Ke noʻonoʻo ʻoe i nā ʻano hoʻolālā ʻohana, manaʻo paha ʻoe i nā pila āu e lawe ai i kēlā me kēia lā a i ʻole nā inikini āu e loaʻa ai i kēlā me kēia mau mahina. Akā ua lohe anei ʻoe i kahi apo liʻiliʻi a palupalu āu e komo ai i loko o ka vagina? He ʻano hoʻolālā ʻohana maikaʻi loa kēia. I kēia lā, e kamaʻilio kākou e pili ana i kēia apo vaginal, ʻo ia ka `Vaginal Ring`. Ma Sri Lanka, ua lohe paha ʻoe iā ia ma lalo o ka inoa inoa ʻo `NuvaRing`.
I ka ʻōlelo maʻalahi, he aha kēia apo o ka wahine?
He apo liʻiliʻi kēia i hana ʻia me ka palaki palupalu a moakaka hoʻi i hoʻohana ʻia no ka hoʻolālā ʻohana e nā wahine. Loaʻa iā ia ʻelua ʻano hormones. ʻO ia ka estrogen a me ka progestin. I mea e pololei ai, aia i loko nā lāʻau lapaʻau ʻo 'Etonogestrel' a me 'Ethinyl Estradiol'.
Ke hoʻokomo ʻoe i kēia apo i loko o kou ʻōpū, hoʻokuʻu ia i kēia mau hormones i loko o kou kino ma ke ʻano mālie a kāohi ʻia. I ka hui pū ʻana, hana kēia mau hormones ʻelua i ʻelua mau mea nui:
1. Kāohi i ka Ovulation: Hoʻōki i ka hoʻokuʻu ʻia ʻana o kahi hua manu mai nā ovaries o ka wahine i kēlā me kēia mahina. Me ka ʻole o kahi hua manu, ʻaʻole hiki ke hāpai.
2. Mānoanoa o ka mucus cervical: Ua mānoanoa ka mucus ma ke komo ʻana o ka uterus, e paʻakikī ai i ka sperm ke ʻau i loko o ka uterus.
Penei e pale ai kēia apo iā ʻoe mai ka hāpai ʻana.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻohana ʻana i kēia lāʻau lapaʻau:
ʻAʻole kūpono kēia apo no nā kānaka a pau. No laila, ke kamaʻilio ʻoe me kāu kauka, e hōʻoia e haʻi i kekahi o nā kūlana ma lalo nei. He mea nui loa kēia no kou palekana.
| ʻAno o ke kūlana olakino | Nā kūlana āu e pono ai e hōʻike |
|---|---|
| Nā pilikia o ka puʻuwai a me ke koko | Ke koko kiʻekiʻe, ka maʻi puʻuwai a i ʻole ka hōʻeha puʻuwai hou, ka hahau ʻana, nā ʻūpā koko i loko o nā kīʻaha koko, ke kiʻekiʻe o ka cholesterol a i ʻole nā pae triglyceride. |
| Ka maʻi ʻaʻai | Inā loaʻa iā ʻoe a i loaʻa paha iā ʻoe ka maʻi kanesa o ka umauma, ka ʻāʻī, ka uterine, ka ovarian a i ʻole ke akepaʻa. |
| Nā kūlana olakino ʻē aʻe | Maʻi kō, maʻi akepaʻa, maʻi puʻupaʻa, maʻi ʻōpū paʻa, ʻeha poʻo migraine, lupus (SLE), nele i ka protein C/S. |
| Nā mea pili i ke ola a me nā mea ʻē aʻe | Inā he mea puhi paka ʻoe (ʻoi aku hoʻi ma luna o 35), ua hānau hou nei, ua hoʻopau i ka hāpai ʻana, kokoke e hana ʻia ke ʻoki kino, a i ʻole he kahe koko ʻē aʻe kou ma ka ʻōpū. |
| ʻO ka hāpai ʻana a me nā maʻi ʻaleka | Inā hāpai ʻoe a i ʻole e hoʻāʻo ana e hāpai, inā ʻoe e hānai waiū ana, a inā he maʻi ʻoe i nā hormones a i ʻole nā lāʻau lapaʻau a meaʻai paha. |
Pehea maoli ʻoe e hoʻohana ai i kēia apo?
He maʻalahi loa ke ʻano o ka hoʻohana ʻana i kēia, akā he mea nui loa ia e hahai pololei i ke kaʻina hana.
