Ua ʻike anei ʻoe he nui nā wahine e hele ana i ka menopause i kekahi manawa o ko lākou ola? ʻO ia ka manawa e pau mau ai ka menstruation. I loko o kēia manawa, hiki iā lākou ke ʻike i nā ʻano ʻoluʻolu ʻole e like me nā ʻā wela, ka hou pinepine ʻana, ka maloʻo o ka ʻōpū, ka maneʻo, a me ka ʻeha i ka wā moe. No kekahi poʻe, hiki i kēia ke hoʻopilikia i kā lākou hana o kēlā me kēia lā. No laila, ʻo kahi lāʻau lapaʻau e hiki ke kōkua i ka hōʻemi ʻana i kēia mau ʻoluʻolu ʻole i kapa ʻia ʻo Estradiol Skin Patches . E kamaʻilio kākou e pili ana i kēia i kēia lā, ʻeā?
He aha kēia ʻāpana ʻili Estradiol?
I ka ʻōlelo maʻalahi, he ʻāpana liʻiliʻi kēia āu e hoʻopili ai ma kou ʻili. Ua like ia me ke kau ʻana i kahi plaster. Loaʻa i kēia ʻāpana kahi lāʻau i kapa ʻia ʻo estradiol . ʻO Estradiol kahi ʻano hormone i kapa ʻia ʻo estrogen . E like me kou ʻike, ʻo ka estrogen kahi hormone i hana maoli ʻia i loko o ke kino wahine a hāʻawi i nā hana koʻikoʻi he nui.
Ke hiki mai ka menopause, e emi mālie ana nā pae estrogen o ke kino. ʻO ia ke kumu e kū mai ai ka ʻoluʻolu ʻole i ʻōlelo ʻia ma luna. No laila, ʻo ka hana a kēia ʻāpana estradiol, ʻo ia ka hāʻawi ʻana i ka hormone estrogen i ke kino ma o ka ʻili, e hoʻoponopono ana i kēlā mau pae i emi iho i kekahi ʻano.
ʻO kēia pākuʻi nui:
- Hoʻemi i ka helu a me ka ikaika o nā ʻālohilohi wela i hoʻokumu ʻia e ka menopause.
- Kōkua ia i ka hōʻoluʻolu ʻana i nā hōʻailona e like me ka maloʻo o ka ʻōpū, ka maneʻo, a me ka ʻeha.
- Hoʻohana ʻia kekahi manawa e pale aku i ka osteoporosis, kahi maʻi pohō iwi e hiki ke hana ma hope o ka menopause.
Hiki i kēia ʻāpana ke loaʻa nā inoa inoa like ʻole, no ka laʻana ʻo `(Alora)`, `(Climara)`, `(Vivelle-Dot)`. Akā, aia ka estradiol iā lākou āpau ma ke ʻano he mea nui. Hiki nō hoʻi ke hoʻohana ʻia no nā kumu ʻē aʻe, e nīnau i kāu kauka a mea kūʻai lāʻau paha e pili ana i ia mea.
He aha nā mea e pono iaʻu e haʻi aku i ke kauka ma mua o ka hoʻohana ʻana i kēia lāʻau lapaʻau?
Ma mua o kou hoʻomaka ʻana e hoʻohana i kēia ʻāpana estradiol, he mea nui loa ia e hāʻawi i kāu hui mālama ola (ʻo ia hoʻi ke kauka, kahu maʻi) i kahi wehewehe piha o kou kūlana olakino. He mea nui loa ia e haʻi iā lākou inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
- Inā he kahe koko ʻē aʻe kou ma waho o kou wā maʻamau .
- Inā he mau ʻūpā koko kou i loko o kou mau kīʻaha koko i ka wā ma mua a i ʻole ua loaʻa iā ʻoe nā kūlana pili.
- Inā loaʻa iā ʻoe a kānalua paha i ka maʻi kanesa o ka umauma, ka cervix, ka endometrium, nā ovaries, ke akepaʻa, a i ʻole ka uterus .
- Inā he maʻi hoʻomanaʻo kou e like me ka dementia .
- Inā loaʻa iā ʻoe ka maʻi Diabetes Mellitus (ʻo ia hoʻi, ke kiʻekiʻe o ke kō koko).
- 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 i loko o kou koko.
- Inā he kiʻekiʻe kou calcium i loko o kou koko.
- Inā ua loaʻa iā ʻoe kahi hysterectomy (i kekahi manawa he mea nui kēia e hoʻoholo ai i ke ʻano o nā hormones e hāʻawi ʻia).
