Kunokukhulunywa kakhulu ngalokhu impilo yesibelethoKodwa cishe njalo kuhlotshaniswa nokuzala noma ukunqamuka kokuya esikhathini. Kodwa-ke, ama-ovari akho nawo athinta amandla akho ansuku zonke, isimo sakho sengqondo, indlela osebenzisa ngayo ukudla, ngisho nempilo yamathambo akho nenhliziyo. Ukuwanakekela akukhona nje kuphela ukukwazi ukuba nabantwana; kumayelana nokuzizwa kahle emzimbeni wakho kuzo zonke izigaba zokuphila.
Uma ubonile izikhathi ezingajwayelekile, ukushisa okukhulu, ukushintshashintsha kwemizwa, noma umuzwa "wokungaziboni"Ama-ovary akho angase akuthumelele izimpawu. Ukuqonda ukusebenza kwawo, ukuthi yiziphi izifo ezingawathinta, nokuthi yimiphi imikhuba ethuthukisa ukusebenza kwawo kubalulekile ekwenzeni izinqumo ngesikhathi, ukunciphisa izingozi, futhi, uma ufisa, ukuhlela ubumama bakho ngenkululeko enkulu.
Ziyini izitho zokuzala futhi zidlala yiphi indima emzimbeni wakho?
Ama-ovari amancane amabili izindlala zobulili zabesifazane ezitholakala ezinhlangothini zombili zesibelethoZinomumo we-alimondi futhi zinobukhulu kanye nesimo esifana kakhulu ne-alimondi. Zixhunywe esibelethweni ngamapayipi e-fallopian futhi ziyingxenye ebalulekile yesistimu yokuzala yabesifazane.
Ngaphakathi kukhona ama-follicle, lapho amaqanda akhula khona. Kumjikelezo ngamunye wokuya esikhathini, enye yalezi follicle ivame ukuvuthwa futhi ikhipha iqanda ngesikhathi sokuvuthwaIqanda lihamba ngepayipi le-fallopian lilinde ukuhlangana nesidoda. Uma ukukhulelwa kungenzeki, iqanda kanye nolwelwesi lwesibeletho kuyaphuma ngesikhathi sokuya esikhathini.
Ngaphezu kokukhiqiza amaqanda, ama-ovari anesibopho sokukhiqiza Ama-hormone ocansi ayinhloko abesifazane: i-estrogen ne-progesteroneLawa ma-hormone alawula umjikelezo wokuya esikhathini, ukuzala, kanye nezici eziningi zempilo yowesifazane iyonke: athonya isikhumba, izinwele, isifiso sobulili, ukusatshalaliswa kwamafutha emzimbeni, ukulala, kanye nempilo engokomzwelo.
Phakathi neminyaka yokuvunda, ama-ovari asebenza kakhulu, kodwa ngokuhamba kwesikhathi inqwaba yama-follicle iyaphela. Uma eyeka ukukhulula amaqanda futhi akhiqize i-estrogen njalo, kuvela i-amenorrhea. ukunqamuka kokuya esikhathini, okuphawula ukuphela kokuphila kokuzala kodwa futhi noshintsho olukhulu ekulinganisweni kwama-hormone.
Ngale kokuzala: ama-ovari kanye nempilo iyonke
Sekuyiminyaka i-ovary ibhekwa cishe njengesitho "sokugcina amaqanda" kuphela, kodwa namuhla siyazi ukuthi iyisitho isitho esiyinhloko sempilo yonke yabesifazaneIzifundo zamuva nje ngendawo encane yama-ovari zibonise ukuthi akuyona nje inani lamaqanda asele elibalulekile, kodwa futhi nendawo yamangqamuzana atholakala kuyo.
Leyo ndawo yakhiwe yi- amangqamuzana azungeze futhi ondla iqandaizicubu zesibeletho kanye nezibonakaliso ze-biochemical ezivumela konke ukuthi kusebenze ngendlela ehlelekile. Njengoba iminyaka ikhula, le ndlela yokuphila iyashintsha: ukuxhumana phakathi kwamaseli kuyashintsha, ukucindezeleka kwe-oxidative kuyanda, futhi ikhono lamaqanda lokuvuthwa kahle liyancishiswa.
Lezi zinguquko zisiza ukuchaza ukuthi kungani ukuzala kwehla kakhulu ngemva kweminyaka engama-35, kodwa futhi nokuthi kungani abesifazane abaningi beqala ukuqaphela izinguquko esimweni sengqondo, esikhumbeni, ekugayweni kokudla, noma ebuthongweni ngisho nangaphambi kokunqamuka kokuya esikhathini. Eziningi zalezi zimpawu zingase zibangelwe ukushintshashintsha okuncane kokusebenza kwesibeletho.