1. 3 pule i loko, 1 pule i waho: E hoʻokomo i ke apo i loko o ka vagina e like me ke kuhikuhi a kāu kauka. Pono kēia e noho ma kahi no 3 pule (21 lā) .
2. Ka wehe ʻana: Ma hope o 3 mau pule, e wehe i ke apo i ka lā hoʻokahi āu i hoʻokomo ai (e.g., inā ua hoʻokomo ʻoe iā ia i ka Lāpule, a laila i ka Lāpule ma hope o 3 mau pule).
3. Hoʻomaha hoʻokahi pule: Pono ʻoe e noho me ke apo ʻole no ka pule aʻe (7 lā) . I loko o kēia manawa, e loaʻa iā ʻoe kou wā (withdrawal bleeding).
4. Ke hoʻokomo ʻana i kahi apo hou: Hoʻokahi pule ma hope o ka hoʻomaha ʻana, ma ka lā hoʻokahi i wehe ʻia ai ke apo ma mua (ma kā mākou laʻana, i ka Lāpule aʻe), pono ʻoe e hoʻokomo i kahi apo hou .
Eia kekahi laʻana, inā manaʻo ʻoe ua hemo kāu apo, a inā ʻaʻole ʻoe maopopo inā aia nō ia ma laila, e nānā koke. Inā ʻaʻole ʻoe i ʻike i ka lōʻihi o kona hemo ʻana, hiki iā ʻoe ke pilikia i ka hāpai ʻana. E lawe i kahi hoʻāʻo hāpai i kēlā manawa a kamaʻilio me kāu kauka.
He aha kāu e hana ai inā lohi loa kou kau ʻana i ke apo, a inā paha e hāʻule iho ia?
ʻO ka holomua o kēia ʻano hana e pili ana i ke ʻano o kou hoʻomau ʻana i kēia pōʻaiapuni. Inā hala ʻoe i ka lā āu e pono ai e hoʻokomo i ke apo, a inā ua puka i waho no kekahi mau hola, e emi paha kou pale ʻana mai ka hāpai ʻana. E kelepona koke i kāu kauka no ka ʻōlelo aʻo. He mea naʻauao nō hoʻi ka hoʻohana ʻana i kahi ʻano kaohi hānau hou aʻe, e like me nā condom, a hiki i kāna ʻōlelo ʻana iā ʻoe.
Nā mea e hoʻohana ʻole ʻia me kēia apo (Nā Hana like ʻana me nā lāʻau lapaʻau)
Hiki i nā lāʻau lapaʻau ʻē aʻe āu e lawe ai ke launa pū me nā hormones i loko o kēia apo, e hōʻemi ana i kona pono a i ʻole e hoʻonui ana i nā hopena ʻaoʻao. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā huaora, a me nā huahana lāʻau lapaʻau āu e lawe ai.
| Mai hoʻohana pū i kēia mau inoa! | |
|---|---|
| E hōʻalo i ka hoʻohana ʻana i kēia apo me kekahi mau lāʻau lapaʻau no ka Hepatitis C (e like me Dasabuvir; ombitasvir; paritaprevir; ritonavir), nā mea hoʻoluʻu vaginal i loaʻa ka ʻaila a silicone paha. | |
| E haʻi i kāu kauka inā ʻoe e lawe ana i kēia mau lāʻau lapaʻau. | |
| Nā lāʻau lapaʻau no nā maʻi | ʻO nā lāʻau antibiotic a me nā antifungal e like me Rifampin a me Griseofulvin. |
| Nā lāʻau lapaʻau no ka maʻi epilepsy/ seizures | ʻO nā lāʻau lapaʻau e like me Carbamazepine, Phenytoin, Topiramate. |
| Nā lāʻau lapaʻau no ka maʻi HIV/AIDS | ʻO kekahi mau lāʻau antiviral. |
| Nā huahana lāʻau lapaʻau | ʻO ka wort o St. John. |
| ʻĒ aʻe | ʻO Acetaminophen (Paracetamol), Warfarin, nā lāʻau lapaʻau maʻi diabetes, nā hormones thyroid, a me nā lāʻau lapaʻau ʻē aʻe he nui. |
*ʻAʻole i piha kēia papa inoa. No laila e ʻoluʻolu e hoʻomaopopo i kāu kauka e pili ana i nā mea āpau āu e lawe nei.*
Nā mea e makaʻala ai i ka wā e hoʻohana ai
- E pale i ka puhipaka: He mea weliweli loa ka puhipaka inā ʻoe e hoʻohana nei i kēia ʻano kaohi hānau hormonal. Hoʻonui nui ka puhipaka i kou pilikia o ke koko a me ka hahau ʻana, ʻoiai inā ʻoe ma luna o 35.
