Yini i-Estrogen? Izimpawu, Izimbangela, & Ukwelashwa Kwasekhaya

I-Estrogen iyihomoni ebalulekile edlala indima ebalulekile ohlelweni lwakho lokuzala lomzimba, impilo yamathambo, kanye nenhlalakahle iyonke. Lapho amazinga akho e-estrogen yemvelo ehla ngenxa yokuya esikhathini, izimo zezokwelapha, noma ezinye izinto, udokotela wakho angase ancome ukwelashwa nge-estrogen ngezindlela ezihlukahlukene njengamaphilisi, iziqeshana, ama-gel, noma imijovo ukusiza ukubuyisela ibhalansi ye-hormonal futhi kunciphise izimpawu ezingakhululeki.

Yini i-Estrogen?

I-Estrogen iyihomoni yakho eyinhloko yezocansi yabesifazane, nakuba ikhona kuwo wonke umuntu kungakhathaliseki ubulili. Ikhiqizwa ikakhulukazi ngama-ovari akho futhi isiza ukulawula umjikelezo wakho wokuya esikhathini, isekela ukuminyana kwamathambo, futhi igcina isikhumba nezinwele ezinempilo. Cabanga nge-estrogen njengomxhumanisi wemvelo womzimba wakho wemisebenzi eminingi ebalulekile.

Lapho amazinga e-estrogen eba phansi kakhulu, ungase uthole izimpawu ezinjengokushisa, izinguquko zemizwa, noma ukulahlekelwa amathambo. Yilapho ukwelashwa kokushintshwa kwe-estrogen kungena khona. Udokotela wakho angakwazi ukunquma i-estrogen ngezindlela ezihlukene ukusiza umzimba wakho ukuthi ugcine amazinga e-hormone owadingayo ukuze usebenze kahle.

Kuzizwa Kanjani Ukuba Ne-Estrogen Ephansi?

I-estrogen ephansi ingakuthinta ngezindlela eziningi, ngokomzimba nangokomzwelo. Uphawu oluvamile kakhulu ukushisa, okuzizwa njengamagagasi asheshayo okushisa asakazeka emzimbeni wakho, ngokuvamile okuhambisana nokujuluka nokubomvu. Ungase futhi uqaphele izinguquko emjikelezweni wakho wokuya esikhathini noma ukungabikho ngokuphelele kwezikhathi.

Ngaphandle kwezimpawu zomzimba, i-estrogen ephansi ingathinta imizwa yakho nokucaca kwengqondo. Abantu abaningi bachaza ukuzizwa becasukile, bekhathazekile, noma behlangabezana nalokho okuvame ukubizwa ngokuthi “inkungu yobuchopho” - ubunzima bokugxilisa ingqondo noma ukukhumbula izinto. Ukuphazamiseka kokulala nakho kuvamile, okukwenza uzizwe ukhathele futhi ungaqini ngesikhathi sosuku.

Umzimba wakho ungase ubonise izimpawu ngezinguquko esikhumbeni sakho, izinwele, nempilo yakho yangasese. Isikhumba singase some futhi singabi namandla, kuyilapho ukoma kwesitho sangasese sowesifazane kungenza ukusondelana kungakhululeki. Lezi zinguquko zenzeka kancane kancane, ngakho ungase ungaziboni zonke ngesikhathi esisodwa.

Yini Ebanga Amazinga Aphansi E-Estrogen?

Imbangela evame kakhulu ye-estrogen ephansi yi-menopause, evame ukwenzeka phakathi kweminyaka engama-45-55. Ngesikhathi salolu shintsho lwemvelo, ama-ovari akho akhiqiza kancane kancane i-estrogen aze ayeke ukukhipha amaqanda ngokuphelele. Le nqubo ingathatha iminyaka eminingana futhi ithinta umuntu ngamunye ngendlela ehlukile.