Ama-hormone akhiqizwa ama-ovary awagcini nje ngokunquma ukuthi uyakhipha amaqanda noma cha, kodwa futhi adlala indima yokuvikela... i-osteoporosis, izinkinga zenhliziyo kanye nezinkinga ezithile ze-metabolicNgakho-ke, uma ukusebenza kwesibeletho kulahleka kusenesikhathi noma ngokuzumayo, imiphumela ingavela emazingeni amathambo, enhliziyo kanye nangokomzwelo.
Izifo eziyinhloko zama-ovari
Kunezinkinga eziningi ezingathinta ukusebenza kwesibeletho. Ezinye azinangozi futhi azibangeli zimpawu eziningi noma azibangeli nhlobo izimpawu, kanti ezinye zingalimaza ukuzala noma impilo yonke futhi zidinga usizo lwezokwelapha. ukuxilongwa kusenesikhathi kanye nokwelashwa.
Ama-cyst esibeletho kanye nezinqwaba ezingengozi
Ama-cyst e-ovarian akhona amasaka amancane agcwele uketshezi akheka phezu noma ngaphakathi kwesibelethoEziningi ziyasebenza, okusho ukuthi zibonakala njengengxenye evamile yomjikelezo wesibeletho futhi ziyanyamalala zodwa ngaphandle kokubangela izinkinga.
Kwezinye izimo, kuvela ama-cyst noma ama-mass angasebenzi kahle, njenge- ama-teratomas (izimila ezingengozini ezinokuqukethwe okunamafutha), ama-serous cyst, noma ama-endometriomasNgokuvamile ziyizilonda ezingenabungozi, kodwa kuye ngobukhulu, ukubukeka kwazo ku-ultrasound kanye nezimpawu ezizivezayo, zingadinga ukubhekwa eduze noma ngisho nokuhlinzwa.
Ngokuvamile, ama-cyst asebenzayo awandisi ingozi yomdlavuza futhi awavami ukuphazamisa ukuzala; noma kunjalo, Ama-cyst ayinkimbinkimbi noma amakhulu angathinta izicubu zesibeletho noma kukhuthaze izinkinga ezifana nokugoba kwesibeletho.
I-Polycystic Ovarian Syndrome (PCOS)
I-Polycystic ovary syndrome yisifo esivame kakhulu isifo se-endocrine esivame kakhulu kwabesifazane abaneminyaka yokuzala futhi esinye sezimbangela ezivame kakhulu zobunzima bokukhulelwa. Akusho ukuthi kufanele ube nama-cysts ajwayelekile, kodwa kunalokho ukuphazamiseka okuvamile ekuvuthweni kweqanda kanye nokulinganisela kwama-hormone.
Ukuze kuhlolwe, lokho okubizwa ngokuthi Imigomo yaseRotterdamKuyadingeka ukuhlangabezana okungenani ezimbili zalezi ezilandelayo: ukungabikho noma ukuntuleka kwe-ovulation, izimpawu zomtholampilo noma zokuhlaziya ze-androgens eningi (induna, ukukhula kwezinwele okwandisiwe, i-alopecia) kanye nama-ovari abukeka sengathi ane-polycystic ku-ultrasound.
Iziguli eziningi ezine-PCOS ziba nokuya esikhathini okungajwayelekile, ukumelana ne-insulin, ukuthambekela kokukhuluphala, kanye nengozi eyengeziwe yokukhula isifo se-metabolic syndrome, ukukhubazeka kwe-cholesterol kanye nesifo sikashukela sohlobo 2Ngakho-ke, indlela yabo idlula ekulawuleni umjikelezo: kubalulekile ukusebenza ekudleni, emisebenzini yomzimba kanye nezinye izici zendlela yokuphila.
I-endometriosis yesibeletho
I-Endometriosis yisifo lapho izicubu ezifana nalezo ezingaphakathi kwesibeletho zikhula ngaphandle kwaso, okuvame ukuthinta ama-ovari, amashubhu e-fallopian, imisipha ye-pelvic, isinye, noma amathumbuUma yakheka esibelethweni, ingadala ama-cyst abizwa ngokuthi ama-endometrioma, agcwele okuqukethwe okujiyile nokumnyama.
