Dr. Alex Jimenez Anopa: Kuongorora Mahomoni
Dr. Alex Jimenez, DC, anopa nzira yekuongorora mahomoni akasiyana-siyana mumuviri uye kuti maitiro akasiyana-siyana ehomoni anogona kushandiswa sei kuziva chiyero mumuviri. Iyi mharidzo inobvumira vanhu vazhinji kuti vazive zvekutarisira kana vachinge vaongororwa navanachiremba vavo vekutanga. Isu tinotumira varwere kune vanopa vane certified vanosanganisira akasiyana mahormone therapies kuti ave nechokwadi chehutano hwakanyanya uye hutano. Tinokurudzira uye tinokoshesa murwere wega wega nekuvaendesa kune vanobatana navo varapi zvichienderana nekuongororwa kwavo kana zvakakodzera. Isu tinonzwisisa kuti dzidzo inzira yakanaka kana uchibvunza vatinopa mibvunzo yakaoma pakukumbira nekunzwisisa kwemurwere. Dr. Alex Jimenez, DC, anongoshandisa ruzivo urwu sebasa rekudzidzisa. Disclaimer
Kuongorora Mahomoni
Dr. Alex Jimenez, DC, anopa: Tikugashirei kune zvese zvaunoda kuziva nezve kuongorora mahormone uye maitiro ekuita bvunzo. Isu takasarudza kuita izvi sewebinar nekuti isu tine nguva shoma yekuzviita panguva yemodule. Mushure mezvose, izvo zvinoita kuti hupenyu hwako huve nyore. Iwe unozofanirwa kuve neruzivo urwu pasi pebhandi rako nekuti hechino chinhu chakakosha chaunofanira kuziva. Hormone therapy inyanzvi, kwete sainzi. Kana ukawana varapi vashanu kana vatanhatu vanoita kurapa kwehomoni, unowana nzira shanu kana nhanhatu dzakasiyana dzekugadzira mushonga uye nzira dzakawanda kupfuura izvo chaizvo kuita bvunzo kuiongorora.
Dr. Alex Jimenez, DC, anopa: Chinhu chakakosha ndechekuti urambe uchifunga zvatinoziva nesainzi inzira iri nani kana isiri-yakanaka yekutarisira varwere maererano nekuongororwa. Wobva watsvaga zvinokuitira uye uve nyanzvi mune izvozvo. Nekuti kana iwe uchienderana nekufamba kwenguva, iwe unogona kushanda zvakatenderedza zvakanakira nezvayakaipira zvega rega rakapihwa bvunzo modhi uye woona zvaunofanira kuita, zvisinei nerudzi rwebvunzo yaunopedzisira kuita. Zvakanaka, saka chii chatinofanira kunetseka nacho? Kune akawanda matambudziko anogona kuitika mukuyera mazinga ehomoni nekuti akawanda mahormone anochinja zvakanyanya. Kuti vaongorore mahormone ari mumuviri, vanachiremba vanofanirwa kuziva kuti chii, rini, uye ndiani wekuyedza. Saka tichataura pamusoro pezvose izvozvo.
Kuongorora Mahomoni Mumurwere
Dr. Alex Jimenez, DC, anopa: Mamwe anosiyana mukati mezuva, mamwe anosiyana panguva yekutenderera, uye mamwe mahormone haasiyane zvachose. Saka iwe unofanirwa kuyeuka kuti ndeapi aunofanira kunetseka nawo maererano nekushanduka. Zvidzidzo zvakaitwa hazviyere mazinga ehomoni. Saka, kuwana akajairwa mazinga ehomoni dzimwe nguva kunonetsa. Inogona kunge yakasiyana neiyo inoshandiswa nemaLab parizvino. Uye muzvidzidzo mavakauya neakajairwa mazinga ehomoni, mazhinji acho zvidzidzo zvechinyakare, uye nzira yacho yanga isingavimbike kupfuura yatinoshandisa izvozvi. Saka nekuchengeta izvo mupfungwa maererano nezvinonzi nevanhu zvakajairika mazinga ehomoni, mazhinji ezvidzidzo izvi zvakare angaita pakati pemapoka asingaenzaniswi. Zvazvinoreva izvi ndezvekuti vanenge vachienzanisa, toti, boka ramaapuro, maranjisi, uye mazambiringa voisa pamwe chete vachiti, hongu, saka avhareji iyi ichashanda.
Dr. Alex Jimenez, DC, anopa: Saka zvakaita sekuita meta-analysis, uye kana uri kutora boka re data rakasiyana, haugone kutaura kuti avhareji iyi inonzwisisika. Iwe unogona kunge uchitoziva nezve chokwadi chekuti mamwe maLab anopedzisira agadzira akasiyana mareferenzi. Uye saka kana iwe ukashandisa akawanda akasiyana lab, haugone kufananidza mhinduro dzebvunzo dzauri kuwana nekuti mareferenzi erenji akasiyana. Uye, dzimwe nguva, kunyangwe mukati merabhoritari yakapihwa, zvichienderana nekuti ndeipi kit kit inoshandiswa nevarwere, senge bvunzo kubva kuQuest, rimwe zuva vanogona kushandisa imwe test kit. Saka referensi renji ichave XYZ, uye vakaenda kune imwe lab rimwe zuva, asi vakashandisa rakasiyana bvunzo kit uye vane akasiyana zvachose referenzi renji. Uye saka iwe unofanirwa kusvika kune iyo kune varwere. Kana uine murwere akangwara ari kuyedza kuona zviri kuitika ivo pachavo, vanogona kunge vaine fungidziro isiriyo panguva yekuongororwa.
Estrogen uye Progesterone
Dr. Alex Jimenez, DC, anopa: Kana iwe uine mareferensi akasiyana anoratidza pane yako bvunzo mhinduro, zviri nani kuti urambe uchitevera izvozvo kana iwe uchida kurangarira. Iye zvino pane kusiyana kukuru pakati pevanhu uye kunyange mukati memunhu mumwe chete. Iyo serum concentration yezvose zvakasikwa uye yekugadzira steroid ingangoda kujekeswa pakati pevamwe vanhu. Pane musiyano wakakura zvisinei nemudzi wekutonga kwemahomoni. Zvaunotarisira kubva kune mumwe munhu zvinogona kusiyana nemunhu anotevera. Uye, chokwadi, mukati memunhu chero upi zvake, iwe uchawana mazinga ekushanduka kwezuva rose zvichienderana nezvakawanda zvezvinhu zvakasiyana. Zvese kubva mukufungidzirwa kana kushushikana chaiko izvo zvinozoshandura mazinga avo ehomoni kune zvekudya zvavaidya zuva iro zvinogona kuita mutsauko. Hydration mamiriro anogona kuita mutsauko. Saka kumwe kusiyanisa kwaunoona mukati memunhu, asi nekutorwa kweropa kwakasiyana, kunogona kubva pane zvaiitika zuva iroro.
