He aha nā ʻewalu ʻano o ka menstruation maʻamau ʻole?

ʻO ka menstruation ʻano ʻole, ʻo ia kekahi loli mai ke kaʻina menstrual maʻamau. Hoʻopili kēia i ka manawa kūpono ʻole, kahe nui, a i ʻole nā ​​manawa i hala. He nui ka poʻe e ʻike i kēia, a hōʻike nā noiʻi he nui nā wāhine e kū i kekahi ʻano o ka pilikia menstrual i ko lākou mau makahiki hānau. He mea nui ka hoʻomaopopo ʻana i ka menstruation ʻano ʻole no kekahi mau kumu.

ʻO ka mea mua, hiki iā ia ke hōʻailona o nā pilikia olakino. Hōʻike pinepine nā kaʻina maʻamau i ka olakino hānau maikaʻi, ʻoiai nā loli paha e kuhikuhi i nā pilikia e like me nā pilikia hormone a i ʻole nā ​​kūlana koʻikoʻi hou aku. ʻO ka lua, ʻo ka ʻike e pili ana i nā ʻano like ʻole o ka menstruation ʻano ʻole—e like me nā manawa i hala (amenorrhea), nā manawa pinepine ʻole (oligomenorrhea), nā manawa ʻeha (dysmenorrhea), nā manawa kaumaha (menorrhagia), ka koko i manaʻo ʻole ʻia (metrorrhagia), nā manawa pinepine (polymenorrhea), ka koko ma hope o ka menopause, a me ka premenstrual syndrome (PMS)—e kōkua i nā kānaka e ʻike maikaʻi i kā lākou mau hōʻailona.

1. Amenorrhea

ʻO ka Amenorrhea ka nele o ka menstruation, a hiki ke hoʻokaʻawale ʻia i ʻelua ʻano:

1. Amenorrhea mua: Ke kuhikuhi nei kēia i ke kūlana kahi ʻaʻohe kaikamahine i loaʻa kona manawa mua ma mua o 16 mau makahiki. Hiki paha ia ma muli o nā pilikia hormone, nā kumu genetic, a i ʻole nā ​​ʻano ʻano ʻole i loko o ka ʻōnaehana hānau.

2. Amenorrhea lua: ʻO kēia ke ʻano maʻamau a loaʻa i ka wā e hoʻōki ai ka wahine i loaʻa i nā manawa maʻamau i ka menstruation no ʻekolu mahina a ʻoi aku paha. Hiki ke hana ʻia e nā kumu e like me ke kaumaha, ka hoʻoikaika nui, ka emi nui a i ʻole ka loaʻa ʻana o ke kaumaha, nā pilikia hormone (e like me nā pilikia thyroid a i ʻole ka polycystic ovary syndrome), a i ʻole nā ​​kumu nohona.

Hiki i ke kūlana ke alakaʻi i nā pilikia hānau a hiki ke hōʻailona i nā pilikia olakino i hūnā ʻia. Hoʻoholo ʻia ka mālama ʻana ma ke kumu kumu a hiki ke hoʻopili i ka lāʻau hormone, nā loli nohona, a i ʻole ka hoʻoponopono ʻana i nā kūlana lapaʻau. He mea nui ia no nā kānaka e ʻike ana i ka amenorrhea e nīnau i kahi mea lawelawe olakino no ka ʻike kūpono a me ka hoʻokele.

2. Oligomenorrhea

Oligomenorrhea ke kuhikuhi nei i ka menstruation pinepine ʻole a i ʻole kūpono ʻole, kahi e hana ai nā kaʻina menstrual ma mua o 35 mau lā ma kahi akā emi iho i ʻeono mahina. Hiki i nā wāhine me ka oligomenorrhea ke loaʻa i ka emi iho o ʻeiwa mau manawa i ka makahiki, me nā kaʻina e loli ana i ka lōʻihi.

Hiki ke hana ʻia ke kūlana e nā kumu like ʻole, me nā pilikia hormone, ke kaumaha, ka hoʻoikaika nui, ka polycystic ovary syndrome (PCOS), ka hana ʻole o ka thyroid, a i ʻole nā ​​loli kaumaha nui. Hiki i ka Oligomenorrhea ke hoʻopilikia i ka hānau, ʻoiai nā kaʻina kūpono ʻole paha e hoʻopilikia i ka ovulation.

