Uvavanyo lweNqanaba le-Estrogen

Umxholo

• Yintoni uvavanyo lwe-estrogen?
• Isetyenziselwa ntoni?
• Kutheni ndifuna uvavanyo lwe-estrogen?
• Kwenzeka ntoni ngexesha lovavanyo lwe-estrogen?
• Ngaba kuya kufuneka ndenze nantoni na ukulungiselela uvavanyo?
• Ngaba bukhona ubungozi kuvavanyo?
• Zithetha ntoni iziphumo?
• Izalathiso

Yintoni uvavanyo lwe-estrogen?

Uvavanyo lwe-estrogen lilinganisa inqanaba le-estrogens egazini okanye kumchamo. I-Estrogen inokulinganiswa nasemathe ngokusebenzisa iikiti zasekhaya zovavanyo. I-Estrogens liqela lamahomoni adlala indima ebalulekileyo kuphuhliso lweempawu zomfazi kunye nemisebenzi yokuzala, kubandakanya ukukhula kwamabele kunye nesibeleko, kunye nokulawulwa komjikelo wokuya exesheni. Amadoda enza i-estrogen kodwa ngexabiso elincinci kakhulu.

Zininzi iintlobo ze-estrogens, kodwa zintathu kuphela iintlobo ezivavanywa rhoqo:

• Estrone, ekwabizwa ngokuba yi-E1, yeyona hormone iphambili yabasetyhini eyenziwa ngabafazi emva kokuyeka ukuya exesheni. Ukuyeka ukuya exesheni lixesha kubomi bomfazi xa amaxesha akhe okuya exesheni eyekile kwaye akakwazi ukuphinda akhulelwe. Ihlala iqala xa owasetyhini emalunga neminyaka engama-50 ubudala.
• I-Estradiol, ekwabizwa ngokuba yi-E2, yeyona hormone iphambili yabasetyhini eyenziwa ngabafazi abangakhulelweyo.
• I-Estriol, ekwabizwa ngokuba yi-E3 yihomoni eyonyukayo ngexesha lokukhulelwa.

Ukulinganisa amanqanaba e-estrogen kunokubonelela ngolwazi olubalulekileyo malunga nokuzala kwakho (ukukwazi ukukhulelwa), impilo yokukhulelwa kwakho, umjikelo wakho wokuya exesheni, kunye nezinye iimeko zempilo.

Amanye amagama: uvavanyo lwe-estradiol, i-estrone (E1), i-estradiol (i-E2), i-estriol (i-E3), uvavanyo lwehomoni ye-estrogenic

Isetyenziselwa ntoni?

Uvavanyo lwe-Estradiol okanye uvavanyo lwe-estrone zisetyenziselwa ukunceda:

• Fumanisa isizathu sokufikisa kwangethuba okanye emva kwexesha emantombazaneni
• Fumanisa isizathu sokufikisa kade kubafana
• Ukuchonga iingxaki zokuya exesheni
• Fumanisa unobangela wokungachumi (ukungakwazi ukukhulelwa)
• Ukubeka iliso kunyango lokungachumi
• Ukubeka iliso kunyango lokuyeka ukuya exesheni
• Fumana amathumba enza i-estrogen

Uvavanyo lwehomoni ye-estriol isetyenziselwa:

• Nceda ukufumanisa iziphene ezithile zokuzalwa ngexesha lokukhulelwa.
• Ukubeka iliso ekukhulelweni okusemngciphekweni omkhulu

Kutheni ndifuna uvavanyo lwe-estrogen?

Unokufuna uvavanyo lwe-estradiol okanye uvavanyo lwe-estrone ukuba:

• Ngaba unengxaki yokukhulelwa
• Ngaba ungumfazi okwiminyaka yokuzala ongenaxesha okanye onamaxesha angaqhelekanga
• Ngaba intombazana inokufikisa kwangethuba okanye yokulibaziseka
• Unempawu zokuyeka ukuya exesheni, kubandakanya ukukhanya okushushu kunye / okanye ukubila ebusuku
• Ukopha kwilungu lobufazi emva kokuyeka ukuya exesheni
• Ngaba yinkwenkwe enolibaziseko lokufikisa
• Ngaba indoda ibonisa iimpawu zobufazi, njengokukhula kwamabele

