I-Estrogen iyi-hormone enkulu ekhiqizwa ama-ovaries futhi ngobuncane obukhulu ngama-gland adrenal, futhi obhekene nokuthuthukiswa kwezici zobungqingili besifazane. I-Estrogen iyadingeka ekuthuthukiseni okuhle kwezitho zocansi, ukuphothulwa kwesistimu yamathambo, ukulawulwa komjikelezo wesimiso kanye nokugcinwa kokukhulelwa.
Ngesikhathi sokuya esikhathini, i-estrogen ifihlwe yi-follicle yamaqanda ethuthukayo kanye nezinsiza ekukhuliseni i-endometrium yokuvuthwa nokukhulelwa okungenzeka.
Okunye futhi amahomoni amakhulu okukhulelwa, i-estrogen isekela ukukhiqizwa ketshezi emkhakheni wokuzala othuthukisa ukusinda kwesidoda ngokunciphisa kancane imicibisholo yomlomo wesibeletho. Ngasekupheleni kokukhulelwa, i-estrogen ikhuthaza ukukhula kwamathanga ebisi ngaphakathi kwamabele futhi ithuthukise umphumela we-prolactin (i-hormone enkulu ephethe i- lactation yowesifazane).
I-Syrothetic Estrogen
I-Estrogen ibuye i-hormone esemqoka etholakala ekulawuleni i-pilisi s. Iphilisi ngalinye lihlukile, elinamanani amaningi e-estrogen kanye / noma i- progesterone .
Njengoba owesifazane ekhula futhi engena esikhathini sokuqeda, amazinga akhe e-estrogen aqala ukwehla. Ngenxa yalesi sizathu, abanye odokotela bangase babone ukuthi isrogen iyothatha indawo, ukuze unciphise ezinye zezimpawu ezenzekayo.
Estrogen Ukubonga Kwabesifazane Nge-PCOS
I-PCOS yiyona imbangela evame kakhulu yokuphefumula kwe-ovulatory futhi ikholelwa ukuthi ukubusa kwe-estrogen, yingxenye yesizathu.
Ukuntuleka kwe-ovulation kubangela amazinga aphezulu a-estrogen kanye ne-progesterone enganele. I-progesterone engavinjwanga, ukuvezwa kwe-estrogen njalo kungabangela ukuba i-endometrium ibe yinkimbinkimbi kakhulu, engabangela ukuphuma kwegazi elinzima futhi / noma okungavamile (ukuphuma kwegazi okungasebenzi noma okuphazamisayo).
Eminyakeni eminingi, umdlavuza we-endometrial ungabangela ngenxa yokuvuselela okuqhubekayo ngamazinga aphezulu e-estrogen engavinjelwa yi-progesterone, okwenza ukuba i-uterine lining igweme futhi ingahluleki kahle.
Ukuqothula Okuyisimiso Okumangalisayo kanye ne-PCOS
Kulaba besifazane abanezinyanga ( ukuhamba kwesikhathi eside noma esindayo), ukuphathwa kwe-estrogen kungase kunconywe ukuyeka okwesikhashana ukuphuma kwegazi nokuzinzisa ukukhanya kwe-endometrial. Ngaphandle kwalokho, ama-progesin angenziwa ngomlomo ukuze azame ukufezekisa isiqephu esilawulwayo sokuphuma kwegazi. Amaphilisi okubeletha omlomo ophansi noma ama-intrauterine (IUD) njengeMirena (uhlelo lwe-levonorgestrel-ekhulula i-intrauterine system) nawo ongakhetha ukunciphisa ukuphuma kwegazi. Kwezinye izimo, ukunikezwa kwe-endometrium, inqubo yokuhlinzwa esusa kakhulu insimbi yokugcina i-endometrial, kunconywa.
Izimbangela Zemvelo Zase-Estrogen Dominance
Nakuba amazinga e-estrogen aphezulu kanye nokungabi khona kwe-progesterone kuyisici esiyinhloko ekubuseni kwe-estrogen ebonakala kwabesifazane abane-PCOS, izimo ezingokwemvelo nazo zingadlala indima. Amakhemikhali endaweni yethu, eyaziwa ngokuthi i- xenoestrogens , angalingisa i-estrogen ngokwemvelo emizimbeni yethu futhi enze njengabaphazamisi be-endocrine.
Ezinye izinto eziphazamisayo ze-endocrine zihlanganisa izibulala-zinambuzane, i-Bisphenol A (BPA) kanye ne-phthalates (ezitholakala ezikhunjini zaseplastiki, amabhodlela amanzi, namarisidi ephepha), kanye nama-parabens (avame ukutholakala emikhiqizo yokunakekelwa kwesikhumba nezinwele).
Kucatshangwa ukuthi i-BPA iphazamisa izindlela zokungena, mhlawumbe ngokuphazamisa ama-receptors e-estrogen. Amazinga we-BPA aboniswe kwizifundo ukuba zibe ngaphezulu kwabesifazane abane-PCOS.
Ukuze unciphise ukuvezwa kwakho kokuphazamiseka kwezemvelo, landela lawa macebiso:
- Khetha iziqukathi zesibuko ukushisa nokugcina ukudla
- Phuza iziphuzo ezivela amabhodlela eglasi noma labo abhalwe "i-BPA-free"
- Thenga izinto ezikhonjiwe ezimakwe "BPA-mahhala"
- Yidla ukudla okuphilayo kanye "nokudla okunga-hormone"
- Geza izandla kahle ngemuva kokuphatha amaresidi amaphepha
- Hlola izithako emikhiqizweni yokunakekelwa kwesikhumba nezinwele, ukuthenga "mahhala nge-paraben" kunalokho
- Ngaphezu kwalokho, ukudla ukudla okunomsoco wokuvimbela i-antioxidants kungasiza ekuvikeleni ama-estrogen receptors akho ekulimaleni kwemvelo.
Ihlelwe ngu-Angela Grassi, MS, RDN
Imithombo
Ukwehla okungajwayelekile kwe-uterine: Umhlahlandlela weziguli. I-American Society of Medicine Factory Sheet yangena ngoJuni 8, 2015 http://www.reproductivefacts.org/BOOKLET_abnormal_uterine_bleeding/
I-Barrett ES1, iSobolewski M2. I-Polycystic syndrome ye-ovary: ingabe i-endocrine-ephazamisa amakhemikhali idlala indima? I-Semin Reprod Med. May Meyi 2014; 32 (3): 166-76.