ʻO Lena Dunham's Op-Ed He mea hoʻomanaʻo ia ʻoi aku ka nui o ka kaohi hānau ma mua o ka pale ʻana i ka hāpai keiki

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Hele ia me ka ʻole o ka ʻōlelo ʻana he ka polarizing (a me ka politika) kumuhana olakino wahine. A ʻaʻole hilahila ʻo Lena Denham e pili ana i ke kūkākūkā ʻana i ke olakino a i ʻole nā ​​wahine, ʻo ia hoʻi. No laila ke peni ka hōkū i kahi op-ed no ʻO ka New York Times e pili ana i ka hana a ka hānau hānau i kona ola a no ke aha he mea nui e mālama i kā mākou komo ʻana i ia mea, hoʻolohe ka Pūnaewele.

Ua hāmama mau ʻo Dunham e pili ana i kāna paio me endometriosis (a ʻo ka ʻoiaʻiʻo ʻo ia he endometriosis "manuahi"), akā ʻo kāna manaʻo manaʻo hou e hōʻike pololei ana i ke kōkua ʻana o ka hānau hānau iā ia i ka mālama ʻana i kāna kūlana. ʻO ke kikoʻī, kēlā, "ʻo ka lilo ʻana o ka kaohi hānau ʻana he mea ia o ke ola ʻeha."

ʻO ia ka mea-ʻoiai mākou e hoʻohana ai i ka huaʻōlelo colloquial "mana hānau ʻana" a i ʻole "ka Pill," ʻo kā mākou manaʻo maoli ʻo ka hoʻopaʻa ʻana i ka hormonal, a hiki i kēlā mau hormones ke hana i nā mea ʻoi aku ma mua o ka pale wale ʻana i ka hāpai ʻole. I ka ʻoiaʻiʻo, ma kahi o 30 pākēneka o nā wahine, ke kumu o ka hele ʻana i ka Pill ʻaʻohe mea e pili ana i ka pale ʻana i ka hāpai ʻana, i ʻōlelo ʻia ʻo Lauren Streicher, MD, he loea lapaʻau pili i nā ʻōpū a me nā gynecology ma ke Kula ʻo Medicine Feinberg o Northwestern University a me ka mea kākau o Sex Rx. "ʻO ko lākou kumu kumu no ka lawe ʻana ʻaʻole ia e pale i ka hāpai ʻana, no nā mea ʻē aʻe āpau ia e hana ai," i ʻōlelo ʻo ia-aka "off-label" hoʻohana. ʻOiai ʻo "off-label" paha e hoʻohālikelike i nā manaʻo o ka mākeke ʻeleʻele a i ʻole ka hoʻohana ʻana i ka lāʻau lapaʻau ʻole, he kumu kūpono loa kēia no nā kauka e kuhikuhi i ka Pill, wahi a Kauka Streicher.

E like me Dunham, huli nā wāhine he nui i ka mana hānau-a i ʻole, "nā lāʻau hoʻoponopono hormonal," e like me kā Dr. Streicher manaʻo e kāhea mākou iā lākou-e mālama i nā mea āpau mai ka PMS weliweli a me ka ʻeʻe a hiki i ka endometriosis a i ʻole fibroids uterine. "Nui a hewahewa nā pono kīnā ʻole, no laila ke kapa ʻia ʻoe he" kaohi hānau "nalowale ka poʻe i kēlā mea," wahi a Dr. Streicher. (BTW, ʻoiai nā ʻano hana pale hormonal ʻē aʻe - e like me ke kī ʻia ʻana a i ʻole nā ​​IUDs hormonal - hiki ke hāʻawi pū kekahi i nā pono non-contraceptive pū kekahi, ʻo nā pila waha ka mea i kuhikuhi ʻia i nā wahine e ʻehaʻeha nei i kekahi o nā pilikia olakino ma lalo a i ʻole e pono ai ka hōmona- hooponopono i na pomaikai.)

A ʻo kēlā papa inoa o kēia mau pōmaikaʻi non-contraceptive he lōʻihi lōʻihi. E nānā iā ʻoe iho:

• Hoʻoemi i ka huehue a me ka ulu lauoho maka.
• Hoʻoemi i nā wā cramp a me nā hōʻailona PMS a ʻoi aku ka nui o nā pōʻai menstrual.
• ʻO ka hōʻemi ʻana i nā wā super-kaumaha (me ka hoʻomaikaʻi ʻana i ka anemia hemahema o ka hao i loaʻa mai ke kahe o ke koko).
• Hoʻemi ʻia ka ʻeha a me ke kahe ʻana o ke koko ma muli o ka endometriosis (he maʻi e pili ana i ka 1 i ka 10 wahine a ke kumu e ulu ai ka ʻiʻo o ka ʻōpū ma waho o ka ʻōpū) a me ka adenomyosis (he ʻano like me ka endometriosis kahi e haki ai ka uhi o loko o ka ʻōpū i ka paia ʻiʻo o ka ʻōpū. ).
• Hoemi i ka ʻeha a me ke kahe ʻana mai nā fibroids uterine (ulu e ulu i kaʻiʻo o ka kōpū, e hoʻonui ana i ka 50 pākēneka o nā wahine).
• ʻO kahi hōʻemi o nā migraines e kumu ʻia e ka menstruation a i ʻole nā ​​hormones.
• Hoʻoemi i ka makaʻu o ka hāpai hāpai ectopic.
• Hoʻemi ʻia ka makaʻu o nā cist umauma benign a me nā cista ovarian hou.
• ʻO ka hōʻemi hōʻemi ʻia o ka ovarian, uterine, a me ka maʻi ʻaʻai kala.

No laila, no ka poʻe ma waho e hakakā nei a i ʻole e hele ana no ka pono o nā wahine, me ka loaʻa ʻana o ka mana hānau hānau kūpono, e hoʻomanaʻo wale ʻaʻole ia wale nō. hoʻomalu hānau. ʻOi aku ka mana o kēlā pila liʻiliʻi ma mua o kēlā. A ke hoʻonele nei i kekahi mau wahine i ke komo i kēlā lāʻau hoʻōla ola ke lawe nei i kekahi o kā lākou mea hana maikaʻi loa no ka hoʻoponopono ʻana i kēia pilikia koʻikoʻi a olakino maʻamau.

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