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Kuyini ukuhlolwa kwe-estrogen?

Ukuhlolwa kwe-estrogen kukala izinga lama-estrogen egazini noma emchameni. I-Estrogen nayo ingalinganiswa ngamathe usebenzisa ikhi yokuhlola ekhaya. Ama-Estrogen ayiqembu lamahomoni adlala indima enkulu ekwakhiweni kwezici zomzimba zabesifazane nemisebenzi yokuzala, kufaka phakathi ukukhula kwamabele nesibeletho, kanye nokulawulwa komjikelezo wokuya esikhathini. Abesilisa nabo benza i-estrogen kodwa ngamanani amancane kakhulu.

Kunezinhlobo eziningi zama-estrogens, kepha izinhlobo ezintathu kuphela ezivame ukuvivinywa:

  • I-Estrone, ebizwa nangokuthi i-E1, yi-hormone enkulu yabesifazane eyenziwe ngabesifazane ngemuva kokunqamuka kokuya esikhathini. Ukunqamuka kokuya esikhathini yisikhathi empilweni yowesifazane lapho izikhathi zakhe zokuya esikhathini sezimile futhi engasakwazi ukukhulelwa futhi. Imvamisa iqala lapho owesifazane esondele eminyakeni engama-50 ubudala.
  • I-Estradiol, ebizwa nangokuthi i-E2, yi-hormone yabesifazane eyinhloko eyenziwe ngabesifazane abangakhulelwe.
  • I-Estriol, ebizwa nangokuthi i-E3 yihomoni ekhula ngesikhathi sokukhulelwa.

Ukukala amazinga e-estrogen kunganikeza imininingwane ebalulekile mayelana nokuzala kwakho (amandla okukhulelwa), impilo yokukhulelwa kwakho, umjikelezo wakho wokuya esikhathini, nezinye izimo zempilo.


Amanye amagama: ukuhlolwa kwe-estradiol, i-estrone (i-E1), i-estradiol (i-E2), i-estriol (i-E3), ukuhlolwa kwehomoni ye-estrogenic

Kusetshenziselwa ini?

Ukuhlolwa kwe-Estradiol noma ukuhlolwa kwe-estrone kusetshenziselwa ukusiza:

  • Thola isizathu sokuthomba ngaphambi kwesikhathi noma sekwedlule isikhathi emantombazaneni
  • Thola isizathu sokuthomba sekwedlule isikhathi kubafana
  • Thola izinkinga zokuya esikhathini
  • Thola imbangela yokungazali (ukungakwazi ukukhulelwa)
  • Bheka ukwelashwa kokuzala
  • Bheka ukwelashwa kokunqamuka kokuya esikhathini
  • Thola izicubu ezakha i-estrogen

Ukuhlolwa kwe-estriol hormone kusetshenziselwa:

  • Siza ukuxilonga ukukhubazeka okuthile kokuzalwa ngesikhathi sokukhulelwa.
  • Bheka ukukhulelwa okuyingozi kakhulu

Kungani ngidinga ukuhlolwa kwe-estrogen?

Ungahle udinge ukuhlolwa kwe-estradiol noma ukuhlolwa kwe-estrone uma:

  • Unenkinga yokukhulelwa
  • Ungowesifazane oseminyakeni yobudala bokuzala ongayi esikhathini noma onenkathi engajwayelekile
  • Ingabe uyintombazane enokuthomba kokuqala noma okulibazisekile
  • Yiba nezimpawu zokunqamuka kokuya esikhathini, kufaka phakathi ukushisa okushisayo kanye / noma ukujuluka ebusuku
  • Ukopha esithweni sangasese ngemuva kokuya esikhathini
  • Ngabe ungumfana obambezele ukuthomba
  • Ngabe indoda ikhombisa izici zesifazane, njengokukhula kwamabele

Uma ukhulelwe, umhlinzeki wakho wezokunakekelwa kwempilo anga-oda ukuhlolwa kwe-estriol phakathi kweviki le-15 kanye nelama-20 lokukhulelwa njengengxenye yokuhlolwa kokubeletha okubizwa ngokuthi ukuhlolwa kwesikrini kathathu. Ingathola ukuthi ngabe ingane yakho isengozini yokuthola ukukhubazeka kofuzo njenge-Down syndrome. Akubona bonke abesifazane abakhulelwe abadinga ukuthola ukuhlolwa kwe-estriol, kepha kunconywa abesifazane abanengozi enkulu yokuba nengane enenkinga yokuzalwa. Ungaba sengozini enkulu uma:


  • Yiba nomlando womndeni wokukhubazeka kokuzalwa
  • Uneminyaka engama-35 noma ngaphezulu
  • Unesifo sikashukela
  • Yiba nokutheleleka ngegciwane ngesikhathi sokukhulelwa

Kwenzekani ngesikhathi sokuhlolwa kwe-estrogen?

