Nā ʻano o ka hoʻōla hormonone

Hoʻohana ʻo Hormone therapy (HT) i hoʻokahi a ʻoi paha nā hormones e mālama ai i nā ʻōuli o ka menopause. Hoʻohana ʻo HT i ka estrogen, progestin (kahi ʻano progesterone), a i ʻole ʻelua paha. I kekahi manawa ua hoʻohui pū ʻia ka testosterone.

ʻO nā ʻōuli menopause pū kekahi:

• ʻO nā kukuna wela
• Hoʻoulu ka pō
• Pilikia hiamoe
• Maloʻo maloʻo
• Hopohopo
• Moodiness
• ʻOi aku ka hoihoi i ka moekolohe

Ma hope o ka menopause, hooki kou kino i ka hana ʻana i ka estrogen a me ka progesterone. Hiki iā HT ke mālama i nā hōʻailona menopause e hoʻopilikia iā ʻoe.

He pilikia paha kā HT. E hoʻonui paha ia i kou makaʻu no:

• Huʻi koko
• Maʻi ʻaʻai umauma
• Maʻi maʻi puʻuwai
• Hahau
• Nā Pohaku

ʻOiai kēia mau hopohopo, no nā wahine he nui, he ala palekana ʻo HT e mālama i nā hōʻailona menopause.

I kēia manawa, maopopo ʻole ka poʻe loea i ka lōʻihi o kou lawe ʻana iā HT. Hōʻike kekahi mau pūʻulu ʻoihana hiki iā ʻoe ke lawe iā HT no nā hōʻailona menopause no nā wā lōʻihi inā ʻaʻohe kumu olakino e hoʻōki i ka lāʻau. No nā wahine he nui, lawa paha nā kaha haʻahaʻa o HT e kāohi ai i nā ʻōuli pilikia. ʻO nā mahele haʻahaʻa o ka HT e loaʻa i kekahi mau hopena ʻaoʻao. ʻO kēia nā pilikia āpau e kūkākūkā me kāu mea mālama ola.

Hele mai ʻo HT i nā ʻano ʻokoʻa. Pono paha ʻoe e hoʻāʻo i nā ʻano ʻokoʻa ma mua o ka loaʻa ʻana o kahi mea kūpono loa nāu.

Hele mai ʻo Estrogen i:

• ʻEhu ihu
• Nā Pila a i ʻole nā ​​papa, lawe ʻia e ka waha
• ʻ gellika ʻili
• Pākuʻi ʻili, hoʻopili ʻia i ka ʻūhā a i ʻole ka ʻōpū
• ʻO nā kalima Vaginal a i ʻole nā ​​papa liʻiliʻi e kōkua me ka maloʻo a me ka ʻeha me ka moekolohe
• Kīwī poepoe

ʻO ka hapa nui o nā wahine e lawe i ka estrogen a me ka mea i loaʻa i ko lākou kōpū pū kekahi e pono e lawe i ka progestin. ʻO ka lawe pū ʻana i nā hormones ʻelua e hoʻohaʻahaʻa ai i ka makaʻu o ka maʻi ʻaʻai endometrial (uterine). ʻAʻole hiki i nā wahine i hemo i ko lākou kōpū ke loaʻa i ka maʻi ʻaʻai endometrial. No laila, ʻo ka estrogen wale nō ka mea e pono ai no lākou.

Hele mai ʻo Progesterone a i ʻole progestin i:

• Nā Pila
• Pākuʻi ʻili
• ʻO nā kalakala Vaginal
• Nā ʻāpana puʻupuʻu
• Mea hoʻopili Intrauterine a i ʻole ʻōnaehana intrauterine

Ke ʻano o ka HT i kau ʻia e kāu kauka e hilinaʻi ai i nā hōʻailona menopause āu. ʻO kahi laʻana, hiki i nā pila a i ʻole nā ​​pālolo ke mālama i ka sweats i ka pō. ʻO nā apo, nā kalima, a i nā papaha paha e kōkua ai e hōʻoluʻolu i ka maloʻo liʻiliʻi.

Kūkākūkā i nā pono a me nā pilikia o HT me kāu mea hāʻawi.

Ke lawe pū ʻana i ka estrogen a me ka progesterone, hiki i kāu kauka ke ʻōlelo i kekahi o nā papa hana penei:

Cyclic hōmona hoʻōla paipai pinepine ia ke hoʻomaka ʻoe i ka menopause.

