Hoʻololi ʻelemakule i ka ʻōnaehana hānau wahine

Hoʻololi nā ʻelemakule i ka ʻōnaehana hānau wahine ma muli o ka hoʻololi ʻana i nā pae hormone. Hoʻokahi kahi hōʻailona o ka ʻelemakule ke kū paʻa mau kāu manawa. ʻIke ʻia kēia ʻo menopause.

Kāhea ʻia ka manawa ma mua o ka menopause ʻo perimenopause. Hoʻomaka paha ia i mau makahiki ma mua o kāu manawa hope loa. ʻO nā hōʻailona o ka perimenopause pū me:

• ʻO nā wā pinepine pinepine i ka manawa mua, a laila hala kekahi mau manawa
• Nā wā ʻoi aku ka lōʻihi a pōkole paha
• Hoʻololi i ka nui o ke kahe o ka menstrual

Ma ka hopena e emi loa ana kāu mau manawa, a hiki i ko lākou pau loa ʻana.

Me nā loli i kāu mau manawa, hoʻololi ʻia ke kino i kāu kahaki hānau.

KA HULI ANA I KA MAKAHIKI A ME KA MEA HUA

ʻO Menopause kahi maʻa maʻamau o ka hana ʻelemakule o ka wahine. ʻO ka hapa nui o nā wahine ʻike i ka menopause ma kahi o 50 mau makahiki, ʻoiai hiki ke hana ma mua o kēlā mau makahiki. ʻO ka pae maʻamau o 45 a 55 mau makahiki.

Me ka menopause:

• Hoʻopau nā ovaries i ka hana ʻana i nā hormones estrogen a me progesterone.
• Hoʻopau pū nā ovaries i ka hoʻokuʻu ʻana i nā hua (ova, oocytes). Ma hope o ka menopause, ʻaʻole hiki iā ʻoe ke hāpai hou.
• Kū ka manawa o kou menstrual. ʻIke ʻoe ua hele ʻoe i loko o ka menopause ma hope o kou loaʻa ʻole o nā manawa no 1 makahiki. E hoʻomau ʻoe i ka hoʻohana ʻana i kahi hana kaohi hānau a hiki i kou hala ʻana i hoʻokahi makahiki me ka ʻole o kahi manawa. ʻO kēlā me kēia kahe kahe i hala ma mua o 1 mau makahiki ma hope o kou manawa hope ʻaʻole maʻamau a pono e nānā ʻia e kāu kauka olakino.

Ke hāʻule nā ​​pae hormone, hoʻololi ʻia nā hoʻololi ʻē aʻe i ka ʻōnaehana hānau, e like me:

• ʻOi aku ka lahilahi o nā paia ʻo Vaginal, mea hoʻomaloʻo, ʻemi liʻiliʻi, a hoʻonāukiuki ʻia paha. I kekahi manawa lilo ka wahine i mea ʻeha ma muli o kēia mau loli.
• Hoʻonui ka nui o kāu makaʻu i nā maʻi hū ʻoi.
• Hoemi ka aʻa kūwaho kūwaho a thins, a hiki ke hoʻonāukiuki.

ʻO nā loli maʻamau e pili pū me:

• ʻO nā hōʻailona menopause e like me nā uila wela, ke ʻano o ka naʻau, ke poʻo o ke poʻo, a me ka pilikia e hiamoe ana
• Nā pilikia me ka hoʻomanaʻo pōkole
• Hoʻoemi i kaʻiʻo o ka umauma
• Kaʻa hoʻohaʻahaʻa haʻahaʻa (libido) a me ka pane kolohe
• Hoʻonui i ka pilikia o ka nalo ʻana o ka iwi (osteoporosis)
• Hoʻololi ka ʻōnaehana urinary, e like me ka pinepine a me ka wikiwiki o ka urination a hoʻonui i ka makaʻu o ka maʻi urinary tract
• Ka nalowale ʻana o ke kani i nā mākala pubic, e hopena ana i ka ʻōpū, uterus, a i ʻole ka huehue urinary e hāʻule ana i waho o ke kūlana (prolaps)

MANAGING HUI

Hiki ke kōkua i ka Hormone therapy me ka estrogen a i ʻole progesterone, hoʻokahi a i ʻole hui pū ʻia, i mau hōʻailona menopause e like me ka wela a i ʻole ka maloʻo liʻiliʻi a me ka ʻeha me ka moekolohe. He pilikia ko Hormone therapy, no laila ʻaʻole ia no kēlā me kēia wahine. Kūkākūkā i nā pilikia a me nā pōmaikaʻi o ka hoʻōla hormonone me kāu mea hāʻawi.

E kōkua i ka mālama ʻana i nā pilikia e like me ka moekolohe ʻeha, e hoʻohana i ka lubricant i ka wā o ka moekolohe. Loaʻa nā pelu āpau me ka ʻole o ka lāʻau. Hiki i kēia mau mea ke kōkua me ka maʻi ahulau a me ka vulvar ma muli o ka hoʻomaloʻo ʻana a me ka lahilahi o nā puʻupaʻa. Ke noi nei i ka estrogen topical i loko o ka lua e kōkua i ka mānoanoa o nā mea āpau a hoʻonui i ka momona a me ka noʻonoʻo. Hiki i kāu mea hāʻawi ke haʻi iā ʻoe inā kūpono kekahi o kēia mau ana iā ʻoe.

ʻO ka loaʻa ʻana o ka hoʻoikaika kino maʻamau, ka ʻai ʻana i nā meaʻai olakino, a me ke komo pū ʻana i nā hana me nā hoaaloha a me nā mea aloha e hiki ke kōkua i ke kaʻina ʻelemakule e hele me ka maikaʻi.

HE MAU OLELO HOU

Hoʻololi nā ʻelemakule ʻē aʻe i ka:

• Hormone hana
• ʻO nā ʻōhua, nāʻaʻaʻa, a me nā hunaola
• Nā umauma
• Nā hakuʻala

• Menopause

Grady D, Barrett-Connor E. Menopause. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 240.

ʻO Lamberts SWJ, van den Beld AW. Endocrinology a me ka ʻelemakule. I: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, eds. ʻO Williams Textbook of Endocrinology. 13th ed. Piladelapia, PA: Elsevier; 2016: chap 27.

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.

ʻO White BA, Harrison JR, Mehlmann LM. ʻO ke ola o nā ʻōnaehana hānau kāne a me nā wahine. I: White BA, Harrison JR, Mehlmann LM, nā hua. ʻO Endocrine a me ke ʻano hana kino Physiology. 5th lā. St Louis, MO: Elsevier; 2019: chap 8.