Nā Pila Māki Hānau: He kūpono anei ia nāu?

Anter

• He aha nā ʻano o nā lāʻau hoʻomake hānau?
• Nā hua hoʻohui
• Nā huaale Progestin-wale
• Ke hoʻoholo nei i kahi ʻano o ka pill hoʻomalu hānau
• Pehea e holo ai nā lāʻau hoʻomalu hānau?
• Pehea wau e hoʻohana ai i nā lāʻau hoʻomalu hānau?
• Pehea ka maikaʻi o nā lāʻau kaohi hānau?
• He aha nā pono o nā lāʻau kaohi hānau?
• He aha nā mea maikaʻi ʻole o nā lāʻau kaohi hānau?
• Nā hopena a me nā pilikia
• Nā pilikia
• E kamaʻilio me kāu kauka
• Q&A
• Q:
• A:

Hoʻolauna

ʻO ke ʻano o ka kaohi hānau āu e hoʻohana ai he hoʻoholo pilikino, a he nui nā koho e koho ai. Inā he wahine hana kolohe ʻoe, e noʻonoʻo paha ʻoe i nā lāʻau kaohi hānau.

ʻO nā lāʻau hoʻomake hānau, i kapa ʻia nā pale pale waha, he lāʻau lapaʻau āu e lawe ai i ka waha e pale ai i ka hāpai keiki. He hana kūpono lākou no ka kaohi hānau. E ʻike pehea e hana ai a me nā hopena ʻē aʻe e hiki ai iā lākou ke hana, a me nā kumu ʻē aʻe e kōkua iā ʻoe e hoʻoholo inā he koho maikaʻi nā pil pale hānau.

He aha nā ʻano o nā lāʻau hoʻomake hānau?

Nā hua hoʻohui

Loaʻa nā hua hoʻohui i nā synthetic (i hana ʻia e ke kanaka) ʻano o nā homone estrogen a me ka progestin. ʻEleu ka hapa nui o nā pila i kēlā me kēia pōʻaiapili, ʻo ia hoʻi he mau homone ko lākou. Kūleʻa nā pila i koe, ʻo ia hoʻi ʻaʻole lākou i loko o nā homone. Aia kekahi mau ʻano o nā hua hoʻohui:

• Nā Pila Monophasic: Hoʻohana ʻia kēia i nā pōʻai hoʻokahi mahina a hāʻawi kēlā me kēia pila hana iā ʻoe i ka like o ka hormona. I loko o ka pule hope loa o ke pōʻaiapuni, lawe ʻoe i nā pila hana ʻole a loaʻa kou manawa.
• Nā Pila Multiphasic: Hoʻohana ʻia kēia i nā pōʻai hoʻokahi mahina a hāʻawi i nā pae like ʻole o nā hormoni i ke kaʻapuni. I loko o ka pule hope loa o ke pōʻaiapuni, lawe ʻoe i nā pila hana ʻole a loaʻa kou manawa.
• Nā Pila Hoʻohālikelike Hoʻolālā: Hoʻohana mau ʻia kēia i nā pōʻai he 13 mau pule. Lawe ʻoe i nā pila hana no 12 mau pule, a i loko o ka pule hope o ke pōʻaiapuni, lawe ʻoe i nā pila hana ʻole a loaʻa kou manawa. A ʻo kahi hopena, aia wale nō kāu manawa i ʻekolu a ʻehā mau manawa i kēlā me kēia makahiki.

ʻO nā laʻana o nā hua hoʻohui hua inoa inoa inoa:

• ʻO Azurette
• ʻO Beyaz
• Hoʻopīʻai
• ʻO Estrostep Fe
• ʻO Kariva
• ʻO Levora
• Loestrin
• Natazia
• ʻO Ocella
• ʻO Low-Ogestrel
• ʻO Ortho-Novum
• ʻO Ortho Tri-Cyclen
• Makahiki
• Makahiki
• Velivet
• ʻO Yasmin
• ʻO Yaz

Nā huaale Progestin-wale

Loaʻa i nā huaale progestin-progestin wale nō ka progestin me ka ʻole o ka estrogen. Kapa ʻia kēia ʻano pila he minipill. He koho maikaʻi paha nā pila Progestin wale no nā wahine i hiki ʻole ke lawe i ka estrogen no ke olakino a i ʻole nā ​​kumu ʻē aʻe. Me kēia mau pila progestin-wale, hana nā pila āpau i ke kaapuni. ʻAʻohe pila hana ʻole, no laila ʻaʻole a loaʻa ʻole iā ʻoe kahi manawa ke lawe nei ʻoe i nā pila progestin-wale nō.

