He maroke tō tara? He mamae? Me kōrero tātou mō (Te Atrophy Tara / Te Mate Genitourinary o te Menopause - GSM)

Kua pāngia koe e te mamae, te mamae, te maroke rānei i roto i tō tara? Kei te pāngia koe e te mamae i te wā e moe ai? Tērā pea ka whakama koe ki te kōrero mō ēnei mea. Heoi, he take noa ēnei e pāngia ana e te tini o ngā wāhine, engari kāore mātou e kōrero nui mō ēnei mea, engari he kaupapa hei kōrero mā mātou. I tēnei rā, ka kōrerohia tēnei mea i roto i ngā taipitopito .

He aha te ingoa o tēnei āhuatanga? He aha tonu te ingoa?

I te whakarapopototanga, he āhuatanga tēnei e angiangi haere ana, e maroke haere ana ngā kiko e karapoti ana i te tara. I mua ko te `(Vaginal Atrophy)` te ingoa. Engari ināianei kua whakamahia he ingoa hauora hou, ko te `(Genitourinary Syndrome of Menopause)` ko te `(GSM)` rānei. Ko te take i whakamahia ai tēnei ingoa hou nā te mea kāore tēnei āhuatanga e pā ki te tara anake, engari ki te pūnaha mimi hoki. Ko te mea ka tupu i roto i tēnei ko te maroke me te angiangi haere o ngā kiriuhi ngawari e whakarārangi ana i roto i tō tara. Whakaarohia he rite ki te whenua e ngatata ana ina maroke. Koinei te take e puta ai ngā tohu pēnei i te mākati, te wera, me te mamae i te wā moe tāne. Ehara i te mea koinā anake, engari ka puta mai hoki ngā mate mimi (UTIs)` me te kore e taea te pupuri i te mimi. He maha ngā wā ka puta tēnei āhuatanga i a koe e whakatata atu ana, i muri rānei i te menopause. Ko te take o tēnei he iti haere te taumata o te homoni estrogen e hangaia ana e ō ovaries. I te wā e rongoatia ana mō te mate pukupuku, i te wā rānei e tangohia ai ō ovaries mā te pokanga, ka taea hoki te heke iho o tēnei taumata estrogen. Ina heke iho tēnei taumata homoni, ka puta ētahi tohu tino whakararuraru. Ka pā hoki ēnei ki tō oranga noa.

He pēhea te noa o tēnei? (He pēhea te noa o tēnei?)

Ina hoki, ko te haurua o ngā wāhine katoa e pāngia ana e te menopause ka pāngia e tētahi momo mate e mōhiotia ana ko te Genitourinary Syndrome of Menopause (GSM). He maha ngā wā ko te tohu tuatahi ko te maroke o te tara . Tērā pea ka kite tuatahi koe i tēnei i te wā e moe tāne ana.

He aha ngā tohu o tēnei? (He aha ngā tohu o tēnei?)

Ina pāngia koe e te mate e kiia nei ko te "Vaginal Atrophy" me te "GSM" rānei, ka angiangi, ka maroke, ka ngawari hoki te pangia e te mate o te kiko e whakarārangi ana i ngā pakitara o te tenetene. Me titiro tātou ki ēnei tohu.

Ngā tohu o te tara:

• Te kare o te wera me/ te mākūkū rānei i roto i te tara.
• Te mamae i te wā o te moe tāne. Ko te ingoa hauora tēnei ko te "Dyspareunia".
• He rerenga tara rerekē (he kōwhai te tae i ētahi wā).
• Te toto o te tara, te ira rānei, inā koa i te wā moe tāne.
• Te mākūkū o te kiri huri noa i te labia (te wāhi ira tangata o waho).

