Ke kahe koko mai loko mai o ka pepeiao wahine
He aha kēia
Ke koko hānau wahine maʻamau ʻole, ʻo ia ke koko hānau wahine mai loko mai o ka lua hānau, ʻokoʻa mai kou manawa. Loaʻa paha kēia i kahi liʻiliʻi o ke koko, i kapa ʻia hoʻi he spotting, ma waena o kāu mau manawa. Loaʻa paha kēia ma ka pepa halepaku i kou holoi ʻana. A i ʻole, he manawa nui loa paha ia. ʻIke ʻoe he manawa nui loa kāu inā e komo ana ke koko ma o hoʻokahi a ʻoi aku paha mau tampon a i ʻole mau pāpale i kēlā me kēia hola no ʻehā hola a ʻoi aku. ʻO ka koko hānau mai ka manawa mai, maʻamau ia i kēlā me kēia lā 21 a 35. Kēia ka mea i kapa ʻia ʻo ka pōʻai hānau. Mai ka papa o ka ʻōpū ke koko, kahi i hoʻolei ʻia ma o ka lua hānau. Ke hana ʻia kēia, ua hoʻomaka kahi pōʻai hana hou. Loaʻa paha nā manawa no kekahi mau lā wale nō a i ʻole a hiki i hoʻokahi pule. Hiki ke kaumaha a māmā paha ke koko. ʻOi aku ka lōʻihi o nā pōʻai hānau no nā ʻōpio a me nā wāhine kokoke i ka menopause. Eia kekahi, ʻoi aku ka nui o ke kahe ʻana o ke koko i kēlā mau makahiki.
Nā kumu
Hiki i ke kahe koko mai loko o ka pepeiao wahine maʻamau ʻole ke hōʻailona o ka pilikia me kāu ʻōnaehana hoʻohua keiki. Ke kapa ʻia nei kēia he kūlana gynecological. A i ʻole paha ia ma muli o ka pilikia lapaʻau ʻē aʻe a i ʻole ka lāʻau lapaʻau. Inā ʻoe i loko o ka menopause a ʻike i ke kahe koko mai loko o ka pepeiao wahine, e ʻike i kāu kauka a i ʻole kekahi limahana mālama ola. Hiki paha iā ia ke kumu o ka hopohopo. Hoʻomaopopo pinepine ʻia ka menopause ʻaʻohe manawa no kahi 12 mau mahina. Hiki iā ʻoe ke lohe i kēia ʻano kahe koko mai loko o ka pepeiao wahine i kapa ʻia hoʻi he kahe koko maʻamau ʻole mai loko o ka pepeiao wahine. ʻO nā kumu hiki ke loaʻa o ke kahe koko maʻamau ʻole mai loko o ka pepeiao wahine e komo pū ana: Nā maʻi kanesa a me nā kūlana precancerous Cancer cervical Cancer endometrial (cancer uterine) Endometrial hyperplasia Cancer ovarian — cancer e hoʻomaka ana i nā ovaries. Sarcoma uterine Cancer vaginal Nā kumu ʻōnaehana endocrine Hyperthyroidism (thyroid overactive) i ʻike ʻia hoʻi he thyroid overactive. Hypothyroidism (thyroid underactive) Polycystic ovary syndrome (PCOS) Ke hoʻōki a hoʻololi paha i nā papa hana hānau ʻana Ke kahe koko hoʻihoʻi, ka hopena o ka lāʻau lapaʻau hormone menopause Nā kumu fertility a me ka hoʻohua keiki Ectopic pregnancy Nā pae hormone fluctuating Miscarriage (ʻo ia ka nalowale o ka hāpai ʻana ma mua o ka hebedoma 20 o ka hāpai ʻana) Perimenopause Pregnancy Nā pōʻai ovulatory Random Moekolohe Atrophy vaginal, i kapa ʻia hoʻi he genitourinary syndrome o ka menopause Nā maʻi ʻino Cervicitis Chlamydia trachomatis Endometritis Gonorrhea Herpes Pelvic inflammatory disease (PID) — ka maʻi o nā ʻōnaehana hoʻohua keiki wahine. Ureaplasma vaginitis Vaginitis Nā kūlana lapaʻau Celiac disease Obesity Maʻi systemic koʻikoʻi, e like me ka maʻi kidney a i ʻole ka maʻi ate Thrombocytopenia Von Willebrand disease (a me nā maʻi clotting koko ʻē aʻe) Nā lāʻau lapaʻau a me nā hāmeʻa Nā papa hana hānau ʻana. Poina, i kapa ʻia hoʻi he mālama ʻia, tampon Intrauterine device (IUD) Tamoxifen (Soltamox) Ke kahe koko hoʻihoʻi, ka hopena o ka lāʻau lapaʻau hormone menopause Nā ulu ʻaʻole kanesa a me nā kūlana uterine ʻē aʻe Adenomyosis — i ka wā e ulu ai ka pūnaewele e uhi ana i loko o ka uterus i loko o ka paia o ka uterus. Cervical polyps Endometrial polyps Uterine fibroids — nā ulu i loko o ka uterus ʻaʻole kanesa. Uterine polyps Trauma Blunt trauma a i ʻole ka hōʻeha komo i ka pepeiao wahine a i ʻole ka cervix Surgery obstetric a i ʻole gynecological i hala. ʻO kēia e komo pū ana i nā cesarean sections. Hoʻomāinoino moekolohe Wehewehe ʻana I ka wā e ʻike ai i ke kauka