- Inā he maʻi puʻupaʻa kou .
- Inā he maʻi kou i ke akepaʻa .
- Inā he haʻahaʻa kou mau pae thyroid .
- Inā loaʻa iā ʻoe kahi maʻi autoimmune e like me lupus .
- Inā loaʻa pinepine iā ʻoe ka migraines .
- Inā loaʻa iā ʻoe kahi maʻi i kapa ʻia ʻo ka hemahema o ka Protein C/S, kahi e hoʻonui ai i ka pilikia o nā ʻaʻa koko.
- Inā he mea puhi paka ʻoe (he mea nui loa kēia!).
- Inā ua loaʻa iā ʻoe kahi hahau ma mua.
- Inā ua loaʻa iā ʻoe ma mua kahi hopena maʻamau ʻole a maʻi paha i ka estrogen a i ʻole nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala hana, a i ʻole nā mea mālama.
- Inā hāpai ʻoe a i ʻole ke manaʻolana nei e hāpai .
- Inā he makuahine hānai waiū ʻoe.
Ma ka haʻi ʻana aku i kēia mau mea i kāu kauka, hiki iā ia ke hoʻoholo pono inā kūpono kēia ʻāpana iā ʻoe a ʻaʻole paha, a i ʻole nā mea āu e pono ai e makaʻala nui.
Pehea e hoʻohana pono ai i kēia patch?
He mea maʻalahi loa kēia, akā he mea nui e hahai pono i nā kuhikuhi.
1. No ka ʻili wale nō kēia pāpili. Mai lawe ma ka waha a hoʻohana paha ma kekahi ʻano ʻē aʻe.
2. E hoʻohana i ka lāʻau lapaʻau e like me ke kuhikuhi ʻana ma ka lepili lāʻau i hāʻawi ʻia iā ʻoe e kāu kauka.
3. Ma mua o ke kau ʻana i ka pāpili, e hōʻoia i ka maʻemaʻe, maloʻo, a ʻaʻohe lauoho o ka ʻili āu e makemake ai e kau . ʻO ka maʻamau, ʻo ka ʻōpū, nā puʻupuʻu, a me nā ʻūhā ka wahi e kau ʻia ai. Mai kau i nā umauma.
4. E kau i ka ʻaoʻao pipili o ka pāpili i ka ʻili a paʻa pono me kou lima no kekahi mau kekona.
5. Mai ʻoki a hoʻokaʻawale paha i ka ʻāpana i mau ʻāpana .
6. Mai hoʻopili i nā ʻāpana he nui i ka manawa hoʻokahi .
7. Ma mua o ke kau ʻana i kahi ʻāpana hou, e wehe pono i ka ʻāpana kahiko .
8. Inā ʻoe e hoʻomau i ka hoʻopili ʻana i ka pāpili i ka wahi like o kou ʻili, hiki ke lilo i ʻulaʻula a me ka maneʻo. No laila, i kēlā me kēia manawa āu e hoʻopili ai i ka pāpili, e hoʻāʻo e hoʻopili iā ia i kahi wahi ʻokoʻa iki ma mua o ka mea āu i hoʻopili ai ma mua .
9. E hoʻomau i ka hoʻohana ʻana i kēia a hiki i ka wā e haʻi aku ai kāu hui lapaʻau iā ʻoe. Mai hoʻōki koke me ka ʻole o kā lākou ʻōlelo aʻoaʻo.
E loaʻa iā ʻoe kahi pepa kuhikuhi NO KA HOʻOHANA ʻANA me kēia lāʻau lapaʻau. E heluhelu pono. Inā he mea āu e maopopo ʻole ai, e nīnau i ka mea kūʻai lāʻau a kauka paha no ka wehewehe ʻana. E loaʻa iā ʻoe kēia pepa i kēlā me kēia manawa āu e loaʻa ai i kahi lāʻau lapaʻau hou a i ʻole ka hoʻopiha hou ʻana. E hoʻomanaʻo e heluhelu pono i kēlā me kēia manawa.
E kamaʻilio me kāu hui lapaʻau e pili ana i ka hoʻohana ʻana i kēia lāʻau lapaʻau i nā keiki , no ka mea, pono paha ka mālama kūikawā.
Mea nui: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like me kekahi.
He aha kāu e hana ai inā poina iā ʻoe ke kau i kahi ʻāpana?
