Izici zobungozi zokuba namazinga aphezulu noma aphansi e-estrogen emadodeni
-Delile
- I-Estrogen kwabesilisa
- Ayini amazinga ejwayelekile e-estrogen emadodeni?
- Izimpawu zamazinga aphezulu e-estrogen emadodeni
- Izimpawu ze-estrogen ephansi emadodeni
- Izimbangela ze-estrogen ephansi emadodeni
- Ukuhlonza i-estrogen ephezulu noma ephansi
- Ungalawula kanjani amazinga e-estrogen emadodeni
- Imithi
- Ukudla, indlela yokuphila, nokuzivocavoca umzimba
- Izingozi zokuba ne-estrogen ephezulu njengomuntu omdala osekhulile
- Ukubonana nodokotela nini
- Ukudla okudlela endlini
I-Estrogen kwabesilisa
Ama-hormone e-testosterone ne-estrogen afaka isandla ekusebenzeni komzimba wakho jikelele.
Zidinga ukulinganiswa ukuze umsebenzi wakho wezocansi nezimpawu kusebenze ngokujwayelekile. Uma zingalinganiswanga ungabona izimpawu ezithile ezingavamile.
I-Estrogen ngokuvamile ibizwa nge-hormone “yowesifazane”. I-testosterone ibizwa nge-hormone "yesilisa". Lokhu akunembe ngokuphelele njengoba bobabili bakhona emizimbeni yawo wonke umuntu. Kepha inani eliphakeme le-testosterone livame ukubakhona emizimbeni yabesilisa. Futhi inani eliphakeme le-estrogen livame ukuba khona emizimbeni yabesifazane abaphilayo.
I-Estrogen iyisihluthulelo sokuthuthuka kwemisebenzi yezocansi nezimpawu kwabesifazane ngesikhathi sobusha. Lokhu kufaka phakathi ukuya esikhathini kanye nomjikelezo wokuzala.Kuyasiza ukugcina lowo msebenzi impilo yonke.
Kuyafana nakwabesilisa. Kepha uhlobo oluthile lwe-estrogen olwaziwa ngokuthi lubaluleke kakhulu kwezocansi kwabesilisa.
I-testosterone yi-hormone ebaluleke kakhulu ekuthuthukiseni nasekusebenzeni kowesilisa ngokocansi. Kepha i-estrogen idinga ukuhlala ibhalansi ne-testosterone ukusiza ukulawula ukushayela i-sex, ikhono lokwakhiwa, nokukhiqizwa kwesidoda.
I-Testosterone ngokwemvelo iyancipha njengoba amadoda ekhula, kuyilapho i-estrogen inyuka. Lokhu akukukhathazi kangako ngaphandle kokuthi amazinga akho e-estrogen aphakeme ngokungajwayelekile. Lokhu kungaba yingcuphe yezimo ezinjengesifo sikashukela nezinhlobo ezithile zomdlavuza.
Ake singene kumazinga we-estrogen ajwayelekile futhi angajwayelekile kwabesilisa, yiziphi izimpawu okufanele uziqaphele, yini engadala amazinga e-estrogen angajwayelekile, nokuthi yini ongayenza ngakho.
Ayini amazinga ejwayelekile e-estrogen emadodeni?
Kunezinhlobo ezimbili eziyinhloko ze-estrogen emadodeni: i-estrone ne-estradiol. Amanani alinganiswa nge-picogram ngemililitha (pg / ml). Izilinganiso ezijwayelekile zalokhu yilezi:
I-Estrone | I-Estradiol | |
I-Prepubescent owesilisa | Engatholakali – 16 pg / ml | Engatholakali – 13 pg / ml |
Owesilisa we-Pubescent | Engatholakali – 60 pg / ml | Engatholakali – 40 pg / ml |
Indoda endala | 10-60 pg / ml | 10-40 pg / ml |
Izimpawu zamazinga aphezulu e-estrogen emadodeni
Nazi ezinye zezimpawu eziyinhloko zamazinga aphezulu e-estrogen emadodeni:
Izimpawu ze-estrogen ephansi emadodeni
Izinga eliphansi le-estrogen emadodeni aliyona imbangela enkulu yokukhathazeka.
Kodwa ezinye zezimpawu ezifanayo ze-estrogen ephezulu zingenzeka uma ungenayo i-estrogen eyanele. Lokhu kungenxa yokuthi ukungalingani kwe-estrogen kungavela ku-hypogonadism, isimo esiholela ekuntulekeni kokukhiqizwa kwamahomoni emzimbeni wakho.
I-Hypogonadism yehlisa amazinga e-estrogen, testosterone, namanye amahomoni, okuholele kwizimpawu eziningi ezifanayo zamazinga aphezulu e-estrogen.
Izimbangela ze-estrogen ephansi emadodeni
I-estrogen ephansi ngenxa ye-hypogonadism ingaba nezimbangela eziningi ezingaba khona, kufaka phakathi:
- izimo ezizimele njengezifo ze-Addison noma i-hypoparathyroidism
- ukuphazamiseka kofuzo njenge-Turner syndrome noma i-Klinefelter syndrome
- ukutheleleka kwezitho zobulili, ezinjengomgogodla
- izimo zezinso noma zesibindi
- amasende angahli
- ukugcwala kwensimbi egazini lakho (hemochromatosis)
- ukuchayeka emisebeni
- ukuhlinzwa esithweni sakho sangasese noma emasendeni
- igciwane lesandulela ngculaza (i-HIV)
- izimo ezithinta i-pituitary gland
- sarcoidosis
- isifo sofuba
- umlando
- ukuba nokukhuluphala
- ukulahlekelwa isisindo ngokushesha
- ukungatholi izakhamzimba namavithamini ayisisekelo
- ukuhlinzwa kobuchopho
- isimila esikhulayo noma esiseduze nendlala yakho ye-pituitary
Ukuhlonza i-estrogen ephezulu noma ephansi
Udokotela uzokutholela ukuhlolwa kwegazi elebhu uma bekholelwa ukuthi ungaba namazinga aphezulu noma aphansi e-estrogen.
Ngalokhu, uzoya elabhorethri eqoqa amasampula, futhi umuntu oqeqeshwe ukuthatha amasampuli uzosebenzisa inaliti nesitsha ukuze aqoqe igazi ukuze lihlolwe.
Kufanele uthole imiphumela yakho esikhathini esingangesonto. Uzobona amazinga wakho we-estrogen egazi akhonjiswe ezilinganisweni zama-picograms ngemililitha (pg / mL). Uma usuthole imiphumela yakho, udokotela wakho uzokwazisa ukuthi yini okuzodingeka uyenze ngokulandelayo.
Uma zivamile, ngeke neze udinge ukwenza noma yini. Kepha uma amazinga akho noma aphezulu noma aphansi, udokotela wakho uzoncoma izinyathelo ezilandelayo zokusiza ukuthi amazinga akho e-estrogen alingane.
Ungalawula kanjani amazinga e-estrogen emadodeni
Nazi ezinye izindlela zokwelashwa udokotela angancoma ukusiza ukulawula amazinga akho e-estrogen.
Imithi
I-theory aromatase inhibitors - egcina i-enzyme eyaziwa ngokuthi i-aromatase ekuguquleni ama-hormone abizwa ngama-androgens abe yi-estrogen - kufanele isebenze, kepha ucwaningo lukhombisa ukuthi abanamphumela omuhle kangako.
Yize kungavamisile ukuthi kunconywe njengokwelashwa, kungasiza ukwehlisa amazinga e-estrogen ezigulini uma kuboniswe emtholampilo. Ungayithatha le mithi njengemithi ye-anastrozole (Arimidex) noma i-exemestane (Aromasin).
Ucwaningo alukhombisanga ukuthi ama-aromatase inhibitors ayasebenza njenge-SERMS ye-gynecomastia, kepha angaba nokunye ukusetshenziswa kwemitholampilo okufana nomdlavuza webele noma kubafana abanesimo esifushane.
Ama-aromatase inhibitors nawo ayatholakala ngezindlela zemvelo, njengezimpande ze-nettle zasendle, kanye nokukhishwa okuhlanganisiwe. Khumbula, kufanele uxoxe ngalezi zinketho zemvelo nomhlinzeki wakho wezokunakekelwa kwempilo kuqala.
