ʻO kahi pilikia i loaʻa i nā wahine he nui, nā kaikuahine, a me nā kaikamahine, ʻo ia ka hiki ʻole ʻana o kā lākou pōʻaiapuni i ka manawa kūpono. I kekahi mau mahina e hiki koke mai ana, i kekahi mau mahina e hiki lohi mai ana. I kekahi manawa he mau lā ia, a i kekahi manawa he kahe nui ke koko. Ke noʻonoʻo nei paha ʻoe inā he mea maʻamau kēia a i ʻole he mea e hopohopo ai. No laila, mai hopohopo, e kamaʻilio mākou e pili ana i kēia ma ke ʻano maʻalahi a maopopo i kēia lā.
ʻO ka mea mua, e nānā kākou i ke ʻano o ka pōʻaiapuni menstrual 'maʻamau'.
Ke kamaʻilio mākou e pili ana i kahi pōʻaiapuni menstrual 'maʻamau', manaʻo ka poʻe he nui he pono ia i kēlā me kēia 28 lā. Akā, ʻaʻole ia he ʻoiaʻiʻo no nā kānaka a pau. Hiki ke ʻokoʻa kēia mai kēlā kanaka a kēia kanaka.
I ka ʻōlelo maʻalahi, ua manaʻo ʻia he maʻamau ka pōʻaiapuni menstrual o ka wahine olakino inā hana ia ma waena o 21 a me 35 mau lā . ʻO ia hoʻi, inā loaʻa iā ʻoe hoʻokahi manawa a he 25 mau lā ma mua o kou wā aʻe, a laila 30 mau lā ma hope o kēlā, ʻaʻole ia he mea nui. Eia kekahi, ʻo ka helu o nā lā e mau ai kou wā, ʻo ia hoʻi, ka helu o nā lā āu e kahe ai ke koko, ma waena o 4 a me 7 mau lā .
ʻO ka mea nui loa, ʻo ia ka hoʻomaopopo ʻana i ka mea 'maʻamau' no kou kino. ʻAʻole like ke kaʻina hana o kēlā me kēia kanaka.
No laila he aha ke ʻano o ka wā 'kūpono ʻole'?
He mea maʻamau ka loaʻa ʻana o nā loli liʻiliʻi i loko o kou pōʻaiapuni menstrual. Eia nō naʻe, aia kekahi mau loli e pono ai mākou e hopohopo iki. Kāhea mākou i kēia mau kūlana he 'menstruation maʻamau ʻole'.
Hiki iā ʻoe ke loaʻa kahi manaʻo maikaʻi e pili ana i kēia mai ka papa ma lalo nei.
| ʻO ke ʻano o ka kūlike ʻole | He wehewehe maʻalahi |
|---|---|
| Hoʻololi i ka manawa pōʻaiapuni | Hiki mai ka menstruation ma hope o 21 mau lā ma mua a i ʻole ma hope o 35 mau lā. |
| Ke kāpae nei i ka menstruation | ʻO ka hala ʻole o ka menstruation no ʻekolu a ʻoi aku paha mau mahina i ka lālani. |
| Ka loli ʻana o ke kahe koko | Ke kahe koko ʻana o ke koko ma mua o ka maʻamau. |
| Hoʻolōʻihi manawa | ʻO ka lōʻihi o ka maʻi ʻōpū ma mua o ʻehiku lā. |
| Ka loli ʻana o ka manawa ma waena o nā pōʻaiapuni | ʻO ka ʻokoʻa ma mua o 9 mau lā, e like me kekahi pōʻaiapuni he 28 mau lā, ʻo kekahi he 37 mau lā, a ʻo kekahi he 29 mau lā. |
| ʻEha nui | Hele pū ka maʻi ʻōpū me ka ʻeha ʻōpū hiki ʻole ke hoʻomanawanui, ka ʻeha kua, ka nausea, a i ʻole ka luaʻi ʻana. |
| Ke kahe koko manawa ʻole | Ke kahe koko a i ʻole ka hoʻokahe ʻeleʻele ma waena o nā wā, ma hope o ka menopause, a ma hope paha o ka moekolohe. |
| Kahe nui ʻana o ke koko | Ke kahe koko e hoʻomohu ana ma mua o hoʻokahi ʻāpana hoʻomaʻemaʻe i loko o hoʻokahi hola. |
Nā kūlana ʻē aʻe e pili ana me ka hana kūpono ʻole
Aia kekahi mau huaʻōlelo lapaʻau e pili ana i ka menstruation kūpono ʻole. He mea maikaʻi ke ʻike iki e pili ana i kēia mau mea.
