He kahua kūlohelohe ka menopause i ke ola o kēlā me kēia wahine. Eia nō naʻe, hiki ke paʻakikī iki ke hoʻomanawanui i nā loli e hele pū me ia i kekahi manawa. Ua ʻike paha ʻoe i nā mea e like me ka hou koke ʻana (wela flashes), insomnia, a me ka ʻoluʻolu ʻole o ka naʻau. I ka manawa e like me kēia, ua kamaʻilio paha kāu kauka iā ʻoe e pili ana i ka lāʻau hoʻololi hormone. ʻO kekahi o ia ʻano lāʻau ʻo Esterified Estrogens. E kamaʻilio kākou e pili ana i kēia me ka maʻalahi a me ka maopopo.
He aha ke ʻano lāʻau lapaʻau kēia?
I ka ʻōlelo maʻalahi, ʻo nā Estrogens Esterified he ʻano pila i loaʻa ka estrogen, kahi hormone wahine. Ua kuhikuhi nui ʻia ia ma ke ʻano he lāʻau lapaʻau no nā pilikia e kū mai ana i ka wā e emi ai nā pae estrogen maoli o ko mākou kino.
Aia kekahi mau hoʻohana nui no kēia lāʻau lapaʻau:
- Nā ʻeha ʻole ma hope o ka menopause: E kāohi i nā hōʻailona, ʻoiai nā ʻālohilohi wela.
- Kāohi i ka lahilahi o ka iwi: Kōkua kēia lāʻau lapaʻau i ka pale ʻana i ka osteoporosis, kahi maʻi lahilahi o ka iwi hiki ke hana me ka menopause.
- No nā wahine me nā pae hormone haʻahaʻa: Loaʻa i kekahi mau wahine nā pae estrogen haʻahaʻa i loko o ko lākou kino. Ua kuhikuhi ʻia kēia no ia mau wahine.
- Ma hope o ka wehe ʻana i ka Ovarian Cyst: Inā ua wehe ʻia kāu mau ovaries ma ke ʻoki ʻana, hāʻawi ʻia kēia ma ke ʻano he lāʻau no ka hemahema o ka hormone i loaʻa.
- No kekahi mau maʻi kanesa: Hiki ke hoʻohana ʻia kēia lāʻau lapaʻau e mālama i kekahi mau ʻano maʻi kanesa, e like me ke kanesa umauma a i ʻole ke kanesa prostate.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, he mea nui loa ia e kūkākūkā i kāu mōʻaukala olakino piha me kāu kauka me ka hūnā ʻole i kekahi mea. E hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole ua loaʻa iā ʻoe kekahi o kēia mau kūlana:
| Kūlana olakino | Nā mea e pono ai ʻoe e hōʻike |
|---|---|
| Ka moʻolelo o ke kanesa | Inā ua loaʻa iā ʻoe a i ʻole ke loaʻa nei iā ʻoe i kēia manawa ka maʻi kanesa o ka umauma, ka ʻāʻī, ka uterine, ka ovarian, a i ʻole ke akepaʻa. |
| Nā pilikia koko a me ka puʻuwai | Nā maʻi o nā kīʻaha koko, nā ʻūpā koko, nā maʻi puʻuwai, ka hōʻeha puʻuwai hou, ka hahau ʻana, ke koko kiʻekiʻe, ka cholesterol kiʻekiʻe. |
| Nā pilikia gynecological | ʻO ke kahe koko ʻana o ka ʻōpū, ʻaʻole i loaʻa ka hysterectomy. |
| Nā maʻi ʻē aʻe | Nā maʻi e like me ka maʻi diabetes, ka maʻi gallbladder, ka maʻi ate, ka maʻi puʻupaʻa, ka migraine, ka dementia, ke kiʻekiʻe o ka calcium koko, a me ka Systemic Lupus Erythematosus (SLE). |
| Nā hana maʻamau a me nā maʻi allergies | Inā ʻoe e puhipaka ana, he hopena maʻi āpau i nā hormones, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu. |
| Ka hāpai ʻana a me ka hānai ʻana i ka waiū | Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha. |
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
E ale i kēia papa me ke aniani wai. E lawe wale i ka nui i kuhikuhi ʻia, e like me ke kauoha a kāu kauka. E hoʻomaʻamaʻa i ka lawe ʻana i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā. E kōkua kēia iā ʻoe e hoʻomanaʻo e lawe pinepine i kāu lāʻau lapaʻau. Mai lawe i nā lāʻau lapaʻau ma mua o ka mea a kāu kauka e ʻōlelo ai iā ʻoe.
ʻO ka mea nui loa, ʻo kēia lāʻau lapaʻau nou wale nō. Mai hāʻawi i kēia lāʻau lapaʻau i kahi hoaaloha nona nā hōʻailona like me ʻoe. He ʻokoʻa ke olakino o kēlā me kēia kanaka.
