Yintoni i-estrogen? Ibaluleke kangakanani emzimbeni wakho?

Mhlawumbi ukhe waliva igama elithi `Estrogen`, akunjalo? Ingakumbi njengomfazi, `I-Estrogen` ibandakanyeka kwizinto ezininzi ebomini bakho. Ngamafutshane, sisithunywa sekhemikhali esibaluleke kakhulu emzimbeni wethu, i-hormone. Makhe sithethe ngakumbi nge `Estrogen`, akunjalo?

Ngaba kukho iintlobo ze-estrogen?

Ewe, kukho iintlobo ezintathu eziphambili ze-estrogen. Nazi:

• I-Estrone (E1): Olu lolona hlobo luphambili lwe-estrogen eveliswa emzimbeni wakho emva kokuya exesheni.
• I-Estradiol (E2): Olu lolona hlobo luphambili nolunamandla kakhulu lwe-estrogen emzimbeni wakho ngexesha lokuzala kwakho, xa unokuba nabantwana.
• `Estriol (E3): Olu hlobo lwe`Estrogen` lolona hlobo luphambili lwehomoni olusebenzayo xa ukhulelwe.

Iyintoni indima ye-estrogen kwimpilo yokuzala yabasetyhini?

I-estrogen, njengezinye iihomoni, sisithunywa sekhemikhali esithumela imiyalezo emizimbeni yethu. Isixelela ukuba siqale kwaye siyeke iinkqubo ezinxulumene nempilo yakho yesondo neyokuzala. Ezi nkqubo zibangela utshintsho olubalulekileyo emzimbeni wakho.

Ukufikisa

Njengoko udlula ekufikiseni, amanqanaba akho e-estrogen ayanda. Oku kunyuka kuko okubangela ukuba kuvele iimpawu zesondo zesibini, ezinje ngophuhliso lwamabele kunye nophuhliso lwamanqe.

Umjikelo wokuya esikhathini

I-estrogen, kunye neehomoni eziveliswa yingqondo yakho (i-FSH kunye ne-LH) kunye ne-progesterone, zidlala indima enkulu ekugcineni umjikelo wakho wokuya esikhathini uhleli . Zonke ezi homoni zisebenza ngokulinganisela okuncinci. I-estrogen inceda ekukhupheni amaqanda, ukukhululwa kweqanda kwii-ovari zakho, kwaye iqinisa ulwelo lwesibeleko sakho (i-endometrium) ukulungiselela ukukhulelwa.

Ukukhulelwa kunye nokuzala

Kwiintsuku ezimbalwa ngaphambi kokukhutshwa kweqanda, amanqanaba e-estrogen afikelela kwinqanaba eliphezulu. Eli lixesha lakho lokuchuma. Kwangaxeshanye, i-estrogen inciphisa i-mucus yomlomo wesibeleko. Kungale mucus apho isidoda kufuneka sibhukude khona ukuze sidibane neqanda. Ngoko ke, olu tshintsho lubangelwa yi-estrogen lwenza kube lula kuwe ukuba ukhulelwe.

Kwakhona, nokuba ukwinqanaba elingakanani na lomjikelo wakho wokuya exesheni, ukubakho kwe-estrogen kwenza kube lula ukulala ngesondo. Inceda ukugcina iindonga zesini ziqinile, ziguquguquka, kwaye zimanzi, nto leyo enciphisa iintlungu ngexesha lokwabelana ngesondo.

Ukuya exesheni

Ngaphambi nje kokuba uyeke ukuya exesheni, okubizwa ngokuba yi-perimenopause, amanqanaba e-estrogen ayehla. Eli xesha linokuhlala iminyaka eliqela. Ukuya exesheni kuqala ngokusesikweni xa uyeka ukuya exesheni kangangeenyanga ezili-12. Oku kudla ngokukwenzeka malunga neminyaka engama-51 ubudala. Xa uyeka ukuya exesheni, amanqanaba akho e-estrogen ayehla kwaye uyeka ukukhupha amaqanda. Oku kwehla kwe-estrogen kunokubangela iimpawu ezinje ngokoma kwelungu lobufazi, utshintsho lweemvakalelo, ukubila ebusuku, kunye nobushushu obuphezulu .

Ngeli xesha, i-estrogen ephambili emzimbeni wakho iyatshintsha ukusuka kwi-Estradiol (E2) ukuya kwi-Estrone (E1).

I-estrogen iyichaphazela njani impilo yokuzala yamadoda?

Ungamangaliswa kukuba i-estrogen ikwachaphazela impilo yokuzala yamadoda. Ichaphazela umnqweno wesondo, ukuvuseleleka, kunye nokuveliswa kwesidoda.

