efekte an\u00ebsore t\u00eb pak\u00ebndshme, prandaj \u00ebsht\u00eb e r\u00ebnd\u00ebsishme t\u00eb diskutoni rreziqet dhe p\u00ebrfitimet me mjekun tuaj para se t\u00eb filloni trajtimin.<\/p>\n \u00a0<\/strong><\/p>\n \u00a0<\/strong><\/p>\n Luhatjet e humorit<\/strong><\/p>\n Disa gra p\u00ebrjetojn\u00eb ulje t\u00eb humorit dhe ankth rreth koh\u00ebs s\u00eb menopauz\u00ebs.<\/p>\n Masat e vet\u00eb-ndihmuese si pushimi i bollsh\u00ebm, ushtrimet e rregullta dhe kryerja e aktiviteteve relaksuese t\u00eb tilla si joga dhe tai chi mund t\u00eb ndihmojn\u00eb. Barnat\u00a0 dhe trajtimet e tjera jan\u00eb gjithashtu n\u00eb dispozicion, duke p\u00ebrfshir\u00eb HRT dhe terapin\u00eb njoh\u00ebse t\u00eb sjelljes (CBT).<\/p>\n <\/p>\n CBT \u00ebsht\u00eb nj\u00eb lloj i terapis\u00eb s\u00eb t\u00eb folurit q\u00eb mund t\u00eb p\u00ebrmir\u00ebsoj\u00eb uljet e humorit dhe ndjenjat e ankthit. Mjeku juaj\u00a0 mund t\u00eb jet\u00eb n\u00eb gjendje t’ju referoj\u00eb p\u00ebr terapin\u00eb n\u00eb fjal\u00eb, ose t\u00eb rekomandoj\u00eb opsione\u00a0 t\u00eb tilla si kurse online CBT.<\/p>\n Antidepresant\u00ebt mund t\u00eb ndihmojn\u00eb n\u00ebse jeni diagnostikuar me depresion.<\/p>\n \u00a0<\/strong><\/p>\n Ulje e d\u00ebshir\u00ebs seksuale<\/strong><\/p>\n \u00cbsht\u00eb\u00a0 zakonshme q\u00eb grat\u00eb t\u00eb humbin interesin p\u00ebr seks gjat\u00eb koh\u00ebs s\u00eb menopauz\u00ebs, por HRT shpesh mund t\u00eb ndihmoj\u00eb me k\u00ebt\u00eb. N\u00ebse HRT nuk \u00ebsht\u00eb efektiv, mund t’ju ofrohet nj\u00eb xhel testosteroni p\u00ebr ta aplikuar n\u00eb nj\u00eb zon\u00eb t\u00eb l\u00ebkur\u00ebs, si\u00e7 \u00ebsht\u00eb barku ose pjesa e sip\u00ebrme e k\u00ebmb\u00ebs.<\/p>\n Testosteroni \u00ebsht\u00eb hormoni seksual mashkullor dhe mund t\u00eb ndihmoj\u00eb n\u00eb rivendosjen e d\u00ebshir\u00ebs\u00a0 seksuale n\u00eb disa gra.<\/p>\n Aktualisht nuk \u00ebsht\u00eb i licencuar p\u00ebr p\u00ebrdorim te grat\u00eb, megjith\u00ebse mund t\u00eb p\u00ebrshkruhet pas menopauz\u00ebs nga nj\u00eb mjek specialist n\u00ebse mendojn\u00eb se mund t\u00eb ndihmoj\u00eb n\u00eb rivendosjen e d\u00ebshir\u00ebs suaj seksuale.<\/p>\n Efektet an\u00ebsore t\u00eb mundshme t\u00eb p\u00ebrdorimit t\u00eb testosteronit p\u00ebrfshijn\u00eb pu\u00e7rrat dhe rritjen e pad\u00ebshiruar t\u00eb qimeve.<\/p>\n That\u00ebsi dhe diskomfort vaginal <\/strong><\/p>\n N\u00ebse vagina juaj b\u00ebhet e that\u00eb, e dhimbshme ose kruhet si rezultat i menopauz\u00ebs, mjeku juaj\u00a0 mund t\u00eb p\u00ebrshkruaj\u00eb trajtim me estrogjen q\u00eb vendoset direkt n\u00eb vagin\u00ebn tuaj si unaz\u00eb\u00a0 vaginale.<\/p>\n Kjo mund t\u00eb p\u00ebrdoret n\u00eb m\u00ebnyr\u00eb t\u00eb sigurt krahas HRT.<\/p>\n Zakonisht do t\u00eb duhet t\u00eb p\u00ebrdorni estrogjen vaginal p\u00ebr nj\u00eb koh\u00eb t\u00eb pacaktuar, pasi simptomat tuaja ka t\u00eb ngjar\u00eb t\u00eb kthehen kur nd\u00ebrpritet trajtimi. Sidoqoft\u00eb, efektet an\u00ebsore jan\u00eb shum\u00eb t\u00eb rralla. Ju gjithashtu mund t\u00eb p\u00ebrdorni hidratues ose lubrifikant\u00eb vaginal\u00eb pa recet\u00eb p\u00ebrve\u00e7 ose n\u00eb vend t\u00eb estrogjenit vaginal.