Pehea ka lōʻihi o ka hopena o nā ʻōuli o ka menopause?
Anter
- Pehea ka lōʻihi o nā ʻōuli?
- Nā ʻōuli o ka menopause
- Ka mālama ʻana i nā ʻōuli
- ʻO nā kukuna wela
- Maloʻo maloʻo
- Nā pilikia moe a me nā loli o ke ʻano
- Nā hoʻoponopono hou aʻe
- I ka manawa hea e ʻimi ai i kōkua
- Nā pono o ka menopause
- Outlook
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 Menopause kahi mahele maʻamau a kūlohelohe hoʻi o ka ʻelemakule.
Ke komo ʻoe i kāu 40, hana paha kou kino i ka liʻiliʻi a emi o ka estrogen a hiki i kou haʻalele hou ʻana. Ke hoʻopau koke ʻoe i ka menstruating a ʻaʻohe ou manawa no 12 mau mahina. hiki ʻoe i ka menopause.
ʻO ka menopause kūlohelohe, i hana me ka ʻole o ka lāʻau lapaʻau, hana ʻia i ʻekolu mau hanana:
- perimenopause
- menopause
- postmenopause
Hoʻohilahila nā poʻe he nui i ka menopause me ka perimenopause. ʻO Perimenopause ke kahua ke hoʻomaka ka wahine e hoʻololi i ka menopause. ʻO kekahi mau hōʻailona maʻamau o ka perimenopausal pae me:
- uila uila
- puhū pō
- Maloʻo maloʻo
Ma ka perimenopause, hoʻomaka kou kino e hana i ka estrogen. Hoʻomau kēia a hiki i ka makahiki hoʻokahi a ʻelua paha o ka perimenopause a hiki i ka hāʻule wikiwiki ʻana o kāu pae hormone. Hiki i ka Perimenopause ke hoʻomaka a 10 mau makahiki ma mua o kou komo ʻana i ka menopause. Hoʻomaka pinepine ia i kāu 40, akā komo kekahi mau wahine i ka perimenopause i ko lākou 30s.
E hoʻoholo nā kauka ua hiki ʻoe i ka menopause ke loaʻa ʻole iā ʻoe kahi manawa no 12 mau mahina ma hope. Ma hope o kēlā, e komo ʻoe i ka pae postmenopausal.
Inā ua hoʻoneʻe ʻia kāu mau ovaries, ʻike ʻoe i ka menopause "hikiwawe".
Pehea ka lōʻihi o nā ʻōuli?
Hiki i nā hōʻailona Perimenopausal ke hala i ʻehā mau makahiki ma ka awelika. ʻO nā ʻōuli e pili ana i kēia pae e maʻalahi ka loli i ka wā o ka menopause a me ka postmenopause. ʻO nā wahine i hala i hoʻokahi makahiki holoʻokoʻa me ka ʻole o ka manawa e manaʻo ʻia he postmenopausal.
ʻO nā kukuna wela, i ʻike ʻia he flushes wela, kahi hōʻailona maʻamau o ka perimenopause. Ua ʻike ʻia kahi noiʻi ua hiki ke hoʻomau i ke anuanu a me nā kukuna wela i hala i ka perimenopause i hala a no ka a. ʻOi aku ka lōʻihi ma mua o ka manawa i ʻae ʻia no ka lōʻihi o nā uila wela.
ʻike nā wahine ʻeleʻele a me nā wahine o ke kaupaona maʻamau i nā wela wela no kahi wā lōʻihi ma mua o nā wahine keʻokeʻo a me nā wahine i manaʻo ʻia he kaumaha.
Hiki i ka wahine ke ʻike i ka menopause ma mua o ka makahiki 55. Kūpono ka menopause mua i nā wahine i hele i ka menopause ma mua o ko 45 mau makahiki. Manaʻo ʻia he menopause ma mua inā he menopausal ʻoe a he 40 a ʻoi paha kou mau makahiki.
Hiki ke hana i ka menopause wanaʻao a i ʻole hoʻi no nā kumu he nui. Hiki i kekahi mau wahine ke hele i waena o ka menopause wanaʻao a i ʻole hoʻi ma mua o ke komo ʻana o ka ʻoki, e like me ka hysterectomy. Hiki iā ia ke hana inā hōʻino ʻia nā ovaries e chemotherapy a i ʻole nā ʻano a me nā mālama ʻana.
