Ka pale ʻana i ka pilikia a me ka palekana: ka mea āu e ʻike ai

Anter

• Pila pale pale kūpilikiʻi
• E pili ana i ka IUD keleawe
• Nā pilikia palekana o nā kiʻina ʻelua
• Nā wahine e hōʻalo i kēia mau koho
• ECPs a me ka hāpai keiki
• Nā hopena o ke kaupaona ma ka hopena ECP
• Nā pilikia me nā pilikia o ka maʻi puʻuwai
• Pila kaohi hānau ma ke ʻano he kaohi wā pilikia
• E kamaʻilio me kāu kauka
• Q:
• A:

Hoʻolauna

ʻO ka pale ʻana i ka ulia pōpilikia kahi ala e pale aku ai i ka hāpai keiki ma hope o ka moekolohe ʻole ʻia, ʻo ia hoʻi ka moekolohe me ka ʻole o ka hānau hānau a i ʻole me ka kaohi hānau i holo ʻole. ʻO nā ʻano ʻelua nui o ka pale pale ulia pōpilikia nā pilapili pale pōpilikia (ECP) a me ka mea keleawe intrauterine (IUD).

E like me nā lāʻau lapaʻau, e noʻonoʻo paha ʻoe inā palekana ka pale pale hoʻopilikia. E heluhelu e aʻo e pili ana i ka palekana o nā ʻano hana hana kōkōkō ʻelua.

Pila pale pale kūpilikiʻi

ʻO nā ECP, kahi i kapa ʻia he "kakahiaka-ma hope o nā pila," he mau huaale hormone. Hoʻohana lākou i nā kiʻekiʻe o nā hormoni i loaʻa i nā lāʻau kaohi hānau e pale ai i ka hāpai ʻana. Pono lākou e lawe i loko o ʻekolu a ʻelima mau lā paha o ka moekolohe ʻole ʻia, kaukaʻi ʻia i ka huahana.

Loaʻa nā mana i loko o ʻAmelika Hui Pū ʻIa i ka hormone levonorgestrel a i ʻole ka ulipristal hormone.

ʻO Levonorgestrel ECP pū kekahi:

• E hoʻolālā B One-Step
• levonorgestrel (papahana B maʻamau)
• ʻO ke koho aʻe aʻe kahi hana
• Athentia aʻe
• ʻO EContra EZ
• Fallback Solo
• Kāna Style
• Koʻu Ala
• Opcicon One-Step
• Hoʻoholo

ʻO ka ECP ulipristal ka:

• ella

Manaʻo ʻia he palekana loa nā ECP āpau.

"ʻO kēia nā lāʻau lapaʻau palekana loa," i ʻōlelo ʻia ʻo Kauka James Trussell, ke kumu kula ma ke Kulanui ʻo Princeton a me ka mea noiʻi ma kahi o ke olakino hānau. Ua hoʻolaha ikaika ʻo Kauka Trussell i ka hana ākea ʻana i ka hana kūpilikiʻi pōpilikia.

"ʻAʻole pili ka make i ka hoʻohana ʻana i nā lāʻau hoʻopōkō pilikia. A ʻo nā pōmaikaʻi o ka hiki ke pale aku i ka hāpai ʻana ma hope o ka moekolohe ma mua o ka nui o ka makaʻu o ka lawe ʻana i nā pila. ”

E pili ana i ka IUD keleawe

ʻO ka IUD keleawe he mea liʻiliʻi ia, ʻaʻohe hormona, ʻano hana T e hoʻonoho ke kauka i kou kōpū. Hiki iā ia ke lawelawe ma ke ʻano he pale ʻana i ka ulia pōpilikia a me ka pale hāpai wā lōʻihi. E hana ma ke ʻano he contraceptive pilikia, pono e waiho i loko o ʻelima mau lā o ka moekolohe ʻole ʻia. Hiki i kāu kauka ke wehe i ka IUD ma hope o kāu manawa aʻe, a i ʻole hiki iā ʻoe ke waiho i kahi e hoʻohana ai i ka kaohi hānau lōʻihi a hiki i 10 mau makahiki.

