Mchitidwe wokha kumaliseche wamasiku amatha masiku 28 ndi masiku 21 mpaka 35. Ndibwino kuti muyesedwe ndi chiwerengero cha masiku pakati pa nthawi yanu. Panthawi imeneyi, pafupifupi kutuluka kwa mwezi kwa mwezi, kusintha kwa mahomoni kumayambitsa kuyamwa ndiyeno kumapeto . Kusinthasintha kwa mahomoni kungakhudze machitidwe ena ndi ntchito zanu komanso njira yanu yobereka.
Azimayi omwe ali ndi matenda a shuga akhoza kukhala ndi mavuto ena omwe amatha chifukwa cha kusamba kwa mahomoni.
1. Mpangidwe Wanu wa shuga Ungakhale Wovuta Kulamulira pa Nthawi Zina za Mwezi
Kodi mukukhumudwa ndi kuthamangitsidwa kwanu mu sabata musanafike nthawi yanu? Kodi mumadabwa chifukwa chake dzuwa lanu limatuluka pamene simukuchita zosiyana ndi zomwe munachita sabata yatha?
Kulimbana kovuta kwa glycemic ndi chinthu chenicheni-inu simukuziganizira.
Chifukwa chomwe shuga lanu la magazi likhoza kukhala kovuta kwambiri kuti muyambe kuyandikira pamene mukufika pofika nthawi yanu likukhudzana ndi kusintha kwa mahomoni. Pafupifupi pakati pa nthawi yomwe mukupita kumalo ovulation amapezeka. Panthawi imeneyo, ma progesterone anu akuwonjezeka.
Kafukufuku wasonyeza kuti progesterone imakhudzidwa ndi kuchulukitsidwa kwa insulini . Izi zikutanthauza kuti pakati pa theka lachizunguliro chanu (tsamba la luteal) pamene ma progesterone anu ali apamwamba mutha kukhala ndi insulin yotsutsa.
Yankho la thupili limadziwika kuti luteal phase insulin kukana.
Luteal gawo la insulini kukana kawirikawiri kumadzetsa matenda ena oopsa kwambiri ngakhale mutasintha masewera olimbitsa thupi ndi zakudya mwanjira iliyonse.
Koma palinso zovuta kwambiri zomwe zimawathandiza amayi omwe ali ndi shuga.
Kuwonjezeka komweko kwa progesterone komwe kumakupangitsani kuti mukhale osagwira kanthawi kwa insulini kungakuchititseni kuti mukhale ndi zokonda za zakudya zosafunika komanso zimakupangitsani kuti musatengeke mtima.
insulini kukana + zilakolako za chakudya + kuchepa ntchito = kuchepa kosauka
Pakapita nthawi, kulamulira kosauka kumeneku kungakulepheretseni kudwala matenda a shuga.
Ngati mukudwala matenda a shuga, ndikofunikira kuti muzikumbukira zakudya zanu komanso machitidwe ochita masewera olimbitsa thupi panthawi yomwe mukupita kumwezi. Azimayi omwe ali ndi matenda a shuga a mtundu wa 1 akhoza kukhala okhudzidwa kwambiri ndi matendawa. Komabe, ngati mumamwa mankhwala odwala matenda a shuga mwinamwake simukuyang'ana shuga wanu wamagazi nthawi zonse, kotero simungadziwe kuyendetsa bwino kwa chiwopsezo.
2. Kugonana kwa Hormonal Kuwonjezera Kukaniza kwa Insulini
Ngati kusintha kwanu kwa ma hormoni kungakhudze momwe mukugonjetsera matendawa, musadabwe kuti mahomoni ambiri amatha kukhala ndi zotsatira zofanana. Pamene mukupita kumwezi, chofunika kwambiri chotsutsana ndi insulini chimawoneka panthawi ya luteal pamene ma level progesterone ali apamwamba kwambiri. Komabe, kafukufuku amasonyeza kuti estrogen, komanso progesterone, ikhozanso kuyambitsa insulini kukana.
Njira zothana ndi mahomoni zomwe zili ndi estrogen ndi progesterone ndizo:
- piritsi lachinsinsi
- chigwirizano cha kulera
- mphete yakumaliseche
Njira zothandizira njira za kulera zam'mimba zomwe ziri ndi progesterone yokha ndizo:
- Mirena
- Nexplanon
- Depo-Provera
- Pulogalamu yonyansa ya Progesterone
Njira iliyonse yothandizira njira ya kulera imatha kuwonjezera thupi lanu kuti lisakanike, kuti zikhale zovuta kuti muzitha kusamalira shuga wanu. Kawirikawiri, ndibwino kugwiritsa ntchito njirazi ngati muli ndi shuga. Ndikofunikira kudziwa kuti kugwiritsa ntchito mankhwala opangira mavitamini kungasinthe kulamulira kwanu. Onetsetsani kuti mumayang'anitsitsa shuga lanu la magazi pamene mukuyamba kapena kusintha njira yanu ya kulera.
3. Nthawi Yakale, Kusamba Kwambiri Kwambiri
Kodi anzanu onse adayamba nthawi yawo? Kodi mukudabwa chifukwa chake simunapeze anu? Zingakhale matenda anu shuga kuntchito.
