Iziphiko Zesigxina? Izimpawu, Izimbangela, Nokwelashwa

Iziphiko zesigxina yizikhumba ezikhula esigxina sakho sesigxina, isikhungo esincane kodwa esinamandla esisemazantsi engqondo yakho. Iningi lalezi ziphiko zilungile, okusho ukuthi azilona icala futhi ngeke zisakazeke kwezinye izingxenye zomzimba wakho.

Isigxina sakho sesigxina sisebenza njengendawo yokulawula ama-hormone omzimba wakho, sikhiqiza amakhemikhali alawula konke kusukela ekukhuleni kuya ekuzalaneni. Uma kukhula isigxina lapha, singacindezela ezicini ezizungezile noma siphule ukukhiqizwa kwama-hormone akho okujwayelekile, okuholela ezimpawu ezihlukahlukene ezingase zibonakale zingahlobene ekuqaleni.

Ziyini izimpawu zeziphiko zesigxina?

Izimpawu zeziphiko zesigxina ziyahluka kuye ngobukhulu besigxina nokuthi liyathinta yini amazinga akho ama-hormone. Abantu abaningi bahlala neziphiko ezincane ngaphandle kokwazi ukuthi banazo, kanti abanye babhekana nezinguquko ezibonakalayo empilweni yabo yansuku zonke.

Uma iziphiko zikhula zibe zinkulu ngokwanele ukucindezela izakhiwo eziseduze, ungase ube nezinto odokotela abazibiza ngokuthi "izimpawu zokuthinta okukhulu." Lokhu kwenzeka ngoba isigxina esikhulayo sicindezela izindawo ezibalulekile ezizungezile isigxina sakho sesigxina.

• Ubuhlungu obungapheli obuzwakala buhlukile kubunye ubuhlungu obujwayelekile
• Izinkinga zobuso, ikakhulukazi ukulahlekelwa umbono waseceleni noma ukubona okubili
• Ukuphefumula nokugabha okubonakala kuvela ngaphandle kwesizathu
• Ukukhathazeka noma izinkinga zokulinganisela
• Ukukhathala okungapheli ngisho nalapho ukhululekile

Izimpawu ezihlobene nama-hormone zenzeka uma iziphiko zikhiqiza okuningi kwama-hormone athile noma zivimbela isigxina sakho sesigxina ukwenza okwanele. Lezi zimpawu zingase zibe buthakathaka futhi zikhule kancane kancane ezinyangeni noma eminyakeni eminingi.

Uma isigxina sakho sikhiqiza i-growth hormone engaphezulu, ungase uqaphele izandla zakho, izinyawo, noma izici zobuso zakho zikhula kancane kancane. Lesi simo, esibizwa ngokuthi i-acromegaly, singase futhi sibangele ubuhlungu bezingqondo, i-sleep apnea, nokuhlukahluka elizwini lakho.

Iziphiko ezenza i-prolactin engaphezulu zingabangela isikhathi esingavamile sezinyanga kwabesifazane, ukukhiqizwa okungalindelekile kobisi lwesibeletho, nokunciphisa isifiso sobulili kubantu bobabili besilisa nabesifazane. Amadoda angase futhi abe ne-erectile dysfunction noma ukukhula kwesibeletho.

Uma iziphiko zikhiqiza i-cortisol-stimulating hormone engaphezulu, ungase ube nesimo esaziwa ngokuthi i-Cushing's disease. Lokhu kungabangela ukwanda kobunzima ezingxenyeni zakho eziphakathi, imikhawulo ebomvu ebomvu, ukucindezeleka kwegazi, nokuhlukahluka kwesimo sengqondo njengokucindezeleka noma ukukhathazeka.

Ngokungavamile, ezinye iziphiko zikhiqiza i-thyroid-stimulating hormone engaphezulu, okubangela izimpawu ezifana ne-hyperthyroidism njengokushaya kwenhliziyo okusheshayo, ukulahlekelwa ubunzima, ukukhathazeka, nobunzima bokuphumula.

