Ua ʻoi aku paha kou mau makahiki ma mua o 40? Ua lilo anei kou wā i mea ʻē? Ke wela koke nei ʻoe? Ke huhū nei ʻoe i nā mea liʻiliʻi loa? Nui nā wahine e ʻike i nā mea e like me kēia i kēia manawa. Kāhea mākou i kēia mau hōʻailona premenopause. Mai hopohopo, ʻaʻole kēia he maʻi. He kahua kūlohelohe ia i ke ola o kēlā me kēia wahine. I kēia lā, e kamaʻilio maʻalahi mākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha ka menopause?
ʻO ka menopause ka pau mau ʻana o kou mau wā mahina. I ka pololei, inā ʻaʻole ʻoe i loaʻa i ka wā no 12 mau mahina i ka lālani , manaʻo nā kauka ua hiki ʻoe i ke kahua i kapa ʻia ʻo menopause. ʻO ka maʻamau, loaʻa kēia ʻano i nā wahine Sri Lanka ma waena o 48-52 mau makahiki. He hana kūlohelohe kēia. Hana ʻia kēia ke pau kāu mau ovaries i ka hana ʻana i nā hormones e pili ana i ka hānau hou ʻana.
I kekahi manawa hiki ke hana ʻia ka menopause e ke ʻoki kino (no ka laʻana, ka wehe ʻana i ka ʻōpū a me nā ovaries) a i ʻole kekahi lāʻau lapaʻau ʻē aʻe. Kāhea mākou i kēia "Induced Menopause". Hiki i kēia mau loli hormonal ke hoʻoulu i ka ʻoluʻolu kino a me ka naʻau. Akā aia nā lāʻau lapaʻau e hiki ke kōkua, no ka laʻana, ka hormone therapy, nā lāʻau lapaʻau ʻē aʻe, a me nā loli o ke ʻano o ka nohona.
He aha nā pae nui ʻekolu o ka menopause?
ʻAʻole ka menopause he mea e hiki koke mai ana. He hana mālie ia. He ʻekolu mau pae nui. He mea nui loa iā ʻoe ke ʻike i kēia.
| Kahua | He wehewehe maʻalahi |
|---|---|
| 1. Perimenopause | ʻO kēia ka manawa o ka hoʻololi ʻana i ka menopause. Hiki ke hoʻomaka ma kahi o 8-10 mau makahiki ma mua o ka menopause. Hoʻomaka pinepine ia i nā makahiki 40. I loko o kēia manawa, emi mālie ka hana ʻana o ka hormone estrogen mai nā ovaries. Hoʻomaka pinepine nā hōʻailona e like me ka menstruation kūpono ʻole, nā ʻā wela, a me ka huhū pinepine i kēia manawa. |
| 2. Ka wā hoʻopau | ʻO kēia ka manawa kūpono i pau ai kou wā no 12 mau mahina. I loko o kēia pae, hoʻōki loa nā ovaries i ka hoʻokuʻu ʻana i nā hua a emi nui ka hana ʻana o ka hormone estrogen. ʻAʻole kēia he pae e mau ana no ka manawa lōʻihi, akā he manawa kikoʻī. |
| 3. Ma hope o ka menopause | ʻO kēia ke kahua o kou ola ma hope o ka menopause. E emi ana ka hapa nui o nā hōʻailona i kēia manawa, akā hiki i kekahi poʻe ke loaʻa nā hōʻailona liʻiliʻi no kekahi mau makahiki hou aku. Ma muli o ka haʻahaʻa o nā pae estrogen, ʻoi aku ka kiʻekiʻe o ka pilikia o ka osteoporosis a me ka maʻi puʻuwai i kēia manawa. |
E aʻo pū kākou e pili ana i ka menopause mua.
ʻO ka menopause, ka mea maʻamau e kū ma waena o 45 a me 55 mau makahiki, ua manaʻo ʻia he "kūlohelohe." Eia naʻe, inā kū ma mua o 45 mau makahiki, ua kapa ʻia ʻo "Early Menopause." Inā kū ma mua o 40 mau makahiki, ua kapa ʻia ʻo "Premature Menopause." Inā kū ia me ke kumu ʻole o ke olakino a ʻoki kino paha, ua kapa ʻia ke ʻano he "Primary Ovarian Insufficiency."
He aha nā hōʻailona o ka menopause?
