Ke noʻonoʻo nei ʻoe i kahi ʻano hoʻolālā ʻohana? A i ʻole ʻaʻole ʻoe e ʻoluʻolu me ke ʻano āu e hoʻohana nei? Malia paha poina iā ʻoe e lawe i kāu mau pila i kēlā me kēia lā, a i ʻole ʻaʻole paha e hana nā ʻano hormonal iā ʻoe. I loko o ia kūlana, ʻo kahi hopena maikaʻi hiki iā ʻoe ke noʻonoʻo ʻo ia ka 'IUD' keleawe . E nānā kākou i ke ʻano o ia mea, pehea e hana ai, a he aha nā pōmaikaʻi a me nā pōʻino?
He aha ka 'IUD' keleawe?
I ka ʻōlelo maʻalahi, ʻo ka `IUD (Intrauterine Device)` he mea hana plastik liʻiliʻi, ʻano T i hoʻokomo ʻia i loko o kou ʻōpū. Hoʻokomo ʻia kēia e ke kauka i loko o kou ʻōpū ma o kou vagina. ʻIke anei ʻoe i ke kumu? No ka pale ʻana i nā hāpai keiki makemake ʻole ʻia . I kēia manawa, aia ʻelua ʻano o ka `IUD`. ʻO kekahi ka `Hormonal IUD`. Loaʻa i kēia kahi hormone i kapa ʻia ʻo `Progestin`. ʻO kekahi ka `Copper IUD` a mākou e kamaʻilio nei i kēia lā. E like me ka inoa e hōʻike nei, loaʻa i kēia ke keleawe, ʻo ia hoʻi ke keleawe. ʻAʻohe ona hormones .
Hoʻokomo ke kauka i ka IUD keleawe i loko o kou ʻōpū a wehe iā ia i ka wā e pono ai. He mau minuke wale nō ke kaʻina hana. Ke hoʻokomo ʻia, pale ia iā ʻoe mai ka hāpai ʻana no kahi o 10 mau makahiki . Hōʻike kekahi mau noiʻi e lōʻihi ana ia no kekahi poʻe. Akā, ʻaʻohe kānāwai e pono ai ʻoe e mālama iā ia no 10 mau makahiki. Hiki iā ʻoe ke wehe iā ia i kēlā me kēia manawa, inā makemake ʻoe e loaʻa kahi pēpē a hoʻololi paha i kahi ʻano hana hoʻomalu hānau ʻē aʻe. He mea maʻalahi loa, ʻeā?
Pehea e hana ai ka IUD keleawe?
ʻAe, e nānā kākou pehea e hana ai kēia 'IUD keleawe' i loko o kou kino. He mea ʻano 'T' plastik ia me kahi uea keleawe i wahī ʻia a puni. ʻO ka mea kupaianaha, ʻaʻole makemake iki ka sperm i ke keleawe . No laila, ke loaʻa iā ʻoe kēia 'IUD' i loko o kou ʻōpū, ʻaʻole hele mai ka sperm ma ia ʻano, me he mea lā e hele ana lākou i nā ala. Ma kēlā ʻano, ʻaʻole hiki i ka sperm ke hālāwai me ka hua manu. Inā ʻaʻole loaʻa i ka sperm kahi hua manu, ʻaʻole hiki iā ʻoe ke hāpai, ʻeā?
ʻAʻole wale ia, ke kumu o ke keleawe i nā loli i loko o kou ʻili uterine a me ka mucus cervical. ʻO kēia mau loli e lilo ia i wahi ʻino no ka sperm e noho ai, e lilo ia i wahi paʻakikī no lākou e noho ai.
ʻO kekahi mea ʻē aʻe, ke paipai nei nā kauka i kēia "IUD keleawe " ma ke ʻano he kaohi hānau ulia pōpilikia (ʻo ia hoʻi, "Emergency Contraception") . ʻO ia hoʻi, inā e hoʻokomo ʻia i loko o ʻelima mau lā (120 mau hola) o ka moekolohe pale ʻole ʻia, hiki ke hoʻemi nui ʻia ka pilikia o ka hāpai ulia pōpilikia. E noʻonoʻo i ka waiwai o ia mea.
