Aia ʻoe i kou mau makahiki 40. Akā, manaʻo ʻoe ʻaʻole like kou mau wā me ka wā ma mua. Hiki mai kekahi mau mahina, ʻaʻole i kekahi mau mahina. Manaʻo ʻoe i kahi ʻano wela ʻē, a ala ʻoe i ka hou o ka pō. "Auē, hiki iaʻu ke menopause i kēia makahiki?" Ke noʻonoʻo nei paha ʻoe. ʻAe, hiki ke hana. Kāhea mākou i kēia ʻano he menopause mua. Nui ka poʻe makaʻu a hilahila hoʻi e kamaʻilio e pili ana i ia mea. Akā, he kumuhana koʻikoʻi loa kēia e pono e kamaʻilio ʻia. No laila, e kamaʻilio maopopo kākou e pili ana i nā mea a pau, e like me ka hoaaloha.
He aha kēia menopause mua?
I ka ʻōlelo maʻalahi, ʻo ka menopause ka hoʻopau mau ʻana o ke kaʻina hana menstruation o ka wahine. E like me ke kani ʻana o ka bele hope loa ma ke kula, aia kahi manawa i loko o ko mākou kino e pau ai ka hana ʻana o nā ovaries. Ma hope o kēia manawa, nalowale maoli ka hiki ke hānau keiki. ʻO ka maʻamau kēia e hana ʻia i kahi wahine ma Sri Lanka ma kahi o 51 makahiki. Ke pau kāna menstruation no 12 mau mahina i ka lālani, ʻōlelo mākou ua hiki ʻo ia i ka menopause.
Akā i kekahi manawa kani koke kēia "bele hope loa". E māhele kākou iā ia i ʻelua ʻāpana:
- Ka Menopause Mua: Inā hiki mai ka menopause ma mua o 45 mau makahiki, kapa mākou ia he 'Menopause Mua'.
- Ka Menopause Mua Loa: Inā hiki mai ka menopause ma mua o 40 mau makahiki, ua kapa ʻia ʻo 'Menopause Mua Loa'.
ʻIke ʻia kēia mau mea ʻelua ma mua o ka makahiki maʻamau i manaʻo ʻia. Ma kahi o 5% o nā wahine Sri Lanka e ʻike i ka menopause ma mua o 45 mau makahiki. A ma kahi o 1% e ʻike i kēia maʻi ma mua o 40 mau makahiki.
He like anei ka Premature Menopause a me ka Primary Ovarian Insufficiency (POI)?
ʻAe, he huikau iki kēia mau mea ʻelua, akā he mau kūlana ʻokoʻa lāua. ʻOiai he nui ka poʻe e manaʻo nei he like lāua, aia kahi ʻokoʻa iki ma ke ʻano lapaʻau.
- Menopause mua: Ma kēia, e pau ka hana ʻana o nā ovaries. ʻAʻole loa ʻoe e menstruate hou, a ʻaʻole hiki iā ʻoe ke loaʻa nā keiki. Ua like ia me ke pani mau ʻana i ka puka o kahi hale kūʻai a me ka hoʻolei ʻana i ke kī.
- ʻO ka hemahema o ka ovarian mua (POI): ʻO kēia ka manawa e pau koke ai ka hana ʻana o nā ovaries. Akā, ʻaʻole kēia he mea mau loa . I kekahi manawa hiki ke hoʻomaka hou ka menstruation. Aia kekahi mau manawa e hiki ai i kekahi poʻe ke hānau keiki. Ua like ia me ka puka o ka hale kūʻai e pani ʻia ana, akā i kekahi manawa hele mai ka mea nona a wehe hou.
No laila, inā pau kou wā ma mua o 40 mau makahiki, he mea nui loa e kamaʻilio me kāu kauka e ʻike pono inā he menopause mua a i ʻole POI.
No ke aha lā kēia e hana nei? He aha nā kumu o kēia?
