Ngaba une-estrogen ephantsi? Makhe sithethe ngale nto ngokweenkcukacha!

Unolwazi olungakanani ngezinye zeehomoni emzimbeni wakho? Namhlanje siza kuthetha ngehomoni ebizwa ngokuba yi-'Estrogen', ebalulekileyo kubafazi abaninzi kwaye kwinqanaba elithile kumadoda. Masithethe ngendlela elula neqondakalayo malunga nokuba kwenzeka ntoni xa oku kuncipha, isizathu sokuba kwenzeke, kunye nento esinokuyenza. Ungakhathazeki, le yingxaki abantu abaninzi abanayo, ngoko awuwedwa.

Kuthetha ukuthini ukuba ne-estrogen ephantsi?

Ngamafutshane, i-estrogen yi-hormone ebaluleke kakhulu ekunceda ukhule ube yintombazana, kunye nenkqubo yakho yokuzala, eyinkqubo ekuncedayo ukuba wenze abantwana, kwaye uyigcine isempilweni. Ayipheleli apho, kodwa ikwanceda nezinye iinkqubo ezininzi emzimbeni. Cinga ngayo, i-estrogen inceda ukugcina ulusu lwakho luhle kwaye amathambo akho omelele.

Amanqanaba e-estrogen ayatshintshatshintsha ubomi bakho bonke, njengamanye ama-hormone alawula umjikelo wakho wokuya exesheni wenyanga. Kuqhelekile ukuba amanqanaba e-estrogen atshintshe ngale ndlela, kwaye akuyonto inkulu loo nto.

Nangona kunjalo, amanqanaba e-estrogen aphantsi rhoqo ayinto eyahlukileyo. Ukuba ahlala ephantsi, usenokuba udlula kutshintsho lwendalo, njengokuya exesheni. Ukuya exesheni kukuyeka ukuya exesheni ngokusisigxina njengoko ukhula. Ngamanye amaxesha, i-estrogen ephantsi inokuba luphawu lwemeko ecothisa ukukhula kwakho ngokwesondo kwaye mhlawumbi yenze kube nzima ukukhulelwa.

Ngubani ochaphazeleka kakhulu kukungabikho kwe-estrogen?

Ngaba uyazi ukuba ngoobani abachaphazeleka kakhulu kukungabikho kwe-estrogen? Abafazi ngabona baziva kakhulu iziphumo. Kodwa wonke umntu uvelisa i-estrogen, kwaye namadoda nawo anayo, kwaye kubalulekile ukukhumbula oko.

Amaxesha apho unokuthi uve khona iziphumo zokungabikho kwe-estrogen ngala:

• Ukuba udlula kwixesha lokuya exesheni okanye emva kokuya exesheni . Ngexesha lokuzala kwakho, xa ukwazi ukuba nabantwana, ii-ovari zakho zenza uninzi lwe-estrogen. Ngexesha lokuya exesheni nasemva kokuya exesheni, ixesha lakho lenyanga liyayeka, kwaye ii-ovari zakho ziyayeka ukwenza i-estrogen. Endaweni yoko, iiseli zamafutha zomzimba wakho ziqala ukwenza i-estrogen. Ukuya exesheni kuxa ungakhange uye exesheni kangangeenyanga ezilishumi elinesibini zilandelelana. Ixesha elilandela elo libizwa ngokuba yi-postmenopause.
• Ukuba ii-ovari zakho zisusiwe okanye zonakele ngexesha lonyango. Umzekelo, ukuba ii-ovari zakho zisusiwe njengenxalenye yonyango lweemeko ezithile (ezifana notyando lomhlaza), umzimba wakho uya kuvelisa kuphela inani elincinci kakhulu le-estrogen. Kwakhona, izinto ezifana nonyango lwe-radiation zingonakalisa ii-ovari kwaye zinciphise inani le-estrogen eziyivelisayo.

I-estrogen ephantsi iwuchaphazela njani umzimba womfazi?

Ukuncipha kwe-estrogen kuyichaphazela njani umzimba womfazi? Enyanisweni, iziphumo zingahluka ngokuxhomekeke ekubeni ukuphi ekukhuleni kwakho ngokwesondo, nokuba uselula, uneminyaka ephakathi, okanye usondela ekupheliseni ukuya exesheni.