Dr. Alex Jimenez, DC, anopa: Saka edza kufadza varwere vako paunenge uchiongororwa kuti uchengetedze mazuva ekudhonza ropa zvakafanana. Ikozvino kuyera mumvura dzakasiyana dzemuviri senge serum, weti, kana mate hazvireve kutiudza nezvekuisa pfungwa mune mamwe matishu, uye vanachiremba vanofanirwa kuchengeta izvi mupfungwa nekuti murwere anogona kuwana pfungwa yenhema yekuchengeteka, uye hazvizodaro. vane chekuita netishu yavari kuedza kurapa. Zvino, vanachiremba vazhinji vanofanirwa kurangarira marudzi ese akasiyana eesrogen avangangoda kuti vatarise panguva yekuongororwa. Saka, pavanoona estrogen, pane dziva reestrogen. Kune yemahara uye yakasungwa estrogen mumuviri uye kugadzirwa kweesrogen mumukadzi kana murume mavari. Kune exogenous estrogens iwe unogona kunge uchivapa. Kune akachengetwa estrogens, metabolites, uye ese aya akasiyana eestrogens vanachiremba vanofanirwa kuchengeta. Saka uyu ungori muenzaniso mumwe wekuve nemazinga eesrogen akawanda mumuviri, uye murwere ari kushamisika, chii icho chiremba ari kutarisa? Muedzo mumwe ungandipa ruzivo urwu rwakasiyana? Uye iyi ndiyo estrogen chete. Chinhu chimwe chetecho ichokwadi, kunyange zvazvo chisina kunyanya kuoma. Izvi zvakafanana nezvemamwe mahomoni ari mumuviri.
Dr. Alex Jimenez, DC, anopa: Iye zvino kune progesterone, idambudziko rakafanana. Mimwe mibairo inoita seizvi kune estrogens uye testosterone, uye izvi ndezvekutiyeuchidza nezvese kusiyana kwakasiyana kuripo. Nekuratidza musiyano pakati pevanhu vakasiyana pamatanho ehupenyu hwavo, semuenzaniso, premenopausal uye postmenopausal. Mhedzisiro inopiwa nachiremba kumurwere inodzika mumvuri wakareruka wegirinhi kunze kwekusiyana kwekupindirana kubva mukati memukadzi akapihwa. Uye ipapo iyo yero yegirini ndiyo yepakati-mukadzi musiyano, zvichireva mukadzi mumwe kune anotevera. Zvino mutsara weblue wepakati ndiwo wepakati; izvi zvinopa ruzivo rwavangangoda kuongorora.
Kuedza Hormone Levels
Dr. Alex Jimenez, DC, anopa: Zvakanaka, saka ngatitarisei kuedza nekuongorora mahomoni sezvatinotarisa marudzi ose ehomoni, nzira dzakasiyana dzekuaedza, uye zvakanakira nekuipira. Kune makumi emakore ekutsvagisa kwakanyatso kusimbiswa pamazinga eserum hormone. Saka kune iyo estrogens, estrone, estradiol, uye estriol, pamwe neesrogen metabolites muserum, nhau dzakanaka ndedzekuti inoyera endogenous kugadzirwa kwehomoni. Saka kana iwe ukawana serum hormone level, isu tinoziva izvo izvo mhedzisiro zvinorevei.
Dr. Alex Jimenez, DC, anopa: Nhau dzakaipa ndeidzi mhedzisiro inokupa yemahara uye yakasungwa hormone. Inokuratidza maestrogens akazara. Nekudaro, haugone kuraira yakazara estradiol uye yemahara estradiol bvunzo sezvo ivo vasingavapi. Pane data shoma maererano neserum mazinga eaya metabolites maererano nekufanotaura kwehutano hwehutano. Uye zvinogona kunetsa kune mamwe maLab kuti awane kuverengerwa kwakaringana muvakadzi mushure mekuenda kumwedzi nekuti mazinga eestrogen akadzikira. Saka, kuchengeta izvo mupfungwa inyaya yekuziva lab yako uye kuti ndeyechokwadi sei. Zvino kana zvasvika pamate, nhau dzakanaka hadzina kupindira. Varwere vanogona kuita izvi kumba, zvichiita kuti zvive nyore kana vanachiremba vakaedza kuita serial kuyerwa kweestradiol kutenderera kutenderera kwemukadzi premenopausal. Nekuti hapana ane pfungwa dzakakwana anoenda ku lab uye anotorwa ropa zuva nezuva.
Dr. Alex Jimenez, DC, anopa: Kuziva kuti salivary estradiol correlates zvakanaka kune yemahara estradiol muserum inobvumira vanachiremba kuona zviri mumate uye zvavanoda kuona muserum. Nhau dzakaipa nezvemate ndeyekuti kune zvidzidzo zvishoma zvekusimbisa pane serum. Pachine akati wandei, saka inzira yekuyedza inoshanda. Ingori kuti haina kunyatso kusimbiswa seserum nekuti ichiri kuda kuitwa. Zvekare, zvinogona kunetsa kune mamwe maLabs nekuti mazinga eestrogen mumate akadzikira zvakanyanya pane ari muserum. Saka vanachiremba vanofanirwa kuona kuti lab iri kuita basa rakakwana rekuongorora aya mazinga akaderera. Kuongororwa kwemate yese kunogona kusvibiswa neropa kubva mumukanwa mucosa.
Kuedza Mate
Dr. Alex Jimenez, DC, anopa: Saka kana murwere aine periodontitis kana chimwe chinhu chiri mumitsetse iyoyo, vanachiremba havadi kuti isarwe mate; zvakakosha kuvaudza kuti vazviite vasati vakwesha mazino avo, kwete mushure mekunge vabuda ropa kana vachikwesha mazino avo. Asi izvozvo ndezvechokwadi pane chero bvunzo dzemate; haugoni kuwana estrogen metabolites kuitwa kuburikidza nemate. Uye dambudziko guru mumukadzi mushure mekuenda kumwedzi nderekuti vazhinji vanowana muromo wakaoma mushure mekuguma. Uye saka, zvinogona kunetsa kuita bvunzo nekuti vanoda kuburitsa mate akawanda kuti vawane muenzaniso wakakwana. Zvino, kana zvikaitika, vanogona kuenda kunoongororwa weti makumi maviri nemana. Kuongororwa weti yemaawa makumi maviri nemana yeesrogen uye estrogen metabolites inogona kubatsira kana uri kuedza kuwana huwandu hwemazuva ese hwekugadzirwa kwemahomoni. Iwe unogona kuwana zviyero zveesrogen metabolites, iyo yakagadzikana kwenguva yakareba.
