I-Estriol vs. estradiol: Umahluko, ukufana, kwaye kukuphi okungcono kuwe
Iziyobisi Vs. UmhloboUkujonga ngokubanzi iziyobisi kunye nolwahluko ophambili | Imiqathango iphathwe | Ukusebenza | Ukuhlawulwa kwe-inshurensi kunye nokuthelekiswa kweendleko | Imiphumela | Ukusebenzisana kweziyobisi | Izilumkiso | FAQ
I-Estriol (E3) kunye ne-estradiol (E2) ziindlela ezimbini ezahlukeneyo zehomoni yabasetyhini eyaziwa ngokuba yi-estrogen (ngamanye amaxesha ibizwa ngokuba yi-estrogen). Ezi ntlobo ze-estrogen zihomoni ze-steroid ezifumaneka ngokwendalo emzimbeni. I-Estriol kunye ne-estradiol inokusetyenziswa njengonyango olubuyisela i-hormone (HRT) kubafazi emva kokuyeka ukuya exesheni.
I-Estriol kunye ne-estradiol zimbini zeendidi ezintathu ezahlukeneyo zehomoni ye-estrogen. Uhlobo lwesithathu lwe-estrogen yi-estrone (E1), eveliswa kwabasetyhini ngexesha lokuyeka ukuya exesheni kunye nabasetyhini abancinci abafumana amaxesha abo okuqala. I-Estrone ayisetyenziselwa i-HRT kuba ithathwa njenge-estrogen engenamandla.
I-Estrogens isebenza ngokuzibophelela ii-estrogen receptors (ERcy okanye ERβ) emzimbeni. Ngelixa iindawo zabo zinokugqobhoza, i-estrogen receptor alpha (ERcy) ifunyenwe ikakhulu kwi-endometrium, izicubu zamabele, kunye nee-ovari. I-Estrogen receptor beta (ERβ) ifumaneka kwezinye iindawo zomzimba ezinje ngengqondo, intliziyo, izintso, amathambo nemiphunga.
Yintoni umahluko ophambili phakathi kwe-estriol kunye ne-estradiol?
I-Estriol (i-Estriol coupons | iinkcukacha ze-Estriol) ngamanye amaxesha zibizwa ngokuba yi-E3 okanye i-oestriol. Yeyona fomu ibuthathaka ye-estrogen emzimbeni. Njenge-estrone, amanqanaba e-estriol ayanda ngokwendalo ngexesha lokukhulelwa. I-Estriol yi-FDA evunyiweyo yokungabikho komchamo kwizinja zabasetyhini emva kokususwa kwama-ovari kunye nesibeleko. I-Estriol ayivunyelwanga yi-FDA njengesiyobisi esinyanzelweyo abantu. Nangona kunjalo, ezinye iikhemesti ezixubileyo zingathengisa i-estriol edityaniswe nezinye iziyobisi.
I-Estradiol (i-Estradiol coupons | Iinkcukacha ze-Estradiol), okanye i-E2, yeyona nto inamandla kwezi estrogens zintathu. Ezinye iindlela ze-estradiol zinokufumaneka kwiipilisi zedosi esezantsi yolawulo lokuzalwa kwabafazi be-premenopausal. Isetyenziselwa ithebhulethi, isiziba, okanye ukhilimu kunyango lwe-estrogen. I-Estradiol inokufumaneka kwiimveliso ezivunyiweyo ze-FDA ezinje nge-Estrace, Vivelle-Dot, Vagifem, kunye neClimara, phakathi kwabanye. I-FDA ikwamkele i-estradiol kwi ihomoni ebonakalayo Unyango ngeprogesterone.