Izimo eziningana zezokwelapha nazo zingaholela emazingeni aphansi e-estrogen. Nazi izimbangela eziyinhloko okufanele uziqaphele:

• Ukususwa kwama-ovari ngokuhlinzwa (oophorectomy)
• I-chemotherapy noma i-radiation therapy ethinta ama-ovari
• Ukungasebenzi kahle kwama-ovari okuyinhloko (i-menopause yasekuqaleni ngaphambi kweminyaka engama-40)
• Ukuphazamiseka kokudla okuthinta ukukhiqizwa kwamahomoni
• Ukuvivinya umzimba ngokweqile okuphazamisa imijikelezo evamile yamahomoni
• Imithi ethile ephazamisa ukukhiqizwa kwamahomoni
• Izimo zofuzo ezithinta ukusebenza kwama-ovari

Ezimweni ezingavamile, izinkinga nge-pituitary gland yakho noma i-hypothalamus zingathinta ukukhiqizwa kwe-estrogen. Lezi zakhiwo zobuchopho zilawula ukukhishwa kwamahomoni, ngakho noma yikuphi ukuphazamiseka lapho kungaholela ekuthinteni ikhono lama-ovari akho lokukhiqiza i-estrogen.

Iyini I-Estrogen Ephansi Ewuphawu Noma Isibonakaliso Sani?

I-estrogen ephansi ivame kakhulu ukuba yisibonakaliso sokuguga kwemvelo kanye ne-menopause. Kodwa-ke, ingase futhi ikhombise izimo zempilo ezingaphansi ezidinga ukunakekelwa kwezokwelapha. Ukuqonda ukuthi umzimba wakho ukutshelani kukusiza kanye nodokotela wakho ukuthi banqume indlela engcono kakhulu yokwelashwa.

Lapho i-estrogen ephansi yenzeka ngaphambi kokuyeka ukuya esikhathini, ingase ibonise izimo ezingathi sína. Ukungasebenzi kahle kwama-ovari okuyinhloko kuthinta cishe u-1% wabesifazane futhi kungenzeka ekuqaleni kweminyaka yobusha. Lesi simo sidinga ukuhlolwa kwezokwelapha futhi ngokuvamile ukwelashwa ngamaphilisi e-hormone ukuvikela impilo yakho yamathambo nokuphila kahle konke.

Ngezinye izikhathi, i-estrogen ephansi ikhomba ezintweni zokuphila ezithinta ama-hormone akho. Ukucindezeleka okungapheli, ukuncipha kwesisindo esikhulu, noma ukuqeqeshwa okukhulu kwezemidlalo konke kungaphazamisa ukukhiqizwa kwama-hormone emzimbeni wakho. Izifo zokudla njenge-anorexia nervosa ngokuvamile zibangela ukuthi amazinga e-estrogen ehlise kakhulu.

Ezimweni ezingavamile, i-estrogen ephansi ingase ikhombe izinkinga nge-pituitary gland yakho noma i-hypothalamus. Lezi zakhiwo zobuchopho zilawula ukukhululwa kwama-hormone emzimbeni wakho wonke, ngakho-ke izinkinga lapho zingathinta amasistimu amaningi e-hormone, hhayi nje i-estrogen.

Ingabe i-Estrogen Ephansi Ingahamba Yodwa?

Noma ngabe i-estrogen ephansi iyazixazulula yodwa kuncike ngokuphelele kulokho okuyibangelayo. Uma izici zokuphila njengokuzivocavoca ngokweqile, ukucindezeleka, noma izifo zokudla ziyimbangela, amazinga akho e-estrogen angase abuyele kwesijwayelekile uma lezi zinkinga zixazululiwe. Umzimba wakho muhle kakhulu ekubuyiseleni ibhalansi ye-hormonal uma unikezwa izimo ezifanele.

