Ua pau anei ka hana ʻana o kāu mau ovaries ma mua o ka mea i manaʻo ʻia? E aʻo kākou e pili ana i ka Primary Ovarian Insufficiency (POI)!

Ua lilo koke anei kou wā mahina i mea ʻano ʻole? A i ʻole ua pau koke a ʻaʻole hoʻi e hoʻomaka hou? Malia paha ke hoʻomaka nei ʻoe e ʻike i nā hōʻailona o ka menopause ma mua o kou hiki ʻana i 40? Hiki i nā mea e like me kēia ke hoʻoweliweli nui iā ʻoe a hopohopo. Akā, mai hopohopo. I kēia lā, e kamaʻilio mākou e pili ana i hoʻokahi kumu kūpono no kēia kūlana. ʻO ia ka hemahema o ka ovarian mua, a i ʻole e like me kā mākou e kapa nei no ka pōkole , POI (Primary Ovarian Insufficiency) .

He aha ka hemahema o ka ovarian mua (POI)?

I ka ʻōlelo maʻalahi, ʻo POI (Primary Ovarian Insufficiency) ka wā e pau ai ka hana pono ʻana o kāu mau ovaries ma mua o ka makahiki maʻamau, ʻo ia hoʻi, ma mua o 40 mau makahiki. E like me kou ʻike, ʻo nā ovaries o ke kaikamahine he ʻelua mau kelepa liʻiliʻi i loaʻa ma nā ʻaoʻao ʻelua o ka uterus. ʻO kēia nā ʻōpū e hoʻokuʻu i kahi hua manu i kēlā me kēia mahina, a mākou e kapa nei he ovulation. Eia kekahi, hana pū kēia mau ovaries i nā hormones e pono ai no nā mea nui he nui e like me ka menstruation a me ka hāpai ʻana.

ʻO ka maʻamau, pau ka ovulation o ka wahine, a i ʻole menopause, ma kahi o 51 makahiki. Eia nō naʻe, pau koke ka menstruation o kekahi poʻe me POI. No kekahi poʻe, ʻike ʻia ka POI ma hope o nā mahina a i ʻole nā ​​makahiki o nā menstruation maʻamau ʻole.

Ua kapa ʻia kēia kūlana ma mua ʻo "Premature Ovarian Failure." Akā i kēia manawa, makemake nā kauka e hoʻohana i ka huaʻōlelo "Insufficiency." ʻO kēia no ka mea ua ʻike ʻia e ka noiʻi he mau ovaries ka hana a nā wahine me POI i kekahi manawa, ʻo ia hoʻi, hiki iā lākou ke ovulate i nā manawa ʻē. ʻO ke ʻano kēia, hiki i kekahi me POI ke hoʻokuʻu i kahi hua manu a hāpai! ʻO ka ʻoiaʻiʻo, ma waena o 5% a me 10% o ka poʻe me POI e hāpai iā lākou iho me ka ʻole o ka lāʻau infertility. ʻO ia ke kumu i kapa ʻia ai ʻo POI ʻo "Decreased Ovarian Reserve."

Pehea ka maʻamau o kēia ʻano?

He ʻano laha ʻole ka POI. Hoʻopilikia ia ma kahi o 1% o nā wahine ma waena o 15 a me 44 mau makahiki. Hiki iā ia ke hoʻopilikia i ka poʻe i loaʻa nā keiki a me ka poʻe i loaʻa ʻole nā ​​​​keiki. Eia nō naʻe, ʻoi aku ka maʻamau i nā wahine ma luna o 30 mau makahiki.

Pehea ka hopena o ka POI i kou kino?

ʻO ka hemahema o ka Ovarian mua ke kumu o ka haʻahaʻa o nā pae o ka hormone estrogen i kou kino. Ke hāʻule nā ​​​​pae estrogen, hiki iā ʻoe ke ʻike i nā hōʻailona e like me nā menopause. No ka laʻana, hiki iā ʻoe ke ʻike i nā ʻālohilohi wela, ka emi ʻana o ka makemake moe kolohe, a me nā loli o ke ʻano. Hiki iā ia ke hoʻonui i kou pilikia o ka loaʻa ʻana o nā maʻi ʻē aʻe, e like me ka osteoporosis a me ka maʻi puʻuwai.

