Ukuthinta Kanjani Ukuya Esikhathini, Ukukhulelwa, Neminye Imisebenzi?
-Delile
- Izinhlobo zamahomoni ezocansi zowesifazane
- I-Estrogen
- Iprogesterone
- I-testosterone
- Indima edlalwa amahomoni akho iyashintsha ngokuhamba kwesikhathi
- Ukuthomba
- Ukuya esikhathini
- Isigaba esilandelayo
- Isigaba se-Ovulatory
- Isigaba seLuteal
- Isifiso sobulili nokuvimbela inzalo
- Ukukhulelwa
- Ngemuva kokubeletha nokuncelisa
- Isikhathi sokunqamuka kanye nokunqamuka kokuya esikhathini
- Lapho ama-hormone eba angalingani
- Lapho uzobona udokotela wakho
Yini ama-hormone?
AmaHormone yizinto zemvelo ezikhiqizwa emzimbeni. Zisiza ukudlulisa imiyalezo phakathi kwamaseli nezitho zomzimba futhi kuthinta nemisebenzi eminingi yomzimba. Wonke umuntu unama-hormone ocansi abhekwa njengabesilisa “nabesilisa”.
Qhubeka ufunde ukuze ufunde kabanzi ngamahomoni ocansi abesifazane, ukuthi ahluka kanjani empilweni yakho yonke, nezimpawu zokungalingani kwamahomoni.
Izinhlobo zamahomoni ezocansi zowesifazane
Ama-hormone amabili abesilisa abesilisa abalulekile yi-estrogen ne-progesterone. Yize i-testosterone ibhekwa njenge-hormone yesilisa, abesifazane nayo ikhiqiza futhi idinga inani elincane lalokhu, nayo.
I-Estrogen
I-Estrogen yihomoni enkulu yabesifazane. Isabelo sebhubesi sivela kuma-ovari, kepha amanani amancane akhiqizwa kwizindlala ze-adrenal namaseli amafutha. Ngesikhathi sokukhulelwa, i-placenta nayo yenza i-estrogen.
I-Estrogen ibamba iqhaza elikhulu ekukhuleni ekuzaleni nasezocansi, kufaka phakathi:
- ukuthomba
- ukuya esikhathini
- ukukhulelwa
- ukunqamuka kokuya esikhathini
I-Estrogen nayo ithinta:
- ubuchopho
- uhlelo senhliziyo nemithambo yegazi
- izinwele
- uhlelo lwemisipha
- isikhumba
- umgudu womchamo
Amazinga e-estrogen anganqunywa ngokuhlolwa kwegazi. Yize ingahluka kumuntu nomuntu, lokhu yilokho okubhekwa njengamabanga ajwayelekile kuma-picograms ngemililitha ngayinye (pg / mL):
- Owesifazane omdala, premenopausal: 15-350 pg / mL
- Abesifazane abadala, i-postmenopausal:<10 pg / mL
- Indoda endala: 10-40 pg / mL
Amazinga azohluka kakhulu phakathi nomjikelezo wokuya esikhathini.
Iprogesterone
Ama-ovari akhiqiza i-progesterone yezocansi yowesifazane ngemuva kokuvuthwa. Ngesikhathi sokukhulelwa, i-placenta nayo ikhiqiza okunye.
Indima ye-progesterone uku:
- lining ulwelwesi lwesibeletho iqanda elikhulelwe
- ukusekela ukukhulelwa
- cindezela ukukhiqizwa kwe-estrogen ngemuva kwe-ovulation
Amazinga eprogesterone anganqunywa ukuhlolwa kwegazi. Amabanga ajwayelekile akuma-nanograms ngemililitha ngayinye (ng / mL):
Isigaba | Ibanga |
ngaphambi kokuthomba | 0.1-0.3 ng / ml |
ngesikhathi sokuqala (follicular) sesigaba sokuya esikhathini | 0.1-0.7 ng / ml |
ngenkathi i-ovulating (isigaba se-luteal somjikelezo) | 2-25 ng / ml |
I-trimester yokuqala yokukhulelwa | 10–44 ng / mL |
i-trimester yesibili | 19.5-82.5 ng / ml |
i-trimester yesithathu | 65-290 ng / mL |
I-testosterone
Inani elincane le-testosterone livela kwizindlala zama-adrenal kanye nama-ovari. Le hormone ibamba iqhaza emisebenzini eminingana yomzimba, kufaka phakathi:
- isifiso sobulili
- ukulawulwa komjikelezo wokuya esikhathini
- amandla amathambo nemisipha
Ukuhlolwa kwegazi kunganquma izinga lakho le-testosterone. Ibanga elijwayelekile labesifazane lingama-nanograms ayi-15 kuye kwangama-70 nge-deciliter ngayinye (ng / dL).
