ʻO ka menopause kahi manawa o ka loli nui i ke ola o ka wahine. Hiki iā ʻoe ke ʻike i nā ʻā wela, nā ʻā wela, a me nā loli o ke ʻano. I kekahi manawa, hiki i kou mau iwi ke hoʻomaka e nāwaliwali i kēia manawa. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ua haʻi aku paha kāu kauka iā ʻoe e hoʻomaka i ka lāʻau lapaʻau hormone. ʻO Estradiol lāua ʻo Norethindrone ʻelua o kēia mau hormones i hui pū ʻia i loko o kahi pila. No laila e kamaʻilio kākou e pili ana i kēia ma ke ʻano maʻalahi i kēia lā.
He aha ka mea e hoʻohana ʻia ai kēia lāʻau lapaʻau?
I ka ʻōlelo maʻalahi, ʻo kēia ka Hormone Replacement Therapy (HRT). Hāʻawi ʻia kēia lāʻau lapaʻau e hoʻihoʻi, i kekahi ʻano, i nā pae o nā hormones estrogen a me progesterone i loko o kou kino e emi ana me ka menopause.
ʻO ka pahuhopu nui o kēia:
- Hoʻemi i ka ʻoluʻolu ʻole i ka wā menopause: Kōkua kēia i ka kaohi ʻana i nā mea e like me nā ʻā wela a me nā hou pō.
- Ka mālama ʻana i nā iwi ikaika: Ma hope o ka menopause, e lahilahi nā iwi a ʻoi aku ka maʻalahi o ka haki ʻana (osteoporosis). Hoʻemi kēia lāʻau lapaʻau i kēlā pilikia.
ʻO ka mea nui loa, hāʻawi ʻia kēia lāʻau lapaʻau i nā wahine e loaʻa mau ana ko lākou ʻōpū no ka mea ʻo ka hormone Norethindrone i loko e kōkua i ka pale ʻana i nā paia o ka ʻōpū.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
Ma mua o ke kau ʻana o kāu kauka i kēia lāʻau lapaʻau, pono ʻo ia e ʻike i kou mōʻaukala olakino piha. ʻO kēia no ka mea hiki i kekahi mau kūlana olakino ke hoʻolilo i mea pilikia ke hoʻohana ʻana i kēia lāʻau lapaʻau. No laila, inā loaʻa iā ʻoe kekahi o kēia mau kūlana, e hōʻoia e haʻi i kāu kauka e pili ana iā lākou.
| Kou kūlana olakino | No ke aha e pono ai iaʻu ke hoʻomaopopo iā ʻoe? (ʻAʻole maopopo) |
|---|---|
| Ka maʻi ʻaʻai umauma, ʻāʻī, ʻōpū, a i ʻole kekahi maʻi ʻaʻai ʻē aʻe | Ma muli o kekahi mau maʻi kanesa e pili ana i ka hormone, hiki i kēia lāʻau lapaʻau ke hoʻoulu iā lākou. |
| Maʻi puʻuwai, ka hōʻeha puʻuwai hou a i ʻole ka hahau ʻana | Hiki ke lilo kēia i mea weliweli inā loaʻa iā ʻoe kahi mōʻaukala o ka maʻi puʻuwai, no ka mea, hiki i kēia mau hormones ke hoʻonui i ka pilikia o nā ʻūpā koko. |
| ʻO ka maʻi o ke kīʻaha koko a i ʻole nā pilikia o ke kāpili koko | ʻO ke kumu like me luna. Hoʻonui i ka pilikia o nā ʻūpā koko. |
| Maʻi akepaʻa a maʻi gallbladder paha | Hana ke kino i kēia mau hormones ma o ke akepaʻa. Inā nāwaliwali ke akepaʻa, hiki i ka lāʻau lapaʻau ke hōʻiliʻili i loko o ke kino a lilo i mea ʻawahia. |
| Ke kahe koko ʻana o ka vaginal i wehewehe ʻole ʻia | Ma muli paha he hōʻailona kēia o kahi maʻi koʻikoʻi, ʻaʻole kūpono ka mālama ʻana i ka hormone a hiki i ka loaʻa ʻana o ke kumu. |
| ʻO ka maʻi diabetes, ke kolamu kiʻekiʻe, ke koko kiʻekiʻe | Hiki i kēia lāʻau lapaʻau ke loaʻa ka hopena i ka kaohi ʻana i kēia mau kūlana. |
| Migraine, Kaumaha, Endometriosis, Fibroids | Hiki ke hoʻonui a loli paha kēia mau kūlana ma muli o nā loli hormonal. |
| Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana | ʻAʻole kūpono kēia lāʻau lapaʻau i kēia mau hihia. |
| Inā ʻoe e puhipaka (ʻoi aku hoʻi inā ʻoe ma luna o 35) | ʻO ka hui pū ʻana o ka puhipaka a me kēia mau hormones e hoʻonui nui i ka pilikia o ke kāpili ʻana o ke koko a me ka hahau ʻana. |
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
He mea maʻalahi loa kēia. E lawe i hoʻokahi pila me ke aniani wai i ka manawa like i kēlā me kēia lā, e like me ka ʻōlelo a kāu kauka. Hiki i kekahi poʻe ke loaʻa ka ʻeha o ka ʻōpū inā lawe lākou ia mea me ka ʻōpū ʻole. Inā pēlā, e lawe me ka ʻai.Mai inu ʻoe ma mua o ka nui i kauoha ʻia e kāu kauka no kekahi kumu.
He aha inā poina iaʻu e lawe i kaʻu lāʻau lapaʻau?
E noʻonoʻo ʻoe e lawe ana ʻoe i kāu pila i ka hola 8 am i kēlā me kēia lā. I kēia lā ua hoʻomanaʻo ʻoe i ka hola 12 awakea. A laila e lawe koke i ka pila i poina. Akā inā ma kahi o 6-7 pm i kou hoʻomanaʻo ʻana, ʻo ia hoʻi ua kokoke loa ia i ka manawa e pono ai ʻoe e lawe iā ia i ka hola 8 am o kekahi lā aʻe, a laila e poina i ka pila i poina. E lawe wale i hoʻokahi pila i ka hola 8 am o kekahi lā aʻe e like me ka mea maʻamau. Mai lawe i ʻelua pila i ka manawa hoʻokahi e hoʻopiha ai i ka mea i poina.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He mea nui loa e haʻi aku i kāu kauka e pili ana i kēlā me kēia lāʻau lapaʻau, wikamina, a me nā lāʻau lapaʻau āu e lawe nei, no ka mea, hiki i kekahi mau lāʻau lapaʻau ke launa pū me kēia mau pila hormonal a hōʻemi a hoʻonui paha i ka pono o ka lāʻau lapaʻau, a i ʻole e hana i nā hopena ʻaoʻao weliweli.
ʻO kekahi mea kūikawā, hiki i kekahi mau lāʻau lapaʻau maʻi kanesa (nā mea hoʻopaʻa Aromatase), nā lāʻau lapaʻau epilepsy (e.g. Carbamazepine, Phenytoin), kekahi mau antibiotics (e.g. Rifampin), a me ka wai huaʻai ke launa pū me kēia lāʻau lapaʻau. No laila e hōʻoia e haʻi i kāu kauka e pili ana i nā mea āpau āu e lawe ai.
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
He mea nui loa e makaʻala iki i kou kino i ka wā e hoʻohana ai i kēia lāʻau.
- Nā hoʻokolohua lapaʻau maʻamau: E ʻike i kāu kauka ma ka liʻiliʻi hoʻokahi manawa i kēlā me kēia 6 mahina no ka nānā piha ʻana. He mea nui e hana i kahi hoʻokolokolo umauma, kahi hoʻokolokolo pelvic, a me kahi mammogram inā pono.
- E pale i ka puhipaka: E like me kā mākou i ʻōlelo ai ma mua, ʻo ka puhipaka ʻana i ka wā e lawe ana i kēia lāʻau lapaʻau no ka wahine ma luna o 35 ua like ia me ka wehe ʻana i ka puka i ka hōʻeha puʻuwai a me ka hahau. No laila, e pale loa i ka puhipaka.
- Pehu: I kekahi manawa hiki i kēia lāʻau lapaʻau ke hoʻopaʻa i ka wai i loko o ke kino, e hoʻoulu ai i ka pehu ʻana ma nā manamana lima, nā lima, a i ʻole nā kuʻekuʻe wāwae. Hiki iā ia ke hoʻonui i ke koko. Inā hana ʻia kēia, e haʻi i kāu kauka .
- Ma mua o ke ʻoki kino: Inā ua hoʻonohonoho ʻia ʻoe e hana i ke ʻoki kino, e kamaʻilio me kāu kauka e pili ana i ia mea a nīnau inā pono ʻoe e hoʻōki i ka lawe ʻana i kēia lāʻau lapaʻau ma mua o ke ʻoki kino.
Nā hopena ʻaoʻao hiki ke loaʻa o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i nā hopena ʻaoʻao i kekahi poʻe. He koʻikoʻi kekahi o kēia mau mea, he mea maʻamau kekahi.
| Nā hopena ʻaoʻao koʻikoʻi e pono ai ke kōkua koke ʻana o ke kauka | |
|---|---|
| ʻEha nui koke ka umauma, paʻakikī ka hanu ʻana | He hōʻailona paha ia o kahi ʻūpā koko i loko o nā māmā. |
| ʻEha ka wāwae, ka pehu ʻana, ka ʻulaʻula, a me ka manaʻo mehana | ʻO ka ʻūpā koko i loko o kahi aʻa koko ma ka wāwae he hōʻailona paha ia o ka deep vein thrombosis (DVT). |
| Paʻakikī i ka ʻōlelo ʻana, ka mae koke ʻana/ka mae ʻana o ka maka, ka lima, a i ʻole ka wāwae, ka paʻakikī i ka hele wāwae | He mau hōʻailona paha kēia o ka hahau ʻana. |
| ʻEha poʻo nui, loli ka ʻike | He mau hōʻailona paha kēia o ke koko kiʻekiʻe a i ʻole kekahi maʻi koʻikoʻi ʻē aʻe. |
| Melemele o nā maka a i ʻole ka ʻili (jaundice), mimi ʻeleʻele, ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū | He mau hōʻailona paha kēia o ka hōʻino ʻia o ke akepaʻa. |
| Nā puʻupuʻu a i ʻole nā loli o ka umauma, ka hoʻokuʻu ʻana o ka umauma, ke kahe koko ʻano ʻē | He mau kūlana koʻikoʻi paha kēia e pono e nānā koke ʻia. |
| Nā hopena ʻaoʻao ʻaʻole ia he mea e hopohopo ai, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
|---|---|
| ʻAkika | Nā kiko ʻeleʻele ma ka maka |
| Nā loli i ka makemake | Nā loli i ka makemake moekolohe |
| Nā loli o ka naʻau, me ke kaumaha iki | ʻEha ʻōpū a pehu paha |
| Piʻi ke kaumaha | Manaʻo luhi ʻē aʻe |
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe ʻoe i nā lāʻau lapaʻau ma mua o kou manaʻo, e hele koke i ka Halemai Pilikia (ETU) kokoke loa. A i ʻole e kelepona i ke Kikowaena ʻIke ʻAi ʻona Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
Leka Lawe-Home
- ʻO Estradiol lāua ʻo Norethindrone he mau lāʻau lapaʻau hormone i hoʻohana ʻia e mālama i nā hōʻailona menopausal a me ka pohō o ka iwi.
- Ma mua o ka lawe ʻana i kēia lāʻau lapaʻau, pono ʻoe e haʻi i kāu kauka e pili ana i kou mōʻaukala olakino piha (ʻoiai ke kanesa, ka maʻi puʻuwai, nā pilikia koko).
- E lawe i ka lāʻau lapaʻau i ka manawa like i kēlā me kēia lā. Mai lawe ʻoi aku ma mua o ka mea i kauoha ʻia e ke kauka.
- He mea weliweli loa ka puhipaka ʻana i ka wā e lawe ana i kēia lāʻau lapaʻau , ʻoiai inā ʻoe ma luna o 35.
- Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi e like me ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana, ka pehu ʻana o ka wāwae, a i ʻole ka paʻakikī o ka ʻōlelo ʻana, e ʻimi koke i ke kōkua lapaʻau.
- Inā he mau nīnau kāu e pili ana i kēia lāʻau lapaʻau, mai makaʻu e kūkākūkā me kāu kauka.
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