Akusikho Nje Wena: Kungani Izimpawu Zesifuba Somoya Ziba Zimbi Esikhathini Sakho

-Delile

• Amahomoni nesifuba somoya: Kucwaningweni
• Okufanele ukwenze ngakho
• Ukuthatha komuntu siqu
• Ukudla okudlela endlini

Eminyakeni eminingana edlule, ngathatha iphethini lapho i-asthma yami yayiba yimbi khona ngaphambi kokuba ngiqale isikhathi sami. Ngaleso sikhathi, lapho nganginolwazi oluncane futhi ngixhuma imibuzo yami ku-Google esikhundleni semininingwane yolwazi, angikwazanga ukuthola imininingwane yangempela ngalesi simo. Ngakho-ke, ngafinyelela kubangani abane-asthma. Omunye wabo wangitshela ukuthi ngixhumane noDkt.Sally Wenzel, udokotela ocwaningayo e-The University of Pittsburgh, ukuze abone ukuthi angangikhombisa yini indlela efanele. Ngikhululekile, uDkt Wenzel uqaphele ukuthi abesifazane abaningi babika ukuthi banezimpawu ze-asthma eziya ziba zimbi esikhathini sabo. Kepha, alukho ucwaningo oluningi lokuqinisekisa ukuxhumana noma ukuchaza ukuthi kungani.

Amahomoni nesifuba somoya: Kucwaningweni

Ngenkathi ukusesha kwe-Google kungangikhombisi ezimpendulweni eziningi mayelana nokuxhumana phakathi kokuya esikhathini kanye nesifuba somoya, omagazini bokucwaninga benze umsebenzi ongcono. Ucwaningo olulodwa oluncane lwango-1997 lwacwaninga abesifazane abayi-14 ngaphezu kwamasonto ayi-9. Ngenkathi kungabesifazane aba-5 kuphela ababone izimpawu zesifuba sangaphambi kokuya esikhathini, bonke abangu-14 babhekana nokwehla kokugeleza okuphefumulayo okuphezulu noma ukwanda kwezimpawu ngaphambi kokuqala kwezikhathi zabo. Ngenkathi abesifazane abakulolu cwaningo benikezwa i-estradiol (ingxenye ye-estrogen etholakala kumaphilisi okulawula ukubeletha, i-patch, ne-ring), babike ukuthuthuka okukhulu kuzo zombili izimpawu zesifuba sangaphambi kokuya esikhathini nokugeleza okuphezulu kokuphefumula.

Ngo-2009, kwaphinde kwashicilelwa esinye isifundo esincane sabesifazane nesifuba somoya e-American Journal of Critical Care and Respiratory Medicine. Abaphenyi baqaphele ukuthi abesifazane abane-asthma, noma ngabe basebenzisa izindlela zokuvimbela inzalo noma cha, banciphisile ukuhamba komoya ngesikhathi nangemva kwalokho. Ngakho-ke kubonakala sengathi le datha iyahambisana nezifundo ezindala eziphakamisa ukuthi ushintsho lwe-hormonal luthinta i-asthma. Kodwa-ke, akucaci ngokuphelele ukuthi kanjani noma ngani.

Empeleni, lolu cwaningo luzophakamisa ukuthi ushintsho emazingeni ama-hormone lungadala ukwanda kwezimpawu zesifuba somoya kwabanye besifazane.

Okunye okufanele ukuqaphele ukuthi inani labesifazane kwabesilisa abanesifuba somoya lishintsha kakhulu lapho kuthomba. Ngaphambi kweminyaka engu-18, cishe amaphesenti ayishumi abafana abanesifuba somoya uma kuqhathaniswa namaphesenti angama-7 amantombazane. Ngemuva kweminyaka engu-18, lawa mazinga ayashintsha. Amaphesenti angama-5.4 kuphela abesilisa namaphesenti angu-9.6 wabesifazane ababika ukuxilongwa kwesifuba somoya, ngokusho kwe. Ucwaningo lukhombisa ukuthi le flip ekwandeni ibangelwa izinguquko zamahomoni. Ikakhulukazi kwabesifazane, i-asthma ingaqala lapho usuthomba futhi iba yimbi ngokukhula. Izifundo zakamuva zezilwane zikhombisile ukuthi i-estrogen ingakhuphula ukuvuvukala komoya ngenkathi i-testosterone ingakunciphisa. Leli qiniso lingabamba iqhaza kumuntu futhi lichaze ngokwengxenye ukushintsha kwesifuba somoya esenzeka lapho uthomba.