Ngati mukukhala ndi matenda a shuga a mtundu wa 1 mukhoza kukhala ndi nthawi yochepa kwambiri ya zaka zobereka poyerekezera ndi amayi omwe alibe shuga komanso amayi omwe ali ndi matenda a shuga a mtundu wa 2 . Zaka zanu zobereka ndi zaka pakati pa nthawi yanu yoyamba, yotchedwanso menarche , ndi kuyamba kwa kusamba.
Mwamwayi, sitimvetsetse bwino chifukwa chake izi zimachitika, koma ngakhale kusintha kwa matenda a shuga ndi kuyendetsa glycemic, maphunziro akuthandizira kuchepa kwa msambo wa shuga mu mtundu wa shuga 1. Izi ndizoona kuti ndiwe wachinyamata pamene muli ndi matenda a shuga.
Kuwonjezera pa kuchedwa kwa msambo, mungakhalenso ndi nthawi yambiri yosiya kusamba kusiyana ndi anzanu opanda shuga. Akuti anthu oposa theka la achinyamata omwe ali ndi shuga ya mtundu wa 1 adzakhala ndi nthawi yosasamba.
4. Kulemera Kwambiri Kungayambitse Nthawi Zosasintha
Ngakhale kuti matenda a shuga a mtundu wa 2 akhoza kuchitika mwa amayi omwe sali olemera kwambiri, ndizotheka kuti ngati mukukhala ndi matenda a shuga a mtundu wa 2 mukulimbana ndi kulemera kwanu. Kuchepetsa kutaya thupi kungakhale kovuta koma kosatheka kwa amayi omwe ali ndi matenda a shuga a mtundu wa 2. Mosiyana ndi mtundu wa shuga wa mtundu wa 1 pamene thupi lanu silitulutsa insulini yokwanira, ngati mukukhala ndi matenda a shuga a mtundu wa 2 thupi lanu limagonjetsedwa ndi insulini.
Pamene mukulemera kwambiri mafuta anu owonjezera kapena minofu ya adipose imapanga mahomoni omwe amachititsa kuti thupi lanu lisatetezeke. Izi zimapangitsa kuti mapuloteni anu apange insulini yambiri. Ngakhale sitimvetsetsa momwe zimakhalira, izi zimapangitsa kuti maselo ambiri a insulini agwirizane ndi mahomoni omwe amachititsa kuti musakhalenso msambo. Pamene kusintha kwanu kwa ma hormonal kusokonekera simungathe kuvulaza ndipo ngati simukuvundula simudzakhala ndi nthawi yeniyeni.
Matenda anu a shuga 2 angakhale mbali ya matenda otchedwa polycystic ovarian syndrome kapena PCOS. Ngati muli ndi PCOS, mulibe kusiyana pakati pa kupanga mahomoni. Kusalinganika kumeneku kumateteza kudwala kwa nthawi zonse chifukwa cha kusamba kwa msinkhu. Matendawa amakhalanso ndi ma insulini okwera chifukwa cha kuchuluka kwa insulini chifukwa cha kusakanikirana kwa insulini. Kawirikawiri, kuwonjezera kunenepa kwambiri, nthawi zochepetsetsa kwambiri zimakhala zovuta kwambiri ndipo nthawi zina zimakhala zosavuta.
5. Ngozi Yowonjezereka ya Khansa Yopamtima
Khansara ya endometrial ndi khansa yowonongeka kwambiri yomwe imapezeka. Amapezeka mobwerezabwereza kwa amayi osapitirira zaka 50 ndipo amapezeka kawirikawiri mwa amayi atatha kusamba.
Ngati mukukhala ndi matenda a shuga a mtundu wa 2 muli ndi chiopsezo chachikulu chokhala ndi khansa ya m'mimba ndipo chiopsezochi chimakhala chosasamala ndi BMI yanu. Chiwopsezo ichi chikuwonjezeka kuti chikugwirizana ndi insulini kukana ndi insulini yapamwamba ya mtundu wa shuga 2.
Mavuto anu amakula kwambiri ngati muli olemera kwambiri. BMI yokwezeka ikhoza kutsogolo kapena kusakanikirana kwa nthawi yopuma. Panthawi imeneyi, chikhomo cha chiberekero chanu chikuwonekera ku estrogen popanda mphamvu ya progesterone, zomwe zimayambitsa kukula kwa endometrial . Ndipo ngati sikokwanira, mafuta anu kapena mankhwala amodzi amachititsa owonjezera isrogen. Pamene mukulemera kwambiri, ndiye kuti muli ndi estrogen yowonjezera.
M'kupita kwa nthawi, kuwonetsa kowonjezera kwa isrojeni kungapangitse khansa ya m'magazi.
> Zotsatira:
> Schweiger BM, Snell-Bergeron JK, Roman R. Menarche Kuchedwa ndi Kusamba Misonkho Kupitirizabe Achinyamata Ndi Mtundu Woperewera wa Shuga. Biology yoberekera ndi Endocrinology . 2011,9 (61) 1-8
> Yeung EH, Zang C, Mumford SL, et al. Maphunziro a Kutalika Kwambiri kwa Kutsekula kwa Insulini ndi ma Hormoni Achiwerewere Pakati pa Kusamba kwa Mwezi: BioCycle Study. J Clinical Endocrinology . 2010; 95 (12): 5435-5442