Ingabe une-estrogen ephansi? Ake sixoxe ngalokhu ngokuningiliziwe!

Ukwazi kangakanani ngamanye ama-hormone emzimbeni wakho? Namuhla sizokhuluma nge-hormone ebizwa ngokuthi 'i-Estrogen', ebalulekile kwabesifazane abaningi kanye nakwabesilisa ngezinga elithile. Ake sixoxe ngendlela elula neqondakalayo ngokuthi kwenzekani uma lokhu kuncipha, ukuthi kungani kwenzeka, nokuthi yini esingayenza. Ungakhathazeki, lena yinkinga abantu abaningi abanayo, ngakho awuwedwa.

Kusho ukuthini ukuba ne-estrogen ephansi?

Kalula nje, i-estrogen iyi-hormone ebaluleke kakhulu ekusiza ukuthi ukhule ube yintombazane, kanye nohlelo lwakho lokuzala, oluyisistimu ekusiza ukuthi udale abantwana, futhi luhlale luphilile. Hhayi lokho kuphela, kodwa futhi kusiza nezinye izinhlelo eziningi emzimbeni. Cabanga ngakho, i-estrogen isiza ukugcina isikhumba sakho sihle namathambo akho eqinile.

Amazinga e-estrogen ayashintshashintsha impilo yakho yonke, njengamanye ama-hormone alawula umjikelezo wakho wokuya esikhathini wanyanga zonke. Kujwayelekile ukuthi amazinga e-estrogen ashintshe ngale ndlela, futhi akuyona into enkulu.

Kodwa-ke, amazinga e-estrogen aphansi njalo ayindaba ehlukile. Uma ephansi njalo, ungase ubhekane noshintsho lwemvelo, njengokunqamuka kokuya esikhathini. Ukunqamuka kokuya esikhathini kuwukuphela kokuya esikhathini unomphela njengoba ukhula. Ngezinye izikhathi, i-estrogen ephansi ingaba uphawu lwesimo esinciphisa intuthuko yakho yocansi futhi mhlawumbe senza kube nzima ukukhulelwa.

Ubani othinteka kakhulu ukuntuleka kwe-estrogen?

Uyazi ukuthi obani abathinteka kakhulu ukuntuleka kwe-estrogen? Empeleni abesifazane yibona abazizwa kakhulu ngemiphumela. Kodwa umzimba wonke ukhiqiza i-estrogen, kanti namadoda nawo anayo, futhi kubalulekile ukukhumbula lokho.

Izikhathi lapho kungenzeka kakhulu ukuthi uzwe imiphumela yokuntuleka kwe-estrogen yilezi:

• Uma udlula esikhathini sokunqamuka kokuya esikhathini noma ngemva kokunqamuka kokuya esikhathini . Phakathi neminyaka yakho yokuzala, lapho usukwazi ukuba nabantwana, ama-ovari akho enza iningi le-estrogen. Ngesikhathi sokunqamuka kokuya esikhathini kanye nangemva kokunqamuka kokuya esikhathini, ukuya kwakho kwanyanga zonke kuyama, futhi ama-ovari akho ayayeka ukwenza i-estrogen. Esikhundleni salokho, amaseli amafutha omzimba wakho aqala ukwenza i-estrogen. Ukunqamuka kokuya esikhathini yilapho ungazange uye esikhathini izinyanga eziyishumi nambili zilandelana. Isikhathi esilandela lokho sibizwa ngokuthi i-postmenopause.
• Uma ama-ovari akho esusiwe noma onakele ngesikhathi sokwelashwa. Isibonelo, uma ama-ovari akho esuswa njengengxenye yokwelashwa kwezimo ezithile (njengokuhlinzwa komdlavuza), umzimba wakho uzokhiqiza inani elincane kakhulu le-estrogen. Futhi, izinto ezifana nokwelashwa ngemisebe zingalimaza ama-ovari futhi zinciphise inani le-estrogen eliyikhiqizayo.

I-estrogen ephansi iwuthinta kanjani umzimba wowesifazane?

Ukwehla kwe-estrogen kuwuthinta kanjani umzimba wowesifazane? Eqinisweni, imiphumela ingahluka kuye ngokuthi ukuphi ekukhuleni kwakho ngokocansi, kungakhathaliseki ukuthi usemusha, useminyakeni ephakathi, noma usondela ekunqamukeni kokuya esikhathini.

