Postmenopause: E makaʻala kākou i kēia!

Ua hala aku nei ma mua o hoʻokahi makahiki mai ka pau ʻana o kou wā mahina? Ke manaʻo nei ʻoe i ka ʻoluʻolu ʻole a me nā loli i kou kino ma hope o ka hala ʻana i ka milestone nui i kapa ʻia ʻo menopause? A laila aia ʻoe i ka wā i kapa ʻia ʻo "Postmenopause". ʻAʻole nui nā wahine e kamaʻilio e pili ana i kēia, akā he kahua koʻikoʻi loa kēia i ko mākou ola. No laila, mai makaʻu, i kēia lā e kamaʻilio mākou e pili ana i kēia wā, nā loli e hana ʻia i loko o ia wā, a pehea e noho hauʻoli ai a olakino.

I ka ʻōlelo maʻalahi, he aha ka postmenopause?

ʻO ka postmenopause ka wā ma hope o ka menopause. ʻO ka pololei, ʻo ia ka manawa e hoʻomaka hou ai kou mau wā mahina ma hope o 12 mau mahina o ka ʻole o nā wā . I loko o kēia manawa, e pau ana kāu mau ovaries i ka hoʻokuʻu ʻana i nā hua (ovulation). ʻO ke ʻano kēia ua pau kou hiki ke loaʻa nā keiki.

ʻAʻole kēia ka hopena o ke ola, akā he hoʻomaka hou. ʻO nā hōʻailona i hoʻopilikia nui iā ʻoe i ka wā menopause, e like me nā ʻā wela a me ka hou ʻana i ka pō, e emi mālie a nalo loa paha i kēia manawa.

Akā i loko o kēia manawa, he haʻahaʻa loa nā pae o ka hormone estrogen i ko mākou kino. He mea nui loa kēia hormone no ka mālama ʻana i ko mākou mau iwi i ikaika. No laila, ke emi ka estrogen, piʻi iki ka pilikia o ka osteoporosis.

Pehea ka lōʻihi o ka postmenopause?

Ke komo ʻoe i ka postmenopause, e mau ia no ke koena o kou ola. E noho haʻahaʻa nā pae hormone, ʻaʻole e hoʻi mai kou wā mahina, a ʻaʻole hiki iā ʻoe ke hāpai hou i kahi keiki no ka mea ʻaʻole hiki iā ʻoe ke ovulate.

ʻO ka maʻamau, hiki ke ʻokoʻa kēia ʻano ma kahi o 52 mau makahiki. Akā, hiki ke ʻokoʻa mai kēlā kanaka a kēia kanaka. ʻO ka mea nui, ʻaʻole kou mau makahiki, akā, inā paha ua hala aku ma mua o hoʻokahi makahiki mai ka pau ʻana o kou wā.

Hiki ke ʻike ʻia nā hōʻailona i kēia manawa?

ʻAe, nui ka poʻe e ʻike mau ana i kekahi o nā hōʻailona like i loaʻa iā lākou i ka wā menopause. Akā i ka hapa nui o ka manawa, ʻaʻole lākou ikaika loa. ʻO kēia no ka mea he haʻahaʻa nā pae hormone hānau o ko mākou kino. ʻAʻohe paha o kekahi poʻe i loaʻa nā hōʻailona.

Akā e nānā inā loaʻa iā ʻoe kēia mau hōʻailona:

Hiki ke loaʻa ke kahe koko ma ka ʻōpū i ka wā postmenopause?

ʻAʻole loa. He mea nui loa kēia. ʻAʻole maʻamau ke kahe koko ʻana o ka vagina i ka wā postmenopause. I kekahi manawa, hiki i ka maloʻo o ka vagina ke hana i kahi kiko liʻiliʻi o ke koko e ʻike ʻia ma hope o ka moekolohe. Eia nō naʻe, inā ʻoe e kahe ana ke koko ma kekahi ʻano ʻē aʻe, he hōʻailona paha ia o ka mānoanoa o ka uhi o ka uterus (endometrial hyperplasia), nā fibroids uterine, ka maʻi (endometritis), a i ʻole ke kanesa. No laila, inā he koko liʻiliʻi kou, pono ʻoe e ʻike i ke kauka.

Nā pilikia olakino e pono e makaʻala i ka wā postmenopause

I ka emi ʻana o ka hormone estrogen, ka mea i lilo i mea pale iā kākou ma mua, piʻi iki ka pilikia o ka loaʻa ʻana o kekahi mau maʻi i kēia manawa. ʻAʻohe mea e makaʻu ai, no ka mea, hiki iā kākou ke pale iā kākou iho mai iā lākou ma ka ʻike ʻana i kēia.

1. Ka lahilahi o nā iwi (Osteoporosis)

Ma hope o ka menopause, emi koke ka nui o ka iwi ma muli o ka emi ʻana o ka estrogen. Hiki ke emi ka nui o ka iwi ma kahi o 1% - 2% i kēlā me kēia makahiki. Ke lahilahi loa nā iwi, ʻoiai ka hāʻule iki ʻana e hoʻonui i ka pilikia o ka haki ʻana.