Ngā tohu e pā ana ki te pūnaha mimi:

Ka pā pea tēnei āhuatanga ki tō pūnaha mimi, ka puta ai ngā tohu pēnei i:

• Ngā mate urutā auau o te ara mimi (UTI).
• Ko te kore e taea te whakahaere i te mimi ko te kore e taea te whakahaere i te mimi.
• Te hiahia kia mimi i ngā wā maha atu i te tikanga.
• Te mimi mamae. Ka kiia tēnei ko te `(Dysuria)`.
• He toto kei roto i te mimi. Ka kiia tēnā ko te `(Hematuria)`.
• He ahua wera i te wā e mimi ana.

He aha tēnei ka tupu? He aha ngā take? (He aha tēnei ka tupu? He aha ngā take?)

I te wā o te menopause, he iti ake te homoni estrogen e whakaputaina ana e tō tinana. Ki te kore tēnei estrogen, ka angiangi, ka ngaro te ngāwari o ngā pakitara o tō tara. Ka whaiti, ka poto ake tō tara . Ina heke ngā taumata estrogen, ka heke te nui o te wai tūturu o te tara, ā, ka rerekē te toenga waikawa i roto i tō tara. Nā ēnei katoa ka ngawari ake te kiko o tō tara, ka ngāwari ake hoki ki te pangia. Haunga te menopause, tera atu anō ngā wā ka ngaro pea te estrogen i tō tinana. Hei tauira:

• I te wā e whāngai ū ana koe i te tamaiti.
• I te wā e rongoatia ana mō te mate pukupuku (hei tauira, `(Chemotherapy)`, `(Radiation therapy)`).
• Mena kua tangohia ō ovaries mā te pokanga (`( Oophorectomy )`).

I ngā āhuatanga pēnei, ka taea e te hekenga o te estrogen te arahi ki tētahi āhuatanga e kiia nei ko te "Vaginal Atrophy".

Ko wai te mea tino mōrearea ki tēnei mate?

Ko ngā wāhine e pāngia ana e te menopause te hunga tino tūpono ka pāngia e tēnei mate, nā te mea he iti ake te hanga o te estrogen i roto i ō rātou tinana. Heoi anō, tera atu anō ngā take e heke ai ngā taumata estrogen, ka hua ake ai tēnei mate:

• Te ngoikore o te mahi o ngā whatukuhu nā ngā maimoatanga ārai-matepukupuku (Chemotherapy, radiation therapy rānei).
• Te whakamahi i ētahi rongoā e whakaiti ana i ngā taumata o te estrogen . Hei tauira, ko ngā rongoā pēnei i te Tamoxifen, Medroxyprogesterone, me Nafarelin.
• Te tango pokanga o ngā ovaries (`(Oophorectomy)`).
• Ētahi momo pire ārai whānau.
• Ngā mate o te pūnaha ārai mate.
• Te wā whāngai ū .
• Te momi tupeka .

He mea nui, ko te iti ake o te auau o tō moe tāne (me te hoa, kāore rānei he hoa), ka nui ake te tūponotanga ki te whakawhanake i te ngoikore o te tara i roto i te āhua ngawari ki te kino. Kua whakaatuhia e ngā rangahau he iti ake te kino o te ngoikore o te tara i te hunga e moe tāne ana i te hunga kua mutu te moe tāne. Nā te mea ka whakanui ake te whakaohooho i te rere o te toto ki te tara, ka whakanui ake i te ngāwari o te kiko tara.

He aha ngā raruraru ka puta mai i tēnei?

Ka pā pea te Atrophy Tara (GSM) ki tō kounga o te oranga me tō whanaungatanga ki tō hoa. He pānga taha tinana, hinengaro hoki ōna. Ko ngā tohu tinana pēnei i te mamae, te wera, te mākūkū, me te rere o te wai ka pā ki ngā āhuatanga katoa o tō oranga. Ka pā hoki ki te hinengaro. Ina pāngia koe e ēnei tohu, ka ngaro pea tō hiahia ki te moepuku, te ngaro o te hiahia ki te whanaungatanga piripono, te ngaro rānei o te whakapono ki a koe anō. Kia mahara he mea noa ēnei kare ā-roto katoa, ā, kei reira tō tākuta hei āwhina i a koe.

