Ua pūʻiwa iki paha ʻoe a i ʻole kekahi mea kokoke iā ʻoe i ka wā i haʻi aku ai kāu kauka iā ʻoe e pili ana i kahi lāʻau i kapa ʻia ʻo 'Chemical Castration'. Ke lohe mākou i ka huaʻōlelo 'castration', hiki mai kahi mea ʻokoʻa loa i ka noʻonoʻo. Akā, mai makaʻu. ʻAʻole kēia he wehe ʻoki kino o nā ʻōpū e like me kou manaʻo. He ʻano lapaʻau koʻikoʻi loa kēia e hoʻohana ana i nā lāʻau lapaʻau, ʻo ia hoʻi, nā lāʻau lapaʻau, e kāohi i kekahi mau ʻano maʻi kanesa. I kēia lā, e kamaʻilio mākou e pili ana i kēia ma ke ʻano maʻalahi a aloha.
I ka ʻōlelo maʻalahi, he aha ka Chemical Castration?
I ka ʻōlelo maʻalahi, ʻo ka castration kemika ke kaʻina hana o ka hoʻōki ʻana a i ʻole ka hōʻemi nui ʻana i ka hana ʻana o nā hormones wahine i loko o ko mākou kino ma o ka lāʻau lapaʻau.
I kēia manawa, e noʻonoʻo e pili ana i ia mea, ua like nā hormones i loko o ko kākou kino me nā ʻelele. Hoʻokuʻu ʻia kēia mau hormones i loko o ke koko mai nā glands like ʻole. Hele kēia mau ʻelele i loko o ke kino a haʻi aku i nā ʻōkana like ʻole e "hana i kēia." No ka laʻana, hoʻopilikia kēia mau hormones i nā mea e like me ka kaohi ʻana i ko kākou ikehu, ka ulu ʻana, a me ke ʻano. He ʻano hormone kūikawā nā hormones moekolohe. He mea nui lākou no nā mea e like me ka wā ʻōpio a me ka hana o ka ʻōnaehana hānau keiki.
Akā, i kekahi manawa aia kahi pilikia. Hoʻohana kekahi mau ʻano maʻi kanesa, ʻoiai ke kanesa prostate a me kekahi mau ʻano maʻi kanesa umauma, i kēia mau hormones wahine ma ke ʻano he "meaʻai". ʻO ia hoʻi, inā loaʻa kēia mau hormones, ulu maikaʻi nā hunaola kanesa. No laila, ʻoki ka lāʻau castration kemika i ka "meaʻai" i loaʻa i ke kanesa, ʻo ia hoʻi, ka lako o nā hormones. A laila e pau ka ulu ʻana o ke kanesa a i ʻole e kāohi nui ʻia.
Ua hoʻohana ʻia kekahi mau inoa ʻē aʻe no kēia. Eia kekahi laʻana:
- Hoʻōla Hormone
- Lapaʻau Hoʻonele Androgen
He aha nā hoʻohana o kēia lāʻau lapaʻau?
Hoʻohana nui nā kauka i kēia lāʻau lapaʻau e mālama i nā maʻi ʻōpū e hilinaʻi nei i nā hormones wahine.
Ma ke kamaʻilio ʻana no nā kāne, ʻo ka hui nui o nā hormones wahine i hana ʻia i loko o ko kākou kino, ʻo ia nā androgens . ʻOiai ua hana ʻia kēia mau mea i loko o ke kino o nā wahine i kekahi ʻano, loaʻa lākou i ka hapa nui o nā kino o nā kāne. ʻO Testosterone ka hormone androgen nui āu i lohe ai. He mea nui kēia hormone no ka ulu ʻana a me ka hana o ka prostate gland. Eia nō naʻe, i ka wā e kū mai ai ka maʻi kanesa prostate, hoʻohana pū nā hunaola kanesa i kēia testosterone e ulu. ʻO ia ka manawa e pono ai ka lāʻau lapaʻau e hōʻemi i kēia hormone.
I loko o ke kanesa umauma o nā wahine, hilinaʻi kekahi ʻano kanesa i nā hormones estrogen a me progesterone . Hoʻohana ʻia nā lāʻau lapaʻau e kaohi ana i kēia mau hormones no ia mau kanesa.
He aha kāu e hana ai ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau?
Ma mua o ke kau ʻana o kāu kauka i kēia lāʻau lapaʻau nou, pono ʻo ia e ʻike pono inā e pane maikaʻi ana kou ʻano maʻi kanesa i ka lāʻau lapaʻau hormone. Pono kēia i kekahi mau hoʻokolohua.
- Nānā CT
- Nānā PET
- Endoscopy
- Biopsy - ka lawe ʻana i kahi ʻāpana o ka ʻiʻo no ka hoʻokolokolo ʻana
- Nā hoʻāʻo koko e pili ana i ka maʻi kanesa
ʻO ka mea nui, ʻaʻole mau loa kēia lāʻau lapaʻau. ʻO ia hoʻi, ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau, hoʻi ka hana ʻana o ka hormone i ka maʻamau. Eia nō naʻe, i kekahi manawa e kamaʻilio paha ke kauka e pili ana i kahi hopena mau loa. ʻO ia kahi ʻoki kino i kapa ʻia ʻo orchiectomy . ʻO ia hoʻi, ka wehe ʻana i kekahi a i ʻole nā testicles ʻelua. Hoʻemi mau kēia i nā pae testosterone.