Manaʻo ʻia he palekana loa ka IUD keleawe. Akā i nā hihia kakaikahi, hiki ke hoʻopilikia i nā pilikia. ʻO kahi laʻana, hiki i kahi IUD ke hou i ka paia o ka uterus ke hoʻokomo ʻia nei. Eia kekahi, ʻo ka IUD keleawe e hoʻāla iki i kou makaʻu i ka maʻi pelvic inflammatory i nā pule mua ʻekolu o ka hoʻohana.

Eia hou, kākaʻikahi kēia mau pilikia. Hiki i kāu kauka ke kōkua iā ʻoe e hoʻoholo inā ʻoi aku ka maikaʻi o ke kau ʻana i kahi keleawe IUD ma mua o nā mea hiki ke loaʻa.

Nā pilikia palekana o nā kiʻina ʻelua

Nā wahine e hōʻalo i kēia mau koho

Pono kekahi mau wahine e hōʻole i ka hoʻohana ʻana i ke keleawe IUD. ʻO kahi laʻana, ʻaʻole pono nā wahine hāpai e hoʻohana ia mea no ka mea e hāpai ana i ka makaʻu o ka maʻi. ʻO ka IUD keleawe pono e hōʻalo ʻia e nā wahine i loaʻa:

• distortion o ka uterus
• maʻi maʻi pelvic
• endometritis ma hope o ka hāpai keiki a i ʻole ka hāpai keiki ʻole
• maʻi ʻaʻai o ka kōpū
• maʻi ʻaʻai cervier
• kahe koko ʻana no nā kumu ʻike ʻole
• Maʻi ʻo Wilson
• maʻi o ka cervix
• kahi IUD ʻelemakule i hoʻoneʻe ʻole ʻia

Pono nō hoʻi kekahi mau wahine e hōʻalo i ka hoʻohana ʻana i nā ECP, me nā mea maʻi āpau i kekahi o nā mea hoʻohui a i ʻole ka poʻe e lawe i kekahi mau lāʻau e hoʻoliʻiliʻi pono ai ka ECP, e like me barbiturates a me St. John's wort. Inā hānai ʻoe i ka waiū, ʻaʻole pono ʻoe e hoʻohana i ka ella. Eia nō naʻe, palekana nā levPororrelrel ECP no ka hoʻohana ʻana i ka wā hānai.

ECPs a me ka hāpai keiki

Pono nā ECP e pale i ka hāpai ʻana, ʻaʻole pau hoʻokahi. ʻAʻole ʻike ʻia nā hopena o ka ella ma kahi hāpai keiki, no laila no ka palekana, ʻaʻole pono ʻoe e hoʻohana ia mea inā ua hāpai ʻoe. ʻAʻole e hana nā ECP i loaʻa i ka levonorgestrel i ka wā hāpai a ʻaʻole e hoʻopili i kahi hāpai.

Nā hopena o ke kaupaona ma ka hopena ECP

ʻO nā pākaha pale pale kūpilikiʻi āpau, me ka nānā ʻole i ke ʻano, ʻike ʻia he mea ʻoi aku ka liʻiliʻi no nā wahine momona. I nā hoʻokolohua hoʻokolohua o nā wahine e hoʻohana ana i nā ECP, ʻo nā wahine me ka papa kuhikuhi kino o 30 a ʻoi paha i hāpai i ʻoi aku ma mua o ʻekolu mau manawa ma mua o nā wahine non-obese. ʻOi aku ka maikaʻi o ka acipate ʻo Ulipristal (ella) no nā wahine kaupaona a momona paha ma mua o nā ECP i loaʻa iā levonorgestrel.

ʻO ka mea i ʻōlelo ʻia, ʻo ka koho ʻoi loa o ka pale pale kūpikipiki no nā wahine i kaumaha a momona paha ka IUD keleawe.ʻO ka maikaʻi o ka IUD keleawe i hoʻohana ʻia ma ke ʻano he contraceptive pilikia ma mua o 99% no nā wahine o kēlā me kēia kaumaha.

