Koj puas muaj teeb meem nco qab noj koj cov tshuaj npaj tsev neeg txhua hnub? Los yog koj puas qee zaum tsis nco qab txhaj tshuaj uas koj yuav tsum tau noj txhua peb lub hlis? Yog tias koj xav ncua kev muaj menyuam ib ntus, koj xav li cas txog txoj kev uas siv tau ib zaug thiab siv tau ntau xyoo yam tsis muaj kev txhawj xeeb? Ntawd yog txoj kev uas peb yuav tham txog hnub no.
LARC yog dab tsi? Hais yooj yim xwb...
LARC sawv cev rau lo lus " long-acting reversible contraception ." Qhov no yog ib lo lus luv rau "Long-Acting Reversible Contraception". Yog hais yooj yim xwb, thaum koj tus kws kho mob muab tso rau hauv, cov no yuav tiv thaiv tau cev xeeb tub tau peb txog kaum xyoo, lossis ntev dua, nyob ntawm hom tshuaj uas koj siv.
Cov no muaj ob hom tseem ceeb. Ib qho yog lub cuab yeej uas tus kws kho mob muab tso rau hauv koj lub tsev menyuam. Qhov thib ob yog lub cuab yeej me me uas muab tso rau hauv qab daim tawv nqaij ntawm koj txhais caj npab. Ib qho ntawm cov txiaj ntsig loj tshaj plaws ntawm cov txheej txheem no yog tias koj tuaj yeem tshem lub cuab yeej txhua lub sijhawm yog tias koj txiav txim siab tias koj xav muaj menyuam ntxiv. Tom qab nws raug tshem tawm, koj qhov kev xeeb tub yuav rov qab mus rau qhov qub.
Tiam sis ntawm no yog ib yam uas koj yuav tsum nco ntsoov . Cov txheej txheem LARC tsuas yog tiv thaiv kev xeeb tub xwb. Lawv tsis tiv thaiv koj ntawm cov kab mob sib kis los ntawm kev sib deev (STIs) zoo li cov hnab looj tes.
Muaj cov txheej txheem LARC twg?
Raws li peb tau tham ua ntej lawm, muaj ob hom kev siv LARC tseem ceeb: cov khoom siv rau hauv plab (IUDs) thiab cov khoom cog rau hauv plab.
Cov khoom siv rau hauv tsev menyuam (IUDs)
Ib lub IUD (Intrauterine Device) yog ib lub cuab yeej yas me me uas zoo li tsab ntawv 'T' uas koj tus kws kho mob muab tso rau hauv koj lub tsev menyuam. Muaj ob hom tseem ceeb: IUDs uas muaj tooj liab thiab IUDs uas muaj tshuaj hormones.
Kev cog hniav
Qhov no yog ib qho yas uas yoog tau thiab loj li ib tug ntoo ntais. Koj tus kws kho mob yuav muab nws ntxig rau hauv qab daim tawv nqaij ntawm sab hauv ntawm koj txhais caj npab. Hom uas siv ntau tshaj plaws hauv Sri Lanka thiab thoob plaws ntiaj teb hu ua 'Nexplanon®'. Nws muab kev tiv thaiv txog li peb xyoos.
Saib daim ntawv hauv qab no kom nkag siab yooj yim txog cov txheej txheem no.
| Hom LARC | Cov npe hom lag luam thiab cov lus piav qhia | Lub sijhawm kom tau txais kev ruaj ntseg |
|---|---|---|
| Tooj liab IUD | Cov no tsis muaj cov tshuaj hormones. Hom tshuaj tseem ceeb uas tam sim no tau pom zoo yog Paragard® . | Txog li 10 xyoo |
| Cov tshuaj hormones IUD | Cov no tso tawm me ntsis cov tshuaj hormone progestin. Muaj cov hom xws li Mirena®, Liletta®, Kyleena®, thiab Skyla® . | 3 txog 7 xyoos (nyob ntawm hom) |
| Kev cog hniav | Ib qho me me uas muab tso rau hauv qab daim tawv nqaij ntawm caj npab. Qhov feem ntau siv cov khoom cog yog Nexplanon® . | Txog li 3 xyoos |
Cov txheej txheem no muaj txiaj ntsig zoo li cas tiag?
