He ʻano ʻē anei kou mau wā mahina? He ʻano paha kēia i kapa ʻia ʻo (Menometrorrhagia)!

Ke ʻike nei ʻoe i kekahi manawa i ke kahe koko i manaʻo ʻole ʻia, ʻano ʻole, a i kekahi manawa he nui loa mai kou ʻōpū? A i ʻole he mau lā kou mau wā? Pono kēia mau mea e ʻoluʻolu ʻole iā ʻoe, ʻeā? I kekahi manawa manaʻo paha ʻoe he mea maʻamau kēia, akā i kekahi manawa he hōʻailona kēia o kahi maʻi i kapa ʻia ʻo `(Menometrorrhagia)`. Mai hopohopo, e kamaʻilio mākou e pili ana i kēia i kēia lā.

He aha kēia `(Menometrorrhagia)`? E hoʻomaopopo maʻalahi kākou

I ka ʻōlelo maʻalahi, ʻo `(Menometrorrhagia)` ke kahe koko maʻamau ʻole mai kou ʻōpū, ʻo ia hoʻi ke kahe koko nui, ke kahe koko maʻamau ʻole, a i ʻole ke kahe koko no ka manawa lōʻihi loa . ʻO ka maʻamau, ʻo ka wā mahina o ka wahine olakino e hana ʻia ma waena o 21 a me 35 mau lā, a ʻo ke kahe koko e mau ana no kahi o 5 mau lā. Eia nō naʻe, ma kēia kūlana `(Menometrorrhagia)`, he ʻano ʻē loa kou pōʻaiapuni menstrual. ʻAʻole hiki iā ʻoe ke wānana i ka wā e kahe ai ke koko, pehea ka nui o ke kahe ʻana o ke koko, a pehea ka lōʻihi o kona mau.

E noʻonoʻo, pehea ka ʻoluʻolu ʻole inā e hoʻomākaukau ana ʻoe no kahi huakaʻi koʻikoʻi a i ʻole kahi hanana a hoʻomaka koke kou wā, a kaumaha loa ia. Hiki iā ia ke hōʻino i kou lā holoʻokoʻa, ʻeā?

Hiki i kēia ʻano kahe koko i manaʻo ʻole ʻia ke loaʻa ka hopena nui i kāu mau hana o kēlā me kēia lā a me ke olakino noʻonoʻo. No laila, ʻaʻole ia he manaʻo maikaʻi e hoʻolei wale iā ia me he "mea ʻē aʻe." He mea nui e hoʻomaopopo i kāu kauka. ʻAʻole paha he maʻi koʻikoʻi. Eia nō naʻe, i kekahi manawa hiki ke lilo i hōʻailona o kahi maʻi olakino e hiki ke hoʻopilikia i kou momona a i ʻole ke kumu i nā pilikia olakino lōʻihi.

He aha ka ʻokoʻa ma waena o `(Menorrhagia)` a me `(Menometrorrhagia)`?

Ua like iki kēia mau inoa ʻelua, no laila hiki ke huikau.

• ʻO Menorrhagia ke kahe nui ʻana o ke koko i kou wā menstrual maʻamau. ʻO ia hoʻi, ke kahe ʻana o ke koko i kou wā menstrual wale nō, akā kaumaha loa.
• ʻO ka Menometrorrhagia he kahe koko kūpono ʻole, manaʻo ʻole ʻia, a nui loa, ʻaʻole wale i ka wā o ka menstruation, akā i kēlā me kēia manawa.

Maopopo iā ʻoe ka ʻokoʻa? I ka "Menometrorrhagia", ua hoʻopilikia ʻia kāu pōʻaiapuni menstrual.

Pehea ka maʻamau o Menometrorrhagia?

ʻAʻole haʻi aku ka nui o nā wāhine i kā lākou mau kauka e pili ana i kēia ʻano kahe koko kūpono ʻole. No laila, ʻoiai he paʻakikī ke hāʻawi i nā helu kikoʻī, ua manaʻo ʻia aia ma waena o 10% a me 35% o nā wāhine e loaʻa i kēia maʻi. Eia nō naʻe, ʻoi aku paha ke kiʻekiʻe o kēia helu.

I ke ʻano wae,

• No nā kaikamahine ʻōpio e hoʻomaka wale ana i ka menstruation (ma kahi o 12 mau makahiki)
• No nā wahine e kokoke ana i ka menopause (Perimenopause)

He mea maʻamau kēia kūlana.