Uphawu oluvame kakhulu yilolu ubuhlungu obukhulu be-pelvic obuvame ukuba bubi kakhulu ngokuya esikhathininakuba kungabangela nobuhlungu ngesikhathi socansi, ukungakhululeki lapho uya endlini yangasese, ukuya esikhathini okubuhlungu kakhulu, noma ukopha okukhulu.
I-endometriosis yesibeletho inganciphisa indawo yokugcina ama-follicle futhi ithinte ikhwalithi yamaqanda, kuyilapho ishintsha nendawo ye-pelvic kanye nokufakelwa kwe-embryo. Lokhu kuchaza ukuthi kungani ingenye yezimbangela ezivame kakhulu zokungazali kwabesifazanengisho nakwabesifazane abasebasha.
Ukuxilongwa kusekelwa yi-ultrasound enemininingwane yezifo zabesifazane, futhi kwezinye izimo, ngama-blood markers njenge-CA125. Ukuqinisekiswa okuqinisekile kwenziwa ngokusebenzisa ukubona ngeso lengqondo izilonda nge-laparoscopy kanye nesifundo se-histologicalKodwa-ke, ukuhlinzwa akuvamile ukudingeka ukuze kusolwe futhi kwelashwe lesi sifo.
Ukungasebenzi kahle kwe-ovarian okuyinhloko noma ukwehluleka kwe-ovarian ngaphambi kwesikhathi
Ukungasebenzi kahle kwe-ovarian okuyinhloko, okwaziwa nangokuthi ukwehluleka kwe-ovarian ngaphambi kwesikhathi, kwenzeka lapho Ama-ovary ayayeka ukusebenza kahle ngaphambi kokuba afinyelele eminyakeni engama-40Lokhu kungase kube ngenxa yokwehla okukhulu kwenani lama-follicle noma ukungasebenzi kahle kwalawo asele.
Ezimweni eziningi imbangela ayaziwa, kodwa ngezinye izikhathi ihlobene ukuguqulwa kwezakhi zofuzo (njenge-Turner syndrome noma i-fragile X premutation), izifo zokuzivikela komzimba, izinkinga ze-endocrine noma ukwelashwa okunamandla njengokwelashwa ngamakhemikhali kanye nokwelashwa ngemisebe ye-pelvic.
Ngokuvamile kubonakala njengokungabikho kokuya esikhathini izinyanga eziningana, ukuya esikhathini okungajwayelekile, ukushisa okukhulu, ukoma kwesitho sangasese sowesifazane, ukuqwasha, ukuncipha kwesifiso sobulili, kanye nokushintshashintsha kwemizwelo. Akuvamile ukuthi abesifazane baqale baxhumane nodokotela ngenxa yalokhu. ubunzima bokukhulelwa noma umuzwa wokuguga ngaphambi kwesikhathi.
Ukuxilongwa kusekelwe emlandweni wezokwelapha onemininingwane, i-ultrasound yokuhlola i-follicular reserve, kanye nokuhlaziywa kwama-hormone (i-FSH, i-LH, i-estradiol, kanye ne-anti-Müllerian hormone). Uma sekuqinisekisiwe, kubalulekile ukuphenya imbangela ngokugcwele ngangokunokwenzeka futhi uhlole izinketho zama-hormone nezinye izindlela zokwelapha. ukulondolozwa noma ukuphishekela ukukhulelwa ngokusebenzisa amasu okusiza ekuzaleni, uma isiguli sifisa.
Umdlavuza wesibeletho kanye nezinye izimila
Umdlavuza wesibeletho awuvamile kakhulu kunezinye izimila zabesifazane, kodwa umelela imbangela ehamba phambili yokufa ngenxa yomdlavuza wezifo zabesifazaneKubangela cishe u-4-5% wazo zonke izimila kwabesifazane futhi kuvame ukutholakala ukuthi zisesigabeni esithuthukile.
Uhlobo oluvame kakhulu umdlavuza wesibeletho se-epithelial, yize kukhona nezinye izinhlobo. Izimpawu zawo ngokuvamile azicaci: ukuqunjelwa kwesisu okuqhubekayo, ukuzizwa ugcwele ngokushesha, ukwehla kwesisindo okungachazeki, ubuhlungu noma ingcindezi ethangeni, ukuya esikhathini okungavamile, noma izinguquko emikhubeni yamathumbu.
