Masifunde ngakumbi ngehomoni i-estriol, ebalulekileyo ekukhuleni komntwana wakho.

Ukuba ukhulelwe, mhlawumbi uqaphele utshintsho oluninzi oluqhubekayo emzimbeni wakho. Uninzi lwale tshintsho lubangelwa ziihomoni. Ngoko ke, namhlanje siza kuthetha ngehomoni ebaluleke kakhulu ngexesha lokukhulelwa, kodwa kusenokwenzeka ukuba awuzange uve ngayo. Ibizwa ngokuba yi-estriol.

Yintoni le estriol?

Ngamafutshane, i-estriol yenye yeentlobo ezintathu zeehomoni ze-estrogen emizimbeni yethu. Ingakumbi ukuba ukhulelwe, amanqanaba akho e-estriol ayanda kulo lonke ixesha lokukhulelwa kwakho. Oku kunceda ukugcina umntwana wakho kunye nesibeleko sakho siphilile. Ifikelela kwinqanaba eliphezulu ngaphambi kokuba ubeleke.

I-Estriol iveliswa emzimbeni wabasetyhini namadoda angakhulelwanga. Nangona kunjalo, inani lincinci kakhulu, ngamanye amaxesha alibonakali. Amanye amagama ayo yi-'oestriol' kunye ne-E3.

Kwenzeka ntoni kwi-estriol ngexesha lokukhulelwa?

Xa ithelekiswa nezinye iihomoni ze-estrogen, i-estriol inendima ekhethekileyo ngexesha lokukhulelwa. Nantsi into eyenzayo:

• Inceda isibeleko sakho sikhule: Njengoko umntwana wakho ekhula, isibeleko sakho kufuneka sikhule ukuze sikwazi ukumelana naso. Yiloo nto i-estriol inceda ngayo. Cinga ngayo njengokwenzela umntwana indawo.
• Iyenza umzimba ukwazi ukuziva ezinye iihomoni zokukhulelwa: I-Estriol inceda umzimba wakho ukuba uphendule ngokufanelekileyo kwezinye iihomoni ezibalulekileyo ezisebenzayo ngexesha lokukhulelwa. Oko kukuthi, ivula indlela yokuba ezinye iihomoni zenze imisebenzi yazo ngokufanelekileyo.
• Ilungiselela umzimba ukuzala nokuncancisa: Kuthiwa oku kunceda umzimba wakho ulungiselele ukuzala kwaye kamva uncancise. Ayimangalisi na le nto?

Amanqanaba e-Estriol adla ngokuqala ukunyuka malunga neeveki ezisibhozo zokukhulelwa. Ayaqhubeka enyuka. Afikelela kwincopho malunga neeveki ezintathu ngaphambi kokuba ubeleke. Abanye abaphandi bacinga ukuba la manqanaba e-estriol anyukayo ayinxalenye yokulungiselela umzimba ukuba ubeleke. Kodwa abakaqiniseki okwangoku, kwaye basaphanda ngako.

I-Estriol njengeyeza

Ngoku sithethe nge-estriol, eveliswa ngokwemvelo emzimbeni. Kukwakho nohlobo lwe-estriol olwenziwe kwilebhu. Oku kubizwa ngokuba yi-bioidentical hormone. Oko kuthetha ukuba yenziwe ukuba ifane ngqo ne-hormone esinayo emizimbeni yethu. Ngamanye amaxesha oogqirha banokucebisa oku njengonyango lwe-hormone kwiimpawu zokuya exesheni. Uyazi, nangona ukuya exesheni kuyinto yendalo ebomini bomfazi, kunokuba yinto ecaphukisayo, njengobushushu kunye nokungalali.

Kodwa kukho into encinci apha.Eli yeza alivunywa yi-Food and Drug Administration (FDA) ukunyanga iimpawu zokuya exesheni. Uninzi lwexesha, ezi zifumaneka kuphela kwiikhemesti ezikhethekileyo, okanye kwiikhemesti ezixutyiweyo. Ngoko ke, ngaphambi kokuba uqale ukusebenzisa into efana nale , ngokuqinisekileyo kufuneka uthethe nogqirha wakho. Nguye oza kukuxelela ukuba ikulungele na.