E ʻoluʻolu, mai hopohopo i kēlā mau manawa. I ka manawa e hoʻomanaʻo ai ʻoe ua hala kāu pāpili, e hoʻopili koke iā ia. Eia nō naʻe, inā kokoke ka manawa no kāu pāpili aʻe, e hoʻopili i ka pāpili āu e manaʻo ai e hoʻopili i ka manawa i hoʻonohonoho ʻia ma kahi o ka mea āu i poina ai. Mai hoʻopili i ʻelua mau pāpili i ka manawa hoʻokahi a i ʻole e lawe i ka overdose.
He aha ka mea e hana ai inā lawe ʻoe i ka nui o kēia lāʻau lapaʻau (overdose)?
Inā manaʻo ʻoe ua hoʻohana nui ʻoe i kēia lāʻau lapaʻau, a inā ua hoʻohana hewa kekahi iā ia, e kāhea koke i ke kikowaena hoʻomalu lāʻau make kokoke loa a i ʻole ke keʻena pilikia.
He aha nā mea ʻē aʻe e hiki ke launa pū me kēia ʻāpana estradiol?
ʻAe, aia kekahi mau lāʻau lapaʻau e hiki ke hoʻopilikia i ka wā e lawe ʻia ai me kēia ʻāpana estradiol. No laila, he mea nui loa ia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (ʻaʻole wale nā mea i kuhikuhi ʻia e kāu kauka, akā ʻo nā lāʻau hoʻomaha hoʻi āu e kūʻai ai mai ka hale kūʻai lāʻau, nā huaora, nā lāʻau lapaʻau kuʻuna, a me nā huahana lāʻau).
Mai hoʻohana i ka ʻāpana estradiol, ʻoiai me nā lāʻau lapaʻau e hiki mai ana:
- He papa lāʻau lapaʻau nā mea hoʻopaʻa aromatase . ʻO nā laʻana e komo pū me `(aminoglutethimide)`, `(anastrozole)`, `(exemestane)`, `(letrozole)`, a me `(testolactone)`.
Eia kekahi, hiki i nā lāʻau lapaʻau e hiki mai ana ke launa pū me ka patch estradiol:
- ʻO Carbamazepine (kahi lāʻau lapaʻau i hoʻohana ʻia e mālama i nā kūlana e like me ka hopu ʻana )
- ʻO kekahi mau lāʻau antibiotic , no ka laʻana `(erythromycin)` a i ʻole `(clarithromycin)`
- ʻO kekahi mau lāʻau lapaʻau no nā maʻi viral e like me ka maʻi HIV a i ʻole ka hepatitis
- ʻO kekahi mau lāʻau lapaʻau no nā maʻi fungal, no ka laʻana `(ketoconazole)`, `(itraconazole)`, a i ʻole `(posaconazole)`
- Phenobarbital
- ʻO Raloxifene
- ʻO Rifampin
- ʻO St. John's Wort (he huahana lāʻau kēia)
- ʻO Tamoxifen
ʻAʻole paha e hoʻokomo kēia papa inoa i nā hopena āpau e hiki ke hana ʻia, no laila he mea nui e haʻi i kāu hui mālama ola e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, a inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau ʻē aʻe.
He aha kaʻu e pono ai e makaʻala i ka wā e hoʻohana ai i kēia patch?
He mea nui e mālama mau i kou olakino i ka wā e hoʻohana ai i kēia pāpili.
- E kiʻi i nā hoʻokolohua maʻamau: E kipa aku i kāu kauka i nā manawa maʻamau e nānā i kou olakino. He mea nui e hana i nā hoʻokolohua umauma maʻamau, nā hoʻokolohua pelvic, a me nā Pap smears i kēia manawa. Eia kekahi, e kamaʻilio me kāu kauka e pili ana i ka pono e kiʻi i nā mammograms i nā manawa maʻamau, a e hahai i kāna mau kuhikuhi.
- Paʻa wai: Hiki i kēia lāʻau lapaʻau ke hana i kou kino e paʻa i ka wai, e hoʻoulu ai i ka pehu ʻana i kou mau manamana lima, lima, a i ʻole nā kuʻekuʻe wāwae. Hiki ke piʻi aʻe kou koko . Inā manaʻo ʻoe e paʻa ana ʻoe i ka wai, e haʻi i kāu kauka.
- Inā manaʻo ʻoe ua hāpai ʻoe: Inā manaʻo ʻoe ua hāpai ʻoe no kekahi kumu, e hoʻōki koke i ka hoʻohana ʻana i kēia lāʻau lapaʻau a haʻi i kāu kauka .