Me pēhea te tautuhi i tēnei?

Ka taea e te tākuta te tātaritanga i te ngoikore o te tara i runga i ō tohu me te whakamātautau pelvic, e tirotiro ana i tō tara me tō cervix. Ko ngā tohu noa o tēnei mate i te wā e tirotirohia ana te pelvic ko:

• Kua whakapotoa, kua whaiti rānei te tenetene.
• Te maroke, te whero, me te pupuhi.
• Ko te mea kua ngaro tōna ngāwari.
• He rerenga mai i te tara mā.
• Ngā mate kiri, pērā i ngā mariao me/ngā ira whero rānei, huri noa i te labia.
• Ngā motu iti (ngā motu) e tata ana ki te pūaha o te tara.
• Te iti o te rahi o te labia.

He aha ngā whakamātautau e mahia ana hei whakaū i tēnei?

He maha ngā wā ka tātaritatia e ngā tākuta ngā huringa ngoikore, te GSM rānei, i runga i ngā tohu me ngā whakamātautau. Heoi anō, ka whakahaerehia pea e rātou he whakamātautau hei whakakore i ētahi atu āhuatanga, pēnei i:

• Whakamātautau Pap.
• Te whakamātautau i tētahi tauira mimi.
• Whakamātautau ultrasound.
• Te whakamātautau i te pH (kawa) o te tara (`(Ph tara)`).
• Ngā whakamātautau mō ngā mate pūkahukahu.

Ngā pātai ka pātai pea tō tākuta:

• Kei te pāngia koe e te menopause?
• He aha ngā rongoā e whakamahia ana e koe?
• Kua whānau mai he pēpi i a koe i ngā wā tata nei?
• He mamae te moe tāne?
• Kua whakamātau koe ki te whakamahi i ngā hinu whakahinuhinu, i ngā hinu whakamakuku rānei ka taea te hoko mai i te whare rongoā?
• I kite koe i tētahi rerenga e puta mai ana i tō tenetene?
• I kite koe i tētahi rerenga toto, i tētahi ira rānei?
• Kia pēhea te roa o te kitea o ēnei tohu?

He mea noa te whakama ina kōrerohia ngā tohu o te `(Vaginal Atrophy)`. Engari ki te whakaaro koe kei a koe ēnei tohu, kaua e whakamā ki te kōrero ki tō tākuta. He maha ngā maimoatanga whai hua mō tēnei.

Me titiro tātou ki ngā maimoatanga: Ngā maimoatanga homoni

Ko te rongoā homoni mō te mimiti o te tara ko te rongoā estrogen me te dehydroepiandrosterone (DHEA).

Te estrogen o waho

Ka mahi tēnei mā te rongoā i ngā tohumate o te tara anake, engari kāore e whakapiki ake i te taumata o te estrogen i roto i tō toto. Ka taea te tango hei kirīmi, hei papa tara, hei mowhiti rānei. Ka taea e tō tākuta te whakamārama i ia o ēnei tikanga ki a koe, me te āwhina i a koe ki te whiriwhiri i te mea e pai ana mōu.

• Kirimi estrogen tara: Ka whakaurua tēnei kirimi ki roto i te tara mā te whakamahi i tētahi taputapu tāpiri. Me pania e te nuinga o te tangata i ia rā mō ētahi wiki, ā, e rua, e toru rānei ngā wā i te wiki.
• Mowhiti tara: He mowhiti angiangi, ngāwari hoki tēnei. Ka whakaurua e tō tākuta ki roto i tō tara. Ka tukuna he horopeta iti o te estrogen mō ngā marama e toru. Kātahi ka tangohia e tō tākuta, ka whakaurua he mowhiti hou.
• Papa tāne: He papa iti anō hoki tēnei ka whakaurua ki roto i te tāne mā te whakamahi i tētahi taputapu tāpiri. Pērā i ētahi atu maimoatanga estrogen, ka whakamahia i ia rā i te tuatahi, kātahi ka whakaitihia ki te rua, ki te toru rānei ngā wā i te wiki.

