ʻO nā pilikia i hoʻokumu ʻia e ka menopause? E aʻo kākou e pili ana i ka lāʻau lapaʻau hormone ma nā ʻōlelo maʻalahi.

I kou hiki ʻana i ka makahiki 45 a i ʻole 50, hoʻomaka koke ʻoe e hou, ʻaʻole hiki iā ʻoe ke hiamoe maikaʻi i ka pō, huhū ʻoe i nā mea liʻiliʻi, manaʻo ʻino ʻoe ... Ua kamaʻāina anei kēia mau mea iā ʻoe? ʻO kēia nā hōʻailona maʻamau i ʻike ʻia e nā wahine he nui i ka wā menopause. Ua ʻike mākou he paʻakikī loa kēia manawa. ʻOiai he nui ka poʻe e ʻeha nei i kēia mau mea me ka leo ʻole, aia nō nā hopena maikaʻi no kēia. ʻO kekahi o nā mea nui a holomua o kēlā mau hopena, ʻo ia ka lāʻau lapaʻau hormone. E kamaʻilio kākou e pili ana i kēia me ka maʻalahi, me he mea lā e kamaʻilio ana kākou me kahi hoaaloha pili.

He aha ka lāʻau hoʻololi hormone (HRT)?

I ka ʻōlelo maʻalahi, he maʻalahi loa ia. ʻO ka Hormone Replacement Therapy (HRT) ke kaʻina hana o ka hoʻololi ʻana i nā hormones (ʻoi aku ka estrogen) i hoʻōki ʻia e kou kino i ka hana ʻana me ka menopause.

E noʻonoʻo penei: ua like kou kino me kahi hale hana me nā ʻano mīkini like ʻole. Ua like ka Estrogen me ke ʻenekinia nui e hana ana i loko. Ke hoʻomaha ʻo ia (ʻo ia hoʻi, ke hele ʻoe i ka menopause), hele iki ka hale hana. I kēlā manawa, lawe mai mākou i kahi ʻenekinia ʻē aʻe mai waho a hoʻihoʻi i nā mea i ke ala kūpono. ʻO ka lāʻau lapaʻau hormone kekahi mea like me ia.

ʻO ka emi ʻana o nā pae hormone ke kumu o kēia mau pilikia:

• ʻĀlaʻala wela: Ka wela koke a me ka hou ʻana ma ka maka, ka ʻāʻī, a me ka umauma.
• Hou ka pō: Ke ala ʻana i ka pō me kou kino i pulu i ka hou.
• Ka maloʻo o ka ʻōpū a me ka moekolohe ʻeha: He mea kēia e hilahila ai ka poʻe he nui e kamaʻilio e pili ana, akā he mea maʻamau ia.
• Nā loli o ke ʻano: huhū me ke kumu ʻole, kaumaha, hopohopo.
• ʻInsomnia: Ka hiki ʻole ke hiamoe i ka pō.
• Ka mimi pinepine: Hiki ke kahe mai kahi liʻiliʻi o ka mimi i nā manawa e like me ke kuʻi ʻana a me ka ʻakaʻaka ʻana.

Hana ka lāʻau lapaʻau hormone ma ka hoʻihoʻi ʻana i nā hormones i nalowale i kou kino a me ka hoʻihoʻi ʻana i kāu mau pae hormone i kekahi ʻano. E kōkua kēia i ka hōʻoluʻolu ʻana i nā hōʻailona he nui i ʻōlelo ʻia ma luna. Hiki iā ia ke kōkua i ka pale ʻana i ka osteoporosis, kahi maʻi lahilahi iwi e kū mai ana i ka wā e hāʻule ai nā pae estrogen.

He ʻelua mau mea ʻokoʻa anei ʻo HRT a me HT?

Ke hele ʻoe e ʻike i ke kauka, lohe paha ʻoe i kēia mau huaʻōlelo ʻelua. ʻO ka Hormone Replacement Therapy (HRT) a me ka Hormone Therapy (HT). ʻAʻohe ʻokoʻa nui ma waena o nā mea ʻelua. Ma keʻano laulā,

• Hoʻōla Hormone (HT): Hiki ke hoʻohana ʻia ka huaʻōlelo no kekahi lāʻau lapaʻau hormone. Hoʻohana ʻia kēia inoa no nā mea e like me ka hoʻōla hormone no ke kanesa, nā lāʻau lapaʻau no nā hemahema hormone ʻē aʻe, a pēlā aku. Hoʻohana ʻia kēia inoa no nā lāʻau lapaʻau no ka menopause.
• Ka Lapaʻau Hoʻololi Hormone (HRT):Hoʻohana kūikawā ʻia kēia inoa no ke ʻano he "pani" ia i nā hormones i pau ke kino i ka hana maoli ʻana. Hoʻohana kūikawā ʻia kēia inoa no nā lāʻau lapaʻau i hāʻawi ʻia i kekahi e hele ana i ka menopause, ʻoiai ma mua o 40 mau makahiki.

Eia naʻe, ʻo ka mea nui loa iā ʻoe, ʻo ia ka hoʻomaopopo ʻana e pili ana kēia mau mea ʻelua i ka mālama ʻana i nā hōʻailona menopause.

ʻElua mau ʻano nui o ka lāʻau lapaʻau hormone:

E koho kāu kauka i ka lāʻau lapaʻau e kūpono loa iā ʻoe ma muli o kāu mau hōʻailona, ​​​​ka mōʻaukala olakino, a me kāu mau makemake. ʻElua ʻano nui.

1. Ka lāʻau lapaʻau Estrogen

ʻO kēia kahi e hāʻawi ʻia ai ʻoe i ka hormone estrogen wale nō . Manaʻo pinepine ʻia kēia lāʻau lapaʻau no nā wahine i wehe ʻia ko lākou ʻōpū (hysterectomy) no ka mea ʻoi aku ka haʻahaʻa o nā pilikia lōʻihi o ka lawe ʻana i ka estrogen wale nō no kekahi me ka ʻole o ka ʻōpū.

Hiki ke lawe ʻia kēia lāʻau estrogen ma nā ʻano like ʻole:

• Nā pila i ale ʻia
• He ʻāpana
• He gel hōʻoluʻolu i ka ʻili
• He apo i hoʻokomo ʻia i loko o ka vagina
• ʻO kahi kirīmi i hoʻopili ʻia i ka vagina
• Nā papa ʻōpū
• He pīpī i hoʻopili ʻia ma ka ʻili o ka lima.

2. Hoʻohuihui lāʻau lapaʻau (estrogen a me progesterone)

Hāʻawi kēia lāʻau lapaʻau iā ʻoe i nā hormones estrogen a me progesterone . Pono nā wahine a pau i wehe ʻole ʻia ko lākou ʻōpū e lawe i ka progesterone (a i ʻole kahi progestin e hana like) me ka estrogen.

ʻO ka maʻamau, hele mai kēia lāʻau lapaʻau i ke ʻano o nā pila a i ʻole kahi ʻāpana ʻili. I kekahi manawa hiki ke hāʻawi ʻia ka progesterone ma o kahi mea hana intrauterine (IUD) i kau ʻia i loko o ka vagina.

Nā ʻano lapaʻau: ʻōnaehana a me ke kūloko

Hiki ke hoʻokaʻawale hou ʻia kēia mau lāʻau lapaʻau i ʻelua mau māhele ma muli o ko lākou hopena i ke kino. Ke maopopo iā ʻoe kēia, ʻoi aku ka maʻalahi o ke koho ʻana i ka mea kūpono iā ʻoe.

He aha nā pōmaikaʻi o ka lawe ʻana i ka hormone replacement therapy (HRT)?

ʻO ka pōmaikaʻi nui o kēia lāʻau lapaʻau, ʻo ia ka hōʻoluʻolu ʻana mai nā hōʻailona hoʻopilikia o ka menopause, kahi e hoʻomaikaʻi nui ai i kou ola maikaʻi.

• Nalo aku nā hōʻailona nui: nā mea e like me ke ʻā ʻana o ka wela, ka hou ʻana i ka pō, a me ka maloʻo o ka ʻōpū e nalowale loa ana.
• Hoʻoikaika i nā iwi: Ke emi ka pae o ka estrogen, piʻi ka pilikia o ka osteoporosis. Hoʻemi nui ka HRT i kēia pilikia.
• Manaʻo maikaʻi: ʻIke kekahi mau wahine e hoʻomaikaʻi kēia lāʻau i ko lākou ʻano a hoʻohauʻoli iā lākou i ke ola.
• Moe maikaʻi: Ke pau ka hou ʻana o ka pō, ʻaʻohe hoʻōki ʻana o ka hiamoe.
• Nā pono ʻē aʻe: Ua hōʻike kekahi mau noiʻi e hiki i ka hui pū ʻana ke hōʻemi i ka pilikia o ka maʻi ʻaʻai colon a me ka maʻi diabetes.

Akā aia kekahi mau pilikia e pili ana.

E like me nā lāʻau lapaʻau āpau, loaʻa i ka HRT kekahi mau pilikia. Ma mua o kou makaʻu nui ʻana i kēia mau mea, he mea nui e hoʻomaopopo ʻaʻole like kēia mau pilikia no kēlā me kēia kanaka.

