I-AQ ne-A NgamaDr. URichard noKarilee Shames
Siyazi ukuthi izinzuzo ze-estrogen zadlulelwa isikhathi eside, futhi izingozi zokutheleleka kwe-hormone zokwelashwa zancishisiwe. I-thyroid, ukuyeka esikhathini sokuqala, ne-estrogen inobungane obunzima.
Ngakhuluma noDkt. URichard noKarilee Shames, abalobi be- Thyroid Power , mayelana nokwelapha kwesifo se-estrogen.
Q: Uyini ukukhathazeka kwakho mayelana nokuxhumeka kwe-thyroid / yokumisa esikhathini?
Mhlawumbe okuyinhloko enkulu yokulimala kuyo yonke insimu ye-thyroid ku-inthanethi yezempilo yabesifazane nokuya esikhathini .
Konke okuvela ekucasweni okuncane kwamagciwane kuya kumaphutha okuphindaphindiwe kuye kwaboniswa ukuthi kuhlobene ne-thyroid ku-amaphesenti athile abahlukumezekile. Ukunqamuka kwesikhashana akuyona ukugula, kodwa kungaqala ukuzwa ngaleyo ndlela uma i-thyroid yakho iphansi noma imingcele ngesikhathi sokushintsha kwakho.
Abesifazane kule nkinga ecasulayo bavame ukutshelwa ukuthi "Ukuphela kokuya esikhathini," njengokungathi kufanele balindele ukuthi bazizwe behlukumezekile iminyaka ngenxa yokwehla kwemvelo e-estrogen. Ama-ovaries kanye nesibindi badinga inani elifanele lehomoni ye-thyroid njenganoma iyiphi enye isitho noma uhlelo.
Naphezu kokwaziswa okwandayo emphakathini wezezokwelapha mayelana nezinkinga nokungenelela okuzungezile kokuya esikhathini, izinamba ezinkulu zabesifazane zisabhekene nobunzima be-menopausal. Ngokuvamile, ama-hormone engokwemvelo ayinikeza usizo oluphelele.
Lokhu kuvame ukuthi inkinga eyinkimbinkimbi ingatholakali nge- thyroid ephansi. Ngeminyaka engu-50, owesifazane kwabayishumi nanye kwabayishumi nambili unesilinganiso esibalulekile se-hypothyroidism.
Ngeminyaka engama-60, ngowesifazane oyedwa kuzo zonke eziyisithupha.
Lesi sifo se-thyroid esibalekile sibonakala sishaya abesifazane besilisa abanzima kunanoma yiliphi elinye iqembu leziguli. Ngenhlanhla, kungenziwa okuningi ukubasiza.
Q. Yini engasiza abesilisa besilisa abanezinkinga ze-thyroid?
Kwabesifazane abesilisa abanamahloni abangafuni noma bazuze i-estrogen, sibhekelela ukuhlolwa kwegazi le-thyroid kuqala, mhlawumbe kulandelwa ukuhlolwa komtholampilo we-hormone yegciwane, ngisho noma ukuhlolwa kwegazi kusezingeni elivamile.
Ngokuvamile i-hypothyroidism eyinkimbinkimbi yilapho isilawuli esilula ukuyilungisa ibuyisela uhlelo lonke ukusebenza ngendlela evamile. Ukunqamuka kwesikhashana kuyaqhubeka, kodwa kuyindlela elula kakhulu, kancane kancane, futhi ekhululekile. Uma i-thyroid yakho iphansi, ukukhanya kwakho okushisayo kuyobe kubizwa kakhulu, okuvame kakhulu, nokunye okuphazamisayo. Lokhu kungenxa yokuthi i-thyroid iyinhlangano ye-throttle yakho, i-gas pedal yakho. Udinga amandla ukuze uhambe ngokushintshe ngomusa.
Bangakanani abantu abanamandla, ukuthi bavuka kanjani ekuseni, ukuthi balala kahle kangakanani, nokuthi banamandla kangakanani kulolo suku oluhlobene ngqo namazinga abo we-hormone yegciwane. Uma izinga lakho liphansi kakhulu, awunawo amandla okubhekana ngokufanele nanoma yini, okungenani ukucindezeleka okungeziwe nokucindezeleka ngokomzwelo okuhlobene neminyaka ye-menopausal.
