Sɛ wususuw akwan horow a wɔfa so yɛ abusua nhyehyɛe ho a, ebia wususuw nnuru a wonom da biara da anaa nnuru a wɔde twitwiw wo mu asram kakraa biara ho. Nanso so woate nkatabo ketewaa bi a ɛyɛ mmerɛw a wohyɛ wɔ ɔbea no awotwaa mu ho asɛm? Eyi nso yɛ abusua nhyehyɛe kwan a etu mpɔn yiye. Ɛnnɛ, momma yɛnka saa vaginal ring yi ho asɛm, `Viginal Ring`. Wɔ Sri Lanka no, ebia woate ho asɛm wɔ brand din `NuvaRing` ase.
Sɛ yɛbɛka no tiawa a, dɛn ne saa ɔbea awotwaa mu mpɛtea yi?
Eyi yɛ nkapo ketewaa bi a wɔde plastic a ɛyɛ mmerɛw na ɛyɛ mmerɛw a mmea de yɛ abusua nhyehyɛe. Nkwammoaa ahorow abien na ɛwɔ mu. Wɔn ne estrogen ne progestin. Sɛ yɛbɛka no pɛpɛɛpɛ a, nnuru `Etonogestrel` ne `Ethinyl Estradiol` na ɛwom.
Sɛ wode saa mpɛtea yi hyɛ wo awotwaa mu a, ɛma saa nkwaadɔm yi kɔ wo nipadua mu wɔ ɔkwan a ɛyɛ brɛoo yiye a wɔahyɛ so. Sɛ wɔka saa nkwaadɔm abien yi bom a, ɛyɛ nneɛma atitiriw abien:
1. Siw Ovulation ano: Ɛma ɛmma a ɛba ɔbea awotwaa mu ɔsram biara no gyae. Sɛ ɛmo nni hɔ a, nyinsɛn ntumi mma.
2. Awotwaa mu nsu a ɛyɛ den: Nsu a ɛwɔ awotwaa no ano no yɛ den, na ɛma ɛyɛ den sɛ mmadwoa bɛguare akɔ awotwaa no mu.
Eyi ne ɔkwan a saa mpɛtea yi bɔ wo ho ban fi nyinsɛn ho.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na wode aduru yi adi dwuma:
Saa mpɛtea yi mfata obiara. Enti sɛ wo ne wo duruyɛfo rekasa a, hwɛ hu sɛ wobɛka tebea horow a ɛwɔ ase ha no mu biara ho asɛm . Eyi ho hia paa ma w’ahobammɔ.
| Ayaresa tebea no su | Tebea horow a ɛsɛ sɛ wobɔ ho amanneɛ |
|---|---|
| Koma ne mogya ntini mu haw ahorow | Mogya mmoroso, komayare anaa komayare a ɛba nnansa yi, akisikuru, mogya a ɛtɔ mogya ntini mu, srade anaa triglyceride dodow a ɛkɔ soro. |
| Kokoram | Sɛ wowɔ anaa woanya nufu, awotwaa, awotwaa, awotwaa anaa mmerɛbo mu kokoram a. |
| Ayaresa mu tebea afoforo | Asikreyare, mmerɛbo mu yare, asaabo mu yare, akisikuru, atiridiinini tiyɛ, lupus (SLE), Protein C/S a enni nipadua mu. |
| Asetra kwan ne nsɛm afoforo | Sɛ woyɛ obi a ɔnom sigaret (titiriw boro mfe 35), woawo nnansa yi, woayi nyinsɛn agu, woreyɛ oprehyɛn, anaasɛ mogya a ɛretu wo wɔ wo awotwaa mu a ɛyɛ soronko a. |
| Nyinsɛn ne akisikuru | Sɛ woanyinsɛn anaa worebɔ mmɔden sɛ wubenyinsɛn, sɛ worenom nufu, anaasɛ wo ho yɛ wo hyew wɔ hormone anaa nnuru anaa nnuan afoforo ho a. |
Ɔkwan bɛn so ankasa na wode saa mpɛtea yi di dwuma?
Ɔkwan a wɔfa so de eyi di dwuma no yɛ mmerɛw yiye, nanso ɛho hia yiye sɛ wubedi ɔkwan a wɔfa so yɛ no akyi pɛpɛɛpɛ.
1. 3 weeks in, 1 week out: Fa ring no hyɛ ɔbea no awotwaa mu sɛnea wo duruyɛfo kyerɛ no. Ɛsɛ sɛ eyi tra hɔ adapɛn 3 (nnafua 21) .