- ʻAmenorrhea: ʻO kēia ka pau loa ʻana o ka menstruation. Inā ʻaʻole ʻoe e hāpai, hānai waiū, a i ʻole ua hala i ka menopause, he mea maʻamau ʻole ka pau ʻana o kou menstruation no 3 mahina a ʻoi aku paha. Hiki nō hoʻi ke ʻano inā ʻaʻole ʻoe i hoʻomaka i ka menstruation i ka makahiki 15 a i ʻole 16.
- ʻOligomenorrhea: ʻO kēia ka manawa e hiki pinepine ʻole ai ka menstruation. ʻO ia hoʻi, ʻaʻole ia e hana ma mua o hoʻokahi manawa i kēlā me kēia 35 mau lā, akā ma kahi o 6-8 mau manawa i ka makahiki.
- ʻO Dysmenorrhea: ʻO kēia ka huaʻōlelo lapaʻau no ka ʻeha nui i ka wā o ka menstruation. ʻOiai he mea maʻamau nā ʻeha iki, inā ʻaʻole hiki ke hoʻomanawanui i ka ʻeha a pale iā ʻoe mai ka hana ʻana i kāu mau hana o kēlā me kēia lā, pono ʻoe e hopohopo.
No ke aha e hana ʻia ai kēia? He aha nā kumu o ka menstruation kūpono ʻole?
ʻAʻohe kumu hoʻokahi o nā pōʻaiapuni menstrual ʻano ʻole, akā nui nā kumu e hiki ke kōkua iā lākou. Hiki i kēia mau mea ke ʻano mai ke kaumaha maʻalahi a i nā kūlana olakino koʻikoʻi.
Ma muli o kekahi mau pilikia olakino ...
Hiki i kekahi mau maʻi ke hoʻolilo i kā mākou ʻōnaehana hormonal i mea kaulike ʻole a hoʻoulu i nā menstruation kūpono ʻole.
- ʻO ka Polycystic Ovary Syndrome (PCOS): He ʻano kēia i ʻike ʻia i kēia manawa i nā wahine ʻōpio he nui. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ka hana ʻana o kāu mau ovaries i ka nui o ka hormone kāne i kapa ʻia ʻo androgen. Hiki i kēia ke kumu i ka nele o ka ovulation a i ʻole ka lohi. No laila, lilo ka menstruation i mea maʻamau ʻole.
- Endometriosis: ʻO kēia ka wā e ulu ai ka ʻiʻo e uhi ana i loko o ka uterus (ʻiʻo endometrial) ma waho o ka uterus, e like me nā ovaries a i ʻole nā tubes fallopian. Hiki i kēia ke hana i ka ʻeha nui a me ke kahe koko ma mua a i ka wā o ka menstruation.
- ʻO ka maʻi mumū Pelvic (PID): He maʻi bacteria kēia e hoʻopilikia ai i ka ʻōnaehana hānau. Hoʻokumu pinepine ʻia ia e nā maʻi i laha ʻole ʻia ma ke moekolohe (STIs). Hiki iā ia ke hana i nā hōʻailona e like me nā wā ʻino ʻole, ka nui o ke kahe ʻana o ka wahine, a me ka ʻeha o ka ʻōpū ma lalo.
- Nā Maʻi Thyroid: Hiki i ka thyroid gland hana ʻole (hypothyroidism) a i ʻole hana nui (hyperthyroidism) ke hana i nā loli hormonal nui. Hoʻopilikia pololei kēia i ke kaʻina hana menstrual.
- Ka maʻi ʻaʻai o ka ʻōpū a i ʻole nā ovaries: Hiki i kekahi mau maʻi ʻaʻai ke hana i nā hōʻailona e like me nā wā maʻamau ʻole a me ke kahe koko nui. ʻOiai he mea kakaikahi kēia, he mea nui e makaʻala.
Ma muli o nā loli i ko mākou nohona ...
Hoʻopilikia pololei nā loli i ko kākou ola o kēlā me kēia lā a me nā hana maʻamau i ke kaʻina hana menstrual.
- Kaumaha: E noʻonoʻo e loaʻa ana iā ʻoe kahi hoʻokolohua e hiki mai ana, a i ʻole kahi pilikia ma ka hana, a i ʻole kahi pilikia ʻohana ... Ke piʻi aʻe ke kaumaha e like me kēia, loli ka hana hormonal o ko mākou kino. Ma muli o kēia, hiki i kou pōʻaiapuni menstrual ke lohi, hiki koke mai, a ʻaʻole paha e hana i kēlā mahina.
- Nā loli kaumaha: Hiki i ka piʻi koke ʻana a i ʻole ka emi ʻana o ke kaumaha ke hoʻopilikia i nā hormones. ʻOi loa aku i ka poʻe wīwī loa a haʻahaʻa ka momona o ke kino (e.g., nā mea holo mamao, nā mea hula), hiki ke oki ka menstruation.