Kodwa-ke, uma ukuyeka ukuya esikhathini kuyimbangela, amazinga akho e-estrogen ngokwemvelo azohlala ephansi. Lokhu kuyingxenye ejwayelekile yokuguga, futhi umzimba wakho uzivumela kancane kancane kulezi zinguquko ngokuhamba kwesikhathi. Izimpawu eziningi ziyathuthuka njengoba umzimba wakho uzivumela esimweni sawo esisha se-hormonal, nakuba le nqubo ingathatha iminyaka eminingana.

Ezimweni ezinjengokungasebenzi kahle kwama-ovari okuyinhloko noma ukuyeka ukuya esikhathini ngokuhlinzwa, amazinga e-estrogen ngokuvamile awabuyeli ngokwawo. Lezi zimo ngokuvamile zidinga ukungenelela kwezokwelapha ukuze kugcinwe impilo enhle futhi kuvinjelwe izinkinga zesikhathi eside njenge-osteoporosis.

Ingasetshenziswa Kanjani I-Estrogen Ephansi Ekhaya?

Noma ungeke ukwazi ukufaka i-estrogen ekhaya ngokwemvelo, izindlela eziningi zokuphila zingasiza ekuphatheni izimpawu futhi zisekele impilo yakho yonke yamahomoni. Lezi zindlela zisebenza kahle kakhulu kanye nokwelashwa kwezokwelapha futhi zingathuthukisa kakhulu izinga lakho lempilo.

Ukudla kudlala indima ebalulekile ekusekeleni umzimba wakho ngesikhathi soshintsho lwamahomoni. Ukudla okunothile nge-phytoestrogens - izinhlanganisela zezitshalo ezilingisa i-estrogen - kungasiza ukunciphisa ezinye izimpawu:

• Imikhiqizo ye-Soy njenge-tofu, tempeh, kanye ne-edamame
• Imbewu ye-Flaxseed kanye nembewu ye-chia
• Ama-Legumes afaka ama-lentils kanye nama-chickpeas
• Okusanhlamvu okuphelele njengama-oats kanye ne-barley
• Izithelo ezifana nama-apula, ama-berry, kanye nama-pomegranates
• Imifino efana ne-broccoli, izaqathe, kanye namazambane amnandi

Ukuvivinya umzimba njalo kungasiza ekuphatheni izimpawu eziningi ze-estrogen ephansi. Ukuvivinya umzimba okuthwala isisindo njengokuhamba, ukudansa, noma ukuqeqeshwa kwamandla kusiza ukugcina ukuminyana kwamathambo futhi kunganciphisa ukushisa. Imisebenzi emnene njenge-yoga noma ukubhukuda nayo ingathuthukisa imizwa kanye nekhwalithi yokulala.

Amasu okuphatha ukucindezeleka angenza umehluko omkhulu endleleni ozizwa ngayo. Ukuvivinya umoya okujulile, ukuzindla, noma ngisho nokuhamba njalo emvelweni kungasiza ukulawula ukusabela komzimba wakho ekucindezelekeni futhi kunganciphisa ukuqina kwezimpawu ezifana nokushisa kanye nokuguquguquka kwemizwa.

Yini Ukwelashwa Kwezokwelapha Nge-Estrogen Ephansi?

Ukwelashwa kwezokwelapha nge-estrogen ephansi ngokuvamile kuhilela ukwelashwa kokufaka amahomoni (HRT), okunganikezwa ngezindlela eziningana ezihlukene. Udokotela wakho uzosebenza nawe ukunquma indlela engcono kakhulu ngokusekelwe ezimpawini zakho, umlando wezokwelapha, kanye nezintandokazi zakho.

I-estrogen yomlomo iza ngesimo samaphilisi futhi ingenye yezindlela ezivamile zokwelapha. Lawa maphilisi avame ukuthathwa kanye ngosuku futhi anikeze amazinga amahomoni aqhubekayo usuku lonke. Kodwa-ke, i-estrogen yomlomo idlula esibindini sakho kuqala, okungathinta indlela umzimba wakho oqhubula ngayo ezinye izinto futhi kungenzeka kungafaneleki kuwo wonke umuntu.

