ʻO ka menopause kahi mea a nā wahine he nui e ʻike ai i ka wā he 45-50 mau makahiki. I ka manawa koke, hoʻomaka ʻoe e hou, ʻaʻole hiki iā ʻoe ke hiamoe i ka pō, huhū ʻoe i nā mea liʻiliʻi, manaʻo ʻoe ʻaʻole ʻoe maikaʻi ... Ua kamaʻāina anei kēia mau mea iā ʻoe? ʻOiai he nui ka poʻe e ʻeha nei i kēia, me ka manaʻo he ʻāpana wale nō ia o ke ola, aia nā lāʻau lapaʻau maikaʻi e kāohi i kēia mau hōʻailona hoʻonāukiuki. I kēia lā ke kamaʻilio nei mākou e pili ana i kekahi o nā lāʻau lapaʻau nui, ʻo ia ka hormone therapy.
He aha ka lāʻau hoʻololi hormone (HRT)?
I ka ʻōlelo maʻalahi, ke hiki ʻoe i ka menopause, e pau kāu mau ovaries i ka hana ʻana i kahi hormone i kapa ʻia ʻo estrogen. Ke emi iho kēia hormone, ka mea e kaohi ana i nā mea he nui i loko o kou kino, e ʻike ʻia kēlā mau hōʻailona hoʻonāukiuki i ʻōlelo ʻia ma luna. No laila, hana ka hormone replacement therapy (HRT) ma ka hāʻawi ʻana i kou kino i nā hormones i nalowale. Ke hoʻi hou kēia mau pae hormone i ka maʻamau, e nalowale ana ka nui o kēlā mau hōʻailona.
I kekahi manawa, kapa ʻia kēia e nā kauka ʻo Hormone Therapy (HT). ʻAʻole nui ka ʻokoʻa, akā i ka wā e lawe ʻia ai kēia lāʻau i ka wā ʻōpiopio, ma mua paha o 40 mau makahiki, hoʻohana pinepine ʻia ka huaʻōlelo HRT. No ka mea, ʻo ka mea e hana ʻia ma laila, ʻo ia ke 'pani' nei ke kino i nā hormones e pono ai ke hana maoli.
Inā kūpono kēia lāʻau lapaʻau iā ʻoe a ʻaʻole paha, he hoʻoholo ia e hana ʻia me ke kūkākūkā ʻana me kāu kauka. No ka mea he mau pono kona, hiki iā ia ke lawe mai i kekahi mau pilikia. No laila, e nānā pono kākou i kēia.
Loaʻa iā ʻoe kēia mau hōʻailona i ka wā menopause?
ʻO nā hōʻailona nui e hiki ke hōʻoluʻolu ʻia e ka hormone therapy:
- ʻĀlaʻala wela: Manaʻo koke o ka wela a me ka hou ʻana.
- Hou ka pō: Ke ala ʻana i ka pō e hou ana ka hou.
- Maloʻo ka ʻōpū: ʻO ka maloʻo o ka ʻōpū e ʻeha ai ka moekolohe.
- Nā loli pinepine o ke ʻano: Nā loli pinepine o ke ʻano e like me ka hauʻoli, ke kaumaha, a me ka huhū.
- ʻAʻole hiamoe: Nā pilikia hiamoe i ka pō.
- Ke kahe ʻana o ka mimi: Ke kahe nei kahi liʻiliʻi o ka mimi i waho ke kū ʻoe a ʻakaʻaka paha.
Eia kekahi, kōkua pū kēia lāʻau i ka pale ʻana i ka osteoporosis , kahi maʻi lahilahi o ka iwi i hoʻoulu pinepine ʻia e ka emi ʻana o ka hormone estrogen.
He aha nā ʻano o nā lāʻau lapaʻau hormone?
