He mea e pāngia ana e te nuinga o ngā wāhine te paheketanga ina tae rātou ki te 45-50 tau te pakeke. Kātahi ka tīmata te werawera, kāore e taea te moe i te pō, ka riri koe ki ngā mea iti, ka whakaaro koe kāore koe i te pai... He mōhio koe ki ēnei mea? Ahakoa he maha ngā tāngata e pāngia ana e tēnei, e whakaaro ana he wāhanga noa iho o te ao, he pai ngā maimoatanga hei whakahaere i ēnei tohu whakarihariha. I tēnei rā kei te kōrero tātou mō tētahi o ngā maimoatanga matua, arā, ko te rongoā homoni.
He aha te rongoā whakakapinga homoni (HRT)?
Ki te kī ngāwari, ina tae koe ki te menopause, ka mutu te whakaputa a ō ovaries i te homoni e kiia nei ko te estrogen. Ina heke te homoni nei, e whakahaere ana i ngā mea maha i roto i tō tinana, ka puta mai aua tohu whakarihariha kua whakahuatia ake nei. Nō reira, ko te mahi a te rongoā whakakapinga homoni (HRT) mā te hoatu ki tō tinana ngā homoni kua ngaro. Kia hoki anō ēnei taumata homoni ki te āhua noa, ka ngaro te nuinga o aua tohu.
Ka karangatia tēnei e ngā tākuta i ētahi wā ko te Hormone Therapy (HT). Kāore he rerekētanga nui, engari i te nuinga o te wā ka tangohia tēnei maimoatanga i te wā taitamariki, i mua pea i te 40 tau te pakeke, ka whakamahia pinepinetia te kupu HRT. Nā te mea ko te mea ka tupu i reira ko te 'whakakapi' o te tinana i ngā homoni e tika ana kia hangaia e ia i te taiao.
Me whakatau mēnā he tika tēnei maimoatanga māu, kāore rānei, me kōrero tahi me tō tākuta. Nā te mea he pai ōna, tera pea ētahi mōrearea kei roto. Nō reira, kia tirohia tēnei e tātou.
Kei a koe anō ēnei tohu i te wā o te menopause?
Ko ngā tohu matua ka taea te whakaora mā te whakamahi i te rongoā homoni:
- Ngā mura wera: Te kare ohorere o te wera me te werawera.
- Te werawera i te pō: Te oho ake i te pō me te werawera.
- Te maroke o te tara: Ka mamae te moe tāne i te maroke o te tara.
- Ngā panonitanga kare ā-roto: Ngā panonitanga maha o te kare ā-roto pērā i te harikoa, te pōuri, me te riri.
- Te kore moe: Ngā raruraru moe i te pō.
- Te turuturu o te mimi: Ka turuturu mai he iti noa te mimi ina maremare koe, ina kata rānei.
Hei tāpiritanga, ka āwhina hoki tēnei maimoatanga ki te ārai i te osteoporosis , he mate angiangi wheua e puta pinepine ana i te hekenga o te homoni estrogen.
He aha ngā momo maimoatanga homoni?
E rua ngā momo matua o te rongoā homoni. Mā tō tākuta e whakatau ko tēhea te mea pai mōu i runga i ō tohumate, tō hītori hauora, me ō hiahia.
| Momo maimoatanga | Whakaahuatanga, ā, ko wai e tika ana? |
|---|---|
| Te rongoā me te estrogen anake | Ko te homoni estrogen anake ka puta mai i tēnei. He mea tuku noa iho tēnei ki ngā wāhine kua tangohia te kōpū mā te pokanga (hysterectomy). Nā te mea kāore he kōpū i a rātou, kāore he mōrearea mō te mate pukupuku kōpū ka puta mai i te estrogen anake. |
| Te whakakotahitanga o te rongoā me te estrogen me te progestin | I roto i tēnei, me te homoni estrogen, ka hoatuhia hoki he homoni e kiia nei ko te progestin, e mahi ana pērā i te progesterone. Ka hoatu tēnei ki ngā wāhine kei a rātou tonu te kōpū hei ārai i te matotoru koretake o ngā pakitara o te kōpū, me te whakanui ake i te mōrearea o te mate pukupuku mēnā ka tangohia te estrogen anake. Ka whakaitihia e te progestin taua mōrearea. |
Me pēhea te whiwhi i tēnei maimoatanga?
He maha ngā huarahi hei tuku i ēnei homoni ki te tinana.
- Ngā pire i horomia
- Pākete kiri
- He kirimi kua pania ki te kiri
- He mowhiti e mau ana i roto i te tenetene
- Kirimi tara, papa whakarewa rānei
- Rehu mō te kiri o ngā ringaringa
Ka taea hoki te wehewehe i ēnei kia rua ngā wāhanga i runga i te āhua o te tuku:
1. Ngā maimoatanga pūnaha: I roto i ēnei tikanga (ngā pire, ngā pāti, ngā kirimi, ngā rehu), ka mimitihia ngā homoni ki roto i te toto ka haere puta noa i te tinana. He pai te mahi a ēnei mō ngā tohu maha, pērā i te werawera me te werawera i te pō.