I-estrogeni ye-Transdermal, elethwa ngamaphashi noma ama-gel, idlula ngohlelo lwakho lokugaya nokusebenza kwesibindi. Amaphashi ngokuvamile ashintshwa kabili ngesonto, kuyilapho ama-gel asetshenziswa nsuku zonke esikhumbeni sakho. Le ndlela ivame ukubangela imiphumela emincane eceleni futhi inikeze amazinga e-hormone azinzile kunemithi yomlomo.

Okokhilimu be-estrogeni abangaphezulu kanye nama-gel angasetshenziswa ngqo ezindaweni ezithintekile, ikakhulukazi ngobomile besitho sangasese sowesifazane noma izinguquko zesikhumba. Lokhu kunikeza ukukhululeka kwendawo ngokusetshenziswa okuncane egazini lakho, okwenza kube yindlela enhle kubantu abafuna ukwelashwa okuqondiwe.

I-estrogeni ejovwayo ayivamile kodwa inganconywa ezimweni ezithile. Lezi zibhamu ngokuvamile zinikezwa njalo ngenyanga futhi zingahlinzeka ngamazinga e-hormone aqhubekayo kubantu abanobunzima ngezindlela ezinye noma abadinga imithamo ephezulu.

Ezimweni ezingavamile, udokotela wakho angase ancome ama-pellet e-estrogeni afakwe ngaphansi kwesikhumba sakho. Lokhu kunikeza ukukhululwa kwe-hormone okuqhubekayo izinyanga eziningana kodwa kudinga inqubo encane yokuhlinzwa yokufakwa.

Kufanele ngibone nini udokotela nge-Estrogen ephansi?

Kufanele ubone udokotela uma uhlangabezana nezimpawu eziphazamisa impilo yakho yansuku zonke noma inhlalakahle yakho yonke. Ukushisa okushisayo okuphazamisa ukulala kwakho, izinguquko zemizwa ezithinta ubuhlobo bakho, noma izimpawu zomzimba ezingakwenza ungakhululeki zonke izizathu ezivumelekile zokufuna usizo lwezokwelapha.

Ezinye izimpawu zidinga ukunakekelwa kwezokwelapha okuphuthumayo. Uma uhlangabezana nokuphuma kwegazi okungajwayelekile, izinguquko zemizwa ezinzima, noma izimpawu ze-osteoporosis njengokuphuka okuvamile, ungalindi ukuhlela i-aphoyintimenti. Lokhu kungase kubonise izimo ezingaphansi ezingathi sína ezidinga ukwelashwa okusheshayo.

Uma uneminyaka engaphansi kwengama-40 futhi uhlangabezana nezimpawu zokuya esikhathini, lokhu kuqinisekisa ukuhlolwa kwezokwelapha ngokushesha. Ukuya esikhathini ngaphambi kwesikhathi kungaba nemiphumela ebalulekile empilweni, futhi ukungenelela ngaphambi kwesikhathi kungasiza ukuvikela impilo yamathambo akho kanye nenhlalakahle yakho yonke.

Kubalulekile futhi ukuxhumana nomhlinzeki wezempilo ngaphambi kokuqala noma yiluphi uhlobo lwe-hormone replacement therapy, ngisho noma ucabangela izinketho ezingathengwa ngaphandle kwemvume kadokotela. Bangakusiza ukuthi uqonde izingozi nezinzuzo ezithile esimweni sakho futhi baqaphe indlela ozosabela ngayo emthini.

Ziyini Izinto Eziyingozi Zokuthuthukisa I-Low Estrogen?

Ubudala buyisici esiyingozi esibaluleke kakhulu se-low estrogen, njengoba ukuya esikhathini kwemvelo kuvamile ukwenzeka ngasekupheleni kweminyaka yakho yama-40 kuya ekuqaleni kweminyaka yama-50. Kodwa-ke, ezinye izinto eziningana zingakhuphula ingozi yakho yokuthuthukisa amazinga e-low estrogen ngaphambi kwesikhathi noma ngendlela enzima kakhulu.