Indima edlalwa amahomoni akho iyashintsha ngokuhamba kwesikhathi
Ama-hormone ocansi abesifazane ahlanganisa imisebenzi eminingi yomzimba. Kepha izidingo zakho zamahomoni zishintsha kakhulu njengoba ushiya ubuntwana futhi ungena ebusheni.
Zishintsha kakhulu uma ukhulelwa, ubeletha, noma uncelisa. Futhi ziyaqhubeka nokuguquka njengoba ususondele esikhathini sokunqamuka kokuya esikhathini.
Lezi zinguquko ziyimvelo futhi zilindelekile.
Ukuthomba
Wonke umuntu wehlukile, kepha abesifazane abaningi bangena ebusheni baphakathi kweminyaka engu-8 no-13. Futhi konke kwenzeka ngenxa yamahomoni.
Ihomoni ye-luteinizing (LH) ne-follicle-stimulating hormone (FSH) ikhiqizwa endlaleni ye-pituitary. Ukukhiqizwa kuyanda ngesikhathi sokuthomba, nakho okuvuselela ama-hormone ezocansi - ikakhulukazi i-estrogen.
Lokhu kwanda kwamahomoni ezocansi kwabesifazane kuholela ku:
- ukukhula kwamabele
- ukukhula kwezinwele zasesidlangalaleni nasesikhwapheni
- ukukhula okukhulayo
- ukwanda kwamafutha omzimba, ikakhulukazi ezinqeni nasemathangeni
- ukuvuthwa kwamaqanda, isibeletho, nesitho sangasese sowesifazane
- ukuqala komjikelezo wokuya esikhathini
Ukuya esikhathini
Isikhathi sokuqala sokuya esikhathini (ukuya esikhathini) kwenzeka cishe eminyakeni emibili kuya kwemithathu amabele eqale ukukhula. Futhi, kwehlukile kuwo wonke umuntu, kepha abesifazane abaningi bathola isikhathi sabo sokuqala phakathi kweminyaka eyi-10 nengu-16.
Isigaba esilandelayo
Nyanga zonke, isibeletho siyajiya silungiselela iqanda elikhulelwe. Uma kungekho iqanda elikhulelisiwe, amazinga e-estrogen ne-progesterone ahlala ephansi. Lokhu kushukumisela isibeletho sakho ukuba sichithe ulwelwesi lwaso. Usuku oqala ngalo ukopha usuku lokuqala lomjikelezo wakho, noma isigaba sokulandela.
Indlala ye-pituitary iqala ukukhiqiza i-FSH ethe xaxa. Lokhu kukhuthaza ukukhula kwama-follicles kuma-ovari akho. Ngaphakathi kwe-follicle ngayinye kuneqanda. Njengoba amazinga ama-hormone ezocansi ehla, kuphela i-follicle eyodwa, evelele ezoqhubeka nokukhula.
Njengoba le follicle ikhiqiza i-estrogen eningi, ezinye izintambo ziyawohloka. Amazinga aphezulu e-estrogen ashukumisa ukuqhuma kwe-LH. Lesi sigaba sithatha cishe amasonto amabili.
Isigaba se-Ovulatory
Okulandelayo kuza isigaba se-ovulatory. I-LH ibangela ukuthi i-follicle idabuke futhi ikhulule iqanda. Lesi sigaba sithatha cishe amahora ayi-16 kuye kwangama-32. Ukufakwa komanyolo kungenzeka kuphela cishe amahora angama-12 ngemuva kokuthi iqanda selishiyile esibelethweni.
Isigaba seLuteal
Isigaba se-luteal siqala ngemuva kwe-ovulation. I-follicle eqhekekile iyavalwa futhi ukukhiqizwa kweprogesterone kuyanda. Lokhu kwenza ukuthi isibeletho sikulungele ukwamukela iqanda elikhulelwe.
