Hoʻololi ka umauma Premenstrual

ʻO ka pehu Premenstrual a me ka palupalu o nā umauma ʻelua i ka wā o ka lua o ka hapa o ka menstrual cycle.
Hiki ke kau ʻia nā ʻōuli o ka palupalu premenstrual mai ka palupalu a koʻikoʻi. Nā ʻōuli maʻamau:
- ʻOi loa ka paʻakikī ma mua pono o kēlā me kēia kau
- Hoʻonui i ka wā a ma hope paha o ka manawa menstrual
Loaʻa paha i kaʻiʻo o ka umauma i kahi mānoanoa, puʻupuʻu, "cobblestone" i nā manamana lima. ʻOi aku ka nui o kēia manaʻo i nā wahi o waho, ʻoi loa ma kahi o ka ʻāpana. Aia pū kekahi ma waho a ma a i ʻole ka hoʻomau ʻana o ka noʻonoʻo o ka piha o ka umauma me ka puʻupuʻu, ʻeha kaumaha, a me ka palupalu.
Hoʻololi ka Hormone i ka wā o ka menstrual cycle e alakaʻi ai i ka ʻōpū o ka umauma. Hana ʻia ʻoi aku ka nui o ka estrogen i ke kaapuni a piʻi i luna ma mua pono o ka pōʻai waena. ʻO kēia ke kumu o ka ulu o ka umauma i ka nui. Piʻi ka pae progesterone kokoke i ka lā 21 (i kahi pōʻaiapuni 28 mau lā). ʻO kēia ke kumu o ka ulu ʻana o nā lobule umauma (nā waiū waiū).
Hoʻopili pinepine ʻia ka hānai umauma premenstrual me:
- Premenstrual Syndrome (PMS)
- Fibrocystic umauma maʻi (benign umauma loli)
Loaʻa paha ka palupalu o ka umauma Premenstrual i kekahi kekelē ma kahi o nā wahine āpau. Hiki ke loaʻa nā hōʻailona ʻoi loa i nā wahine he nui i ko lākou hānau ʻia ʻana i nā makahiki. E emi paha nā ʻōuli ma nā wahine e lawe ana i nā lāʻau kaohi hānau.
Pākuʻi ʻia paha nā kumu pilikia:
- Mōʻaukala ʻohana
- ʻAi momona-kiʻekiʻe
- Nui loa ka caffeine
Nā ʻōlelo aʻoaʻo mālama pono:
- ʻAi i ka papaʻai momona momona.
- Hōʻalo i ka caffeine (kope, tī, a kokoleka).
- Hōʻalo i ka paʻakai 1 a 2 mau pule ma mua o ka hoʻomaka ʻana o kou wā.
- E hoʻoikaika kino ikaika i kēlā me kēia lā.
- E hoʻokomo i kahi lei kūpono i ke ao a me ka pō e hāʻawi i ke kākoʻo umauma maikaʻi.
Pono ʻoe e hoʻomaʻamaʻa i ka ʻike ʻana i ka umauma. E nānā i kou umauma no nā loli i nā manawa mau.
ʻO ka maikaʻi o ka wikamina E, wikamina B6, a me nā mea hoʻomākaukau lāʻau e like me ka ʻaila primrose ahiahi i kekahi ʻano mea hoʻopaʻapaʻa. Kūkākūkā kēia me kāu mea mālama ola.
Kāhea i kāu mea hāʻawi inā ʻoe:
- Loaʻa i nā puʻupuʻu hou, ʻokoʻa, a hoʻololi paha i nāʻiʻo umauma
- Loaʻa i nā puʻupuʻu hoʻokahi ʻaoʻao (ʻaoʻao hoʻokahi) i kaʻiʻo umauma
- Mai ʻike pehea e hana pono ai i ka nānā ʻana iā ʻoe iho
- He wahine ʻoe, he 40 mau makahiki a ʻoi paha, a ʻaʻole i loaʻa iā ʻoe kahi mammogram kānana
- E hoʻokuʻu i kāu nipple, ʻoiai inā he hoʻokahe koko a ʻeleʻele paha ia
- Loaʻa nā ʻōuli e hoʻopilikia i kou hiki ke hiamoe, a ʻaʻole kōkua nā loli a me ka hoʻoikaika kino
E lawe kāu mea hāʻawi i kāu mōʻaukala olakino a hana i kahi nānā kino. E nānā ka mea hāʻawi i nā puʻupuʻu o ka umauma, a e ʻike i nā ʻano o ka puʻupuʻu (paʻa, pahee, laumania, ʻāhū, a pēlā aku.).