Cov txheej txheem LARC yog ib qho ntawm cov txheej txheem tswj kev yug me nyuam zoo tshaj plaws . Lawv muaj txiaj ntsig ntau dua 99% . Xav txog, ntawm 100 tus poj niam siv txoj kev no, qhov muaj feem yuav xeeb tub hauv ib xyoos yog tsawg dua ib.
Cov tshuaj tiv thaiv tsev neeg muaj txiaj ntsig 99% yog tias noj txhua hnub. Tab sis qhov teeb meem yog tias qee zaum peb tsis nco qab noj cov tshuaj. Yog tias peb tsis nco qab li ntawd, qhov ua tau zoo ntawm cov tshuaj yuav poob qis mus txog li 91%. Tab sis thaum koj siv IUD lossis implant, koj tsis tas yuav nco qab noj txhua hnub, yog li tsis muaj kev pheej hmoo ntawm kev tsis nco qab. Yog vim li ntawd lawv cov txiaj ntsig zoo heev.
LARC haum rau leej twg? Nws tsis haum rau leej twg?
Cov no zoo tshaj plaws rau leej twg?
Yog tias koj tab tom nrhiav txoj hauv kev uas tsis muaj teeb meem thiab siv tau ntev los tiv thaiv kev xeeb tub, cov txheej txheem LARC yuav yog qhov haum rau koj. Tshwj xeeb,
- Yog tias koj tsis nco qab noj koj cov tshuaj txhua hnub.
- Yog tias koj muaj teeb meem nrhiav sijhawm mus txhaj tshuaj txhua ob peb lub hlis.
- Yog tias koj yog ib tus neeg uas tam sim no tsis muaj phiaj xwm yuav muaj menyuam, tab sis xav tias lawv yuav xav tau ib tug yav tom ntej.
Hauv lus yooj yim, qhov no yog qhov kev xaiv zoo rau txhua tus neeg uas tab tom nrhiav kev daws teeb meem "teem nws ib zaug thiab tsis nco qab txog nws rau ntau xyoo".
Thaum twg tsis siv cov txheej txheem no
Muaj qee yam mob uas tsis tsim nyog siv IUD lossis implant. Koj tus kws kho mob yuav kuaj koj thiab qhia koj txog qhov no. Feem ntau cov no tsis pom zoo:
- Yog koj twb cev xeeb tub lawm.
- Yog tias muaj ntshav tawm ntawm qhov chaw mos tsis muaj laj thawj pom tseeb.
- Yog koj muaj mob qog nqaij hlav ntawm lub tsev menyuam lossis mob qog nqaij hlav ntawm lub tsev menyuam.
- Yog tias koj muaj kab mob sib kis los ntawm kev sib deev (STI) tam sim no.
Tsis tas li ntawd xwb, qee hom LARC tsis haum rau cov neeg uas muaj mob tshwj xeeb.
- Tooj liab IUD: Qhov no tsis haum yog tias koj muaj kev tsis haum rau tooj liab lossis Wilson tus kab mob.
- Cov tshuaj hormones IUD lossis Implant: Cov no tsis haum yog tias koj muaj kab mob siab hnyav lossis mob qog noj ntshav hauv lub mis (lossis muaj feem yuav mob heev).
Yog tias koj muaj keeb kwm ntawm cov ntshav txhaws, nco ntsoov nrog koj tus kws kho mob tham txog nws ua ntej yuav muab cov hniav cuav cog rau hauv.
Cov no ua haujlwm li cas hauv lub cev?
Cov khoom siv no tsim ib puag ncig hauv lub tsev menyuam uas cov phev tsis tuaj yeem muaj sia nyob, tiv thaiv lawv kom tsis txhob mus rau cov raj fallopian thiab ua rau lub qe chiv.