Uma lokho kungenzeki, i-estrogen ne-progesterone ziyancipha futhi futhi umjikelezo uqala phansi.
Umjikelezo wonke wokuya esikhathini uhlala cishe ezinsukwini ezingama-25 kuye kwezingama-36. Ukopha kuthatha phakathi kwezinsuku ezintathu nezingu-7. Kepha nalokhu futhi, kuyahlukahluka impela. Umjikelezo wakho ungahle ungafani neze eminyakeni embalwa yokuqala. Kungahluka futhi ngezikhathi ezahlukahlukene zempilo yakho noma lapho usebenzisa izindlela zokuvimbela inzalo zehomoni.
Isifiso sobulili nokuvimbela inzalo
I-Estrogen, i-progesterone, ne-testosterone konke kudlala indima kusifiso sobulili sowesifazane - esibizwa nangokuthi libido - nokusebenza kocansi. Ngenxa yokushintshashintsha kwamahomoni, abesifazane ngokuvamile basezingeni eliphakeme lesifiso sobulili ngaphambi nje kokuvuthwa.
Ngokuvamile kunokushintshashintsha okuncane ku-libido uma usebenzisa izindlela zokulawula ukubeletha kwe-hormonal, ezithinta amazinga e-hormone. I-libido yakho ingahle ishintshe kancane ngemuva kokunqamuka kokuya esikhathini.
Ukuhlinzwa ukuze ususe izindlala zakho noma ama-ovari kunciphisa ukukhiqizwa kwe-testosterone, okungadala ukwehla kwe-libido yakho.
Ukukhulelwa
Ngesikhathi sesigaba se-luteal somjikelezo wakho, ukwanda kwe-progesterone kulungiselela isizalo sakho ukuthola iqanda elikhulelwe. Izindonga zesibeletho ziyajiya zigcwale izakhi zomzimba nolunye uketshezi ukugcina umbungu.
Iprogesterone iyaqinisa umlomo wesibeletho ukuvikela isibeletho kumagciwane nasidoda. Amazinga e-Estrogen nawo aphakeme, afaka isandla ekuqineni kolwelwesi lwesibeletho. Womabili la mahomoni asiza amapayipi obisi asemabeleni ukunwebeka.
Lapho nje ukukhulelwa kwenzeka, uqala ukukhiqiza i-chorionic gonadotropin hormone (hCG) yomuntu. Le yihomoni ekhombisa umchamo wakho futhi isetshenziselwa ukuhlola ukukhulelwa. Futhi kukhulisa ukukhiqizwa kwe-estrogen ne-progesterone, ukuvimbela ukuya esikhathini nokusiza ukugcina ukukhulelwa.
I-human placental lactogen (hPL) iyi-hormone eyenziwe i-placenta. Ngaphezu kokunikeza ingane izakhamzimba, kusiza ukukhuthaza izindlala zobisi ekunceliseni ibele.
Izinga lenye i-hormone okuthiwa i-relaxin nalo liyakhula ngesikhathi sokukhulelwa. Izinsiza zokuphumula ekufakweni nasekukhuleni kwe-placenta futhi zisiza ukumisa ukuphambana kungenzeki ngokushesha okukhulu. Lapho kuqala ukusebenza, le hormone isiza ukukhulula imigqa ethangeni.
Ngemuva kokubeletha nokuncelisa
Uma ukukhulelwa sekuphelile, amazinga ama-hormone aqala ukwehla ngokushesha. Ekugcineni bafika emazingeni okukhulelwa kwangaphambili.
Ukwehla okungazelelwe, okuphawulekayo kwe-estrogen ne-progesterone kungaba nomthelela ekuthuthukiseni ukucindezeleka kwangemva kokubeletha.
Ukuncelisa ibele kwehlisa amazinga e-estrogen futhi kungavimbela ukukhiqizwa kweqanda. Lokhu akuhlali kunjalo, noma kunjalo, ngakho-ke usazodinga ukulawulwa kokuzalwa ukuze uvimbele okunye ukukhulelwa.
