He mea weliweli iki ka ʻike ʻana i kahi kulu koko mai kou ʻōpū i ka lā ʻaʻole ʻoe e loaʻa ana i kou wā, ʻeā? He mea maʻamau ke noʻonoʻo, 'He aha kēia?' ʻO ka hapa nui o ka manawa, ʻaʻohe mea e hopohopo ai kēia. Eia naʻe, i kekahi manawa hiki ke lilo i hōʻailona ua hewa kekahi mea me kou kino. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia ʻano kahe koko e hana ʻia ma waho o kou wā maʻamau. He kumuhana kēia āu, ma ke ʻano he wahine, e makaʻala maoli.
He aha kēia kahe koko kūpono ʻole?
I ka ʻōlelo maʻalahi, ʻo kēlā me kēia kahe koko ʻana o ka ʻōpū e kū mai ana ma waho o kāu pōʻaiapuni menstrual maʻamau a i ʻole ka wā e hāʻule ana i loko o kēia māhele. No kekahi poʻe, he liʻiliʻi paha kēia e like me kekahi mau kulu koko (spotting). No kekahi poʻe, he kaumaha paha e like me ka wā maʻamau.
E noʻonoʻo ʻoe ua like kou wā me kahi kaʻa ʻōhua e hiki mai ana i ka manawa maʻamau i hoʻokahi manawa i ka mahina. A laila ua like kēia kahe koko ʻano ʻē me kahi kaʻa huila ʻekolu e hiki koke mai ana i kahi manawa i manaʻo ʻole ʻia, i ka lā i hiki ʻole mai ai kēlā kaʻa. ʻAʻole hiki ke ʻōlelo pololei i ka wā e hiki mai ai, a hiki ke ʻokoʻa ka nui e hiki mai ana. I kekahi manawa, hiki ke ʻike pū ʻia nā hōʻailona ʻē aʻe, e like me ka ʻeha o ka ʻōpū haʻahaʻa, me kēia.
ʻO wai ka mea i ʻoi aku ka paʻakikī o kēia ʻano kūlana?
ʻO kaʻoiaʻiʻo, hiki ke loaʻa kēia ʻano i nā wahine o kēlā me kēia makahiki, akā he mea maʻamau ia i kēia mau pūʻulu ʻelua:
- ʻO nā kaikamahine ʻōpio i komo wale i ka wā ʻōpio: Hiki ke hana ʻia kēia ʻano kahe koko maʻamau ʻole i ka wā mua o ko lākou pōʻaiapuni a hiki i ka paʻa ʻana o kā lākou hana hormonal.
- Nā wahine e hoʻokokoke ana i ka menopause (Perimenopause): Hiki mai nā loli hormonal i nā makahiki ma mua o ka pau loa ʻana o ka menstruation. Hiki i kēia ke hana i nā loli i ka manawa ma waena o nā menstruations, kekahi mau mahina i hala, a me ke kahe koko ʻano ʻē.
He aha nā kumu nui o ke kahe koko kūpono ʻole?
Nui nā kumu hiki ke hana ʻia no kēia. No laila he mea nui e noiʻi pono i kēia inā ʻike ʻoe i kahi mea e like me kēia. E nānā kākou i nā ʻano kumu nui.
| Māhele kumu | Ka wehewehe a me nā laʻana |
|---|---|
| Nā Kūlana Lapaʻau |
|
| Nā Mana Hormonal | |
| Nā pilikia o ka hāpai ʻana | |
| Nā Kumu ʻē aʻe |
Hiki paha i ke kaumaha ke kumu o kēia?
ʻAe, ʻoiaʻiʻo nō. Hoʻopilikia pololei ke kaumaha nui i ke kaulike hormonal i loko o ko kākou kino. Hiki i kēia ke hoʻolilo i kou pōʻaiapuni menstrual i mea kūpono ʻole a hoʻoulu i ke kahe koko maʻamau e like me kēia.
Pehea e ʻike ai ke kauka i ka maʻi?
Ke hele ʻoe e ʻike i ke kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i kou mau hōʻailona a me ka mōʻaukala olakino. He mea nui loa ka hāʻawi ʻana i ka ʻike pololei i kēia manawa, me ka hūnā ʻole i kekahi mea.
He mea kōkua nui ia no ke kauka inā hiki iā ʻoe ke mālama i kahi puke moʻolelo o kāu pōʻaiapuni menstrual. E kākau i nā mea e like me ka wā i hoʻomaka ai kou menstruation, ehia mau lā i hala ai, pehea ka nui o ke kahe ʻana o ke koko āu i loaʻa ai, a me nā lā i loaʻa ai iā ʻoe ke kahe koko ʻano ʻē.