Amanqanaba aphantsi e-estrogen anokubangela ukuncipha komnqweno wesondo. Amanqanaba aphezulu anokubangela ukungazali kunye nokungasebenzi kakuhle kwe-erectile. Amanqanaba aphezulu e-estrogen anokubangela nokukhula kwamabele (gynecomastia).

Ukuba uyindoda kwaye unenkxalabo malunga namanqanaba akho e-estrogen, kungcono ukubonana nengcali ye-endocrinologist okanye ingcali yamayeza asebenzayo.

Ziziphi ezinye imisebenzi enayo i-estrogen ezingahambelaniyo nokuzala?

I-estrogen ilawula iinkqubo ezibalulekileyo kwinkqubo yamathambo, inkqubo yentliziyo, kunye nenkqubo yemithambo-luvo ephakathi ezichaphazela impilo yakho iyonke. Oko kuthetha ukuba:

• Amanqanaba e-cholesterol
• Amanqanaba eswekile egazini
• Ubunzima bamathambo kunye nemisipha
• Ukujikeleza kwegazi kunye nokuhamba kwegazi
• Ukufuma kolusu kunye nemveliso ye-collagen
• Umsebenzi wobuchopho, kuquka nokukwazi kwakho ukugxila

I-estrogen iveliswa phi emzimbeni?

Ngexesha lokuzala kwakho, uninzi lwe-estrogen yakho iveliswa zii-ovari zakho. I-estrogen ikwaveliswa zii-adrenal glands zakho (ii-glands ezikwi-over kidneys zakho) kunye ne-adipose tissue. Ngexesha lokukhulelwa, i-estrogen ikwaveliswa yi-placenta (ilungu elitshintshiselana ngezondlo phakathi komama nosana olungekazalwa).

Emva kokukhutshwa kwayo, i-'Estrogen' ihamba ngegazi ize iye kwindawo yomzimba apho kufuneka isebenze khona. Apho, ibophana neproteni ebizwa ngokuba yi-'Estrogen', eyi-'Estrogen receptor', kwaye inkqubo iqala. Ezi 'Estrogen receptors' zijikeleze umzimba wakho wonke.

Ziziphi iimeko eziqhelekileyo ezinxulumene ne-estrogen?

I-estrogen inefuthe kwiimeko ezininzi ezinxulumene nempilo yabasetyhini. Ezinye zazo zezi:

• I-Anorexia nervosa: Kwezi meko, amanqanaba e-estrogen aphantsi. Xa amanqanaba e-estrogen esezantsi, ukuya exesheni kunokuba yinto engaqhelekanga okanye kuyeke ngokupheleleyo (i-amenorrhea). Abantu abanamafutha omzimba aphantsi kakhulu (iimodeli, abadlali) okanye abo batya ngendlela engaqhelekanga nabo banokuba namanqanaba e-estrogen aphantsi.
• Umhlaza webele: Ukuba namanqanaba aphezulu e-estrogen ixesha elide (ngokwemvelo okanye kwezinye iindlela zokulawula ukuzala, unyango lokutshintshwa kwehomoni (HRT)) kunokunyusa umngcipheko wakho womhlaza webele. Kukho iingenelo kunye neengozi kwi-HRT. Ungathetha nogqirha wakho ukuze ugqibe ukuba iingenelo ze-HRT zingaphezulu kweengozi.
• I-Endometriosis: I-estrogen ayibangeli i-endometriosis, kodwa intlungu ebangelwa yi-endometriosis inokwandiswa yi-estrogen.
• Ukungasebenzi kakuhle ngokwesondo kwabasetyhini (FSD): Ukwehla kwamanqanaba e-estrogen kunokubangela utshintsho emzimbeni nasengqondweni olwenza ukuba isondo singabi mnandi. Nangona kunjalo, i-estrogen ayithathwa njengonyango lokutshintshwa kweehomoni de ufikelele kwixesha lokuya exesheni.
• Amabele ane-fibrocystic: Izicubu zakho zebele zinokuvakala ngathi ziqhuma, zibuhlungu, okanye zingakhululekanga ngenxa yotshintsho kumanqanaba e-estrogen ngexesha lomjikelo wokuya esikhathini.
• Ukungazali: Amanqanaba aphantsi okanye aphezulu e-estrogen anokuphazamisa umjikelo wakho wokuya exesheni. Iimeko ezisisiseko ezibangela amanqanaba aphantsi okanye aphezulu e-estrogen nazo zinokunxulunyaniswa nokungazali.
• Ukutyeba kakhulu: Abantu abanamafutha amaninzi emzimbeni badla ngokuba namanqanaba aphezulu e-estrogen.
• I-Osteoporosis: Amanqanaba aphantsi e-estrogen anokubangela ukuba amathambo akho abe buthathaka kwaye aphuke lula.
• I-Polycystic ovary syndrome (PCOS): I-PCOS yimeko apho ama-ovari evelisa iihomoni zamadoda ezininzi kakhulu (androgens). Ngamanye amaxesha, kwi-PCOS, amanqanaba e-estrogen anokuba phezulu xa kuthelekiswa namanqanaba e-progesterone.
• Ukungasebenzi kakuhle kwesibeleko (ukuya exesheni ngaphambi kwexesha): Kule meko, ama-ovari ayayeka ukuvelisa amaqanda ngaphambi kokuba afikelele kwiminyaka engama-40. Ngenxa yoko, ama-ovari awavelisi i-estrogen efunekayo emzimbeni wakho.
• I-Premenstrual syndrome (PMS) kunye ne-premenstrual dysphoric disorder (PMDD):Utshintsho oluqhubekayo lwehomoni oluhambelana nokuya exesheni lunokubangela iimpawu zomzimba ezingathandekiyo kunye nokutshintsha kweemvakalelo. Ukwehla kwamanqanaba e-estrogen emva kokukhutshwa kweqanda kunokubangela i-PMS kunye ne-PMDD.
• I-Turner syndrome: Abantu abane-Turner syndrome badla ngokuba nama-ovari angakhulanga kakuhle, nto leyo ethetha ukuba banamanqanaba aphantsi e-estrogen. Oku kuthetha ukuba ukuba unale meko, usenokungabi nakukhula kwamabele okanye ukuya exesheni.
• Umhlaza wesibeleko (umhlaza we-endometrial): Amanqanaba aphezulu e-estrogen anokubangela ukuba ulwelo lwesibeleko sakho lube lukhuni. Ekuhambeni kwexesha, iiseli zomhlaza zinokuqala ukukhula.
• Iifibroids zesibeleko kunye neepolyps: I-estrogen eninzi kakhulu inokunxulunyaniswa nokukhula okungenamhlaza (iifibroids) okanye iipolyps (iipolyps) ezikhula kwisibeleko sakho.
• Ukoma kwesini (i-Vaginal atrophy - i-atrophic vaginitis): Ngenxa yokuncipha kwe-estrogen, ulwelo lwesini lunokuba luncinci kwaye lome. Oku kuqhelekile ngexesha lokuya exesheni nasemva kokuya exesheni.

