Chimiro chekuenda kumwedzi chinotora mazuva anenge makumi mana nemazuva gumi nemazuva makumi matatu. Zvakanakisisa kuyerwa nehuwandu hwemazuva pakati penguva yako. Munguva iyi inenge mwedzi-refu yakareba, kuchinja kwehomoni kunokonzera kuvhuvhuta uye kuenda kumwedzi . Izvi zvinokanganisa mahomoni zvinogona kukanganisa dzimwe zvirongwa zvemuviri nemabasa pamwe chete nehutano hwako hwekubereka.
Vakadzi vanorwara nechirwere cheshuga vanogona kuve nezvinetso zvakasiyana-siyana zvekuenda kumwedzi zvichienderana nekubatana uku kwakaoma kwehomoni.
1. Nhamba Yako Ropa reShuga Ringave Rakaoma Kuda Pane Dzimwe Nguva Mwedzi
Unoshungurudzika nekudzingirira glycemic kudzora mukati vhiki isati yasvika here? Uri kushamisika kuti sei ropa rako rega riripo apo iwe hausi kuita chero zvakasiyana zvakasiyana nezvakaitwa vhiki yapfuura?
Izvi zvakaoma kudzora glycemic chinhu chaicho-iwe hausi kufungidzira.
Chikonzero nei shuga yako yeropa inogona kuva yakaoma kudzora iyo yaunoswedera pedyo nekuenda kwako nguva ine chokuita nekushanduka kwemasimoni ekuenda kwako kumwedzi. Pakati pehafu kubva pakuenda kwako kumwedzi kunowanikwa. Panguva iyoyo mukufamba kwako, maitiro ako eprogesterone anowedzera.
Zvidzidzo zvakaratidza kuti progesterone inobatanidzwa nekuwedzera insulini kusagadzikana . Izvozvo zvinoreva kuti mukati mehafu yenguva yekufamba kwako mushure mekuvhura (iyo luteal phase) apo maitiro ako eprogesterone ari akakwirira zvakanyanya iwe uchava nechirwere chekuchengetedza insulin.
Izvi zvinonzi physiologic response inozivikanwa se luteal phase insulin kushorwa.
Luteal phase iyo insulin kusagadzikana kazhinji inowanzoita kuti zvikamu zvakawanda zve hyperglycemic kunyange iwe usingashanduri muviri wako uye kudya mune chero nzira.
Asi pane imwe huru yakakosha yechirongwa chevakadzi kune vanorwara nechirwere cheshuga.
Kuwedzera kwakafanana muprogesterone inokuita kuti uwedzere kusagadzikana ne insulin zvakare kuchaita kuti iwe uve nechido chekudya kwemakrohydrates ari nyore uye zvinogona kuita kuti iwe urege kurasikirwa nechinangwa chako chekushandisa.
insulini kusagadzikana + kuda kwezvokudya + kuderera kwebasa = kushaya simba glycemic control
Nokufamba kwemazuva, urongwa huno husina kunaka hunoita kuti uwedzere njodzi yekushaya chirwere cheshuga.
Kana iwe uri kurarama nechirwere cheshuga, zvakakosha kuti uyeuke nezvekudya kwako uye hutano hwemashandiro emitambo munguva yekutonga kwekuenda kwako kumwedzi. Vakadzi vane chirwere cheshuga chirwere cheshuga vangave vanonyanya kufunga nezvemwedzi uyu-yakabatana insulin kushorwa. Zvisinei, kana iwe uri pamuromo wemishonga kune chirwere chako cheshuga iwe zvichida hausi kutarisa shuga yako yeropa nguva dzose, saka iwe unogona kunge usingazivi nezvehutachiona husina kurwisa glycemic control.
2. Kurapa kweHormonal Kunogona Kuwedzera Kupikisa kweUndulin
Kana huro hwako huchichinja hunogona kuchinja glycemic control yako haifaniri kushamisika kuti mahomoni ane simba anogona kuita zvakafanana. Paunenge uchinge uenda kumwedzi, iyo inonyanya kukosha kushushikana inoratidzika panguva yechikwereti apo maitiro ako eprogesterone akakwirira. Zvisinei, zvidzidzo zvinoratidza kuti estrogen, uyewo progesterone, inogonawo kukonzera insulini kudzivisa.
Hemonal contraceptive njira ine estrogen uye progesterone inosanganisira:
- piritsi yemapiritsi
- chibereko chekudzivirira pamuviri
- chirongwa chepabonde chepabonde
Hemonal contraceptive nzira dzine progesterone chete dzinosanganisira:
- Mirena
- Nexplanon
- Depo-Provera
- Progesterone chete mapiritsi
Chero ipi zvayo maitiro ekudzivirira pamuviri anoita kuti muviri wako uwedzere kusagadzikana, zvichiita kuti zvive zvakaoma kuronga shuga yako yeropa. Muzvizhinji, zvakakosha kushandisa maitiro aya kana une chirwere cheshuga. Zvinongova zvakakosha kuziva kuti kushandisa chirongwa chekuberekwa kwehomoni kunogona kuchinja glycemic control. Iva nechokwadi chokuti iwe unonyanya kutarira shuga yako yeropa apo uri kutanga kana kuchinja yako hormonal contraceptive method.
3. Nguva Yenguva Yakapera, Kutanga Kuenda Kumwedzi
Ko shamwari dzako dzose dzakatanga kutora nguva yavo here? Uri kushamisika nei usina kuwana yako ikozvino? Inogona kunge iri chirwere cheshuga chekushanda.
Kana uri kurarama nechirwere cheshuga chechirwere iwe unogona kunge uine nguva shomanana yemakore ekuberekera uchifananidzwa nevadzimai vasina chirwere cheshuga uye kunyange vakadzi vanogara nerudzi rwechipiri chirwere cheshuga . Makore ako ekuberekwa ndiwo makore pakati pekutanga kwako, anonziwo mhedha , uye kutanga kwekumera.
Zvinosuruvarisa, hatisati tanyatsonzwisisa nei izvi zvichiitika, asi pasinei nekuvandudzirwa kwekutarisa chirwere cheshuga uye glycemic control, zvidzidzo zvekusimbiswa kunonoka kutanga kwemazuva ekurudzi rwechirwere cheshuga. Izvi zvinonyanya kuitika iwe muduku iwe apo iwe unoongororwa uine chirwere cheshuga cheshuga.
Mukuwedzera kune nguva yekuchera, iwe unogona kunge uine nguva yakawandisa yokuenda kumwedzi pane shamwari dzako dzisina chirwere cheshuga. Izvo zvave zvataurwa kuti vanopfuura chikamu chimwe chete muzvitatu zvevechiri kuyaruka vane chirwere cheshuga chechirwere chepabonde vacharamba vasina nguva yekuenda kumwedzi.
4. Kurema Kuwana Kunogona Kukonzera Nguva Isingaenzaniswi
Kunyange zvazvo chirwere chechirwere cheshuga chinogona kuitika kuvakadzi vasina kuwandisa, zvinowanzoitika kuti kana uri kurarama nechirwere cheshuga 2 uri kurwisana nemutoro wako. Kurasikirwa kwemahombekombe kunogona kunge kwakaoma asi hazvibviri kuvakadzi vane chirwere cheshuga chechipiri. Kusiyana nerudzi rwechirwere cheshuga umo muviri wako usingabereki insulin yakakwana, kana uri kurarama nechirwere cheshuga 2 muviri wako unorwisana ne insulin.
Kana iwe uwandisa mafuta ako akawanda kana kuti adipose tissue inobereka mahomoni anowedzera insulini yekudzivisa. Izvi zvinokonzera kusulin zvinokonzera pancreas yako kuti ibudise insulin yakawanda. Kunyangwe tisinganzwisisi kuti zvinoitika sei, izvi zvinowedzera insulin maitiro anobatana nemahomoni anodzora kuenda kwako kumwedzi. Apo maitiro ako emakemikari akasiyana-siyana anokanganiswa haungasviki uye kana iwe usingakuvadzi iwe hauzovi nenguva yakawanda.
Rudzi rwako 2 chirwere cheshuga chinogona kunge chiri chikamu chemamiriro ezvinhu anonzi polycystic ovarian syndrome kana PCOS. Kana iwe uine PCOS, iwe unayo kusaenzana mune yako ovarian hormone production. Uku kusabatanidzwa kunodzivirira kuvhara nguva dzose zvichikonzera kusagadzikana kwekunonoka kwemwedzi. Izvi zvinowanzobatanidzwa nepamusoro ye insulin yepamusoro nekuda kwekuwedzera kweproducin ye insulin nekuda kwesimba re insulin rinomira. Kakawanda, kunyanyisa kukunda iwe, nguva shoma iwe unowedzera uye nguva yakawanda nguva yako ichava.
5. Ngozi Yakawedzerwa yeKinopetermine Cancer
Muchirwere weEntometrial ndiyo kanowanzozivikanwa kuti chirwere chegynecologic. Zvinowanzoitika kune vakadzi vasati vava nemakore makumi mashanu uye zvinonyanya kuongororwa muvakadzi mushure mokunge apera.
Kana uri kurarama nechirwere cheshuga chechipiri iwe uri pahuwandu hwekuwedzera kenza yemapendometri uye iyi ngozi inofanirwa neBMI yako. Iyi njodzi yakawedzerwa inofungidzirwa kuti inobatanidza ne insulin kushorwa uye yakakwirira insulin maitiro echirwere cheshuga chechipiri.
Ngozi yako inowedzera kuwedzera kana iwe uri kunyanya kuwandisa. Imwe BMI yakakwirira inogona kutungamirira kusina kujeka kana kuvhara kwemwedzi kwemaitiro. Munguva iyi, zvikamu zvechibereko chako zvinoratidzwa kune estrogen pasina simba rinodzivirira reprogesterone, zvichiita kuti kuwedzerwa kwekupedzisira kwemakemikari . Uye kana izvozvo zvisina kukwana, mafuta ako kana adipose mhuka inowedzera esrogen. Kana uwedzere kuwedzerwa, iyo yakawedzerwa isrogen yakawanda iwe unobereka.
Nokufamba kwenguva, izvi zvinyorwa zvezveestrogen zvinogona kutungamirira kumuchirwere wemapendometri.
> Sources:
> Schweiger BM, Snell-Bergeron JK, Roman R. Menarche Kurambidza uye Kuenda Kumwedzi Kutadza Kuwedzera Muvana Vari Kuyaruka Nechirwere Cheshuga. Reproductive Biology uye Endocrinology . 2011,9 (61) 1-8
> Yeung EH, Zang C, Mumford SL, et al. Nguva Yakareba Kudzidza Kwekudzivirira kweIndulin neHormoni Hora Pamusoro Pokuenda Kumwedzi Purogiramu: BioCycle Study. J Clinical Endocrinology . 2010; 95 (12): 5435-5442