Ngenxa yokungabikho kwe-estrogen:

• Ukufikisa kunokulibaziseka, uphuhliso lwesondo lunokucotha, okanye luyeke ngokupheleleyo. Oku kunokwenzeka ukuba udibana nale meko usemncinci, oko kukuthi, usengumntwana omncinci.
• Ukuphela kwexesha lokuya exesheni kunye nokuya exesheni kwenzeka ngeli xesha. Ngeli xesha, ukulalana okubuhlungu (i-dyspareunia), ukuncipha komnqweno wesondo, kunye nobushushu obukhawulezileyo kunye nokubila kunokwenzeka. Ezi zizinto ezifunyanwa ngabasetyhini abaninzi.

Indlela ukungabikho kwe-estrogen echaphazela ngayo umzimba wendoda

Kulungile, ngoku makhe sijonge indlela i-estrogen ephantsi echaphazela ngayo umzimba wendoda. Ewe, amadoda nawo ane-estrogen! I-estrogen ephezulu kumadoda inokukhokelela kwizinto ezifana nokungasebenzi kakuhle ngokwesondo. Nangona kunjalo, akwadinga i-estrogen ethile kwimpilo yawo yokuzala kunye nempilo iyonke. Uphando lubonise ukuba xa amanqanaba e-estrogen ehla, amadoda anokuhlangabezana noku kulandelayo:

• Ukwanda kwamafutha esiswini.
• Ukuncipha komnqweno wesondo.
• Amathambo abuthathaka kunye ne-osteoporosis. Le meko ibangela ukuba amathambo aphuke lula.

Ngamanye amaxesha, ukuba umzimba wakho awubonakali ngendlela ofuna ngayo ngenxa yamanqanaba aphantsi e-estrogen, ungacinga ngonyango lwe-hormone olusebenzisa amabhinqa. Nangona kunjalo, kubalulekile ukufuna ingcebiso kagqirha ngaphambi kokuba wenze oku.

Ziziphi iimpawu zamanqanaba aphantsi e-estrogen?

Zithini iimpawu zamanqanaba aphantsi e-estrogen? Iimpawu ze-estrogen ephantsi ngexesha lokuzala kwakho zifana kakhulu neempawu eziqhelekileyo zokuya exesheni kunye ne-postmenopause. Iimpawu zakho ziya kuxhomekeka kwisizathu samanqanaba aphantsi e-estrogen yakho.

Ezinye zezona mpawu ziqhelekileyo zokungabikho kwe-estrogen zezi:

• Ulusu olomileyo: Ulusu lwakho lusenokuvakala lomile kwaye lurhawuzelela kunesiqhelo.
• Ukuthamba kwebele kunye nentlungu: Amabele akho asenokuvakala ebuhlungu xa echukunyiswa.
• Amathambo abuthathaka okanye aqhekeka lula: Nokuba ukuwa okuncinci kunokubangela ukuba ithambo liphuke.
• Ubunzima bokugxila: Kungavakala ngathi kunzima ukugcina ingqondo yakho igxile xa usebenza.
• Ixhala kunye nokucaphuka: Usenokuba nomsindo ngezinto ezincinci uze uzive uxinezelekile.
• Ukoma kwesisu okanye ukuncitshiswa kwezicubu (i-Vaginal atrophy): Oku kunokwenza ukuba isondo sibe nzima kwaye sibe buhlungu.
• Ubushushu kunye nokubila ebusuku:Oku kuqheleke kakhulu ngexesha lokuya exesheni.
• Ukuyeka ukuya exesheni rhoqo ngenyanga ngokungacwangciswanga okanye ngokupheleleyo (Amenorrhea).
• Ukwanda kobunzima, ingakumbi kwindawo yesisu.
• Intloko ebuhlungu ngaphambi okanye ngexesha lokuya exesheni.
• Ukuncipha komnqweno wesondo kunye nokwabelana ngesondo okubuhlungu (iDyspareunia).
• Ukudinwa nokungakwazi ukulala (Ukungalali): Ukudinwa nokuba ulala kangakanani na, nokungakwazi ukulala ebusuku.