Hiki i ke kauka ke nīnau iā ʻoe i nā nīnau e like me kēia:
- I ka manawa hea i hoʻomaka ai ke kahe ʻana o ke koko e like me kēia?
- Pehea kēia e hoʻohālikelike ai i kou wā maʻamau?
- Ke kahe nei ke koko ma hope o ka moekolohe?
- ʻEhia mau pāpaʻi āu e hoʻomaʻū ai i ka lā?
- Aia kekahi mau lāʻau lapaʻau kūikawā āu e lawe nei?
- Manaʻo ʻoe e hiki iā ʻoe ke hāpai?
Ma waho aʻe o kēia mau nīnau, hiki ke kauoha ʻia nā hoʻokolohua aʻe e kōkua i ke kuhikuhi ʻana i ke kumu:
- Hoʻāʻo Pap
- Ka nānā ʻana i ka mimi
- He hoʻāʻo koko e nānā i nā pae o ka hormone thyroid
- Helu Koko Piha (CBC)
- Hoʻāʻo hāpai
- ʻO ke kiʻi ʻana o ka ultrasound
- Malia paha he MRI scan a i ʻole kahi hoʻāʻo e like me ka hysteroscopy e nānā ai i ka ʻōpū.
He aha nā lāʻau lapaʻau no kēia?
Aia ka lāʻau lapaʻau i ke kumu o kou kahe koko ʻana, kou mau makahiki, a inā paha ʻoe e hoʻolālā e loaʻa nā keiki i ka wā e hiki mai ana. Inā he nele i ka hormonal ke kumu, hiki paha ke hoʻokele iā ia me nā hoʻololi ʻana i ke ʻano o ka nohona, e like me ka ʻai ʻana i ka meaʻai olakino a me ka hoʻēmi ʻana i ke kaumaha.
I nā hihia ʻē aʻe, pono paha ka lāʻau lapaʻau a i ʻole ke ʻoki ʻana.
| ʻAno lapaʻau | Wehewehena |
|---|---|
| Nā lāʻau lapaʻau |
|
| Nā Hana Lapaʻau |
Āhea ʻoe e ʻimi koke ai i ke aʻo lapaʻau?
ʻOiai ʻaʻole kēia maʻi e hoʻoweliweli i ke ola, inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e ʻoluʻolu e ʻike koke i ke kauka.
- Ka loli koke ʻana o ke ʻano maʻamau o ke kaʻina hana menstrual (lilo ka manawa ma waena o ʻelua mahina i pōkole loa a lōʻihi paha).
- ʻOi aku ka nui o ke koko i nalowale i ka wā o ka menstruation ma mua o ka maʻamau.
- Inā kahe mau ke koko ma hope o ka moekolohe.
- He mea maikaʻi ke kahe iki ke koko ma mua o ka wā ʻōpio a ma hope paha o ka menopause (ma hope o ka pau ʻana o kou wā).
- Inā ʻike ʻoe i ke kahe koko māmā a nui paha i ka wā hāpai .
- Inā hele pū ke kahe koko me ke kuni nui, ka nāwaliwali, ka maʻi ʻōpū, a i ʻole ka ʻeha nui ma ka ʻōpū lalo.
E hoʻomanaʻo, ʻoiai inā nui loa ke kahe ʻana o ke koko a pono ʻoe e hoʻololi i kahi pāpale i kēlā me kēia hola, paʻakikī ka hanu ʻana, a i ʻole e nāwaliwali loa, e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa.
Leka Lawe-Home
- E makaʻala i kekahi kahe koko e kū mai ana ma waho o kou wā menstrual maʻamau.
- Nui nā kumu no kēia. ʻAʻole ia he mea koʻikoʻi i nā manawa a pau, akā, mai hoʻowahāwahā iā ia.
- Ma kahi o ka makaʻu i kou mau kumu ponoʻī a i ʻole e ʻimi i ka lāʻau lapaʻau ma ka pūnaewele, e ʻike pono i ke kauka kūpono a e ʻimi i ka ʻōlelo aʻo.
- He mea kōkua nui ka mālama ʻana i kahi puke moʻolelo o kāu pōʻaiapuni menstrual no ka ʻike ʻana i nā maʻi.
- ʻO ke ʻano kūikawā, pono e noiʻi koke ʻia kekahi kahe koko e kū mai ana ma hope o ka menopause a i ʻole i ka wā hāpai.
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