Uma i- estrogen yi-hormone ye-superhero yabesifazane, i-progesterone yi-sidekick yayo ethembekile. I-progesterone inemisebenzi eminingi ebalulekile emzimbeni wakho, kodwa ibuye indima enkulu ekuqaliseni umphumela we-estrogen, ikakhulukazi emgqeni wesibeletho sakho.
Ukukhiqizwa kwe-Progesterone: Kuyinto (cishe) Yonke Mayelana Ne-Ovary Yakho
I-progesterone ikhiqizwa kakhulu yingxenye ethize ye-ovary yakho ebizwa ngokuthi i-corpus luteum.
I-corpus luteum ivela e-follicle ekhishwa amaqanda e-ovulation. Ngemuva kwe-ovulation, i-corpus luteum igxuma ukukhiqizwa kwayo kwe-progesterone.
I-progesterone yi-hormone evelele engxenyeni yesibili noma isigaba se-luteal sokujikeleza kokuya esikhathini, futhi indima yayo ukuqhubeka nomsebenzi we-estrogen ekulungiseleleni ubuningi besisu sakho sokukhulelwa. Uma iqanda elikhishwe likhulelwa yisidoda futhi ukhulelwe, i-corpus luteum iyaqhubeka ikhiqiza i-progesterone kuze kube amasonto angaba ngu-10 okukhulelwa. Khona-ke, i-placenta yakho ithatha. Uma ungakhulelwa, i-corpus luteum yakho iyaqedwa, amazinga akho we-progesterone ahla, uthola isikhathi sakho, futhi umjikelezo omusha uqala.
Ngaphandle kwe-corpus luteum ne-placenta, i-progesterone nayo ikhiqizwa kepha ngezinga elingaphansi ngama-ovaries akho nama-glands akho adrenal.
I-progesterone iyabalulekile ekukhulelweni okunempilo
Njengoba kuchaziwe ngenhla, indima ye-progesterone ekukhutheni iqala ngisho nangaphambi kokufakelwa kweqanda elikhulelwe.
I-progesterone ibaluleke kakhulu ekufezeni nokugcina ukukhulelwa okuphephile okungase kuphele amasonto ayishumi, i-placenta yakho ithatha ukukhiqizwa kwe-progesterone kokusele kokukhulelwa kwakho. Kucatshangwa ukuthi i-progesterone inomsebenzi wokulwa nokuvuvukala futhi ithonya phezu kwesistimu yakho yomzimba. Le misebenzi ye-progesterone isizosiza ukuvikela ukukhulelwa kokuqala kokuphuma kwesisu nokuvimbela ekuhambeni kokukhulelwa kokukhulelwa kanye nokusebenza kwangaphambi kwesikhathi.
Kwabesifazane abathile, kungadingeka ukuthatha i-progesterone eyengeziwe ngesikhathi sokukhulelwa.
Uma ukhulelwe ngosizo lokusiza ubuchwepheshe bokubeletha kungenzeka ukuthi awuzange uhambise ngokwemvelo ngakho awunayo i-corpus luteum enempilo ukukhiqiza i-progesterone. Udokotela wakho cishe uzotusa uhlobo oluthile lokusekelwa kwe-progesterone ngesimo sejelisi noma i-tablet noma umjovo we-intramuscular. Lokhu kwenezelwa kwe-progesterone kuvame ukuqhubeka kuze kube amasonto angama-10-12 okukhulelwa.
Uma unomlando wokubeletha kwangaphambi kokuqala kanye / noma ukuqedwa kwangaphambi kokukhulelwa ngaphambi kokukhulelwa kwangaphambili, ungase ube ngumuntu ozobhapathizwa ukusebenzisa i-progesterone ye-intram ukusiza ukuvimbela enye ukuzalwa kwangaphambi kwesikhathi. Lezi yizijovo zamasonto onke zohlobo oluthile lwe-progesterone evame ukuqala ngamasonto angu-16 futhi uqhubeke ngamaviki angu-36 wokukhulelwa.
