Icyo Estradiol na Progesterone ari byo: Ibikoreshwa, Urutonde rw'imiti, Ingaruka ziterwa n'ibindi

Estradiol na progesterone ni imisemburo ibiri y'ingenzi ikorera hamwe kugira ngo ishyigikire ubuzima bw'imyororokere y'abagore n'imibereho yabo muri rusange. Iyo bifashishijwe nk'imiti, uru ruhurirane rufasha gusimbuza imisemburo umubiri wawe ushobora kuba utagikora bihagije, cyane cyane mu gihe cyo gucura cyangwa izindi mpinduka z'imisemburo.

Iyi miti ni imisemburo ya bioidentical, bivuze ko isa neza mu buryo bw'imiti n'imisemburo umubiri wawe ukora mu buryo busanzwe. Bitekerezeho nk'uburyo bwo kongera imbaraga buhoro buhoro bufasha kugarura uburinganire iyo urwego rw'imisemburo yawe isanzwe ruhindagurika cyangwa rugabanuka.

Estradiol na Progesterone ni iki?

Estradiol na progesterone ni imiti isimbura imisemburo irimo imisemburo ibiri y'ingenzi y'abagore. Estradiol ni uburyo bukora cyane bwa estrogen, mu gihe progesterone ifasha kuringaniza ingaruka za estrogen mu mubiri wawe.

Imitsi yawe ikora iyi misemburo mu buryo busanzwe mu gihe cy'imyaka yawe y'imyororokere. Ariko, mu gihe cya perimenopause na menopause, ikorwa rigabanuka cyane. Uru ruhurirane rw'imiti rufasha kugarura urwego rw'imisemburo ruringaniye, rushobora koroshya ibimenyetso byinshi bidashimishije ushobora kuba urimo guhura nabyo.

Uburyo bwo kunywa iyi miti mu kanwa butuma iyi misemburo yinjira mu nzira yawe y'igogora, itanga urwego rwa misemburo rudahinduka umunsi wose. Ubu buryo bwo gutanga imiti buroroshye kandi butuma habaho urutonde rw'imiti ruhamye abagore benshi basanga byoroshye.

Estradiol na Progesterone bikoreshwa mu iki?

Uru ruhurirane rw'imisemburo rukoreshwa cyane cyane mu kuvura ibimenyetso bya menopause na perimenopause. Rushobora kugabanya cyane ubushyuhe bwinshi, ibyuya byo mu ijoro, guhindagurika kw'amarangamutima, no kumagara kw'imitsi yo mu gitsina gore bikunze kujyana n'impinduka z'imisemburo.

Muganga wawe ashobora kandi gutegeka iyi miti kugira ngo ifashe kwirinda osteoporosis nyuma ya menopause. Estrogen igira uruhare runini mu kugumisha ubwinshi bw'amagufa, bityo kuyisimbuza bishobora gufasha kurinda amagufa yawe kuba yoroshye kandi akagira ibibazo byo kuvunika.

Rimwe na rimwe, iyi mvange ikoreshwa ku bagore bakurwaho intanga mu kubagwa cyangwa bahura n'imihagariko y'imihango itunguranye. Muri ibi bihe, gusimbuza imisemburo bifasha gukomeza imikorere isanzwe y'umubiri ishingiye ku misemburo ihagije.

Usibye gufasha mu kugabanya ibimenyetso, abagore bamwe basanga uyu muti ubafasha kunoza imibereho yabo mu kongera imbaraga no gushyigikira ibitotsi byiza. Igice cya progesterone ni ingenzi cyane kuko kirengera urukuta rw'inkondo y'umura ku mikurire y'umurengera ishobora guterwa na estrogen yonyine.

Ni gute Estradiol na Progesterone bikora?

Uyu muti ukora mu gusimbuza imisemburo umubiri wawe utagikora mu buryo buhagije. Estradiol yifatanya n'abakira estrogen mu mubiri wawe hose, ifasha gukomeza imikorere nk'igenzurwa ry'ubushyuhe, ubuzima bw'amagufa, n'imikorere y'umutima n'imitsi.

Progesterone ikora nk'ikintu gisanzwe cyo kurwanya estrogen, ifasha mu kugenzura imihango no kurengera urukuta rw'inkondo y'umura. Muri rusange, iyi misemburo ikora kugira ngo igarure uburinganire umubiri wawe wari ufite mu gihe cyo kubyara.

Ibi bifatwa nk'ubuvuzi bw'imisemburo bufite imbaraga ziringaniye. Yagenewe gutanga ubufasha bwiza mu gihe igabanya ibyago bishobora guterwa n'imisemburo myinshi. Uburyo bwo guhuza butuma habaho imisemburo mike ku giti cyayo mu gihe hakigerwaho inyungu z'ubuvuzi.

Uburyo bwo kunywa mu kanwa bisobanura ko imisemburo itunganywa binyuze mu mwijima wawe mbere yo kwinjira mu maraso yawe. Iyi mikorere ishobora kugira ingaruka ku buryo imisemburo ikoreshwa kandi ishobora kugira uruhare ku ngaruka zayo mu mubiri wawe hose.

Nkwiriye gufata gute Estradiol na Progesterone?

Fata uyu muti nk'uko byategetswe na muganga wawe, akenshi rimwe ku munsi ku gihe kimwe buri munsi. Guhora ufata ku gihe bifasha gukomeza urwego rw'imisemburo ruzigama kandi bigabanya amahirwe yo kugira ibimenyetso bishya.

Ushobora gufata ibi binini urya cyangwa utarya, nubwo abagore bamwe basanga kubifata bariye ifunguro rito bifasha kwirinda kuribwa mu nda. Niba wumva uruka, gerageza gufata urugero rwawe urya nimugoroba cyangwa ifunguro rito ryo kurya mbere yo kuryama.

Mimina ibinini byose hamwe n'ikirahure cyuzuye cy'amazi. Ntugasya, ntukomere, cyangwa umene ibinini, kuko ibi bishobora kugira ingaruka ku buryo umuti winjizwa kandi ukanasohoka mu mubiri wawe.

Abaganga benshi basaba gufata imiti ya hormone mbere yo kuryama, kuko iki gihe gishobora gufasha kugabanya ingaruka ziterwa n'uburwayi nko kuribwa umutwe cyangwa kubabara amabere. Ariko, kurikiza amabwiriza yihariye ya muganga wawe yerekeye igihe, kuko ashobora kuba yarateguye gahunda hakurikijwe ibyo ukeneye.

Nzamara igihe kingana iki mfata Estradiol na Progesterone?

Igihe cyo gufata imiti ya hormone gitandukanye cyane ku muntu ku muntu kandi biterwa n'ibimenyetso byawe byihariye n'intego z'ubuzima. Abaganga benshi basaba gukoresha urugero ruto rukora mu gihe gito gishoboka kugirango ugereranye intego zawe z'ubuvuzi.

Ku bimenyetso bya menopause, abagore benshi bakoresha imiti ya hormone imyaka 2-5, nubwo bamwe bashobora kuyikeneye igihe kirekire. Muganga wawe azagenzura buri gihe niba ugikeneye umuti kandi ashobora gutanga ibiruhuko bya buri gihe kugirango arebe niba ibimenyetso byawe bisubira.

Niba ukoresha uyu muti kugirango wirinde osteoporosis, ushobora gukenera kuvurwa igihe kirekire. Muganga wawe azagereranya inyungu n'ibishobora kuba byatera ingaruka bitewe n'ubuzima bwawe bwihariye n'amateka y'umuryango.

Ibiganiro byo gukurikiranira hafi ni ngombwa kugirango ukurikirane uko witwara kandi uhindure imiti uko bikwiye. Muganga wawe ashobora gusaba isuzuma rya buri mwaka kugirango wongere usuzume niba gukomeza imiti ya hormone ari byiza kuri wewe.

Ni izihe ngaruka ziterwa na Estradiol na Progesterone?

Kimwe n'indi miti yose, estradiol na progesterone bishobora gutera ingaruka ziterwa n'uburwayi, nubwo atari buri wese uzibona. Ingaruka nyinshi ziterwa n'uburwayi ni nto kandi akenshi zirushaho uko umubiri wawe wimenyereza umuti mu mezi make ya mbere.