I nā hihia he nui, ʻaʻole paha e loaʻa ke kumu kikoʻī. Hōʻike nā noiʻi ʻaʻohe kumu maopopo o kēia ma kahi o 50% o nā wahine. Eia nō naʻe, aia kekahi mau kumu nui e hiki ke kōkua i kēia maʻi.
| Kumu | He wehewehe maʻalahi |
|---|---|
| Ka lāʻau lapaʻau no ka maʻi kanesa | Hiki i nā mea e like me ka chemotherapy a i ʻole ka radiation therapy ke hoʻopau i nā hunaola kanesa, akā hiki iā lākou ke hōʻino i kā mākou mau ovaries olakino. |
| ʻoki kino | Inā loaʻa iā ʻoe kahi oophorectomy, kahi e wehe ai i nā ovaries ʻelua, e ʻike koke ʻoe i ka menopause. ʻOiai inā e waiho ʻia nā ovaries i ka wā o ka hysterectomy, i kekahi manawa hiki ke hoʻemi ʻia ke kahe koko iā lākou, e hana ana i ka menopause mua. |
| Moʻolelo ʻohana | Inā loaʻa i kekahi e like me kou makuahine, kaikuahine, a ʻanakē paha ka menopause mua, aia ʻoe i kahi pilikia kiʻekiʻe iki. He mea kēia i loaʻa mai kou mau genes. |
| Nā kūlana hoʻoilina | ʻO kekahi mau pilikia chromosomal, e like me Turner's syndrome a i ʻole Fragile X syndrome, ke kumu o ka ulu pono ʻole ʻana o nā ovaries. |
| Nā maʻi Autoimmune | ʻO kēia ka manawa e hoʻouka ai ka ʻōnaehana pale ponoʻī o ko mākou kino i kā mākou mau ovaries ponoʻī. Aia ka poʻe me nā maʻi e like me ka rheumatoid arthritis a me ka maʻi thyroid i ka pilikia. |
| Puhipaka | ʻOi aku ka haʻahaʻa o ka estrogen o nā wahine puhipaka, hiki iā ia ke hoʻomaka i ka menopause i hoʻokahi a ʻelua paha makahiki ma mua o ka poʻe puhi ʻole. |
| Nā maʻi ʻē aʻe a me nā maʻi | ʻO kekahi mau maʻi viral e like me ka mumps, HIV/AIDS, a me nā kūlana e like me ka chronic fatigue syndrome hiki ke hōʻino i nā ovaries. |
E hoʻomanaʻo, hana pinepine kēia no nā kumu i hiki ʻole iā ʻoe ke kaohi. No laila, mai noʻonoʻo, "ʻO koʻu hewa kēia."
Pehea e ʻike ai inā loaʻa iaʻu kēia maʻi? He aha nā hōʻailona?
ʻO ka hōʻailona mua a koʻikoʻi loa o kēia, ʻo ia nā pōʻaiapuni menstrual kūpono ʻole . Hiki ke oki ka menstruation no nā mahina a laila hoʻomaka hou. A i ʻole e hoʻonui a emi paha ka helu o nā lā o ka menstruation, a e loli paha ka nui o ke kahe ʻana o ke koko. Eia kekahi, hiki ke ʻike ʻia nā hōʻailona āpau i ʻike ʻia i ka wā menopause maʻamau i kēia hihia.
| Hōʻailona | He aha kou manaʻo ma kēia? (He aha kou manaʻo paha) |
|---|---|
| Nā ʻĀlohilohi Wela | He manaʻo koke o ka wela a me ka hou ʻana ma ke kino holoʻokoʻa, ʻoi aku hoʻi ka maka a me ka ʻāʻī. Hiki i kēia ke mau no kekahi mau minuke. |
| Nā Hou o ka Pō | Ke ala ʻana i ka pō e hou ana. Hiki ke pulu nā pepa moe. |
| Maloʻo ka ʻōpū | Maloʻo ka ʻōpū a me ka ʻeha i ka wā moe. Hiki nō hoʻi ke ʻāʻī. |
| ʻAʻole hiki ke hiamoe | Ke paʻakikī nei e hiamoe i ka pō, a i ʻole e ala pinepine ana. |
| Nā loli noʻonoʻo | Huhū maʻalahi, ʻeha i nā mea liʻiliʻi, kaumaha wale nō (kaumaha), a me ka makaʻu nui ʻole (hopohopo). |
| Nā pilikia o ka ʻōnaehana mimi | Pono pinepine e mimi. Loaʻa pinepine nā maʻi ʻaʻai mimi (UTI). |
| Nā hiʻohiʻona ʻē aʻe | ʻIli maloʻo, maka, a me ka waha, ʻeha o nā hono a me nā ʻiʻo, emi ʻana o ka makemake i ka moekolohe, emi ʻana o ka hoʻomanaʻo a me ka nānā ʻana, nalowale ka lauoho, a me nā loli o ke kaumaha. |
Pehea e ʻike pololei ai ke kauka i kēia maʻi?