Nā ʻōuli o ka menopause
E ʻike ʻoe i kahi hōʻailona o nā hōʻailona ke hele nei ma waena o perimenopause (ʻo kahi laʻana, lilo kāu mau manawa i kū ʻole). ʻO ke alapine, ka pinepine, a me ka lōʻihi o nā ʻōuli e laha ākea mai ke kanaka a ke kanaka i ka perimenopause a ke hoʻokokoke ʻoe i ka menopause
I hoʻokahi manawa i ka menopause (ʻaʻole ʻoe i loaʻa kahi manawa no 12 mau mahina) a i loko o ka postmenopause, hoʻomau paha nā ʻōuli no ka awelika ʻehā a ʻelima mau makahiki, akā hoʻemi lākou i ka pinepine a me ka ikaika. Hōʻike kekahi mau wahine i ko lākou mau hōʻailona ʻoi aku ka lōʻihi.
ʻO nā hōʻailona maʻamau e pili ana:
- ʻO nā kukuna wela. ʻO kēia ke kumu o ka mahana koke o kou alo a me kou kino kiʻekiʻe. Hiki iā lākou ke noho i kekona kekona i mau mau minuke a ʻoi aku paha. Hiki ke hana i nā uila wela i nā manawa he nui i ka lā a i kekahi mau manawa i ka mahina.
- Hoʻoulu ka pō. Hiki i nā wela wela i ka wā hiamoe ke hopena i ka hou o ka pō. Hiki i nā sweats i ka pō ke ala iā ʻoe a hōʻoluʻolu iā ʻoe i ke ao.
- Piʻi anuanu. Hiki iā ʻoe ke ʻike i ke anu, nā wāwae anu, a me ka haʻalulu ma hope o ke anuanu o kou kino mai kahi uila wela.
- Hoʻololi o ka maʻi ʻōpū. ʻO ka maloʻo maloʻo, hōʻoluʻolu i ka wā o ka moekolohe, libido haʻahaʻa, a me kahi makemake nui e mimiki nā ʻōuli o ka genitourinary syndrome o ka menopause (GSM).
- Hoʻololi manaʻo. Hoʻopili paha kēia i ke kaumaha haʻahaʻa, ke ʻano o ka naʻau, a me ka huhū.
- Pilikia hiamoe. Hiki i nā pilikia moe e like me ka hiamoe hiki ke hana ma muli o ka sweats o ka pō.
Hiki i nā ʻōuli ʻē aʻe o perimenopause ke hoʻopili pū i:
- palupalu o ka umauma
- wā kaumaha a māmā paha
- ke kaumaha o ka maʻi premenstrual (PMS)
- ʻili maloʻo, maka, a waha paha
E ʻike paha kekahi mau wahine:
- ʻeha poʻo
- puʻuwai heihei
- ʻeha me ka ʻeha pū
- pilikia a me nā pilikia hoʻomanaʻo
- lauoho lauoho a lahilahi paha
- loaʻa kaupaona
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona hou aʻe, e kipa i kāu kauka e kāpae i nā kumu ʻē aʻe.
Hiki iā ʻoe ke ʻike i kekahi o kēia mau ʻōuli ma o perimenopause. Akā hana pinepine nā uila wela i ka hoʻomaka o ka perimenopause.
Ka mālama ʻana i nā ʻōuli
Ke hele nei i loko o perimenopause a me ka menopause hiki ke hōʻoluʻolu a i kekahi manawa ʻeha no nā wahine he nui. Akā he mea maʻamau a mālama ʻia ka ʻelemakule. Eia kekahi ʻōlelo aʻoaʻo e kōkua ai iā ʻoe e hoʻokele i kāu mau hōʻailona.
ʻO nā kukuna wela
E hoʻāʻo i kēia mau koho e kōkua iā ʻoe e pale a mālama i nā uila wela:
- ʻIke a hōʻalo i nā hoʻoheheʻe wela e like me nā meaʻai nīoi a i ʻole ka ʻalekohola.
- E hoʻohana i kahi peahi ma ka hana a ma ka home.
- Lawe i nā pāʻālua haʻi waha haʻahaʻa inā loaʻa iā ʻoe kou manawa.
- E lawe mālie, hanu hohonu ke hoʻomaka kahi uila wela.
- Wehe i kekahi mau lole o ka lole ke ʻike ʻoe i kahi kukuna wela e hele mai ana.
Maloʻo maloʻo
Hiki ke hoʻokele i ka maloʻo ʻana ma ka hoʻohana ʻana i ka lubricant ma muli o ka wai, ma waho o ka counter (OTC) i ka wā o ka moekolohe a i ʻole ka hoʻohana ʻana i kahi moisturizer vaginal OTC i hoʻohana ʻia i kēlā me kēia mau lā. Hiki i kāu kauka ke kuhikuhi i ka lāʻau e kōkua me ka hōʻoluʻolu nui o ka liʻiliʻi.