Dr. Alex Jimenez, DC, anopa: Iwe une nguva yakawanda yekugadzirisa uye kuwana zvese zvemahara uye zvakasanganiswa estrogen zviyero. Saka zvinobatsira. Nhau dzakaipa, idzo ichokwadi kune chero 24-awa weti bvunzo, inotsamira pachiyero chechiyero chevhoriyamu uye kuunganidzwa kwakakwana nevarwere. Varwere vazhinji vanozozviputira nekusaziva. Kana vaine zuva rakabatikana, vanoenda pee uye vanoda kuyeuka zvavanofanira kuita, izvo zvinogona kuva dambudziko. Saka, kuve nechokwadi kuti murwere anonzwisisa kunogona kubatsira nemhedzisiro yebvunzo. Iwe haugone kushandisa izvi kune vanhu vane renal dysfunction nekuti zvinobva pakugadziriswa kwe creatinine. Saka kana creatinine yavo isina kujairika, vanozoda kukwanisa kukupa danho rakaringana, rakakodzera uye dzimwe nguva kukupa mimwe yebvunzo idzi dzinoita weti yemaawa makumi maviri nemana zvinokupa mametabolites akawanda anogona kubatsira zvakanyanya mukurapa asi asingaite. .
Dr. Alex Jimenez, DC, anopa: Iye zvino kune yakaomeswa nzvimbo, iwe uri mukuyedza, uye iwe unogona kuwana estrogen metabolites, izvo zvakanaka nekuti metabolites yakagadzikana kwenguva yakareba, saka hapana dambudziko. Uye iwe unogona kuyera ese emahara uye akasanganiswa estrogens pane aya mavara mune weti bvunzo. Dambudziko hombe apa nderekuti ine zvidzidzo zvishoma zvekugonesa kiriniki. Saka, inzira nyowani yekuyedza. Yakakurumbira uye iri nyore kuvarwere, asi pane kunetseka kushoma nekuda kwezvishoma zvidzidzo zvekusimbisa kiriniki zvavakaita. Zvino, mamwe matambudziko anotaurwa: kufunga nezve izvo lab inofanirwa kuita; zviyero zvavanoda kuti vakwanise kupa zvinogona kusiyana zvikuru nekuti kune mazinga akaderera eesrogen muvakadzi vakura, kwete pakurapa kwekutsiva mahormone.
Dr. Alex Jimenez, DC, anopa: Uye kusvika pakuyera aya madosi epamusoro muvakadzi vari kugadzirira IVF. Uye, iwe unoziva, iwo mazinga anogona kusiyana negumi, 10,000. Zvine musoro here kufunga kuti chero bvunzo ichave yechokwadi kune ese aya mamiriro? Zvakaomawo kuongorora mazinga eesrogen muvakadzi vanobatwa nearomatase inhibitors nokuti vangangove vane yakaderera zvakanyanya eestrogen. Saka izvo zvinogona kusaonekwa nemazvo nekuyedzwa kwakamisikidzwa. Uye ipapo kujeka idambudziko nekuti isu tinotaura nezvekuti estradiology inotarisa sei zvakanyanya pakuputsika kwayo kuita estrone uyezve kuti estrones inoputswa sei. Asi chokwadi ndechekuti estradiols inoishandura kune anopfuura zana akasiyana metabolites, izvo zvinogona kukanganisa quantification chaiyo.
Serum Testing
Dr. Alex Jimenez, DC, anopa: Saka, maLab anofanirwa kuchengeta izvo mupfungwa uye nekuona kuti vari kuwana zvakakukwanira iwe. Imwe inonakidza tidbit ndeyekuti exogenous masosi eS-yedzo anogona kutungamira kune yenhema yakakwira estradiol mazinga. Saka chengeta izvo mupfungwa kana uine inosekesa bvunzo mhinduro izvo zvisina musoro.
Dr. Alex Jimenez, DC, anopa: Progesterone uye progesterone metabolites mu serum; kune akawanda mabhuku ekutsigira kushandisa progesterone level inokwevedzwa tarisiro pazuva rechi21 remazuva makumi maviri nemasere kutenderera kuratidza ovulation. Progesterone ine matambudziko sezvo yakasiyana neestradiol. Saka zvinogamuchirwa kushandisa serum progesterone mazinga kune izvozvo, sezvo kuberekana kwemazinga e serum kunogumira kana mazinga e serum ari pasi. Saka kana izvo zvinoreva kana iwe waizotora munhu muhafu yekutanga yekutenderera kwake uye kudhirowa chiyero cheprogesterone mazuva matatu akatevedzana pakutanga kweiyo nzira uye progesterone inofanira kunge yakaderera, iwe unogona kusawana nhamba dzakafanana. nekuda kwekuti mazinga ehomoni akaderera.
Dr. Alex Jimenez, DC, anopa: Saka kuberekana kunoita vanachiremba kupenga zvishoma, asi ndicho chinhu chavanofanira kuchengeta mupfungwa neserum. Zvekare, kuyedzwa kwemate hakusi kukanganisa; zviri nyore kana iwe uchida kutevedzera kutenderera kwese mumukadzi premenopausal. Zvakare, tsvagiridzo inoratidza kuti salivary level ye17 alpha hydroxyprogesterone inongogamuchirwa seserum level yekuongorora congenital adrenal hyperplasia. Ikozvino iyo yakaderera kune progesterone's metabolites salivary mazinga eprogesterone mumatabolites ayo ndeyekuti une kukurumidza kushanduka kwemazinga eprogesterone mumate. Saka, kana iwe uine mumwe munhu asingadi kutorwa ropa uye asinganetse kupfira muchubhu, unogona kushandisa izvi pachinzvimbo.
Dr. Alex Jimenez, DC, anopa: Saka iwe unofanirwa kushandisa zvinopfuura imwe bvunzo mhinduro kuita sarudzo; ungangoda serial sampling kuti uwane kunzwa kweavhareji. Pane zvakare dambudziko rekuyambuka-reactivity iyo inogona kukanganisa immunoassays uye kukanganisa mhedzisiro. Uye zvakare, dambudziko rimwechete nderekuva nemazinga akaderera eprogesterone mumate pane muserum. Saka kune mamwe maLab, izvo zvinogona kunetsa kuwana ongororo yekutanga uye dambudziko rimwechete maererano nekusvibiswa neropa; zvisinei, ichokwadi kune ese cellular bvunzo. Iyo 24-awa weti uye nzvimbo yakaoma weti yekuyedza yeprogesterone ine dambudziko rimwe chete nekuti progesterone metabolites inopindirana nezviratidzo. Saka vakadzidza, semuenzaniso, allopregnanolone muweti. Chiyero cheiyo chinobatana nemhando yekurara muvakadzi veperimenopausal.
Izvo Zvakasiyana Zvinoreva ZveHormone Testing
Dr. Alex Jimenez, DC, anopa: Zvazvinoreva ndezvekuti kana iri correlating, ingangove nhanho chaiyo; zvisinei, progesterone yakaoma kuverengera muweti. Uye saka, vanoshandisa metabolites yekuongorora uye kuona chiyero cheprogesterone chinoenderana nematabolites. Izvo zvakanaka, kunze kwekunge pasina mabhuku anotsanangura kushandiswa kwekiriniki yeprogesterone metabolites. Saka progesterone muweti iri kunetsa maererano nekurongeka uye zvauri kuwana. Chikamu chenyaya ne serum progesterone ndechokuti zvishoma zvayo zviripo, uye pasi peprotein pasi, yakawanda yacho inosungirirwa kune zvose uye mamwe mapuroteni; ndiyo progesterone yemahara inowanikwa kune zvakanangwa matishu uye zvakare nemate. Saka progesterone yauri kuyera muserum ndiyo inonyanya kusungirirwa progesterone, kwete iyo yakakosha kuchipatara.
