Nā hāmeʻa intrauterine (IUD)

ʻO kahi hāmeʻa intrauterine (IUD) kahi mea hana T-ʻano ʻili liʻiliʻi i hoʻohana ʻia no ka kaohi hānau. Hoʻokomo ʻia ia i loko o ka kōpū kahi e noho ai e pale i ka hāpai ʻana.

Hoʻokomo pinepine ʻia kahi IUD e kāu mea mālama ola i kou manawa o kēlā me kēia mahina. Hiki ke hoʻokomo koke ʻia i kekahi ʻano a maʻalahi hoʻi i ke keʻena o ka mea lawelawe a i ʻole ke keʻena maʻi. Ma mua o ke kau ʻana i ka IUD, holoi ka mea hoʻolako i ka cervix me kahi hopena antiseptic. Ma hope o kēia, ka mea hāʻawi:

• E ho one i kahi ea ea i loaʻa ka IUD ma o ka lua a i loko o ka kōpū.
• Hoʻokomo i ka IUD i loko o ka kōpū me ke kōkua o kahi plunger.
• Wehe i ka paipu, waiho i nā kaula liʻiliʻi ʻelua e kau i waho o ka cervix ma loko o ka ʻōpū.

ʻElua kumu o nā kaula:

• ʻAe lākou i ka mea hāʻawi a wahine paha e nānā i ka noho ʻana o ka IUD ma kahi kūpono.
• Hoʻohana ʻia lākou e huki i ka IUD mai ka uterus ke hiki i ka manawa e hemo ai. E hana wale ʻia kēia.

Hiki i kēia kaʻina hana ke hōʻoluʻolu a me ka ʻeha, akā ʻaʻole like ka hopena o ka hopena i nā wahine āpau. I ka wā o ka hoʻokomo ʻana, manaʻo paha ʻoe:

• ʻO kaʻeha liʻiliʻi a me kekahi mau pilikia
• Pākuʻi a me ka ʻeha
• Puʻupuʻu a uila paha

Loaʻa i kekahi mau wahine ka cramp a me nā ʻāʻī hope no 1 a 2 mau lā ma hope o ka hoʻokomo ʻana. Loaʻa paha i nā ʻāpala kekahi a me nā ʻāʻī hope no nā pule a i ʻole mau mahina. Hiki i nā mea hōʻemi ʻeha ma over-the-counter ke hōʻoluʻolu i ka discomfort.

He koho maikaʻi ʻo IUD inā makemake ʻoe:

• ʻO kahi hana mālama wā lōʻihi a maikaʻi
• I mea e hōʻalo ai i nā pilikia a me nā hopena ʻē aʻe o nā hormones contraceptive

Akā pono ʻoe e aʻo hou aʻe e pili ana i ka IUD ke hoʻoholo inā makemake ʻoe e loaʻa kahi IUD.

Hiki i kahi IUD ke pale aku i ka hāpai ʻana no 3 a 10 mau makahiki. ʻO ka lōʻihi o ka IUD e pale ai i ka hāpai ʻana ma muli o ke ʻano o ka IUD āu e hoʻohana nei.

Hiki nō ke hoʻohana i nā IUD ma ke ʻano he hoʻopilikia hoʻopilikia. Pono e hoʻokomo ʻia i loko o 5 mau lā o ka moekolohe ʻole ʻia.

ʻO kahi ʻano IUD hou loa i kapa ʻia ʻo Mirena e hoʻokuʻu i kahi mahele haʻahaʻa o kahi hormone i loko o ka kōpū i kēlā me kēia lā no kahi manawa o 3 a 5 mau makahiki. Hoʻonui kēia i ka maikaʻi o ka hāmeʻa ma ke ʻano he kaohi hana hānau. Loaʻa iā ia nā pono i hoʻohui ʻia o ka hōʻemi a hōʻoki paha i ke kahe o ka menstrual. Hiki ke kōkua i ka pale ʻana i ka maʻi ʻaʻai (cancer endometrial) i nā wahine e makaʻu nei i ka ulu ʻana i ka maʻi.