• Lawe ʻoe i ka estrogen ma ke ʻano he pila a hoʻohana paha i ka pepa patch no 25 mau lā.
• Hoʻohui ʻia ʻo Progestin ma waena o nā lā 10 a me 14.
• Hoʻohana pū ʻoe i ka estrogen a me ka progestin no ke koena o nā lā 25.
• ʻAʻole ʻoe e lawe i kekahi mau hormones no 3 a 5 mau lā.
• Hiki paha iā ʻoe ke kahe i ka mahina me ka cyclic therapy.

Hoʻohui hoʻohui Aia ke lawe pū ʻoe i ka estrogen a me ka progestin i kēlā me kēia lā.

• Loaʻa paha iā ʻoe kahi kahe koko ʻole ke hoʻomaka a hoʻololi paha i kēia papahana HT.
• ʻO ka hapa nui o nā wahine e hoʻōki i ke kahe ʻana i loko o ka makahiki 1.

Kau kauka paha kāu kauka i nā lāʻau ʻē aʻe inā loaʻa ʻoe i nā ʻōuli koʻikoʻi a i ʻole hiki i ka osteoporosis kiʻekiʻe. ʻO kahi laʻana, lawe pū paha ʻoe i ka testosterone, kahi kāne kāne, e hoʻomaikaʻi ai i kāu hoʻokele wahine.

Hiki i nā HT nā hopena ʻaoʻao, me:

• Puʻupuʻu
• ʻEha ʻeha
• Poʻo poʻo poʻo
• Swings hāhuli
• Nusea
• Ka paʻa ʻana o ka wai
• Kahe koko ʻole

E haʻi i kāu kauka inā ʻike ʻoe i nā hopena ʻaoʻao. Ke hoʻololi nei i ka mahele lāʻau a i ʻole ʻano HT e lawe ai hiki ke kōkua i ka hōʻemi ʻana i kēia mau hopena ʻaoʻao. Mai hoʻololi i kāu lāʻau a oki paha i ka lawe ʻana i HT ma mua o ke kamaʻilio ʻana me kāu kauka.

Inā loaʻa iā ʻoe ke kahe o ka maʻi a me nā hōʻailona ʻē aʻe i ka manawa o HT, e kāhea i kāu kauka.

E hoʻomau i ka ʻike ʻana i kāu kauka no ka nānā maʻamau i ka lawe ʻana iā HT.

Nā ʻano HRT-; Estrogen replacement therapy - ʻano; ERT- ʻano o ka hoʻomaʻamaʻa hormone; Hormone replacement therapy - ʻano; Menopause - ʻano o ka hoʻōla hormonone; HT - ʻano; Nā ʻano hormona menopausal

Manaʻo ke komite ACOG no. 565: Hormone therapy a me nā maʻi puʻuwai. ʻO Obstet Gynecol. 2013; 121 (6): 1407-1410. PMID: 23812486 pubmed.ncbi.nlm.nih.gov/23812486/.

ʻO Cosman F, de Beur SJ, LeBoff MS, et al. ʻO ke alakaʻi a ka mea lapaʻau i ka pale a me ka mālama ʻana i ka osteoporosis. ʻO Osteoporos Int. 2014; 25 (10): 2359-2381. PMID: 25182228 pubmed.ncbi.nlm.nih.gov/25182228/.

de Villiers TJ, Hall JE, Pinkerton JV, et al. ʻO ka ʻōlelo kuʻikahi global i hoʻoponopono hou ʻia e pili ana i ka menopausal hormone therapy. Climacteric. 2016; 19 (4): 313-315. PMID: 27322027 pubmed.ncbi.nlm.nih.gov/27322027/.

Lobo RA. ʻO ka menopause a me ka mālama ʻana o ka wahine makua: endocrinology, nā hopena o ka nele o ka estrogen, nā hopena o ka hormone therapy, a me nā koho lapaʻau ʻē aʻe. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 14.

Magowan BA, Owen P, Thomson A. ʻO ka menopause a me ka hoʻoliʻiliʻi hormone. I: Magowan BA, Owen P, Thomson A, hua. ʻO nā Obstetrics Clinical a me nā Gynecology. ʻEhā ed. Elsevier; 2019: chap 9.

Stuenkel CA, Davis SR, Gompel A, et al. Hoʻomaʻamaʻa i nā ʻōuli o ka menopause: kahi papa hana hoʻomaʻamaʻa ʻo Endocrine Society. ʻO J Clin Endocrinol Metab. 2015; 100 (11): 3975-4011. PMID: 26444994 pubmed.ncbi.nlm.nih.gov/26444994/.

• ʻO Hormone Replacement Therapy
• Menopause