- Hoʻoikaika kino nui: He mea maikaʻi ka hoʻoikaika kino kaulike. Eia nō naʻe, ʻo ka hoʻoikaika kino nui a ikaika paha e hiki ke hana i nā pōʻaiapuni menstrual kūpono ʻole.
- Nā maʻi ʻē aʻe: ʻO kahi maʻi pōkole, e like me ka maʻi viral maʻamau, hiki ke hoʻolilo i kou wā e lohi i kēlā mahina.
Nā kumu ʻē aʻe...
- Nā lāʻau hoʻomalu hānau:Ke hoʻomaka a hoʻōki paha ʻoe i ka hoʻohana ʻana i nā lāʻau hoʻomalu hānau, he mau mahina ka lōʻihi e hoʻi ai nā pae hormone o kou kino i ka maʻamau. I loko o kēia manawa, hiki i kou mau wā ke lilo i mea ʻano ʻole.
- Nā lāʻau lapaʻau ʻē aʻe: ʻO kekahi mau lāʻau lapaʻau, e like me nā steroids a me nā anticoagulants, hiki ke hana i nā loli i ka menstrual cycle.
- Nā pilikia e pili ana i ka hāpai ʻana: Inā ua loaʻa kahi hāʻule ʻana a i ʻole ka hāpai ectopic, hiki ke kū mai ke kahe koko kūpono ʻole.
He aha ka mea hiki ke hana ʻia e pili ana i kēia? Pehea e ʻike ai ke kauka i kēia?
Inā ʻike ʻoe i kekahi mau loli i kāu pōʻaiapuni menstrual, ʻo ka mea maikaʻi loa hiki iā ʻoe ke hana, ʻo ia ke mālama i kahi puke moʻolelo o kou mau menstruation. E kaha iā lākou ma kahi kalena a i ʻole ma kahi polokalamu ma kāu kelepona. E kākau i lalo i ka lā i hoʻomaka ai lākou, ka lā i pau ai, ka nui o ke koko āu i loaʻa ai (nui a liʻiliʻi paha), a inā paha he mau ʻeha kou. He mea nui loa kēia ʻike ke hele ʻoe e ʻike i ke kauka.
E nānā ke kauka iā ʻoe, e nīnau e pili ana i kou pōʻaiapuni menstrual a me kou mōʻaukala olakino, a hiki paha ke hana i nā hoʻokolohua e hoʻoholo ai i ke kumu pololei.
- Pelvic Ultrasound: Ua like kēia me ke scan o kahi pēpē i loko o ka ʻōpū. Hiki iā ia ke nānā i kāu uterus a me nā ovaries no kekahi mau ulu ʻana (fibroids, polyps, cysts) a i ʻole nā mea ʻē aʻe.
- ʻO ka Biopsy Endometrial: Pili kēia i ka lawe ʻana i kahi ʻāpana liʻiliʻi loa o ka ʻiʻo mai ka paia o loko o kou uterus a nānā iā ia. Mai hopohopo, hiki i kēia ke ʻike pololei i nā mea e like me nā hormonal imbalances a me ka endometriosis.
- Hysteroscopy: Ma kēia kaʻina hana, hoʻokomo ʻia kahi kāmela liʻiliʻi ma o ka vagina i loko o ka uterus e nānā i loko.
He aha ka lāʻau lapaʻau?
Hoʻoholo ʻia ka lāʻau lapaʻau ma ke kumu o kou mau wā ʻaʻole kūpono.
Nā lāʻau lapaʻau
I ka manawa pinepine, ʻo ka lāʻau lapaʻau mua ka lāʻau lapaʻau.
- Kaohi hānau hormonal: He kūpono loa kēia no nā wā ʻano ʻole i hoʻokumu ʻia e nā kūlana e like me PCOS a me nā fibroids uterine. Hana lākou ma ka hoʻoponopono ʻana i kāu mau pae hormone a me ka hoʻoponopono ʻana i kāu pōʻaiapuni menstrual. Loaʻa lākou ma ke ʻano o nā pila, nā inikini, kahi apo vaginal, a i ʻole IUD.
- ʻAkika Tranexamic: He lāʻau lapaʻau i hoʻohana ʻia e kāohi i ke kahe koko nui.
- Nā lāʻau hoʻopau ʻeha: No ka ʻeha iki, hiki iā ʻoe ke lawe i kahi lāʻau hoʻopau ʻeha e like me ka paracetamol a i ʻole ibuprofen. Eia nō naʻe, inā koʻikoʻi ka ʻeha, e ʻike i ke kauka no ka ʻōlelo aʻo.
- Hoʻōla Hormone: Hiki ke kōkua kēia lāʻau lapaʻau no nā wā maʻamau ʻole e kū mai ana i ka wā perimenopause.
- Nā lāʻau antibiotic: Inā loaʻa ka maʻi i kahi maʻi, e kuhikuhi ʻia nā lāʻau antibiotic.