- Puhipaka a me ka Pōpilikia: He mea nui loa kēia. Inā he mea puhipaka ʻoe, ʻoiai inā ʻoi aku ʻoe ma mua o 35, ʻoi aku ka nui o kou pilikia o ke koko a me ka hahau ʻana i ka wā e hoʻohana ai i kēia pāpili. No laila, ʻoi aku ka maikaʻi o ka haʻalele loa i ka puhipaka inā hiki iā ʻoe.
- No nā mea e hoʻohana ana i nā aniani hoʻopili: Inā ʻoe e hoʻohana ana i nā aniani hoʻopili a ʻike ʻoe i kahi loli i kou ʻike, a inā ʻike ʻoe i ka ʻoluʻolu ʻole i kou wā e hoʻohana ana i kāu mau aniani, e ʻike i kāu loea mālama maka.
- ʻO ka hyperplasia Endometrial: ʻO ka hoʻohana lōʻihi ʻana o ka estrogen hiki ke hoʻomānoanoa i ka uhi o ka ʻōpū (endometrial hyperplasia) . Inā ʻaʻole mālama ʻia, hiki i kēia kūlana ke alakaʻi i ka maʻi ʻaʻai ʻōpū. No ka hōʻemi ʻana i kēia pilikia, ua kuhikuhi ʻia nā wahine i loaʻa ʻole i ka hysterectomy i kahi ʻano hormone ʻē aʻe i kapa ʻia ʻo progestin me ka estrogen. Eia nō naʻe, ʻo ka lawe pū ʻana i ka estrogen a me ka progestin hiki ke hoʻopilikia i nā pilikia olakino ʻē aʻe. No laila, he mea nui e kūkākūkā i nā pono a me nā pōʻino o kēia lāʻau lapaʻau hormone me kāu kauka a hoʻoholo i ka mea maikaʻi loa iā ʻoe.
- ʻO ke ʻoki kino a i ʻole nā hoʻokolohua lapaʻau ʻē aʻe:Inā e hana ʻia ana kekahi ʻoki kino, kahi MRI, kahi CT scan, a i ʻole nā hoʻokolohua lapaʻau kūikawā ʻē aʻe i ka wā e hiki mai ana, e haʻi i kāu hui mālama ola e hoʻohana ana ʻoe i kēia ʻāpana estradiol. Pono paha ʻoe e wehe i ka ʻāpana ma mua o ka hoʻāʻo ʻana.
- Ke hemo ʻana o ka ʻāpana: Ke ʻauʻau ʻoe, ʻauʻau, a hoʻohana paha i ka sauna, hiki ke hemo ka ʻāpana ke hōʻike ʻia i ka wai. Inā hemo, e hoʻāʻo e hoʻopili hou. Inā ʻaʻole, e hoʻopili i kahi ʻāpana hou i kahi ʻokoʻa a hoʻomau me kāu papa hana maʻamau.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ʻāpana estradiol ke hana i nā hopena ʻaoʻao i kekahi poʻe. He koʻikoʻi kekahi a pono e hōʻike koke ʻia i ke kauka. ʻAʻole koʻikoʻi kekahi, akā inā hoʻomau lākou a hoʻopilikia paha, pono ʻoe e haʻi i kāu kauka.
Nā hopena ʻaoʻao e pono ai ke kōkua koke ʻana o ke kauka:
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e haʻi koke aku i kāu hui lapaʻau:
- Nā hopena maʻi: ʻŌhūhū ʻili, maneʻo, hives, pehu o ka maka, lehelehe, alelo, a i ʻole ka puʻu.
- ʻO ke koko paʻa: ʻEha wāwae, pehu, a mehana paha, pōkole o ka hanu, ʻeha umauma. (No ka laʻana, inā ʻoe e ʻaʻahu ana i ka pāpili a manaʻo koke i ka pehu, ʻeha, a paʻakikī paha ka hanu ʻana i kou wāwae, he hōʻailona paha ia o ke koko paʻa. Inā hana ʻia kēlā, pono ʻoe e ʻike koke i ke kauka.)
- Nā loli i nā ʻiʻo umauma: nā puʻupuʻu hou, ka ʻulaʻula o ka umauma, ka ʻeha, a i ʻole ke kahe ʻana o ka nipple.
- Nā pilikia o ka ʻōpū ʻāʻī: ʻEha nui ma ka ʻōpū o luna, nausea, luaʻi, kuni.
- Hoʻonui ʻia ke koko.
