ʻAʻole wale ʻoe: no ke aha eʻoi aku ai ka maikaʻi o nā hōʻailona Asthma a puni kāu kau
Anter
I kekahi mau makahiki i hala aku nei, ua kiʻi wau i kahi hiʻohiʻona i ka wā e maikaʻi ai ka maʻi hānō ma mua o ka hoʻomaka ʻana o koʻu wā. I kēlā manawa, i ka manawa i liʻiliʻi iki ai koʻu mākaukau a hoʻokomo i kaʻu mau nīnau i loko o Google ma kahi o ka ʻikepili waihona, ʻaʻole hiki iaʻu ke ʻike i kekahi ʻike maoli e pili ana i kēia hanana. No laila, ua kiʻi aku wau i koʻu mau hoaaloha me ka hānō. Ua haʻi mai kekahi o lākou iaʻu e kiʻi iā Kauka Sally Wenzel, he kauka noiʻi ma Ke Kulanui o Pittsburgh, e ʻike inā hiki iā ia ke kuhikuhi iaʻu i ke ala kūpono. I koʻu hōʻoluʻolu, ua ʻōlelo ʻo Kauka Wenzel he nui nā wahine e hōʻike nei i ka ulu ʻana o nā ʻōuli hānō e pili ana i kā lākou wā. Akā, ʻaʻohe nui o ka noiʻi e hōʻoia i kahi pilina a wehewehe paha i ke kumu.
Nā Hormones a me ka hānō: i ka noiʻi
ʻOiai ʻaʻole i kuhikuhi kahi ʻimi Google iaʻu i nā pane he nui e pili ana i ka loulou ma waena o ka menstruation a me ka hānō, ua hana ʻoi aku ka maikaʻi nā hana a nā puke noiʻi. Hoʻokahi o nā noi liʻiliʻi mai ka makahiki 1997 i aʻo he 14 mau wahine ma mua o 9 mau pule. ʻOiai he 5 mau wahine wale nō i ʻike i nā ʻōuli hānō premenstrual, ua ʻike nā 14 āpau i ka hōʻemi ʻana o ke kahe expiratory piko a i ʻole ka hoʻonui ʻana o nā ʻōuli ma mua o ka hoʻomaka ʻana o kā lākou wā. I ka manawa i hāʻawi ʻia ai nā wahine i kēia hoʻopaʻa haʻawina estradiol (ka estrogen mea i loaʻa i loko o ka hānau hānau pills, patch, a me ke apo), ua hōʻike nui nā hoʻomaikaʻi i nā premthtrual hānō hōʻailona a me ka piko expiratory kahe.
I ka makahiki 2009, ua paʻi ʻia kahi noi liʻiliʻi no nā wahine a me nā hānō i ka American Journal of Critical Care and Respiratory Medicine. Ua hoʻomaopopo nā kānaka noiʻi ʻo nā wahine me ka hānō, me ka nānā ʻole inā paha e hoʻohana ana lākou i ka lāʻau pale, ua hoʻemi i ke kahe o ke ea i ka wā a ma hope hoʻi. No laila ke ʻano like kēia ʻikepili me nā noiʻi kahiko e hōʻike ana i nā loli hormonal e pili i ka hānō. Eia naʻe, ʻaʻole maopopo loa pehea a pehea.
ʻO ka mea nui, hōʻike kēia noiʻi e hiki i nā loli i nā pae hormone ke hana i ka worsening o nā hōʻailona hānō no kekahi mau wahine.
ʻO kahi mea ʻē aʻe e pono ke hoʻomaopopo ʻia ʻo ka mahele o nā wahine i nā kāne me ka hānō e loli nui i ka wā ʻōpio. Ma mua o ka makahiki 18, ma kahi o 10 pākēneka o nā keikikāne he hānō ke hoʻohālikelike ʻia ma kahi o 7 pākēneka o nā kaikamahine. Ma hope o ka makahiki 18, hoʻololi kēia mau helu. ʻO 5.4 wale nō pakeneka o nā kāne a me 9.6 ka pākēneka o nā wahine e hōʻike nei i kahi hōʻailona hānō, e like me ka. Hōʻike ka noiʻi i kēia pale i ka prevalence ke kumu o nā loli hormonal. ʻOi aku i nā wahine, hoʻomaka paha ka hānō i ka wā ʻōpio a hoʻonui i ka makahiki. Ua hōʻike ʻia nā noiʻi holoholona hou e hiki i ka estrogen ke hoʻonui i ka mumū o ke ala ea ʻoiai hiki i ka testosterone ke hoʻemi iā ia. He mea nui paha kēia mea i loko o ke kanaka a wehewehe hapa i ka loli o ka hānō i kū i ka wā ʻōpio.
