He aha nā mea e pono iaʻu e haʻi aku i ke kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau?
ʻAe, i kēia manawa ma mua o kou hoʻomaka ʻana i kēia lāʻau lapaʻau , aia kekahi mau mea āu e haʻi aku ai i kāu kauka a i ʻole ke kime mālama ola e mālama nei iā ʻoe. Mai hūnā i kēia mau mea, ʻae? No ka mea, e hoʻoholo kēia ʻike inā kūpono kēia lāʻau lapaʻau iā ʻoe a ʻaʻole paha, a pehea e hāʻawi ʻia ai. E nānā inā loaʻa iā ʻoe kekahi o kēia mau kūlana:- Inā he kahe koko ʻē aʻe kou ma waho aʻe o kou wā.
- Inā he maʻi kou o nā kīʻaha koko a i ʻole ka pilikia o ke kāpili ʻana o ke koko .
- Inā loaʻa iā ʻoe, a i ʻole ua loaʻa iā ʻoe, kahi maʻi kanesa e like me ke kanesa o ka umauma , ka ʻāʻī , ka endometrial, ka ovarian, ke akepaʻa , a i ʻole ka uterine.
- Inā loaʻa iā ʻoe ka dementia .
- Inā loaʻa iā ʻoe ka maʻi diabetes .
- Inā loaʻa iā ʻoe kahi maʻi i kapa ʻia ʻo " Endometriosis" .
- Inā he mau ʻōpū uterine kou (fibroids).
- Inā loaʻa iā ʻoe ka maʻi gallbladder.
- Inā he maʻi puʻuwai kou a i ʻole ua loaʻa koke iā ʻoe kahi hāʻule puʻuwai.
- Inā he koko kiʻekiʻe kou.
- Inā he kiʻekiʻe kou mau pae cholesterol koko.
- Inā he kiʻekiʻe kou calcium i loko o kou koko.
- Inā he maʻi puʻupaʻa kou.
- Inā he maʻi kou akepaʻa.
- Inā loaʻa iā ʻoe ke kaumaha noʻonoʻo.
- Inā loaʻa iā ʻoe ka migraine.
- Inā ua loaʻa iā ʻoe kahi hahau.
- Inā he mea puhi paka ʻoe.
- Inā loaʻa iā ʻoe kahi hopena maʻamau ʻole a maʻi paha i nā estrogens, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala, a i ʻole nā mea mālama.
- Inā ʻoe e hāpai ana a i ʻole e hoʻāʻo ana e hāpai.
- Inā he makuahine hānai waiū ʻoe.
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
ʻAe, e lawe kākou i kēia lāʻau lapaʻau e like me ia. He pila ia āu e lawe ai ma ka waha. Pono ʻoe e lawe me ke aniani wai. Pono ʻoe e hahai i nā kuhikuhi ma ka lepili kauoha e like me ka ʻōlelo a kāu kauka iā ʻoe. He mea nui loa ia e lawe i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā, ma nā wā like. Mai lawe ʻoi aku ma mua o ka mea a kāu kauka e ʻōlelo ai iā ʻoe e lawe. E hāʻawi ʻia ʻoe i kahi hoʻokomo pūʻolo maʻi ke kuhikuhi ʻia ʻoe i kēia lāʻau lapaʻau a i ka wā e loaʻa ai iā ʻoe kahi hoʻopiha hou. Pono ʻoe e heluhelu pono. Hiki ke loli ka ʻike i loko i kēlā me kēia manawa. No laila he manaʻo maikaʻi e heluhelu i ka hoʻokomo i kēlā me kēia manawa āu e loaʻa ai kahi lāʻau lapaʻau hou. E kamaʻilio me kāu pediatrician e pili ana i ka hāʻawi ʻana i kēia lāʻau lapaʻau i nā keiki ʻōpio. ʻAʻole ʻae pinepine ʻia kēia lāʻau lapaʻau no ka hoʻohana ʻana i nā keiki.He aha kāu e hana ai inā lawe nui ʻoe i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, mai hoʻokaʻulua. E kāhea koke i kahi kikowaena kaohi lāʻau make a i ʻole ka lumi pilikia haukapila kokoke loa. A i ʻole e haʻalele koke.Hoʻomaopopo koʻikoʻi: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like i kēia lāʻau lapaʻau me kahi hoaaloha a ʻohana paha, ʻoiai inā loaʻa iā lākou nā hōʻailona like me ʻoe. Hiki ke lilo i mea weliweli.
He aha inā e hala wau i kaʻu lāʻau lapaʻau?
I kēia manawa, e noʻonoʻo ʻoe ua hala ʻoe i kahi mahele lāʻau lapaʻau. Inā hana ʻia kēlā, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Akā inā kokoke ka manawa no kāu mahele lāʻau aʻe, e kāpae i ka mahele lāʻau i hala ʻole a lawe i ka mahele lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau mahele lāʻau i ka manawa hoʻokahi, ʻo ia hoʻi, he mahele lāʻau pālua. ʻO ka hana ʻana pēlā e hiki ai ke hana i nā hopena ʻaoʻao.Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau (Nā Hana like ʻana)
He mea nui loa kēia. Ke lawe ʻoe i kēia pila `(Synthetic Conjugated Estrogens (B))`, pono ʻoe e makaʻala e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, a me kekahi mau meaʻai a me nā mea inu. No ka mea, hiki i kekahi mau mea ke pane me kēia lāʻau lapaʻau, hoʻololi i ke ʻano o kāna hana, a i ʻole e hana i nā hopena ʻino.Mai lawe pū i kēia pila me kēia mau lāʻau lapaʻau:
Inā ʻoe e hoʻohana nei i kēia mau lāʻau lapaʻau, ʻaʻole pono e lawe i ka `(Synthetic Conjugated Estrogens (B))`.- ʻO nā lāʻau lapaʻau i loko o ka hui i kapa ʻia ʻo 'Aromatase inhibitors'. ʻO nā laʻana: `aminoglutethimide`, `anastrozole`, `exemestane`, `letrozole`, `testolactone`.
- He lāʻau lapaʻau i kapa ʻia ʻo 'Metyrapone'.
Hiki i kēia mau mea ke launa pū me kēia lāʻau lapaʻau:
Inā ʻoe e hoʻohana ana i kekahi o nā lāʻau lapaʻau a i ʻole nā mea i helu ʻia ma lalo nei, pono ʻoe e haʻi i kāu kauka e pili ana iā lākou.- ʻO nā barbiturates, no ka laʻana phenobarbital.
- ʻO Carbamazepine
- ʻO Clarithromycin
- ʻErythromycin
- Wai huaʻai - ʻAe, hana pū ka wai huaʻai me kekahi mau lāʻau lapaʻau!
- Nā lāʻau lapaʻau no nā maʻi fungal, e like me ke ketoconazole a me ka itraconazole.
- ʻO Phenytoin
- ʻO ka lāʻau Ritonavir
- ʻO St. John's Wort - He lāʻau lapaʻau kēia i hoʻohana ʻia e kekahi poʻe.
- Nā hormones thyroid.
Nā mea e makaʻala ai i ka wā e lawe ai i kēia lāʻau lapaʻau
Aia kekahi mau mea e pono ai ʻoe e makaʻala loa i ka wā e lawe ai i kēia lāʻau. ʻAʻole ia e pili wale i ka lawe ʻana i ka lāʻau.- Nā nānā lapaʻau maʻamau: Pono ʻoe e ʻike pinepine i kāu kauka e nānā i kou olakino. ʻOiai e lawe ana i kēia lāʻau lapaʻau, pono ʻoe e hana i nā hoʻokolohua umauma maʻamau, nā hoʻokolohua pelvic, a me nā Pap smears. Eia kekahi, e kamaʻilio me kāu kauka e pili ana i ka pono o kāu mammograms maʻamau, a e hahai i kā lākou mau kuhikuhi.
- Paʻa wai: Hiki i kēia lāʻau lapaʻau ke hoʻopaʻa i kou kino i ka wai. Hiki i kēia ke hoʻoulu i ka pehu ʻana i kou mau manamana lima, lima, a me nā kuʻekuʻe wāwae. Hiki ke piʻi aʻe kou koko. Inā manaʻo ʻoe e paʻa ana ka wai, e haʻi i kāu kauka.
- Inā kānalua ʻoe ua hāpai ʻoe: Inā no kekahi kumu āu e manaʻo ai ua hāpai ʻoe, e hoʻōki koke i ka lawe ʻana i kēia lāʻau lapaʻau a haʻi i kāu kauka.
