Ke ʻike nei hoʻi ʻoe i kekahi ʻeha ʻole o ka ʻōpū ma hope o ka menopause? I kekahi manawa, maloʻo paha ka ʻōpū, ʻānai, a ʻeha paha i ka wā moe. He mau maʻi maʻamau kēia no nā wahine he nui. No laila, i kēia lā e kamaʻilio mākou e pili ana i kahi kirīmi e hiki ke kōkua i kēlā ʻeha ʻole.
He aha ke ʻano lāʻau lapaʻau kēia? (He aha kēia lāʻau lapaʻau?)
I ka ʻōlelo maʻalahi, ʻo ka inoa o kēia lāʻau lapaʻau ʻo ' Conjugated Estrogens'. Loaʻa ia ma ke ʻano he kirīmi e hoʻopili ʻia i ka vagina. Ua ʻike anei ʻoe e emi ana ka hormone ' Estrogen' i hana maoli ʻia i loko o ko kākou kino me ka menopause. ʻO ia ka wā e emi ai ka pae o ka Estrogen e loaʻa ai nā ʻoluʻolu ʻole i ʻōlelo ʻia ma luna, ʻo ia hoʻi, maloʻo ka vagina, ʻulaʻula, maneʻo, a ʻeha paha i ka wā moe. No laila, ʻo ka hana a kēia kirīmi, ʻo ia ka hāʻawi ʻana i ka hormone Estrogen i ka wahi a puni kou vagina a hōʻemi i kēlā mau ʻoluʻolu ʻole. He lāʻau lapaʻau kēia no ka hui hormone estrogen. Ua ʻike paha ʻoe iā ia ma ka inoa inoa ʻo 'Premarin'.
Hiki ke hoʻohana ʻia kēia lāʻau lapaʻau no nā mea ʻē aʻe, no laila inā he mau nīnau kāu, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka a mea kūʻai lāʻau paha.
He aha kaʻu e haʻi aku ai i ke kauka ma mua o ka hoʻohana ʻana i kēia lāʻau lapaʻau?
He mea nui loa kēia. Ma mua o kou hoʻomaka ʻana e hoʻohana i kēia kirīmi, aia kekahi mau mea āu e haʻi aku ai i kāu kauka (hui mālama). No ka mea, ʻaʻole kūpono paha kēia lāʻau lapaʻau no nā kānaka āpau. E nānā inā pili kēia mau mea iā ʻoe:
- Inā he kahe koko ʻē aʻe kou ma ka ʻōpū (ʻo ia hoʻi ke kahe koko ʻaʻole like me ka wā, akā he ʻano ʻokoʻa ia, me ke kumu ʻole).
- Inā ua loaʻa iā ʻoe nā ʻōpū koko i loko o kou mau kīʻaha koko i ka wā ma mua, a inā he maʻi kīʻaha koko kou.
- Inā loaʻa iā ʻoe, a i ʻole ua loaʻa mua iā ʻoe , ke kanesa o ka umauma, ke kanesa o ka ʻāʻī, ke kanesa o ka endometrial, a i ʻole ke kanesa o ka ʻōpū .
- Inā loaʻa iā ʻoe kahi maʻi e pili ana i ka hoʻomanaʻo e like me ka dementia .
- Inā loaʻa iā ʻoe ka maʻi diabetes .
- Inā loaʻa iā ʻoe ka maʻi gallbladder .
- Inā he maʻi puʻuwai kou a i ʻole ua loaʻa koke iā ʻoe kahi hāʻule puʻuwai .
- Inā he koko kiʻekiʻe kou.
- Inā he kiʻekiʻe kou mau pae cholesterol koko .
- Inā he kiʻekiʻe kou calcium i loko o kou koko.
- Inā ua loaʻa iā ʻoe kahi hysterectomy .
- Inā he maʻi puʻupaʻa kou .
- Inā he maʻi kou i ke akepaʻa .
- Inā loaʻa pinepine iā ʻoe ka migraine.
- Inā loaʻa iā ʻoe nā kūlana e hoʻopilikia ai i ke kāpili ʻana o ke koko, e like me ka nele o ka Protein C a i ʻole ka nele o ka Protein S.
- Inā ua loaʻa iā ʻoe kahi hahau ma mua.
- Inā loaʻa iā ʻoe kahi maʻi ʻōnaehana pale e like me Systemic Lupus Erythematosus (SLE) .
- Inā he mea puhi paka ʻoe (he mea nui loa kēia).
- Inā loaʻa iā ʻoe kahi hopena maʻi i nā hormones estrogen, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala, a i ʻole nā mea mālama.
- Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai .
- Inā ʻoe e hānai waiū ana .