Nā pilikia me nā pilikia o ka maʻi puʻuwai

Ua haʻi aku paha kekahi mau kauka wahine iā lākou ʻaʻole e hoʻohana i nā lāʻau kaohi hānau no ka mea aia lākou i ka maʻi ahulau, maʻi puʻuwai, ke koko, a i ʻole nā ​​pilikia o ka maʻi puʻuwai. Eia nō naʻe, ʻokoʻa ka hoʻohana ʻana i kahi ECP mai ka hoʻohana ʻana i nā lāʻau kaohi hānau. Hoʻokahi manawa o ka hoʻohana ʻana i nā kaola hoʻopilikia pōpilikia ʻaʻole lawe i nā pilikia like me ka lawe ʻana i nā mea pale oral i kēlā me kēia lā.

Inā ua ʻōlelo aku kāu kauka olakino pono ʻoe e hōʻalo loa i ka estrogen, hiki paha iā ʻoe ke hoʻohana i kekahi o nā ECP a i ʻole ka IUD keleawe. Eia nō naʻe, pono ʻoe e kamaʻilio me kāu kauka e pili ana i nā koho kaohi pale palekana no ʻoe.

Pila kaohi hānau ma ke ʻano he kaohi wā pilikia

Hiki ke hoʻohana ʻia nā huaale mālama hānau maʻamau i loaʻa ka levonorgestrel me kahi estrogen e like me ke kaohi wāwahi. No kēia hana, pono ʻoe e lawe i kahi helu o kēia mau pila i ka manawa ma hope koke o kou moekolohe ʻole ʻia. E kamaʻilio pono me kāu kauka e kiʻi i kā lākou ʻae a me nā ʻōlelo kikoʻī ma mua o ka hoʻohana ʻana i kēia hana.

E kamaʻilio me kāu kauka

Hele mai ka pale pale kūpikipiki ma ke ʻano he ʻelua ʻano o nā huaale hormonal, i loaʻa ma lalo o nā inoa inoa like ʻole, a ma ke ʻano he intrauterine non-hormonal (IUD). ʻAʻole hiki i nā wahine me kekahi ʻano olakino ke hoʻohana i kēia ʻano hana. Eia nō naʻe, palekana ka pale pale kūpilikiʻi no ka hapa nui o nā wahine.

Inā he mau nīnau kāu e pili ana i ka pale keiki pilikia, e kamaʻilio me kāu kauka. ʻO nā nīnau āu e makemake ai e nīnau hiki ke hoʻopili ʻia:

• He aha ke ʻano o ka pale maʻi hoʻopilikia āu i manaʻo ai e kūpono iaʻu?
• He kūlana olakino paha kaʻu e hana palekana ʻole ai ka pale pale maʻi noʻu?
• Ke lawe nei wau i nā lāʻau i hiki ke launa pū me ECP?
• He aha ke ʻano o ka kaohi hānau wā lōʻihi āu e ʻōlelo ai naʻu?

Q:

He aha nā hopena a ka hopena o ke kaohi pōpilikia?

A:

Loaʻa nā hopena ʻaoʻao liʻiliʻi i nā ʻano ʻelua o ke kaohi wāwahi. ʻO nā hopena ʻaoʻao maʻamau o ka IUD keleawe he ʻeha ma kou ʻōpū a me nā wā kūpono ʻole, e like me ka hoʻonui ʻia o ke kahe.

ʻO nā hopena ʻē aʻe i maʻa mau o ka ECP me ke kiko ʻana i kekahi mau lā ma hope o ka hoʻohana ʻana, a me kahi manawa kūpono ʻole i ka mahina aʻe ʻelua paha. Loaʻa paha i kekahi mau wahine ka puale a me ka luaʻi ma hope o ka lawe ʻana i nā ECP. Inā ʻoe e luaʻi i ka manawa koke ma hope o ka lawe ʻana i kahi ECP, e kāhea i kāu kauka. Pono ʻoe e lawe i kahi lāʻau ʻē aʻe. Inā loaʻa iā ʻoe nā hopena ʻē aʻe e pili ana iā ʻoe, e kāhea i kāu kauka.