Ke hele nei ʻoe i ka menopause? A laila ua kamaʻāina paha ʻoe i ka ʻoluʻolu ʻole o nā ʻā wela koke, ka maloʻo o ka ʻōpū, a me nā ʻā wela. I kēia lā ke kamaʻilio nei mākou e pili ana i kahi pila hoʻōla hormone i hāʻawi ʻia i loko o kēia manawa. Ma hope o ka heluhelu ʻana i kēia, hiki iā ʻoe ke loaʻa kahi ʻike maikaʻi aʻe o kēia lāʻau lapaʻau.
He aha ke ʻano lāʻau lapaʻau kēia?
I ka ʻōlelo maʻalahi, he hui pū ʻana kēia o ʻelua ʻano hormones. ʻO ia hoʻi, aia i loko o kēia pila nā liʻiliʻi o ka hormone wahine estrogen (Esterified Estrogens) a me ka hormone kāne testosterone (Methyltestosterone).
Hoʻohana nui ʻia ia e kāohi i nā hōʻailona o ka menopause, e like me nā ʻā wela a me ka maloʻo o ka ʻōpū, e like me ka mea i ʻōlelo ʻia ma mua. Eia nō naʻe, hiki i nā kauka ke kuhikuhi i kēia lāʻau lapaʻau no nā kūlana ʻē aʻe. No laila, inā ʻaʻole ʻoe maopopo i ke kumu i kuhikuhi ʻia ai kēia lāʻau lapaʻau iā ʻoe, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka e pili ana i ia mea.
Nā mea a kāu kauka e ʻike ai ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau
He mea nui loa kēia. Ma mua o kou hoʻomaka ʻana i kēia lāʻau lapaʻau, pono ʻoe e haʻi i kāu kauka e pili ana i kou mōʻaukala olakino piha. E hōʻoia e haʻi iā ia e pili ana i kekahi o kēia mau kūlana, ʻoi aku hoʻi:
| Kūlana olakino a i ʻole mōʻaukala | Ke kumu e hopohopo ai |
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| Nā kūlana maʻi kanesa | Inā ua loaʻa iā ʻoe a i kēia manawa he maʻi kanesa ma nā wahi e like me ka umauma, ka cervix, ka uterus, nā ovaries, a i ʻole ke akepaʻa. |
| Nā pilikia o ka puʻuwai a me ke koko | Nā kūlana e like me ka maʻi puʻuwai, ka hahau ʻana, ke koko kiʻekiʻe, nā ʻūpā koko i loko o nā kīʻaha koko, a me ka cholesterol kiʻekiʻe. |
| Nā kūlana olakino ʻē aʻe | Maʻi kō, maʻi akepaʻa, maʻi puʻupaʻa, maʻi ʻōpū palahēhē, migraine, dementia, SLE, kiʻekiʻe o ka calcium koko. |
| Nā ʻano pilikino a me nā mea ʻē aʻe | Inā ʻoe e puhipaka ana, ua loaʻa iā ʻoe kahi hysterectomy, a i ʻole he kahe koko ʻōpū i wehewehe ʻole ʻia. |
| Ka hāpai ʻana a me ka hānai ʻana i ka waiū | Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a he makuahine hānai paha ʻoe. |
| Nā maʻi ʻaleka | Inā he maʻi ʻoe i kēia mau hormones a i ʻole nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu. |
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
He lāʻau kēia e lawe ai. E lawe i kēia lāʻau me ke aniani wai. Hiki i kekahi poʻe ke manaʻo i ka luaʻi ma hope o ka lawe ʻana i kēia. Inā hana ʻia kēia, e lawe i kēia lāʻau me ka ʻai.
ʻO ka mea nui loa, ʻo ia ka lawe ʻana i kāu lāʻau lapaʻau e like me ke kuhikuhi a kāu kauka, i ka manawa kūpono. E ho'āʻo e lawe i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā inā hiki. Mai lawe ʻoe ma mua o ka mea a kāu kauka e ʻōlelo ai, a i ʻole e lawe pinepine.
Ke hāʻawi ʻia kēia lāʻau lapaʻau iā ʻoe, e loaʻa iā ʻoe kahi ʻāpana hoʻokomo o ka pūʻolo mea maʻi. E heluhelu pono, no ka mea, hiki ke hoʻonui pinepine ʻia ka ʻike i loko.
He aha kāu e hana ai inā lawe nui ʻoe i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e kāhea koke aku i ke Kikowaena ʻIke ʻAi Poisons ma ka Halemai Lahui ʻo Colombo , a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa. E mālama i kēia me he pilikia lā.
Mea nui: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like i kāu lāʻau lapaʻau me nā poʻe ʻē aʻe.
He aha inā e hala iaʻu kahi mahele o ka lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Akā inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i poina a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau lāʻau i ka manawa hoʻokahi e hoʻopiha ai i kahi lāʻau i poina.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau (Nā Hana like ʻana)
Hiki i kēia pila hormone ke launa pū me nā lāʻau lapaʻau ʻē aʻe, nā mea kanu, a me nā huaora āu e lawe nei. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau a me nā mea hoʻohui āu e lawe nei.
| Mai lawe pū me ia i kēia lāʻau lapaʻau! | |
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| Hiki paha iā ʻoe ke pane me kēia - e haʻi i kāu kauka. | |
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Nā mea e hoʻomanaʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Nā nānā lapaʻau maʻamau: ʻOiai e lawe ana i kēia lāʻau lapaʻau, pono ʻoe e ʻike pinepine i kāu kauka e nānā i kou kūlana. He mea nui e hana i nā hoʻokolohua umauma maʻamau a me nā Pap smears . Eia kekahi, e kamaʻilio me kāu kauka e pili ana i ka pinepine o kāu mammograms a hana pēlā e like me ia.
