Umjikelezo ojwayelekile wokuya esikhathini uhlala cishe izinsuku ezingu-28 ngezigaba ezijwayelekile ezinsukwini ezingu-21 kuya kwezingu-35. Kungcono kakhulu kulinganiswa nenani lezinsuku phakathi kwezikhathi zakho. Ngalesi sijikelezo esingaba yinyanga, ukushintsha kwe-hormonal kubangela ukuvuthwa kwesisu bese sekuya esikhathini . Lokhu kuguquka kwe-hormonal kungathinta ezinye izinhlelo zomzimba nemisebenzi kanye nesistimu yakho yokuzala.
Abesifazane abaphila nesifo sikashukela bangase bahlangabezane nezinselele ezithile zokungena esikhathini esiyingqayizivele ngenxa yalezi zinkimbinkimbi zokusebenzisana kwe-hormonal.
1. Izinga lakho le-Sugar Sugar lingase libe nzima kakhulu ukulawula ngezikhathi ezithile zeNyanga
Ingabe uphazamiseka ngokuxosha ukulawulwa kwe- glycemic yakho ngesonto ngaphambi kwenkathi yakho? Ingabe uyazibuza ukuthi kungani ushukela wegazi lakho uvaliwe uma ungenzi lutho oluhlukile kuneviki eledlule?
Ukulawulwa okunzima kwe-glycemic kuyinto yangempela-awuyicabangi.
Isizathu sokuthi ushukela wegazi lakho lingaba nzima kangakanani ukulawula ukuthi usondelene kangakanani nesikhathi sakho kuhlobene nokushintsha kwe-hormonal yokujikeleza kwakho kokuya esikhathini. Kungakapheli isigamu sakho sokujikeleza kokuya esikhathini kwenzeka. Ngaleso sikhathi emjikelezweni wakho, amazinga akho e-progesterone akhula.
Ucwaningo lubonise ukuthi i-progesterone ihlotshaniswa nokwanda kwe-insulin . Lokho kusho ukuthi phakathi nengxenye yesibili yomjikelezo wakho emva kokuvuthwa (isigaba se-luteal) lapho amazinga akho e-progesterone ephakeme ngokwemvelo uzoba nokuphikiswa okune-insulin.
Le mpendulo ye-physiologic yaziwa ngokuthi yi-luteal phase insulin ukumelana.
I-Luteal phase insulin ukumelana kuyovame ukuphumela ngokwemvelo ngeziqephu eziningi ze-hyperglycemic ngisho noma ungashintshi umsebenzi wakho nokudla nganoma iyiphi indlela.
Kodwa kukhona inselele enkulu yesigaba salo luteal kwabesifazane abaphila nesifo sikashukela.
Ukunyuka okufanayo ku-progesterone okukwenza ukuthi ube namandla okwesikhashana wokumelana ne-insulin futhi kungase kubangele ukuba ube nesifiso sokudla ngamakhemikhali elula futhi kungabangela ukuba ulahlekelwa yisisusa sakho sokuzivocavoca.
ukukhishwa kwe-insulin + ukuthanda ukudla + kunciphise umsebenzi = ukulawulwa okuncane kwe-glycemic
Ngokuhamba kwesikhathi, lokhu kulawulwa kokunciphisa umzimba kungakhuphula ingozi yesifo sikashukela.
Uma uhlala nesifo sikashukela, kubaluleke kakhulu ukukhumbula ukudla nokuzivocavoca kwakho ngesikhathi sesigaba sokuqala sokuhamba esikhathini. Abesifazane abane- type 1 yesifo sikashukela bangase bazwele kakhulu kulokhu ukuvimbela ukuhamba kwesikhathi okuhlobene nomjikelezo we-insulin. Kodwa-ke, uma usebenzisa imithi yomlomo yesifo sikashukela kungenzeka ukuthi awuhloli ushukela wegazi njalo, ngakho-ke ungase ungaboni ukulawulwa kwe-glycemic empofu.
