Whakaheke O Te Weronga

Ko te atrophy o te weronga (atrophic vaginitis) te whakaheke, te maroke me te mumura o nga pakitara o te weronga ka puta pea ina iti ake te estrogen o to tinana. Ka tupu te atrophy o te weronga i te nuinga o te wa i muri i te menopause.

Mo te maha o nga wahine, ehara i te mea ka meinga e te atrophy o te weronga te mamae o te moe, engari ka arahi ano ki nga tohu mimi whakawehi. Na te mea ko te tikanga e pa ana ki nga tohu weronga me nga tohu mimi, ka whakamahi nga taakuta i te kupu "genitourinary syndrome of menopause (GSM)" hei whakaahua i te atrophy o te weronga me ona tohu e haere tahi ana.

Kei te waatea nga maimoatanga ngawari, whai hua mo te genitourinary syndrome of menopause (GSM). Ko te heke o te taumata estrogen ka puta he huringa ki to tinana, engari ehara tena i te tikanga me noho koe ki te ngoikoretanga o te GSM.

Ngā tohu me ngā pūāhua o te mate urupare wahine (GSM) ka uru pea ki:

• Te maroke o te weronga
• Te tahunga o te weronga
• Te tukunga o te weronga
• Te ngau o ngā wahi ira
• Te tahunga i te wā e mimi ana
• Te hiahia ki te mimi
• Te mimi maha
• Ngā mate mimi e puta ana anō
• Te kore e taea te pupuri mimi
• Te toto iti i muri i te moe
• Te mamae i te wā e moe ana
• Te iti haere o te hinu weronga i te wā e moe ana
• Te poto me te kaha o te kauae weronga

He maha ngā wāhine kua tīmata te whakamutunga o te wā (menopause) e pā ana ki te GSM. Engari he torutoru te hunga e kimi ana i te rongoā. Ka whakama pea ngā wāhine ki te kōrero ki ō rātou tākuta mō ō rātou tohu, ā, ka whakatau pea rātou ki te noho tahi me ēnei tohu.

Whakahaere rāhui ki tō tākuta mena kei a koe tetahi toto whatu kore i whakamāramatia, te tukunga koretake, te tahunga, te mamae rānei.

Whakahaere hoki rāhui ki te kite i tō tākuta mena ka pāngia koe e te moe wahine mamae kāore i ora ake mā te whakamahi i te kaiwhakamakuku tara (K-Y Liquibeads, Replens, Sliquid, ētahi atu) te hinu wai rānei (Astroglide, K-Y Jelly, Sliquid, ētahi atu).

Ko te mate tūroro o te hunga wāhine kua mutu te whakaheke toto e puta mai ana i te hekenga o te whakaputanga o te estrogen. Ko te iti o te estrogen ka meinga ai ngā kiko o tō tara i te ngawari, te maroke, te kore o te ngawari, me te ngoikore.

Ka taea te hekenga o te taumata estrogen:

• I muri i te mutunga o te whakaheke toto
• I ngā tau i mua i te mutunga o te whakaheke toto (perimenopause)
• I muri i te tangohia atu o ngā ovaries e rua mā te pokanga (surgical menopause)
• I te wā e whāngai u
• I te wā e inu ana i ngā rongoā ka pā ki ngā taumata estrogen, pēnei i ētahi pire whakahaere whānau
• I muri i te rongoā whakaheke i te riu mo te mate pukupuku
• I muri i te chemotherapy mō te mate pukupuku
• Hei pānga o te rongoā mate pukupuku u

Ka tīmata pea ngā tohu me ngā tohu o te GSM ki te whakararuraru i a koe i ngā tau i mua i te mutunga o te whakaheke toto, kāore rānei e puta hei raruraru kia tae ra ano ki te maha o ngā tau i muri i te mutunga o te whakaheke toto. Ahakoa he noa te āhuatanga, ehara i te katoa o ngā wāhine kua mutu te whakaheke toto e pā ana ki te GSM. Ka taea e te mahi tahi auau, me te hoa rānei, kāore rānei, te āwhina i a koe ki te pupuri i ngā kiko tara hauora.

Ko ētahi take pea e āhei ana te whakauru ki te GSM, pēnei i te:

• Te Kīhāpai. Ka pā te kīhāpai hikareti ki tō whāinga toto, ā, ka iti pea te rere o te toto me te hāora ki te weronga me ētahi atu wāhi tata atu. Ka whakaiti hoki te kīhāpai i ngā pānga o ngā estrogene tūturu kei roto i tō tinana.
• Kāore he whānau i te weronga. Kua kitea e ngā kairangahau he tino tūpono ake ngā wāhine kāore ano i whānau i te weronga ki te whānau i ngā tohu GSM i te hunga kua whānau i ngā whānau weronga.
• Kāore he mahi taane. Ka whakapiki ake te mahi taane, ahakoa kei te hoa rānei kāore rānei, te rere o te toto, ā, ka hanga i ō kiko weronga kia ngāwari ake te totoro.