Inā ʻoe ma lalo o 45 a loaʻa iā ʻoe nā hōʻailona i ʻōlelo ʻia ma luna, e ʻike pono i kāu kauka. Mai ho'āʻo e ʻike iā ʻoe iho ma ka nānā ʻana i nā mea ma ka pūnaewele. E hana kāu kauka i kēia mau mea:
1. E nīnau lākou iā ʻoe i nā nīnau: e pili ana i kou pōʻaiapuni menstrual, inā paha ua loaʻa i kekahi o kou ʻohana kēia, a e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
2. Hana i kahi hoʻokolokolo kino: Hana i kahi hoʻokolokolo kino laulā.
3. Nā hoʻāʻo koko: ʻO kēia ka mea nui loa. E nānā ʻia kou koko no nā pae hormone, ʻoiai kahi hormone i kapa ʻia ʻo FSH (Follicle-Stimulating Hormone). Piʻi nui kēia pae hormone i ka wā menopause. Eia kekahi, e nānā ʻia nā mea e like me nā hormones thyroid e ʻike inā he mau maʻi ʻē aʻe.
Ma hope o kēia mau hoʻokolohua, e hoʻoholo ke kauka inā he menopause mua kou a i ʻole kekahi pilikia olakino ʻē aʻe.
He aha nā lāʻau lapaʻau no kēia? Hiki ke hoʻohuli ʻia?
ʻO ka mea pōʻino, ʻaʻole hiki ke hoʻihoʻi ʻia ka menopause. ʻO ia hoʻi, ʻaʻole hiki ke hoʻāla hou ʻia nā ovaries. Eia nō naʻe, he nui nā lāʻau lapaʻau kūpono e kōkua i ka hoʻokele ʻana i nā hōʻailona a hōʻemi i nā pilikia olakino lōʻihi.
ʻO ka lāʻau lapaʻau nuiLapaʻau Hoʻololi Hormone (HRT) - Pili kēia i ka lawelawe ʻana i nā hormones estrogen a me progesterone i nalowale o ke kino ma waho.
No ke aha he mea nui ka mālama ʻana i ka HRT?
- Hoʻoponopono nui ia i nā hōʻailona hoʻonāukiuki e like me ke kuni ʻana, ka hiamoe ʻole, a me ka maloʻo o ka ʻōpū.
- Kōkua i ka pale ʻana i ka osteoporosis i ka wā lōʻihi.
- Hoʻemi i ka pilikia o ka maʻi puʻuwai .
- Kōkua ia i ka mālama ʻana i kou ola kino maikaʻi.
ʻO ka maʻamau, ʻōlelo nā kauka e lawe i ka HRT a hiki i kou hiki ʻana i ka makahiki menopause kūlohelohe (ma kahi o 51 mau makahiki). Eia naʻe, ʻaʻole kūpono ia no nā mea āpau (no ka laʻana, ka poʻe me ka mōʻaukala o ka maʻi ʻaʻai umauma). No laila, pono ʻoe e kūkākūkā i nā pono a me nā pōʻino o kēia lāʻau lapaʻau me kāu kauka e hoʻoholo ai i ka mea maikaʻi loa iā ʻoe.
Pehea lā hoʻi ka manaʻolana e loaʻa nā keiki?