ʻO kekahi mau pilikia hiki ke loaʻa:

• Ka maʻi ʻōpū: Hana wale kēia inā lawe wale kekahi me ka ʻōpū i ka estrogen. Nalowale kēia pilikia ke lawe pū ʻia me ka progesterone.
• Nā ʻūpā koko a me ka hahau ʻana:ʻOi aku ka kiʻekiʻe o kēia pilikia, ʻoiai ke lawe ʻia ma ke ʻano he pila. ʻOi aku ka haʻahaʻa o kēia pilikia ke lawe ʻia ma ke ʻano he pāpili.
• Maʻi ʻōpū gall: Hiki ke hoʻonui iki ʻia ka pilikia o ka loaʻa ʻana o nā pōhaku gall.
• Ka maʻi ʻaʻai umauma: Hōʻike kekahi mau noiʻi e hiki i ka lawe ʻana i ka lāʻau lapaʻau hui pū ʻia no ka manawa lōʻihi (ʻoi aku ma mua o 5 mau makahiki) ke hoʻonui iki i ka pilikia o ka maʻi ʻaʻai umauma. Eia nō naʻe, he liʻiliʻi loa kēia piʻi ʻana.
• Maʻi puʻuwai: ʻO ka hoʻomaka ʻana o ka HRT ma hope o 10 mau makahiki o ka menopause, ʻo ia hoʻi ma hope o 60 mau makahiki, hiki ke hoʻonui i ka pilikia o ka maʻi puʻuwai. Eia nō naʻe, ʻaneʻane ʻaʻohe pilikia o kēia pilikia no ka poʻe e hoʻomaka ana i ka HRT i ka wā e hoʻomaka ai ka menopause (i ko lākou mau makahiki 50).

Pehea e hiki ai ke hoʻemi ʻia ka pilikia?

• E hoʻomaka i ka lāʻau lapaʻau ma mua o 60 mau makahiki a i ʻole i loko o 10 mau makahiki o ka menopause.
• Inā loaʻa iā ʻoe kahi ʻōpū, e lawe pono i ka progesterone.
• E kamaʻilio me kāu kauka e koho i ke ʻano lapaʻau a me ka nui e kūpono loa iā ʻoe. (No ka laʻana, he ʻāpana ma kahi o nā pila)
• E ola i kahi nohona olakino (e hoʻoikaika kino mau, e ʻai i ka meaʻai kaulike, a e kāohi i kou kaumaha)
• E hana i nā hoʻokolohua gynecological a me nā mammograms i ka manawa i hoʻonohonoho ʻia.

No wai kēia lāʻau lapaʻau i kūpono ʻole?

ʻAʻole ʻōlelo nā kauka iā HRT no ka poʻe me kekahi mau kūlana olakino no ka mea ʻoi aku ka nui o nā pilikia ma mua o nā pono.

• Inā loaʻa iā ʻoe a i loaʻa paha iā ʻoe ka maʻi kanesa o ka umauma, ka maʻi kanesa ovarian, a i ʻole ka maʻi kanesa uterine
• Inā he kahe koko kou ma ka ʻōpū no ke kumu i ʻike ʻole ʻia
• Inā ua loaʻa iā ʻoe nā ʻōpū koko i ka wā ma mua a i ʻole ua nui ka pilikia no lākou
• Inā ua loaʻa iā ʻoe kahi hahau a i ʻole ka hōʻeha puʻuwai
• Inā hāpai
• Inā loaʻa iā ʻoe ka maʻi ate a i ʻole ka maʻi gallbladder

He aha nā hopena ʻaoʻao e hiki mai ana?

Hiki ke loaʻa nā hopena ʻaoʻao liʻiliʻi i ka hoʻomaka ʻana o ka lāʻau lapaʻau, akā nalo pinepine kēia mau mea ma hope o kekahi mau mahina ke maʻa ke kino iā ia.

Nā hopena ʻaoʻao maʻamau:

• Ke kahe koko māmā ʻole (spotting)
• ʻEha a palupalu paha ka umauma
• Nā loli o ka naʻau

Nā hopena ʻaoʻao i emi pinepine ʻole:

• Pehu ʻana
• ʻEha poʻo
• ʻOle ke kala ʻili
• Hoʻonui ʻia ka nui o ka umauma (hiki i kēia ke paʻakikī iki ka heluhelu ʻana i nā mammograms)
• ʻO ka ʻulaʻula a i ʻole ka ʻili o ka ʻili kahi i hoʻopili ʻia ai ka pāpili

Aia kekahi mau koho ʻē aʻe i ka HRT?

ʻAe, ʻoiaʻiʻo nō. Inā ʻaʻole hiki iā ʻoe ke lawe i ka HRT, a ʻaʻole makemake paha ʻoe, aia kekahi mau ala ʻē aʻe e hoʻokele ai i kāu mau hōʻailona. E kamaʻilio me kāu kauka e pili ana i kēia mau mea.

• No ka maloʻo o ka ʻōpū: Loaʻa nā mea hoʻoluʻu ma ka hale kūʻai lāʻau lapaʻau.
• No ka ʻike wela: Hoʻohana ʻia kekahi mau antidepressants i nā haʻahaʻa haʻahaʻa.
• Nā lāʻau lapaʻau ʻē aʻe: ʻO nā lāʻau lapaʻau i hāʻawi ʻia no nā kūlana ʻē aʻe, e like me `(Gabapentin)` a me `(Clonidine),` kōkua pū kekahi i nā hōʻailona menopausal.
• Nā SERM (Nā modulators receptor estrogen koho): He mau lāʻau lapaʻau kēia e hana like me ka estrogen, akā hoʻopili wale i kekahi mau ʻāpana o ke kino.