Umlando womndeni udlala indima ebalulekile ekunqumeni ukuthi ungaqala nini ukuzwa i-low estrogen. Uma unyoko noma odadewenu badlula ekuya esikhathini ngaphambi kwesikhathi, maningi amathuba okuthi uzothola okufanayo. Izinto zofuzo nazo zingathonya ukuthi uzizwa kanjani izimpawu.

Izinto zokuphila zingaba nomthelela omkhulu emazingeni akho e-estrogen. Nazi izici eziyingozi okufanele zicatshangelwe:

• Ukubhema, okungasheshisa ukuguga kwama-ovari
• Ukuncipha kwesisindo ngokweqile noma izifo zokudla
• Ukuvivinya umzimba ngokweqile okuphazamisa imijikelezo evamile ye-hormone
• Ukucindezeleka okungapheli okuthinta ukukhiqizwa kwe-hormone
• Imithi ethile, ikakhulukazi leyo ethinta ama-ovari
• Izimo ze-autoimmune ezingahlasela izicubu zama-ovari

Ukwelashwa kwezokwelapha njenge-chemotherapy noma i-radiation therapy kungakhuphula ingozi yakho ye-low estrogen. Lokhu kwelashwa kungalimaza izicubu zama-ovari futhi kuholele ekuya esikhathini ngaphambi kwesikhathi, ngezinye izikhathi ngokushesha noma kungakapheli iminyaka embalwa yokwelashwa.

Izinqubo zokuhlinzwa, ikakhulukazi ukususwa kwama-ovari womabili, zizobangela amazinga e-low estrogen ngokushesha. Ngisho nokususwa kwesibeletho kuphela ngezinye izikhathi kungaholela ekuya esikhathini ngaphambi kwesikhathi ngenxa yezinguquko ekuhambeni kwegazi e-ovaries.

Ziyini Izinkinga Ezingaba Khona Ze-Low Estrogen?

I-estrogen ephansi ingaholela ezinkingeni eziningi zempilo zesikhathi eside uma ingelashwa, ikakhulukazi uma kwenzeka ngaphambi kokuyeka ukuya esikhathini kwemvelo. Okukhathaza kakhulu yi-osteoporosis, isimo lapho amathambo akho eba buthakathaka futhi abe manzi ngenxa yokwehla kwamandla amathambo.

Impilo yenhliziyo nemithambo yegazi nayo ingathinteka ngamazinga aphansi e-estrogen. I-Estrogen isiza ukugcina amazinga e-cholesterol enempilo futhi isekela ukusebenza kwemithambo yegazi. Ngaphandle kwe-estrogen eyanele, ingozi yakho yesifo senhliziyo nesifo sohlangothi ingase ikhuphuke, ikakhulukazi uma uhlangabezana nokuyeka ukuya esikhathini ngaphambi kwesikhathi.

Izinkinga ongase uhlangabezane nazo zincike ekutheni ube nesikhathi esingakanani une-estrogen ephansi kanye nempilo yakho yonke. Nazi izinto ezinkulu okufanele uziqaphele:

• Ukwanda kwengozi yokuphuka ngenxa yokulahleka kwamathambo
• Ingozi enkulu yesifo senhliziyo nesifo sohlangothi
• Ushintsho ekuqondeni kanye nokwanda kwengozi yokugula ngengqondo
• Ukomisa okukhulu kwamalunga obulili nezinkinga zomchamo
• Ukwanda kwengozi yokucindezeleka nokukhathazeka
• Ukuphazamiseka kokulala nokukhathala okungapheli

Ezimweni ezingavamile, amazinga aphansi kakhulu e-estrogen angathinta ikhono lomzimba wakho lokulawula izinga lokushisa nomfutho wegazi ngempumelelo. Lokhu kungaholela ezimpawini ezinzima kakhulu ezithinta kakhulu izinga lempilo yakho.