Ukusola kokuqala kuvame ukuvela ngesikhathi sokuhlolwa kwe-ultrasound yezifo zabesifazane, kodwa ukuxilongwa okuqondile kudinga i-biopsy yesilonda, cishe njalo ngesikhathi sokuhlinzwa. Ngemva kwalokho, izifundo ze-imaging (i-CT scan, i-MRI) ziyaqedwa futhi ukuhlolwa kwama-molecule ukuthola izinguquko zofuzo ezivumela ukwelashwa okuqondiwe noma ukwelashwa nge-immunotherapy.
Ezinye izimila kanye nokwelashwa komdlavuza okungasuki esibelethweni kodwa okuthintayo kuhlanganisa lokho okuvela ku-chemotherapy kanye ne-pelvic radiotherapy. Imithi eminingi ye-chemotherapy, njenge-cyclophosphamide, i-cisplatin, kanye ne-doxorubicin, ingathinta isibeletho. kulimaza ngokungenakulungiseka i-ovarian reserveUkwelashwa ngemisebe e-pelvis nakho kuyabhubhisa ama-follicle, ngakho-ke kuyalulekwa ukuthi ucabangele ukulondolozwa kokuzala ngaphambi kokuqala lokhu kwelashwa.
Ezinye izifo ze-ovarian kanye ne-pelvic
Ngaphandle kwezifo ezaziwayo kakhulu, kunezinye izinkinga ezingathinta ama-ovari, njenge ukugoba kwama-ovari, isifo sokuvuvukala kwe-pelvic, noma izimila ezingengoziniUkugoba kwenzeka lapho isibeletho siziphendukela sona, sinqamula ukugeleza kwegazi futhi sibangele ubuhlungu obukhulu obuvame ukudinga ukuhlinzwa okuphuthumayo.
Isifo sokuvuvukala kwe-pelvic siwukutheleleka kwezitho zokuzala (isibeletho, amashubhu e-fallopian, ama-ovari) okungaholela ezinkingeni ezinkulu zempilo uma kungalashwa. izibazi, ukunamathela kanye nemiphumela ekuzaleniNgakho-ke kubalulekile ukubonisana nodokotela uma uzwa ubuhlungu obukhulu be-pelvic, umkhuhlane, kanye nokuphuma koketshezi olungavamile esithweni sangasese sowesifazane.
Izimbangela kanye nezici ezithinta impilo yama-ovari
Ama-ovary angathinteka yizimbangela eziningi. Ngezinye izikhathi imbangela isobala, kanti ngezinye izikhathi ayibonakali. Esikwaziyo ukuthi izakhi zofuzo, indawo ezungezile, ama-hormone, kanye nendlela yokuphila Zihlanganisa futhi zithonye indlela ezikhula ngayo kanye nendlela ezisebenza ngayo.
Izimbangela ezivamile zifaka phakathi ukuphazamiseka kwama-hormone okuthinta i-hypothalamus kanye ne-pituitary gland (izindlala ebuchosheni ezilawula isibeletho), izinkinga ze-metabolic ezifana nokumelana ne-insulinizifo zokuzivikela komzimba, izifo zesitho sangasese sowesifazane, kanye nezinqubo zokuvuvukala ezingamahlalakhona.
Ubudala buyisici esibalulekile: kusukela eminyakeni engu-35-37 ubudala, ukugcinwa kwama-ovari kuqala ukwehla ngokuphawulekayo, futhi kanye nakho, amathuba okukhulelwa ngokwemvelo. Ngaphezu kwalokho, kunobufakazi obandayo bokuthi ukuchayeka ezintweni ezingcolisayo zemvelo kanye nezinto eziphazamisa i-endocrine Kusukela ezigabeni zokuqala zokuphila kungayithinta nokusebenza kwesibeletho esikhathini esizayo.
Ngesikhathi sobuntwana, ubusha, ngisho nasesigabeni somntwana osanda kuzalwa, ubuthi obuthile obukhona endaweni ezungezile, ekudleni, noma emikhiqizweni yokunakekelwa komuntu siqu bungaphazamisa ukukhula kwesibeletho. Lokhu kufaka phakathi amapulasitiki athile, izibulala-zinambuzane, izinto ezikhona ezimonyweni, emikhiqizweni yokuhlanza noma emithini yokuvikela ilanga ezisebenza njengama-hormone "angewona" emzimbeni.
Izimpawu ezingase zibonise inkinga yesibeletho
Akuzona zonke izifo zesibeletho eziveza izimpawu ezibonakalayo. Amanye ama-cyst atholakala ngengozi ngesikhathi sokuhlolwa kwe-ultrasound futhi awabangeli ukungakhululeki. Kodwa, kwezinye izimo, umzimba uthumela izimpawu ezicacile zokuthi kukhona okungahambi kahle futhi kuyalulekwa ukufuna iseluleko sikadokotela. ungazijwayeli noma ungazibukeli phansi ukubaluleka kwazo.
