He aha ka Pau ʻAna o ka ʻŌpū Ma mua o ka Manawa? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

Pau ʻana o ka ʻōpū ma mua o ka manawa ke hana nei i ka wā e pau ai ka hana maʻamau o kāu mau ʻōpū ma mua o 40 mau makahiki. ʻO ia hoʻi, e pau ana ka hoʻokuʻu mau ʻana i nā hua a hana i ka nui o ka estrogen ma mua o ka mea e pono ai no kekahi o kou mau makahiki.

E noʻonoʻo iā ia e like me kāu mau ʻōpū e komo ana i ka hoʻomaha mua i ka wā e pono ai lākou e hana mau ana. ʻOiai hiki i kēia ke manaʻo nui loa e aʻo ai, ʻo ka hoʻomaopopo ʻana i nā mea e hana nei i kou kino ka hana mua e loaʻa ai ka mālama kūpono a me ke kākoʻo āu e pono ai.

He aha ka pau ʻana o ka ʻōpū ma mua o ka manawa?

ʻO ka pau ʻana o ka ʻōpū ma mua o ka manawa, i kapa ʻia hoʻi ʻo ka nele o ka ʻōpū mua, ke hana nei i ka wā e pau ai ka hana kūpono o kāu mau ʻōpū ma mua o kou hiki ʻana i ka makahiki menopause maoli. E pau paha kāu mau ʻōpū i ka hoʻokuʻu ʻana i nā hua a i ʻole e hana pēlā me ka maʻamau ʻole, a e hana lākou i ka estrogen a me ka progesterone liʻiliʻi loa.

Hoʻopili kēia kūlana i kahi 1 i 100 mau wahine ma lalo o 40 mau makahiki a me 1 i 1,000 mau wahine ma lalo o 30 mau makahiki. ʻAʻole e like me ka menopause maoli e hana mālie ana i kāu mau 50s, hiki i ka pau ʻana o ka ʻōpū ma mua o ka manawa ke ulu koke a i ʻole ma nā mahina he nui.

ʻO ka huaʻōlelo “pau” paha e kani weliweli, akā he wehewehe wale ia pehea ʻaʻole e hana ana nā ʻōpū e like me ka mea i manaʻo ʻia. Hiki i kekahi mau wahine me kēia kūlana ke loaʻa mau nā manawa a i ʻole e hāpai keiki, ʻoiai ʻaʻole pinepine kēia.

He aha nā hōʻailona o ka pau ʻana o ka ʻōpū ma mua o ka manawa?

Hoʻohālikelike pinepine nā hōʻailona i nā mea o ka menopause maoli, akā e ʻike ʻia lākou i ka wā mua o ke ola. Hiki iā ʻoe ke ʻike i kēia mau loli e ulu ana ma nā pule a i ʻole nā mahina, a hiki ke ʻokoʻa loa lākou mai ke kanaka a i ke kanaka.

ʻO nā hōʻailona maʻamau e komo pū ana:

• Nā manawa maʻamau ʻole a i ʻole nā manawa i hala ʻole no nā mahina he nui
• Nā wela wela e hele koke mai ana
• Nā sweat o ka pō e hoʻopilikia i kou hiamoe
• Ka maloʻo o ka pepeiao wahine e hoʻolilo i ka pili aloha i mea ʻoluʻolu ʻole
• Ka paʻakikī e hoʻomaopopo a i ʻole ka ʻōlelo makapō
• Nā loli o ka manaʻo e komo pū ana ka huhū a i ʻole ka kaumaha
• Ka emi ʻana o ka makemake i ka moekolohe
• Nā maka maloʻo a i ʻole ka ʻili

Loaʻa nō hoʻi i kekahi mau wahine nā pilikia hiamoe, nā ʻeha o nā hono, a i ʻole nā loli i ko lākou lauoho. Hiki i kēia mau hōʻailona ke hoʻopilikia nui i kou ola i kēlā me kēia lā, akā loaʻa nā lapaʻau pono e kōkua iā ʻoe e like hou me ʻoe iho.

He aha nā kumu o ka pau ʻana o ka ʻōpū ma mua o ka manawa?

I nā hihia he nui, ʻaʻole hiki i nā kauka ke kuhikuhi pololei i ke kumu o ka ulu ʻana o ka pau ʻana o ka ʻōpū ma mua o ka manawa. Eia naʻe, hiki i kekahi mau mea ke hoʻonāukiuki i kēia kūlana, mai nā kumu genetic a hiki i nā lapaʻau lapaʻau.