Hiki paha iā ʻoe ke ʻike i hoʻokahi a ʻoi aku paha o kēia mau hōʻailona i kou neʻe ʻana i ka menopause. ʻAʻole e ʻike nā kānaka a pau iā lākou āpau. Loaʻa i kekahi poʻe me ka ikaika loa, aʻo kekahi poʻe ʻaʻole paha e ʻike iki iā lākou.
| Nā hōʻailona maʻamau | Nā hōʻailona ʻē aʻe e ʻike ai kekahi poʻe |
|---|---|
| - Ka menstruation kūpono ʻole (ʻoi aku a emi mai paha ke kahe ʻana o ke koko ma mua) | - Puʻuwai wikiwiki |
| - Nā ʻā ʻana o ke ahi - kahi manaʻo wela e pālahalaha koke ana ma ke kino holoʻokoʻa | - ʻEha poʻo |
| - Nā hou o ka pō | - ʻEha hui a me nā ʻiʻo |
| - Maloʻo ka ʻōpū (paʻakikī i ka wā o ka moekolohe) | - Hoʻololi i ka makemake moekolohe |
| - Pono pinepine e mimi | - Paʻakikī i ka noʻonoʻo ʻana a i ʻole ka nalowale o ka hoʻomanaʻo |
| - Hiamoe ʻole | - Piʻi ke kaumaha o ke kino |
| - Nā loli o ke ʻano (huhū pinepine, kaumaha) | - Ka hāʻule ʻana o ka lauoho a i ʻole ka lahilahi ʻana |
| - ʻIli maloʻo, maka a me ka waha |
Inā koʻikoʻi kēia mau hōʻailona e hoʻopilikia i kou ola, mai hilahila e kamaʻilio me kāu kauka e pili ana i ia mea.
He aha nā lāʻau lapaʻau a pehea e kaohi ai i nā hōʻailona?
He hana kūlohelohe ka menopause, no laila ʻaʻole pono nā kānaka a pau i ka lāʻau lapaʻau. ʻO ka lāʻau lapaʻau e pili ana i ka hoʻokele ʻana i nā hōʻailona e hoʻopilikia nei i kou ola. ʻOi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka e koho i ka lāʻau lapaʻau kūpono iā ʻoe.
1. Hoʻōla Hormone
ʻO kēia ka lāʻau lapaʻau nui e hana ana no ka hapa nui o nā kānaka. Pili ia i ka hoʻololi ʻana i nā hormones emi o ke kino (estrogen a me progesterone) ma waho. Hiki i kēia ke hāʻawi i ka hōʻoluʻolu nui mai nā hōʻailona e like me nā ʻā wela a me ka maloʻo o ka ʻōpū. Hiki nō hoʻi iā ia ke kōkua i ka pale ʻana i ka osteoporosis.
- Lapaʻau Estrogen (ET): Hāʻawi ʻia ka hormone Estrogen wale nō. Loaʻa kēia mau mea i nā ʻano like ʻole e like me nā pila, nā ʻāpana, nā kirīmi, a me nā gels. Hāʻawi pinepine ʻia kēia ʻano hana i nā wahine i wehe ʻia ko lākou ʻōpū.
- ʻO ka hui pū ʻana o ka Estrogen a me ka progestogen (EPT): I nā wahine i wehe ʻole ʻia ko lākou ʻōpū, hāʻawi ʻia kahi hormone e like me ka progesterone me ka estrogen.
ʻO ka mea nui loa:Hiki i ka lāʻau lapaʻau hormone ke loaʻa kekahi mau pilikia, no laila hiki i kāu kauka ke hoʻoholo inā kūpono kēia iā ʻoe ma muli o kou mōʻaukala olakino.
2. Nā Lapaʻau ʻAʻole Hormonal
ʻAʻole kūpono ka lāʻau lapaʻau hormone no nā kānaka āpau (no ka laʻana, ka poʻe me ka mōʻaukala o ka maʻi ʻaʻai umauma). No kēlā poʻe a me ka poʻe makemake ʻole i nā hormones, aia kekahi mau koho ʻē aʻe.
- Nā loli o ke ʻano o ka nohona:
- ʻAi: ʻO ka hōʻemi ʻana i nā meaʻai ʻala a me ke kofe hiki ke kōkua i ka kaohi ʻana i nā ʻā wela. E hoʻokomo i nā meaʻai i loaʻa nā phytoestrogens, e like me ka soy, chickpeas, lentils, a me ka flaxseed.
- Hoʻoikaika Kino: ʻAʻole wale ka hoʻoikaika kino i kēlā me kēia lā e kōkua i ke olakino noʻonoʻo akā e hoʻoikaika pū i nā iwi. Hiki i nā hoʻomaʻamaʻa e like me ka yoga ke kōkua i ka mālie o ka noʻonoʻo.
- Ke pale ʻana i nā kumu o ka hahau wela: E hoʻoluʻolu i kou lumi moe i ka pō. E pale i ka puhipaka.
- Nā lāʻau lapaʻau i kuhikuhi ʻia e ke kauka:
- Hiki i nā mahele haʻahaʻa o kekahi mau lāʻau antidepressants (e like me SSRIs, SNRIs) ke kōkua i ka kaohi ʻana i nā ʻālohilohi wela a me nā loli o ke ʻano.
