Mea Kākau: Randy Alexander
Lā O Ka Hana: 28 Apelila 2021
HōʻAno Hou I Ka Lā: 18 Nowemapa 2024
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Camp Chat Q&A #3: Hut Insulation - First Aid - Fingernails - Languages - and more
Wikiō: Camp Chat Q&A #3: Hut Insulation - First Aid - Fingernails - Languages - and more

Anter

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.

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