• He aha ka mea hiki ke hana ʻia?
• ʻAi i nā meaʻai waiwai i ka calcium: E hoʻokomo i ka waiū, ka tīhi, ka yogurt, nā iʻa liʻiliʻi me nā pūpū (salyo, halibut), nā lau ʻōmaʻomaʻo e like me ka spinach, kale, a me nā cereals i hoʻoikaika ʻia i kāu meaʻai.
• Wikamina D: He mea nui ka Wikamina D no ke kino e omo i ka calcium. Loaʻa ka Wikamina D mai ka ʻike ʻana i ka lā i ke kakahiaka. Inā pono, hiki iā ʻoe ke lawe i kahi mea hoʻohui wikamina D ma ke ʻōlelo aʻoaʻo a ke kauka.
• Hoʻoikaika Kino: ʻO nā hana e like me ka hāpai kaumaha a me ka hele wikiwiki e hoʻoikaika i nā iwi.
• Hoʻāʻo ʻana i ka nui o ka iwi: Hiki i kāu kauka ke ʻōlelo i kahi hoʻāʻo e ana i ka nui o kou mau iwi, inā pono.

2. Maʻi puʻuwai

Ma mua o ka menopause, kōkua ka hormone estrogen i ka pale ʻana i ko kākou puʻuwai a me nā kīʻaha koko. Akā i ka emi ʻana o kēlā pale i ka wā postmenopause, piʻi ka pilikia o ka loaʻa ʻana o nā maʻi e like me ka hōʻeha puʻuwai a me ka hahau. Eia kekahi, ʻoiai he nui ka poʻe i emi iki ka hana kino i kēia manawa, ʻoi aku ka kiʻekiʻe o ka loaʻa ʻana o ka cholesterol kiʻekiʻe a me ke koko kiʻekiʻe.

• He aha ka mea hiki ke hana ʻia?
• ʻAi olakino: E hōʻemi i nā meaʻai kiʻekiʻe i ka ʻaila, ka paʻakai, a me ke kō. E ʻai hou aku i nā mea kanu, nā huaʻai, nā legume, nā palaoa piha, a me ka iʻa.
• Hoʻoikaika kino mau: E hana i kekahi mea e like me ka hele wāwae a ʻauʻau paha no 30 mau minuke i ka lā.
• Mai puhipaka: He mea ʻino loa ka puhipaka i ka puʻuwai.
• E mālama i nā maʻi mau:Inā loaʻa iā ʻoe nā maʻi e like me ka maʻi diabetes, ke koko kiʻekiʻe, a i ʻole ka cholesterol, e kaohi pono iā lākou e like me ka ʻōlelo aʻo a kāu kauka.

3. Nā pilikia o ka ʻōnaehana mimi a me ka ʻōnaehana hānau (Genitourinary syndrome of menopause)

ʻOiai he inoa paʻakikī kēia, pili wale ia i nā pilikia i loko o ka ʻōpū a me ka ʻōnaehana mimi i hoʻokumu ʻia e ka emi ʻana o ka estrogen.

• Maloʻo ka ʻōpū: Lilo ka ʻiʻo i lahilahi, maloʻo, a hiki ke ʻā a pehu. Hiki i kēia ke hoʻolilo i ka moekolohe i mea ʻeha.
• Nā pilikia o ka ʻōnaehana mimi: I ka nāwaliwali ʻana o nā ʻiʻo o ka ʻōpū mimi a me ka urethra, hiki iā ʻoe ke loaʻa i nā maʻi ʻōnaehana mimi pinepine a loaʻa iā ʻoe ka paʻakikī ke kaohi i kāu mimi.

• He aha ka mea hiki ke hana ʻia?
• Hiki iā ʻoe ke hoʻohana i nā lubricants vaginal a me nā moisturizers i loaʻa ma ka mākeke.
• Inā hoʻomau kēia mau pilikia, hiki i kāu kauka ke ʻōlelo i nā ʻaila topical e loaʻa ana ka estrogen a i ʻole nā ​​​​lāʻau ʻē aʻe.

ʻO ka postmenopause a me ke olakino noʻonoʻo

Hiki i kēia manawa ke paʻakikī i ke kino a me ka noʻonoʻo.

• Hiki ke hana ʻia nā mea e like me ka hopohopo, ka huhū, a me ke kaumaha.
• E kaumaha paha ʻoe no ka pau ʻana o ka manawa i hiki ai iā ʻoe ke hānau keiki.
• Hiki ke kaumaha ka manaʻo o ka ʻelemakule.

He mea maʻamau kēia mau manaʻo. ʻAʻole ʻoe hoʻokahi. Hiki ke kōkua nui ke kamaʻilio ʻana e pili ana i kēia me kahi hoaaloha hilinaʻi a ʻohana paha. A i ʻole, hiki i ke kamaʻilio ʻana me ke kākāʻōlelo a i ʻole ke kauka noʻonoʻo ke hāʻawi iā ʻoe i ka ikaika nui e kū ai i kēia pae hou o ke ola.

Nā hoʻololi lapaʻau a me ke ʻano o ka nohona e hoʻokele ai i nā hōʻailona

Aia kekahi mau ala e hoʻoponopono ai i nā pilikia e kū mai ana i loko o kēia manawa.

Lapaʻau lapaʻau

Ma muli o kāu mau hōʻailona, ​​​​hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e like me:

• Hoʻōla Hormone (HT): ʻO kēia ka lāʻau lapaʻau kūpono loa no nā hōʻailona he nui. Pili ia i ka hoʻololi ʻana i nā hormones hemahema me nā hormones mai waho o ke kino. Eia nō naʻe, loaʻa iā ia kekahi mau pilikia (e.g., nā ʻōpū koko, ka maʻi ʻaʻai umauma), no laila hiki i kāu kauka ke hoʻoholo inā kūpono kēia iā ʻoe ma muli o kou mōʻaukala olakino.
• Nā Antidepressants: Hiki i kekahi ʻano antidepressants ke kōkua i ka kaohi ʻana i nā loli o ke ʻano a me nā ʻōhū wela.
• Nā kirīmi vaginal: Hiki ke hoʻohana ʻia nā kirīmi e loaʻa ana ka estrogen e mālama i ka maloʻo a me ka ʻeha o ka vagina.
• Nā lāʻau lapaʻau ʻē aʻe: Hāʻawi ʻia nā lāʻau lapaʻau e like me Gabapentin lāua ʻo Oxybutynin i kekahi manawa e kāohi i nā ʻā wela.

Nā loli o ke ʻano o ka nohona

Ma waho aʻe o nā lāʻau lapaʻau, nui nā mea hiki iā ʻoe ke hana iā ʻoe iho.

• Hoʻoikaika kino mau: ʻO nā hana e like me ka hele wāwae, ka yoga, a me ka hāpai kaumaha e hoʻoikaika i nā iwi a me nā ʻiʻo. He mea maikaʻi nō hoʻi lākou no ke olakino noʻonoʻo.
• E ʻai i ka meaʻai olakino: E ʻai i ka meaʻai haʻahaʻa i ka ʻaila, ke kō, a me ka paʻakai, a waiwai i nā mea kanu, nā huaʻai, a me nā mea kanu. E hōʻemi i ka inu ʻana i ka waiʻona.
• E mālama i ke kaumaha olakino: ʻO ka kaohi ʻana i kou kaumaha kino hiki ke pale iā ʻoe mai nā maʻi e like me ka maʻi puʻuwai a me ka maʻi diabetes.
• E noho launa pū: E hui pū me nā hoaaloha, e hana i nā lawelawe kaiāulu, a i ʻole e komo i kahi hana leʻaleʻa āu e makemake ai. E hāʻawi kēia iā ʻoe i ke kākoʻo noʻonoʻo āu e pono ai.
• Noʻonoʻo ʻana: He mea pono loa ka hoʻomaʻamaʻa ʻana i kahi mea e like me ka noʻonoʻo ʻana no ka hōʻoluʻolu ʻana i ka noʻonoʻo a me ka hōʻemi ʻana i ke kaumaha.

Nā Nīnau i Nīnau Pinepine ʻia

Hiki ke hāpai i ka wā postmenopause?

Inā ua pau kou wā no hoʻokahi makahiki a ʻoi, ʻaʻole paha ʻoe e hāpai no ka mea ʻaʻole ʻoe e ovulate. Eia nō naʻe, inā ʻaʻole ʻoe makemake i nā keiki a hiki i hoʻokahi makahiki ma hope o ka pau ʻana o kou wā, e kamaʻilio me kāu kauka e pili ana i ka hoʻohana ʻana i ka kaohi hānau.

Pono anei e hana ʻia nā hoʻokolohua Pap i ka wā postmenopause?

ʻAe, ʻoiaʻiʻo nō. ʻAʻole maikaʻi ka hoʻōki ʻana i ka loaʻa ʻana o nā hoʻokolohua gynecological no ka mea ua pau kou menstruation. Pono ʻoe e hoʻomau i ka loaʻa ʻana o nā Pap smears, mammograms, a me nā hoʻokolohua olakino makahiki ʻē aʻe e like me ka ʻōlelo a kāu kauka.

E hoʻi hou anei koʻu kino i ke ʻano ma hope o ka menopause?

ʻAʻole, ʻaʻole e hoʻi kou kino i ke ʻano ma mua o ka menopause. Eia nō naʻe, no nā mea he nui, e emi ana nā hōʻailona hoʻonāukiuki e like me nā ʻā wela, ka hou ʻana, a me nā loli o ke ʻano a e hoʻomaka ʻoe e ʻike i kahi manaʻo nui o ka hōʻoluʻolu. Eia nō naʻe, no kekahi poʻe, hiki i kēia mau hōʻailona ke hoʻomau no nā makahiki.