Ua maloʻo kou ʻōpū? He ʻeha anei? E kamaʻilio kākou e pili ana i (Vaginal Atrophy / Genitourinary Syndrome of Menopause - GSM)

Ua ʻike anei ʻoe i ka ʻoluʻolu ʻole, ka ʻeha, a i ʻole ka maloʻo i loko o kou ʻōpū? Ke ʻeha nei ʻoe i ka wā o ka moekolohe? Hilahila paha ʻoe e kamaʻilio e pili ana i kēia mau mea. Eia nō naʻe, he mau pilikia maʻamau kēia e hoʻopilikia nei i nā wahine he nui, akā ʻaʻole mākou e kamaʻilio nui e pili ana iā lākou, akā he kumuhana ia e pono e kūkākūkā ʻia. I kēia lā, e kamaʻilio mākou e pili ana i kēia me nā kikoʻī .

He aha ka inoa o kēia kūlana? He aha maoli ia?

I ka ʻōlelo maʻalahi, he ʻano kēia kahi e lahilahi a maloʻo ai nā ʻiʻo e hoʻopuni ana i ka vagina. Ua kapa ʻia ʻo ia he `(Vaginal Atrophy)`. Akā i kēia manawa ua hoʻohana ʻia kahi inoa lapaʻau hou, ʻo ia hoʻi ʻo `(Genitourinary Syndrome of Menopause)` a i ʻole `(GSM)` no ka pōkole. ʻO ke kumu o ka hoʻohana ʻana i kēia inoa hou no ka mea ʻaʻole wale kēia ʻano e pili ana i ka vagina, akā i ka ʻōnaehana urinary. ʻO ka mea e hana ʻia ma kēia, ʻo ia ka maloʻo ʻana o nā membrane palupalu e hoʻopili ana i loko o kou vagina a lahilahi. E noʻonoʻo e like me ka lepo e haki ana i ka wā e maloʻo ai. ʻO ia ke kumu e loaʻa ai nā hōʻailona e like me ka maneʻo, ka wela, a me ka ʻeha i ka wā moe. ʻAʻole wale ia, akā hiki i nā maʻi urinary tract (UTIs)` a me ka incontinence urinary ke hele pū me ia. Hoʻomaka pinepine kēia ʻano i kou hoʻokokoke ʻana a i ʻole ma hope o ka menopause. ʻO ke kumu o kēia, ʻo ka emi ʻana o ka pae o ka hormone estrogen i hana ʻia e kāu mau ovaries. I ka wā o ka mālama ʻana no ka maʻi ʻaʻai a i ʻole ke wehe ʻia kāu mau ovaries, hiki ke emi kēia pae o ka estrogen. Ke emi kēia pae hormone, hiki ke hana i kekahi mau hōʻailona ʻoluʻolu ʻole. Hiki i kēia mau mea ke hoʻopilikia i kou ola maʻamau.

Pehea ka maʻamau o kēia? (Pehea ka maʻamau o kēia?)

ʻO ka ʻoiaʻiʻo, ma ka hapalua o nā wahine āpau e hele ana i ka menopause e ʻike i kekahi ʻano o ke kūlana i ʻike ʻia ʻo Genitourinary Syndrome of Menopause (GSM). ʻO ka pinepine ka hōʻailona mua ka maloʻo o ka vagina . E ʻike mua paha ʻoe i kēia i ka wā moe kolohe.

He aha nā hōʻailona o kēia? (He aha nā hōʻailona o kēia?)

Ke loaʻa iā ʻoe kahi maʻi i kapa ʻia ʻo "Vaginal Atrophy" a i ʻole "GSM", lilo ka ʻiʻo e uhi ana i nā paia o ka vagina i lahilahi, maloʻo, a hiki ke loaʻa i ka maʻi. E nānā kākou i kēia mau hōʻailona.

Nā hōʻailona o ka maʻi puʻupaʻa:

• Ka manaʻo o ka wela ʻana o ka ʻōpū a/a i ʻole ka maneʻo .
• ʻEha i ka wā o ka moekolohe. Ua kapa ʻia kēia ma ke ʻano lapaʻau he "Dyspareunia".
• Ka hoʻokahe ʻana o ka ʻōpū ma ke ʻano ʻē (pinepine melemele ke kala).
• Ke kahe koko ʻana o ka ʻōpū a i ʻole nā ​​​​​​kikokiko, ʻoiai i ka wā o ka moekolohe.
• Ke ʻano maneʻo a puni ka labia (ka ʻāpana genital waho).

