He IUD ke koho kaohi hānau maikaʻi loa nāu?

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Ua ʻike anei ʻoe i ka leo a puni ka IUD i kēia mau lā? Ua ʻike ʻia nā mea hana Intrauterine (IUDs) ma nā wahi āpau. I ka pule i hala aku nei, ua hōʻike ka National Center for Health Statistics i ka hoʻonui ʻelima mau manawa o ka hana hana hana hana hana lōʻihi lōʻihi i nā makahiki he 10 i hala aku nei ma waena o ka set 15-to-44. I ka hoʻomaka ʻana o Feberuari, ua hōʻike ʻia kahi noiʻi mai Washington University School of Medicine ma St. Louis i ka hoʻomau ʻana o ka IUD hormonal i hoʻokahi makahiki ma mua o ko lākou mau makahiki ʻelima i ʻae ʻia e FDA.

Akā no nā wahine he nui e koho ana i ka mana hānau, aia nō ke kānalua. Me he mea lā ua ʻike ka poʻe āpau i kekahi mea nona ka moʻolelo weliweli IUD, mai ka ʻeha ma ka hoʻokomo ʻana i ka cramping ikaika no nā pule ma hope. A laila aia ka manaʻo he pilikia lākou a pau. (E ʻike i kāu mea i ʻike ai e pili ana i nā IUD.)

ʻAʻole nā ​​hopena āpau weliweli i nā maʻamau āpau, i ʻōlelo ʻia ʻo Christine Greves, MD, kahi wahine hānau wahine ma ka Halemai ʻo Winnie Palmer no nā Wahine a me nā pēpē. ʻAʻole hoʻi he mea weliweli nā IUD: "Aia kekahi mana mua i kaulana maikaʻi ʻole," wahi āna. "ʻO ke kaula ma lalo he mau filament, ʻoi aku ka maʻalahi o ka bacteria i hoʻopaʻa ʻia iā ia, a ʻoi aku ka nui o nā hoʻokolohua pelvic. Akā ʻaʻole hoʻohana ʻia kēia IUD." (E ʻike i nā nīnau e pili ana i ka hānau ʻana 3 Pono ʻoe e nīnau i kāu kauka)

No laila, i kēia manawa ua wehe mākou i kēlā mau kuhi hewa maʻamau, eia ka mea e pono ai ʻoe e ʻike e pili ana i ka contraceptive:

Pehea e hana ai?

ʻElua mau mana o ka IUD e hoʻomaopopo: ʻo ka hormonal ʻelima makahiki a me ka 10-makahiki non-hormonal. Hana ka hormonal i ka hoʻokuʻu ʻana i ka progestin, kahi e mānoanoa ai i ka mucus o ka ʻōpū a hana maʻalahi i ka ʻōpū no kahi hua manu, i ʻōlelo ʻia ʻo Taraneh Shirazian, MD, he loea kōkua o nā ʻōpala, gynecology a me ka ʻepekema reproductive ma Mount Sinai. "ʻAʻole ia e like me ka pill, nona ka estrogen e hoʻopau i ka ovulation," wahi āna. "Ke manaʻo nei paha nā wahine i ka ovulate i kēlā me kēia mahina." E ʻike paha ʻoe i nā kau pōkole, ʻoi aku ka māmā ma kēia palapala.

Hoʻohana ka IUD non-hormonal 10 makahiki i ke keleawe, hoʻokuʻu mālie ʻia i loko o ka ʻōpū e pale i ka sperm mai ka hoʻomoʻa ʻana i ka hua. Ke hele ʻoe ma luna o ia mea, pono ka mana o ka hānau ʻana ma kahi o 24 mau hola. Inā koho ʻoe e hele, he hoʻololi wikiwiki loa ia. "ʻO ka hormonal version, e like me Mirena, e lōʻihi aʻe - ma kahi o ʻelima a ʻehiku mau lā," wahi a Shirazian. "Akā me ka 10 makahiki, ʻo Paragard, ua haʻalele ʻoe, a i ka wā i puka ai, ʻo ia nō."

He aha nā mea maikaʻi a me nā mea hōʻino?

Ua kuhi mākou i hoʻokahi mea nui ma mua: Inā ʻoe i loko o ke ʻano no nā manawa māmā, hiki i ka IUD hormonal ke hoʻopaʻa i kēlā pono.

