Hiki iā Perimenopause ke hoʻokuʻi kokoke aku i kāu mau kau?

Anter

• Pehea e loli ai kou manawa
• No ke aha e loli ai kēia mau hoʻololi
• I ka manawa e ʻike ai i kāu kauka
• Nā koho no ka mālama ʻana
• He aha e manaʻo ai

Hoʻopili ka perimenopause i kou manawa?

ʻO Perimenopause kahi pae hoʻololi i ke ola hānau o ka wahine. Hoʻomaka ia i kāu mau makahiki 40 a waena, akā hiki ke hoʻomaka ma mua. I kēia manawa, hoʻomaka kāu mau ovaries e hana i ka estrogen.

ʻOiai ʻo "ka loli" e pili pinepine ʻia me nā uila wela, hiki iā ia ke kumu i nā mea āpau mai ka headache a me ka palupalu o ka umauma i nā loli i kou manawa menstrual.

Kū mau kēia mau ʻōuli ma kahi o ʻehā mau makahiki ma mua o ka pau loa ʻana o kāu wā. E hoʻololi ʻia kou kino mai ka perimenopause a i ka menopause ma hope o 12 mau mahina me ke kahe ʻole ʻana o ke kahe a me ke kiko.

E hoʻomau i ka heluhelu ʻana e aʻo hou aʻe e pili ana i nā mea āu e manaʻo ai i ka perimenopause a pehea e hopena ai i kāu wā mahina.

Pehea e loli ai kou manawa

Hiki i ka Perimenopause ke hana i kāu mau manawa manawa maʻamau maʻamau āpau.

Ma mua o ka perimenopause, kū aʻe a hāʻule kāu mau estrogen a me nā pae progesterone i kahi ʻano kūlike i kāu wā menstrual. Ke noho nei ʻoe i ka perimenopause, lilo i mea hoʻololi ʻole ka hormonone. Hiki i kēia ke alakaʻi i nā lau kahe kuhi ʻole.

Ma ka perimenopause, ʻo kāu mau manawa:

• Kūpono ʻole. Ma mua o ka loaʻa ʻana o kahi manawa i kēlā me kēia 28 mau lā, e hoʻemi ʻoe iā lākou a i ʻole pinepine.
• Pili kokoke a mamao aku paha. Hiki ke loli ka lōʻihi o ka manawa ma waena o nā manawa mai kēlā me kēia mahina. I kekahi mau mahina e hoʻi paha ʻoe i nā wā i hope. I nā mahina ʻē aʻe, hele paha ʻoe ma mua o ʻehā mau pule me ka loaʻa ʻole o kahi manawa.
• Hele ʻole. I kekahi mau mahina ʻaʻole ʻoe e loaʻa i kahi manawa. Manaʻo paha ʻoe aia ʻoe i ka menopause, akā ʻaʻole ia he luna a hiki i kou wā manuahi ʻole no 12 mau mahina.
• Kaumaha. Nui paha kou kahe ʻana o ke kahe, ke kuʻu ʻana i loko o kou mau pads.
• Mālamalama. Maʻalahi loa kou kahe ʻana i kou koko e pono ʻole ai ʻoe e hoʻohana i ka liner panty. I kekahi manawa maʻule ka ʻike ʻana ʻaʻole like ia me ke kau.
• Pōkole a lōʻihi paha. Hiki ke loli ka lōʻihi o kāu manawa. Hiki paha ʻoe i ke kahe no hoʻokahi lā a ʻelua paha a ʻoi aku ma mua o hoʻokahi pule i kēlā me kēia manawa.

No ke aha e loli ai kēia mau hoʻololi

I nā makahiki e piʻi nei i mua o ka menopause, kū mau kāu ovaries i ka ovulate pinepine. I ka wā pinepine ʻole o ka ovulation, ʻo nā hormones i hana ʻia e nā ovaries - estrogen a me progesterone - hoʻomaka pū kekahi e hāʻule a hāʻule. ʻO kēia mau homona ke kuleana maʻamau no ka hoʻoponopono ʻana i ka pōʻai menstrual.