Ziyini izinhlobo zeziphiko zesigxina?

Iziphiko zesigxina zihlelwa ngezindlela ezimbili eziyinhloko: ngobukhulu bazo nangokuthi zikhiqiza yini ama-hormone. Ukuqonda lezi zigaba kusiza udokotela wakho ukuthi anqume indlela yokwelapha engcono kakhulu yesimo sakho esithile.

Ngokuya ngobukhulu, odokotela bahlukanisa lezi ziphiko njenge-microadenomas noma i-macroadenomas. I-Microadenomas incintisana kune-10 millimeters futhi ngokuvamile ayibangeli izimpawu ezibonakalayo. I-Macroadenomas inkulu kune-10 millimeters futhi kungenzeka kakhulu ukubangela izinkinga zama-hormone nezimpawu zokucindezela.

Iziphiko ezisebenza ngokusebenza zikhiqiza ama-hormone ngokusebenza, kanti iziphiko ezingasebenzi azikhiqizi ama-hormone angaphezulu kodwa zingase zisabangele izinkinga ngokukhula zibe zinkulu ngokwanele ukucindezela izakhiwo ezizungezile.

I-Prolactinomas yilona uhlobo oluvamile lwesigxina esisebenza ngokusebenza, okwenza cishe u-40% wazo zonke iziphiko zesigxina. Lezi ziphiko zikhiqiza i-prolactin engaphezulu, i-hormone ehambisana nokukhiqizwa kobisi lwesibeletho.

Iziphiko ezikhiqiza i-growth hormone zibangela i-gigantism kubantwana ne-acromegaly kubantu abadala. Lezi ziphiko azivamile kodwa zingabangela izinguquko ezinkulu zomzimba uma zingaphathwa.

Iziphiko ezikhiqiza i-ACTH zikhiqiza i-adrenocorticotropic hormone engaphezulu, okuholela e-Cushing's disease. Lezi ziphiko ngokuvamile zincintisana kodwa zingaba nemiphumela emikhulu ohlelweni lokulwa nokucindezeleka komzimba wakho.

Ngokungavamile, ungase uhlangane neziphiko ezikhiqiza i-TSH ezibangela i-hyperthyroidism, noma iziphiko ezikhiqiza i-gonadotropin ezithinta ama-hormone okuzala. Lezi zinhlobo zimelela ngaphansi kuka-5% wazo zonke iziphiko zesigxina.

Yini ebangela iziphiko zesigxina?

Imbangela eqondile yeziphiko zesigxina eziningi ayaziwa, okungase kuzwakale kuyadumaza uma ufuna izimpendulo. Noma kunjalo, abacwaningi baye baqaphela izinto eziningana ezingase zisekele ekukhuleni kwazo.

Iningi leziphiko zesigxina libonakala liqala ngokuzimela ngenxa yezinguquko ezingahleliwe ze-genetic kumaseli esigxina. Lezi zinguquko zenza amaseli akhule futhi ahlukanise ngokushesha kunokujwayelekile, ekugcineni akhe isigxina.

Ezimweni ezingavamile, iziphiko zesigxina zingaba yingxenye yezifo ze-genetic eziwusizo. I-Multiple Endocrine Neoplasia type 1 (MEN1) yilona eliqhelekile lalezi zimo, elithinta cishe eli-1 ku-30,000 labantu.

I-McCune-Albright syndrome enye isimo se-genetic esingavamile esingase sihlanganise iziphiko zesigxina, kanye nezingozi ezihlobene nethambo nokuhlukahluka kombala wesikhumba. Lesi simo sithinta abantu abangaphansi kuka-1 ku-100,000.

I-Carney complex iyisimo esingavamile kakhulu esidluliselwa ezizukulwaneni esingabangela izinhlobo ezihlukahlukene zeziphiko, kufaka phakathi i-pituitary adenomas. Kunemithi embalwa kuphela ebikezelwe emhlabeni wonke.

