Ke ʻimi nei ʻoe i kahi ala e pale aku ai i ka hāpai ʻana ? Makemake ʻoe e ʻike e pili ana i kahi ala maʻalahi e hiki ai iā ʻoe ke kāohi iā ʻoe iho, ʻokoʻa mai nā mea e like me ka hoʻomanaʻo ʻana e lawe i nā pila i kēlā me kēia lā a i ʻole ka loaʻa ʻana o kahi inikini i kēlā me kēia mau mahina? No laila i kēia lā e kamaʻilio mākou e pili ana i kahi ʻano apo vaginal hou i kapa ʻia ʻo Annovera ®. E kamaʻilio wale mākou e pili ana i ke ʻano o ka hoʻohana ʻana, nā pono, nā hemahema, a me nā mea kūikawā e makaʻala ai.
I ka ʻōlelo maʻalahi, he aha kēia apo o ka wahine?
He apo liʻiliʻi a palupalu kēia. Hiki i ka wahine ke hoʻokomo i loko o ka vagina. Loaʻa iā ia ka hui pū ʻana o ʻelua hormones , estrogen a me progestin . ʻO ke kikoʻī, loaʻa iā ia nā lāʻau lapaʻau segesterone acetate a me ethinyl estradiol .
Ke mālama ʻoe i kēia apo i loko o kou vagina, e hoʻokuʻu mālie ia i kēia mau hormones i loko o kou kino. ʻO ka hana nui o kēia mau hormones ka pale ʻana i kāu ovaries mai ka hoʻokuʻu ʻana i kahi hua manu, i kapa ʻia ʻo ovulation . Inā ʻaʻole i hoʻokuʻu ʻia kahi hua manu, ʻaʻohe ala e hāpai ai. No laila, he ʻano hana kūpono loa kēia no ka kaohi hānau ʻana.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻohana ʻana i kēia
Ma mua o ka hoʻomaka ʻana i kekahi ʻano hana hoʻomalu hānau, he mea nui loa ia e kūkākūkā i kou mōʻaukala olakino piha me kāu kauka. Pono ʻoe e haʻi kūikawā i kekahi o kēia mau kūlana:
- Inā he kahe koko ʻē kou no ke kumu i ʻike ʻole ʻia .
- Inā ua loaʻa iā ʻoe kahi maʻi koko a i ʻole ka maʻi kīʻaha koko ma mua.
- Inā loaʻa iā ʻoe a i ʻole ua loaʻa iā ʻoe ka maʻi kanesa o ka umauma, ka ʻāʻī, ka uterine, ka ovarian, a i ʻole ke akepaʻa.
- Inā loaʻa iā ʻoe ka maʻi diabetes .
- Inā ua loaʻa iā ʻoe ka maʻi puʻuwai, ka hōʻeha puʻuwai, a i ʻole ka hahau ʻana.
- Inā he koko kiʻekiʻe kou, ka cholesterol kiʻekiʻe a i ʻole nā pae triglyceride.
- WeliweliInā loaʻa iā ʻoe ka migraine.
- Inā he maʻi kou akepaʻa a i ʻole nā puʻupaʻa.
- Inā loaʻa iā ʻoe kahi maʻi e like me Systemic Lupus Erythematosus (SLE).
- He mea nui loa kēia inā he mea puhi paka ʻoe (ʻoi aku hoʻi inā ʻoi aku ʻoe ma mua o 35 mau makahiki).
- Inā ua loaʻa koke iā ʻoe kahi pēpē a i ʻole ua hāʻule paha kāu keiki.
- Inā manaʻo ʻoe ua hāpai ʻoe a ke hoʻāʻo nei paha e hāpai.
- Inā he makuahine ʻoe e hānai waiū ana.
- Inā he maʻi allergy kou i kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea ʻē aʻe paha.
He mea nui loa ia no kou palekana ponoʻī e haʻi i kāu kauka me ka hūnā ʻole i kēia ʻike, no ka mea, ʻaʻole kūpono kēia ʻano hormonal i nā kānaka a pau.
ʻAe, i kēia manawa e nānā kākou pehea e hoʻohana pono ai i kēia.
He mea maʻalahi loa ka hoʻohana ʻana, akā pono ʻoe e kiʻi mua i nā ʻōlelo aʻoaʻo maopopo mai kāu kauka e pili ana i ke ʻano o ka hoʻokomo ʻana a me ka wehe ʻana. Eia kekahi, e heluhelu pono i nā ʻōlelo aʻoaʻo i hele mai me ka lāʻau lapaʻau.