Ukuba nenye okanye ezimbini kwezi mpawu akuthethi ukuba une-estrogen ephantsi. Kodwa ukuba ziyaqhubeka, kulungile ukubona ugqirha.

Kutheni amanqanaba e-estrogen ehla? Makhe sijonge izizathu eziphambili.

Eyona sizathu sokwehla kwe-estrogen kukwaluphala . Kuyinto eqhelekileyo ukuba amanqanaba e-estrogen ehle njengoko ukhula. Ukuba i-estrogen yehla engahambelani nokuya exesheni, oko kungaba luphawu lwesifo esithile.

Ezinye izizathu:

• Iingxaki zokutya: Iimeko ezifana ne-anorexia kunye ne-bulimia zinokubangela ukuba umzimba wakho ungafumani izondlo ozifunayo kwaye zinokubangela ukuba ibhalansi yakho yehomoni ingasebenzi kakuhle. Ukunciphisa umzimba kunokubangela ukuba amanqanaba e-estrogen ehle.
• Iimeko zofuzo: I-Turner syndrome kunye ne-Fragile X syndrome zombini zibangela amanqanaba aphantsi e-estrogen. Ezi ziimeko ezizuzwa njengelifa.
• Izifo ezizikhusela ngokwazo: Izifo ezizikhusela ngokwazo ezihlasela ama-ovari akho zinokuwathintela ekubeni enze i-estrogen eyaneleyo.
• Ukungasebenzi kakuhle kwe-ovarian, okwaziwa ngokuba kukuyeka ukuya exesheni ngaphambi kwexesha: Kule meko, ii-ovaries zakho ziyayeka ukuvelisa amaqanda ngaphambi kokuba zibe neminyaka engama-40 ubudala. Ngenxa yoko, udlula kwixesha lokuyeka ukuya exesheni ngaphambi kwexesha. Ukuya kwakho exesheni kuyayeka, kwaye amanqanaba e-estrogen akho ayawa.
• Unyango oluchaphazela ama-ovari: Unyango lwemitha kunye ne-chemotherapy yomhlaza zingonakalisa ama-ovari akho. Lo monakalo unokuthintela ama-ovari ekuveliseni i-estrogen ngokuqhelekileyo. I-Oophorectomy, equka ukususwa kwe-ovari enye okanye zombini njengenxalenye yonyango, inokubangela amanqanaba aphantsi e-estrogen.
• Iimeko ezichaphazela i-pituitary gland: I-pituitary gland yakho ikhupha ii-hormone ezixelela ama-ovari akho ukuba enze i-estrogen. Ukuba i-pituitary gland yakho ayikhuphi ngokwaneleyo ezi hormone, amanqanaba e-estrogen emzimbeni wakho anokwehla.
• I-Hypothalamic amenorrhea:Ungaba nale meko xa umzimba wakho uphantsi koxinzelelo olukhulu (umz., ukuzilolonga kakhulu) kwaye ungafumani izondlo ezaneleyo. Oku kwenzeka xa ingqondo yakho ingakhuphi ngokwaneleyo i-hormone ebangela ukuba ama-ovari avelise i-estrogen. Ngenxa yoko, ukuya kwakho exesheni kuyayeka ngokupheleleyo. Abadlali kunye nabantu abenza umthambo kakhulu bathambekele kakhulu koku.

Ungazi njani ukuba i-estrogen yakho iphantsi?

Ukuba uneempawu ezikhankanyiweyo ngaphambili, xa ubona ugqirha, uya kukubuza imibuzo aze mhlawumbi akuyalele ukuba kwenziwe uvavanyo lwegazi ukujonga amanqanaba e-estrogen yakho.

Kukho iintlobo ezintathu ze-estrogen ezenziwa ngumzimba wakho. Uvavanyo lwe-estrogen lunokulinganisa zonke ezintathu: i-Estrone (E1) , i-Estradiol (E2) , kunye ne -Estriol (E3) . Ugqirha wakho uza kuthatha isampuli yegazi elula aze ayithumele kwilebhu ukuze ivavanywe.

• I-Estrone (E1): Le yeyona hormone iphambili eveliswa ngumzimba wakho ngexesha lokuya exesheni nasemva kokuya exesheni. Luhlobo lwe-estrogen olubuthathaka kancinci kune-estradiol (E2).
• I-Estradiol (E2): Le yi-hormone ephambili eveliswa ngumzimba wakho ngexesha lokuzala kwakho. Lolona hlobo luphambili nolunamandla kakhulu lwe-estrogen.
• I-Estriol (E3): Le yeyona hormone iphambili eveliswa ngumzimba wakho ngexesha lokukhulelwa.

Ukuba ugqirha akaqinisekanga ngesimo sakho sehomoni (umzekelo, ukuvavanya iihomoni zomntu oye wafikelela kwixesha lokuya exesheni okanye oye wakhutshwa isisu), unokujonga amanqanaba akho e-estrogen. Nangona kunjalo, kufuneka kuqatshelwe ukuba i-FDA (i-Food and Drug Administration) ivumile kuphela unyango lokutshintshwa kweehomoni kwiimeko ezimbalwa.

Ngaba ukutya nendlela yokuphila ingachaphazela i-estrogen?

Ewe, amanqanaba aphantsi e-estrogen anxulunyaniswa neendlela ezithile zokuziphatha anokulungiswa ngokutshintsha indlela yokuphila. Ezi zizinto ezinokwenziwa ngaphandle kwamayeza.

• Gcina ubunzima obusempilweni: Ukutyeba kancinci kunokubangela amanqanaba aphantsi eehomoni. Kwakhona, ukutyeba kakhulu akulunganga kwiihomoni. Thetha nogqirha wakho okanye ingcali yesondlo malunga notshintsho olufunekayo ekutyeni ukuze ufumane iikhalori ezifanelekileyo ngosuku.
• Ukuzilolonga ngokulinganisela: Ukuzilolonga kakhulu kunokukhokelela kumanqanaba aphantsi e-estrogen. Ukuzilolonga okuphakathi, njengokuhamba, ukubaleka, okanye ukudanisa malunga nemizuzu engama-30 ngosuku, kulungile. Kodwa ukuzilolonga kakhulu kunokunciphisa umzimba wakho ngezinto ezibalulekileyo ezifunekayo ukuze usebenze.
• Nciphisa uxinezeleko:Ukuba iihormone zakho zoxinzelelo ziphezulu, iihormone ezilawula inkqubo yakho yokuzala zinokungalungelelani. Ukufaka iindlela zokunciphisa uxinzelelo kubomi bakho bemihla ngemihla - i-yoga, ukucamngca, umthambo wokuphefumla, ukuzibandakanya kwinto oyithandayo yokuzonwabisa - kunokuba luncedo kwimpilo-ntle yakho iyonke kunye neehormone zakho.
• Lala ngokwaneleyo: Ukulala yinto evumela umzimba wakho ukuba uvuseleleke kwaye iihomoni zakho zisebenze kakuhle. Ngokomyinge, umntu omdala udinga iiyure ezisixhenxe ukuya kwezisithoba zokulala ngosuku. Ukunciphisa ixesha lakho lefowuni kunye neTV ngaphambi kokulala kunokukunceda ulale ngcono.

Ziziphi iindlela zonyango zokuthintela ukungabikho kwe-estrogen?

Unyango Lokutshintshwa Kwehomoni (HT) lunyango oluqhelekileyo lokungabikho kwe-estrogen, ingakumbi ngexesha lokuya exesheni nasemva kokuya exesheni. Kwi-HT, unikwa i-estrogen yokwenziwa kunye/okanye i-progesterone yokunyusa amanqanaba ehomoni yakho. Kukho iintlobo ezimbini ze-HT: unyango lwe-estrogen kunye nonyango lwe-estrogen progesterone/progestin hormone (EPT). Oogqirha baya kukunika idosi ephantsi elawula iimpawu zakho ngelixa bephepha iziphumo ebezingalindelekanga.

