Umjikelezo oqhelekileyo wokuya esikhathini uya kuhlala malunga neentsuku ezingama-28 kunye nohlobo oluqhelekileyo lweentsuku ezingama-21 ukuya kwezi-35. Kungcono kakhulu ukulinganiswa nenani leentsuku phakathi kwamaxesha akho. Ngethuba lo mjikelo malunga neenyanga, i-hormonal fluctuations yenza i-ovulation ize ihambe . Olu tshintsho lwe-hormonal lungathintela ezinye iinkqubo zomzimba kunye nemisebenzi kunye neenkqubo zakho zokuzala.
Abasetyhini abaphila nesifo sikashukela banokuhlangabezana nemingeni ekhethiweyo yokuya esikhathini ngenxa yezinto ezixakekileyo ze-hormonal interactions.
1. Igalelo leGazi leShukela lingaba nzima ngakumbi ukuLawula ngeeNkcazo ezithile zeNyanga
Ngaba uxhalabile ngokutshutshisa ukulawulwa kwe- glycemic kwiveki phambi kwexesha lakho? Ngaba uyazibuza ukuba kutheni i-sugar sugars yakho ikhulile xa ungenzi nantoni na into eyahlukileyo kunokuba wenze ngeveki evelele?
Ukulawula okunzima kwe-glycemic kuyinto yinyani-awuyikuyicinga.
Isizathu sokuba kutheni isetyhu yakho yegazi ifumaneke nzima ukulawula ngokusondela kwakho kwixesha lakho kuhambelana nokutshintsha kwe-hormone kwimijikelezo yakho yokuya esikhathini. Ixesha eliphakathi kwexesha lokuhamba kwimihla yokuya esikhathini kwenzeka. Ngelo xesha kumjikelezo wakho, amanqanaba akho e-progesterone akhula.
Izifundo zibonise ukuba i-progesterone inxulumene nokunyuswa kwama- insulin . Oko kuthetha ukuba ngeli qingatha lesibini lomjikelezo wakho emva kwe-ovulation (isigaba se-luteal) xa amanqanaba akho e-progesterone ephakamileyo ngokwemvelo uza kuba noxinzelelo oluthile lwe-insulin.
Impendulo ye-physiologic yaziwa ngokuba yi-luteal phase insulin ukumelana.
I-Luteal phase insulin ukunyanzeliswa kuya kubangela ukuba ngokwemvelo kubangelwe iziqulatho ezingaphezulu kweengxowankulu nangona ungatshintshi umzimba wakho kunye nokutya ngendlela nayiphi na.
Kodwa kukho inselele enkulu yesigaba seengxaki kubafazi abaphila nesifo sikashukela.
Ukwanda okufanayo kweprogesterone okubangela ukuba ube nexesha elimelana ne-insulin kwakhona kuya kubangela ukuba ube nesifiso sokutya kwi- carbohydrate elula kwaye kunokubangela ukuba ulahlekelwe yimpembelelo yakho yokusebenzisa.
ukuxhatshazwa kwe-insulin + ukuthanda ukutya + kunciphise umsebenzi = ukulawulwa kakubi kwe-glycemic
Ngokuhamba kwexesha, lo lawulo olubi olubi luyakwandisa umngcipheko weengxaki zesifo sikashukela.
Ukuba uhlala nesifo sikashukela, kubaluleke kakhulu ukuba ukhumbule ukutya kwakho kunye nokuzivocavoca ngethuba ngexesha lesigxina sokujikeleza kwakho. Abasetyhini abanesifo sikashukela se- 1 banokuthi banokukhathazeka ngakumbi kule nqubo yokuxhatshazwa kwe-insulin ejikelezayo. Nangona kunjalo, ukuba unamayeza omlomo ngesifo sikashukela wakho mhlawumbi awuhlolisanga ishukela lakho legazi rhoqo, ngoko awukwazi ukuqaphela ukulawulwa kwe-glycemic.
