Ke noʻonoʻo nei ʻoe i kahi ʻano hoʻolālā ʻohana? A laila ua ʻike paha ʻoe i ka nui o nā ʻano hana i kēia manawa e koho ai. Nui nā mea e like me nā pila hoʻomalu hānau, nā IUD, nā condom. Ma waena o kēia mau mea, ʻo ke ʻano i kamaʻilio nui ʻia a kūpono hoʻi ʻo ia ka pana hoʻomalu hānau mahina. No laila i kēia lā, e kamaʻilio kākou e pili ana i hoʻokahi pana, ʻo ka pana hoʻomalu hānau, i hana ʻia ma ka hoʻohui ʻana i ʻelua mau hormones i kapa ʻia ʻo 'Estradiol Cypionate' a me 'Medroxyprogesterone'. Inā ʻike pono ʻoe i kēia, e maʻalahi ke koho i ka mea kūpono loa iā ʻoe, ʻeā?
I ka ʻōlelo maʻalahi, he aha ke ʻano o kēia lāʻau pale?
He inikini hormonal kēia i hana kūikawā ʻia no nā wahine e pale aku i ka hāpai ʻana i makemake ʻole ʻia. I ka ʻōlelo maʻalahi, he inikini mahina ia. Hāʻawi hoʻokahi inikini i ka pale ʻana i ka hānau ʻana no hoʻokahi mahina (ma kahi o 28-30 mau lā).
Loaʻa iā ia ʻelua ʻano synthetic o ʻelua hormones i hana maoli ʻia i loko o ke kino wahine. ʻO kēia ka estrogen a me ka progestin. Hana pū kēia mau hormones ʻelua e kāohi i kou kino mai ka ovulating, ʻo ia ka manawa e hoʻokuʻu ʻia ai kahi hua manu mai kahi ovary. Hoʻomānoanoa pū lākou i ka mucus i loko o kou cervix, e paʻakikī ai ka sperm e komo. Penei ʻoe e pale ai i ka hāpai ʻana.
He mea nui: ʻOiai ua hoʻopau ʻia kēia lāʻau pale ma kekahi mau ʻāina, e like me ʻAmelika Hui Pū ʻIa, hoʻohana ʻia nā lāʻau pale like ma nā ʻāina like ʻole, me Sri Lanka. ʻOi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka ma mua o ka hoʻoholo ʻana inā kūpono ia iā ʻoe.
He aha nā mea e pono ai ʻoe e haʻi aku i ke kauka ma mua o ka loaʻa ʻana o ka lāʻau pale?
Ma mua o ka hoʻohana ʻana i kēia lāʻau pale, he mea nui loa ia e maopopo loa i kāu kauka kou kūlana olakino. ʻAʻole kūpono kēia lāʻau pale hormone me kekahi mau kūlana olakino. Inā loaʻa iā ʻoe a i ʻole ua loaʻa iā ʻoe kekahi o nā kūlana ma lalo nei, e hōʻoia e haʻi i kāu kauka e pili ana i ia mea.
| Ke kūlana olakino āu i loaʻa ai | No ke aha he mea nui e haʻi aku i ke kauka ? |
|---|---|
| Inā he mea puhi paka ʻoe | ʻO ka puhipaka, ʻoiai inā ʻoe ma luna o 35, hoʻonui nui ia i ka pilikia o ke kāpili ʻana o ke koko a me ka hahau ʻana i ka wā e hui pū ʻia me nā inikini hormone. |
| Ka maʻi o ke kīʻaha koko, nā ʻūpā koko, a i ʻole ka hahau ʻana | Hiki i kēia lāʻau pale ke hoʻonui hou aku i kēlā pilikia. |
| Ka maʻi ʻaʻai umauma, ʻāʻī, ʻōpū, ovarian, a i ʻole ke akepaʻa | Hiki i nā maʻi ʻaʻai e pili ana i ka hormone ke lilo i mea ʻoi aku ka koʻikoʻi. |
| Ke kahe koko ʻana o ka vaginal i wehewehe ʻole ʻia | Pono e noiʻi mua ʻia ke kumu o kēia. |
| Ke koko kiʻekiʻe, maʻi puʻuwai, cholesterol kiʻekiʻe | Hiki ke paʻakikī kēia mau kūlana ma muli o ka hoʻohana ʻana i nā hormones. |
| Maʻi diabetes | Hiki ke loli nā pae kō koko. |
| ʻO ka migraine, ka maʻi ate a i ʻole ka maʻi puʻupaʻa | Hiki i kēia mau kūlana ke hoʻonui aʻe a hoʻopilikia paha i ka pono o ka lāʻau lapaʻau. |
| Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai | ʻAʻole pono e hāʻawi ʻia kēia lāʻau pale i ka wā hāpai. |
Eia kekahi, mai poina e haʻi i kekahi mau maʻi allergies āu e loaʻa ai i nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a me nā mea hoʻoluʻu.