Ukudla, indlela yokuphila, nokuzivocavoca umzimba
Izinguquko ekudleni kwakho zingasiza ekugcineni amazinga akho e-estrogen ephansi.
Ukudla okunamafutha amancane ne-fiber ephezulu kunconywa kakhulu ekulawuleni izinga le-estrogen. Okunye ukudla okungabandakanyeka kulolu hlobo lokudla kufaka:
- imifino ye-cruciferous (kufaka phakathi i-broccoli ne-kale) iqukethe ama-phytochemicals avimba ukukhiqizwa kwe-estrogen
- Amakhowe ama-shiitake ne-portobello ngokwemvelo anciphisa i-aromatase
- amagilebhisi abomvu aqukethe i-estrogen blocker yemvelo i-resveratrol ne-proanthocyanidin
- imbewu yesesame kanye nefilakisi, kanye nezinhlamvu ezigcwele njenge-oats, ummbila nelayisi kuqukethe i-micronutrient ebizwa nge-polyphenol
- itiye eliluhlaza ngomunye umthombo omuhle we-polyphenol
- amapomegranati aphezulu kuma-phytochemicals avimba i-estrogen
Eminye imikhiqizo yenyama iqukethe i-estrogen ngenxa yokwelashwa ngamahomoni okwenziwa futhi kufanele kugwenywe. Eminye imikhiqizo ongayigwema engakhuphula amazinga akho e-estrogen afaka:
- ezisongelayo noma iziqukathi ezenziwe ngepulasitiki ezingadonswa ukudla kwakho
- imikhiqizo yenhlanzeko enama-parabens aqukethe ama-estrogens, njengama-shampoo
Ukuhlala usesimweni nakho kungagcina amazinga akho e-estrogen ephansi:
- thola okwenyama ukuhlola impilo yakho yonke
- yenza uhlelo bese uqala kancane
- vivinya imizuzu engaba ngu-15 kuya kwengu-30 ngosuku, futhi wandise isikhathi lapho uzizwa ukhululekile
- yishintshe: yenza i-cardio ngolunye usuku, qinisa okulandelayo, njalonjalo
- ujoyine ijimu futhi ube nomkhuba wokuya njalo
Izingozi zokuba ne-estrogen ephezulu njengomuntu omdala osekhulile
Bonke abantu abazalwa benemithondo bazalwa benamazinga aphansi e-estrogen, kodwa amazinga ayakhuphuka njengoba ukhula.
Amazinga aphezulu e-estrogen kumuntu onepipi angakhuphula ubungozi bezimo ezithile, kufaka phakathi:
- ukukhula amabele amakhulu wesilisa (gynecomastia)
- isifo sikashukela
- amahlule egazi
- unhlangothi
- umdlavuza othile, kufaka phakathi isifuba kanye
Ukubonana nodokotela nini
Bona udokotela ngokushesha okukhulu uma ubona noma yiziphi izimpawu ezingavamile ezingahlobana namazinga aphezulu noma aphansi e-estrogen.
Bangakwazi ukwenza ukuhlolwa kwezinga le-estrogen futhi bathole izimbangela. Zingakusiza nokuthi ufunde ukuthi ngabe lezi zimpawu zibangelwa yi-estrogen ephezulu. Kubalulekile ukwelapha i-estrogen ephezulu nanoma iyiphi imbangela eyisisekelo.
Izimo eziningi ezibanga noma ezidalwa ngamazinga angavamile e-estrogen zingelashwa ngempumelelo futhi amathuba okuba nezinkinga ezithile anciphiswe ngokwelashwa kusenesikhathi.
Ukudla okudlela endlini
Kokubili amazinga aphezulu nephansi e-estrogen angadala izinkinga ezithile zesikhathi eside noma akhombise ukuthi kunesimo esingaphansi okufanele silashwe.
Bona umhlinzeki wakho wezokunakekelwa kwezempilo ngokushesha okukhulu uma ucabanga ukuthi ungaba namazinga angajwayelekile e-estrogen.