2. Ukwelashwa Kwama-Hormonal Kungandisa Ukuphikiswa Kwe-Insulin
Uma ukushintsha kwe-hormone yakho kungathinta ukulawula kwakho kwe-glycemic akufanele kusimangaze ukuthi ama-hormone ajwayelekile angaba nemiphumela efanayo. Phakathi nomjikelezo wakho wokuya esikhathini, ukuphikisana okuphawuleka kakhulu kwe-insulin kubonakala ngesikhathi sesigaba sokuqala lapho amazinga akho e-progesterone ephakeme kakhulu. Kodwa-ke, ucwaningo lubonisa ukuthi i-estrogen, kanye ne-progesterone, nayo ingabangela ukumelana ne-insulin.
Izindlela zokwelapha ze-hormonal eziqukethe i-estrogen ne-progesterone zihlanganisa:
- iphilisi yokubeletha ngomlomo
- isiqeshana sokukhulelwa
- indandatho yokuvimbela isisu
Izindlela zokwelapha ze-hormonal eziqukethe progesterone kuphela zihlanganisa:
- I-Mirena
- I-Nexplanon
- Depo-Provera
- Ipilisi ye-Progesterone kuphela
Noma iyiphi yalezi zindlela zokuvimbela i-hormonal ingakhuphula ukumelana nomzimba wakho, okwenza kube nzima ukulawula ushukela wegazi lakho. Ngokuvamile, kulungile ukusebenzisa lezi zindlela uma unesifo sikashukela. Kubalulekile ukuqaphela ukuthi ukusebenzisa i-hormonal contraceptive kungashintsha ukulawula kwakho kwe-glycemic. Qinisekisa ukuthi unake kakhulu uketshezi wakho wegazi uma uqala noma ushintsha indlela yakho yokuvimbela ukuvimbela inzalo.
3. Isikhathi Esizayo, Isikhathi Sokuqala Kwesilisa
Ingabe bonke abangane bakho baqala ukuthola isikhathi sabo? Ingabe uyazibuza ukuthi kungani ungakatholi okwamanje? Kungaba isifo sikashukela sakho emsebenzini.
Uma uhlala nesifo sikashukela sohlobo lwe-1 ungase ube nesiphambano esifushane seminyaka yokuzala uma kuqhathaniswa nabesifazane abangenayo isifo sikashukela kanye nabesifazane abaphila ne- type 2 yesifo sikashukela . Iminyaka yakho yokuzala yile minyaka phakathi kwenkathi yakho yokuqala, ebizwa nangokuthi i- menarche , nokuqala kokuya esikhathini.
Ngeshwa, asikaqondi kahle ukuthi kungani lokhu kwenzeka, kodwa naphezu kokuthuthukiswa kokulawulwa kwesifo sikashukela nokulawulwa kwe-glycemic, izifundo zisekela ukuqala kokulibazisa kokuqeda esikhathini sohlobo lwesifo sikashukela. Lokhu kuyiqiniso ikakhulukazi omncane lapho uthola ukuthi unesifo sikashukela sohlobo 1.
Ngaphandle kokumisa kokulibaziseka, ungase ube nezinkathi ezingaphezulu ezingavamile zokuya esikhathini kunabangane bakho abangenayo isifo sikashukela. Kuye kwaphakanyiswa ukuthi ngaphezu kwengxenye eyodwa kwezintathu zentsha enesifo sikashukela sohlobo lwe-1 izoba nezinkathi ezingavamile zokuya esikhathini.
4. Ukuthola Isisindo Kungabangela Izikhathi Ezingajwayelekile
Nakuba uhlobo lwesifo sikashukela sesi-2 lungenzeka kwabesifazane abangenamandla ngokweqile, kungenzeka ukuthi uma uhlala nohlobo lwesifo sikashukela u-2 ulwa nesisindo sakho. Ukulahlekelwa isisindo kungaba inselelo kodwa akunakwenzeka kwabesifazane abane-type 2 yesifo sikashukela. Ngokungafani nesifo sikashukela sohlobo lwe-1 lapho umzimba wakho ungakhiqizi ngokwanele i-insulin, uma uhlala nohlobo lwesifo sikashukela, umzimba wakho umelana ne-insulin.