- Puhipaka: Inā ʻoe e hoʻohana i nā huahana paka, e kamaʻilio me kāu kauka e pili ana i ia mea. Pono paha e hoʻololi i kāu hoʻolālā lapaʻau. ʻO ka puhipaka ʻana i ka wā e lawe ana i kēia lāʻau lapaʻau e hoʻonui i kou pilikia o ke koko a i ʻole ka hahau ʻana. ʻOi aku ka kiʻekiʻe o kēia pilikia inā ʻoe ma luna o 35 mau makahiki. No laila e pale i ka puhipaka i ka hiki.
- Nā pilikia maka: Hiki i kēia lāʻau lapaʻau ke hoʻomaloʻo i nā maka a me ka ʻike maka ʻole. Inā ʻoe e komo i nā aniani hoʻopili, hiki iā ʻoe ke loaʻa i kahi ʻoluʻolu ʻole. ʻO ka hoʻohana ʻana i nā kulu maka lubricating e kōkua paha. Inā hoʻomau kēia pilikia a i ʻole he koʻikoʻi, e ʻike i kāu kauka.
- Nā pilikia o ka ʻōpū ('Endometrial hyperplasia'):Hiki i kēia lāʻau lapaʻau ke hoʻonui i kou pilikia o ka hoʻomohala ʻana i ka hyperplasia endometrial, kahi kūlana e hiki ai ke alakaʻi i ka maʻi ʻaʻai o ka uhi o ka uterus. ʻO ka lawe ʻana i kahi ʻano hormone ʻē aʻe i kapa ʻia he progestin me kēia lāʻau lapaʻau hiki ke hōʻemi i kēia pilikia. No laila, inā ʻaʻole i wehe ʻia kou uterus (he hysterectomy), hiki i kāu kauka ke kuhikuhi i kahi progestin me kahi estrogen. Akā pono ʻoe e ʻike he hiki i ka lawe ʻana i ka estrogen me kahi progestin ke loaʻa nā pilikia olakino ʻē aʻe. E kamaʻilio me kāu kauka e pili ana i nā pono a me nā pōʻino o ka hoʻohana ʻana i ka estrogen a me ka progestin. He kūkākūkā koʻikoʻi kēia.
- Ma mua o ke ʻoki kino: Inā ʻoe e hana nei i kekahi ʻoki kino, pono paha ʻoe e hoʻōki i ka lawe ʻana i kēia lāʻau lapaʻau no kekahi manawa. E noi i kāu kauka no ka ʻōlelo aʻo ma mua o ka hoʻolālā ʻana i ke ʻoki kino.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
ʻAe, e nānā kākou i nā hopena ʻaoʻao e hiki ai i kēia lāʻau lapaʻau ke hana. E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao liʻiliʻi. ʻO kekahi o lākou he mau mea āu e haʻi koke aku ai i kāu kauka. ʻO kekahi ʻaʻole koʻikoʻi loa a e nalo aku i loko o kekahi mau lā. Akā inā hoʻomau a hoʻopilikia paha lākou iā ʻoe, pono ʻoe e haʻi aku i kāu kauka .Inā loaʻa iā ʻoe kēia mau hopena ʻaoʻao, e haʻi koke aku i kāu kauka :
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, mai hoʻokaʻulua.- Nā hopena maʻi - no ka laʻana, ka ʻili ʻili, ka ʻili a i ʻole nā hives, ka pehu ʻana o ka maka, nā lehelehe a me ke alelo.
- Nā loli i nā ʻiʻo umauma a i ʻole ka hoʻokuʻu ʻana.
- Nā loli i ka ʻike.
- ʻEha ka umauma.
- Ka huikau, ka paʻakikī i ka ʻōlelo ʻana a i ʻole ka hoʻomaopopo ʻana.
- Mimi ʻeleʻele.
- Nā hōʻailona e like me ka maʻi palū a i ʻole ke ʻano maikaʻi ʻole.
- Ke hele ʻana i nā noho ʻōmaʻomaʻo.
- Ka luaʻi, ka luaʻi.
- ʻEha, pehu, a me ka mehana i ka wāwae (hiki i kēia ke hōʻailona o kahi ʻūpā koko).
- ʻEha ma ka ʻōpū ʻākau o luna.
- ʻEha poʻo nui.
- Paʻakikī ka hanu ʻana.
- Ka maneʻo koke a nāwaliwali paha ma ka maka, ka lima, a i ʻole ka wāwae.
- Paʻakikī i ka hele wāwae, ka poniuniu, ka nalowale o ke kaulike, a i ʻole nā pilikia hoʻonohonoho.
- Ke kahe koko ʻana o ka ʻōpū ma ke ʻano ʻē.
- Melemele o nā maka a i ʻole ka ʻili (jaundice).
ʻAʻole pono kēia mau hopena ʻaoʻao i ke kōkua lapaʻau (akā e haʻi i kāu kauka inā hoʻomau a hoʻopilikia paha lākou):
Hoʻopau pinepine kēia i loko o kekahi mau lā.- Ka nalowale o ka lauoho.
- Hoʻonui ʻia ka pōloli a i ʻole ka make wai.
- Hoʻonui ʻia ka mimi ʻana.
- Nā hōʻailona o ka maʻi ʻōpū - no ka laʻana, ka ʻūlū, ke kuni, a i ʻole ka hoʻokahe ʻē.
- Manaʻo luhi a nāwaliwali paha i ʻano ʻē.
Pehea ʻoe e mālama ai i kēia lāʻau lapaʻau?
Pono e mālama ʻia kēia lāʻau lapaʻau mai ka hiki ʻana aku o nā keiki. He mea nui loa kēia. E mālama ma ka mahana o ka lumi (ma waena o 15 a me 30 degere Celsius, ʻo ia hoʻi ma waena o 59 a me 86 degere Fahrenheit). E hoʻolei aku i kekahi lāʻau lapaʻau i hala kona lā palena pau.Leka Hoʻihoʻi Hope Loa
ʻAe, e hōʻuluʻulu wau i kekahi o nā mea e pono ai ʻoe e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai.- ʻO kēia lāʻau lapaʻau i kapa ʻia ʻo `(Synthetic Conjugated Estrogens (B))` he hormone `(Estrogen)`. ʻO ka hapa nui o nā kauka e kuhikuhi iā ia no nā pilikia e like me `(Hot flashes)` e hele mai me ka menopause.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, he mea nui e haʻi i kāu kauka e pili ana i kou mau kūlana olakino a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei (me nā lāʻau lapaʻau kuʻuna).
- E lawe i ka lāʻau lapaʻau e like me ka ʻōlelo a ke kauka, i ka manawa kūpono. Mai kaʻana like me nā poʻe ʻē aʻe. Inā e poina ʻoe i kahi mahele lāʻau, e lawe koke i ka wā e hoʻomanaʻo ai ʻoe, akā inā kokoke i ka manawa no kāu mahele lāʻau aʻe, e kāpae i ka mahele lāʻau i poina a lawe i kāu mahele lāʻau i hoʻonohonoho ʻia aʻe.
- Inā he mea puhi paka ʻoe, aia kekahi mau pilikia koʻikoʻi i ka wā e lawe ai i kēia lāʻau. E kamaʻilio me kāu kauka e pili ana i ia mea.
- Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe, ʻoiai ka ʻeha o ka umauma, ka paʻakikī o ka ʻōlelo ʻana, ka mae koke ʻana o ka hanu, ke kahe koko ʻē aʻe, a i ʻole ka pehu ʻana o ka wāwae, e haʻi koke aku i kāu kauka.
- He mea nui e hana i nā hoʻokolohua lapaʻau maʻamau (e like me ka hoʻokolokolo umauma, Pap smears, a me mammograms).
- Pono nā wāhine i wehe ʻole ʻia ko lākou ʻōpū e kamaʻilio me kā lākou kauka e pili ana i nā pono a me nā pōʻino o ka lawe ʻana i ka estrogen a me ka progestin.
ʻO ka mea nui loa, inā he mau nīnau a hopohopo paha kāu e pili ana i kēia lāʻau lapaʻau, e kamaʻilio me kāu kauka, kauka lāʻau, a i ʻole kāu mea mālama ola kino. Mai hopohopo, aia lākou ma laila e kōkua iā ʻoe. He hōʻuluʻulu manaʻo wale nō kēia pepa a ʻaʻole paha i loko o ka ʻike āpau. No laila, mai kānalua e nīnau.
ʻO nā estrogens i hoʻohui ʻia, estrogen, lāʻau hoʻololi hormone, menopause, nā ʻālohilohi wela, olakino wahine, nā hopena ʻaoʻao o ka lāʻau lapaʻau











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