Ucwaningo oluthile luphakamisa ukuthi ukulimala kwekhanda kungase kukhulise kancane ingozi yakho yokuthuthukisa iziphiko zesigxina, kodwa lobu buhlobo abubonakali ngokuqinisekile. Izinto ezingqongile nezindlela zokuphila azibonakali zidlala indima ebalulekile ekukhuleni kwesigxina.

Nini kufanele ubheke udokotela ngeziphiko zesigxina?

Kufanele uxhumane nodokotela wakho uma ubhekana nezimpawu eziqhubekayo ezingase zibonise isigxina sesigxina. Ukutholakala kwasekuqaleni kuvame ukubangela imiphumela emihle yokwelapha futhi kungavimbela izinkinga.

Funani ukunakekelwa kwezokwelapha uma uthuthukisa ubuhlungu obukhulu, obuqhubekayo obuzwakala buhlukile kubunye ubuhlungu obujwayelekile. Lokhu kubaluleke kakhulu uma ubuhlungu buhambisana nezinguquko zobuso noma ukuphefumula.

Izinkinga zobuso zidinga ukuhlolwa ngokushesha, ikakhulukazi uma uqaphela ukuthi uthinta izinto eceleni noma unezinkinga ngombono waseceleni. Lezi zinguquko zingase zibonise ukuthi isigxina sicindezela imithambo yakho yombono.

Abesifazane kufanele babone udokotela wabo ngezikhathi ezingavamile zezinyanga ezingachazwa ngezinye izinto, ikakhulukazi uma zihambisana nokukhiqizwa okungalindelekile kobisi lwesibeletho noma ukunciphisa isifiso sobulili.

Amadoda kufanele afune ukuhlolwa nge-erectile dysfunction engachazwanga, ukunciphisa isifiso sobulili, noma ukukhula kwesibeletho, ikakhulukazi uma lezi zimpawu zikhula kancane kancane ngokuhamba kwesikhathi.

Xhumana nodokotela wakho uma uqaphela izinguquko eziqhubekayo ebonakalayo, njengezandla zakho, izinyawo, noma izici zobuso zibe zinkulu, noma uma uthuthukisa ukwanda kobunzima obungachazwanga ezingxenyeni zakho eziphakathi.

Ziyini izinto ezingase zikhulise ingozi yeziphiko zesigxina?

Iningi leziphiko zesigxina liqala ngaphandle kwezinto ezingase zikhulise ingozi, okwenza kube nzima ukuqagela noma ukuvimbela. Noma kunjalo, ukuqonda izinto ezingase zikhulise ingozi kungakusiza uhlale unolwazi ngempilo yakho.

Ubudala budlala indima ekukhuleni kwesigxina sesigxina, ngeziphiko eziningi ezenzeka kubantu abaneminyaka engama-30 kuya kwengu-50. Noma kunjalo, lezi ziphiko zingase zikhule kunoma iyiphi iminyaka, kufaka phakathi kubantwana nabantu abadala.

Ubulili buthinta ubuningi bezinhlobo ezithile zeziphiko. Abesifazane banesihloko esikhulu sokuthuthukisa i-prolactinomas, ikakhulukazi phakathi neminyaka yabo yokuzala, kanti iziphiko ezikhiqiza i-growth hormone zithinta amadoda nabesifazane ngokulinganayo.

Ukuba nomlando womndeni wezifo ezithile ze-genetic kukhulise kakhulu ingozi yakho. Uma amalungu amaningi omndeni ebe neziphiko ze-endocrine, ukwelulekwa kwe-genetic kungase kube usizo ekuhloleni ingozi yakho.

Ukuvezwa kwangaphambili kwemisebe ekhanda nasendaweni yomlomo, ikakhulukazi ngesikhathi sobuntwana, kungase kukhulise kancane ingozi yakho yokuthuthukisa iziphiko zesigxina kamuva ekuphileni. Lokhu kuhlanganisa ukwelashwa kwemisebe yezinye izifo zomdlavuza noma ukwenza izithombe ezivamile zezokwelapha.