He aha ka `ParaGard®`?
Loaʻa ka IUD keleawe ma lalo o nā inoa like ʻole ma nā ʻāina like ʻole a puni ka honua. He inoa kaulana ʻo ParaGard® ma nā ʻāina e like me ʻAmelika Hui Pū ʻIa . Eia kekahi, aia kekahi mau ʻano IUD keleawe ʻē aʻe ma nā ʻāina e like me Kanada a me United Kingdom. Hiki iā ʻoe ke nīnau i kāu kauka no ka ʻike hou aku e pili ana i kēia ma Sri Lanka.
ʻEhia ka lōʻihi e hoʻomaka ai ka hana o ka IUD keleawe?
ʻO kekahi mea maikaʻi e pili ana i kēia, ʻo ia ka hoʻomaka koke ʻana o ka IUD keleawe ma hope o kona hoʻokomo ʻia ʻana. ʻO ia hoʻi, ʻaʻole pono ʻoe e kali . Ua ʻōlelo mua wau hiki ke hoʻohana ʻia ma ke ʻano he pale ʻana i ka wā pilikia, a ʻo ia ke kumu. He palekana wikiwiki ia, ʻeā?
Pehea ka maikaʻi o ka IUD keleawe?
Ua ʻike anei ʻoe i ka maikaʻi o kēia? ʻOi aku ka maikaʻi o ka IUD keleawe ma mua o 99% . ʻO ka ʻoiaʻiʻo, ʻelua wale nō mau ʻano hana hoʻomalu hānau ʻē aʻe i like ka maikaʻi. ʻO ia ka IUD hormonal a me ka implant hoʻomalu hānau. Ke hoʻohālikelike ʻia me nā ʻano hana ʻē aʻe, eia ka maikaʻi o lākou (ke hoʻohana pololei ʻia):
- ʻO ka lāʻau hoʻomalu hānau (e like me `Depo-Provera®`): 96%.
- Nā pila, ʻāpana, apo ʻōpū: 93%.
- Nā Condom: 86%.
ʻO kekahi kumu i kūleʻa nui ai ka IUD , ʻo ia ka emi ʻana o nā hewa a mākou e hana ai . E noʻonoʻo e pili ana i ia mea, ke pono ʻoe e lawe i kahi pila i kēlā me kēia lā, hiki iā ʻoe ke poina i kekahi manawa, ʻeā? Akā i ka manawa e loaʻa ai iā ʻoe kahi IUD, ʻaʻole pono ʻoe e hana i kekahi mea kūikawā, hoʻomau wale ia i ka hana.
He aha nā hopena ʻaoʻao o ka IUD keleawe?
Eia nō naʻe, e like me nā mea ʻē aʻe a pau, aia kekahi mau hopena ʻaoʻao liʻiliʻi e hiki ke loaʻa, ʻoiai i nā lā mua o ka hoʻokomo ʻia ʻana o ka IUD keleawe. E nānā inā ʻike ʻoe i kekahi o kēia mau mea:
- Hiki ke lōʻihi kou wā ma mua o ka maʻamau, a i ʻole e kahe hou aku paha ke koko .
- Hiki iā ʻoe ke ʻike i ka ʻeha a me ke kuʻi ʻana ma mua o ka mea maʻamau i kou wā.
- Hiki paha iā ʻoe ke ʻike i ka ʻike ʻana i nā ʻōuli a i ʻole nā wā kūpono ʻole ma waena o nā wā.
Akā, mai hopohopo, e nalowale ana kēia mau hōʻailona a emi iho paha ma hope o ʻekolu a ʻeono mahina . Akā inā hoʻomau ʻoe i kēia ʻano ʻeha nui a me ke kahe koko, pono ʻoe e ʻike i kāu kauka. Mai poina i kēlā.
Ke hoʻonui nei ke kaumaha i ka IUD keleawe?