Indima ye-estrogen kwiimeko ezichaphazela ezinye iinkqubo zomzimba isaphandwa. Umzekelo, i-estrogen inxulunyaniswe nezinye iingxaki ze-endocrine kunye nezifo zesisu.

Zithini iinqanaba eziqhelekileyo ze-estrogen?

Amanqanaba e-estrogen ayanda aze ehle ebomini bonke. Olu tshintsho luqhelekile. Umzekelo, kuqhelekile ukuba amanqanaba e-estrogen anyuke ngexesha lokufikisa aze ehle njengoko usondela exesheni. Amanqanaba e-estrogen ayanda ngexesha lokuvuthwa kweqanda ukunceda ukulungiselela umzimba wakho ukukhulelwa. Kuqhelekile nokuba amanqanaba e-estrogen ehle ngexesha lokuya exesheni, njengoko utshintsho olunxulumene nokukhulelwa lungasafuneki.

Ukuba amanqanaba akho e-estrogen ahlala ephantsi okanye ephezulu, oko kungaba luphawu lwengxaki ethile yempilo engabonakaliyo. Ufanele uthethe nogqirha wakho ngayo.

Kuthekani ukuba amanqanaba e-estrogen ehla rhoqo?

Amanqanaba aphantsi e-estrogen adla ngokuba luphawu lokuba usondela exesheni. I-estrogen ephantsi inokubonisa iingxaki zokuzala, ukungabikho kokutya okunempilo, kunye neemeko ezifana ne-Turner syndrome.

Ezi zinokubonwa njengeempawu:

• Intlungu yebele
• Amathambo okanye amathambo abuthathaka aphuka lula
• Ubushushu kunye nokubila ebusuku
• Ukuya exesheni okungaqhelekanga okanye ukuyeka ngokupheleleyo ukuya exesheni
• Intloko ebuhlungu, ubunzima bokugxila
• Ukudinwa, ukozela, ukungalali
• Ukutshintsha kweemvakalelo, ukucaphuka, kunye nokudakumba
• Ukoma kwesisu, okubangela iintlungu ngexesha lokwabelana ngesondo (iDyspareunia)

Kuthekani ukuba amanqanaba e-estrogen ahlala ephezulu?

Ukuba ne-estrogen eninzi emzimbeni wakho kunokunxulunyaniswa neemeko ezahlukeneyo, kuquka ii-polyps, ii-fibroids, i-PCOS, i-endometriosis, kunye nee-ovarian cysts. Amanqanaba akho e-estrogen anokunyuka kuba une-estrogen eninzi kakhulu xa kuthelekiswa ne-hormone yakho yesini, i-progesterone. Amayeza aqulethe i-estrogen anokunyusa ne-estrogen emzimbeni wakho.

Ezi zinokubonwa njengeempawu:

• Ukuncipha komnqweno wesondo
• Ukwanda kobunzima, ingakumbi esinqeni nasezinqeni
• Ukuya exesheni okungaqhelekanga (ukopha ngexesha elingalindelekanga, kancinci okanye ngaphezulu)
• Ukwanda kweempawu ezinxulumene ne-PMS okanye i-PMDD

Ndingawazi njani amanqanaba am e-estrogen?

Uvavanyo lwe-estrogen lunokulinganisa amanqanaba akho e-Estrone (E1), i-Estradiol (E2), okanye i-Estriol (E3). Ugqirha wakho uza kwenza uvavanyo lwegazi olulula aze alithumele kwilebhu ukuze lihlaziywe.

Ziziphi iindlela eziqhelekileyo zonyango lwezifo ezinxulumene ne-estrogen?

Unyango lokutshintshwa kwehomoni (HT) lunyango oluqhelekileyo kubafazi abanamanqanaba aphantsi e-estrogen, ingakumbi abo badlula kwixesha lokuya exesheni. Nge-HT, ugqirha wakho uya kukunika iidosi eziphantsi ze-estrogen okanye indibaniselwano ye-estrogen kunye ne-progesterone (okanye uhlobo lwe-progesterone yokwenziwa, ebizwa ngokuba yi-progestin) ukwandisa amanqanaba e-estrogen. Nangona kunjalo, i-HT ineengozi, kwaye ayilungelanga wonke umntu. Thetha nogqirha wakho malunga nokuba i-HT ikulungele na.

Ungayigcina njani imigangatho ye-estrogen esempilweni?

Iimeko ezinxulumene nokungalingani kwamahomoni azinakuthintelwa rhoqo. Nangona kunjalo, kukho imikhwa emihle onokuyisebenzisa eya kukunceda ugcine impilo yakho iyonke:

• Lala ngokwaneleyo: Ukulala ngokwaneleyo, ungaphazanyiswa nto yonke imihla kunceda umzimba wakho ugcine amanqanaba e-hormone asempilweni afunekayo ukuze wenze imisebenzi ebalulekileyo.
• Lawula uxinzelelo: Uxinzelelo olugqithisileyo lunokubangela ukuba umzimba wakho uvelise iihomoni zoxinzelelo ezingaphezulu `(Cortisol)` kunye `(Adrenaline).` Ezi homoni zoxinzelelo olugqithisileyo zinokubangela ukungalingani kweehomoni okuchaphazela kakubi amanqanaba `(Oestrogen)`.
• Yenza umthambo ofanelekileyo: Ukuzilolonga okunempilo kunokukunceda ulawule ukutya okutyayo kunye namafutha onawo emzimbeni wakho. Kunokukunceda ulale ngcono.
• Nciphisa utywala bakho: Utywala bunokunyusa amanqanaba e-estrogen yakho. Ukuchanabeka kwi-estrogen ixesha elide kunokunyusa umngcipheko wakho wokuba nomhlaza.
• Landela imikhwa elungileyo yokutya:Ukuze ulinganise iihomoni zakho, lumka ngento oyityayo. Ukunciphisa ukutya okuneswekile nokutya ukutya okunefayibha eninzi kunye namafutha asempilweni (afumaneka kwioyile yomnquma, amandongomane, kunye nentlanzi) kunokunceda ukulinganisela iihomoni.

Eyona nto ibalulekileyo ekufuneka uyikhumbule (Umyalezo Wokuya Ekhaya)

I-estrogen ibalulekile kwimpilo yakho yokuzala nakwimpilo iyonke. Kuqhelekile ukuba amanqanaba e-estrogen atshintshe ngokweminyaka yakho kunye nomjikelo wakho wokuya exesheni. Nangona kunjalo, ukuba amanqanaba akho ahlala ephezulu okanye ephantsi, unokufumana iimpawu ezingathandekiyo. Kubalulekile ukuthetha nogqirha wakho ngale nto. Kudla ngokubakho unyango olunokunceda, olufana nolawulo lokuzalwa, utshintsho kwindlela yokuphila, okanye unyango lweehomoni emva kokuya exesheni.

Ngoko ke, qaphela utshintsho olusemzimbeni wakho, kwaye ukuba uneengxaki, ungabi nantloni kwaye uthethe nogqirha. Impilo yakho ibaluleke kakhulu kuwe!

I- estrogen, iihomoni, impilo yabasetyhini, impilo yokuzala, umjikelo wokuya esikhathini, ukuyeka ukuya exesheni, ukukhulelwa