Abantu abaningi abathuthukisa iziphiko zesigxina abanazo izinto ezingase zikhulise ingozi, okusho ukuthi lezi ziphiko zivame ukuqala ngokungahleliwe. Lokhu kungase kuzwakale kuyadumaza, kodwa futhi kusho ukuthi cishe awukwenzanga lutho ukuvimbela ukukhula kwesigxina.

Ziyini izinkinga ezingase zenzeke ngeziphiko zesigxina?

Ngenkathi iziphiko eziningi zesigxina zibangela izimpawu ezilawuleka, ezinye zingabangela izinkinga ezinkulu uma zingaphathwa. Ukuqonda lezi zinkinga ezingase zenzeke kusiza ukuchaza ukuthi kungani ukuxilongwa nokwelashwa okusheshayo kubalulekile.

Iziphiko ezinkulu zingacindezela imithambo yakho yombono, okungenzeka kubangele ukulahlekelwa umbono unaphakade uma zingaphathwa ngokushesha. Lokhu ngokuvamile kuqala njengokuhluleka ukubona eceleni kodwa kungase kuqhubekele ekubuneni okuphelele ezimweni ezinkulu.

Ukungahambisani kwama-hormone okuvela eziphikweni ezisebenza ngokusebenza kungabangela izinkinga zempilo zesikhathi eside ezithinta izinhlelo eziningi zomzimba. Lezi zinkinga ngokuvamile zikhula kancane kancane futhi zingase zingabonakali ngokushesha.

• Izinkinga zenhliziyo ezivela e-growth hormone engaphezulu noma i-cortisol
• I-Diabetes evela ekungahanjisani kwama-hormone okuthinta ukulawulwa kweswekile legazi
• I-Osteoporosis evela ekunciphile kakhulu kwe-cortisol noma ukuncipha kwe-growth hormone
• I-Sleep apnea evela ezicini zobuso ezinkulu noma olulimi
• Ukucindezeleka kwegazi okuvela ekungahanjisani kwama-hormone ahlukahlukene

I-Pituitary apoplexy iyinkinga engavamile kodwa eyingozi lapho ukuphuza igazi noma ukukhula kwenzeka ngaphakathi kwesigxina. Lesi simo esiphuthumayo sibangela ubuhlungu obukhulu, izinkinga zobuso, nokuncipha kwama-hormone okusongela impilo.

I-Hypopituitarism ingase ikhule uma iziphiko zilimaza isigxina sesigxina esijwayelekile, okuholela ekunciphile kwama-hormone amaningi. Lesi simo sidinga ukwelashwa okuqhubekayo kokufakwa kwama-hormone nokuqapha okunakekelayo kwezokwelapha.

Ngokungavamile, iziphiko ezinkulu kakhulu zingabangela ukwanda kokucindezela ngaphakathi engqondweni yakho, okuholela ebuhlungwini obukhulu, ukungabaza, nokucindezela kwengqondo okusongela impilo. Lesi simo sidinga ukusebenza kwezokwelapha ngokushesha.

Iziphiko zesigxina zitholakala kanjani?

Ukutholakala kweziphiko zesigxina kuhilela izinyathelo eziningana, kuqala ngomlando wakho wezokwelapha nezimpawu zakho. Udokotela wakho uzobuza imibuzo eminingi ngezimpawu zakho, lapho zaqala khona, nokuthi ziguquke kanjani ngokuhamba kwesikhathi.

Izivivinyo zegazi kubalulekile ekuqondeni amazinga ama-hormone nokuthola ukuthi isigxina sakho sikhiqiza yini ama-hormone angaphezulu. Lezi zihloko kungase kudingeke ziphindwe ngezikhathi ezihlukahlukene zosuku njengoba ezinye ama-hormone ziguquka ngokwemvelo.

Udokotela wakho angase ayalele izivivinyo ezikhethekile zokukhuthaza noma ukuvimbela ama-hormone ukuze athole isithombe esicacile sokuthi isigxina sakho sesigxina sisebenza kanjani. Lezi zihloko zihilela ukuthatha imithi bese uqapha impendulo yakho ye-hormone.

