Pila pale hānau - progestin wale nō
Hoʻohana nā ʻōpū oral i nā hormoni e pale ai i ka hāpai keiki. ʻO nā huaale progestin-wale nō ka progestin hormone. ʻAʻohe o lākou estrogen i loko o lākou.
ʻO nā lāʻau kaohi hānau kōkua kōkua iā ʻoe mai ka hāpai ʻana. ʻO nā huaale me ka progestin wale nō i loko o nā pūʻolo he 28 mau lā. Ke hana nei kēlā me kēia pila. He progestin wale nō kā kēlā me kēia, ʻaʻohe estrogen. Hoʻohana pinepine ʻia kēia ʻano lāʻau hoʻomalu hānau no nā wahine i loaʻa nā kumu olakino e pale ai iā lākou mai ka lawe ʻana i ka pill contraceptive oral (pills i loaʻa ka progestin a me ka estrogen). ʻO kekahi o nā kumu e lawe ai i nā progestin-only birth control pills me:
- ʻO ka mōʻaukala o ka ulu poʻo poʻo
- I kēia manawa hānai waiū
- Mōʻaukala pili koko
He maikaʻi loa nā pila Progestin inā lawe pololei ʻia.
Hana nā paukū Progestin wale nō i ka hana ʻana i kou mau muus a mānoanoa no ka neʻe ʻana o ka sperm.
E hoʻomaka paha ʻoe i ka lawe ʻana i kēia mau pila i kēlā me kēia manawa i kāu pōʻai paʻapū.
Hoʻomaka ka pale ʻana mai ka hāpai ʻana ma hope o 2 mau lā. Inā loaʻa ka moekolohe i loko o nā hola he 48 ma hope o kāu pila mua, e hoʻohana i kahi ʻano hana hānau ʻē aʻe (condom, diaphragm, a i ka ʻōpala). Kapa ʻia kēia he kaohi hānau papaʻa.
Pono ʻoe e lawe i ka pill progestin-only i ka manawa like i kēlā me kēia lā.
Mai haʻalele iki i kahi lā o ka lawe ʻana i kāu pila.
Ke loaʻa ʻelua pūʻolo pills i koe, e kāhea i kāu lawelawe mālama ola no kahi manawa e loaʻa ai ka hoʻopiha. I ka lā ma hope o kou hoʻopau ʻana i kahi pūʻolo pila pono ʻoe e hoʻomaka i kahi pack hou.
Me kēia mau pila hiki iā ʻoe:
- ʻAʻole loaʻa nā kau
- Hele iki a hala i ka mahina
- E loaʻa i kāu manawa i ka pule ʻehā
Inā ʻaʻole ʻoe e lawe i ka pill progestin i ka manawa kūpono, e hoʻomaka ana kou mucus e lahilahi a hiki iā ʻoe ke hāpai.
Ke ʻike ʻoe ua hala ʻoe i kāu pila, lawe ia e like me ka hiki. Inā he 3 mau hola a ʻoi paha mai ka wā e pono ai ia, e hoʻohana i kahi ʻōnaehana hānau hānau paʻa no nā hola he 48 e hiki mai ana ma hope o ka lawe ʻana i ka pila hope loa. A laila e lawe i kāu pila hou i ka manawa maʻamau. Inā moe kolohe ʻoe i nā lā i hala aku nei he 3 a 5 paha, e noʻonoʻo e nīnau i kāu mea nāna e hāʻawi mai no ka pale ʻana i ka ulia pōpilikia. Inā he mau nīnau a hopohopo paha kāu, e kāhea i kāu mea hāʻawi.
Inā luaʻi ʻoe ma hope o kou lawe ʻana i ka pila, lawe i kekahi pila hou i ka wā hikiwawe, a hoʻohana i kahi hana hoʻomalu hānau i nā 48 hola e hiki mai ana.
Hoʻoholo paha ʻoe e hōʻoki i ka lawe ʻana i nā lāʻau kaohi no ka mea makemake ʻoe e hāpai a makemake paha ʻoe e hoʻololi i kahi hana kaohi hānau. Eia kekahi mau mea e manaʻo ai ke oki ʻoe i ka lawe ʻana i ka lāʻau.
- Pono ʻoe e loaʻa i kāu manawa 4 a 6 mau pule ma hope o kou 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.
- Loaʻa paha iā ʻoe kahi kiko ʻino o ke koko ma mua o kou loaʻa ʻana o kāu manawa mua.
- E hāpai koke ʻoe.
E hoʻohana i kahi hana papaʻa o ka kaohi hānau, e like me ka condom, diaphragm, a i ka ʻōpala, inā:
- Lawe ʻoe i kahi pila 3 mau hola a ʻoi paha ma hope o ka hiki.
- Ua hala ʻoe 1 a i ʻole nā pila.
- 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, a kāhea i kāu mea hāʻawi.
- Lawe ʻoe i ka lāʻau ʻē aʻe i mea e pale ai i ka hana ʻana o ka pila. 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:
- 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 ke anuanu.
- Pokole ʻoe i ka hanu a paʻakikī e hanu.
- He ʻeha kou umauma.
- Uha ʻoe i ke koko.
Mini-pila; ʻO ka pila - progestin; Nā lāʻau pale waha - progestin; OCP - progestin; Contraceptive - progestin; BCP - progestin
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