Hana ʻia kahi mammogram a i ʻole ka ultrasound umauma. E loiloi kēia mau hoʻāʻo i nā loaʻa kūlohelohe ma ka hōʻike umauma. Inā loaʻa kahi pūpū ʻaʻole maikaʻi ke ʻano, pono ʻoe i kahi biopsy umauma.
ʻO kēia mau lāʻau mai kāu mea hāʻawi aku e hōʻemi a hōʻoki paha i nā ʻōuli.
- Nā kuʻikuʻi a i ʻole nā pana i loaʻa ka hormone progestin (Depoprovera). Hana kahi pana hoʻokahi a 90 mau lā. Hāʻawi ʻia kēia mau injection i nā mākala o ka lima luna a i ʻole ka ʻūhā. Hoʻomaha lākou i nā ʻōuli ma ke kāpae ʻana i nā wā menstrual.
- Pila pale hānau.
- Lawe ʻia nā diuretics (nā pila wai) ma mua o kou manawa menstrual. Hiki i kēia mau pila ke hoʻēmi i ka pehu ʻana o ka umauma a me ka palupalu.
- Hoʻohana ʻia ʻo Danazol i nā hihia koʻikoʻi. ʻO Danazol kahi androgen i hana ʻia (kāne kāne). Inā ʻaʻole holo pono kēia iā ʻoe, e kuhikuhi ʻia nā lāʻau ʻē aʻe.
Palupalu Premenstrual a me ka pehu ʻana o nā umauma; Palupalu umauma - premenstrual; Pāhū o ka umauma - premenstrual
Uma wahine
ʻO ka hoʻāʻo ʻana iā ʻoe iho
ʻO ka hoʻāʻo ʻana iā ʻoe iho
ʻO ka hoʻāʻo ʻana iā ʻoe iho
Ke Kulanui ʻAmelika o nā Obstetricians a me ka pūnaewele Gynecologists. ʻO Dysmenorrhea: nā manawa ʻeha. www.acog.org/patient-resource/faqs/gynecologic-problems/dysmenorrhea-painful-periods. Hoʻohou ʻia Mei 2015. Loaʻa iā Kepakemapa 25, 2020.
Pākuʻi loea i ke kiʻi ʻana i ka umauma; ʻO Jokich PM, Bailey L, et al. ACR kūpono kūpono i ka ʻeha o ka umauma. ʻO J Am Coll Radiol. 2017; 14 (5S): S25-S33. PMID: 28473081 pubmed.ncbi.nlm.nih.gov/28473081/.
Mendiratta V, Lentz GM. ʻO ka dysmenorrhea mua a me ka lua, premenstrual Syndrome, a me nā maʻi dysphoric premenstrual: etiology, diagnose, hoʻokele. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 37.
Sandadi S, Pōhaku DT, Orr JW, Valea FA. Nā maʻi umauma: ʻike, mālama ʻana, a me ka nānā ʻana i nā maʻi umauma. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 15.
Sasaki J, Gelezke A, Kass RB, Klimberg VS, Copeland EM, Bland KI. ʻO Etiology a me ka mālama ʻana i ka maʻi umauma maikaʻi. I: Bland KI, Copeland EM, Klimberg VS, Gradishar WJ, eds. ʻO ka umauma: Hoʻoponopono piha o nā maʻi maʻi a me nā maʻi maʻi. 5th lā. Piladelapia, PA: Elsevier; 2018: chap 5.