2. Ukukhulelwa kweHormonal Kunokwandisa ukuKhatywa kwe-Insulin
Ukuba ukutshintsha kwakho kwe-hormone kunokuchaphazela ukulawulwa kwe-glycemic akufanele kukumangalise ukuba ama hormone aqhelekileyo anokufumana umphumo ofanayo. Ngethuba lokuhamba kwimizuzu yakho, ukuxhatshazwa kwe-insulin ebaluleke kakhulu kubonakala ngexesha lesigaba xa iinqanaba lakho le-progesterone liphezulu. Nangona kunjalo, uphando lubonisa ukuba i-estrogen, kwakunye ne-progesterone, inokubangela ukunyanzelwa kwe-insulin.
Izindlela zokukhusela i-hormonal eziqukethe i-estrogen kunye neprogesterone ziquka:
- i pilisi yomlomo
- iqhosha lokukhusela
- isithintelo somlomo wesisu
Izindlela zokukhusela i-hormonal eziqukethe kuphela iprogesterone ziquka:
- IMirena
- Nexplanon
- Depo-Provera
- Iprogramterone kuphela ipilisi
Naliphi na le ndlela yokukhusela i-hormonal inokunyusa ukunyanzeliswa kwe-insulin yomzimba, okwenza kube nzima ukulawula iswekile yegazi. Ngokuqhelekileyo, kulungile ukusebenzisa ezi ndlela ukuba unesifo sikashukela. Kubalulekile ukuba uqaphele ukuba ukusebenzisa i-hormonal contraceptive kungashintsha ukulawulwa kwe-glycemic. Qinisekisa ukuhlawula ingqalelo kwi-sugar sugar yakho xa uqala okanye utshintsha indlela yakho yokukhusela i-hormonal.
3. Ixesha elidlulileyo, i-Menopause yokuqala
Ngaba bonke abahlobo bakho baqala ukufumana ixesha labo? Ngaba uyazibuza ukuba kutheni ungakakho okwamanje? Ingaba isifo sikashukela emsebenzini.
Ukuba uhlala nesifo sikashukela se-1 unokufumana ithuba elifutshane nje lokuzalwa ngokuthelekiswa kunye nabasetyhini abanesifo sikashukela kunye nabasetyhini abaphila ne- type 2 yeswekile . Iminyaka yakho yokuzala iyiminyaka phakathi kwexesha lakho lokuqala, elibizwa ngokuba yi- menarche , kunye nokuqala kokuphuma kwesisu.
Ngelishwa, asiyiqondi kakuhle ukuba kutheni le nto yenzeka, kodwa nangona uphuculo lokulawula isifo sikashukela kunye nokulawulwa kwe-glycemic, izifundo zenkxaso yokuqalisa ukulibaziseka kwexesha lokuhamba ngesifo sikashukela. Oku kuyinyaniso ngokusemncinane xa ufumene ukuba ufumene unesifo seswekile.
Ukongeza kwimizuzu yokulibazisa, ungase ube nezihlandlo ezingaphezulu kwexesha lokungena kwexesha eliqhelekileyo kunezihlobo zakho ezingenayo i-diabetes. Kuye kucetyiswa ukuba ngaphezulu kweyesithathu kwintsholongwane yesifo sikashukela i-type 1 iya kuba nexesha eliqhelekileyo lokuya esikhathini.
4. Ukunqongophala kwesisindo kunokubangela iiperidi ezingavumelekanga
Nangona uhlobo lwe-2 lwesifo sikashukela lunokuvela kubasetyhini abangaphelelanga, mhlawumbi ukuba uhlala nesifo sikashukela se-2 ulwa nomthwalo wakho. Ukulahlekelwa kwesisindo kunokuba nzima kodwa kodwa akunakwenzeka kubasetyhini abanesifo seswekile. Ngokungafani nesifo sikashukela se-1 apho umzimba wakho awuvelisi khona i-insulin eyaneleyo, ukuba uhlala nomhlobo wesi-2 wesifo sikashukela umzimba wakho unqabile kwi-insulin.
Xa ukhulu kunene umzimba wakho ogqithiseleyo okanye i-adipose tissue ivelisa i-hormones eyenza ukunyuswa kwe-insulin. Ukuxhatshazwa kwe-insulin kukubangela ukuba i-pancreas yakho ivelise i-insulin engaphezulu. Nangona asiyiqondi kakuhle into eyenzekayo, la manqanaba e-insulin akhula kunye nama-hormone alawula umjikelezo wakho wokuya esikhathini. Xa utshintsho lwe-hormone ye-hormonal luphazamisekile, awuyi kuguqula kwaye ukuba awuyikuvusa i-ovulate ayiyi kuba nexesha eliqhelekileyo.
Uhlobo lwakho lwesifo sikashukela sinokuba yinxalenye yimeko ebizwa ngokuba yi-polycystic ovarian syndrome okanye i-PCOS. Ukuba unayo i-PCOS, unokungalingani kwi-ovarian hormone production. Ukungalingani kuvimbela ukuvuthwa rhoqo ngokubangelwa kwimijikelezo engaqhelekanga yokuya esikhathini. Le meko idibaniswa kunye namazinga aphezulu e-insulin ngenxa yokunyusa ngokweqile kwe-insulin ngenxa yokunyanzelwa kwe-insulin. Ngokuqhelekileyo, ukugqithisa kakhulu, ungaphantsi kancinci uza kuhoxisa kwaye iimeko zakho ezingapheliyo ziza kuba.
5. Ingozi eyongeziweyo yeCetometrial Cancer
Umdlavuza we-Endometrial ngumdla wesifo somdlavuza oqhelekileyo. Kwenzeka ngokungaqhelekanga kwabasetyhini abangaphantsi kweminyaka engama-50 ubudala kwaye ixhaphake ngokuqhelekileyo kubasetyhini emva kokumisa umva.
Ukuba uhlala nesifo sikashukela se-2 usengozini yokwanda komdlavuza we-endometrial kwaye le mngcipheko uyazimelela kwi-BMI yakho. Lo mngcipheko okhulayo ucingelwa ukuba unxulumene nokuxhathisa i-insulin kunye nokuphakanyiswa kwamazinga e-insulin e-type 2 yeswekile.
Umngcipheko wakho usanda kwanda xa ukhulu kakhulu. I-BMI ephakamileyo ingakhokelela kwisiganeko esingaqhelekiyo okanye esinesibhobho. Ngethuba le mijikelezo, i-bridge ye-uterus yakho ibonakala kwi-estrogen ngaphandle kwefuthe lokukhusela i-progesterone, ekhokelela ekukhuleni kwe- endometrial . Kwaye ukuba oko akunakwanele, amanqatha akho okanye i-adipose tissue yenza i-estrogen eyongezelelweyo. Ukugqithisa ngaphezu kwakho, i-estrogen eyongezelelweyo uyivelisa.
Ngokudlulayo kwexesha, ukuvezwa kwe-estrogen eyongezelelweyo kunokukhokelela kumdlavuza we-endometrial.
> Imithombo:
> Schweiger BM, uSnell-Bergeron JK, iRoman R. Menarche Ukulahla kunye nokuNyuka kwemizi Ukunyamezela kwabaNtshontsho kunye nohlobo lwe-1 lweswekile. I-Biology yokuzala kunye ne-Endocrinology . 2011.9 (61) 1-8
> Yeung EH, Zang C, Mumford SL, et al. Ukufundwa kwexesha elide lokuShatshazwa kwe-insulin kunye neHormones yoLwesini Ngethuba lokuya esikhathini: I-BioCycle Study. J Clinical Endocrinology . 2010; 95 (12): 5435-5442