AQ ndi A Ndi Madokotala. Richard ndi Karilee Amanyadira
Timadziŵa kuti ubwino wa estrogen unali wotanganidwa kwambiri, ndipo kuopsa kwa mankhwala ochotsera ma ARV kumachepetsedwa. Chithokomiro, kuchepa kwa thupi, ndi estrogen ali ndi mgwirizano wovuta.
Ndinayankhula ndi Dr. Richard ndi Karilee Shames, olemba a Thyroid Power , za mankhwala opatsirana ndi estrogen.
Q: Kodi mumakhudzidwa bwanji ndi kugwirizana kwa chithokomiro / kusamba kwa mimba?
Mwinamwake chovuta chachikulu kwambiri cha zovuta mu gawo lonse la chithokomiro chiri mu zisudzo za umoyo wa amayi ndi kusamba .
Chilichonse chochokera kuzing'ono zazing'ono zomwe zimapangitsa kuti abwerere mobwerezabwereza zakhala zikuwonetsa kuti ndi zokhudzana ndi chithokomiro m'magawo ena a odwala. Kusuta nthawi si matenda, koma zimatha kuyamba kumverera ngati chithokomiro chanu chiri chochepa kapena chapakati pa nthawi yanu.
Akazi omwe ali mumkhalidwe wokhumudwitsawu nthawi zambiri amauzidwa kuti "Ndikumangokhala kusamba," ngati kuti ayenera kuyembekezera kuti akuvutika zaka zambiri chifukwa cha kuchepa kwachilengedwe mu estrogen. Mazira ndi chiberekero amafunika kuchuluka kwa mahomoni a chithokomiro mofanana ndi chiwalo chilichonse kapena dongosolo.
Ngakhale kuti anthu ambiri akudziwa zachipatala chifukwa cha kuchuluka kwa matendawa, amayi ambiri akuvutikabe ndi vuto la menopausal. Kawirikawiri, mankhwala kapena mahomoni sangapereke mpumulo wathunthu.
Izi nthawi zambiri chifukwa vuto lalikulu ndi chithokomiro chochepa. Pofika zaka 50, mmodzi mwa amayi khumi ndi awiri aliwonse ali ndi chiwerengero chachikulu cha hypothyroidism.
Pofika zaka 60, ndi mkazi mmodzi pa zisanu ndi chimodzi.
Chiwopsezo choterechi chikuthawa chikuwoneka kuti chikuwopsyeza akazi achiopsezo kuposa amayi ena onse odwala. Mwamwayi, zambiri zingatheke kuwathandiza.
Q. N'chiyani chingathandize amayi omwe ali ndi vutoli ndi vuto la chithokomiro?
Azimayi opatsirana pogonana sakufuna kapena athandizidwa ndi estrogen, timayambitsa kuyezetsa magazi kwa chithokomiro choyamba, mwinamwake kutsatiridwa ndi kachipatala ka mahomoni a chithokomiro, ngakhale kuyesa magazi kumakhala kovuta.
Kaŵirikaŵiri chidziwitso chachikulu cha hypothyroidism ndi chomwe chimangokhala chokhachokha chimene chimangobweretsanso dongosolo lonse kuti likhale labwinobwino. Kupuma kwa mimba kumapitirira, koma ndi njira yofatsa, yopepuka, komanso yabwino. Ngati chithokomiro chanu ndi chochepa, kutentha kwanu kutentha kumakhala kotchulidwa kwambiri, mobwerezabwereza, ndi zina zosokoneza. Izi ndi chifukwa chakuti chithokomiro ndi mphamvu yanu yovuta, yomwe imapangitsa kuti musamafe. Mukufuna mphamvu kuti muthe kusintha mwachisomo.
Ndi mphamvu zochuluka zedi zomwe zimakhala ndi anthu, momwe zimadzuka m'mawa, momwe zimagwirira ntchito bwino, komanso kuti zimakhala zovuta bwanji tsikuli zokhudzana ndi mahomoni a chithokomiro. Pamene msinkhu wanu uli wochepa kwambiri, mulibe mphamvu zogwirira ntchito bwino ndi chirichonse, mochulukirapo nkhawa zina komanso maganizo omwe mumagwirizanitsa ndi zaka za menopausal.
Taganizirani nkhani yotsatirayi. Tsiku lina tinkachita maulendo aatali a foni ndi aphunzitsi a zaka 51 ochokera kumadzulo, dzina lake Sarah. Onse awiri ndi mayi ake anayamba kuyambira pa nthawi yomwe ankaganiza kuti ali ndi zaka 46. Sara ankadziwa kuti mayi ake anali ndi chithokomiro, komanso kuti anali ndi vuto losiya kusamba. Mayi, kapena Sarah, kapena madokotala awo sanagwirizanitse zinthu ziwirizi.
Sarah atayamba kukhala ndi vuto lomweli lakumana ndi amayi ake, adalandira monga momwe anabadwira. Nthaŵi zina ankawotcha kwambiri komanso ankawopsya patsiku lasukulu kuti afunika kusintha zovala m'nyumba ya aphunzitsi. Mosakayikira, anawo adayamba kuvutika maganizo, ndipo sanali kusangalala ndi ntchito yake yokhutiritsa kale.
Mwamwayi, adatumizidwira ku ofesi yathu ndi mkulu wake wa sukulu, yemwe anali woleza mtima. Sarah anali ndi kachilombo ka TSH kakang'ono tsopano, pokhala ndi msinkhu wopita patsogolo, 6.2, mwachidziwikiratu m'zinthu zosaoneka bwino. Anasonyeza kuti mahomoni ake a chithokomiro sanagwirizane ndi zofunikira zina za kusintha kwa thupi kwake.
Kamodzi pa mankhwala a chithokomiro, anayamba kumverera ngati mwana wake wakale patatha milungu ingapo. Zizindikiro zake za kusamba zinatha, ndipo moyo wake unasintha kwambiri. Hormone ya chithokomiro yokha inathetsa mavutowo.
Q. Ndi zizindikiro zina ziti zomwe zimayambitsa matenda a chithokomiro?
Atrophic vaginitis, kapena kupatulira khoma la vaginja chifukwa cha kugwa kwa estrogen, kungayambitse kupweteka, kutulutsa, komanso kugonana. Zonsezi zimakhala zovuta kwambiri pamene chithokomiro chanu n'chochepa.
Azimayi amene ali ndi uchepere wamadzi omwe sanagwirizane ndi mavitamini kapena estrojeni amapezeka kuti ndi otsika kwambiri, ngati atayang'anitsitsa. Kuphatikiza pa kupeza gawo lofunika la moyo wawo wapamtima mmbuyomu, atachizidwa ndi mankhwala a chithokomiro, akaziwa amasangalala kupeza kuti mavuto awo ndi tsitsi louma, khungu louma, ndi misomali yokhazikika nthawi zambiri amathetsedwa.
Sitikufuna kuchepetsa vuto lovuta lomwe amayi ena ali nalo panthawiyi m'moyo wawo. Osati aliyense adzathandizidwa mwamsanga kapena kwathunthu monga Sarah. Kuvina kwa mahomoni ndi kovuta kwambiri, kotero lingaliro lakuti mukhoza kutenga hormone imodzi, kapena ziwiri, ndikumva mpumulo wathunthu, sikuti nthawi zonse imatuluka bwino. Muyenera kuyang'ana chithunzi chonsecho. Ndicho chimene timatanthauza ndi thanzi lathunthu.
Q. Kodi mukulimbikitsanji akazi pazaka makumi anai ndi makumi asanu?
Yesetsani kuganizira mahomoni anu onse, osati imodzi mwa iwo. Ndipotu, mungagwiritse ntchito njirayi kuti muwone mbali zonse za moyo wanu mukuyesera kuthetsa vuto laminga. Ngati simukukhutira ndi ubale wanu kapena ntchito yanu, izi zikhoza kukhala zofunikira pa kubwerera kwanu kwa kuchepa kwa thupi. Azimayi ambiri amapeza kuti kupatula thandizo lachipatala n'kofunika. Ena amapeza kuti nthawi yamtendere kutali ndi zovuta za moyo wawo zimagwira ntchito zodabwitsa. Chifukwa china choyang'ana mopyolera mophweka ndi estrogen m'malo mwake ndikuti estrogen si nthawizonse chinthu chochezeka komanso chothandiza.
Kukonzekera chithokomiro chanu kungakhale njira yabwino kwambiri yothetsera kusamba kwabwino komanso kusamalira chithandizo chamankhwala chomwe mungachifune.