He wā paʻakikī ka menopause e lawe mai ana i nā loli he nui i ke ola o kēlā me kēia wahine. I loko o kēia manawa, me nā loli hormonal i ke kino, hiki i kekahi mau wahine ke ʻike i ka ʻoluʻolu ʻole e like me ka maloʻo o ka vagina a me ka ʻeha i ka wā o ka moekolohe. Hoʻokaʻulua kekahi e kamaʻilio e pili ana i kēia mau mea. No laila i kēia lā ua manaʻo mākou e kamaʻilio pū me ʻoe e pili ana i kahi lāʻau kūikawā i kapa ʻia ʻo Ospemifene, a nā kauka e ʻōlelo nei e mālama i ia mau kūlana.
He aha maoli kēia lāʻau lapaʻau i kapa ʻia ʻo Ospemifene?
I ka ʻōlelo maʻalahi, ʻo Ospemifene kahi pila i hoʻohana ʻia e mālama i ka maloʻo o ka ʻōpū a me ka ʻeha e pili ana i ka wā o ka moekolohe (dyspareunia) i nā wahine post-menopausal. Loaʻa pinepine ʻia ma lalo o ka inoa inoa ʻo Osphena.
E noʻonoʻo, me ka menopause, emi iho ka hormone estrogen i loko o ko kākou kino. Ma muli o kēia, ua lahilahi a maloʻo nā ʻiʻo a puni ka vagina. Hana ʻo Ospemifene e like me kēia hormone estrogen a hoʻihoʻi i kekahi makū a me ka palupalu i nā ʻiʻo a puni ka vagina. Akā, mai poina he lāʻau lapaʻau kēia e pono e lawe ʻia ma ke ʻōlelo a ke kauka.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
No kou palekana, he mea nui loa ia e ʻike kāu kauka i kou mōʻaukala olakino piha ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau. Mai hūnā i kekahi mea, ʻoiai nā kikoʻī liʻiliʻi loa. He mea nui loa ia e haʻi i kāu kauka e pili ana i kēia mau kūlana:
| Kūlana a maʻamau paha e hōʻike ʻia | Nā kumu e makaʻala loa ai |
|---|---|
| Ka maʻi ʻaʻai (umauma, ʻōpū, a i ʻole kekahi) | Ma muli o ka hana ʻana o kēia lāʻau lapaʻau ma nā hormones, hiki iā ia ke hoʻopilikia i kekahi mau maʻi kanesa. |
| Maʻi puʻuwai | Pono ka mālama kūikawā no ka poʻe i loaʻa ka maʻi puʻuwai. |
| Inā ua loaʻa iā ʻoe nā ʻōpū koko i ka wā ma mua | Hiki i kēia lāʻau lapaʻau ke hoʻonui iki i ka pilikia o nā ʻūpā koko. |
| Inā ua loaʻa iā ʻoe kahi hahau ma mua | Pono ke kauka e makaʻala i ka pilikia o ka hahau ʻana. |
| Ke kahe koko ʻana o ka vaginal i wehewehe ʻole ʻia | He hōʻailona paha kēia o kekahi maʻi ʻē aʻe, no laila pono e noiʻi ʻia ke kumu. |
| Nā maʻi ate | He mea nui ke akepaʻa i ke kaʻina hana o ka hoʻopau ʻana i nā lāʻau lapaʻau mai ke kino. |
| Inā ʻaʻole ʻoe i hala i ka menopause (Premenopausal) | Ua ʻōlelo ʻia kēia lāʻau lapaʻau no nā maʻi e kū mai ana ma hope o ka menopause. |
| Puhipaka | Hoʻonui nui ka puhipaka i ka pilikia o ke kāpili ʻana o ke koko a me ka hahau ʻana. |
| Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana | ʻAʻole kūpono kēia lāʻau lapaʻau no ka hoʻohana ʻana i ia mau hihia. |
| Nā maʻi ʻaleka i nā lāʻau lapaʻau, nā meaʻai, a i ʻole nā mea ʻē aʻe | He mea nui e ʻike inā he maʻi ʻoe i ka ospemifene a i ʻole kekahi mea i loko. |
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
- He papa waha kēia. E lawe me ke aniani wai.
- E lawe mau i kēia lāʻau me ka ʻai. He mea nui kēia.
- E lawe wale i ka nui i kuhikuhi ʻia i ka manawa i kuhikuhi ʻia, e like me ka mea a kāu kauka i kuhikuhi ai. Mai hoʻonui a hoʻēmi paha i ka nui e like me kou makemake.
- Mai ho'ōki koke i ka lawe ʻana i ka lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- ʻAʻole ʻae ʻia kēia lāʻau lapaʻau no ka hoʻohana ʻana i nā keiki.
- Inā inu nui ʻoe:Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, mai hopohopo. E kāhea koke aku i ke Kikowaena ʻIke Lahui no nā Poisons ma ka Halemai Lahui ʻo Colombo. A i ʻole e hele i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa.
- Nou wale nō kēia lāʻau lapaʻau. Mai hāʻawi aku i kahi hoaaloha nona nā hōʻailona like me ʻoe.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Akā inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i hala ʻole a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau lāʻau i ka manawa hoʻokahi.
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
He mea nui e nānā hou aku i kou olakino i ka wā e lawe ana i kēia lāʻau.
