Postmenopausal Atrophic Vaginitis

Anter

• Nā ʻōuli o ke atrophy pūnana
• Nā kumu o ke atrophy vaginal
• Nā kumu pilikia no ka atrophy vaginal
• Nā pilikia kūpono
• ʻIke i ka atrophy vaginal
• Hoʻomaʻo i ka atrophy vaginal
• Estrogen kumuhana
• Kāohi a me ka nohona

Hoʻopili mākou i nā huahana a mākou e manaʻo nei he pono no kā mākou poʻe heluhelu. Inā kūʻai ʻoe ma o nā loulou i kēia ʻaoʻao, loaʻa iā mākou kahi kōmike liʻiliʻi. Eia kā mākou hana.

Hōʻike Overview

ʻO Postmenopausal atrophic vaginitis, a i ʻole atrophy vaginal, ka lahilahi o nā paia o ka puki i hoʻoliʻiliʻi ʻia e nā pae estrogen i hoʻemi ʻia. Kū pinepine kēia ma hope o ka menopause.

ʻO Menopause ka manawa i ke ola o ka wahine, ma waena o 45 a 55 mau makahiki, ke hoʻokuʻu hou ʻole kāna mau hua manu i nā hua. Hoʻomaha ʻo ia i ka loaʻa ʻana o ka manawa menstrual. ʻO ka wahine postmenopausal ke loaʻa ʻole iā ia kahi manawa no 12 mau mahina a ʻoi paha.

Loaʻa i nā wahine me ka atrophy vaginal kaʻoi aku ka nui o ka hopena o nā maʻi āpau a me nā pilikia urinary. Hiki iā ia ke hōʻeha i ka moekolohe.

Wahi a ka American Association of Family Physicians, a hiki i ka 40 pākēneka o nā wahine postmenopausal i loaʻa nā ʻōuli o atrophic vaginitis.

Nā ʻōuli o ke atrophy pūnana

ʻOiai maʻamau ka atrophy vaginal, 20 wale nō a 25 pākēneka o nā wahine hōʻailona e ʻimi i ka lāʻau lapaʻau mai kā lākou kauka.

I kekahi mau wahine, kū nā hōʻailona ma ka perimenopause, a i ʻole nā ​​makahiki e hiki aku ana i ka menopause. I nā wahine ʻē aʻe, ʻaʻole paha e ʻike ʻia nā ʻōuli a hala nā makahiki ma hope, inā mau.

Hiki i nā ʻōuli ke hoʻohui pū:

• lahilahi o nā paia ʻili
• hoʻopōkole a paʻa o ke aʻa aʻa
• ka nele o ka waiū (mae ʻole)
• wela wela (hoʻāhu)
• ke kiko ʻana ma hope o ka moekolohe
• hōʻoluʻolu a ʻeha paha i ka wā o ka moekolohe
• ʻeha a puhi paha me ka urination
• ʻoi aku ka nui o nā maʻi urinary tract
• ka mimiki incontinence (kahe pono ʻole)

Nā kumu o ke atrophy vaginal

ʻO ke kumu o ka atrophic vaginitis kahi emi o ka estrogen. Me ka ʻole o ka estrogen, maloʻo a maloʻo kaʻiʻo o ke kino. E lilo ia i mea liʻiliʻi, ʻoluʻolu, a ʻoi aku ka hōʻeha.

Hiki i ka hāʻule ʻana o ka estrogen ke hana i kekahi mau manawa ʻokoʻa ka menopause, me:

• i ka wā o ka hānai ʻana i ka waiū
• ma hope o ka hemo ʻana o nā ovary (menopause ʻoki kino)
• ma hope o chemotherapy no ka mālama ʻana i ka maʻi ʻaʻai
• ma hope o ka pelvic radiation therapy no ka mālama ʻana i ka maʻi ʻaʻai
• ma hope o ka hoʻomaʻamaʻa hormonal no ka mālama ʻana i ka maʻi ʻaʻai umauma

ʻO ka hana moekolohe maʻamau e kōkua i ka mālama ʻana i nā puʻupaʻa maikaʻi. Hoʻopōmaikaʻi ʻia ke ola moekolohe olakino i ka ʻōnaehana holomua a hoʻomaikaʻi i ke olakino puʻuwai.

Nā kumu pilikia no ka atrophy vaginal

ʻOi aku paha ka manaʻo o kekahi mau wahine ma mua o nā poʻe ʻē aʻe i ka loaʻa o ka atrophic vaginitis. ʻO nā wahine i hānau ʻole i ka wahine ʻoi aku ka maʻalahi i ka atrophy vaginal ma mua o nā wahine i hānau i kā lākou pēpē.