Ukuba ukhulelwe, umboneleli wakho wokhathalelo lwempilo unokuyalela uvavanyo lwe-estriol phakathi kweveki ye-15 neye-20 yokukhulelwa njengenxalenye yovavanyo lokubeleka olubizwa ngokuba luvavanyo lwesikrini esithathu. Inokufumanisa ukuba umntwana wakho usemngciphekweni wokuzalwa kwesiphene njenge-Down syndrome. Ayingabo bonke abasetyhini abakhulelweyo ekufuneka bevavanyelwe i-estriol, kodwa kuyacetyiswa kwabasetyhini abanomngcipheko ophezulu wokuba nomntwana onesiphene sokuzalwa. Unokuba semngciphekweni omkhulu ukuba:

• Unembali yosapho yeziphene zokuzalwa
• Ngaba uneminyaka engama-35 okanye ngaphezulu
• Unesifo seswekile
• Unesifo sentsholongwane xa ukhulelwe

Kwenzeka ntoni ngexesha lovavanyo lwe-estrogen?

I-Estrogens inokuvavanywa kwigazi, umchamo, okanye amathe. Igazi okanye umchamo uhlala uvavanywa kwi-ofisi kagqirha okanye elebhu. Uvavanyo lweSaliva lunokwenziwa ekhaya.

Uvavanyo lwegazi:

Ingcali yokhathalelo lwempilo iyakuthatha isampulu yegazi kumthambo engalweni yakho, isebenzisa inaliti encinci.

Emva kokuba inaliti ifakiwe, inani elincinci legazi liya kuqokelelwa kwityhubhu yovavanyo okanye igutyana. Unokuziva uluma kancinci xa inaliti ingena okanye iphuma. Oku kuhlala kuthatha imizuzu engaphantsi kwesihlanu.

Uvavanyo lomchamo:

Umboneleli wakho wezempilo unokukucela ukuba uqokelele wonke umchamo ogqityiweyo kwisithuba seeyure ezingama-24. Oku kubizwa ngokuba luvavanyo lweesampuli lweeyure ezingama-24. Kolu vavanyo, umboneleli wakho wokhathalelo lwempilo okanye ingcali elabhoratri iya kukunika isikhongozeli sokuqokelela umchamo wakho kunye nemiyalelo malunga nendlela yokuqokelela kunye nokugcina iisampulu zakho. Uvavanyo lweesampuli lweeyure ezingama-24 ngokubanzi lubandakanya la manyathelo alandelayo:

• Khuphela isinyi sakho kusasa uze uhlambe umchamo lowo phantsi. Sukuwuthatha lomchamo. Rekhoda ixesha.
• Kwiiyure ezingama-24 ezizayo, gcina wonke umchamo wakho ugqityiwe kwisitya esinikiweyo.
• Gcina isitya sakho somchamo kwifriji okanye kwindawo epholileyo enomkhenkce.
• Buyisela isampulu yesikhongozeli kwi-ofisi yomboneleli wakho wezempilo okanye elebhu njengoko kuyalelwe.

Uvavanyo lwasekhaya, thetha nomboneleli wakho wezempilo. Unokukuxelela ukuba yeyiphi ikiti oyisebenzisayo kunye nendlela yokulungiselela nokuqokelela isampulu yakho.

Ngaba kuya kufuneka ndenze nantoni na ukulungiselela uvavanyo?

Awudingi naluphi na ulungiselelo olukhethekileyo lovavanyo lwe-estrogen.

Ngaba bukhona ubungozi kuvavanyo?

Mncinci kakhulu umngcipheko wokuvavanywa kwegazi. Unokuba nentlungu encinci okanye ukrakra kwindawo apho inaliti yafakwa khona, kodwa uninzi lweempawu zihamba ngokukhawuleza.

Akukho bungozi baziwayo kumchamo okanye kuvavanyo lwamathe.

Zithetha ntoni iziphumo?

Ukuba amanqanaba akho e-estradiol okanye e-estrone aphezulu kunesiqhelo, kunokuba ngenxa:

• Ithumba lama-ovari, amadlala eadrenal, okanye amasende
• Isibindi
• Ukufikisa ngaphambi kwexesha kumantombazana; ukulibazisa ukufikisa kubafana

Ukuba amanqanaba akho e-estradiol okanye e-estrone asezantsi kunesiqhelo, kunokuba ngenxa yoku:

• Ukungabikho ngokwaneleyo kwe-ovari, imeko ebangela ukuba ama-ovari omama ayeke ukusebenza ngaphambi kokuba abe neminyaka engama-40
• I-Turner syndrome, imeko apho iimpawu zesini zowasetyhini zingakhuli kakuhle
• Ingxaki yokutya, efana neanorexia nervosa
• Isifo sePolycystic ovary, isifo esiqhelekileyo sehomoni esichaphazela ukuzala kwabasetyhini. Sesinye sezizathu eziphambili zokungachumi kwabasetyhini.

