Iziphumo zokuLawulwa kokuzalwa kweHormonal kuMzimba wakho

Umxholo

• Inkqubo yokuzala
• Iinkqubo zentliziyo kunye neentliziyo
• Inkqubo yokwetyisa
• Inkqubo yokuxabana

Uninzi lukholelwa ukuba ulawulo lokuzalwa kwehomoni lusebenza kwinjongo enye: ukuthintela ukukhulelwa. Nangona kusebenza kakuhle xa kuthelekiswa nezinye iindlela zokulawulwa kokuzalwa, iziphumo azikhawulelwanga kuthintelo lokukhulelwa. Ngapha koko, zinokusetyenziselwa ukunceda ekuphatheni ezinye iingxaki zempilo ezinjengokuya exesheni, ukutshintsha kolusu, nokunye okuninzi.

Nangona kunjalo, ulawulo lokuzalwa kwehomoni alunazo iziphumo ebezingalindelekanga. Njengawo onke amachiza, kukho iziphumo eziluncedo kunye nobungozi obunokubakho obuchaphazela wonke umntu ngokwahlukileyo.

Iipilisi zolawulo lokuzalwa kunye neepatches zihanjiswa kuphela ngommiselo. Izicwangcisi ezisekwe kwiHormone ziyafumaneka ngeendlela ezininzi, kubandakanya:

• iipilisi (okanye izinto zokucwangcisa ngomlomo): Umahluko ophambili phakathi kweempawu ziimali ze-estrogen kunye neprogestin kuzo-yiyo loo nto abanye abantu basetyhini betshintsha ii-brand ukuba bacinga ukuba bafumana i-hormone encinci kakhulu okanye eninzi kakhulu, ngokusekwe kwiimpawu ezinamava. Iipilisi kufuneka zithathwe yonke imihla ukuthintela ukukhulelwa.
• isiziba: Isiziba sine-estrogen kunye neprogestin, kodwa sibekwe eluswini. Iipatches kufuneka zitshintshwe kube kanye ngeveki ukuze zisebenze ngokupheleleyo.
• isangqa: Ngokufana nepatch kunye nepilisi, iringi ikhupha i-estrogen kunye neprogestin emzimbeni. Iringi inxitywe ngaphakathi kwilungu lobufazi ukuze umbane welungu lobufazi ukwazi ukufunxa iihomoni. Imisesane kufuneka itshintshwe kube kanye ngenyanga.
• ulawulo lolawulo lokuzalwa (iDepo-Provera): Ifoto iqulethe kuphela iprogestin, kwaye ilawulwa rhoqo kwiiveki ezili-12 kwiofisi kagqirha wakho. Ngokokukhetha kweMpilo yezeSondo, iimpembelelo zolawulo lokuzalwa lokudubula zinokuhlala ziye kunyaka emva kokuba uyekile ukuzithatha.
• izixhobo zangaphakathi (IUDs): Kukho ii-IUD zombini kunye nangaphandle kwamahomoni. Kulawo akhupha iihormoni, anokuqulatha iprogesterone. Ii-IUD's zifakwa esibelekweni sakho ngugqirha wakho kwaye kufuneka zitshintshwe rhoqo kwiminyaka emi-3 ukuya kweli-10, kuxhomekeke kuhlobo.
• ukumilisela: Ukufakelwa kuqulethe iprogestin ekhupha ngentonga encinci kwingalo yakho. Ibekwe phantsi kolusu ngaphakathi kwengalo yakho ephezulu ngugqirha wakho. Ithatha ukuya kuthi ga kwiminyaka emithathu.

Uhlobo ngalunye lunezibonelelo ezifanayo kunye nomngcipheko, nangona umzimba uphendula njani uxhomekeke kumntu ngamnye. Ukuba unomdla kulawulo lokuzalwa, thetha nogqirha wakho malunga nokuba loluphi uhlobo olusebenzayo kuwe. Ukusebenza ngempumelelo kusekwe kwindlela ehambelana ngayo nolawulo lwakho lokuzalwa. Umzekelo, abanye abantu bakufumanisa kunzima ukukhumbula ukuthatha ipilisi yonke imihla ukuze ukufakelwa okanye i-IUD ibe lukhetho olungcono. Kukho ukhetho lolawulo lokuzalwa olungafakwanga ihormonal, olunokuba neziphumo ebezingalindelekanga ezahlukeneyo.

Ukuba ipilisi isetyenziswe ngokugqibeleleyo-ichazwa njengokuthathwa yonke imihla ngexesha elinye- inqanaba lokukhulelwa okungacwangciswanga liwela kwipesenti enye. Ukutsiba iipilisi usuku olunye, umzekelo, kuya kwandisa umngcipheko wokukhulelwa.

Nangona kunjalo, akukho luhlobo lolawulo lokuzalwa kwehomoni olukhusela kwizifo ezidluliselwa ngeentlobano zesini (STDs). Kusafuneka usebenzise iikhondom ukunqanda ii-STD.

