He aha ke kumu o ka ʻike ʻana iā Brown ma hope o ka hala ʻana o ka male?
Anter
- He aha ka manaʻo o ke kala?
- He aha ke kumu o ka nānā ʻana?
- Hoʻoikaika Hormone
- ʻO ka lahilahi o ka iwi a me ka uterine
- Polyps
- Ka maʻi ʻaʻai o ka cervix a i ʻole ka uterus
- E ʻike paha wau i ke kauka?
- He aha kaʻu e manaʻo ai ke ʻike wau i kaʻu kauka?
- Hiki ke mālama ʻia?
- Hyperplasia Endometrial
- Atrophic vaginitis a i ʻole endometrium
- Polyps
- Kanesa
- Aia kekahi ala e pale aku ai i nā pilikia e kumu i ka nānā ʻana?
- Outlook
- Nā ʻōlelo aʻoaʻo no ka mālama ʻana i ke kīnā a me ka ukiuki o ka ʻōpū
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
I nā makahiki i mua o ka menopause, hoʻomaka ka hāʻule o kāu estrogen a me nā pae progesterone. Hiki i kēia ke kumu i nā loli he nui i kāu ʻōpū, cervix, a me kou kōpū.
Ua hōʻea i ka menopause ke loaʻa ʻole iā ʻoe kahi manawa i 12 mau mahina. Kāhea ʻia ke kīʻaha a me ke kahe ʻana o ke koko ma hope o kēlā kahe ka postmenopausal, a ke ʻano o ka pololei ʻole o kekahi mea.
E hoʻomau i ka heluhelu ʻana e aʻo ai i nā kumu o ke kahe ʻana ma hope o ka menopause a i ka wā hea ʻoe e ʻimi ai i ka lāʻau.
He aha ka manaʻo o ke kala?
ʻOiai heʻuʻuku ka wai o ka lua ma hope o ka menopause, loaʻa paha iā ʻoe kahi hoʻokuʻu. He maʻamau maʻamau kēia.
ʻOi aku ka maʻalahi o ka hoʻonāukiuki ʻana i nā pale liʻiliʻi a maʻalahi hoʻi i ka maʻi. Hoʻokahi kuhi āu i loaʻa ai i kahi maʻi he hoʻokuʻu mānoanoa, melemele-keʻokeʻo.
ʻIke ke koko hou i ʻulaʻula, akā ʻulaʻula a ʻeleʻele ke koko kahiko. Inā ʻoe e ʻike i nā kiko o ʻeleʻele a ʻeleʻele paha i kou lole komo, he koko paha kēlā. ʻOi aku ka māmā o ka hoʻokuʻu ʻana i ke kala inā ʻoe he melemele a keʻokeʻo paha no ka hopena ma muli o ka maʻi.
He aha ke kumu o ka nānā ʻana?
Hiki i nā ʻano mea like ʻole ke kumu i ka ʻike ʻeleʻele ma hope o ka menopause.
Hoʻoikaika Hormone
Hiki i ke kahe ʻana o ka maʻi vaginal ke lilo i hopena ʻino o ka hoʻoliʻiliʻi hormone (HRT). Hiki i ka HRT mau haʻahaʻa haʻahaʻa ke kumu i ke kahe ʻana o ke kukui a i ʻole ke kiko ʻana i mau mahina ma hope o kou hoʻomaka ʻana e lawe. Hiki i ka HRT Cyclic ke kumu i ke kahe o ke koko e like me ke ʻano o kekahi wā.
ʻO ke kumu o kēia hiki i ka HRT ke alakaʻi i ka mānoanoa o ka uhi ʻana o ka uterine, i kapa ʻia ʻo endometrial hyperplasia. Hiki i ka hyperplasia endometrial ke kumu i ka nānā ʻana a i ʻole ke kahe nui ʻana. ʻO ka hopena ka hopena o ka nui o ka estrogen a ʻaʻole lawa ka progesterone.
ʻO kekahi mau wahine me ka hypertrasia endometrial e hoʻomōhala i nā hunaola ʻino, i kapa ʻia he hyperplasia atypical. He kūlana ia e hiki ai i ka maʻi ʻaʻai uterine. ʻO ke kahe kino ʻole ka hōʻailona maopopo loa o ka maʻi ʻaʻai endometrial. Hiki i ke kuhi mua a me ka lāʻau lapaʻau ke pale i kēia ʻano maʻi ʻaʻai mai ka hoʻomohala ʻana.