Phakathi kwezimpawu ezingase zihlotshaniswe nesifo sama-ovari kukhona okulandelayo: imithetho engekho, engajwayelekile kakhulu, noma eshintsha ngokuzumayo ngobude baso kanye nobuningi baso. Futhi, ukubonakala phakathi kokuya esikhathini noma ukuphuma kwegazi okuhlala isikhathi eside kunokujwayelekile.
Kuvamile ukuthi abesifazane abaningi babonisane mayelana ukushisa, ukujuluka ebusuku, ukoma kwesitho sangasese sowesifazane, ukuncipha kwesifiso socansi noma ukungakhululeki ebudlelwaneni, ngaphandle kokwazi ukuthi lezi zimpawu zingase zihlotshaniswe nokungalingani ekukhiqizweni kwe-estrogen ne-progesterone.
Ezingeni lemizwa, ukushintshashintsha kwemizwelo, ukucasuka, umuzwa wokungazihlanganisi, noma "wokungazizwa njengawe ngaphambili" kuvamile. Abanye besifazane bachaza ukulahlekelwa ukuzethemba noma ukukhathala okuqhubekayo, okungase kuhlotshaniswe nokushintshashintsha kwamahomoni okuhlobene nokusebenza kwesibeletho.
Ubuhlungu be-pelvic obuqhubekayo, ikakhulukazi uma buqhubeka nokuba bubi ngokuya esikhathini noma ukuya ocansini, ukuvuvuka kwesisu isikhathi eside, kanye umuzwa wokusinda noma ukuqunjelwa ngaphandle kwesizathu esicacile sokugaya ukudla Lezi futhi yizimpawu ezingase zenze kube nesidingo sokuhlolwa kwezifo zabesifazane.
Izifo ze-ovarian zitholakala kanjani?
Uma kusolwa inkinga yesibeletho, isinyathelo sokuqala ukuhlolwa okuphelele kwezokwelapha. Uchwepheshe wezempilo uvame ukuqala ngo ingxoxo eningiliziwe ehlola izimpawu, umlando womuntu siqu nowomndeniubudala, umlando wokuya esikhathini, ukukhulelwa kwangaphambilini, imithi, kanye nemikhuba yokuphila.
Ngemuva kwalokho kwenziwa ukuhlolwa komzimba okuvamile bese ukuhlolwa kwe-pelvic ukuhlola isibeletho, ama-ovari, kanye nendawo yesitho sangasese sowesifazane. Ezimweni eziningi, kucelwa i-ultrasound ye-transvaginal, evumela ukutadisha usayizi nokubukeka kwama-ovari, ukuba khona kwama-cyst, ubuningi, noma izimpawu ze-endometriosis, kanye nokulinganisa indawo yokugcina ama-follicular.
Kuye ngokuthi yini okusolwayo, zingacelwa ukuhlolwa kwegazi ngama-hormone athile (i-FSH, i-LH, i-estradiol, i-progesterone, i-prolactin, i-anti-Müllerian hormone, ama-hormone e-thyroid, ama-androgens) kanye nezimpawu zesimila uma kudingeka. Kwezinye izimo, ucwaningo luzoqedwa ngokuhlolwa okwengeziwe kwezithombe (i-CT scan, i-MRI) noma nge-laparoscopy yokuxilonga.
Le ndlela ebanzi ayisizi nje kuphela ekuqambeni inkinga, kodwa futhi nasekuhleleni isu lokwelapha elifanelana nobudala bowesifazane ngamunye, izifiso zokuzala, kanye nempilo yakhe iyonke—into ebalulekile lapho kuxoxwa ngayo umsebenzi wesibeletho kanye nokuzala.
Ukwelashwa kwezifo zesibeletho
Ukwelashwa kwezinkinga zesibeletho kuncike ekuxilongweni okuthile, ubukhali bezimpawu, ubudala besiguli, nokuthi ngabe siyafisa yini ukukhulelwa esikhathini esifushane noma esiphakathi. Akukho ukwelashwa okukodwa okusebenza kuwo wonke umuntu; yingakho indlela yomuntu siqu ibalulekile. ukuhlolwa komuntu ngamunye kanye nohlelo oluhlelwe ngokwezifiso.