I ka wā hea e ʻike ai i ke kauka
Inā hāpai ʻoe, e kelepona koke aku i kāu kahu ola inā ʻike ʻoe i ke kahe koko mai ka pepeiao wahine. No ka palekana, pono ʻoe e nānā i kekahi kahe koko maʻamau ʻole mai ka pepeiao wahine e kāu kauka a i ʻole kekahi ʻoihana mālama ola. Hiki iā lākou ke haʻi aku iā ʻoe inā he kumu e hopohopo ai ma muli o kou makahiki a me ke kiʻi olakino holoʻokoʻa. E ʻimi i ka mālama ke loaʻa kahe koko maʻamau ʻole mai ka pepeiao wahine i kēia mau hihia: Nā mākua ma hope o ka menopause ʻaʻole lawe i ka lāʻau hormone. ʻO ka lāʻau hormone kahi lapaʻau e kōkua ai me nā hōʻailona menopause e like me nā wela wela. Hiki ke loaʻa kekahi kahe koko me kēia mau lapaʻau. Akā inā ʻike ʻoe i kekahi kahe koko mai ka pepeiao wahine ma hope o ka menopause me ka ʻole o ka lāʻau hormone, e ʻike i ke kauka. Nā mākua ma hope o ka menopause e lawe ana i ka lāʻau hormone cyclic, i kapa ʻia hoʻi ʻo sequential. ʻO ka lāʻau hormone cyclic ke lawe ʻoe i ka estrogen i kēlā me kēia lā. A laila, hoʻohui ʻoe i ka progestin no 10 a 12 mau lā o ka mahina. Manaʻo ʻia kekahi kahe koko hemo me kēia ʻano lapaʻau. ʻO ke kahe koko hemo e like me ka manawa. Hana ʻia no kekahi mau lā o ka mahina. Akā pono e nānā ʻia kekahi kahe koko ʻē aʻe mai ka pepeiao wahine e ke kauka. Nā mākua ma hope o ka menopause e lawe ana i ka lāʻau hormone mau. ʻO ka lāʻau hormone mau ke lawe ʻoe i kahi nui liʻiliʻi o ka estrogen a me ka progestin i kēlā me kēia lā. Manaʻo ʻia kekahi kahe koko māmā me kēia lapaʻau. Akā inā nui ka kahe koko a lōʻihi ma mua o ʻeono mahina, e ʻike i kāu hui mālama. Nā keiki ʻaʻole loaʻa nā hōʻailona ʻē aʻe o ka puberty. ʻO nā hōʻailona o ka puberty e komo pū ana me ka hoʻomohala ʻana o ka umauma a me ka ulu ʻana o ka lauoho ma lalo o ka ʻūhā a i ʻole ka pubic. Nā keiki i emi iho ma mua o 8 mau makahiki. ʻO kekahi kahe koko mai ka pepeiao wahine i kahi keiki i emi iho ma mua o 8 mau makahiki he mea hopohopo a pono e nānā ʻia e ke kauka. ʻO ka kahe koko maʻamau ʻole mai ka pepeiao wahine i nā wā e hiki mai ana paha he OK. Akā e kamaʻilio me kāu hui mālama inā hopohopo ʻoe: Nā pēpē hou. Hiki ke loaʻa kekahi kahe koko mai ka pepeiao wahine i ka mahina mua o ke ola o ka pēpē. Akā pono e nānā ʻia ka kahe koko nui a lōʻihi e ka mea hoʻolako. Nā makahiki ʻōpio. He paʻakikī ke hahai i nā manawa menstrual i ka wā mua o nā ʻōpio i loaʻa kā lākou mau manawa. Hiki ke hele mau kēia no kekahi mau makahiki. Eia kekahi, he mea maʻamau ka spotting māmā i nā lā ma mua o ka manawa. Hoʻomaka ʻana i nā papa hana hānau. Hiki ke loaʻa ka spotting i nā mahina mua. Ke kokoke ana i ka menopause, i kapa ʻia hoʻi ʻo perimenopause. Hiki ke kaumaha a paʻakikī ke hahai i nā manawa i kēia manawa. E noi i kāu hui mālama e pili ana i nā ala e hoʻemi ai i nā hōʻailona. Nā kumu
Hōʻole: He kahua ʻike olakino ʻo ʻAukake a ʻaʻole hōʻike kāna mau pane i ka ʻōlelo aʻoaʻo lapaʻau. E kūkākūkā mau me kahi ʻoihana lapaʻau laikini kokoke iā ʻoe ma mua o ka hana ʻana i nā hoʻololi.
Hana ʻia i India, no ka honua