Te Whakahaere Hormone i roto i te Whakaputa Uri Wahine
He tukanga uaua, he tukanga nui hoki te whakahaere i ngā homoni i roto i te pūnaha whakaputa uri wahine, e whakarite ana i te hauora me te angitu o te mahi whakaputa uri. Ko te huringa paheketanga, te whakaputa uri, me te mahi whānui o te pūnaha whakaputa uri wahine e whakahaerehia ana e te raupapa o ngā homoni e taunekeneke ana. Ka matapakihia e tēnei tuhinga ngā momo homoni e uru ana ki te pūnaha whakaputa uri wahine, me pēhea te mahi, me ō rātou pānga ki te hauora o ngā wāhine.
Pendahuluan
Ko te pūnaha whakaputa uri wahine te kawenga mō te whakaputa hua, te whakarato i tētahi taiao mō te whakatō, me te tautoko i te whanaketanga o te kukune i te wā e hapu ana. Ko tana mahi e whakawhirinaki nui ana ki te taurite o ngā homoni, e puritia ana mā te hononga i waenga i te roro, ngā repe endocrine, me ngā whekau whakaputa uri.
Ngā Homoni Matua i roto i te Whakaputa Uri Wahine
Ko ētahi o ngā homoni matua e whakahaere ana i te pūnaha whakaputa uri wahine ko:
1. Te Hormone Tuku-Gonadotropin (GnRH)
I hangaia i roto i te hypothalamus, ko te GnRH te kawenga mō te whakaoho i te repe pituitary ki te tuku i ngā homoni gonadotropin LH me te FSH. He tere te tukunga o te GnRH, ā, ka pā tōna auau ki te hanga FSH me te LH.
2. Hormone Whakaoho-Flollicle (FSH)
He mea nui te mahi a te FSH i roto i te pakeketanga o ngā follicle ovarian. Ko ngā follicle ovarian he hanganga i roto i ngā ovaries kei roto ngā pūtau hua manu, ā, ko te FSH te homoni e whakaoho ana i tō rātou tipu me te pakeketanga i te wā o te follicular o te huringa paheketanga.
3. Hormone Luteinizing (LH)
Ko te LH te kawenga mō te whakaoho i te whakaputanga o te hua manu, arā, te tukunga o te hua manu kua pakeke mai i te follicle ovarian. Ko te pikinga o te LH he tohu koiora e whakaatu ana kua tata te whakaputanga o te hua manu. Ka tautoko hoki te LH i te hanganga o te corpus luteum, e whakaputa ana i te homoni progesterone i muri i te whakaputanga o te hua manu.
4. Estrogen
Ko ngā Ētorogen he rōpū homoni kei roto ko te estradiol, te estriol, me te estrone. Ka hangaia ēnei homoni e ngā ovaries, ā, ka whai wāhi ki te whakamātotoru i te arai endometrial me te whakarite mō te whakatōnga o te hua manu kua whakatōkia.
5. Progesterone
Ka hangaia te progesterone e te corpus luteum i muri i te whakaputanga o te hua manu, ā, he homoni matua e tautoko ana i te hāputanga. Ka whakarite te progesterone i te endometrium hei tautoko i te whakaurunga o te kukune, ā, ka ārai i te nui rawa o te whakahekenga o ngā uaua o te kōpū.
6. Hormone HCG (Human Chorionic Gonadotropin)
Ka puta te HCG i muri i te whakaurunga angitu o te kukune ki roto i te pakitara kōpū, ā, he mea nui tēnei homoni hei pupuri i te hanga progesterone mai i te corpus luteum, kia pakeke rā anō te whenua whānau, ā, kia taea rā anō e ia te whakaputa i tēnei homoni māna ake.
Te Huringa Paheketanga
Mā te whakahaere i ngā homoni i roto i te pūnaha whakaputa uri wahine ka pai te huringa paheketanga. I te nuinga o te wā, ka wehea tēnei huringa ki ētahi wāhanga:
1. Wāhanga Follicular
Ka tīmata tēnei wāhanga i te rā tuatahi o te paheketanga, ā, ka roa tae noa ki te whakaputa uri. I tēnei wāhanga, ka whakaoho te FSH i te tipu o ngā follicle i roto i ngā ovaries. Ka noho te follicle kotahi hei matua, ka tīmata te whakaputa i te estrogen, e whakaoho ana i te matotoru o te endometrium uterine.
2. Te whakaputanga o te hua manu
Ko te nuinga o te wā ka puta te whakaputanga o te hua manu i waenganui o te huringa paheketanga, ā, ka tohuhia e te tukunga o te hua manu mai i te follicle kua pakeke. Ko te pikinga LH i tēnei wā ka whakaoho i te tukunga o te hua manu, ā, ka taea te whakamomona i muri mai.
3. Wāhanga Luteal
I muri i te whakaputanga o te hua manu, ka huri te follicle takoto kau hei corpus luteum, e whakaputa ana i te progesterone hei whakarite i te endometrium mō te whakatōnga. Ki te kore e puta te whakatōnga, ka mimiti te corpus luteum, ā, ka heke te hanga progesterone, ka puta te paheketanga.
4. Te paheketanga
Nā te hekenga o ngā homoni progesterone me te estrogen ka marere te endometrium, ā, ko te tohu tēnei o te toto o te paheketanga. Kātahi ka tīmata anō te huringa.
Ngā Mate Hormonal
Ka pā mai ngā mate whakaputa uri maha i roto i ngā wāhine nā te kore taurite o ngā homoni. Ko ētahi o ngā mate noa ko:
1. Te Mate Pūkahukahu Polycystic (PCOS)
Ko te āhuatanga o te PCOS he kore taurite o ngā homoni e pā ana ki te huringa paheketanga, ka taea e ia te whakatupu i ngā kiore ki runga i ngā ovaries, ā, ka arahi atu ki ngā raruraru momona.
2. Endometriosis
Ka puta tēnei āhuatanga ina tupu te kiko endometrial i waho o te kōpū, ka pā mai te mamae o te hope me ngā raruraru momona. Ahakoa kāore anō kia tino mārama te take, e whakaarohia ana ko ngā āhuatanga homoni tētahi o ngā take.
3. Ārai mate
He āhuatanga tēnei kāore e neke atu i te toru ngā huringa o te paheketanga, ā, ka puta pea tēnei i ngā āhuatanga maha, tae atu ki ngā mate homoni, ngā huringa taumaha, me te ahotea.
4. Te Āmene o te Hypothalamic
He maha ngā wā ka puta mai i te ahotea tinana, i te ahotea kare ā-roto rānei, i te nui rawa o te korikori tinana, i te iti rawa rānei o te taumaha tinana, e whakararuraru ana i te hanga o te GnRH i roto i te hypothalamus.
Te Awe o Ētahi atu Homoni me ngā Take o Waho
Haunga ngā homoni matua, kei reira anō ētahi atu homoni me ngā āhuatanga o waho e pā ana ki te pūnaha whakaputa uri o te wahine, pērā i:
– Prolactin
E hangaia ana te prolactin e te repe pituitary, e pā ana ki te whakaputanga waiū ū, engari ka pā te taumata tiketike rawa ki te paheketanga me te whakaputanga hua.
– Iniurinī
He maha ngā wā ka kitea te ātete ki te insulin me ngā taumata insulin teitei i roto i ngā wāhine whai PCOS, e hono ana tēnei i te pākia o te tinana me te pūnaha whakaputa uri.
– Ngā Take o Waho
Ka pā anō hoki te āhua noho, te ahotea, te kai totika, me te taiao ki te taurite o ngā homoni i roto i te tinana, ā, ka mutu, ka pā kino tēnei ki te whakaputa uri.
Whakamutunga
He tukanga tino taunga te whakahaere i te whakaputa uri o te wahine e ngā homoni. Mā te mārama ki te mahi a ēnei homoni me ā rātou taunekeneke ka āwhina i te tautuhi me te whakahaere i ngā mate pāwera me te momona. Mō ngā wāhine e pāngia ana e ngā mate pāwera, ngā raruraru momona rānei, he mea tika kia kōrero ki tētahi tohunga hauora mō ētahi atu aromatawai me te wawaotanga.