ʻO nā laʻana o nā pila progestin-wale nā:

• Camila
• ʻO Errin
• ʻO Heather
• ʻO Jencycla
• Nor-QD
• ʻO Ortho Micronor

Ke hoʻoholo nei i kahi ʻano o ka pill hoʻomalu hānau

ʻAʻole kūpono kēlā me kēia ʻano o ka pila i kēlā me kēia wahine. E kamaʻilio me kāu kauka e pili ana i kahi koho pila e kūpono loa iā ʻoe. Nā kumu i hiki ke hoʻohuli i kāu koho me:

• kou hōʻailona menstrual
• inā hānai ʻoe
• kou ola kino
• nā kūlana olakino ʻē aʻe āu i loaʻa
• nā lāʻau ʻē aʻe āu e ʻai ai

Pehea e holo ai nā lāʻau hoʻomalu hānau?

Hana nā pila hoʻohui i nā ala ʻelua. ʻO ka mea mua, pale lākou i kou kino mai ka hoʻoipoipo. ʻO kēia ka manaʻo ʻaʻole e hoʻokuʻu kāu ovaries i kahi hua manu i kēlā me kēia mahina. ʻO ka lua, hana kēia mau huaale i ka momona o kou kino i kou kino. He loli kēia mucus a puni kou cervix e kōkua i ka sperm e hele i kāu kōpū i hiki iā ia ke momona i kahi hua manu. Kōkua ka mucus mānoanoa i ka pale ʻana i ka sperm mai ka hiki ʻana i ka kōpū.

Hana pū nā pila ʻo Progestin wale nō i kekahi mau ʻano ʻokoʻa. ʻO ka mea nui, hana lākou ma ka mānoanoa i kou mucus cervical a me ka lahilahi o kou endometrium. ʻO kou endometrium ka pale o kou kōpū kahi e hoʻokomo ai kahi hua manu ma hope o ka momona. Inā lahilahi kēia pale, ʻoi aku ka paʻakikī o ka hoʻokomo ʻana o kahi hua manu i loko ona, kahi e pale ai i ka hāpai ʻana o ka hāpai keiki. Hoʻohui ʻia, pale paha nā pila progestin-wale i ka ovulation.

Pehea wau e hoʻohana ai i nā lāʻau hoʻomalu hānau?

Hele mai nā pila hoʻohui i nā ʻano like ʻole. Hoʻopili kēia i nā pūʻolo mahina, e pili ana i nā pōʻai 21, 24 lā, a i ʻole 28 mau lā. Hiki i nā regimens hoʻonui ʻia ke ukali i nā pōʻaiapuni 91 mau lā. No kēia mau mana āpau, lawe ʻoe i hoʻokahi pila i kēlā me kēia lā i ka manawa like o ka lā.

ʻO nā huaale Progestin-only, ma ka ʻaoʻao ʻē aʻe, hele wale mai i nā pūʻolo he 28. E like me nā pila hoʻohui, lawe ʻoe i hoʻokahi pila i ka manawa like i kēlā me kēia lā.

Pehea ka maikaʻi o nā lāʻau kaohi hānau?

Inā lawe pololei ʻia, maikaʻi loa nā lāʻau hoʻomalu hānau i ka pale ʻana i ka hāpai keiki. Wahi a ka CDC, ʻo nā pila hoʻohui like a me nā pila progestin-wale i loaʻa nā helu kaulike me ka hoʻohana maʻamau. ʻO ia ka mea mai loko mai o 100 mau wahine e hoʻohana nei i ka pila, 9 hāpai keiki.

I mea e holo pono ai, pono e lawe i nā pila progestin i loko o ka manawa like ʻekolu mau hola i kēlā me kēia lā.

