Pila pale hānau - hoʻohui
Hoʻohana nā ʻōpū oral i nā hormoni e pale ai i ka hāpai keiki. Loaʻa nā hua hoʻohui i nā progestin a me estrogen.
ʻO nā lāʻau kaohi hānau kōkua kōkua iā ʻoe mai ka hāpai ʻana. Ke lawe ʻia i kēlā me kēia lā, ʻo lākou kekahi o nā hana kūpono o ka pale pale. No ka hapanui o nā wahine palekana lākou. Loaʻa iā lākou kekahi mau pono ʻē aʻe. ʻO kekahi o kēia mau mea:
- Hoʻonui i nā wā ʻeha, kaumaha, a i ʻole kūleʻa
- E mālama i ka huehue
- Kāohi i ka maʻi ʻaʻai ovarian
Hoʻohui pū ʻia nā lāʻau hoʻomalu hānau i loko o ka estrogen a me ka progestin. Hāʻawi kekahi o nā pilina kaohi hānau hānau iā ʻoe i ka liʻiliʻi o nā manawa i kēlā me kēia makahiki. Kāhea ʻia kēia mau mea he hoʻomau a i ʻole nā huaola holo lōʻihi. E noi i kāu mea mālama ola e pili ana i nā koho dosing e hoʻemi i ke alapine o kāu mau menstrual cycle.
Hele mai nā pila hoʻomalu hānau i nā pūʻolo. Lawe ʻoe i nā pila mai ka 21-pack i hoʻokahi manawa i ka lā no 3 mau pule, a laila ʻaʻole ʻoe e lawe i nā pila no 1 pule. Maʻalahi paha e hoʻomanaʻo e lawe i ka 1 pill i kēlā me kēia lā, no laila hele mai nā pila ʻē aʻe i kahi paukū 28-pack, me kekahi mau lāʻau ʻeleu (me nā homone) a me nā mea ʻaʻohe homone.
Aia he 5 mau ʻano like o nā hua hoʻohui pale hānau. E kōkua kāu mea hāʻawi iā ʻoe e koho i ka mea kūpono nāu. ʻO 5 mau ʻano:
- Hoʻokahi pire pae: Loaʻa i kēia mau mea ka like o ka estrogen a me ka progestin i nā pila hana āpau.
- ʻElua mau huaale pae: hoʻololi ke kiʻekiʻe o nā hormones i loko o kēia mau pila i hoʻokahi manawa i kēlā me kēia pōʻai menstrual.
- ʻEkolu mau huaale pae: I kēlā me kēia 7 mau lā e loli ke ana o nā hormoni.
- ʻEhā mau paila ʻehā: hoʻololi ke ana o nā hormoni i kēia mau pila i 4 mau manawa i kēlā me kēia pōʻaiapuni.
- Hoʻomau a hoʻomau paha i nā piluna pōʻaiapuni: Mālama kēia i ka pae o nā homoni i loaʻa ai iā ʻoe he mau manawa liʻiliʻi a ʻaʻohe paha.
Hiki iā ʻoe:
- Lawe i kāu pila mua i ka lā mua o kou manawa.
- E lawe i kāu pila mua ma ka Lāpule ma hope o ka hoʻomaka ʻana o kou wā. Inā ʻoe e hana i kēia, pono ʻoe e hoʻohana i kahi hana kaohi hānau (condom, diaphragm, a i ka ʻōpala) no nā lā 7 e hiki mai ana. Kapa ʻia kēia he kaohi hānau papaʻa.
- Lawe i kāu pila mua i kēlā me kēia lā i kāu pōʻaiapuni, akā pono ʻoe e hoʻohana i kahi hana kaohi hānau hou no ka mahina mua.
No nā pila holohoolo hoʻomau a lōʻihi paha: E lawe i 1 pila i kēlā me kēia lā, i ka manawa like i kēlā me kēia lā.
E lawe i 1 pila i kēlā me kēia lā, i ka manawa like o ka lā. Hana wale nā pilina pale hānau inā lawe ʻoe iā lākou i kēlā me kēia lā. Inā ʻoe e nalo i kahi lā, e hoʻohana i kahi hana papaʻa.