I-progesterone ne-Breasts Your
I-progesterone idlala indima enkulu ekuthuthukiseni amabele akho. Kusukela ekukhuleni, i-progesterone ivuselela ukukhula kwezicubu zesifuba.
Phakathi nesigaba ngasinye se-luteal, lezi zicubu ziyakhuthazwa, kodwa akuze uze ukhulelwe ukuthi i-progesterone igcwalise umsebenzi wokulungiselela amabele ekukhiqizeni ubisi kanye ne-lactation.
Ukunyuka kwe-progesterone ukunyuka komsebenzi kanye nokusebenza emsebenzini wesigaba sokungena komjikelezo wakho wokuya esikhathini sekucatshangwa ukuthi kuyimbangela yokuvuvukala kwesifuba, ubuhlungu, kanye nobubele obuvame ukuvela esigabeni sokuqamba komjikelezo wakho wokuya esikhathini. Lokhu ubuhlungu besifuba noma i- mastalgia yisifo esijwayelekile se-PMS.
I-Progesterone ne-Progestin: Ingabe Efanayo Noma Ehlukile?
I-progesterone yi-hormone yemvelo eyenziwa ngumzimba wakho, ikakhulukazi i-corpus luteum. Ngenxa yokuthi i-progesterone isuswa ngokushesha emzimbeni uma inikezwa ngomlomo yenza kube nzima ukusebenzisa i-progesterone njengengxenye yokuxhaswa, ikakhulukazi uma idingeka kuphela kumanani amancane.
I-progesterone isetshenziselwa ezimweni ezithile ezifana nokuvinjelwa komsebenzi wangaphambi kokubeletha noma ukusekela ukukhulelwa kwangemva kwe-IVF, kodwa ngokuvamile inikezwa nge-intramuscularly noma emzimbeni ukuze kuthuthukiswe ukumuncwa ngomzimba wakho. Ngezinye izikhathi i-progesterone enezinkampani ezinikezwa ngomlomo inikezwa ngomlomo njengengxenye ye-menopausal hormone replacement regime.
Ngokuyinhloko ukunqoba le nkinga ngokumunca, uhlobo lwe-progesterone lwaluhlanganiswa nalokhu okubizwa ngokuthi i-progestin. Ngokusebenzisa indlela yokwakhiwa kwamakhemikhali e-progesterone yemvelo ehlukeneyo ye-progestin yokwenziwa kwezinto ezenziwe nge-progesterone i-hormone receptors emzimbeni wakho. Ama-progestin asetshenziswa kuzo zonke izinhlobo zokuvimbela i-hormone ezihlanganisa:
- iphilisi yokubeletha ngomlomo
- ukukhulelwa kokulahla
- ukukhulelwa kwesisu
- i-progestin equkethe i-IUD
Iningi lala ma-progestin alungiswayo atholakala ku-testosterone, futhi kuye ngokuthi uhlobo lwe-progestin lungaba nobufakazi obungakanani noma obunjengomsebenzi. Isibonelo, i-progestin yesizukulwane sesithathu izoba ne-androgenic encane noma i-testosterone njengezenzo ezingaphezu kwesizukulwane sokuqala, okwenza kube ngcono kumacne kodwa kubi nakakhulu nge-sex drive yakho.
Indima ye-Progesterone Ekuvikeleni I-Endometrium Yakho
Isenzo se-Progesterone emgqeni wesibeletho sakho yilapho isebenza ngempela njenge-sidekick ye-estrogen. Emjikelezweni ojwayelekile wokuvuvukala ongenakho ukukhulelwa, ukwakhiwa nokukhipha uketshezi lwesisu sakho kulawulwa ibhalansi phakathi kwe-estrogen ne-progesterone. Uma unesimo lapho ungenayo i-ovulating kodwa une-estrogen eyedlulele, okuyiyona inhlobo ye-polycystic ovarian syndrome futhi ngezikhathi ezithile ukukhuluphala, udokotela wakho angase asikisele ukusetshenziswa kweprogesin ukusiza ukuvikela uketshezi lwesisu sakho nokuphatha noma yikuphi okungavamile ukuphuma kwegazi okungase kubangele.