I-MRI scans inikeza izithombe eziningi zesigxina sakho sesigxina futhi ingase ithole iziphiko ezincane njengemilimitha embalwa. Le nqubo isebenzisa ama-magnetic fields kunokuba imisebe, okwenza ibe yilona lokuphepha kubantu abaningi.

Ukuhlolwa kombono kusiza ukuthola ukuthi isigxina liyathinta yini imithambo yakho yombono. Lokhu kuhlanganisa ukuhlola umbono wakho waseceleni nokuqina kombono, okungase kuveze izinkinga ngisho nangaphambi kokuthi uqaphele izimpawu.

Ezimweni ezithile, udokotela wakho angase aphakamise ukuhlolwa kwe-genetic, ikakhulukazi uma unemlando womndeni weziphiko ze-endocrine noma uma isigxina sakho sivela ebusheni.

Iyini indlela yokwelapha iziphiko zesigxina?

Ukwelashwa kweziphiko zesigxina kuyahluka kuye ngezinto eziningana kufaka phakathi ubukhulu besigxina, uhlobo, nokuthi liyabangela yini izimpawu. Iziphiko eziningi ezincane, ezingasebenzi ngokusebenza zidinga nje ukuqapha kunokwelashwa okusheshayo.

Imithi ngokuvamile iyilona khetho lokuqala lokwelapha i-prolactinomas nezinye iziphiko ezikhiqiza ama-hormone. Lezi zidakamizwa zinganciphisa iziphiko futhi zilinganise amazinga ama-hormone, ngokuvamile zinikeza impumuzo enkulu ezimpawu.

I-Dopamine agonists njenge-cabergoline noma i-bromocriptine isebenza kakhulu kwi-prolactinomas, ngabantu abaningi bebona ukuthuthuka phakathi kwamasonto ambalwa. Lezi zidakamizwa zisebenza ngokulingisa i-dopamine, ecindezela ngokwemvelo ukukhiqizwa kwe-prolactin.

I-Somatostatin analogs ingasiza ukulawula iziphiko ezikhiqiza i-growth hormone ngokuvimba ukukhishwa kwe-hormone. Lezi zidakamizwa ngokuvamile zinikezwa njengeziqhamo zenyanga yonke futhi zinganciphisa kakhulu ubukhulu besigxina namazinga ama-hormone.

Ukuhlinzwa kuba yilona kudingekayo uma imithi ingasebenzi noma uma iziphiko zinkulu ngokwanele ukubangela izinkinga zobuso noma ezinye izimpawu ezinkulu. Iningi lokuhlinzwa kwesigxina lenziwa ngaphansi kwesiphephelo, kugwenywe isidingo sokuvula ingqondo.

I-Transsphenoidal surgery iyindlela eyi-gold standard, lapho ochwepheshe bokuhlinzwa befika esigxinini ngezindlela zakho ze-nasal ne-sphenoid bone. Le ndlela ngokuvamile iholela ezikhathini ezimfushane zokutamba nezingozi ezincane kunokuhlinzwa kwengqondo okujwayelekile.

Ukwelashwa kwemisebe kungase kuphakanyiswe ezinhlotsheni zeziphiko ezingasuswa ngokuphelele ngokuhlinzwa noma ezingaphenduli emithi. Izindlela zanamuhla zemisebe zingase zihlose ngokuqondile amaseli esigxina ngenkathi zinciphisa ukulimala kwesicubu esinempilo.

I-Stereotactic radiosurgery inikeza imisebe egxile kwisikhathi esisodwa, kanti ukwelashwa kwemisebe okujwayelekile kuhilela izilinganiso ezincane eziningi ezinyangeni eziningi. Udokotela wakho uzosiza ekuthola ukuthi iyiphi indlela engcono kakhulu yesimo sakho.

Ungazilawula kanjani iziphiko zesigxina ekhaya?