Dr. Alex Jimenez, DC, anopa: Transdermal progesterone yakaoma zvakanyanya kuyera nekuti chero munhu anowana metabolism nemashanu alpha reductase muganda. Inokurumidza kutorwa nemasero matsvuku eropa uye inoendeswa kune tishu. Uye zvechokwadi, zvinouya kune izvo mushure mekunge murwere ashandisa exogenous progesterone cream kana gel, vanowana aya anopenga epamusoro eprogesterone mumate uye capillary mibhedha, asi kwete muserum. Uye saka panogona kuve neimwe nzira iri nani yekuyera zviri kuitika kumurwere. Saka transdermal progesterone, kuedza kutevedzera izvozvo chero kuyedzwa kwakaoma.
Dr. Alex Jimenez, DC, anopa: Kune makumi emakore ekutsvagisa pane serum mahomoni mazinga. Mukuedzwa kweserum, testosterone, uye metabolites yayo, unogona kuwana zvose uye yemahara hormone level test, uye iwe unogonawo kuwana DHT level, iyo inobatsira. Iko kune yakasimbiswa serum siyana yekuongororwa kwe androgen kusakwana. Saka serum mazinga e testosterone akanaka mune zvese. Zvinogona kunetsa kubatsira iyo serum yese kana mazinga ari akaderera, senge muvakadzi nevana uye hypogeal varume. Saka, iwe unofanirwa kuziva lab yako uye maitiro ayo. Ngatitii uri kuongorora testosterone muvakadzi, varume vane hypogeal, kana vana nekuti vanofanirwa kuve nechokwadi kuti vari kuita yakakodzera serum bvunzo kuti vawane aya akadzika mazinga nemazvo.
Dr. Alex Jimenez, DC, anopa: Pakuyedzwa kwemate, zviri nyore kuwana sampuli. Kune akatarwa maseru ekuongororwa kweantigen kusakwana, uye zviri nyore kushandisa iyi bvunzo kusiyanisa pakati pegonadal ne hypogonadal varume. Uye iwe unogona kuwana yemahara mahormone level seyakawanda yakabudiswa tsvakiridzo pakushandisa salivary mazinga ekuongorora testosterone. Zvisinei, dambudziko racho rakafanana neprogesterone; unowana ichi kukurumidza kuchinja kwemate. Ungangoda mhinduro inodarika imwe yemate kuti uwane ruzivo rwechokwadi. Saka haufanire kuda kusarudza zvichibva pamhedzisiro imwe chete. Uye zvakare, iwe unofanirwa kuziva lab yako nekuti iwo mazinga akadzikira kupfuura muserum. Saka zvakaoma kuwana nyaya yakarurama uye kungwarira kusvibiswa kweropa. Mukuedza weti, iyo 24-awa uye weti weti zvine nyaya dzakasiyana.
Dr. Alex Jimenez, DC, anopa: Iyo 24-awa yekuongorora weti ye testosterone inogona kushandiswa kuwana yakazara zuva nezuva kugadzirwa kwe testosterone. Varwere vachawana mahara hormone level uye metabolites, izvo zvakanaka. Vanogona kushandisa ruzivo irworwo kuongorora zvisina kunanga zviitwa zvishanu zvealpha-reductase uye aromatase zvichienderana nekuti mangani akasiyana metabolites avari kuwana. Chete data shoma inotsigira kushandiswa kwekiriniki yeese akayerwa metabolites. Kune polymorphism yeUGT kusvika B17; kana murwere ane izvozvo, weti yavo ye testosterone level ichadzokera ku zero, saka chengeta izvozvo mupfungwa kana iwe ukawana mhedzisiro yebvunzo. Mushure mezvose, zvakaderera nekuti zvinogona kunge zviri izvo murwere wako ane nyaya iyi. Ikozvino weti yemuvara inokupa zvimwe zvakafanana nekuti iwe uchawana emahara mahormone uye metabolites. Izvi zvinokubvumira kushandisa ruzivo irworwo kuongorora zviitwa zvishanu zve alpha-reductase aromatase; zvisinei, dambudziko riripo; semamwe mahormone atakurukura, kuyedza uku kunowanzo kuve nezvidzidzo zvishoma zvekusimbisa kiriniki nekuti inzira nyowani yekuyedza, saka ramba uchifunga izvozvo.
Cortisol
Dr. Alex Jimenez, DC, anopa: Cortisol nemametabolites ayo ari muserum akafanana nemamwe mahormone ataurwa, sezvo paine mareferensi ereferenzi akatenderwa ecortisol. Mabhuku akawanda ekuongorora vezera anotsanangura mashandisirwo ebvunzo iyi, uye varwere vanogona kunzwa vakasununguka kuwana izvi mhedzisiro. Ichavaudza chete yakazara cortisol, kwete yavo yemahara cortisol. Saka nekuchengeta izvo mupfungwa, vanozowana diurnal pateni. Vanokwanisa chete kuwana bvunzo dzemapoinzi mana sezvavaizoita nemate nekuti havana zvakajairika zera renguva ina dzakasiyana pazuva. Uye varwere vazhinji vanotaura kuna vanachiremba vavo pavanowana serum cortisol, vanoenda, “Mira, haunzwisise. Ndiri kutya kuti ropa rangu richatorwa zvekuti rinosimudza cortisol yangu, uye ini handiwanzotarisi zvakaipa.
Dr. Alex Jimenez, DC, anopa: Ramba uchifunga kuti muserum, vanongove neakajairwa mareferenzi maviri ezuva, 7 kusvika 9:00 AM uye 3 kusvika 5:00 PM. Saka iwe unofanirwa kuve nechokwadi chekuti kana ukashandisa serum cortisol, ivo vanopinda mukutsanya pamberi pepfumbamwe, kana kuti vanogona kuenda gare gare muzuva. Uye kana vakaenda gare gare muzuva, havafaniri kutsanya. Saka kana iwe ukawana cortisol na10 kana 11 mangwanani, hazvibatsire zvakanyanya kune zvabuda. Ikozvino kuyedzwa kwemate, vanhu vazhinji vava kujairana neizvi.
Dr. Alex Jimenez, DC, anopa: Unogona kuwana diurnal yako pateni nekuti makambani mazhinji ane kits kwaunowana mana kana mashanu samples zuva rese. Kune akawanda anotariswa nevezera mabhuku anotsanangura kushandiswa kweizvi. Uye izvi ndezve cortisol, kwete zve cortisol metabolic. Inoratidza kusasungwa kweplasma, izvo zvisiri izvo zvatiri kuona neserum. Dambudziko nderekuti 11 beta hydroxy steroid dehydrogenase ienzyme iri mumatumbu emate inoshandura zvakanyanya cortisol kuita cortisone. Saka pane mimwe mibvunzo nezve mhedzisiro vanachiremba vari kuwana mu salivary cortisol uye chii chiri kuitika kana kuti yakashandurwa kuita cortisone, uye hausi kuzvinhonga muyedzo?
