Aloha! ʻO ka menopause kekahi o nā loli nui loa a ka wahine e hele ai i kona wā ʻelemakule. I loko o kēia manawa, hiki iā ʻoe ke ʻike i ka nui o ka ʻoluʻolu ʻole ma muli o nā mea e like me nā ʻā wela a me ka hou ʻana i ka pō. No laila i kēia lā, e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau hormone a nā kauka e ʻōlelo nei e kāohi i kēia mau hōʻailona.
He aha ke ʻano lāʻau lapaʻau kēia?
I ka ʻōlelo maʻalahi, he hui pū ʻana ia o ʻelua mau hormones. ʻO ia hoʻi, ʻo ka estrogen a me ka progestin . ʻO ka lāʻau lapaʻau a kāu kauka i kuhikuhi ai, aia i loko ʻo 'Norethindrone Acetate' (he ʻano progestin kēia) a me 'Ethinyl Estradiol' (he ʻano estrogen kēia).
Me ka menopause, emi iho ka hana kūlohelohe o kou kino i ka hormone estrogen. Hana kēia lāʻau lapaʻau ma ka hoʻihoʻi ʻana i nā pae o ka hormone i ka maʻamau. Hiki i kēia ke kōkua i ka kaohi ʻana i nā hōʻailona he nui e pili ana me ka menopause, ʻoiai nā ʻōhū wela .
Eia kekahi, aia kekahi mau pono ʻē aʻe:
- Kāohi ʻana i ka Osteoporosis: Ma hope o ka menopause, lilo nā iwi i lahilahi a ʻoi aku ka maʻalahi o ka haki ʻana. Kōkua kēia lāʻau lapaʻau i ka hōʻemi ʻana i kēlā pilikia.
- Ke pale ʻana i ka uhi o ka ʻōpū: ʻO ka lawe ʻana i ka estrogen wale nō hiki ke hoʻomānoanoa i ka uhi o ka ʻōpū me ke kumu ʻole, e hoʻonui ana i ka pilikia o ka maʻi ʻaʻai ʻōpū. Hoʻohui ʻia ka hormone progestin i kēia e pale aku ai i kēia.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau
He mea nui loa kēia. Inā loaʻa iā ʻoe kekahi o nā kūlana ma lalo nei, pono ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau.
| Maʻi a pilikia paha | Wehewehena |
|---|---|
| Nā kūlana maʻi kanesa | Inā loaʻa iā ʻoe a i loaʻa paha iā ʻoe ka maʻi umauma, ka ʻāʻī, ka uterine, a i ʻole ka maʻi endometrial. |
| Nā pilikia e pili ana i ke koko | Inā ua loaʻa iā ʻoe kahi maʻi o nā kīʻaha koko, kahi ʻūpā koko, kahi hahau, a i ʻole kahi hōʻeha puʻuwai i hala koke nei. Ke koko kiʻekiʻe, nā pae cholesterol kiʻekiʻe. |
| Maʻi akepaʻa a maʻi puʻupaʻa paha | Inā he maʻi kou i ke akepaʻa a i ʻole nā puʻupaʻa. |
| Nā kūlana olakino ʻē aʻe | Maʻi kō, Endometriosis, Fibroids, Maʻi ʻōpū, Migraine, Kaumaha, Lupus (SLE), Porphyria. |
| ʻO ke ʻano o ka nohona a me nā maʻi allergies | Inā ʻoe e puhipaka ana, loaʻa ke kahe koko ʻokoʻa o ka ʻōpū, a i ʻole he maʻi āpau i nā hormones a i ʻole nā lāʻau lapaʻau a meaʻai paha. |
| Hāpai keiki | Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a he makuahine hānai paha. |
Pehea e pono ai iaʻu ke hoʻohana i ka lāʻau lapaʻau?
Pono e lawe ʻia kēia papa i ka manawa like i kēlā me kēia lā me kahi kīʻaha wai. E lawe wale i ka nui i kuhikuhi ʻia, e like me ka ʻōlelo a kāu kauka iā ʻoe. Hiki iā ʻoe ke lawe me ka ʻai a i ʻole me ka ʻole. E heluhelu mau i ka ʻōlelo hoʻohui i ka pūʻolo mea maʻi e hele mai me kāu lāʻau lapaʻau.
He aha inā e hala iaʻu kahi mahele o ka lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi pila, e lawe koke i ka wā e hoʻomanaʻo ai ʻoe. Akā inā kokoke ka manawa no kāu pila aʻe, e kāpae i ka pila i poina a lawe i ka pila aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua pila i ka manawa hoʻokahi.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, mai hopohopo. E kāhea koke aku i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo , a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. No laila, mai kaʻana like me kekahi.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
Hiki i kekahi mau lāʻau lapaʻau ke launa pū me kēia lāʻau lapaʻau hormone, no laila pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora a me nā lāʻau lapaʻau kuʻuna).
| Mai lawe pū i kēia lāʻau lapaʻau. | |
|---|---|
| Nā mea hoʻopaʻa aromatase (e like me anastrozole, letrozole) | Nā lāʻau lapaʻau no ka maʻi Hepatitis C e like me dasabuvir, ombitasvir, paritaprevir, ritonavir |
| Nā mea ʻē aʻe e hiki ke hoʻopili | |
|---|---|
| Wai ʻāpala | Nā lāʻau hoʻokahe koko e like me Warfarin |
| Nā lāʻau antiepileptic e like me Phenobarbital a me Carbamazepine | Nā lāʻau lapaʻau no ka maʻi diabetes |
| ʻO kekahi mau lāʻau lapaʻau i lawe ʻia no ka maʻi HIV a i ʻole AIDS | Nā huahana lāʻau lapaʻau e like me ka St. John's Wort |
| Nā lāʻau antifungal e like me Itraconazole | Nā lāʻau antibiotic no ka maʻi puʻupuʻu, e like me Rifampin |
| Nā hormones thyroid | ʻO nā steroid e like me Prednisone |
Nā mea e hoʻomanaʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Nā hoʻokolohua lapaʻau maʻamau:E ʻike i kāu kauka ma ka liʻiliʻi hoʻokahi manawa i kēlā me kēia 6 mahina e nānā i kou kūlana. E hana i nā hoʻokolohua umauma a me nā pelvic maʻamau. E kamaʻilio pū me kāu kauka e pili ana i ka pono o ka mammogram.
- Pehu kino: Hiki i kēia lāʻau lapaʻau ke hoʻopaʻa i ka wai i loko o ke kino, e pehu ai i nā lima, nā wāwae, a me nā kuʻekuʻe wāwae. Hiki iā ia ke hoʻonui i ke koko. E haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona.
- Puhipaka: Inā he mea puhipaka ʻoe, ʻoiai inā ʻoi aku ʻoe ma mua o 35, ʻoi aku ka nui o kou pilikia o ke koko a me ka hahau ʻana. E kamaʻilio me kāu kauka e pili ana i kēia a loaʻa i ka ʻōlelo aʻoaʻo e pono ai.
- Hāpai: Inā manaʻo ʻoe ua hāpai ʻoe, e hoʻōki koke i ka lawe ʻana i ka lāʻau lapaʻau a haʻi i kāu kauka.
- ʻOki kino: Inā ʻoe e hoʻolālā ana e hana i kekahi ʻoki kino, e nīnau i kāu kauka inā pono ʻoe e hoʻōki i ka lawe ʻana i kēia lāʻau lapaʻau ma mua.
He aha nā hopena ʻaoʻao e hiki iaʻu ke ʻike?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. He koʻikoʻi kekahi, he mea maʻamau kekahi.
| Nā hopena ʻaoʻao e pono ʻoe e hōʻike koke i kāu kauka | |
|---|---|
| Nā maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo. |
| Nā hōʻailona o ke koko koko | ʻEha wāwae, pehu, mehana, paʻakikī ka hanu ʻana, ʻeha umauma. |
| Nā hōʻailona o ka hahau ʻana | Manuʻa koke o ka maka, ka lima a i ʻole ka wāwae, paʻakikī ke ʻōlelo, paʻakikī ke hele, ʻeha poʻo nui. |
| Nā loli i loko o nā umauma | Nā puʻu hou, ʻulaʻula, ʻeha, a me ke kahe ʻana mai ka nipple. |
| Nā hōʻailona o ka hōʻino ʻana o ke akepaʻa | ʻEha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nalowale ka makemake e ʻai, melemele o ka ʻili a i ʻole nā maka, mimi ʻeleʻele. |
| ʻĒ aʻe | ʻO ka migraines hou a i ʻole ka ʻino aʻe, ke kahe koko ʻana o ka ʻōpū ma hope o ka menopause. |
| Inā hoʻomau a hoʻopilikia paha, e haʻi i kāu kauka. | |
| ʻEha a ʻūlū paha ka umauma | ʻEha poʻo maʻamau |
| Ka pehu ʻana o nā lima, nā wāwae, nā kuʻekuʻe wāwae | Nā maka maloʻo, ʻoiai inā ʻoe e hoʻohana i nā aniani hoʻopili. |
Leka Lawe-Home
- Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau hormone, e haʻi i kāu kauka e pili ana i kou mau maʻi āpau a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- E lawe i ka lāʻau lapaʻau i ka manawa like i kēlā me kēia lā, e like me ka nui i kuhikuhi ʻia. Inā ʻoe e poina i kahi lāʻau, mai lawe i ʻelua mau lāʻau i ka manawa like.
- E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me ka pehu ʻana o ka wāwae, ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana, a i ʻole ka paʻakikī o ka ʻōlelo ʻana.
- Inā he mea puhi paka ʻoe, ʻoi aku kou pilikia i ka wā e lawe ana i kēia lāʻau. E kamaʻilio me kāu kauka e pili ana i kēia.
- He mea nui loa ka hana ʻana i nā hoʻokolohua lapaʻau a me nā mammograms i ka manawa i hoʻonohonoho ʻia.
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