Ibi ni bimwe mu bimenyetso bikunze kugaragara iyo umubiri wawe ukimenyereza imiti isimbura imisemburo:

• Kubabara cyangwa kubyimba amabere
• Urugimbu ruto cyangwa kuribwa mu nda
• Umutwe
• Guhindagurika kw'amarangamutima cyangwa kurakara
• Kubimba cyangwa kubika amazi mu mubiri
• Guhinduka kw'irari ryo kurya
• Urugero

Ibi bimenyetso bikunze kugabanuka mu mezi 2-3 umubiri wawe umaze kumenyera urugero rushya rw'imisemburo. Niba bikomeje cyangwa bikaba bibangamye, muganga wawe ashobora guhindura urugero rw'umuti cyangwa igihe uwufata kugira ngo agabanye kutumva neza.

Ingaruka zikomeye ntizikunze kugaragara ariko zisaba ubufasha bwihuse bw'abaganga. Ibi bimenyetso bidakunze kugaragara ariko by'ingenzi birimo:

• Kubabara mu gituza cyangwa guhumeka nabi
• Umutwe ukabije cyangwa guhinduka mu mbono
• Kubabara cyangwa kubyimba ukuguru
• Gusohoka amaraso mu gitsina mu buryo budasanzwe
• Kubabara cyane mu nda
• Ibimenyetso byo kwibasirwa n'umubiri

Vugana n'umuganga wawe ako kanya niba ubonye kimwe muri ibi bimenyetso, kuko bishobora kwerekana ibibazo bikomeye bisaba isuzuma ryihuse.

Ninde utagomba gufata Estradiol na Progesterone?

Indwara zimwe na zimwe zituma imiti isimbura imisemburo idakwiriye cyangwa ishobora guteza akaga. Muganga wawe azasuzuma neza amateka yawe y'ubuzima mbere yo kugusaba uyu muti.

Ntugomba gufata uyu muti niba ufite cyangwa waragize kanseri y'ibere, kanseri y'uruhu rw'igitsina cyangwa izindi kanseri zikunda imisemburo. Imisemburo ishobora gutera imikurire y'izi ngirangingo za kanseri.

Abagore bafite amateka y'amaraso avunda, situroku cyangwa indwara z'umutima ntibashobora kuba abakandida beza bo gufata imiti y'imisemburo yo kunywa. Uburyo bwo kunywa umuti bushobora kongera ibyago byo kuvunda kurusha ubundi buryo bwo gutanga imiti nk'ibipfuko cyangwa amavuta.

Izindi ndwara zikunze gusiba imiti y'imisemburo zirimo:

• Indwara yawe y'umwijima ikora cyane
• Gushyira amaraso mu gitsina atarasobanuka
• Gusama cyangwa konsa
• Indwara zimwe na zimwe z'urugero rwa genetike
• Indwara yawe y'umwijima ikora cyane

Muganga wawe azanareba amateka y'umuryango wawe y'indwara ya kanseri y'ibere, indwara y'umutima, n'umutsi wo mu bwonko kugira ngo amenye niba imiti ya hormone ikwiriye kuri wowe.

Amazina y'ubwoko bwa Estradiol na Progesterone

Ubu buhuza bwa hormone buboneka mu mazina menshi y'ubwoko, harimo Bijuva, kimwe mu bigize byandikwa cyane. Ubwoko bwose bushobora kugira gahunda zo gutanga imiti zitandukanye cyangwa ibigize ibinini.

Ubwoko bumwe buhuza hormone zombi mu kinini kimwe, mu gihe izindi zishobora kwandikwa nk'imiti itandukanye ifatwa hamwe. Muganga wawe azahitamo ubwoko bwihariye n'uburyo bujyanye neza n'ibyo ukeneye.

Ubwoko bwa rusange bushobora kuboneka, bushobora kuba bworoshye mu mafaranga mugihe butanga inyungu zimwe zo kuvura. Umufarumasiti wawe ashobora kugufasha gusobanukirwa amahitamo aboneka n'itandukaniro iryo ariryo ryose mu isura cyangwa gupakira.