Dr. Alex Jimenez, DC, anopa: Saka kana uchitarisa ma cortisol metabolites mumate, ayo mamwe makambani anoita uye mamwe haaite, salivary cortisone inoenderana nekuratidzwa kwecortisol kwemaawa makumi maviri nemana. Pane mwero wepakati wemabhuku uchishandisa bvunzo iyi asi zvakakwana zvekuti unofanirwa kunzwa wakasununguka. Pane nyaya kana serum cortisol yako yakadzikira, zvichiita kuti zviite sekunge murwere arikuputsika kana pasi pe hydrocortisone therapy. Izvo zvinoita kuti salivary cortisone ive yepamusoro serum marker kana ichienzaniswa neiyo salivary cortisol. Mumamiriro ezvinhu aya, nekuda kwemafambisirwo ari kuitwa izvi, makambani mashoma chete ari kutotarisa cortisone mumate. Saka panguva ino, nekuti kunyanya yeyero yezvinyorwa zvinyorwa, iwe unenge uchinyanya kuita cortisol mazinga mumate.
Weti Kuongorora Mahomoni
Dr. Alex Jimenez, DC, anopa: Saka ngatienderere mberi pakuongorora weti. Iye zvino, mumaawa makumi maviri nemana ekuongororwa weti, unogona kuongorora chiyero che cortisol, chinogona kubatsira kana uchiongorora. Uye 24-awa yemahara cortisol inoenderana neserum-isina cortisol level; zvisinei, dambudziko chete nderokuti kune zvishoma zvidzidzo zvekusimbisa kliniki zveizvi. Uye, mumaawa makumi maviri nemana ekuyedzwa weti, hausi kuwana diurnal cortisol pateni. Uye, mune weti yenzvimbo, unogona kuwana chiyero che cortisol, chinogona kubatsira. Unogona kuita kuti murwere aite bvunzo yenzvimbo kakawanda pazuva kuitira kuti uwane shanduko yemasikati sezvaungaita nemate. Asi zvinosuwisa, nzvimbo yauri kuyedza ine zvishoma zvidzidzo zvekusimbisa kiriniki. Saka unofanira kuzvichengeta mupfungwa. Saka neizvi, kunyanya, vanhu vanonzwa kugadzikana nekushandisa chero maserum mazinga akaitwa panguva chaiyo yezuva, kunzwisisa kuti hausi kuwana iyo isina kusungwa cortisol, kana kuti ivo vari kuita mana-point salivary bvunzo.
Dr. Alex Jimenez, DC, anopa: Iwo mana-point salivary bvunzo yaigona kuona pateni pakati pezvakaudzwa nemurwere kune vanachiremba vavo nezvesimba ravo rezuva rose uye manzwiro avakaita uye akaenzanisa izvo nezvakadzoka mhedzisiro. Vanachiremba vazhinji vanocherekedza zvavainge vakatarisira kuti mhedzisiro yebvunzo ichave isati yatombovepo nemalebhu enyika.
DHEA Testing
Dr. Alex Jimenez, DC, anopa: Tichakurukura nezveDHEA neDHEA sulfates zvakasiyana sezvo DHEA iri museramu ine zvidzidzo zvekiriniki zvekusimbisa izvo zvinogona kuita kuti unzwe wakasununguka kuwana mhinduro dzakakwana. Zvino, DHEA ine diurnal pateni. Saka iwe unofanirwa kuve nechokwadi kuti vanozviita panguva chaiyo yezuva sezvo uku kuri kutsanya pamberi peXNUMX:XNUMX mangwanani, senge cortisol. DHEA yakaitwa gare gare muzuva hairevi chinhu; zvisinei, DHEA sulfate muserum haitevedzeri circadian pateni, saka bvunzo imwe chete yakaitwa chero nguva yakanaka.
Dr. Alex Jimenez, DC, anopa: Kune akawanda makiriniki ekusimbisa zvidzidzo nezveDHEA; zvinosuruvarisa, pane dambudziko neDHEA sulfate sezvo iine zvishoma circadian pattern. Iwe unogona kupotsa misiyano midiki muDHEA nekufamba kwenguva mumunhu zvichienderana nekuti vari kunzwa sei uye vakamanikidzwa kunze. Saka pano neapo, zvakanaka kutarisa DHEA mumurwere chero bedzi vapedza mangwanani nekuti ipapo iwe uchanzwa nezve shanduko nekufamba kwenguva mumunhu mumwechete wausingaone neDHEA sulfate.
Dr. Alex Jimenez, DC, anopa: Kuedzwa kwemate yeDHEA ndiko kwaunoyera DHEA yemahara mumuviri, izvo zvakanaka. Pane kuwirirana nemazinga e serum, uye haina kupindira. Dambudziko nderekuti kusungirirwa kwacho kunopesana nechiyero chekuyerera kwemate uye zvakare kukanganiswa nesalivary pH. Muenzaniso ungave mumwe munhu anofamba achipfuura nepabhekari, achitanga kumedza mate zvichibva pane zvaanenge anzwa. Izvi zvinogona kushandura mibairo yavo pachiyero che sality pavanenge vachiita bvunzo yavo yeDHEA. DHEA sulfate ine dambudziko rakafanana mumate, rine chekuita nekuyerera kwemate uye salivary pH. Saka chengeta izvozvo mupfungwa kana uri kutarisa mazinga emate muweti, ingave iyi maawa makumi maviri nemana kana weti yemavara; hapana zvidzidzo zvekusimbisa kiriniki nezvekutarisa kuDHEA kana DHEA sulfate muweti. Saka, chengeta izvo mupfungwa kana uri kuita weti yekuongorora uye ivo vari kukupa pani rose rinosanganisira DHEA kana DHEA sulfate, ungangoda kuziva izvo izvo mhedzisiro zvinorevei.
Dr. Alex Jimenez, DC, anopa: Kumahomoni epituitary, bvunzo yakasarudzika ndeyeFSH, LH, uye prolactin serum. Haisi nyore kune serial kuyerwa mukati mezuva rese kuona iyo LH kuvhiya, semuenzaniso, asi mhedzisiro yacho ndeyechokwadi. Uye mumate, pane zvinyorwa zvakaongororwa nevezera zvishoma zvinotsanangura mahomoni e salivary pituitary uye kuti akakwana here kana kuti kwete. LH yekuona kits kumba yakanakira kuongororwa weti sezvo ichishandiswa zvakanyanya uye yave iripo kwenguva yakareba. Kuvhiya kweLH kunopindirana neweti uye kunoshanda zvakanaka neLH surge's serum. Saka kana uri kuyedza kubatsira vanhu kuti vaone kuti vari papi mukutenderera kwavo uye kuti vakabuda here kana kuti kwete, bvunzo iyi ndiyo nzira yekuenda nayo. Haiite basa rakanaka rekuiverengera; inongokuudza kuti pane kuvhiyiwa nekuti aya mahomoni akakura, saka haapinde muweti zviri nyore.