Ngenxa yokuntuleka kwe-estrogen:

• Ukuthomba kungabambezeleka, ukukhula kocansi kungaba kancane, noma kume ngokuphelele. Yilokhu okungenzeka uma uhlangabezana nalesi simo usemncane, okungukuthi, usengumntwana omncane.
• Ukunqamuka kokuya esikhathini kanye nokunqamuka kokuya esikhathini kwenzeka phakathi nalesi sikhathi. Phakathi nalesi sikhathi, ucansi olubuhlungu (i-dyspareunia), ukwehla kwesifiso sobulili, kanye nokushisa okungazelelwe okuhambisana nokujuluka. Lezi yizinto abesifazane abaningi ababhekana nazo.

Indlela ukuntuleka kwe-estrogen okuthinta ngayo umzimba womuntu

Kulungile, manje ake sibheke ukuthi i-estrogen ephansi ithinta kanjani umzimba wendoda. Yebo, amadoda nawo ane-estrogen! I-estrogen ephezulu kwabesilisa ingaholela ezintweni ezifana nokungasebenzi kahle kocansi. Kodwa-ke, badinga ne-estrogen ethile empilweni yabo yokuzala kanye nempilo yabo yonke. Ucwaningo lukhombisile ukuthi lapho amazinga e-estrogen ehla, amadoda angabhekana nalokhu okulandelayo:

• Ukwanda kwamafutha esiswini.
• Ukuncipha kwesifiso sobulili.
• Amathambo abuthakathaka kanye ne-osteoporosis. Lesi simo senza amathambo aphuke kalula.

Ngezinye izikhathi, uma umzimba wakho ungabonakali ngendlela ofuna ngayo ngenxa yamazinga aphansi e-estrogen, ungase uthande ukucabanga ngokwelapha ama-hormone ngendlela yabesifazane. Kodwa-ke, kubalulekile ukufuna iseluleko sezokwelapha ngaphambi kokwenza lokhu.

Ziyini izimpawu zamazinga aphansi e-estrogen?

Ziyini izimpawu zamazinga aphansi e-estrogen? Izimpawu ze-estrogen ephansi phakathi neminyaka yakho yokuzala zifana kakhulu nezimpawu ezivamile zokunqamuka kokuya esikhathini kanye ne-postmenopause. Izimpawu zakho zizoncika embangeni wamazinga aphansi e-estrogen.

Ezinye zezimpawu ezivame kakhulu zokuntuleka kwe-estrogen yilezi:

• Isikhumba esomile: Isikhumba sakho singase sizizwe somile futhi siluma kakhulu kunokujwayelekile.
• Ubuhlungu kanye nokuthamba kwebele: Amabele akho angase azwe ubuhlungu uma ethintwa.
• Amathambo abuthakathaka noma aphuka kalula: Ngisho nokuwa okuncane kungabangela ukuba ithambo liphuke.
• Ubunzima bokugxila: Kungase kuzwakale sengathi kunzima ukugcina ingqondo yakho igxile lapho usebenza.
• Ukukhathazeka nokucasuka: Ungase uthukuthele ngezinto ezincane futhi uzizwe ukhungathekile.
• Ukoma kwesitho sangasese sowesifazane noma ukuncipha kwezicubu (ukuwohloka kwesitho sangasese sowesifazane): Lokhu kungenza ucansi lube nzima futhi lube buhlungu.
• Ukushisa okukhulu kanye nokujuluka ebusuku:Lokhu kuvame kakhulu ngesikhathi sokunqamuka kokuya esikhathini.
• Ukuyeka kokuya esikhathini kwanyanga zonke okungajwayelekile noma okuphelele (i-Amenorrhea).
• Ukwanda kwesisindo, ikakhulukazi endaweni yesisu.
• Ikhanda elibuhlungu ngaphambi noma ngesikhathi sokuya esikhathini.
• Ukuncipha kwesifiso socansi kanye nobuhlungu bokuya ocansini (i-Dyspareunia).
• Ukuzizwa ukhathele futhi ungakwazi ukulala (Ukungalali): Ukuzizwa ukhathele kungakhathaliseki ukuthi ulala kangakanani, futhi ungakwazi ukulala ebusuku.

