Asinguwe Wedwa: Kutheni Iimpawu Zombefu Ziya Zisiba Mbi Kakhulu Ngexesha Lakho
Umxholo
Kwiminyaka eliqela eyadlulayo, ndathatha ipateni apho isifuba sam sombefu sasiya kuba mandundu kanye phambi kokuba ndiqale. Ngelo xesha, xa ndandinolwazi oluncinci kancinci kwaye ndifaka imibuzo yam kuGoogle endaweni yolwazi, andifumananga lwazi lwangempela malunga nale nto. Ke, ndaye ndafikelela kubahlobo bam abanesifuba. Omnye wabo wandixelela ukuba mandifikelele kuGqirha Sally Wenzel, ugqirha wophando kwiYunivesithi yasePittsburgh, ukuze ndibone ukuba angandikhomba kwicala elilungileyo. Ndixolile, uGqirha Wenzel uqaphele ukuba uninzi lwabasetyhini baxela ukuba neempawu zesifuba eziba mandundu ngexesha labo. Kodwa, akukho phando lukhulu lokuqinisekisa unxibelelwano okanye uchaze ukuba kutheni.
IHormones kunye nesifuba somoya: Kuphando
Ngelixa ukukhangela kuGoogle kungakhombisanga kum kwiimpendulo ezininzi malunga nokunxibelelana phakathi kokuya exesheni kunye nesifuba, iijenali zophando zenze umsebenzi ongcono. Isifundo esinye esincinci esivela ngo-1997 safunda abafazi abali-14 ngaphezulu kweeveki ezili-9. Ngelixa kuphela abafazi aba-5 beqaphele iimpawu zesifuba sangaphambi kokuya exesheni, bonke abali-14 bafumana ukwehla kokuhamba okuphefumlayo okuphezulu okanye ukwanda kweempawu ngaphambi kokuqala kwamaxesha abo. Xa abasetyhini kolu phononongo banikwa i-estradiol (icandelo le-estrogen lifunyenwe kwiipilisi zolawulo lokuzalwa, isiziba, kunye nomsesane), baxele ukuphucuka okubalulekileyo kuzo zombini iimpawu zesifuba kunye nokuhamba okuphezulu kokuphuma.
Ngo-2009, olunye uphando oluncinci lwabasetyhini kunye nesifo sombefu sapapashwa kwiAmerican Journal of Critical Care and Respiratory Medicine. Abaphandi baqaphele ukuba abantu ababhinqileyo abane-asthma, nokuba basebenzise izinto zokuthintela ukukhulelwa, banciphisile ukuhamba komoya ngexesha nasemva koko. Ke kubonakala ngathi le datha iyahambelana nezifundo ezindala ezibonisa ukuba utshintsho lwehomoni luchaphazela isifuba. Nangona kunjalo, akucaci ncam ukuba kutheni kwaye kutheni.
Ngokufanelekileyo, olu phando luza kucebisa ukuba utshintsho kumanqanaba eehomoni kunokubangela ukwanda kweempawu zesifuba kwabanye abantu basetyhini.
Enye into ekufuneka uyiqaphele kukuba inani labasetyhini ukuya kwindoda enesifuba sitshintsha kakhulu xa ufikisa. Ngaphambi kweminyaka eyi-18, malunga neepesenti ezili-10 zabafana banesifuba xa kuthelekiswa neepesenti ezili-7 zamantombazana. Emva kweminyaka eyi-18, la maxabiso ayatshintsha. Ngama-5.4 eepesenti kuphela yamadoda kunye neepesenti ezingama-9.6 zabasetyhini abaxela ukuxilongwa kwesifuba, ngokuka. Uphando lubonisa ukuba le flip yokuxhaphaka ibangelwa lutshintsho lwehomoni. Ngokukodwa kwabasetyhini, i-asthma ingaqala xa ufikisa kwaye iba mandundu ngokuguga. Izifundo zakutshanje zezilwanyana zibonise ukuba i-estrogen inokunyusa ukuvuvukala komoya ngelixa i-testosterone inokunciphisa. Le nyani inokudlala indima emntwini kwaye ichaze ngokuyinxenye utshintsho kwisifo sombefu esenzeka xa ufikisa.
