He aha ka Atrophy Vaginal? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

ʻO ka atrophy vaginal ka liʻiliʻi ʻana, ka maloʻo ʻana, a me ka emi ʻana o ka elasticity o nā paia vaginal ma muli o ka emi ʻana o ka nui o ka estrogen. He maʻi maʻamau kēia e pili ana i nā wahine he nui, ʻoi aku hoʻi i ka wā a ma hope o ka menopause, akā hiki ke mālama ʻia a ʻaʻohe mea e hilahila ai.

E noʻonoʻo i ka estrogen e like me ka hoaaloha maikaʻi loa o kou ʻiʻo vaginal. I ka wā e emi ai ka nui o ka estrogen, e nalowale nā ʻiʻo palupalu i ko lākou wai kūlohelohe a me ka flexibility, e like me ka maloʻo ʻana o ka ʻili me ka makahiki. ʻAʻole kēia he hōʻailona o kahi hewa iā ʻoe—ʻo ia wale nō kou kino e pane ana i nā loli hormonal.

He aha nā hōʻailona o ka atrophy vaginal?

E ulu mālie nā hōʻailona o ka atrophy vaginal a hiki ke ʻokoʻa mai ke kanaka a ke kanaka. Hiki iā ʻoe ke ʻike i kekahi mau loli ma mua o nā mea ʻē aʻe, a he mea maʻamau loa kēlā.

Eia nā hōʻailona maʻamau loa āu e ʻike ai:

• Ka maloʻo ʻana o ka vagina e manaʻo ʻia he ʻoluʻolu ʻole a mau loa
• Ka puhi ʻana a i ʻole ka ʻā ʻana i ka wahi vaginal
• Ka ʻeha a i ʻole ka ʻoluʻolu ʻole i ka wā o ka moekolohe
• Ke kahe iki ʻana o ke koko ma hope o ka moekolohe
• Ka ʻili ʻana a i ʻole ka huhū ʻana a puni ka puka vaginal
• Ke manaʻo nei ʻoe e pono e mimi pinepine
• Ka puhi ʻana i ka wā e mimi ai
• Nā maʻi urinary tract e hoʻi hou ana

E ʻike pū kekahi mau wahine i ka paʻa a i ʻole ka liʻiliʻi o ko lākou puka vaginal ma mua. Hiki ke emi nui ka wai vaginal, a hiki ke ʻike ʻia ka ʻiʻo he palupalu a liʻiliʻi paha. E hana kēia mau loli no ka mea e nalowale ana nā paia vaginal i ko lākou mānoanoa a me ka elasticity kūlohelohe.

He mea kūpono ke hoʻomaopopo ʻia e hiki i nā hōʻailona ke hele mai ka palupalu a i ʻoi aku ka pilikia. ʻAʻole pono ʻoe e ʻike i kēia mau hōʻailona a pau e loaʻa ai ka atrophy vaginal, a ʻo ka loaʻa ʻana o hoʻokahi a ʻelua paha he mea kūpono nō e kūkākūkā me kāu mea mālama ola.

He aha nā kumu o ka atrophy vaginal?

E hana ʻia ka atrophy vaginal ma muli o ka emi ʻana o ka nui o ka estrogen i loko o kou kino. ʻO ka estrogen ka hormone e mālama i kou ʻiʻo vaginal i ke olakino, ka pulu, a me ka flexibility.

ʻO ke kumu maʻamau loa ka menopause, inā kūlohelohe a i ʻole i lawe ʻia mai e nā lāʻau lapaʻau. I kēia manawa hoʻololi, e hana mālie ana kāu ovaries i ka estrogen emi, e alakaʻi ana i nā loli ʻiʻo āu e ʻike ai.