Kubalulekile: I-FDA (uLawulo lokutya namayeza) ivumile kuphela unyango lokutshintshwa kweehomoni (HRT) kunyango lweminerali ephantsi yamathambo kunye nobushushu obuphantsi. Ezi zihlala zinikwa njengeepilisi okanye iipatches.

I-estrogen yesini – ngendlela yeringi, ukhilimu, kunye nezinto ezifakwa kwisini – yenzelwe ukunyanga ukoma kwesini kunye nokwabelana ngesondo okubuhlungu. Ngamanye amaxesha i-estrogen “yomzimba wonke” inokuchaphazela izicwili zesini. Ngamanye amaxesha ayichaphazeli. Kwakhona, i-estrogen yesini ayivumelekanga ukunyanga ukurhawuzelelwa sisini.

Ukuba unezifudumezi zomzimba kunye neentlungu zokwabelana ngesondo, akuqhelekanga ukuba udinga i-estrogen yesini kunye ne-estrogen yomzimba wonke.

Unyango lwe-estrogen

Kulapho unikwa khona izongezo ze-estrogen kuphela, ngaphandle kwe-progesterone. Ugqirha wakho uya kukunika olu nyango kuphela xa isibeleko sakho sisusiwe (umzekelo, ukuba ukhe wasuswa isisu).

Unyango lwehomoni ye-estrogen progesterone/progestin (EPT)

Ukuba usenesibeleko, uza kunikwa indibaniselwano ye-estrogen kunye ne-progesterone. Kubalulekile ukunika zombini kuba i-progesterone ilungelelanisa ukusebenza kwe-estrogen ngaphakathi kwesibeleko. I-estrogen ibangela ukuba ulwelo lwesibeleko sakho (i-endometrium) lube lukhuni. Ukuba oku kuba bukhulu kakhulu, izicubu zinokuqokelelana, nto leyo enokubangela umhlaza wesibeleko. I-progesterone iyayithintela le zicubu ekukhuleni kakhulu.

Nangona kunjalo, unyango lwe-HT alunazo iingozi. Uphando lubonise ukuba ukuthatha i-EPT (Combination Therapy) iminyaka emi-5 nangaphezulu ngokulandelelana kunokunyusa umngcipheko womhlaza webele, amahlwili egazi, uhlaselo lwentliziyo, kunye nesifo sohlangothi.

Kuya kufuneka uthethe nogqirha wakho malunga nokuba ungumntu ofanelekileyo na kwi-hormone replacement therapy. Banokuchaza iingozi kunye nemiphumo emibi yalo naluphi na unyango onokulufumana. Izizathu eziphambili zokuba ungabi ngumntu ofanelekileyo kwi-hormone therapy zezi:

• Ukuba sele kudlule iminyaka engaphezu kwe-10 ukususela ekuyekeni ukuya exesheni.
• Ukuba unomhlaza webele, umhlaza wesibeleko, okanye uhlobo lomhlaza wesikhumba olubizwa ngokuba yi-melanoma.
• Ukuba unembali yokuqhekeka kwegazi emilenzeni, emiphungeni, nasebuchotsheni.

Ngaba ungathintela amanqanaba aphantsi e-estrogen?

Enyanisweni, awunakuyithintela ukwehla kwe-estrogen okubangelwa kukwaluphala. Yinkqubo yendalo. Kodwa ungenza imikhwa enempilo eya kunceda ngokulinganisela ubomi bakho bonke, oku kukulinganisela iihomoni. Olu tshintsho alusoloko lufuna unyango lweehomoni.

Umzekelo, umthambo ophakathi kunye nokucamngca kunokunceda kwiingxaki zokulala kunye nokudinwa okubangelwa yi-estrogen ephantsi. Ukufumana iikhalori kunye nezondlo ezaneleyo kunokuphucula zonke iinkalo zempilo yakho. Ukusebenzisa i-lubricant ngexesha lesondo kunokukwenza kube lula ngakumbi.

Ngokuxhomekeke kwisizathu samanqanaba akho e-estrogen aphantsi kunye nobukhali beempawu zakho, unokufuna amayeza okukunceda. Thetha nogqirha wakho malunga neendlela onokukhetha kuzo.