- Nā hoʻokolohua lapaʻau: E kipa aku i kāu kauka i ka manawa kūpono a loaʻa nā hoʻokolohua. Mai hōʻalo i nā mea e like me ka hoʻokolokolo umauma a me nā Pap smears.
- Nā maʻi i laha ma ke ʻano moekolohe:
- Nā kiko ʻili: Hiki i kekahi mau wahine ke loaʻa nā kiko ʻeleʻele (cholasma) ma ko lākou helehelena. Hiki ke ʻoi aku ka ʻino o kēia kūlana me ka lā. No laila, e pale iā ʻoe iho mai ka lā a e hoʻohana i ka sunscreen.
- Overdose: Inā no kekahi kumu āu e manaʻo nei ua overdose ʻoe, e hele koke i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui a i ʻole ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
- ʻO ke apo vaginal kahi ʻano hana kaohi hānau cyclical i hoʻokomo ʻia no 3 mau pule, wehe ʻia no hoʻokahi pule, a laila hoʻokomo ʻia kahi mea hou.
- ʻOiai ke pale nei kēia i ka hāpai ʻana, ʻaʻole ia e hāʻawi i ka pale ʻana i nā maʻi i laha ma ke moekolohe (STI), me ka maʻi HIV.
- Inā he mea puhi paka ʻoe a ʻoi aku ma mua o 35 mau makahiki, kiʻekiʻe loa kou pilikia o ke koko. E pale loa i ka puhi paka.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā huaora, a me nā huahana lāʻau āu e lawe nei.
- E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me ka ʻeha nui o ka umauma, ka paʻakikī o ka hanu ʻana, ka pehu ʻana o ka wāwae, a i ʻole ka ʻeha poʻo nui.
- Inā hāʻule ke apo i waho a poina paha iā ʻoe ke hoʻokomo iā ia i ka lā i hoʻonohonoho ʻia, e nīnau koke aku i kāu kauka.
ʻO ka mea nui loa, ʻo kēia apo wale nō ka mea e pale aku ai iā ʻoe mai ka hāpai ʻana. ʻAʻole ia e pale aku iā ʻoe mai nā maʻi i laha ma ke ʻano moekolohe (STIs) e like me ka HIV (AIDS). He mea nui e hoʻohana i kahi ʻano pale e like me nā condom.
He aha nā hopena ʻaoʻao i manaʻo ʻia?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. He koʻikoʻi kekahi, he mea maʻamau kekahi.
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i ke kauka | |
|---|---|
| Nā hōʻailona o ke koko koko | ʻEha wāwae, pehu, ʻulaʻula, paʻakikī ka hanu ʻana, ʻeha umauma. |
| Nā Hōʻailona o ka Stroke | Ka maneʻo koke a nāwaliwali paha ma ka maka, ka lima, a i ʻole ka wāwae, ka paʻakikī i ka ʻōlelo ʻana, ka ʻeha poʻo nui, ka loli o ka ʻike. |
| Nā pilikia o ke akepaʻa | ʻEha ma ka ʻōpū ʻākau o luna, melemele o ka ʻili a i ʻole nā maka, mimi ʻeleʻele, lepo melemele. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Nā hopena maʻi ʻaleka (ʻulaʻula o ka ʻili, ka maneʻo, ka pehu ʻana o ka maka/lehelehe), ka migraines e ʻoi aʻe ana, ke kaumaha, ka ʻeha o ka ʻōpū, ka hoʻokahe ʻana maʻamau ʻole, nā hōʻailona o ka Toxic Shock Syndrome (TSS) me ke kuni. |
| Nā hopena ʻaoʻao i maʻamau akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
|---|---|
| ʻEha a ʻūlū paha ka umauma | Ka luaʻi |
| Nā pōʻaiapuni menstrual kūpono ʻole a i ʻole ka spotting | Piʻi iki ke kaumaha |
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