Inā makemake ʻoe e komo i ka moekolohe me kāu hoa, e ʻike i kāu kauka.
Nā pilikia moe a me nā loli o ke ʻano
E hoʻāʻo i kēia mau koho e hōʻalo i nā pilikia hiamoe:
- Hōʻalo i nā pāʻina nui, puhipaka, kope, a i ʻole cafe ma hope o ke awakea.
- Hōʻalo i ka nuku ʻana i ka lā.
- Hōʻalo i ka hoʻoikaika kino a i ʻole ka waiʻona kokoke i ka wā hiamoe.
- E inu i ka waiū mahana a i ʻole tī tī me ka mehana ʻole ma mua o ka hiamoe.
- E hiamoe i kahi lumi pouli, mālie, a me ke anuanu.
- E mālama i nā uila wela e hoʻomaikaʻi ai i ka hiamoe.
Hiki ke kōkua i ka hōʻoluʻolu nui ʻana, ka ʻai pono ʻana, a me ka hoʻomau ʻana i ke kino me ka loli o ka naʻau a me nā pilikia hiamoe. Kau kauka paha i kau kauka e kōkua i ka loli o ke ʻano.
Pono ʻoe e kamaʻilio me kāu kauka e pili ana i ka mālama ʻana i kāu mau ʻōuli a me ka hōʻoki ʻana i nā kūlana ʻē aʻe e hiki ai ke hoʻokumu i kāu mau hōʻailona, e like me ke kaumaha a me ka hānō. He mea kōkua nō hoʻi e hui pū me kahi hui kākoʻo no nā wahine i ka menopause no laila he wahi palekana kou e kaʻana like ai i kāu mau hopohopo a me nā pilikia.
Nā hoʻoponopono hou aʻe
Hiki paha i kāu kauka ke kauoha i ka menopausal hormone therapy (MHT) e kōkua i ka mālama ʻana i kāu mau ʻōuli. MHT (ʻike ʻia ma ke ʻano he hormone replacement therapy, a i ʻole HRT) hiki ke maʻalahi:
- uila uila
- puhū pō
- pilikia pilikia hiamoe
- ukiuki
- Maloʻo maloʻo
Hiki paha i ka MHT ke kōkua i ka lohi o ka nalo ʻana o ka iwi a hoʻoliʻiliʻi i ka loli o ka naʻau a me nā ʻōuli depressive māmā. Nā hopena ʻaoʻao o MHT me:
- kahe koko
- ʻōhūhū
- pehu ka umauma a palupalu paha
- ʻeha poʻo
- loli ke ʻano
- nausea
hōʻike i nā wahine e lawe i ka MHT i ka nui o ka makaʻu o ka puʻuwai, ka hahau ʻana, a me ke kahe o ke koko. Kūlike like nā makaʻaka no nā wahine e hoʻohana ana i nā pākana pale, nā pāhoʻi, a me nā apo. Eia nō naʻe, ʻoi aku ka ʻelemakule o nā wahine e lawe ana i ka MHT, a hoʻonui ʻia nā pōpilikia me ka makahiki.
ʻAʻole hiki i nā wahine he nui ke lawe i ka MHT ma muli o kahi maʻi ma mua e like me ke kanesa a i ʻole no ka mea lawe lākou i nā lāʻau ʻē aʻe.
ʻIke ʻia kahi noiʻi hou aʻe hiki i ka makaʻu o ka loaʻa ʻana i ka maʻi ʻaʻai umauma ke hoʻonui me ka ʻelima a ʻoi paha mau makahiki o ka hoʻomau ʻana o ka MHT (o ka estrogen me ka progestogen, ʻaʻole ʻo estrogen wale nō).
ʻO nā wahine i hemo i ko lākou kōpū e hoʻohana i ka estrogen-only therapy.
E kamaʻilio me kāu kauka e aʻo hou e pili ana i ka hoʻomaʻamaʻa hormonal ma mua o ka hoʻoholo ʻana e hoʻohana.
I ka manawa hea e ʻimi ai i kōkua
He mea maʻamau a maʻamau ke ʻike i nā wā kūleʻa ke perimenopausal ʻoe.
Eia nō naʻe, ʻo nā kūlana ʻē aʻe, e like me ka polycystic ovary syndrome (PCOS) a i ʻole ka maʻi ʻaʻai cervical, hiki i ke kahe koko ʻole. E ʻike i kāu kauka e kāpae i nā kumu ʻē aʻe inā ʻoe:
- ʻike koke i nā wā kaumaha a i ʻole nā wā me nā huʻa koko
- he mau kau ʻoi aku ka lōʻihi ma mua o ka maʻamau
- kiko a koko paha ma hope o ka moekolohe
- kinai a hoʻokahe ke koko ma hope o kou manawa
- pili manawa like
ʻO ka Osteoporosis a me nā maʻi puʻuwai he mau pilikia olakino lōʻihi e pili pū me ka menopause. ʻO ia no ka mea he mea nui ka estrogen i ka pale ʻana i kou mau iwi a me kou puʻuwai. Me ka loaʻa ʻole o ka estrogen, aia ʻoe i ka nui o ka makaʻu no nā maʻi ʻelua.