Abaphandi basaphanda ezinye iindlela ezinokwenzeka zokusebenzisa i-estriol. Bacinga ukuba i-estriol eyenziwe elebhu inokunceda:

• Ukuphucula ukusebenza kwengqondo. Oko kuthetha izinto ezifana nenkumbulo kunye nengqalelo.
• Nciphisa iintloko ezibuhlungu xa usexesheni.
• Nciphisa imibimbi yolusu.
• Nyanga izifo ezinxulumene nokudumba kwinkqubo yemithambo-luvo, umzekelo, i-multiple sclerosis (MS).
• Nyanga uxinzelelo emva kokubeleka.

Kodwa khumbula, ezi zibonelelo zisesekwinqanaba lophando (ukusetyenziswa ngaphandle kweleyibhile) kwaye azikaqinisekiswa ngokupheleleyo. Ngoko ke ngokuqinisekileyo kufuneka uthethe nogqirha wakho ngaphambi kokuba usebenzise i-estriol kule njongo.

I-estriol iveliswa njani emzimbeni?

Ixesha elininzi, i-placenta inoxanduva lokuvelisa i-estriol. I-placenta sisitho esibaluleke kakhulu esibonelela ngesondlo kunye ne-oksijini kumntwana ngexesha lokukhulelwa. Kodwa kukho amanyathelo aliqela abandakanyekayo ekuvelisweni kwe-estriol. Khawuthelekelele oku:

1. Okokuqala, ii-adrenal glands zomntwana wakho zivelisa i-hormone ebizwa ngokuba yi-dehydroepiandrosterone sulfate (DHEAS). Le sisithako sokuqala.

2. Emva koko, isibindi somntwana siguqula le DHEAS ibe yenye ikhemikhali ebizwa ngokuba yi-16a-hydroxy-DHEAS. Oku kwenzeka nangaphakathi emzimbeni womntwana.

3. Le khemikhali iya kwi-placenta ize iguqulwe ibe yi-estriol. I-placenta ifana nomzi-mveliso othatha le khemikhali uze wenze i-estriol.

4. Ekugqibeleni , le estriol ikhuliswayo ingena egazini lakho. Kuphela emva koko inceda umzimba wakho kunye nomntwana.

Uyabona, le yinkqubo enzima kancinci. Kodwa ngokufutshane, amalungu omzimba womntwana kunye ne-placenta ziyadibana ukuze zenze le hormone ibalulekileyo. Oku kubonisa indlela emangalisayo ngayo ubudlelwane phakathi komama nomntwana!

Oogqirha bajonga nini amanqanaba e-estriol?

Oogqirha badla ngokuvavanya amanqanaba e-estriol phakathi kweeveki ezili-15 nezingama-20 zokukhulelwa (ngexesha le-trimester yesibini).Oku kwenziwa njengenxalenye yovavanyo olubizwa ngokuba yi-triple marker okanye i-quad marker screening. Olu vavanyo lunceda ekufumaneni ukuba umntwana uneemeko zokuzalwa/iziphene zokuzalwa. Olu luvavanyo olubaluleke kakhulu kuba ukuba kukho into efunyenwe kwangethuba, amanyathelo afunekayo anokuthathwa.

Uvavanyo lwe-quad marker lulinganisa amanqanaba eehomoni ze-estriol kunye ne-human chorionic gonadotropin (HCG), kunye ne-alpha-fetoprotein (AFP) kunye ne-inhibin-A. Oogqirha basebenzisa zonke ezi zinto kunye ukwenza uxilongo.

Ukuba unezinye izinto ezibangela ezi meko zokuzalwa, ugqirha wakho unokucebisa ukuba uvavanye igazi le-estriol okanye uhlolwe i-quad screen. Ziziphi ezo zinto zibangela umngcipheko?

• Ukuba neminyaka engaphezu kwama-35 ubudala (ubudala obuphezulu bokuzala).
• Ukuba unesifo seswekile .
• Ukuba kukho umntu kusapho oye waba nezi meko zinjalo ukususela ekuzalweni kwakhe (imbali yosapho yendalo).
• Ukuba ufumana usulelo lwentsholongwane olufana neHepatitis A okanye iZika virus ngexesha lokukhulelwa.

Ukuba kwenzeka into efana nale, ungakhathazeki. Ugqirha uza kukunika iingcebiso ezifunekayo.

Amanqanaba e-estriol alinganiswa njani?