Pehea e hoʻohana ʻia ai kēia lāʻau pale?
ʻAʻole kēia he pana hiki iā ʻoe ke hāʻawi iā ʻoe iho ma ka home. Hoʻokomo ʻia ia i loko o kou ʻiʻo (ʻo kou puʻupuʻu a lima paha) e ke kauka a i ʻole ke kahu maʻi i aʻo ʻia .
- ʻO ka lāʻau pale mua: ʻO ka lāʻau pale mua e hāʻawi pinepine ʻia i loko o nā lā 5 mua o ka hoʻomaka ʻana o kou wā.
- A laila: Pono ʻoe e loaʻa i ka pana aʻe i kēlā me kēia mahina (i kēlā me kēia 28-30 mau lā). He mea nui loa ia e mālama i ka pololei o nā lā.
He aha kāu e hana ai inā e hala ʻoe i ka lā e loaʻa ai ka lāʻau pale?
He mea nui e kiʻi i kāu pana i ka lā i hoʻonohonoho ʻia e mālama i kāu palekana kaohi hānau. Inā hala ʻoe i kou lā i hoʻonohonoho ʻia, e kelepona koke i kāu kauka a i ʻole ke keʻena lapaʻau e hoʻonohonoho hou. Inā ua hala ma mua o 33 mau lā (ʻoi aku ma mua o 4 mau pule) mai kāu pana hope loa, pono ʻoe e lawe i kahi hoʻāʻo hāpai ma mua o kou kiʻi ʻana i kāu pana aʻe.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau
Hiki i kekahi mau lāʻau lapaʻau ʻē aʻe āu e lawe nei ke hōʻemi i ka pono o kēia pana kaohi hānau. ʻO ke ʻano kēia inā ʻoe e lawe i kēia pana me kēlā mau lāʻau lapaʻau, hiki iā ʻoe ke pilikia i ka hāpai ʻana. No laila, he mea nui loa e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.
Eia kekahi mau laʻana:
- ʻO kekahi mau lāʻau antibiotic - ʻoi aku ka poʻe i hoʻohana ʻia e mālama i ka maʻi puʻupuʻu, e like me Rifampin.
- Nā lāʻau lapaʻau i hāʻawi ʻia no ka maʻi epilepsy (fits) - e like me `Carbamazepine`, `Phenytoin`, `Topiramate`.
- Nā lāʻau lapaʻau no ka maʻi HIV - e like me 'Ritonavir'.
- Nā mea hoʻohui lāʻau lapaʻau - ʻoiai ka wort ʻo St. John.
- Nā lāʻau lapaʻau antifungal.
ʻAʻole piha kēia papa inoa. No laila, e hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora, Panadol, nā lāʻau Ayurvedic, nā huahana lāʻau lapaʻau) , nā mea hoʻohui āu e lawe nei, a inā ʻoe e puhipaka a inu waiʻona paha.
Nā mea e hoʻomanaʻo ai i ka wā e loaʻa ai ka lāʻau pale
- ʻO ka puhipaka a me nā ʻūpā koko: E like me kā mākou i ʻōlelo ai ma mua, he mea nui loa kēia. Inā ʻoe e lawe ana i kahi inikini hormone e like me kēia, ʻoiai inā ʻoe ma luna o 35, hoʻonui nui ka puhipaka i kou pilikia o nā ʻūpā koko, ka hōʻeha puʻuwai, a me ka hahau. No laila, ke paipai ikaika nei mākou iā ʻoe e pale loa i ka puhipaka no kou palekana ponoʻī.
- Ikaika o ka iwi: Ke hoʻohana ʻia kēia lāʻau pale no ka manawa lōʻihi (ʻoi aku ma mua o 2 mau makahiki), aia kahi manawa e emi ai ka pae calcium i loko o ke kino a nāwaliwali nā iwi (Osteoporosis). No laila, inā ʻaʻole kūpono nā ʻano hana hoʻomalu hānau ʻē aʻe iā ʻoe, e kamaʻilio hou me kāu kauka e pili ana i ka hoʻomau ʻana i ka hoʻohana ʻana i kēia lāʻau pale no nā makahiki he 2 a ʻoi. E kiʻi pū i ka ʻōlelo aʻoaʻo no ka loaʻa ʻana o ka calcium a me ka wikamina D e hoʻomau i kou mau iwi.
- ʻAʻohe pale ʻana i nā maʻi i laha ma ke ʻano moekolohe: He mea nui loa kēia. Pale kēia lāʻau pale i ka hāpai ʻana, akā ʻaʻole ia e hāʻawi i kekahi pale ʻana i ka maʻi HIV (AIDS) a i ʻole nā maʻi ʻē aʻe i laha ma ke ʻano moekolohe (STD). No laila, no ka pale ʻana iā ʻoe iho mai ia mau maʻi, pono ʻoe e hoʻohana i kahi ʻano pale e like me nā condom.
- Nā hoʻokolohua lapaʻau maʻamau:ʻOiai e lawe ana i kēia lāʻau pale, he mea nui e ʻike i kāu kauka i nā manawa maʻamau no nā nānā ʻana. He mea nui e hana i nā hoʻokolohua umauma maʻamau a me nā Pap smears.
- Overdose: ʻOiai ke lawelawe ʻia nei kēia lāʻau pale e kahi loea lapaʻau, haʻahaʻa loa ka pilikia o ka overdose. Eia nō naʻe, inā kānalua ʻoe ua hana ʻia kēia, e hoʻomaopopo koke i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo a i ʻole ka Emergency Treatment Unit (ETU) kokoke loa.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i kēia lāʻau pale ke loaʻa nā hopena ʻaoʻao. He koʻikoʻi kekahi, he mea maʻamau kekahi. He mea nui e makaʻala i kēia mau mea.
| Nā hopena ʻaoʻao koʻikoʻi e pono ai ke kōkua koke ʻana o ke kauka (e hele i ka ʻOihana Hoʻopilikia - ETU) | |
|---|---|
| ⚫ ʻEha poʻo koʻikoʻi koke | ⚫ ʻEha ka umauma, paʻakikī ka hanu ʻana |
| ⚫ Nā loli o ka ʻike (ʻike pōwehiwehi, ʻike pālua) | ⚫ Paʻakikī i ka ʻōlelo ʻana a i ʻole ka hoʻomaopopo ʻana, nalowale ka hoʻomanaʻo |
| ⚫ Ka mae koke ʻana a i ʻole ka nāwaliwali o ka maka, ka lima, a i ʻole ka wāwae (ʻoi aku hoʻi ma kekahi ʻaoʻao o ke kino) | ⚫ ʻEha wāwae, pehu, ʻulaʻula, a me ka mehana (nā hōʻailona o ke koko i hoʻopaʻa ʻia) |
| ⚫ Melemele o ka ʻili a i ʻole nā maka, mimi ʻeleʻele, ʻōpala maeʻele | ⚫ He puʻupuʻu a i ʻole kahi loli i loko o ka umauma, he kahe ʻana mai ka umauma |
| He mea maʻamau, akā e haʻi i kāu kauka inā hoʻomau a hoʻopilikia paha. | |
| ⚫ ʻEha a ʻūlū paha ka umauma | ⚫ Nā loli o ka naʻau, ke kaumaha iki |
| ⚫ ʻEha ʻōpū, piha ka ʻōpū | ⚫ Nā loli i ke kaʻina hana menstrual, ke kahe koko māmā |
| ⚫ Ka hāʻule ʻana o ka lauoho, nā loli o ke kaumaha | ⚫ ʻEneʻeneʻe o ka ʻōpū, nā hōʻailona o ka maʻi |
Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe i ʻōlelo ʻole ʻia ma kēia papa inoa, e kamaʻilio pū me kāu kauka e pili ana iā lākou.
Leka Lawe-Home
- He lāʻau hoʻomalu hānau kēia me nā hormones i lawe ʻia i hoʻokahi manawa i ka mahina.
- Ma mua o ka loaʻa ʻana o ka lāʻau pale, e hōʻoia e haʻi i kāu kauka e pili ana i kou mau kūlana olakino a me nā lāʻau lapaʻau āpau āu e lawe nei.
- ʻAʻole hāʻawi kēia lāʻau pale i ka palekana mai nā maʻi i laha ma ke moekolohe, me ka maʻi HIV (AIDS). E hoʻohana i kahi ʻano hana e like me ka condom.
- Inā he mea puhi paka ʻoe, ʻoiai hoʻi he wahine ma luna o 35 mau makahiki, ʻaʻole kūpono paha kēia lāʻau pale iā ʻoe no ka mea he kiʻekiʻe loa ka pilikia o ke kāpili ʻana o ke koko a me ka hahau ʻana.
- Inā loaʻa iā ʻoe kahi hopena koʻikoʻi e like me ka ʻeha koke o ka umauma, ka paʻakikī o ka hanu ʻana, ka paʻakikī o ka ʻōlelo ʻana, a i ʻole ka mae ʻana o ka ʻōpū ma kekahi ʻaoʻao o ke kino, e hele koke i ka ʻOihana Pilikia kokoke loa (ETU).
- Ma mua o ke koho ʻana i kekahi ʻano kaohi hānau, e kamaʻilio pono me kāu kauka e pili ana i kona mau pono a me nā pōʻino a koho i ke ʻano kūpono loa iā ʻoe.
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