ʻO kekahi o nā mea hoʻohoka nui o ka menopause mua ʻo ia ka nalowale o ka manaʻolana no kahi keiki. ʻAʻole hiki ke hāpai maoli ma hope o ka menopause. Eia naʻe, ʻaʻole pono ʻoe e haʻalele loa i ka manaʻolana. Aia kekahi mau koho no kēia:
- Lapaʻau IVF: Hiki ke hana ʻia kahi keiki ma o ka ʻenehana IVF me ka hoʻohana ʻana i nā hua i loaʻa mai kekahi mea hāʻawi ʻē aʻe (Donor Eggs).
- Ka Hoʻopaʻahau ʻana i nā Hua Manu: Inā ʻoe e lawe i kāu mau hua a hoʻopaʻahau iā lākou ma mua o ka hoʻomaka ʻana i kahi mea e like me ka mālama ʻana i ka maʻi kanesa, hiki iā ʻoe ke hoʻohana i kēlā mau hua e loaʻa ai kahi pēpē ma hope.
- Hoʻokama: ʻO kekahi koho ʻē aʻe, ʻo ia ke hoʻokama i kahi keiki.
Hiki iā ʻoe ke kamaʻilio me kahi kauka hānau a me ke kauka wahine e pili ana i kēia a kūkākūkā i ke koho maikaʻi loa nāu.
He aha nā pilikia lōʻihi o ka menopause mua?
ʻAʻole kēia he mau hōʻailona hoʻonāukiuki wale nō. He mea pale koʻikoʻi ka hormone estrogen i loko o ko kākou kino. ʻO ka nalowale ʻana o kēlā hormone i nā makahiki i hala aku nei hiki ke alakaʻi i kekahi mau pilikia olakino lōʻihi.
- Osteoporosis: Kōkua ka Estrogen i ka hoʻoikaika ʻana i ko kākou mau iwi. Ke nalowale, lilo koke nā iwi i mea palupalu. ʻOiai ka hāʻule iki ʻana hiki ke kumu i ka haki ʻana o ka iwi.
- Maʻi Puʻuwai: Mālama ka hormone estrogen i ko mākou puʻuwai a me nā kīʻaha koko. I ka pau ʻana o kēlā pale ʻana i ka wā ʻōpiopio, piʻi aʻe ka pilikia o ka maʻi puʻuwai a me ka hahau ʻana.
- Kaumaha: Hiki ke kaumaha ma muli o nā loli hormonal a me ke kaumaha i hoʻokumu ʻia e kēia kūlana.
- Nā maʻi o ka ʻōnaehana nerve: Ua hōʻike kekahi mau noiʻi e hoʻonui iki ʻia paha ka pilikia o ka hoʻomohala ʻana i nā maʻi e like me ka dementia a me ka maʻi Parkinson.
ʻO ia ke kumu he mea nui e kamaʻilio me kāu kauka e pili ana i nā lāʻau lapaʻau e like me HRT.
Leka Lawe-Home
- ʻO ka pau ʻana o ka menstruation ma mua o 45 mau makahiki i kapa ʻia ʻo 'Early Menopause', a ʻo ka pau ʻana ma mua o 40 mau makahiki i kapa ʻia ʻo 'Premature Menopause'.
- Inā ʻoe ma lalo o 45 a loaʻa iā ʻoe nā hōʻailona e like me nā wā kūpono ʻole a me nā ʻālohilohi wela, e ʻike pono i ke kauka.
- Nui nā kumu no kēia, akā i ka hapa nui o ka manawa ʻaʻohe kumu maopopo. ʻAʻole kēia kou hewa.
- ʻOiai ʻaʻole hiki ke hoʻohuli ʻia kēia kūlana, aia nā lāʻau lapaʻau kūpono, e like me HRT, e kāohi i nā hōʻailona a hōʻemi i nā pilikia olakino lōʻihi.
- Inā ʻoe e manaʻolana ana e loaʻa nā keiki, e kamaʻilio me kahi loea e pili ana i kāu mau koho.
- ʻAʻole ʻoe hoʻokahi. ʻO ke kamaʻilio ʻana e pili ana i kēia me kāu hoa, ʻohana, a i ʻole he hoaaloha hilinaʻi e hiki ke kōkua iā ʻoe e ʻoluʻolu.
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