ʻO ka menopause, ka manawa e pau ai ka menstruation, he loli nui ia i ke ola o ka wahine. I loko o kēia manawa, hiki i nā loli hormonal i ke kino ke hoʻoulu i kekahi mau wahine e ʻike i nā ʻano ʻeha like ʻole o ka vagina. E like me ka maloʻo o ka vagina, ka maneʻo, a me ka ʻeha i ka wā o ka moekolohe. No laila i kēia lā ke kamaʻilio nei mākou e pili ana i kahi lāʻau lapaʻau topical e hiki ke kōkua i ka lanakila ʻana i kēia mau ʻeha.
He aha kēia apo Estradiol Vaginal?
I ka ʻōlelo maʻalahi, he apo liʻiliʻi a palupalu kēia i hoʻokomo ʻia i loko o kou vagina. Hoʻokuʻu mālie kēia i kahi hormone i kapa ʻia ʻo Estradiol. ʻO Estradiol kahi ʻano hormone i kapa ʻia ʻo Estrogen. Ma hope o ka menopause, emi iho nā pae Estrogen o ke kino, ʻo ia ke kumu e loaʻa ai nā mea e like me ka maloʻo o ka vagina, ka ʻeha, a me ka ʻoluʻolu ʻole. No laila, ʻo ka hormone i hoʻokuʻu ʻia e kēia apo e pili wale i kēlā wahi a kōkua i ka hōʻemi ʻana i kēlā mau hōʻailona. Ma Sri Lanka, hiki iā ʻoe ke loaʻa ma lalo o nā lama e like me Estring.
He aha kaʻu e haʻi aku ai i ke kauka ma mua o ka hoʻohana ʻana i kēia lāʻau lapaʻau?
He mea nui loa kēia. ʻAʻole kūpono kēia lāʻau lapaʻau no nā kānaka a pau. No laila, i ke kamaʻilio ʻana me kāu kauka, pono ʻoe e hāʻawi i kahi wehewehe piha o kou kūlana olakino me ka hūnā ʻole i kekahi mea . ʻOi loa aku inā loaʻa iā ʻoe kekahi o nā kūlana ma lalo nei, e hōʻoia e haʻi iā lākou e pili ana i ia mea.
- Ka pilikia o ke kanesa: Inā loaʻa iā ʻoe a kānalua paha he maʻi kanesa o ka umauma, ka ʻāʻī, ka endometrial, ka ovarian, ke akepaʻa, a i ʻole ka uterine.
- Nā pilikia koko: Inā ua loaʻa iā ʻoe kahi maʻi e like me ka maʻi kīʻaha koko, nā ʻūpā koko, a i ʻole ka hahau ʻana i ka wā ma mua.
- Maʻi puʻuwai: Inā loaʻa iā ʻoe ka maʻi puʻuwai, kahi hōʻeha puʻuwai hou, ke koko kiʻekiʻe, a i ʻole nā kiʻekiʻe cholesterol kiʻekiʻe.
- Nā kūlana olakino ʻē aʻe: Inā loaʻa iā ʻoe nā maʻi e like me ka maʻi diabetes, ka maʻi gallbladder, ka maʻi ate a i ʻole ka maʻi puʻupaʻa, ka migraine headaches, ka dementia, a i ʻole Systemic Lupus Erythematosus (SLE).
- Nā ʻano maʻamau a me nā ʻike ʻē aʻe: Inā he mea puhi paka ʻoe, hāpai a hoʻāʻo paha e hāpai, a hānai waiū paha.
- Nā Allergies: Inā he allergy kou i ka estrogen a i ʻole nā hormones ʻē aʻe, nā lāʻau lapaʻau, nā meaʻai, a i ʻole nā mea mālama.
- Hysterectomy: Inā paha ua wehe ʻia kou ʻōpū ma ke ʻoki ʻana (hysterectomy).
- Ke kahe koko ʻano ʻē: Inā he kahe koko ʻano ʻē no ke kumu ʻike ʻole ʻia.
Pehea e hoʻohana ai au i kēia apo?
Ua ʻōlelo maopopo ʻia nā kuhikuhi no ka hoʻohana ʻana i kēia ma ka pūʻolo āu e loaʻa ai. Hiki iā ʻoe ke hoʻokomo iā ia i loko o kou vagina iā ʻoe iho. E noʻonoʻo e like me ka hoʻohana ʻana i ka tampon. Inā he kānalua kāu e pili ana i ia mea, hiki iā ʻoe ke nīnau i kāu kauka a kahu maʻi paha no ke kaʻina hana pololei.
ʻO ka mea nui loa, ʻo ia ka waiho ʻana i kēia apo i loko o ka ʻōpū no 90 mau lā . Ma hope o 90 mau lā, pono e wehe ʻia ka mea kahiko a hoʻokomo ʻia kahi mea hou.
Mai ho'ōki i ka hoʻohana ʻana i kēia me ke aʻo ʻole ʻia e kāu kauka.
Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e kelepona koke 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. Eia kekahi, no ʻoe wale nō kēia lāʻau lapaʻau. Mai kaʻana like me kekahi.
Hiki paha nā pilikia me nā lāʻau lapaʻau ʻē aʻe?