ʻO kahi nīnau a ka poʻe he nui e nīnau ai, inā paha e hoʻonui ke kaumaha o ka IUD keleawe. Ua hōʻike ʻia nā noiʻi ʻaʻole i hoʻonui pololei ke kaumaha o ka IUD keleawe. No laila, ʻaʻohe mea e hopohopo ai.
Ke hoʻōki nei ka IUD keleawe i ka menstruation?
ʻAʻole, ʻaʻole e hoʻōki ka IUD keleawe i kou wā. ʻO kēia no ka mea ʻaʻohe ona hormones. Eia nō naʻe, ua hōʻike kekahi poʻe i ke kahe koko ʻole i nā mahina mua ma hope o ka loaʻa ʻana o ka IUD keleawe. Eia nō naʻe, inā pau loa kou wā i ka wā e hoʻohana ana i ka IUD keleawe, he manaʻo maikaʻi e kamaʻilio me kāu kauka e pili ana i ia mea .
He aha nā pōmaikaʻi o ka IUD keleawe?
I kēia manawa, e nānā kākou i nā pono o kēia 'IUD keleawe'. Ke hoʻohālikelike ʻia me nā ʻano hana ʻē aʻe e pono ai ka lawe ʻana i nā pila i kēlā me kēia lā, a i ʻole hiki ke poina maʻalahi, ʻo ka 'IUD' he 'hoʻokomo a poina paha'.He ʻano hana e like me kēia. ʻO ia hoʻi, he maʻalahi loa ia, ʻaʻole pono ʻoe e noʻonoʻo e pili ana i kēlā me kēia lā a i kēlā me kēia mahina. Ma hope o ke kau ʻana o ke kauka i loko o kou ʻōpū, e palekana ʻia ʻoe mai ka hāpai ʻana no nā makahiki he nui.
He mau pono ʻē aʻe ko ka IUD keleawe, no ka laʻana:
- ʻAʻohe Hormone: ʻAʻole hiki i kekahi poʻe ke lawe i nā hormones ma muli o kekahi mau kūlana olakino, a i ʻole makemake ʻole kekahi poʻe e hoʻohana i nā hormones. No ia poʻe, he hopena kūpono ka IUD keleawe. ʻAʻole ia e hoʻopilikia i nā hormones maoli o kou kino.
- Hiki ke hoʻohuli ʻia: Ke wehe ʻia ka IUD keleawe, pau ka pale ʻana i ka hāpai ʻana. ʻO ke ʻano kēia inā loli kāu mau hoʻolālā a makemake ʻoe e loaʻa kahi pēpē, a inā makemake ʻoe e hoʻololi i kahi ʻano hana hoʻomalu hānau ʻē aʻe, ua maikaʻi. E hoʻi koke mai kou momona.
- Loaʻa ka pono: E like me kaʻu i ʻōlelo ai ma mua, ʻoi aku ka maikaʻi o ka IUD ma mua o 99%. ʻOiai ke hoʻohana ʻia ma ke ʻano he kaohi hānau ulia pōpilikia. He nui ka hilinaʻi, ʻeā?
He aha nā pilikia o ka IUD keleawe?
ʻAe, no laila aia kekahi mau pono a me kekahi mau pilikia. Akā ma ke ʻano holoʻokoʻa, he ʻano palekana a maikaʻi loa ka IUD keleawe no ka kaohi hānau. Eia kekahi o nā pilikia e hiki ke kū mai i ka wā e hoʻohana ai iā ParaGard® (a i ʻole kekahi IUD keleawe ʻē aʻe):
- Ka puka ʻana o ka paia o ka ʻōpū: He mea kākaʻikahi loa, ma kahi o 1 i loko o 1,000 poʻe , hiki i ke kauka ke puka hewa i ka paia o ka ʻōpū i ka wā e hoʻokomo ai a wehe paha i ka IUD. Hiki ke hana ʻia kēia me kekahi ʻano IUD, ʻaʻole wale ka IUD keleawe.