Uburyo bwo gusimbuza Estradiol na Progesterone

Niba imiti ya hormone yo mu kanwa itagukwiriye, uburyo bwinshi bwo gusimbuza bushobora gutanga inyungu zisa. Ibipapuro bya Estrogen, gels, cyangwa amavuta bica umwijima kandi bishobora kuba byiza ku bagore bafite indwara zimwe na zimwe.

Imiti itari iya hormone nka gabapentin cyangwa imiti imwe na imwe irwanya depression ishobora gufasha kugabanya ubushyuhe n'ibimenyetso by'amarangamutima. Ubu buryo bushobora gukundwa niba ufite amateka y'amaraso cyangwa kanseri zifite hormone.

Uburyo bwa kamere burimo guhindura imibereho nko gukora imyitozo ngororamubiri buri gihe, gucunga umunaniro, no guhindura imirire. Abagore bamwe babona ubufasha hamwe na phytoestrogens kuva mubicuruzwa bya soya cyangwa ibiyobyabwenge by'ibyatsi, nubwo ibi bigomba kuganirwaho na muganga wawe.

Ibikoresho bya estrogen byo mu gitsina gishobora kuvura ibimenyetso byo mu gace nk'ubusharire n'akababaro hatabayeho guhura cyane na hormone mu mubiri. Ibi bishobora gukoreshwa bonyine cyangwa hamwe n'izindi nshuti.

Ese Estradiol na Progesterone biruta Estrogen yonyine?

Ku bagore bagifite imura, guhuza estradiol na progesterone muri rusange biruta estrogen yonyine. Progesterone irinda urukuta rw'imura gukura cyane, ibyo estrogen itarimo progesterone ishobora gutera.

Gufata estrogen itarimo progesterone byongera cyane ibyago byo kurwara kanseri y'umura ku bagore bafite imura. Igice cya progesterone gikuraho iki kaga mu kurinda urukuta rw'imura kugira ubuzima bwiza.

Ariko, abagore bagiye kubagwa imura bashobora gukenera estrogen gusa, kuko baba batagifite imura yo kurinda. Muganga wawe azashingira iki cyemezo ku mateka yawe yo kubagwa no ku bintu byihariye by'ibyago.

Ubuvuzi buhuza bushobora gutera ingaruka nyinshi mbere na mbere, cyane cyane ibimenyetso bifitanye isano n'amarangamutima biturutse ku gice cya progesterone. Nubwo bimeze bityo, uburinzi bwongerewe ku buzima bw'imura yawe butuma ari uburyo bukunda gukoreshwa ku bagore benshi.

Ibibazo bikunze kubazwa kuri Estradiol na Progesterone

Ese Estradiol na Progesterone birinzwe ku ndwara z'umutima?

Niba ufite indwara z'umutima, ubuvuzi bwa hormone busaba kwitonderwa cyane no gukurikiranwa hafi. Ubushakashatsi bwa vuba aha butanga igitekerezo cy'uko gutangira ubuvuzi bwa hormone mu gihe kitarenze imyaka 10 nyuma yo gucura bishobora kugira akamaro ku mutima, ariko gutangira nyuma y'aho bishobora kongera ibyago.

Abagore bafite amateka yo gufatwa n'umutima cyangwa umutsi w'ubwonko muri rusange ntibakwiriye ubuvuzi bwa hormone yo kunywa. Ariko, uburyo bwo kunyuzamo uruhu nk'utwenda dushobora gufatwa nk'uturinzwe kurushaho mu bihe bimwe na bimwe, kuko ntibagira ingaruka ku mikorere y'umwijima mu buryo bumwe.

Umuvuzi w'umutima wawe (cardiologist) n'umuganga w'abagore (gynecologist) bagomba gukorana kugira ngo bamenye niba imiti ya hormone ikwiriye indwara yawe y'umutima. Bazareba ibintu nk'imyaka yawe, igihe umaze guca imbyaro, n'uko umutima wawe wifashe muri rusange.