Kwezinye izimo, ukuqapha njalo kuyokwanela, futhi uma kukhona ubuhlungu, kuzosetshenziswa imithi yokunciphisa ubuhlungu noma imithi yokulwa nokuvuvukala. Kwezinye, kuzodingeka ukwelashwa okwengeziwe. izithibela-nzalo zama-hormone noma ezinye izindlela zokwelapha ngama-hormone ukulawula umjikelezo, ukuqeda izimpawu, noma ukuvikela amathambo kanye nesistimu yenhliziyo uma kukhona ukuntuleka kwe-estrogen.
Uma ukuvuthwa kweqanda kunzima, njengakwi-polycystic ovary syndrome noma kwezinye izinkinga zokungasebenzi kahle kokuvuthwa kweqanda, imithi ingasetshenziswa ukukhuthaza ukuvuthwa kweqanda, njenge-clomiphene citrate, i-letrozole, noma i-follicle-stimulating hormone (FSH). Lokhu kwelashwa kungahlanganiswa ne- amasu okuzala asizayo njengokufakelwa kwesidoda okwenziwe ngokwenziwa noma ukuvundiswa kwe-in vitro (IVF), ukulungisa izindlela zokulandelana kwesimo ngasinye.
Ezimweni ze-endometriosis, ama-cyst ayinkimbinkimbi, noma ezinye izinhlayiya ezingengozini, ukuhlinzwa okuncane kakhulu (i-laparoscopy) kungadingeka ukuze ukususa izilonda, ukuthuthukisa ubuhlungu nokugcina indawo yokugcina ama-ovari ngangokunokwenzekaEmdlavuzeni wesibeletho, indlela ivame ukufaka ukuhlinzwa kwe-oncological, i-chemotherapy, futhi, kwezinye izimo, ukwelashwa okuqondiwe kanye ne-immunotherapy.
Uma kunengozi yokulahlekelwa ukusebenza kwesibeletho ngenxa yokuguga, izifo eziyisisekelo, noma isidingo sokwelashwa okunobuthi be-gonado, kubalulekile ukuhlola ukulondolozwa kokuzala ngokuqandisa amaqanda noma, ezimweni ezithile, izicubu zesibeletho. Lolu khetho luvumela umzamo wakamuva wokukhulelwa ngamathuba aphezulu okuphumelela.
Imikhuba nokunakekela ukuthuthukisa impilo yesibeletho
Nakuba singenakukwazi ukulawula zonke izici, kunezinto eziningi esingazenza ukuze sinakekele ama-ovary ethu futhi siwasize asebenze kahle isikhathi eside. Le mikhuba ayithathi indawo yokwelashwa kwezokwelapha, kodwa iyazuzisa. insika ebalulekile yempilo yama-hormone kanye nokuzala.
Ukudla okulwa nokuvuvukala kanye ne-microbiota
Ukulandela ukudla okusekelwe ku- imikhiqizo emisha, yemvelo noma nini lapho kungenzeka futhi icutshungulwe kancane Kuyasiza ekunciphiseni ukuvuvukala kanye nomthwalo onobuthi. Ukubeka phambili imifino, izithelo, ama-legume, amaprotheni asezingeni eliphezulu, amafutha anempilo (njengalawo atholakala ku-extra virgin olive oil, i-avocado, noma amantongomane), kanye nokusanhlamvu okuphelele kusiza ekuqiniseni ushukela egazini.
Umgomo obalulekile ukunciphisa ukumelana ne-insulin, okuhlobene kakhulu ne-PCOS nezinye izinkinga zesibeletho. Ukuze kufezwe lokhu, kuyasiza ukusabalalisa ukudla kwamaprotheni ngokulinganayo usuku lonke, kufaka i-fiber ekudleni ngakunye, kanye Gwema ushukela ocolisisiwe kanye nokudla okucutshungulwe kakhulu ezibangela ukwanda kweglucose egazini.
Kubalulekile futhi ukunakekela i-gut microbiota, futhi uma kwenzeka ukuzala, i-endometrial microbiota. Lokhu kufezwa ngokudla okucebile ku ama-prebiotic (izithelo, imifino, ukudla okucebile nge-fiber) kanye nokudla okubilisiwe njengeyogathi, i-kefir, noma i-sauerkraut. Kwezinye izimo, uchwepheshe wezempilo angancoma izithasiselo ezithile ze-probiotic.