Te Whakaora Whakakapinga Hormone (HRT)

Ka kiia hoki tēnei he `(Whakaora estrogen pūnaha)`. Mena kei a koe ētahi atu tohu o te paheketanga, pērā i te werawera me te werawera, tera pea he āwhina tēnei maimoatanga. He nui ake te horopeta o ngā homoni, ā, kāore e haere ki te tara anake, engari ki ētahi atu pūtau o te tinana. Mena kua neke atu i te 10 tau koe i muri i te paheketanga, mēnā he maroke noa iho te tara, he maha ngā wā ka whakamahia te `(Whakaora ā-Rohe)`. Heoi, ki te hiahia koe ki te `(Whakaora homoni pūnaha)`, tera pea he painga pēnei i te whakapai ake i te hauora o te tara, te whakapai ake i te moe, te whakaiti i te `(Whakaora wera)`, me te whakapai ake i te wairua. Ka taea e koe me tō tākuta te whakatau mēnā he tika tēnei maimoatanga māu.

He aha ngā maimoatanga kore-hormonal?

Me mahi tahi kōrua ko tō tākuta ki te whakawhanake i tētahi mahere maimoatanga mō tō ngoikore o te tara. Mā tō tākuta koe e āwhina ki te whakatau ko tēhea maimoatanga te mea tino whai hua i runga i ō tohu me tōna kaha. Ko te Estrogen me te DHEA ngā maimoatanga tino whai hua. Heoi, kāore ēnei maimoatanga e pai mō te katoa. He maha anō hoki ngā maimoatanga kore-hormonal ka taea te whakamahi.

Ngā hinu whakahinuhinu me ngā whakamakuku

Ka rongoāhia e ngā hinu whakahinuhinu me ngā whakamakuku te maroke o te tara. Ka taea e tēnei te whakaiti i te mamae i te wā moe tāne. Ka taea e koe te hoko i ēnei i tō whare rongoā tata, i tō hūpāmakete rānei. He maha ngā waitohu e wātea ana.

• Ka whakamahia ngā hinu whakahinuhinu tara hei whakaiti i te waku me te mamae i te wā moe tāne. He mea hanga ēnei ki te wai, ki te silicone, ki te hinu rānei. He poto noa iho te wā e mahi ai.
• Ka piri ngā whakamakuku tara ki ngā kiko tara, ā, ka āwhina ki te pupuri i te makuku i roto i ngā pūtau. E whakamahia ana ēnei i te nuinga o te wā kotahi ki te toru ngā wā i te rā, nā te mea he roa ake te wā e mahi ana.
• Ka taea hoki te whakamahi i ētahi hinu māori, pērā i te hinu oriwa me te hinu kokonati, hei hinu whakahinuhinu, hei whakamakuku kiri hoki.

Ngā Maimoatanga Reera

E kiia ana ko ngā maimoatanga kore-whakaeke, kore-pokanga e kiia nei ko ngā taiaho CO2 ka āwhina i te whakaora i te kiko o te tara, ka whakanui ake i tōna kaha me tōna ngāwari. Heoi, kāore anō kia whakaaetia ēnei taputapu e te U.S. Food and Drug Administration (FDA) mō te rongoā i te memenge o te tara, nā te mea he iti tonu ngā rangahau roa mō tō rātou whakamahinga.

Ngā mea whakawhanui

He taputapu whakawhanui ngā whakawhanui i te tara hei whakaiti i te mamae i te wā moe tāne. He maha ngā tāngata ka tīmata me te whakawhanui iti, kātahi ka neke haere ki ngā mea nunui.