| Umahluko ophambili phakathi kwe-estriol kunye ne-estradiol | ||
|---|---|---|
| I-Estriol | I-Estradiol | |
| Iklasi yeziyobisi | Estrogen | Estrogen |
| Uhlobo lweBrith / generic | Igeneric iyafumaneka | Igeneric iyafumaneka |
| Ngubani igama lophawu? | Incurin (izinja) | Umgca Vivelle-Dot IVagifem Climara |
| Zeziphi iifom eza nalo iziyobisi? | Ithebhulethi yomlomo I-cream yezihloko Ikrimu yelungu lobufazi Ukufaka kwilungu lobufazi | Ithebhulethi yomlomo I-gel / jelly yezihloko Ikrimu yelungu lobufazi Ukufaka kwilungu lobufazi Isangqa sangasese Isikhutshana seTransdermal |
| Ithini idosi esemgangathweni? | Kuxhomekeke kumyalelo kagqirha wakho | Kuxhomekeke kumyalelo kagqirha wakho |
| Lude kangakanani unyango oluqhelekileyo? | Ubude bonyango buyahluka ngokuya kwimiyalelo kagqirha wakho | Ubude bonyango buyahluka ngokuya kwimiyalelo kagqirha wakho |
| Ngubani oqhelekileyo usebenzisa amayeza? | Abantu abadala | Abantu abadala |
Ngaba ufuna elona xabiso lilungileyo kwi-estriol?
Bhalisela izilumkiso zamaxabiso e-estriol kwaye ufumane ukuba amaxabiso atshintsha nini!
Fumana izilumkiso zamaxabiso
Iimeko eziphathwe nge-estriol kunye ne-estradiol
I-Estrogen ixhaphake kakhulu njengonyango lokutshintsha i-hormone kwabasetyhini abafumana iimpawu zokuyeka ukuya exesheni. I-Estrogens zihlala zidityaniswa neprogesterone okanye ezinye iihomoni ze-steroid ezibizwa ngokuba ziiprogestins. I-Estradiol i-FDA yamkelwe ukunyanga iimpawu zokuyeka ukuya exesheni. Ezi mpawu zibandakanya iimpawu ze-vasomotor ezinje ngokutshisa okutshisayo, ukubila ebusuku, kunye nokugungxula ulusu. Ezinye iimpawu ze-menopausal zibandakanya i-atrophy yelungu lobufazi, okanye ukoma kwilungu lobufazi, ukudumba kunye nokuncipha.
I-Estradiol inokusetyenziswa kwinqanaba lokugqibela umhlaza webele ethe yanwenwela kwamanye amalungu omzimba. Isetyenziselwa ukunceda ukunciphisa ubukrakra bomhlaza (ukhathalelo lokunyanga). Kubafazi abanesifo somhlaza webele se-ER-positive (ER +) esine-metastasized, idosi ephezulu ye-estradiol inokusetyenziswa njengonyango. Ngokwezifundo ezivela Ukuqola , ukuba amathumba ebele abonisa uhlobo lwe-ESR1, umhlaza unokuphendula kakuhle kunyango lwe-estradiol.
Iitafile ze-Estradiol nazo ziyavunywa ukuba zinyange umhlaza we-Prostate cancer oxhomekeke kwi-androgen. Ngelixa amanqanaba e-estrogen inokuba negalelo kumhlaza wedlala lobudoda, i-estradiol inokusetyenziswa njengonyango lokunyanga kwamanye amadoda. Izifundo bonisa ukuba i-estradiol yindlela esebenzayo yonyango lweentlobo ezithile zomhlaza wedlala lobudoda.
I-Estriol ayivunyelwanga yi-FDA ebantwini. Nangona kunjalo, ngamanye amaxesha kudityaniswa namanye amayeza kunyango lokutshintsha i-hormone. Ngenxa yokuba iyi-estrogen, inokusetyenziswa njengechiza elingelilo ilebhile yeemeko ezinxulumene ne-estrogen. Eyona fomu yamkelwe yi-FDA ye-estriol yile Incurin , ephatha ukungangqubeki komchamo kwizinja zabasetyhini emva kokususwa kwama-ovari kunye nesibeleko (ovariohysterectomy).