ʻO nā kumu i ʻike ʻia pinepine e komo pū ana:

• Nā maʻi autoimmune kahi e hoʻouka ai kou ʻōnaehana pale i kāu mau ʻōpū me ka hewa
• Nā kūlana genetic e like me ka Turner syndrome a i ʻole ka Fragile X syndrome
• Ka chemotherapy a i ʻole ka radiation therapy no ka mālama ʻana i ka maʻi kanesa
• Ka wehe ʻana i nā ʻōpū ʻelua
• Kekahi mau maʻi viral, ʻoiai ʻaʻole pinepine kēia

ʻO nā kumu autoimmune ka mea e pili ana i kahi 20% o nā hihia a pinepine e hana pū me nā kūlana autoimmune ʻē aʻe e like me ka maʻi thyroid a i ʻole ka maʻi diabetes. Loaʻa kahi hana i nā mea genetic ma kahi o 10-15% o nā hihia, a hiki i kēia ke holo i nā ʻohana.

Hiki i nā mea ʻino o ke kaiapuni, ka pilikia nui, a i ʻole kekahi mau lāʻau lapaʻau ke hoʻopili i nā hihia kakaikahi, akā ke hoʻomau nei ka noiʻi. ʻO ka mea nui e hoʻomanaʻo ai ʻaʻole i hana ʻia kēia kūlana e kekahi mea āu i hana ai a i ʻole ʻaʻole i hana.

I ka wā e ʻike ai i ke kauka no ka pau ʻana o ka ʻōpū ma mua o ka manawa?

Pono ʻoe e hoʻonohonoho i kahi hālāwai me kāu mea mālama ola inā ua hala ʻoe i ʻekolu mau manawa a ʻoi aku paha ma ka lālani a ma lalo ʻoe o 40 mau makahiki. He mea nui ka loiloi mua no ka mea hiki i ka mālama koke ke kōkua i ka pale ʻana i kou olakino lōʻihi.

Mai kali inā ke ʻike nei ʻoe i nā hōʻailona he nui e like me nā wela wela, nā loli o ka manaʻo, a me nā manawa maʻamau ʻole i ka hui pū ʻana. Hoʻomaopopo pinepine kēia mau hui i nā loli hormonal e pōmaikaʻi mai ka nānā ʻana i ka lāʻau ma mua o ka hope.

Inā ke ho'āʻo nei ʻoe e hāpai keiki a ua holomua ʻole no ʻeono mahina ʻoiai he mau manawa maʻamau ʻole, pono kēia e kūkākūkā koke me kāu kauka. Hiki i ka manawa ke lilo i mea nui i ka ʻimi ʻana i kāu mau koho hāpai keiki.

He aha nā mea pilikia no ka pau ʻana o ka ʻōpū ma mua o ka manawa?

Hiki i kekahi mau mea ke hoʻonui i kou hiki ke loaʻa i kēia kūlana, ʻoiai ʻaʻole ʻo ka loaʻa ʻana o nā mea pilikia ke ʻano e loaʻa maoli iā ʻoe ka pau ʻana o ka ʻōpū ma mua o ka manawa. Hiki i ka hoʻomaopopo ʻana i kēia ke kōkua iā ʻoe e makaʻala i nā hōʻailona hiki.

ʻO nā mea pilikia nui e komo pū ana:

• Ka mōʻaukala ʻohana o ka menopause mua a i ʻole ka pau ʻana o ka ʻōpū ma mua o ka manawa
• Ka mālama ʻana i ka maʻi kanesa me ka chemotherapy a i ʻole ka radiation
• Nā maʻi autoimmune e like me ka rheumatoid arthritis a i ʻole nā maʻi thyroid
• Nā kūlana genetic e hoʻopilikia ana i ka chromosome X
• Ka ʻoki ʻana o ka ʻōpū ma mua a i ʻole nā cysts ʻōpū he nui
• Ka puhipaka, hiki ke hoʻokūkū i ka ʻelemakule o ka ʻōpū

He mea nui nō hoʻi ka makahiki, me ka hoʻonui ʻana o ka pilikia i kou hoʻokokoke ʻana i kāu mau 30s hope. Eia naʻe, hiki i kēia kūlana ke hoʻopili i nā wahine i ko lākou mau makahiki ʻōpio a me nā iwakāluakūmālima, ʻoiai ʻaʻole pinepine ia i kēia mau hui ʻōpio.

He aha nā pilikia hiki ke loaʻa i ka pau ʻana o ka ʻōpū ma mua o ka manawa?

Hiki i nā pae estrogen haʻahaʻa e pili ana i kēia kūlana ke alakaʻi i kekahi mau pilikia olakino ma hope o kekahi manawa. Eia naʻe, me ka mālama kūpono a me ka nānā ʻana, hiki iā ʻoe ke hoʻemi nui i kēia mau pilikia a mālama i ka olakino maikaʻi.

ʻO nā pilikia hiki ke komo pū ana:

• Osteoporosis a i ʻole nā iwi nāwaliwali ma muli o ka nele o ka estrogen
• Ka hoʻonui ʻana o ka pilikia o ka maʻi naʻau
• Ka nui o ka pilikia o ka kaumaha a i ʻole ka hopohopo
• Nā pilikia hāpai keiki a i ʻole ka nele o ka hāpai keiki
• Nā loli cognitive a i ʻole nā pilikia hoʻomanaʻo
• Ka hoʻonui ʻana o ka pilikia o kekahi mau kūlana autoimmune

Liʻiliʻi ka olakino o ka iwi i mea pilikia no ka mea kōkua ka estrogen i ka mālama ʻana i ka mānoanoa o ka iwi. Me ka nele o nā pae kūpono, hiki iā ʻoe ke loaʻa ka osteoporosis ma mua o ka mea i manaʻo ʻia, e hoʻonui ana i ka pilikia o ka haki.

ʻAʻole pono e hoʻohaʻahaʻa ʻia ka hopena manaʻo. He nui nā wahine e ʻike i ke kaumaha e pili ana i nā loli hāpai keiki a i ʻole e manaʻo i ka hoʻokaʻawale ʻia ma muli o ka loaʻa ʻana o nā hōʻailona menopausal mau makahiki ma mua o kā lākou mau hoa.

Pehea ka hōʻoia ʻana o ka pau ʻana o ka ʻōpū ma mua o ka manawa?

Hoʻokomo pinepine ka hōʻoia ʻana i nā hoʻokolohua koko e ana i kāu mau pae hormone, ʻo ia hoʻi ka FSH (follicle-stimulating hormone) a me ka estrogen. E hoʻokolohua paha kāu kauka i kēia mau pae ʻelua, ma kahi o hoʻokahi mahina ka mamao, e hōʻoia i nā hopena.

Hōʻike nā pae FSH kiʻekiʻe i hui pū ʻia me nā pae estrogen haʻahaʻa ʻaʻole e pane maʻamau kāu mau ʻōpū i nā hōʻailona hormonal mai kou lolo. ʻO nā pae FSH maʻamau ma lalo o 10, akā i ka pau ʻana o ka ʻōpū ma mua o ka manawa, pinepine lākou e piʻi ma luna o 25.

Hiki paha i kāu kauka ke nānā i nā kūlana ʻē aʻe e hiki ke hoʻokumu i nā hōʻailona like. Hiki ke komo pū me nā hoʻokolohua hana thyroid, ka loiloi chromosome, a i ʻole nā hoʻokolohua no nā mea hōʻailona autoimmune ma muli o kou kūlana kikoʻī.

I kekahi manawa, kōkua kahi ultrasound i ka loiloi ʻana i ke ʻano o kāu mau ʻōpū a helu i nā follicles i koe e loaʻa ana i nā hua. Kōkua kēia ʻike i kāu kauka e hoʻomaopopo i ka nui o ka hana ʻōpū i koe a hoʻolālā i ka mālama kūpono.

He aha ka mālama ʻana no ka pau ʻana o ka ʻōpū ma mua o ka manawa?

Hoʻokumu ka hormone replacement therapy i ke kumu o ka mālama ʻana no ka hapa nui o nā wahine me kēia kūlana. Kōkua kēia mālama e hoʻololi i ka estrogen a me ka progesterone ʻaʻole i hana pono kāu mau ʻōpū.

ʻO nā ala mālama maʻamau e komo pū ana:

• Ka estrogen a me ka progesterone replacement therapy
• Nā mea hoʻohui calcium a me ka vitamin D no ka olakino o ka iwi
• Ka nānā mau ʻana i ka mānoanoa o ka iwi
• Nā mālama hāpai keiki inā makemake ʻia ka hāpai keiki
• Nā hui kōkua a i ʻole nā hui kākoʻo no ka maikaʻi o ka manaʻo

E hana pū kāu kauka me ʻoe e loaʻa ai ka hui hormone kūpono a me ka dosage. Hiki ke komo pū me nā papa, nā pā, nā gels, a i ʻole nā ​​ala hoʻouna ʻē aʻe ma muli o kāu mau makemake a me ka mōʻaukala lapaʻau.

