He rite tō tātou tinana ki tētahi wheketere matatini, whakamiharo. He rōpū karere e whakawhitiwhiti kōrero ana i waenga i ngā wāhanga rerekē o tēnei wheketere, ā, e mahi tahi ana tetahi ki tetahi. He māmā noa iho, ko ēnei karere ko ngā mea e kiia nei e tātou he homoni . Kāore e taea e tō tātou tinana te mahi me te kore he homoni. Heoi, i ētahi wā ka whāngai ēnei homoni i ētahi pūtau matepukupuku, ka āwhina i a rātou ki te tipu me te horapa. Koinā te wā ka nui ai te hiranga o te rongoā homoni ki a tātou.
Know your body mass index (BMI) and weight classification
Nā, he aha tēnei rongoā homoni?
Ki te kī ngāwari, ka aukati te rongoā homoni i ngā pūtau matepukupuku ki te whiwhi i ngā homoni e hiahiatia ana e rātou hei tipu. Ina kore e whiwhi ngā pūtau matepukupuku i ēnei homoni, ka ngaro te kaha ki te tipu, ki te wehewehe, me te horapa.
I ētahi wā ka whakamahia tēnei maimoatanga e ngā tākuta anake. Ka whakamahia tahitia hoki me ētahi atu maimoatanga, pērā i te pokanga, te chemotherapy, te radiation therapy rānei. I ētahi wā, i muri i te otinga o ngā maimoatanga matua katoa, ka hoatu hoki te rongoā homoni hei whakaiti i te tūponotanga o te hokinga mai o te mate pukupuku.
Me pēhea te mahi a tēnei maimoatanga?
E toru ngā huarahi matua e mahi ai tēnei maimoatanga:
1. Te aukati i te hanga homoni: Ka hoatu he rongoā hei aukati i te hanga homoni e hiahiatia ana e ngā pūtau matepukupuku. I ētahi wā, ka taea hoki te tango i ngā repe e hanga ana i aua homoni (hei tauira, ngā poro i roto i ngā tāne) mā te pokanga.
2. Te aukati i te mahi a ngā homoni: Kei roto i tēnei ko te aukati i te ara mō ngā homoni ki te toro atu me te piri atu ki ngā pūtau matepukupuku. Ina kore e taea e ngā homoni te toro atu me te piri atu ki te pūtau, kāore te pūtau e whiwhi i te karere kia tipu.
3. Whakakapinga homoni hangai: I ētahi wā, ka tukuna ki te tinana ngā homoni bioidentical i hangaia i roto i te taiwhanga. Ahakoa te āhua o ēnei homoni hangai he rite ki ngā homoni tūturu, kāore e taea e ngā pūtau matepukupuku te whakamahi i aua homoni hei tipu. Nō reira, ina whakakapia ēnei e ēnei homoni tūturu, ka mutu te tipu o ngā pūtau matepukupuku.
He aha ngā momo mate pukupuku e whakamahia ana te rongoā homoni?
Kāore ngā mate pukupuku katoa e rongoātia ana ki ngā homoni. Ko te nuinga o tēnei maimoatanga e whakamahia ana mō ngā mate pukupuku e whakawhirinaki ana ki ngā homoni, arā, me whai homoni rātou hei āwhina i a rātou ki te tipu.
| Momo mate pukupuku | Whakaahuatanga |
|---|---|
| Matepukupuku Prostate | E whakamahia ana hei whakahaere i te tipu o ngā pūtau matepukupuku e whakawhirinaki ana ki ngā homoni tāne (androgens). |
| Matepukupuku o te ū | E whakamahia ana hei whakahaere i ngā pūtau matepukupuku e tairongo ana ki te estrogen (ER-positive). |
| Matepukupuku o te ovarian | E whakamahia ana mō ētahi momo matepukupuku whatukuhu onge. |
| Matepukupuku o te Kōpū | Ka whakamahia hei whakahaere i te tipu o te mate pukupuku ina horapa, ina hoki mai rānei. |
Te maimoatanga homoni mō te mate pukupuku prostate
He maha ngā wā ka whakaohokia ngā pūtau matepukupuku repeure e ngā homoni tāne (androgens) pērā i te testosterone. Nō reira, ko te whāinga o te maimoatanga he whakaiti i ngā taumata o ēnei homoni, he aukati rānei i tā rātou mahi. I ētahi wā, ka tangohia tetahi, e rua rānei ngā testicle i roto i te pokanga (orchiectomy).
Ngā rongoā e whakamahia ana:
- Abiraterone acetate: Ka aukati tēnei rongoā i te hanga o ngā homoni tāne i roto i ngā pūtau matepukupuku prostate.
- Ngā kaiwhakaoho LHRH: Ka tukuna e ēnei rongoā he tohu ki te repe pituitary i roto i tō tātou roro kia mutu te hanga i tētahi atu homoni (luteinizing hormone) e āwhina ana ki te hanga testosterone.
- Ngā Antiandrogens: Ka ārai tika ēnei i te here o te homoni testosterone ki ngā pūtau matepukupuku.
He mea nui: He rerekē ngā pānga taha o tēnei maimoatanga i ia tangata, i ia tangata. Kōrerohia tēnei ki tō tākuta.
Ngā pānga taha e kitea whānuitia ana:
- Te pikinga o te taumaha.
- Te hekenga, te ngaro rānei o te hiahia moepuku.
- Te ngoikore o te ure.
- Te hekenga o te mātotoru o te wheua (Osteoporosis).
Te maimoatanga homoni mō te mate pukupuku o te ū
Tata ki te 80% o ngā mate pukupuku o te ū he tairongo ki ngā homoni. Ko te tikanga ka aro atu ngā pūtau mate pukupuku ki te homoni wahine, te estrogen. Ka kiia ēnei he mate pukupuku ER-pai . Nō reira, ko te whāinga o te maimoatanga he whakaiti i te taumata o te estrogen i roto i te tinana, he ārai rānei i te here o te estrogen ki ngā pūtau mate pukupuku.
He maha ngā wā ka tukuna tēnei maimoatanga i muri i te pokanga hei whakaiti i te tūponotanga o te hokinga mai o te mate pukupuku. Heoi, ka whakamahia anō hoki i mua i te pokanga hei whakaiti i te pukupuku, hei rongoā rānei i te mate pukupuku kua horapa ki ētahi atu wāhanga o te tinana.
| Momo rongoā | Mahi |
|---|---|
| Ngā Ārai Aromatase | Ka aukati i tētahi whākōkī (Aromatase) e whakaputa ana i te estrogen i roto i te tinana, ka whakaiti i ngā taumata estrogen (he maha ngā wā ka hoatu ki ngā wāhine i muri i te menopause). |
| Ngā Kaiwhakahaere Kaiwhiwhi Estrogen Kōwhiringa (SERM) | Ka ārai te homoni estrogen i te piri o ngā pūtau matepukupuku ū ki a ia. |
| Ngā Whakahekenga o te Kaiwhiwhi Estrogen (ERD) | Ka aukati ēnei i ngā kaiwhakawhiwhi estrogen, ā, ka whakaiti i tō rātou maha. |
Ngā pānga taha e kitea whānuitia ana:
- Te mamae o te tinana, o ngā hononga, o te kōpiko rānei.
- Ngenge.
- Whakapairuaki me te ruaki.
- Te pikinga o te taumaha.
- Te hekenga o te hiahia moepuku.
- Te rongo i te wera nui i roto i te tinana (ngā mura wera).
- Te mamae, te pupuhi rānei o te ū.
Me pēhea te tuku i tēnei maimoatanga? He aha ngā painga me ngā mōrearea?
He maha ngā wā ka hoatu te rongoā homoni hei pire ka tangohia e koe i ia rā. Kei te wātea hoki ētahi rongoā hei werohanga ka tangohia e koe i ngā wā motuhake. Mā tō tākuta tēnei e whakatau.
Ko te painga matua , ina honoa ki ētahi atu maimoatanga, ka taea e ia te whakaroa, te aukati rānei i te tipu o ngā pūtau matepukupuku.
MōreareaHe pānga taha ēnei. Engari kia maumahara, kāore e pāngia te katoa e ēnei pānga. He huarahi anō hoki hei whakahaere i ēnei pānga taha. He mea nui kia kōrero koe ki tō tākuta mō ngā mamae katoa e pāngia ana e koe. Ka rerekē pea ngā pānga taha i runga i tō āhua hauora me te maimoatanga e whiwhi ana koe.
Karere Tangohia ki te Kāinga
- Ko te whakaora homoni he tikanga maimoatanga e tapahi ana i te tuku o ngā homoni e hiahiatia ana e ngā pūtau matepukupuku hei tipu.
- Ka whakamahia tēnei maimoatanga mō ngā mate pukupuku e pā ana ki ngā homoni pērā i te mate pukupuku o te repeure, te ū, te whatukuhu, me te kōpū.
- He rerekē ngā tikanga maimoatanga, ngā rongoā, me ngā pānga taha i ia tangata, i ia tangata, ā, i runga anō i te momo mate pukupuku.
- Tērā pea ka pā mai ētahi pānga taha i tēnei maimoatanga, engari ka taea e koe te tiki āwhina hei whakahaere i aua pānga.
- He mea tino nui kia kōrero mārama, kia tuwhera hoki ki tō tākuta mō te kōwhiringa maimoatanga e pai ana mōu me ōna painga me ōna huakore.
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