Dr. Alex Jimenez, DC, anopa: Saka iwe unozoziva kuti wawana kuvhiyiwa here kana kuti kwete, hausi kuzoziva kuti nhanho chaiyo ndeipi, uye zvakanaka nekuti kazhinji yenguva, hazvina basa kuti chiyero chehomoni chii. Saka zvakanyanya, kunze kwekunge uchingoyedza kuona kuti vane LH kuvhiyiwa, unoda kushandisa serum yeFSH, LH, kana prolactin. Kune zvepabonde-binding globulin, dzakawanda zvidzidzo zvekusimbisa kliniki zviri muserum; haugone kuzviyera mumate kana weti, saka zviri nyore kurangarira. Saka takatotaura nezve nyaya nemhando dzakasiyana dzekuedza, uye kune nzira shoma dzekuedza dzinokupa zvese zvaunoda kuti uzive nezvese mahormone aunoda kuziva.
Ndeipi Nguva Yakanakira Mahomoni?
Dr. Alex Jimenez, DC, anopa: Saka ikozvino, ndeipi nguva yakanakisa yekuyedza mahormone? Mangwanani-ngwanani ndipo apo mahomoni achave akakwirira kune akawanda mahomoni. Saka, nzira yakanakisa yekuenda uye kuyedza mazinga ehomoni senge cortisol uye gonadal mahormone chinhu chekutanga mangwanani sezvo iwe uchifanirwa kuenderana uye nekukurumidza nekuti izvo zvawadya zvinogona kushandura mahormone. Saka kana iwe uchigara uchitsanya, zvirinani iwe unowana kuwirirana pakati pezvienzaniso nemunhu mumwechete. Iwe unofanirwawo kuziva kwavanga vari mukutenderera kwavo kune dzimwe bvunzo. Saka, varwere vechikadzi vachiri kuchovha bhasikoro vanofanirwa kurekodha zuva rekutanga rekutevera kwavo kuti vazive kuti izuva ripi rawakavheneka. Zvikasadaro, vanozofanira kushandisa ovulation kits kuti vazive chaizvo pavari.
Dr. Alex Jimenez, DC, anopa: Uye zvechokwadi, iyo yakaderera apa ndeyekuti kana uri kuyedza, semuenzaniso, kuwana zuva-21 progesterone, uye iye anowanzo ane mazuva makumi maviri nemasere kutenderera, saka unomuudza kuti aende pazuva rechi28, asi iwo mwedzi iwoyo. ane 21-day cycle, hauna kuwana level yawanga uchitsvaga. Saka zvinogona kunetsa zvishoma, asi vayeuchidze kuti vazvichengete kuitira kuti usazokwanisa kutarisa kumashure uye kuziva kwavaive pavakaitwa bvunzo. Saka, toda riini bvunzo idzi muvakadzi vepre uye perimenopausal? Ngatiti iwe unoda progesterone pazuva 35. Unogonawo kuita zvepabonde-binding globulin pazuva iroro. Vakadzi vari kumwedzi vanopfura senge zuva rechitatu reestradiol, estrone, FSH, testosterone, kana hormone yebonde-inosunga globulin.
Dr. Alex Jimenez, DC, anopa: Zvino, kunyangwe izvi zvakanakira, unogona kuzviwana pane mamwe mazuva ekutenderera kwavo? Hongu, asi ivo vachava nekururama kwakasiyana. Uye, hongu, rinogona kunge riri rimwe zuva kupfuura zuva rechitatu nekuti ko kana zuva rechitatu rikaitika kumhara pakupera kwevhiki uye lab isina kuvhurwa? Saka, ndapota funga kuti zvauri kutsvaga pano ndezvekuyedza mazinga ehomoni kana ari pamusoro. Uye ndicho chikonzero tiri kupfura kwetatu ne21. Saka, munoziva, heino zuva retatu nerechina. Uye saka iyo FSH ichave yakanaka nhanho pano. Iyo estradiol inobvongodza yakawanda panguva ino, saka kuedza kuitora muchikamu ichi chekutenderera kungave kushoma kubatsira. Uye, neprogesterone, uchawana peak yako pano, saka ndosaka uchida kuedza kupfura kwemazuva makumi maviri nerimwe nekuti unoziva ndiyo ichave nzira iri nyore kuona kuti urikuiwana. Uye zvakare, zvinokubatsira kuti uwedzere kuenderana kubva kutenderera kuenda kutenderera kana iwe uchigara uchiedza kuiwana panguva imwe chete yekuita.
Hormone Kudzosera Therapy
Dr. Alex Jimenez, DC, anopa: Zvino apa ndipo pazvinoita tricky sezvo chiri chinhu chimwe kuziva kuti munhu wacho aripi usati wamuisa mune chero hormone replacement therapy; zvisinei, kutarisa hormone replacement therapy kunowedzera kunetsa. Kana uri kushandisa oral estrogen, zvinokurudzirwa kuwana serum baseline pamberi HRT uye wozoongorora panguva kurapwa; kana uri kuita oral estrogen, mazinga emate haaratidzi kushandiswa kweesrogen exogenous zvachose, saka haabatsiri zvakanyanya.
Dr. Alex Jimenez, DC, anopa: Uye oral estrogen kana chero mahormone anoedzwa uku anofanira kunyatsoratidza kutambisa kwechiropa kwekutanga-pass metabolism uye mwero weweti. Saka kana uri kuita oral estrogen replacement therapy, nzira chete yekuiongorora ndeye serum nekuti vanachiremba vanotendesa murwere nemodule, saka pamwe haudi kushandisa oral estrogen zvakadaro. Kana uri kushandisa sublingual estrogen, mazinga anokwira uye anodonha nekukurumidza mukati memaawa. Uye saka serum haishande maererano nekuyera. Mate haaite zvine musoro kana uchiita sublingual nekuti wanga ungove neestrogen yako ipapo. Saka zvinorevei? Zvinoreva kuti weti yeawa makumi maviri nemana uye yekutyaira weti ine mahormone emitauro isingakurudzirwe nekuti panogara paine mubvunzo wekuti uri kumedza zvakadii uye kuti ingani iri kunyudzwa zvishoma.
Dr. Alex Jimenez, DC, anopa: Zvino, kana iwe ukaona kuti inotaura mune sublingual, panogona kunge paine nzira dzekuyedza dziri nani. Sezvo iwe usingazive kuti yakawanda sei yakamedzwa uye yakawana yekutanga-pass metabolism athari, mhedzisiro mumaawa makumi maviri nemana kana yakaomeswa weti yenzvimbo ingangoda kujekeswa. Saka zvinonetsa. Iwe unogona kuita sublingual estrogen replacement therapy; zvinongoreva kuti hapana nzira huru yekuzviyedza. Kana uri kushandisa estrogen creams, serum kuyedzwa kunogona kushanda, uye tinoziva kuti kiriniki parameters correlate kusvika serum mazinga kana kushandisa estrogen creams, saka tinogona kuzviita. Mumate, estradiol uye estriol zviri kushingaira kutakurwa mumate; mazinga acho akakwira zvakanyanya kupfuura zvaungaona muserum uye anosiyana zvakanyanya. Saka mazinga emate emakirimu haaite zvine musoro, uye hapana yakanaka yakaongororwa nevezera inotsanangura inoshanda eestrogen cream pamazinga eweti.