Inkqubo yokuzala

Ama-ovari ngokwendalo avelisa iihomoni zabasetyhini i-estrogen kunye neprogestin. Nokuba zezi hormone zinokwenziwa kwaye zisetyenziswe kwizicwangcisi.

Ngaphezulu kwamanqanaba aqhelekileyo e-estrogen kunye neprogestin yeka i-ovary ekubeni ikhuphe iqanda. Ngaphandle kweqanda, isidoda asinanto yokwenza isichumiso. Iprogestin ikwatshintsha incindi yomlomo wesibeleko, iyenze ibe ngqindilili kwaye incangathi, nto leyo eyenza ukuba kube nzima kwisidoda ukufumana indlela eya kwisibeleko.

Xa usebenzisa ezinye izinto zokucwangcisa i-hormonal ezifana ne-IUD Mirena, unokufumana ixesha elikhanyayo kunye nexesha elifutshane kunye nokunciphisa ukukhulelwa kokuya esikhathini kunye neempawu zangaphambi kokuya esikhathini.Ezi ziphumo ziphakathi kwezizathu zokuba abanye abantu basetyhini bathathe ulawulo lokuzalwa ngokukodwa kwi-premenstrual dysphoric disorder (PMDD), uhlobo olubi lwe-PMS. Abanye abantu basetyhini abane-endometriosis bathatha nolawulo lokuzalwa ukunciphisa iimpawu ezibuhlungu.

Sebenzisa iindlela zokucwangcisa ezisekwe kwihomoni kunokunciphisa umngcipheko womhlaza we-endometrium kunye ne-ovari. Okukhona ubathathayo, kokukhona umngcipheko wakho usezantsi. Ezi zonyango zinokubonelela ngokhuseleko oluthile kwisibeleko esinganyanzelekanga okanye ekukhuleni kwe-ovari. Nangona kunjalo, impikiswano iyaqhubeka ngokubhekisele kwinto yokuba izinto zokucwangcisa iihomoni zinokunyusa umngcipheko womhlaza wamabele.

Xa uyeka ukuthatha ulawulo lokuzalwa olusekwe kwihomoni, ixesha lakho lokuya exesheni liya kubuyela esiqhelweni kwiinyanga ezimbalwa. Ezinye zezibonelelo zokuthintela umhlaza ezivela kwiminyaka yokusetyenziswa kwamayeza zinokuqhubeka kangangeminyaka eliqela.

Iziphumo ebezingalindelekanga zokuzala xa umzimba wakho uhlengahlengisa izinto zomlomo, ezifakelweyo kunye nezokukhulelwa kubandakanya:

• ukulahleka kokuya esikhathini (amenorrhea) okanye ukopha okungaphezulu
• ukopha okanye ukubona phakathi kwexesha
• ukucaphuka kwilungu lobufazi
• ukuthamba kwebele
• ukwandiswa kwebele
• utshintsho kwisondo lakho

Iziphumo ebezingalindelekanga ezimandundu kodwa ezinqabileyo zibandakanya ukopha okunzima okanye ukopha okuqhubeka ngaphezulu kweveki.

Ulawulo lokuzalwa kweHormonal lunokuwuphakamisa kancinci umngcipheko womhlaza womlomo wesibeleko, nangona abaphandi bengaqinisekanga ukuba oku kungenxa yamayeza ngokwawo okanye ukuba kungenxa nje yengozi eyandisiweyo yokuvezwa kwe-HPV ngokulalana.

Iinkqubo zentliziyo kunye neentliziyo

Ngokwe-Mayo Clinic, umfazi ophilileyo ongatshayiyo akunakufane kwenzeke ukuba afumane iziphumo ebezingalindelekanga ezimandla zokuthintela inzala ngomlomo. Nangona kunjalo, kwabanye abantu basetyhini, iipilisi zolawulo lokuzalwa kunye namachaphaza anokunyusa uxinzelelo lwegazi. Ezo hormone zongezelelekileyo zinokukubeka emngciphekweni wamahlwili egazi.

• Le mngcipheko iphezulu kakhulu ukuba:
• ukutshaya okanye ngaphezulu kweminyaka yobudala engama-35
• ukuba noxinzelelo lwegazi
• unesifo sentliziyo esele sikhona
• unesifo seswekile

Ukutyeba kakhulu kuthathwa njengomngcipheko wexinzelelo lwegazi, isifo sentliziyo, kunye neswekile.

Ezi ziphumo bezingalindelekanga aziqhelekanga kuninzi lwabasetyhini kodwa xa zisenzeka, zinokubanzima kakhulu. Kungenxa yoko le nto iindlela zokulawula ukuzalwa kwehomoni zifuna amayeza kunye nokujonga rhoqo. Funa uncedo lonyango ukuba uziva iintlungu esifubeni, ukhwehlela igazi, okanye uziva utyhafile. Intloko ebuhlungu, ubunzima bokuthetha, okanye ubuthathaka kunye nokuba ndindisholo kwilungu kunokuba yimpawu zokubetha.