Okufanele ukwenze ngakho

Ngaleso sikhathi, ukusikisela kukaDkt Wenzel kuphela kwakungukuthi ngicabange ukubuza udokotela wami ngokusebenzisa izindlela zokuvimbela inzalo ngomlomo. Lokhu kuzonciphisa ukuguquka kwamahomoni ngaphambi kwesikhathi sami futhi kuzongenza ngikwazi ukuqeda imishanguzo yami ngaphambi kwekhefu lami lepilisi ukugwema noma yiziphi izimpawu. Izindlela zokuvimbela inzalo zomlomo, kanye nesichibi nendandatho, zivimbela ukukhulelwa ngokunciphisa ama-spikes kuma-hormone ezindaweni ezithile kumjikelezo wokuya esikhathini. Ngakho-ke kubonakala sengathi ukulawulwa komjikelezo wehomoni kungazuzisa abesifazane abathile abane-asthma.

Yize lokhu kungaba yindlela enhle kwabanye besifazane, ukusetshenziswa kwemithi yokuvimbela inzalo yamahomoni empeleni kungenza izimpawu zibe zimbi kakhulu kwabanye besifazane. Ucwaningo lwango-2015 lwaphakamisa ukuthi lokhu kwakuyiqiniso ikakhulukazi kwabesifazane abanjalo. Ngalokho kusho, kubalulekile ukuxoxa ngalokhu kwelashwa nodokotela wakho nokuthi kungasho ukuthini kuwe.

Ukuthatha komuntu siqu

Njengoba kunikezwe izingozi ezingandile, kodwa ezingaba khona, zokuphuza izinto zokuvimbela inzalo ngomlomo (okungukuthi amahlule egazi), bengingazimisele ngokuqala ukuzithatha ukuze ngibone ukuthi ngabe zinikeza noma yikuphi ukukhululeka ezibonakalisweni zami zesifo somoya. Kodwa ngoMeyi 2013, ngemuva kokubhekana nokopha okungalawuleki okunzima okuphuma ku-uterine fibroid eyayingakatholakali ngaleso sikhathi, ngaqala nginqikaza ukuphuza “iphilisi,” okuyinto yokwelashwa okuvamile kwe-fibroids.

Sengineminyaka engaba mibili ngisebenzisa iphilisi, futhi noma ngabe yiphilisi noma i-asthma yami engaphansi kokulawulwa okungcono, ngibe nokushintshana okuncane kwesifuba somoya ngaphambi kwesikhathi sami. Mhlawumbe lokhu kungenxa yokuthi amazinga ama-hormone ami ahlala esimweni esibikezela ukuthi sizinzile. Ngikwiphilisi le-monophasic, lapho umthamo wami we-hormone ufana nsuku zonke, ngokungaguquguquki kulo lonke iphakethe.

Ukudla okudlela endlini

Uma i-asthma yakho iba yimbi esikhathini sakho, yazi ukuthi awuwedwa neze! Njenganoma iyiphi enye inhlamvu, kufanele uxoxe nodokotela wakho ukusiza ukuthola ukuthi amazinga akho e-hormone anendima yini ekuqaliseni i-asthma yakho. Abanye odokotela kungenzeka ukuthi abalwazi lolu cwaningo, ngakho ukuletha amaphuzu avelele (amaphuzu amathathu ezinhlamvu noma okunye) ekufundeni okwenzile kungabasiza ukuthi basheshe basheshe.Ukwelashwa okuthile kwamahomoni, njengephilisi lokulawula ukubeletha, kungaba nomphumela omuhle ku-asthma yakho, ikakhulukazi esikhathini sakho, kepha ucwaningo alucaci kahle ukuthi le ndlela yokwelapha isiza kanjani.

Buza udokotela wakho ukuthi ukwandisa imithi yakho ye-asthma esikhathini sakho kungaba yindlela ongayikhetha. Izindaba ezinhle ukuthi ukukhetha kukhona. Ngokuba nale ngxoxo nodokotela wakho, ungathola ukuthi zikhona yini izindlela zokuthi uthuthukise ukulawulwa kwesifuba somoya esikhathini sakho futhi uthuthukise ikhwalithi yempilo yakho.