Ke hele nei ʻoe i ka menopause? A i ʻole ua haʻi aku kāu kauka iā ʻoe ua haʻahaʻa kou pae hormone? Inā pēlā, ua kuhikuhi ʻia paha ʻoe i kahi lāʻau i kapa ʻia ʻo Estropipate. No laila i kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o Estropipate, kāna hana i ko mākou kino, a me nā mea e pono ai mākou e makaʻala loa i ka wā e hoʻohana ai i kēia lāʻau.
He aha ke ʻano lāʻau lapaʻau ʻo Estropipate?
I ka ʻōlelo maʻalahi, ʻo Estropipate kahi pila i loaʻa ka hormone wahine estrogen. Hoʻohana nui ʻia ia ma ke ʻano he lāʻau hoʻololi hormone (HRT) no nā wahine i hala i ka menopause.
E like me kou ʻike, lawe mai ka menopause i nā ʻehaʻeha e like me nā ʻā wela, ka hou pinepine, a me ka hiamoe ʻole. Eia kekahi, ma muli o ka emi ʻana o ka hormone estrogen, e lahilahi a haki maʻalahi nā iwi, ʻo ia hoʻi he pilikia o ka osteoporosis. No laila, hāʻawi kēia mau papa Estropipate i ke kino me ka hormone estrogen e pono ai, e kōkua ana i ka kaohi ʻana i kēia mau ʻehaʻeha a pale i nā iwi.
Eia kekahi, ua kuhikuhi nā kauka i kēia lāʻau lapaʻau i kekahi mau wahine i loaʻa nā pae hormone haʻahaʻa, i hana maoli ʻia e kā lākou ovaries.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
He mea nui loa kēia. Ma mua o ka hoʻomaka ʻana i nā papa Estropipate, he mea nui e hāʻawi i kāu kauka i kahi wehewehe piha o kou mōʻaukala olakino. ʻOi loa aku, e hōʻoia e haʻi iā lākou inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
- He moʻolelo o nā maʻi kīʻaha koko a i ʻole nā ʻūpū koko
- Ka maʻi ʻaʻai umauma, ʻāʻī, endometrial, a i ʻole ka ʻōpū
- Maʻi diabetes
- ʻO ka Endometriosis
- Nā fibroids o ka ʻōpū
- Maʻi ʻōpū
- Maʻi puʻuwai a i ʻole ka hōʻeha puʻuwai hou
- Kolesterol koko kiʻekiʻe
- Ke koko kiʻekiʻe
- Kiʻekiʻe o ka calcium i loko o ke koko
- Inā ua wehe ʻia ka ʻōpū ma ke ʻoki ʻana (hysterectomy)
- Maʻi puʻupaʻa
- Maʻi akepaʻa
- Kaumaha noʻonoʻo
- ʻEha poʻo migraine
- ʻO ka maʻi i kapa ʻia ʻo porphyria
- Inā ua loaʻa iā ʻoe kahi hahau
- ʻO ka Lupus Erythematosus Pūnaehana (SLE)
- Inā he mea puhi paka ʻoe
- Ke kahe koko ʻana o ka ʻōpū ma ke ʻano ʻē o ke kumu i ʻike ʻole ʻia
- ʻO ka hopena maʻi i ka estrogen a i ʻole nā hormones ʻē aʻe, nā lāʻau lapaʻau, nā meaʻai, a i ʻole nā waiʻona
- Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai
- Inā he makuahine hānai ʻoe
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
He pila kēia e lawe ʻia ma ka waha. E lawe i kēia pila me ke aniani wai. E lawe wale i ka nui i kuhikuhi ʻia e like me ke kauoha a kāu kauka. He mea nui loa ia e lawe i ka pila i ka manawa like i kēlā me kēia lā. E kōkua kēia i ka mālama ʻana i nā pae hormone like i loko o kou kino.
Inā manaʻo koke ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, 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.
Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me nā poʻe ʻē aʻe no kekahi kumu.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Inā ʻoe e poina i kahi lāʻau lapaʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau lapaʻau aʻe, e kāpae i ka lāʻau lapaʻau i poina a lawe i kāu lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i kahi lāʻau lapaʻau pālua e hoʻopiha no kahi lāʻau lapaʻau i poina.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau (Nā Hana like ʻana)
Hiki i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei ke hoʻopilikia i ke ʻano o ka hana a Estropipate. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora, nā huahana lāʻau lapaʻau, a me nā lāʻau hoʻomaha ʻeha).
| Nā mea pilikia paha | Nā Laʻana |
|---|---|
| Nā lāʻau lapaʻau ʻaʻole pono e lawe pū ʻia me Estropipate | |
| Nā mea hoʻopaʻa aromatase | aminoglutethimide, anastrozole, exemestane, letrozole, testolactone |
| Nā mea ʻē aʻe e hiki ai ke hana i ka launa pū ʻana me Estropipate | |
| ʻO kekahi mau lāʻau antiepileptic | ʻO nā Barbiturates e like me Carbamazepine a me Phenobarbital |
| Kekahi mau lāʻau antibiotic | ʻO Clarithromycin, ʻErythromycin |
| Nā lāʻau antifungal | ʻO Ketoconazole, ʻItraconazole |
| Nā lāʻau lapaʻau no ka maʻi puʻupuʻu | ʻO Rifabutin, Rifampin, Rifapentine |
| ʻĒ aʻe | Wai huapalaoa, Ritonavir, St. John's Wort (mea kanu lāʻau) |
Nā mea āu e makaʻala ai i ka wā e lawe ana i ka lāʻau lapaʻau
- Nā nānā lapaʻau maʻamau: ʻOiai e lawe ana i kēia lāʻau lapaʻau, he mea nui loa ia e ʻike pinepine i kāu kauka e nānā i kou olakino. He mea nui e hana i nā hoʻokolohua umauma maʻamau a me nā Pap smears. Eia kekahi, e kamaʻilio me kāu kauka e pili ana i ka pono o nā mammograms a e hahai i kāna mau kuhikuhi.
- E pale i ka puhipaka: He mea nui loa kēia! Inā ʻoe e puhipaka i ka wā e lawe ana i kēia lāʻau lapaʻau, ʻoiai inā ʻoe ma luna o 35 mau makahiki, kiʻekiʻe loa kou pilikia o ka loaʻa ʻana o kahi ʻōpū koko a i ʻole ka hahau ʻana. No laila, ua ʻōlelo ikaika ʻia e pale loa i ka puhipaka.
- Pehu: Hiki i kēia lāʻau lapaʻau ke hoʻoulu i ka pehu ʻana i nā lima, nā wāwae, a i ʻole nā manamana lima ma muli o ka paʻa ʻana o ka wai. Hiki ke piʻi aʻe ke koko. Inā ʻike ʻoe i kēia, e haʻi i kāu kauka.
- Ka pilikia o ke kanesa ʻōpū: Loaʻa i kēia lāʻau lapaʻau kahi pilikia o ka hyperplasia endometrial, ʻo ia hoʻi ka ulu ʻana o nā cell i loko o ka uhi o ka ʻōpū. Hiki i kēia ke lilo i kanesa ʻōpū ma hope. No ka hōʻemi ʻana i kēia pilikia, hiki i kāu kauka ke kuhikuhi i kahi hormone ʻē aʻe i kapa ʻia ʻo progestin me Estropipate inā ʻaʻole i wehe ʻia kou ʻōpū ma ke ʻoki ʻana. E kamaʻilio me kāu kauka e pili ana i kēia a e hoʻomaopopo i nā pono a me nā pilikia nou.
- Hāpai keiki: Inā manaʻo ʻoe ua hāpai ʻoe, e hoʻōki koke i ka lawe ʻana i kēia lāʻau lapaʻau a nīnau aku i kāu kauka.
- ʻO ke ʻoki kino:Inā e hana ʻia kekahi ʻoki kino, e haʻi mua i kāu kauka. Pono paha ʻoe e hoʻōki i ka lawe ʻana i kēia lāʻau lapaʻau no kekahi manawa ma mua o ke ʻoki kino.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki iā Estropipate ke hana i nā hopena ʻaoʻao. Aia ma lalo kekahi o nā hopena ʻaoʻao hiki ke loaʻa.
| Ka hopena ʻaoʻao | He aha e hana ai |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono ʻoe e hōʻike koke i kāu kauka | |
| Nā hopena maʻi (pehu o ka maka, lehelehe, alelo, ʻulaʻula ʻili, maneʻo) | E ʻimi koke i ke kōkua lapaʻau. |
| Nā loli o ka umauma, nā puʻupuʻu, a i ʻole ke kahe wai | |
| Nā loli o ka ʻike, ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana | |
| Ka huikau, ka paʻakikī i ka ʻōlelo ʻana a i ʻole ka hoʻomaopopo ʻana | |
| ʻEha nui ka ʻeha, paʻakikī ke hele wāwae, poniuniu, nalowale ke kaulike o ke kino | |
| Ka mae koke ʻana a nāwaliwali paha ma ka maka, ka lima, a i ʻole ka wāwae | |
| ʻEha, pehu, a me ka mehana i ka wāwae | |
| ʻEha ma ka ʻōpū ʻākau o luna, nausea, luaʻi | |
| Ke kahe koko ʻana o ka ʻōpū ma ke ʻano ʻē | |
| Ka melemele ʻana o nā maka a i ʻole ka ʻili, ka mimi ʻeleʻele, a i ʻole nā ʻōpala tarry | |
| E haʻi i kāu kauka inā hoʻomau a hoʻopilikia paha. | |
| Pohō lauoho | E kamaʻilio me kāu kauka. |
| Manaʻo luhi a nāwaliwali paha | |
| Nā hōʻailona o nā maʻi vaginal (ʻūhū, mumū, hoʻokuʻu kūpono ʻole) | |
ʻAʻole paha e komo pū kēia papa inoa me nā hopena ʻaoʻao āpau. Inā loaʻa iā ʻoe kekahi ʻano ʻeha ʻē aʻe, e nīnau i kāu kauka.
Leka Lawe-Home
- ʻO ka Estropipate kahi lāʻau lapaʻau i loaʻa ka hormone estrogen i hoʻohana ʻia e kāohi i nā hōʻailona e pili ana i ka menopause a mālama i nā hemahema hormonal.
- Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, e hoʻomaopopo piha i kāu kauka e pili ana i kou mau maʻi āpau a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- ʻO ka puhipaka ʻana i ka wā e lawe ana i kēia lāʻau lapaʻau e hoʻonui nui i ka pilikia o ke koko a me ka hahau ʻana. No laila, e pale loa i ka puhipaka.
- E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana, ke kahe koko ʻana o ka ʻōpū, a i ʻole nā puʻupuʻu umauma.
- Mai ho'ōki i ka lawe ʻana i kēia lāʻau lapaʻau, hoʻololi i ka nui, a hāʻawi paha i nā poʻe ʻē aʻe me ka ʻole o ke aʻo ʻana a kāu kauka.
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