I-Estrogen inokuyonyusa imigraines, ukuba sele unawo amava. Abanye abantu basetyhini banamava okutshintsha kwemood kunye nokudakumba xa besebenzisa izinto zokucwangcisa.

Kuba umzimba usebenza ukugcina ibhalansi yehomoni, kunokwenzeka ukuba ukwaziswa kwamahomoni kudala ukuphazamiseka, kubangele utshintsho kwiimvakalelo. Kodwa zimbalwa izifundo kwiziphumo zempilo yengqondo yolawulo lokuzalwa kwabasetyhini nakwimpilo-ntle yabo. Kutshanje kwenziwe uvavanyo ngo-2017 kwisampulu encinci yabasetyhini abangama-340 abasempilweni kwaye bafumanisa ukuba izinto zokucwangcisa ngomlomo zinciphise impilo.

Inkqubo yokwetyisa

Abanye abantu basetyhini bafumana utshintsho kwiminqweno nakubunzima babo ngelixa bethatha inzalo. Kodwa zimbalwa izifundo okanye ubungqina obubonisa ukuba ulawulo lokuzalwa lubangela ukutyeba. Olunye uphononongo lwezifundo ezingama-22 zijonge iiprogestin-kuphela zokucwangcisa kwaye bafumana ubungqina obuncinci. Ukuba kukho ukuzuza ubunzima, ukunyuka okuthethileyo bekungaphantsi kwe-4.4 yeepawundi ngaphezulu kweenyanga ezi-6 okanye ezili-12.

Kodwa iihormoni ziyanceda ekulawuleni indlela otya ngayo, ke utshintsho kwindlela yokutya lunokuchaphazela ubunzima bakho, kodwa ayingonobangela ngqo wolawulo lokuzalwa. Kwakhona kunokwenzeka ukuba ufumane ubunzima bokwexeshana, obunokuba sisiphumo sokugcinwa kwamanzi. Ukulwa nokuzuza ubunzima, jonga ukuba wenze naluphi na utshintsho kwindlela yokuphila emva kolawulo lokuzalwa.

Ezinye iziphumo ebezingalindelekanga zibandakanya isicaphucaphu kunye nokuqunjelwa, kodwa ezi zihlala zithomalalisa emva kweeveki ezimbalwa njengoko umzimba wakho uqhela kwiihormoni ezongezelelweyo.

Ukuba unembali yeenyongo, ukuthatha ulawulo lokuzalwa kungakhokelela ekwakhiweni ngokukhawuleza kwamatye. Kukho umngcipheko okhulayo wezidumbu zesibindi ezinobungozi okanye umhlaza wesibindi.

Jonga ugqirha wakho ukuba unentlungu ebuhlungu, ukugabha, okanye ukumthubi kwesikhumba namehlo (i-jaundice). Umchamo omnyama okanye ilindle elinombala okhanyayo lingangumqondiso weziphumo ebezingalindelekanga ezibi.

Inkqubo yokuxabana

Kubafazi abaninzi, le ndlela yolawulo lokuzalwa inokuphucula amabala. Ukuphononongwa kwezilingo ezingama-31 kunye nabasetyhini abayi-12, abangama-579, bajonge isiphumo solawulo lokuzalwa kunye namabala ebusweni. Bafumanise ukuba ezinye izinto zokucwangcisa zomlomo bezisebenza ngempumelelo ekunciphiseni amaqhakuva.

Kwelinye icala, abanye banokufumana ukuphuma kwamabala okanye bangaboni lutshintsho kwaphela. Ngamanye amaxesha, ulawulo lokuzalwa lunokubangela amabala amdaka ekukhanyeni kolusu. Umzimba wonke wabasetyhini kunye namanqanaba ehomoni ahlukile, yiyo loo nto kunzima ukuqikelela ukuba zeziphi iziphumo ebezisenzeka ngenxa yolawulo lokuzalwa.

Ngamanye amaxesha, iihomoni kulawulo lokuzalwa zibangela ukukhula kweenwele okungaqhelekanga. Ngokuqhelekileyo, nangona kunjalo, ulawulo lokuzalwa luyanceda ekukhuleni kweenwele okungafunekiyo. Izicwangcisi zomlomo nazo zonyango oluphambili lwe-hirsutism, imeko ebangela ukuba iinwele ezimnyama, ezimnyama zikhule ebusweni, ngasemva, nasesiswini.

Thetha nogqirha wakho ukuba uziva ngathi ulawulo lwakho lokuzalwa lwangoku alukulungelanga. Ukuvuleka nokunyaniseka malunga neziphumo zakho ebezingalindelekanga kunye nendlela ezikwenza uzive ngayo linyathelo lokuqala lokufumana idosi elungileyo kunye nohlobo olifunayo.