He kahua kūlohelohe ka menopause i ke ola o kēlā me kēia wahine. Eia nō naʻe, ma muli o nā loli hormonal i ke kino i ka hala ʻana o ka manawa, hiki ke loaʻa kekahi mau ʻehaʻeha, ʻoi aku hoʻi i loko o ka vagina. No ka laʻana, ka maloʻo o ka vagina a me ka ʻeha i ka wā moe. Nui ka poʻe o ko kākou kaiāulu e kānalua iki nei e kamaʻilio ākea e pili ana i kēia mau mea. Akā, ʻaʻole kēia mau mea e pono e hoʻowahāwahā ʻia. ʻO ka nūhou maikaʻi, aia i kēia manawa nā lāʻau lapaʻau maikaʻi loa a hou no ia mau pilikia ʻaʻole hoʻohana i nā hormones. I kēia lā e kamaʻilio mākou e pili ana i ia ʻano lāʻau lapaʻau kūikawā.
He aha kēia MonaLisa Touch?
I ka ʻōlelo maʻalahi, ʻo MonaLisa Touch kahi lāʻau lapaʻau laser kūikawā ʻaʻole invasive. Hoʻohana nui ʻia ia e mālama i kahi maʻi i kapa ʻia ʻo ka atrophy vaginal. Ma ke ʻano lapaʻau, ua ʻike ʻia kēia maʻi ʻo Genitourinary Syndrome of Menopause (GSM).
ʻO kēia kūlana GSM ke kumu o nā hōʻailona e like me ka maloʻo o ka ʻōpū a me ka ʻeha i ka wā o ka moekolohe. Hana ka lāʻau lapaʻau MonaLisa Touch ma ka ho'ōla ʻana i nā ʻiʻo i loko o ka ʻōpū, e hoʻihoʻi ana i kona makū maoli, a me ke kōkua ʻana i ka moekolohe e ʻoluʻolu a ʻaʻohe ʻeha.
I ka manawa pinepine, hāʻawi ʻia nā kirīmi a me nā pila i loaʻa ka hormone estrogen ma ke ʻano he lāʻau lapaʻau no kēia mau kūlana. Eia nō naʻe, ʻaʻole hiki i kekahi mau wahine ke lawe i ka estrogen ma muli o nā kumu olakino ʻē aʻe (no ka laʻana, ka mōʻaukala o ka maʻi ʻaʻai umauma). ʻAʻole makemake kekahi e lawe i ka lāʻau lapaʻau hormone. No kēlā poʻe, he koho maikaʻi ʻo MonaLisa Touch.
He aha nā hōʻailona e mālama ai kēia lāʻau?
Me ka menopause, emi iho ka nui o ka hormone estrogen o ke kino o ka wahine. Ma muli o kēia emi ʻana o nā hormones, lilo ka ʻiʻo vagina i mea lahilahi a maloʻo. Hōʻike ka papa ma lalo nei i kekahi o nā hōʻailona nui e hiki ke kū mai ma muli o kēia.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| ʻO ka moekolohe ʻeha | ʻEha a me ke kaumaha i hoʻokumu ʻia e ka maloʻo o ka ʻōpū a me ka lahilahi o nā ʻiʻo. |
| ʻO ka ʻeha ʻeha o ka vaginal a me ke kahe ʻana o ke koko | ʻOiai i nā hihia maʻamau, aia paha ka mumū, ka maneʻo, a i ʻole ke kahe koko iki i loko o ka vagina. |
| Nā maʻi ʻōpū mimi pinepine (UTIs) | ʻO ke ʻano o ka loaʻa pinepine ʻana o nā maʻi mimi ma muli o nā loli o ka pale ʻana a me ka lahilahi ʻana o nā ʻiʻo. |
| ʻAʻole hiki ke kāohi i ka mimi (Urinary Incontinence) | Ka kahe ʻana o kahi liʻiliʻi o ka mimi i ka wā e ʻakaʻaka ai, e ʻū ana, e kihe ana, a i ʻole e hāpai ana i kahi mea kaumaha. |
| ʻO ka mumū o ka ʻōpū, ka ʻūlū | Ke kuni mau nei a i ʻole ka maneʻo i loko o ka vagina me ke kumu ʻole. |
He mea nui: E hoʻomanaʻo, ʻaʻole kēia lāʻau e hoʻopaʻa i ka vagina. Manaʻo kuhihewa kekahi poʻe pēlā. Aia kekahi mau lāʻau ʻē aʻe no nā kūlana e like me ka laxity vaginal. ʻO ka pahuhopu nui o ka lāʻau MonaLisa Touch ʻo ia ka hoʻihoʻi ʻana i ka makū maoli a me ke olakino o nā ʻiʻo vaginal.
