Whakaheke O Te Ovaries I Mua I Te Wa

Ka puta mai te korenga o te ovaries matua ina mutu te mahi a nga ovaries penei i te tikanga i mua i te 40 o nga tau. I te wa e puta mai ana tenei, kaore nga ovaries e hanga i nga rahinga noa o te homoni estrogen, kaore ranei e tukuna nga hua i nga wa katoa. Ko te tikanga o tenei ahuatanga ko te korenga tamariki. Ko tetahi atu ingoa mo te korenga o te ovaries matua ko te korenga o te ovaries i mua i te wa. I huaina ano hoki ko te korenga o te ovaries i mua i te wa, engari kaore tenei kupu e whakamahia a muri ake nei. I etahi wa, ka raruraru te korenga o te ovaries matua me te menopause i mua i te wa. Engari ehara i te mea kotahi. Ka taea e te hunga he korenga o te ovaries matua te whai i nga wa poto, i etahi wa ranei mo nga tau maha. Ka taea ano e ratou te hapu. Engari ko te hunga he menopause i mua i te wa ka mutu o ratou wa, kaore e taea te hapu. Ka taea e te maimoatanga te whakahoki i nga taumata estrogen ki te hunga he korenga o te ovaries matua. Ka awhina tenei ki te aukati i etahi ahuatanga ka puta mai i te iti o te estrogen, penei i te mate ngakau me nga wheua ngoikore, pakaru.

Ko ngā tohu o te korenga o te ovaries matua he rite ki ngā tohu o te menopause, te iti rānei o te estrogen. Kei roto i ēnei: Ngā wā e kore e pūmau, te ngaro rānei o ngā wā. Ka taea e tēnei tohu te noho mai mō ngā tau. Ka taea hoki te whanake i muri i te whānautanga, i muri rānei i te mutu o ngā pire whakahaere whānautanga. Te raruraru ki te whānautanga. Te wera o te tinana me te wera o te pō. Te maroke o te tara. Te riri, te pouri, te manukanuka rānei. Te raruraru ki te aro atu, ki te mahara rānei. Te iti haere o te hiahia moepuku. Ki te kore koutou i whiwhi wā mō ngā marama e toru neke atu rānei, tirohia tō koutou rōpū hauora kia kitea te take. Ka taea e koutou te ngaro i ō koutou wā mō ngā take maha, pēnei i te hapu, te ahotea, te huringa rānei i ngā tikanga kai, i ngā tikanga whakakori tinana rānei. Engari he pai kia tirohia e te kaimahi hauora i ngā wā katoa ka huri te huringa o te marama. Ahakoa kaore koutou e ngakau nui ki te kore o ngā wā, tirohia tetahi tohunga hauora kia kitea te take o te huringa. Ka taea e ngā taumata estrogen iti te arahi ki te āhuatanga e pā ana ki ngā wheua ngoikore me te pakaru, e kiia nei ko te osteoporosis. Ka taea hoki e ngā taumata estrogen iti te arahi ki te mate ngakau.

Mēnā kua ngaro tou wā i te toru marama neke atu rānei, tirohia tō rōpū hauora kia kitea te take. He maha ngā take ka ngaro ai tō wā, pēnei i te hapu, te ahotea, te huringa kai, te huringa mahi whakakori rānei. Engari he mea pai kia tirohia e te kaimahi hauora koe i ngā wā katoa e hurihuri ana tō huringa marama. Ahakoa kore koe e awangawanga ki te kore o ngā wā, tirohia tētahi tohunga hauora kia kitea te take o te huringa. Ka taea e ngā taumata estrogen iti te arahi ki tētahi āhuatanga e pā ana ki ngā wheua ngoikore me te pakaru, e kiia nei ko te osteoporosis. Ka taea hoki e ngā taumata estrogen iti te arahi ki ngā mate ngakau.