ʻElua ʻano nui o ka lāʻau lapaʻau hormone. Na kāu kauka e hoʻoholo i ka mea kūpono loa iā ʻoe ma muli o kāu mau hōʻailona, ka mōʻaukala olakino, a me kāu mau makemake.
| ʻAno lapaʻau | Ka wehewehe a ʻo wai ka mea kūpono? |
|---|---|
| ʻO ka lāʻau lapaʻau Estrogen wale nō | Hāʻawi wale kēia i ka hormone estrogen. Kuhi pinepine ʻia ia i nā wahine i wehe ʻia ko lākou ʻōpū ma ke ʻoki ʻana (hysterectomy). No ka mea ʻaʻohe o lākou ʻōpū, ʻaʻohe o lākou pilikia o ka maʻi ʻaʻai ʻōpū e hiki ke hana me ka estrogen wale nō. |
| ʻO ka hui pū ʻana me ka estrogen a me ka progestin | Ma kēia, me ka hormone estrogen, ua hāʻawi ʻia kekahi hormone i kapa ʻia ʻo progestin, e hana ana e like me ka progesterone. Hāʻawi ʻia kēia i nā wahine i loaʻa iā lākou kahi uterus e pale aku i nā paia o ka uterus mai ka mānoanoa pono ʻole a hoʻonui i ka pilikia o ka maʻi kanesa inā lawe ʻia ka estrogen wale nō. Hoʻemi ka Progestin i kēlā pilikia. |
Pehea ʻoe e loaʻa ai kēia lāʻau lapaʻau?
Aia kekahi mau ala e hāʻawi ai i kēia mau hormones i ke kino.
- Nā pila i ale ʻia
- Pāpili ʻili
- Ua hoʻopili ʻia ka gel i ka ʻili
- He apo i hoʻokomo ʻia i loko o ka vagina
- ʻO ka kirimina vaginal a i ʻole ka papa hoʻoheheʻe
- ʻEpī no ka ʻili o nā lima
Hiki ke hoʻokaʻawale ʻia kēia mau mea i ʻelua ʻāpana ma muli o ke ʻano o ka hāʻawi ʻia ʻana:
1. Nā lāʻau lapaʻau ʻōnaehana: Ma kēia mau ʻano (nā pila, nā ʻāpana, nā gels, nā pīpī), ua komo nā hormones i loko o ke koko a hele a puni ke kino. Hana maikaʻi kēia mau mea no nā hōʻailona maʻamau he nui, e like me nā ʻā wela a me ka hou ʻana i ka pō.
2. Nā lāʻau lapaʻau kūloko: Ma kēia mau ʻano hana (nā kirīmi vaginal, nā apo, nā papa), hoʻopili wale ʻia nā hormones ma ka wahi i hoʻopilikia ʻia. ʻOi aku ka maikaʻi o kēia mau mea no nā pilikia e like me ka maloʻo o ka vaginal. Maanei, haʻahaʻa loa ka nui o nā hormones e komo ana i ke kino.
He aha nā pōmaikaʻi a me nā pilikia o ka lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, loaʻa iā HRT nā pono a me nā pilikia. ʻO ka mea nui e kamaʻilio me kāu kauka a hoʻomaopopo inā ʻoi aku ka nui o nā pono ma mua o nā pilikia, ma muli o kou kūlana.
| ✅ Nā Pōmaikaʻi | ⚠️ Nā Pōʻino |
|---|---|
| Hoʻomaha i nā hōʻailona e like me nā wela wela a me ka hou pō. | Inā lawe wale ka poʻe me ka uterus i ka estrogen me ka ʻole o ka progestin, aia lākou i ka pilikia o ka maʻi ʻaʻai uterine . |
| Ka maloʻo o ka ʻōpū a me ka moekolohe ʻeha. | ʻO ka hoʻomaka ʻana i 10 mau makahiki ma hope o ka menopause e hoʻonui paha i ka pilikia o ka maʻi puʻuwai . |
| Hoʻoikaika i nā iwi a hoʻemi i ka pilikia o ka osteoporosis . | Hoʻonui iki ʻia ka pilikia o nā ʻūpā koko a me ka hahau ʻana . |
| Hoʻomaikaʻi i ke ʻano a me ka hiamoe. | Ka pilikia o ka maʻi gallbladder . |
| Hoʻemi ʻia ka pilikia o ka maʻi ʻaʻai colon a me ka maʻi diabetes no kekahi poʻe. | Hiki i kekahi poʻe ke piʻi iki aʻe ka pilikia o ka maʻi ʻaʻai umauma ke lawe ʻia no ka manawa lōʻihi (ʻoi aku ma mua o 5 mau makahiki). |
Mea nui: Pili kēia mau pilikia i nā kumu he nui, e like me kou mōʻaukala ʻohana o nā maʻi a me kou nohona. No laila e kamaʻilio me kāu kauka ma mua o kou hopohopo.
Pehea e hōʻemi ai i ka pilikia?
ʻO ka mea maikaʻi loa, aia nā ala e hōʻemi ai i kēia mau pilikia.
- E hoʻomaka ana i ka lāʻau lapaʻau ma mua o 60 mau makahiki a i ʻole i loko o 10 mau makahiki o ka menopause.
- Inā he ʻōpū kou, pono ʻoe e lawe i kahi lāʻau lapaʻau e loaʻa ana ka progestin .
- Hiki iā ʻoe ke hoʻomaka me ka mahele lāʻau haʻahaʻa loa .
- Ke ola nei i kahi nohona olakino (hoʻoikaika kino, ʻai olakino).
- E hana i nā hoʻokolohua gynecological a me nā mammograms i ka manawa kūpono .
ʻO wai ka mea pono ʻole e lawe i ka lāʻau lapaʻau hormone?
ʻAʻole kūpono paha ka lāʻau lapaʻau hormone no ka poʻe me kekahi mau kūlana olakino. Eia kekahi laʻana:
- ʻO ka poʻe i loaʻa a i ʻole i kēia manawa ka maʻi ʻaʻai umauma, ovarian, a i ʻole ka maʻi ʻōpū.
- No ka poʻe me ke kahe koko ʻano ʻē no ke kumu ʻike ʻole ʻia.
- No ka poʻe me nā maʻi koko koko a i ʻole ka pilikia kiʻekiʻe.
- No ka poʻe i loaʻa i ka hahau, ka hōʻeha puʻuwai a i ʻole ka poʻe i pilikia nui no ia.
- No nā wahine hāpai.
- No ka poʻe me nā maʻi o ke akepaʻa a i ʻole ka gallbladder.
Aia kekahi mau hopena ʻaoʻao? He aha ka mea e hana ai e pili ana iā lākou?
Hiki ke loaʻa kekahi mau hopena ʻaoʻao i ka hoʻomaka ʻana o ka lāʻau lapaʻau, akā naʻe, ʻo ka hapa nui o kēia mau mea e nalo i loko o kekahi mau mahina.
- Ke kahe koko māmā ʻole.
- ʻEha a palupalu paha ka umauma.
- Ka loli ʻana o ke ʻano.
- Nā mea e like me ka pehu ʻana, ka ʻeha poʻo.
Inā he mea hopohopo kēia iā ʻoe, e kamaʻilio me kāu kauka. Hiki paha iā ia ke hoʻololi i ka nui a i ʻole ke ʻano o ka lāʻau āu e lawe ai. Mai hoʻōki i ka lawe ʻana i kāu lāʻau a hoʻololi paha i ka nui me ka ʻole o ke kamaʻilio mua ʻana me kāu kauka.
Leka Lawe-Home
- Hiki i ka menopause ke lilo i manawa paʻakikī, akā ʻaʻole pono ʻoe e ʻeha i nā hōʻailona. Hiki ke mālama ʻia.
- He hopena kūpono loa ka lāʻau hoʻololi hormone (HRT), akā, ʻaʻole kūpono ia no nā mea a pau.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, he mea nui e kūkākūkā i nā pono a me nā pilikia me kāu kauka a hana i kahi hoʻoholo kūikawā iā ʻoe.
- ʻO ka maʻamau, he 5 mau makahiki ka lōʻihi o kēia mālama ʻana, akā hiki ke loli kēlā manawa ma muli o kāu mau pono.
- He mea nui loa ia e mālama i kahi nohona olakino a e hana i nā hoʻokolohua lapaʻau maʻamau i ka wā e lawe ana i ka HRT.
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