We yu tink bɔt aw fɔ plan famili, sɔntɛm yu kin tink bɔt pils we yu kin tek ɛvride ɔ injɛkshɔn we yu kin gɛt ɛvri sɔm mɔnt. Bɔt yu dɔn yɛri bɔt wan smɔl ring we kin chenj chenj we yu kin wɛr insay di uman in vagina? Dis na fayn we bak fɔ plan famili. Tide, lɛ wi tɔk bɔt dis vagina ring, di `Vaginal Ring`. Na Sri Lanka, yu go dɔn yɛri bɔt am ɔnda di brand nem `NuvaRing`.
Fɔ tɔk am simpul wan, wetin na dis vagina ring?
Dis na smɔl ring we dɛn mek wit plastic we kin chenj ɛn we kin mek pɔsin si klia wan ɛn we uman dɛn kin yuz fɔ plan famili. I gɛt tu kayn ɔmon dɛn. Dɛn na ɛstrojen ɛn prɔjɛstin. fכ bi prεsis, i gεt di dכg dεm `Etonogestrel` εn `Ethinyl Estradiol`.
we yu put dis ring insay yu vagina, i de rilis dεn כmon dεm ya insay yu bכdi insay wan we we rili sכmtεm, we i de kכntrol. We dɛn tu ɔmon ya jɔyn togɛda, dɛn kin du tu men tin dɛn:
1. I de mek di eg nɔ kɔmɔt na uman in ovaria ɛvri mɔnt. If yu nɔ gɛt eg, bɛlɛ nɔ go ebul fɔ apin.
2. di sεvikal mכkus de tik: di mכkus we de insay di uterus de tik, we de mek i at fכ di sεl dεm fכ swim insay di uterus.
Dis na aw dis ring de protɛkt yu frɔm bɛlɛ.
Tin dɛn we yu fɔ tɛl yu dɔktɔ bifo yu yuz dis mɛrɛsin:
Dis ring nɔ fayn fɔ ɔlman. So we yu de tɔk to yu dɔktɔ, mek shɔ se yu tɔk bɔt ɛni wan pan di sik dɛn we de dɔŋ ya. Dis rili impɔtant fɔ mek yu sef.
| Tayp fɔ di mɛdikal kɔndishɔn | Situeshɔn dɛn we yu fɔ ripɔt |
|---|---|
| Prɔblɛm dɛn we de na di at ɛn di blɔd vesel dɛn | Ay blɔd prɛshɔn, at sik ɔ at atak we dɛn jɔs gɛt, strok, blɔd we de klɔt na di blɔd vesel, ay kɔlɔstrel ɔ triglisrayd lɛvɛl. |
| Kansa | If yu gɛt ɔ yu dɔn gɛt kansa na yu brɔst, sɛvikal, uterin, ovarian ɔ liva. |
| Ɔda tin dɛn we kin apin to pɔsin we sik | Dayabitis, liva sik, kidni sik, gal blad sik, maygren ed pen, lupus (SLE), Protein C/S dɛfisiɛns. |
| Di we aw pɔsin de liv in layf ɛn ɔda tin dɛn | If yu na pɔsin we de smok (espɛshali pas 35 ia), yu jɔs bɔn pikin, yu dɔn pwɛl bɛlɛ, yu de kam fɔ du ɔpreshɔn, ɔ yu gɛt blɔd we nɔ kɔmɔn na yu vagina. |
| Bɛlɛ ɛn alɛji | If yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ, if yu de gi pikin in bɛlɛ, ɔ if yu gɛt alɛji to ɔmon ɔ ɔda mɛrɛsin ɔ it. |
Aw ɛksaktɔli yu de yuz dis ring?
Di we aw fɔ yuz dis rili simpul, bɔt i rili impɔtant fɔ fala di we aw dɛn fɔ du am di rayt we.
1. 3 wik in, 1 wik aut: Put di ring insay di vagina lεk aw yu dכkta tɛl yu. Dis fɔ de fɔ 3 wik (21 dez) .