Ka taea te puta mai te korenga o te ovaries matua na:

• Huringa o ngā karāpūnga. He hanganga rite ki te aho ngā karāpūnga e mau ana i ngā ira. Ko te nuinga, he rua ngā karāpūnga X kei roto i ō rātou pūtau te hunga i whānau mai hei wāhine. Engari he torutoru ngā tāngata e pā ana ki te korenga o te ovaries matua he kotahi te karāpūnga X noa me tetahi karāpūnga X i whakarereketia. Ka taea te tohu tenei i ngā āhuatanga ira penei i te mate Turner mosaic. He atu ngā tāngata e pā ana ki te korenga o te ovaries matua he ngā karāpūnga X ngāwari te pakaru. Ka kiia tēnei ko te mate X ngāwari te pakaru.
• Ngā pokanoa. He take noa te rongoā chemotherapy me te rongoā radiation mō te korenga o te ovaries i puta mai i te pokanoa. Ka taea e ēnei maimoatanga te whakaraha i ngā rauemi ira i roto i ngā pūtau. He atu ngā pokanoa penei i te paowa hikareti, ngā matū, ngā whakamate pepeke me ngā huaketo pea ka tere ake te korenga o te ovaries.
• Te whakautu a te pūnaha ārai mate ki te kōpū o te ovaries. Ka kiia tēnei ko te mate ārai mate. I roto i tēnei ahua onge, ka hanga e te pūnaha ārai mate ngā pūtau tiaki e whakaeke ana i te kōpū o te ovaries mā te he. Ka kino tēnei i ngā putea i roto i ngā ovaries e mau ana i te hua, e kiia nei ko ngā follicle. Ka whakaraha hoki i te hua. Kāore i te mārama te mea e whakaoho ana i te whakautu ārai mate. Engari pea he mahi te whakaū ki te huaketo.
• Ngā take kaore i te mōhiotia. Ko te nuinga, kāore i te mārama te take o te korenga o te ovaries matua. Ka rongo pea koe ki tēnei e kiia ana he take idiopathic. Ka tūtohu pea tō kaimahi hauora kia nui ake te whakamātautau kia ngana ki te kimi i te take.

Ko te ovulation te tukunga o te hua mai i tētahi o ngā ovaries. Ka puta pea i waenganui o te huringa marama, ahakoa ka rereke pea te wā tika.

Hei whakarite mō te ovulation, ka mātotoru te papanga o te kopu, te endometrium rānei. Ka whakaoho te pūtake pituitary i roto i te roro i tētahi o ngā ovaries kia tukuna te hua. Ka pakaru te pakitara o te follicle ovarian i te mata o te ovary. Ka tukuna te hua.

Ka kawe ngā hanganga rite ki te matihao e kiia nei ko ngā fimbriae i te hua ki te pūnaha fallopian tata. Ka haere te hua i roto i te pūnaha fallopian, ka panahia tetahi wāhanga e ngā whakawhāiti i roto i ngā pakitara pūnaha fallopian. I konei i roto i te pūnaha fallopian, pea ka whakapapa te hua e te purapura.

Mēnā ka whakapapa te hua, ka hono te hua me te purapura hei hanga i tetahi mea kotahi-pūtau e kiia ana ko te zygote. I te haere o te zygote i raro i te pūnaha fallopian ki te kopu, ka tīmata te wehewehe tere hei hanga i te rōpū o ngā pūtau e kiia ana ko te blastocyst, e rite ana ki te rāpure iti. Ka tae te blastocyst ki te kopu, ka whakato i roto i te papanga o te kopu ka tīmata te hapu.

Mēnā kāore i te whakapapa te hua, ka ngāwari te whakaū e te tinana—pea i mua atu i te tae atu ki te kopu. I muri i te rua wiki pea, ka maka te papanga o te kopu i roto i te tara. Ka kiia tēnei ko te menstruation.

Ngā take e whakapiki ana i te tūponotanga o te korenga o te hua manu i mua i te whānautanga:

• Tau. Ka piki ake te tūponotanga i waenga i ngā tau 35 me te 40. He onge te korenga o te hua manu i mua i te tau 30. Engari ka taea e ngā tāngata kōuri me ngā taitamariki te whiwhi.
• Hītori whānau. Ko te whai hītori whānau o te korenga o te hua manu i mua i te whānautanga ka whakapiki ake i te tūponotanga o te whiwhi i tēnei āhuatanga.
• Taha whakahaere hua manu. Ko ngā tātaritanga e pā ana ki ngā hua manu ka whakapiki ake i te tūponotanga o te korenga o te hua manu i mua i te whānautanga.

