ʻO ka menopause, ka manawa e pau ai kou wā mahina, he ʻāpana maoli ia o ke ola o kēlā me kēia wahine. Akā hiki ke lilo i manawa paʻakikī no kekahi. ʻO ka hou koke ʻana, nā ʻā wela (i ʻike ʻia hoʻi ʻo 'hot flashes'), ka hiamoe ʻole, a me ka huhū hiki ke hoʻopilikia i kou ola o kēlā me kēia lā. ʻO kahi lāʻau lapaʻau a nā kauka e ʻōlelo nei e mālama i kēia mau hōʻailona, ʻo ia ka hormone therapy. I kēia lā, e kamaʻilio mākou e pili ana i kahi lāʻau i kapa ʻia ʻo Estradiol a me Progesterone, i hoʻohana ʻia no ia ʻano lāʻau.
I ka ʻōlelo maʻalahi, he aha kēia lāʻau lapaʻau i kapa ʻia ʻo Estradiol a me Progesterone?
He hui pū ʻana kēia o ʻelua mau hormones. ʻO ia hoʻi, ʻo ka estrogen a me ka progestin . I ka wā menopause, emi maoli ka hana ʻana o ko mākou kino i kēia mau hormones. E like me ka emi ʻana o ka pae wai i loko o kahi pahu wai. ʻO kēia emi ʻana o nā hormones ke kumu o nā ʻeha he nui i ʻōlelo ʻia ma mua, e like me nā ʻā wela a me ka hou ʻana.
No laila, ʻo ka hana a kēia lāʻau lapaʻau, ʻo ia ka hoʻihoʻi ʻana i nā pae hormone i emi i loko o ke kino i kahi pae. He kōkua nui kēia i ka kaohi ʻana i nā hōʻailona e pili ana i ka menopause, ʻoiai hoʻi nā ʻālohilohi wela . He lāʻau lapaʻau kēia e hoʻohana wale ʻia ma ke ʻōlelo a ke kauka.
He aha nā mea e pono iaʻu e haʻi aku i ke kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau?
He mea nui loa kēia. Ma mua o kou hoʻomaka ʻana e lawe i kēia lāʻau lapaʻau, pono ʻoe e kūkākūkā i kāu mōʻaukala olakino piha me kāu kauka. ʻAʻole paha kūpono kēia lāʻau lapaʻau no ka poʻe me kekahi mau maʻi. Inā loaʻa iā ʻoe kekahi o kēia mau maʻi, e hōʻoia e haʻi i kāu kauka.
| ʻIke/kūlana olakino | Wehewehena |
|---|---|
| Ka moʻolelo o ke kanesa | Inā loaʻa iā ʻoe a i ʻole ke loaʻa nei iā ʻoe i kēia manawa ka umauma, ka ʻāʻī, ka uterine, a i ʻole nā maʻi ʻē aʻe e pili ana. |
| Nā pilikia o ka puʻuwai a me ke koko | Hoʻouka puʻuwai, hahau ʻana, nā maʻi ʻaʻa koko, ke koko kiʻekiʻe, ka cholesterol kiʻekiʻe. |
| Nā kūlana olakino ʻē aʻe | Maʻi kō, maʻi akepaʻa, maʻi puʻupaʻa, maʻi ʻōpū palahēhē, endometriosis, fibroids, migraine, kaumaha, Systemic Lupus Erythematosus (SLE), Porphyria, nele i ka Protein C a i ʻole S. |
| Nā kiko ʻē aʻe | Ke kahe koko ʻana o ka ʻōpū i wehewehe ʻole ʻia, ka hysterectomy, ka puhipaka, ka hoʻāʻo ʻana e hāpai, ka hāpai ʻana, a i ʻole ka hānai waiū. |
| Nā maʻi ʻaleka | Inā he maʻi ʻoe i ka estrogen, nā hormones progestin, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea mālama. |
Pehea pololei ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
He mea maʻalahi loa kēia e hoʻohana, akā pono e hana ʻia me ke akahele loa.
- E inu me ka wai: E ale i kēia capsule me ke aniani wai.
- E lawe pū me ka meaʻai: ʻO ka lawe ʻana i kēia lāʻau lapaʻau me ka ʻai hiki ke hōʻemi i ka ʻeha o ka ʻōpū.
- E lawe iā ia i ka manawa like i kēlā me kēia lā: ʻO ka mea nui e lawe i kēia lāʻau lapaʻau i ka manawa like i kēlā me kēia lā . Kōkua kēia i ka mālama ʻana i kāu mau pae hormone. Hiki iā ʻoe ke hoʻonohonoho i kahi hoʻomanaʻo ma kāu kelepona.
- Mai hoʻōki: E hoʻomau i ka hoʻohana ʻana i kēia a hiki i ka wā e ʻōlelo ai kāu kauka iā ʻoe e hoʻōki. Mai hoʻōki koke.
- E heluhelu i ka hoʻokomo ʻana o ka pūʻolo mea maʻi: Ke hāʻawi ʻia ʻoe i ka lāʻau lapaʻau, e heluhelu pono i ka hoʻokomo ʻana o ka pūʻolo mea maʻi. Aia i loko ka ʻike koʻikoʻi.
Mea nui: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like i kāu lāʻau lapaʻau me kekahi. Hiki ke lilo i mea weliweli.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
ʻAe, hiki ke hana. E lawe i ka lāʻau i hala koke i kou hoʻomanaʻo ʻana. Akā inā kokoke i ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i hala a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua lāʻau i ka manawa hoʻokahi (Mai lawe pālua i nā lāʻau).