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. Eia nō naʻe, 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.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā loaʻa iā ʻoe kahi kānalua iki ua lawe nui ʻoe i kēia lāʻau lapaʻau,E kelepona koke aku i ke Kikowaena ʻIke ʻAi ʻona Lahui ma ka Halemai Lahui ʻo Colombo. A i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa. Mai lawe māmā i kēia.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau
Hiki i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei ke launa pū me kēia pila hormone. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui).
ʻO ka mea nui, ʻaʻole pono e lawe pū ʻia me kēia lāʻau lapaʻau nā lāʻau lapaʻau penei:
- Nā mea hoʻopaʻa aromatase e like me aminoglutethimide, anastrozole, a me exemestane.
Aia paha he mau pilikia me kēia mau mea:
- ʻO nā barbiturates e like me ka phenobarbital
- ʻO Carbamazepine
- ʻO nā lāʻau antibiotic e like me ka clarithromycin a me ka erythromycin
- Wai ʻāpala
- Nā lāʻau lapaʻau no nā maʻi fungal, e like me ketoconazole a me itraconazole
- Nā lāʻau lapaʻau e like me rifampin a me ritonavir
- ʻO ka lau nahele ʻo St. John's Wort
Nā mea e hoʻomanaʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau
Pono ʻoe e mālama iki i kou kino i ka wā e lawe ana i kēia lāʻau lapaʻau.
Nā hoʻokolohua lapaʻau maʻamau
I ka wā e lawe ai i kēia lāʻau lapaʻau, he mea nui e ʻike i kāu kauka i nā manawa maʻamau. Pono ʻoe e hana i kahi hoʻokolokolo umauma, kahi Pap smear, a me kahi hoʻokolokolo pelvic. Eia kekahi, e kamaʻilio me kāu kauka e pili ana i ka wā e pono ai ʻoe e hana i nā mammograms a pehea ka pinepine , a e hahai i kāna mau kuhikuhi.
Ka paʻa ʻana o ka wai a me ka puhipaka
Hiki i kēia lāʻau lapaʻau ke hoʻopaʻa i ka wai i loko o ke kino i kekahi manawa, ka pehu ʻana o nā lima, nā wāwae, nā manamana lima, a me nā kuʻekuʻe wāwae. Hiki iā ia ke hoʻonui i ke koko. Inā ʻike ʻoe i kēia, e haʻi i kāu kauka.
He ʻōlelo aʻo koʻikoʻi loa: ʻO ka puhipaka ʻana i ka wā e lawe ana i kēia lāʻau lapaʻau e hoʻonui nui i kou pilikia o ke koko a me ka hahau ʻana. He kiʻekiʻe loa kēia pilikia inā ʻoe ma luna o 35 mau makahiki. No laila, ua ʻōlelo ikaika ʻia e pale loa ʻoe i ka puhipaka ʻana i ka wā e lawe ana i kēia lāʻau lapaʻau.
Nā pilikia e pili ana i ka uterus
Inā ʻaʻole i wehe ʻia kou ʻōpū ma ke ʻoki kino (hysterectomy), ʻo ka hoʻohana lōʻihi ʻana i nā pila estrogen-wale nō hiki ke hoʻomānoanoa loa i ka uhi o ka ʻōpū (endometrium). Ua kapa ʻia kēia ʻano he endometrial hyperplasia. Hiki i kēia ke lilo i maʻi ʻōpū ma hope.No ka hōʻemi ʻana i kēia pilikia, e kuhikuhi kāu kauka i kahi hormone ʻē aʻe i kapa ʻia ʻo progestin me kēia pila estrogen. E nīnau i kāu kauka i nā nīnau āu e pili ana i kēia.
He aha nā hopena ʻaoʻao āu e ʻike ai?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i nā hopena ʻaoʻao i kekahi poʻe. He koʻikoʻi kekahi o lākou, he mea maʻamau kekahi.
| Ka hoʻokaʻawale ʻana o nā hopena ʻaoʻao | |
|---|---|
| Nā hopena ʻaoʻao e pono ʻoe e hōʻike koke i kāu kauka | |
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| Nā hopena ʻaoʻao e pono e hōʻike ʻia i ke kauka inā hoʻomau lākou a hoʻopilikia paha | |
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Leka Lawe-Home
- He lāʻau lapaʻau koʻikoʻi nā Estrogens Esterified i hiki ke kōkua i nā pilikia he nui e pili ana i ka menopause, akā pono e hoʻohana wale ʻia ma lalo o ke aʻo ʻana a ke kauka.
- E hōʻoia e haʻi i kāu kauka e pili ana i kou mōʻaukala olakino piha, nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, a me nā mea maʻi allergies āu e loaʻa ai.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me ka ʻeha o ka umauma, ka mae koke ʻana o ka ʻōpū, ka ʻeha poʻo nui, a i ʻole ke kahe koko ʻē, e ʻimi koke i ke kōkua lapaʻau.
- E pale loa i ka puhipaka ʻana i ka wā e lawe ana i kēia lāʻau lapaʻau. Hiki iā ia ke hoʻopilikia nui i ke olakino.
- E mālama i kou olakino ma ka hele ʻana i nā hoʻokolohua lapaʻau maʻamau.
- Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me nā poʻe ʻē aʻe.
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