ʻO ka sponge a me nā spermicides
ʻO nā spermicides a me nā ʻōpala pū kekahi he ʻelua mau mana hana hānau hānau over-the-counter i hoʻohana ʻia i ka wā o ke kāne e pale i ka hāpai keiki. ʻO ke kumu kūʻai over-the-counter hiki ke kūʻai ʻia me ka ʻole o ka lāʻau.
ʻAʻole holo pono ʻo Spermicides a me nā ʻupena ʻāpala i ka pale ʻana i ka hāpai keiki e like me kekahi ʻano o ka kaohi hānau. Eia naʻe, ʻoi aku ka maikaʻi o ka hoʻohana ʻana i ka spermicide a i ka ʻōpala ma mua o ka hoʻohana ʻole ʻana i ka kaohi hānau.
SPERMICIDES
ʻO nā Spermicides kahi kemika e hoʻōki i ka sperm mai ka neʻe ʻana. Hele mai lākou e like me nā gels, nā hua, nā kalima, a i ʻole nā suppositories. Hoʻokomo ʻia lākou i loko o ka lua ma mua o ka moekolohe. Hiki iā ʻoe ke kūʻai i nā spermicides i ka hapa nui o nā hale kūʻai lāʻau a me nā hale kūʻai.
- ʻAʻole holo pono ʻo Spermicides wale nō. Ma kahi o 15 mau hānau hāpai i kū i waho o kēlā me kēia 100 mau wahine e hoʻohana pololei i kēia hana ma mua o 1 makahiki.
- Inā hoʻohana pono ʻole ʻia nā spermicides, ʻoi aku ka makaʻu o ka hāpai keiki ma mua o 25 no kēlā me kēia 100 mau wahine i kēlā me kēia makahiki.
- ʻO ka hoʻohana ʻana i nā spermicides me nā ʻano hana ʻē aʻe, e like me ka condom kāne a wahine paha a i ʻole ke diaphragm, e hōʻemi ana i ka manawa o ka hāpai keiki ʻoi aku.
- ʻOiai ma ka hoʻohana ʻana i kahi spermicide wale nō, akā naʻe, ʻaʻole ʻoe e hāpai a ma mua o ka hoʻohana ʻole ʻana i ka kaohi hānau.
Pehea e hoʻohana ai i ka spermicide:
- Ke hoʻohana nei i kou mau manamana lima a i ʻole ka mea hoʻopili, waiho i ka spermicide hohonu i loko o ka moku he 10 mau minuke ma mua o ka moekolohe. Pono e hoʻomau i ka hana ma kahi o 60 mau minuke.
- Pono ʻoe e hoʻohana hou i ka spermicide i kēlā me kēia manawa ke moe kolohe ʻoe.
- Mai douche no ka liʻiliʻi ma 6 mau hola ma hope o ka moekolohe. (ʻAʻole i paipai ʻia ka moe ʻana, no ka mea he kumu ia e maʻi ai i ka pūpū a me nā paipu.)
ʻAʻole e hōʻemi nā Spermicides i kou manawa e loaʻa ai i kahi maʻi. Hoʻonui paha lākou i ka makaʻi o ka hoʻolaha ʻana i ka maʻi HIV.
Hoʻopilikia nā pilikia me ka huhū a me nā hopena maʻi ʻaʻa.
SPONGE VAGINAL
ʻO nā pēpē hana ʻāpala he ʻupena palupalu i uhi ʻia me ka spermicide.
Hiki ke hoʻokomo ʻia i kahi ʻōpala i loko o ka lua a hiki i 24 mau hola ma mua o ka moekolohe ʻana.
- E hāhai i nā ʻōlelo kikoʻī i hiki mai me ka huahana.
- E hoʻokuʻi i ka ʻōpala a hoʻi i loko o ka lua i hiki, a kau ma luna o ka cervix. E hōʻoia i ka uhi ʻana o ka huahua i ka cervix.
- E waiho i ka huahuakai i ka ʻōpū no 6 a 8 mau hola ma hope o ka moekolohe ʻana.
Mai hoʻohana i ka ʻōpala inā loaʻa iā ʻoe:
- Ke hele nei ʻo Vaginal i kou wā
- ʻO kahi maʻi āpau i nā lāʻau sulfa, polyurethane, a i ʻole spermicides
- ʻO kahi maʻi i loko o ka lua, cervix, a i ʻole ka uterus
- Loaʻa kahi ʻōpū, hāʻule ʻole, a pēpē paha
Pehea ka hana maikaʻi o ka huahua?
- Ma kahi o 9 a 12 mau hānau hāpai i loko o kēlā me kēia wahine he 100 e hoʻohana pololei ana i ka hakahaka ma kahi o 1 makahiki. ʻOi aku ka maikaʻi o ka hū i nā wahine i hānau hānau ʻole.
- Inā ʻaʻole hoʻohana pololei ʻia nā huahu, ʻo ka makaʻu o ka hāpai keiki he 20 a 25 no kēlā me kēia 100 mau wahine i kēlā me kēia makahiki.
- ʻO ka hoʻohana ʻana i nā holu a me nā condom kāne e hōʻemi ai i ka manawa o ka hāpai keiki ʻana.
- ʻOiai ma ka hoʻohana ʻana i ka hiona wale nō, ʻoi aku ka liʻiliʻi o kou hāpai ʻana ma mua o ka hoʻohana ʻole ʻana i ka kaohi hānau.
ʻO nā pilikia o ka ʻōpala pū kekahi:
- Hoʻonāukiuki ʻōpala
- Ka hopena hoʻowali
- ʻO ka paʻakikī e hemo ana i ka ʻōpala
- Toxic shock syndrome (laha ʻole)
Kaohi hānau - ma ke pākaukau; Nā Contraceptives - ma luna o ka pā; Hoʻolālā ʻohana - sponge vaginal; Pā ʻālua - huahuakai
Harper DM, Wilfling LE, Blanner CF. Pāʻālua. I: Rakel RE, Rakel DP, eds. Puke aʻo o ka lāʻau lapaʻau ʻohana. 9th ed. Piladelapia, PA: Elsevier; 2016: chap 26.
Marcdante KJ, Kliegman RM. ʻŌpio ʻōpio. I: Marcdante KJ, Kliegman RM, hua. Nā Pono Nui o Pediatrics. 8th ed. Elsevier; 2019: chap 69.
Rivlin K, Westhoff C. Hoʻolālā ʻohana. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 13.