Kushandisa Hormone Creams & Patches
Dr. Alex Jimenez, DC, anopa: Zvichida haisi pfungwa yakanaka kushandisa mazinga eweti kune mumwe munhu anoshandisa estrogen creams panguva iyoyo. Kana uri kushandisa labial kana vaginal estrogen, bvunzo serum inoita seyakanakisa sarudzo yekutarisa kunyudzwa. Iwo salivary mazinga haaratidze chero shanduko yedosi. Saka zvakanyanya, zvingangove kutambisa nguva kuwana salivary level uchiedza kuita weti yekuongorora; kushandisa estrogen yevaginal kana labial inogona kunetsa nekuti unoziva sei kuti hauna kusvibisa weti yemuenzaniso. Uye kana iwe uri kushandisa chigamba, serum values inokwira dose-zvichienderana uye nekukasira kuderera kunotevera kubviswa. Zvinogona kubatsira, tinoziva kuti serum values inoshanduka zvichienderana nekuti iwe paunoisa chigamba uye paunochibvisa, asi zvichiri kunetsa.
Dr. Alex Jimenez, DC, anopa: Hapana humbowo hwakaongororwa nevezera hunoratidza kuti salivary estrogen inogona kushandiswa kutarisa estrogen patch. Uye kana zvasvika pakuyedzwa weti uye estrogen chigamba, zvinoita sekunge hunhu muweti huchakwira-zvichienderana. Inogona kunge yakanyatsojeka, asi haisi iyo yakanakisa kiriniki yakasimbiswa bvunzo yeesrogen chigamba. Mharidzo yekuenda kumba pano ndeyekuti hapana kuyedzwa kwakaringana uye vazhinji vedu tinogadzirisa dosi kusvika pachiyero chakaderera, chikamu chakaderera chatinogona kuwana, uye tichine zviratidzo zvedu zvichidzorwa. Hazvirevi kuti havaedze; unofanira kuedza kuona kuti hausi kuwandisa munhu uyu. Asi ramba uchifunga kuti pane zvakawanda zvisingakwanisi kutenderedza kuongororwa kunogona kubatsira zvichienderana nemhando ipi yekutsiva isrogen yauri kushandisa.
Dr. Alex Jimenez, DC, anopa: Zvino, progesterone uye oral progesterone, kana uri kushandisa izvozvo, mazinga anokwira uye anodonha nokukurumidza. Iwe unogona kusakwanisa kubata serum level inonzwisisika kana uri kutora progesterone yako manheru uye wozoyera mangwanani. Nekuti vakadzi vazhinji, kana vari kutora oral progesterone, vanoitora manheru nekuti inovabatsira kurara. Pane zvakare dambudziko nekuyambuka-reactivity yematabolites ane immunoassays. Saka progesterone replacement therapy, kana nemuromo, unofanira kutora serum mazinga ane tsanga yemunyu. Ndizvo zvimwe chete nemate uye 24-awa yekuongorora weti. Takataura nezvekuti hausi kuwana progesterone; uri kuwana progesterone metabolites, saka izvo zvinogona kubatsira. Asi pane dambudziko rekuti kukiriniki kunoshanda sei kushandiswa kweprogesterone metabolites kuri. Saka kushandisa nemuromo kweprogesterone, kuwana mwero, uye kuitevera kune zvishoma kunyengera.
Dr. Alex Jimenez, DC, anopa: Iye zvino nemafuta uye transdermal progesterone, hapana yebvunzo inoita chero pfungwa nekuti iwe unowana pfungwa dzakawedzera mazinga muserum isingasimuke neimwe nzira ine musoro. Kufanana nemahomoni ese e-steroid, aya ane mafuta-anonyungudika, saka kana ikaenda uye inogara mune adipose pane kupinda muropa, hazvireve hazvo kuratidza serum level. Hazvirevi hazvo kuratidza mwero wematishu muchibereko nezamu, ndiko kwatinoitira hanya nazvo. Saka serum level yeprogesterone cream inonetsa. Salivary mazinga mushure meprogesterone cream inokwira kumusoro uye haienderane nezviratidzo zvachose. Saka usazvinetse kuwana salivary level mushure me progesterone cream. Pane humwe humbowo mukuyedzwa kweweti kuti iwe unogona kuwana kuwedzera kudiki muine pamuviri dial matatu glucosides kana ukashandisa progesterone cream. Uye saka zvinogona kuitika kuti isu tinogona kushandisa izvo seyero yezviri kuitwa neprogesterone yako.
Dr. Alex Jimenez, DC, anopa: Asi izvi zvichiri kuda kumwe kuyedzwa. Saka zvingava zvakanaka kana iwe ukarangarira kuti panofanirwa kuve nenzira yakavimbika yekutevera zviri kuitika kana munhu ashandisa progesterone cream. Saka ndapota tora nguva yako nekuwana nhanho uye kuita sarudzo yakavakirwa pairi. Zvino, vaginal progesterone suppositories vane dambudziko rimwe chete. Iwe unowana zvishoma akawedzera mazinga muserum, iyo isingakupe iwe yakakwana mhedzisiro. Progesterone inonyunguduka kana inotyisa; iwe unogona kushandisa serum mazinga mu troche nekuti iwe unowana yakanyatso nhanho museramu kupfuura kana iwe waitora nemuromo. Pane kushomeka kwetsvakiridzo yakaongororwa nevezera pamazinga emate mushure memukadzi weprogesterone suppositories. Uye iwe unofanirwa kungwarira kana uri kuedza kuita weti yekuongorora nekuti unoziva sei kuti hauna kusvibisa sampuli?
Dr. Alex Jimenez, DC, anopa: Iwe haugone kushandisa salivary level nekuti wangove ne troche kana kunyungudika mumuromo wemunhu. Uye ipapo, pane kanenge kane dambudziko rekuwana weti nhanho yetroche kana kunyungudika nekuti, senge sublingual, yakawanda sei yeiyi yauri kumedza? Vanhu vanogona kudya imwe yacho uye vari pasi pekutanga-pass metabolism, zvinoreva kuti haugone kuitora muweti. Chikamu chikuru chichapinzwa muropa recapillary uye zvichida chakarurama muawa makumi maviri nemana kana yakaoma weti bvunzo. Asi izvozvo zvinoda kunyatsodzidzwa, saka chengeta izvozvo mupfungwa kana uri kushandisa hutsinye kana kunyungudika. Uye ichi chidzidzo chakaratidza kuti mushure mekushandisa topical progesterone, mate uye capillary mazinga eropa aive akasiyana zvakanyanya kana achienzaniswa neanoonekwa muserum kana ropa rose.