Hoʻoholo ʻia ka mālama ʻana ma ke kumu kumu a hiki ke hoʻopili i nā hoʻololi nohona, nā lāʻau hormone, a i ʻole ka hoʻokele ʻana i nā kūlana e like me PCOS. He mea nui ia e ʻimi i ka ʻōlelo aʻoaʻo lapaʻau no ka ʻike kūpono a me ka mālama.

3. Dysmenorrhea

Dysmenorrhea ke kuhikuhi nei i ka menstruation ʻeha, maʻamau i hōʻike ʻia e nā cramps i ka ʻōpū haʻahaʻa a i ʻole ka pelvis i ka wā o ka menstruation. Aia ʻelua ʻano:

1. Dysmenorrhea mua: Hana ʻia kēia ʻano me ka ʻole o kahi kūlana lapaʻau i hūnā ʻia a ʻo ia ke ʻano maʻamau o ka ʻeha menstrual. Hoʻomaka pinepine ia i loko o kekahi mau hola o ka hoʻomaka ʻana o ka manawa a hiki ke lōʻihi mai 1 a 3 mau lā. Hana ʻia ka ʻeha e ka hoʻokuʻu ʻana o nā prostaglandins, kahi e hoʻonāukiuki ai i nā contractions uterine.

2. Dysmenorrhea lua: Hana ʻia kēia ʻano e kahi kūlana i hūnā ʻia, e like me ka endometriosis, fibroids, a i ʻole ka maʻi inflammatory pelvic. Hoʻomaka pinepine ka ʻeha i ka wā mua o ke kaʻina a hiki ke ikaika a lōʻihi hoʻi.

Hoʻopili nā koho mālama no ka dysmenorrhea i nā mea hoʻoemi ʻeha ma luna o ka counter, ka manaʻo hānau hormone, a i ʻole, i ka hihia o ka dysmenorrhea lua, ka hoʻoponopono ʻana i ke kūlana i hūnā ʻia. Inā koʻikoʻi a mau loa ka ʻeha, ua ʻōlelo ʻia e nīnau i kahi mea lawelawe olakino.

4. Menorrhagia

Menorrhagia ka huaʻōlelo no ka koko menstrual kaumaha a lōʻihi paha, kahi e lōʻihi ana ma mua o 7 mau lā a i ʻole e komo pū ana i ka nalowale koko nui (ma mua o 80 milliliters i kēlā me kēia kaʻina). Hiki i kēia kūlana ke hoʻopilikia i nā hana o kēlā me kēia lā a hiki ke alakaʻi i nā hōʻailona e like me ka luhi, ka anemia, a me ka ʻeha ʻōpū haʻahaʻa.

ʻO nā kumu maʻamau o ka menorrhagia e komo pū ana i nā pilikia hormone, fibroids, polyps, endometriosis, a i ʻole kekahi mau kūlana lapaʻau e like me nā maʻi thyroid a i ʻole nā ​​pilikia clotting koko. I kekahi mau hihia, hiki ke waiho ʻia ke kumu me ka wehewehe ʻole.

Hoʻololi nā koho mālama ma muli o ke kumu kumu a hiki ke hoʻopili i nā lāʻau (e like me ka lāʻau hormone a i ʻole ka tranexamic acid), nā kaʻina hana liʻiliʻi (e like me ka endometrial ablation), a i ʻole ka ʻoki kino (e like me ka hysterectomy) no nā hihia koʻikoʻi loa. He mea nui ia e nīnau i kahi mea lawelawe olakino no ka ʻike kūpono a me ka hoʻokele.

5. Metrorrhagia

Metrorrhagia ke kuhikuhi nei i ke koko ma waena o nā manawa menstrual, pinepine e hana ana i nā manawa kūpono ʻole. Eia kekahi mau kiko nui:

• Nā hōʻailona: Ke koko māmā a waena paha a i ʻole ka spotting ma waena o nā manawa.