ʻO ka lahilahi o ka iwi a me ka uterine
Hiki i nā pae hōʻemi o nā hormones ke hana i ka lahilahi o ka uhi ʻana o ka maʻi (atrophy vaginal) a i ʻole ka uterus (atrometrial endometrial).
ʻO ke atrophy ʻo ke kīhāpai e hoʻoliʻiliʻi i ka liʻiliʻi, maloʻo, a me ka liʻiliʻi acidic. Hiki i ka wahi vaginal ke lilo i wela, kahi ʻano i kapa ʻia ʻo atrophic vaginitis. Ma waho o ka hoʻokuʻu ʻana, hiki i kēia ke kumu:
- ʻulaʻula
- lapalapa ʻana
- ʻumeʻume
- ʻeha
Polyps
ʻO nā Polyps nā ulu noncancerous i ka cervix a i ʻole ka uterus. Polyps i pili i ka cervix hiki ke kumu o ke kahe ʻana ma hope o ka moekolohe.
Ka maʻi ʻaʻai o ka cervix a i ʻole ka uterus
ʻO ka hoʻokahe ka hōʻailona maʻamau o ka maʻi ʻaʻai uterine. ʻO nā ʻōuli ʻē aʻe e laʻa me ka urination ʻeha, ʻeha pelvic, a me ka ʻeha i ka wā o ka moekolohe.
E ʻike paha wau i ke kauka?
ʻO ka hoʻokahe ma hope o ka menopause ʻaʻole maʻamau, no laila ʻoi aku ka maikaʻi o ka nānā ʻana. ʻO kahi ʻokoʻa inā ʻoe ma HRT a ua ʻōlelo ʻia he hopena ʻē aʻe ia. Eia nō naʻe, inā ʻoi aku ke kaumaha a me ka lōʻihi o ke kahe ʻana a me ke kahe ma mua o kāu i manaʻo ai, e ʻike i kāu kauka.
He aha kaʻu e manaʻo ai ke ʻike wau i kaʻu kauka?
Kaukaʻi ʻia i nā ʻōuli ʻē aʻe a i ʻole nā kūlana olakino ʻike ʻia āu, hiki i kāu kauka:
- e nīnau e pili ana i kāu moʻolelo olakino a me nā lāʻau i kēia manawa
- hana i kahi hoʻokolokolo kino, me kahi hōʻike pelvic
- lawe i kahi swab e nānā i nā maʻi
- hana i kahi hoʻāʻo Pap e nānā ai i nā hunaola maʻi ʻaʻai pūpū.
- lawe i kahi hāpana koko
- hana i kahi ultrasound pelvic a i ʻole hysteroscopy e kiʻi i nā kiʻi o kou cervix, uterus, a me nā ovaries
- lawe i kahi hāpana kiko, i ʻike ʻia he biopsy, e nānā no nā hunaola maʻi ʻino
- hana i kahi dilation a me curettage (D & C) e ʻānai i nā paia o loko o kou kōpū i hiki ke nānā ʻia nā kiko kiko no ka maʻi ʻaʻai.
Hiki ke hana koke ʻia kekahi o kēia mau hoʻāʻo ma ke keʻena o kāu kauka. Hoʻonohonoho ʻia nā poʻe ʻē aʻe ma ke ʻano he hana ma waho i ka lā hope.
Hiki ke mālama ʻia?
Hiki ke mālama ʻia ke kīnā ʻana, akā pili ia i ke kumu.
Hyperplasia Endometrial
Aia kekahi mau ʻano lapaʻau no ka mānoanoa o ka endometrium. No ka mānoanoa ʻana, hiki i kāu kauka ke hana i kahi ala kali a ʻike. Inā pili kou kahe ʻana i ka HRT, pono paha ʻoe e hoʻoponopono i kāu mālama ʻana a i ʻole hoʻokū loa ia. Inā ʻole, ʻo nā koho lapaʻau me:
- nā hormones i ke ʻano o nā papa waha a i ʻole implant ʻōnaehana intrauterine
- hysteroscopy a i ʻole D & C e hemo i ka mānoanoa
- ʻoki e hoʻoneʻe i ka cervix, uterus, a me nā ovaries, i kapa ʻia he hysterectomy āpau
Hoʻopiʻi ka endometrial hyperplasia i kou makaʻu o ka maʻi ʻaʻai endometrial, no laila he mea nui e nānā i kāu ʻano.
