Series Series Medicine Series
Uthotho lwezonyango eziSebenzayo zeklinikhi. Wamkelekile ekuthatheni ulawulo lwezempilo zakho. Ndiza kukwazisa kuthotho lwamanqaku amayeza asebenzayo apho siza kuxoxa ngezihloko ezahlukeneyo zempilo kunye nempilo entle kunye nokuchaza iindlela ezilungileyo onokuthi usebenze ngazo nogqirha wakho ukuze ufumane ukhathalelo lwempilo olufaneleyo. Iyeza elisebenzayo licebo elizimeleyo, elisekelwe kwisayensi enenjongo yokujongana ngokwemvelo nezinto ezibangela izifo.
Nangona kunjalo, uninzi lwabantu alukwazi ukufikelela kugqirha wamayeza asebenzayo kwaye bahlala befumana unyango lweempawu zabo endaweni yezisombululo ezihlala ixesha elide kwimpilo yabo. Olu luhlu lwamayeza asebenzayo lujolise ekwenzeni abantu basebenze kunye noochwephesha babo bezempilo bangoku okanye babakhuthaze ukuba bafune ugqirha osebenzayo weyeza ukuze bavavanye uhlobo lwabo lwemfuza, i-biochemical, kunye nendlela yokuphila ukuze bakwazi ukonyusa olo lwazi ukukhokela umntu ngamnye. inkqubo yonyango.
Izinto ezikula manqaku zenziwa zafumaneka ngeenjongo zokufundisa nokunika ulwazi. Ngalo lonke ixesha ufuna unyango kwigcisa lezempilo xa usenza utshintsho kwindlela yokuphila.
by UGqr Alex Jimenez | Ukhathala kwe-Adrenal (AF), Chiropractic, Ubuhlungu obungapheliyo, Iimeko eziPhathwayo, LweMpilo, Series Series Medicine Series, impilo, traps Umncono, Syndrome yeMetabolic, Unyango, I-Viscerosomatic Reflex, Ukuphila
intshayelelo
UDkt Alex Jimenez, DC, ubonisa indlela unyango oluhlukeneyo olunokunceda ngayo ngokusilela kwe-adrenal kwaye lunokunceda ukulawula amanqanaba e-hormone emzimbeni kule nxalenye ye-2. Kuba iihomoni zidlala indima ebalulekileyo emzimbeni ngokulawula indlela umzimba osebenza ngayo, kubalulekile ukwazi ukuba yintoni eyona nto ibangela ukuba ibangele imiba ehambelanayo emzimbeni. Kwi Icandelo 1, sijonge indlela ukungasebenzi kwe-adrenal kuchaphazela ngayo amahomoni ahlukeneyo kunye neempawu zabo. Sithumela izigulane kubaboneleli abaqinisekisiweyo ababandakanya unyango lwe-hormone olukhulula ukungasebenzi kwe-adrenal echaphazela umzimba ngelixa uqinisekisa impilo efanelekileyo kunye nokuphila kakuhle kwesigulane ngokusebenzisa iindlela zonyango ezahlukeneyo. Sixabisa isigulana ngasinye ngokusithumela kubaboneleli bezonyango abanxulumeneyo ngokusekwe kuxilongo lwaso xa kufanelekile ukuqonda ngcono indlela esiziva ngayo. Siyaqonda ukuba imfundo yeyona ndlela ibalaseleyo kwaye inomdla wokubuza ababoneleli bethu imibuzo eyahlukeneyo entsonkothileyo ngokwesicelo kunye nolwazi lwesigulana. UDkt Jimenez, DC, usebenzisa olu lwazi njengenkonzo yemfundo. isikhanyeli
Unyango lwe-Adrenal Insufficiencies
UGqr. Alex Jimenez, DC, unikezela: Xa kuziwa kwi-adrenal insufficiencies, umzimba uneempawu ezahlukeneyo ezinokubangela ukuba umntu azive ephantsi kwamandla kunye neentlungu kwiindawo ezahlukeneyo. Ekubeni iihomoni ziveliswa kwi-adrenal glands, zinceda ukugcina indlela amalungu abalulekileyo kunye nezihlunu ezisebenza ngayo ukugcina umzimba usebenza. Xa izinto ezahlukeneyo zichaphazela umzimba, ziphazamisa i-adrenal glands, kunokubangela ukuveliswa kwehomoni ngaphezulu okanye ngaphantsi. Ukuza kuthi ga ngoku, inokunxibelelana neempawu ezininzi ezibangela ukuba umzimba ungasebenzi. Ngethamsanqa, kukho unyango olwahlukeneyo olunokuthi abantu abaninzi balufake kubomi babo bemihla ngemihla ukukhuthaza ukulawulwa kwehomoni.
Ngoku wonke umntu uneendlela ezahlukeneyo zokuthoba uxinzelelo, oko kulungile njengoko kukho iindlela ezahlukeneyo zonyango umntu anokuthi athande ukuzama, kwaye ukuba ukwisicwangciso sonyango awaphuhliselwa ngugqirha wakhe, banokufumana iindlela zempilo kunye nempilo yabo. impilo emva. Abantu abaninzi ngamanye amaxesha bathatha inxaxheba kukucamngca kunye neyoga ukuze baziqhelanise nokuqonda. Ngoku ukucamngca kunye neyoga kunezibonelelo ezimangalisayo ekwehliseni uxinzelelo lwe-oxidative kunye namanqanaba e-cortisol ahambelana noxinzelelo olungapheliyo. Ngokujonga indlela ukungasebenzi kakuhle kwe-adrenal kunokubangela ukonyuka kwe-insulin, i-cortisol, kunye nokungasebenzi kakuhle kwe-DHEA kwi-axis ye-HPA, oogqirha abaninzi baya kucwangcisa isicwangciso sonyango kwizigulana zabo ezinokuthi zincede ukuthoba iimpawu zoxinzelelo lwe-oxidative kunye nokulawula ukuveliswa kwehomoni. Ke ukuba olunye lonyango lukucamngca okanye i-yoga, abantu abaninzi abenza i-yoga kunye nokucamngca baya kuqala ukuqaphela indlela abaziva ngayo emva kokuphefumla kancinci kwaye baqale ukuziva beyikhumbula indawo ebangqongileyo. Oku kubangela ukuba abantu abaninzi baphucule umgangatho wobomi babo obunxulumene nokuncipha kwamanqanaba e-cortisol.
Indlela Ukunyamekela Okunokunciphisa Uxinzelelo
UGqr. Alex Jimenez, DC, unikezela: Olunye unyango olukhoyo olunokunceda ngokusilela kwe-adrenal lunyango lwe-8 yeeveki ezinokuthi zincede ukunciphisa amanqanaba e-cortisol ukusuka ekunyukeni emzimbeni ukuze kubangele imiba engaphezulu kunokuba umntu ujongene nayo. Kuxhomekeke kweliphi inqanaba ukungasebenzi kakuhle kwe-axis ye-HPA echaphazela umzimba, ukuthatha ixesha lakho kunokukunceda ekuhambeni kwexesha. Umzekelo inokuba kukuthatha uhambo lokuhamba ngeenyawo kwindalo. Utshintsho kwimekobume lunokunceda umntu akhululeke kwaye akhululeke. Oku kuvumela umzimba ukuba uyeke uxinzelelo olungeyomfuneko lwe-pent-up oluchaphazela imo yomntu, ukusebenza, kunye nempilo yengqondo xa utshintsho lwendawo lunokubanceda baphumle kwaye bahlaziye. Ukuza kuthi ga ngoku, ivumela i-axis ye-HPA ukuba iphumle nayo.
Omnye umzekelo wendlela ukucinga okunokunceda ngayo ukunyanga ukungasebenzi kakuhle kwe-adrenal ehambelana nokungasebenzi kakuhle kwehomoni kukubonelela nge-neurofeedback kwabo bane-PTSD engapheliyo. Abantu abanamava abuhlungu bane-PTSD, enokuthintela amandla abo okusebenza emhlabeni. Xa bedlula kwisiqendu se-PTSD, imizimba yabo iya kuqala ukutshixa kwaye icinezele, ibangele ukuba amanqanaba e-cortisol anyuke. Ukuza kuthi ga ngoku, oku kubangela ukugqithelana kweempawu ezinxulumene nemisipha kunye neentlungu ezidibeneyo. Ngoku ingqondo idlala njani indima yayo xa kufikwa kunyango? Ewe, oogqirha abaninzi abaziingcali ekunyangeni i-PTSD baya kwenza uvavanyo lwe-EMDR. I-EMDR imele iliso, intshukumo, ukudakumba, kunye nokuhlelwa ngokutsha. Oku kuvumela izigulana ze-PTSD ukuba i-axis ye-HPA iphinde ifakwe kwaye inciphise imiqondiso ye-neuron ebuchotsheni babo kwaye incede ukuthoba nawaphi na amanqanaba e-cortisol ebangela ukusilela kwe-adrenal emizimbeni yabo. Ukubandakanya uvavanyo lwe-EMDR kwizigulana ze-PTSD zibavumela ukuba bafumane umba obangela ukwenzakala ngokubona ingqondo, apho ingqondo iphinda idlala iinkumbulo ezibuhlungu kwaye incede ukubuyisela ingqondo ukukhulula ukwenzakala emzimbeni kwaye iqalise inkqubo yokuphilisa.
IiVithamini kunye neeVenkile
UGqr. Alex Jimenez, DC, unikezela: Enye indlela abantu abaninzi abanokuqala ngayo ukuba bafuna ukulawula iihomoni zabo kukuthatha izongezo kunye neutraceuticals ukunceda ukubuyisela ukusebenza kwehomoni kunye nomzimba. Ukukhetha iivithamini ezifanelekileyo kunye nezongezelelo akukho nzima ukuba awufuni kuzisela kwifomu yepilisi. Iivithamini ezininzi kunye nezongezelelo zingafumaneka kukutya okupheleleyo okunesondlo kunye nezondlo ezithile ezinokuphucula ukuveliswa kwehomoni kunye nokwenza umntu azive ezele. Ezinye zeevithamini kunye nezongezelelo ezinokuthi zincede ngokulinganisela kwehomoni ziquka:
- Magnesium
- Iivithamini zeB
- Probiotics
- Vitamin C
- I-Alpha-lipoic acid
- IOmega-3 Amanqatha Acid
- Vitamin D
Ezi vithamini kunye nezongezelelo zinokunceda ukunxibelelana namanye amahomoni akhiqizwa ngumzimba kwaye ancede ukulungelelanisa ukuveliswa kwehomoni. Ngoku, olu nyango lunokunceda abantu abaninzi abanokungalingani kwehomoni emizimbeni yabo, kwaye kukho amaxesha apho inkqubo inokuba nzima. Khumbula nje ukuba ukwenza olu tshintsho luncinci lunokuba nefuthe elikhulu ekuhambeni kwexesha malunga nempilo yakho kunye nokuphila kakuhle. Ngokunamathela kwisicwangciso sonyango ugqirha wakho eze kunye nawe, uya kuziva ungcono ekuhambeni kwexesha kwaye ubuyisele impilo yakho kwakhona.
isikhanyeli
by UGqr Alex Jimenez | Ukhathala kwe-Adrenal (AF), Chiropractic, Ubuhlungu obungapheliyo, Iimeko eziPhathwayo, LweMpilo, Series Series Medicine Series, impilo, traps Umncono, Syndrome yeMetabolic, Unyango, yokuzonwabisa, I-Viscerosomatic Reflex, Ukuphila
intshayelelo
UDkt Alex Jimenez, DC, ubonisa indlela ukungaphumeleli kwe-adrenal kunokuchaphazela ngayo amanqanaba e-hormone emzimbeni. IiHormones zidlala indima ebalulekileyo ekulawuleni ubushushu bomzimba kwaye zinceda ukusebenza kwamalungu abalulekileyo nezihlunu. Olu luhlu lwe-2-part luza kuhlola indlela ukungasebenzi kwe-adrenal kuchaphazela ngayo umzimba kunye neempawu zayo. Kwinxalenye yesi-2, siza kujonga kunyango lokungoneli kwe-adrenal kunye nokuba bangaphi abantu abanokulubandakanya olu nyango kwimpilo yabo kunye nokuba sempilweni. Sithumela izigulane kubaboneleli abaqinisekisiweyo ababandakanya unyango lwe-hormone olukhulula imiba eyahlukeneyo echaphazela umzimba ngelixa uqinisekisa impilo efanelekileyo kunye nokuphila kakuhle kwesigulane. Sixabisa isigulana ngasinye ngokusithumela kubaboneleli bezonyango abanxulumeneyo ngokusekwe kuxilongo lwaso xa kufanelekile ukuqonda ngcono indlela esiziva ngayo. Siyaqonda ukuba imfundo yeyona ndlela ibalaseleyo kwaye inomdla wokubuza ababoneleli bethu imibuzo eyahlukeneyo entsonkothileyo ngokwesicelo kunye nolwazi lwesigulana. UDkt Alex Jimenez, DC, usebenzisa olu lwazi njengenkonzo yemfundo. isikhanyeli
Yintoni i-Adrenal Insufficiencies?
UGqr. Alex Jimenez, DC, unikezela: Izinto ezininzi zinokuchaphazela umzimba, nokuba yimikhwa yokutya, impilo yengqondo, okanye indlela yokuphila yonke inendima ekugcineni ukusebenza kwehomoni emzimbeni. Namhlanje, siza kusebenzisa ezi patheni ze-cortisol zingasebenzi kakuhle ukuba izigulana zikhoyo xa zingena kuvavanyo lwemihla ngemihla. Uninzi lwezigulana zihlala zingena kwaye zicacisele oogqirha babo ukuba banengxaki ye-adrenal dysfunction kuba iimpawu ezahlukeneyo zinxulunyaniswa nezigaba ezahlukeneyo ze-adrenal dysfunction okanye ukungasebenzi kakuhle kwe-HPA. Ngoku i-adrenal dysfunction okanye i-hypothalamic pituitary adrenal (HPA) ukungasebenzi kuxa i-adrenal glands ingavelisi ihomoni eyaneleyo yokulawula umzimba. Oku kubangela ukuba umzimba udlule kumanqanaba ahlukeneyo okungasebenzi kakuhle kwe-adrenal ukuba ayiphathwa kakuhle ngolu hlobo, nto leyo ebangela ukuba umzimba ujongane nezihlunu kunye neentlungu zamalungu angakhange ajongane nazo umntu kubo bonke ubomi bakhe.
Oogqirha abaninzi kunye nababoneleli ngezempilo basebenzisa indlela ecwangcisiweyo enokunceda abantu abaninzi bajongane nokuba banakho ukungasebenzi kakuhle kwe-adrenal emizimbeni yabo. Namhlanje, siza kuxoxa ngobudlelwane phakathi kweehomoni zabasetyhini kunye nokuphazamiseka kweemvakalelo ezinxulumene nokungasebenzi kakuhle kwe-adrenal. Xa kufikwa kukungasebenzi kakuhle kwe-adrenal okunxulunyaniswa neehomoni, abantu abaninzi baya kuhlala befumana amayeza kwizigulo zengqondo ezifana nesifo se-bipolar okanye uxinzelelo xa iihomoni zabo zingalingani. Xa ukungalingani kwehomoni kuqalisa ukuchaphazela abasetyhini abakwiminyaka yabo yobudala engama-XNUMX ngenxa yokuyeka ukuya exesheni, ukuphazamiseka kwengqondo kuhlala kusiba mandundu kwaye kubangele eminye imiba egqubanayo enokuchaphazela iihomoni zabo kunye nemizimba yabo.
Ukungasebenzi kakuhle kweAdrenal kuchaphazela uMzimba
UGqr. Alex Jimenez, DC, unikezela: Abasetyhini abaninzi baya kuba nokutya okunempilo, bathathe i-yoga, babandakanyeke kwizinto zokomoya, kwaye bahlale kunye nabahlobo babo; nangona kunjalo, xa amanqanaba ehomoni abo engalingani, bajongana neminye imiba ehambelana nokungalingani kwe-HPA okanye ukungasebenzi kakuhle kwe-adrenal. Ngokujonga umsebenzi we-corticotropic yeeyure ezingama-24 kunye nokugqiba indlela isigqi se-circadian esilawula ngayo, oogqirha abaninzi banokujonga idatha enikezelwe kwisigulane. Indlela idatha eboniswa ngayo kwisigulana malunga nendlela amanqanaba ehomoni atshintsha ngayo emzimbeni ekuseni kunye nendlela ephakama ngayo okanye ehla ngayo yonke imini de bayolala.
Ngolu lwazi, oogqirha abaninzi banokufumanisa ukuba kutheni lo mntu enenkathazo yokulala, ehlala evuka ekuseni, okanye engafumani ngokwaneleyo ukuphumla, okwenza ukuba badinwe imini yonke. Ke i-adrenal dysfunction inxulumene njani nomsebenzi we-corticotropic yeeyure ezingama-24? Izinto ezininzi zinokubangela ukungasebenzi kakuhle kwe-adrenal emzimbeni kwaye kuchaphazele amanqanaba ehomoni. Xa umzimba uqala ukugqithisa okanye ukuvelisa iihomoni eziphuma kwi-adrenal glands okanye kwi-thyroids, kunokubangela ukuba i-cortisol kunye namanqanaba e-insulin aphulukane nolawulo emzimbeni kwaye kubangele imiba eyahlukeneyo ekhokelela kwiintlungu kunye neentlungu ezidibeneyo. Ngamanye amaxesha ukungasebenzi kakuhle kwehomoni kunokubangela intlungu ye-somato-visceral okanye i-visceral-somatic ngokuchaphazela amalungu abalulekileyo anje ngamathumbu kunye nengqondo kwaye iqalise ukubangela imiba kwimisipha kunye namalungu ajikelezileyo. Xa izihlunu ezijikelezileyo kunye namalungu ebangela iintlungu emzimbeni, zinokubangela imiba ethe kratya enokuchaphazela ukuhamba komntu kwaye ibenze bakhathazeke.
Njani ukufumanisa ukungoneli kweAdrenal?