Olunye uhlobo olusetyenzisiweyo ngaphandle kwelebheli lwe-estriol kunye ne-estradiol lubandakanya ukukhululeka kwimigraines yokuya exesheni kunye nokuthintela i-osteoporosis (ukulahleka kwethambo) emva kokuyeka ukuya exesheni. I-Estrogen idlala indima enkulu ekuxineni kwethambo. Abafazi be-Postmenopausal abanesiphene se-estrogen banokuba nobuninzi beethambo zamaminerali. Unyango lwe-Estrogen lunokusetyenziselwa ukunyanga uxinzelelo lwasemva kokubeleka. Ngokutsho kwabanye izifundo , I-transdermal estradiol ibonakalisiwe iluncedo ekunciphiseni uxinzelelo emva kokubeleka.
| Imeko | I-Estriol | I-Estradiol |
| Unyango olubuyisela iHormone | Ngaphandle kwelebheli | Ewe |
| Ukuyeka ukuya exesheni | Ngaphandle kwelebheli | Ewe |
| I-atrophy yelungu lobufazi | Ngaphandle kwelebheli | Ewe |
| Iimpawu zeVasomotor | Ngaphandle kwelebheli | Ewe |
| Umhlaza webele (ukhathalelo lokuthomalalisa) | Ngaphandle kwelebheli | Ewe |
| Umhlaza wesibeletho ophambili (ukhathalelo lokuthomalalisa) | Ngaphandle kwelebheli | Ewe |
| Ukungahambi kakuhle kwe-Urinary (kwizinja) | Ewe | Hayi |
| Ukunyuka kwexesha lokuya esikhathini | Ngaphandle kwelebheli | Ngaphandle kwelebheli |
| I-Postmenopausal osteoporosis | Ngaphandle kwelebheli | Ngaphandle kwelebheli |
| Uxinzelelo lwasemva kokubeleka | Ngaphandle kwelebheli | Ngaphandle kwelebheli |
Ngaba i-estriol okanye i-estradiol isebenza ngakumbi?
Ngaphandle kweendlela ezintathu ze-estrogen, i-estradiol yile eyona fomu inamandla . Iyakwamkelwa yi-US Food and Drug Administration ukuphatha iimeko ezinxulumene ne-estrogen. I-Estriol kunye ne-estrone azivunyelwanga e-US kwabasetyhini. Nangona kunjalo, ezi estrogens zisenokusetyenziswa kwamanye amayeza ahlanganisiweyo.
Akukho zilingo zentloko ziye zenziwa nge-estriol kunye ne-estradiol. Abanye izifundo zibonise ukuba i-estriol ikhuselekile kwaye iyasebenza kwiimpawu zokuyeka ukuya exesheni. Xa isetyenziswe phezulu kwi-atrophy yelungu lobufazi, i-estriol ibikhona ixelwe ukuze isebenze namanye amayeza. Ngenxa yokuba i-estriol ayinamandla kangako, inokuba neziphumo ezibi ezimbalwa. Sebenzisa i-estriol, njengolunye unyango lwe-estrogen, isenokunyusa umngcipheko womhlaza webele, i-endometrial hyperplasia, kunye nomhlaza we-endometrium.
Unyango lwe-Estradiol lunokuba luncedo njenge-HRT emva kokuyeka ukuya exesheni. Ngapha koko, yeyona estrogen ixhaphakileyo emiselweyo kwiimpawu zokuyeka ukuya exesheni. Zonke iintlobo ze-estradiol zivunyiwe kunyango lwehomoni. Ipatch transdermal patch ibikhona kubonisiwe ukukhokelela kumanqanaba e-estrogen azinzileyo kunyango olufanelekileyo.
Nxibelelana nomboneleli wakho wezempilo ukuba axoxe ngokhetho lwakho ukuba ucinga ngamayeza achaphazela amanqanaba ehomoni. Unokucetyiswa ezinye iindlela ze-estrogen ezinje ngamachiza aqukethe ii-estrogens zokudibanisa (umzekelo, i-Premarin, i-Prempro).
Ngaba ufuna elona xabiso lilungileyo kwi-estradiol?