Atrophic vaginitis a i ʻole endometrium
ʻO ka Estrogen therapy ka lapaʻau maʻamau no ka atrophic vaginitis a i ʻole endometrium. Loaʻa ia i nā ʻano like ʻole e like me:
- papa
- nā gels
- nā kalima
- pākuʻi ʻili
ʻO kahi koho ʻē aʻe e hoʻohana i ke apo wahine palupalu, maʻalahi, e hoʻokuʻu mālie i ka hormone.
Inā loaʻa iā ʻoe kahi hihia akahai, ʻaʻole pono ia i ka lapaʻau.
Polyps
Lawe pinepine ʻia nā polyps. Hiki ke hoʻoneʻe ʻia nā polyp cervix i kekahi manawa i ke keʻena o ke kauka. Ke hoʻohana nei i nā forceps liʻiliʻi, hiki i kāu kauka ke wili i ka polyp aku a cauterize i kahi.
Kanesa
Koi pinepine ka maʻi ʻaʻai Endometrial i kahi hysterectomy a me ka hemo ʻana o nā lymph node kokoke. Hoʻohui pū ʻia me ka chemotherapy a me ka radiation therapy. Ke loaʻa wawe, curable loa ia.
Aia kekahi ala e pale aku ai i nā pilikia e kumu i ka nānā ʻana?
ʻOkoʻa ka menopause no kēlā wahine kēia wahine. ʻAʻole hiki iā ʻoe ke pale aku i ka hapa nui o nā pilikia e pili ana i ke kīʻaha ʻana. Akā aia kekahi mau mea hiki iā ʻoe ke hana e loaʻa i kahi hōʻailona mua a mālama iā lākou ma mua o ka maikaʻi ʻana, e like me:
- Ke kiʻi nei i kahi nānā makahiki. Inā pilikia nui ʻoe i ka maʻi ʻaʻai a ʻōpū paha, nīnau i kāu kauka i ka manawa pinepine e loaʻa ai iā ʻoe kahi Pap smear a me ka pelvic exam.
- Ke hōʻike nei i ka hoʻokaʻawale ʻana, ka ʻike ʻana, a me ke kahe ʻana o ke kauka i kāu kauka koke, keu pū me ka ʻeha a me nā hōʻailona ʻē aʻe.
- Ke haʻi aku nei i kāu kauka inā hōʻoluʻolu a ʻehaʻeha paha ka pilina.
Outlook
He mea kūpono ke kūkākūkā ʻana me kāu kauka no nā kiko ʻeleʻele, ʻeleʻele, a ʻulaʻula hoʻi ma hope o ka menopause.
Ke ʻike ʻoe i ke kumu, hiki iā lākou ke ʻōlelo i ke ala ʻoi loa e mālama ai. I ka hapanui o nā hihia, hoʻoponopono ka hoʻoponopono i ka pilikia.
Nā ʻōlelo aʻoaʻo no ka mālama ʻana i ke kīnā a me ka ukiuki o ka ʻōpū
Hiki ke pilikia ʻo Spotting i nā makahiki a pau, a pēlā pū kekahi me nā huhū huhū ʻē aʻe. I mea e maʻalahi ai ke ola, e hāhai i kēia mau ʻōlelo aʻoaʻo:
- E komo i ka pāheheʻe māmā i kēlā me kēia lā e pale i kou kapa. Kōkua ia iā ʻoe e hōʻalo i ka hopu ʻia ʻana i ka lehulehu a i ʻole ke kala ʻana i kou mau lole punahele.
- E komo i ka lole pulupulu hanu a i ʻole ka lole komo me ka crotch pulupulu.
- Hōʻalo i nā kapa paʻa i ka crotch.
- Hōʻalo i nā kopa kolohe a ʻala hoʻi a me nā huahana menstrual e hiki ai ke hoʻonāukiuki i kou mau puʻupaʻa lahilahi.
- Mai douche. Hiki iā ia ke hoʻonāukiuki a hoʻolaha i nā bacteria.
- Pale i nā mea holoi lole holoi ikaika.