Isikhathi sokunqamuka kanye nokunqamuka kokuya esikhathini
Ngesikhathi sokunqamuka kwesikhathi - isikhathi esiholela ekuphumeni kokuya esikhathini - ukukhiqizwa kwamahomoni kuma-ovari akho kunciphisa ijubane. Amazinga e-Estrogen aqala ukushintsha ngenkathi amazinga e-progesterone aqala ukwehla okungaguquki.
Njengoba amazinga akho e-hormone ehla, isitho sakho sangasese singancipha kakhulu. Abanye abantu babona ukwehla kwe-libido yabo futhi umjikelezo wabo wokuya esikhathini uba ngokungajwayelekile.
Lapho usuhambe izinyanga eziyi-12 ngaphandle kwesikhathi, ufinyelele esikhathini sokuya esikhathini. Ngalesi sikhathi, zombili i-estrogen ne-progesterone zibambe ziqinile emazingeni aphansi. Lokhu kwenzeka cishe eminyakeni engama-50. Kodwa njengezinye izigaba zokuphila, kukhona ukwehluka okukhulu kulokhu.
Ukwehla kwamahomoni ngemuva kokunqamuka kokuya esikhathini kungakhuphula ubungozi bakho bezimo ezinjengokuncipha kwamathambo (i-osteoporosis) nesifo senhliziyo.
Lapho ama-hormone eba angalingani
Ama-hormone akho azoguquka ngokwemvelo phakathi nesikhathi sakho sokuphila. Lokhu kuvame ukwenzeka ngenxa yezinguquko ezilindelekile ezifana nalezi:
- ukuthomba
- ukukhulelwa
- ukuncelisa ibele
- ukunqamuka kwesikhathi nokuya esikhathini
- ukusetshenziswa kokukhulelwa kwehomoni noma ukwelashwa kwamahomoni
Kepha ukungalingani kwehomoni kwesinye isikhathi kungaba yisibonakaliso sento ebucayi kakhulu, efana nale:
- I-Polycystic ovarian syndrome (i-PCOS). Lesi yisifo esivame kakhulu se-endocrine disorder phakathi kwabesifazane abasebasha. I-PCOS ingadala imijikelezo yokuya esikhathini ngokungajwayelekile futhi iphazamise ukuzala.
- I-Androgen eyeqile. Lokhu ukukhiqizwa ngokweqile kwamahomoni wesilisa. Lokhu kungadala ukungahambi kahle kokuya esikhathini, ukungabi nenzalo, izinduna kanye nempandla yephethini yabesilisa.
- I-Hirsutism. I-Hirsutism yanda ngokukhula kwezinwele ebusweni, esifubeni, esiswini nasemhlane. Kubangelwa ama-hormone abesilisa ngokweqile futhi kwesinye isikhathi kungaba uphawu lwe-PCOS.
Ezinye izimo ezicashile zifaka:
- i-hypogonadism, nokushoda kwama-hormone abesifazane
- ukukhulelwa kwesisu noma ukukhulelwa okungavamile
- ukukhulelwa okuningi (ukuba namawele, amawele amathathu, noma ngaphezulu)
- isimila esibelethweni
Lapho uzobona udokotela wakho
Kufanele ngaso sonke isikhathi ubonane nodokotela wakho wokunakekela oyinhloko noma i-gynecologist kanye ngonyaka ukuze uvivinywe kahle. Udokotela wakho angaxoxa ngalezi zinguquko futhi aphendule noma imiphi eminye imibuzo ongayithola.
Musa ukulinda kuze kufike ukuhlolwa kwakho konyaka uma uhlangabezana nezimpawu ezingavamile. Bona udokotela wakho ngokushesha ngangokunokwenzeka uma uhlangabezana:
- ukugula kwasekuseni noma ezinye izimpawu zokukhulelwa
- kwehle isifiso sobulili
- ukoma kwesitho sangasese sowesifazane noma ubuhlungu ngesikhathi socansi
- izikhathi ezeqiwe noma imijikelezo eqhubeka ngokungalingani
- ubunzima bokukhulelwa
- ubuhlungu be-pelvic
- ukulahleka kwezinwele noma ukukhula kwezinwele ebusweni noma esiqwini
- ukudangala ngemuva kokubeletha
- Izimpawu zesikhathi eside zokunqamuka kokuya esikhathini eziphazamisa impilo yakho