Ngexesha lokukhulelwa, ungenza uvavanyo lwegazi okanye uvavanyo lomchamo ukuze ulinganise amanqanaba akho e-estrogen, ngakumbi i-estriol. Uvavanyo lwegazi lulula kakhulu. Lubandakanya ukuthatha igazi elincinci kugqirha wakho okanye elebhu. Isenokuba buhlungu kancinci, kodwa iza kuphela ngokukhawuleza.

Kodwa indlela echanekileyo yokulinganisa amanqanaba e-estriol kukuvavanya umchamo iiyure ezingama-24. Kule nto, uqokelela umchamo wakho kwisitya kangangeeyure ezingama-24 uze uwuse kugqirha wakho okanye kwilebhu. Nangona oku kungabonakala ngathi yingxaki, kuyanceda ukufumana iziphumo ezichanekileyo.

Kule mihla, kukho izixhobo zokuvavanya ekhaya ezinokulinganisa amanqanaba e-estrogen kumathe. Kodwa ukuba ukhulelwe, ugqirha wakho usenokucebisa indlela ethembekileyo ngakumbi, njengoko uvavanyo ngexesha lokukhulelwa lubaluleke kakhulu.

Kuthetha ukuthini amanqanaba e-estriol angaqhelekanga?

Amanqanaba aphantsi e-estriol ngexesha lokukhulelwa anokubonisa ingxaki kwi-placenta . Ngamanye amaxesha inokubonisa utshintsho kumntwana, njenge- Down syndrome . Kodwa khumbula, oku akuyonto inokufunyanwa ngovavanyo olunye kuphela. Kufuneka iimvavanyo ezingaphezulu ukuqinisekisa ukuxilongwa.

Kwelinye icala, ngexesha lokukhulelwaUkuba amanqanaba akho e-estriol anyuka ngequbuliso ngaphambi kweeveki ezingama-37, oko kuthetha ukuba usemngciphekweni wokubeletha ngaphambi kwexesha. Ukuba kunjalo, ugqirha wakho uya kukunika iingcebiso kunye nonyango olufunekayo.

Kwakhona, abo banamanqanaba aphantsi e-estriol akufutshane nokubeleka basenokungazali ngokwemvelo. Kwimeko enjalo, oogqirha banokusebenzisa ezinye iindlela zokubangela ukubeleka (iindlela zokungenisa ukubeleka).

Ugqirha wakho uza kukuchazela ezi ziphumo zovavanyo kunye nentsingiselo yazo. Musa ukoyika ukubuza imibuzo. Ngokuxhomekeke kwiziphumo, banokucebisa uvavanyo olongezelelweyo (njenge-ultrasound) okanye bakuthumele kumcebisi wezofuzo.

I-Estriol yi-hormone edlala indima ebaluleke kakhulu ngexesha lokukhulelwa. Ugqirha wakho usenokufuna ukujonga amanqanaba akho e-estriol kunye nezinye iimvavanyo ngexesha lokukhulelwa kwakho. Kuqhelekile ukuba uzive ukhathazekile xa iziphumo zovavanyo zibuya zingaqhelekanga. Kodwa khumbula, ugqirha wakho uza kukuchazela iziphumo aze akunike inkxaso oyifunayo.

Ngoko ke, yintoni esifanele siyikhumbule koku?

Kulungile, ukuze kube lula, i-estriol yi-hormone ebalulekileyo kuwe nakumntwana wakho ngexesha lokukhulelwa. Inceda isibeleko sikhule, umntwana akhule kakuhle, kwaye umzimba ulungiselele ukuzala. Oogqirha bajonga amanqanaba ayo ukuze bancede ekufumaneni iimeko ezithile kwangethuba.

Eyona nto ibalulekileyo kukuba ukuba unemibuzo okanye iinkxalabo malunga namanqanaba akho e-estriol okanye iimvavanyo ezinxulumene noko, thetha nogqirha wakho. Ngabo bantu bafanelekileyo ukukuchazela kwaye bakunike isikhokelo osifunayo. Ngoko ke ungoyiki ukubuza imibuzo kwaye ucacise ngayo yonke into. Impilo yakho neyomntwana wakho zezona zinto zibalulekileyo.

I- Estriol, ukukhulelwa, iihomoni, i-placenta, ukuzala, uphawu lwe-quad, i-estrogen