Imiphumela Yokulawulwa Kokuzalwa Kwehomoni Emzimbeni Wakho

-Delile

• Uhlelo lokuzala
• Izinhlelo zenhliziyo zenhliziyo nemithambo yegazi
• Uhlelo lokugaya ukudla
• Uhlelo lwama-integumentary

Iningi likholelwa ukuthi ukulawulwa kokuzalwa kwamahomoni kufeza inhloso eyodwa: ukuvimbela ukukhulelwa. Yize kusebenza kahle kakhulu uma kuqhathaniswa nezinye izindlela zokulawulwa kokuzalwa, imiphumela ayigcini nje ekuvinjelweni kokukhulelwa. Eqinisweni, zingasetshenziswa ngisho nokusiza ekwelapheni okunye ukukhathazeka kwezempilo njengokukhululeka kokuya esikhathini, izinguquko zesikhumba, nokuningi.

Kodwa-ke, ukulawulwa kokuzalwa kwamahomoni akunayo imiphumela emibi. Njengazo zonke izidakamizwa, kunemiphumela ezuzisayo nezingozi ezingaba khona ezithinta wonke umuntu ngokuhlukile.

Amaphilisi okulawula ukubeletha nezimagqabhagqabha akhishwa kuphela ngodokotela. Izindlela zokuvimbela inzalo ezenzelwe iHormone ziyatholakala ngezindlela eziningi, kufaka phakathi:

• amaphilisi (noma izindlela zokuvimbela inzalo ngomlomo): Umehluko omkhulu phakathi kwemikhiqizo amanani we-estrogen ne-progestin kuzo - yingakho abanye besifazane beshintsha imikhiqizo uma becabanga ukuthi bathola ama-hormone amancane kakhulu noma amaningi kakhulu, ngokususelwa kwizimpawu abahlangabezana nazo. Iphilisi kufanele liphuzwe nsuku zonke ukuvimbela ukukhulelwa.
• isichibi: Isiqephu siqukethe ne-estrogen ne-progestin, kepha sibekwa esikhunjeni. Amachashazi kufanele aguqulwe kanye ngesonto ukuze asebenze ngokugcwele.
• indandatho: Ngokufana ne-patch nephilisi, iringi nayo ikhipha i-estrogen ne-progestin emzimbeni. Iringi ifakwa ngaphakathi esithweni sangasese ukuze ulwelwesi lwesitho sangasese sowesifazane lukwazi ukumunca ama-hormone. Izindandatho kufanele zishintshwe kanye ngenyanga.
• isibhamu sokulawula ukubeletha (iDepo-Provera): Isibhamu siqukethe i-progestin kuphela, futhi sinikezwa njalo emavikini ayi-12 ehhovisi likadokotela wakho. Ngokuya nge-Options for Health Sexual, imiphumela yesilawuli sokubeletha ingahlala unyaka ngemuva kokuyeka ukuyithatha.
• amadivayisi we-intrauterine (IUDs): Kukhona ama-IUD womabili anamahomoni nangaphandle kwawo. Kulawo akhipha ama-hormone, angaqukatha iprogesterone. Ama-IUD’s afakwa esibelethweni sakho ngudokotela wakho futhi kufanele aguqulwe njalo eminyakeni emi-3 kuye kwengu-10, kuya ngohlobo.
• ukutshala: Ukufakelwa kuqukethe iprogestin ekhipha ngenduku encane ingalo yakho. Ibekwe ngaphansi kwesikhumba ngaphakathi kwengalo yakho ephezulu ngudokotela wakho. Kuhlala kuze kube yiminyaka emithathu.

Uhlobo ngalunye lunezinzuzo nezingozi ezifanayo, noma ngabe umzimba uphendula kanjani kuncike kumuntu ngamunye. Uma unentshisekelo ekulawuleni ukubeletha, khuluma nodokotela wakho mayelana nokuthi yiluphi uhlobo oluphumelela kakhulu kuwe. Ukusebenza ngempumelelo kusekelwe ekusebenzeni kwakho kokulawulwa kokuzalwa. Isibonelo, abanye abantu bakuthola kunzima ukukhumbula ukuphuza iphilisi nsuku zonke ukuze ukufakelwa noma i-IUD kube yindlela engcono. Kukhona nezinketho zokulawulwa kokuzalwa ezingezona ezesibindi, ezingaba nemiphumela engemihle ehlukile.

Uma iphilisi lisetshenziswa ngokuphelele - kuchazwa njengokuthathwa njalo ngosuku olulodwa ngasikhathi sinye - izinga lokukhulelwa okungahlelelwe liwela emaphesentini elilodwa kuphela. Ukweqa iphilisi lakho usuku olulodwa, isibonelo, kuzokwandisa ingozi yokukhulelwa.

Kodwa-ke, alukho uhlobo lokulawulwa kokubeletha kwama-hormone oluvikela ezifweni ezithathelwana ngocansi (STDs). Usazodinga ukusebenzisa amakhondomu ukuvikela ama-STD.