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 kāhea koke aku i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo , a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau
Pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, ʻaʻole wale nā mea i kuhikuhi ʻia e kāu kauka, akā ʻo nā huaora, nā huahana lāʻau lapaʻau (e like me St. John's Wort) āu e kūʻai ai mai ka hale kūʻai lāʻau. Hiki i kekahi mau lāʻau lapaʻau ke launa pū me kēia lāʻau lapaʻau hormone.
ʻOi aku hoʻi, e haʻi mai iā mākou inā ʻoe e lawe ana i kēia mau lāʻau lapaʻau:
- Nā mea hoʻopaʻa Aromatase (kahi ʻano lāʻau lapaʻau maʻi kanesa)
- Nā lāʻau lapaʻau anticonvulsant (e.g. Carbamazepine, Phenobarbital, Phenytoin)
- Kekahi mau lāʻau antibiotic (e.g. Erythromycin, Rifampin)
- Nā lāʻau antifungal (e.g. Ketoconazole)
- Nā lāʻau lapaʻau no ka maʻi HIV a i ʻole ka Hepatitis
- ʻO Warfarin (mea hoʻokahe koko)
- Nā lāʻau lapaʻau no ka maʻi diabetes
- Hiki i ka wai huaʻai ke hoʻopilikia i ka pono o kēia lāʻau lapaʻau.
ʻAʻole i piha kēia papa inoa, no laila ʻoi aku ka palekana o ka haʻi ʻana i kāu kauka e pili ana i nā mea āpau āu e lawe ai .
Nā mea e hoʻomanaʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Nā hoʻokolohua lapaʻau maʻamau: He mea nui e hana i nā hoʻokolohua maʻamau e like me ke kauoha a kāu kauka i ka wā e lawe ana i kēia lāʻau lapaʻau. He mea nui e hana i kahi hoʻokolokolo umauma, kahi hoʻokolokolo pelvic, a, inā pono, kahi mammogram.
- E pale i ka puhipaka: ʻO ka puhipaka ʻana i ka wā e lawe ana i kēia lāʻau lapaʻau e hoʻonui nui i kou pilikia o ke koko ʻana, ka hōʻeha puʻuwai, a me ka hahau ʻana . No laila, inā ʻoe e puhipaka, he mea nui loa e hoʻāʻo e haʻalele no kou palekana ponoʻī.
- ʻOki kino: Inā e hana ʻia ana ʻoe i ke ʻoki kino, e haʻi mua i ke kauka ʻoki kino e lawe ana ʻoe i kēia lāʻau lapaʻau.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. He koʻikoʻi kekahi, he mea maʻamau kekahi. ʻO ka mea nui ka makaʻala i kēia mau mea.
| Nā hopena ʻaoʻao koʻikoʻi e pono ai ke kōkua koke ʻana o ke kauka | |
|---|---|
| Nā maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo, paʻakikī ka hanu ʻana. |
| Nā Hōʻailona o ke Koko Paʻa | ʻEha wāwae, pehu a mehana paha, paʻakikī ka hanu ʻana, ʻeha umauma. |
| Nā hōʻailona o ka hahau ʻana | Ka maneʻo koke a nāwaliwali paha ma ka maka, ka lima, a i ʻole ka wāwae, ka paʻakikī i ka ʻōlelo ʻana, ka paʻakikī i ka hele ʻana, ka ʻeha poʻo nui. |
| Nā hōʻailona o ka hōʻeha puʻuwai | ʻEha a ʻūmiʻi paha ma ka umauma, poʻohiwi, lima, a ʻauwae paha, nausea, pōkole o ka hanu. |
| Nā loli o ka umauma | Nā puʻu hou, ʻulaʻula, ʻeha, a me ke kahe ʻana mai ka nipple. |
| Nā pilikia o ke akepaʻa | ʻEha ma ka ʻōpū ʻākau luna, nalowale ka makemake e ʻai, melemele o nā maka a i ʻole ka ʻili, mimi ʻeleʻele. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Ke kahe nui ʻana o ke koko ma ka ʻōpū, ka piʻi koke ʻana o ke koko, nā loli o ka ʻike, ka pehu ʻana o nā lālā. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine (akā pono e hōʻike i ke kauka inā hoʻomau lākou) | |
| ʻEha poʻo | ʻEha a ʻūlū paha ka umauma |
| ʻEha ʻōpū | Ka luaʻi |
Leka Lawe-Home
- He lāʻau lapaʻau hormone kēia i hoʻohana ʻia e mālama i nā hōʻailona o ka menopause. ʻAʻole kūpono ia no nā kānaka a pau, no laila e lawe wale ʻia ma lalo o ke aʻo ʻana a ke kauka.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i kou mau kūlana olakino a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- E makaʻala i nā pilikia o ke koko ʻana, nā hōʻeha puʻuwai, nā hahau ʻana, a me kekahi mau maʻi ʻaʻai. He kiʻekiʻe loa kēia pilikia inā ʻoe e puhipaka.
- 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 ʻeha poʻo nui, e ʻimi koke i ke kōkua lapaʻau.
- Mai poina i nā hoʻokolohua i hoʻonohonoho ʻia (nā hoʻokolohua umauma a me nā pelvic) e like me ke kauoha a ke kauka.
- Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me nā poʻe ʻē aʻe.
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