Ama-Estrogens angahlolwa egazini, emchameni noma ematheni. Igazi noma umchamo uvame ukuhlolwa ehhovisi likadokotela noma elebhu. Ukuhlolwa kwamathe kungenziwa ekhaya.

Ukuhlolwa kwegazi:

Uchwepheshe wezempilo uzothatha isampula yegazi emthanjeni osengalweni yakho, esebenzisa inaliti encane.

Ngemuva kokuthi kufakwe inaliti, kuzoqoqwa inani elincane legazi kufakwe ithubhu yokuhlola noma isitsha. Ungase uzizwe uluma kancane lapho inaliti ingena noma iphuma. Lokhu ngokuvamile kuthatha imizuzu engaphansi kwemihlanu.

Ukuhlolwa komchamo:

Umhlinzeki wakho wezokunakekelwa kwempilo angakucela ukuthi uqoqe wonke umchamo odluliswe esikhathini esingamahora angama-24. Lokhu kubizwa ngokuthi yisampula yamahora angama-24 yokuhlolwa kwesampula. Kulesi sivivinyo, umhlinzeki wakho wezokunakekelwa kwempilo noma uchwepheshe waselabhoratri uzokunika isitsha sokuqoqa umchamo wakho kanye nemiyalelo yokuthi ungawalanda kanjani futhi uwagcine amasampula akho. Ukuhlolwa kwesampula yamahora angu-24 ngokuvamile kufaka lezi zinyathelo ezilandelayo:


  • Khipha isinye sakho ekuseni bese ususa lowo mculi phansi. Ungawuqoqi lo mchamo. Qopha isikhathi.
  • Emahoreni angama-24 alandelayo, gcina wonke umchamo wakho odluliswe esitsheni osinikeziwe.
  • Gcina isitsha sakho somchamo esiqandisini noma endaweni epholile eneqhwa.
  • Buyisela isitsha sesampula ehhovisi lomhlinzeki wakho wezempilo noma elabhorethri njengoba kuyalelwe.

Ukuhlolwa kwamathe asekhaya, khuluma nomhlinzeki wakho wezokunakekelwa kwempilo. Angakutshela ukuthi iyiphi ikithi ongayisebenzisa nokuthi ungalungiselela kanjani futhi uqoqe isampula lakho.

Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?

Awudingi noma yimaphi amalungiselelo akhethekile wokuhlolwa kwe-estrogen.

Ingabe zikhona izingozi esivivinyweni?

Kunengozi encane kakhulu yokuhlolwa kwegazi. Ungaba nobuhlungu obuncane noma ukulimaza lapho kufakwe khona inaliti, kepha izimpawu eziningi ziyaphela ngokushesha.

Ayikho ingozi eyaziwayo yokuhlolwa komchamo noma kwamathe.

Isho ukuthini imiphumela?

Uma amazinga akho e-estradiol noma e-estrone ephakeme kunokujwayelekile, kungenzeka kungenxa yokuthi:

  • Isigaxa sama-ovari, izindlala ze-adrenal, noma amasende
  • Isifo sokuqina kwesibindi
  • Ukuthomba kokuqala emantombazaneni; ukubambezeleka kokuthomba kubafana

Uma amazinga akho e-estradiol noma e-estrone angaphansi kunokujwayelekile, kungahle kube ngenxa ye:

  • Ukungasebenzi kahle kwama-ovarian okuyisimo esidala ukuthi amaqanda esifazane ayeke ukusebenza ngaphambi kokuba abe neminyaka engama-40
  • I-Turner syndrome, isimo lapho izici zobulili zowesifazane zingakhuli kahle
  • Ukuphazamiseka kokudla, njenge-anorexia nervosa
  • I-Polycystic ovary syndrome, isifo sehomoni esivame ukuthinta abesifazane abazalayo. Ingesinye sezimbangela ezihamba phambili zokungazali kwabesifazane.

Uma ukhulelwe futhi amazinga akho e-estriol angaphansi kunokujwayelekile, kungasho ukuthi ukukhulelwa kwakho kwehluleka noma ukuthi kunethuba lokuthi ingane yakho ingaba nenkinga yokuzalwa. Uma ukuhlolwa kubonisa ukukhubazeka kokuzalwa okungenzeka, uzodinga ukuhlolwa okwengeziwe ngaphambi kokuthola ukuxilongwa.

Amaleveli aphezulu e-estriol angasho ukuthi uzoqala ukusebenza kungekudala. Imvamisa, amazinga e-estriol akhuphuka cishe amasonto amane ngaphambi kokuqala ukubeletha.

Uma unemibuzo ngemiphumela yakho, khuluma nomhlinzeki wakho wezokunakekelwa kwempilo.

Funda kabanzi mayelana nokuhlolwa kwelabhorethri, ububanzi bezinkomba, nemiphumela yokuqonda.

Izinkomba

  1. I-Allina Health [Inthanethi]. IMinneapolis: Impilo ka-Allina; c2018. I-progesterone yeseramu; [kucashunwe ngo-2018 Ephreli 23]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://wellness.allinahealth.org/library/content/1/3714
  2. I-FDA: Ukuphathwa Kwezokudla Nezidakamizwa e-US [i-Intanethi]. ISiliva Spring (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-US; Ukuvuthwa kwegazi (Ukuvivinywa kwamathe); [buyekeza u-2018 Feb 6; kukhonjiwe ngo-2018 Meyi 29]; [cishe izikrini ezi-4]. Kutholakala kusuka: https://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/InVitroDiagnostics/HomeUseTests/ucm126061.htm
  3. Ukuhlolwa Kwelebhu Ku-inthanethi [i-Intanethi]. IWashington D.C .; I-American Association for Clinical Chemistry; c2001–2018. IProgesterone; [kubuyekezwe i-2018 Apr 23; kukhonjiwe 2018 Eph 23]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://labtestsonline.org/tests/progesterone
  4. IMayo Clinic: I-Mayo Medical Laboratories [i-Intanethi]. IMayo Foundation for Medical Education and Research; c1995–2018. I-ID Yokuhlola: I-PGSN: I-Progesterone Serum: Ukubuka konke; [kucashunwe ngo-2018 Ephreli 23]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.mayomedicallaboratories.com/test-catalog/Overview/8141
  5. Uhlobo Lokuthengwa Kwamakhasimende we-Merck [Internet]. IKenilworth (NJ): IMerck & Co Inc .; c2018. Ukubuka konke koHlelo Lokuzala Kwabesifazane; [kucashunwe ngo-2018 Ephreli 24]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.merckmanuals.com/home/women-s-health-issues/biology-of-the-female-reproductive-system/overview-of-the-female-reproductive-system
  6. Uhlobo Lokuthengwa Kwamakhasimende we-Merck [Internet]. IKenilworth (NJ): IMerck & Co Inc .; c2018. Amaqiniso asheshayo: Ukukhulelwa kwe-Ectopic; [kucashunwe ngo-2018 Ephreli 23]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.merckmanuals.com/home/quick-facts-women-s-health-issues/complications-of-pregnancy/ectopic-pregnancy
  7. I-National Heart, Lung, ne-Blood Institute [i-Intanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Ukuhlolwa Kwegazi; [kucashunwe ngo-2018 Ephreli 23]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.nhlbi.nih.gov/health-topics/blood-tests
  8. Impilo ye-UF: University of Florida Health [Internet]. Inyuvesi yaseFlorida; c2018. I-Serum Progesterone: Ukubuka konke; [kubuyekezwe i-2018 Apr 23; kukhonjiwe 2018 Eph 23]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://ufhealth.org/serum-progesterone
  9. I-University of Rochester Medical Center [i-Inthanethi]. URochester (NY): Isikhungo Sezokwelapha sase-University of Rochester; c2018. I-Health Encyclopedia: iProgesterone; [kucashunwe ngo-2018 Ephreli 23]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=167&ContentID=progesterone
  10. I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2018. Imininingwane Yezempilo: Ukuntuleka Kwe-Ovarian Okuyisisekelo: Ukubuka konke kwesihloko; [kubuyekezwe i-2017 Nov 21; kukhonjiwe ngo-2018 Jun 11]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.uwhealth.org/health/topic/special/primary-ovarian-insufficiency/uf6200spec.html
  11. I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2018. Imininingwane Yezempilo: I-Progesterone: Imiphumela; [kubuyekezwe ngo-2017 Mar 16; kukhonjiwe 2018 Eph 23]; [cishe izikrini eziyi-8]. Kutholakala ku: http://www.uwhealth.org/health/topic/medicaltest/progesterone-test/hw42146.html #
  12. I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2018. Imininingwane Yezempilo: I-Progesterone: Ukubuka konke kokuhlolwa; [kubuyekezwe ngo-2017 Mar 16; kukhonjiwe 2018 Eph 23]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.uwhealth.org/health/topic/medicaltest/progesterone-test/hw42146.html
  13. I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2018. Imininingwane Yezempilo: IProgesterone: Kungani Kwenziwa; [kubuyekezwe ngo-2017 Mar 16; kukhonjiwe 2018 Eph 23]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.uwhealth.org/health/topic/medicaltest/progesterone-test/hw42146.html#hw42153

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