Hoʻopilikia ka puhi ʻana i ke kahe o ke koko, hoʻonele i ka ʻōpū a me nā mea ʻē aʻe o ka oxygen. Hana ʻia ka lahilahi kahi e hoʻoliʻiliʻi a i ʻole kaohi ʻia ke kahe. ʻOi aku ka pane o ka poʻe puhipaka i ka estrogen therapy ma ke ʻano pill.

Nā pilikia kūpono

Hoʻonui ka Atrophic vaginitis i ka makaʻu o ka wahine i ka loaʻa ʻana o nā maʻi puʻupuʻu. Hoʻokumu ke Atrophy i nā loli i loko o ka wai acidic o ka ʻōpala, e maʻalahi ai ka ulu ʻana o ka bacteria, ka hū, a me nā meaola ʻē aʻe.

Hoʻonui ia i ka makaʻu o ke urinary system atrophy (genitourinary atrophy). Nā ʻōuli i pili me nā atrophy urinary-related urinary tract me nā urination ʻoi aku ka pinepine a i ʻole ka ʻā ʻana i ke ahi i ka wā o ka urination.

Loaʻa paha i kekahi mau wahine ka incontinence a loaʻa i nā maʻi maʻi urinary tract.

ʻIke i ka atrophy vaginal

E ʻike koke i kāu kauka inā hōʻeha ka moekolohe, ʻoiai me ka lubrication. Pono ʻoe e ʻike i kāu kauka inā ʻike ʻoe i ke kahe ʻana o ka maʻi maʻamau, hoʻokuʻu, puhi ʻana, a ʻeha hoʻi.

Hilahila kekahi mau wahine e kamaʻilio me kā lākou kauka no kēia pilikia pili. Inā ʻoe e ʻike nei i kēia mau ʻōuli, pono e ʻimi i ka ʻōlelo aʻoaʻo a ke kauka e kōkua ai i ka hōʻalo ʻana i nā pilikia kūpono i haʻi ʻia ma luna.

E nīnau ana kāu kauka iā ʻoe i nā nīnau e pili ana i kāu mōʻaukala olakino. Makemake lākou e ʻike pehea ka lōʻihi o kou kū ʻana i nā manawa a inā ua loaʻa ʻoe i ka maʻi ʻaʻai. E nīnau paha ke kauka he aha, inā he mea, ʻoihana a kūʻai aku paha i nā huahana āu e hoʻohana ai. Hiki i kekahi o nā mea ʻala, nā kopa, nā huahana ʻauʻau, nā deodorants, nā lubricants, a me nā spermicides ke hoʻonāukiuki i nā mea moekolohe pili kino.

Hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi gynecologist no nā hoʻāʻo a me kahi hoʻokolokolo kino. I ka wā o kahi hoʻokolohua pelvic, e palpate lākou, a i ʻole e haha ​​i kāu mau pūpū pelvic. E nānā pū ke kauka i kāu genitalia waho no nā hōʻailona kino o ke atrophy, e like me:

• pale, laumania, ʻōlinolino hoʻoilina wahine
• lilo o ka lahilahi
• lauoho puʻupuʻu kolohe
• laumania, lahilahi waho genitalia
• ke kīloi ʻana i nā aʻa kākoʻo uterus
• pelvic organ prolaps (ʻōhū i nā paia o ka ʻōpū)

Kauoha paha ke kauka i kēia mau hoʻokolohua:

• hoʻokolokolo pelvic
• hoʻāʻo hamo hoʻāʻo
• hoʻāʻo acidity aʻa
• hoʻāʻo koko
• hoʻāʻo mimi

ʻO ka hoʻāʻo smear kahi ninaninau microscopic o nā ʻaʻa i huki ʻia mai nā paia o ka wahine. Nānā ia no kekahi ʻano o nā hunaola a me nā koʻohune i ʻoi aku ka nui me ka atrophy liʻiliʻi.

I mea e hoʻowalewale ai, hoʻokomo ʻia kahi kahakaha pepa i loko o ka lua. Hiki i kāu kauka ke hōʻiliʻili i nā huna huna no kēia hōʻike.

E noi ʻia paha ʻoe e hāʻawi i nā laʻana o ke koko a me ka mimi no ka hoʻāʻo ʻana a me ka hoʻokalakupua ʻana i ka hale hōʻikeʻike. Nānā kēia mau hoʻāʻo i nā kumu he nui, e like me kāu pae estrogen.

Hoʻomaʻo i ka atrophy vaginal

Me ka lāʻau, hiki ke hoʻomaikaʻi i kou olakino a me kou ola. Hiki i ka mālama ʻana ke nānā i nā ʻōuli a i ʻole ke kumu kumu.