Indlela yokwandisa i-estrogen ngokwendalo?

Abanye abantu bathi ukutya kunye nezongezo ezinee-estrogen-like compounds zinokukunceda ukonyusa amanqanaba e-estrogen yakho. Kodwa khumbula, kubalulekile ukuthetha nogqirha wakho ngaphambi kokuba uqalise naluphi na uhlobo lonyango lokunyusa i-estrogen.

Ukutya okuqulethe ii-phytoestrogens

Iiphytoestrogens luhlobo lwe-estrogen olufumaneka kwizityalo. Ezinye izifundo zibonisa ukuba ukutya ukutya okuqulethe ii-phytoestrogens kunokunceda kwiimpawu zokuya exesheni, ezifana nobushushu obuphezulu. Ezinye ii-phytoestrogens kuthiwa zilungile kwimpilo yentliziyo, impilo yamathambo, kunye nokuqina kolusu. Kodwa kufuneka uphando oluthe kratya ukuze wazi ngokuqinisekileyo.

Ezinye zokutya eziqulethe i-phytoestrogens:

• Iimbotyi: iisoya (kunye netofu, ubisi lwesoya, ezenziwe ngesoya), iilentile, iitshizi, iipeanuts.
• Amandongomane: Imbewu yeflakisi, imbewu yelanga, imbewu yesesame.
• Iibheringi: amasitrobheli, ama-raspberry, ama-blueberries.
• Iziqhamo: Iiplum, iipere, iiapile, iidiliya, kunye namaqunube.
• Imifuno: ibroccoli, ikholifulawa, iminqathe.

Izongezo ezine-phytoestrogens

Ukhuseleko kunye nokusebenza kakuhle kwezongezo akulawulwa yi-FDA (Ulawulo Lokutya Namayeza). Ngoko ke, kubalulekile ukuthetha nogqirha wakho ngaphambi kokuba uthathe naziphi na izongezo. Ezinye izongezo ziqulethe ii-phytoestrogens, ezifana nezo zifumaneka ekutyeni. Kuthiwa ezi zinceda ukulawula iimpawu zokungabikho kwe-estrogen, kodwa ubungqina besayensi busalinganiselwe:

• I-cohosh emnyama
• I-clover ebomvu

Yeyiphi imibuzo omele uyibuze ugqirha wakho?

Ukuba ukhathazekile ngokungabikho kwe-estrogen emzimbeni, kungcono ukubuza imibuzo efana nale xa ubona ugqirha wakho:

• Ndingazi njani ukuba ndifuna uvavanyo lwe-estrogen?
• Ingaba inqanaba lam eliphantsi le-estrogen libonisa ukuba kukho imeko ethile yempilo?
• Zeziphi iinguqu endinokuzitshintsha kwindlela endiphila ngayo ukuze ndilawule iimpawu zokungabikho kwe-estrogen?
• Ngaba kufuneka ndinyuse amanqanaba e-estrogen ukuze ndilawule iimpawu zam?
• Ungandicebisa unyango lokutshintshwa kweehomoni? Zithini iingozi?
• Zeziphi ukutya, iivithamini, okanye izongezo ozicebisayo ukuthintela okanye ukunyanga ukungalingani kwamahomoni?

Okokugqibela, khumbula oku !

Abantu abaninzi bayayityeshela iimpawu zokungabikho kwe-estrogen njengenye nje inxalenye engathandekiyo yokwaluphala. Nangona kunjalo, ngokuqinisekileyo kufuneka unikele ingqalelo kwiimpawu eziphazamisa umgangatho wobomi bakho. Musa ukuzityeshela nje "njengesifo sokwaluphala." Ukuba ufumana iimpawu ezikhathazayo zokungabikho kwe-estrogen, bona ugqirha wakho kwaye uxoxe ngeendlela ze-hormone kunye ne-non-hormone zokulawula iimpawu zakho. Ungakhathazeki, zikho izisombululo! Ugqirha wakho unokukunceda ufumane ukhetho olulungele wena.

I - estrogen, i-estrogen ephantsi, iihomoni, ukuyeka ukuya exesheni, impilo yabasetyhini, iimpawu, unyango