Ka taea e te korenga o te ovaries te arahi ki ētahi atu āhuatanga hauora, tae atu ki ēnei:

• Te kore tamariki. Ko te kore e taea te hapu he raruraru pea o te korenga o te ovaries. Ko te nuinga, ka taea te hapu tae noa ki te paunga o te hua o te tinana.
• Te osteoporosis. Ko te āhuatanga nei ka ngoikore, ngāwari te whati, me te tino ngāwari ki te whati ngā wheua. Kei te nui ake te tūponotanga o ngā wāhine he iti te taumata o te homoni estrogen ki te whiwhi i te osteoporosis. Koia te take, nā te estrogen te pupuri i te kaha o ngā wheua.
• Ngā mate o te ngakau, o te toto rānei. Ka piki pea te tūponotanga o ngā āhuatanga o te ngakau, o te pēhanga rānei i te ngaro wawe o te estrogen.
• Te mate dementia. Ko te kupu tenei mō te rōpū tohu e pā ana ki te mahara, te whakaaro me ngā pūkenga whānau. Ka hono pea te tūponotanga o te mate dementia ki te tango i ngā ovaries e rua, me te kore e whiwhi i te rongoā estrogen i muri mai i ngā tāngata kei raro i te 43 tau.
• Te mate Parkinson. Ko te āhuatanga roa tenei e pā ana ki te pūnaha io, tae atu ki te roro me te tuaka. E pā ana hoki ki ngā wāhanga o te tinana e whakahaeretia ana e ngā io. Ka hono pea te tūponotanga nui ake o te mate Parkinson ki te pokanga hei tango i ngā ovaries.

Kaore he uauatanga

Ko te nuinga o ngā wāhine e torutoru noa ngā tohu o te korenga o te hua manu i te tīmatanga, engari ka āta whakaaro pea tō kaiwhakarato hauora ki te āhua nei mēnā he koretake ō wā, kāore rānei e taea te whānau. Ko te tikanga o te whakamātautau ko te whakamātautau tinana, tae atu ki te whakamātautau o te kopu. Ka ui pea tō kaiwhakarato ki ngā pātai e pā ana ki tō huringa marama, te whakaū ki ngā mea pokanoa, pēnei i te rongoā mate pukupuku, te rongoā whakahiato rānei, me ngā pokanga o mua o te hua manu.

Ka tūtohu pea tō kaiwhakarato ki tetahi whakamātautau, ki ngā whakamātautau rānei hei tirotiro i ngā mea e whai ake nei:

• Te hapu. Ka tirotirohia e te whakamātautau hapu te haputanga kaore i whakaarohia mēnā kei te pakeke koe ki te whānau tamariki, kua ngaro hoki tētahi wā.
• Ngā taumata o te homoni. Ka tirotiro pea tō kaiwhakarato i ngā taumata o te maha o ngā homoni i roto i tō toto, tae atu ki te homoni whakaohooho follicle (FSH), tētahi momo estrogen e kiia nei ko te estradiol, me te homoni e whakaohooho ana i te waiū u (prolactin).
• **Ngā huringa chromosome, ngā ira rānei. ** Ka taea e koe te whakamātautau toto e kiia nei ko te tātaritanga karyotype hei kimi i ngā huringa rerekē i roto i ō chromosomes. Ka tirotirohia pea e tō tākua mena kei a koe te ira e hono ana ki te mate fragile X e kiia nei ko FMR1.

Ko te nuinga o te wā, ka aro te maimoatanga mō te koretake o te ovaries matua ki ngā raruraru e puta mai ana i te kore o te estrogen. (1p3) Ā, pea ka whai wāhi te maimoatanga ki:

• Ngā taapiri kārati me te wītamini D. He mea nui ngā kai tokorua nei hei ārai i te osteoporosis. Ā, pea kaore koe e whiwhi nui o tetahi o rāua i roto i tō kai, i te rā rānei. Pea ka tūtohu mai tō rōpū hauora i te whakamātautau X-ray e ine ana i te kārati me ētahi atu kohuke i roto i ngā wheua i mua i tō tīmatanga i ngā taapiri. Ka kiia tēnei he whakamātautau mā te kiko o ngā wheua.

  Mō ngā wāhine kei te 19 ki te 50 tau te pakeke, ko te nuinga o te wā ka tūtohu ngā tohunga i te 1,000 milligrams (mg) o te kārati i te rā mā te kai, mā ngā taapiri rānei. Ka piki te nui ki te 1,200 mg i te rā mō ngā wāhine 51 tau te pakeke me te pakeke ake.

  Kāo te whakatau tika i te horopeta o te wītamini D i ia rā. He tīmatanga pai te 800 ki te 1,000 international units (IU) i te rā, mā te kai, mā ngā taapiri rānei. Mēnā he iti ngā taumata o te wītamini D i roto i tō toto, pea ka tūtohu mai tō rōpū hauora i ngā nui ake.