Ama-progestin nawo asetshenziselwa izinketho eziningi zokushintshwa kwe-hormone ekulawuleni izimpawu zokuya esikhathini. Uma usuqeda ukuyeka esikhathini eside iningi lezimpawu ezingathandeki zibangelwa ukungabi nesifo se-estrogen. Ukuthatha esikhundleni se-estrogen yedwa kuzokwelapha kahle lezi zimpawu futhi uvikele amathambo akho. Kodwa-ke, uma usenesibeletho sakho udinga futhi ukusebenzisa i-progestin noma i-progesterone ukuvimbela ukukhula okungavamile kwe-endometrium yakho okungase kuholele ekugcineni komdlavuza we-endometrial.
Ukuphazamiseka kwemizwelo ye-Progesterone ne-Luteal Phase
Njenga-estrogen, i-progesterone ixhumana namakhemikhali ebuchosheni bakho ukulawula isimo sakho sengqondo nomqondo wakho jikelele wokuba kahle. Indlela i-progesterone eyenza ngayo lokhu nge-metabolite yayo, isakhi esaziwa ngokuthi i-allopregnanolone. I-Allopregnanolone isebenza kwamukeli othile ngaphakathi kobuchopho bakho obizwa ngokuthi i-GABA receptor. Ngokuvamile kunomsebenzi wokukhathazeka wokukhathazeka kanye nekhwalithi yokuqeda okufana nezenzo zotshwala nezinye izidakamizwa zokudambisa ezifana ne-benzodiazepines. Yingakho ungase uzizwe ulele noma amandla aphansi kancane ngaphambi kwesikhathi sakho noma ngesikhathi sokuqala sokukhulelwa.
Kodwa kulabo besifazane abathile, ukuphakama kwesigaba se-luteal ku-progesterone kungabangela izilinganiso ezihlukahlukene zokukhathazeka nokukhathazeka. Umphumela ofanayo ungabonakala ngezinye ze-synthetic progestins ezisetshenziselwa ukwelashwa kwe-hormonal. Kucatshangwa ukuthi lokhu okungahambisani nomphumela wokuvuthwa okuvamile we-progesterone kubangelwa ukuphazanyiswa ngendlela labesifazane abanobucayi abenza ngayo i-allopregnanolone.
Izwi elivela
I-progesterone, kanye ne-estrogen, yi-steroids enkulu yegciwane emzimbeni wesifazane. Benza ndawonye ukuze balungise umzimba wakho ngokukhulelwa ngomjikelezo ngamunye we-ovulatory futhi basekele imisebenzi eminingi egcina umzimba wakho uphilile. Kubalulekile ukuqonda indima ye-progesterone emzimbeni wakho nokuthi ibe nemiphumela emihle kodwa futhi nemiphumela emibi engase ibe yimbi.
> Imithombo:
> Backstrom T, Bixo M, Stromberg J. (2015). I-GABAA I-Receptor-Modulating Steroids Ngokuphathelene Nezimo Zokuziphatha Kwabesifazane. I-Curr Psychiatry Rep.17 (11): 92 ini: 10.1007 / s11920-015-0627-4
> Kumar, P., & Magon, N. (2012). Amakhomitha ekukhulelwe. I-Nigerian Medical Journal: I-Journal ye-Nigeria Medical Association , 53 (4), 179-183. http://doi.org/10.4103/0300-1652.107549
> Macias, H., & Hinck, L. (2012). Ukuthuthukiswa kweMammary Gland. Ukubuyekeza okungaqondakali kwe-Wiley. Biology Development , 1 (4), 533-557. http://doi.org/10.1002/wdev.35