ʻOiai ʻaʻole maʻamau, hāpai nā IUD i kekahi mau pilikia, e like me:

• Aia kekahi manawa liʻiliʻi e hāpai i ka wā e hoʻohana ana i kahi IUD. Inā hāpai ʻoe, hiki i kāu mea hāʻawi ke wehe i ka IUD e hoʻohaʻahaʻa i ka makaʻu o ka hāpai ʻana a i ʻole nā ​​pilikia ʻē aʻe.
• ʻO kahi kiʻekiʻe o ka hāpai ectopic, akā inā hāpai ʻoe i ka hoʻohana ʻana i kahi IUD. ʻO ka hāpai hāpai ectopic kahi i waho ma waho o ka ʻōpū. Hiki ke koʻikoʻi, ʻoiai hoʻoweliweli i ke ola.
• Hiki i kahi IUD ke komo i ka paia uterine a koi i ke kahakaha e hemo.

E kamaʻilio me kāu mea hāʻawi e pili ana inā he IUD ke koho maikaʻi nāu. E nīnau pū i kāu mea hāʻawi:

• He aha kāu e manaʻo ai i ke kaʻina hana
• He aha kāu mau pilikia?
• He aha kāu e nānā ai ma hope o ke kaʻina hana

No ka hapa nui, hiki ke hoʻokomo ʻia kahi IUD i kēlā me kēia manawa:

• Ma hope pono o ka hānau ʻana
• Ma hope o ka hāʻule ʻana o ka koho ʻana a maʻa paha

Inā loaʻa ʻoe i ka maʻi, ʻaʻole pono e hoʻokomo ʻia kahi IUD.

E ʻōlelo paha kāu mea hāʻawi iā ʻoe e lawe i ka painkiller ma ka mea kūʻai aku ma mua o ka hoʻokomo ʻia ʻana o ka IUD. Inā maʻalahi ʻoe i ka ʻeha i loko o kāu ʻōpū a i ʻole cervix, e noi i kahi anesthetic kūloko e hoʻopili ʻia ma mua o ka hoʻomaka ʻana o ke kaʻina hana.

Makemake paha ʻoe e hoʻokele kekahi iā ʻoe i ka home ma hope o ke kaʻina hana. Kekahi mau wahine i cramping akahai, backache haʻahaʻa, a me ke kiko no kekahi mau lā ʻelua.

Inā loaʻa iā IUD kahi progestin-hoʻokuʻu ʻia, ma kahi o 7 mau lā e hoʻomaka ai ka hana. ʻAʻole pono ʻoe e kali no ka moekolohe. Akā pono ʻoe e hoʻohana i kahi ʻano kākoʻo o ka kaohi hānau, e like me ka kondom, no ka pule mua.

Makemake kāu mea e ʻike iā ʻoe i 2 a 4 mau pule ma hope o ke kaʻina hana e ʻike pono aia nō ka IUD. E noi i kāu mea hāʻawi e hōʻike iā ʻoe pehea e nānā ai ke waiho nei ka IUD, a pehea ka manawa āu e nānā ai iā ia.

I nā hihia kakaikahi, hiki i kahi IUD ke heʻe hapa a i ʻole ke ala a pau i waho o kou kōpū. ʻIke ʻia kēia ma hope o ka hāpai ʻana. Inā kū kēia, e kāhea koke i kāu mea hāʻawi. MAI HOA e hoʻoneʻe i kahi IUD i hele mai i kahi ʻaoʻao o ke ala i waho a ua heʻe paha i waho o kahi.

Kāhea koke i kāu mea hāʻawi inā loaʻa iā ʻoe:

• Nā hōʻailona like Flu
• Fiva
• ʻO Chills
• Pākuʻi
• ʻEha, kahe ʻana o ke kahe, a i ʻole ke kahe ʻana o ka wai mai kāu pūnana

Mirena; ParaGard; IUS; ʻŌnaehana Intrauterine; LNG-IUS; Pāʻālua - IUD

Bonnema RA, Spencer AL. Pāʻālua. I: Kellerman RD, Bope ET, eds. ʻO Conn's Current Therapy 2018. Piladelapia, PA: Elsevier; 2018: 1090-1093.

Curtis KM, Jatlaoui TC, Tepper NK, et al. ʻO nā ʻōlelo aʻoaʻo a A. U.S. i wae ʻia no ka hoʻohana Contraceptive, 2016. ʻO MMWR Rekua Rep. 2016; 65 (4): 1-66. PMID: 27467319 www.ncbi.nlm.nih.gov/pubmed/27467319.

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.

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.