UGqr. Alex Jimenez, DC, unikezela: Xa oogqirha bexilonga isigulane esine-adrenal dysfunction baya kuqalisa ukujonga imbali yezonyango yesigulana. Izigulana ezininzi ziya kuqalisa ukuzalisa uluhlu lwemibuzo olude, olubanzi, kwaye oogqirha baya kuqala ukujonga i-anthropometrics, i-biomarkers, kunye nezalathi zeklinikhi ezifumaneka kwiimviwo zomzimba. Oogqirha kufuneka bafumane imbali yesigulana ukujonga iimpawu kunye neempawu zokungasebenzi kakuhle kwe-HPA kunye nokungasebenzi kakuhle kwe-adrenal ukufumanisa umba ochaphazela umntu. Emva kovavanyo, oogqirha baya kusebenzisa iyeza elisebenzayo ukujonga apho ukungasebenzi kulele khona emzimbeni kunye nendlela iimpawu ezixhunyiwe ngayo. Izinto ezininzi ezibangela ukungasebenzi kakuhle kwe-adrenal emzimbeni inokuba yindlela umntu atya ngayo le miba, ungakanani umthambo abawubandakanyayo kubomi babo bemihla ngemihla, okanye ukuba uxinzelelo lubachaphazela njani.
Iyeza elisebenzayo libonelela ngendlela epheleleyo eqwalasela indlela yokuphila ebangela imiba emzimbeni womntu. Ngokudibanisa amachaphaza kwinto ethethwa sisigulana kunye nendlela ezi zinto zibangela ukungasebenzi kakuhle kwe-adrenal, kubalulekile ukufumana ibali elipheleleyo kwisigulane ukwenza isicwangciso sonyango esilungiselelwe umntu. Bayakuxabisa ukuba umntu ekugqibeleni uyayiqonda into abajongene nayo kwaye uya kuqala ukubuyisela impilo kunye nempilo yabo. Ngokujonga oonobangela, oonobangela, kunye nabalamli ababangela ukungasebenzi kakuhle kwe-adrenal, sinokujonga kwimbali eyandisiweyo isigulana esisixelela yona, nokuba yimbali yosapho lwabo, izinto abazithandayo, okanye into abathanda ukuyenza ukuze bazonwabisa. Zonke ezi zinto zibalulekile ukuba ziqwalaselwe ukuzama ukudibanisa amachaphaza oyena nobangela wokungoneli kweadrenal emzimbeni okuchaphazela amanqanaba ehomoni yomntu.
Ukungoneli kweAdrenal kuchaphazela iCortisol
UGqr. Alex Jimenez, DC, unikezela: Ngoku, ngaba ukusilela kwe-adrenal kuhambelana nokunyuka kwe-DHEA kunye namanqanaba ehomoni ye-cortisol? Ewe, iDHEA yihomoni eveliswa ngamadlala eadrenal ngokwemvelo. Umsebenzi ophambili we-DHEA kukwenza ezinye iihomoni ezifana ne-estrogen kunye ne-testosterone ukulawula umzimba wendoda nowasetyhini. ICortisol yihomoni yoxinzelelo enyusa amanqanaba eglucose egazini. Owona msebenzi weCortisol kukuvumela ingqondo ukuba isebenzise iswekile emzimbeni ngelixa ilungisa izihlunu ezichaphazelekayo. Xa umzimba uqala ukugqithisa okanye ukuvelisa iihomoni ezingaphantsi kwe-adrenal glands, unokunyusa amanqanaba e-cortisol ukubangela ukomelela emzimbeni, kwaye i-axis ye-HPA iqala ukuncipha. Xa oku kusenzeka, umzimba uqalisa ukuziva ulivila, nto leyo enokubangela ukuba uzive udiniwe imini yonke, nangona usenokuba ulele kamnandi ebusuku.
Iimpawu zokungaphumeleli kwe-Adrenal
UGqr. Alex Jimenez, DC, unikezela: Oku kwaziwa ngokuba yi-adrenal fatigue kwaye inokudityaniswa neempawu ezahlukeneyo ezichaphazela ibhalansi yehomoni emzimbeni. Oku kunokubandakanya iimpawu ezingezizo ngqo ezifana nokuphazamiseka kokulala, imiba yokwetyisa, ukudinwa, kunye neentlungu zomzimba zinokuchaphazela amanqanaba ehomoni ngaphakathi emzimbeni. Oku kubangela ukuba abantu abaninzi bazive belusizi ngenxa yokuziva bephantsi amandla. Ukudinwa kwe-Adrenal kunokunxulunyaniswa nezigaba ezahlukeneyo zokungasebenzi kakuhle kwe-axis ye-HPA. Oku kunokubandakanya:
- I ngxaki
- Ukwaliwa kokutya kunye nokungevani
- Dysbiosis
- Utshintsho kwi-gut microbiota
- Iidyobisi
- istres
- Ukuxhathisa kwe-insulin
- Isifo se-Metabolic syndrome
Yonke le miba inokuchaphazela amanqanaba ehomoni yomntu kwaye ibangele ukuba i-cortisol ephakamileyo igqithe kwizinto ezininzi ezibangela iingxaki ze-somato-visceral. Umzekelo unokuba ngumntu onemiba yamathumbu enxulunyaniswa noxinzelelo olungapheliyo onokuqala ukuva iintlungu kumalungu ukusuka emadolweni, ngasemva, nasezinqeni ezibangela ukuba amanqanaba ehomoni atshintshe.
isikhanyeli
by UGqr Alex Jimenez | Chiropractic, Ubuhlungu obungapheliyo, LweMpilo, Series Series Medicine Series, impilo, traps Umncono, Syndrome yeMetabolic, Unyango, I-Viscerosomatic Reflex, Ukuphila
intshayelelo
UDkt Alex Jimenez, DC, ubonisa umboniso ocacileyo malunga nendlela ukungasebenzi kwe-hormonal kunokuchaphazela ngayo umzimba, ukwandisa amanqanaba e-cortisol, kunye nokudibanisa ne-PTSD kule ngqungquthela ye-3. Le ntetho ibonelela ngolwazi olubalulekileyo kubantu abaninzi abajongana nokungasebenzi kakuhle kwehomoni okunxulumene nePTSD. Inkcazo ikwabonelela ngeendlela ezahlukeneyo zonyango zokunciphisa imiphumo yokungasebenzi kwehomoni kunye ne-PTSD ngokusebenzisa iyeza elisebenzayo. Icandelo 1 ijonga umboniso wokungasebenzi kakuhle kwehomoni. Icandelo 2 iya kujonga indlela amahomoni ahlukeneyo emzimbeni anegalelo ngayo ekusebenzeni komzimba kunye nendlela ukuvelisa okanye ukuvelisa ngaphantsi kunokubangela iziphumo ezibi kwimpilo yomntu. Sithumela izigulane kubaboneleli abaqinisekisiweyo ababandakanya unyango lwe-hormone eyahlukeneyo ukuqinisekisa impilo efanelekileyo kunye nokuphila kakuhle kwesigulane. Sixabisa isigulana ngasinye ngokusithumela kubaboneleli bezonyango abanxulumeneyo ngokusekwe kuxilongo lwaso xa kufanelekile ukuba nokuqonda okungcono. Siyaqonda ukuba imfundo yeyona ndlela ibalaseleyo kwaye inomdla wokubuza ababoneleli bethu imibuzo eyahlukeneyo entsonkothileyo ngokwesicelo kunye nolwazi lwesigulana. UDkt Alex Jimenez, DC, usebenzisa olu lwazi njengenkonzo yemfundo. isikhanyeli
Ukujonga kwiHormonal Dysfunction
UGqr. Alex Jimenez, DC, unikezela: Ngoku, sijonge kwi-didactic enomdla apha, siza kuxoxa ngento enqabileyo kodwa ebalulekileyo ukuyiqonda xa ujonga ezi ndlela ze-steroid. Kwaye le yinto ebizwa ngokuba yi-congenital adrenal hyperplasia. Ngoku, i-congenital adrenal hyperplasia ingenzeka emzimbeni ngesiphene se-enzyme esizuzwe njengelifa okanye i-21 hydroxylases enokubangela ukuncipha okukhulu kwimveliso ye-adrenal yeglucocorticoids. Xa umzimba uphethwe yi-congenital adrenal hyperplasia, kunokubangela ukwanda kwe-ACTH ukwenza i-cortisol eninzi.
Ngoko xa i-ACTH inyuka ukwenza i-cortisol eninzi emzimbeni, inokukhokelela kwiintlungu zemisipha kunye namalungu ukuba ayiphathwa ngokukhawuleza. Sihlala sicinga ukuba i-cortisol imbi, kodwa kufuneka ube ne-adrenal hyperplasia yokuzalwa xa une-21 yokunqongophala kwehydroxide. Ukuza kuthi ga ngelo xesha, umzimba wakho awenzi ngokwaneleyo iglucocorticoids, nto leyo ebangela ukuba ube nenqanaba eliphezulu le-ACTH. Xa kukho ukungasebenzi kakuhle kwehomoni evela kwizinto ezahlukeneyo ezibangela ukusingqongileyo, kunokubangela ukuba iihomoni emzimbeni zivelise iihomoni ezingeyomfuneko. Umzekelo, ukuba uneprogesterone eninzi kakhulu, ayikwazi ukuhla kwindlela yokwenza i-cortisol ngenxa yezo enzymes zingekho. Iyakwazi ukuguqulwa ibe yi-androstenedione, ibangela ukuba abantu babe virilized.
Kwenzeka ntoni xa umzimba ungadali iiHormones ezaneleyo?
UGqr. Alex Jimenez, DC, unikezela: Ke xa izigulana zisenziwa zi-virilized, azenzi nayiphi na i-cortisol; Kubalulekile ukwenza unyango lwehomoni ukunciphisa uvuselelo lwe-ACTH ukuze amanqanaba ehomoni abuyele kwesiqhelo Xa oku kusenzeka, kunciphisa uxinzelelo ngaphakathi kwisixokelelwano somzimba ukwenza ii-androgens ezininzi. Kumzimba wesetyhini, nangona kunjalo, iprogesterone ayinakho ukuguqulwa kweperipheral ye-steroids ukuba iveliswe ngaphandle kwexesha lokukhulelwa. Iprogesterone ivela kwii-ovari kwaye ayiveliswa kwiidlala zeadrenal. Iprogesterone ikhutshwa ikakhulu kumchamo njengoko iimveliso ezininzi ezahlukeneyo zokuqhekeka zithande ukuba phezulu kunesiqhelo ngenxa yokunqongophala kwe-hydroxide ye-21.
Ke ngoku, makhe sithethe nge-androgens kubafazi be-premenopausal. Ngoko ke ii-androgens ezinkulu zivela kwi-ovary, i-DHEA, i-androstenedione, kunye ne-testosterone. Ngelo xesha, i-adrenal cortex ivelisa i-glucocorticoids, i-mineralocorticoids, kunye ne-sex steroids ukwenza i-testosterone kunye nesiqingatha se-hormone ye-DHEA. Umzimba ukwanokuguqulwa kweperipheral onoxanduva lwe-DHEA kunye nemveliso ye testosterone kumanqanaba ehomoni aqhelekileyo. Oku kungenxa yazo zonke izihlunu ezahlukeneyo ezinezi enzymes ukwenza la mahomoni ahlukeneyo kwiindawo ezahlukeneyo. Abasetyhini abangaphambi kokumenopausal kusenokwenzeka ukuba baphulukane ne-estrogen eninzi emva kokususa ii-ovari zabo. Oku kubangela ukuba balahlekelwe yi-DHEA, i-androstenedione, kunye nokuveliswa kwe-testosterone emizimbeni yabo.
I-PTSD kunye nokungasebenzi kakuhle kweHormonal
UGqr. Alex Jimenez, DC, unikezela: Ngoku i-testosterone ithwalwa yi-SHBG njenge-estrogen, kwaye izinto ezininzi ezitshintsha i-SHBG zibalulekile kwi-testosterone kunye ne-estrogen. Okubangel 'umdla kukuba, i-testosterone inokunciphisa i-SHBG ngamanani amancinci ukuvumela umzimba ukuba ube ne-testosterone yasimahla, ebangela isiphumo somzimba. Xa kuziwa kuvavanyo lwamanqanaba e testosterone, abantu abaninzi abayikhuphi ukuba xa amanqanaba abo e testosterone ephakanyisiwe, inokuba kungenxa ye-SHBG ephantsi. Ngokulinganisa i-testosterone epheleleyo emzimbeni, oogqirha abaninzi banokumisela ukuba izigulane zabo zivelisa i-androgen eninzi kakhulu, ebangela ukukhula kweenwele ngokugqithiseleyo emizimbeni yabo, okanye banokuba namanqanaba aphantsi e-SHBG ngenxa ye-hypothyroidism ehambelana nokutyeba okanye i-insulin ephakamileyo.
Ngoku xa kufikwa kwi-PTSD, inxulumana njani nokungasebenzi kakuhle kwehomoni kunye nokuchaphazela umzimba? I-PTSD sisifo esixhaphakileyo esixhaphakileyo kubantu abaninzi xa behlelwe zizinto ezibuhlungu. Xa imikhosi ephazamisayo iqala ukuchaphazela umntu ngamnye, inokubangela ukuba amanqanaba e-cortisol anyuke kwaye abangele ukuba umzimba ube kwimeko yoxinzelelo. Iimpawu ze-PTSD zinokwahluka kubantu abaninzi; ngombulelo, iindlela ezahlukeneyo zonyango zinokunceda ukunciphisa iimpawu ngelixa ubuyisela amanqanaba ehomoni kwisiqhelo. Uninzi lweengcali zempilo ziya kuphuhlisa isicwangciso sonyango esinokunceda ukunciphisa iimpawu ze-PTSD kunye nokunceda amanqanaba ehomoni asebenze emzimbeni ngokufanelekileyo.
Unyango Ukulawula iHormone
UGqr. Alex Jimenez, DC, unikezela: Ukuxinezeleka emzimbeni kunokuchaphazela inkqubo ye-musculoskeletal ngokubangela ukuba i-muscle ivalwe, ekhokelela kwimiba enqeni, emilenzeni, emagxeni, entanyeni nasemva. Unyango olwahlukeneyo olunjengokucamngca kunye neyoga lunokunceda ukuthoba amanqanaba e-cortisol ukusuka ekuguquguqukeni phezulu, okubangela ukuba umzimba ujongane nokuxinezeleka kwezihlunu ezinokuthi ziwele kwiintlungu ezidibeneyo. Enye indlela yokunciphisa uxinzelelo emzimbeni kukusebenza kunye nenkqubo yokuzivocavoca. Ukuzilolonga okanye ukuthatha inxaxheba kwiklasi yomthambo kunokunceda ukukhulula izihlunu ezomeleleyo emzimbeni, kwaye nokugcina uqheliselo lokuzilolonga kunokusebenzisa nawaphi na amandla okuphelisa uxinzelelo. Nangona kunjalo, unyango lokulinganisa iihomoni ezinxulumene ne-PTSD lunokuhamba ukuza kuthi ga ngoku kubantu abaninzi. Ukutya okunesondlo, ukutya okupheleleyo kunye namavithamini kunye neemaminerali kunokunceda ukulawula ukuveliswa kwehomoni kunye nokubonelela ngamandla emzimbeni. Uhlaza olunamagqabi amnyama, iziqhamo, iinkozo ezipheleleyo, kunye neeprotheni azikwazi nje ukuncedisa ekulawuleni ukuveliswa kwehomoni. Ukutya oku kutya kunesondlo kunokuthoba ii-cytokines ezidumbileyo ezibangela ukwenzakala ngakumbi kumalungu abalulekileyo anje ngamathumbu.
isiphelo
Ukubandakanya ukutya okunempilo, ukwenza umthambo, kunye nokufumana unyango kunokunceda abantu abaninzi abajongana nokungasebenzi kakuhle kwehomoni okunxulumene nePTSD. Umntu ngamnye wahlukile, kwaye iimpawu zidibana nokungasebenzi kakuhle kwehomoni ehambelana nePTSD kwaye ziyahluka kumntu nomntu. Xa oogqirha besebenza kunye nababoneleli bezonyango abahambelanayo, kubavumela ukuba baphuhlise isicwangciso sonyango esilungiselelwe umntu kwaye sibenze bakwazi ukulawula ukuveliswa kwehomoni yabo. Nje ukuba ukuveliswa kwehomoni emizimbeni yabo kulawulwa, iimpawu ezibangela iintlungu zomntu ziya kuba ngcono kancinci kodwa ngokuqinisekileyo. Oku kuya kuvumela umntu ukuba aqhubeke nohambo lwakhe lwempilo.
isikhanyeli
by UGqr Alex Jimenez | Chiropractic, Uvavanyo lweChiropractic, Ubuhlungu obungapheliyo, Series Series Medicine Series, impilo, Ababoneleli ngezeMpilo, Unyango, yokuzonwabisa, Ukuphila
intshayelelo
UDkt Alex Jimenez, DC, ubonisa indlela indlela ye-SBAR esetyenziswa ngayo kwindlela yekliniki kwiofisi ye-chiropractic. Kuba iintlungu emzimbeni sesinye sezona zikhalazo zixhaphakileyo kwihlabathi liphela, abantu abaninzi banokuthunyelwa kwingcali yezempilo ukuze baqonde ngcono okwenzekayo emizimbeni yabo kwaye impilo yabo kunye nempilo yabo ibuyiselwe. Sithumela izigulana kubaboneleli abaqinisekisiweyo abaziingcali kunyango ukunceda abantu abaphethwe yimiba eyahlukeneyo engapheliyo enxulumene nemisipha kunye neentlungu ezidibeneyo ezichaphazela imizimba yabo. Sikwakhokela izigulana zethu ngokuzithumela kubaboneleli bezonyango abanxulumeneyo ngokusekelwe kuvavanyo lwabo xa kufanelekile. Sifumanisa ukuba imfundo sisisombululo sokubuza ababoneleli bethu imibuzo ecacileyo. UDkt Alex Jimenez, DC, unikezela ngolu lwazi njengenkonzo yemfundo kuphela. isikhanyeli
Yintoni indlela ye-SBAR?