E like me kēia mau hoʻololi hormonal, hiki i kahi hopena ma mua o kāu kau wale nō. E ʻike paha ʻoe:

• palupalu o ka umauma
• loaʻa kaupaona
• ʻeha poʻo
• paʻakikī paʻakikī
• hoʻopoina
• ʻeha ka ʻili
• maʻi maʻi urinary tract
• loli i ke ʻano
• hoʻēmi i ka hoʻokele moekolohe

ʻOiai paʻakikī e koho i ka lōʻihi o kēia mau ʻōuli, hiki ke manaʻo ʻia e hoʻomau maikaʻi i ka menopause. Hiki kēia i kēlā me kēia wahi mai kekahi mau mahina a i ka ʻumikūmālua mau makahiki mai ka manawa e hoʻomaka ai nā ʻōuli.

I ka manawa e ʻike ai i kāu kauka

Ke noho nei ʻoe i ka perimenopause, he mea maʻamau ia no kāu mau manawa ke kaulike ʻole a hoʻokokoke pū kekahi. Akā i kekahi manawa hiki i kēia mau hiʻohiʻona kahe koko ʻole ke hōʻailona i kahi pilikia pilikia.

E ʻike i kāu kauka inā:

• kaumaha loa ke kahe ʻana iā ʻoe a i ʻole e komo i loko o hoʻokahi a i ʻole nā ​​pale a i ʻole nā ​​tampons i hoʻokahi hola
• loaʻa iā ʻoe kou manawa pinepine ma mua o kēlā me kēia ʻekolu pule
• ʻoi aku ka lōʻihi o kāu mau kau ma mua o ka maʻamau
• ua kahe ʻoe i ka wā o ka moekolohe a ma waena o nā wā

ʻOiai maʻa mau ke kahe ʻana o ke kahe ʻana i ka perimenopause ma muli o nā fluctuations o ka hormone, he hōʻailona nō paha ia o:

• PolypsKe ulu nei kēia mea i loko o ka pale o loko o ka kōpū a i ʻole ka cervix. He noncancerous mau lākou, akā hiki iā lākou ke lilo i kekahi maʻi ʻaʻai.
• ʻO Fibroids.Ua ulu pū kēia i ka kōpū. Hoʻololi lākou i ka nui mai nā hua liʻiliʻi a hiki i nā lehulehu i lawa a lawa i ka ʻōpū mai waho o ke ʻano. ʻAʻole maʻi maʻi ʻo Fibroids.
• ʻAikope endometrial.ʻO kēia lahilahi o ka endometrium (ka uhi ʻana o kou kōpū). Hiki i kēia lahilahi ke kumu i ke kahe ʻana o ke koko.
• Hyperplasia EndometrialKe mānoanoa nei kēia i ka uhi ʻana o uterine.
• Maʻi ʻaʻai UterineʻO kēia ka maʻi ʻaʻai e hoʻomaka i ka kōpū.

E hana ana kāu kauka i kahi hoʻokolokolo e nānā ai no nā kumu o ke kahe ʻana o ke perimenopausal abnormal. Pono ʻoe i hoʻokahi a ʻoi paha o kēia mau hoʻāʻo.

• Pelvic ultrasound.No kēia hoʻāʻo, hoʻohana kāu kauka i nā nalu kani e hana i kiʻi o kou kōpū, cervix, a me nā mea pelvic ʻē aʻe. Hiki ke hoʻokomo ʻia ka mea ultrasound i loko o kāu puki (ultrasound transvaginal) a i kau ʻia ma luna o kou ʻōpū haʻahaʻa (ultrasound abdomen).
• ʻO ka biopsy endometrial.E hoʻohana kāu kauka i kahi puʻupuʻu liʻiliʻi e hemo i kahi laʻana o nā kiko o kāu pale uterine. Hele kēlā hāpana i kahi hale hōʻike e hoʻāʻo ai.
• Hysteroscopy.E kau kāu kauka i kahi puʻupuʻu lahilahi i loaʻa ka pahu paʻi kiʻi ma ka hopena ma o kāu ʻōpū i loko o kou kōpū. ʻAe kēia i kāu kauka e ʻike i ka loko o kou kōpū a lawe i kahi biopsy inā pono.
• ʻO Sonohysterography.E hoʻokomo kāu kauka i ka wai i loko o kou kōpū ma o ka paipu, ʻoiai ke kiʻi ʻia nei he kiʻi e kahi ultrasound.