Uma ukhuluphele ngokweqile amafutha akho amaningi noma izicubu ze-adipose zikhiqiza ama-hormone okwandisa ukuvimbela kwe-insulin. Lokhu ukumelana kwe-insulin kubangela ukuthi ama-pancreas akho akhiqize i-insulin engaphezulu. Nakuba singayiqondi kahle ukuthi kwenzekani, lezi zindlela zezinga le-insulin zisebenzisana nama-hormone alawula umjikelezo wakho wokuya esikhathini. Uma ukushintsha kwe-hormone yakho ye-hormone kuphazanyiswa ngeke ukwazi ukugcoba futhi uma ungakuvuni ngeke ube nesivamile.
Uhlobo lwakho lwesifo sikashukela 2 lungaba yingxenye yesimo esibizwa nge-polycystic ovarian syndrome noma i-PCOS. Uma une-PCOS, unokungalingani ekukhiqizeni kwakho kwama-ovarian hormone. Lokhu ukungalingani kuvimbela ukuvuthwa okuvamile okubangelwa imijikelezo engavamile yokuya esikhathini. Lesi simo sikhona futhi sihlotshaniswa namazinga aphezulu e-insulin ngenxa yokukhiqizwa ngokweqile kwe-insulini ngenxa yokuphikiswa kwe-insulin. Ngokuvamile, uma ukhuluphele ngokweqile, kancane kancane uzovota futhi izikhathi ezingavamile izikhathi zakho ziyoba.
5. Ingozi Ekhulayo Ye-Cancer Endometrial
Umdlavuza we-Endometrial yisifo somdlavuza ovame ukutholakala. Kwenzeka njalo kubantu besifazane abaneminyaka engaphansi kwengu-50 ubudala futhi ngokuvamile baxilongwa ngabesifazane emva kokuya esikhathini.
Uma uhlala ne-type 2 yesifo sikashukela usengozini enkulu yokwenza umdlavuza we-endometrial futhi lokhu engozini ihlukile ku-BMI yakho. Le ngozi ekhuphuka kucatshangwa ukuthi ihlotshaniswa nokuphikiswa kwe-insulin kanye namazinga aphezulu e-insulin e-type 2 yesifo sikashukela.
Ingozi yakho yanda nakakhulu uma ukhuluphele ngokweqile. I-BMI ephakeme ingaholela emigqeni engavamile noma ehamba kahle yokuya esikhathini. Phakathi nale mijikelezo, uhlaka lwesibindi sakho luvezwe ku-estrogen ngaphandle komphumela wokuvikela we-progesterone, okuholela ekukhuleni kwe- endometrial ngaphezulu. Futhi uma lokho kungenele, amafutha akho noma izicubu ze-adipose wenza i-estrogen eyengeziwe. Uma ukhuluphele ngokweqile, u-estrogen owengeziwe ukhiqiza.
Ngokuhamba kwesikhathi, lokhu kuvezwa kwe-estrogen engeziwe kungaholela emdlalweni we-endometrial.
> Imithombo:
> Schweiger BM, uSnell-Bergeron JK, iRoman R. Menarche Ukulahla Nokungahambi Kwesisodwa Ukuqhubeka Nezinsana Nge-Type 1 Diabetes. Biology Yokuzala kanye ne-Endocrinology . 2011.9 (61) 1-8
> Yeung EH, Zang C, Mumford SL, et al. Ukufundwa kwe-Longitudinal Ukuphikiswa Kwe-Insulin Ne-Hormone Yezocansi Emkhakheni Wokuya esikhathini: Isifundo se-BioCycle. I-Endocrinology yezokwelapha . 2010; 95 (12): 5435-5442