Eia nā kūlana nui e hiki ke hoʻoulu i ka atrophy vaginal:

• Menopause kūlohelohe (maʻamau i ka wā 40 a 50 mau makahiki)
• Ka wehe ʻana o nā ovaries ʻelua ma ka ʻoki
• Ka chemotherapy a i ʻole ka radiation therapy no ka mālama ʻana i ka maʻi kanesa
• Kekahi mau lāʻau lapaʻau e pale ai i ka hana ʻana o ka estrogen
• Ka hānai ʻana i ka umauma (ma muli o ka emi ʻana o ka estrogen i ka manawa pōkole)
• Kekahi mau ʻano o ka birth control hormonal
• Nā lāʻau anti-estrogen no ka maʻi kanesa o ka umauma

ʻAʻole pinepine, hiki i kekahi mau maʻi autoimmune a i ʻole nā kumu genetic ke hoʻopilikia i ka nui o ka estrogen. Hiki i kekahi mau wahine ke ʻike i ka atrophy vaginal inā loaʻa iā lākou ka premature ovarian failure, kahi e pau ai ka hana ʻana o nā ovaries ma mua o 40 mau makahiki.

Hiki ke ʻokoʻa loa ka manawa a me ka nui o nā hōʻailona ma waena o nā wahine. E ʻike kekahi i nā loli i loko o nā mahina o ka komo ʻana i ka menopause, ʻoiai ʻaʻole e ʻike kekahi i nā hōʻailona nui no nā makahiki.

I ka wā e ʻike ai i ke kauka no ka atrophy vaginal?

Pono ʻoe e noʻonoʻo e ʻike i kāu mea mālama ola inā e hoʻopilikia ana nā hōʻailona vaginal i kou ʻoluʻolu a i ʻole kou ola maikaʻi. ʻAʻohe pono e ʻeha i ka noho mālie a i ʻole e hilahila e kūkākūkā i kēia mau hopohopo.

He mea nui loa ia e hoʻonohonoho i kahi ʻaha kūkā inā e ʻike ʻoe i ka moekolohe ʻeha e hoʻomaikaʻi ʻole ʻia me nā lubricants over-the-counter. Hiki i kāu kauka ke kōkua i ka hoʻoholo ʻana i ke ala mālama maikaʻi loa no kāu kūlana kikoʻī.

E ʻimi koke i ka mālama lapaʻau inā ʻike ʻoe:

• Ke kahe ʻana o ke koko vaginal maʻamau ʻole, ʻoi aku hoʻi ma hope o ka menopause
• Ka ʻeha a i ʻole ka kaomi pelvic mau
• Nā maʻi urinary tract pinepine
• Ka puhi ʻana a i ʻole ka ʻeha nui e hoʻopilikia ana i nā hana o kēlā me kēia lā
• Kekahi wai vaginal me ka ʻala ikaika a i ʻole ke kala maʻamau ʻole

E hoʻomanaʻo, he kūlana lapaʻau ka atrophy vaginal me nā lāʻau lapaʻau maikaʻi e loaʻa ana. Ua ʻike kāu mea mālama ola i kēia mau manawa he nui ma mua a hiki ke hāʻawi i nā hopena i kūpono i kou mau pono a me kou makemake.

He aha nā mea pilikia no ka atrophy vaginal?

ʻOiai ʻaʻole weliweli ka atrophy vaginal iho, hiki i ka waiho ʻana i ka mālama ʻole ʻia ke alakaʻi i nā pilikia e hoʻopilikia ana i kou ʻoluʻolu a me kou olakino holoʻokoʻa. ʻO ka ʻoiaʻiʻo maikaʻi, ʻo ka hapa nui o nā pilikia hiki ke pale ʻia me ka mālama kūpono.

ʻO nā pilikia maʻamau loa e pili ana i kou olakino urinary a me ka moekolohe. I ka wā e liʻiliʻi a maloʻo loa ai nā ʻiʻo vaginal, ʻoi aku ka maʻalahi o ka hōʻeha a me ka maʻi.

Eia nā pilikia āu e pono ai ke makaʻala:

• Nā maʻi urinary tract e hoʻi hou ana ma muli o nā loli i ke kaiapuni vaginal
• Ka hoʻonui ʻia o ka pilikia o nā maʻi vaginal
• Ka moekolohe ʻeha e hiki ke ʻoi aku ka ʻino ma mua o ka manawa
• Nā ʻoki liʻiliʻi a i ʻole ke kahe ʻana o ke koko i ka wā o ka moekolohe
• Vaginal stenosis (ka hoʻonui ʻia o ka canal vaginal)
• Ka emi ʻana o ka leʻaleʻa moekolohe a me nā pilikia pili
• Urinary incontinence a i ʻole ka hoʻonui ʻia o ka urgency

I nā hihia kakaikahi, hiki i ka atrophy vaginal nui ke alakaʻi i ka hoʻonui nui ʻana o ka puka vaginal, e hana ai i nā hoʻokolohua gynecological a i ʻole ka moekolohe he mea paʻakikī loa a i ʻole hiki ʻole. ʻO ia ke kumu e pono ai ka mālama mua.