Maimoatanga estrogen. Ka taea e te maimoatanga estrogen te āwhina i te ārai i te osteoporosis. Ka taea hoki e ia te whakaora i ngā werawera me ētahi atu tohu o te iti o te estrogen. Pea ka tohua koe ki te estrogen me te homoni progesterone mēnā kei a koe tonu tō kopu. Ko te tāpiri i te progesterone ka tiaki i te papanga o tō kopu, e kiia nei ko te endometrium, i ngā huringa e āhei ana te arahi ki te mate pukupuku. Pea ka puta ēnei huringa mā te tango estrogen anake.

I ngā wāhine pakeke, kua honoa te maimoatanga estrogen me te progesterone mō te wā roa ki te nui ake o te tūpono o te mate o te ngākau me ngā oko toto me te mate pukupuku u. I ngā tāngata kōuri me te koretake o te ovaries matua, ka nui ake ngā painga o te maimoatanga homoni i ngā tūpono.

Ngā taapiri kārati me te wītamini D. He mea nui ngā kai tokorua nei hei ārai i te osteoporosis. Ā, pea kaore koe e whiwhi nui o tetahi o rāua i roto i tō kai, i te rā rānei. Pea ka tūtohu mai tō rōpū hauora i te whakamātautau X-ray e ine ana i te kārati me ētahi atu kohuke i roto i ngā wheua i mua i tō tīmatanga i ngā taapiri. Ka kiia tēnei he whakamātautau mā te kiko o ngā wheua.

Mō ngā wāhine kei te 19 ki te 50 tau te pakeke, ko te nuinga o te wā ka tūtohu ngā tohunga i te 1,000 milligrams (mg) o te kārati i te rā mā te kai, mā ngā taapiri rānei. Ka piki te nui ki te 1,200 mg i te rā mō ngā wāhine 51 tau te pakeke me te pakeke ake.

Kāo te whakatau tika i te horopeta o te wītamini D i ia rā. He tīmatanga pai te 800 ki te 1,000 international units (IU) i te rā, mā te kai, mā ngā taapiri rānei. Mēnā he iti ngā taumata o te wītamini D i roto i tō toto, pea ka tūtohu mai tō rōpū hauora i ngā nui ake.

Ki te mea i whakaaro koe ki ngā haputanga kei te heke mai, ka raru pea koe i te ngākau pouri nui i muri i tō te mohiotanga kua ngoikore ngā hua manu o te wahine. Ka taea te puta tēnei āhua ahakoa kua whānau mai ngā tamariki. Tirohia tētahi kaitohutohu mō te whakaora i te ngākau, ki te whakaaro koe ka āwhina tēnā ki a koe. Kia whakatūwhera ki tō hoa. Kōrero atu ki tō hoa, ā, whakarongo ki a ia. Tāpirihia ō ngākau mo tēnei huringa ohorere ki roto i ō mahere mō te whakato i tō whānau. Rapua ngā huarahi hei whakaoti. Ki te kore ō tamariki, ā, e hiahia ana koe ki ētahi, ki te hiahia rānei koe ki ētahi atu tamariki, titiro ki ētahi atu huarahi hei whakato i tō whānau. Ka taea e koe te whakaaro ki ngā kōwhiringa penei i te whakato hua manu mā te whakamahi i ngā hua manu o te kai hoatu, te tango rānei. Whiwhi tautoko. Ka āwhina pea te kōrero ki ētahi atu e tūtaki ana ki tētahi wero rite. Ka taea e koe te whiwhi whakaaro me te mārama i te wā o te whakawareware me te whakaaro ke. Pātai atu ki tētahi mema o tō rōpū hauora mō ngā rōpū tautoko ā-motu, ā-rohe rānei. Rānei rapu i tētahi whakahaere ipurangi hei putanga mō ō ngākau me te puna mō ngā mōhiohio. Whakaarohia hoki te whiwhi tohutohu i tētahi kaiwhakaora. Ka āwhina pea tēnā ki a koe ki te whakarite ki ō āhuatanga hou me ngā tikanga o aua mea mō tō heke mai. Hoatu he wā ki a koe. Ka roa pea te wā ki te whakaae ki te ngoikore o ngā hua manu o te wahine. I te wā nei, tiaki pai koe i a koe. Kai pai, mahi whakakori tinana, ā, moe pai.