• Nā kumu maʻamau:

  • Nā pilikia hormone (e.g., PCOS, ka hoʻohana ʻana i ka contraceptive)

  • Fibroids uterine a i ʻole polyps

  • Endometrial hyperplasia a i ʻole nā ​​maʻi

  • Ke kaumaha a i ʻole nā ​​hoʻololi nohona

• Nā kumu koʻikoʻi hiki:

  • Endometrial a i ʻole cervical cancer

  • Nā ʻano ʻano ʻole uterine a i ʻole nā ​​pilikia kūkulu

• Nā koho mālama:

  • Lāʻau hormone (nā pīni manaʻo hānau, IUDs)

  • Nā lāʻau e kaohi i ke koko

  • Nā koho ʻoki kino no nā pilikia kūkulu (e.g., ka wehe ʻana i ka polyp, endometrial ablation)

Inā ʻike ʻia ke koko i wehewehe ʻole ʻia, he mea nui ia e nīnau i kahi mea lawelawe olakino no ka ʻike kūpono a me ka hoʻokele.

6. Polymenorrhea

Ke kuhikuhi nei ka Polymenorrhea i nā kaʻina menstrual pinepine, kahi e hana ai nā manawa i nā manawa emi iho o 21 mau lā. Hoʻopuka kēia kūlana i ke koko pinepine a hiki ke alakaʻi i ka ʻoluʻolu ʻole a me ka hoʻopilikia ʻana i ke ola o kēlā me kēia lā. Hiki i nā wāhine e ʻike ana i ka polymenorrhea ke loaʻa nā kaʻina pōkole, ke koko kaumaha, a i ʻole nā ​​ʻelua, kahi hiki ke hana i ka pilikia kino a me ka manaʻo nui.

ʻO nā kumu maʻamau o ka polymenorrhea e komo pū ana i nā pilikia hormone, e like me nā hoʻopilikia i nā pae estrogen a me progesterone, ka polycystic ovary syndrome (PCOS), nā maʻi thyroid, a me nā pae kiʻekiʻe o ke kaumaha. Hiki i nā pilikia uterine e like me nā fibroids a i ʻole ka endometrial hyperplasia ke hāʻawi pū i nā manawa pinepine. Hoʻomaʻamaʻa pinepine ka mālama ʻana i ka hoʻoponopono ʻana i ke kumu kumu, a hiki i nā koho ke hoʻopili i nā lāʻau hormone e like me nā pīni manaʻo hānau a i ʻole IUDs, nā lāʻau e like me ka progestin, a i kekahi manawa nā hana ʻoki kino no nā pilikia kūkulu.

7. Ke koko ma hope o ka menopause

Ke koko ma hope o ka menopause ke kuhikuhi nei i kekahi koko vaginal e hana ana ma hope o ka hele ʻana o ka wahine i ka menopause, kahi i hoʻomaopopo ʻia he 12 mau mahina mau me ka ʻole o ka manawa menstrual. ʻAʻole manaʻo ʻia ka koko ma hope o ka menopause he mea maʻamau a pono e noiʻi mau ʻia e kahi mea lawelawe olakino.

Nā kumu maʻamau:

• Nā pilikia hormone: Hiki i nā pae estrogen haʻahaʻa ke alakaʻi i ka lahilahi ʻana o ka laina vaginal, e hana ana i ka spotting a i ʻole ke koko.

• Endometrial atrophy: Ka lahilahi ʻana o ka laina uterine, kahi hiki ke hana i ke koko māmā a i ʻole ka spotting.

• Endometrial hyperplasia: Ka mānoanoa ʻana o ka laina uterine, pinepine ma muli o nā pilikia hormone.

• Fibroids uterine a i ʻole polyps: nā ulu ʻaʻole kanesa i loko o ka uterus e hiki ke alakaʻi i ke koko.

• Cervical a i ʻole endometrial cancer: Hiki i ke koko ma hope o ka menopause ke hōʻailona o ka maʻi uterine a i ʻole cervical, ʻoiai ʻaʻole ia he mea pili i ka maʻi mau.

Nā koho mālama:

• Lāʻau hormone: lāʻau estrogen e kōkua i ka hoʻoponopono ʻana i ka laina uterine.

• D&C (Dilation and Curettage): Kahi hana ʻoki kino e wehe ai i ka ʻiʻo ʻano ʻole mai ka uterus.

• Hysteroscopy: Kahi hana e nānā ai i loko o ka uterus a wehe i nā polyps a i ʻole nā ​​fibroids.

• Nā lāʻau: Lāʻau progestin e mālama ai i ka endometrial hyperplasia.