Aia kahi maʻalahi hou aʻe me nā hua hoʻohui. Ma ka laulā, pono ʻoe e hoʻāʻo e lawe i nā hua hoʻohui i ka manawa like i kēlā me kēia lā, akā hiki iā ʻoe ke lawe iā lākou i loko o ka puka like o kēlā me kēia lā he 12 mau hola a ke pale nei i ka hāpai ʻana.

Hoʻomaopopo paha kekahi mau lāʻau i kekahi ʻano o nā pila. Pākuʻi ʻia kēia mau mea:

• rifampin (kahi antibiotic)
• kekahi mau lāʻau HIV e like me lopinavir a me saquinavir
• kekahi mau lāʻau lapaʻau antiseizure e like me carbamazepine a me topiramate
• John's wort

E emi paha ka maikaʻi o ka pila inā loaʻa ʻoe i ka palahī a i ʻole ka luaʻi. Inā loaʻa ʻoe i ka maʻi ʻōpū, e nānā me kāu kauka e ʻike inā pilikia ʻoe i ka hāpai keiki. E hoʻohana i kahi hana papaʻa o ka pale pale a hiki i kou ʻike he palekana ʻaʻole e hana pēlā.

He aha nā pono o nā lāʻau kaohi hānau?

He nui nā pōmaikaʻi o nā lāʻau hoʻomalu hānau.

• Pale lākou iā ʻoe ma 24/7. ʻAʻole pono ʻoe e hopohopo e pili ana i ka kaohi hānau i ka wā pili.
• Kūleʻa lākou. Mālama lākou i ka hāpai ma mua o ka nui o nā koho kaohi hānau.
• Kōkua lākou i ka hoʻoponopono ʻana i kāu pōʻai menstrual. Hiki ke kōkua i kēia no nā wahine me nā wā kūpono ʻole a kaumaha paha.
• Hoʻohuli piha lākou. ʻO kēia ke pau ʻoe i ka lawe ʻana iā lākou e hoʻi hou kāu pōʻaiapuni i ka maʻamau a hiki iā ʻoe ke hāpai ma hope.

Aia kekahi mau pōmaikaʻi e pili ana i ke ʻano o ka pila. Hoʻolako pū ʻia nā pila hoʻohui i kekahi palekana mai:

• huehue
• hāpai keiki ectopic
• iwi lahilahi
• ulu ulu ʻole o ka maʻi ʻaʻai
• maʻi ʻaʻai endometrial a me ovarian
• anemia
• wā kaumaha
• ʻino nui loa

Loaʻa nā pōmaikaʻi ʻē aʻe i nā pila Progestin wale nō, e like me ka palekana no nā wahine nāna:

• ʻaʻole hiki ke ʻae i ka estrogen therapy
• he poʻe puhipaka
• ʻoi aku ma mua o 35 mau makahiki
• he moʻolelo o ka pehu koko
• makemake e hānai

He aha nā mea maikaʻi ʻole o nā lāʻau kaohi hānau?

ʻAʻole pale nā ​​pāpale pale hānau i nā maʻi lele i ka moekolohe. I mea e pale aku ai i kēia mau maʻi, pono ʻoe e hoʻohana i nā condom i ka hoʻohui o kāu pila o kēlā me kēia lā.

Eia kekahi, pono ʻoe e hoʻomanaʻo e lawe i kāu pila i kēlā me kēia lā. A pono ʻoe e ʻike pono he mākaukau hou kāu e hele aku ke hoʻopau ʻoe i kahi ʻūlū. Inā haʻalele ʻoe i kahi pila a hoʻolohi paha i ka hoʻomaka ʻana o kahi ʻūlū hou ma hope o ka pau ʻana o kahi pōʻaiapuni, hoʻonui ʻia kou makaʻu o ka hāpai keiki.

Nā hopena a me nā pilikia

ʻOiai palekana nā pilina pale hānau no ka hapanui o nā wahine, hele mai lākou me nā hopena a me nā pilikia. ʻOkoʻa ka hana a kēlā me kēia wahine i nā hormones i loko o nā paina kūmau hānau. Loaʻa nā hopena ʻē aʻe i kekahi mau wahine, e like me:

• hoʻēmi i ka hoʻokele moekolohe
• nausea
• kahe ana ke koko ma waena o nā wā
• palupalu o ka umauma

Inā loaʻa iā ʻoe kēia mau hopena ʻaoʻao, e hoʻomaikaʻi paha lākou ma hope o kekahi mau mahina o ka hoʻohana ʻana i ka pila. Inā ʻaʻole lākou e hoʻomaikaʻi, e kamaʻilio me kāu kauka. ʻ suggestlelo paha lākou iā ʻoe e hoʻololi i kahi ʻano ʻē aʻe o ka lāʻau ʻaʻa hānau.

Nā pilikia

ʻO ka makaʻu koʻikoʻi i ka hoʻohana ʻana i nā lāʻau kaohi hānau, ʻoi aku ka nui o nā pila hoʻohui, he piʻi nui aʻe ia o nā kahe o ke koko. Hiki i kēia ke alakaʻi i:

• thrombosis hohonu loa
• maʻi hohola
• hahau
• embolism pulmonary

Ma ke ʻano holoʻokoʻa, haʻahaʻa ka makaʻu o ke kōkō ʻana o ke koko mai ka hoʻohana ʻana i kekahi ʻano pill o ka hānau hānau. Wahi a ka ʻAmelika Hui Pū ʻIa o nā Obstetricians a me nā Gynecologists, mai loko mai o nā wahine he 10,000, ma lalo o 10 e hoʻomohala i ka huehue koko ma hope o ka lawe ʻana i ka pilina hui no hoʻokahi makahiki. ʻOi aku ka haʻahaʻa o kēia makaʻu ma mua o ka makaʻu o ka hoʻomohala ʻana i kahi koko i ka wā hāpai a ma hope koke o ka hānau ʻana.

Eia naʻe, ʻoi aku ka kiʻekiʻe o ka makaʻu o ke kōkuʻu koko mai ka pila no kekahi mau wahine. Hoʻopili kēia i nā wahine i:

• kaumaha loa
• loaʻa ke koko kiʻekiʻe
• aia ma ka moe hoʻomaha no nā kau lōʻihi

Inā pili kekahi o kēia mau mea iā ʻoe, e kamaʻilio me kāu kauka e pili ana i ka makaʻu o ka hoʻohana ʻana i ka lāʻau hoʻomalu hānau.

E kamaʻilio me kāu kauka

Loaʻa nā koho pale hānau he nui i kēia lā, a he maikaʻi loa ka lāʻau hoʻomalu hānau. Akā ʻo ke koho kaohi hānau maikaʻi loa nāu e pili ana i nā kumu he nui. No ka loaʻa ʻana o kahi koho kūpono iā ʻoe, e kamaʻilio me kāu kauka. E nīnau pono i kāu nīnau. Pili pū paha kēia:

• ʻO ke ʻano o ka pill pill hānau maikaʻi e ʻoi aku ka maikaʻi noʻu?
• Ke lawe nei wau i nā lāʻau e hiki ai ke hoʻopilikia i kahi pil kaohi hānau?
• ʻOi aku wau i ka makaʻu kiʻekiʻe o nā kahe koko mai ka pila?
• He aha kaʻu e hana ai inā poina iaʻu ka lawe ʻana i ka lāʻau?
• He aha nā koho pale hānau ʻē aʻe aʻu e noʻonoʻo ai?

Q&A

Q:

He aha nā koho pale hānau ʻē aʻe i laila?

A:

ʻO nā lāʻau kaohi hānau kekahi wale nō ia o nā koho contraceptive. ʻO nā koho ʻē aʻe mai nā manawa lōʻihi e like me ka intrauterine hāmeʻa (IUD) a i nā koho wā pōkole e like me ka ʻōpala contraceptive. E ʻike ai e pili ana i kēia mau koho he nui a me kā lākou pono, ke kumukūʻai, a me nā maikaʻi a me nā maikaʻi ʻole, e heluhelu e pili ana i ke ʻano hana hānau pono kūpono iā ʻoe.