Ukuphila ngesigxina sesigxina kuhilela ukusebenzisana eduze neqembu lakho lezokwelapha ngenkathi uthatha izinyathelo zokusekela impilo yakho yonke nokuphumula kwakho. Ukuhlukahluka okuncane kwesitayela sokuphila kungenza umehluko omkhulu endleleni ozizwa ngayo usuku nosuku.

Ukuthatha imithi njengoba kuyalelwe kubalulekile ekulawuleni amazinga ama-hormone nokuvimbela izinkinga. Yenza uhlelo oluzokusiza ukuba ukhumbule imithi yakho, ikakhulukazi uma uthatha imithi eminingi ngezikhathi ezihlukahlukene.

Ukuqapha izimpawu zakho kuzokusiza wena nodokotela wakho ukuthi nilandelele ukuthi ukwelashwa kwakho kusebenza kanjani. Gcina idayari elula ubhale noma yiziphi izinguquko emazingeni amandla, isimo sengqondo, umbono, noma ezinye izimpawu ozibonile.

Izivivinyo zokulandelela njalo kubalulekile ngisho noma uzizwa kahle. Udokotela wakho udinga ukuqapha amazinga ama-hormone nokuhlola noma yiziphi izinguquko ebukhulwini besigxina sakho noma ekuziphatheni kwabo.

Ukugcina isitayela sempilo esinempilo kusekela impilo yakho yonke futhi kungasiza ekulawuleni ezinye izimpawu. Gxila ekutholeni ukulala okwanele, ukudla ukudla okunempilo, nokuba nesikhathi esiningi njengoba isimo sakho siyakuvumela.

Ukulawula ukucindezeleka kuba yinto ebalulekile ngoba ukucindezeleka kungase kukhulise izimpawu eziningi ezihlobene nama-hormone. Cabanga ngezindlela zokuphumula, ukuzivocavoca okuthambile, noma ukwelulekwa uma ulwa nezici zobuhlungu zokuxilongwa kwakho.

Ukuhlangana namaqembu wokusekela, noma ngokomuntu siqu noma online, kungakunikeza ukusekelwa okubalulekile kobuhlungu nezeluleko eziwusizo kulabo abayaqonda ukuthi uhamba ngani.

Kufanele uzilungiselele kanjani i-appointment yakho yodokotela?

Ukulungiselela i-appointment yakho kusiza ukuqinisekisa ukuthi uthola okuningi ngesikhathi sakho nomhlinzeki wakho wezokunakekelwa kwezempilo. Ukulungiselela okuhle kungabangela ukuxilongwa okuchane kakhulu nohlelo lokwelapha oluhle.

Bhala zonke izimpawu zakho, kufaka phakathi lapho zaqala khona nokuthi ziguquke kanjani ngokuhamba kwesikhathi. Faka izimpawu ezingabonakali zihambisana, njengoba iziphiko zesigxina zingabangela imiphumela ehlukahlukene kulo lonke umzimba wakho.

Letha uhlu oluphelele lwazo zonke imithi, izithasiselo, namavithamini owaqaphela. Faka imithamo nokuthi uthatha imithi kangaki, njengoba ezinye zingase zithinte amazinga ama-hormone noma zisebenzisane nokwelashwa.

Bula umlando wakho wezokwelapha, kufaka phakathi noma yikuphi ukuhlinzwa kwangaphambili, izifo ezinkulu, noma umlando womndeni weziphiko noma izifo ze-endocrine. Lolu lwazi lusiza udokotela wakho ukuthi ahlole isithombe sakho sonke sempilo.

Lungisa imibuzo kusengaphambili ukuze ungakhohlwa ukukhathazeka okubalulekile ngesikhathi se-appointment. Zibhale phansi futhi ubeke phambili ezibaluleke kakhulu uma isikhathi singanele.

Cabanga ukuthi ulethe umngane othembekile noma ilungu lomndeni e-appointment yakho. Bangakusiza ukuba ukhumbule ulwazi oluxoxwe futhi banikeze ukusekelwa kobuhlungu ngesikhathi esingase sibe yisikhathi esicindezelayo.