Nā ʻoki kino
I nā hihia koʻikoʻi ʻaʻole hiki ke kāohi ʻia me ka lāʻau lapaʻau, pono paha ke ʻoki kino. Hana ʻia kēia hoʻoholo ma muli o kou makahiki, ke kūlana olakino, a inā paha ʻoe e hoʻolālā e loaʻa nā keiki i ka wā e hiki mai ana.
- ʻO ka Endometrial Ablation: He hana e wehe ai i ka uhi o ka ʻōpū e kāohi i ke kahe koko nui. ʻAʻole kūpono kēia no ka poʻe e manaʻolana ana e hāpai i ka wā e hiki mai ana.
- Myomectomy: Wehe ʻana i nā fibroids uterine.
- Hysterectomy: ʻO ka wehe piha ʻana o ka ʻōpū ma ke ʻano he koho hope loa i nā hihia i hōʻino nui ʻia ai ka ʻōpū a ʻaʻole hiki ke ho'ōla ʻia e kekahi lāʻau ʻē aʻe.
He aha kā mākou e hana ai e hōʻemi i kēia pilikia?
Aia kekahi mau mea hiki iā ʻoe ke hana e mālama i kāu menstrual cycle i maʻamau.
- E mālama i kahi nohona olakino. E ʻai i ka meaʻai kaulike a hoʻoikaika kino kūpono.
- Inā makemake ʻoe e hoʻemi i ke kaumaha, e hana mālie. Mai hele i kahi ʻai koʻikoʻi e kaupalena ana i kāu ʻai ʻana i ka manawa hoʻokahi.
- E hāʻawi i kou kino i ka hoʻomaha e pono ai. E hiamoe lawa i ke ao.
- E hōʻemi i ke kaumaha. E hoʻomaha i kou manaʻo ma ka hana ʻana i nā mea e like me ka noʻonoʻo ʻana, yoga, a i ʻole ke komo ʻana i kahi hana leʻaleʻa punahele.
- E noho mamao aku mai ka hoʻoikaika kino nui a kaumaha hoʻi.
- E hoʻololi i kāu mau pads a i ʻole nā tampons i kēlā me kēia 4-6 hola. Hiki i kēia ke kōkua i ka pale ʻana i nā maʻi.
- E hoʻomau i ka ʻike ʻana i ke kauka wahine a me kāu kauka ʻohana no nā hoʻokolohua maʻamau.
Āhea wau e ʻike ai i ke kauka?
Inā loaʻa iā ʻoe kekahi o nā hōʻailona ma lalo nei, mai hoʻowahāwahā iā lākou a e ʻike pono i ke kauka. Mai hoʻopanee iā lākou.
- Inā loaʻa iā ʻoe ka ʻeha nui a hiki ʻole ke hoʻomanawanui i ka wā a ma waena paha o kou mau wā.
- Ke kahe koko nui loa (ka hoʻomaʻū ʻana ma mua o hoʻokahi pad i loko o 2-3 mau hola) a i ʻole ke kahe ʻana o nā ʻōpū koko nui.
- Inā he kahe ʻala pilau mai loko mai o ka vagina.
- Inā ʻoi aku ka lōʻihi o ka menstruation ma mua o ʻehiku mau lā .
- Inā loaʻa iā ʻoe ke kahe koko a i ʻole ka hoʻoheheʻe ʻeleʻele ma waena o nā wā a ma hope o ka menopause.
- Inā lilo koke kou pōʻaiapuni menstrual maʻamau i mea ʻano ʻē .
- Inā loaʻa iā ʻoe ka nausea a i ʻole ka luaʻi ʻana me kou wā.
- Inā ʻoe e manaʻo nei ua hāpai paha ʻoe .
Leka Lawe-Home
- He mea maʻamau ka loaʻa ʻana o nā loli iki i kou pōʻaiapuni menstrual. Mai hopohopo nui no ia mea. ʻAʻole like ke kino o kēlā me kēia kanaka.
- He mea nui loa ka mālama ʻana i kahi puke moʻolelo o kou pōʻaiapuni menstrual. He kōkua nui ia iā ʻoe a me kāu kauka.
- Mai hoʻowahāwahā i nā hōʻailona e like me ka ʻeha nui, ke kahe koko nui, a i ʻole ke kiko ʻana ma waena o nā wā. E ʻimi koke i ke kōkua lapaʻau.
- ʻO ka mālama ʻana i kahi nohona olakino (ʻai maikaʻi, hoʻoikaika kino, hiamoe kūpono, olakino noʻonoʻo) hiki ke pale i nā pilikia he nui.
- Inā he kānalua a nīnau paha kāu e pili ana i kou pōʻaiapuni menstrual, mai hilahila e kamaʻilio ākea me ke kauka e pili ana i ia mea.
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