UGqr. Alex Jimenez, DC, unikezela: Igama elithi SBAR limele imeko, imvelaphi, uvavanyo kunye nengcebiso. Yindlela yokunxibelelana esetyenziswa ngabasebenzi abaninzi be-chiropractors okanye abaqeqeshi bezempilo ukunceda ukwenza lula ukunxibelelana ngolwazi lwesigulane kwamanye amalungu eqela lezempilo. Kwaye yonke injongo yendlela ye-SBAR kukusinceda ngobuchule nangokucwangcisiweyo ngemeko yesigulana kunye nemvelaphi yeso sigulana, iziphumo zovavanyo esizifumeneyo, kunye neengcebiso esizicebisa kulo mntu uthile ukuze baqonde ngokulula ukuba yintoni na. sidinga, sifuna, kwaye kuqhubeka ntoni ngeso sigulana ngendlela ecacileyo negxininisekileyo. Ke indlela ye-SBAR inokunceda i-chiropractor okanye i-massage therapist ihlale icwangcisiwe nanini na kufuneka inxibelelane kwaye ikhuphe ulwazi olungafunekiyo olunokuba kwincoko echitha ixesha okanye enokubhida umphulaphuli kwaye incede ukuthintela loo maxesha apho ingcali inokufumana imibuzo. kumntu abathetha naye, kwaye basenokungazi.
Indlela ye-SBAR ivumela ii-chiropractors ukuba zinxibelelane ngokufanelekileyo kunye nezigulane malunga nokuba iintlungu zikhona emizimbeni yazo. Ngoko ke i-SBAR iya kunceda abaninzi abaqeqeshi bezempilo bahlale behlelekile. Eminye imizekelo yendlela ye-SBAR esetyenziselwa unxibelelwano ibandakanya: umongikazi kufuneka athethe nomboneleli wezempilo njengogqirha, umongikazi, okanye i-PA ukuze abazise ukuba imeko yesigulana iya isiba mandundu, kwaye kufuneka bafowunele kwaye baxele ukuba . Ukuba badinga into ethile kweso sigulana, umboneleli wezempilo unokulandela indlela ye-SBAR, eya kubanceda ngokucacileyo nangokufutshane loo mbandela kumphulaphuli. I-Chiropractors ingaphinda isebenzise i-SBAR ukwabelana nabanye ababoneleli bezonyango abahambelanayo okanye i-massage therapists xa benengxelo yesigulane yokunikezelwa okanye idluliselwe kwiyunithi eyahlukileyo.
Indlela ye-SBAR ingasetyenziswa namanye amalungu eqela lezempilo, njengonyango lwentetho, unyango lomsebenzi, unyango lwe-chiropractic, kunye nonyango lomzimba. Le ndlela inceda kwaye ikhokela i-chiropractors malunga naluphi ulwazi olufunekayo ukuze banikeze isigulane, ngoko banokuqonda ngokupheleleyo okwenzekayo kubo. Umzekelo uya kuba sisigulane esiza kwiklinikhi ye-chiropractic ngentlungu emva; nangona kunjalo, bafumana imiba yamathumbu kwaye baneendawo zezikhalazo ezinqeni zabo, ezibangela imiba yokuhamba. Ke ngokusebenzisa indlela ye-SBAR, i-chiropractors kunye nabanye ababoneleli bezempilo banokunxibelelana ngcono nezigulana zabo kwaye baphuhlise isisombululo kunye Inkqubo ye-APPIER kunye nesicwangciso sonyango esijongene nomntu. Xa usenza i-SBAR yakho ukunxibelelana ngcono nomntu, kungcono ukuqinisekisa ukuba uzilungiselele ngokupheleleyo phambi kokuba uqalise loo ncoko. Ukuba nenkqubo encinci yokuthobela indlela ye-SBAR inokukunceda ngokukhawuleza kwaye ikuvumela ukuba uqaphele okwenzekayo kunye nesigulane entloko yakho okanye uqaphele imeko yabo. Ukufumana ukucwangciswa kwendlela ye-SBAR kuyisinyathelo sokuqala, kwaye ezininzi iiyunithi zonyango ziya kubenza zidalwe ukuze ugqirha akwazi ukuzalisa kwaye abeke lonke ulwazi olufunekayo xa bebiza okanye bethetha nezigulane zabo.
I-Chiropractors esebenzisa indlela ye-SBAR yayiza kungena kwigumbi, ijonge eso sigulane, sivavanye eso sigulane, siqokelele iimpawu zabo ezibalulekileyo kwaye sijonge kwitshathi, jonga inkqubela phambili yangoku, kwaye wazi ukuba ngubani okhoyo ebhodini ukunyamekela eso sigulane. Indlela ye-SBAR ikwavumela ugqirha ukuba ahlaziye itshathi yesigulana ngokucokisekileyo kwaye aqonde ukuba kuqhubeka ntoni ngesi sigulana. Ngoko xa bengena egumbini, baya kuba nombono wento eyenzekayo ngesigulana xa loo mibuzo ifikayo. Kwaye, xa bejonge iziphumo zelebhu zamva nje kubaboneleli bezonyango abanxulumeneyo. Banokuqonda ukuba leliphi iyeza isigulana esilithathayo kuba loo mibuzo mhlawumbi iya kuza kwaye ifakwe kwindlela ye-SBAR. Oku kuya kuvumela i-chiropractor ukuba iqokelele yonke loo ngcaciso kwisigulane kwaye ikhululeke kwaye ilungele ukuqalisa ingxoxo.
imeko
UGqr. Alex Jimenez, DC, unikezela: Ngoku makhe sijonge kwicandelo ngalinye lendlela ye-SBAR. Ekubeni indlela ye-SBAR igxininise kakhulu kwaye imfutshane ngonxibelelwano, iqondile. Ke imeko yinto yokuqala oza kuqala ngayo nanini na xa unxibelelana usebenzisa indlela ye-SBAR. Ke ngokuba nekhompyuter yakho kweso sigulana sikhethekileyo, oogqirha banokujonga into ngokulula xa umntu ebabuza umbuzo kwaye abe nolwazi phambi kwabo ngokukhawuleza. Ngoko kwimeko, kanye njengokuba isitsho, usukelo kukuthetha ngesizathu sokuba umguli efowunele. Leyo yinjongo yayo, njengoko inceda ukuqala izinto kwaye ivumela ugqirha kunye nesigulana ukuba bazazise kwaye bachaze ngokufutshane ukuba kuqhubeka ntoni ngemizimba yabo. Umzekelo uya kuba ngumntu onentlungu yomqolo ozazisa kwi-chiropractor kwaye ngokuchaseneyo kwaye achaze ngokufutshane apho abuhlungu khona.
imvelaphi
UGqr. Alex Jimenez, DC, unikezela: Ingxenye yangasemva yendlela ye-SBAR inceda ukupenda umfanekiso wento isigulane esihamba kuyo kwaye iya kunika inkcazo emfutshane yemeko. Emva koko, siya kungena ngqo kwimvelaphi yesigulana, kwaye le nxalenye yonxibelelwano iya kugxila kakhulu kwakhona. Kwaye ungatshintsha njani ukusuka kwimeko ukuya kwimvelaphi kwindlela ye-SBAR ngokuya kuxilongo lwesigulana. Ngoko isigulana samkelwa nakuphi na ukuxilongwa ngomhla wokwamkelwa. Emva koko i-chiropractor iya kulungelelanisa kwaye ifake ulwazi olubalulekileyo lwesigulane ngokusekelwe kwinto isigulane esifumana intlungu-esilumkileyo. Intlungu inokwahluka kumntu ngamnye kwaye inokuchaphazela umzimba ngokwahlukileyo.
Oogqirha abaninzi banokubandakanya isimo sekhowudi yesigulane kwaye baxoxe ngazo naziphi na ezinye iingxaki zempilo ezibalulekileyo ezihamba kunye nemeko yangoku yesigulane. Umzekelo uya kuba ukuba umntu ujongene nemiba yenhliziyo, ugqirha wabo oyintloko unokubuza ukuba babenayo nayiphi na imbali yempilo kunye nokuphazamiseka kwentliziyo, amayeza ezifo zentliziyo, intlungu yesifuba, njl njl. Ukufumana imbali yabo yemvelaphi kunokubonelela oogqirha abaninzi ngesicwangciso sonyango esingayi kubangela nayiphi na imiba kwisigulane. Xa ii-chiropractors zisebenza kunye nabanye abaqeqeshi bezempilo, banokubonelela ngemvelaphi yesigulane, kuquka igazi, iinkqubo zangaphambili, kunye naluphi na ulwazi olongezelelweyo lokuphuhlisa isicwangciso sonyango. Kunye nodliwano-ndlebe, ngawaphi amanye amaqela ogqirha akhoyo kunye nesi sigulana kunye naziphi na iinkqubo ezilindileyo umguli anokuba nazo? Oko kuyabazisa, kulungile, andidingi kuodola olu vavanyo okanye imveliso kuba baya kuba nale nkqubo.
U vavanyo
UGqr. Alex Jimenez, DC, unikezela: Icandelo elilandelayo lendlela ye-SBAR yinxalenye yovavanyo, apho ugqirha uya kuxelela isigulane oko baye bavavanya okanye bafumene kwisigulane. Uninzi lweengcali zezempilo, njenge-chiropractors, zibonelela ngezo ziphumo zovavanyo kunye neempawu ezibalulekileyo zangoku ukuxhasa oko bacinga ukuba kuyaqhubeka. Umzekelo uya kuba ngugqirha weyeza elisebenzayo elichazela isigulane into abayifumene emzimbeni wabo, njengemiba yokuphefumula, intliziyo, okanye i-GI, kunye noko bacinga ukuba kuqhubeka ngokusekelwe kwinto abayifumeneyo.
Kodwa masithi, umzekelo, ukuba umongikazi okanye ugqirha akazi; nangona kunjalo, bayazi ukuba kukho into engalunganga ngesigulana kwaye bafuna okuthile. Kule meko, ugqirha okanye umongikazi unokuthathela ingqalelo into eqhubekayo ngesigulana kwaye achazele ababoneleli bezonyango abanxulumene nabo ukuba banexhala okanye isigulana siya siwohloka; azinzanga kwaye zitshintshile ukusuka kwixesha ebezibona ngalo ngaphambili. Ngokusebenzisa indlela ye-SBAR, i-chiropractors inokuvavanya imeko isigulane esijongene nayo kwaye inike izisombululo ezinokuqonda ukuphuhlisa isicwangciso sonyango kwisigulane.
I ngcebiso
UGqr. Alex Jimenez, DC, unikezela: Kwaye ekugqibeleni, inxalenye yokugqibela yendlela ye-SBAR ziingcebiso. Ke iingcebiso kulapho ugqirha anxibelelana nesigulana kwinto abayifunayo okanye abayidingayo. Ngokubeka isakhelo ekusebenziseni indlela ye-SBAR, inxalenye yokucebisa ivumela ugqirha ukuba athethe ngokuthe ngqo nesigulane malunga noko kufuneka kwenziwe ukuphucula impilo kunye nokuphila kakuhle. Umzekelo kukuba isigulane sijongene nemiba yamathumbu ehambelana nesifo se-metabolic syndrome kwaye ugqirha wabo ubanika isicwangciso sonyango sokubandakanya ukutya okunomsoco kwizidlo zabo, ukuzivocavoca ngakumbi kunye nokufumana uhlengahlengiso kwi-chiropractor kunokunceda ukunciphisa intlungu echaphazela umqolo okanye ezinqeni zabo. .
isiphelo
Ekubeni intlungu yomzimba yenye yezona zikhalazo eziqhelekileyo kwihlabathi jikelele, ukhathalelo lwe-chiropractic lunokunceda ekulawuleni iimpawu ezinxulumene nentlungu edibeneyo kunye nemisipha ngelixa i-indleko-esebenzayo kwaye ingabikho. Ukusebenzisa indlela ye-SBAR kwiklinikhi ye-chiropractic inokunika i-chiropractor izixhobo ezifanelekileyo zokuphuhlisa isicwangciso sonyango lomntu ukukhulula nayiphi na intlungu echaphazela umzimba wabo. Ukunyamekela kwe-Chiropractic kunokusebenzisa indlela ye-APPIER edibeneyo kunye nendlela ye-SBAR yokuphelisa ngokupheleleyo nayiphi na ingxaki kwisakhiwo somzimba ukubuyisela impilo kunye nokuphila komntu.
isikhanyeli
by UGqr Alex Jimenez | Chiropractic, Ubuhlungu obungapheliyo, LweMpilo, Series Series Medicine Series, impilo, traps Umncono, Syndrome yeMetabolic, Unyango, yokuzonwabisa, Ukuphila
UDkt Alex Jimenez, DC, ubonisa indlela ukungasebenzi kakuhle kwe-hormonal kunokuhlolwa kwaye kuphathwe ngeendlela ezahlukeneyo zonyango ezikhethekileyo kwiihomoni kunye nendlela yokulawula kule nxalenye ye-3. Lo mboniso uza kubonelela ngolwazi oluxabisekileyo kubantu abaninzi abajongana nokungasebenzi kakuhle kwehomoni kunye nendlela yokusebenzisa iindlela ezahlukeneyo ezipheleleyo zokuphucula impilo kunye nokuba sempilweni. Icandelo 2 liya kujonga uvavanyo lokungasebenzi kakuhle kwehomoni. Icandelo lesi-3 liza kujonga unyango olukhoyo lokungasebenzi kakuhle kwehomoni. Sithumela izigulane kubaboneleli abaqinisekisiweyo ababandakanya iindlela ezahlukeneyo zonyango ze-hormone ukuqinisekisa impilo efanelekileyo kunye nokuphila kakuhle. Sikhuthaza kwaye siyasixabisa isigulana ngasinye ngokusithumela kubaboneleli bezonyango abanxulumeneyo ngokusekwe kuxilongo lwaso xa kufanelekile. Siyaqonda ukuba imfundo yeyona ndlela ibalaseleyo xa ubuza ababoneleli bethu imibuzo entsonkothileyo ngokwesicelo sesigulana kunye nokuqonda kwakhe. UDkt Alex Jimenez, DC, usebenzisa le ngcaciso kuphela njengenkonzo yemfundo. isikhanyeli
Yintoni IiHormones?
UGqr. Alex Jimenez, DC, unikezela: Namhlanje, siza kujonga ekusebenziseni amanyathelo asisiseko onyango lwe-PTSD. Njengesicwangciso sonyango, malunga nokuveliswa, ukuthuthwa, uvakalelo, kunye ne-detoxification ye-hormone kwi-PTSD. Ke masiqale ngendlela ungenelelo kunye nezinto eziphambili eziphembelela ezi ndlela ngaphakathi kwimpembelelo yokufikelela kwezinye iindawo zomzimba. Ukungenelela kwihomoni enye kuchaphazela njani amanye amahomoni? Ngaba uyazi ukuba ukutshintshwa kwe-thyroid kunokutshintsha ukufikelela kwe-HPATG emzimbeni? Ke xa abantu bejongana ne-hypothyroidism okanye i-subclinical hyperthyroidism kwaye benyangwa ngokutshintshwa kwehomoni yegilo ecinezelayo, yenza utshintsho emizimbeni yabo. Oku kuthetha ukuba baya kuba ne-hypersensitive ukusuka kwi-ACTH ukuya kwi-CRH okanye ihomoni ekhupha i-corticotropin.
Oku kuthetha ukuba baya kuvelisa kwaye bakhuphe i-ACTH eninzi. Xa isigulana sisiba ne-hypersensitive ukusuka ekungeneni kweehomoni, kunokukhokelela kwimicimbi eyahlukeneyo kunye nezinye iinkqubo zomzimba ezichaphazela ukusebenza kwamalungu kunye nezihlunu. Esi sesinye isizathu sokuba izigulana zizive zilungile nakwidosi ephantsi yokutshintshwa kwedlala lengqula; ivuselela i-adrenals. Izigulana ezininzi zidla ngokugqithisa iiadrenals zazo, kwaye xa zifumana unyango, ziye zibethe kancinci kwii-adrenals zazo xa oogqirha babo benceda idlala labo. Ngoko xa sijonga idlala lengqula, sibona idlala lengqula livelisa i-t4, lenza i-reverse T3 kunye ne-t3. Ke xa oogqirha bejonga i-thyroid pharmacological doses ye-glucocorticoids, nto leyo abayinika unyango oluchasayo kwizigulana zabo, okanye ukuba abantu baye banyusa i-glucocorticoids njengakwi-Cushing syndrome, yintoni eyenzayo kukuthintela ukukhuselwa kwe-thyroid ngenxa yokuba yehlisa i-TSH. impendulo kwi-TRH, eyenza i-TSH encinci. Xa kukho ukukhuselwa okuncinci kwi-thyroid kunokukhokelela kwimibandela ehambelanayo ehambelana nokufumana ubunzima obungeyomfuneko, intlungu edibeneyo, kunye nesifo se-metabolic syndrome.
Ukuza kuthi ga ngoku, uxinzelelo luthintela i-thyroid. Ngokwahlukileyo, i-estrogens inempembelelo echaseneyo, apho yandisa i-TSH secretion kunye nomsebenzi we-thyroid gland. Ke sisizathu esibangela ukuba abasetyhini bazive bebhetele kakhulu nakwidosi ephantsi yokutshintshwa kwe-estrogen. Ke njengokutshintshwa kwedlala lengqula ngezixa eziphantsi ezibetha iiadrenals, ukuba sinika iidosi ze-estrogen ephantsi, zinokunyusa ukusebenza kwedlala lengqula. Nangona kunjalo, oogqirha abaninzi kufuneka bahambe kancinci xa bebonelela ngonyango lwehomoni kwizigulana kuba iihomoni ezongezelelweyo ziya kuchaphazela ezinye iihomoni emzimbeni. Xa kuziwa kunyango lokutshintshwa kwehomoni, kubalulekile ukufunda ukuba ungenelelo phakathi kwendawo yonxibelelwano luchaphazela njani ezinye iindawo ezikwi-matrix. Ngoko, umzekelo, makhe sijonge indlela i-node yonxibelelwano echaphazela ngayo i-node yokukhusela kunye nokulungisa emzimbeni. Uphononongo lophando lutyhila iziphumo ze-HRT kwiziphawuli zokudumba kwaye zijonge kubafazi abangama-271 abasebenzisa i-equine ye-conjugated estrogen kuphela, ababenokwanda kwe-121% kwi-CRP emva konyaka.
Kwaye ukuba basebenzisa oko ngaphezu kweprogestin yokwenziwa, babenokwanda kwe-150% kwi-CRP emva konyaka. Ngoko i-estrogen yokwenziwa ayifani ngokwezinto eziphilayo; lo ngumchamo wemazi ekhulelweyo, kwaye iiprogestin zokwenziwa zixhasa ukudumba. Kuthekani ngendawo yonxibelelwano kunye ne-assimilation node? Olu luphando olunomdla kuba oogqirha abaninzi bazama ukunceda izigulane zabo kunye nesizukulwana esizayo kuluntu. Ke kubalulekile ukwazi xa umama enoxinzelelo ngexesha lokukhulelwa kuba oko kunokutshintsha i-microbiome yomntwana. Oko kuthetha ukuba oogqirha banethuba lokuxhasa ukungenelela kwangaphambili kwinkxaso ye-microbiome. Ukwazi oku kubalulekile kuxinzelelo lwaphambi kokubeleka olusekwe kuluhlu lwemibuzo okanye i-cortisol ephakamileyo yayinxulunyaniswa ngamandla kwaye ngokuqhubekayo ne-microbiome yeentsana kunye neepateni zekoloni.
