Ke kahe nei ke koko ma hope o ka menopause? (Postmenopausal Bleeding) Mai hopohopo, e kamaʻilio kākou e pili ana i kēia.

E noʻonoʻo ua pau kou wā mahina no hoʻokahi makahiki a ʻoi. Ke maʻamau nā mea āpau a ʻike koke ʻoe i kahi koko liʻiliʻi ... makaʻu nui ʻoe a hopohopo, ʻeā? "No ke aha kēia?" "He mea weliweli anei kēia?" Nui nā nīnau e hiki mai ana i ka noʻonoʻo. He mea maʻamau loa ia. Akā ʻo ka mea nui loa, ʻaʻole ia e makaʻu i kēia, akā e makaʻala loa a lawe i nā hana e pono ai. I kēia lā, e kamaʻilio kākou e pili ana i ke koko ma hope o ka menopause.

I ka ʻōlelo maʻalahi, he aha ke kahe koko postmenopausal?

He mea maʻalahi loa kēia e hoʻomaopopo. ʻO ka menopause ka pau mau ʻana o ke kaʻina hana menstrual o ka wahine i kēlā me kēia mahina. Hoʻākāka mākou i kēia ma ke ʻano lapaʻau me he mea lā ʻaʻole ʻoe i loaʻa i kahi menstruation no 12 mau mahina i ka lālani, ʻo ia hoʻi, hoʻokahi makahiki piha. Ma hope o kēlā wā, ʻo ia hoʻi, hoʻokahi makahiki a ʻoi aku paha ma hope o ka pau ʻana o kou wā, inā he kahe koko nō kou mai kou vagina, ʻo ia ka mea a mākou e kapa nei ʻo Postmenopausal Bleeding.

ʻO ka hapa nui o ka manawa, ʻaʻole kēia he hōʻailona o kekahi mea koʻikoʻi. Eia nō naʻe, ma kahi o 10 o 100 mau wahine, hiki ke lilo i hōʻailona mua o ka maʻi ʻaʻai ʻōpū. ʻO ia ke kumu a mākou e ʻōlelo ai, "ʻĀ, he mea liʻiliʻi wale nō ia," a mai hoʻowahāwahā iā ia, a e ʻike pono i kāu kauka .

No ke aha mai kēia? E nānā kākou i nā kumu nui.

Aia kekahi mau kumu e hiki ke hoʻopilikia i kēia. He maʻalahi loa kekahi a ʻaʻohe mea e hopohopo ai. ʻO kekahi he mau kumu e pono ai mākou e hopohopo iki. E nānā pono kākou i kēia mau kumu.

Ma waho aʻe o kēia mau kumu nui, aia kekahi mau kumu ʻē aʻe i maʻamau ʻole ʻia:

• Ka maʻi ʻaʻai o ka ʻōpū: Ma muli o ke ʻano maʻi ʻaʻai o ka ʻōpū.
• Ka maʻi/ka mumū o ka ʻōpū (Cervicitis): Ma muli o kahi maʻi ma ka ʻāpana ʻōpū.
• ʻEha puʻupaʻa: Ka hōʻino ʻia o ka puʻupaʻa mai kahi ulia a i ʻole kekahi kumu ʻē aʻe.
• Ke kahe ʻana o ke koko mai nā kino ʻē aʻe: I kekahi manawa hiki ke kuhihewa ʻia ke koko e puka mai ana mai ka ʻōpū mimi a i ʻole ka rectum no ka hele ʻana mai mai ka vagina.

ʻO wai ka mea i pilikia nui no kēia maʻi?

ʻOiai hiki ke kahe ke koko ma hope o ka menopause i kekahi, ʻoi aku ka nui o ka poʻe e loaʻa i nā kumu nui (ʻoi aku ka maʻi ʻōpū a me ka mānoanoa o ka paia uterine). ʻO kēia mau mea pilikia:

• Momona: Ke piʻi aʻe ka momona o ke kino, piʻi pū ka nui o ka hormone estrogen.
• Puhi paka.
• Loaʻa i ka maʻi diabetes a i ʻole ka maʻi thyroid.
• Loaʻa iā ʻoe ka polycystic ovary syndrome (PCOS).
• Ka pau ʻana o ka menopause: (hana pinepine ʻia ma hope o 51 mau makahiki).

Pehea e ʻike ai ke kauka i ke kumu?

Ke hele ʻoe e ʻike i ke kauka, e nīnau ʻo ia iā ʻoe i kekahi mau nīnau. I ka manawa hea i pau ai kou wā, he aha nā lāʻau lapaʻau āu e lawe nei, a inā he mau maʻi ʻē aʻe kāu. A laila, hana paha lākou i hoʻokahi a ʻoi aku paha o kēia mau hoʻokolohua e ʻike ai i ke kumu pololei.

1. Hoʻokolokolo Pelvic: E nānā ke kauka i kou vagina a me ka cervix.

2. Pap smear: Lawe ʻia kahi hāpana liʻiliʻi o nā pūnaewele mai ka cervix a nānā ʻia no nā pūnaewele ʻē.

3. Ultrasound Transvaginal: Pili kēia i ke komo ʻana i kahi mea liʻiliʻi ma o ka vagina e lawe i nā kiʻi maopopo o ka uterus a me nā ovaries. Hiki i kēia ke kōkua i ka hoʻoholo ʻana i ka mānoanoa o ka paia uterine a inā he mau polyps uterine.

4. Biopsy Endometrial: Lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka uhi o ka ʻōpū a nānā ʻia ma lalo o kahi microscope e nānā i nā hunaola kanesa a i ʻole nā ​​​​​​mea ʻē aʻe. He hana liʻiliʻi kēia e hiki ke hana ʻia ma ke keʻena lapaʻau.

He aha nā lāʻau lapaʻau no kēia?

Aia ka lāʻau lapaʻau i ke kumu o kou kahe koko ʻana, ʻo ia ke kumu he mea nui e hoʻoholo mua i ke kumu pololei.

Lapaʻau me ka lāʻau lapaʻau

• Nā lāʻau antibiotic: Inā ma muli o kahi maʻi ke kahe ʻana o ke koko, hāʻawi ʻia nā lāʻau antibiotic.
• Estrogen: Inā ma muli o ka atrophy vaginal ke kahe ʻana o ke koko, hāʻawi ʻia nā kirīmi, nā pila, a i ʻole nā ​​​​mea liʻiliʻi (apo) i loaʻa ka estrogen i hoʻokomo ʻia i loko o ka vagina.
• Progestin: Hāʻawi ʻia kēia hormone e mālama i ka hyperplasia endometrial. Hiki ke hāʻawi ʻia ma ke ʻano he pila, injection, cream, a i ʻole kahi mea hana intrauterine (IUD).

ʻO ke ʻoki kino a me nā kaʻina hana ʻē aʻe

• Hysteroscopy: Hoʻokomo ʻia kahi ʻōmole lahilahi me kahi kāmela ma o ka vagina i loko o ka uterus e nānā i loko. Inā he mau ulu (polyps), hiki ke wehe ʻia i ka manawa like.
• Dilation a me Curettage (D&C): Ua kapa pinepine ʻia kēia he "holoi ʻana o ka uterus." Hoʻonui iki ʻia ka cervix a wehe ʻia ka uhi o ka uterus a me nā mea i loko.
• Hysterectomy: Inā ua hōʻoia ʻia ka maʻi ʻaʻai uterine, pono e wehe ʻia ka ʻōpū a me ka cervix.
• ʻO ke kani ultrasound o ka hoʻokomo ʻana o ka saline:He scan nō hoʻi kēia. Maanei, hoʻopiha ʻia kahi wai saline i loko o ka ʻōpū a ʻae ka scan i kahi ʻike maopopo o nā mea ʻē aʻe i loko.

Āhea wau e ʻike pono ai i ke kauka?

Hoʻokahi wale nō pane i kēia nīnau.

Mai hopohopo. ʻO ka hapa nui o ka manawa, hiki ke kumu kēia ma muli o kahi kumu maʻalahi. Akā, ʻo ke kauka wale nō ke hoʻoholo inā he mea koʻikoʻi a ʻaʻole paha. No laila, inā loaʻa iā ʻoe kekahi mea e like me kēia, mai hoʻowahāwahā iā ia. E mālama i kou olakino .