Yintoni omele uyenze ngayo
Ngelo xesha, ugqirha Wenzel kuphela yayikukuba ndicinge ngokubuza ugqirha wam malunga nokusebenzisa izinto zokucwangcisa ngomlomo. Oku kuya kunciphisa ukutshintsha kwehomoni ngaphambi kokuba ndiye exesheni kwaye kuya kundenza ukuba ndinyanzele unyango lwam ngaphambi kwekhefu lepilisi ukunqanda naziphi na iimpawu. Izinto zokucwangcisa zomlomo, kunye nepatch kunye neringi, kuthintela ukukhulelwa ngokunciphisa ii-spikes kwiihomoni kwiindawo ezithile kumjikelo wokuya exesheni. Ke kubonakala ngathi ukulawulwa komjikelo wehomoni kunokunceda abafazi abathile abanesifuba.
Ngelixa oku kunokuba lukhetho olufanelekileyo kwabanye abantu basetyhini, ukusetyenziswa kwezicwangcisi zehomoni kunokwenza ukuba iimpawu zibe mbi ngakumbi kwabanye abantu basetyhini. Uphononongo luka-2015 lwacebisa ukuba oku kuyinyani ngakumbi kubafazi. Ngale nto ithethwayo, kubalulekile ukuba uxoxe nolu nyango nogqirha wakho kunye nokuba kunokuthetha ntoni kuwe.
Ukuthatha
Ngenxa yobungozi obunqabileyo, kodwa obunokwenzeka, bokuthatha izinto zokucwangcisa ngomlomo (oko kukuthi amahlwili egazi), bendingazukuqala ukuwathatha ukuze ndibone ukuba ngaba banikezela naluphi na isiqabu kwiimpawu zam zesifo se-asthma. Kodwa ngoMeyi ka-2013, emva kokujongana nokopha okungalawulekiyo okuqatha okuvela kwisibeleko se-fibroids esasingafumaneki ngelo xesha, ndathandabuza ndaqala ukuthatha "ipilisi," unyango oluqhelekileyo lwe-fibroids.
Bendihleli epilisi phantse iminyaka emine ngoku, kwaye nokuba yipilisi okanye isifuba sam siphantsi kolawulo olungcono, ndiye ndane-swing ezimbi ezimbalwa ngaphambi kokuba ndiye exesheni. Mhlawumbi oku kungenxa yokuba amanqanaba am ehomoni ahlala ekwimeko ezinzileyo. Ndikwi pilisi emonophasic, apho idosi yam yedosi iyafana yonke imihla, ngokungaguquguqukiyo kuyo yonke ipakethi.
Yise kude
Ukuba isifuba sakho sombefu siya sisiba mandundu ngexesha lakho, yazi ukuba awuwedwa! Njengazo naziphi na ezinye izinto ezakhayo, kufanelekile ukuxoxa nogqirha wakho ukunceda ukufumanisa ukuba amanqanaba akho ehomoni anendima ekuvuseleleni isifuba sakho. Abanye oogqirha banokungaqhelani nolu phando, ke ukuzisa ezinye izinto eziphambili (amanqaku amathathu eembumbulu okanye njalo) kufundo olwenzileyo kunokubanceda ukuba bakhawuleze.Olunye unyango lwehomoni, njengepilisi yolawulo lokuzalwa, lunokuba nefuthe elihle kwi-asthma yakho, ngakumbi malunga nexesha lakho, kodwa uphando alucaci ngokucacileyo ukuba olu nyango lunceda njani.
Buza ugqirha wakho ukuba ukwandisa amayeza akho e-asthma malunga nexesha lakho kunokuba yinto onokukhetha kuyo. Iindaba ezimnandi zezokuba ukhetho lukhona. Ukuba nale ncoko nogqirha wakho, unokufumanisa ukuba kukho iindlela zokwenza ngcono ulawulo lwakho lwesifuba malunga nexesha lakho kunye nokuphucula umgangatho wobomi.