He nui nā wāhine me POI e paʻakikī ana i ka hānau keiki ʻana, ʻo ia hoʻi ka hānau ʻole ʻana.Hiki ke hana ʻia. Eia nō naʻe, hiki paha i kāu kauka ke kōkua iā ʻoe e hāpai i kahi keiki. Aia kekahi mau lāʻau lapaʻau no kēia, e like me nā hua manu hāʻawi , ka hoʻoulu ʻana i loko o ka vitro (IVF) , a i ʻole nā ​​​​lāʻau lapaʻau hānau.

He aha nā kumu o ka POI?

I ka hapanui o nā hihia, ʻaʻole ʻike nā kauka i ke kumu kikoʻī o POI . Ua kapa ʻia kēia he idiopathic POI . Eia nō naʻe, ua hōʻike ʻia e ka noiʻi ma kahi o ka hapakolu o nā hihia, aia paha kahi pilina genetic.

ʻO kekahi mau kumu ʻē aʻe o POI:

• Nā maʻi Autoimmune: No ka laʻana, ka maʻi Addison, ka rheumatoid arthritis, a i ʻole ka maʻi thyroid. I loko o kēia mau maʻi, hoʻouka kā mākou ʻōnaehana pale ponoʻī i ko mākou mau kino ponoʻī. Hiki i kēia ke hōʻino i nā ovaries.
• Nā lāʻau lapaʻau maʻi kanesa: Hiki i nā lāʻau lapaʻau e like me ka chemotherapy a me ka radiation ke hōʻino i nā ovaries.
• Nā maʻi hoʻoilina: No ka laʻana, ʻo Turner syndrome - i hoʻokumu ʻia e kahi ʻano ʻē i kekahi o nā chromosomes X ʻelua o ka wahine. A me Fragile X syndrome - i hoʻokumu ʻia e nā loli i loko o kahi gene i kapa ʻia ʻo FMR1.
• Hysterectomy: I kekahi manawa, ke wehe ʻia ka ʻōpū , hiki ke ʻoki ʻia ke kahe koko i nā ovaries, hiki ke hōʻemi i kā lākou hana. Eia nō naʻe, inā wehe wale ʻia ka ʻōpū a waiho ʻia nā ovaries, ʻaʻole maʻamau ka POI.
• Nā maʻi: Hiki i nā maʻi e like me ka mumps a me ka HIV ke hōʻino i nā ovaries. Ua manaʻo ʻia kēia no ka mea ʻo nā antibodies i hana ʻia e kūʻē i ka maʻi e hoʻouka i nā ovaries.
• ʻO ka lōʻihi o ka hoʻopili ʻana i nā kemika ʻawahia: ʻO ka lōʻihi o ka hoʻopili ʻana i nā pesticides, ka uahi cigarette, a me nā mea ʻawahia ʻē aʻe kekahi kumu.

He aha nā hōʻailona o ka POI?

ʻO ka hōʻailona maʻamau o POI ka pau ʻole o ka menstruation a i ʻole ka pau ʻana o ka menstruation . Eia nō naʻe, ʻaʻole paha e ʻike kekahi mau wahine i kekahi mau hōʻailona nui ʻoiai inā loaʻa iā lākou ka POI.

ʻO nā hōʻailona ʻē aʻe paha:

• ʻO nā wā menstrual kūpono ʻole a i ʻole i pau.
• Pilikia i ka hāpai ʻana.
• Hoʻemi ʻia ka makemake moe kolohe.
• Paʻakikī i ka noʻonoʻo ʻana.
• Ka huhū pinepine a me ka hoʻonāukiuki.
• Nā maka maloʻo.
• Nā ʻā wela a me ka hou o ka pō.
• Maloʻo ka ʻōpū.
• ʻEha ka moekolohe ma muli o ka maloʻo o ka ʻōpū.