Uma uke wenza izifundo zokwenza izithombe noma umsebenzi welebhu kwenye indawo, cela amakhophi ukuze ulethe e-appointment yakho. Lokhu kungasindisa isikhathi futhi kuvimbele isidingo sokuhlola okupindapindiwe.

Iyini into ebaluleke kakhulu ngeziphiko zesigxina?

Into ebaluleke kakhulu okumele uyiqonde ngeziphiko zesigxina ukuthi ngokuvamile zilawuleka futhi zineziphumo ezinhle uma zilawulwa kahle. Iningi lilungile futhi ngeke lisakazeke kwezinye izingxenye zomzimba wakho.

Ukutholakala kwasekuqaleni nokwelashwa okufanele kungavimbela izinkinga ezinkulu futhi kukusize ugcine impilo enhle. Abantu abaningi abaneziphiko zesigxina baqhubeka bephila impilo evamile ngokunakekelwa kwezokwelapha okufanele.

Ukusebenza nodokotela we-endocrinologist noma i-neurosurgeon onolwazi kukunika ithuba elihle kakhulu lemiphumela emihle. Laba ochwepheshe baqonda ubuhlobo obukhulu phakathi kokusebenza kwesigxina nokuphumula kwakho konke.

Khumbula ukuthi ukwelashwa ngokuvamile kuyinqubo ehamba kancane, futhi kungase kudingeke isikhathi ukuthola indlela efanele yesimo sakho esithile. Ukubekezela nokuxhumana okuvulekile neqembu lakho lezokwelapha kubalulekile ekulawuleni okuphumelelayo.

Imibuzo evamile ebuzwa ngeziphiko zesigxina

Iziphiko zesigxina zingavikelwa yini?

Ngeshwa, iningi leziphiko zesigxina alingavikelwa ngoba ngokuvamile liqala ngenxa yezinguquko ezingahleliwe ze-genetic. Noma kunjalo, uma unemlando womndeni wezifo ze-genetic ezihambisana neziphiko zesigxina, ukwelulekwa kwe-genetic kungasiza ekuhloleni ingozi yakho nokuqondisa amasu okuqapha.

Iziphiko zesigxina yizifo zomdlavuza yini?

Iningi leziphiko zesigxina lilungile, okusho ukuthi azilona icala futhi ngeke lisakazeke kwezinye izingxenye zomzimba wakho. Iziphiko zesigxina ezimbi kakhulu zingezona ezivamile, ezenzeka ngaphansi kuka-1% wazo zonke izimo zeziphiko zesigxina.

Ngingase ngidinga ukuhlinzwa ngesigxina sami sesigxina yini?

Akuzona zonke iziphiko zesigxina ezidinga ukuhlinzwa. Iziphiko ezincane, ezingasebenzi ngokuvamile zidinga nje ukuqapha, kanti iziphiko eziningi ezikhiqiza ama-hormone ziphendula kahle emithi. Ukuhlinzwa ngokuvamile kuphakanyiswa uma iziphiko zibangela izinkinga zobuso, zingaphenduli emithi, noma ziqhubeka zikhula naphezu kokwelashwa.

Iziphiko zesigxina zingathinta ukukhulelwa yini?

Iziphiko zesigxina zingathinta ukukhulelwa nokukhulelwa, ikakhulukazi i-prolactinomas engase iphazamise ukuvuthwa kwama-ovule. Noma kunjalo, abesifazane abaningi abaneziphiko zesigxina bangaba nokukhulelwa okuphumelelayo ngokunakekelwa kwezokwelapha okufanele nokuqapha phakathi kokukhulelwa.

Ngingase ngidinga izivivinyo zokulandelela kangaki?

Ukuqina kokulandelela kuyahluka kuye ngohlobo lwesigxina sakho nokwelashwa. Ekuqaleni, ungase udinga izivivinyo ezinyangeni ezingu-3-6, kodwa uma isimo sakho siqondile, ukuhlolwa kwaminyaka yonke ngokuvamile kwanele. Udokotela wakho uzolungisa isimiso ngokuya ngezidingo zakho nempendulo yakho ekwelapheni.