2. Yi fi hɔ: Adapɛn 3 pɛpɛɛpɛ akyi no, yi ring no da koro no ara a wode hyɛɛ mu no (e.g., sɛ wode hyɛɛ mu Kwasida a, ɛnde Kwasida wɔ adapɛn 3 akyi).
3. Dapɛn biako ahomegye: Ɛho behia sɛ wunni ring-free dapɛn a edi hɔ no (nnafua 7) . Saa bere yi mu no, wobɛnya wo bra (withdrawal bleeding).
4. Mprɛte foforo a wode bɛhyɛ mu: Dapɛn biako pɛpɛɛpɛ wɔ ahomegye no akyi, da koro no ara a woyii mprɛte a atwam no (wɔ yɛn nhwɛso no mu no, Kwasida a edi hɔ no), ɛsɛ sɛ wode mpɛtea foforo hyɛ mu .
Sɛ nhwɛso no, sɛ wote nka sɛ wo mpɛtea no afi hɔ, anaasɛ wunnim sɛ ɛda so ara wɔ hɔ a, hwɛ ntɛm ara. Sɛ wunnim bere tenten a akɔ so a, wubetumi akɔ asiane mu sɛ wubenyinsɛn. Yɛ nyinsɛn mu nhwehwɛmu saa bere no na wo ne wo duruyɛfo nkasa.
Sɛ wode mpɛtea no hyɛ akyiri dodo, anaasɛ ɛhwe ase a, dɛn na woyɛ?
Ɔkwan yi nkonimdi gyina sɛnea wobɛkɔ so ne saa kyinhyia yi akɔ so yiye no so. Sɛ wopa da a anka ɛsɛ sɛ wode mpɛtea no hyɛ mu no, anaasɛ sɛ apue nnɔnhwerew kakraa bi a, ebia ahobammɔ a wode bɔ wo ho ban fi nyinsɛn ho no so bɛtew. Frɛ wo duruyɛfo ntɛm ara na ɔmma wo afotu. Nyansa wom nso sɛ wode awo ano aduru foforo te sɛ kɔndɔm bedi dwuma kosi sɛ ɔbɛka akyerɛ wo.
Nneɛma a ɛnsɛ sɛ wode di dwuma wɔ saa ring yi ho (Drug Interactions) .
Nnuru afoforo a wonom betumi ne hormone ahorow a ɛwɔ ring yi mu no adi nkitaho, na ama ne mmɔdenbɔ so atew anaasɛ ama nea efi mu ba no ayɛ kɛse. Enti ka nnuru, vitamin, ne nhabannuru a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo.
| Mfa saa din ahorow yi mmɔ mu! | |
|---|---|
| Kwati sɛ wode saa mpɛtea yi bedi dwuma ne nnuru bi a wɔde sa Hepatitis C (te sɛ Dasabuvir; ombitasvir; paritaprevir; ritonavir), nnuru a wɔde sra ɔbea awotwaa mu a ngo anaa silicone wom. | |
| Sɛ worenom nnuru yi a, ka kyerɛ wo duruyɛfo. | |
| Nnuru a wɔde sa ɔyare mmoawa | Nnuru a ekum ɔyare mmoawa ne nnuru a ekum fungal te sɛ Rifampin ne Griseofulvin. |
| Nnuru a wɔde sa akisikuru/ akisikuru | Te sɛ Carbamazepine, Phenytoin, Topiramate a wɔde yɛ aduru. |
| Nnuru a wɔde sa HIV/AIDS | Nnuru bi a ekum ɔyare mmoawa. |
| Nneɛma a wɔde nhabannuru yɛ | Ɔhotefo Yohane a ɔyɛ ɔkraman. |
| Foforɔ | Acetaminophen (Paracetamol), Warfarin, asikreyare nnuru, thyroid hormone, ne nnuru afoforo pii. |
*Saa list yi nwie pɛyɛ. Enti yɛsrɛ sɛ ka biribiara a worenom ho asɛm kyerɛ wo duruyɛfo.*
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a wode redi dwuma no
- Kwati sigaretnom: Sigaretnom yɛ asiane kɛse sɛ wode aduru a wɔde siw awo ano a ahoɔdennuru wom yi redi dwuma a. Sigaretnom ma asiane a ɛwɔ hɔ sɛ mogya bɛtɔ na woabɔ akisikuru no yɛ kɛse kɛse, titiriw sɛ woadi boro mfe 35 a.