Ukuba nezimpawu ezimbili noma ngaphezulu kwalezi akusho ukuthi une-estrogen ephansi. Kodwa uma ziqhubeka, kuwumqondo omuhle ukubona udokotela.

Kungani amazinga e-estrogen ehla? Ake sibheke izizathu eziyinhloko.

Isizathu esiyinhloko sokwehla kwe-estrogen ukuguga . Kungokwemvelo ukuthi amazinga e-estrogen ehle njengoba ukhula. Uma i-estrogen yehla engahlobene nokunqamuka kokuya esikhathini, kungaba uphawu lwesifo esithile.

Ezinye izizathu:

• Izinkinga zokudla: Izimo ezifana ne-anorexia kanye ne-bulimia zingabangela ukuthi umzimba wakho ungatholi izakhamzimba ozidingayo futhi zingaphazamisa ibhalansi yakho yama-hormone. Ukwehlisa isisindo nakho kungabangela ukuthi amazinga e-estrogen ehle.
• Izimo zofuzo: I-Turner syndrome kanye ne-Fragile X syndrome zombili zibangela amazinga aphansi e-estrogen. Lezi yizimo ezizuzwa njengefa.
• Izifo Ezihlasela Amaqanda: Izifo Ezihlasela Amaqanda Akho Zingawavimbela Ekwenzeni I-estrogen Eyanele.
• Ukungasebenzi kahle kwe-ovarian okuyinhloko, okwaziwa nangokuthi ukunqamuka kokuya esikhathini ngaphambi kwesikhathi: Kulesi simo, ama-ovaries akho ayayeka ukukhiqiza amaqanda ngaphambi kweminyaka engama-40. Ngenxa yalokho, udlula ekunqamukeni kokuya esikhathini ngaphambi kwesikhathi. Ukuya esikhathini kwakho kuyama, futhi amazinga akho e-estrogen ayehla.
• Ukwelashwa okuthinta ama-ovari: Ukwelashwa ngemisebe kanye ne-chemotherapy yomdlavuza kungalimaza ama-ovari akho. Lo monakalo ungavimbela ama-ovari ekukhiqizeni i-estrogen ngokujwayelekile. Ukususwa kwe-oophorectomy, okuhlanganisa ukususa i-ovari eyodwa noma zombili njengengxenye yokwelashwa, kungabangela namazinga aphansi e-estrogen.
• Izimo ezithinta i-pituitary gland: I-pituitary gland yakho ikhipha ama-hormone atshela ama-ovari akho ukuthi enze i-estrogen. Uma i-pituitary gland yakho ingakhiphi la ma-hormone anele, amazinga e-estrogen emzimbeni wakho angase ehle.
• I-amenorrhea ye-Hypothalamic:Ungaba nalesi simo uma umzimba wakho ungaphansi kokucindezeleka okukhulu (isib., ukuvivinya umzimba ngokweqile) futhi ungatholi ukudla okwanele. Lokhu kwenzeka lapho ubuchopho bakho bungakhiphi i-hormone eyanele ebangela ama-ovari ukuthi akhiqize i-estrogen. Ngenxa yalokho, ukuya esikhathini kwakho kuyama ngokuphelele. Abadlali kanye nabantu abazivocavoca kakhulu bathambekele kakhulu kulokhu.

Wazi kanjani ukuthi i-estrogen yakho iphansi?

Uma unezimpawu okukhulunywe ngazo ngaphambili, uma ubona udokotela, uzokubuza imibuzo futhi mhlawumbe akucele ukuthi uhlolwe igazi ukuze kuhlolwe amazinga akho e-estrogen.

Kunezinhlobo ezintathu ze-estrogen ezenziwa ngumzimba wakho. Ukuhlolwa kwe-estrogen kungalinganisa zonke ezintathu: i-Estrone (E1) , i-Estradiol (E2) , kanye ne -Estriol (E3) . Udokotela wakho uzothatha isampula yegazi elula ayithumele elabhorethri ukuze ihlolwe.

• I-Estrone (E1): Lena yi-hormone eyinhloko umzimba wakho oyikhiqizayo ngesikhathi sokunqamuka kokuya esikhathini kanye nangemva kokunqamuka kokuya esikhathini. Kuyindlela ebuthakathaka kancane ye-estrogen kune-estradiol (E2).
• I-Estradiol (E2): Lena yi-hormone eyinhloko ekhiqizwa umzimba wakho phakathi neminyaka yakho yokuzala. Iwuhlobo oluyinhloko nolunamandla kakhulu lwe-estrogen.
• I-Estriol (E3): Lena yi-hormone eyinhloko ekhiqizwa umzimba wakho ngesikhathi sokukhulelwa.

Uma udokotela engaqiniseki ngesimo sakho sama-hormone (isibonelo, ukuhlola ama-hormone omuntu odlula esikhathini sokunqamuka kokuya esikhathini noma oye wakhishwa i-hysterectomy), angase ahlole amazinga akho e-estrogen. Kodwa-ke, kufanele kuqashelwe ukuthi i-FDA (Food and Drug Administration) ivumile ukwelashwa kokufaka ama-hormone kuphela ngenxa yezimo ezimbalwa.

Ingabe ukudla nendlela yokuphila ingathinta i-estrogen?

Yebo, amazinga aphansi e-estrogen ahlobene nokuziphatha okuthile angaxazululwa ngokushintsha indlela yokuphila. Lezi yizinto ezingenziwa ngaphandle kwemithi.

• Gcina isisindo esinempilo: Ukukhuluphala ngokweqile kuyisici esiyingozi samazinga aphansi ama-hormone. Futhi, ukukhuluphala ngokweqile akukuhle kuma-hormone. Khuluma nodokotela wakho noma uchwepheshe wezokudla mayelana nokuthi yiziphi izinguquko zokudla okudingeka uzenze ukuze uthole inani elifanele lama-calories ngosuku.
• Ukuzivocavoca ngokulinganisela: Ukuzivocavoca kakhulu kungaholela emazingeni aphansi e-estrogen. Ukuzivocavoca okulinganiselwe, njengokuhamba, ukugijima, noma ukudansa cishe imizuzu engama-30 ngosuku, kulungile. Kodwa ukuzivocavoca okuningi kakhulu kungaqeda umzimba wakho izinsiza ezibalulekile ezidingekayo ukuze usebenze.
• Nciphisa ukucindezeleka:Uma ama-hormone akho okucindezeleka ephezulu, ama-hormone alawula uhlelo lwakho lokuzala angase angalingani. Ukufaka imikhuba yokunciphisa ukucindezeleka empilweni yakho yansuku zonke - i-yoga, ukuzindla, ukuvivinya umzimba ngokuphefumula, ukuzibandakanya entweni oyithandayo yokuzilibazisa - kungaba kuhle enhlalakahleni yakho iyonke kanye nama-hormone akho.
• Lala ngokwanele: Ukulala yikho okuvumela umzimba wakho ukuthi uvuselele futhi ama-hormone akho asebenze kahle. Ngokwesilinganiso, umuntu omdala udinga amahora ayisikhombisa kuya kwayisishiyagalolunye okulala ngosuku. Ukunciphisa isikhathi sakho sefoni nese-TV ngaphambi kokulala kungakusiza ulale kangcono.

Yiziphi izindlela zokwelapha zokuntuleka kwe-estrogen?

Ukwelashwa Kokushintshwa Kwama-hormone (HT) kuyindlela yokwelapha evamile yokuntuleka kwe-estrogen, ikakhulukazi ngesikhathi sokunqamuka kokuya esikhathini kanye ne-postmenopause. Ku-HT, unikezwa i-estrogen yokwenziwa kanye/noma i-progesterone ukuze wandise amazinga akho ama-hormone. Kunezinhlobo ezimbili ze-HT: ukwelashwa kwe-estrogen kanye nokwelashwa kwe-estrogen progesterone/progestin hormone (EPT). Odokotela bazokunikeza umthamo ophansi kakhulu olawula izimpawu zakho ngenkathi begwema imiphumela emibi.

Okubalulekile: I-FDA (Food and Drug Administration) ivumile ukwelashwa kokufaka esikhundleni sama-hormone (HRT) kuphela ekwelapheni ukuminyana kwamaminerali aphansi emathanjeni kanye nokushisa okukhulu. Lokhu kuvame ukunikezwa njengamaphilisi noma ama-patches.

