He nui nā wāhine he 45-50 mau makahiki e ʻike koke ana i ka wela a me ka hou ʻana. No kekahi poʻe, hana ʻia kēia i nā manawa he nui i ka lā, a no kekahi poʻe, hoʻāla ia iā lākou i ka pō. Kāhea mākou i kēia ʻano ʻo 'Menopause'. ʻOiai he mea maoli kēia, ʻo ka ʻoluʻolu ʻole e hele mai me ia hiki ke hoʻonāukiuki iki. No laila i kēia lā ke kamaʻilio nei mākou e pili ana i kahi lāʻau lapaʻau kūikawā a nā kauka e kuhikuhi ai e hōʻoluʻolu i kēia mau ʻoluʻolu ʻole.
He aha kēia mau estrogens i hoʻohui pū ʻia?
I ka ʻōlelo maʻalahi, he hormone wahine kēia. Loaʻa i kēia mau pila kahi hormone i kapa ʻia ʻo estrogen, kahi i hana maoli ʻia i loko o ko mākou kino. I ka wā menopause, i ka wā e pau ai ka menstruation, hāʻule nui nā pae estrogen o ka wahine. ʻO ia ke kumu e kū mai ai nā hōʻailona e like me ka wela, ka hou ʻana, a me ka maloʻo o ka vagina.
No laila, ʻo ka hana a kēia lāʻau lapaʻau, ʻo ia ke hoʻihoʻi i ka hormone estrogen i hoʻopau ʻia i ke kino. Kāhea mākou i kēlā ʻo Hormone Replacement Therapy (HRT) .
Hoʻohana nui ʻia kēia lāʻau lapaʻau no:
- E kāohi i nā hōʻailona e pili ana i ka menopause, e like me nā ʻālohilohi wela .
- Kāohi i ka osteoporosis, kahi maʻi lahilahi o ka iwi i hoʻokumu ʻia e nā pae estrogen haʻahaʻa.
- Ma ke ʻano he lāʻau lapaʻau no nā wahine i wehe ʻia ko lākou mau ovaries ma ke ʻoki ʻana a i ʻole he haʻahaʻa nā pae hormone no nā kumu ʻē aʻe.
Ma Sri Lanka, kūʻai pinepine ʻia kēia lāʻau lapaʻau ma lalo o ka inoa inoa ʻo Premarin.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
ʻOiai he lāʻau hormonal kēia, hiki iā ia ke launa pū me kekahi mau kūlana olakino āu e loaʻa ai. No laila, he mea nui loa ia e haʻi i kāu kauka i kāu mōʻaukala olakino piha ma mua o ka hoʻomaka ʻana i kēia lāʻau. ʻOi loa aku inā loaʻa iā ʻoe kekahi o kēia mau kūlana, e hōʻoia e haʻi iā lākou.
| Maʻi a i ʻole ke kūlana | No ke aha he mea nui e ʻike i ia mea? |
|---|---|
| Inā loaʻa iā ʻoe a i loaʻa paha iā ʻoe ka maʻi umauma, uterine, ovarian, a i ʻole ka maʻi cervical | Aia kēia ʻano maʻi kanesa i ka pilikia o ka ulu hou ʻana ma muli o ka hormone estrogen. |
| Ke kahe koko ʻana o ka ʻōpū o ke kumu i ʻike ʻole ʻia | Ma muli o kēia hiki ke lilo i hōʻailona o kahi maʻi koʻikoʻi, ʻaʻole kūpono ka mālama ʻana i ka hormone ma mua o ka ʻike ʻia ʻana o ke kumu. |
| Inā ua loaʻa iā ʻoe i kahi ʻōpū koko, ka hahau ʻana, a i ʻole ka hōʻeha puʻuwai | Hiki i ka Estrogen ke hoʻonui hou i ka pilikia o nā ʻūpā koko. |
| Ke koko kiʻekiʻe, ka maʻi diabetes, ka cholesterol kiʻekiʻe | Hiki i kēia lāʻau lapaʻau ke hoʻolilo i kēia mau kūlana i mea paʻakikī ke kaohi, no laila pono ka nānā pinepine ʻana. |
| Maʻi akepaʻa a maʻi puʻupaʻa paha | He mea nui kēia mau ʻōkana i ke kaʻina hana o ka wehe ʻana i nā lāʻau lapaʻau mai ke kino. Inā he mau maʻi i loko o lākou, pono paha e hoʻololi i ka nui o ka lāʻau lapaʻau. |
| Inā he mea puhi paka ʻoe | He kiʻekiʻe loa ka pilikia o ke koko ʻana a me ka hahau ʻana , ʻoiai no nā wāhine ma luna o 35 mau makahiki e puhipaka ana . |
| Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai | ʻAʻole kūpono kēia lāʻau lapaʻau i ka wā hāpai. |
Pehea e hoʻohana ai i ka lāʻau lapaʻau a he aha nā mea e pono ai iaʻu e hana?
ʻO ke ala kūpono e lawe ai i ka lāʻau lapaʻau
He mea maʻalahi loa kēia.
- E lawe i ka nui i kauoha ʻia me kahi aniani wai , e like me ke kauoha a kāu kauka.
- ʻO ka mea nui loa, ʻo ia ka lawe ʻana i ka pila i ka manawa like i kēlā me kēia lā . Kōkua kēia i ka mālama ʻana i nā pae hormone o ke kino ma ke ʻano mau.
- E heluhelu mau i ka ʻōlelo hoʻohui no ka mea maʻi e hele pū mai me kāu lāʻau lapaʻau. Loaʻa i loko ka nui o nā ʻike koʻikoʻi.
- Inā ʻoe e poina i kahi lāʻau lapaʻau: E lawe i ka lāʻau lapaʻau i poina i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau lapaʻau aʻe, e kāpae i ka lāʻau lapaʻau i poina a lawe i ka lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau lāʻau i ka manawa hoʻokahi.
- Inā inu nui ʻoe:Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e hele koke i ka ʻOihana Hoʻopilikia (ETU) kokoke loa. A i ʻole e kelepona i ke Kikowaena ʻIke ʻAihue Lahui ma ka Halemai Lahui ʻo Colombo .
Mea nui: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai hāʻawi i kēia lāʻau lapaʻau i kahi hoaaloha, ʻoiai inā loaʻa iā lākou nā hōʻailona like me ʻoe.
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Nā nānā lapaʻau maʻamau: ʻOiai e lawe ana i kēia lāʻau lapaʻau, he mea nui e ʻike i kāu kauka i nā manawa maʻamau. E kamaʻilio me kāu kauka e pili ana i kahi papa hana no nā hoʻokolohua umauma, Pap smears, a, inā pono, mammograms.
- Ma mua o ke ʻoki kino: Inā ua hoʻonohonoho ʻia ʻoe e hana i kekahi ʻoki kino, e hoʻomaopopo i kāu kauka a noi i ka ʻōlelo aʻo no ka pono e hoʻōki i ka lawe ʻana i kēia lāʻau lapaʻau ma mua o ke ʻoki kino.
- Ka pilikia i ka ʻōpū: Inā lawe ka wahine i loaʻa ʻole ka hysterectomy i nā lāʻau estrogen wale nō no ka manawa lōʻihi, aia kahi pilikia liʻiliʻi loa e mānoanoa ka uhi o ka ʻōpū (endometrial hyperplasia) a lilo i maʻi ʻaʻai. No ka pale ʻana i kēia, kuhikuhi pinepine nā kauka i kahi hormone ʻē aʻe i kapa ʻia ʻo progestin me ka estrogen. E kamaʻilio me kāu kauka e pili ana i kēia a koho i ka lāʻau lapaʻau kūpono loa iā ʻoe.
Nā hopena ʻaoʻao e hiki mai ana ma muli o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i kekahi mau hopena ʻaoʻao. He koʻikoʻi kekahi o lākou, he mea maʻamau kekahi.
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i kāu kauka | |
|---|---|
| • ʻEha o ka umauma | • Paʻakikī ka hanu ʻana |
| • ʻEha, pehu, a me ka ʻulaʻula ma ka wāwae, ʻoiai ke keiki bipi | • ʻEha poʻo koke a koʻikoʻi |
| • Nā loli o ka ʻike maka, ka paʻakikī o ka ʻōlelo ʻana | • Ka mae koke ʻana a i ʻole ka nāwaliwali ma ka maka, ka lima, a i ʻole ka wāwae |
| • Melemele o nā maka a i ʻole ka ʻili, ka mimi ʻeleʻele, ka ʻōpala maeʻele | • Ke kahe koko ʻana o ka ʻōpū ma ke ʻano ʻē |
| • Nā puʻupuʻu umauma, nā loli, a i ʻole ke kahe ʻana o ke koko | • Nā hōʻailona alerika e like me ka ʻili ʻulaʻula a me ka maneʻo |
| Nā hopena ʻaoʻao maʻamau e pono e hōʻike ʻia i ke kauka inā hoʻomau a hoʻopilikia paha lākou | |
| • Ka nalowale o ka lauoho | • Nā maʻi ʻōpū (maniʻo, kahe ʻana o ke koko) |
| • Ka luaʻi, ka luaʻi | • Nā loli liʻiliʻi i ke kaumaha o ke kino |
Leka Lawe-Home
- ʻO ka estrogen i hoʻohui ʻia kahi lāʻau lapaʻau hormone i hoʻohana ʻia e mālama i nā hōʻailona menopausal. Pono e lawe ʻia ma lalo o ke aʻo ʻana a ke kauka.
- Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i nā kūlana olakino āpau āu (ʻoiai ke kanesa, ka mōʻaukala o nā ʻōpū koko) a me nā lāʻau lapaʻau āpau āu e lawe nei.
- ʻO nā wāhine e puhipaka ana, ʻoiai nā wāhine ma luna o 35 mau makahiki, he nui ka pilikia o ka hahau ʻana a me nā ʻūpā koko i ka wā e lawe ai i kēia lāʻau.
- Inā ʻike ʻoe i nā hōʻailona e like me ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana, ka pehu ʻana o nā wāwae, a i ʻole ke poʻo ʻeha nui, e ʻimi koke i ke kōkua lapaʻau.
- Mai hōʻole i nā hoʻokolohua lapaʻau i hoʻonohonoho ʻia (nā hoʻokolohua umauma, nā hoʻāʻo Pap) i ka wā e lawe ana i ka lāʻau lapaʻau.
- Mai ʻōlelo i kēia lāʻau lapaʻau i kāu hoaaloha a ʻohana paha, ʻoiai inā like ko lākou mau hōʻailona.
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