Inā pili kekahi o kēia mau mea iā ʻoe, pono ʻoe e haʻi i kāu kauka . A laila hiki iā ia ke hoʻoholo inā kūpono kēia lāʻau lapaʻau iā ʻoe, a i ʻole inā ʻoi aku ka maikaʻi o kekahi lāʻau ʻē aʻe.
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
He mea nui loa kēia. Inā ʻaʻole ʻoe e hoʻohana pono, ʻaʻole ʻoe e loaʻa i nā hopena i manaʻo ʻia, a hiki paha iā ʻoe ke ʻike i nā hopena ʻaoʻao.
- ʻO kēia kirīmi wale nō ke kau ʻia ma ka ʻōpū. Mai lawe ma ka waha no kekahi kumu.
- E hoʻohana pono e like me ke kuhikuhi a ke kauka. ʻO ka maʻamau, pono ʻoe e hoʻohana ma mua o ka hiamoe ʻana i ka pō , no ka mea e noho lōʻihi ka kirīmi i loko o kou ʻili. Akā inā haʻi aku kāu kauka iā ʻoe e hoʻohana iā ia i kahi manawa ʻē aʻe, e hana pēlā.
- Hele mai kēia kirīmi me kahi mea hoʻopili kūikawā . ʻO ia ka mea āu e pono ai e hoʻohana e hoʻopili i ka kirīmi.
- E holoi pono i kou mau lima me ke kopa ma mua a ma hope o ka hoʻohana ʻana i ka kirīmi.
- E hoʻopiha i ka applicator me ka nui kūpono o ka kirīmi a wehe iā ia mai ka ʻōmole.
- A laila, e moe i lalo ma luna o kahi moe, e kulou i kou mau kuli, a e hohola iki i kou mau wāwae. E hoʻokomo pono i ka mea hoʻopili i loko o kou vagina a pahu i ka plunger i loko e hoʻopili i ka kirīmi.
- E holoi pono i ka mea hoʻopili i hoʻohana ʻia me ka wai kopa wela, holoi me ka wai, a hoʻomaloʻo .
- Ua ʻōlelo ke kauka iā ʻoe e lawe i kēia lāʻau lapaʻau no ka manawa holoʻokoʻa i ʻōlelo ʻia iā ʻoe e lawe . Mai hoʻōki i ka lawe ʻana. Inā pono ʻoe e hoʻōki, e hana pēlā ma ke ʻōlelo aʻo a ke kauka.
He mea nui: Ke kuhikuhi ʻia kēia lāʻau lapaʻau iā ʻoe, e loaʻa pū iā ʻoe kahi pepa ʻike no ka mea maʻi (hoʻokomo pūʻolo mea maʻi). E loaʻa iā ʻoe kēia me kēlā me kēia kauoha a me kēlā me kēia manawa e loaʻa ai iā ʻoe kahi hoʻopihapiha. E heluhelu pono i kēia pepa i kēlā me kēia manawa e loaʻa ai iā ʻoe kahi hoʻopihapiha, no ka mea, e loli paha ka ʻike ma kēia pepa.
E kamaʻilio me kāu kauka e pili ana i ka hāʻawi ʻana i kēia lāʻau lapaʻau i nā keiki . Pono paha ka mālama kūikawā.
He aha kāu e hana ai inā lawe ʻoe i ka nui o ka lāʻau lapaʻau? (Overdosage)
Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e kāhea koke i kahi kikowaena hoʻomalu lāʻau make a i ʻole ke keʻena pilikia .
E ʻoluʻolu e hoʻomaopopo: Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like i kēia lāʻau lapaʻau me kekahi .
He aha inā e hala wau i kahi lāʻau?
Inā ʻoe e poina i kahi lāʻau lapaʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau lapaʻau aʻe, e kāpae i ka lāʻau lapaʻau i poina a lawe i kāu lāʻau lapaʻau aʻe. Mai lawe pālua a ʻoi aku paha.
He aha nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau?
He mea nui loa kēia. Hiki i nā lāʻau lapaʻau ʻē aʻe āu e lawe ai ke launa pū me kēia kirīmi a hōʻemi a hoʻonui paha i nā hopena o ka kirīmi, a i ʻole e hana i nā hopena ʻaoʻao hou.
Mai hoʻohana i kēia kirīmi me nā lāʻau lapaʻau aʻe:
- Nā mea hoʻopaʻa ʻala aromatase - no ka laʻana, nā lāʻau lapaʻau e like me aminoglutethimide, anastrozole, exemestane, letrozole, a me testolactone.
Hiki i kēia lāʻau lapaʻau ke launa pū me kēia mau mea:
- Nā Barbiturates a i ʻole nā mea anticonvulsants
- ʻO Carbamazepine
- ʻO kekahi mau antibiotics no kekahi mau maʻi
- Wai ʻāpala
- Nā lāʻau lapaʻau no nā maʻi fungal - e like me itraconazole a me ketoconazole
- ʻO Raloxifene a i ʻole tamoxifen
- ʻO Rifabutin
- ʻO Rifampin
- ʻO Rifapentine
- ʻO Ritonavir
- ʻO St. John's Wort (he lau nahele kēia)
- ʻO Warfarin (mea hoʻokahe koko)
ʻAʻole paha i piha kēia papa inoa. No laila, pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (nā lāʻau lapaʻau i kauoha ʻia, nā mea kūʻai ʻole ʻia, nā mea kanu, nā huaora, nā mea hoʻohui meaʻai). Eia kekahi, e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau ʻē aʻe. Hiki i kekahi mau mea ke launa pū me kēia lāʻau lapaʻau.
He aha nā mea e makaʻala ai i ka wā e hoʻohana ai i kēia lāʻau lapaʻau?
Pono ʻoe e makaʻala iki aʻe i kou olakino i ka wā e hoʻohana ai i kēia lāʻau lapaʻau.
- E ʻike i kāu kauka no nā hoʻokolohua maʻamau . Pono ʻoe e hana i kahi hoʻokolokolo umauma a me kahi hoʻokolokolo pelvic i nā manawa maʻamau. Eia kekahi, e kamaʻilio me kāu kauka e pili ana i ka wā a me ka manawa e pono ai ʻoe e hana i kahi mammogram , a e hahai i kāna mau kuhikuhi.
- Hiki i kēia lāʻau lapaʻau ke hoʻopaʻa i kou kino i ka wai hou aʻe, e hoʻoulu ai i ka pehu ʻana i kou mau manamana lima, lima, a me nā kuʻekuʻe wāwae . Hiki ke piʻi aʻe kou koko . E haʻi i kāu kauka inā loaʻa iā ʻoe kēia.
- Inā no kekahi kumu e manaʻo ai ʻoe ua hāpai ʻoe, e hoʻōki koke i ka hoʻohana ʻana i kēia lāʻau lapaʻau a haʻi i kāu kauka .
- Hoʻonui ka puhipaka i kou pilikia o ka loaʻa ʻana o kahi ʻūpā koko a i ʻole ka hahau ʻana , ʻoiai inā ʻoe ma luna o 35. No laila, ʻoi aku ka maikaʻi o ka ʻole o ka puhipaka .
- Inā ʻoe e komo i nā aniani hoʻopili, e haʻi i kāu kauka inā ʻike ʻoe i kahi loli i kou ʻike a inā ʻoe e ʻoluʻolu ʻole i kou wā e komo ai i kāu mau aniani.
- Inā ʻoe e hana ana i ke ʻoki kino koho , pono paha ʻoe e hoʻōki i ka lawe ʻana i kēia lāʻau lapaʻau ma mua o ka hana ʻia ʻana. E kamaʻilio me kāu kauka e pili ana i kēia ma mua o ka hoʻonohonoho ʻana i kāu ʻoki kino.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau? (Nā hopena ʻaoʻao)
E like me nā lāʻau lapaʻau āpau, hiki i kēia lāʻau lapaʻau ke hana i nā hopena ʻaoʻao i kekahi poʻe, akā ʻaʻole i loaʻa i nā kānaka a pau. He koʻikoʻi kekahi mau hopena ʻaoʻao, a pono ʻoe e haʻi koke i kāu kauka inā loaʻa iā ʻoe.
Nā hopena ʻaoʻao e pono ʻoe e haʻi koke aku i kāu kauka:
- Nā hopena maʻi a i ʻole angioedema : ʻŌhūhū ʻili, maneʻo a hives paha, pehu ʻana o ka maka, nā maka, nā lehelehe, ke alelo, nā lima a i ʻole nā wāwae, paʻakikī i ka moni ʻana a i ʻole ka hanu ʻana. Inā hana ʻia kēia, mai hoʻokaʻulua.
- ʻO ke koko paʻa : ʻEha wāwae, pehu a mehana paha, paʻakikī ka hanu ʻana, ʻeha umauma. He mea weliweli loa kēia, no ka mea, inā paʻa kēia koko paʻa, hiki ke lilo i pilikia nui.
- Nā loli i loko o nā ʻiʻo umauma : nā puʻupuʻu hou, ka ʻulaʻula, ka ʻeha, a i ʻole ke kahe ʻana mai ka nipple.
- Nā pilikia o ka ʻōpū gaʻau : ʻEha nui o ka ʻōpū, nausea, luaʻi, kuni.
- Hoʻouka puʻuwai : ʻEha a ʻūlū paha ma ka umauma, nā poʻohiwi, nā lima, a i ʻole ka ʻauwae, ka luaʻi, ka paʻakikī o ka hanu ʻana, ka ʻili anu a palupalu paha, nāwaliwali, a i ʻole ka poniuniu.
- Ke kahe koko nui o ka ʻōpū .
- Hoʻonui ʻia ke koko .
- Hahau : Ka mae koke ʻana a nāwaliwali paha ma ka maka, ka lima, a i ʻole ka wāwae, ka paʻakikī i ka ʻōlelo ʻana, ka huikau, ka paʻakikī i ka hele ʻana, ka nalowale o ke kaulike, ka poniuniu, ka ʻeha poʻo nui, a i ʻole nā loli o ka ʻike. E noʻonoʻo koke i ka paʻakikī o ka ʻōlelo ʻana, he hōʻailona paha ia o ka hahau ʻana.
- ʻEha koke ka maka a i ʻole nā loli o ka ʻike : ʻike maka pōwehiwehi, ʻike ʻana i nā halo a puni nā kukui, nalowale ka ʻike.
- Ka hoʻokahe ʻana o ka ʻōpū ma ke ʻano ʻē , ka maneʻo, a i ʻole ke ʻala ʻino.
Inā loaʻa iā ʻoe kekahi mea e like me kēia, mai hopohopo, mai hoʻokaʻulua, a e ʻike koke i ke kauka..
Nā hopena ʻaoʻao ʻaʻole pono ke mālama ʻia e ke kauka, akā pono e hōʻike i kāu kauka inā hoʻomau a hoʻopilikia paha lākou:
- Pehu ʻana
- ʻEha a palupalu paha ka umauma
- Nā ʻāpana ʻeleʻele o ka ʻili ma ka maka a i ʻole nā wahi ʻē aʻe i hōʻike ʻia i ka lā
- Pohō lauoho
- Nā pōʻaiapuni menstrual kūpono ʻole a i ʻole ka spotting
- Ka luaʻi
- ʻEha ʻōpū
- Ka pehu ʻana o nā kuʻekuʻe wāwae, nā lima, a i ʻole nā wāwae
ʻAʻole hiki ke loaʻa nā hopena ʻaoʻao āpau ma kēia papa inoa. Inā ʻike ʻoe i kekahi mea ʻē aʻe, e nīnau i kāu kauka e pili ana i ia mea.
Pehea e mālama ai i kēia lāʻau lapaʻau?
- E mālama i kahi hiki ʻole i nā keiki a me nā holoholona ke kiʻi aku.
- E mālama ma ka mahana o ka lumi (ma waena o 15 a me 30 kekelē Celsius, ma waena o 59 a me 86 kekelē Fahrenheit).
- E hoʻolei aku i ka lāʻau lapaʻau i pau ka lā me ka hoʻohana ʻole ʻana.
E hoʻomanaʻo, he hōʻuluʻulu manaʻo wale nō kēia pepa liʻiliʻi. ʻAʻole paha i loko nā ʻike āpau. Inā he mau nīnau hou aku kāu e pili ana i kēia lāʻau lapaʻau, e kamaʻilio me kāu kauka, kauka lāʻau, a i ʻole kekahi mea lawelawe olakino ʻē aʻe.
Leka Hoʻihoʻi Hope Loa
ʻAe, i kēia manawa ua maopopo iā ʻoe ka mea a mākou i kamaʻilio ai (Conjugated Estrogens Vaginal Cream). E hōʻuluʻulu kākou i nā mea nui loa:
- No ka hoʻopili ʻana i ka ʻōpū wale nō kēia kirīmi. E hoʻohana pono e like me ka ʻōlelo a kāu kauka iā ʻoe, no ka lōʻihi o ka lāʻau lapaʻau.
- Inā loaʻa iā ʻoe kekahi mau maʻi olakino ʻē aʻe a i ʻole ke lawe nei ʻoe i kekahi mau lāʻau lapaʻau ʻē aʻe, e haʻi i kāu kauka e pili ana i kēia mau mea a pau ma mua o ka hoʻohana ʻana i ka lāʻau .
- Inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao koʻikoʻi , e hoʻomaopopo koke i kāu kauka .
- Mai poina e hana i nā nānā kino maʻamau i nā manawa āpau.
- Nou wale nō kēia lāʻau lapaʻau, mai kaʻana like me kekahi .
- Inā ʻoe e puhipaka ana, he mea maikaʻi loa ka haʻalele ʻana no kou olakino , ʻoiai ke lawe nei ʻoe i ka lāʻau lapaʻau hormone e like me kēia.
Inā he kānalua a nīnau paha kāu, mai makaʻu e nīnau i kāu kauka. A laila hiki iā ʻoe ke hahai pololei i kēia lāʻau lapaʻau a noho olakino.
ʻEstrogen , vagina, menopause, hormone therapy, kirīmi, nā hopena ʻaoʻao, olakino wahine
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo