I kou wā ʻelemakule, ʻo ia hoʻi, i kou hoʻokokoke ʻana i ka menopause, ua luhi anei ʻoe i ka wela koke a me ka wela (nā ʻōlinolino wela), ka ʻoluʻolu ʻole mau e hiki mai ana i kou kino? Loaʻa iā ʻoe nā pilikia e like me ka ʻeha i ka wā moe, ka maloʻo o ka ʻōpū? Inā pēlā, he mea nui loa kēia ʻatikala iā ʻoe. I kēia lā e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau kūikawā i hoʻohana ʻia no ia mau pilikia. ʻO ia ka Estradiol Vaginal Ring.
He aha kēia apo Estradiol Vaginal?
I ka ʻōlelo maʻalahi, he apo liʻiliʻi a palupalu ia āu e hoʻokomo ai i loko o kou vagina. Hana ia ma ka hoʻokuʻu ʻana i kahi hormone i kapa ʻia ʻo estrogen i loko o kou kino ma ke ʻano lohi a kāohi ʻia.
I kēia manawa, ke noʻonoʻo nei paha ʻoe, "No ke aha wau e pono ai i ka estrogen?" He mea maʻalahi ia. ʻO ka menopause ka manawa e emi nui ai ka hana kūlohelohe o kou kino i ka hormone estrogen. ʻO kēia emi ʻana o kēia hormone ke kumu o nā ʻeha i ʻōlelo ʻia ma luna, e like me ka wela, ka maloʻo o ka vagina, ka maneʻo, a me ka ʻeha i ka wā moe. No laila, ʻo ka hana a kēia apo, ʻo ia ke hoʻihoʻi i ka estrogen i pau i ke kino a kāohi i kēlā mau ʻeha. He ʻano lāʻau lapaʻau hoʻololi hormone kēia.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻohana ʻana i kēia lāʻau lapaʻau
Ma mua o kou hoʻomaka ʻana i kēia lāʻau lapaʻau, he mea nui loa ia e kūkākūkā i kou mōʻaukala olakino piha me kāu kauka. Inā pili kekahi o nā kūlana ma ka papa ma lalo nei iā ʻoe, e hōʻoia e hoʻomaopopo i kāu kauka.
| Māhele | Nā kūlana e pili paha iā ʻoe |
|---|---|
| Ka moʻolelo o ke kanesa | Inā loaʻa iā ʻoe a i ʻole ua loaʻa iā ʻoe ka maʻi kanesa o ka umauma, ka ʻāʻī, ka uterine, ka ovarian, a i ʻole ke akepaʻa. |
| Puʻuwai a me nā kīʻaha koko | Nā maʻi o nā kīʻaha koko a i ʻole nā ʻūpā koko, ka hōʻeha puʻuwai, ka hahau ʻana, ke koko kiʻekiʻe, ka cholesterol kiʻekiʻe. |
| Nā kūlana olakino ʻē aʻe | ʻO ka maʻi kō, ka maʻi ʻōpū, ka maʻi akepaʻa a i ʻole ka maʻi puʻupaʻa, ka migraine, ka dementia, ke kiʻekiʻe o ka calcium koko, Systemic Lupus Erythematosus (SLE), ka nele o ka Protein C a i ʻole ka Protein S. |
| Nā mea nui ʻē aʻe | Ma hope o ka loaʻa ʻana o kahi hysterectomy, ke kahe koko ʻana o ka ʻōpū ma ke ʻano kūpono ʻole, ka puhi paka, ka hāpai ʻana a i ʻole ka hoʻāʻo ʻana e hāpai, ka hānai waiū, nā maʻi allergies i nā hormones ʻē aʻe, nā lāʻau lapaʻau, nā meaʻai, a i ʻole nā mea ʻē aʻe. |
Pehea e hoʻohana ai au i kēia apo?
Hiki iā ʻoe ke hoʻokomo i ke apo i loko o kou ʻōpū iā ʻoe iho, a i ʻole hiki iā ʻoe ke hoʻokomo i kāu kauka a kahu maʻi paha nou. E heluhelu pono i nā kuhikuhi e hele mai me ka lāʻau lapaʻau. Inā ʻaʻole ʻoe maopopo i ke ʻano o ka hoʻokomo ʻana, mai hilahila e nīnau i kāu kauka.
ʻO ka mea nui loa , pono e noho kēia apo i loko o ka vagina no 90 mau lā (3 mau mahina) . Ma hope o 90 mau lā, pono ʻoe e wehe i ke apo kahiko a hoʻokomo i kahi mea hou.
Mai ho'ōki i ka hoʻohana ʻana i kēia me ke aʻo ʻole ʻia e kāu kauka.
He aha inā e hoʻonui ʻia ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua hoʻohana hewa ʻoe i kēia, a inā paha ʻoe e kānalua ua lawe ʻoe i kahi overdose, e kāhea koke 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.
E hoʻomanaʻo, ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like me kekahi.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau
Hiki i nā lāʻau lapaʻau ʻē aʻe āu e lawe ai ke launa pū me kēia apo estrogen a hoʻoulu i nā pilikia. No laila, he mea nui loa e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai.
| Mai hoʻohana i kēia lāʻau lapaʻau me | |
|---|---|
| Nā lāʻau lapaʻau anticancer e pili ana i ka papa o nā mea hoʻopaʻa aromatase (e.g. anastrozole, letrozole). | |
| Hiki ke loaʻa nā pilikia me kēia mau mea pū kekahi - e hoʻomaopopo i ke kauka | |
| ʻO kekahi mau antibiotics a me nā antifungals | Nā lāʻau lapaʻau e like me Carbamazepine, Rifampin |
| Wai ʻāpala | Nā huahana lāʻau lapaʻau e like me ka St. John's Wort |
| ʻO kekahi mau lāʻau lapaʻau no ka hiamoe a i ʻole ka maʻi epilepsy | Nā lāʻau lapaʻau e like me ka raloxifene a i ʻole tamoxifen |
ʻAʻole piha kēia papa inoa, no laila e haʻi i kāu kauka e pili ana i kēlā me kēia lāʻau lapaʻau, wikamina, a me nā lāʻau lapaʻau kuʻuna āu e lawe ai.
Nā mea e makaʻala ai i ka wā e hoʻohana ai i ka Ring
- Nā nānā lapaʻau maʻamau: I loko o kēia lāʻau lapaʻau, e hana i nā hoʻokolohua umauma maʻamau, nā hoʻokolohua pelvic, a me nā Pap smears e like me ke kuhikuhi a kāu kauka. Eia kekahi, e kūkākūkā inā pono ʻoe i nā mammograms.
- Mai puhi paka: Inā puhi paka kekahi kanaka ma luna o 35 mau makahiki i ka wā e lawe ana i kēia lāʻau lapaʻau, ʻoi aku ka nui o ka pilikia o ke koko a me ka hahau ʻana. No laila, ke aʻo aku nei mākou iā ʻoe e pale loa i ka puhi paka.
- ʻO ke ʻoki kino: Inā ua hoʻonohonoho ʻia ʻoe e hana i ke ʻoki kino, e nīnau i kāu kauka inā pono ʻoe e hoʻōki i ka hoʻohana ʻana i kēia apo ma mua o ia.
- Nā hana o kēlā me kēia lā: Hiki iā ʻoe ke hana i kekahi mea i ke komo ʻana i kēia apo, e like me ka ʻauʻau ʻana, ka ʻauʻau ʻana, a me ka hoʻoikaika kino. ʻAʻole pono ʻoe e wehe i ke apo i ka wā moe. Eia nō naʻe, inā ʻoluʻolu ʻole ʻoe, hiki iā ʻoe ke lawe i ke apo i waho i kēlā manawa wale nō, holoi iā ia me ka wai maʻemaʻe mehana, ʻaʻole me ka wai wela, a laila e hoʻihoʻi i loko.
Nā hopena ʻaoʻao hiki
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 koʻikoʻi e pono e hōʻike koke ʻia i kāu kauka | |
|---|---|
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| ʻAʻa koko | ʻEha wāwae, pehu a mehana paha, paʻakikī ka hanu ʻana, ʻeha umauma. |
| Hahau | Ka maneʻo koke 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 ʻeha poʻo nui. |
| Nā loli i loko o nā umauma | Nā puʻu hou, ʻulaʻula, ʻeha, a i ʻole ke kahe ʻana mai ka nipple. |
| Nā pilikia o ke akepaʻa | ʻEha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nalowale ka makemake e ʻai, melemele o ka ʻili a i ʻole nā maka, mimi melemele/ʻeleʻele. |
| ʻĒ aʻe | Ke koko kiʻekiʻe, ke kahe ʻana o ke koko ma hope o ka menopause, ka hoʻokahe ʻokoʻa, ka maneʻo, a i ʻole ke ʻala. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Pehu ʻana | ʻEha a ʻūlū paha ka umauma |
| Pohō lauoho | Ka luaʻi, ka luaʻi ʻana, ka ʻeha o ka ʻōpū |
Leka Lawe-Home
- ʻO ke Apo Vaginal Estradiol kahi lāʻau lapaʻau e loaʻa ana ka hormone estrogen no nā hōʻailona menopausal (nā ʻālohilohi wela, ka maloʻo o ka vagina).
- Pono e hoʻohana ʻia kēia apo no 90 mau lā a laila e pani ʻia me kahi mea hou.
- 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 āu e lawe nei.
- ʻO ka puhipaka ʻana i ka wā e lawe ana i kēia lāʻau lapaʻau, ʻoiai inā ʻoe ma luna o 35, hoʻonui nui ia i ka pilikia o nā ʻūpā koko a me ka hahau ʻana.
- Inā loaʻa iā ʻoe kekahi mau hōʻailona koʻikoʻi e like me ka ʻeha/pehu ʻana o ka wāwae, ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana, a i ʻole ka ʻeha poʻo koke, e ʻimi koke i ke kōkua lapaʻau.
- He lāʻau lapaʻau kēia i kuhikuhi ʻia nou wale nō. Mai kaʻana like me nā poʻe ʻē aʻe.
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