- ʻEha o ke akepaʻa: ʻEha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nalowale ka makemake i ka ʻai, nausea, ʻōpala māmā, mimi melemele ʻeleʻele a ʻeleʻele paha, melemele o ka ʻili a i ʻole nā maka, manaʻo luhi a nāwaliwali paha.
- 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 me nā loli i ka ʻike.
- Ka hoʻokahe ʻana o ka ʻōpū ma ke ʻano ʻē, ka maneʻo, a i ʻole ke ʻala ʻino.
- ʻO ke kahe koko ʻana ma hope o ka menopause, ʻeha pelvic.
Nā hopena ʻaoʻao ʻaʻole pono ka ʻōlelo aʻoaʻo lapaʻau (akā pono e hōʻike i ke kauka inā hoʻomau a hoʻopilikia paha):
- Pehu ʻana
- ʻEha a palupalu paha ka umauma
- Pohō lauoho
- Ka luaʻi
- ʻEha ʻōpū
- Ka luaʻi ʻana
ʻAʻole paha e komo pū kēia papa inoa me nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē aʻe ma waho aʻe o kēia mau mea, e kamaʻilio me kāu kauka e pili ana i ia mea.
Ma hea kahi e mālama ai i kēia ʻāpana lāʻau?
- 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 20 a me 25 kekelē Celsius / 68 a me 77 kekelē Fahrenheit).
- E mālama i kēia lāʻau lapaʻau i loko o kāna ʻeke mua a hiki i kou mākaukau e hoʻohana.
- Inā he mau ʻāpana i pau ka lāʻau, e wehe iā lākou.
He mea nui hoʻi e hoʻolei pono i nā ʻāpana i hoʻohana ʻia. ʻOiai kahi ʻāpana i hoʻohana ʻia, aia nō paha kekahi lāʻau lapaʻau i loko. No laila, e pelu i ka ʻāpana i hoʻohana ʻia i ka hapalua, e hoʻopili i nā ʻaoʻao ʻelua e pipili ana, a laila e hoʻolei i loko o ka ʻōpala i kahi e hiki ʻole ai i nā keiki a i ʻole nā holoholona ke komo.
He mea nui e hoʻolei pono i nā lāʻau lapaʻau āu e pono ʻole ai a i ʻole ua pau ka lā. ʻElua ala e hana ai i kēia:
- E hele i kahi papahana lawe-hoʻihoʻi lāʻau lapaʻau a hāʻawi mai. Hiki iā ʻoe ke ʻike e pili ana i ia mau wahi ma kāu hale kūʻai lāʻau lapaʻau a i ʻole nā mākaʻi.
- Inā ʻaʻole hiki kēia, e noi i kāu hale kūʻai lāʻau lapaʻau a i ʻole ka hui lapaʻau no ka ʻōlelo aʻoaʻo no ka hoʻolei palekana ʻana i kēia lāʻau.
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 ka mea mālama ola kino.
ʻO ka mea hope loa, kekahi mau mea e hoʻomanaʻo ai (Leka Lawe-Home)
ʻAe, i kēia manawa ua maopopo iā ʻoe ka ʻāpana ʻili estradiol a mākou i kamaʻilio ai i kēia lā. ʻO ka mea nui loa, he lāʻau lapaʻau hormone kēia. No laila, mai hoʻohana a hoʻōki paha i ka hoʻohana ʻana me ka ʻole o ka ʻōlelo aʻoaʻo a ke kauka.
- Inā ʻoe e ʻike nei i ka ʻeha o ka menopause, mai hilahila iā ia a mai ʻeha wale. E kamaʻilio me ke kauka e hoʻoholo i ka lāʻau lapaʻau maikaʻi loa nāu.
- I ka wā e hoʻohana ai i ka patch, e hahai pono i nā ʻōlelo kuhikuhi.
- E hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei a me nā maʻi ʻē aʻe āu e loaʻa nei.
- Inā ʻoe e puhipaka, he mea maikaʻi loa ka hoʻāʻo ʻana e haʻalele i kou olakino , ʻoiai ke hoʻohana nei i nā hormones e like me kēia.
- Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē a i ʻole nā hopena ʻaoʻao, e haʻi koke i kāu kauka.
ʻO kou olakino ka mea nui. No laila, inā he kānalua kāu e pili ana i kekahi mea, mai kānalua e nīnau.
ʻEstradiol , Estrogen, Menopause, Nā ʻĀlohilohi Wela, Osteoporosis, Hoʻōla Hoʻololi Hormone, Pāpili ʻIli
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