Lɛ wi lan bɔt di we aw dɛn kin plan fɔ du tin fɔ lɔng tɛm (LARC)?

Sɔntɛnde, fɔ pik di we aw fɔ plan famili, i kin fil lɛk se i nɔ izi, nɔto so? Yu fɔ mɛmba fɔ tek di pils ɛvride, yu fɔ gɛt injɛkshɔn ɛvri tri mɔnt... Wit ɔl dɛn tin ya, layf kin bi hectic sɔmtɛm ɛn yu kin fɔgɛt bɔt dɛn tin ya. So, yu go lɛk fɔ no bɔt wan we fɔ plan famili we yu go fɔgɛt bɔt ɔl dis, yuz am wan tɛm, ɛn gɛt kolat na yu maynd fɔ lɔng lɔng tɛm? Wi de tɔk bɔt dis kayn we tide.

Fɔ tɔk am simpul wan, wetin na LARC?

Di Inglish wɔd LARC tinap fɔ Long-Acting Reversible Contraception . insay simpul Sinhala, i min "lכng-akt, rivεrsibl bכn kכntrכl mεtכd dεm". Dis na wetin di nem min. We yu dɔktɔ dɔn instɔl dɛn we ya, dɛn kin protɛkt yu frɔm bɛlɛ fɔ 3 to 10 ia ɔ ivin lɔng pas dat, i kin dipen pan di kayn we yu pik.

Wan pan di big bɛnifit dɛn we dɛn we ya gɛt na dat yu kin pul di divays ɛnitɛm if yu disayd se yu want fɔ bɔn ɔda pikin. Yu fεtiliti go kam bak to nכmal as dεn dכn pul am. Na dat mek dɛn kɔl am "reversible."

Tu men kayn we dɛn de fɔ yuz LARC:

Naw, di tu LARC we dɛn kin yuz mɔ na Sri Lanka ɛn di wɔl na intrauterine devices (IUD) ɛn implant.

Aw dɛn tin ya de wok insay di bɔdi?

Dɛn tu tin ya kin rili mek di swɛlin nɔ rich na eg, bɔt di we aw dɛn kin du dis kin difrɛn smɔl dipen pan di kayn.

• Kכpa IUD: di kכpa we de insay dis de mek wan envayroment insay di uterus usay di sεl dεm nכ kin ebul fכ liv. sכm spεshal wan, i de mek sכm inflameshn we de pwεl di sεl dεm. i de mek di layn na di uterus (endometrium) tan bak, so ivin if sכm kayn we we di sεl de jכyn eg, i nכ go ebul fכ put insay di uterus.

• Ɔmon IUD: Dis kin mek di say we pɔsin kin kil di swɛlin we tan lɛk di kɔpa IUD. Apat frɔm dat, i de pul wan rili smɔl ɔmon (Levonorgestrel, we na wan kayn prɔjɛstin). dis כmon de mek yu sεvikal mכkus tik , we de mek i at fכ di sεl dεm fכ swim insay di uterus. i de mek di uterin layn tכn bak εn i de stכp di ovuleshכn pat pan sכm uman dεm.

• Implant: Dis smɔl tin we de na yu an de pul wan ɔmon (Etonogestrel, we na wan kayn projɛstin) insay yu bɔdi. di men wok we i de du na fכ stכp di eg we de kכmכt na di ovaria kכmplit wan . Apat frɔm dat, di ɔmon, lɛk di IUD, de mek di sɛvikal mכkus tik bak.

Wetin na di bɛnifit dɛn we pɔsin kin gɛt we i yuz LARC we?

Bɔku rizin dɛn de we mek bɔku pipul dɛn lɛk dɛn we ya.