No wai kēia lāʻau lapaʻau maikaʻi loa, a no wai ka mea kūpono ʻole?
ʻAʻole kūpono kēia lāʻau lapaʻau no nā kānaka a pau. He mea nui e kamaʻilio me kāu kauka ma mua o ka hoʻoholo ʻana inā kūpono kēia iā ʻoe. Hiki iā ʻoe ke loaʻa kahi manaʻo maʻamau o kēia mai ka papa ma lalo nei.
| Kūpono/kūpono ʻole | Wehewehena |
|---|---|
| I ka manawa kūpono paha kēia lāʻau lapaʻau iā ʻoe | |
| Ka hoʻopau ʻana o ka wahine | Inā ʻoe e ʻeha nei i nā hōʻailona i hoʻokumu ʻia e nā pae estrogen haʻahaʻa kokoke a ma hope paha o ka menopause. |
| ʻO ka hāʻule ʻana o nā lāʻau lapaʻau ʻē aʻe | Inā ua hoʻāʻo ʻoe i nā lāʻau ʻē aʻe, e like me ka kirimina estrogen, a ʻaʻole i loaʻa nā hopena holomua. |
| Nā kūlana olakino ʻē aʻe | Inā loaʻa nā hōʻailona i ka chemotherapy, ka maʻi ʻaʻai umauma, a i ʻole ka hysterectomy. |
| Ka hoʻohana kūpono ʻole ʻana o ka estrogen | Inā he mea weliweli ka lawe ʻana i ka hormone estrogen ma muli o nā pilikia olakino ʻē aʻe. |
| I ka wā e kūpono ʻole ai kēia lāʻau lapaʻau iā ʻoe | |
| Hāpai keiki | Inā hāpai ʻoe a ʻaʻole paha i loaʻa kahi pēpē i loko o ʻekolu mahina. |
| Nā maʻi ʻeha | Inā loaʻa iā ʻoe kahi maʻi i laha ʻole ʻia ma ke moekolohe (STI) a i ʻole kekahi maʻi ʻē aʻe ma ka ʻōpū. |
| Nā kūlana olakino ʻē aʻe | Inā loaʻa iā ʻoe kahi maʻi e like me ka prolapse bladder a i ʻole ke lawe nei i nā lāʻau hoʻokahe koko (anticoagulants). |
Pehea e hana ai ka lāʻau lapaʻau a he aha ka mea e hana ʻia?
Hoʻohana ʻo MonaLisa Touch i kahi ʻenehana i kapa ʻia ʻo "CO2 (carbon dioxide) fractional laser." Ma kēia, ua kuhikuhi ʻia nā tausani o nā kukuna mālamalama maikaʻi loa i nā ʻiʻo o ke kahawai vaginal. Hoʻokumu kēia mau kukuna laser i nā "ʻeha" liʻiliʻi loa i kāohi ʻia i nā ʻiʻo o ka papa o loko o ka vagina.
Mai hopohopo, he mea maikaʻi kēia! No ka mea, hoʻoulu kēia mau ʻeha liʻiliʻi i ke kaʻina hana ho'ōla maoli o ke kino. ʻO ke ʻano kēia, hoʻomaka ke kino ponoʻī e hana i nā kīʻaha koko hou ma ia wahi a hoʻonui i ka hana ʻana o nā protein i kapa ʻia ʻo collagen a me elastin, he mea nui ia no ke olakino o ka ʻili a me ka ʻōpio. ʻO ka hopena, ua hoʻohou hou ʻia nā ʻiʻo o ka vagina, ua mānoanoa, a ua hoʻihoʻi ʻia ko lākou makū maoli.
Pehea e hana ʻia ai ka lāʻau lapaʻau
Hana ʻia kēia lāʻau lapaʻau ma ke keʻena o kāu kauka. ʻAʻole pono ia i ke ʻoki kino a i ʻole ka anesthesia. Ua like ia me ka Pap smear.
- E noi ʻia ʻoe e moe i lalo ma kahi moe kahi e nānā ʻia ai ʻoe.
- Hiki ke hoʻopili ʻia kahi kirīmi hoʻomaʻalili a puni ka puka o ka vagina.
- A laila, hoʻokomo ke kauka i kahi mea liʻiliʻi e like me ke koʻokoʻo i loko o ka vagina a hāʻawi i ka ikehu laser.
- I kēia manawa, hiki paha iā ʻoe ke manaʻo i kahi haʻalulu iki a i ʻole kahi ʻano wela iki, e like me ke hou ʻia ʻana e kahi nila, akā ʻaʻohe ʻeha nui.
- He manawa pōkole loa ka lāʻau lapaʻau holoʻokoʻa, ma kahi o 5 mau minuke.
ʻO ka maʻamau, ua ʻōlelo ʻia he 3 mau lāʻau lapaʻau, i hoʻokaʻawale ʻia ma kahi o 6 mau pule. Ma hope o kēlā, e noi ʻia paha ʻoe e hana i kahi lāʻau mālama (touch-up) ma kahi o hoʻokahi manawa i ka makahiki e mālama i nā hopena.
Nā hopena ʻaoʻao a me ka manawa ho'ōla
He wikiwiki loa ka manawa ho'ōla ma hope o kēia lāʻau lapaʻau. Hiki iā ʻoe ke hoʻi i kāu mau hana maʻamau i ka lā hoʻokahi. Eia nō naʻe, hiki ke loaʻa kekahi mau hopena ʻaoʻao liʻiliʻi.
- ʻO ka mumū iki a i ʻole ka ʻeha iki ma ka puka o ka vagina.
- He mau kulu koko liʻiliʻi a i ʻole kahi kahe koko ʻulaʻula/ʻeleʻele.
- Ke kuni iki ʻana i ka wā e mimi ai.
- Pehu iki a ʻulaʻula paha a puni ka puka o ka vagina.
ʻO ka maʻamau, nalowale loa kēia mau hōʻailona i loko o 24-36 mau hola. Inā ʻoe e ʻeha, hiki iā ʻoe ke hoʻomaha ma ke kau ʻana i kahi ʻeke hau. ʻO ka mea nui loa, pono ʻoe e pale i ka moekolohe no ʻekolu lā ma hope o ka mālama ʻana.
Ua hōʻike ʻia nā noiʻi ma mua o 80% o ka poʻe i loaʻa ka lāʻau lapaʻau ua māʻona loa lākou i nā hopena. Hoʻomaka kekahi poʻe e ʻike i kahi ʻokoʻa nui ma hope o ka hālāwai lapaʻau mua.
Leka Lawe-Home
- He lāʻau lapaʻau laser maikaʻi loa ʻo MonaLisa Touch no ka maloʻo a me ka ʻeha o ka ʻōpū ma hope o ka menopause.
- Inā ʻaʻole hiki iā ʻoe ke loaʻa i ka lāʻau lapaʻau hormone estrogen a i ʻole ʻaʻole ʻoe makemake, he koho maikaʻi loa kēia nāu.
- He lāʻau palekana kēia, ʻaʻohe ʻokiʻoki e hiki ke hana ʻia ma ke keʻena o ke kauka i loko o 5 mau minuke wale nō.
- He kiʻekiʻe loa nā hopena a he liʻiliʻi nā hopena ʻaoʻao.
- ʻAʻole uhi pinepine ʻia kēia lāʻau lapaʻau e ka ʻinikua, no laila e kamaʻilio me kāu kauka e pili ana i nā kumukūʻai ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau.
- ʻO ka mea nui loa, e ʻike pono i kāu gynecologist e kūkākūkā i kou mau hopohopo a hoʻoholo inā kūpono kēia lāʻau iā ʻoe.
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