Uhlelo lokuzala

Ama-ovari ngokwemvelo akhiqiza ama-hormone abesifazane i-estrogen ne-progestin. Noma yimaphi kulawa mahomoni angenziwa futhi asetshenziswe kumuthi wokuvimbela inzalo.

Izinga eliphakeme kunelejwayelekile le-estrogen ne-progestin limisa i-ovary ekukhululeni iqanda. Ngaphandle kweqanda, isidoda asinalutho lokuvundisa. I-progestin ibuye iguqule isikhwehlela somlomo wesibeletho, isenze siqine futhi sinamathele, okwenza kube nzima ukuthi isidoda sikwazi ukungena esibelethweni.

Uma usebenzisa izindlela ezithile zokuvimbela inzalo ze-hormonal ezifana ne-IUD Mirena, ungahle ube nezikhathi ezilula nezimfushane kanye nokuncipha kwezinhlungu zokuya esikhathini nezimpawu zangaphambi kokuya esikhathini. Le miphumela ingezinye zezizathu zokuthi kungani abanye besifazane bethatha imishanguzo yokubeletha ikakhulukazi ye-premenstrual dysphoric disorder (PMDD), uhlobo olubi lwe-PMS. Abanye besifazane abane-endometriosis nabo bathatha ukulawulwa kokubeletha ukunciphisa izimpawu ezibuhlungu.

Ukusebenzisa izindlela zokuvimbela inzalo ezenzelwe i-hormone kunganciphisa nengcuphe yomdlavuza we-endometrium kanye ne-ovarian. Uma uwathatha isikhathi eside, ingozi yakho iba ngaphansi. Lezi zindlela zokwelashwa zinganikeza nokuvikelwa okuthile ekuhlungeni kwesifuba noma kwesibeletho esingenomdlavuza. Kodwa-ke, impikiswano isalokhu iphathelene nokuthi kungenzeka ukuthi izindlela zokuvimbela inzalo zamahomoni zingayandisa ingozi yomdlavuza webele.

Uma uyeka ukuthatha ukulawulwa kokubeletha okususelwa ku-hormone, isikhathi sakho sokuya esikhathini kungenzeka sibuyele kokujwayelekile ezinyangeni ezimbalwa. Eminye imihlomulo yokuvikela umdlavuza etholwe yiminyaka yokusetshenziswa kwemithi ingaqhubeka eminye iminyaka eminingana.

Imiphumela emibi yokuzala lapho umzimba wakho uvumelanisa nezindlela zokuvimbela inzalo zomlomo, ezifakiwe, kanye nezihlanganisayo zifaka:

• ukulahleka kokuya esikhathini (amenorrhea) noma ukopha okwengeziwe
• ukopha noma ukubona phakathi kwezikhathi
• ukucasuka kwesitho sangasese sowesifazane
• isisa sebele
• ukukhuliswa kwebele
• shintsha ku-sex drive yakho

Imiphumela emibi kodwa engajwayelekile ifaka ukopha okukhulu noma ukopha okuqhubeka isikhathi esingaphezu kwesonto.

Izilawuli zokubeletha ama-hormone zingakhuphula kancane ingozi yomdlavuza womlomo wesibeletho, yize abacwaningi bengaqiniseki ukuthi lokhu kungenxa yemithi uqobo noma uma kungenxa nje yengozi eyengeziwe yokuvezwa yi-HPV ngokuya ocansini.

Izinhlelo zenhliziyo zenhliziyo nemithambo yegazi

Ngokusho koMtholampilo iMayo, owesifazane ophilile ongabhemi mancane amathuba okuthi abhekane nemiphumela emibi evela ezithweni zokuvimbela inzalo ngomlomo. Kodwa-ke, kwabanye besifazane, amaphilisi okulawula ukubeletha namachashazi angakhuphula umfutho wegazi. Lawo mahomoni angeziwe angakubeka engcupheni yamahlule egazi.

• Lezi zingozi ziphakeme kakhulu uma:
• bangabhema noma bangaphezu kweminyaka yobudala engama-35
• ube nomfutho wegazi ophakeme
• unesifo senhliziyo esivele sikhona
• unesifo sikashukela

Ukukhuluphala ngokweqile kubhekwa nengcuphe yomfutho wegazi ophakeme, isifo senhliziyo nesifo sikashukela.

Le miphumela emibi ayivamile kwabesifazane abaningi kodwa uma kwenzeka, kungenzeka ibe mibi kakhulu. Yingakho izindlela zokulawulwa kokubeletha kwamahomoni zidinga ukwelashwa nokuqapha okujwayelekile. Funa usizo lwezokwelapha uma uzwa ubuhlungu besifuba, ukhwehlela igazi, noma uzizwa uqulekile. Ukuphathwa ikhanda elibuhlungu, ukukhuluma kanzima, noma ukuba buthakathaka nokuba ndikindiki esithweni kungaba yizimpawu zokushaywa unhlangothi.