2. Fɔ pul am: Afta ɛksaktɔli 3 wik, pul di ring di sem de we yu put am (e.g., if yu put am insay Sɔnde, dɔn na Sɔnde afta 3 wik).
3. Wan wik brek: Yu go nid fɔ de ring-fri fɔ di nɛks wik (7 dez) . Insay dis tɛm, yu go gɛt yu prɛgnɛshɔn (withdrawal bleeding).
4. Fɔ put nyu ring insay: Jɔs wan wik afta di brek, di sem de we dɛn pul di ring we bin de bifo (insay wi ɛgzampul, di nɛks Sɔnde), yu fɔ put nyu ring .
Fɔ ɛgzampul, if yu fil se yu ring dɔn kɔmɔt, ɔ if yu nɔ shɔ if i stil de, chɛk am wantɛm wantɛm. If yu nɔ no aw lɔng i dɔn kɔmɔt, yu kin de pan denja fɔ gɛt bɛlɛ. Tek bɛlɛ tɛst da tɛm de ɛn tɔk to yu dɔktɔ.
Wetin yu go du if yu put di ring tu let, ɔ if i fɔdɔm?
Di sakses fɔ dis we fɔ du tin kin dipen pan aw yu kin kip kɔmpin wit dis saykl. If yu mis di de we yu fɔ dɔn put di ring insay, ɔ if i dɔn kɔmɔt fɔ sɔm awa, yu go ridyus di protɛkshɔn we yu go gɛt frɔm bɛlɛ. Kɔl yu dɔktɔ wantɛm wantɛm fɔ advays. I fayn bak fɔ yuz ɔda we fɔ kɔntrol pikin, lɛk kɔndɔm, te i tɛl yu fɔ du dat.
Tin dɛn we yu nɔ fɔ yuz wit dis ring (Drug Interactions) .
Ɔda mɛrɛsin dɛn we yu kin tek kin miks wit di ɔmon dɛn we de na dis ring, we kin mek i nɔ wok fayn ɔ i kin mek di sayd ɛfɛkt dɛn bɔku. So tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn, vaytamɛn dɛn, ɛn ɛbul prɔdak dɛn we yu de tek.
| Nɔ yuz dɛn nem ya togɛda! | |
|---|---|
| Nɔ yuz dis ring wit sɔm mɛrɛsin fɔ Epataytis C (lɛk Dasabuvir; ombitasvir; paritaprevir; ritonavir), vagina lɔbrik we gɛt ɔyl ɔ silikon. | |
| Tɛl yu dɔktɔ if yu de tek dɛn mɛrɛsin ya. | |
| Mɛrɛsin fɔ infɛkshɔn | Antibayɔtik ɛn antifɔngal lɛk Rifampin ɛn Griseofulvin. |
| Mɛrɛsin fɔ ɛpilepsi/ sik we de mek pɔsin sik | Lɛk Kabamazɛpin, Fɛnitɔyn, Tɔpiramɛt. |
| Mɛrɛsin fɔ HIV/AIDS | Sɔm mɛrɛsin dɛn we de agens di vayrɔs. |
| Di tin dɛn we dɛn mek wit ɛbul | Sɛnt Jɔn in wɔt. |
| Ɔda | Acetaminophen (Paracetamol), Warfarin, dayabitis mɛrɛsin, tayroyd ɔmon, ɛn bɔku ɔda mɛrɛsin dɛn. |
*Dis list nɔ kɔmplit. So duya tɛl yu dɔktɔ bɔt ɔl wetin yu de tek.*
Tin dɛn we yu fɔ tek tɛm wit we yu de yuz am
- Nɔ smok: Smok rili denja if yu de yuz dis kayn ɔmon we de mek yu bɔn pikin. If yu smok, dat kin mek yu blɔd klɔt ɛn gɛt strok, mɔ if yu dɔn pas 35 ia.