- Hiki ke hoʻohana ʻia nā kirīmi a me nā lubricants vaginal e mālama i ka maloʻo o ka vagina.
Pono e lawe ʻia kekahi o kēia mau lāʻau lapaʻau ma lalo o ke aʻo a ke kauka .
Āhea ʻoe e ʻike ai i ke kauka?
ʻOiai he mea maʻamau nā wā ʻino i kēia manawa, hiki i kekahi mau hōʻailona ke hōʻailona o kahi pilikia olakino ʻē aʻe. No laila, inā loaʻa iā ʻoe kekahi o kēia mau mea, e ʻike pono i ke kauka no ka ʻōlelo aʻo.
| E makaʻala i kēia mau hōʻailona! | |
|---|---|
| - Ke kahe koko nui aʻe ma mua o ka maʻamau i ka wā o ka menstruation. | |
| - Ke hele ʻana o nā ʻōpū koko nui. | |
| - ʻO ka lōʻihi o ka maʻi ʻōpū ma mua o 7 mau lā. | |
| - ʻOi aku ka liʻiliʻi o ka manawa ma waena o nā wā menstrual ʻelua ma mua o 21 mau lā. | |
| - Ke kahe koko ʻana i ka wā o ka menstruation a ma hope paha o ka moekolohe. | |
ʻO kekahi mau nīnau ʻē aʻe paha āu e loaʻa ai
Hiki ke hāpai i loko o kēia manawa?
ʻAe. Aia kahi manawa liʻiliʻi e hāpai ai a hiki i 12 mau mahina ma hope o ka pau ʻana o kou wā. No laila, inā ʻaʻole ʻoe makemake i nā keiki, he mea nui e hoʻohana i ka kaohi hānau a hiki i ka hōʻoia ʻana o kāu kauka ua pau loa ʻoe i ka menopause.
Ke hoʻopilikia nei anei ia i ke ola moekolohe?
ʻAe, hiki ke hoʻopilikia ʻia. Ma muli o ka emi ʻana o nā pae hormone, hiki i ka vagina ke maloʻo a hiki i ka moekolohe ke ʻeha. Hiki i kekahi poʻe ke ʻike i ka emi ʻana o ka makemake moekolohe. Eia nō naʻe, ʻaʻole makaʻu kekahi poʻe i ka hāpai ʻana a hiki ke hauʻoli i ka moekolohe me ke kūʻokoʻa i kēia manawa. E kamaʻilio me kāu kauka e pili ana i kēia. Aia nā ala e kōkua ai i kēia.
Loaʻa i nā kāne ke menopause?
He nīnau kēia a ka poʻe he nui e nīnau ai. E emi mālie ana nā pae testosterone o nā kāne i ko lākou ʻelemakule ʻana. Ua kapa ʻia kēia ʻo Andropause. Eia naʻe, ʻaʻole e like me nā pae estrogen o nā wahine, ʻaʻole kēia he loli koke. Hana mālie ia a ʻaʻole ʻike kekahi mau kāne. No laila, ʻaʻole hiki ke hoʻohālikelike ʻia me ka menopause i nā wahine.
He ʻāpana kūlohelohe a maʻamau ka menopause o ka ʻelemakule. ʻOiai ua ʻike ʻoe e hiki mai ana, hiki i ka noho ʻana me kāna mau hōʻailona ke lilo i mea paʻakikī i kekahi manawa. Akā, ʻaʻole pono ʻoe e hele wale ma waena. E kamaʻilio me kāu kauka e pili ana i kāu mau hōʻailona a pehea lākou e hoʻopilikia ai i kou ola. Aia nā lāʻau lapaʻau e hiki ke kōkua iā ʻoe e ʻoluʻolu.
Leka Lawe-Home
- ʻAʻole he maʻi ka menopause, akā he hanana kūlohelohe ia e kū nei i ke ola o kēlā me kēia wahine.
- Hiki ke ʻoluʻolu ʻole nā hōʻailona e pili ana me ia, akā aia nā lāʻau lapaʻau e hiki ke kōkua i ka kaohi ʻana iā lākou.
- E kamaʻilio ākea me ke kauka e pili ana i kāu mau hōʻailona. E kōkua kēia iā ʻoe e loaʻa i ka hopena maikaʻi loa nāu.
- Hiki i nā hoʻololi ʻana i ke ʻano o ka nohona e like me ka ʻai maikaʻi a me ka hoʻoikaika kino ke hāʻawi i ka hōʻoluʻolu nui.
- E mālama pono i ke olakino o kou iwi a me kou puʻuwai ma hope o ka menopause.
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