- Cov IUDs tooj liab: Cov no ua rau mob me ntsis hauv lub tsev menyuam. Qhov no tsis ua rau lub cev puas tsuaj, tab sis qhov chaw ib puag ncig no ua rau cov phev lom. Lawv kuj ua rau daim ntaub ntawm lub tsev menyuam nyias, ua rau nws tsis tshua muaj feem yuav muaj qe cog rau hauv lub tsev menyuam, txawm tias nws tau sib xyaw ua ke lawm los xij.
- Cov Tshuaj IUDs Uas Muaj Cov Tshuaj Hormonal: Cov no kuj ua rau lub cev tiv thaiv kab mob zoo li cov tshuaj IUD tooj liab. Tsis tas li ntawd xwb, lawv maj mam tso cov tshuaj progestin hormone levonorgestrel tawm. Cov tshuaj hormone no ua rau cov hnoos qeev hauv lub tsev menyuam tuab, ua rau cov phev nyuaj rau ua luam dej. Nws kuj ua rau cov ntaub hauv tsev menyuam nyias thiab tiv thaiv kev tso qe (kev tso qe) rau qee qhov.
- Cov khoom cog rau hauv lub cev: Cov no kuj tso tawm cov tshuaj progestin etonogestrel. Lawv lub luag haujlwm tseem ceeb yog tiv thaiv koj kom tsis txhob ovulation tag nrho. Ib yam li cov tshuaj hormones IUD, lawv kuj ua rau koj cov hnoos qeev hauv lub tsev menyuam tuab.
Cov kev mob tshwm sim thiab cov teeb meem ntawm LARC yog dab tsi?
Ib yam li lwm txoj kev tswj kom tsis txhob muaj menyuam, cov kev siv LARC tuaj yeem ua rau muaj qee qhov kev phiv. Tab sis feem ntau cov no tsis loj heev. Qhov tseem ceeb tshaj plaws yog tias lawv tuaj yeem ua rau koj lub voj voog hloov pauv. Cov kev hloov pauv no yuav nyob ntawm hom koj siv.
| Hom LARC | Tej zaum yuav muaj tej yam tshwm sim tsis zoo |
|---|---|
| Tooj liab IUD |
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| Cov tshuaj hormones IUD | |
| Kev cog hniav |
Cia peb kawm txog cov teeb meem thiab.
Cov txheej txheem LARC muaj kev nyab xeeb heev, thiab tsis tshua muaj teeb meem. Yog tias lawv tshwm sim, cov hauv qab no yuav tshwm sim:
- Tus IUD tej zaum yuav plam tawm ntawm lub tsev menyuam (tshwj xeeb tshaj yog rau ob peb lub hlis thawj zaug).
- Kev tho ntawm phab ntsa tsev menyuam thaum lub sijhawm ntxig lub IUD (qhov no tsis tshua muaj).
- Cov khoom cog tawm ntawm qhov chaw ntxig (feem ntau yog vim tsis raug qhov chaw lossis muaj kab mob).
- Kev kis kab mob tom qab muab lub cuab yeej tso rau.
Txawm hais tias cov txheej txheem no yuav ua tau zoo npaum li cas los xij, yog tias cev xeeb tub tsis tshua muaj, nws suav tias yog cev xeeb tub uas muaj kev pheej hmoo siab.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- LARC yog txoj kev tswj kev yug me nyuam zoo tshaj plaws, kav ntev tshaj plaws, thiab thim rov qab tau.
- Muaj ob hom tseem ceeb: IUD (muab tso rau hauv lub tsev menyuam) thiab Implant (muab tso rau hauv caj npab).
- Cov no yooj yim heev vim tias lawv tuaj yeem "muab tso ib zaug xwb ces tsis txhob xav txog nws tau ntau xyoo." Txawm li cas los xij, lawv tsis tiv thaiv kab mob sib kis los ntawm kev sib deev (STIs) . Rau qhov ntawd, nws yog ib qho tseem ceeb uas yuav tsum siv cov hnab looj tes.
- Txhua hom muaj nws cov txiaj ntsig thiab qee qhov kev phiv. Nco ntsoov nrog koj tus kws kho mob tham kom paub seb txoj kev twg zoo tshaj plaws rau koj raws li koj tus mob thiab koj txoj kev ua neej.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus