No nā wāhine he nui, ʻo ka menopause, ka manawa e pau ai ka menstruation me ka ʻelemakule, hiki ke lilo i manawa paʻakikī. Manaʻo ka poʻe he nui i ka ʻoluʻolu ʻole ma muli o nā mea e like me nā ʻā wela, ka hou pinepine ʻana, a me ka hiamoe ʻole. No laila, ʻo kahi lāʻau lapaʻau kaulana a nā kauka e ʻōlelo nei e kāohi i kēia mau hōʻailona ʻo ia ka Hormone Replacement Therapy (HRT). Akā he nui ka poʻe i nā nīnau a me nā hopohopo e pili ana i kēia lāʻau HRT, ʻoiai inā he pilikia ia o ka loaʻa ʻana o ka maʻi ʻaʻai umauma. E kamaʻilio kākou e pili ana i nā mea āpau me ka maopopo a me ka maʻalahi i kēia lā.
He aha ka HRT? He aha kāna hana?
I ka ʻōlelo maʻalahi, ʻo ka menopause ka manawa e hana kūlohelohe ai ke kino o ka wahine i ka estrogen a me ka progestin liʻiliʻi. ʻO ka HRT kahi lāʻau lapaʻau e pani i kēia mau hormones ma ke ʻano o ka lāʻau lapaʻau. Hiki i kēia ke kōkua i ka kaohi ʻana i nā hōʻailona o ka menopause i kahi nui.
ʻElua mau ʻano nui o HRT:
1. HRT i hui pū ʻia ( estrogen a me progestin ): Hāʻawi ʻia kēia ʻano i ka hapa nui o nā wahine i wehe ʻole ʻia ko lākou ʻōpū. ʻO kēia no ka mea ʻo ka lawe ʻana i ka estrogen wale nō hiki ke hoʻonui i ka pilikia o ka maʻi ʻaʻai ʻōpū. Hoʻemi ka hormone progestin i kēlā pilikia.
2. HRT Estrogen wale nō: Hāʻawi wale ʻia kēia i nā wahine i hana ʻia i ka hysterectomy no ka mea ʻaʻole lākou i pilikia i ka maʻi ʻaʻai uterine.
Aia maoli nō kahi pilina ma waena o HRT a me ka pilikia o ka maʻi ʻaʻai umauma?
ʻAe, ua ʻike ʻia e ka noiʻi he pilina. ʻO ka noiʻi koʻikoʻi a nui loa ma kēia, ʻo ia ka Women's Health Initiative (WHI). He mea nui loa nā hopena.
Wahi a kēlā noiʻi, ʻo nā wahine e lawe ana i nā hormones estrogen a me progestin (Combined HRT) he piʻi iki ka pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai umauma .
ʻAʻole wale kēlā, akā aia kekahi pilikia koʻikoʻi. Hoʻoulu kēia lāʻau lapaʻau hormone i ka mānoanoa o ka ʻiʻo umauma. A laila, hiki ke emi iho ka pololei o ka hoʻāʻo mammogram a mākou e hoʻohana ai e ʻike mua i ka maʻi ʻaʻai umauma. ʻO ia hoʻi , inā paha e ulu ana kahi maʻi ʻaʻai, ʻaʻole paha e ʻike ʻia a hiki i ka wā holomua.
Eia nō naʻe, ua ʻike pū ʻia kēia noiʻi ʻaʻole i hoʻonui nui ʻia ka pilikia o ka maʻi ʻaʻai umauma i nā wahine i wehe ʻia ko lākou ʻōpū a lawe i ka estrogen-wale nō HRT .
He aha nā pōmaikaʻi a me nā pōʻino o ka lawe ʻana i ka HRT?
E like me nā lāʻau lapaʻau a pau, loaʻa iā HRT nā pono a me nā hemahema. He mea nui e kūkākūkā i nā mea ʻelua me kāu kauka a hoʻomaopopo pono iā lākou ma mua o ka hoʻoholo ʻana.
| ʻAno lapaʻau | Nā pono nui | Nā pilikia nui |
|---|---|---|
| ʻEstrogen + Progestin (HRT i hui pū ʻia) (No nā wahine me ka ʻōpū) | Hoʻoponopono pono ia i nā hōʻailona menopausal (e like me nā ʻālohilohi wela). | - Hoʻonui ʻia ka pilikia o ka maʻi ʻaʻai umauma. - Hoʻonui ʻia ka pilikia o ka maʻi puʻuwai. - Hoʻonui ʻia ka pilikia o ka hahau ʻana. - Ka pilikia o nā ʻūpā koko. |
| HRT me ka estrogen wale nō (No nā wāhine i wehe ʻia ko lākou ʻōpū) | Hoʻoponopono maikaʻi i nā hōʻailona menopausal. | - ʻAʻole i hoʻonui nui ʻia ka pilikia o ka maʻi ʻaʻai umauma. - Akā, aia nō ka pilikia o ka hahau ʻana a me nā ʻūpā koko. |
No laila, ʻo ka hoʻoholo e hoʻomaka i ka HRT he hoʻoholo ia e hana pū ʻia me kāu kauka, me ka noʻonoʻo ʻana i nā kumu he nui, e like me kou kūlana olakino pilikino, ke koʻikoʻi o kāu mau hōʻailona, a me ka mōʻaukala olakino ʻohana .
He kūpono anei ka HRT no kekahi i ho'ōla ʻia mai ka maʻi ʻaʻai umauma?
He mea koʻikoʻi loa kēia. I ka wā ma mua, ua hāʻawi ʻia ʻo HRT i nā wahine i hoʻōla ʻia mai ke kanesa umauma e kāohi i nā hōʻailona menopausal. Eia nō naʻe, ua hōʻike kahi noiʻi 2004 i kapa ʻia ʻo HABITS ua ʻoi aku ka nui o ka pilikia o ka loaʻa hou ʻana o ke kanesa i lawe i ka HRT a i ʻole ka loaʻa ʻana o kahi kanesa hou.
No laila, ke manaʻoʻiʻo nei nā kauka i kēia manawa he mea weliweli loa ka hāʻawi ʻana iā HRT i nā wahine i ho'ōla ʻia mai ka maʻi ʻaʻai umauma .
He aha nā koho ʻē aʻe i ka HRT e hoʻoikaika i nā iwi?
Me ka menopause e hele mai ana kahi pilikia nui o ka osteoporosis, kahi maʻi e lahilahi ai nā iwi a palupalu. Ua ʻōlelo ʻia ʻo HRT no kēia pū kekahi. Akā i kēia manawa, ma muli o kēlā mau pilikia, aia nā koho ʻē aʻe palekana a ʻoi aku ka maikaʻi.
- ʻO Bisphosphonates: ʻO kēia nā ʻano lāʻau lapaʻau i kuhikuhi pinepine ʻia no ka osteoporosis.
- Nā lāʻau lapaʻau ʻē aʻe: Hiki i ke kauka ke kuhikuhi i nā lāʻau lapaʻau ʻē aʻe e like me Abaloparatide , Denosumab, Romosozumab, a me Teriparatide.
- Nā SERM (Selective Estrogen Receptor Modulators): He papa lāʻau lapaʻau hou kēia e hana like me ka estrogen. Hoʻonui lākou i ka nui o ka iwi a pale aku i ka osteoporosis, me ka pale pū ʻana i ka maʻi ʻaʻai umauma. ʻO Raloxifene (Evista) kahi lāʻau lapaʻau kaulana o kēia ʻano. Eia naʻe, ʻaʻole kēia e hōʻemi i nā hōʻailona menopausal (nā ʻālohilohi wela), a hiki paha ke hoʻonui iā lākou.
Nā mea hiki iā ʻoe ke hana no ke olakino o ka iwi ma waho aʻe o ka lāʻau lapaʻau
Ma waho aʻe o nā lāʻau lapaʻau, hiki i ke ʻano o ka nohona ke hana nui i ka hoʻoikaika ʻana i kou mau iwi.
- Hoʻoikaika kino kaumaha: Nā hoʻomaʻamaʻa e like me ka hele wāwae, ka holo ʻana, a me ke piʻi ʻana i ke alapiʻi.
- Ke lawe nei i nā mea hoʻopihapiha calcium a me ka wikamina D: E nīnau i kāu kauka a hoʻomaka inā pono.
- E pale i ka puhipaka: He mea ʻino loa ka puhipaka i nā iwi.
- Ke pale ʻana i ka inu nui ʻana i ka waiʻona.
Leka Lawe-Home
- He lāʻau lapaʻau maikaʻi loa ka hormone replacement therapy (HRT) no nā hōʻailona menopausal, akā aia kekahi mau pilikia e pili ana me ia.
- ʻO ka HRT i hui pū ʻia, nona ka estrogen a me ka progestin , hoʻonui i ka pilikia o ka maʻi ʻaʻai umauma, ka maʻi puʻuwai, ka hahau ʻana, a me nā ʻūpā koko.
- ʻO ka HRT Estrogen wale nō no nā wahine i wehe ʻia ko lākou ʻōpū e hōʻemi ana i ka pilikia o ka maʻi ʻaʻai umauma, akā ke mau nei ka pilikia o ka hahau ʻana a me nā ʻūpā koko.
- He hoʻoholo pilikino loa ka hoʻoholo ʻana e lawe i ka HRT a i ʻole. Pono e hana ʻia kēia hoʻoholo ma hope o ke kūkākūkā pono ʻana i nā pono a me nā pōʻino me kāu kauka.
- Inā ua ho'ōla ʻia ʻoe mai ke kanesa o ka umauma, ʻaʻole ʻōlelo ʻia ka mālama ʻana me ka HRT nou.
- Aia kekahi mau lāʻau lapaʻau ʻē aʻe palekana a maikaʻi hoʻi a me nā loli o ke ʻano o ka nohona e pale ai i ke olakino o ka iwi (Osteoporosis) ma kahi o HRT.
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