ʻAʻole pono e nānā ʻia ka hopena emotional. He nui nā wahine e ʻike i ka emi ʻana o ka hilinaʻi a i ʻole ka hopohopo e pili ana i ka pili inā e pili ana i ka atrophy vaginal i mālama ʻole ʻia. ʻO ka hoʻoponopono ʻana i nā hōʻailona kino e kōkua pinepine i ka hoʻomaikaʻi ʻana i ka olakino emotional pū kekahi.

Pehea ka hōʻoia ʻana o ka atrophy vaginal?

ʻO ka hōʻoia ʻana i ka atrophy vaginal e pili ana i kahi hoʻokolohua pololei a me ka kūkākūkā ʻana me kāu mea mālama ola. ʻO ka hana maʻamau he wikiwiki a ʻaʻole ʻoluʻolu ʻole ke hana ʻia e kahi loea akamai.

E hoʻomaka kāu kauka ma ka nīnau ʻana e pili ana i kāu mau hōʻailona, mōʻaukala lapaʻau, a me nā lāʻau āu e lawe nei. E kōkua kēia kamaʻilio iā lākou e hoʻomaopopo i kāu kūlana kikoʻī a kāpae i nā kumu ʻē aʻe.

ʻO ka hana hōʻoia maʻamau e komo pū ana:

• Kahi hoʻokolohua pelvic e loiloi i ka mānoanoa a me ka pulu o ka ʻiʻo vaginal
• Ke nānā nei i ka pae pH o kāu mau wai vaginal
• Ke nānā nei i kahi laʻana o nā cell vaginal ma lalo o ka microscope
• Nā hoʻokolohua koko e nānā i ka nui o ka hormone inā pono
• Nā hoʻokolohua mimi inā loaʻa iā ʻoe nā hōʻailona urinary

I ka wā o ka hoʻokolohua pelvic, e nānā mālie kāu kauka i nā paia vaginal, e ʻimi ana i nā hōʻailona e like me ka ʻiʻo lahilahi, ka emi ʻana o ka elasticity, a i ʻole ka kala palupalu. Hiki iā lākou ke nānā pū no nā ʻoki liʻiliʻi a i ʻole nā wahi huhū.

I kekahi mau hihia, hiki i kāu kauka ke ʻōlelo aku i nā hoʻokolohua hou aku e kāpae i nā maʻi a i ʻole nā kūlana ʻē aʻe e hiki ke hoʻoulu i nā hōʻailona like. Ua hoʻolālā ʻia ka hana hōʻoia holoʻokoʻa e lilo i mea ʻoluʻolu loa i ka ʻohi ʻana i ka ʻike e pono ai no ka mālama maikaʻi.

He aha ka mālama ʻana no ka atrophy vaginal?

ʻO ka mālama ʻana no ka atrophy vaginal e pili ana i ka hoʻihoʻi ʻana i ka pulu a me ka flexibility i nā ʻiʻo vaginal ʻoiai e hoʻomaha ana i kāu mau hōʻailona. ʻO ka ʻoiaʻiʻo maikaʻi, he nui nā koho mālama maikaʻi e loaʻa ana, a ʻike ka hapa nui o nā wahine i ka hoʻomaha nui.

E hana pū kāu mea mālama ola me ʻoe e koho i ke ala mālama maikaʻi loa ma muli o kāu mau hōʻailona, olakino holoʻokoʻa, a me nā makemake pilikino. Hiki i ka mālama ke hele mai nā loli ola maʻalahi i nā lāʻau lapaʻau.