- Aduruyɛ mu nhwehwɛmu: Kɔ wo duruyɛfo nkyɛn bere ano na kɔhwɛ wo. Mma nnhu nneɛma te sɛ nufu mu nhwehwɛmu ne Pap smear.
- Nyarewa a wonya fi nna mu:
- Honam ani nsensanee: Mmea binom betumi anya nsensanee bruu (cholasma) wɔ wɔn anim. Saa tebea yi betumi asɛe kɛse bere a obi de ne ho hyɛ owia mu no. Enti, bɔ wo ho ban fi owia ho na fa aduru a ɛbɔ wo ho ban fi owia ho di dwuma.
- Dodow a ɛboro so: Sɛ biribi nti wususuw sɛ woanom boro so a, kɔ National Poisons Information Center a ɛwɔ Ɔman Ayaresabea anaa Emergency Treatment Unit (ETU) a ɛwɔ ayaresabea a ɛbɛn wo no ntɛm ara.
- Vaginal ring yɛ awo ano aduru a ɛkyinkyini a wɔde hyɛ mu adapɛn 3, woyi fi mu dapɛn biako, na afei wɔde foforo hyɛ mu.
- Ɛwom sɛ eyi bɔ obi ho ban fi nyinsɛn ho de, nanso ɛmma ahobammɔ biara mfi nna mu nyarewa (STIs), a HIV ka ho.
- Sɛ wonom sigaret na woadi boro mfe 35 a, asiane a ɛwɔ hɔ sɛ mogya bɛtɔ wo no yɛ kɛse paa. Kwati sigaretnom koraa.
- Ka nnuru, vitamin, ne nhabannuru a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo.
- Sɛ wunya ɔhaw biara a emu yɛ den te sɛ wo koko mu yaw a emu yɛ den, ɛyɛ den sɛ wobɛhome, wo nan a ɛho ahonhon, anaa wo ti a ɛyɛ wo yaw a, hwehwɛ ayaresa ntɛm ara.
- Sɛ mprɛte no hwe ase anaasɛ wo werɛ fi sɛ wode bɛhyɛ mu da a wɔahyɛ ato hɔ no a, kɔ wo duruyɛfo nkyɛn ntɛm ara.
Nea ɛho hia sen biara ne sɛ saa mpɛtea yi bɔ wo ho ban fi nyinsɛn ho nkutoo. Ɛmmɔ wo ho ban mfi nna mu nyarewa (STI) te sɛ HIV (AIDS) ho. Ɛho hia sɛ wode akwanside kwan te sɛ kɔndɔm di dwuma.
Dɛn ne nneɛma bɔne a wɔhwɛ kwan sɛ ebefi mu aba?
Te sɛ aduru biara no, eyi betumi anya ɔhaw ahorow. Ebi yɛ aniberesɛm, ebi nso abu so.
| Nneɛma bɔne a anibere wom a ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo no ntɛm ara | |
|---|---|
| Mogya a ɛretu ho sɛnkyerɛnne | Nan mu yaw, ɛho ahonhon, ɛyɛ kɔkɔɔ, ɛyɛ den sɛ wobɛhome, koko mu yaw. |
| Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare a ɛma obi hwe ase | Anim, abasa, anaa nan a ɛyɛ mmerɛw mpofirim anaa ɛyɛ mmerɛw, kasa a ɛyɛ den, tiyɛ a emu yɛ den, aniwa a ɛsakra. |
| mmerɛbo mu haw ahorow | Ɛyaw wɔ yafunu nifa atifi, honam ani anaa aniwa a ɛyɛ kɔkɔɔ, nsu a ɛyɛ tuntum, nsu a ɛyɛ bruu. |
| Nsɛnkyerɛnne afoforo a anibere wom | Nneɛma a ɛma obi ho yɛ no hyew (honam ani akisikuru, ɛyaw, anim/anofafa a ɛho ahonhon), atiridiinini a ɛyɛ kɛse, adwenemhaw, ɔbea awotwaa mu ɛyaw, nsu a ɛtwetwe a ɛnyɛ ne kwan so, Toxic Shock Syndrome (TSS) ho sɛnkyerɛnne a ɛka ho. |
| Nsunsuanso bɔne a ɛtaa ba nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo | |
|---|---|
| Nufu mu yaw anaasɛ ɛyɛ den | Abofono |
| Brayɛ a ɛnkɔ so daa anaasɛ nsensanee | Mu duru a ɛkɔ soro kakra |
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