ʻAe, hiki i kekahi mau lāʻau lapaʻau ke launa pū me kēia Apo 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, me nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui.
| Māhele lāʻau lapaʻau | Nā Laʻana |
|---|---|
| E hōʻole i ka hoʻohana ʻana i kēia apo me kēia mau lāʻau lapaʻau āpau: | |
| Nā mea hoʻopaʻa aromatase | Nā lāʻau lapaʻau e like me anastrozole, letrozole, exemestane |
| E haʻi i kāu kauka inā ʻoe e lawe ana i kēia mau lāʻau lapaʻau: | |
| Nā lāʻau lapaʻau ʻē aʻe | ʻO Carbamazepine, kekahi mau antibiotics, antifungals (e.g. ketoconazole), Ritonavir, Raloxifene, Tamoxifen, nā lāʻau lapaʻau e like me St. John's Wort, Grapefruit water |
Nā mea e makaʻala ai i ka wā e hoʻohana ai i kēia lāʻau lapaʻau
Nā hoʻokolohua lapaʻau maʻamau
ʻOiai e hoʻohana ana i kēia, pono ʻoe e ʻike pinepine i kāu kauka e nānā i kou kūlana. E kamaʻilio me kāu kauka e pili ana i ka pono o ka hoʻokolokolo umauma, Pap smear, a me ka mammogram, a e hahai i kāna mau kuhikuhi.
Ka puhipaka a me ka pilikia
Inā he mea puhi paka ʻoe, ʻoiai inā ʻoi aku ʻoe ma mua o 35, ʻoi aku ka nui o kou pilikia o ka loaʻa ʻana o kahi ʻōpū koko a i ʻole ka hahau ʻana i ka wā e hoʻohana ai i kēia lāʻau. No laila, he mea nui e pale loa i ka puhi paka.
Nā kiko ʻē aʻe
- Pehu: Hiki i kēia lāʻau lapaʻau ke hoʻopaʻa i ka wai i loko o ke kino, e pehu ai i nā lima, nā wāwae, a me nā kuʻekuʻe wāwae. Hiki nō hoʻi ke hoʻonui i ke koko. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e haʻi i kāu kauka.
- Hāpai keiki: Inā manaʻo ʻoe ua hāpai ʻoe, e hoʻōki koke i ka hoʻohana ʻana i kēia huahana a nīnau aku i kāu kauka.
- Ka pilikia i ka ʻōpū: No nā wahine i loaʻa ʻole i ka hysterectomy, aia kahi pilikia liʻiliʻi o ka endometrial hyperplasia (mānoanoa o ka uhi o ka ʻōpū) i ka wā e hoʻohana wale ai i ka estrogen. No ka hōʻemi ʻana i kēia pilikia, hiki i kāu kauka ke hāʻawi iā ʻoe i kahi ʻano hormone ʻē aʻe i kapa ʻia ʻo progestin. He mea nui e kūkākūkā i kēia me kāu kauka a hoʻomaopopo i nā pono a me nā pilikia nou.
- Nā hana o kēlā me kēia lā: Hiki iā ʻoe ke ʻauʻau a hana i nā hana ʻē aʻe e like me ka maʻamau. ʻAʻole pono ʻoe e wehe i ke apo i ka wā o ka moekolohe. Eia nō naʻe, inā ʻoluʻolu ʻole ʻoe, hiki iā ʻoe ke wehe iā ia i kēlā manawa wale nō, holoi iā ia i ka wai mehana (ʻaʻole wela), a hoʻokomo hou.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i kekahi mau hopena ʻaoʻao. He koʻikoʻi kekahi o lākou, he mea maʻamau kekahi.
| Ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā mea e haʻi koke aku i kāu kauka | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo. |
| ʻAʻa koko | ʻEha wāwae, pehu, mehana, 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 paʻakikī i ka hele ʻana, ka ʻeha poʻo nui. |
| Nā loli i loko o nā umauma | Nā puʻu hou, ʻulaʻula, ʻeha, a me ke kahe ʻana mai ka nipple. |
| Ka pōʻino o ke akepaʻa | ʻEha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nalowale ka makemake e ʻai, nausea, nā ʻōpala māmā, ka mimi melemele ʻeleʻele a ʻeleʻele paha, a me ka melemele o nā maka a i ʻole ka ʻili. |
| Nā pilikia vaginal | Ka hoʻokuʻu ʻana ma ke ʻano kūpono ʻole, ka maneʻo a i ʻole ke ʻala ʻala, ke kahe koko ma hope o ka menopause, ka ʻeha o ka ʻōpū lalo. |
| Nā mea i maʻa mau ʻole i ka nui, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Nā hopena ʻaoʻao liʻiliʻi | Pehu, ʻeha ka umauma, nausea, luaʻi, a me ka ʻoluʻolu iki ma kahi i hoʻokomo ʻia ai ke apo. |
Leka Lawe-Home
- ʻO ke apo Estradiol Vaginal kahi lāʻau lapaʻau hormonal topical no ka ʻeha ʻana o ka ʻōpū ma hope o ka menopause.
- Ma mua o ka hoʻohana ʻana i kēia, e haʻi i kāu kauka i kou mōʻaukala olakino piha (ʻoiai ke kanesa, nā ʻōpū koko, nā maʻi puʻuwai).
- Pono e hoʻohana ʻia hoʻokahi apo no 90 mau lā. Mai hoʻōki me ka ʻole o ke aʻo ʻana a kāu kauka.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me ke koko ʻana, ka maʻi lolo, a i ʻole nā puʻupuʻu hou i loko o nā umauma, e ʻimi koke i ke kōkua lapaʻau.
- He kiʻekiʻe loa ka pilikia inā ʻoe e puhipaka. He mea nui loa ka pale ʻana i ka puhipaka no kou palekana.
- Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me nā poʻe ʻē aʻe.
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