I-estrogen yesitho sangasese sowesifazane – ngesimo sendandatho, ukhilimu, kanye nokufakwa kwesitho sangasese sowesifazane – yenzelwe ukwelapha ukoma kwesitho sangasese sowesifazane kanye nobuhlungu bokuhlangana ngokocansi. Ngezinye izikhathi i-estrogen “yomzimba wonke” ingathinta izicubu zesitho sangasese sowesifazane. Ngezinye izikhathi ayithinti. Futhi, i-estrogen yesitho sangasese sowesifazane ayivunyelwe ukwelapha ukushisa okukhulu.

Uma unezifudumalo ezimbili kanye nobuhlungu bokuya ocansini, akuvamile ukuthi udinga i-estrogen yesitho sangasese sowesifazane ngaphezu kwe-estrogen yomzimba wonke.

Ukwelashwa kwe-estrogen

Yilapho unikezwa khona izithasiselo ze-estrogen kuphela, ngaphandle kwe-progesterone. Udokotela wakho uzokunikeza lokhu kwelashwa kuphela uma isibeletho sakho sisusiwe (isibonelo, uma uke wahlinzwa i-hysterectomy).

Ukwelashwa kwama-hormone e-estrogen progesterone/progestin (EPT)

Uma usenesibeletho, uzonikezwa inhlanganisela ye-estrogen ne-progesterone. Kubalulekile ukunikeza kokubili ngoba i-progesterone ilinganisela ukusebenza kwe-estrogen ngaphakathi kwesibeletho. I-estrogen ibangela ukuthi ulwelwesi lwesibeletho sakho (i-endometrium) luqine. Uma lokhu kuba kukhulu kakhulu, izicubu zinganqwabelana, okungaholela kumdlavuza wesibeletho. I-progesterone ivimba lesi zicubu ukuthi zingakhuli kakhulu.

Kodwa-ke, ukwelashwa nge-HT akunazo izingozi. Ucwaningo lukhombisile ukuthi ukuthatha i-EPT (Combination Therapy) iminyaka emi-5 noma ngaphezulu ilandelana kungandisa ingozi yomdlavuza webele, amahlule egazi, ukuhlaselwa yinhliziyo, kanye nesifo sohlangothi.

Kufanele ukhulume nodokotela wakho mayelana nokuthi ungumuntu ofanele yini ukwelashwa esikhundleni sama-hormone. Bangachaza izingozi nemiphumela emibi yanoma yikuphi ukwelashwa ongakuthola. Izizathu eziyinhloko zokuthi kungani ungahle ungabi umuntu ofanele ukwelashwa ngama-hormone yilezi:

• Uma sekudlule iminyaka engaphezu kweyishumi kusukela ekunqamukeni kokuya esikhathini.
• Uma unomdlavuza webele, umdlavuza wesibeletho, noma uhlobo lomdlavuza wesikhumba olubizwa ngokuthi i-melanoma.
• Uma unomlando wokuqhekeka kwegazi emilenzeni, emaphashini nasebuchosheni.

Ungakwazi yini ukuvimbela amazinga aphansi e-estrogen?

Eqinisweni, awukwazi ukuvimba ukwehla kwe-estrogen okuza nokuguga. Kuyinqubo yemvelo. Kodwa ungakha imikhuba enempilo ezosiza ngokulinganisela kwempilo yakho yonke, okuwukulinganisela kwama-hormone. Lezi zinguquko azidingi njalo ukwelashwa ngama-hormone.

Isibonelo, ukuzivocavoca okulingene nokuzindla kungasiza ngezinkinga zokulala kanye nokukhathala okubangelwa yi-estrogen ephansi. Ukuthola amakhalori nezakhamzimba ezanele kungathuthukisa zonke izici zempilo yakho. Ukusebenzisa i-lubricant ngesikhathi socansi kungenza kube lula kakhulu.

Kuye ngokuthi imbangela yamazinga akho e-estrogen aphansi kangakanani kanye nobukhulu bezimpawu zakho, ungase udinge imithi ezokusiza. Khuluma nodokotela wakho ngezinketho zakho.

