Mavuto Ammimba ndi Kusamba

Kupweteka kwa m'mimba kapena kuchepa kwa mimba kumakhudzana ndi nthawi ya kusamba . Mtundu uwu wa ululu wa m'mawere umabwera ndipo umapita ndi kuzungulira kwanu, ndipo umatchedwa ululu wa m'mawere. Kusamba kwanu kumakhala kosiyana ndi mahomoni achilengedwe komanso mapiritsi oletsa kubereka.

Kupweteka kwa bere sikunagwirizane ndi zovuta zanu, ndipo kawirikawiri ndi chizindikiro cha khansa ya m'mawere . Mavuto a pamimba angathenso kutchulidwa monga mastodynia, mastalgia, mammalgia, kapena mastitis.

Mavuto Ammimba ndi Kusamba

Chizunguliro cha Mimba ndi Kusamba. Art © Pam Stephan

Mavuto Ammimba Achimuna Ndi Nthawi Yamasiku

Zowawa za m'mawere zimayamba chifukwa cha mahomoni komanso kutuluka kwa msambo. Mwezi uliwonse m'zaka zanu zowonjezera, njira yanu yobereka imayesetsa kuti mukhale ndi pakati. Mitengo ya Estrogen ikukwera pa mfundo inayake, ndiye kuti chifuwa chanu chimasonyeza kuti timadzi timene timatulutsa timadzi timene timatulutsa timadzi timene timatulutsa timadzi timene timatulutsa timadzi timene timatulutsa timadzi timene timatulutsa timadzi timene timayambitsa matenda . Ngati dzira lanu silinali feteleza, ndiye kuti chidebe cha chiberekero chanu chidzakhetsedwera nthawi yanu. Monga momwe ma progesterone akugwera, kupweteka kwa m'mawere kapena chifundo chingapitirire mpaka nthawi yanu isayambe. Pamene nthawi ya kusamba ikuchoka, ndikumamva ululu wa m'mawere.

Mawere anu amawathandiza kupanga mkaka kuti azidyetsa mwana kumapeto kwa mimba yonse. Mabala ndi mazira amavomereza mahomoni omwe amatha mwezi uliwonse ndi kutupa, zomwe mwina zimafotokoza kupweteka kwa m'mawere. Kukulitsa kwa njira yanu yopangira mkaka kungapangitse zinthu zina zomwe zili mkati mwa chifuwa chanu: cysts , fibroadenomas , mitsempha, mitsempha ndi minofu. Khungu la m'mawere limakhala lovutikira kwambiri kusiyana ndi nthawi zambiri ndipo mavupa anu amamva chisoni komanso amakwiya. Ngati mimba imakulepheretsani mwezi wanu, mawere anu amatha kuyanjana ndi progesterone mlingo wokwanira pokhwima mokwanira miyezi isanu ndi iwiri yotsatira.

Mapiritsi Oletsa Kubadwa Ndi Kupweteka kwa Mimba

Nthawi zina mapiritsi oletsa kubereka amatchulidwa kuti athetse ululu wa m'mawere mwa amayi omwe amatsogolera. Chifukwa tonse timachita ma homoni m'mapiritsiwa mosiyana, mapiritsi amathandiza amayi ena, pamene ena amamva kupweteka kwa m'mawere. Mahomoni opangira ma ARV amakhudza msambo wanu komanso mawere anu. Tiyeni tiwone momwe mawere a mahomoni ndi ammimba amakhudzidwira ndi mapiritsi, poyerekeza ndi mapiritsi ophatikiza ndi minipill.

Kupweteka kwa ubereki ndi kuyanjana kwa kubadwa kwabwino

Chifuwa cha Mimba ndi Kuphatikizira Kugonjetsa Piritsi. Art © Pam Stephan

Zowawa za m'mawere zimatha ngakhale pamene mukugwiritsa ntchito mapiritsi oletsa kubereka . Ndipotu, nthawi zina mapiritsi oletsa kubereka amatchulidwa kuti athandize kuchepetsa kupweteka kwa m'mawere, chifukwa amasintha mavitamini. Mitundu ina ya mapiritsi oletsa kubereka imathandiza kuchepetsa ululu wa bere kwa amayi ena, pamene amayi ena ali ndi ululu wa m'mawere piritsi. Mkazi aliyense amapanga mahomoni mosiyana, kotero kutenga mapiritsi oletsa kubereka sikungakhale chitsimikizo chothandizira kupweteka kwa m'mawere. Muyenera kuyesa mapiritsi kuti muwone ngati mukulephera kupweteka m'mawere.

Mitundu iwiri ya mapiritsi oyenera kubereka

Mankhwala oletsa kubadwa amagwiritsira ntchito mahomoni othandizira kuti asamayese matenda ovunikira ndi kusintha mimba yanu ya chiberekero, kuchepetsa mwayi wa mimba. Pali mitundu iwiri ya mapiritsi olerera omwe akupezeka ku United States: mapiritsi osakaniza ndi minipill (progestin). Matenda anu a khansa ya m'mimba ndi ovunda ndi otsika poyendetsa mapiritsi oletsa kubereka, koma chiopsezo cha khansa ya m'mawere ya estrogen ndi yapamwamba kwambiri .

Pulogalamu Yophatikiza Mankhwala Odzudzula Mthupi (COCP) Ndikumvetsa Chisoni

Pulogalamu yothandizira kubadwa ili ndi mahomoni awiri: progestin ndi estrogen . Zimagwira ntchito popewera ovulation. Mu graph, mungathe kuona kuti mapiritsi ophatikizira amachititsa kuti mahomoni asakanike ndipo amatha kusunga nthawiyi, nthawi, ndi pambuyo pake nthawi yomwe ovulation iyenera kuchitika. Mukagwiritsidwa ntchito monga momwe mwalembedwera, dzira silimasulidwa ku chiberekero chanu, kuteteza mwayi wa pakati. Mu nyengo ya mahomoni, kupweteka kwa m'mawere kungatenge machitidwe angapo osiyana. Malingana ndi kuchuluka kwa estrogen ndi progesterone yomwe mumakhala nayo, kupweteka kwa m'mawere kungakhale kochepa kuposa kawirikawiri, kapena kungakhale koipitsitsa kuposa nthawi zonse panthawi yopuma komanso zosachepera .

Ngati mutenga piritsi, yomwe imatchedwanso POP, Pill Progestin Pokhapokha, kupweteka kwa msambo ndi kupweteka kwa m'mawere kudzakhala kosiyana ndi omwe amaphatikizapo piritsi lachitsulo (COCP). Tsopano tiyeni tiwone momwe minipill imakhudzira mawere a m'mawere.

Mapiritsimayi (Progestin Only Pills) Ndikumva Chisoni

Mapiritsimipulo - Progestin Pamapirisi Okha - Amakhudza Mimba Yopitirira Mimba ndi Mimba Yopweteka. Art © Pam Stephan

Mapiritsipiritsi , omwe amatchedwanso POP, Progestin Only Pills, ndi mtundu wina wa mapiritsi oletsa kubereka . Mosiyana ndi mapiritsi ogwiritsira ntchito pakamwa, omwe amagwiritsa ntchito maantirogen ndi progesin, mapiritsi opanga mavitamini ali ndi progesin okha. Masamba anu a isrojeni amatha kukhala pamtunda wawo wamwezi uliwonse pa minipills, chifukwa chake amayi akuyamwitsa akhoza kutenga mapiritsi awa. Estrogen imasonyeza kuti mkaka wa m'mawere umatulutsa, zomwe siziyenera kukhudza ngati mayi akukonza kuyamwitsa mwana wake wakhanda. Mankhwala amphindi amathandiza kupanga malo ovuta kwa umuna - chiberekero cha khola lanu chidzawombera ndipo endometrium (chiberekero cha chiberekero chanu) chidzachepa. Amuna ambiri samatha kupititsa patsogolo mkhalidwe wabwino umenewu kuti ufike ku dzira, ngati ulipo. Azimayi ena sagwiritsa ntchito piritsi, ndipo ena alibe nthawi - sikuti aliyense ali ndi vuto lomweli ndi piritsi la kulera. Zizindikiro zanu zimatha pambuyo pa miyezi ingapo.

Mlingo wa progestin umene minipill muli nawo ndi yochepa kuposa momwe mungapezere piritsi limodzi. Pofuna kugwira ntchito moyenera, imayenera kutengedwa monga momwe analembera kuti azikhala ndi progesterone tsiku lililonse. Mukhoza kuona mu graph momwe mazinga a estrogen akukwera ndi kugwera muchitidwe wamba, pamene ma progesterone amakhalabe osasunthika - opangidwa ndi minipill. Popeza tonsefe timachita ndi progesterone m'njira zosiyanasiyana, kupweteka kwa m'mawere kumakhala kochepa, kumakhala koipitsitsa, kapena kukhala wosasintha panthawi ya minipill.

Kuyamwitsa komweko kungayambitse kupweteka kwambiri m'mimba ndi pakhosi, choncho ngati mutenga minpilisi pamene mukuyamwitsa mwana, zingakhale zovuta kuthetsa zopweteka za m'mawere. Funsani dokotala wanu ngati mukuda nkhawa ndi kupweteka kwa m'mawere ndi kupweteka pamene mukuyamwitsa.

Kusintha Mazenera Anu a Mahomoni Kumasintha Mimba Yanu

Mahomoni omwe amachititsa kusamba kumakhudzanso kupweteka kwa m'mawere kapena kutsekemera kwa m'mawere kwa amayi omwe amatsogolera. Mukapanga mahomoni othandizira pa mapiritsi oletsa kubereka kapena hormone replacement therapy (HRT) zizindikiro zanu zimasintha. Nthawi zina kutenga mapiritsi a kulera kumathandiza kuchepetsa ululu wa m'mawere ndipo nthawi zina zimapangitsa ululu kukhala wovuta. Dzipatseni nthawi kuti mulole dongosolo latsopanoli lidzikhazikitse lokha ndi mapiritsi ndipo dokotala wanu adziwe za zizindikiro zanu za kupweteka kwa msambo ndi m'mawere. Pezani chithandizo cha akatswiri ngati zizindikiro zanu sizikuyenda bwino, kapena ngati muli ndi mavuto.

Zotsatira:

Kupweteka kwa m'mimba; Pp. 77-85. Dr. Susan Love's Breast Book. Susan M. Love, MD Yachisanu, 2010.

Mimba Yam'mimba. MedlinePlus Medical Encyclopedia. National Institutes of Health. Ndasinthidwa komaliza: 12/31/2008.

Mankhwala opatsirana mwachisawawa ndi ngozi ya khansa: Mafunso ndi Mayankho. National Cancer Institute. Awonanso: 05/04/2006.

Kusamba M'miyezi. Pp. 17-18. Dr. Susan Love's Breast Book. Susan M. Love, MD Yachisanu, 2010.