E noʻonoʻo, he hoaaloha kāu i loaʻa ʻole kona wā i nā mahina. ʻAʻole hiki iā ia ke hiamoe i ka pō, hou ʻo ia, a huhū ʻo ia i nā mea liʻiliʻi loa. Hiki iā ia ke hoʻokuke i kēia mau mea, me ka ʻōlelo ʻana, "He kaumaha paha ia." Akā hiki nō hoʻi kēia mau mea ke lilo i mau hōʻailona o ka POI.

Pehea e ʻike ai i ka POI?

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​pono ʻoe e ʻike i ke kauka. E hana ke kauka i kahi hoʻokolokolo kino , kahi hoʻokolokolo pelvic, a me kahi mōʻaukala olakino. E nīnau pū kāu kauka e pili ana i kou pōʻaiapuni menstrual, inā ua hāpai ʻoe ma mua, a inā ʻoe e hoʻohana ana i ka kaohi hānau. Hiki i kēia ke kōkua i kāu kauka e ʻike i ka POI.

ʻO ka mea aʻe, e kauoha paha kāu kauka i kekahi mau hoʻāʻo koko e ana i nā pae o kekahi mau hormones i loko o kou kino. ʻO kēia mau mea e pili ana i ka nānā ʻana i kāu mau pae o nā hormones Follicle Stimulating Hormone (FSH) , Estrogen, a me Prolactin .

ʻO nā hoʻokolohua ʻē aʻe e hoʻohana ai ke kauka:

• ʻO ka hoʻāʻo ʻana o ke karyotype kahi hoʻāʻo koko e nānā ai i nā maʻi genetic.
• ʻO ka ultrasound pelvic kahi hoʻāʻo no ka nānā ʻana i nā ovaries a me ka uterus.
• Hoʻāʻo hāpai .
• Nā hoʻāʻo antibody e nānā i nā maʻi autoimmune.

Hoʻoponopono nā kauka i ka POI inā ʻoe ma lalo o 40 mau makahiki a:

• Inā ʻaʻole ʻoe e loaʻa ana i kou wā mahina a inā paha he ʻano ʻole kou mau wā.
• Hōʻike nā hoʻāʻo koko e like kāu pae hormone me ka pae o kahi wahine i hala i ka menopause.

Pehea e mālama ʻia ai ka POI?

Aia kekahi mau ala e mālama ai i ka POI. Aia ia i kou makahiki, nā hōʻailona, ​​a inā makemake ʻoe e loaʻa nā keiki . ʻO nā lāʻau lapaʻau no ka hemahema o ka ovarian mua e komo pū me:

• Ke hāʻawi nei i kou kino me nā hormones i hana ʻole ʻia e kāu mau ovaries.
• Ke mālama ʻana i nā hōʻailona o POI (e like me ka hou ʻana o ka pō, ka maloʻo o ka ʻōpū).
• Ka hōʻemi ʻana i ka pilikia o nā maʻi ʻē aʻe i hiki ke hana ʻia e POI.
• Ke mālama ʻana i nā kūlana olakino maʻamau e hoʻonui ai i nā hōʻailona POI.

Ka Lapaʻau Hoʻololi Hormone (HRT)

Hoʻololi ka lāʻau hoʻololi hormone (HRT) i nā hormones i hana ʻole ʻia e kāu mau ovaries. Hiki ke hana ʻia kēia ma ka hāʻawi ʻana iā ʻoe i ka estrogen wale nō a i ʻole ma ka hāʻawi ʻana iā ʻoe i ka estrogen a me ka progesterone.Hiki i ka lāʻau lapaʻau hormone ke kōkua i ka hōʻemi ʻana i nā hōʻailona o ka POI, e like me ka hou ʻana i ka pō a me ka maloʻo o ka ʻōpū. Hiki iā ia ke hōʻemi i kou pilikia o ka osteoporosis a me nā maʻi ʻē aʻe e hiki ke hana me ka POI. Hiki i kāu kauka ke hāʻawi iā ʻoe i ka lāʻau lapaʻau hormone ma nā ʻano like ʻole, e like me nā pila, nā kirīmi, nā gels, nā ʻāpana, a i ʻole nā ​​apo ʻōpū.

Inā hoʻomaka ʻoe i ka HRT, pono ʻoe e lawe i ka lāʻau a hiki i ka makahiki e hiki mai ai ka menopause kūlohelohe (makahiki 51-52). Pono ʻoe e kūkākūkā i nā pono a me nā pōʻino o HRT me kāu kauka a hoʻoholo inā kūpono ia iā ʻoe.

Ma waho aʻe o HRT, ʻo nā lāʻau lapaʻau ʻē aʻe:

• ʻO ka lawe ʻana i nā papa calcium a me ka wikamina D e hōʻemi i ka pilikia o ka lahilahi o ka iwi.
• E hoʻoikaika kino maʻamau, e hāpai i nā mea kaupaona (no ke olakino o kou mau iwi), a mālama i ke kaumaha olakino.
• Inā ʻoe e manaʻo nei e hoʻomaka i kahi ʻohana a loaʻa nā keiki, he mea nui e ʻimi i nā koho lapaʻau hānau keiki .

Inā ʻaʻole ʻoe e hoʻolālā e hāpai, mai poina e kamaʻilio me kāu kauka e pili ana i nā ʻano hana kaohi hānau.

Hiki ke hoʻohuli ʻia kēia? E hoʻomaka hou anei nā ovaries e hana?

ʻAʻole, ʻaʻole hiki ke hoʻihoʻi ʻia ka hemahema o ka Ovarian mua. Hiki i nā kauka ke mālama i nā hōʻailona, ​​​​nā hopena ʻaoʻao, a me nā kūlana pili, akā ʻaʻole hiki ke ho'ōla loa ʻia.

Ma kahi o 25% o nā wahine me POI hiki ke ovulate ma ka liʻiliʻi hoʻokahi ma hope o ka hōʻoia ʻana . Eia nō naʻe, ʻaʻohe lāʻau lapaʻau i kēia manawa e hiki ai ke hoʻomaka hou i kāu mau ovaries e hana. Ke kālele nei ka mālama ʻana no POI i ka kaohi ʻana i nā hōʻailona a me ka hōʻemi ʻana i ka pilikia o nā pilikia olakino ʻē aʻe e hiki ke kū mai ma muli o POI.

Hiki ke pale ʻia ka POI?

ʻAʻole hiki ke pale ʻia ka hemahema o ka Ovarian mua. Eia nō naʻe, makemake paha nā wahine i loaʻa i ka pilikia kiʻekiʻe o ka loaʻa ʻana o ka POI e noʻonoʻo i ka mālama ʻana i ka hānau keiki inā lākou e hoʻolālā ana e loaʻa nā keiki. Inā ʻoe e hopohopo nei e pili ana i ka POI, e kamaʻilio me kāu kauka.

ʻO wai ka mea i pilikia nui no kēia?

ʻOi aku ka nui o ka pilikia o ka loaʻa ʻana o ka Primary Ovarian Insufficiency i kēia mau kānaka:

• No nā poʻe ma luna o 35 mau makahiki .
• Nā mākua hānau no ka poʻe me POI.
• No ka poʻe me nā maʻi autoimmune a i ʻole kekahi mau kūlana genetic.
• ʻO ka poʻe i hana ʻia i ke ʻoki pelvic, chemotherapy, a i ʻole ka radiation therapy.

Pehea lā ke ʻano o ke ola me ka POI? (Wānana)

ʻO ka hemahema o ka Ovarian mua he maʻi mau loa ia.Pono nā wāhine he nui me kēia maʻi e lawe i ka lāʻau hormone i ka wā lōʻihi e kāohi i nā hōʻailona a hōʻemi i ka pilikia o nā pilikia.

Hoʻomaha pinepine ʻo POI iā ʻoe me ke kaumaha, mehameha, a me he mea lā ua nalowale kekahi mea. Hiki i kēia manaʻo ke koʻikoʻi loa inā ʻoe e hoʻāʻo nei e hāpai. Aia nā hui kākoʻo a me nā lawelawe aʻoaʻo e kōkua iā ʻoe i kēia manawa. Me kēia kōkua, hiki iā ʻoe ke hoʻokele i kou mau manaʻo a loaʻa nā ala e hoʻoponopono ai i ke kūlana.

He aha nā pilikia olakino ʻē aʻe e hiki ke hana ʻia e ka POI?

He haʻahaʻa nā pae estrogen o nā wāhine me POI. Ke haʻahaʻa nā pae estrogen, aia nō hoʻi ʻoe i ka pilikia no nā pilikia olakino ʻē aʻe. ʻO kekahi o kēia mau pilikia:

• ʻOsteoporosis
• Maʻi puʻuwai
• Hypothyroidism (thyroid hana ʻole)
• Ka hānau ʻole ʻana
• Hopohopo a me ke kaumaha

Āhea ʻoe e ʻike ai i ke kauka?

Inā ʻaʻole i loaʻa iā ʻoe kou wā no ʻekolu mahina, e ʻike koke i ke kauka. Nui nā kumu i pau ai kou wā, me ka hāpai ʻana, ke kaumaha, a i ʻole nā ​​loli hormonal. Hiki i kāu kauka ke kōkua iā ʻoe e ʻike pono i ke kumu o ka pau ʻana o kou wā.

He aha kāu e nīnau ai i ke kauka?

Inā loaʻa iā ʻoe ka Primary Ovarian Insufficiency, makemake paha ʻoe e nīnau i kāu kauka i nā nīnau e like me:

• Pehea ka hopena o ka hemahema o ka ovarian mua i koʻu olakino holoʻokoʻa?
• E pono anei iaʻu ka lāʻau hoʻololi hormone (HRT)? Pehea ka lōʻihi?
• E pono anei iaʻu ka kaohi hānau?
• Ma hea e hiki ai iaʻu ke loaʻa ke kōkua psychological a me ke aʻo ʻana?
• He aha kaʻu koho maikaʻi loa no ka hānai ʻana i kahi keiki?

He aha ka ʻokoʻa ma waena o ka POI a me ka Premature Ovarian Failure / Premature Menopause?

Hiki i nā kauka ke hoʻohana like i kēia mau huaʻōlelo e wehewehe i ka menopause ma mua o 40 mau makahiki. ʻO ka Menopause Premature ka wā e pau ai ka menstruation ma mua o 40 mau makahiki a ʻaʻole hiki iā ʻoe ke hāpai hou. I ka POI, hiki i nā ovaries ke hoʻōki i ka hana no kekahi manawa, no laila he ʻokoʻa iki ia.

Hiki iā ʻoe ke hāpai me POI?

ʻAe, aia kahi manawa e hiki ai i kahi wahine me POI ke hāpai. Inā loaʻa iā ʻoe ka POI a ke hoʻāʻo nei e hāpai, hiki i kāu kauka hānau ke aʻo iā ʻoe i kāu mau koho. Eia kekahi, inā ʻaʻole ʻoe e hoʻāʻo nei e hāpai, e kamaʻilio me kāu kauka e pili ana i nā ala e pale aku ai i ka hāpai ʻana.

ʻO ka mea hope loa, he aha e hoʻomanaʻo ai

ʻO ka Primary Ovarian Insufficiency (POI) kahi kūlana e pau ai ka hana ʻana o kāu mau ovaries ma mua o 40 mau makahiki. Hiki i kēia ke hana i nā hōʻailona ʻoluʻolu ʻole a hoʻonui i kou pilikia o nā maʻi olakino e like me ka osteoporosis a i ʻole ka maʻi puʻuwai.

He mea maʻamau ke kaumaha a me ka hopohopo ke ʻike ʻoe he POI kou. ʻOi loa aku inā makemake ʻoe e loaʻa kahi pēpē. Akā me ka mālama kūpono a me ke kākoʻo, hiki iā ʻoe ke hoʻomau i ke ola olakino. E kamaʻilio me kāu kauka e pili ana i kou mau hopohopo. E kiʻi i ke kākoʻo o kāu hoa, ʻohana, a me nā hoaaloha e kōkua iā ʻoe e hoʻomanawanui. E hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi.

ʻO ka hana pono ʻole o ka ovarian , ka lawa ʻole o ka ovarian mua, POI, menopause mua, olakino wahine, kaulike ʻole o ka hormonal, hānau ʻole