Nkwiriye gukora iki niba nanyweye estradiol na progesterone nyinshi bitunguranye?

Niba unyweye doze y'inyongera bitunguranye, ntugahagarike umutima. Doze imwe y'inyongera ntishobora guteza ibibazo bikomeye, ariko ushobora guhura n'ingaruka zirimo isesemi, kubabara mu mabere, cyangwa guhinduka kw'amarangamutima.

Vugana na muganga wawe cyangwa umufarimasi kugira ngo bagufashe, cyane cyane niba unyweye doze nyinshi cyane kurusha uko wategetswe. Bashobora kukugira inama niba ukeneye ubufasha bw'ubuvuzi n'uko wahindura doze zawe zikurikira.

Ntugerageze "gukosora" doze y'inyongera wirinda kunywa doze yawe ikurikira. Ahubwo, komeza gahunda yawe isanzwe yo kunywa imiti keretse niba ubisabwe n'umuganga wawe.

Nkwiriye gukora iki niba nanyimye doze ya estradiol na progesterone?

Niba wimye doze, yinywere ako kanya wibukiye, keretse igihe cyo kunywa doze yawe ikurikira kigeze. Muri urwo rubanza, reka doze wimye ukomeze gahunda yawe isanzwe.

Ntunywe doze ebyiri icyarimwe kugira ngo ukosore doze wimye, kuko ibyo bishobora kongera ibyago byo guhura n'ingaruka. Niba ukunda kwibagirwa kunywa imiti, gerageza gushyiraho alarme ya buri munsi cyangwa ukoreshe agasanduku k'imiti kugira ngo bikugiremo urwibutso.

Kutanywa doze rimwe na rimwe ntibiteje akaga, ariko bishobora gutuma ugaragaza ibimenyetso nk'ubushyuhe bwinshi cyangwa guhinduka kw'amarangamutima. Kugira ubudahangarwa mu kunywa imiti yawe bifasha kugumisha urugero rwa hormone ruri ku murongo no kugenzura ibimenyetso.

Nshobora kureka kunywa estradiol na progesterone ryari?

Umwanzuro wo kureka imiti ya hormone ugomba gufatirwa hamwe na muganga wawe. Bazagufasha gupima inyungu zikomeza zigereranyije n'ibyago bishobora kuvuka bitewe n'ubuzima bwawe bw'ubu n'ibimenyetso.

Abaganga benshi basaba kugabanya urugero rw'umuti buhoro buhoro aho guhagarika ako kanya, kuko ibyo bishobora gufasha kugabanya kugaruka kw'ibimenyetso bya menopause. Iyi nzira yo kugabanya urugero rw'umuti ishobora gufata amezi menshi kugira ngo irangire.

Abagore bamwe basanga bashobora guhagarika imiti ya hormone nyuma y'imyaka mike imibiri yabo imenyereye urugero ruto rwa hormone. Abandi bashobora gukenera kuvurwa igihe kirekire, cyane cyane niba bafite ibyago byinshi byo kurwara umugongo cyangwa bagikomeje kugira ibimenyetso bikomeye.

Nshobora gufata Estradiol na Progesterone hamwe n'indi miti?

Imiti myinshi ishobora gukururana n'imiti ya hormone, bityo ni ngombwa kubwira muganga wawe imiti yose, ibyongerera imbaraga, n'ibicuruzwa by'ibyatsi urimo gufata. Antibiotics zimwe, anticonvulsants, n'ibyongerera imbaraga by'ibyatsi bishobora kugabanya imikorere y'imiti ya hormone.

Imiti ituma amaraso atavura ashobora gukenera guhindurwa urugero rwayo iyo utangiye imiti ya hormone, kuko estrogen ishobora kugira ingaruka ku kuvura kw'amaraso. Muganga wawe azakugenzura neza niba ufata imiti nka warfarin.

Imiti imwe yo kuvura indwara za thyroid ishobora gukenera guhindurwa iyo utangiye imiti ya hormone. Igeragezwa ry'amaraso risanzwe rishobora gufasha kumenya neza ko imiti yawe yose ikora neza hamwe.