Penei ke kaʻina hana maʻamau:
1. Hoʻokomo ʻana: Pono ʻoe e noho i kahi kūlana ʻoluʻolu (no ka laʻana, me kekahi wāwae i hāpai ʻia) a pelu i ke apo i ka hapalua a hoʻokomo i loko o kou vagina. Ua like ia me ke hoʻokomo ʻana i kahi tampon. Ke kau ʻia, ʻaʻole ʻoe e ʻike.
2. Paʻa ʻana: Pono e noho kēia apo i loko o ka vagina no 3 mau pule (21 mau lā) . He manaʻo maikaʻi e nānā mau iā ia me kou manamana lima (ʻoi aku hoʻi ma hope o ka moekolohe).
3. Ka Wehe ʻana a me ka Hoʻomaha: Ma hope o 3 mau pule, pono ʻoe e wehe a hoʻomaha no hoʻokahi pule (7 lā) . I loko o kēia pule, e loaʻa iā ʻoe ke kahe ʻana o ke koko, e like me kou wā.
4. Hoʻokomo hou ʻana: Ma hope o kahi hoʻomaha 7 lā, pono ʻoe e hoʻomaka i kahi pōʻaiapuni hou. ʻOiai inā ʻaʻole ʻoe i pau ke kahe ʻana o ke koko i kēlā pule, pono ʻoe e hoʻokomo hou i ke apo i ka pau ʻana o nā lā 7.
ʻO ka mea kūikawā e pili ana i kēia apo, hiki ke hoʻohana hou ʻia a hiki i hoʻokahi makahiki (13 mau pōʻaiapuni) . I ka wā hoʻomaha 7 lā i kēlā me kēia pōʻaiapuni, pono e hoʻomaʻemaʻe ʻia e like me ke kuhikuhi a mālama ʻia i loko o ka pahu liʻiliʻi kūikawā (pahu) e hele pū mai me ia.
He aha kāu e hana ai inā hāʻule ke apo a nalowale paha?
I kekahi manawa hiki ke puka mai ia ma kona iho. Inā hana ʻia kēlā, mai hopohopo. Akā no ka ʻike pono ʻana i kāu kaohi hānau, pono ʻoe e kāhea koke i kāu kauka no ka ʻōlelo aʻo . Eia kekahi, inā poina iā ʻoe ke kau i ke apo a waiho paha i loko no ka lōʻihi ma mua o ka manawa i kuhikuhi ʻia, ʻoi aku ka maikaʻi o ka hahai ʻana i ka ʻōlelo aʻo a kāu kauka.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He mea nui loa kēia. Inā ʻoe e lawe ana i ka lāʻau lapaʻau no kekahi maʻi ʻē aʻe i ka wā e hoʻohana ana i kēia apo ʻōpū, hiki i kēlā lāʻau lapaʻau ke launa pū me nā hormones i loko o kēia apo, e hōʻemi ana i ka pono o ke ʻano kaohi hānau a i ʻole e hana i nā hopena ʻaoʻao ʻē aʻe.
No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (me nā huaora a me nā huahana lāʻau) . Aia ma lalo iho kekahi mau laʻana.
| ʻAno lāʻau lapaʻau | Nā mea e makaʻala ai |
|---|---|
| Nā lubricants vaginal me ka ʻaila a silicone paha | ʻAʻole pono e hoʻohana pū ʻia kēia mau mea. Ua hōʻino ʻia paha ke apo. |
| ʻO kekahi mau antibiotics a me nā antifungals | Hiki paha ke hōʻemi i ka pono o ka kaohi hānau. |
| Kekahi mau lāʻau lapaʻau no ka maʻi epilepsy (nā hopu/nā maʻi ʻeha) | Hiki i kēia mau mea ke hoʻopilikia i ka pae o ka hormone. |
| ʻO kekahi mau lāʻau lapaʻau no nā maʻi e like me ka maʻi HIV a i ʻole ka hepatitis | Hiki i kēia ke hoʻopili i ka pono o ka kaohi hānau. |
| Nā huahana lāʻau lapaʻau e like me ka St. John's Wort | Hiki i kēia mau mea ke hōʻemi i ka pono o ka kaohi hānau. |
Nā mea kūikawā e noʻonoʻo ai i ka wā e hoʻohana ai i ke apo vaginal
- Nā hoʻokolohua lapaʻau: ʻOiai e hoʻohana ana i kēia ʻano hana, he mea nui e ʻike i kāu kauka i nā manawa maʻamau no nā hoʻokolohua. He mea nui loa nā Pap smears a me nā hoʻokolohua umauma.