Isisindo esinempilo kanye nomsebenzi womzimba
Ukugcina isisindo esinempilo akukhona nje kuphela ngobuhle; kunomthelela oqondile ebhalansini lama-hormone. Izicubu zamafutha amaningi zikhuthaza ukumelana ne-insulin futhi zishintsha i-metabolism ye-androgen, engasiza... imijikelezo yokukhipha isisu kanye nobunzima bokuthola ukukhulelwa.
Ukuhlanganiswa kokudla okulinganiselayo kanye nokuzivocavoca njalo kusiza ukunciphisa amafutha emzimbeni futhi kwandise imisipha, okuwusizo kakhulu kwi-metabolic syndrome kanye ne-PCOS. Asikho isidingo sokwenza imidlalo eyingozi kakhulu: ukuhamba ngokushesha, ukuqeqeshwa kwamandla, i-yoga noma i-pilates Bangabalingani abakhulu empilweni yesibeletho.
Impilo ye-Mitochondrial kanye nokuphumula
Ama-Mitochondria izikhungo zamandla zamaseli, okuhlanganisa nalezo zamaseli amaqandaUmsebenzi omuhle we-mitochondrial uyisihluthulelo seqanda ukuthi libe namandla anele ngesikhathi sokukhulelwa kanye nokuhlukaniswa kokuqala kombungu.
Ukudla okuthile kubonakala kuthakazelisa kakhulu ekusekeleni lo msebenzi, njengokuthi i-avokhado, ama-alimondi noma ama-blueberriesNgaphezu kwalokho, ukulala okuvuselelayo kudlala indima ebalulekile: ukuhlonipha imigqi ye-circadian, ukulala nokuvuka ngezikhathi ezifanayo, kanye nokuhlose ukulala amahora angu-7-8 ekhwalithi kunomthelela oqondile kuma-hormone afana ne-melatonin ne-cortisol.
Ezimweni ezithile, futhi njalo ngaphansi kokuqondisa kochwepheshe, izithasiselo ezifana i-coenzyme Q10, i-resveratrol, i-alpha-lipoic acid, i-NAC, i-L-carnitine, i-melatonin, i-curcumin noma i-green tea extractokuye kwabonisa izinzuzo ezingaba khona ekusebenzeni kwe-mitochondrial kanye nebhalansi ye-oxidative.
Umsebenzi we-thyroid kanye namanye ama-hormone abalulekile
I-thyroid kanye ne-ovary kuxhumene kakhulu. Uma ama-hormone e-thyroid ephansi, kunzima ukusebenzisa amaseli e-granulosa, okuyiwona amangqamuzana aphethe umsebenzi we-thyroid. amaseli okusekela ama-oocyte ngaphakathi kwe-follicleLokhu kusiza imijikelezo engenamaqanda futhi kwandisa ingozi yokwehluleka kokufakelwa kwesibeletho.
Ngakho-ke, ocwaningweni lokuzala noma ezimweni zokungahambi kahle kokuya esikhathini, kubalulekile hlola umsebenzi we-thyroid kanye nama-antibodies e-antithyroidUkulungisa i-subclinical hypothyroidism kungenza umehluko omkhulu ekhwalithini yokukhishwa kwamaqanda kanye namathuba okukhulelwa.
Elinye i-hormone elifanele yi-dehydroepiandrosterone sulfate (DHEA), i-androgen ehlanganyela ekwakhiweni kwama-hormone ocansi futhi ebonakala sengathi ine-hormone. Umphumela "wokulwa nokuguga" esibelethweniKwezinye izindlela zokusiza ekuzaleni, ukwengezwa kwe-DHEA, okuhlala kuqashwe ochwepheshe, kusetshenziselwa ukuzama ukuthuthukisa ikhwalithi yama-oocyte kwabesifazane abane-ovarian reserve ephansi.
Thuthukisa ukugeleza kwegazi kwe-pelvic
Ukugeleza kwegazi okuhle e-pelvis kukhuthaza ukukhiqizwa komoya-mpilo, ukuhlinzekwa kwezakhamzimba kanye nokususwa kobuthi emaqanda nasesibelethweniUkuze kukhuthazwe, kunconywa imisebenzi efana ne-acupuncture, ukubhucungwa kanye ne-osteopathy egxile ethangeni, kanye nokuzivocavoca okuhlanganisa le ndawo, isibonelo i-yoga, i-pilates noma umdanso.
Ukuthola amanzi anele nakho kubalulekile, njengoba kunjalo nokudla okukhuthaza ukukhiqizwa kwe-nitric oxide, i-molecule ekhulisa imithambo yegazi. igalikhi, imifino eluhlaza enamaqabunga, ikhabe, noma i-grapefruit Bangasiza kulokhu.