Bhalisela izilumkiso zamaxabiso e-estradiol kwaye ufumane ukuba amaxabiso atshintsha nini!
Fumana izilumkiso zamaxabiso
Umyinge kunye nokuthelekiswa kweendleko ze-estriol vs estradiol
Okwangoku, akukho ziyobisi zivunyiweyo ze-FDA ziqukethe i-estriol yabantu. Ke ngoko, ayiqhelekanga i-Medicare kunye nezicwangciso zeinshurensi. I-Incurin ligama lophawu lwe-estriol elivunyiweyo kwizinja ezinomchamo wokuchama. Iindleko zinokwahluka ngokuxhomekeke kwikhemesti oyithengileyo. Izaphulelo ze-singleCare ze-estriol azifumaneki okwangoku.
I-Estradiol iyafumaneka njengesiqwenga solusu oluqhelekileyo. Amagama ebhrendi e-estradiol afaka iMinivelle, iClimara, kunye neVivelle-Dot. Igama lebrand estradiol ixabiso eliphakathi lemali lingahluka kwi-Medicare kunye nezicwangciso zeinshurensi kodwa ungathenga uhlobo oluqhelekileyo lweedola ezingama-33- $ 63 ngekhadi lesaphulelo se-SingleCare.
Fumana ikhadi lesaphulelo somntu ongatshatanga
| I-Estriol | I-Estradiol | |
| Ngokuqhelekileyo i-inshurensi? | Hayi | Ewe |
| Ngokuqhelekileyo igutyungelwe yiMedicare? | Hayi | Ewe |
| Umthamo osemgangathweni | Iipilisi ze-1 mg | 1 ukuya ku-2 mg ngosuku |
| I-Medicare copay eqhelekileyo | Ayigutyungelwanga | $ 0- $ 171 |
| Ixabiso elilodwa | Izaphulelo kwi-Estriol azibonelelwa ngoku nge-SingleCare | $ 33- $ 63 |
Iziphumo ebezingalindelekanga ze-estriol kunye ne-estradiol
Iziphumo ebezingalindelekanga eziqhelekileyo zonyango lwe-estrogen zibandakanya utshintsho lokuya exesheni (utshintsho kwiipateni zokopha), ukubonwa, iintlungu ngexesha (i-dysmenorrhea), ukuthamba kwebele, isicaphucaphu, ukugabha kunye nentloko. Ezinye iziphumo ebezingalindelekanga ze-topical kunye zomlomo ze-estrogens zibandakanya ukuqunjelwa, ukuzuza ubunzima, kunye nokulahleka kweenwele.
Imixholo ye-estriol okanye i-estradiol inokubangela iziphumo ngokuthe ngqo xa isetyenziswa kwilungu lobufazi. Iziphumo ezingalunganga zinokubandakanya ukurhawuzelela kunye nokunyuka kwemfihlo. Eminye imiphumo emibi kakhulu ingabandakanya ukusuleleka kwefungal (candidiasis).
I-Estrogen ibonakalisiwe ukuba iyayitshintsha okanye iyonyuse imveliso melanin , into ejongene nombala wesikhumba. I-Estrogen inokunyusa i-pigment kwaye ibenze mnyama ulusu kwezinye iimeko.
Iziphumo ebezingalindelekanga ezibi zokusetyenziswa kwe-estrogen zibandakanya uxinzelelo lwegazi (uxinzelelo lwegazi), isifo sentliziyo, amahlwili egazi (thromboembolism), ukuwohloka kwesifuba, isifo se-gallbladder, kunye namanqanaba asezantsi e-calcium. Ezinye iziphumo ezibi ezibi zinokubandakanya ukwandiswa kwe-fibroids kwisibeleko kunye nomngcipheko owandayo womhlaza webele nowesibeleko.