I-Estrogen ingahle ikhulise i-migraines, uma usuvele uhlangabezana nayo. Abanye besifazane nabo baba nezinguquko zemizwelo nokudangala lapho bethatha izinto zokuvimbela inzalo.

Njengoba umzimba usebenza ukugcina ibhalansi ye-hormone, kungenzeka ukuthi ukwethulwa kwamahomoni kudala ukuphazamiseka, kubangele ukuguquka kwemizwelo. Kepha kunezifundo ezimbalwa ngemiphumela yezempilo yengqondo yokulawulwa kokubeletha kwabesifazane nasenhlalakahleni yabo. Muva nje lapho ucwaningo lwango-2017 lubuke isampula elincane labesifazane abangama-340 abaphilile futhi lathola ukuthi izindlela zokuvimbela inzalo zomlomo ziyinciphise kakhulu inhlalakahle jikelele.

Uhlelo lokugaya ukudla

Abanye besifazane babhekana nezinguquko esifiso nasesisindweni sabo ngenkathi bethatha izindlela zokuvimbela inzalo ngamahomoni. Kepha kunezifundo ezimbalwa noma ubufakazi obukhombisa ukuthi ukulawulwa kokuzalwa kubanga ukuzuza kwesisindo. Ukubuyekezwa okukodwa kwezifundo ezingama-22 kubheke izindlela zokuvimbela inzalo ze-progestin kuphela kwathola ubufakazi obuncane. Uma kwakukhona ukuzuza kwesisindo, ukwanda okushiwo kwakungaphansi kwamakhilogremu angu-4.4 esikhathini esiyizinyanga eziyi-6 noma eziyi-12.

Kodwa ama-hormone ayasiza ekulawuleni imikhuba yakho yokudla, ngakho-ke ukuguqulwa kwendlela odla ngayo kungathinta isisindo sakho, kodwa akuyona imbangela eqondile yokulawulwa kokuzalwa. Kungenzeka futhi ukuzwa ukuzuza kwesisindo esithile kwesikhashana, okungaba umphumela wokugcinwa kwamanzi. Ukulwa nokuzuza kwesisindo, bona ukuthi ngabe wenze ushintsho oluthile empilweni ngemuva kokuthatha ukubeletha.

Eminye imiphumela emibi ifaka isicanucanu nokuqunjelwa, kepha lokhu kujwayele ukwehla ngemuva kwamasonto ambalwa njengoba umzimba wakho ujwayela ama-hormone angeziwe.

Uma unomlando wama-gallstones, ukuthatha ukulawulwa kokuzalwa kungaholela ekwakhekeni kwamatshe ngokushesha. Kukhona nengozi eyengeziwe yamathumba wesibindi anobungozi noma umdlavuza wesibindi.

Bheka udokotela wakho uma unezinhlungu ezinzima, ukuhlanza, noma ukuphuzi kwesikhumba namehlo (jaundice). Umchamo omnyama noma indle enombala okhanyayo nakho kungaba uphawu lwemiphumela emibi kakhulu.

Uhlelo lwama-integumentary

Kwabesifazane abaningi, le ndlela yokulawula ukubeletha ingathuthukisa izinduna. Ukubuyekezwa kwezilingo ezingama-31 nabesifazane abangu-12, 579, kubheke umphumela wokulawulwa kokuzalwa kanye nezinduna ebusweni. Bathole ukuthi ezinye izindlela zokuvimbela inzalo zomlomo ziyasebenza ekwehliseni induna.

Ngakolunye uhlangothi, abanye bangabhekana nokuqubuka kwezinduna noma bangaboni lushintsho nakancane. Kwezinye izimo, ukulawulwa kokuzalwa kungadala amabala akhanyayo ansundu esikhunjeni. Wonke amazinga omzimba nowesifazane ahlukile, yingakho kunzima ukuqagela ukuthi yimiphi imiphumela engemihle ezokwenzeka njengomphumela wokulawulwa kokuzalwa.

Kwesinye isikhathi, ama-hormone asesilinganisweni sokuzalwa enza ukukhula kwezinwele okungavamile. Ngokuvamile, ukulawulwa kokuzalwa kusiza ngokukhula kwezinwele okungafuneki. Izindlela zokuvimbela inzalo ngomlomo nazo ziyindlela yokwelapha eyinhloko ye-hirsutism, isimo esidala ukuthi izinwele ezimnyama, ezimnyama zikhule ebusweni, emuva nasesiswini.

Khuluma nodokotela wakho uma unomuzwa wokuthi ukulawulwa kokuzalwa kwakho akulungile kuwe. Ukuvuleka nokwethembeka ngemiphumela yakho emibi nokuthi ikwenza uzizwe kanjani kuyisinyathelo sokuqala sokuthola isilinganiso esifanele bese uthayipha okudingayo.