• Rili wok: Dɛn we ya kin wok pas 99% . If yu tek di pils dɛm ɛksaktɔli ɛvride, i de wok bak 99%. Bɔt wi kin fɔgɛt. Bikɔs no rum nɔ de fɔ "fɔgɛt" pan dɛn we ya, insay prɛktikal tɛm, dɛn we ya na di we we go wok pas ɔl.
• Les hassle: We yu dɔn gɛt dɔktɔ, yu nɔ nid fɔ tink bɔt am fɔ lɔng lɔng tɛm. Nɔ nid fɔ mɛmba yusɛf ɛvride ɔr go na di klinik ɛvri mɔnt.
• Sev mɔni insay di lɔng tɛm:Pan ɔl we i kin kɔst smɔl fɔ instɔl fɔs, dis na bɛnifit fɔ lɔng tɛm bikɔs ɔda kɔst nɔ de fɔ bɔku ia.
• Nɔ tin nɔ de we de ambɔg mami ɛn dadi biznɛs: Fridɔm de fɔ tink bikɔs yu nɔ nid fɔ tink wantɛm wantɛm bɔt aw fɔ kɔntrol bɔn pikin we yu de du mami ɛn dadi biznɛs.

Ɔda spɛshal bɛnifit dɛn

• Sɔm ɔmon IUD ɛn implant kin ridyus di ebi ebi blɔd we de kɔmɔt na di mɔnt ɛn pen . Dɛn dɔn gri fɔ yuz di Mirena IUD bak fɔ bi tritmɛnt fɔ di wan dɛn we de blɔd bad bad wan.
• Dɛn tin ya kin ɛp bak fɔ ridyus di pen we di ɛndometriosis kin kam wit.
• Di kɔpa IUD de wok bak as imejensi kɔntraseptiv if dɛn put am insay 5 dez afta yu du mami ɛn dadi biznɛs we yu nɔ protɛkt am .

Wetin na di tin dɛn we kin apin we i nɔ fayn fɔ yuz dɛn we ya?

Pan ɔl we dɛn tin ya kin fayn fɔ ɛni uman we gɛt wɛlbɔdi, sɔm tɛm dɛn de we dɛn nɔ kin advays fɔ yuz dɛn.

LARC mεtכd dεm jεnarali nכ kin rεkomεnd pan dεn kes dεm ya:

• If yu dɔn ɔlrɛdi gɛt bɛlɛ.
• If vagina blɔd de fɔ no rizin.
• If yu gɛt sɛvikal kansa ɔ yu uterin kansa.
• If yu gɛt aktif sik we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs (STI).

Apat frɔm dat, sɔm spɛshal kes dɛn de:

• Di kɔpa IUD nɔ fayn if yu nɔ lɛk kɔpa ɔ yu gɛt Wilson in sik .
• If yu gɛt siriɔs liva sik ɔ yu bɔdi kansa (ɔ yu de pan big risk fɔ am), ɔmon IUD ɔ implant nɔ fayn.
• If yu gɛt histri bɔt blɔd klɔt disɔda, yu fɔ rili tɔk bɔt am wit yu dɔktɔ bifo yu gɛt implant.

Wi no bak bɔt di bad tin dɛn we kin apin ɛn di prɔblɛm dɛn we kin apin?

Jɔs lɛk ɛni ɔda mɛrɛsin, sɔm smɔl smɔl tin dɛn de we kin apin. Bɔt nɔ wɔri, bɔku tɛm dɛn tin ya nɔ kin siriɔs. di men tin na di chenj dεm we de apin na yu mεnstral saykl.

Dɛn sayd ɛfɛkt ya kin bɔku pasmak insay di fɔs mɔnt ɛn dɛn kin stɔp as tɛm de go as di bɔdi de yus to am.

Sɔm pan di prɔblɛm dɛn we nɔ kin apin so ɔltɛm we kin apin na we di IUD kin slip kɔmɔt na di uterus, we i kin pank di uterus we dɛn de put am (we nɔ kin apin so ɔltɛm), ɔ we i kin gɛt infɛkshɔn na di say we dɛn put am. Pan ɔl we dɛn tin ya nɔ kin bɔku, i fayn fɔ no bɔt dɛn.