Eia nā koho mālama nui e loaʻa ana:

• Nā mea hoʻomaʻemaʻe vaginal i hoʻohana mau ʻia e mālama i ka hydration o ka ʻiʻo
• Nā lubricants wai-based a i ʻole silicone-based no ka moekolohe
• Low-dose vaginal estrogen therapy (creams, tablets, a i ʻole rings)
• Oral hormone replacement therapy i kekahi mau hihia
• DHEA suppositories no nā wahine ma hope o ka menopause
• Laser therapy a i ʻole nā mālama energy-based ʻē aʻe
• Ka moekolohe mau a i ʻole ka hoʻohana ʻana i nā vaginal dilators

ʻO ka vaginal estrogen therapy pinepine ka mālama maikaʻi loa no ka mea e hoʻoponopono pololei ana i ke kumu kumu. E hāʻawi kēia mau mālama i kahi nui liʻiliʻi o ka estrogen pololei i nā ʻiʻo vaginal me ka liʻiliʻi o ka komo ʻana i ke koko.

No nā wahine hiki ʻole a i ʻole makemake ʻole e hoʻohana i ka estrogen, hiki i nā koho non-hormonal e like me nā mea hoʻomaʻemaʻe a me nā lubricants mau ke hāʻawi i ka hoʻomaha nui. Kekahi mau mālama hou, e like me ka vaginal laser therapy, e hōʻike ana i ka manaʻolana akā ʻaʻole paha e uhi ʻia e ka ʻinikua.

Hiki i kāu kauka ke ʻōlelo aku e hoʻomaka me nā ala mālie loa ma mua a holomua i nā koho ʻē aʻe inā pono. ʻO ka hapa nui o nā mālama e hōʻike ana i ka hoʻomaikaʻi ʻana i loko o kekahi mau pule a i kekahi mau mahina o ka hoʻohana mau ʻana.

Pehea e mālama ai i ka atrophy vaginal ma ka home?

Hiki i kekahi mau hoʻolālā mālama home ke kōkua i ka mālama ʻana i nā hōʻailona atrophy vaginal a kākoʻo i kou olakino vaginal holoʻokoʻa. E hana maikaʻi kēia mau ala ke hui pū ʻia me ka mālama lapaʻau, ʻaʻole e like me nā mea pani no ia.

ʻO ke kī i ka mālama home holomua ka mau a me ka mālie. Pono kāu ʻiʻo vaginal i ka mālama mau a me ka nānā ʻana e mālama i ko lākou olakino a me ka ʻoluʻolu.

Eia nā hoʻolālā mālama home maikaʻi āu e ho'āʻo ai:

• E hoʻohana i kahi mea hoʻomaʻemaʻe vaginal 2-3 mau manawa i ka hebedoma, ʻoiai inā ʻaʻole i moekolohe
• E hoʻopili i nā lubricants wai-based ma mua o ka moekolohe
• E noho i ka moekolohe a i ʻole e hoʻohana i nā vaginal dilators e mālama i ka flexibility o ka ʻiʻo
• E komo i ka lole underwear hanu, pulupulu
• E pale i nā kopa ʻino, douches, a i ʻole nā huahana ʻala i ka wahi genital
• E noho pulu maikaʻi ma ka inu ʻana i ka wai nui
• E noʻonoʻo i nā probiotics e kākoʻo i ka olakino vaginal

I ka koho ʻana i nā huahana, e ʻimi i nā mea i hoʻolālā ʻia no ka ʻiʻo vaginal palupalu. E pale i nā mea me nā ʻala, nā dyes, a i ʻole nā kemika ʻino e hiki ke hoʻoulu i ka huhū.

Hiki i ka moekolohe mau a i ʻole ka masturbation ke kōkua i ka mālama ʻana i ke kahe koko a me ka flexibility o ka ʻiʻo. Inā ʻoluʻolu ʻole ka moekolohe, mai pale aku iā ia—ma kahi o ia, e hoʻohana i ka lubricant nui a e kamaʻilio me kāu hoa e pili ana i ka mea ʻoluʻolu.

E ʻike kekahi mau wahine i ke kōkua ʻana o kekahi mau yoga poses a i ʻole nā hana pelvic floor i ka hoʻomaikaʻi ʻana i ke kahe koko i ka wahi pelvic, ʻoiai ʻaʻole pono e noʻonoʻo ʻia kēia mau mea he mau mālama mua.

Pehea ʻoe e hoʻomākaukau ai no kāu ʻaha kūkā kauka?

Hiki i ka hoʻomākaukau ʻana no kāu ʻaha kūkā ke kōkua iā ʻoe e kiʻi i ka nui loa mai kāu kipa a hōʻoia i loaʻa i kāu kauka nā ʻike a pau e pono ai e kōkua maikaʻi iā ʻoe. He ala lōʻihi ka hoʻomākaukau iki i ka hana ʻana i ka kamaʻilio ʻoi aku ka hua.

E hoʻomaka ma ka mālama ʻana i kāu mau hōʻailona no hoʻokahi a ʻelua paha pule ma mua o kāu ʻaha kūkā. E hoʻomaopopo i ka wā e hana ai lākou, pehea ka nui o lākou, a he aha ka mea e hoʻomaikaʻi ai a i ʻole e hoʻopilikia ai iā lākou.

Eia ka mea āu e lawe mai ai a i ʻole e hoʻomākaukau ai:

• Kahi papa inoa o kāu mau hōʻailona āpau a me ka wā i hoʻomaka ai lākou
• ʻIke e pili ana i kāu mōʻaukala menstrual a me ke kūlana menopause
• Kahi papa inoa piha o nā lāʻau lapaʻau a me nā mea hoʻohui āu e lawe nei
• Nā kikoʻī e pili ana i kāu hana moekolohe a me nā hopohopo pili
• Nā nīnau āu e makemake ai e nīnau i kākau ʻia ma mua
• ʻIke e pili ana i nā mālama ma mua āu i ho'āʻo ai

Mai kānalua e kūkākūkā pehea e hoʻopilikia ai nā hōʻailona i kou ola o kēlā me kēia lā, nā pilina, a i ʻole ka olakino emotional. E kōkua kēia ʻike i kāu kauka e hoʻomaopopo i ka hopena piha a koho i ka mālama kūpono loa.

He mea kōkua nō hoʻi ke noʻonoʻo i kāu mau makemake mālama ma mua. Ke wehe nei ʻoe i ka hormone therapy? Loaʻa iā ʻoe nā hopohopo e pili ana i kekahi mau lāʻau lapaʻau? Makemake ʻoe e hoʻomaka me nā mālama mālie loa ma mua?

E hoʻomanaʻo, aia kāu mea mālama ola e kōkua, a ʻaʻohe nīnau hilahila a koʻikoʻi ʻole e nīnau.

He aha ka mea nui e pili ana i ka atrophy vaginal?

He kūlana maʻamau a mālama ʻia ka atrophy vaginal e pili ana i nā wahine he nui, ʻoi aku hoʻi i ka wā a ma hope o ka menopause. ʻO ka mea nui loa e hoʻomanaʻo ai, ʻaʻole pono ʻoe e ʻeha i ka noho mālie a i ʻole e ʻae i ka ʻoluʻolu ʻole e like me kahi ʻāpana o ka ʻelemakule.

Loaʻa nā mālama maikaʻi, mai nā huahana over-the-counter maʻalahi a i nā therapies prescription. ʻIke ka hapa nui o nā wahine i ka hoʻomaha nui ke hoʻomaka lākou i ka mālama kūpono, a makemake nui kekahi i ka ʻimi ʻana i ke kōkua koke.

ʻO ke kī ka ʻike ʻana he kūlana lapaʻau kēia me nā hopena maoli, ʻaʻole kahi mea āu e hoʻomanawanui ai. ʻAʻole wale ka mālama mua e hāʻawi i ka hoʻomaha ʻana i nā hōʻailona akā e kōkua pū kekahi i ka pale ʻana i nā pilikia e hiki ke ulu ma mua o ka manawa.

Mai ʻae i ka hilahila e pale aku iā ʻoe mai ka loaʻa ʻana o ka mālama āu e pono ai. He akamai nā mea mālama ola i ka mālama ʻana i ka atrophy vaginal a makemake e kōkua iā ʻoe e manaʻo hou i ka ʻoluʻolu a me ka hilinaʻi. Me ke ala kūpono, hiki iā ʻoe ke mālama i kou olakino vaginal a me kou ola maikaʻi i nā pae āpau o ke ola.