- Kipaku ʻia: Hiki i ka IUD ke paheʻe i waho o ka ʻōpū . Inā hana ʻia kēia, ʻaʻole paha ʻoe e ʻike, a aia kahi pilikia o ka hāpai ʻana. Pono ʻoe e ʻike i ke kauka e hoʻokomo i kahi mea hou.
- Ka maʻi: Aia kahi pilikia liʻiliʻi o ka maʻi ke hoʻokomo ʻia a wehe ʻia paha kahi IUD. Aia kahi pilikia liʻiliʻi loa o ka loaʻa ʻana o kahi maʻi pelvic (Pelvic Inflammatory Disease - PID), ʻoi aku hoʻi i loko o nā lā 20 mua.
- Hāpai: He mea kākaʻikahi loa, akā ʻaʻole hiki ʻole, ke hāpai me kahi IUD. Inā manaʻo ʻoe ua hāpai ʻoe i ka wā e loaʻa ana iā ʻoe kahi IUD, pono ʻoe e ʻike koke i ke kauka. Inā hāpai ʻoe me kahi IUD, aia kahi pilikia o nā pilikia e like me ka hāpai ectopic (hāpai ma waho o ka ʻōpū).
ʻO ka mea nui loa! ʻAʻole pale ka IUD iā ʻoe mai nā maʻi i laha ma ke ʻano moekolohe (STI) a i ʻole HIV/AIDS. No laila, ʻo ke ala maikaʻi loa e pale aku ai iā ʻoe iho mai nā STI, ʻo ia ka hoʻohana ʻana i ka condom i kēlā me kēia manawa āu e moe ai. He mea kēia e pono ai ʻoe e hoʻomanaʻo.
He palekana maoli anei nā IUD keleawe? ʻO wai ka mea kūpono ʻole no lākou?
ʻAe, ʻo ka IUD keleawe kahi ala palekana no ka hapa nui o nā kānaka.Akā ma mua o kou loaʻa ʻana o kahi IUD keleawe, e kamaʻilio me kāu kauka e pili ana i kāu mōʻaukala olakino. E haʻi i kāu kauka e pili ana i nā kūlana olakino ʻē aʻe āu e loaʻa nei, nā lāʻau lapaʻau āu e lawe ai, a me nā maʻi allergies āu e loaʻa nei. Hiki i kāu kauka ke kōkua iā ʻoe e hoʻoholo inā ʻo kēia ke ʻano kaohi hānau kūpono nāu.
ʻAʻole hiki i nā kauka ke ʻōlelo aku i kahi IUD keleawe i kēia mau hihia:
- Inā loaʻa iā ʻoe kahi maʻi pelvic, vaginal a uterine paha i kēia manawa (me nā maʻi i hoʻouna ʻia ma ke ʻano moekolohe - STIs).
- Inā he mau fibroids uterine a i ʻole nā pūpū ʻaʻole kanesa , ʻoiai inā hoʻololi lākou i ke ʻano o ka lua uterine.
- Inā loaʻa iā ʻoe a kānalua paha he maʻi ʻaʻai kōpū a i ʻole ke kanesa ʻōpū kou .
- Inā he maʻi allergy a intolerance paha ʻoe i ke keleawe (he mea laha ʻole kēia).
- ʻO nā kānaka me nā kūlana kakaikahi e pili ana i ka metabolism keleawe, e like me ka maʻi o Wilson.
- Inā he kahe koko kou ma ka ʻōpū i wehewehe ʻole ʻia.
ʻO ka mea nui loa, ʻaʻole e hoʻokomo ke kauka i kahi IUD inā he kānalua iki paha e hāpai ana ʻoe. Ma mua o ke hoʻokomo ʻana i kahi IUD, pono ʻoe e lawe i kahi hoʻāʻo hāpai a pono e maikaʻi ʻole.