He aha nā hōʻailona o ka `(Menometrorrhagia)`?

Hiki ke ʻokoʻa nā hōʻailona ma muli o ke kumu o kēia ʻano. Eia nō naʻe, manaʻo nā kauka i kekahi kahe koko ma waho o ke kaʻina hana menstrual maʻamau, ʻo ia hoʻi ma waena o 21 a me 35 mau lā, a mau no 5 mau lā, he mea ʻē. Inā ʻaʻole hiki iā ʻoe ke wānana i ka wā, pehea ka nui, a pehea ka lōʻihi o ke kahe ʻana o ke koko, hiki ke lilo i `(Menometrorrhagia)`.

Eia kekahi mau hōʻailona e ʻike paha ʻoe i ke kahe koko kūpono ʻole:

• ʻO ke kahe koko nui o ka menstrual (Menorrhagia): Inā mau ke kahe koko no kekahi mau hola, inā kaumaha loa ia a pono ʻoe e hoʻololi i nā pads a i ʻole nā ​​tampons i kēlā me kēia hola, a i ʻole inā pono ʻoe e hoʻohana i ʻelua pads.
• ʻO ke kahe ʻana o ke koko i kou wā: ʻO ke ʻano kēia o ke kahe ʻana o ke koko i nā lā ʻaʻole ʻoe e loaʻa ana i kou wā.
• ʻO nā wā menstruation lōʻihi loa: Inā ʻoi aku ka lōʻihi o ka menstruation ma mua o ʻehiku mau lā.
• Nā pōʻaiapuni menstrual kūpono ʻole a wānana ʻole ʻia: Inā ʻoi aku ka pōkole o kāu mau pōʻaiapuni menstrual ma mua o 21 mau lā a ʻoi aku paha ma mua o 35 mau lā, a ʻokoʻa ka lōʻihi mai kekahi pōʻaiapuni a i kekahi.
• ʻO ka hala ʻole o ka menstruation no nā mahina ʻekolu a ʻoi.
• Ke kahe koko ma hope o ka menopause. ( ʻAʻole kēia he mea maʻamau , pono ʻoe e ʻimi koke i ke kōkua lapaʻau.)
• Manaʻo luhi a nāwaliwali: He mau hōʻailona kēia o ka anemia. Hiki ke ulu ka anemia ma muli o ke kahe nui o ke koko.

He aha nā kumu o Menometrorrhagia?

Hiki ke nui nā kumu no kēia. ʻO nā pilikia hormonal, nā puʻupuʻu ʻaʻole cancerous, ka maʻi kanesa, nā maʻi, nā kūlana olakino ʻē aʻe, a me kekahi mau lāʻau lapaʻau ke kumu o kēia kahe koko ʻano ʻē. ʻO kāu kauka wale nō ke haʻi pololei iā ʻoe i ke kumu o kēia kūlana. No ka mea he nui nā kumu hiki, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka e pili ana i kāu mau hōʻailona a ʻike i ke ʻano o ka hana.

1. Nā maʻi hormonal

ʻO ka hapa nui o ka manawa, ʻo ke kahe koko ʻana o ka ʻōpū ma muli o nā hormonal imbalances. Hoʻomalu ʻia kou pōʻaiapuni menstrual e nā hormones. E like me ka hui mele, hana pū kēia mau hormones a pau e hōʻoia i ka maʻamau o kou wā. Inā hoʻopilikia ʻia kēia kaulike, ʻoiai ka liʻiliʻi loa, hiki ke kahe koko maʻamau.

Eia kekahi mau kumu penei:

• Anovulation
• Maʻi thyroid
• ʻO ka maʻi ovary polycystic (PCOS)
• Momona: ʻO ka momona nui a momona paha ke hana i nā hemahema hormonal.
• Ke kaumaha

2. Nā ulu ʻaʻole maʻi kanesa

Hiki i kekahi mau puʻupuʻu ʻaʻole kanesa (nā ulu maikaʻi ʻole) i loko o kou ʻōpū ke hoʻoulu i ke kahe koko.

Nā Laʻana:

• Nā Polyps
• Nā Fibroids
• ʻAdenomyosis
• ʻO ka Endometriosis

3. Precancer a me ke kanesa

ʻOiai he mea kakaikahi, hiki i kekahi ʻano maʻi kanesa ke hana i ka menometrorrhagia.

ʻo lākou:

• Ka maʻi ʻōpū
• Ka maʻi ʻaʻai o ka ʻōpū
• Ka maʻi ʻaʻai wahine
• Ka maʻi ʻōpū
• ʻO ka hyperplasia endometrial (ka mānoanoa o ka uhi o ka ʻōpū)

4. Nā maʻi

Hiki i nā maʻi i laha ma ke moekolohe (STI) a me nā maʻi i laha ʻole ma ke moekolohe ke hoʻoulu i ke kahe koko kūpono ʻole.

Nā Laʻana:

• ʻO ka maʻi Trichomoniasis
• Cervicitis (ka mumū o ka cervix)
• Ka maʻi mumū Pelvic (PID)
• ʻO Chlamydia
• ʻO ka maʻi gonorrhea
• ʻO ka Endometritis (ka mumū o ka uhi o loko o ka ʻōpū)
• ʻO ka Vaginitis (ka mumū o ka vagina)

5. Nā kūlana olakino ʻē aʻe

Hiki i kekahi mau kūlana olakino ʻē aʻe ke hoʻoulu i ke kahe koko ʻōpū maʻamau ʻole.

Nā Laʻana:

• Maʻi akepaʻa
• Maʻi puʻupaʻa
• ʻO ka maʻi Von Willebrand (kahi pilikia o ke kahe koko)
• Nā maʻi ʻē aʻe o ke koko koko
• Hāpai keiki
• Ka hāʻule ʻana o ka hāpai keiki
• Ka hāpai ʻana o ka ectopic
• Nā ʻeha i ka ʻōpū (e.g., mai kahi ulia kaʻa)

Inā loaʻa iā ʻoe ke kahe koko i ka wā hāpai, e ʻike koke i ke kauka. He hōʻailona paha ia o kahi pilikia nui o ka hāpai ʻana.

6. Nā lāʻau lapaʻau

Hiki i kekahi mau lāʻau lapaʻau ke hoʻoulu i ke kahe koko ʻana o ka ʻōpū. (ʻO ka mea kupanaha, hoʻohana ʻia kekahi o kēia mau lāʻau lapaʻau e mālama i ke kahe koko ʻana.) He mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.

Nā Laʻana:

• Nā lāʻau hoʻokahe koko a me ka aspirin
• Ka lāʻau lapaʻau hoʻololi hormone (HRT)
• ʻO Tamoxifen (he lāʻau lapaʻau no ka maʻi ʻaʻai umauma)
• Nā mea hana intrauterine (IUD); Inā poina iā ʻoe e wehe i ka IUD, hiki iā ia ke hana i nā maʻi a me ke kahe koko kūpono ʻole.
• Kekahi mau ʻano kaohi hānau

ʻO wai ka mea i hoʻopilikia nui ʻia e Menometrorrhagia?

ʻO ka huaʻōlelo "ke kahe koko ʻana o ka ʻōpū maʻamau" ka mea maʻamau e wehewehe i ke kahe koko ʻana i nā wahine o ka makahiki hānau keiki ʻaʻole i hāpai. Eia naʻe, ʻaʻole kēia manaʻo ʻaʻole ia e pili i nā wahine post-menopausal a i ʻole nā ​​​​wahine hāpai. ʻO kēlā me kēia mea me ka ʻōpū e ʻike paha i kēia ʻano kahe koko maʻamau i kekahi manawa o ko lākou ola. Eia naʻe, i ka hapa nui o nā hihia, ʻaʻole ia he mea koʻikoʻi a hiki ke ho'ōla ʻia me ka mālama kūpono.

He mea nui: Inā ʻoe e hele ana i ka menopause, ʻo ia hoʻi, ua pau loa kou mau wā mahina, ʻaʻole maʻamau ke kahe ʻana o ke koko ma hope o ka menopause. ʻOiai inā he ʻulaʻula, poni, a ʻeleʻele paha ke koko, e ʻike koke i ke kauka.

Eia kekahi, inā loaʻa iā ʻoe ke kahe koko i ka wā hāpai, e haʻi i kāu kauka e pili ana i ia mea. ʻOiai ʻaʻole pilikia kekahi mau kumu, pono nā mea ʻē aʻe i ka mālama olakino.

He aha nā pilikia e hiki mai ana o ka `(Menometrorrhagia)`?

ʻAʻole ia he mea hoʻoweliweli i ke ola ke kahe koko ʻana o ka ʻōpū maʻamau. Eia nō naʻe, hiki iā ia ke hana i ka anemia . ʻO ka anemia ka wā ʻaʻole lawa nā hunaola koko ʻulaʻula olakino i loko o kou koko. Hiki i kēia ke hoʻoluhi a nāwaliwali loa iā ʻoe.