Ukuba ukhulelwe kwaye amanqanaba akho e-estriol angaphantsi kunesiqhelo, oko kunokuthetha ukuba ukukhulelwa kwakho kuyasilela okanye ukuba kukho ithuba lokuba umntwana wakho abe nesiphene sokuzalwa. Ukuba uvavanyo lubonisa ukuba kunokwenzeka ukuba unesiphene sokuzalwa, uya kudinga uvavanyo oluninzi ngaphambi kokuba kwenziwe isifo.

Amanqanaba aphezulu e-estriol anokuthetha ukuba uza kuya kubasebenzi kungekudala. Ngokwesiqhelo, amanqanaba e-estriol anyuka malunga neeveki ezine ngaphambi kokuba uqalise umsebenzi.

Ukuba unemibuzo malunga neziphumo zakho, thetha nomboneleli wakho wezempilo.

Funda ngakumbi malunga novavanyo lwelabhoratri, uluhlu lweereferensi, kunye neziphumo zokuqonda.

Izalathiso

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2. I-FDA: Ulawulo lwe-US lokutya kunye neziyobisi [i-Intanethi]. ISilver Spring (MD): Isebe lezeMpilo laseMelika kunye neenkonzo zoLuntu; Ovulation (Uvavanyo lwamathe); [hlaziya u-2018 Feb 6; ikhankanywe ngo-2018 ngoMeyi 29]; [malunga nezikrini ezi-4]. Ifumaneka kwi: https://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/InVitroDiagnostics/HomeUseTests/ucm126061.htm
3. Uvavanyo lweLebhu kwi-Intanethi [kwi-Intanethi]. IWashington DC; Umbutho waseMelika weKhemesti yezonyango; c2001–2018. Iprogesterone; [ihlaziywe ngo-2018 ngoMatshi 23; icatshulwe ngo-2018 kuMatshi 23]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://labtestsonline.org/tests/progesterone
4. Ikliniki yaseMayo: Mayo Medical Laboratories [kwi-Intanethi]. Isiseko seMayo seMfundo yezoNyango noPhando; c1995–2018. I-ID yovavanyo: I-PGSN: Iprogesterone Serum: Ubume; [icatshulwe ngo-2018 kuMatshi 23]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://www.mayomedicallaboratories.com/test-catalog/Overview/8141
5. Umdibaniso wencwadi yomsebenzisi yenguqulo [ye-Intanethi]. I-Kenilworth (NJ): iMerck kunye ne-Co Inc. .; c2018. Ushwankathelo lweNkqubo yaBasetyhini yokuzala; [icatshulwe ngo-2018 kuMatshi 24]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://www.merckmanuals.com/home/women-s-health-issues/biology-of-the-female-reproductive-system/overview-of-the-female-reproductive-system
6. Umdibaniso wencwadi yomsebenzisi yenguqulo [ye-Intanethi]. I-Kenilworth (NJ): iMerck kunye ne-Co Inc. .; c2018. Amanqaku akhawulezayo: Ukukhulelwa kwe-Ectopic; [icatshulwe ngo-2018 kuMatshi 23]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://www.merckmanuals.com/home/quick-facts-women-s-health-issues/complications-of-pregnancy/ectopic-pregnancy
7. Intliziyo kaZwelonke, iMiphunga, kunye neZiko leGazi [kwi-Intanethi]. I-Bethesda (MD): Isebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu; Uvavanyo lwegazi; [icatshulwe ngo-2018 kuMatshi 23]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.nhlbi.nih.gov/health-topics/blood-tests
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11. Ezempilo ze-UW [kwi-Intanethi]. Madison (WI): Izibhedlele zeYunivesithi yaseWisconsin kunye neGunya leKlinikhi; c2018. Ulwazi lwezeMpilo: Iprogesterone: Iziphumo; [ihlaziyiwe ngo-2017 nge-16 kaMatshi; icatshulwe ngo-2018 kuMatshi 23]; [malunga nezikrini ezi-8]. Ifumaneka kwi: http://www.uwhealth.org/health/topic/medicaltest/progesterone-test/hw42146.html#hw42173TP
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Ulwazi olukule ndawo akufuneki lusetyenziswe endaweni yonyango okanye iingcebiso. Nxibelelana nomboneleli wezempilo ukuba unemibuzo malunga nempilo yakho.