He piki ake te tūponotanga o te mate o te uaua o te wahine i te wā o te whakamutunga o te wā:

• Ngā mate pukupuku o te tara. Ka piki ake te tūponotanga o ngā mate pukupuku o te tara nā te huringa o te āhua o te waikawa o roto i tō tara.
• Ngā raruraru mimi. Ka taea e ngā huringa mimi e hono ana ki te GSM te whakauru atu ki ngā raruraru mimi. Ka raru pea koe ki te maha atu te mimi, te hiahia ki te mimi, te tahuna rānei i te wā e mimi ana. Ka pā pea ki ētahi wāhine ngā mate pukupuku o te ara mimi, te rere rānei o te mimi (te kore e taea te pupuri).

Ko te whānau taangata auau, ahakoa kei te hoa rānei kāhore rānei, ka āhei pea te āwhina i te aukatinga i te mate urutā o te menopause. Ka piki ake te rere o te toto ki tō kōpū wahine te whānau taangata, ā, ka āwhina i te pupuri i ngā kiko o te kōpū wahine kia ora.

Ko te taatai o te mate urupare o te wahine (GSM) ka uru pea ki roto:

I te whakamatautau o te kopu, ka whakauru to kaiwhakarato hauora e rua nga maihao karapu ki roto ki tou tara. Ma te pehi i raro i tou kopu i te wa kotahi, ka taea e to kaiwhakarato te tirotiro i to kopu, ovaries me etahi atu whekau.

• Te whakamatautau kopu, i te wa e pa atu ai to taakuta ki o whekau kopu, ka tirotiro hoki i o wahi wahine o waho, tara me te cervix.
• Te whakamatautau mimi, e uru ana ki te kohikohi me te whakamatautau i to mimi, ki te mea he tohu mimi koe.
• Te whakamatautau taurite waikawa, e uru ana ki te tango i te tauira o nga wai tara, ki te whakanoho ranei i te ripi tohu pepa ki roto ki tou tara hei whakamatautau i tona taurite waikawa.

Hei te whakaora i te mate huakore o te wahine, ka tūtohutia pea e tō tākuta ngā rongoā kore-tūtohu, tae atu ki:

Ki te kore aua whiringa e whakaora i ō tohu, ka tūtohutia pea e tō tākuta:

He painga tō te estrogen whakauru ki te tara, nā te mea ka whai hua i ngā rongoā iti me te whakaiti i tō whakamahinga katoa ki te estrogen, nā te iti o te taumata e tae atu ki tō toto. Ka āhei hoki te whakarite i te whakaora tika atu i ngā tohu i te estrogen waha.

He maha ngā momo o te rongoā estrogen whakauru ki te tara. Nō te mea ka rite te mahi o te katoa, ka taea e koe me tō tākuta te whakatau ko tēhea te mea pai mōu.

Ka taea e tēnei rongoā, ina inuhia i ia rā, te awhina i te whakaora i ngā tohu moepuku mamae i ngā wāhine he mate huakore o te wahine (GSM) o te taumata waenga ki te nui. Kāo te whakaaetia i ngā wāhine kua pangia e te mate pukupuku u, kāo rātou e whai morearea nui ana ki te whanake i te mate pukupuku u.

Ka tukuna e ēnei whakauru tara te homoni DHEA tika ki te tara hei awhina i te whakaora i te moepuku mamae. He homoni te DHEA e āwhina ana i te tinana ki te whakaputa i ētahi atu homoni, tae atu ki te estrogen. Ka whakamahia te Prasterone i ia pō mō te ngoikore tara o te taumata waenga ki te nui.

Ki te hono te maroke tara ki ētahi atu tohu o te menopause, pēnei i ngā wera nui o te taumata waenga, kāo te nui, ka tūtohutia pea e tō tākuta ngā rongoā estrogen, ngā papata, kāo te keke, kāo te mowhiti estrogen nui ake. Ka tomo te estrogen e inuhia ana e te waha ki tō pūnaha katoa. Pātai atu ki tō tākuta kia whakamārama i ngā morearea me ngā painga o te estrogen waha, me te mea me inu atu rānei koe i tētahi atu homoni e kiia nei ko te progestin me te estrogen.

Ka taea e koe te whakamahi i ngā whakawhāiti tara hei whiringa rongoā kore-homoni. Ka taea hoki te whakamahi i ngā whakawhāiti tara hei tāpiri ki te rongoā estrogen. Ka whakaohooho me te whakawhāititia ēnei taputapu i ngā uaua tara hei whakahoki i te whakaiti o te tara.

Ki te mea he āhuatanga te moepuku mamae, ka taea e ngā whakawhāiti tara te whakaora i te mamae tara mā te whakawhāiti i te tara. Kei te wātea ngā mea kore-tūtohu, engari ki te nui ō tohu, ka tūtohutia pea e tō tākuta te rongoā tinana o te papa pelvic me ngā whakawhāiti tara. Ka taea e tō kaiwhakarato hauora kāo e te kaiwhakaora tinana pelvic te whakaako ki a koe me pēhea te whakamahi i ngā whakawhāiti tara.

