Pila pale hānau

Loaʻa i loko o nā pilina mālama hānau (BCPs) nā ʻano hana a ke kanaka i hana ʻia o 2 mau hormones i kapa ʻia ʻo estrogen me progestin. Hana maʻamau ʻia kēia mau hormones i nā ovaries o ka wahine. Hiki i nā BCP ke komo i kēia mau hormones ʻelua, a i ʻole loaʻa progestin wale nō.

Pale nā ​​hormones ʻelua i ka ovary o ka wahine mai ka hoʻokuʻu ʻana i kahi hua manu i loko o kāna pōʻai paʻapaʻa (i kapa ʻia ʻo ovulation). Hana lākou i kēia ma ka hoʻololi ʻana i nā pae o nā hormones maoli a ke kino e hana ai.

Hana pū nā Progestins i ka hua a puni ka cervix o ka wahine a mānoanoa a paʻa. Kōkua kēia i ka pale ʻana i ka sperm mai ke komo ʻana i ka kōpū.

Kāhea ʻia ʻo BCPs he ʻohana haʻi waha a i ʻole ʻo "ka pila wale nō." Pono e hāʻawi kahi kahu mālama ola i BCPs.

• Hoʻohui ka ʻano maʻamau o BCP i nā estrogen estrogen a me ka progestin. Nui nā ʻano like ʻole o kēia ʻano pila.
• ʻO ka "mini-pill" kahi ʻano o BCP i loaʻa wale ka progestin, ʻaʻohe estrogen. ʻO kēia mau pila he koho no nā wahine makemake ʻole i nā hopena o ka estrogen a i ʻole hiki ʻole ke lawe i ka estrogen no nā kumu olakino.
• Hiki iā lākou ke hoʻohana ma hope o ka lawe ʻia ʻana i nā wahine hānai waiū.

Pono nā wahine āpau e lawe iā BCP i kahi loiloi ma ka liʻiliʻi i hoʻokahi manawa i ka makahiki. Pono nā wahine e hōʻoia i ko lākou kahe koko 3 mau mahina ma hope o ka hoʻomaka ʻana e lawe i ka pila.

Hana maikaʻi wale nā ​​BCP inā hoʻomanaʻo ka wahine e lawe i kāna pila i kēlā me kēia lā me ka hala ʻole o kahi lā. ʻO 2 a 3 paha mau wahine o 100 e lawe pololei i BCPs no hoʻokahi makahiki e hāpai.

Hoʻokumu paha ʻo BCP i nā hopena ʻē aʻe. Pākuʻi ʻia kēia mau mea:

• Nā loli i nā pōʻai menstrual, ʻaʻohe pōʻai menstrual, ke kahe nui keu
• Nualha, loli ke ʻano, ke kaumaha o ka migraines (ma muli o ka estrogens)
• Ka palupalu a me ka loaʻa o ke kaupaona

ʻO nā pilikia kamahaʻi akā weliweli hoʻi mai ka lawe ʻana i BCPs me:

• Huʻi koko
• Maʻi hohola
• Piʻi koko kiʻekiʻe
• Hahau

ʻO ka BCPs me ka ʻole o estrogen e hoʻoliʻiliʻi paha i kēia mau pilikia. ʻOi aku ka kiʻekiʻe o ka makaʻu no nā wahine puhipaka a i ʻole ka moʻaukala o ke koko kiʻekiʻe, nā maʻi o ke kāpili ʻana, a i ʻole nā ​​pae kolesterol maikaʻi Eia nō naʻe, ʻoi aku ka haʻahaʻa o nā pilikia o ka hoʻomohala ʻana i kēia mau pilikia me kekahi ʻano o ka pila ma mua o ka hāpai keiki.

E hoʻi nā pōʻaiapuni maʻamau ma waena o 3 a 6 mau mahina ma hope o ka pau ʻana o ka wahine me ka hoʻohana ʻana i ka nui o nā hana kaohi hānau hormonal.

Contracéption - pills - nā ʻano hormonal; Nā hana kāohi hānau Hormonal; Nā lāʻau hoʻomalu hānau; Nā lāʻau pale Contraceptive; BCP; OCP; Hoʻolālā ʻohana - BCP; Estrogen - BCP; Progestin - BCP

• Nā mea hana lāʻau Hormone-based contraceptives

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Ke Kulanui ʻAmelika o nā Obstetricians a me ka pūnaewele Gynecologists. ʻO ka Bulletin Hoʻolālā ACOG Helu 206: Hoʻohana o ka contraceptive hormonal i nā wahine me nā ʻano olakino coexisting. ʻO Obstet Gynecol. 2019; 133 (2): 396-399. PMID: 30681537 pubmed.ncbi.nlm.nih.gov/30681537/.

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 Saunders; 2016: chap 26.

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.

ʻO Winikoff B, ʻO Grossman D. Contraceptive. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 225.