ʻO ke kiʻi ʻana i kāu mau paipu e pili kokoke i ka piluna

Anter

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Loaʻa i nā wahine i nā koho kaohi ʻoi aku ka nui ma mua o ka wā ma mua: pills, IUDs, condom-take your pick. (ʻOiaʻiʻo, makemake mākou ʻaʻohe kūkā kamaʻilio hakakā e pili ana i nā kino o nā wahine, akā no kēlā moʻolelo ʻē aʻe.)

Me nā koho maʻalahi he nui (ʻaʻole e ʻōlelo maʻalahi hoʻi ʻia) nā koho ma waho, e pīhoihoi paha ʻoe i ka ʻike ʻana ma kahi o ka hapahā o nā wahine āpau e koho nei e hoʻohana i kekahi ʻano o ka pale ʻana e hele ana no ka wahine sterilization-AKA "hoʻopaʻa i kā lākou mau paipu" -e hoʻopaʻa nei i ka hōʻike hou loa mai nā Centers for Disease Control and Prevention. (Eia pehea e ʻike ai i ke koho hoʻomalu hānau maikaʻi loa no ʻoe.)

Hoʻokaʻawale ka hōʻike i nā ʻano hana i makemake ʻia o ka contraception i waena o nā wahine e koho ana e hoʻohana i kekahi ʻano o ka mālama hānau ʻana (ma kahi o 62 pakeneka o nā wahine ma waena o nā makahiki 15 a me 44 ma waena o 2011 a me 2013, i ka wā i hōʻiliʻili ʻia ai ka ʻikepili). A ke hoʻohana ʻia nei nei ka sterilization ʻana o nā wahine e kahi kekona he 25 pākēneka o nā wahine e hoʻohana nei i kekahi ʻano kaohi hānau, a i ʻole 15 pākēneka o ka heluna lehulehu. (ʻO Psst... Mai hāʻule i kēia mau kaʻao IUD!)

Hoʻopili kēlā i kou mau paipu i ka lua o nā ʻano punahele o ka kaohi hānau, condom trumping, nā mea hana e like me ka IUD, a me nā pana hānau hānau. Woah. Inā ʻaʻole lawa ka pupule kēlā, ʻo ke ʻano hana ʻole hiki ke hoʻohuli ʻia kahi kokoke loa i ka lua o ka pila kaulana. Ke kamaʻilio nei mākou ma lalo o ka pākēneka pākēneka.

ʻAʻole kēia kahi ʻano hou. ʻO ka nui o nā wahine e koho ana i ke kaʻina hana paʻa ua mau nō ia mai ka waena o 1990s, e like me ka ʻikepili mōʻaukala mai ka CDC.

"ʻO ka mea maopopo e pono ai e noʻonoʻo ka hoʻomau ʻana o kahi tubigation ligation," wahi a Alyssa Dweck, M.D., ke kākoʻo lapaʻau o nā kaukō a me nā gynecology ma ke Kula Lapaʻau ʻo Mount Sinai. "He mea nui ka makaʻala o nā wahine e hana ʻia kēia me ka manaʻo ʻaʻole makemake lākou i nā keiki hou aku."

He mea maʻalahi ka hoʻopaʻa ʻana i kāu mau paipu, akā ʻo ke kaʻina hana maoli, ʻaʻole ia i ke kakaka nani e ʻōlelo ʻia e ka inoa. I ka hapa nui o nā tubal ligations, e hele a kauka i kahi ʻoki a ʻoki, puhi, a hoʻopaʻa paha i nā kīʻaha Fallopian i pani ʻia, kahi, e like me kāu e koho ai, ʻaʻole hiki ke hoʻihoʻi ʻia. ʻOiai maʻamau ka hana, he neʻe loa ia.

Ke noʻonoʻo nei i ka paʻa mau o kēia hana pale hāpai hāpai, manaʻo paha ʻoe e hoʻoulu nei nā wahine i ka ligation tubal i ka helu ʻelua ma ke kūlana contraceptive ma ka hopena kahiko o ka spectrum a hana ʻia he keiki. ʻO Anecdotally, ʻōlelo ʻo Dweck ʻo ia ka hihia ma kāna hana, akā haʻi ka hōʻike CDC i kahi moʻolelo ʻokoʻa.

Wahi a kā lākou ʻikepili, ʻo nā wahine ʻoi aku ka nui o ka lāhui e koho ana i nā nakinaki o kā lākou mau paipu. Eia nō naʻe, ʻo nā wahine millennial ka mea nui o kēia heluna kanaka.

No laila inā he nui ka hapa o mākou e hana nei, ke nakinaki nei i kāu mau paipu i kahi mea āu e noʻonoʻo ai inā ʻaʻole ʻoe makemake i nā keiki?

"Makemake wau e kānalua i ka hāʻawi ʻana i kēia kaʻina hana i nā wahine ʻōpio ʻaʻole i loaʻa nā keiki me ka noʻonoʻo ʻole no ka mea ʻaʻole ʻoe i ʻike i ka mea e hiki mai ana," wahi a Dweck.

Ma muli o ka hoʻonui mau ʻana o nā ʻano hana hoʻomalu hānau i loaʻa, ʻo ke koho ʻana i kahi ala mau loa, e like me ka ʻōlelo a Dweck, ʻaʻole ia he mea e lawe māmā ʻia. E kamaʻilio me kāu gyno e hana i kahi hoʻolālā no ke ʻano āu e makemake ai e hoʻokokoke i ka hāpai ʻana (a i ʻole ka nele) i ka wā lōʻihi.

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