- Mɛdikal chɛk-ap: Go to yu dɔktɔ di rayt tɛm ɛn mek dɛn chɛk yu. Nɔ skip tin dɛn lɛk brɔst ɛgzam ɛn Pap smear.
- Sik dɛn we pɔsin kin gɛt we i du mami ɛn dadi biznɛs:
- Skin spat: Sɔm uman kin gɛt brawn spat (cholasma) na dɛn fes. Dis kɔndishɔn kin wɔs we yu de na di san. So, protɛkt yusɛf frɔm di san ɛn yuz tin fɔ protɛkt yusɛf frɔm di san.
- Ɔvados: If fɔ ɛni rizin yu tink se yu dɔn ɔvados, go wantɛm wantɛm na di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Nashɔnal Ospital ɔ di Imejɛnsi Tritmɛnt Yunit (ETU) na di ɔspitul we de nia yu.
- di vagina ring na saykli bכt kכntrכl mεtכd we dεn kin put fכ 3 wik, pul fכ wan wik, dεn kin put nyu wan.
- Pan ɔl we dis kin protɛkt pɔsin frɔm bɛlɛ, i nɔ de gi ɛni prɔtɛkshɔn frɔm sik dɛn we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs (STI), ivin HIV.
- If yu na pɔsin we de smok ɛn yu dɔn pas 35 ia, yu blɔd kin rili bɔku. Nɔ smok kpatakpata.
- Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn, vaytamɛn dɛn, ɛn ɛbul prɔdak dɛn we yu de tek.
- Go to dɔktɔ wantɛm wantɛm if yu gɛt ɛni siriɔs sayd ɛfɛkt lɛk bad bad chɛst pen, i nɔ izi fɔ blo, yu leg de swel, ɔ yu ed de at bad bad wan.
- If di ring fɔdɔm ɔ yu fɔgɛt fɔ put am di de we dɛn dɔn plan fɔ put am, go to yu dɔktɔ wantɛm wantɛm.
Di tin we impɔtant pas ɔl na dat dis ring de jɔs protɛkt yu frɔm bɛlɛ. I nɔ de protɛkt yu frɔm mami ɛn dadi biznɛs (STI) lɛk HIV (AIDS). I impɔtant fɔ yuz wan we we de mek yu nɔ ebul fɔ yuz am lɛk kɔndɔm.
Wetin na di sayd ɛfɛkt dɛm we dɛn kin ɛkspɛkt?
Lɛk ɛni mɛrɛsin, dis wan kin gɛt sayd ɛfɛkt. Sɔm siriɔs, sɔm kɔmɔn.
| Siriɔs sayd ɛfɛkt dɛm we dɛn fɔ ripɔt to di dɔktɔ wantɛm wantɛm | |
|---|---|
| Di sayn dɛn we de sho se blɔd dɔn rɔtin | Leg pen, swel, rɛd, i nɔ izi fɔ blo, chɛst de pen. |
| Di sayn dɛn we pɔsin kin gɛt we i gɛt Strɔk | Wantɛm we yu fes, yu an, ɔ yu leg kin wik, yu nɔ kin ebul fɔ tɔk, yu ed kin at bad bad wan, yu kin chenj yu yay. |
| Liva prɔblɛm dɛn | Pen na di ɔp rayt bɛlɛ, di skin ɔ di yay dɛn de yɔlɔ, di urine we dak, di stɔl dɛn we de shayn. |
| Ɔda siriɔs sayn dɛn | Alɛji (skin rash, it, swel na yu fes/lip), maygren we de wɔs, pwɛl hat, vagina pen, abnɔmal dischaj, simptom dɛm fɔ Toxic Shock Syndrome (TSS) wit fiva. |
| Sayd ɛfɛkt dɛn we kin apin bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
|---|---|
| Breast pen ɔ tayt | Vɔmit |
| Menstrual saykl we nɔ de ɔltɛm ɔ we gɛt spat | Smɔl wet we yu de gɛt |
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