- Paʻa wai: Hiki i kēia lāʻau lapaʻau ke hoʻoulu i ka pehu ʻana i kou mau manamana lima, lima, a i ʻole nā kuʻekuʻe wāwae. Hiki nō hoʻi ke hoʻonui i kou koko. E haʻi i kāu kauka inā manaʻo ʻoe e paʻa ana ʻoe i ka wai.
- Hāpai keiki: Inā manaʻo ʻoe ua hāpai ʻoe, e hoʻōki koke i ka lawe ʻana i kēia lāʻau lapaʻau a ʻike i kāu kauka.
- Puhipaka: He mea nui loa kēia.
- Nā Aniani Hoʻokaʻaʻike: Inā ʻoe e hoʻokomo i nā aniani hoʻokaʻaʻike, e ʻike i kahi kauka maka inā ʻike ʻoe i kekahi loli i kāu ʻike a inā ʻoluʻolu ʻole ʻoe i ke komo ʻana i nā aniani.
- Ka pilikia o ke kanesa ʻōpū: Loaʻa i kēia lāʻau lapaʻau hormone kahi pilikia liʻiliʻi o ka hoʻomohala ʻana i kahi maʻi i kapa ʻia ʻo endometrial hyperplasia, hiki ke hoʻoulu i ka uhi o ka ʻōpū e mānoanoa, hiki ke alakaʻi i ke kanesa ʻōpū. No ka hōʻemi ʻana i kēia pilikia, inā ʻaʻole ʻoe i loaʻa i kahi hysterectomy, hiki i kāu kauka ke ʻōlelo aku iā ʻoe e lawe i kahi hormone ʻē aʻe (progestin) me kēia lāʻau lapaʻau. E kamaʻilio me kāu kauka e pili ana i kēia a e hōʻoia e maopopo iā ʻoe nā pono a me nā pilikia.
- Nā maʻi ʻaleka (ʻulaʻula ʻili, ʻeha, pehu)
- ʻEha ka umauma, paʻakikī ka hanu ʻana
- ʻEha poʻo nui
- Nā loli o ka ʻike
- Paʻakikī i ka ʻōlelo ʻana a i ʻole ka hoʻomaopopo ʻana
- Ka nāwaliwali/mano koke ma ka maka, ka lima, a i ʻole ka wāwae
- ʻEha wāwae, pehu, ʻulaʻula
- Ke kahe koko ʻana o ka ʻōpū ma ke ʻano ʻē
- Nā loli o ka umauma (nā puʻupuʻu, ka hoʻokuʻu ʻana)
- ʻEha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū
- Melemele o nā maka a i ʻole ka ʻili (jaundice)
- Mimi ʻeleʻele, ʻōpala māmā
- Nausea nui, luaʻi
- Pohō lauoho
- Hoʻonui nui ʻia ka pōloli a i ʻole ka make wai
- Pono pinepine e mimi
- Nā hōʻailona o ka maʻi vaginal (ʻūlū, hoʻokuʻu ʻia ʻana o ka ʻōpū)
- Luhi maʻamau ʻole
- He lāʻau lapaʻau hormonal kēia i hāʻawi ʻia e kāohi i nā hōʻailona o ka menopause.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i kou mau kūlana olakino a pau.
- E lawe wale i ka mahele i kuhikuhi ʻia, i ka manawa like i kēlā me kēia lā. Inā ʻoe e poina i kahi mahele, mai lawe i ʻelua mau mahele i ka manawa like.
- Inā ʻoe e puhipaka ana, kiʻekiʻe loa ka pilikia o ka hōʻeha puʻuwai a me ka hahau ʻana i ka wā e lawe ai i kēia lāʻau.
- He mea nui e hana i nā hoʻokolohua umauma a me nā hoʻokolohua Pap i ka manawa kūpono.
- Inā loaʻa iā ʻoe nā hopena ʻaoʻao koʻikoʻi a i ʻole lawe nui ʻoe i ka lāʻau lapaʻau, e ʻimi koke i ke kōkua lapaʻau.
- E ʻoluʻolu e kūkākūkā i kāu kauka i kekahi mau nīnau a hopohopo paha e pili ana i kēia lāʻau lapaʻau.
E hoʻomanaʻo, inā he mea puhi paka ʻoe, ʻoiai inā ʻoi aku ʻoe ma mua o 35, ʻoi aku ka nui o kou pilikia o ke koko a i ʻole ka hahau ʻana i ka wā e lawe ana i kēia lāʻau. No laila, ua ʻōlelo ʻia e pale loa i ka puhi paka i ka wā e lawe ana i kēia lāʻau.
Nā hopena ʻaoʻao e hiki mai ana ma muli o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. He koʻikoʻi kekahi, he mea maʻamau kekahi.
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i ke kauka | |
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| Nā mea i maʻa mau ʻole i ka nui, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
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