Eia kekahi, hiki i ke kahe koko kūpono ʻole ke lilo i hōʻailona o kekahi mau maʻi kanesa a me nā kūlana olakino ʻē aʻe. No ka mea ʻaʻole paha ʻoe i ʻike i ke kumu, he mea nui e ʻike i ke kauka a ʻimi i ka lāʻau lapaʻau e pale aku i nā pilikia e like me kēia.

Pehea e ʻike ʻia ai ka Menometrorrhagia?

E nīnau aku kāu kauka iā ʻoe i kekahi mau nīnau i ka wā e noiʻi ai i ke kahe koko ʻana o ka uterine.

ʻo lākou:

• Āhea e hoʻomaka ai ke kahe ʻana o ke koko?
• ʻEhia ka lōʻihi e kahe ai ke koko?
• Pehea ke ʻano o ke kahe ʻana o ke koko? (He kiʻekiʻe, haʻahaʻa, maʻamau?)
• ʻEhia pinepine kou kahe ʻana o ke koko?
• Ke hoʻopaʻa nei ʻoe i kāu pōʻaiapuni menstrual?
• Aia kekahi mau hōʻailona ʻē aʻe? (e.g. ʻeha ʻōpū, poniuniu)
• He aha nā lāʻau lapaʻau, nā wikamina, a me nā mea hoʻohui āu e lawe ai?
• He kānalua paha kou no ka mea ua hāpai ʻoe?

Hiki ke kōkua nui ka mālama ʻana i kahi puke moʻolelo o kou kahe ʻana o ke koko no kekahi mau pule ma mua o kou ʻike ʻana i kāu kauka. E kākau i lalo i ka wā i hoʻomaka ai ke kahe ʻana o ke koko, pehea ka lōʻihi o kona mau ʻana, pehea ka nui (nā kiko, waena, kaumaha), a inā he mau hōʻailona ʻē aʻe.

Eia kekahi, e hana ke kauka i kahi hoʻokolokolo kino. Hiki i kēia ke komo pū me:

• Hoʻokolokolo Pelvic
• Pap smear (e pili ana i ka lā i loaʻa hope ai iā ʻoe)

He aha nā hoʻokolohua diagnostics?

Ma ke ʻano maʻamau, hahai ke kauka i kēia mau hana:

• Hoʻāʻo hāpai keiki: Hiki ke kahe koko māmā i nā wā mua o ka hāpai keiki ʻana.
• Nā hoʻāʻo koko: Hiki i kēia ke nānā i nā mea e like me ke ʻano o ke kāpili ʻana o kou koko a me ka helu koko piha (CBC).
• Hoʻāʻo koko no nā pae hormone: No ka hoʻoholo ʻana inā ma muli o ke kaulike ʻole o ka hormonal ke kumu o ke kahe ʻana o ke koko a i ʻole he hōʻailona ia o kahi maʻi ʻē aʻe.
• ʻO ke kani ultrasound Pelvic: Nānā i nā mea ʻē i loko o kāu ʻōnaehana hānau, e like me nā puʻupuʻu. Hiki i kahi sonohysterogram, kahi e hoʻohana ai i ka saline, ke ʻike maopopo i nā mea ʻē i loko o ka ʻōpū, e like me nā polyps a me nā fibroids.

Ma muli o nā hopena o kēia mau hoʻokolohua, hiki i ke kauka ke hana i nā hoʻokolohua hou aʻe:

• Hoʻokolohua Hysteroscopic: Nānā kēia i nā fibroids, polyps, a me nā hōʻailona o ka maʻi kanesa.
• ʻO ka biopsy endometrial:Lawe ʻia kahi hāpana ʻiʻo mai ka papa o loko o ka ʻōpū (endometrium) a hoʻāʻo ʻia no ka maʻi ʻaʻai a i ʻole nā ​​​​pūnaewele precancerous.

He aha nā lāʻau lapaʻau no ka `(Menometrorrhagia)`?

E hilinaʻi kāu lāʻau lapaʻau i ke kumu o kou kahe ʻana o ke koko. Aia nā lāʻau lapaʻau a me nā koho ʻoki kino e kāohi ai i ke kūlana a mālama paha i ke kumu.

Nā lāʻau lapaʻau

Manaʻo mua ke kauka i ka mālama ʻana i ka lāʻau.