ʻAno lapaʻau a me nā lāʻau lapaʻau i hoʻohana ʻia
ʻAʻole kēia he lāʻau lapaʻau hoʻokahi manawa. He lāʻau lapaʻau hoʻomau kēia. He ʻokoʻa nō hoʻi ke ʻano o ka hāʻawi ʻana i ka lāʻau.
- Nā inikini: ʻO ke ʻano hana i hoʻohana pinepine ʻia.
- Nā Implants: Hoʻokomo ʻia kahi mea liʻiliʻi ma lalo o ka ʻili.
- Nā lāʻau lapaʻau: Loaʻa kekahi mau lāʻau lapaʻau ma ke ʻano pila.
Ma muli o ke ʻano o ka lāʻau lapaʻau a me ka nui o ka lāʻau, pono paha ʻoe e hana hou i kēia lāʻau i hoʻokahi manawa i ka mahina, hoʻokahi i kēlā me kēia ʻekolu mahina, a i ʻole hoʻokahi i ka makahiki.
Ua papa inoa ka papa ma lalo nei i kekahi o nā papa nui o nā lāʻau lapaʻau i hoʻohana ʻia e mālama i ka maʻi kanesa prostate. He paʻakikī iki nā inoa, akā pono kēia e kōkua iā ʻoe e loaʻa kahi manaʻo maʻamau.
| Māhele lāʻau lapaʻau | Pehea e hana ai a me nā hiʻohiʻona |
|---|---|
| Nā agonists GnRH | Hoʻopilikia kēia i ka pituitary gland a hoʻōki i ka hōʻailona i nā testicles e hana i ka testosterone. I ka wā mua, hiki ke piʻi iki nā pae hormone (testosterone flare). Eia kekahi laʻana: Goserelin, Leuprolide. |
| Nā mea kū'ē GnRH | Hoʻōki kēia i ka hana ʻana o ka testosterone me ka ʻole o ka hoʻonui ʻana i nā hormones i ʻōlelo ʻia ma luna. Eia kekahi laʻana: Degarelix. |
| Nā lāʻau lapaʻau antiandrogen | Hoʻopale kēia i nā hormones androgen i hana ʻia i loko o ke kino i hiki ʻole i nā hunaola maʻi ʻaʻai ke hoʻohana iā lākou. Eia kekahi laʻana: Bicalutamide, Enzalutamide. |
| Nā mea hoʻopaʻa hana Androgen | Hoʻōki kēia i ka hana ʻana o nā androgens ma nā wahi āpau o ke kino, ʻaʻole wale ma nā testicles. Eia kekahi laʻana: Abiraterone. |
He aha nā pōmaikaʻi, nā hemahema, a me nā hopena ʻaoʻao o kēia lāʻau lapaʻau?
E like me kekahi lāʻau lapaʻau, loaʻa i kēia nā pōmaikaʻi a me nā hopena ʻaoʻao.
Nā pono nui
- Ka Mana ʻana i ke Kanesa: ʻO ka pōmaikaʻi nui o kēia, he ala kūpono loa ia e kaohi ai i nā maʻi kanesa e pili ana i ka hormone.
- Hiki ke hoʻohuli ʻia: He pōmaikaʻi nui kēia. ʻAʻole ia he mea mau loa e like me ke ʻoki kino. Ma hope o kou hoʻōki ʻana i ka lāʻau lapaʻau, e hoʻi mālie nā pae hormone o kou kino a me ka hana moekolohe i ka maʻamau.
Nā hopena ʻaoʻao hiki ke loaʻa
Hiki ke loaʻa kekahi mau hopena ʻaoʻao ke lawe ʻoe i kēia lāʻau no ka manawa lōʻihi. Eia nō naʻe, e kūkākūkā kāu kauka i kēia mau mea āpau me ʻoe a hāʻawi iā ʻoe i nā ʻōlelo aʻoaʻo e pono ai e mālama iā lākou.
- Haʻahaʻa ka makemake moe kolohe/libido
- Nā ʻā wela
- ʻOsteoporosis
- Nā pilikia me ka metabolism momona a me ke kō i loko o ke kino
- Kaumaha
- Ua emi ke kaumaha o ke kino
- Anemia
- Ka hana nui
He ʻeha anei kēia? ʻAʻole ʻeha ka lawe ʻana i nā pila. Eia nō naʻe, ke loaʻa iā ʻoe kahi inikini a i ʻole kahi mea hoʻokomo, hiki iā ʻoe ke manaʻo i kahi ʻeha iki a i ʻole ke kuni. Akā naʻe, e nalowale pinepine ia ma hope o kekahi manawa.
Kekahi mau nīnau i nīnau pinepine ʻia
Ua like kēia me ke kaʻi ʻoki kino?
ʻAʻole. ʻO ke kāʻili ʻoki kino ka wehe mau ʻana o nā testicles a i ʻole nā ovaries. ʻO ke kāʻili kemika ka hoʻōki ʻana i ka hana ʻana o ka hormone me ka hoʻohana ʻana i ka lāʻau lapaʻau. Ke pau ka lāʻau lapaʻau, hoʻomaka hou ka hana ʻana o ka hormone.
He hana anei kēia no ka vasectomy?
ʻAʻole loa. He ʻano hana hoʻomalu hānau mau ka vasectomy no nā kāne. Hoʻōki wale ia i ka ejaculation o ka sperm. ʻAʻohe ona hopena i kāu mau pae hormone, ka makemake moe kolohe, a i ʻole ka hana moe kolohe.
Hiki iaʻu ke moe ma hope o ka lāʻau lapaʻau?
ʻAe. Akā, hiki paha iā ʻoe ke manaʻo i ka emi ʻana o ka makemake moekolohe a me ka emi ʻana o ka makemake e moe. Eia kekahi, ʻaʻole paha e paʻakikī kou mau kūkulu ʻana, e mau ana ka lōʻihi, a i ʻole e hele pinepine mai e like me ka wā ma mua. E kamaʻilio ākea me kāu kauka e pili ana i kēia.
Leka Lawe-Home
- He inoa weliweli ka 'Chemical castration', akā pili ia i kahi lāʻau lapaʻau no nā maʻi ʻaʻai e pili ana i ka hormone.
- ʻAʻole kēia he ʻoki kino mau loa. E hoʻi hou ana ka hana o ke kino i ka maʻamau ma hope o ka hoʻōki ʻana o ka lāʻau lapaʻau.
- Hoʻemi kēia i nā pae o nā hormones wahine e kōkua i ka ulu ʻana o nā hunaola kanesa.
- Hiki ke loaʻa nā hopena ʻaoʻao, akā e kōkua kāu kauka iā ʻoe e mālama iā lākou.
- E ʻoluʻolu e kamaʻilio me kāu kauka e pili ana i nā makaʻu, kānalua, a hopohopo paha āu e loaʻa ai. ʻO kou kuleana ia.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ke kahe koko nui o ka menstruation / Menorrhagia?
He kūlana weliweli ka nui o ke kahe koko ʻana o ka wahine hāpai kahi e puka mai ai ke koko i ka wā o ka wahine hāpai maʻamau ma kahi o 30-40 ml, akā inā pālua/ʻekolu (ʻoi aku ma mua o 80 mL), pono ʻoe e hoʻololi i kāu pad/tampon i kēlā me kēia hola, inā he nui nā ʻōpū koko (ʻoi aku ka nui ma mua o ke kālā rupee), a inā ʻoe e kahe koko no nā lā he 7 a ʻoi, hiki i kēia ke alakaʻi i ka anemia a hiki i ka mea maʻi ke maʻi nui!
💬 He aha nā kumu nui o ke kahe koko o ka menstrual (Menorrhagia)?
ʻEhā mau kumu nui o kēia: 1) 'Uterine Fibroids' - ʻOiai he mau puʻupuʻu ʻaʻole kēia he maʻi kanesa, ke kumu ia o ka ʻūlū ʻole o ka ʻōpū a ke kumu o ke kahe koko nui (ʻo kēia ke kumu maʻamau). 2) Endometrial Polyps a me Adenomyosis. 3) Hormonal imbalance (PCOS/thyroid). 4) Nā loop hoʻolālā ʻohana liʻiliʻi (IUDs) a me ke kumu weliweli loa: 'Endometrial/Cervical Cancer'.
💬 I ka wā e kahe nui ai ke koko i ka wā o ka menstruation, he aha nā 'kūlana hoʻoweliweli ola/pilikia' e pono ai ke lawe koke ʻia i ka haukapila/hōʻike ʻia i kahi VOG me ka ʻole o ka lawe ʻana i ka lāʻau lapaʻau mai ka hale kūʻai lāʻau lapaʻau?
Inā ʻoi aku kou kahe ʻana o ke koko ma mua o ka maʻamau no hoʻokahi a ʻelua paha lā, hiki iā ʻoe ke hōʻike iā ia i kahi VOG (gynecologist) i loko o kekahi mau pule (no ka ultrasound scan). Akā ʻo ka pōʻino nui loa! 1) Inā hoʻoulu kēia kahe ʻana i ka 'anemia nui / hypovolemic shock', 2) Inā loaʻa iā ʻoe ka ʻeha ʻōpū hiki ʻole ke hoʻomanawanui (ʻeha pelvic nui), 3) Inā kahe ke koko o ka wahine hāpai e like me kēia (miscarriage / ectopic), hiki i ka ʻōpū ke pohā a hiki i ka mea maʻi ke make, no laila pono ʻo ia e lawe koke ʻia i ka haukapila!











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