Nā mea e hoʻomanaʻo ai mai nā mea a mākou i kūkākūkā ai (Leka Lawe-Home)
ʻAe, no laila, e nānā kākou i kekahi o nā mea nui e pono ai ʻoe e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai me ka IUD keleawe:
- ʻO ka IUD keleawe (e.g., ParaGard®) he ʻano hana hoʻomalu hānau kūpono, lōʻihi ka lōʻihi, hilinaʻi, "e kau a poina iā ia" . He mea maikaʻi loa ia no ka poʻe makemake ʻole a ʻaʻole hiki ke hoʻohana i nā hormones.
- ʻOi aku kēia ma mua o 99% ka maikaʻi o ka pale ʻana i ka hāpai ʻana.
- Eia naʻe, ʻaʻole kūpono ia no nā kānaka a pau. E like me nā ʻano hana hoʻomalu hānau āpau, hiki iā ia ke loaʻa kekahi mau pilikia a me nā hopena ʻaoʻao (ʻoi aku ka nui o ke kahe koko a me ka ʻeha i nā mahina mua) . No laila, he mea nui e kūkākūkā i kēia me kāu kauka a hoʻoholo i kahi hoʻoholo ma muli o kou kūlana olakino.
- E hoʻomanaʻo, ʻo ke kau ʻana a me ka wehe ʻana i kahi IUD e pono ai ke kōkua o ke kauka . Inā loaʻa iā ʻoe kahi IUD keleawe a manaʻo ʻoe ʻaʻole ia e hana no ʻoe, hiki iā ʻoe ke noi i ke kauka e wehe iā ia a kamaʻilio e pili ana i kahi ʻano hana ʻē aʻe.
- ʻO kekahi mea nui , ʻaʻole pale ka IUD i nā maʻi i laha ma ke moekolohe (STI) . Pono ʻoe e hoʻohana i ka condom no kēlā.
Inā he mau nīnau hou aku kāu e pili ana i kēia, mai makaʻu e kamaʻilio me kāu kauka. E kōkua lākou iā ʻoe!
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka IUD keleawe? Pehea e pale ai i ka hāpai ʻana?
He mea liʻiliʻi loa kēia, he ʻano T i hana ʻia me ka uea palakiko a me ke keleawe. Hoʻokomo ʻia ia i loko o ka ʻōpū o ka wahine e ke kauka. ʻO nā kemika (ion) i hoʻokuʻu ʻia e ke keleawe i loko e hoʻopau loa i ka hiki o ka sperm o ke kāne ke ʻau i kahi hua manu.
💬 ʻAʻole anei hiki iaʻu ke hānau keiki no kekahi mau makahiki ma hope o ke kau ʻia ʻana o kēia loop (IUD keleawe)?
ʻAʻole! ʻO ka pōmaikaʻi nui o kēia, hiki iā ʻoe ke hoʻomau i ka pale ʻana i ka hāpai ʻana no 10 mau makahiki ma hope o kona hoʻokomo ʻia ʻana (ʻo ka wā maikaʻi loa). Akā inā makemake koke ʻoe e loaʻa kahi pēpē, hiki iā ʻoe ke wehe ʻia kēia loop e ke kauka i kēlā me kēia lā/manawa. E loaʻa iā ʻoe kahi manawa 100% e hāpai hou ai mai ka lā i wehe ʻia ai.
💬 He ʻoiaʻiʻo anei ke komo ʻoe i kēia, e loli ana kou mau hormones a e nui aʻe kou kino/e hoʻopilikia ʻia kou pōʻaiapuni menstrual?
He wahaheʻe piha! ʻAʻole e like me nā pila hoʻomalu hānau a me nā inikini (Depo Provera), ʻaʻohe hormones o kēia IUD keleawe. No laila, ʻaʻole ia e hoʻonui i ke kaumaha, ka pohō kaumaha, ka ʻāʻī, a i ʻole nā pilikia hormonal ʻē aʻe. Eia nō naʻe, no nā mahina 3-6 mua ma hope o ke kau ʻana, hiki iā ʻoe ke ʻike i ke kahe koko nui a me ka ʻūlū i kou wā mahina.
ʻIUD keleawe , kaohi hānau, ParaGard, olakino wahine, ʻōpū, ʻaʻohe hormone, IUD
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