Nā hōʻailona e pili ana i ka ʻōnaehana urinary:

Hiki i kēia kūlana ke hoʻopilikia i kāu ʻōnaehana urinary, e hana ana i nā hōʻailona e like me:

• Nā maʻi ʻōpū mimi pinepine (UTI).
• ʻO ka Incontinence ka hiki ʻole ke kāohi i ka mimi.
• Pono e mimi pinepine ma mua o ka maʻamau.
• ʻEha ka mimi ʻana. Ua kapa ʻia kēia ʻo `(Dysuria)`.
• Koko i loko o ka mimi. Ua kapa ʻia kēlā he `(Hematuria)`.
• He ʻano wela i ka wā e mimi ai.

No ke aha kēia e hana ai? He aha nā kumu? (No ke aha kēia e hana ai? He aha nā kumu?)

I ka wā menopause, hana kou kino i ka emi ʻana o ka hormone estrogen. Me ka ʻole o kēia estrogen, hiki i nā paia o kou vagina ke lahilahi a nalowale ka elasticity. Hiki i kou vagina ke lilo i ʻoi aku ka haiki a me ka pōkole. Ke hāʻule nā ​​​​pae estrogen, emi ka nui o ka wai vaginal maoli, a loli ke kaulike waikawa i loko o kou vagina. ʻO kēia mau mea a pau e hana ai i kou ʻiʻo vaginal i ʻoi aku ka palupalu a ʻoi aku ka maʻalahi i ka maʻi. Ma waho aʻe o ka menopause, aia kekahi mau manawa ʻē aʻe e hiki ai i kou kino ke nalowale ka estrogen. Eia kekahi laʻana:

• Ke hānai waiū ʻoe i kahi keiki.
• I ka wā e mālama ʻia ai no ke kanesa (e.g. `(Chemotherapy)`, `(Radiation therapy)`).
• Inā ua wehe ʻia kāu mau ovaries ma ke ʻoki kino (`( Oophorectomy )`).

I nā hihia e like me kēia, hiki i ka emi ʻana o ka estrogen ke alakaʻi i kahi kūlana i kapa ʻia ʻo "Vaginal Atrophy".

ʻO wai ka mea i pilikia nui no kēia maʻi?

ʻO nā wāhine e hele ana i ka menopause ka mea e loaʻa ai kēia maʻi, no ka mea, ʻoi aku ka liʻiliʻi o ka estrogen i hana maoli ʻia e ko lākou kino. Eia nō naʻe, aia kekahi mau kumu ʻē aʻe e hiki ai ke emi nā pae estrogen, e alakaʻi ana i kēia maʻi:

• Ka emi ʻana o ka hana ovarian ma muli o nā lāʻau lapaʻau anti-cancer (Chemotherapy a i ʻole Radiation therapy).
• Ke hoʻohana nei i kekahi mau lāʻau lapaʻau e hoʻemi ana i nā pae estrogen . ʻO nā laʻana e komo pū me nā lāʻau lapaʻau e like me Tamoxifen, Medroxyprogesterone, a me Nafarelin.
• Ke wehe ʻana i nā ovaries ma ke ʻoki kino (`(Oophorectomy)`).
• ʻO kekahi mau ʻano lāʻau hoʻomalu hānau.
• Kekahi mau maʻi ʻōnaehana pale.
• Ka manawa hānai waiū .
• Puhi paka .

ʻO ka mea nui, ʻo ka emi pinepine ʻana o kou moe kolohe (me ka hoa a i ʻole me ka ʻole o ka hoa), ʻo ka kiʻekiʻe o kou pilikia o ka loaʻa ʻana o ka atrophy vaginal waena a koʻikoʻi. Ua hōʻike ʻia e ka noiʻi ʻana he emi pinepine ka atrophy vaginal o ka poʻe i moe kolohe ma mua o ka poʻe i hoʻōki i ka moe kolohe. ʻO kēia no ka mea hoʻonui ka hoʻoulu ʻana i ka moekolohe i ke kahe koko i ka vagina, kahi e hoʻonui ai i ka elasticity o nā ʻiʻo vaginal.

He aha nā pilikia e hiki ke kū mai ma muli o kēia?

Hiki i ka Vaginal Atrophy (GSM) ke hoʻopilikia i kou ʻano ola a me kou pilina me kāu hoa. Loaʻa iā ia nā hopena kino a me ka noʻonoʻo. ʻO nā hōʻailona kino e like me ka ʻeha, ka wela, ka maneʻo, a me ka hoʻokahe ʻana e hiki ke hoʻopilikia i kēlā me kēia ʻano o kou ola. Hiki iā ia ke loaʻa ka hopena noʻonoʻo. Ke loaʻa iā ʻoe kēia mau hōʻailona, ​​​​hiki iā ʻoe ke nalowale ka hoihoi i ka moekolohe, ka nalowale o ka makemake no ka pilina pili, a i ʻole ka nalowale o ka hilinaʻi iā ʻoe iho. E ʻoluʻolu e hoʻomanaʻo he mea maʻamau kēia mau manaʻo a pau a aia kāu kauka e kōkua iā ʻoe.

Pehea e ʻike ʻia ai kēia?

Hiki i ke kauka ke ʻike i ka atrophy vaginal ma muli o kāu mau hōʻailona a me kahi hoʻokolohua pelvic, kahi e nānā ai i kou vagina a me ka cervix. ʻO nā hōʻailona maʻamau o kēia kūlana i ka wā o kahi hoʻokolohua pelvic:

• Ua pōkole a ua hoʻohāiki ʻia paha ka ʻōpū.
• Maloʻo, ʻulaʻula, a me ka pehu.
• ʻO ka mea i nalowale kona elasticity.
• He kahe keʻokeʻo o ka ʻōpū.
• Nā maʻi ʻili, e like me nā ʻeha a me/a i ʻole nā ​​​​kiko ʻulaʻula, a puni ka labia.
• Nā ʻoki liʻiliʻi (lacerations) kokoke i ka puka o ka vagina.
• Ua emi ka nui o ka labia.

He aha nā hoʻokolohua e hana ʻia e hōʻoia i kēia?

Hoʻomaopopo pinepine nā kauka i nā loli atrophic a i ʻole GSM ma muli o nā hōʻailona a me ka hoʻokolokolo ʻana. Eia nō naʻe, hiki iā lākou ke hana i nā hoʻokolohua e kāpae i nā kūlana ʻē aʻe, e like me:

• Hoʻāʻo Pap.
• Ke hoʻāʻo ʻana i kahi hāpana mimi.
• Hoʻokolokolo ʻana o ka ultrasound.
• Ke hoʻāʻo ʻana i ka pH (ʻakika) o ka vagina (`(Vaginal pH)`).
• Nā hoʻāʻo no nā maʻi vaginal.

Nā nīnau a kāu kauka e nīnau ai:

• Ke hele nei ʻoe i ka menopause?
• He aha nā lāʻau lapaʻau āu e hoʻohana ai?
• Ua loaʻa koke nei kāu pēpē?
• He ʻeha anei ka moe kolohe?
• Ua hoʻāʻo anei ʻoe e hoʻohana i nā lubricants a i ʻole nā ​​moisturizers hiki iā ʻoe ke kūʻai ma ka hale kūʻai lāʻau lapaʻau?
• Ua ʻike anei ʻoe i kekahi kahe e puka mai ana mai loko mai o kou puʻupaʻa?
• Ua ʻike anei ʻoe i kekahi kahe koko a i ʻole nā ​​kiko liʻiliʻi?
• ʻEhia ka lōʻihi o kēia mau hōʻailona i loaʻa?

He mea maʻamau ke hilahila i ka wā e kamaʻilio ai e pili ana i nā hōʻailona o ka `(Vaginal Atrophy)`. Akā inā manaʻo ʻoe he mau hōʻailona kēia iā ʻoe, mai hilahila e haʻi aku i kāu kauka e pili ana iā lākou. Nui nā lāʻau lapaʻau kūpono no kēia.

E nānā kākou i nā lāʻau lapaʻau: Nā lāʻau lapaʻau hormonal

ʻO ka Estrogen therapy a me ka dehydroepiandrosterone (DHEA) nā lāʻau lapaʻau hormonal no ka atrophy vaginal.

ʻO ka estrogen topical

Hana kēia ma ka mālama ʻana i nā hōʻailona o ka vagina me ka ʻole o ka hoʻonui ʻana i ka pae o ka estrogen i loko o kou koko. Hiki ke lawe ʻia ma ke ʻano he kirīmi, he papa vaginal, a i ʻole he apo. Hiki i kāu kauka ke wehewehe i kēlā me kēia o kēia mau ʻano iā ʻoe a kōkua iā ʻoe e koho i ka mea kūpono loa iā ʻoe.

• Kirimina estrogen vaginal: Hoʻokomo ʻia kēia kirimina i loko o ka vagina me ka hoʻohana ʻana i kahi mea hoʻopili. Pono ka hapa nui o ka poʻe e hoʻopili iā ia i kēlā me kēia lā no kekahi mau pule, a laila ʻelua a ʻekolu paha manawa i ka pule.
• Apo ʻōpū: He apo lahilahi a palupalu kēia. Hoʻokomo kāu kauka iā ia i loko o kou ʻōpū. Hoʻokuʻu ia i kahi mahele haʻahaʻa o ka estrogen no ʻekolu mahina. A laila wehe kāu kauka iā ia a hoʻokomo i kahi mea hou.
• Papa ʻōpū: He papa liʻiliʻi kēia i hoʻokomo ʻia i loko o ka ʻōpū me ka hoʻohana ʻana i kahi mea hoʻopili. E like me nā lāʻau lapaʻau estrogen ʻē aʻe, hoʻohana mua ʻia i kēlā me kēia lā, a laila hoʻemi ʻia i ʻelua a ʻekolu manawa i ka pule.

Ka Lapaʻau Hoʻololi Hormone (HRT)

Ua kapa ʻia hoʻi kēia ʻo `(Systemic estrogen therapy)`. Inā loaʻa iā ʻoe nā hōʻailona ʻē aʻe o ka menopause, e like me ka wela o ka ʻā ʻana a me ka hou ʻana, he mea kōkua paha kēia lāʻau lapaʻau. He nui kēia o nā hormones, a hele ʻole ia i ka vagina wale nō, akā i nā cell ʻē aʻe i loko o ke kino. Inā ua postmenopausal ʻoe no nā makahiki he 10 a ʻoi, a inā he maloʻo wale nō kou vagina, hoʻohana pinepine ʻia ka `(Local therapy)`. Eia nō naʻe, inā pono ʻoe i ka `(Systemic hormone therapy)`, hiki iā ia ke loaʻa nā pono e like me ka hoʻomaikaʻi ʻana i ke olakino vaginal, ka hoʻomaikaʻi ʻana i ka hiamoe, ka hōʻemi ʻana i nā `(Hot flashes)`, a me ka hoʻomaikaʻi ʻana i ke ʻano. Hiki iā ʻoe a me kāu kauka ke hoʻoholo inā kūpono kēia lāʻau lapaʻau iā ʻoe.

He aha nā lāʻau lapaʻau ʻaʻole hormonal?

Pono ʻoe a me kāu kauka e hana pū e hoʻomohala i kahi hoʻolālā lapaʻau no kou maʻi atrophy vaginal. E kōkua kāu kauka iā ʻoe e hoʻoholo i ka lāʻau lapaʻau e kūpono loa ma muli o kāu mau hōʻailona a me ko lākou koʻikoʻi. Ua manaʻo ʻia nā lāʻau lapaʻau Estrogen a me DHEA ʻo ia ka mea kūpono loa. Eia naʻe, ʻaʻole kūpono kēia mau lāʻau lapaʻau no nā mea āpau. Aia kekahi mau lāʻau lapaʻau ʻaʻole hormonal e hiki ke hoʻohana ʻia.

Nā Lubricants a me nā Moisturizers

Hoʻōla nā mea hoʻoluʻu a me nā mea hoʻomaʻū i ka maloʻo o ka ʻōpū. Hiki i kēia ke hōʻemi i ka ʻoluʻolu ʻole i ka wā moe. Hiki iā ʻoe ke kūʻai i kēia mau mea ma kāu hale kūʻai lāʻau kokoke loa a i ʻole ka hale kūʻai nui. Loaʻa lākou i nā ʻano lama like ʻole.

• Hoʻohana ʻia nā mea hoʻoluʻu vaginal e hōʻemi i ka friction a me ka ʻeha i ka wā o ka moekolohe. Hana ʻia lākou mai ka wai, silicone, a i ʻole ka ʻaila. Hana wale lākou no ka manawa pōkole.
• Hoʻopili nā mea hoʻomaʻū vaginal i nā ʻiʻo vaginal a kōkua i ka mālama ʻana i ka makū i loko o nā cell. Hoʻohana pinepine ʻia kēia mau mea i hoʻokahi a ʻekolu manawa i ka lā, no ka mea, hana lākou no ka manawa lōʻihi.
• Hiki ke hoʻohana ʻia kekahi mau aila kūlohelohe, e like me ka ʻaila ʻoliva a me ka ʻaila niu, e like me nā mea lubricant a me nā moisturizers.

Nā Lapaʻau Laser

ʻO nā lāʻau lapaʻau ʻole-invasive, ʻaʻole ʻokiʻoki i kapa ʻia ʻo CO2 lasers ua ʻōlelo ʻia e kōkua i ka hana hou ʻana i nā ʻiʻo vaginal, e hoʻonui ana i kona ikaika a me ka elasticity. Eia nō naʻe, ʻaʻole i ʻae ʻia kēia mau mea hana e ka U.S. Food and Drug Administration (FDA) no ka mālama ʻana i ka atrophy vaginal, ʻoiai ua kaupalena ʻia ka noiʻi lōʻihi e pili ana i kā lākou hoʻohana.

Nā mea hoʻonui

ʻO nā Dilators he mau mea hana i hoʻohana ʻia e hoʻonui i ka vagina e hōʻemi i ka ʻoluʻolu ʻole i ka wā o ka moekolohe. Hoʻomaka ka nui o ka poʻe me kahi dilator liʻiliʻi a laila neʻe mālie i nā mea nui.

Ospemifene (Ospemifene - Osphena®)

He pila ʻo Osphena® i lawe ʻia i kēlā me kēia lā. Loaʻa iā ia nā pono like me ka estrogen, akā ʻaʻohe ona estrogen. Eia nō naʻe, ʻo kahi hopena koʻikoʻi koʻikoʻi ka nui o ka pilikia o nā ʻūpā koko. Hiki i kekahi poʻe ke ʻike i ka hoʻonui ʻia o ka hou ʻana a me nā ʻā wela (wela flashes), akā ʻaʻole ʻike ka hapa nui o ka poʻe i kekahi mau hōʻailona.

Aia kekahi mau hopena ʻaoʻao/pilikia o ka lāʻau lapaʻau?

E makaʻala i nā hōʻailona hou e kū mai ana ma hope o kou hoʻomaka ʻana i ka lāʻau lapaʻau. Hiki i kēia ke komo pū me ka huhū o ka ʻili, ka ʻeha nui, a me/a i ʻole ke kahe ʻana o ka ʻōpū. E kamaʻilio me kāu kauka e pili ana i nā hopena ʻaoʻao. Inā ʻoluʻolu ʻole ʻoe i kāu hoʻolālā lapaʻau, mai kānalua e nīnau i kāu kauka e pili ana.

ʻEhia ka lōʻihi e mālama ai i kēia maʻi?

ʻOkoʻa ka lōʻihi o ka manawa e mālama ai i kāu mau hōʻailona o (GSM) ma muli o ke ʻano āu e hoʻohana ai a me ke koʻikoʻi o kou kūlana. E kūkākūkā kāu kauka i kāu mau koho āpau me ʻoe, ma muli o kou mōʻaukala olakino a me kou kūlana. E kōkua ʻo ia iā ʻoe e hoʻoholo i ka hoʻolālā lapaʻau kūpono loa. E hoʻomanaʻo he nui ka poʻe e loaʻa ka holomua me ka hoʻohana ʻana i ka hui pū ʻana o nā lāʻau lapaʻau.