Nā hoʻokolohua lapaʻau maʻamau
ʻOiai e lawe ana i kēia lāʻau lapaʻau, pono ʻoe e hana i nā hoʻokolohua lapaʻau maʻamau e like me ke kauoha a kāu kauka. Hoʻokomo pū kēia i nā hoʻokolohua umauma, nā Pap smears, a, inā pono, nā mammograms. Mai hōʻalo i kēia mau mea.
E pale pono i ka puhipaka!
ʻO ka puhipaka ʻana i ka wā e lawe ana i kēia lāʻau lapaʻau e hoʻonui nui i kou pilikia o ke koko a me ka hahau ʻana. No laila, inā ʻoe e puhipaka ana, ke paipai ikaika nei mākou iā ʻoe e hoʻōki. E kamaʻilio me kāu kauka e pili ana i kēia.
Nā hopena kūpono ma ka paia o ka uterine
Hiki i kēia lāʻau lapaʻau ke hoʻomānoanoa i ka uhi o ka ʻōpū (endometrium). Ua kapa ʻia kēia ʻano ʻo Endometrial Hyperplasia . Inā ʻaʻole mālama ʻia, hiki ke alakaʻi pinepine i ka maʻi ʻaʻai ʻōpū. No ka hōʻemi ʻana i kēia pilikia, inā ʻaʻole i wehe ʻia kou ʻōpū ma ke ʻoki ʻana (hysterectomy) , hiki i kāu kauka ke ʻōlelo aku iā ʻoe e lawe i kahi hormone ʻē aʻe i kapa ʻia ʻo progestin me kēia lāʻau lapaʻau. E kamaʻilio me kāu kauka e pili ana i kēia a e hoʻomaopopo i nā pono a me nā pōʻino ma mua o ka hoʻoholo ʻana.
Nā mea nui ʻē aʻe
- ʻAʻole hōʻemi kēia lāʻau lapaʻau i nā ʻā wela, e kū mai ana i ka wā menopause. I kekahi manawa, hiki ke kū mai kēia ʻano.
- Inā ʻoe e hana ʻia ana i ke ʻoki kino, e nīnau i kāu kauka inā pono ʻoe e hoʻōki i ka lawe ʻana i kēia lāʻau lapaʻau ma mua o ka hana ʻia ʻana.
- Inā manaʻo ʻoe ua hāpai ʻoe, e hoʻōki koke i ka lawe ʻana i kēia lāʻau a e haʻi i kāu kauka.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. Akā, ʻaʻole i loaʻa i nā kānaka a pau. He koʻikoʻi kekahi, he maʻamau kekahi.
| Ka hoʻokaʻawale ʻana o nā hopena ʻaoʻao | |
|---|---|
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i kāu kauka | |
| Nā hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| Nā hōʻailona o ke koko koko | ʻEha koke ka umauma, paʻakikī ka hanu ʻana, pehu ka wāwae, ʻulaʻula, a i ʻole ka ʻeha. |
| Nā Hōʻailona o ka Stroke | Nā loli koke o ka ʻike, huikau, paʻakikī i ka ʻōlelo ʻana a i ʻole ka hoʻomaopopo ʻana, ʻeha poʻo nui, mae a nāwaliwali paha ma ka maka, lima a i ʻole ka wāwae, paʻakikī i ka hele wāwae, maule. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Paʻakikī ka hanu ʻana, nā loli i nā ʻiʻo umauma a i ʻole ka hoʻokahe ʻana, ke kahe koko ʻana o ka ʻōpū ma ke ʻano ʻē. |
| Nā mea i maʻa mau ʻole i ka nui, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Nā ʻā wela | Ka wela koke a me ka hou ʻana o ka maka, ka ʻāʻī, a me ka umauma. |
| Ka hou nui ʻana | ʻOi loa aku i ka pō. |
| Nā ʻūpā ʻiʻo | Ka huki ʻana i ke koʻa, ʻoi aku hoʻi ma nā wāwae. |
| Hoʻokuʻu ʻana o ka vaginal | Ka hoʻokuʻu keʻokeʻo a moakāka paha. |
Leka Lawe-Home
- ʻO Ospemifene kahi lāʻau lapaʻau i kauoha ʻia e hoʻohana wale ʻia e mālama i ka maloʻo o ka ʻōpū a me ka ʻeha i ka wā o ka moekolohe i hoʻokumu ʻia e ka menopause.
- Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, e hōʻoia e haʻi i kāu kauka i kou mōʻaukala olakino piha, ʻoiai e pili ana i ke kanesa, ka maʻi puʻuwai, a me nā ʻūpā koko.
- E pale loa i ka puhipaka ʻana i ka wā e lawe ana i ka lāʻau. Hoʻonui nui ia i ka pilikia o ke koko a me ka hahau ʻana.
- Inā loaʻa iā ʻoe ka ʻeha koke o ka umauma, ka paʻakikī o ka hanu ʻana, ka paʻakikī o ka ʻōlelo ʻana, ka pehu ʻana o nā wāwae, a i ʻole ke kahe koko ʻana o ka ʻōpū, e ʻimi koke i ke kōkua lapaʻau.
- Inā he mau nīnau kāu e pili ana i kēia lāʻau lapaʻau a i ʻole ka menopause, mai kānalua e kamaʻilio me kāu kauka.
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