Ua hoʻohiki kou hoa hana ua ʻike ʻo ia i ke kumu i hoʻopaʻa koke ai ʻo ia i ʻehā paona ʻē aʻe i ka mahina i hala: Ua hoʻomaka ʻo ia i kahi ʻano lāʻau hoʻomalu hānau hou. He moʻolelo kēia āu i lohe ai ma mua—ua ʻike mākou, ua loaʻa nō hoʻi iā mākou—akā, e hoʻomaha kākou i hoʻokahi manawa. He moʻolelo.
Pehea mākou e ʻike ai? Nīnau mākou i ke kauka. He liʻiliʻi loa ka loaʻa ʻole o ka loaʻa ʻana o ke kaumaha no nā ʻano a pau o ka mālama hānau ʻana, wahi a OB-GYN Adeeti Gupta , M.D., ka mea hoʻokumu a me Luna Nui o Walk In GYN Care ma Queens, New York. He moʻolelo holoʻokoʻa e pili ana ka mana hānau i ka loaʻa ʻana o ke kaumaha maoli.
nā lāʻau lapaʻau home no ka ʻeha waha
Akā, ʻo kāu hoaaloha hoʻohiki ʻoi aku ka paʻa o kona puʻuwai. He aha ka hāʻawi? Ua koho mākou i ka lolo o Kauka Gupta no ka ʻike hou aku.
No laila ʻaʻohe o nā ʻano o ka mana hānau ma ka mākeke e loaʻa iaʻu ke kaumaha?
ʻAʻole pololei . ʻOiai he ʻoiaʻiʻo ʻaʻole hiki ke loaʻa iā ʻoe ke kaumaha nui a i ʻole e hoʻokau iā ʻoe i ka pilikia o ka piʻi ʻana o ke kaumaha, ʻike paha ʻoe i kahi piʻi iki, ʻekolu a ʻelima mau paona i ka hoʻomaka ʻana inā hoʻomaka ʻoe i kahi implant (e like me Nexplanon. ) a i ʻole injectable (e like me Depo-Provera). Akā ʻo kēia kaumaha he hopena hormonal i ka lāʻau hou i loko o kāu ʻōnaehana e hoʻohuli paha iā ia iho ma hope o ka pae ʻana o kāu ʻōnaehana, ʻōlelo ʻo Kauka Gupta.
He mea maʻamau ka loaʻa ʻana o ke kaumaha, akā inā ʻike kekahi ma hope o ka hoʻomaka ʻana i kekahi o kēia mau ʻano, pono ʻo ia e ʻike e emi ana ia i ka manawa, wahi āna. ʻAʻole ʻoi aku ka paʻakikī o ka lilo ʻana o ke kaumaha ma ke ʻano o ka mana hānau, ʻoiai inā he hōʻailona (kakaikahi) ke kaumaha o ka lāʻau ponoʻī.
Ua pili paha kekahi mau ʻano a i ʻole nā ʻano o ka mana hānau ʻana i ka piʻi paona?
'Ōlelo maiʻo Dr. Gupta iā mākouʻaʻole pono mākou e haʻalele i nā hōʻailona ma waho inā hopohopo mākou no ka loaʻaʻana o ke kaumaha no ka meaʻo ia ka hana o ka contraceptive pono'ī,ʻaʻole ka lāʻau. hiki —koi ikaika makou i keia—e alakai i kekahi mau paona papa.
pehea e hoʻopaʻa ai i nā umauma hāʻule
ʻAʻohe pilikia kaumaha me ka IUD keleawe, wahi a Kauka Gupta, e pili ana i ka mea intrauterine (e like me Paragard) i hoʻokomo ʻia i loko o ka ʻōpū. Hiki i nā wāhine ke koho i ka IUD hormonal (e like me Mirena) ke ʻike i kahi waiwai liʻiliʻi - e noʻonoʻo i hoʻokahi a ʻelua paona - akā hiki mai kēia a hele wikiwiki, inā ʻaʻole. ʻO ka poʻe i koho i ka pila (e like me Loestrin), apo (e like me NuvaRing) a i ʻole patch (e like me Ortho Evra) e ʻike paha i kahi liʻiliʻi o ka paʻa ʻana o ka wai i nā mahina mua, wahi a Kauka Gupta, akā ʻaʻole kēia ke kaumaha o ke kino a i ʻole. momona, no laila e hele aku (promise!).
Akā ua heluhelu au i ka piʻi ʻana o ka estrogen (kekahi o nā mea hana i ka mana hānau) e hoʻopōloli iaʻu ma mua o ka maʻamau. Hiki paha iaʻu ke hoʻonui i ke kaumaha?
He ʻoiaʻiʻo kēia, akā ʻaʻole kēia nā mea hoʻopaʻapaʻa a kou mama. ʻO nā ʻano o ka mana hānau o kēia lā he ʻano ʻokoʻa ma mua o ka mea maʻamau i ka wā i hana ʻia ai ka pila i nā makahiki 1950. I kēlā manawa, aia he 150 micrograms o ka estrogen, e like me ka Nā Hui Ola Ola , akā, i kēia mau lā a me nā mea like, aia ma waena o 20 a me 50 micrograms-ma nā huaʻōlelo ʻē aʻe, ʻaʻole lawa e loaʻa iā ʻoe ke kaumaha.
ʻO kēia holomua olakino kekahi o nā kumu he nui mākou i laki i nā wahine i ka 21st century ma mua o ka '50s, i ka wā i puka mai ai ka pila (a ʻoiaʻiʻo, ʻaʻole maikaʻi loa). E noʻonoʻo nā koho āpau i kēia manawa i nā kumu like ʻole e pono ai a makemake paha ka wahine i ka lāʻau lapaʻau-no ka mālama ʻana i ka ʻeʻe, ka hakakā ʻana i nā pilikia ovarian cysts, ka pale ʻana i ka hāpai ʻana a i ʻole ke kōkua ʻana i ka mālama ʻana i ka PCOS-me ka ʻole o nā pilikia a me nā hopena ʻaoʻao i hoʻomanawanui ai ko mākou mau makuahine a me nā ʻanakē. .
No laila ʻaʻole, ʻaʻole hewa kāu pila hoʻomalu hānau. Ua pani ʻia ka hihia.
PILI: ʻO wai ka mana hānau ʻoi aku ka maikaʻi noʻu? ʻO kēlā me kēia ʻano hoʻokahi, wehewehe ʻia