Hiki ke pale ʻia kēia?

ʻO ka nalowale ʻana o ka estrogen kekahi ʻāpana o ke kaʻina hana ʻelemakule maoli o kou kino. ʻAʻole hiki ke hoʻōki loa ʻia. Eia nō naʻe, aia nā ala e pale aku ai i ka atrophy vaginal mai ka ʻoi aku ka ʻino. E pale i ka hoʻohana ʻana i nā mea e hōʻino ai i ka vagina (nā mea ʻala, nā mea hoʻoluʻu, nā shampoos, nā detergents, a me ka douching). E hoʻomanaʻo, he mea maikaʻi ka moekolohe no ka atrophy vaginal, no ka mea, hoʻonui ia i ke kahe koko i nā ʻiʻo vaginal.

He aha kaʻu e manaʻo ai inā ua ʻike ʻia koʻu maʻi?

ʻAʻole pono ʻoe e "noho wale" me ka atrophy vaginal. ʻOiai inā ʻoe i ka menopause a i ʻole postmenopausal, ʻaʻole ia he manaʻo e pono ʻoe e ʻeha i nā maʻi urinary tract pinepine (UTIs), ka ʻūlū vaginal, a i ʻole ka ʻeha i ka wā moe. He kūpono loa ka mālama ʻana no ka atrophy vaginal. Mai makaʻu e hoʻāʻo i nā lāʻau lapaʻau like ʻole, a e hana pū me kāu kauka e ʻike i ka mea e kūpono loa iā ʻoe.

Hiki ke ho'ōla loa ʻia kēia maʻi? (Hiki ke ho'ōla loa ʻia kēia?)

ʻAʻole hiki ke ho'ōla loa ʻia ka Vaginal Atrophy, akā, ʻaʻole pono ʻoe e noho me ka ʻeha. Me ka ʻike kūpono a me ka mālama ʻana, hiki ke kaohi ʻia nā hōʻailona.

Hiki i kēia kūlana ke ʻoi aku ka ʻino inā ʻaʻole mālama ʻia?

ʻAe, hiki i kēia kūlana ke ʻoi aku ka ʻino. ʻO ia ke kumu he mea nui e loaʻa koke ka lāʻau lapaʻau. ʻO ka wikiwiki o kou loaʻa ʻana o ka lāʻau lapaʻau, ʻo ka emi ʻana o ka hiki ke ʻoi aku ka ʻino o kou atrophy vaginal. No ka laʻana, ʻo ka lōʻihi o kou hele ʻana me ka ʻole o ka estrogen, ʻoi aku ka maloʻo o kou vagina. Inā ʻaʻole mālama ʻia, hiki i kou atrophy vaginal ke ʻoi aku ka ʻino. I kekahi manawa, hiki i kēia kūlana ke koʻikoʻi loa a hiki i ka wehe ʻana o ka vagina ke lilo i mea haiki nui. I kēlā hihia, inā ʻoe e hoʻopaneʻe i ka hoʻomaka ʻana o ka lāʻau lapaʻau, hiki ke paʻakikī ke mālama.

Pehea ke ʻano o ka noho ʻana me kēia? (Pehea ke ʻano o ka noho ʻana me kēia?)

Hiki i ka atrophy vaginal ke hoʻopilikia nui ʻole i kou ola moekolohe, akā i kou ʻano holoʻokoʻa o ke ola. ʻO nā hōʻailona e like me ka ʻeha, ka maloʻo, ka wela/maniʻo, ka ʻōhū ʻana, ke kahe ʻana o ke koko, nā pilikia mimi, nā maʻi pinepine o ke ala mimi (UTI), a me ke kahe ʻana o ka vaginal hiki ke lilo i mea ʻoluʻolu ʻole a hiki ke hoʻopilikia i kāu mau hana o kēlā me kēia lā. Ma kahi o hoʻokahi o nā wahine ʻehā e hōʻike ana ua hoʻopilikia maikaʻi ʻole ka atrophy vaginal i nā ʻano ʻē aʻe o ko lākou ola, me ko lākou hiamoe, ke olakino moekolohe, a me ke olakino holoʻokoʻa.