• Nā lāʻau hoʻomalu hānau
• ʻO Progestin (hiki ke hāʻawi ʻia ma o ka injection, subcutaneous device, a i ʻole IUD)
• Nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) (e.g. ibuprofen)
• ʻO nā agonists a me nā antagonists o ka hormone hoʻokuʻu-gonadotropin (GnRH): Hiki i kēia ke hoʻōki a hōʻemi paha i ke kahe ʻana o ke koko no kekahi manawa. Hiki iā lākou ke kōkua i ka hoʻēmi ʻana i nā fibroids.
• ʻAkika Tranexamic: E mālama i ke kahe koko kaumaha o ka menstrual.
• Nā lāʻau lapaʻau antibiotic: Inā ma muli o kahi maʻi ke kahe ʻana o ke koko.
• Nā mea hoʻohui hao: Inā kānalua ʻia ka anemia.

ʻoki kino

Aia kekahi mau kaʻina hana no ka mālama ʻana i ke kahe koko ʻana o ka uterine ma ke ʻano kūpono ʻole.

• Hysteroscopy: He kaʻina hana e wehe i nā mea ʻino i loko o ka ʻōpū, e like me nā fibroids a me nā polyps.
• ʻO ka hoʻopili ʻana o ke aʻa uterine: He lāʻau e hoʻōki ai i ke kahe koko i nā fibroids a hoʻemi iā lākou.
• Myomectomy: He kaʻina hana e wehe ai i nā fibroids me ka ʻole e hōʻino i ka ʻōpū, e ʻae ana i ka momona i ka wā e hiki mai ana.
• ʻO ka ablation Endometrial: He kaʻina hana e hoʻohana ana i ka laser, ka wela, ka uila, ka ikehu microwave, a i ʻole ka hoʻokē ʻana e luku i ka uhi o ka ʻōpū. ʻAʻole kēia he manaʻo maikaʻi inā ʻoe e manaʻolana ana e loaʻa nā keiki i ka wā e hiki mai ana.
• Dilation a me curettage (D&C): He kaʻina hana e wehe ai i nā ʻiʻo mai ka ʻōpū. Hoʻohana ʻia ia no ka ʻike ʻana a me ka mālama ʻana.
• Hysterectomy: He hana ʻoki kino e wehe loa ai i ka ʻōpū. Hana ʻia kēia no ke kanesa a i ʻole nā ​​loli precancerous. ʻAʻole hiki ke loaʻa nā keiki ma hope o kēia.

E nīnau i kāu kauka e pili ana i nā pilikia a me nā pono o ke ʻoki kino. E ʻike pono i ka mea e manaʻo ai mai kēlā me kēia koho lapaʻau.

He aha kaʻu e manaʻo ai me Menometrorrhagia?

ʻO ka mea nui loa, ʻo ia ke ʻimi i ke kumu o kou kahe koko ʻano ʻole. ʻO ka ʻimi ʻana a me ka mālama ʻana i ke kumu e hala paha i kekahi mau pule, a i ʻole he mea maʻalahi paha i kāu kauka ke ʻike. Eia nō naʻe, e noʻonoʻo kāu kauka i nā kumu he nui, e like me kou makahiki, nā hōʻailona, ​​a me nā kumu pilikia no kekahi mau kūlana olakino.

ʻO ka nūhou maikaʻi, hiki ke mālama ʻia ka hapa nui o ke kahe koko ʻole. E hahai i ka ʻōlelo aʻo a kāu kauka. Inā ʻaʻole holo pono kahi lāʻau lapaʻau iā ʻoe, e haʻi i kāu kauka. Aia lākou ma laila e kōkua iā ʻoe.

Pehea e hiki ai iaʻu ke hōʻemi i ka pilikia o ka `(Menometrorrhagia)`?

ʻAʻole hiki ke pale ʻia nā mea he nui e hoʻoulu ai i ke kahe koko ʻana o ka ʻōpū maʻamau ʻole. Eia nō naʻe, hiki iā ʻoe ke hōʻemi i ka pilikia o kekahi o nā kūlana e alakaʻi ai i ia mea. No ka laʻana, ʻo ka mālama ʻana i ke kaumaha olakino hiki ke kōkua i ka mālama ʻana i kāu mau hormones i ke kaulike. ʻO ka hana ʻana i ka moekolohe palekana (e like me ka hoʻohana ʻana i nā condom) hiki ke hōʻemi i ka pilikia o kekahi mau maʻi i hoʻouna ʻia ma ke ʻano moekolohe (STI) hiki ke hoʻoulu i ke kahe koko maʻamau ʻole.