Ospemifene (Ospemifene - Osphena®)

He pire te Osphena® e tangohia ana i ia rā. He rite tonu ōna painga ki te estrogen, engari kāore he estrogen i roto. Heoi, ko tētahi pānga kino onge ko te pikinga ake o te mōrearea o te toto totoka. Tērā pea ka pāngia ētahi tāngata e te werawera nui me te werawera (ngā werawera), engari ko te nuinga o te iwi kāore e pāngia e tētahi tohu.

He pānga taha/ngā raruraru rānei kei te puta mai i te maimoatanga?

Kia tūpato ki ngā tohu hou ka puta i muri i tō tīmatanga o te maimoatanga. Kei roto pea i ēnei ko te mumura o te kiri, te mamae nui, me/ranei te rere o te tara. Kōrero ki tō tākuta mō ngā pānga taha. Mena kei te ahua kore koe e pai ki tō mahere maimoatanga, kaua e mangere ki te pātai atu ki tō tākuta mō tēnā.

Kia pēhea te roa o te wā e rongoatia ai tēnei mate?

Ka rerekē te roa o te wā e pau ana ki te rongoā i ō tohumate (GSM) i runga i te tikanga e whakamahia ana e koe me te kaha o tō āhua. Ka matapakihia e tō tākuta ō whiringa katoa ki a koe, i runga i tō hītori hauora me tō āhua. Māna koe e āwhina ki te whakatau i te mahere rongoā tino whai hua. Kia maumahara he maha ngā tāngata e angitu ana mā te whakamahi i te huinga o ngā maimoatanga.

Ka taea te ārai i tēnei?

Ko te ngaronga o te estrogen he wāhanga o te tukanga koroheketanga tūturu o tō tinana. Kāore e taea te aukati katoa. Heoi, he huarahi hei ārai i te kino haere o te ngoikore o te tara. Kaua e whakamahi i ngā mea e kino ana ki te tara (ngā hinu kakara, ngā tae, ngā shampoo, ngā hopi horoi, me te horoi horoi). Kia maumahara, he pai te moe tāne mō te ngoikore o te tara nā te mea ka whakanui ake i te rere o te toto ki ngā kiko tara.

He aha taku e tumanako atu ai mēnā kua tātaritatia ahau?

Kāore koe e hiahia kia "noho noa" me te ngoikore o te tara. Ahakoa kei roto koe i te menopause, kua mutu rānei te menopause, ehara i te mea me pāngia koe e ngā mate mimi (UTI), te mākūkū o te tara, te mamae rānei i te wā moe tāne. He tino whai hua te maimoatanga mō te ngoikore o te tara. Kaua e wehi ki te whakamātau i ngā maimoatanga rerekē, me te mahi tahi me tō tākuta ki te kimi i te mea e pai ana mōu.

Ka taea te whakaora katoa i tēnei mate? (Ka taea te whakaora katoa i tēnei?)

Kāore e taea te whakaora katoa i te Atrophy Tara, engari kāore koe e hiahia ki te noho me te mamae. Mā te tātaritanga me te maimoatanga tika, ka taea te whakahaere i ngā tohu.

Ka kino rawa atu pea tēnei āhua mēnā kāore e rongoatia?

Āe, ka kino haere pea tēnei āhua. Koia te mea nui kia wawe te whiwhi maimoatanga. Mēnā ka wawe te whiwhi maimoatanga, ka iti ake te tūponotanga ka kino haere tō ngoikore o te tara. Hei tauira, mēnā ka roa koe e kore e whiwhi estrogen, ka maroke haere tō tara. Mēnā ka kore e rongoatia, ka kino haere tō ngoikore o te tara. I ētahi wā, ka tino kino rawa tēnei āhua, ā, ka tino whaiti te whakatuwheratanga o te tara. Mēnā ka whakaroa koe i te tīmatanga o te maimoatanga, ka uaua pea te rongoā.

He aha te āhua o te noho tahi me tēnei? (He aha te āhua o te noho tahi me tēnei?)

