Ua lilo anei kou wā i mea ʻē i kou wā ʻelemakule? Hiki paha kēia ma muli o ka lawa ʻole o ka ovarian mua.

Ua hala anei kou mau mahina i kou mau wā? A i ʻole ua pau koke lākou? Inā hiki kēia iā ʻoe i kou mau makahiki 30, he mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo. Manaʻo ka poʻe he menopause kēia. Akā inā hiki ma mua o 40 mau makahiki, hiki ke kumu o kahi kūlana i kapa ʻia ʻo 'premature ovarian failure'. E nānā kākou i ke ʻano o kēia, no ke aha e hiki ai, a me kāu mea e hiki ai ke hana e pili ana i ia mea.

I ka ʻōlelo maʻalahi, he aha ka Primary Ovarian Insufficiency (POI)?

E hoʻomaopopo maʻalahi kākou i kēia. ʻElua ovaries o kēlā me kēia wahine. Aia kēia mau mea ma nā ʻaoʻao ʻelua o ka ʻōpū. ʻElua mau hana nui o kēia mau ovaries. ʻO kekahi, ʻo ia ka hoʻokuʻu ʻana i kahi hua manu i kēlā me kēia mahina. ʻO kekahi, ʻo ia ka hana ʻana i nā hormones e pono ai ke kino wahine, ʻoiai ʻo ka estrogen a me ka progesterone .

ʻO ka maʻamau, e pau mālie ka hana ʻana o nā ovaries o ka wahine a pau loa ka menstruation ma kahi o 51 makahiki. Kāhea mākou i kēia he menopause .

Eia nō naʻe, i loko o ke kūlana i kapa ʻia ʻo Primary Ovarian Insufficiency (POI) , e emi ana ka hana o kēia mau ovaries ma mua o ka maʻamau, ʻo ia hoʻi, ma mua o 40 mau makahiki. No kekahi poʻe, hiki ke hana koke ʻia kēia. ʻO ia hoʻi, e pau koke ka menstruation. No kekahi poʻe, ua ʻike ʻia kēia kūlana ma hope o ka noho hewa ʻana o ka menstruation no nā mahina, i kekahi manawa he mau makahiki.

No ke aha e hana ʻia ai kēia? He aha nā mea e hoʻopilikia ai i ka POI?

I ka hapanui o nā hihia, ma kahi o 90% o nā hihia, ʻaʻohe kumu kikoʻī e loaʻa ai no ka POI. I ka lāʻau lapaʻau, kapa mākou i kēia he "idiopathic". Eia nō naʻe, i kekahi mau hihia, ua ʻike ʻia kekahi mau mea e kōkua ai i ia.

He aha nā hōʻailona o kēia maʻi?

ʻO ka hōʻailona nui a maʻamau ka menstruation kūpono ʻole a i ʻole ka nele o ka menstruation no kekahi mau mahina. Eia nō naʻe, hiki ke loaʻa nā hōʻailona ʻē aʻe e like me nā mea i ʻike ʻia i ka wā menopause. ʻO kēia no ka mea ma nā kūlana ʻelua, emi ka pae o ka hormone estrogen o ke kino.

• Nā hewa o ka pōʻaiapuni menstrual: Hiki ke hala ka menstruation no nā mahina me ka hoʻi ʻole ʻana, a i ʻole e pau loa paha.
• Ka hou nui koke ʻana a me nā ʻālohilohi wela (nā ʻālohilohi wela a me nā hou pō): Hiki ke hana kēia i ka pō.
• Nā pilikia hiamoe: Hiki i nā hou o ka pō ke hoʻāla iā ʻoe mai ka hiamoe.
• ʻEha o ka ʻōpū haʻahaʻa a me ka maloʻo o ka ʻōpū: Hoʻokumu ʻia kēia ʻano ma muli o ka emi ʻana o ka estrogen. Hiki i kēia ke hōʻeha i ka wā moe.
• Hoʻemi ʻia ka makemake moe kolohe.
• Ka paʻakikī i ka noʻonoʻo a me ka huhū.
• Nā maka maloʻo.
• Ka paʻakikī o ka hāpai ʻana i kahi keiki (Infertility).

Pehea ʻoe e ʻike ai i kēia, e Kauka?

Ke hele ʻoe e ʻike i ke kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i kou pōʻaiapuni menstrual, ka mōʻaukala olakino ʻohana, a me nā hōʻailona āu e ʻike nei. A laila, e hana ʻo ia i kahi hoʻokolokolo kino.

Eia kekahi, ua kauoha ʻia kekahi mau hoʻokolohua e hōʻoia i kēia kūlana.