Pono e loiloi mau ʻia ke koko ma hope o ka menopause e kahi mea lawelawe olakino e kāpae i nā kūlana koʻikoʻi, me ka maʻi kanesa. He mea nui ka ʻike mua a me ka mālama ʻana no ka hoʻokele maikaʻi.

8. Premenstrual Syndrome (PMS)

ʻO ka premenstrual syndrome (PMS) kahi hōʻiliʻili o nā hōʻailona kino, manaʻo, a me ka hana e hana ana i nā pule ʻelua e alakaʻi ana i ka manawa menstrual o ka wahine. Hiki i kēia mau hōʻailona ke loli nui i ka koʻikoʻi a komo pū me ka bloating, ka palupalu o ka umauma, ka luhi, nā headaches, nā loli manaʻo, ka huhū, a me nā loli i nā ʻano ʻai a i ʻole nā ​​ʻano hiamoe. No nā wāhine he nui, hiki i ka PMS ke hoʻopilikia i nā hana o kēlā me kēia lā, e hoʻopilikia ana i ko lākou ola pilikino a me ka ʻoihana.

ʻAʻole maopopo loa ke kumu o ka PMS, akā manaʻo ʻia e pili ana i nā loli hormonal, ʻoi aku ka loli i nā pae estrogen a me progesterone i ka wā o ke kaʻina menstrual. Hiki i nā kumu hoʻohui ʻē aʻe ke komo pū me ke kaumaha, ka ʻai maikaʻi ʻole, ka nele o ka hoʻoikaika kino, a me ka mōʻaukala ʻohana o ka PMS a i ʻole nā ​​maʻi manaʻo pili. ʻOiai he nui nā wāhine e ʻike i nā hōʻailona māmā, hiki i ka PMS koʻikoʻi ke hoʻopilikia nui i ko lākou ola.

Hoʻopili pinepine ka mālama ʻana i nā loli nohona, ka hoʻokele kaumaha, nā lāʻau e like me nā mea hoʻoemi ʻeha, ka manaʻo hānau hormone, a i ʻole nā ​​antidepressants no nā hōʻailona manaʻo, a me nā mea hoʻohui meaʻai e like me ka calcium a i ʻole ka magnesium e kōkua i ka hoʻoemi ʻana i nā hōʻailona.

Nā ʻike nui

• Hiki i ka menstruation ʻano ʻole ke hōʻailona i nā pilikia olakino: Hiki i nā loli e like me nā manawa i hala, kahe nui, a i ʻole nā ​​kaʻina kūpono ʻole ke hōʻike i nā pilikia hormone a i ʻole nā ​​kūlana lapaʻau ʻē aʻe e like me PCOS, nā maʻi thyroid, a i ʻole ka maʻi kanesa.

• He mea nui ka nīnau lapaʻau i ka manawa kūpono: Hiki i ka ʻike mua ʻana i nā hōʻailona o ka menstruation ʻano ʻole ke alakaʻi i ka hoʻokele maikaʻi, ka ʻike mua, a me nā koho mālama maikaʻi loa.

• Hoʻololi ka mālama ʻana ma muli o ke kumu: Ma muli o ka pilikia i hūnā ʻia, hoʻololi nā mālama mai nā loli nohona a me ka lāʻau hormone i nā hana ʻoki kino.

FAQs

1. He aha ka PMS?
   Ke kuhikuhi nei ka PMS (Premenstrual Syndrome) i ka hui pū ʻana o nā hōʻailona kino, manaʻo, a me ka hana e hana ana ma mua o ka manawa menstrual o ka wahine.

2. He aha ke kumu o ka PMS?
   Manaʻo ʻia ua hana ʻia ka PMS e nā loli hormonal, ke kaumaha, ka ʻai maikaʻi ʻole, ka nele o ka hoʻoikaika kino, a me ka mōʻaukala ʻohana o nā hōʻailona like.

3. Pehea e mālama ai i ka PMS?
   Hiki ke hoʻokele ʻia ka PMS ma o nā loli nohona, ka hoʻokele kaumaha, nā mea hoʻoemi ʻeha ma luna o ka counter, nā lāʻau hormone, a me nā mea hoʻohui meaʻai e like me ka calcium a me ka magnesium. Ke alakaʻi nei ka ʻike mua a me ka nīnau lapaʻau i ka ʻike maikaʻi a me ka mālama.