I-Estrogen iyi-hormone edlala indima ebalulekile empilweni yabesifazane, kuhlanganise nempilo yakhe yebele nesifuba. Ake sifunde ngendima ye- estrogen edlala empilweni yabesifazane nokuthi ukususwa kwe-hormone kunciphisa kanjani ingozi yokuphindaphinda umdlavuza webele kwabesifazane abathile.
I-Estrogen iyi-hormone ekhishwa ama- ovaries wesifazane aze afinyelele esikhathini sokuya esikhathini. Ngesikhathi sokuya esikhathini, okuchazwe njengezinyanga ezingu-12 emva kokujikeleza kokugcina kokuya esikhathini wesifazane, ama-ovari akwazi ukwenza i-estrogen.
Lokhu kunesifo se-estrogen yilokho okubangela izimpawu eziningi zokuya esikhathini sokuya esikhathini, njengokukhanya okushisayo nokumelela kwesisu.
I-Estrogen Therapy?
Abanye besifazane bathatha ukwelapha kwe-hormone, ngokuvamile kuvunyelwe ngesikhathi sokuya esikhathini noma kokuya esikhathini sokuqala, ukunciphisa izimpawu ezicindezelayo ze-menopausal, ikakhulukazi ukushisa okukhulu. I-hormone therapy ingaqukatha kokubili i-estrogen ne-progesterone noma i-estrogen nje.
Uma owesifazane engenayo isibeletho-isibonelo, uma enesifo se- hysterectomy -than angase athathe nje u-estrogen therapy (ET) yedwa. Uma owesifazane enezibeletho, udinga ukuthatha i-progesterone ngaphezu kwe-estrogen. Lokhu kungenxa yokuthi ukwelashwa kwe-estrogen kungabangela ukuqina kwesibindi sesisu esingaba nomdlavuza we-endometrial. Ukwengeza i-progesterone iphikisana nale mphumela.
Kubalulekile ukwazi ukuthi ngokusho kwe-US Federal Drug Administration (FDA), ukwelashwa kwama-hormone kunqatshelwe kunoma yimuphi owesifazane onomdlavuza wamanje wamabele, umlando wesifo somdlavuza webele, noma umdlavuza wesifuba osolwa.
Indlela i-Estrogen ehlobene ngayo neCanscer Breast
Ngokusho kwe-American Cancer Society, cishe ama-cancer amabili webele amathumbu angama-hormone-receptor-positive. Lokhu kusho ukuthi amangqamuzana omdlavuza ane-receptors kokubili noma kokubili ama-hormone-estrogen ne-progesterone.
I-Estrogen igqugquzela ukukhula kwamakhansela webele okuyi-estrogen receptor-positive.
Yingakho ukwelashwa kwe-hormone yama-menopausal kunqatshelwe kwabesifazane abanomdlavuza webele noma umlando wesifo somdlavuza webele, ukuze kungabi ukwanda kwengozi yowesifazane yokuphindaphinda umdlavuza webele.
I-Estrogen Treatment Therapy
Izinhlobo eziningi zokwelashwa kwe- hormone yomdlavuza webele, njengama-modulators akhethiwe noma ama-aromatase inhibitors, noma amazinga e-estrogen aphansi noma aime isrogen ekusebenzeni ngamaseli omdlavuza webele. Loluhlobo lwezokwelapha luwusizo kumdlavuza webele we-receptor-positive, kodwa alusizi iziguli ezitholakalayo ziyi-hormone receptor engafanele (kokubili u-ER- no-PR-negative).
I-Estrogen ixhunywe ne-Bone Health
Izinga eliphilile le-estrogen emzimbeni wakho lakha futhi ligcina amathambo aqinile. Kodwa-ke, uma usuphethe i-chemotherapy noma uma uthatha imithi yokucindezela i-estrogen ngemuva kokwelashwa umdlavuza webele, amazinga e-estrogen wakho azoba aphansi. Qaphela impilo yakho yethambo ngokuqonda ukuthi i-estrogen ithinta kanjani amathambo akho.
Imithombo:
I-American Cancer Society. I-Cancer Breast: Ukwelashwa kwamahomoni ngomdlavuza webele . Okthoba 14, 2015.
I-North American Menopause Society. (2014). Umkhuba Wokumisa Isikhathi: Umhlahlandlela Wabahlengikazi, 5th ed. Mayfield Heights, OH: I-North American Menopause Society.