Indlela yokwandisa i-estrogen ngokwemvelo?

Abanye abantu bathi ukudla kanye nezithako zokudla eziqukethe izinto ezifana ne-estrogen kungasiza ekwandiseni amazinga akho e-estrogen. Kodwa khumbula, kubalulekile ukukhuluma nodokotela wakho ngaphambi kokuqala noma yiluphi uhlobo lokwelashwa olukhulisa i-estrogen.

Ukudla okuqukethe ama-phytoestrogens

Ama-phytoestrogens uhlobo lwe-estrogen olutholakala ezitshalweni. Ezinye izifundo ziphakamisa ukuthi ukudla ukudla okuqukethe ama-phytoestrogens kungasiza ngezimpawu zokunqamuka kokuya esikhathini, njengokushisa okukhulu. Amanye ama-phytoestrogens kuthiwa nawo alungele impilo yenhliziyo, impilo yamathambo, kanye nokuqina kwesikhumba. Kodwa kudingeka ucwaningo olwengeziwe ukuze wazi ngokuqinisekile.

Ezinye izinhlobo zokudla eziqukethe ama-phytoestrogens:

• Imifino: ubhontshisi (kanye ne-tofu, ubisi lwe-soy, olwenziwa ngobhontshisi), amalentili, ama-chickpeas, amakinati.
• Amantongomane: Imbewu yefilakisi, imbewu yelanga, imbewu yesesame.
• Amajikijolo: ama-strawberry, ama-raspberry, ama-blueberries.
• Izithelo: Ama-plum, amapheya, ama-apula, amagilebhisi, namajikijolo.
• Imifino: i-broccoli, i-cauliflower, izaqathi.

Izithasiselo eziqukethe ama-phytoestrogens

Ukuphepha nokusebenza kahle kwezithako zokudla akulawulwa yi-FDA (Food and Drug Administration). Ngakho-ke, kubalulekile ukukhuluma nodokotela wakho ngaphambi kokuthatha noma yiziphi izithako zokudla. Ezinye izithako zokudla ziqukethe ama-phytoestrogen, afana nalawo atholakala ekudleni. Kuthiwa lokhu kusiza ukulawula izimpawu zokuntuleka kwe-estrogen, kodwa ubufakazi besayensi busalinganiselwe:

• I-cohosh emnyama
• I-clover ebomvu

Yimiphi imibuzo okufanele uyibuze udokotela wakho?

Uma ukhathazekile ngokuntuleka kwe-estrogen, kuwumqondo omuhle ukubuza imibuzo efana nalena uma ubona udokotela wakho:

• Ngingazi kanjani ukuthi ngidinga ukuhlolwa kwe-estrogen?
• Ingabe izinga lami eliphansi le-estrogen liwuphawu lwesifo esithile?
• Yiziphi izinguquko zendlela yokuphila engingayenza ukuze ngilawule izimpawu zokuntuleka kwe-estrogen?
• Ingabe ngidinga ukwandisa amazinga ami e-estrogen ukuze ngilawule izimpawu zami?
• Ungangincoma yini ukwelashwa kokushintsha ama-hormone? Ziyini izingozi?
• Yikuphi ukudla, amavithamini, noma izithasiselo ozincomayo ukuvimbela noma ukwelapha ukungalingani kwama-hormone?

Ekugcineni, khumbula lokhu !

Abantu abaningi bayazilahla izimpawu zokuntuleka kwe-estrogen njengenye nje ingxenye engathandeki yokuguga. Kodwa-ke, kufanele nakanjani unake izimpawu eziphazamisa ikhwalithi yempilo yakho. Ungazilahli nje "njengesifo sokuguga." Uma ubhekene nezimpawu ezikhathazayo zokuntuleka kwe-estrogen, bona udokotela wakho bese uxoxa ngezinketho zama-hormone kanye nezingezona zama-hormone zokulawula izimpawu zakho. Ungakhathazeki, kunezixazululo! Udokotela wakho angakusiza ukuthola inketho engcono kakhulu kuwe.

I - estrogen, i-estrogen ephansi, ama-hormone, ukunqamuka kokuya esikhathini, impilo yabesifazane, izimpawu, ukwelashwa