Ke sikwalapha ukuze sifunde ukuba ungenelelo kwi-matrix luyichaphazela njani i-node yehomoni okanye indawo yonxibelelwano. Ngoko njengomzekelo, siza kujonga okwenzekayo kwi-node yokudibanisa ebandakanya i-node yonxibelelwano, njengoko oku kuchaphazela i-antibiotics kwi-intestinal metabolome. Wonke umntu uyazi malunga nefuthe le-antibiotics kwi-microbiome, kodwa i-metabolome yinguqu kumsebenzi we-metabolic welungu elithile, amathumbu. Ukuza kuthi ga ngelo xesha, xa kukho iindlela ezininzi zemetabolism ezichaphazela i-antibiotics, i-metabolism yeehomoni ze-steroid yayiyeyona ichaphazeleka kakhulu. Ke ii-metabolites ezisibhozo eziyinxalenye yale ndlela yehomoni, esinika i-PTSD, yonyuswa kwilindle emva konyango lokubulala iintsholongwane. Ke sinenye indlela amathumbu achaphazela ngayo iihomoni, kwaye oku kujonge kwi-endotoxemia ye-metabolic. Oogqirha abaninzi bafunda malunga ne-metabolic endotoxemia kwi-AFMCP, ekhankanya amathumbu avuzayo okanye ukwanda kwamathumbu emathunjini. Xa abantu abaninzi bejongene nemiba yamathumbu echaphazela impilo-ntle yabo, njengeengxaki kumalungu abo okanye izihlunu ezibangela ukuba babe buhlungu, sibonelela ngezisombululo ezahlukeneyo kwaye siphuhlise isicwangciso sonyango kunye nababoneleli bethu abanxulumeneyo ngokusekwe kuxilongo.
Ii-Endotoxins ezichaphazela iiHormones
UGqr. Alex Jimenez, DC, unikezela: Ii-endotoxins okanye i-lipopolysaccharides zisuka kwiinwebu zeeseli zebhaktheriya. Ke i-endotoxins yebhaktiriya ifuduswa isuka kwilumen yamathumbu ngenxa yokwanda kokungena kwamathumbu. Ke ngoko kunyuka kokungena, ezo zi-endotoxins ziyafuduswa, nto leyo eqala ukudumba kwe-cascade. Xa i-endotoxins ibangela imiba ye-GI, iimpawu ezivuthayo zinokuchaphazela iindawo eziphezulu kunye nezisezantsi zomzimba kunye ne-gut-brain axis. Xa i-axis ye-gut-brain ichaphazeleka kukudumba, kunokukhokelela kwiintlungu ezidibeneyo kunye nezihlunu ezinxulumene neengxaki ze-somato-visceral kunye ne-visceral-somatic. Ukuza kuthi ga ngelo xesha, i-cascade evuthayo evela emathunjini avuzayo ichaphazela i-ovary, iyanciphisa imveliso yeprogesterone, kwaye inegalelo ekuswelekeni kwesigaba se-luteal. Oko kubaluleke kakhulu ukuba oogqirha banakekele izigulana ezikhona ukuze bakhulise ukuchuma. Kubaluleke kakhulu ukuba izigulana zazise oogqirha bazo xa zine-estrogen egqithisileyo kwaye zivelisa iprogesterone eninzi kangangoko kunokwenzeka. Ke kufuneka sikhathazeke malunga nokungena kwamathumbu kwi-ovulation, ukusilela kwesigaba se-luteal, kunye nokungalingani kwe-estrogen-progesterone. Kuthekani nge-biotransformation node? Ngaba oko kuyichaphazela njani indawo yonxibelelwano? Kubantwana basesikolweni, i-phthalates kunye nomsebenzi we-thyroid unobudlelwane obuphambeneyo phakathi kwe-metabolites okanye inani le-folate kunye nomsebenzi we-thyroid kwinkqubo elinganiswa kubantwana abaneminyaka emithathu ubudala. Xa imiba yokuvuvukala ichaphazela umsebenzi we-thyroid kubantwana, inokuchaphazela iziphumo zokuqonda, ngaloo ndlela inciphisa ukuveliswa kwe-phthalates kwi-thyroid, ekhokelela kwiingxaki zengqondo.
Ulwazelelelo ngokwasengqondweni, ngokweemvakalelo nangokomoya lunegalelo njani kwindawo yonxibelelwano? Sifuna ukuqala ngezantsi kwe-matrix njengoko sihlala sisenza, ebandakanya iyeza elisebenzayo. Iyeza elisebenzayo libonelela ngeendlela ezipheleleyo zokuchonga ingxaki eyingcambu echaphazela umzimba kunye nokuphuhlisa isicwangciso sonyango lomntu kwisigulana. Ngokujonga izinto zokuphila ezisezantsi kwe-Living Matrix, sinokubona indlela ukungasebenzi kwehomoni kuchaphazela ngayo iindawo zokunxibelelana emzimbeni. Iphepha lakutshanje lifumanise ukuba kukho ubudlelwane obuhle phakathi kweempawu zokuyeka ukuya exesheni kunye nenkxaso yentlalontle kunye nokuba iimpawu zokuyeka ukuya exesheni ziyehla njengoko inkxaso yoluntu isanda. Ngoku makhe sithethe ngendlela uxinzelelo oluchaphazela ngayo ufikelelo lwe-HPA. Ngokujonga indlela ukuvuselela ukusuka kwiindawo ezivelisa i-hormone yesini zomzimba okanye iimviko, ukufikelela kwe-thyroid, i-adrenals, kunye nenkqubo ye-nervous enovelwano (umlo okanye indiza) inokongeza zonke iingcinezelo ezisichaphazelayo, ezibizwa ngokuba yi-allostatic load.
Kwaye i-allostasis ibhekisela kumandla ethu okuphendula abo bacinezelayo ngokusebenzisa iindlela zokujongana noxinzelelo. Izigulana ezininzi zisicela isikhokelo. Babuza ukuba bangawabeka njani amava abo kunye noxinzelelo. Nangona kunjalo, bayabuza ukuba bayilungiselela njani imisitho yoluntu kwimeko enkulu, Kwaye uninzi lwethu njengamagcisa asebenzayo afuna into enye. Ke ngoko, siza kukubonisa ngokweenkcukacha ukuba lwenziwa ntoni uxinzelelo emzimbeni kunye nendlela yokufumana iindlela zokunciphisa ixhala okanye uxinzelelo emzimbeni ukuthintela imiba yexesha elizayo kumalungu, izihlunu kunye namalungu.
Uxinzelelo luyithintela njani iEstrogen
UGqr. Alex Jimenez, DC, unikezela: Ngaba uxinzelelo ludala uxinzelelo lwe-adrenal, kwaye luchaphazela ukulwa kwethu okanye i-flight primary response hormone (adrenaline)? Uxinzelelo lunokubangela ukuba inkqubo ye-nervous enovelwano yonyuse uxinzelelo lwegazi, ukuphefumla, izinga lokubetha kwentliziyo, kunye nokuphaphama ngokubanzi ngelixa sihambisa igazi lethu ukonyusa iadrenaline yethu. Ke xa ukwimeko ethile, iadrenaline yakho inokubangela ukuba ulwe okanye ubaleke, nto leyo ebangela ukuba izihlunu zakho zifumane igazi, elinciphisa igazi ukuya kumbindi wakho okanye kumalungu akho angabalulekanga. Ke imodeli yeyeza esebenzayo inokuchonga izinto ezahlukeneyo ezibangela okanye abalamli, nokuba zibukhali okanye zingapheliyo, ezinokusebenza njengomphembeleli wokungasebenzi kakuhle kwehomoni enokudala imiba edlulanayo enokuphazamisa ukusebenza kwe-adrenal kwi-thyroid.
Ngoko, ukujonga ezi mpendulo kunokusinceda sibone iingxaki zomzimba ezenzekayo ukuba i-adrenaline inyuka ngokuqhubekayo kwixesha elide, elikhokelela ekuxhalabeni, iingxaki zokugaya, kunye nokunye. Ngoku i-cortisol yihomoni yethu yokulinda enceda ukugcina impendulo engxamisekileyo ukuxhasa okanye ukuxhasa i-adrenaline. Umzekelo uya kuba yiloli yomlilo okanye amapolisa angena emva komphenduli wokuqala okhawulezayo. Ke i-cortisol iququzelela impendulo ekhawulezayo ye-adrenaline ukugcina umzimba uhamba njengoko kufuneka. Kwaye linezinye iindima ezininzi ngokunjalo. Inceda ngokunyuka kweswekile yegazi kwaye ibangela ukugcinwa kwamafutha. Ke xa abantu bengena benobunzima obuphakathi kwaye bejongana nemicimbi edlulayo emzimbeni wabo, cinga nge-cortisol kuba ichasene nokudumba kwaye ilawula inkqubo yemithambo-luvo. I-Cortisol inokuba yinto enhle kwaye embi emzimbeni, ngakumbi xa umntu ejongene neziganeko ezixinzelelekileyo ezichaphazela impilo yakhe kwaye zibangele imiba echaphazela ukuhamba kwabo.
Ke ngoku, makhe sithethe malunga nokuba uxinzelelo luwuchaphazela njani umzimba wonke kunye namajoni omzimba. Uxinzelelo lunokonyusa ukuchaphazeleka kosulelo, okonyusa ubukhali babo emzimbeni. Ke apha sibona uxinzelelo oluchaphazela i-node yokuzikhusela kunye nokulungisa, okukhokelela kukungasebenzi kakuhle kwamajoni omzimba kunye noxinzelelo-olubangela ukungasebenzi kakuhle kwamajoni omzimba. Umzekelo unokuba ukuba umntu ujongene nengxaki echaphazela amathumbu akhe, njenge-SIBO okanye amathumbu avuzayo; inokunyusa ukuveliswa kwe-cytokines e-pro-inflammatory kwaye ibangele intlungu edibeneyo kunye ne-muscle kumqolo ophantsi, ezinqeni, emadolweni, kunye nokuphila kakuhle. Xa i-cytokines e-pro-inflammatory ichaphazela inkqubo yamathumbu, inokubangela ukungasebenzi kakuhle kwe-thyroid, ukuphazamisa ukuveliswa kwehomoni.
Ke ukuba umntu uthatha olu nyango lokubuyisela ihomoni (HRT), lunokonyusa ukudumba kwabo, ngakumbi ukuba banoxinzelelo. Ke, njengabasebenzi bamayeza asebenzayo, sihlala sicinga kwaye sijonge ukuqondwa kwepateni njengoko siqala ukucinga ngezinto ngokwahlukileyo kwiindlela eziqhelekileyo malunga nempilo kunye nokuba sempilweni.
Yintoni eyenzekayo xa ubona umntu ojongene noxinzelelo olungapheliyo, kwaye ithini impendulo yakhe? Badla ngokuphendula bathi, “Ndibila kakhulu; Ndiba novalo nexhala ndikhumbula nje into eyenzeke kum. Ndiyoyika ukuphinda ndihlangane naloo nto. Ngamanye amaxesha ezi ndlela zindenza ndibe namaphupha amabi. Nanini na ndisiva ingxolo enkulu, ndicinga ngeeringi zekhabhoni ndize ndibe nesicaphucaphu.” Ezi zezinye zeempawu ezixelayo zomntu ojongene noxinzelelo olungapheliyo olunxulunyaniswa nePTSD, ezinokuchaphazela amanqanaba ehomoni emzimbeni. Uninzi lwababoneleli ngamayeza asebenzayo banokusebenzisa unyango olukhoyo malunga nokungasebenzi kakuhle kwehomoni kwi-PTSD. Ke isicwangciso esiqhelekileyo sokunyanga ukungasebenzi kakuhle kwehomoni kukuvelisa, ubuntununtunu bothutho, kunye nokukhutshwa kwehomoni emzimbeni. Khumbula ukuba xa unomntu ojongene nemiba yehomoni, kungcono ukwenza isicwangciso sokujongana nalo mbandela.
Ke sinokwenza ntoni ukuchaphazela indlela iihomoni eziveliswa ngayo okanye zenziwe ngokugqithisileyo emzimbeni? Sifuna ukujonga ukuba iihomoni zenziwa njani, zingafihlwa njani ngaphakathi emzimbeni, kwaye zithuthwa njani. Kuba kuthekani ukuba zithuthwa ngendlela yokuba i-molecule yezothutho iphantsi ekugxininiseni, ivumela ukuba ibe ngamahomoni amahhala? Ke lunxibelelwano kunye nobunye ubuntununtunu behomoni, kwaye sitshintsha njani okanye sijonge njani ubuntununtunu beselula kumqondiso wehomoni? Ngokomzekelo, i-progesterone ichaphazela i-estrogen receptors ebangela ukuchithwa okanye ukukhutshwa kwehomoni.
Ngoko ngaphambi kokuba sicinge ngokunika okanye ukutshintsha ihomoni, sibuza into esinokuyenza ukuchaphazela loo hormone emzimbeni. Ngokukodwa, sinokuyiphembelela njani imveliso yehomoni, uthutho, ubuntununtunu, i-detoxification, okanye ukupheliswa? Ke xa kufikwa kwimveliso yehomoni, zeziphi iibhloko zokwakha iihomoni zegilo kunye ne-cortisol? Ke ukuba siphantsi kwiihomoni zedlala lengqula, sifuna ukuqinisekisa ukuba sineebhloko zokwakha ze-serotonin. Ke yintoni echaphazela i-synthesis? Ukuba idlala livutha nge-autoimmune thyroiditis, ayinakukwazi ukwenza ihomoni yegilo eyaneleyo. Yiyo loo nto abantu abane-autoimmune thyroiditis benomsebenzi ophantsi we-thyroid. Kuthekani ngokuthuthwa kwehomoni? Ngaba amanqanaba ehomoni enye emzimbeni anempembelelo kumanqanaba yenye? I-Estrogen kunye neprogesterone zihlala zisemdaniso emzimbeni. Ke ngaba ihomoni iyathutha ukusuka kwimvelaphi yamadlala ukuya kwizicubu ekujoliswe kuzo, ezinokuchaphazela ukusebenza kwayo?
Ukuba kukho ukuveliswa kweehomoni ezidityanisiweyo kwiprotheni yokuthutha, akuyi kuba nehomoni yaneleyo yamahhala, kwaye kunokubakho iimpawu zokunqongophala kwehomoni. Okanye ingaba yinto echaseneyo ukuba kufuneka kubekho iprotheni yezothutho eninzi, ngoko kuya kuba neemolekyuli ze-hormone zamahhala kunye neempawu ezigqithisileyo ze-hormone. Ke ngoko, sifuna ukwazi ukuba sinokuchaphazela inqanaba lehomoni yasimahla kwaye sibone ukuba iyaguqulwa na. Ke siyazi ukuba i-T4 iba yindlela esebenzayo ye-T3 okanye i-thyroid inhibitor, i-reverse T3, kwaye singakwazi ukulungelelanisa ezo ndlela? Kuthekani ngovakalelo? Ngaba izinto ezinomsoco okanye zokutya ezichaphazela impendulo yeselula kwi-cortisol, ihomoni ye-thyroid, i-testosterone, i-estrogen, kunye ne-cetera? Ngamaproteni amaninzi e-cell membrane abophayo, i-membrane yeseli ibandakanyeka kwi-hormone metabolism. Kwaye ukuba iiseli zeseli ziqinile, i-insulin, umzekelo, inobunzima bokungena kuyo ngoku njengoko sijonga kwi-hormone detoxification. Siyitshintsha njani i-metabolism ye-estrogens okanye i-testosterone?
Kwaye sinokwenza ntoni ukuchaphazela ukubopha kunye nokukhutshelwa kwe-estrogen? Ke, ngaba i-estrogen inokupheliswa ngokusempilweni? Kwaye oko kuxhomekeke ekubeni kukho i-hydroxylation kwikhabhoni ethile, kodwa kwakhona kufuneka ikhutshwe ngokwexabiso lilonke. Ngoko ke ukuqhinwa, umzekelo, kuya kunciphisa ubungakanani be-estrogen ekhutshiweyo. Ke sisebenzisa ivault njengesikweko kunye nomxholo, njengoko besitshilo, kukunyanga imatrix kuqala ngaphambi kokujongana ngqo nokungasebenzi kakuhle kwehomoni.
ICortisol echaphazela iiNodi zoNxibelelwano
UGqr. Alex Jimenez, DC, unikezela: Kwi-Living Matrix, kufuneka sivule okanye siphathe zonke iindawo zokuvula i-vault ukuze singene ngaphakathi kwaye silungise iihomoni. Oku kungenxa yokuba inkqubo ye-endocrine intsonkothile kangangokuba ihlala izilungisa ngokwayo xa kusonjululwa okunye ukungalingani. Kwaye khumbula, ukungalingani kwehomoni kuhlala kuyimpendulo efanelekileyo ngumzimba ukungalingani kwenye indawo. Yiyo loo nto ukunyanga okunye ukungalingani kuhlala kujongana nomba wehomoni. Kwaye kwakhona, khumbula iihomoni ezinjengeefotogram zikwindawo ephantsi kakhulu. Ke kunzima kakhulu ukuchaneka xa sinika izigulana iihomoni kwaye sivumele umzimba ukuba uzilungise ngokuzenzekelayo. Yiyo loo nto sithi ukunyanga i-matrix kuqala. Kwaye xa singena ngaphakathi kwi-node yonxibelelwano emzimbeni, sijonga embindini we-matrix kwaye sifumanise imisebenzi yeemvakalelo, yengqondo, kunye neyomoya ukunceda ukuqhelanisa amahomoni. Kwaye ngelixa ezi ziqwalaselwe, sinokuzilungisa njani ii-node zonxibelelwano zehomoni?