Ma waho aʻe o kēlā, ʻo ia kahi hopena hoʻokahi a lōʻihi no ka hoʻomalu hānau. "ʻAʻole hiki iā ʻoe ke poina e pili ana," wahi a Shirazian. "ʻO ia ke kumu i ʻoi aku ka kiʻekiʻe o ka pale ʻana i ka hāpai ʻana ma mua o ka pila." Ma ke ala, ʻoi aku ia ma mua o 99 pakeneka. Loaʻa ka pilina like o ka pila inā hoʻohana ʻia pololei. "Ke haʻalele ka wahine i ka pila, kapa mākou i ka hemahema o ka mea hoʻohana," wahi a Greves. "Kūpono ka IUD i ka nohona hana o ka wahine." (E like me kēia 10 mau ala e hele ikaika ai ka poʻe paʻa i ka lā a pau.)

ʻOiai ke kani maikaʻi nei ka IUD a hiki i kēia manawa, aia nā ʻae i ka contraception.

Maikaʻi paha ka IUD no nā wahine hana a me nā wā māmā, akā ʻo ka hoʻokomo ʻana i kahi IUD ʻoi aku ka nui o ka invasive ma mua o ka popping pill - a ʻoiai mākou e hana nei i kēia no ka hapa nui o ko mākou ola, inā ʻo Tylenol a i ʻole kaohi hānau, malia paha ua maʻa iki i ka hoʻomana. A aia kekahi mau hopena ʻaoʻao, e like me ka cramping ma kahi o hoʻokahi pule i ka wā e maʻa ai ka ʻōpū i ka hāmeʻa, a me ka ʻeha ma ka hoʻokomo ʻana, ʻoi aku ka nui inā ʻaʻole ʻoe i hānau ma ka wahine. He mea maʻamau kēia, a pono e hala wikiwiki. "Ke haʻi aku nei au i kaʻu mau maʻi e lawe i ka ibuprofen ma kahi o hoʻokahi hola ma mua o ko lākou koho ʻana," wahi a Greves. (E nānā hou aku i nā hopena ʻaoʻao o ka hānau hānau maʻamau.)

ʻO ka pilikia nui ʻē aʻe ka perforation, kahi e hiki ai i ka IUD ke kuʻi pono i ka uterus-akā hōʻoia ʻo Shirazian he mea nui loa ia. "Ua hoʻokomo au i mau tausani o kēia mau mea, ʻaʻole au i ʻike i ka hana ʻana," wahi āna. "He liʻiliʻi loa nā pilikia, e like me 0.5 pakeneka."

ʻO wai ka mea ʻoi loa?

Ua ʻōlelo ʻo Shirazian lāua ʻo Greves ua hoʻokomo lāua i nā IUD i loko o kēlā me kēia kanaka mai nā ʻōpio a i nā wahine i ka waena o ko lākou mau makahiki he 40 no nā pono like ʻole. "ʻO kekahi o nā kuhi hewa nui ʻaʻole hiki i nā mea āpau ke hoʻohana," wahi a Shirazian. "Hiki i ka hapa nui o nā wahine, ke ʻoiaʻiʻo."

Eia nō naʻe, hoʻopaʻa ʻo Shirazian i kahi moho kūpono: He wahine ma waena o kona mau makahiki he 20 a ʻoi paha, ʻaʻole ia e manaʻo e hāpai koke.

Hoʻopuka pū ʻo Greves i kēlā manaʻo. "Kūpono ia no ka mea makemake ʻole i ka hāpai keiki ʻana a me ka mea ʻaʻohe ona mau hoa moe kolohe he nui," wehewehe ʻo ia. "Hiki ke ākea kēlā hui."

He aha ke ʻano o ka wā e hiki mai ana?

Wahi a ka ʻikepili CDC, ʻo nā pale pale hana hiki ke hoʻololi ʻia lōʻihi e like me ka IUD wale nō ka hā o ke ʻano o ka mana hānau ma waena o nā wahine ma 7.2 pākēneka-ʻoi aku ma mua o ka hapalua o ka pila, i koe ka helu ʻekahi ma kēia mahele.

Eia naʻe, manaʻo ʻo Shirazian ʻoi aku ka nui o ka poʻe i aʻo ʻia i ka IUD, ʻoi aku ka nui o ka poʻe e komo i ka moku. "He mea hoihoi loa ia, no ka mea, ua ʻike mākou i ka piʻi ʻana i kēia manawa," wahi āna. "ʻO ka mea maikaʻi ʻole nui wale nō ka lohe ʻana o ka poʻe e pili ana iā ia i ka wā i hala, ʻaʻole lākou he moho, a i ʻole he palekana ʻole ia," i ʻōlelo ʻo ia. "Akā, ʻaʻole ia e hoʻonui i ka nui o nā maʻi pelvic a, inā ʻaʻole hiki iā ʻoe ke loaʻa i kahi maʻi ikaika, hiki iā ʻoe ke hoʻokomo i loko o nā wahine like ʻole."

E pani anei ka IUD i ka pila? E haʻi wale ka manawa, akā ʻoi aku ka maikaʻi ma mua o kēia hana kaohi hānau.

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