Izindaba ezinhle ukuthi iningi lalezi zinkinga zingavinjelwa noma zilawulwe ngokwelashwa okufanele. Ukungenelela ngokushesha ngemithi yokushintsha amahomoni, izinguquko zokuphila, nokuqapha njalo kwezokwelapha kungasiza ukuvikela impilo yakho yesikhathi eside.

Ingabe ukushintshwa kwe-Estrogen kulungile noma kubi empilweni yakho?

Ukushintshwa kwe-estrogen therapy kungaba kokubili okuzuzisayo futhi kuthwale ezinye izingozi, yingakho kubalulekile ukusebenza eduze nomhlinzeki wakho wezempilo ukuze unqume ukuthi yini ekulungele. Isinqumo sincike kuphrofayili yakho yezempilo yomuntu ngamunye, ubukhulu bezimpawu zakho, nezintandokazi zakho.

Kubantu abaningi, izinzuzo zokushintshwa kwe-estrogen zidlula kakhulu izingozi. Kunganciphisa ngempumelelo ukushisa, kuthuthukise ikhwalithi yokulala, kulondoloze ukuminyana kwamathambo, futhi kuthuthukise izinga lempilo eliphelele. Uma uhlangabezana nezimpawu ezinzima eziphazamisa imisebenzi yakho yansuku zonke, ukwelashwa nge-estrogen kungashintsha impilo yakho.

Kodwa-ke, ukushintshwa kwe-estrogen akulungile kuwo wonke umuntu. Abantu abanomlando womdlavuza othile, amahlule egazi, noma isifo sesibindi kungenzeka badinga ukugwema noma baqaphele ngemithi yamahomoni. Udokotela wakho uzobukeza ngokucophelela umlando wakho wezokwelapha ukuze anqume ukuthi ukwelashwa nge-estrogen kuphephile yini kuwe.

Isikhathi sokushintshwa kwe-estrogen naso sibalulekile. Ukuqala ukwelashwa eduze nokuya esikhathini ngokuvamile kuthwala izingozi ezimbalwa kunokuqala eminyakeni eminingi kamuva. Yingakho kubalulekile ukuxoxa ngezinketho zakho nodokotela wakho ngokushesha nje lapho uqala ukuzwa izimpawu.

Yini i-Estrogen Ephansi Engase Iphuthelwe?

Izimpawu ze-estrogen ephansi zingahambisana nezinye izimo eziningi, okwenza ngezinye izikhathi kuholele ekuxilongweni okungalungile noma ukwelashwa okubambezelekile. Ukudideka okuvame kakhulu kwenzeka ngezifo ze-thyroid, njengoba zombili zingabangela ukukhathala, izinguquko zemizwa, nezikhathi ezingajwayelekile.

Ukucindezeleka kanye nezifo zokukhathazeka nazo zingalingisa izimpawu ze-estrogen ephansi. Ushintsho lwemizwa, ukuphazamiseka kokulala, nezinkinga zokuqonda ezihambisana ne-estrogen ephansi zingafana kakhulu nalezo ezibonakala ezimweni zempilo yengqondo. Yingakho ukuhlolwa okuphelele kubalulekile.

Ezinye izimo ezingase zidideke ne-estrogen ephansi zihlanganisa:

• Izifo ze-Thyroid (kokubili ezisebenzayo nezingasebenzi kahle)
• I-Chronic fatigue syndrome
• Ukuphazamiseka kokulala
• Ukuntuleka kwe-Vitamin D
• Izimo ze-Autoimmune
• I-Perimenopause (ushintsho ngaphambi kokuya esikhathini)

Ngezinye izikhathi, imiphumela emibi yemithi ingabangela izimpawu ezifana ne-estrogen ephansi. Eminye imithi yokucindezeleka, izindlela zokulawula ukuzala, noma imithi yokwehlisa umfutho wegazi ingathinta amazinga e-hormone noma ibangele izimpawu ezifanayo.