Xa ungaphakathi kwi-node yonxibelelwano, unyango kufuneka lulandele umyalelo: i-adrenal, i-thyroid, kunye ne-sex steroids. Ke ezi ziingcinga ezibalulekileyo ekufuneka uzikhumbule, ukunyanga i-adrenals, i-thyroid gland, kwaye ekugqibeleni, i-sex steroids. Kwaye indlela esibonisa ngayo iindlela iya kuhambelana. Ke apha ubona ukumelwa okusemgangathweni esiza kuwusebenzisa kwindlela ye-steroidogenic. Kwaye ubona zonke iihomoni ezahlukeneyo apha. I-enzymes kwindlela ye-steroidogenic inemibala, ngoko oogqirha abaninzi banokwazi ukuba yeyiphi i-enzyme echaphazela inyathelo. Okulandelayo, siza kujonga ukumodareyithwa kweendlela ze-steroid ngendlela yokuphila, njengokuzilolonga, kunye nendlela uxinzelelo oluchaphazela ngayo i-aromatase, ukwenza i-estrogen.
Ngoku, njengoko singena kwindawo yangempela, enzima apha malunga neendlela ze-steroid, siyazisa ezininzi izigulane zethu ukuba zithathe umoya ophefumlelweyo njengoko kubonisa ukuba ukuthatha umoya onzulu kunokunyusa ukuqonda komntu kunye nokubonelela ngokukwazi ukuqonda yonke into. Ke umfanekiso omkhulu apha yonke into iqala nge-cholesterol kunye nendlela echaphazela ngayo iihomoni emzimbeni. Ke i-cholesterol yenza imineral corticoid aldosterone, ethi emva koko iphuhlise i-cortisol, ekugqibeleni idale i-androgens kunye ne-estrogens. Xa izigulana zinikwa uthethwano malunga nokuba kuqhubeka ntoni ngemizimba yazo, abaninzi abaqondi ukuba i-cholesterol ephezulu inokukhokelela kuxinzelelo olungapheliyo, olunxulunyaniswa nemiba yentliziyo enokuthi ekugqibeleni ibangele ukuphazamiseka kwe-visceral-somatic.
Ukudumba, i-insulin, kunye neCortisol echaphazela iiHormones
UGqr. Alex Jimenez, DC, unikezela: Xa isigulana esisetyhini sijongana ne-fibroids okanye i-endometriosis, oogqirha abaninzi baqulunqa isicwangciso sonyango nabanye ababoneleli bezonyango ukunciphisa ukwakheka kweehomoni ze-estrogen ngokuthintela kunye nokumodareyitha i-aromatase enzymes. Oku kuvumela isigulana ukuba senze utshintsho oluncinci kwimikhwa yabo yokuphila ngokuqinisekisa ukuba amanqanaba abo e-zinc aqhelekile, angaseli utywala rhoqo, ukufumana iindlela zokunciphisa amanqanaba abo oxinzelelo, kunye nokulungelelanisa ukutya kwabo kwe-insulin. Isicwangciso sonyango ngasinye sijongene nomntu njengoko befumana iindlela zokunciphisa amanqanaba e-cortisol kunye nokulawula ukuveliswa kwehomoni enempilo. Oku kuya kuvumela umzimba ukuba unyuse imveliso ye-estrogen ngelixa unciphisa i-aromatase. Ngoko xa sixoxa ngoxinzelelo, kunokuchaphazela kakubi iindlela zehomoni ngokuthe ngqo ngokunyusa i-cortisol, ngaloo ndlela ibangela ukuba i-pituitary glands ikhulise i-CTH xa uxinzelelo luphendula umzimba. Abantu abaninzi bajongana noxinzelelo olungapheliyo emizimbeni yabo, enokubangela ukugqithisela kweeprofayili zomngcipheko kwinkqubo ye-musculoskeletal, ebangela iintlungu zemisipha kunye namalungu.
Ngoko inkqubo yepituitary ivelisa i<em>cortisol xa umzimba uyibiza ngokuthe ngqo xa umntu ejongene noxinezeleko oluqatha. Nangona kunjalo, uxinzelelo olungapheliyo lunokunyusa ngokungathanga ngqo amanqanaba e-cortisol; ibangela ukuba i-enzyme 1720 lyase ithintelwe emzimbeni, ibangele ukuncipha kwe-anabolism, ngaloo ndlela ithoba amanqanaba amandla omzimba. Ngoko uxinzelelo luyayithintela le enzyme. Ke xa uxinzelelo luthintela i-enzyme ye-1720 lyase emzimbeni, inokubangela ukuba inkqubo yepituitary ivelise i-cortisol eninzi kwaye ibangele imiba engakumbi efana nejoyinti ukuba ichaphazele umntu. Ke ezo zindlela zimbini zokuthi uxinzelelo lukhokelela kwi-cortisol engaphezulu ngokuthe ngqo nge-ACTH kwaye ngokungathanga ngqo ngokuthintela i-1720 lyase.
Ukudumba kubalulekile emzimbeni njengoko nako kuneendlela ezimbini, njengoko kunokuchaphazela ezi ndlela ngendlela efanayo noxinzelelo. Ukuvuvukala kunokuthintela i-enzyme ye-1720 lyase, ebangela ukuba umzimba ube ne-pro-inflammatory kwaye unokuvuselela i-aromatase. Njengoxinzelelo, xa umzimba ujongene nokuvuvukala, i-cytokines e-pro-inflammatory ivuselela i-aromatase enzymes ukuba ibangele ukwanda kwe-estrogen ukubunjwa. Xa oku kusenzeka, kuvumela oogqirha ukuba baqaphele ukuba kutheni izigulana zabo zixinezeleke kakhulu kwaye zineempawu ezivuthayo emathunjini abo, kwizihlunu kunye namalungu. Ukuza kuthi ga ngelo xesha, ukudumba kunokunyusa i-enzyme ebizwa ngokuba yi-5alpha reductase. Ngoku, i-5alpha reductase ibangela ukwakheka kwehomoni ebizwa ngokuba yi-dihydrotestosterone (ifomu esebenzayo ye testosterone kwiiseli zomzimba ngaphandle kwemisipha, ebangela ukulahleka kweenwele. Ngoko i-insulin, uxinzelelo, kunye nokudumba kunegalelo ekulahlekeni kweenwele kuba i-insulin inesiphumo esifanayo. okanye iswekile esegazini inika umzimba amandla okuhamba imini yonke.Xa umntu ene-insulin eninzi okanye encinci kakhulu emzimbeni, oko kunokukhokelela ekunganyangekiyo kwe-insulin, okuhambelana nesifo semetabolism esihambelana nokuqothuka kweenwele.
Iindlela ezipheleleyo zeeHormones
UGqr. Alex Jimenez, DC, unikezela: I-insulin, i-cortisol, kunye nokudumba ziyidlala njani indima yazo kwidlala lengqula? Ewe, zonke ezi hormone zinceda ukwenza umzimba usebenze. Xa indlala yegilo inemeko esisiseko efana ne-hypo okanye i-hyperthyroidism, inokubangela ukuba umzimba ugqithise okanye uvelise iihomoni ezingaphantsi kokulawula imisebenzi eqhelekileyo yomzimba. Ke lo mjikelo wesondlo sangaphambili unokubangela ukuba umntu abe nemiba eyahlukeneyo echaphazela umzimba wabo ngenxa yokungasebenzi kakuhle kwehomoni. Oku kudityaniswa kokumelana ne-insulin, i-insulin ephezulu, ukufumana ubunzima, kunye noxinzelelo luchaphazela izigulane ezininzi, ezibangela isifo se-metabolic syndrome. Ukulungelelanisa ukusebenza kwehomoni, kufuneka sijonge zonke ezi zinto ziqhuba ukungasebenzi kakuhle kwehomoni kwizigulana.
Xa usiya kunyango lwe-hormonal, kubalulekile ukwazi malunga neentlobo ezahlukeneyo ze-nutraceuticals kunye ne-botanicals kuba ngaphambili, kwakubizwa ngokuba yinguqu yokuphila emva kwemini. Kwiklinikhi yezempilo, i-neutraceuticals ethile kunye ne-botanicals inokuchaphazela ukubunjwa kwe-estrogen nge-enzyme aromatase. Nangona kunjalo, izinto ezahlukeneyo ezifana nezifo, amayeza, i-toxins, kunye ne-insulin ephezulu inokunyusa i-aromatase enzymes, ekhokelela kwi-estrogen eninzi emzimbeni. Kwaye ke izifo, amayeza, kunye neetyhefu zenza into enye. Uphononongo lophando lubonisa ukuba xa amadoda nabasetyhini benxibelelana, ukusebenza kwengqondo kwamadoda kuyehla, kulandele ukudibana ngokwesini. Oku kunokutshintsha indlela ihomoni esebenza ngayo emzimbeni xa kukho utshintsho kumsebenzi osemthethweni onokuchaphazela umsebenzi wokuqonda wenkqubo ye-nervous emzimbeni.
Xa izigulana ezikwiminyaka ephakathi zixilongwa ngoogqirha bazo, iziphumo zinokubonisa ukuba zinyukile i-insulin, ukonyuka koxinzelelo kunye nokuba kukho ukudumba emizimbeni yabo. Oku kuvumela oogqirha ukuba basebenze neengcali ezinxulumeneyo ukuphuhlisa isicwangciso sonyango esibonelela isigulana ukuba siqale utshintsho oluncinci kuhambo lwabo lwezempilo kunye nempilo.
isikhanyeli
by UGqr Alex Jimenez | Chiropractic, Ubuhlungu obungapheliyo, LweMpilo, Series Series Medicine Series, impilo, traps Umncono, Syndrome yeMetabolic, Unyango, Ukuphila
UDkt Alex Jimenez, DC, ubonisa indlela yokuvavanya amahomoni ahlukeneyo emzimbeni kunye nendlela iimvavanyo ezahlukeneyo zehomoni ezingasetyenziselwa ukumisela izinga emzimbeni. Le ntetho ivumela abantu abaninzi ukuba bazi ukuba balindele ntoni xa befunyaniswa ngoogqirha babo bokuqala. Sithumela izigulane kubaboneleli abaqinisekisiweyo ababandakanya iindlela ezahlukeneyo zonyango ze-hormone ukuqinisekisa impilo efanelekileyo kunye nokuphila kakuhle. Sikhuthaza kwaye siyasixabisa isigulana ngasinye ngokusithumela kubaboneleli bezonyango abanxulumeneyo ngokusekwe kuxilongo lwaso xa kufanelekile. Siyaqonda ukuba imfundo yeyona ndlela ibalaseleyo xa ubuza ababoneleli bethu imibuzo entsonkothileyo ngokwesicelo sesigulana kunye nokuqonda kwakhe. UDkt Alex Jimenez, DC, usebenzisa le ngcaciso kuphela njengenkonzo yemfundo. isikhanyeli
Ukuvavanya iiHormones
UGqr. Alex Jimenez, DC, unikezela: Wamkelekile kuyo yonke into odinga ukuyazi malunga novavanyo lweehomoni kunye nendlela yokwenza uvavanyo. Sithathe isigqibo sokwenza oku njenge-webinar kuba sinexesha elincinci lokuyenza ngexesha lemodyuli. Ngapha koko, oko kuya kwenza ubomi bakho bube lula. Kuya kufuneka ukuba olu lwazi lube phantsi kwebhanti yakho kuba nantsi eyona nto ibalulekileyo ekufuneka uyazi. Unyango lweHormone bubugcisa, hayi inzululwazi. Ukuba ufumana abasebenzi abahlanu okanye abathandathu abenza unyango lwehomoni, uya kufumana iindlela ezintlanu okanye ezintandathu ezahlukeneyo zokwenza umyalelo kunye neendlela ezingaphezulu kunoko zokwenza uvavanyo lokuwubeka iliso.
UGqr. Alex Jimenez, DC, unikezela: Into ebalulekileyo kukuba ugcine engqondweni into esiyaziyo ngokwesayensi yindlela engcono okanye engeyiyo-yokukhathalela izigulane malunga novavanyo. Emva koko fumana oko kusebenza kuwe kwaye ube yingcali kuloo nto. Kuba ukuba awuguquguquki ekuhambeni kwexesha, ungasebenza malunga neenzuzo kunye nokubi kuzo zonke iindlela zovavanyo kwaye ufumanise into ekufuneka uyenzile, nokuba loluphi uhlobo lovavanyo ogqiba ukulwenza. Kulungile, kufuneka sizikhathaze ngantoni? Zininzi iingxaki ezinokubakho ekulinganiseni amanqanaba ehomoni kuba amanqanaba amaninzi ehomoni ayaguquguquka kakhulu. Ukuze kuhlolwe iihomoni emzimbeni, oogqirha kufuneka bazi ukuba yintoni, nini, kwaye ngubani oza kuvavanya. Ke siza kuthetha ngayo yonke loo nto.
Ukuxilongwa kweeHormones kwisigulane
UGqr. Alex Jimenez, DC, unikezela: Ezinye ziyahluka emini, ezinye ziyahluka ngexesha lomjikelo, kwaye ezinye iihomoni azihlukanga kwaphela. Ke kufuneka ukhumbule ukuba zeziphi ekufuneka uzikhathaze malunga nokuguquguquka. Uphononongo olwenziweyo aluwalinganisi amanqanaba ehomoni. Ke, ukufumana amanqanaba ehomoni aqhelekileyo ngamanye amaxesha kuyingxaki. Isenokwahluka kwinto esetyenziswa ziilebhu ngoku. Kwaye kwizifundo apho beze namanqanaba ehomoni aqhelekileyo, uninzi lwazo zizifundo ezindala kakhulu, kwaye indlela yokusebenza ibingathembekanga ngakumbi kunesi siyisebenzisayo ngoku. Ke ngokugcina loo nto engqondweni malunga nento abantu abayibiza ngokuba ngamanqanaba ehomoni aqhelekileyo, uninzi lwezi zifundo zinokwenza umyinge wamaqela angathelekisekiyo. Ithetha ukuthini le nto kukuba baya kuthelekisa, masithi, iqela lama-apile, iiorenji, neediliya kwaye bazidibanise zonke bathi, ewe, ke lo mndilili uza kusebenza.
UGqr. Alex Jimenez, DC, unikezela: Ngoko kufana nokwenza uhlalutyo lwe-meta, kwaye ukuba uthatha iqela leedatha ezahlukeneyo, awukwazi ukutsho ukuba lo mndilili uyavakala. Mhlawumbi sele uyayazi into yokuba ezinye iilebhu zigcina ziphuhlisa uluhlu olwahlukileyo lwereferensi. Kwaye ke ukuba usebenzisa iilebhu ezininzi ezahlukeneyo, awunakuthelekisa iziphumo zovavanyo ozifumanayo kuba uluhlu lwereferensi lwahlukile. Kwaye, ngamanye amaxesha, nangaphakathi kwelebhu enikiweyo, ngokuxhomekeke kwikhithi yovavanyo esetyenziswa zizigulane, njengovavanyo olusuka kuQuest, ngenye imini bangasebenzisa ikhithi yovavanyo enye. Ke uluhlu lwereferensi luya kuba yi-XYZ, kwaye baya kwilebhu enye ngolunye usuku, kodwa basebenzisa ikhithi yovavanyo eyahlukileyo kwaye banoluhlu olwahluke ngokupheleleyo lwereferensi. Kwaye ke kufuneka ufikelele kwinqanaba lokuba kwizigulane. Ukuba unesigulana esikrelekrele esizama ukulandelela ukuba kwenzeka ntoni na ngokwaso, banokuba noluvo olungalunganga ngexesha lovavanyo.
I-Estrogen kunye neProgesterone
UGqr. Alex Jimenez, DC, unikezela: Ukuba unoluhlu olwahlukileyo lwereferensi olubonisa kwiziphumo zovavanyo lwakho, kungcono ukugcina umkhondo waloo nto xa ufuna ukukhumbula. Ngoku kukho iiyantlukwano ezinkulu phakathi kwabantu ngabanye nangaphakathi kumntu omnye. Ugxininiso lweserum yazo zombini ii-steroids zendalo kunye nezenziweyo zinokufuna ukucaciswa phakathi kwabanye abantu. Kukho umahluko omkhulu kungakhathaliseki ingcambu yolawulo lweehomoni. Into oyilindeleyo kumntu omnye inokwahluka komnye umntu olandelayo. Kwaye, ewe, kuye nawuphi na umntu, uya kufumana amanqanaba okuguquguquka imini yonke ngokusekwe kwizinto ezininzi ezahlukeneyo. Yonke into evela kuxinzelelo olubonwayo okanye lokwenyani oluya kutshintsha amanqanaba ehomoni kukutya ababekutya ngalo mini kunokwenza umahluko. Ubume be-hydration bunokwenza umahluko. Ngoko ke ezinye iinguqulelo ozibonayo ngaphakathi komntu, kodwa ngokutsalwa kwegazi okwahlukileyo, zinokusekelwe kwinto eyayisenzeka ngaloo mini.
UGqr. Alex Jimenez, DC, unikezela: Ke zama ukubethelela izigulana zakho njengoko usenza uvavanyo ukuze ugcine iintsuku zokutsalwa kwegazi zifana. Ngoku ukulinganisa ngolwelo olwahlukileyo lomzimba olunje ngeserum, umchamo, okanye amathe akusixeleli ngokuxinana kwezinye izihlunu, kwaye oogqirha kufuneka bayigcine le nto engqondweni kuba isigulana sinokufumana imvakalelo yobuxoki yokhuseleko, kwaye ayizukuba njalo. banento yokwenza nethishu abazama ukuyinyanga. Ngoku, oogqirha abaninzi kufuneka bakhumbule zonke iintlobo ezahlukeneyo ze-estrogens abanokuthi bafune ukuzigcina ngexesha lovavanyo. Ke, xa beqaphela i-estrogen, kukho ichibi le-estrogen. Kukho i-estrogen ekhululekile kwaye eboshiweyo emzimbeni kunye nokuveliswa kwe-estrogen kumfazi okanye kwindoda ngokwabo. Kukho ii-estrogens zangaphandle onokuthi uzinike. Kukho i-estrogens egciniweyo, i-metabolites, kwaye zonke ezi estrogens zahlukeneyo oogqirha kufuneka balandele umkhondo. Ke lo ngumzekelo nje omnye wokuba namanqanaba amaninzi e-estrogen emzimbeni, kwaye isigulana siyazibuza, ingaba ugqirha ujonge ntoni? Ngaba uvavanyo olunye lungandinika lonke olu lwazi lwahlukileyo? Kwaye oku kuphela estrogen. Kuyinyaniso into efanayo, nangona ingenzima kangako. Kukwanjalo nangamanye amahomoni asemzimbeni.