Nā koho no ka mālama ʻana

ʻO ka lāʻau a ke kauka e paipai ai e pili ana i ke kumu o kou kahe koko ʻole ʻana a me ka nui o ka hopena o kou ola.

Inā pili ke kahe ʻana i nā homoni a ʻaʻole ia e hoʻopilikia i kou ola o kēlā me kēia lā, ʻo ke kau ʻana i kahi pale mānoanoa a i ʻole ka tampon a me ka hāpai ʻana i kahi pālua o nā underpants e lawa paha e hoʻokau iā ʻoe i kēia kaʻina perimenopausal

Hiki ke kōkua pū kekahi i nā lāʻau lapaʻau Hormone, me nā lāʻau hoʻomalu hānau a i ʻole kahi polokalamu intrauterine (IUD). Hiki i kēia ke kōkua i nā mea ʻelua e hoʻomāmā i kou mau wā a mālama mau iā lākou ma ka pale ʻana i ka uhi ʻana o kou uterine mai ka mānoanoa nui.

ʻO nā ulu e like me nā fibroids a i ʻole polyps paha e pono ai ke mālama inā ke hana nei lākou i nā ʻōuli. Hiki ke hoʻoneʻe ʻia nā polyps me ka hysteroscopy. Aia kekahi mau kaʻina hana e hiki ke wehe i nā fibroids:

• Hoʻokomo ʻia ke aʻa UterineHoʻokomo kāu kauka i nā lāʻau i loko o nā aʻa e hāʻawi i ke koko i ka kōpū. Hoʻokiʻoki ka lāʻau i ke kahe o ke koko i nā fibroids, e hoʻēmi iā lākou.
• Myolisis. Hoʻohana kāu kauka i kahi kaila uila a i ʻole ka laser e luku i nā fibroids a ʻokiʻoki i kā lākou lako koko. Hiki ke hana i kēia kaʻina hana me ka hoʻohana ʻana i ke anuanu ikaika (cryomyolysis).
• ʻO Myomectomy. Me kēia kaʻina hana, lawe aku kāu kauka i nā fibroids akā haʻalele i kāu kōpū. Hiki ke hana ʻia me ka hoʻohana ʻana i nā ʻokiʻoki liʻiliʻi (ʻoki laparoscopic) a i ʻole me ke kaha robotic.
• Hysterectomy. Me kēia kaʻina hana, e hoʻoneʻe kāu kauka i ka kōpū holoʻokoʻa. ʻO ke kaʻina hana hoʻōla loa no nā fibroids. Ke loaʻa iā ʻoe kahi hysterectomy, ʻaʻole hiki iā ʻoe ke hāpai.

Hiki iā ʻoe ke mālama i ke atrophy endometrial ma ka lawe ʻana i ka progestin hormone. Hele mai ia ma ke ʻano he pill, cream cream, shot, a IUD paha. Aia ke ʻano āu e lawe ai i kāu makahiki a me ke ʻano o ka hyperplasia āu. Hiki i kāu kauka ke hemo i nā wahi mānoanoa o kou kōpū me ka hysteroscopy a i ʻole ke kaʻina hana i kapa ʻia ka dilation a me ka curettage (D a me C).

ʻO ka lapaʻau nui no ka maʻi ʻaʻai uterine ka loaʻa ʻana o ka hysterectomy. Hiki ke hoʻohana ʻia ka uila, chemotherapy, a i ʻole ka hoʻomaʻamaʻa hormone.

He aha e manaʻo ai

Ke holo nei ʻoe i waena o ka pae perimenopausal a i loko o ka menopause, pono e emi iki kāu mau manawa. I ka manawa i hoʻomaka ai ka menopause, ʻaʻole pono ke kahe iki.

Inā ʻoe e ʻike i ke kahe i manaʻo ʻole ʻia a i ʻole nā ​​loli hou aʻe, e kamaʻilio me kāu kauka. Hiki iā lākou ke hoʻoholo inā pili kēia mau hoʻololi i ka perimenopause a i ʻole inā he hōʻailona ia o kekahi kumu i lalo.

E hoʻomaopopo pū i kāu kauka e pili ana i nā ʻōuli perimenopause ʻē aʻe āu e ʻike nei. ʻO ka nui o ko lākou ʻike, ʻo ka maikaʻi o kāu hoʻolālā mālama.