Ka pā kino te ngoikore o te tara ki tō oranga moepuku, tae atu ki tō kounga whānui o te oranga. Ko ngā tohu pēnei i te mamae, te maroke, te wera/te mākūkū, te ira, te toto, ngā raruraru mimi, ngā mate urutā mimi (UTI), me te rere o te tara, ka tino whakararuraru, ā, ka whakararuraru i ō mahi o ia rā. Tata ki te kotahi i roto i te whā o ngā wāhine e kī ana kua pā kino te ngoikore o te tara ki ētahi atu āhuatanga o ō rātou oranga, tae atu ki te moe, te hauora moepuku, me te oranga whānui.

Me pēhea taku tiaki i ahau anō? (Me pēhea taku tiaki i ahau anō?)

Pērā i ngā āhuatanga katoa o tō hauora, me whakarite kia noho ko tō hauora ā-ira hei kaupapa matua. Rapua he āwhina mai i tō tākuta kia kitea ai ngā whakautu ki ō pātai, ki ō āwangawanga rānei.

Āhea ahau me toro atu ki te tākuta?

Ahakoa kāore koe i te wā pāheketanga, me kōrero ki tō tākuta mō ngā tohu pēnei i te maroke, te mamae, te wera/te mākūkū, ngā raruraru mimi, te toto rerekē, te toto rānei o te tara. Mena kua whakamahia e koe ngā hinu whakamakuku kore utu mō tō maroke mō ētahi wiki, ā, kāore he whakapainga, me toro atu koe ki te tākuta. Waihoki, ki te whai tohu koe e whakararuraru ana i tō oranga o ia rā, me toro atu koe ki te tākuta.

He aha ngā pātai me pātai atu e au ki taku tākuta?

Ina kite koe i tō tākuta, ka taea e koe te pātai i ēnei pātai:

• He aha ngā momo taonga ka taea e au te hoko mai i te whare rongoā e taunaki ana koe?
• He aha ngā maimoatanga e taunaki ana koe kia tangohia e au, kāore he whakahaunga?
• He rangitahi noa iho tēnei āhuatanga mōku?
• He huarahi kē atu anō hei rongoā i tōku mate?
• He tūponotanga kei roto i te maimoatanga?
• Kia pēhea te roa o te wā e ora ai i muri i te maimoatanga?
• He mate hauora anō kei ahau i tua atu i te Vaginal Atrophy?
• He aha atu anō taku e taea ai te mahi hei aukati i te kino haere o te ngoikore o te tara?
• Me pēhea taku āwhina i taku hoa?

He aha te rerekētanga i waenga i te memeha o te tara me te mate rewena?

Ka puta ngā tohu pēnei i te maroke, te mākūkū, te whero, me te mamae i te ngoikore o te tara me ngā mate rewena. Heoi, ko te ngoikore o te tara nā te korenga o te estrogen, ko te mate rewena ia nā te mate harore. Nō reira, kōrero ki tō tākuta mō ō tohu me te āhua o tō mate, ā, mā kōrua tahi e whakatau.

Nā, he aha te mea tino nui o tā tātou i kōrero ai?

He mate kino te mimiti o te tara. Ka pā ki te kounga o tō oranga, ka puta he mamae, he haere pinepine ki te wharepaku, he mate mimi (UTI) auau, he mumura, he mamae i te wā moe tāne, me ētahi atu.

Waimarie, he maha ngā maimoatanga mō tēnei, ā, ka taea e tō tākuta te āwhina i a koe ki te kimi i te kōwhiringa pai rawa atu mō ō tohumate.

Kimihia he rongoā. Kaua e wehi ki te kōrero ki tō tākuta me tō hoa rangatira mō tēnei. Me whai tonu i ngā tohutohu a tō tākuta, me te mahi i ngā mea katoa e taea ana e koe hei whakahaere i tō āhua. Kia maumahara, kāore koe i te mokemoke, ā, kei te wātea te āwhina.