Nā nīnau pinepine e pili ana i ka atrophy vaginal

Hiki ke hoʻihoʻi ʻia ka atrophy vaginal?

ʻAe, hiki pinepine ke hoʻomaikaʻi nui ʻia a hoʻihoʻi paha ka atrophy vaginal me ka mālama kūpono. ʻO ka estrogen therapy ka mea maikaʻi loa i ka hoʻihoʻi ʻana i ka mānoanoa a me ka pulu o ka ʻiʻo vaginal. ʻOiai ʻaʻole hiki ke hoʻihoʻi piha ʻia kekahi mau loli mai ka atrophy nui a lōʻihi, ʻike ka hapa nui o nā wahine i ka hoʻomaikaʻi nui ʻana i nā hōʻailona a me ke olakino ʻiʻo me ka mālama mau.

He pilikia wale nō anei ka atrophy vaginal no nā wahine ʻelemakule?

ʻAʻole, hiki i ka atrophy vaginal ke hoʻopilikia i nā wahine o kēlā me kēia makahiki ke emi nui ka nui o ka estrogen. Hiki ke hana kēia i ka wā e hānai ai i ka umauma, me kekahi mau lāʻau lapaʻau, ma hope o ka wehe ʻana o ka ovary, i ka wā o ka mālama ʻana i ka maʻi kanesa, a i ʻole me kekahi mau ʻano o ka birth control hormonal. Eia naʻe, ʻoi aku ka maʻamau i nā wahine ma hope o ka menopause ma muli o ka emi ʻana o ka estrogen e hana ʻia me ka menopause.

E hoʻonui anei ka hoʻohana ʻana i ka vaginal estrogen i ka pilikia o ka maʻi kanesa umauma?

ʻOi aku ka emi o nā pilikia o ka low-dose vaginal estrogen therapy ma mua o ka oral hormone therapy no ka mea emi loa ka estrogen i komo i ke koko. Ke hōʻike nei nā noiʻi hou i ka hoʻohana ʻana i ka vaginal estrogen ʻaʻole e hoʻonui nui i ka pilikia o ka maʻi kanesa umauma, ʻoiai no nā wahine me ka mōʻaukala o ka maʻi kanesa umauma. Eia naʻe, pono ʻoe e kūkākūkā mau i kāu mau mea pilikia kikoʻī me kāu mea mālama ola.

Hiki iaʻu ke pale aku i ka atrophy vaginal mai ka ulu ʻana?

ʻOiai ʻaʻole hiki iā ʻoe ke pale aku loa i nā loli hormonal e alakaʻi ana i ka atrophy vaginal, hiki iā ʻoe ke lawe i nā ʻanuʻu e mālama i ka olakino vaginal. ʻO ka noho ʻana i ka moekolohe, ka hoʻohana ʻana i nā mea hoʻomaʻemaʻe mau, ka pale ʻana i nā kemika ʻino, a me ka ʻaʻole puhi ʻana e kōkua ana i nā mea a pau. Hiki i kekahi mau wahine ke pōmaikaʻi mai ka hoʻomaka ʻana i ka mālama mua i ka menopause ma mua o ka ulu ʻana o nā hōʻailona nui.

Pehea ka lōʻihi e pono ai nā mālama atrophy vaginal e hana?

ʻIke ka hapa nui o nā wahine i kekahi mau hoʻomaikaʻi i loko o 2-4 mau pule o ka hoʻomaka ʻana i ka mālama, me ka hoʻomaikaʻi mau ʻana ma mua o 2-3 mau mahina. Hiki i nā mea hoʻomaʻemaʻe vaginal ke hāʻawi koke i ka ʻoluʻolu, ʻoiai ka estrogen therapy maʻamau e hōʻike ana i ka hoʻomaikaʻi mālie ma mua o kekahi mau pule. Hiki ke ʻokoʻa ka manawa ma muli o ka nui o kāu mau hōʻailona a me ke ʻano o ka mālama i hoʻohana ʻia.