• Hoʻāʻo Pae Hormone: ʻO kēia ka hoʻāʻo koʻikoʻi loa. Lawe ʻia kahi hāpana koko a nānā ʻia nā pae o kekahi mau hormones.
• FSH (Hormone Hoʻoulu Follicle): He hormone e hoʻoulu ai i nā ovaries. Inā ʻaʻole hana pono nā ovaries, hoʻouna ka lolo i nā FSH hou aku. No laila, kiʻekiʻe loa nā pae o kēia hormone ma POI.
• Estrogen: ʻO ka hormone nui i hana ʻia e nā ovaries. I ka POI, ua hoʻemi nui ʻia kēia mau pae.
• Prolactin: Nānā ʻia kēia pae hormone.
• Hoʻāʻo hāpai: E hōʻoia inā ʻo ka hāpai ke kumu o kou hala ʻana o ka wā.
• ʻO ke kani ultrasound Pelvic: Hiki i kēia ke nānā i ke kūlana o kāu mau ovaries a me ka uterus. I ka POI, ʻoi aku ka liʻiliʻi o nā ovaries ma mua o ka maʻamau.
• Ka hoʻāʻo ʻana i ka genetic (Karyotype testing): Hiki ke hana i kēia hoʻāʻo inā he kānalua no kahi kumu genetic, e like me ka Turner syndrome.
• Nā hoʻāʻo antibody: Hana ʻia kēia mau mea inā he kānalua no kahi maʻi autoimmune.

Inā ʻoe ma lalo o 40 mau makahiki a he ʻano ʻē kou mau wā, hōʻike kāu mau hoʻāʻo koko i nā pae FSH kiʻekiʻe, a haʻahaʻa kou mau pae estrogen, e ʻike paha kāu kauka iā ʻoe me POI.

He aha nā lāʻau lapaʻau no kēia?

ʻAʻohe lāʻau lapaʻau no ka POI, ʻo ia hoʻi e hana hou nā ovaries ma ke ʻano maʻamau. Eia nō naʻe, aia nā lāʻau lapaʻau kūpono loa e kāohi i nā hōʻailona a hōʻemi i nā pilikia olakino lōʻihi.

Hoʻopili ʻia ka lāʻau lapaʻau i kou mau makahiki, ke ʻano o kou mau hōʻailona, ​​a inā ʻoe makemake e loaʻa nā keiki.

Ka Lapaʻau Hoʻololi Hormone (HRT)

ʻO kēia ka lāʻau lapaʻau nui. Pili ia i ka hāʻawi ʻana i nā hormones estrogen a me progesterone ʻaʻole e hana hou ana kāu mau ovaries i waho, ma ke ʻano o nā pila, nā gels, nā ʻāpana ʻili, a i ʻole nā ​​​​apo vaginal.

Nā Pōmaikaʻi o ka HRT:

• Hoʻokele ʻia nā hōʻailona e like me nā ʻā wela a me ka maloʻo o ka ʻōpū.
• Hiki iā ia ke pale aku i ka osteoporosis . He hormone koʻikoʻi ka estrogen no nā iwi ikaika.
• Kōkua i ka hōʻemi ʻana i ka pilikia o ka maʻi puʻuwai.
• Hoʻomaikaʻi ʻia ka maikaʻi o ka noʻonoʻo.

ʻO ka maʻamau, ʻōlelo nā kauka e lawe i kēia lāʻau lapaʻau hormone a hiki i ka menopause (makahiki 51-52). E kamaʻilio me kāu kauka e pili ana i nā pono a me nā pōʻino o kēia lāʻau lapaʻau a koho i ke ʻano hana kūpono loa iā ʻoe.

Nā loli o ke ola a me nā mea keu

Ma waho aʻe o ka hormone therapy, he mea nui loa kēia mau mea no ka mālama ʻana i kou olakino holoʻokoʻa.

• E kiʻi i ka lawa ʻana o ka calcium a me ka wikamina D: He mea nui kēia no ka mālama ʻana i nā iwi i ikaika. E ʻai i nā meaʻai e like me nā huahana waiū a me nā iʻa liʻiliʻi. Inā pono, e kuhikuhi kāu kauka iā ʻoe i nā papa hou aʻe.
• Hoʻoikaika kino mau: He maikaʻi nā hoʻoikaika kino e like me ka hele wāwae a me ka holo ʻana no ka puʻuwai. He mea nui loa nā hoʻoikaika kino e hāpai ana i ke kaumaha no nā iwi.
• Ka mālama ʻana i ke kaumaha olakino.
• Inā ʻoe e noʻonoʻo ana e loaʻa nā keiki: ʻOiai me ka POI, ma kahi o 5-10% o nā wahine i loaʻa ka hiki ke hāpai maoli. Akā ʻaʻole maopopo. No laila, inā ʻoe e kali ana i kahi keiki, hiki iā ʻoe ke kamaʻilio me kahi kauka hānau keiki a me ke kauka wahine e kūkākūkā i nā ʻano hana e like me `(IVF)` a me nā koho ʻē aʻe.

Ke noho nei me ka POI a me ka nohona maikaʻi

He mea maʻamau ke kaumaha, ka hoʻohoka, a me ka huhū ke lohe ʻoe e pili ana i kahi kūlana e like me kēia. Hiki ke paʻakikī ke hoʻomanawanui i kēia, ʻoiai inā ʻoe e lana ana ka manaʻo no nā keiki.

Inā ʻoe e hopohopo a kaumaha paha ma muli o kēia kūlana, e kamaʻilio me kāu kauka e pili ana i ia mea. Inā pono, hiki iā ʻoe ke ʻimi i ke kōkua mai kahi kauka noʻonoʻo a i ʻole ke kākāʻōlelo. Me ka mālama kūpono a me ke kākoʻo, hiki iā ʻoe ke ola i kahi ola olakino a hauʻoli me kēia kūlana.