Kei te wātea hei hinu kāo te keke tūtohu, ka taea te whakamahi i te lidocaine o runga hei whakaiti i te mamae e hono ana ki te mahi moepuku. Whakamahia i te rima ki te tekau meneti i mua i te tīmatanga o te mahi moepuku.

Ki te whai koe i te hītori o te mate pukupuku u, kōrero atu ki tō tākuta me te whakaaro ki ēnei whiringa:

• Ngā kaiwhakamakuku tara. Tamatahia te kaiwhakamakuku tara (K-Y Liquibeads, Replens, Sliquid, ētahi atu) hei whakahoki i ētahi makuku ki tō wāhi tara. Me tono pea koe i te kaiwhakamakuku i ia torutoru rā. Ka roa ake te hua o te kaiwhakamakuku i te hunga o te kaiwhakauru.

• Ngā kaiwhakauru wai. Ka tonohia ēnei kaiwhakauru (Astroglide, K-Y Jelly, Sliquid, ētahi atu) i mua tonu i te mahi moepuku, ā, ka taea te whakaiti i te mamae i te wā e moe ana. Kōwhiria ngā hua kāore e whai glycerin kāo ngā āhuatanga whakamahana, nā te mea ka pāngia pea ngā wāhine e pāngia ana e ēnei mea i te mamae. Kaua e whakamahi i te kirikiri petroliuma kāo ētahi atu hua petroliuma hei whakauru ki te whakamahi koe i ngā koniti, nā te mea ka taea e te petroliuma te wawahi i ngā koniti latex i te wā e pa ana.

• Keke estrogen tara (Estrace, Premarin). Ka whakauru koe i tēnei keke tika ki tō tara me te kaiwhakauru, i te wā moe noa. I te nuinga o te wā, ka whakamahi ngā wāhine i ia rā mō te kotahi ki te toru wiki, ā, muri iho ka toru ki te toru wā i te wiki, engari ka whakamārama atu tō tākuta ki a koe te nui o te keke me te auau o te whakauru.

• Ngā suppositories estrogen tara (Imvexxy). Ka whakauruhia ēnei suppositories estrogen iti ki roto i te tara mo te 2 inihi i ia rā mō ngā wiki. Muri iho, ka hiahiatia anake te whakauru i ngā suppositories rua i te wiki.

• Mowhiti estrogen tara (Estring, Femring). Ka whakauru koe kāo tō tākuta i te mowhiti ngawari, ngāwari ki te wāhanga o runga o te tara. Ka tukuna e te mowhiti te rongoā estrogen mau tonu i te wā kei roto, ā, me whakakapi i ia toru marama. He maha ngā wāhine e pai ana ki te ngāwari o tēnei. Kei te whakaarohia he rongoā pūnaha te mowhiti rerekē, nui ake te rongoā, kāore he rongoā o runga.

• Papa estrogen tara (Vagifem). Ka whakamahi koe i te kaiwhakauru whakamahia kotahi hei whakanoho i te papa estrogen tara ki tō tara. Ka whakamārama atu tō tākuta ki a koe te auau o te whakauru i te papa. Ka taea e koe, hei tauira, te whakamahi i ia rā mō ngā wiki e rua tuatahi, ā, muri iho ka rua i te wiki.

• Ngā rongoā kore-homoni. Tamatahia ngā kaiwhakamakuku me ngā kaiwhakauru hei whiringa tuatahi.

• Ngā whakawhāiti tara. He whiringa kore-homoni ngā whakawhāiti tara e taea ai te whakaohooho me te whakawhāiti i ngā uaua tara. Ka āwhina tēnei ki te whakahoki i te whakaiti o te tara.

• Estrogen tara. I te kōrero tahi me tō tohunga mate pukupuku (oncologist), ka tūtohutia pea e tō tākuta te estrogen tara iti ki te kore e awhina ngā rongoā kore-homoni i ō tohu. Heoi, he awangawanga kei te piki pea te estrogen tara i tō morearea o te hokinga mai o te mate pukupuku, inā koa he homoni-whai hua tō mate pukupuku u.

• Rongoā estrogen pūnaha. Kāore i te tūtohutia te rongoā estrogen pūnaha, inā koa he homoni-whai hua tō mate pukupuku u.

Ki te pāngia koe e te maroke o te tara, te mamae rānei, ka āwhina pea koe ki te:

• Whakamātau i tetahi kaiwhakamakuku ka hokona i te toa rongoā. Ko ētahi tauira ko K-Y Liquibeads, Replens me Sliquid. Ka taea e tēnei te whakahoki i te makuku ki tō tara.
• Whakamahia he hinu whakamakuku wai ka hokona i te toa rongoā. Ka taea e te hinu whakamakuku te whakaiti i te mamae i te wā e moe ai. Ko ētahi tauira ko Astroglide, K-Y Jelly me Sliquid.
• Tukua te wā hei ohooho i te wā e moe ai. Ka taea e te hinu tara e puta mai ana i te ohooho ira te whakaiti i ngā tohu o te maroke, te tahuna rānei.