<\/p>\n <\/p>\n Dob\u00ebsimi i kockave ( Ulja e densitetit t\u00f6 kockave)<\/strong><\/p>\n Grat\u00eb q\u00eb kan\u00eb kaluar menopauz\u00ebn jan\u00eb n\u00eb nj\u00eb rrezik n\u00eb rritje t\u00eb zhvillimit t\u00eb osteoporoz\u00ebs si rezultat i nivelit m\u00eb t\u00eb ul\u00ebt t\u00eb estrogjenit n\u00eb trup.<\/p>\n Ju mund t\u00eb zvog\u00ebloni shanset tuaja p\u00ebr t\u00eb zhvilluar osteoporoz\u00eb:<\/p>\n <\/p>\n Takimet pasuese ( Follow-up)<\/strong><\/p>\n N\u00ebse jeni duke trajtuar simptomat e menopauz\u00ebs, do t\u00eb duhet t\u00eb ktheheni tek mjeku juaj p\u00ebr nj\u00eb rishikim pas 3 muajsh, dhe nj\u00eb her\u00eb n\u00eb vit pas k\u00ebsaj.<\/p>\n Gjat\u00eb takimeve tuaja, mjeku juaj\u00a0 mund t\u00eb:<\/p>\n <\/p>\n Shum\u00eb gra do t\u00eb ken\u00eb nevoj\u00eb p\u00ebr trajtim p\u00ebr disa vjet, derisa t\u00eb kalojn\u00eb shumica e simptomave t\u00eb tyre n\u00eb menopauz\u00eb. Disa gra mund t\u00eb d\u00ebshirojn\u00eb t\u00eb marrin HRT p\u00ebr shum\u00eb vite. P\u00ebrfitimet dhe rreziku i tyre individual duhet t\u00eb vler\u00ebsohen \u00e7do vit.<\/p>\n <\/p>\n <\/p>\n Terapit\u00eb plot\u00ebsuese dhe alternative<\/strong><\/p>\n Trajtimet plot\u00ebsuese dhe alternative, t\u00eb tilla si ila\u00e7et bimore dhe hormonet bioidentike (“natyrore”), nuk rekomandohen p\u00ebr simptomat e menopauz\u00ebs. Kjo sepse n\u00eb p\u00ebrgjith\u00ebsi \u00ebsht\u00eb e paqart\u00eb se sa t\u00eb sigurt dhe efektive jan\u00eb ato.<\/p>\n Hormonet bioidentike \u00a0nuk jan\u00eb t\u00eb nj\u00ebjta me hormonet identike t\u00eb trupit. Hormonet identike t\u00eb trupit, ose progesteroni i mikronizuar, mund t\u00eb p\u00ebrshkruhen p\u00ebr t\u00eb trajtuar simptomat e menopauz\u00ebs. Disa terapi plot\u00ebsuese dhe alternative mund t\u00eb nd\u00ebrveprojn\u00eb me ila\u00e7e t\u00eb tjer\u00eb dhe t\u00eb shkaktojn\u00eb efekte an\u00ebsore.<\/p>\n Pyesni mjekun ose farmacistin tuaj p\u00ebr k\u00ebshilla n\u00ebse po mendoni t\u00eb p\u00ebrdorni nj\u00eb terapi plot\u00ebsuese.<\/p>\n Dr. Ardi Prushi<\/p>\n P\u00ebrshtati: Dr. Ina \u00c7ala<\/p>\n","protected":false},"excerpt":{"rendered":" V\u00ebshtrim i p\u00ebrgjithsh\u00ebm Simptomat Trajtimi Menopauza \u00ebsht\u00eb kur nj\u00eb grua pushon s\u00eb pasuri menstruacione dhe natyrisht\u00a0 nuk \u00ebsht\u00eb m\u00eb n\u00eb gjendje t\u00eb mbetet shtatz\u00ebn\u00eb. Periodat zakonisht fillojn\u00eb t\u00eb b\u00ebhen m\u00eb pak t\u00eb shpeshta p\u00ebr nj\u00eb periudh\u00eb disa mujore ose edhe vite\u00a0 para se t\u00eb ndalen fare. Ndonj\u00ebher\u00eb ato mund t\u00eb ndalen papritmas. Menopauza […]<\/p>\n","protected":false},"author":1,"featured_media":23815,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[237],"tags":[249,236],"class_list":["post-2365","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gjinekologji","tag-mosha-cikli-menopauza-mungesa-afshe-climax-klimaks-djersitje-djerse-nervozitet-ankth-depresion-axhitim","tag-obstetrike-gjinekologji-obgyn-obsgjin-drardi-drprushi-drardiprushi-obstetergjinekolog-shtatzenia"],"yoast_head":"\n\n
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