Pehea e mālama ai iaʻu iho? (Pehea wau e mālama ai iaʻu iho?)

E like me nā ʻano ʻē aʻe o kou olakino, e hoʻokau i kou olakino moekolohe i mea nui. E ʻimi i ke kōkua mai kāu kauka e loaʻa ai nā pane i nā nīnau a hopohopo paha āu e loaʻa ai.

Āhea wau e ʻike ai i ke kauka?

ʻOiai inā ʻaʻole ʻoe he menopause, e haʻi i kāu kauka e pili ana i kekahi mau hōʻailona e like me ka maloʻo, ka ʻeha, ka wela/ka ʻā ʻana, nā pilikia mimi, nā kiko a i ʻole ke kahe koko ʻana, a i ʻole ka hoʻokahe ʻana o ka vaginal. Inā ʻoe e hoʻohana ana i nā moisturizers over-the-counter no kou maloʻo no kekahi mau pule a ʻaʻohe hoʻomaikaʻi, pono ʻoe e ʻike i ke kauka. Eia kekahi, inā loaʻa iā ʻoe kekahi mau hōʻailona e hoʻopilikia nei i kou ola o kēlā me kēia lā, e ʻike pono i ke kauka.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Ke ʻike ʻoe i kāu kauka, hiki iā ʻoe ke nīnau i nā nīnau e like me kēia:

• He aha nā mea āu e ʻōlelo ai e hiki iaʻu ke kūʻai ma ka hale kūʻai lāʻau lapaʻau?
• He aha nā lāʻau lapaʻau āu e ʻōlelo mai nei iaʻu e loaʻa me ke kauoha ʻole ʻia?
• He manawa pōkole wale nō anei kēia kūlana oʻu?
• Aia kekahi mau ala ʻē aʻe e mālama ai i koʻu maʻi?
• Aia kekahi mau pilikia i ka lāʻau lapaʻau?
• ʻEhia ka lōʻihi e ho'ōla ai mai ka lāʻau lapaʻau?
• Loaʻa iaʻu kekahi mau maʻi ʻē aʻe ma waho aʻe o ka Vaginal Atrophy?
• He aha hou kaʻu e hana ai e pale aku ai i ka lilo ʻana o koʻu atrophy vaginal i mea ʻino?
• Pehea e hiki ai iaʻu ke kōkua i kaʻu hoa?

He aha ka ʻokoʻa ma waena o ka atrophy vaginal a me ka maʻi yeast?

Hiki i ka atrophy vaginal a me nā maʻi hū ke hana i nā hōʻailona e like me ka maloʻo, ka maneʻo, ka ʻulaʻula, a me ka ʻeha. Eia nō naʻe, ʻo ka atrophy vaginal ke kumu o ka nele o ka estrogen, ʻoiai ʻo ka maʻi hū ke kumu o ka maʻi fungal. No laila e kamaʻilio me kāu kauka e pili ana i kāu mau hōʻailona a me ke ʻano o kou maʻi, a hiki iā ʻolua ke hoʻoholo pū.

No laila, he aha ka mea nui loa mai ka mea a mākou i kūkākūkā ai?

He maʻi koʻikoʻi ka atrophy vaginal. Hiki iā ia ke hoʻopilikia i kou ʻano ola, e hōʻeha ai i ka ʻoluʻolu ʻole, nā hele pinepine ʻana i ka lua, nā maʻi ʻōpū urinary pinepine (UTIs), ka mumū, ka ʻeha i ka wā moe kolohe, a me nā mea hou aku.

ʻO ka mea pōmaikaʻi, he nui nā lāʻau lapaʻau no kēia, a hiki i kāu kauka ke kōkua iā ʻoe e ʻike i ke koho maikaʻi loa no kāu mau hōʻailona.

E ʻimi i ka lāʻau lapaʻau. Mai makaʻu e kamaʻilio me kāu kauka a me kāu hoa e pili ana i kēia. E hahai mau i ka ʻōlelo aʻo a kāu kauka a hana i nā mea hiki iā ʻoe ke mālama i kou kūlana. E hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi, a loaʻa ke kōkua.