Aia pū kekahi me ka nui o ka maʻi o ka maʻi urinary ma muli o ka menopause hiki i kou urethra e lilo i maloʻo, hoʻonāukiuki, a hoʻā ʻia hoʻi. Hiki pinepine i nā maʻi puʻupuʻu ke hana pinepine aʻe no ka mea ua lilo kāu wahine i mea maloʻo a lahilahi.
Hōʻike i nā hōʻailona menopausal ke kipa aku i ke kauka. E nānā ʻia e kāu kauka inā hoʻomau ʻoe i ka loaʻa ʻana o nā hōʻailona menopausal i hiki ʻole ke hoʻopaʻa ʻia a ʻoi paha ma mua o ʻelima mau makahiki ma hope o kāu manawa hope loa.
Nā pono o ka menopause
ʻOiai hiki i ka menopause ke kumu i nā ʻōuli hōʻoluʻolu ʻole no kekahi mau wahine, hiki i kēia kaʻina kūlohelohe ke piʻi aʻe kekahi. Nui nā pono kūpono o ka menopause e noʻonoʻo ai:
- He kuanaʻike maikaʻi. ʻO ka, kekahi o nā noi lōʻihi lōʻihi e nānā i nā wahine waena, ʻike ʻia ka hapanui o nā wahine i ke ʻano maikaʻi a kūlike ʻole paha i ka menopause. ʻAʻole ʻimi ka hapa nui o nā wahine i kōkua ma waho no ka menopause.
- ʻAʻole hoʻololi i ke olakino a i ʻole nā olakino olakino. Ua ʻike ʻia ka noiʻi like ʻaʻole hiki ke loli ke olakino wahine a me nā ʻano olakino me ka menopause. ʻO ia hoʻi inā alakaʻi ʻoe i kahi ola olakino, pili paha ʻoe me ia.
- Ke akamai o ka ʻike. Hele lima paʻa ʻo Menopause me ka ʻelemakule, e hāpai pū me ia i ka waiwai o ke ola. Ua haʻi aku ʻo Psychologist Sylvia Gearing, PhD, i ka Monitor of Psychology a ka American Psychology Association e pili ana i kāna ʻike, ua hoʻonui nā wahine i ka menopause i ka "mōakāka, ka hoʻoholo ʻana, ka naʻau ʻike," a me nā mea maikaʻi ʻē aʻe.
- ʻAʻohe menstruation. ʻO kekahi mau wahine e like me kēlā menstruation e pau me ka menopause, keu hoʻi inā ʻike lākou i nā wā kaumaha, cramping, a PMS paha. Ke kū nei kāu hoʻokele mahina, ʻaʻohe pono e kūʻai i nā tampons, pads, a i ʻole nā huahana menstrual ʻē aʻe.
- ʻAʻole pono ka kaohi hānau ma hope o nā manawa no hoʻokahi makahiki.
Hiki nō ke hāpai i ka wā perimenopause, no laila mai haʻalele koke i ka kaohi hānau. Ma hope o hoʻokahi makahiki me ka ʻole o kou wā, ʻae ʻia ka hiki ʻole i ka hāpai ʻana ke ʻole ke kōkua olakino, kahi e hoʻomaha ai kekahi mau wahine.
Pono ʻoe e pale aku iā ʻoe iho mai nā maʻi i loaʻa i ka moekolohe.
Outlook
ʻAʻole ʻokoʻa ka ola ma hope o ka menopause ma mua o ke ola i kou mau makahiki hānau. Hoʻomanaʻo e ʻai pono, hoʻoikaika kino, a loaʻa i ke olakino olakino maʻamau, me nā hoʻāʻo niho a me nā maka.
I ka manawa a pehea ka lōʻihi o nā ʻōuli o ka menopause hope loa no kēlā me kēia. ʻO ka maʻamau no kēia mau ʻōuli i ka manawa holoʻokoʻa o ka perimenopause a i ka postmenopause e mau ai.
ʻO ka papaʻai momona a me ka hoʻoikaika mau e kōkua iā ʻoe e mālama i nā iwi ikaika, ʻoiai ke kipa ʻana o ke kauka mau e kōkua iā ʻoe e hopu i nā pilikia i ka wanaʻao.