Zvakakosha Kuita Tsvakurudzo
Dr. Alex Jimenez, DC, anopa: Saka ichi chingori chidzidzo chakakosha chekukuyeuchidza nezvekutsamira pamazinga eserum eprogesterone. Kana iwe uri kutarisa, topical dosing inogona kutungamira kune isingatarisirwe matishu mazinga, saka iwe unozopa zvakawanda kupfuura zvaunoda. Saka, chenjera nekuvimba neserum mazinga kune topical progesterone nekuti unenge uchizodarika vanhu sevanopenga. Uye yeuka, kana iwe wakanyanyisa pane progesterone, yakakwirira mu steroid hormone nzira, uye iwe hauzivi kuti muviri wemunhu uyu uchaita sei nawo; vanogona kuishandura kuita chero chinhu chipi zvacho. Ikozvino, testosterone replacement therapy creams kana gels inogona kukonzera mazinga eropa, uye serum level inokurumidza kuwedzera nekushandisa uye hairatidzi zvakavimbika kushanduka kwedosi, chero dosi inoshanduka. Saka serum uye mazinga eropa zvimwe haisi iyo nzira huru yekuenda nayo. Mumate, mazinga akakwira zvakanyanya kupfuura serum uye anosiyana zvakanyanya sezvo achigona kupa chiratidzo chenhema chekuwedzeredza.
Dr. Alex Jimenez, DC, anopa: Mukuyedzwa weti, hapana kunaka muweti yemaawa makumi maviri nemana. Iwe unogona kunge uchida kushandisa chimwe chinhu kunze kwemaawa makumi maviri nemana weti. Mashoko akanaka ndeweti yakaomeswa. Iye zvino mune weti yakaomeswa, epitestosterone inogona kuyerwa kana paine kudzvanywa nekuda kweiyo exogenous testosterone kugadzirwa kana zviri izvo zvaunofunga kuti zviri kuitika. Iwe unogona kuyera epitestosterone mukuedza weti yakaoma, iyo ichakuudza iwe kana kwete, iwe wakadzvinyirira kugadzirwa kwomunhu uyu we testosterone nekuvapa zvimwe. Iye zvino, kushandiswa kwevaginal kana labial ye testosterone, hapana nzira yakanaka yekuwana chiyero cheropa chinonzwisisika. Iwo matenho emate, senge chero imwe cream kana application yatingave nayo pamaoko ako, unofanirwa kungwarira nekuti kana uchibata mabhodhoro emuenzaniso, kuti utore mate, unogona kuipinza muyedzo yepakati.
Dr. Alex Jimenez, DC, anopa: Uye zvino, sezvakangoita chero kuiswa kwemukadzi kana weti, kana uri kuyedza kutora weti, unofanirwa kungwarira kuti hausi kusvibisa weti uye kuwana nhanho yakakwira zvenhema. Mazinga eropa akanaka kana uri kuita majekiseni e testosterone, ingave jekiseni kana pellet. Tora chikamu chimwe chete muzvitatu, uye zvishandise kuongorora. Inokupa mazinga akakwana. Iwe uchawana kukwirira kwakakosha mumate mushure mejekiseni reIM, asi pane musiyano wakakura kubva kumunhu kuenda kumunhu. Saka iwe unofanirwa kutora izvo nesadza remunyu maererano nemafambiro aungaite mhedzisiro yako. Chinhu chimwe chete chinoitika mumaawa makumi maviri nemana weti muenzaniso. Iwe uchawana kukwidziridzwa mushure mejekiseni reIM, asi ipapo, pane zvakawanda zvakasiyana-siyana, saka ndiani anoziva kuti ndeyechokwadi sei?
Dr. Alex Jimenez, DC, anopa: Iine salivary level, pane chete kumwe kuwirirana kune bioavailable testosterone. Kana uri kushandisa testosterone patch, unogona kuwana mazinga akakwana, uye pane zvidzidzo zvakanaka zvinoratidza kuti ropa richava rakanaka. Kana uri kushandisa testosterone patch, mazinga eurinary, zvose mumaawa makumi maviri nemana weti uye mazinga akaoma weti, acharatidza kuwedzera kwedosi. Uri kuwana mwero wakanaka nekushandisa izvozvo. Iye zvino, kana uri kushandisa DHEA kurapwa kana nemuromo DHEA, iwe uchawana kuwedzera nekukurumidza mumazinga eropa mushure mekuwedzera nemuromo sezvaunowana nemate. Unowana izvo zvakare mumate uye muweti zvakare. Saka uri kutora nyaya yekuti wakatora bvunzo yeDHEA.
mhedziso
Dr. Alex Jimenez, DC, anopa: Dambudziko nderekusiyana kweropa, mate, uye weti zvabuda. Vakawanda havafariri kushandisa yakawanda yemuromo DHEA zvakadaro nokuti, kufanana nehomoni dzose dze steroid, muviri wako uchaenda nayo kuchiropa, uye chiropa chine mukana wokuchichinja kuva chimwe chinhu chisati chatombopinda muropa. ita basa rayo. Mamwe maapplication anogona kubatsira zvakanyanya, senge transdermal DHEA kana topical DHEA; uchafanirwa kuona kuti murwere anonzwa sei maererano nezviratidzo nekuti ukashandisa topical DHEA, mazinga eropa unowana kusimuka kukuru mushure mekutanga kushandisa.
Dr. Alex Jimenez, DC, anopa: Saka zvinorevei nokuti inodonha pakarepo? Zvadaro, mumate mushure mekushandiswa kweDHEA, mazinga achawedzera, asi kwete mutsetse. Saka izvozvo hazvina musoro. Uye hapana tsvakiridzo yakaongororwa nevezera inotsanangura zvinoitika mumazinga eDHEA muweti mushure mekushandiswa kwetransdermal. Nyaya hombe inobva yava iwe ungada kuramba wakatarisa pane izvo zvigadzirwa zvekuputsika kwepasi zviri kuita nekuti kana iwe usingakwanisi kuwana yakanaka DHEA level, ungangoda kutarisa testosterone uye estradiol. Uye izvo zvinokupa imwe mafuta kana wawandisa kana kuwandisa paDHEA. Ikozvino, nekuiswa kwemukati memukadzi kana kuti labial, mazinga emuropa haaperi zvachose.
Dr. Alex Jimenez, DC, anopa: Hapana tsvakurudzo inotsanangura mazinga mushure mekushandiswa kwechikadzi kutarisa pamazinga emate kana weti. Saka haugone kushandisa izvo senzira yekuzviongorora. Saka zvakare, iyi inongove nyaya yekutevera munhu uye kuti anonzwa sei mushure mekuishandisa. Iwe hausi kuzoda kunetseka nezve kuwana chero zviyero mushure. Zvinongova zvekiriniki. Muedzo waunosarudza unoenderana nezvauri kupa munhu wacho, fomu rauri kumupa, uyezve zvauri kuedza kutsvaga. Nekutsvaga fomu rekurapa raunoda uye unonzwa wakasununguka naro, nzwisisa kana kusaongororwa zvichienderana nechimiro uye kutsiva kwauri kushandisa. Uye ipapo, ita shuwa kuti uri kuwana ruzivo runobatsira uye kwete ruzivo rwunotsausa.