Injabulo yocansi nayo idlala indima: ucansi oluhambisana ne-orgasm lukhulisa ukugeleza kwegazi ezithweni zangasese futhi lukhuphula amazinga I-Oxytocin, i-hormone ehlotshaniswa nenhlalakahle kanye nokuxhumana ngokomzweloUkuphila ucansi olunempilo nolungenabuhlungu kuyingxenye yokunakekelwa kwempilo kwabesifazane.
Iziphazamisi ze-endocrine, ukucindezeleka kanye nokuzinakekela
Kukhona idatha ekhulayo ngomthelela we- Iziphazamisi ze-endocrine ezitholakala emikhiqizweni yokuhlanza, izimonyo, ipulasitiki, noma ama-sunscreenUkubukeza lokho okusebenzisa nsuku zonke, ukukhetha ezinye izindlela eziphephile uma kungenzeka, nokugwema ukufudumala ukudla ngepulasitiki kuyindlela enhle yokutshala imali yesikhathi eside empilweni yakho yamahomoni.
Ukucindezeleka okungapheli kuphazamisa i-hypothalamic-pituitary-ovarian axis futhi kungaphazamisa ukuvuthwa kwamaqanda kanye nomjikelezo wokuya esikhathini. Ukuhlanganisa imikhuba ekusiza uphumule, njenge... ukuzindla, ukuphefumula okucabangayo, ukuzivocavoca okulingene, noma imisebenzi yokudala oyijabulelayoKukhuthaza indawo elinganiselayo yamahomoni.
Okokugcina, ukukhulisa ubuhlobo bakho nawe kubalulekile. Abesifazane abaningi babhekana nezinkinga zesibeletho njengokwehluleka komuntu siqu noma ukulahlekelwa ubuwena. Ukusebenza kulokhu ukuzethemba, impilo yengqondo, kanye nokusekelwa komphakathi Kuyasiza ukuzulazula kulezi zinqubo ngecala elincane kanye nomuzwa omkhulu wokulawula izinqumo.
Isikhathi sokuhlela i-aphoyintimenti nodokotela wezifo zabesifazane noma uchwepheshe
Akudingeki ulinde kuze kube yilapho isimo siba sibi kakhulu ukuze ufune usizo. Kunconywa ukuthi ucele ukuhlolwa uma ubona izinguquko ezibonakalayo emjikelezweni wakho wokuya esikhathini, ukushisa okukhulu usemncane, ubuhlungu obuqhubekayo be-pelvic, noma ubunzima bokukhulelwa ngemva kokuzama isikhathi esithile.
Kunconywa futhi ukufuna usizo uma uhlangabezana nezinguquko ezinkulu zemizwa ezihlobene nomjikelezo wakho, ukulahlekelwa yisifiso sobulili, ukungakhululeki ngesikhathi socansi, noma izimpawu zesitho sangasese sowesifazane njengokoma nobuhlungu. Ngezinye izikhathi, lokho okuqala njengento elula kuba yithuba ukuthola inkinga yesibeletho kusenesikhathi futhi usebenzise izinyathelo ezithuthukisa ikhwalithi yempilo yakho.
Ukubonisana okukhululekile, lapho ungachaza khona ukuthi uzizwa kanjani nokuthi yini eshintshile, kanye nokuhlolwa okuphelele, i-ultrasound, kanye, uma kudingeka, nokuhlolwa kwama-hormone, kuyisisekelo sokunquma ngezinyathelo ezilandelayo. Lokhu kungasukela ekulungiseni imikhuba yokuphila noma ekulawuleni umjikelezo wakho kuya ekucabangeni... ukwelashwa kokuzala, ukwelashwa ngamahomoni noma ukugcinwa kwamaqandaIcala ngalinye lihlolwa ngokwalo.
Ukunakekela ama-ovary akho kusho ukunakekela okungaphezu nje kwamandla akho okukhulelwa: kuhilela ukuvikela impilo yakho engokomzimba, ukuzinza kwakho ngokomzwelo, kanye nenhlalakahle yakho yesikhathi eside. Ukulalela izimpawu zomzimba wakho, ukubukeza indlela yakho yokuphila, nokungazinaki noma yiziphi izimpawu ezikukhathazayo kungenza umehluko omkhulu endleleni obhekana ngayo nesigaba ngasinye sokuphila, kusukela ebusheni kuya ekunqamukeni kokuya esikhathini.