UGqr. Alex Jimenez, DC, unikezela: Ngoku kwiprogesterone, iyinto efanayo. Ezinye iziphumo zijongeka ngolu hlobo kwi-estrogens kunye ne-testosterone, kwaye oku kukusikhumbuza konke ukuhlukahluka okukhoyo. Ngokubonisa umahluko phakathi kwabantu abahlukeneyo kwizigaba zabo zebhayoloji, umzekelo, i-premenopausal kunye ne-postmenopausal. Iziphumo eziboniswa ngugqirha kwisigulane ziseka umthunzi okhanyayo oluhlaza ngaphandle kokuhluka kwe-intercycle ukusuka ngaphakathi komfazi onikiweyo. Kwaye ke umbala omthubi kukwahluka phakathi kwabasetyhini, okuthetha ukuba umfazi omnye komnye. Kwaye ke laa mgca uzuba embindini ngumndilili; oku kubonelela ngolwazi abanokuthi balufune ukuxilonga.
Ukuvavanya amanqanaba eHormone
UGqr. Alex Jimenez, DC, unikezela: Kulungile, ke makhe sijonge kuvavanyo kunye nokuvavanya amahomoni njengoko sijonga zonke iintlobo zehomoni, iindlela ezahlukeneyo zokuzivavanya, kunye neenzuzo kunye nezibi. Kukho amashumi eminyaka yophando oluqinisekisiweyo kumanqanaba e-serum hormone. Ke i-estrogens, i-estrone, i-estradiol, kunye ne-estriol, kunye ne-estrogen metabolites kwi-serum, iindaba ezilungileyo kukuba zilinganisa ukuveliswa kwehomoni engapheliyo. Ke ukuba ufumana inqanaba lehomoni yeserum, siyazi ukuba zithetha ukuthini ezo ziphumo.
UGqr. Alex Jimenez, DC, unikezela: Iindaba ezimbi zezi ziphumo zikunika ihomoni ekhululekile kwaye eboshiweyo. Ikubonisa ii-estrogens zizonke. Nangona kunjalo, awukwazi uku-odola i-estradiol epheleleyo kunye novavanyo lwe-estradiol lwamahhala njengoko benganikeli. Kukho idatha elinganiselweyo malunga namanqanaba e-serum ezi metabolites ngokwengqikelelo yengozi yempilo. Kwaye kunokuba nzima kwezinye iilebhu ukufumana ubungakanani obuchanekileyo kubasetyhini abasemva kokuya exesheni kuba amanqanaba e-estrogen asezantsi kakhulu. Ke, ukugcina loo nto engqondweni ngumbandela wokwazi ilebhu yakho kunye nokuba ichane kangakanani na. Ngoku xa kufikwa kumathe, iindaba ezimnandi aziphazamisi. Izigulana zinokukwenza oku ekhaya, okwenza kube lula ukuba oogqirha bazama ukwenza umlinganiselo wesiriyali we-estradiol kumjikelo wonke kwi-premenopausal woman. Kuba akukho mntu unengqondo ephilileyo uya kuya elebhu kwaye atsalwe igazi yonke imihla.
UGqr. Alex Jimenez, DC, unikezela: Ukwazi ukuba i-estradiol ye-salivary idibanisa kakuhle kwi-estradiol yamahhala kwi-serum ivumela oogqirha ukuba babone into esematheni kunye noko bafuna ukukubona kwi-serum. Iindaba ezimbi malunga namathe kukuba kukho izifundo ezimbalwa zokuqinisekisa kuneserum. Kusekho ezimbalwa, ngoko ke yindlela yokuvavanya esebenzayo. Yinto nje yokuba ayiqinisekiswanga kakuhle njengeserum kuba kusafuneka yenziwe. Kwakhona, kunokuba ngumngeni kakhulu kwezinye iilebhu kuba amanqanaba e-estrogen ematheni asezantsi kakhulu kuneserum. Ke oogqirha kufuneka baqinisekise ukuba ilebhu yenza umsebenzi olungileyo ngokwaneleyo ukuhlola la manqanaba asezantsi kakhulu. Lonke uvavanyo lwamathe lunokungcoliswa ligazi eliphuma kumlomo womlomo.
Uvavanyo lwamathe
UGqr. Alex Jimenez, DC, unikezela: Ngoko ukuba isigulana sine periodontitis okanye into ehambisana naloo migca, oogqirha abafuni ukuba kumanqanaba amathe; kubalulekile ukubaxelela ukuba bakwenze oko phambi kokuba bahlambe amazinyo, hayi emva koko, xa benokopha xa bexukuxa. Kodwa oko kuyinyaniso kulo naluphi na uvavanyo lwamathe; awukwazi ukufumana i-estrogen metabolites eyenziwa ngamathe. Kwaye ingxaki enkulu kwi-postmenopausal yowesifazane kukuba abaninzi bafumana umlomo owomileyo emva kokuyeka ukuya exesheni. Kwaye ke, kunokuba nzima ngokwenene ukwenza uvavanyo kuba kufuneka bavelise amathe amaninzi ukuze bafumane umfuziselo owaneleyo. Ngoku, ukuba oko kuyenzeka, banokuya kuvavanyo lomchamo olungamashumi amabini anesine. Uvavanyo lomchamo lweeyure ezingama-24 lwe-estrogen kunye ne-estrogen metabolites lunokuba luncedo ukuba uzama ukufumana imveliso yemihla ngemihla yehomoni. Unokufumana imilinganiselo ye-estrogen metabolites, ezinzile ixesha elide.
UGqr. Alex Jimenez, DC, unikezela: Unexesha elininzi lokucutshungulwa kwaye ufumane imilinganiselo ye-estrogen yasimahla kunye nedibeneyo. Ngoko ke luncedo. Iindaba ezimbi, eziyinyani kulo naluphi na uvavanyo lomchamo lweeyure ezingama-24, luxhomekeke kwimilinganiselo echanekileyo yomthamo kunye nokuqokelelwa okupheleleyo kwezigulane. Izigulana ezininzi ziya kuyijika loo nto. Xa benosuku oluxakekileyo, baya kuchama kwaye kufuneka bakhumbule into abafanele bayenze, enokuba yingxaki. Ke, ukuqinisekisa ukuba isigulana siyasiqonda kunokuncedisa kwiziphumo zovavanyo. Awunakuyisebenzisa le nto kubantu abanokungasebenzi kakuhle kwezintso kuba isekwe kulungiso lwe-creatinine. Ke ukuba i-creatinine yabo ayiqhelekanga, kuya kufuneka bakwazi ukukunika inqanaba elaneleyo, elifanelekileyo kwaye ngamanye amaxesha bakunike ezinye zezi mvavanyo ezenza imichamo yeeyure ezingama-24 ziya kukubonelela ngeemetabolites ezininzi ezinokuba luncedo ngakumbi ngokwezonyango kodwa zingekho. .
UGqr. Alex Jimenez, DC, unikezela: Ngoku kwindawo eyomileyo, uvavanya, kwaye unokufumana i-estrogen metabolites, okulungileyo kuba i-metabolites izinzile ixesha elide, ngoko akukho ngxaki. Kwaye unokulinganisa zombini ii-estrogens zasimahla kunye ne-conjugated kula mabala kuvavanyo lomchamo. Eyona ngxaki inkulu apha kukuba inezona zifundo zincinci zokuqinisekiswa kwezonyango. Ke, yindlela entsha yovavanyo. Iyathandwa kwaye ilula kwizigulana, kodwa akukho nkxalabo encinci ngenxa yezifundo ezimbalwa zokuqinisekiswa kwezonyango abazenzileyo. Ngoku, imingeni eyongezelelweyo iyakhankanywa: ukucinga malunga nento ekufuneka yenziwe ilebhu; imilinganiselo abayifunayo ukuze bakwazi ukuyibonelela inokwahluka kakhulu kuba kukho amanqanaba asezantsi kakhulu e-estrogen kwabasetyhini abadala, hayi kunyango lokubuyisela ihomoni.
UGqr. Alex Jimenez, DC, unikezela: Kwaye ke ukuya kufikelela kumlinganiselo la mayeza aphezulu aphezulu kwabasetyhini abalungiselela i-IVF. Kwaye, uyazi, amanqanaba anokwahluka nge-10,000. Ngaba kusengqiqweni ukucinga ukuba naluphi na uvavanyo luya kuchaneka kuzo zonke ezo meko? Kukwanzima ukuvavanya amanqanaba e-estrogen kwabasetyhini abaphathwa nge-aromatase inhibitors kuba banokuba ne-estrogen esezantsi kakhulu. Ke loo nto isenokungafunyanwa ngokuchanekileyo ngovavanyo olusemgangathweni. Kwaye ke ukuchaneka kuyingxaki kuba sithetha malunga nendlela i-estradiology ejolise ngayo ikakhulu kwindlela eyaphulwa ngayo kwi-estrone kwaye emva koko i-estrones iyaphulwa njani. Kodwa inyaniso kukuba i-estradiols iguqula ibe ngaphezu kwekhulu le-metabolites eyahlukeneyo, enokuphazamisa ubungakanani obuchanekileyo.
Uvavanyo lweSerum
UGqr. Alex Jimenez, DC, unikezela: Ke, iilebhu kufuneka ziyigcine engqondweni loo nto kwaye ziqinisekise ukuba zifumana iinkcukacha ezaneleyo kuwe. Enye i-tidbit enomdla kukuba imithombo yangaphandle ye-S-trial ingakhokelela kumanqanaba aphakamileyo e-estradiol. Ke gcina loo nto engqondweni ukuba unesiphumo sovavanyo esihlekisayo esingenangqondo.
UGqr. Alex Jimenez, DC, unikezela: I-progesterone kunye ne-progesterone metabolites kwi-serum; zininzi iincwadi zokuxhasa ukusetyenziswa kwenqanaba leprogesterone elizotywe ngethemba ngomhla wama-21 womjikelo weentsuku ezingama-28 ukuqinisekisa ukuvuthwa kweqanda. Iprogesterone ineengxaki njengoko ihluke kwi-estradiol. Ngoko ke kwamkelekile ukusebenzisa amanqanaba e-serum progesterone kuloo nto, njengoko ukuveliswa kwakhona kwamanqanaba e-serum kulinganiselwe ukuba amanqanaba e-serum aphantsi. Ke ukuba oko kuthetha ukuthini ukuba ubunokuthatha umntu kwisiqingatha sokuqala somjikelo wakhe kwaye uzobe inqanaba leprogesterone iintsuku ezintathu zilandelelana ekuqaleni kwenkqubo kwaye iprogesterone kufuneka ibe phantsi, awunakufumana amanani afanayo. ngenxa yokuba amanqanaba e-hormone aphantsi.
UGqr. Alex Jimenez, DC, unikezela: Ke ukuveliswa kwakhona kwenza oogqirha baphambane kancinci, kodwa yiloo nto ekufuneka bayigcine engqondweni ngeserum. Kwakhona, ukuvavanywa kwamathe akuhlaseli; kulungele ukuba ufuna ukulandela umjikelo wonke kwi-premenopausal woman. Kwakhona, uphando lubonisa ukuba inqanaba le-salivary ye-17 alpha hydroxyprogesterone yamkelekile nje ngenqanaba leserum yokuxilonga i-congenital adrenal hyperplasia. Ngoku i-downside ye-progesterone's metabolites amanqanaba amathe eprogesterone kwi-metabolites yayo kukuba unokuguquguquka okukhawulezileyo kwamanqanaba eprogesterone ematheni. Ke, ukuba unomntu ongafuniyo ukutsalwa igazi kwaye akanangxaki nokutshicela kumbhobho, ungasebenzisa oku endaweni yoko.
UGqr. Alex Jimenez, DC, unikezela: Ke kufuneka usebenzise iziphumo zovavanyo ezingaphezu kwesinye ukwenza isigqibo; unokufuna isampulu yothotho ukufumana ukuva umndilili. Kukwakho ingxaki ngokuphambana kwe-reactivity enokuphazamisa i-immunoassays kwaye ichaphazele iziphumo. Kwaye kwakhona, ingxaki efanayo inamanqanaba asezantsi kakhulu eprogesterone kumathe kuneserum. Ke kwezinye iilebhu, oko kunokuba lucelomngeni ukufumana uhlalutyo lokuqala kunye nengxaki efanayo malunga nokungcoliswa kwegazi; kunjalo, oko kuyinyaniso kuzo zonke iimvavanyo zeselula. Umchamo weeyure ezingama-24 kunye novavanyo lomchamo owomileyo we-progesterone unengxaki efanayo kuba i-progesterone metabolites iya kuhambelana neempawu. Ngoko baye bafunda, umzekelo, i-allopregnanolone kumchamo. Inqanaba lalonto linxibelelana nomgangatho wokulala kwabasetyhini abakwi-perimenopausal.
Iimpembelelo ezahlukeneyo zoVavanyo lweHormone
UGqr. Alex Jimenez, DC, unikezela: Intsingiselo yeyokuba ukuba iyahambelana, mhlawumbi inqanaba elichanekileyo; nangona kunjalo, iprogesterone kunzima ukuyilinganisa kumchamo. Kwaye ke, basebenzisa i-metabolites yokuvavanya kwaye banqume inqanaba leprogesterone esekelwe kwi-metabolites. Kulungile, ngaphandle kokuba akukho ncwadi ichaza ukusetyenziswa kweklinikhi ye-progesterone metabolites. Ke iprogesterone kumchamo iyingxaki malunga nokuchaneka kunye nento oyifumanayo. Ingxenye yomcimbi kunye ne-progesterone ye-serum kukuba incinci kakhulu ikhoyo, kunye nomhlaba ongeyena iprotheni, ininzi ibophelelwe kuzo zonke kunye nezinye iiprotheni; yiprogesterone yasimahla ekhoyo kwiithishu ekujoliswe kuzo nakwizinkcwe. Ke iprogesterone oyimetayo kwiserum ubukhulu becala yiprogesterone ebotshelelweyo, hayi eyona nto ibalulekileyo ekliniki.
UGqr. Alex Jimenez, DC, unikezela: I-progesterone ye-Transdermal kunzima kakhulu ukuyilinganisa kuba nabani na ufumana i-metabolism nge-alpha reductases ezintlanu eluswini. Ifunxwa ngokukhawuleza ziinwebu zeseli ebomvu zegazi kwaye isiwe kwithishu. Kwaye ngenene, kuya kuthi emva kokuba isigulana sisebenzise ukhilimu weprogesterone okanye ijeli yangaphandle, bafumana la manqanaba aphezulu eprogesterone ematheni nakwiibhedi zecapillary, kodwa hayi kwiserum. Kwaye ke kungakho indlela engcono yokulinganisa okwenzekayo kwisigulana. Ngoko i-progesterone ye-transdermal, ukuzama ukulandela ukuba naluphi na uvavanyo kunzima.
UGqr. Alex Jimenez, DC, unikezela: Kukho amashumi eminyaka yophando kumanqanaba e-serum hormone. Ekuvavanyeni kwe-serum, i-testosterone, kunye ne-metabolites yayo, unokufumana zombini i-total and free level test level, kwaye unokufumana inqanaba le-DHT, eliluncedo. Kukho uluhlu lwe-serum olusekiweyo lokuxilongwa kokungabikho kwe-androgen. Ke amanqanaba e-serum e-testosterone alungile ngokubanzi. Kunokuba nzima ukuncedisa i-serum xa amanqanaba asezantsi, njengakwabasetyhini nasebantwaneni nakumadoda angaphantsi. Ke, kuya kufuneka uyazi ilebhu yakho kunye nendlela yayo. Masithi uvavanya i-testosterone kubasetyhini, amadoda angama-hypogeal, okanye abantwana kuba kufuneka baqinisekise ukuba benza uvavanyo lwe-serum olufanelekileyo ukufumana la manqanaba asezantsi ngokuchanekileyo.
UGqr. Alex Jimenez, DC, unikezela: Kuvavanyo lwamathe, kulula kakhulu ukufumana isampuli. Kukho uluhlu olusekiweyo lokuxilongwa kokungoneli kwe-antigen, kwaye kulula ukusebenzisa olu vavanyo lokwahlula phakathi kwe-gonadal kunye ne-hypogonadal amadoda. Kwaye unokufumana inqanaba lehomoni yasimahla njengophando oluninzi olupapashwe malunga nokusetyenziswa kwamanqanaba amathe okuvavanya i-testosterone. Noko ke, le ngxaki ifana neprogesterone; ufumana oku kuguquguquka ngokukhawuleza kwamathe. Unokufuna ngaphezu kwesinye iziphumo zovavanyo lwamathe ukuze ufumane ulwazi oluthembekileyo. Ke awufuni ukwenza isigqibo ngokusekwe kwisiphumo esinye. Kwaye kwakhona, kufuneka uyazi ilebhu yakho kuba amanqanaba asezantsi kakhulu kuneserum. Ngoko kulucelomngeni ukufumana ibali elichanileyo kwaye ulumkele ukosulela kwegazi. Kuvavanyo lomchamo, iiyure ezingama-24 kunye nomchamo webala unemiba eyahlukileyo kancinci.
UGqr. Alex Jimenez, DC, unikezela: Uvavanyo lweyure ye-24 yomchamo we-testosterone ingasetyenziselwa ukufumana imveliso ye-testosterone yemihla ngemihla. Izigulane ziya kufumana inqanaba le-hormone yamahhala kunye ne-metabolites, into enhle. Bangasebenzisa olo lwazi ukuvavanya ngokungangqalanga imisebenzi emihlanu ye-alpha-reductase kunye ne-aromatase ngokusekelwe ekubeni zingaphi iimetabolites ezahlukeneyo abazifumanayo. Zimbalwa kuphela iinkcukacha ezixhasa ukusetyenziswa kweklinikhi yazo zonke i-metabolites ezilinganisiweyo. Kukho i-polymorphism ye-UGT ukuya kwi-B17; ukuba isigulana sinayo loo nto, inqanaba labo le testosterone yomchamo liya kubuyela ku-zero, ke gcina loo nto engqondweni ukuba ukhe wafumana iziphumo zovavanyo. Ngapha koko, iphantsi kakhulu kuba kusenokwenzeka ukuba isigulane sakho sinalo mbandela. Ngoku umchamo webala uya kukunika ezinye zeendlela ezifanayo njengoko uya kufumana amanqanaba ehomoni asimahla kunye neemetabolites. Oku kukuvumela ukuba usebenzise olo lwazi ukuvavanya imisebenzi emihlanu ye-alpha-reductase aromatase; nangona kunjalo, ingxaki ikhona; njengamanye amahomoni esixoxe ngawo, olu vavanyo lunezifundo ezimbalwa zokuqinisekiswa kwezonyango kuba luhlobo olutsha lovavanyo, ke yigcine engqondweni loo nto.