| I-Estriol | I-Estradiol | |||
| Imiphumela | Iyasebenza? | Rhoqo | Iyasebenza? | Rhoqo |
| Utshintsho lokuya exesheni | Ewe | * akuxelwa | Ewe | * |
| Ukujonga | Ewe | * | Ewe | * |
| Idysmenorrhea | Ewe | * | Ewe | * |
| Ukuthamba kwebele | Ewe | * | Ewe | * |
| Isicaphucaphu | Ewe | * | Ewe | * |
| Ukuhlanza | Ewe | * | Ewe | * |
| Intloko ebuhlungu | Ewe | * | Ewe | * |
| Ukutyeba kwakho | Ewe | * | Ewe | * |
| Ukulahleka kweenwele | Ewe | * | Ewe | * |
| Ukulunywa kwilungu lobufazi | Ewe | * | Ewe | * |
| Ukuqhawula | Ewe | * | Ewe | * |
| Utshintsho kumbala wolusu | Ewe | * | Ewe | * |
Olu alunakuba luluhlu olupheleleyo. Dibana nogqirha wakho okanye usokhemesti ngezinye iziphumo ebezingalindelekanga.
Umthombo: DailyMed ( I-Estriol ), Yonke imihla ( I-Estradiol )
Ukudibana kweziyobisi kwe-estriol vs. estradiol
I-Estrogen ngokuyintloko i-metabolism kwisibindi yi-CYP3A4 enzymes. I-CYP3A4 inhibitors, ezinje ngamayeza athile okubulala iintsholongwane, ii-antifungals, ii-steroids, kunye nee-anticonvulsants, zinokunyusa amanqanaba e-estrogenic iziyobisi emzimbeni. Kananjalo, oku kunokunyusa umngcipheko weziphumo ebezingalindelekanga.
I-CYP3A4 inducers efana ne-antibiotics ethile, i-antifungals, kunye ne-antivirals inokunciphisa inqanaba le-estriol okanye i-estradiol egazini. I-CYP3A4 inducers inokukhokelela ekunciphiseni ukusebenza kweziyobisi ezine-estrogen. (Jonga itshathi yemizekelo)
I-Estriol kunye ne-estradiol nazo zinokunxibelelana nejusi yeziqhamo ze grapefruit. Ukusetyenziswa kwejusi yeziqhamo zeediliya kunye neemveliso eziqukethe i-estrogen kunokunyusa umngcipheko weziphumo ebezingalindelekanga. Kubalulekile ukuba uxoxe ngembali yakho yezonyango epheleleyo nogqirha ogxile kwi-endocrinology.
| Iziyobisi | Iklasi yeziyobisi | I-Estriol | I-Estradiol |
| Clarithromycin Erythromycin Ketoconazole Itraconazole Cimetidine Ritonavir | Isithinteli seCYP3A4 | Ewe | Ewe |
| Wort eSt IPhenobarbital IPhenytoin ICarbamazepine Rifampin Dexamethasone | I-CYP3A4 inducer | Ewe | Ewe |
Olu alunakuba luluhlu olupheleleyo lwazo zonke izinto ezinokubakho xa kusenziwa iziyobisi. Dibana nogqirha nawo onke amayeza onokuthi uwathathe.
Izilumkiso ze-estriol kunye ne-estradiol
Ukusebenzisa i-estrogen kunokunyusa umngcipheko womhlaza we-endometrium, ngakumbi xa ingathathwanga ngeprogestin. I-Estriol kunye ne-estradiol nazo zinomngcipheko okhulayo wokuhlaselwa sisifo sentliziyo (i-myocardial infarction), ukubetha, ukubola kwemiphunga (igazi elijiya emiphungeni), kunye ne-vein thrombosis enzulu (igazi elijiyileyo emithanjeni) kubafazi abaneminyaka engama-50 ukuya kuma-79 ubudala. Kwindawo efanayo yabasetyhini, ukusetyenziswa kwe-estrogen nako kunokukhokelela kumngcipheko womhlaza wamabele owandayo, ngokwe Initiative yezeMpilo yaBasetyhini . I-Estrogen isenokwandisa umngcipheko wesifo sengqondo esixhalabisayo kwabanye abantu ababhinqileyo abaya exesheni abangaphezu kweminyaka engama-65 ubudala.
