6 mau mea āu e ʻike ai e pili ana i ke kī ʻana o ka hānau hānau

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Nui aʻe nā koho kaohi hānau i loaʻa iā ʻoe ma mua o ka wā ma mua. Hiki iā ʻoe ke kiʻi i nā hāmeʻa intrauterine (IUDs), hoʻokomo i nā apo, hoʻohana i nā condom, e kiʻi i kahi implant, paʻi i kahi pā, a i ʻole pop i kahi pila. A ʻo kahi loiloi hou i hana ʻia e ka Institute Guttmacher ua ʻike ʻia ua hoʻohana ka 99 pakeneka o nā wahine i hoʻokahi o kēia mau makahiki i ka wā e moekolohe ai. Akā aia kekahi ʻano o ka kaohi hānau ʻaʻole manaʻo ka hapa nui o nā wahine: ka kī. ʻO ka 4.5 wale nō pakeneka o nā wahine e koho e hoʻohana i nā mea pale i hiki ke hoʻopili ʻia, ʻoiai lākou i helu ʻia ʻo kekahi o nā ʻano pono a pono ʻole hoʻi.

ʻO ia ke kumu a mākou i kamaʻilio ai iā Alyssa Dweck, M.D., OBGYN, a me ka mea kākau o No Vagina ʻo V, e kiʻi i ka scoop maoli i kona palekana, ʻoluʻolu, a me kona pono. Eia nā mea ʻeono āu e pono ai e ʻike e pili ana i ka pū, no laila hiki iā ʻoe ke hoʻoholo i ka hopena maikaʻi loa no kou kino.

Hana ia. He 99 pakeneka ka maikaʻi o ke kī ʻo Depo-Provera i ka pale ʻana i ka hāpai ʻana, ʻo ia hoʻi ka maikaʻi ma mua o nā polokalamu intrauterine (IUD) e like me ka Mirena a ʻoi aku ka maikaʻi ma mua o ka hoʻohana ʻana i ka pila (98 pākēneka maikaʻi) a i ʻole condoms (85 pākēneka maikaʻi). "He mea hilinaʻi loa ia no ka mea ʻaʻole ia e koi i ka hoʻokele o kēlā me kēia lā, no laila, ua liʻiliʻi ka manawa kūpono no ke kuhi hewa o ke kanaka," wahi a Dweck. (Psst ... Nānā i kēia mau kaʻao 6 IUD, ʻānai ʻia!)

He wā lōʻihi (akā ʻaʻole paʻa) ka hānau hānau. Pono ʻoe e kī ʻia i kēlā me kēia ʻekolu mau mahina no ka kaohi mau o ka hānau ʻana, kahi huakaʻi wikiwiki i ke kauka i ʻehā mau manawa o ka makahiki. Akā inā hoʻoholo ʻoe ua mākaukau ʻoe no kahi pēpē, hoʻihoʻi ʻia kāu momona ma hope o ka pau ʻana o ke kī ʻana. Kaha: lawe ka awelika o 10 mau mahina ma hope o kāu pana hope loa e hāpai ai, ʻoi aku ka lōʻihi ma mua o nā ʻano hormonal o ka kaohi hānau ʻana, e like me ka pila. He koho maikaʻi kēia no nā wahine ʻike lākou makemake i nā keiki i kekahi lā akā ʻaʻole i ka wā e hiki mai ana.

Hoʻohana ia i nā hōmona. I kēia manawa, aia wale nō hoʻokahi ʻano kontraceptive injectable, i kapa ʻia ʻo Depo-Provera a i ʻole DMPA. He progestin injectable-kahi ʻano synthetic o ka wahine hormone progesterone. "Hana ia ma ke kaohi ʻana i ka ovulation a me ka pale ʻana i ka hoʻokuʻu hua, ka mānoanoa o ka mucus cervix, ka mea e ʻoi ai ka paʻakikī o ka sperm e kiʻi i kahi hua manu no ka hoʻoulu ʻana, a me ka lahilahi ʻana i ka uhi ʻana o ka uterine e hōʻoluʻolu ʻole ai ka uterus no ka hāpai keiki," wahi a Dweck.

Aia nā mahele lāʻau ʻelua. Hiki iā ʻoe ke koho e loaʻa iā 104 mg i injected ma lalo o kou ʻili a i ʻole 150 mg injected i loko o kou mākala. Hōʻike kekahi mau noiʻi e ʻimi maikaʻi kā mākou kino i ka lāʻau mai nā intramuscular injection akā ʻoi aku ka ʻeha o kēlā hana. Eia nō naʻe, hāʻawi nā ʻano ʻelua i ka pale kūpono loa.

ʻAʻole ia na ka poʻe āpau. ʻOi aku paha ka maikaʻi o ka pana ma nā wahine momona, wahi a Dweck. A no ka mea he mau homoniō ia, loaʻa iā ia nā hopena ʻē aʻe e like me nā ʻano hana o ka hānau hānau hormonal i loaʻa ka progestin-plus kekahi mau mea hou aʻe. Ma muli o ka loaʻa ʻana iā ʻoe o ka mega-mahele o ka homone i hoʻokahi pana, ʻoi aku paha ka loaʻa ʻana o ke kahe koko ʻole a i ʻole ka lilo ʻana o kāu manawa. (ʻOiai he bonus kēlā i kekahi!) Hoʻohui ʻo Dweck hiki ke nalowale ka iwi me ka hoʻohana lōʻihi. ʻO ka nūhou maikaʻi, ʻaʻohe ona estrogen, no laila maikaʻi no nā wahine estrogen-sensitive.

Hiki iā ia ke hoʻonui iā ʻoe i ke kaupaona. ʻO kekahi o nā kumu e hāʻawi pinepine ai nā wahine i ke koho ʻole ʻana i ka pū, ʻo ia ka lono e hoʻonui ai i ka momona. A he hopohopo legit kēia, wahi a Dweck, akā i kahi kuhi wale nō. "ʻIke wau i ka hapa nui o nā wahine e loaʻa ma kahi o ʻelima mau paona me Depo," i ʻōlelo ai ʻo ia, "akā ʻaʻole kēlā no ka honua āpau." Ua hōʻike ʻia kahi noiʻi hou mai ke Kulanui ʻo Ohio State i hoʻokahi mea e hoʻoholo ana inā loaʻa ke kaupaona mai ke kī ʻana ʻo ia nā micronutrients, a i ʻole nā ​​huaora, i kāu papaʻai. Ua ʻike nā kānaka noiʻi i nā wahine i ʻai i ka nui o nā hua, nā mea ʻai, a me nā mea kanu āpau i ka liʻiliʻi o ka loaʻa ʻana o ke kaupaona ma hope o ka pana ʻana, ʻoiai lākou e ʻai pū i ka meaʻai maikaʻi ʻole. (E hoʻāʻo i nā meaʻai maikaʻi loa no ka abs pālahalaha.)

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