Estrogen ndiyo hormone huru yakagadzirwa nemashizha uye mune zviduku zvishoma nezvinyorwa zvinonzi adrenal, uye zvinokonzera kukura kwehutano hwevakadzi pabonde. Estrogen inotarisirwa mukugadzirisa kwakanaka kwezvikamu zvepabonde, kugadziriswa kwechikwata chetachiona, mutemo wekuenda kumwedzi nekuchengetedza pamuviri.
Panguva yekuenda kumwedzi, isrogen inodzivirirwa nevekusimudzika mazai e follicle uye mishonga mukusimudza kwe endometrium nokuda kwekuvhura uye kunogona kutora pamuviri.
Uyewo imwe yemakemikari makuru ekuzvitakura, estrogen inotsigira kubudiswa kwemvura mumugwagwa unobereka hunoita kuti hupenyu huve nehutachiona hunoita kuti kusagadzikana kwechibereki kuve kwakanyanya. Kusvikira kumagumo ekudzivirira, estrogen inokurudzira kukura kwemukaka wemukaka mukati mazamu uye inosimudzira zvinokonzerwa neprolactin (iyo hormone huru inokonzerwa nekwakadzika mumukadzi).
Synthetic Estrogen
Estrogen ndiyowo mahomoni makuru anowanikwa mukuberekwa kwepiritsi s. Piritsi imwe neimwe yakasiyana, ine zvinyorwa zvakasiyana zve estrogen uye / kana progesterone .
Sezvo mukadzi ane makore uye iye anopinda pakuenda kumwedzi, yeserogen mazinga anotanga kuderera. Nokuda kwechikonzero ichochi, vamwe vanachiremba vanogona kupa chirongwa chetrogen replacement, kuti kuderedza zvimwe zviratidzo zvinowanikwa.
Estrogen Dominance muvakadzi neCPOS
PCOS ndiyo inonyanya kukonzera kusununguka kwehupenzi uye inofunga kuti estrogen kutonga, chikamu chechikonzero.
Kusava nechirwere chinokonzera kupfuurira kunopfuurira mazinga akawandisa eesrogen uye neprogesterone inokwana. Kusagadziriswa neprogesterone, kugara kwenguva yakareba isrogen kunogona kuita kuti endometrium iwedzere kuwedzera, iyo inogona kutungamirira kuremera uye / kana kusinganzwisisi kubuda ropa (kusagadzikana kana kuvhara uterine kubuda ropa).
Kwemakore akawanda, mutanho wekupedzisira wepommetriyo unogona kuguma nekuda kwekusimudzirwa kunopfurikidza nemazinga akareba eestrogen asingatenderwi neprogesterone, zvichiita kuti uterine lining kuvhara uye inokundikana kupera zvakanaka.
Kuvhara Kwakawanda Kwokubuda Bhoeding uye PCOS
Kune vakadzi vane menorrgia (nguva yakareba kana kurema kwenguva refu), kutungamirirwa kwe-estrogen kunogona kukurudzirwa kunonoka kubuda ropa nekugadzirisa kuputika kwemakemikari. Zvimwewo, progestin inogona kupiwa mumuromo kana uchiedza kuedza kubuda ropa rinodzora rinowanikwa. Mvura yakadzika yemapiritsi yemapiritsi kana intrauterine (IUD) yakadai seMirena (a levonorgestrel-kurega intrauterine system) inosarudzawo kuderedza kubuda kwakanyanya. Mune zvimwe zviitiko, kubvisa kwepometricar, chirongwa chinoshandiswa chinobvisa chikamu chekugadzirisa magetsi, chinokurudzirwa.
Zvimwe Zvinokonzerwa neEstrogen Dominance
Kunyange zvazvo marefu eesrogen marefu pamwe nekushaikwa kweprogesterone ndiyo chinhu chikuru chekutonga kwe estrogen inowanikwa kuvakadzi vane PCOS, zvakatipoteredza zvinogonawo kuita basa. Makemikari munharaunda yedu, inozivikanwa se xenoestrogens , inogona kutevedzera zvinowanzoitika yesrogen mumitumbi yedu uye kuita sevastocrine kuvhiringidza.
Zvimwe zvinokonzera kuvhiringidzika kwegoutocrine zvinosanganisira mishonga inouraya, Bisphenol A (BPA) uye phthalates (inowanikwa mumapuranga epurasitiki, mabhodhoro emvura, uye mapepa emapepisiti), uye parabens (kazhinji inowanikwa mumagadzirwa echepisi nemvere dzemaoko).
Inofungidzirwa kuti BPA inokanganisa nzira dzekuparidzira, zvichida nekupindira neserogen receptors. Nhamba dzeBPA dzakaratidzwa mune zvidzidzo kuti zvive zvakakwirira mumadzimai ane PCOS.
Kuita kuti kuderedza kusvibiswa kwako kwezvinhu zvinokanganisa zvakatipoteredza, tevera mazano aya:
- Sarudza magirasi emvura kuitira kupisa uye kuchengeta zvokudya
- Inwa zvinwiwa kubva muhombodo mabhodhoro kana avo vakanzi "BPA-isina"
- Tenga zvinhu zvakagadzirwa nemakwenzi zvakanyorwa "BPA-isina"
- Idya zvakasikwa ne "hormone-free" zvokudya
- Shamba maoko zvakanaka mushure mokubata mapeti emisiti
- Chengetedza zvigadzirwa zveganda nemishonga yekuchengetedza bvudzi, kutenga "paraben-isina" pane
- Mukuwedzera, kudya kudya kunowanikwa mune antioxidants kunogonawo kubatsira kuchengetedza maestrogen estergen kubva mukukuvara kwezvakatipoteredza.
Yakagadziriswa na Angela Grassi, MS, RDN
Sources
Kubata Uterine Bleeding: Mutungamiri wevarwere. American Society of Reproductive Medicine Chikwangwani Chaicho chakasvika June 8, 2015 http://www.reproductivefacts.org/BOOKLET_abnormal_uterine_bleeding/
Barrett ES1, Sobolewski M2. Polycystic ovary syndrome: do endocrine-kuvhiringidza makemikari inobatsira here? Semin Reprod Med. 2014 May; 32 (3): 166-76.