Zotsatira zakulera kwa mahomoni m'thupi lanu

Zamkati

• Njira yoberekera
• Mitsempha yamtima ndi yapakati yamanjenje
• Dongosolo m'mimba
• Njira zotsutsana

Ambiri amakhulupirira kuti njira yolerera yama mahomoni imakhala ndi cholinga chimodzi: kupewa kutenga mimba. Ngakhale ndizothandiza kwambiri poyerekeza ndi njira zina zakulera, zotsatirapo zake sizongokhala pakupewa kutenga pakati. M'malo mwake, amatha kugwiritsidwa ntchito kuthandizira zovuta zina zatsamba monga kupumula msambo, kusintha kwa khungu, ndi zina zambiri.

Komabe, kulera kwa mahomoni sikungakhale ndi zovuta zina. Monga mankhwala onse, pamakhala zotsatira zopindulitsa komanso zoopsa zomwe zimakhudza aliyense mosiyanasiyana.

Mapiritsi oletsa kubereka amatuluka ndi mankhwala okhaokha. Njira zolerera zopangira mahomoni zimapezeka m'njira zambiri, kuphatikiza:

• mapiritsi (kapena njira zakulera zam'kamwa): Kusiyanitsa kwakukulu pakati pazopangidwa ndi kuchuluka kwa estrogen ndi progestin mwa iwo - ndichifukwa chake azimayi ena amasintha zinthu ngati akuganiza kuti akupeza mahomoni ochepa kapena ochulukirapo, kutengera zomwe zimachitika. Piritsi liyenera kumwa tsiku lililonse kuti musatenge mimba.
• chigamba: Chigawochi chimakhalanso ndi estrogen ndi progestin, koma imayikidwa pakhungu. Mapazi ayenera kusinthidwa kamodzi pa sabata kuti agwire bwino ntchito.
• mphete: Mofanana ndi chigamba ndi mapiritsi, mpheteyo imatulutsanso estrogen ndi progestin mthupi. Mpheteyi imakhala mkati mwa nyini kuti zotsekemera zimalowetsa mahomoni. Mphete iyenera kusinthidwa kamodzi pamwezi.
• kuwombera kubadwa (Depo-Provera): Mfotoyi imakhala ndi progestin yokha, ndipo imaperekedwa milungu 12 iliyonse kuofesi ya dokotala wanu. Malinga ndi Options for Health Health, zovuta zakulera zitha kukhala chaka chimodzi mutasiya kumwa.
• Zida za intrauterine (IUDs): Pali ma IUD onse okhala ndi opanda mahomoni. Mwa omwe amatulutsa mahomoni, amatha kukhala ndi progesterone. Ma IUD amalowetsedwa m'mimba mwanu ndi dokotala ndipo ayenera kusinthidwa zaka zitatu zilizonse mpaka 10, kutengera mtundu.
• kudzala: Choikacho chili ndi progestin yomwe imatulutsa kudzera mu ndodo yopyapyala m'manja mwanu. Imaikidwa pansi pa khungu mkati mwa mkono wanu wapamwamba ndi dokotala wanu. Amakhala mpaka zaka zitatu.

Mtundu uliwonse uli ndi maubwino ndi zoopsa zomwezi, ngakhale momwe thupi limayankhira zili kwa munthu aliyense. Ngati mukufuna kudziwa zakulera, lankhulani ndi adokotala za mtundu wanji womwe ungakuthandizeni kwambiri. Kuchita bwino kumadalira momwe magwiritsidwe anu akugwirira ntchito mosasinthasintha. Mwachitsanzo, anthu ena zimawavuta kukumbukira kumwa mapiritsi tsiku lililonse kotero kuti kuyika kapena IUD kungakhale chisankho chabwino. Palinso zosankha zolera zosagwiritsidwa ntchito mthupi, zomwe zingakhale ndi zotsatirapo zosiyanasiyana.

Ngati mapiritsi amagwiritsidwa ntchito bwino - kumatanthauza kuti amatengedwa tsiku lililonse nthawi yomweyo - kuchuluka kwa mimba yosakonzekera kumangotsika ndi gawo limodzi lokha. Kudumpha mapiritsi anu tsiku limodzi, mwachitsanzo, kudzawonjezera chiopsezo chanu chokhala ndi pakati.

Komabe, palibe njira iliyonse yolerera yakuteteza kumatenda opatsirana pogonana. Muyenerabe kugwiritsa ntchito kondomu kuti muteteze matenda opatsirana pogonana.

Njira yoberekera

Mchiberekero mwachibadwa chimatulutsa mahomoni achikazi estrogen ndi progestin. Amodzi mwa mahomoniwa amatha kupanga ndi kugwiritsira ntchito njira zolerera.

Kuposa mulingo wabwinobwino wa estrogen ndi progestin amaletsa ovary kutulutsa dzira. Popanda dzira, umuna ulibe chopangira umuna. Progestin imasinthanso ntchofu ya khomo lachiberekero, kuti ikhale yolimba komanso yomata, zomwe zimapangitsa kuti umuna ukhale wovuta kulowa m'chiberekero.

Mukamagwiritsa ntchito njira zakulera za mahomoni monga IUD Mirena, mutha kukhala ndi nthawi yopepuka komanso yofupikirako komanso kuchepetsa kupweteka kwa msambo komanso kusamba kwa msambo.Izi ndi zina mwazifukwa zomwe azimayi ena amaletsa kubereka makamaka asanakwane msambo (PMDD), mtundu waukulu wa PMS. Amayi ena omwe ali ndi endometriosis amatenganso njira zolerera kuti achepetse zowawa.

Kugwiritsa ntchito njira zolerera zopangira mahomoni kumatha kuchepetsa chiopsezo cha khansa ya endometrium ndi yamchiberekero. Mukamawatenga nthawi yayitali, chiopsezo chanu chimakhala chocheperako. Njira zochiritsira izi zitha kuperekanso chitetezo ku mawere osakhala ndi khansa kapena kukula kwamchiberekero. Komabe, kutsutsana kumatsalira kuthekera kwakuti njira zakulera zama mahomoni zitha kuwonjezera chiopsezo cha khansa ya m'mawere.

Mukasiya kumwa njira yolerera yochokera ku mahomoni, msambo wanu ubwerera mwakale mkati mwa miyezi ingapo. Zina mwazithandizo zopewera khansa zomwe zapezeka chifukwa cha zaka zogwiritsa ntchito mankhwala zitha kupitilira kwa zaka zingapo.

Zotsatira zoberekera za thupi lanu likamayamba kusintha pakamwa, kulowetsedwa, ndikulera zakulera monga:

• Kutaya msambo (amenorrhea) kapena kutuluka magazi kwambiri
• Kutaya magazi kapena kuwona pakati pa msambo
• Ukazi kumaliseche
• chikondi cha m'mawere
• kukulitsa mawere
• sinthani pagalimoto yanu

Zotsatira zoyipa koma zosazolowereka zimaphatikizapo kutaya magazi kwambiri kapena kutaya magazi komwe kumachitika koposa sabata.

Kuletsa kubadwa kwa mahomoni kumatha kubweretsa chiopsezo cha khansa ya pachibelekero, ngakhale ofufuza sakudziwa ngati izi zikuchitika chifukwa cha mankhwala omwewo kapena ngati zili chifukwa chokha chiopsezo chotsitsidwa ndi HPV pogonana.

Mitsempha yamtima ndi yapakati yamanjenje

Malinga ndi chipatala cha Mayo, mayi wathanzi yemwe samasuta sangayembekeze zovuta zoyipa zakulera zam'kamwa. Komabe, kwa azimayi ena, mapiritsi oletsa kulera ndi zigamba zimakulitsa kuthamanga kwa magazi. Mahomoni owonjezerawa amathanso kukuika pachiwopsezo cha magazi.

• Zowopsa izi ndizokwera kwambiri ngati:
• kusuta kapena azaka zopitilira 35
• khalani ndi kuthamanga kwa magazi
• ali ndi matenda amtima omwe analipo kale
• kukhala ndi matenda ashuga

Kunenepa kwambiri kumaonanso ngati chiopsezo cha kuthamanga kwa magazi, matenda amtima, komanso matenda ashuga.

Zotsatirazi sizachilendo kwa azimayi ambiri koma zikachitika, zimakhala zovuta kwambiri. Ndicho chifukwa chake njira zolerera za mahomoni zimafunikira mankhwala ndi kuwunika pafupipafupi. Pitani kuchipatala ngati mukumva kupweteka pachifuwa, kutsokomola magazi, kapena kukomoka. Mutu wopweteka kwambiri, kulephera kulankhula, kapena kufooka ndi dzanzi m'chiwalo kungakhale zizindikilo za kupwetekedwa.