- ʻAʻohe palekana e kūʻē i nā maʻi i laha ma ke ʻano moekolohe:ʻO kēia kahi e hana hewa ai ka poʻe he nui. Pale wale kēia apo i ka hāpai ʻana. ʻAʻole ia e pale iā ʻoe mai ka maʻi HIV (AIDS) a i ʻole nā maʻi ʻē aʻe i laha ma ke ʻano moekolohe . He mea nui e hoʻohana i kahi ʻano palekana e like me ka condom.
- ʻO ka puhipaka a me ka pilikia o ke koko ʻana: ʻO kēia ka ʻōlelo aʻo koʻikoʻi loa . Inā ʻoe e puhipaka i ka wā e hoʻohana ana i kahi ʻano hana hoʻomalu hānau hormonal, e piʻi nui ana kou pilikia o ke koko ʻana, ka hōʻeha puʻuwai, a me ka hahau ʻana. ʻOi aku ke kiʻekiʻe o kēia pilikia inā ʻoi aku ʻoe ma mua o 35 mau makahiki.
- ʻO ke ʻoki kino i hoʻolālā ʻia: Inā e hana ʻia kekahi ʻoki kino, e nīnau i kāu kauka inā pono ʻoe e hoʻōki i ka hoʻohana ʻana i kēia apo ma mua.
- Inā kānalua ʻoe i ka hāpai ʻana: Inā hala ʻoe i kou wā a loaʻa iā ʻoe kahi kānalua iki ua hāpai ʻoe, e hoʻōki i ka hoʻohana ʻana i ke apo a e ʻike koke i ke kauka.
E aʻo pū kākou e pili ana i nā hopena ʻaoʻao, ʻeā?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i nā hopena ʻaoʻao i kekahi poʻe. ʻOiai he mea maʻamau kekahi, aia kekahi mau hōʻailona e pono ai ʻoe e hopohopo nui.
| Ka hopena ʻaoʻao/hōʻailona | Wehewehena |
|---|---|
| Inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻike koke i ke kauka. | |
| Nā hōʻailona o ke koko koko | ʻEha koke, pehu, a me ka mehana i ka wāwae; paʻakikī ka hanu ʻana, ʻeha ka umauma. |
| Nā hōʻailona o ka hahau ʻana | Ka maneʻo koke a nāwaliwali paha ma kekahi ʻaoʻao o ka maka, ka lima, a i ʻole ka wāwae; ka paʻakikī i ka ʻōlelo ʻana, ka huikau, ka ʻeha poʻo nui. |
| Nā maʻi ate | ʻEha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nalowale ka makemake i ka ʻai, melemele o nā maka a i ʻole ka ʻili, mimi ʻeleʻele. |
| Nā hopena alerika koʻikoʻi | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe a i ʻole ke alelo, paʻakikī ke hanu. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | ʻO ka migraines hou a i ʻole ka ʻino aʻe, ke piʻi ʻana o ke koko, hoʻonui i ke kaumaha. |
| Inā hoʻomau kēia mau hōʻailona a lilo paha i mea hoʻopilikia, e haʻi i kāu kauka. | |
| ʻEha a ʻūlū paha ka umauma | He ʻano palupalu iki paha nā umauma. |
| Nā loli i ke kaʻina hana menstrual | Nā ʻāpana liʻiliʻi i ka wā o ke kahe koko ʻana o ka menstrual. |
| Nā maʻi liʻiliʻi ʻē aʻe | Ka luaʻi, ʻeha ʻōpū, nā kiko ʻeleʻele ma ka ʻili o ka maka. |
Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila. Inā pono, hiki iā ʻoe ke kelepona i ke National Poisons Information Centre ma ka Colombo National Hospital no ka ʻōlelo aʻoaʻo.
Leka Lawe-Home
- He hana kaohi hānau hormonal ʻo Annovera® no 3 pule a hoʻomaha no 1 pule i hiki ke hoʻohana hou ʻia a hiki i hoʻokahi makahiki.
- Ma mua o ka hoʻohana ʻana i kēia, he mea nui e haʻi i kāu kauka e pili ana i kāu ʻike olakino piha a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Pale wale kēia ʻano hana i ka hāpai ʻana. ʻAʻole ia e pale aku i nā maʻi i laha ma ke ʻano moekolohe, me ka maʻi HIV.
- Inā he mea puhi paka ʻoe, ʻoiai inā ʻoi aku ʻoe ma mua o 35, kiʻekiʻe loa kou pilikia o ke koko. E kamaʻilio me kāu kauka e pili ana i kēia me ka ʻoiaʻiʻo.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi (e like me ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana, ka pehu ʻana o ka wāwae, ka ʻeha poʻo nui), e ʻimi koke i ke kōkua lapaʻau.
- Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me nā poʻe ʻē aʻe.
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