Yingakho ukuhlolwa okufanele nokuhlolwa ngumhlinzeki wezempilo kubalulekile. Ukuhlolwa kwegazi kungakala amazinga akho e-hormone futhi kusize ukuhlukanisa phakathi kwe-estrogen ephansi nezinye izimo ezinempawu ezifanayo.

Imibuzo Evame Ukubuzwa Mayelana ne-Estrogen

Q1: Isebenza ngokushesha kangakanani i-estrogen replacement therapy?

Abantu abaningi baqala ukuqaphela ukuthuthuka kuma-hot flashes kanye nekhwalithi yokulala phakathi kwamasonto angu-2-4 ngemuva kokuqala ukwelashwa nge-estrogen. Kodwa-ke, izinzuzo ezigcwele zempilo yamathambo neminye imiphumela yesikhathi eside ingathatha izinyanga eziningana ukuthi ivele. Udokotela wakho ngokuvamile uzohlela ama-aphoyintimenti okulandelayo ukuze aqaphe ukusabela kwakho futhi alungise ukwelashwa kwakho uma kudingeka.

Q2: Ngingayithatha i-estrogen uma ngike ngaba ne-hysterectomy?

Yebo, ngokuvamile ungaqhubeka nokuthatha i-estrogen ngemuva kwe-hysterectomy, futhi kungenzeka ungadingi ukuthatha i-progesterone kanye nayo. Uma ama-ovari akho asuswa ngesikhathi se-hysterectomy, ukufaka i-estrogen kubaluleke kakhulu ukuvimbela izinkinga ezinjenge-osteoporosis nesifo senhliziyo nemithambo yegazi. Udokotela wakho uzonquma indlela engcono kakhulu ngokusekelwe esimweni sakho esithile.

Q3: Zikhona ezinye izindlela zemvelo zokwelashwa nge-hormone?

Ngenkathi kungekho okunye okwemvelo okungena esikhundleni se-estrogen ngqo, abanye abantu bathola ukukhululeka ngokudla okunothile nge-phytoestrogen, izithasiselo zamakhambi njenge-black cohosh, noma izinguquko zokuphila. Kodwa-ke, lezi zindlela ezingase zingahlinzeki izinga elifanayo lokukhululeka kwezimpawu noma ukuvikelwa kwezempilo njengokwelashwa kwe-hormone okuyimithi, ikakhulukazi ezimpawu ezinzima noma izinkinga zesikhathi eside.

Q4: Yini umehluko phakathi kwe-bioidentical ne-synthetic estrogen?

I-estrogen ye-Bioidentical inesakhiwo esifanayo se-molecular njenge-estrogen umzimba wakho owukhiqiza ngokwemvelo, kanti i-estrogen yokwenziwa inesakhiwo esihlukile kancane. Zombili zingasebenza ekwelapheni izimpawu, kodwa abanye abantu bakhetha izinketho ze-bioidentical ngoba bakholelwa ukuthi zemvelo kakhulu. Udokotela wakho angakusiza ukuthi uqonde ukuthi yiluphi uhlobo olungase lube ngcono esimweni sakho.

Q5: Kufanele ngihlale isikhathi esingakanani ekwelashweni kokushintshwa kwe-estrogen?

Ubude be-estrogen therapy buhluka kakhulu kumuntu nomuntu. Abanye abantu bayayidinga iminyaka embalwa nje ukuze badlule ezimweni zabo ezimbi kakhulu, kanti abanye bangazuza ekusetshenzisweni kwesikhathi eside. Udokotela wakho uzobuyekeza njalo ukwelashwa kwakho ukuze aqinisekise ukuthi izinzuzo zisaqhubeka zidlula noma yiziphi izingozi, futhi nizosebenza ndawonye ukunquma isikhathi esifanele sezidingo zakho.