Estrogen ikhoza kukulitsa mutu waching'alang'ala, ngati mukukumana nawo kale. Amayi ena amakhalanso ndi kusintha kwa malingaliro ndi kukhumudwa akamamwa njira zakulera.

Popeza thupi limagwira ntchito kuti likhale lolingana ndi mahomoni, ndizotheka kuti kuyambitsa mahomoni kumabweretsa chisokonezo, ndikupangitsa kusintha kwamalingaliro. Koma pali maphunziro owerengeka okhudza zovuta zakulera kwa amayi ndi thanzi lawo. Posachedwapa kafukufuku wa 2017 adayang'ana zitsanzo zazing'ono za azimayi 340 athanzi ndikuwona kuti njira zakulera zakumwa zimachepetsa thanzi.

Dongosolo m'mimba

Amayi ena amasintha pakudya kwawo komanso kulemera kwawo akamamwa njira zakulera zamahomoni. Koma pali maphunziro owerengeka kapena umboni wosonyeza kuti kulera kumapangitsa kunenepa. Kuwunikanso kamodzi kwamaphunziro 22 komwe kunayang'ana njira zolerera za progestin zokha ndikupeza umboni wochepa. Ngati panali kunenepa, chiwonjezeko chomwe chimatanthauza chinali chochepera mapaundi a 4.4 pa nthawi ya miyezi 6 kapena 12.

Koma mahomoni amathandizira kuwongolera zizolowezi zanu, choncho kusintha momwe mungadyere kungakhudze kulemera kwanu, koma sizomwe zimayambitsa kubereka. Ndikothekanso kukumana ndi kunenepa kwakanthawi kwakanthawi, komwe kumatha kukhala chifukwa chosungira madzi. Pofuna kuthana ndi kunenepa, onani ngati mwasintha zina ndi zina pamoyo wanu mukatha kulera.

Zotsatira zina zimaphatikizapo kunyoza komanso kuphulika, koma izi zimachepetsa pakatha milungu ingapo thupi lanu likazolowera mahomoni owonjezera.

Ngati muli ndi mbiriyakale yamiyala, kutenga njira zakulera kungayambitse kupanga miyala mwachangu. Palinso chiopsezo chowonjezeka cha zotupa zowopsa za chiwindi kapena khansa ya chiwindi.

Onani dokotala wanu ngati mukumva kuwawa, kusanza, kapena khungu lachikaso ndi maso (jaundice). Mkodzo wamdima kapena chopondapo chofiyira chingathenso kukhala chizindikiro cha zovuta zoyipa.

Njira zotsutsana

Kwa amayi ambiri, njira iyi yolerera imathandizira ziphuphu. Kuwunikanso mayesero 31 ndi azimayi 12, 579, adayang'ana momwe zimakhudzira kulera komanso ziphuphu kumaso. Adapeza kuti njira zina zakulera zam'kamwa zimathandiza kuchepetsa ziphuphu.

Komabe, ena amatha kutuluka ziphuphu kapena kuzindikira kuti palibe kusintha konse. Nthawi zina, kulera kumatha kuyambitsa mawanga ofiira pakhungu. Thupi la mayi aliyense ndi mahomoni amasiyana, ndichifukwa chake zimakhala zovuta kudziwiratu zomwe zingachitike chifukwa cha kubereka.

Nthawi zina, mahomoni oyang'anira kubala amachititsa kukula kwachilendo kwa tsitsi. Nthawi zambiri, kulera kumathandizanso pakukula kwa tsitsi losafunikira. Njira zakulera pakamwa ndizothandiziranso kwambiri hirsutism, vuto lomwe limapangitsa kuti tsitsi lakuda, lakuda limere pankhope, kumbuyo, ndi pamimba.

Lankhulani ndi dokotala ngati mukuwona kuti njira zakulera zomwe simukubereka zili zoyenera kwa inu. Kukhala womasuka komanso wowona mtima pazotsatira zanu komanso momwe zimakupangitsani kumva kuti ndi gawo loyamba pakupeza mlingo woyenera ndikulemba zomwe mukufuna.