Āhea wau e ʻike ai i ke kauka?

Inā manaʻo ʻoe he kahe koko ʻōpū kūpono ʻole kou, e ʻike i ke kauka e ʻike i ke kumu.

E hoʻolohe pono i kēia mau hiʻohiʻona:

• ʻO ka loaʻa ʻana o nā wā menstrual kūpono ʻole, i manaʻo ʻole ʻia, a i ʻole lōʻihi a pōkole paha.
• Pono e hoʻololi i nā huahana hoʻomaʻemaʻe no ka menstruation i kēlā me kēia hola no kekahi mau hola pololei.
• Ke kahe ʻana o ke koko ma waena o nā wā (ʻoiai he wahi liʻiliʻi)
• ʻO nā hōʻailona o ka anemia e komo pū me ka luhi, ka nāwaliwali, a me ka pōkole o ka hanu.

Inā hoʻopilikia ke kahe koko maʻamau ʻole i kou ʻano ola, e ʻike i ke kauka. ʻAʻole pono ʻoe e hoʻohana i ʻelua mau pads e kāohi i kou wā. ʻAʻole pono ʻoe e poina i nā mea āu e hauʻoli ai, a i ʻole e poina i ka hana a i ʻole ke kula, ma muli o ke kahe koko i manaʻo ʻole ʻia.

He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka?

Hiki iā ʻoe ke nīnau i ke kauka i nā nīnau e like me kēia:

• He ʻano ʻē anei koʻu kahe koko?
• No ke aha ʻoe e manaʻo ai he kahe koko ʻōpū kūpono ʻole koʻu?
• Ua manaʻo ʻia anei koʻu wā he kaumaha?
• Aia anei au i ka pilikia o nā pilikia olakino ʻē aʻe ma muli o kēia kahe koko?
• Ke kahe nui nei ke koko a hiki iaʻu ke loaʻa ka anemia?
• He aha nā pōmaikaʻi a me nā pōʻino o kaʻu mau koho lapaʻau?
• Inā wau e kali ana i nā keiki i ka wā e hiki mai ana, he aha nā koho lapaʻau maikaʻi loa noʻu?
• E mālama wale ʻoe iaʻu, a i ʻole e komo mai kahi hui lapaʻau?
• He aha kāu ʻike hana ʻoki kino i ka mālama ʻana i ke kahe koko ʻana o ka ʻōpū ma ke ʻano ʻē? He mea maʻamau anei kēia i kāu ʻoihana?

ʻO ʻoe ka luna kānāwai maikaʻi loa o ka mea maʻamau nou - ʻike ʻoe i ka lōʻihi o kou wā a me ka nui o ke koko āu e kahe ai. Inā kaumaha loa kou wā, ʻoi aku ka lōʻihi ma mua o ka maʻamau, a i ʻole ke kahe ʻana o ke koko ma waho o kāu pōʻaiapuni menstrual, e kamaʻilio me ke kauka. Mai hoʻolei wale iā ia me he "mea ʻē aʻe." Mai ʻae i ke kahe koko ʻole e lilo i ʻāpana o kou ola a hoʻopilikia i kou olakino noʻonoʻo. Nui nā koho lapaʻau ʻaʻole invasive i loaʻa e kōkua iā ʻoe e hoʻi i ke ola ʻana i kou ola maikaʻi loa.

ʻO ka mea hope loa, kahi mea e hoʻomanaʻo ai

ʻAʻole ia he mea e hoʻowahāwahā ʻia ke kahe koko ʻana o ka ʻōpū (Menometrorrhagia) i ke ʻano maʻamau ʻole, kaumaha, a lōʻihi paha. Hiki iā ia ke hoʻopilikia i kou olakino kino a me ka noʻonoʻo. ʻOiai ke kumu, hiki ke mālama ʻia me ka ʻōlelo aʻoaʻo lapaʻau kūpono a me ka mālama ʻana. Mai makaʻu a hilahila paha e kamaʻilio me kāu kauka e pili ana i ia mea. ʻAʻole ʻoe hoʻokahi, aia nā hoʻonā.

menometrorrhagia , ka menstruation kūpono ʻole, ke kahe koko nui, ke kahe koko ʻana o ka vaginal, ke olakino wahine, nā pilikia hormonal, nā maʻi uterine