Inā ʻoe e nalo iā 1 a ʻoi aku paha nā pila, e hoʻohana i kahi hana papaʻa o ka kaohi hānau a kāhea koke aku i kāu mea hāʻawi. Pili ka mea e hana ai:
- He aha ke ʻano o ka pila āu e lawe nei
- Ma hea ʻoe i kāu pōʻaiapuni
- Ehia mau pila i hala iā ʻoe
E kōkua kāu mea hāʻawi iā ʻoe e hoʻi i ka manawa papa manawa.
Hoʻoholo paha ʻoe e hōʻoki i ka lawe ʻana i nā lāʻau kaohi no ka mea makemake ʻoe e hāpai a hoʻololi paha i kahi hana kaohi hānau. Eia kekahi mau mea e manaʻo ai ke oki ʻoe i ka lawe ʻana i ka lāʻau.
- E hāpai koke ʻoe.
- Loaʻa paha iā ʻoe kahi kiko ʻino o ke koko ma mua o kou loaʻa ʻana o kāu manawa mua.
- E loaʻa iā ʻoe kou manawa 4 a 6 mau pule ma hope o ka lawe ʻana i kāu pila hope loa. Inā ʻaʻole ʻoe e loaʻa i kou manawa i 8 mau pule, e kāhea i kāu mea hāʻawi.
- ʻOi aku ke kaumaha a māmā paha o kou wā ma mua o ka maʻamau.
- E hoʻi paha kāu huehue.
- No ka mahina mua, loaʻa paha ʻoe i ka ʻeha o ke poʻo a i ʻole ka hoʻololi ʻana i ke ʻano.
E hoʻohana i kahi papa hana papa hana o ka kaohi hānau, e like me ka condom, diaphragm, a i ka ʻōpala inā:
- Ua hala ʻoe 1 a i ʻole nā pila.
- ʻAʻole ʻoe e hoʻomaka i kāu pila mua i ka lā mua o kou manawa.
- He maʻi ʻoe, hoʻolei ʻana i luna, a i ʻole nā noho lewalewa (diarrhea). ʻOiai ʻoe e lawe i kāu pila, ʻaʻole paha e ʻānai kou kino iā ia. E hoʻohana i kahi hana papaʻa o ka kaohi hānau no ke koena o kēlā pōʻaiapuni.
- Ke lawe nei ʻoe i kahi lāʻau ʻē aʻe i mālama ʻole i ka lāʻau. E haʻi i kāu mea lawelawe a lāʻau lapaʻau paha inā ʻoe e lawe i nā lāʻau ʻē aʻe, e like me nā lāʻau ʻalopika, ka lāʻau hopu, lāʻau e mālama ai i ka maʻi HIV, a i ʻole ka wort o St. E ʻike inā e hoʻopilikia ka mea āu e lawe ai i ka maikaʻi o ka holo ʻana o ka pila.
Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe kekahi o nā ʻōuli aʻe ma hope o ka hoʻomaka ʻana e lawe i nā lāʻau kaohi hānau.
- He pehu kou i kou wāwae
- He ʻeha ʻeha kou
- Mahalo kou wāwae i ka pā a i ʻole he loli i ka kala o ka ʻili
- He kuni paha ʻoe a i ʻole chills
- Pokole ʻoe i ka hanu a paʻakikī e hanu
- He ʻeha kou umauma
- Uha ʻoe i ke koko
- He ʻeha kou poʻo iʻoi aku ka maikaʻi, ʻo ka migraine me ka aura
ʻO ka pila - hoʻohui; Pākuʻi waha - hui pū; OCP - hui pū; Contraceptive - hui pū; BCP - hui pū
Allen RH, Kaunitz AM, Hickey M. Hormonal kaohi hana. I: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, eds. ʻO Williams Textbook of Endocrinology. 13th ed. Piladelapia, PA: Elsevier; 2016: chap 18.
ʻO Glasier A. Kaohi. I: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Makua a Pediatric. ʻEpekema 7 Piladelapia, PA: Elsevier Saunders; 2016: chap 134.
ʻO Isley MM, Katz VL. Mālama ʻo Postpartum a me nā noʻonoʻo olakino lōʻihi. I: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Nā Obstetrics: Nā Pregnancies Maʻamau a me nā pilikia. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 23.
- Kaohi hānau