He aha e hana ai e pili ana
I kēlā manawa, ʻo ka manaʻo wale a Kauka Wenzel e noʻonoʻo wau e nīnau i kaʻu kauka e pili ana i ka hoʻohana ʻana i nā mea pale waha. E hōʻoki kēia i nā hoʻohuli hormonal ma mua o koʻu wā a hiki iaʻu ke hoʻopili i kaʻu lāʻau ma mua o ka haki ʻana o kaʻu pila e hōʻalo i nā hōʻailona. ʻO nā mea pale waha, me ka pā a me ke apo, pale i ka hāpai ʻana ma ka hoʻoliʻiliʻi ʻana i nā spikes i nā hormones i kekahi mau kiko i ke kaʻe menstrual. No laila he mea hoʻomaikaʻi paha ke kaohi o ka pōʻai hormonal i kekahi mau wahine me ka hānō.
ʻOiai he koho maikaʻi paha kēia no kekahi mau wahine, hiki i ka hoʻohana ʻana o nā kaola hormonal ke hana i nā ʻōuli ʻino loa no nā wahine ʻē aʻe. Ua hōʻike ʻia kahi noi ma 2015 he ʻoiaʻiʻo kēia i nā wahine. Me kēlā ʻōlelo, he mea nui e kūkākūkā me kēia kauka me kāu kauka a he aha ka manaʻo no ʻoe.
Kuhi pilikino
Hāʻawi ʻia i nā pōpilikia kakaikahi, akā hiki, o ka lawe ʻana i nā pale pale waha (ʻo ia hoʻi nā kahe o ke koko), ʻaʻole wau e hoʻomaka e lawe iā lākou e ʻike inā hāʻawi lākou i kahi hōʻoluʻolu mai kaʻu mau hōʻailona hānō i hoʻopili ʻia e ka hormone. Akā i ka Mei 2013, ma hope o ka hana ʻana me ke kahe nui ʻole o ke kahe mai ka fibroid uterine a laila ʻaʻole i ʻike ʻia, hoʻomaka wau me ka wiwo ʻole i ka lawe ʻana i "ka pila," kahi lapaʻau maʻamau no nā fibroids.
Aia wau ma ka pill no ʻaneʻane mau makahiki i kēia manawa, a inā ʻo ka pil a i ʻole kaʻu hānō e kaohi ʻia ʻana ma mua o ka mālama maikaʻi ʻana, ua liʻiliʻi kaʻu mau ʻino maikaʻi ʻole o kaʻu hānō ma mua o kaʻu mau kau. ʻO ia paha no ka hoʻomau ʻana o kaʻu mau pae hormone i kahi kūlana paʻa paʻa. Aia wau ma kahi pila monopasic, kahi like kaʻu mahele lāʻau hōmona i kēlā me kēia lā, i nā manawa āpau ma ka ʻeke.
Lawe aku
Inā hōʻino kāu hānō a puni kāu manawa, ʻike ʻaʻole ʻoe wale nō. E like me nā mea hoʻoheheʻe ʻē aʻe, pono e kūkākūkā me kāu kauka e kōkua i ka hoʻokumu inā he kuleana ko kāu pae hormone i ka hoʻonāukiuki ʻana i kāu hānō. ʻAʻole kamaʻāina paha kekahi mau kauka i kēia noiʻi, no laila ke lawe nei i kekahi mau mea nui (ʻekolu mau kiko pōkā a ʻoi paha) mai ka heluhelu ʻana āu i hana ai e kōkua iā lākou e ala i ka wikiwiki.ʻO kekahi mau hana hormonal, e like me ka lāʻau hoʻomalu hānau, loaʻa paha kekahi hopena maikaʻi i kāu hānō, keu hoʻi a puni kou wā, akā ʻaʻole maopopo akāka ka noiʻi ʻana pehea e kōkua pono ai kēia lapaʻau.
E noi i kāu kauka inā ʻo ka hoʻonui ʻana i kāu lāʻau lapaʻau hānō a puni kāu wā he koho paha nāu. ʻO ka nūhou maikaʻi e loaʻa nā koho. Ma ke kamaʻilio ʻana me kāu kauka, hiki iā ʻoe ke noʻonoʻo inā aia kekahi mau ala e hoʻomaikaʻi ai i kāu kaohi hānō a puni kāu wā a hoʻomaikaʻi i kou ola o ke ola.