Hiki i nā mea hoʻoliʻiliʻi over-the-counter a i ʻole nā ​​mea hoʻoliʻiliʻi wai ke kōkua i ka mālama ʻana i ka maloʻo.

Inā koʻikoʻi nā hōʻailona, ​​hiki i kāu kauka ke koi aku i ka estrogen replacement therapy. Hoʻomaikaʻi ka Estrogen i ka lahilahi a me ka momona maoli. Hana mau ia i loko o kekahi mau pule. Hiki ke lawe ʻia ʻo Estrogen ma kahi topically a waha paha.

Estrogen kumuhana

Lawe ka estrogen i loko o ka ʻili i ka palena o ka nui o ka estrogen i loko o ke koko. ʻAʻole mālama nā estrogens kumuhana i nā ʻōnaehana ʻōnaehana o ka menopause, e like me nā uila wela. ʻAʻole hōʻike ʻia kēia ʻano hana o ka estrogen e hoʻonui i ka makaʻu o ka maʻi ʻaʻai endometrial. Eia nō naʻe, e kāhea koke aku i kāu kauka inā hoʻohana ʻoe i ka estrogen topical a ʻike i ke kahe o ke kahe maʻamau.

Loaʻa nā kumuhana estrogen i nā ʻano like ʻole:

• ʻO ke apo estrogen vaginal, e like me Estring. ʻO Estring kahi kūpeʻe maʻalahi, i hoʻokomo ʻia i loko o ka ʻaoʻao i luna o ka ʻōpena e ʻoe a me kāu kauka. Hoʻokuʻu ia i kahi lāʻau mau o ka estrogen a pono wale nō e hoʻololi i kēlā me kēia ʻekolu mau mahina. ʻO nā apo Estrogen nā hoʻomākaukau estrogen ʻoi aku ka kiʻekiʻe a hoʻonui paha i ka makaʻu o ka wahine no ka maʻi ʻaʻai endometrial. E kamaʻilio pū ʻoe me kāu kauka e pili ana i kāu makaʻu a me ka pono no ka progestin pū kekahi.
• ʻO kahi cream estrogen estrogen, e like me Premarin a i ʻole Estrace. Hoʻokomo ʻia kēia ʻano lāʻau i loko o ka moku me ka mea hoʻopili i ka wā hiamoe. Kau kauka paha i kau kauka i kēlā me kēia lā no ʻelua mau pule, a laila e iho i lalo i ʻelua a ʻekolu mau manawa i kēlā me kēia pule.
• Hoʻokomo ʻia kahi papa estrogen estrogen, e like me Vagifem, i loko o ka ʻōpū me ka hoʻohana ʻana i kahi mea hoʻohana pono ʻole. ʻO ka maʻamau, kuhikuhi ʻia hoʻokahi mahele lāʻau i kēlā me kēia lā i ka mua, a ma hope e iho i lalo i hoʻokahi a ʻelua mau manawa i kēlā me kēia pule.

Kāohi a me ka nohona

Ma waho aʻe o ka lawe ʻana i ka lāʻau, hiki iā ʻoe ke hoʻololi i kekahi ʻano nohona.

ʻO ke komo ʻana i ka lole pulupulu a me nā lole leʻaleʻa hiki ke hoʻomaikaʻi i nā ʻōuli. Hoʻonui ka lole pulupulu Loose i ka holo ʻana o ka ea a puni nā genital, e hoʻolilo iā lākou i wahi kūpono no ka ulu ʻana o ka bacteria.

Hiki i ka wahine me ka atrophic vaginitis ke loaʻa i ka ʻeha i ka wā o ka moekolohe. Eia naʻe, ʻo ka noho moekolohe ʻana e hoʻonui i ke kahe o ke koko i loko o ka moku a hoʻoulu i ka wai maoli. ʻAʻohe hopena o ka hana moekolohe ma nā pae estrogen. Akā ma ka hoʻomaikaʻi ʻana i ke kahe o ke koko, mālama ia i nā mea moekolohe ma ke olakino no ka lōʻihi. ʻO ka ʻae ʻana i ka manawa e hoʻāla i ka moekolohe hiki ke hoʻoluʻolu i ka moekolohe.

Hiki ke hoʻohana ʻia ka aila ʻAmona E ma ke ʻano he lubricant. Aia kekahi mau hōʻike e hoʻonui ka wikamina D i ka momona ma ka lua. Kōkua pū ka Vitamin D i ke kino e omo i ka puna. Kōkua kēia i ka lohi a pale paha i ka nalo ʻana o ka iwi postmenopausal, keu hoʻi ke hui pū ʻia me ka hoʻoikaika mau.