Cabanga ngalesi simo esilandelayo. Ngolunye usuku sasiqhuba enye yezingxoxo zethu zocingo olude nomfundisi oneminyaka engu-51 ubudala ophakathi nendawo, okuthiwa uSara. Bobabili nomama wakhe baqala ukuyeka esikhathini sokuthi bangacatshangelwa ukuthi baneminyaka engama-46 ubudala. USara wayazi ukuthi unina wayenegciwane eliphansi, kanye nezinkinga ezinkulu zokuya esikhathini. Akekho umama, noma uSara, noma odokotela babo abaxhuma lezi zimo ezimbili.
Lapho uSara ngokwakhe eqala ukubhekana nezinkinga ezifanayo zokunqamuka kokuya esikhathini njengomama wakhe, wamukela njengezifo zakhe zofuzo. Ngezinye izikhathi wayevutha kakhulu futhi ekhukhumezayo ngosuku lwesikole ukuthi kuzodingeka agcine izinguquko zezingubo endlini yokufundela. Akungabazeki ukuthi, izingane zazizwa kalula, futhi wayengajabuleli umsebenzi wakhe owanelisayo ngaphambili.
Ngenhlanhla, wathunyelwa ehhovisi lethu uthisha wakhe wesikole, owayesiguli sethu. I-TSH yaseSara ejwayelekile manje, ngokuqhubeka nokuya esikhathini, 6.2, ngokucacile kuleso simo esingavamile. Kwabonisa ukuthi amazinga e-hormone akhe we-thyroid awazange ahambisane nezidingo ezingaphezulu zokushintsha kwakhe kwe-metabolism.
Ngesinye isikhathi emithini yemithi ye-thyroid, waqala ukuzizwa efana nomuntu wakhe omdala esikhathini esingamasonto. Izimpawu zakhe zokuya esikhathini ziye zafika ngemuva, futhi ukuphila kwakhe kwaqala ukulinganisela futhi kujabulise. Ihomoni ye-thyroid yedwa yayisixazulula izinkinga.
Q. Yiziphi ezinye izimpawu zokwelashwa ezingase ziphendule ukwelashwa kwe-thyroid?
I-Atrophic vaginitis, noma ukugcoba udonga lwangasese ngenxa yemazinga e-estrogen ewela, kungaholela ekutheni, ukuxoshwa, nokuziphatha okubi. Zonke lezi zimpawu zibi kakhulu uma i-thyroid yakho iphansi.
Abesifazane abanomile owomile ongasenakulinganiswa ne-creams zangasese noma ama-estrogen amaphilisi ngokuvamile atholakala ukuthi aphansi kwegciwane, uma ehlolwe ngokucophelela. Ngaphezu kokuthola ingxenye ebalulekile yokuphila kwabo obuseduze, lapho bephathwa ngemithi yokwelapha, laba besifazane bayakujabulela ukuthola ukuthi izinkinga zabo ezinomile omile, isikhumba esomile, nezipikili ezikhahlelayo zivame ukuxazululwa.
Asihlose ukunciphisa ubunzima obuphikisayo abanye besifazane abanalo ngalesi sikhathi empilweni yabo. Akuwona wonke umuntu oyosizwa ngokushesha noma ngokuphelele njengoba kwakunjalo noSara. Ukudansa kwamahomoni kuyinkimbinkimbi kakhulu, ngakho-ke umqondo wokuthi ungathatha i-hormone eyodwa, noma kabili, futhi uthole isipiliyoni esiphelele, akukhulunywa ngaso sonke isikhathi ngempumelelo. Udinga ukubheka isithombe sonke. Yilokho esikushoyo ngempilo ephelele.
Q. Yini oyincoma abesifazane kulabo abangamashumi amane namashumi amahlanu?
Zama ukucabangela zonke amahomoni akho, hhayi nje eyodwa yazo. Eqinisweni, ungasebenzisa le ndlela yokusebenzisana ukuze uhlole zonke izici zokuphila kwakho lapho uzama ukuxazulula inkinga enameva. Uma ungenelisekile nobudlelwane bakho noma umsebenzi wakho, lezi zingase zibe izici ezibalulekile zokubuyela kwakho emkhakheni wesimiso esincane. Abesifazane abaningi bathola ukuthi okungaphezu kokungenelela kwezokwelapha kuyadingeka. Abanye bathola ukuthi isikhathi esithulile kude nokucindezeleka kokuphila kwabo senza izimangaliso. Esinye isizathu sokubheka ngaphesheya kwe-estrogen esikhundleni esilula ukuthi i-estrogen ayiyona into enobungane futhi ewusizo ngaso sonke isikhathi.
Ukwandisa i-thyroid yakho kungaba indlela engcono kakhulu yokufeza ukusikhipha komzimba okulula futhi ukunakekelwa kwezempilo okuvimbela ongayifisa.