Cortisol
UGqr. Alex Jimenez, DC, unikezela: ICortisol kunye neemetabolites zayo kwiserum ziyafana nezinye iihomoni ezikhankanyiweyo, njengoko kukho uluhlu oluqinisekisiweyo lwereferensi ye-cortisol. Uninzi lweencwadi zokuphononongwa koontanga ezichaza ukusetyenziswa kolu vavanyo, kwaye izigulana zinokuziva zikhululekile ukufumana ezi ziphumo. Iya kubaxelela nje i-cortisol epheleleyo, hayi i-cortisol yabo yasimahla. Ke ngokugcina loo nto engqondweni, baya kufumana ipateni ye-diurnal. Banokufumana kuphela uvavanyo lwamanqaku amane njengoko benokwenza ngamathe ngenxa yokuba abanalo uluhlu oluqhelekileyo lwamaxesha amane ahlukeneyo ngosuku. Kwaye izigulana ezininzi zixela koogqirha bazo njengoko zifumana i-serum cortisol, ziye zithi, “Yima, awuqondi. Ndiyoyika kakhulu ukutsalwa kwegazi lam kangangokuba ikhuphe i-cortisol yam, kwaye andifane ndibukeke kakubi ngale ndlela.
UGqr. Alex Jimenez, DC, unikezela: Gcina ukhumbula ukuba kwiserum, banoluhlu lwezalathiso oluqhelekileyo kuphela amaxesha amabini emini, 7 ukuya 9:00 AM kunye 3 ukuya 5:00 PM. Ke kufuneka uqinisekise ukuba usebenzisa i-serum cortisol, bangena ngokuzila ukutya ngaphambi kwentsimbi yethoba, okanye banokuhamba kamva emini. Yaye ukuba bahamba emva kwemini, akuyomfuneko ukuba bazile ukutya. Ke ukuba ufumana i-cortisol nge-10 okanye i-11 kusasa, ayiloncedo kakhulu kwiziphumo. Ngoku uvavanyo lwamathe, abantu abaninzi bayaqhelana noku.
UGqr. Alex Jimenez, DC, unikezela: Ungayifumana ipateni yakho yemini kuba iinkampani ezininzi zineekiti apho uneesampulu ezine okanye ezintlanu imini yonke. Kukho uncwadi oluninzi oluphononongwa ngoontanga oluchaza ukusetyenziswa koku. Kwaye oku yeye-cortisol, hayi eye-cortisol metabolic. Ibonakalisa i-plasma concentration engabotshwanga, engeyiyo le nto siyibonayo ngeserum. Ingxaki kukuba i-11 beta hydroxy steroid dehydrogenase yi-enzayimi kumadlala amathe eguqula ngokubonakalayo i-cortisol ibe yicortisone. Ke kukho imibuzo malunga neziphumo oogqirha abazifumanayo kwi-cortisol ye-salivary kwaye kwenzeka ntoni okanye ingaba iguqulelwe kwi-cortisone, kwaye awuyicholi loo nto kuvavanyo?
UGqr. Alex Jimenez, DC, unikezela: Ke xa ujonga i-cortisol metabolites ematheni, ezinye iinkampani ezizenzayo kwaye ezinye zingenzi, i-cortisone yamathe ihambelana nokuvezwa kwe-cortisol ngaphezulu kweeyure ezingama-24. Kukho inqanaba eliphakathi loncwadi olusebenzisa olu vavanyo kodwa ngokwaneleyo ukuba kufuneka uzive ukhululekile. Kukho imiba xa i-serum cortisol iphantsi ngokwenene, isenza ukuba kubonakale ngathi isigulana siyantlithwa okanye siphantsi konyango lwe-hydrocortisone. Loo nto yenza i-salivary cortisone ibe yi-serum marker ephezulu xa kuthelekiswa ne-salivary cortisol. Phantsi kwezi meko, ngenxa yendlela oku kusetyenzwa ngayo, ziinkampani ezimbalwa kuphela ezijonga i-cortisone ngqo ematheni. Ke ngeli xesha, kuba ngakumbi kwinqanaba eliphakathi loncwadi, uya kube usenza amanqanaba e-cortisol ematheni.
Uvavanyo lomchamo kwiiHormones
UGqr. Alex Jimenez, DC, unikezela: Ngoko masiqhubele phambili kuvavanyo lomchamo. Ngoku, kuvavanyo lomchamo lweeyure ezingama-24, unokuvavanya umlinganiselo we-cortisol, onokuba luncedo xa uxilonga. Kwaye i-cortisol yasimahla yeeyure ezingama-24 ihambelana nenqanaba le-cortisol engenaserum; nangona kunjalo, ingxaki kuphela kukho izifundo eziqinisekisiweyo zeklinikhi zoku. Kwaye, kuvavanyo lomchamo lweeyure ezingama-24, awufumani ipatheni ye-diurnal cortisol. Kwaye, kumchamo wendawo, unokufumana umlinganiselo we-cortisol, onokuba luncedo. Unokucela isigulana ukuba senze uvavanyo lomchamo kwindawo izihlandlo ezininzi ngemini ukuze ufumane utshintsho lwemini njengoko ubuya kwenza ngamathe. Kodwa ngelishwa, indawo ovavanyayo inezona zifundo zincinci zokuqinisekiswa kwezonyango. Ngoko kufuneka ugcine loo nto engqondweni. Ke ngoku, ngokuyintloko, abantu baziva bekhululekile ukusebenzisa nokuba ngamanqanaba e-serum enziwe ngexesha elifanelekileyo losuku, ukuqonda ukuba awuyifumani i-cortisol engafakwanga, okanye benza uvavanyo lwamathe olunamanqaku amane.
UGqr. Alex Jimenez, DC, unikezela: Uvavanyo lwe-salivary olunamanqaku amane lunokubona ipateni phakathi kwento isigulana esixelele ngayo oogqirha babo malunga nenqanaba lamandla abo imini yonke kunye nendlela abaziva ngayo kwaye bathelekise oko kunye nesiphumo esibuyileyo. Oogqirha abaninzi baqaphela ukuba bebelindele ukuba iziphumo zovavanyo zibe yintoni na phambi kokuba iilebhu zesizwe zibe nazo.
Uvavanyo lweDHEA
UGqr. Alex Jimenez, DC, unikezela: Siza kuxoxa nge-DHEA kunye ne-DHEA sulfates ngokwahlukeneyo ekubeni i-DHEA kwiserum inezifundo ezininzi zokuqinisekiswa kwekliniki ezinokukwenza uzive ukhululekile ukufumana iziphumo ezifanelekileyo. Ngoku, i-DHEA inepateni ye-diurnal. Ke kuya kufuneka uqinisekise ukuba bayenza ngexesha elifanelekileyo losuku kuba oku kuzila ukutya phambi kwentsimbi yethoba kusasa, kanye njenge-cortisol. I-DHEA eyenziwe kamva emini ayithethi nto; nangona kunjalo, i-DHEA sulfate kwi-serum ayilandeli ipateni ye-circadian, ngoko ke uvavanyo olulodwa olwenziwe nangaliphi na ixesha lulungile.
UGqr. Alex Jimenez, DC, unikezela: Kukho izifundo ezininzi zokuqinisekiswa kweklinikhi malunga ne-DHEA; ngelishwa, kukho ingxaki nge-DHEA sulfate kuba inepateni encinci ye-circadian. Ungaphuthelwa ukuhluka okuncinci kwi-DHEA ngokuhamba kwexesha kumntu ngokusekelwe kwindlela abaziva ngayo kunye noxinzelelo. Ke ngamaxesha athile, kumnandi ukujonga iDHEA kwisigulana logama nje sele yenziwe ekuseni kuba ke uya kuziva ngotshintsho ekuhambeni kwexesha kumntu ofanayo ongayi kumbona nge-DHEA sulfate.
UGqr. Alex Jimenez, DC, unikezela: Uvavanyo lwe-salivary ye-DHEA kulapho ulinganisa khona i-DHEA yasimahla emzimbeni, into entle. Kukho ulungelelwaniso kunye namanqanaba e-serum, kwaye ayichaphazeli. Ingxaki kukuba ugxininiso lunxulumene ngokungafaniyo nesantya sokuhamba kwamathe kwaye lukwachatshazelwa yi-pH yamathe. Umzekelo inokuba ngumntu ohamba ngaphaya kwendawo yokubhaka, eqala ukugalela amathe kakhulu ngokusekelwe kwinto ebeyiva nje. Oku kunokutshintsha iziphumo zabo zesantya sokutya xa besenza uvavanyo lwabo lweDHEA. I-DHEA sulfate inengxaki efanayo esisiseko kumathe, enxulumene nesantya sokuhamba kwamathe kunye ne-pH yamathe. Ke gcina loo nto engqondweni ukuba ujonge amanqanaba amathe kumchamo, nokuba yiyure ezingama-24 okanye umchamo wamabala; akukho zifundo zoqinisekiso lwezonyango malunga nokujonga nokuba yi-DHEA okanye i-DHEA sulfate emchameni. Ke, gcina loo nto engqondweni ukuba uvavanya umchamo kwaye bakunika iphaneli epheleleyo ebandakanya i-DHEA okanye i-DHEA sulfate, unokufuna ukwazi ukuba zithetha ntoni ezo ziphumo.
UGqr. Alex Jimenez, DC, unikezela: Kwiihomoni zepituitary, uvavanyo olukhethwayo yiFSH, LH, kunye neprolactin serum. Ayilungelanga imilinganiselo yesiriyali imini yonke ukubona utyando lwe-LH, umzekelo, kodwa iziphumo zichanekile kakhulu. Kwaye ematheni, kukho uncwadi olujongwe ngoontanga olulinganiselweyo oluchaza iihomoni ze-salivary pituitary nokuba zanele na okanye hayi. Izixhobo zokufumanisa i-LH ekhaya zilungele uvavanyo lomchamo kuba zisetyenziswa kakhulu kwaye kudala zikhona. Utyando lwe-LH lunxulumana nomchamo kwaye lusebenza kakuhle kunye neserum yotyando lwe-LH. Ke ukuba uzama ukunceda abantu baqonde ukuba baphi na kumjikelo wabo kwaye nokuba bakhuphile na okanye hayi, olu vavanyo yindlela yokuhamba. Ayenzi umsebenzi olungileyo wokuyilinganisa; ikuxelela nje ukuba kukho utyando kuba ezi zihomoni ezinkulu, ngoko ke azingeni emchameni ngokulula.
UGqr. Alex Jimenez, DC, unikezela: Ke uya kwazi ukuba ngaba ulufumene okanye awulufumani utyando, awuzukwazi ukuba leliphi inqanaba lokwenyani, kwaye kulungile kuba ixesha elininzi, akukhathaliseki nokuba leliphi inqanaba lehomoni. Ngokusisiseko, ngaphandle kokuba uzama ukufumanisa ukuba banalo na utyando lwe-LH, ufuna ukusebenzisa i-serum nokuba yi-FSH, LH, okanye iprolactin. Kwi-globulin ebopha i-hormone yesini, uninzi lwezifundo zokuqinisekiswa kweklinikhi zikwiserum; awukwazi ukuyilinganisa ngamathe okanye umchamo, ngoko kulula ukuyikhumbula. Ke sele sithethile ngemiba eneendlela ezahlukeneyo zovavanyo, kwaye kukho iindlela ezimbalwa zovavanyo eziya kukunika yonke into oyifunayo ukuyazi malunga nehomoni nganye ekufuneka uyazi.
Leliphi elona xesha lilungileyo leHormones?
UGqr. Alex Jimenez, DC, unikezela: Ke ngoku, leliphi ixesha elifanelekileyo lokuvavanya iihomoni? Kwakusasa kuxa iihomoni ziya kuba zezona ziphakamileyo kwiihomoni ezininzi. Ke, eyona ndlela ilungileyo yokuhamba kwaye uvavanye amanqanaba ehomoni afana ne-cortisol kunye neehomoni ze-gonadal yinto yokuqala kusasa kuba kufuneka ungaguquguquki kwaye ukhawuleze kuba into oyityileyo inokutshintsha amanqanaba ehomoni. Ke ukuba uhlala uzila ukutya, ubuncinci uya kufumana ukuhambelana phakathi kwesampulu kunye nomntu omnye. Kufuneka kwakhona wazi apho bebekho kumjikelo wabo kwiimvavanyo ezithile. Ke, abaguli ababhinqileyo abasahamba ngebhayisekile kufuneka babhale usuku lokuqala lwexesha labo elilandelayo ukuze bazi ukuba loluphi usuku olwenze ngalo uvavanyo lwazo. Ngaphandle koko, kuya kufuneka basebenzise iikiti ze-ovulation ukuze bazi ukuba ziphi na.
UGqr. Alex Jimenez, DC, unikezela: Kwaye kunjalo, into embi apha kukuba, ukuba uzama, umzekelo, ukufumana i-progesterone yosuku-21, kwaye uhlala enomjikelo weentsuku ezingama-28, ke umxelela ukuba ahambe ngomhla wama-21, kodwa ngaloo nyanga. unomjikelo weentsuku ezingama-35, awuzange ulifumane izinga obulifuna. Ke inokuba yingxaki encinci, kodwa bakhumbuze ukuba bayilandelele ukuze ungabinakho ukujonga ngasemva kwaye wazi ukuba bebephi xa besenza iimvavanyo zabo. Ke, silufuna nini olu mvavanyo kubafazi bangaphambi kunye nabe-perimenopausal? Masithi ufuna iprogesterone ngosuku lwe-21. Unokwenza i-globulin ye-hormone-binding globulin ngaloo mini. Abasetyhini abasexesheni badubula malunga nosuku lwesithathu lwe-estradiol, i-estrone, i-FSH, i-testosterone, okanye i-globulin ebopha i-hormone yesini.
UGqr. Alex Jimenez, DC, unikezela: Ngoku, nangona ezi zifanelekile, ungazifumana ngezinye iintsuku zomjikelo wazo? Ewe, kodwa ziya kuba nokuchaneka okwahlukileyo. Kwaye, ewe, inokuba lusuku olongezelelweyo kunosuku lwesithathu kuba kuthekani ukuba usuku lwesithathu lwenzeka emhlabeni ngempelaveki kwaye ilebhu ayivulwanga? Ke, nceda uqwalasele ukuba le nto uyifunayo apha kukuvavanya amanqanaba ehomoni xa ekwelona nqanaba liphezulu. Yiyo loo nto sidubula isithathu kunye ne-21. Ke, uyazi, nanku umhla wesithathu nowesine. Kwaye ke iFSH izakuba linqanaba elihle apha. I-estradiol ijikeleza kakhulu ngeli xesha, ngoko ukuzama ukuyifumana kule nxalenye yomjikelezo kuya kuba luncedo kakhulu. Kwaye, ngeprogesterone, uya kufumana incopho yakho apha, yiyo loo nto ufuna ukuzama ukudubula kangangeentsuku ezingama-21 kuba uyazi ukuba iya kuba yeyona ndlela ilula yokuqinisekisa ukuba uyayifumana. Kwaye kwakhona, kuya kukunceda ukuba ungaguquguquki ukusuka kumjikelo ukuya kumjikelo ukuba uhlala uzama ukuyifumana ngexesha elinye lenkqubo.
Unyango lweHormone Replacement
UGqr. Alex Jimenez, DC, unikezela: Ngoku nantsi apho ifika ikhohlisayo kuba yinto enye ukufumanisa ukuba umntu uphi phambi kokuba umfake kulo naluphi na unyango lokubuyisela ihomoni; nangona kunjalo, ukubeka iliso kunyango lokubuyisela ihomoni kuba yingxaki ngakumbi. Ukuba usebenzisa i-estrogen yomlomo, kuyacetyiswa ukuba ufumane isiseko seserum phambi kwe-HRT kwaye ujonge ngexesha lonyango; ukuba wenza i-estrogen yomlomo, amanqanaba e-salivary awabonisi ukusetyenziswa kwe-estrogen yangaphandle konke konke, ngoko ke abaloncedo kakhulu.
UGqr. Alex Jimenez, DC, unikezela: Yaye i<em>oral estrogen okanye naziphi na iincindi zamadlala ezivavanywayo kufuneka zibonise ngokuchanekileyo inkqubo yemetabolism yesibindi kunye namanqanaba omchamo. Ke ukuba wenza unyango lonyango lokubuyisela i-estrogen yomlomo, ekuphela kwendlela yokuyivavanya kukusebenzisa i-serum kuba oogqirha baya kuqinisekisa isigulana ngemodyuli, ngoko awufuni kusebenzisa i-estrogen yomlomo nakanjani na. Ukuba usebenzisa i-estrogen yolwimi olungaphantsi, amanqanaba aya kunyuka kwaye ehle ngokukhawuleza kwiiyure ezimbalwa. Kwaye ke i-serum ayisebenzi ngokumalunga nokulinganisa. Amathe awasayi kwenza ngqiqo ukuba wenza i-sublingual kuba une-estrogen yakho apho. Ngoko ke ithetha ukuthini? Kuthetha ukuba umchamo weyure ezingama-24 kunye novavanyo lomchamo kunye neehomoni ezingaphantsi kweelwimi azikhuthazwa kuba kusoloko kukho umbuzo wokuba uginya kangakanani kwaye ufunxa malini ngokungekho lwimi.
UGqr. Alex Jimenez, DC, unikezela: Ngoku, ukuba uyaqaphela ukuba ithi ngolwimi olungaphantsi, kunokubakho iindlela ezingcono zovavanyo. Kuba ungayazi ukuba yimalini eginyiweyo kwaye yafumana isiphumo sokuqala semetabolism, isiphumo seyure ezingama-24 okanye umchamo wamabala owomileyo unokufuna ukucaciswa. Yingxaki ke leyo. Usenokwenza unyango lwe-estrogen yolwimi olungaphantsi; kuthetha nje ukuba akukho ndlela ibalaseleyo yokuyivavanya. Ukuba usebenzisa iikhrimu ze-estrogen, uvavanyo lweserum lunokusebenza, kwaye siyazi ukuba iiparamitha zeklinikhi zihambelana namanqanaba e-serum xa usebenzisa iikhrimu ze-estrogen, singayenza loo nto. Kwi-saliva, i-estradiol kunye ne-estriol zihanjiswa ngenkuthalo kwi-saliva; amanqanaba aphezulu kunokuba ubuyakubona kwiserum kwaye aguquguquka kakhulu. Ke amanqanaba amathe eekhrimu awenzi ngqiqweni, kwaye akukho zifundo zijongiwe ntanga zinika iinkcukacha ngekrimu ye-estrogen esebenzayo kumanqanaba omchamo.
Ukusebenzisa iHormone Creams & Patches
UGqr. Alex Jimenez, DC, unikezela: Mhlawumbi ayingombono ulungileyo ukusebenzisa amanqanaba omchamo kumntu osebenzisa iikhrimu ze-estrogen ngelo xesha. Ukuba usebenzisa i-labial okanye i-estrogen ye-vaginal, uvavanyo lwe-serum lubonakala lolona khetho lungcono lokujonga ukufunxa. Amanqanaba amathe akabonisi naluphi na utshintsho lwethamo. Ngoko ke ngokwesiseko, mhlawumbi yinkcitha xesha ukufumana inqanaba amathe uzama ukwenza uvavanyo lomchamo; Ukusebenzisa i-estrogen ye-labial okanye i-estrogen ye-labial inokuba yingxaki kuba wazi njani ukuba awuwungcolisanga umzekeliso womchamo. Kwaye ukuba usebenzisa isiziba, amaxabiso e-serum ayakunyuka ngokuxhomekeke kwidosi kwaye anqabe ngokukhawuleza oku kususwa kulandelayo. Kunokuba luncedo, siyazi ukuba amaxabiso e-serum atshintsha ngokusekelwe xa ubeka isiqwenga kwaye xa usikhupha, kodwa kuseyingxaki.
UGqr. Alex Jimenez, DC, unikezela: Akukho bungqina bujongwe ngontanga obubonisa ukuba i-estrogen yamathe ingasetyenziselwa ukubeka esweni isiqwenga se-estrogen. Kwaye xa kuziwa kuvavanyo lomchamo kunye ne-estrogen patch, kubonakala ngathi amaxabiso kumchamo aya kunyuka ngokuxhomekeke kwidosi. Isenokuba ichanekile ngokwentelekiso, kodwa ayilona vavanyo lugqwesileyo lwezonyango lwe-estrogen patch. Umyalezo wokuya ekhaya apha kukuba akukho vavanyo lugqibeleleyo kwaye uninzi lwethu luhlengahlengisa ithamo kwixabiso eliphantsi, elona nqanaba lisezantsi esinokulifumana, kwaye iimpawu zethu zilawulwa. Oko akuthethi ukuba abavavanyi; kufuneka uzame ukuqinisekisa ukuba awugqithisi idosi kulo mntu. Kodwa khumbula ukuba kukho imida emininzi malunga novavanyo olunokuba luncedo kuxhomekeke kuhlobo lwe-estrogen oyisebenzisayo.
UGqr. Alex Jimenez, DC, unikezela: Ngoku, iprogesterone kunye neprogesterone yomlomo, ukuba usebenzisa loo nto, amanqanaba aphakama kwaye awela ngokukhawuleza. Awunakukwazi ukubamba inqanaba le-serum enengqiqo ukuba uthatha i-progesterone yakho ngokuhlwa kwaye ulinganise ekuseni. Ngenxa yokuba abaninzi abafazi, ukuba bathatha i-progesterone yomlomo, baya kuyithatha ngokuhlwa kuba ibanceda balale. Kukwakho ingxaki ngokuphambana kwe-metabolites kunye ne-immunoassays. Ngoko unyango lokubuyisela iprogesterone, ukuba ngomlomo, kufuneka uthathe amanqanaba e-serum ngengqolowa yetyuwa. Into efanayo ngamathe kunye nokuvavanya umchamo weeyure ezingama-24. Sathetha ngendlela ongayifumani ngayo iprogesterone; ufumana i-progesterone metabolites, ngoko ke kunokuba luncedo. Kodwa kukho ingxaki yendlela esemthethweni yokusetyenziswa kwe-progesterone metabolites. Ke ukusetyenziswa ngomlomo kweprogesterone, ukufumana inqanaba, kwaye ukuyilandela kuyinkohliso encinci.
UGqr. Alex Jimenez, DC, unikezela: Ngoku kunye ne-creams kunye ne-progesterone ye-transdermal, akukho nanye yeemvavanyo eyenza nayiphi na ingqiqo kuba ufumana amanqanaba okwandisa ngokwasengqondweni kwi-serum engavuki ngayo nayiphi na indlela ecacileyo. Njengazo zonke iihomoni ze-steroid, ezi zi-soluble-fat-soluble, ngoko ke ukuba zihamba kwaye zihlale kwi-adipose kunokuba zingene egazini, ayibonakalisi inqanaba le-serum. Ayibonakalisi amanqanaba eethishu esibelekweni nasebeleni, kulapho sikhathala khona. Ngoko inqanaba le-serum ye-progesterone cream yingxaki. Amanqanaba esalivary emva kokuba i-progesterone cream inyuka kwaye ayihambelani neempawu kuzo zonke. Ngoko ungakhathazeki ngokufumana inqanaba le-salivary emva kwekhilimu yeprogesterone. Kukho ubungqina bokuvavanya umchamo ukuba unokufumana ukunyuka okuncinci kwi-dial ekhulelweyo i-glucosides ukuba usebenzisa i-progesterone cream. Kwaye ke kunokuvela ukuba sinokusebenzisa oko njengomlinganiselo wento eyenziwa yiprogesterone yakho.
UGqr. Alex Jimenez, DC, unikezela: Kodwa oku kusafuna uvavanyo oluthile. Ngoko kuya kuba kuhle ukuba ukhumbule ukuba kufuneka kubekho indlela ethembekileyo yokulandelela okwenzekayo xa umntu esebenzisa i-progesterone cream. Ke nceda uthathe ixesha lakho ngokufumana inqanaba kwaye wenze isigqibo esisekwe kuyo. Ngoku, i-progesterone suppositories yangasese inengxaki efanayo. Ufumana amanqanaba amancinci anyuswe kwi-serum, engayi kukunika umphumo owaneleyo. Iprogesterone iyanyibilika okanye ibuhlungu; ungasebenzisa amanqanaba e-serum kwi-troche kuba ufumana inqanaba elichanekileyo kwi-serum kunokuba ubuyithathe ngomlomo. Kukho ukunqongophala kophando oluphononongwe ngoontanga kumanqanaba amathe emva kweesuppositories zeprogesterone yelungu lobufazi. Kwaye kufuneka ulumke xa uzama ukwenza uvavanyo lomchamo kuba wazi njani ukuba awuzange ungcolise isampulu?
UGqr. Alex Jimenez, DC, unikezela: Awukwazi ukusebenzisa inqanaba le-salivary ngenxa yokuba une-troche okanye inyibilika emlonyeni womntu. Kwaye ke, kukho ubuncinci ingxaki enokubakho ngokufumana inqanaba lomchamo we-troche okanye unyibilike ngenxa yokuba, njengolwimi olungaphantsi, ingakanani lento oyiginyayo? Abantu ngabanye banokutya enye yayo kwaye baxhomekeke kwimetabolism yokuqala, okuthetha ukuba awuyi kukwazi ukuyichola kumchamo. Inxalenye enkulu iya kufakwa kwigazi le-capillary kwaye mhlawumbi ichanekile kwiiyure ezingama-24 okanye uvavanyo lomchamo owomileyo. Kodwa oko kufuneka kufundwe ngokwaneleyo, ngoko gcina loo nto engqondweni ukuba usebenzisa kakubi okanye inyibilika. Kwaye olu luphononongo olubonise ukuba emva kokufaka i-progesterone ye-topical, amathe kunye namanqanaba egazi le-capillary ahluke kakhulu xa kuthelekiswa nalawo abonwa kwi-serum okanye igazi elipheleleyo.
Kubalulekile Ukwenza Uphando
UGqr. Alex Jimenez, DC, unikezela: Ke esi sisifundo nje esibalulekileyo sophando ukukukhumbuza ngokuthembela kumanqanaba e-serum yeprogesterone. Ukuba ubeka iliso, idosi ye-topical inokukhokelela kumanqanaba ezicubu ezingaphantsi, ke uya kunika ngaphezulu kunokufunayo. Ke, lumka ngokuthembela kumanqanaba e-serum kwi-progesterone ye-topical kuba uya kubagqithisa abantu abanjengokuphambana. Kwaye khumbula, ukuba ugqithise i-progesterone, iphezulu kwindlela ye-hormone ye-steroid, kwaye awukwazi ukuba umzimba walo mntu uya kwenza ntoni ngayo; basenokuyijika ibe yiyo nantoni na eyenye. Ngoku, iikhrimu okanye iijeli zonyango zokutshintsha i-testosterone zinokubangela amanqanaba egazi, kwaye inqanaba leserum liyenyuka ngokukhawuleza kunye nesicelo kwaye alibonakalisi ngokuthembekileyo ukutshintsha kwedosi, naluphi na utshintsho lwedosi. Ngoko i-serum kunye namanqanaba egazi mhlawumbi ayikho indlela efanelekileyo yokuhamba. Kwi-saliva, amanqanaba aphezulu kakhulu kuneserum kwaye aguquguquka kakhulu kuba anokunika isibonakaliso sobuxoki sokugqithisa.
UGqr. Alex Jimenez, DC, unikezela: Kuvavanyo lomchamo, akukho nto ilungileyo kumchamo weyure ezingama-24. Mhlawumbi ufuna ukusebenzisa enye into ngaphandle komchamo weeyure ezingama-24. Iindaba ezimnandi ngumchamo owomileyo. Ngoku kumchamo owomileyo, i-epitestosterone inokulinganiswa ukuba kuya kubakho ukucinezelwa ngenxa yokuveliswa kwe testosterone yangaphandle ukuba yiloo nto ucinga ukuba iyaqhubeka. Unokulinganisa i-epitestosterone kuvavanyo lomchamo owomileyo, oya kukuxelela ukuba okanye hayi, ucinezele imveliso yalo mntu ye testosterone ngokubanika okuthile. Ngoku, ukusetyenziswa kwe-vaginal okanye i-labial ye testosterone, akukho ndlela ilungileyo yokufumana inqanaba legazi elinengqiqo. Amanqanaba amathe, njengayo nayiphi na enye ikhrimu okanye usetyenziso esinokuba nalo ezandleni zakho, kufuneka ulumke kuba ukuba uphethe iibhotile zesampulu, ukufumana amathe, ungayifumana kwindawo yovavanyo.
UGqr. Alex Jimenez, DC, unikezela: Kwaye ke, njengawo nasiphi na isicelo selungu lobufazi okanye i-labial, ukuba uzama ukufumana imizekelo yomchamo, kufuneka uqaphele ukuba awungcolisi umchamo kwaye ufumane inqanaba eliphakamileyo ngobuxoki. Amanqanaba egazi alungile ukuba wenza inaliti ye testosterone, nokuba inaliti okanye i-pellet. Fumana isiseko sesinye kwisithathu, kwaye uzisebenzisele ukubeka iliso. Ikunika amanqanaba afanelekileyo. Uya kufumana ukuphakama okubalulekileyo kumathe emva kokutofa kwe-IM, kodwa kukho ukuhluka okubanzi ukusuka kumntu ukuya komnye. Ke kuya kufuneka uyithathe ngengqolowa yetyuwa malunga nokuba ichaneka kangakanani isiphumo sakho. Kwenzeka into efanayo kumzekelo womchamo weeyure ezingama-24. Uza kufumana ukuphakama emva kwesitofu se-IM, kodwa ke, kukho ukuguquguquka okukhulu, ngubani owaziyo ukuba ichanekile kangakanani?
UGqr. Alex Jimenez, DC, unikezela: Ngenqanaba le-salivary, kukho ulungelelwaniso oluthile kuphela kwi-testosterone ye-bioavailable. Ukuba usebenzisa i-patch testosterone, unokufumana amanqanaba afanelekileyo, kwaye kukho izifundo ezilungileyo zokubonisa ukuba izinga legazi liya kulungile. Ukuba usebenzisa i-testosterone patch, amanqanaba omchamo, zombini kumchamo weeyure ezingama-24 kunye namanqanaba omchamo owomileyo, aya kubonisa iidosi ezikhulayo. Ufumana inqanaba elilungileyo ngokusebenzisa oko. Ngoku, ukuba usebenzisa unyango lwe-DHEA okanye i-DHEA yomlomo, uya kufumana ukwanda okukhawulezayo kumanqanaba egazi kanye emva kokuba usongezo ngomlomo njengoko ufumana kunye namathe. Uyifumana loo nto nakumathe nasemchameni. Ke uthatha into yokuba uluthathe uvavanyo lweDHEA.
isiphelo
UGqr. Alex Jimenez, DC, unikezela: Ingxaki kukuguquguquka kwegazi, amathe, kunye neziphumo zomchamo. Abaninzi abayithandi ngokukhethekileyo ukusebenzisa i-DHEA yomlomo eninzi ngenxa yokuba, njengawo onke amahomoni e-steroid, umzimba wakho uya kuwuthatha usiwe esibindi, kwaye isibindi sinethuba lokuyitshintsha ibe enye into ngaphambi kokuba ingene egazini. yenza umsebenzi wayo. Ezinye izicelo zinokuba luncedo ngakumbi, njenge-transdermal DHEA okanye i-DHEA yezihloko; kuya kufuneka ubone indlela isigulana esiziva ngayo ngokweempawu kuba ukuba usebenzisa i-DHEA yangaphakathi, amanqanaba egazi uya kufumana ukunyuka okukhulu kanye emva kokufakwa kwesicelo sokuqala.
UGqr. Alex Jimenez, DC, unikezela: Ke ithetha ukuthini loo nto kuba iwa kwangoko? Emva koko, kwi-saliva emva kokusetyenziswa kwe-transdermal ye-DHEA, amanqanaba aya kwanda, kodwa kungekhona ngokulandelelana. Ngoko ke loo nto ayinangqondo. Kwaye akukho phando luphononongwe ngontanga oluchaza okwenzekayo kumanqanaba e-DHEA kumchamo emva kokusetyenziswa kwe-transdermal. Umcimbi omkhulu ke unokuba ufuna ukubeka iliso kwinto eyenziwa yimveliso yokudiliza ezantsi kuba ukuba awukwazi ukufumana inqanaba elihle le-DHEA, unokufuna ubuncinci ukujonga i-testosterone kunye ne-estradiol. Kwaye oko kuya kukunika isibaso ukuba uye wasebenzisa kakhulu okanye wasebenzisa ngaphantsi kwe-DHEA. Ngoku, ngokusetyenziswa kwelungu lobufazi okanye kwilebhu, amanqanaba egazini awapheli kwaphela.
UGqr. Alex Jimenez, DC, unikezela: Alukho uphando oluchaza amanqanaba emva kokufakwa kwelungu lobufazi kujonge kumanqanaba amathe okanye womchamo. Ngoko awukwazi ukusebenzisa oko njengendlela yokuyibeka esweni. Ke kwakhona, oku kuya kuba ngumcimbi nje wokulandela umntu kunye nendlela abaziva ngayo emva kokuyisebenzisa. Awuyi kufuna ukuba nexhala malunga nokufumana nayiphi na imilinganiselo emva koko. Yinto nje yeklinikhi. Uvavanyo olukhethayo luxhomekeke kwinto omnika yona umntu, ifom oyinikayo, kwaye ke yintoni ozama ukuyifumanisa. Ngokufumana uxwebhu lonyango oluthandayo kwaye uziva ukhululekile ngalo, qonda ukuba ungalufumana na uvavanyo ngokuxhomekeke kulwakhiwo kunye notshintsho olisebenzisayo. Kwaye ke, qiniseka ukuba ufumana ulwazi oluluncedo kwaye hayi ulwazi olulahlekisayo.
by UGqr Alex Jimenez | Iingqino, I-Basal Metabolic Index (BMI), Chiropractic, News Chiropractic, Ubuhlungu obungapheliyo, Iingxelo zeNtlampembelelo, Ukulimala koluhlu, I-El Paso Chiropractic News, ukuphila qete, LweMpilo, Series Series Medicine Series, impilo, Ukuqeqeshwa Kwezempilo, Iindaba zezeMpilo El Paso, Medicine Holistic, Physiology yabantu, Udidi lweMithi, Umzimba Wengqondo noMoya, Ukuhamba kunye nokuguquguquka, isondlo, Ukubuyiswa komzimba, Amandla kunye nokomelela, ulungiso, Ucoceko loMgcini, Uncedo Lwezityalo, Ubungqina, yokuzonwabisa, Ukuphila
IPODCAST: UGqr.Alex Jimenez, uKenna Vaughn, uLizette Ortiz, kunye noDaniel “Danny” Alvarado baxoxa ngesondlo kunye nokuba sempilweni ngala maxesha. Ngexesha lokuvalelwa bodwa, abantu baye banomdla ngakumbi ekuphuculeni impilo yabo yonke kunye nokuphila ngokulandela ukutya okufanelekileyo kunye nokuthatha inxaxheba kwimithambo. Iphaneli yeengcali kule podcast ilandelayo inikezela ngeengcebiso ezahlukeneyo kunye namaqhinga ngendlela onokuthi uyiphucule ngayo impilo-ntle yakho. Ngaphaya koko, uLizette Ortiz kunye noDanny Alvarado baxoxa ngendlela ebebanceda ngayo abathengi babo ukuba baphumeze impilo-ntle yabo ngala maxesha e-COVID. Ukusuka ekutyeni iziqhamo, imifuno, inyama engenamafutha, amafutha amnandi, kunye neecarbohydrate ezintsonkothileyo ukunqanda iswekile kunye neecarbohydrate ezilula ezinjengepasta emhlophe kunye nesonka, ukulandela ukutya okufanelekileyo kunye nokuthatha inxaxheba kwimithambo yomzimba kunye nokwenza umthambo yindlela elungileyo yokuqhubeka ukukhuthaza impilo yakho iyonke kwaye ntle. -Ingcaciso yePodcast
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Ndiyabulela & Thixo Usikelele.
UGqirha Alex Jimenez RN, DC, MSACP, CCST
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