No nā wahine e manaʻo ana e hāpai keiki, hiki i nā mālama hāpai keiki e like me ka hāʻawi ʻana i nā hua a i ʻole nā ​​mālama hoʻokolohua ke lilo i mau koho e kūkākūkā me kahi loea hāpai keiki. ʻOiai he mea kakaikahi ka hāpai keiki me kāu mau hua ponoʻī, ʻaʻole hiki ʻole ia i nā hihia a pau.

Pehea e mālama ai i ka pau ʻana o ka ʻōpū ma mua o ka manawa ma ka home?

Hiki i nā hoʻololi ʻano ola ke hoʻomaikaʻi nui i kou manaʻo a kākoʻo i kou olakino holoʻokoʻa ʻoiai e mālama ana i kēia kūlana. Hoʻokumu pinepine nā loli liʻiliʻi a mau i kahi ʻokoʻa nui i kou ʻoluʻolu i kēlā me kēia lā a me ka maikaʻi lōʻihi.

ʻO nā hoʻolālā mālama home kōkua e komo pū ana:

• Ka hoʻoikaika mau ʻana i ke kaumaha e kākoʻo i ka olakino o ka iwi
• Ka ʻai ʻana i nā meaʻai momona calcium e like me ka waiū, nā lau ʻōmaʻomaʻo, a me nā meaʻai i hoʻoikaika ʻia
• Ke pale ʻana i ka puhipaka a me ka palena ʻana i ka inu ʻawaʻawa
• Ka mālama ʻana i ke kaumaha ma o nā ʻano hoʻomaha a i ʻole nā ​​hobbies āu e leʻaleʻa ai
• Ke mālama ʻana i kahi puke hōʻailona e hahai i nā ʻano a me nā mea hoʻonāukiuki
• Ke mālama ʻana i ka anu i nā wela wela me nā pā, nā mea inu anu, a i ʻole nā ​​ʻaʻahu māmā

E noʻonoʻo e komo i nā kaiāulu pūnaewele a i ʻole nā ​​hui kākoʻo kūloko kahi e hiki ai iā ʻoe ke pili me nā wahine ʻē aʻe e kū nei i nā ʻike like. Hiki i ka kaʻana like ʻana i nā hoʻolālā a me ke kākoʻo manaʻo ke lilo i mea waiwai loa i kēia huakaʻi.

Liʻiliʻi ka mālama hiamoe maikaʻi no ka mea hiki i nā sweat o ka pō a me nā loli hormonal ke hoʻopilikia i ka hoʻomaha. E mālama i kou lumi moe i ka anu, e komo i nā lole hanu, a e hoʻokumu i nā hana moe mālie.

Pehea ʻoe e hoʻomākaukau ai no kāu hālāwai kauka?

E hele mākaukau me ka mōʻaukala menstrual kikoʻī, e komo pū ana i ka wā i hoʻomaka ai kāu mau manawa e lilo i mea maʻamau ʻole a me nā ʻano āu i ʻike ai. Kōkua kēia ʻike i kāu kauka e hoʻomaopopo piha i kou kūlana.

E lawe mai i kahi papa inoa o nā lāʻau lapaʻau a pau, nā mea hoʻohui, a me nā mōʻaukala ʻohana o ka menopause mua a i ʻole nā ​​kūlana autoimmune. E hoʻomaopopo pū i nā hōʻailona āu i ʻike ai, ʻoiai inā ʻano pili ʻole lākou i kāu mau manawa.

E kākau i nā nīnau ma mua i ʻole ʻoe e poina i nā manaʻo nui i ka wā o ka hālāwai. E noʻonoʻo e nīnau e pili ana i nā koho mālama, nā hopena olakino lōʻihi, a me ka mālama ʻana i ka hāpai keiki inā pili kēlā iā ʻoe.

Inā hiki, e lawe mai i kahi hoaaloha a i ʻole ʻohana hilinaʻi no ke kākoʻo a e kōkua i ka hoʻomanaʻo ʻana i ka ʻike i kūkākūkā ʻia i ka wā o ka kipa. Hiki i nā hālāwai lapaʻau ke manaʻo nui, ʻoi aku hoʻi i ka wā e hoʻomaʻamaʻa ana i nā nūhou olakino nui.

He aha ka mea nui e lawe ai e pili ana i ka pau ʻana o ka ʻōpū ma mua o ka manawa?

ʻO ka pau ʻana o ka ʻōpū ma mua o ka manawa he kūlana hiki ke mālama ʻia, ʻoiai he mea hoʻololi ola, ʻaʻole pono e kaupalena i kou hiki ke ola i kahi ola piha a olakino. Me ka mālama kūpono a me ka nānā ʻana, hiki iā ʻoe ke hoʻokele pono i nā hōʻailona a pale i kou olakino lōʻihi.

ʻO ka hana nui loa ka hana pili kokoke me kāu hui mālama ola e hoʻomohala i kahi hoʻolālā mālama e hoʻoponopono i kāu mau pono a me nā pahuhopu pilikino. Inā komo pū ka hormone therapy, nā mālama hāpai keiki, a i ʻole nā ​​ala ʻē aʻe, loaʻa nā koho e kōkua iā ʻoe e ʻike maikaʻi.

E hoʻomanaʻo ʻaʻole kēia hōʻailona e hoʻomaopopo iā ʻoe, a ʻaʻole ʻoe wale nō i kēia huakaʻi. He nui nā wahine e hoʻokele pono i kēia kūlana ʻoiai e mālama ana i nā ola hana a me nā ola piha me ke kākoʻo a me ka mālama kūpono.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka pau ʻana o ka ʻōpū ma mua o ka manawa

Hiki iaʻu ke hāpai keiki me ka pau ʻana o ka ʻōpū ma mua o ka manawa?

ʻOiai he mea kakaikahi ka hāpai keiki me kāu mau hua ponoʻī, hiki ke hana i kekahi manawa. Ma kahi o 5-10% o nā wahine me kēia kūlana hiki ke hāpai keiki maoli, ʻoiai he mea hiki ʻole ke wānana. Hāʻawi nā mālama hāpai keiki e like me ka hāʻawi ʻana i nā hua i nā ala hilinaʻi hou aku i ka hāpai keiki inā he mea nui iā ʻoe ke kūkulu ʻana i kahi ʻohana.

E hoʻonui anei ka hormone therapy i ka pilikia o ka maʻi kanesa?

No nā wahine me ka pau ʻana o ka ʻōpū ma mua o ka manawa, hoʻokokoke pinepine ka hormone therapy i ke kino i nā pae hormone maʻamau ma mua o ka ʻoi aku. Hōʻike ka hapa nui o nā noiʻi i nā pōmaikaʻi ma mua o nā pilikia no nā wahine ma lalo o 50, akā e kūkākūkā i kāu mau mea pilikia pilikino me kāu kauka e hana i kahi hoʻoholo ʻike.

Ua like anei ka pau ʻana o ka ʻōpū ma mua o ka manawa me ka menopause mua?

Hoʻohana pinepine ʻia kēia mau huaʻōlelo i ka hoʻololi ʻana, akā aia nā ʻokoʻa iki. Hiki i ka pau ʻana o ka ʻōpū ma mua o ka manawa ke hoʻihoʻi ʻia a i ʻole intermittent, ʻoiai ʻo ka menopause he mau loa. Eia naʻe, komo pū nā mea ʻelua i ka emi ʻana o ka hana ʻōpū ma mua o 40 mau makahiki a pono i nā ala mālama like.

Pehea ka lōʻihi e pono ai iaʻu ka hormone replacement therapy?

Manaʻo pinepine nā kauka e hoʻomau i ka hormone therapy a hiki i kahi o 50-52 mau makahiki, ʻo ia ka wā e hana pinepine ai ka menopause maoli. Kōkua kēia i ka pale ʻana i kāu mau iwi, naʻau, a me kou olakino holoʻokoʻa i nā makahiki kahi e hana maoli ai kou kino i kēia mau hormones.

Hiki anei i kēia kūlana ke holo i koʻu ʻohana?

Hiki ke loaʻa kahi ʻāpana genetic, ʻoi aku hoʻi inā he nui nā lālā ʻohana i ʻike i ka menopause mua. Inā loaʻa iā ʻoe nā kaikamahine a i ʻole nā ​​kaikuaʻana wahine, hiki iā lākou ke pōmaikaʻi mai ka ʻike ʻana i kāu hōʻailona i hiki iā lākou ke kūkākūkā i nā koho nānā me kā lākou mau kauka, ʻoiai ʻaʻole ia e hōʻoia e loaʻa iā lākou ka kūlana.