Nxibelelana nogqirha ukuba unemingcipheko kubandakanya imbali yezonyango ye:
- Ukuhlaselwa yintliziyo
- Ukubetha
- Amahlwili egazi
- Umhlaza (walo naluphi na uhlobo)
- Amaxesha angaqhelekanga
- Igazi elonyukayo
- Isifo sentliziyo
- Isifo sombefu
- Isifo senyongo
- Isifo sesibindi
- Zesibeleko fibroids
- Endometriosis
- Hypocalcemia
Abasetyhini abatshayayo icuba banokuba semngciphekweni wokonyuka kwegazi. Iimveliso ezine-Estrogen akufuneki zisetyenziswe kwaba bafazi.
I-Estriol, i-estradiol, kunye nezinye iziyobisi ezinxulumene ne-estrogen zinokwenzakalisa umntwana ongekazalwa. Akufanele zisetyenziswe ngexesha lokukhulelwa okanye ukuncancisa.
Imibuzo ebuzwa rhoqo malunga ne-estriol vs estradiol
Yintoni i-estriol?
I-Estriol luhlobo lwe-estrogen oluveliswa ngokwendalo emzimbeni. I-Estriol ayivunyelwanga yi-FDA kunyango lwehomoni ebantwini. Ezinye iikhemesti ezihlanganisayo zingathengisa amayeza aqukethe i-estriol esetyenziselwa iinjongo zelebheli engekhoyo. I-Estriol yamkelwe kuphela ukunyanga ukungabikho komchamo kwizinja zabasetyhini.
Yintoni i-estradiol?
I-Estradiol yeyona ndlela inamandla ye-estrogen. Iyafumaneka kwiinguqulelo ezahlukeneyo zeempawu kunye neegeneric. Amagama eBrand aquka i-Estrace, iClimara, kunye neVivelle-Dot. Ingasetyenziselwa njengepilisi yomlomo, i-patch transdermal, okanye ukhilimu wesini kubafazi abaneempawu ze-postmenopausal. Ingasetyenziselwa ukunyanga okunyanga ixesha lesibeleko kunye nomhlaza webele.
Ngaba i-estriol kunye ne-estradiol ziyafana?
I-Estriol kunye ne-estradiol azifani. I-Estriol yindlela ebuthathaka ye-estrogen enokuthi ifumaneke kuphela kwiimveliso zonyango lwehomoni. I-Estradiol inamandla ngakumbi kune-estriol kwaye i-FDA ivunyiwe kunyango lwehomoni.
Ngaba i-estriol okanye i-estradiol ingcono?
I-Estradiol yomelele kwaye isebenza ngakumbi kune-estriol. I-Estriol yindlela ebuthathaka ye-estrogen kwaye inokuba neprofayili yokhuseleko olungcono xa kuthelekiswa ne-estradiol. Nangona kunjalo, iimvavanyo ezingaphezulu zeklinikhi zinokufuneka ekusebenzeni nakukhuseleko lwe-estriol.
Ndingayisebenzisa i-estriol okanye i-estradiol ngelixa ndikhulelwe?
Hayi ii-Estrogens ezinjenge-estriol kunye ne-estradiol kufuneka zithintelwe ngelixa ukhulelwe. Ukuthatha la mayeza ngelixa ukhulelwe kungakhokelela kumngcipheko okhulayo wokukhubazeka kokuzalwa. I-Estrogen akufuneki ithathwe ngelixa uncancisa.
Ndingayisebenzisa i-estriol okanye i-estradiol ngotywala?
Hayi. I-Estriol okanye i-estradiol akufuneki isetyenziswe ngotywala. Ukusetyenziswa kotywala kunokunyusa amanqanaba e-estrogen egazini. Ukusela utywala ngonyango lwe-estrogen kunokunyusa umngcipheko womhlaza wamabele.