2. Ngā maimoatanga ā-rohe: I roto i ēnei tikanga (ngā kirimi tara, ngā mowhiti, ngā papa), ka pania ngā homoni ki te wāhi e pāngia ana. He pai rawa atu ēnei mō ngā raruraru pēnei i te maroke o te tara. I konei, he tino iti te horopeta o ngā homoni e uru ana ki te tinana.
He aha ngā painga me ngā mōrearea o te maimoatanga?
Pērā i ngā maimoatanga hauora katoa, he pai, he mōrearea hoki ngā painga me ngā mōrearea o te HRT. Ko te mea nui ko te kōrero ki tō tākuta, me te mārama mēnā he nui ake ngā painga i ngā mōrearea, i runga i tō āhuatanga.
| ✅ Ngā Painga | ⚠️ Ngā Tūponotanga |
|---|---|
| Te whakaora i ngā tohumate pēnei i te werawera me te werawera pō. | Ki te tango noa te hunga whai kōpū i te estrogen, engari kāore he progestin, ka tūpono rātou ki te pāngia e te mate pukupuku kōpū . |
| Te maroke o te tara me te mamae o te moe tāne. | Mā te tīmata i te 10 tau i muri i te paheketanga ka piki ake te mōrearea o te mate ngakau . |
| Te whakapakari i ngā wheua me te whakaiti i te mōrearea o te osteoporosis . | He paku piki ake te mōrearea o te toto totoka me te whiu . |
| Te whakapai ake i te wairua me te moe. | Te mōrearea o te mate pūkahukahu . |
| He iti ake te mōrearea o te mate pukupuku koroni me te mate huka mō ētahi tāngata. | Tērā pea ka paku piki ake te mōrearea o ētahi tāngata ki te mate pukupuku ū ina tangohia mō te wā roa (neke atu i te 5 tau). |
He mea nui: Ka whakawhirinaki ēnei mōrearea ki ngā āhuatanga maha, pērā i te hītori mate o tō whānau me tō āhua noho. Nō reira, kōrero ki tō tākuta i mua i te mataku.
Me pēhea te whakaiti i te mōrearea?
Ko te mea pai rawa atu, he huarahi hei whakaiti i ēnei mōrearea.
- Ka tīmata te maimoatanga i mua i te 60 tau te pakeke , i roto rānei i te 10 tau i muri i te paheketanga.
- Mena he kōpū tōu, me tango e koe he maimoatanga kei roto ko te progestin .
- Ka taea e koe te tīmata me te horopeta iti rawa te whai hua .
- Te noho i tētahi momo noho hauora (te whakakorikori tinana, te kai hauora).
- Me mahi ngā tirotiro a te tākuta wahine me ngā mammogram i te wā tika .
Ko wai kāore e tika kia tango i te rongoā homoni?
Kāore pea te rongoā homoni e pai mō te hunga whai mate hauora. Hei tauira:
- Te hunga kua pāngia, kua pāngia rānei e te mate pukupuku o te ū, te whatukuhu, te kōpū rānei.
- Mō te hunga he toto rerekē tō te tara, kāore hoki he take e mōhiotia ana.
- Mō te hunga he mate toto totoka, he nui rānei te mōrearea.
- Mō te hunga kua pāngia e te whiu, te mate manawa, te hunga rānei e tino mōrearea ana ki taua mate.
- Mō ngā wāhine hapu.
- Mō te hunga e mate ana i te ate, i te pūkahukahu rānei.
He pānga taha kei reira? Me aha koe mō ēnei?
Tērā pea ka puta ētahi pānga taha i te tīmatanga o te maimoatanga, engari ko te nuinga o ēnei ka memeha haere i roto i ētahi marama.
- Te toto māmā kāore i te tika.
- Te mamae o te ū, te ngawari rānei.
- Te panoni o te wairua.
- Ngā mea pēnei i te pupuhi, te ānini.
Mena he āwangawanga tēnei māu, kōrero ki tō tākuta. Tērā pea ka taea e ia te whakarerekē i te horopeta, i te momo rongoā rānei e tangohia ana e koe. Kaua rawa e mutu te tango i tō rongoā, kaua hoki e whakarerekē i te horopeta me te kore e kōrero ki tō tākuta i te tuatahi.
Karere Tangohia ki te Kāinga
- He wā uaua te paheketanga, engari kāore koe e hiahia ki te mamae i ngā tohu. Ka taea te whakahaere.
- He otinga tino whai hua te whakaora homoni (HRT), engari kāore e pai mō te katoa.
- I mua i te tīmatanga o te maimoatanga, he mea nui kia kōrerohia e koe ngā painga me ngā mōrearea me tō tākuta, ā, kia whakatau ai koe i tētahi whakatau e tika ana māu.
- E rima tau te roa o tēnei maimoatanga, engari ka rerekē pea taua roa i runga i ō hiahia.
- He mea tino nui te pupuri i te oranga hauora me te tirotiro hauora i ia wā i te wā e tango ana i te HRT.
💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero