Family planning method i ngaihtuah hian nitin i ei thin pill emaw, thla engemaw zat danah injection i ei thin emaw i ngaihtuah mai thei. Mahse, i vagina chhunga i bun thin ring te tak te, flexible tak i hre tawh em? Hei hi chhungkaw ruahmanna felfai tak a ni bawk. Vawiin hian he vaginal ring, `Vaginal Ring` chungchang hi han sawi ila. Sri Lanka-ah chuan `NuvaRing` tih brand name hmangin i hre tawh mai thei.
A awlsam zawngin, he vaginal ring hi eng nge ni?
Hei hi hmeichhiate chhungkaw ruahmanna atana hman thin plastic flexible, transparent atanga siam ring te tak te a ni. Hormone chi hnih a awm a. Estrogen leh progestin te an ni. A dik tak chuan damdawi `Etonogestrel` leh `Ethinyl Estradiol` te a pai a ni.
He ring hi i vagina-ah i dah chuan heng hormone te hi i taksaah a chhuah tir a, a nêm hle a, a control theih bawk. Heng hormone pahnih hi an inzawm khawm chuan thil pawimawh pahnih an ti a:
1. Ovulation a veng: Hmeichhe ovary atanga thla tin egg chhuak tur a titawp. Egg tel lo chuan naupai a awm thei lo.
2. Servical mucus thickening: Nausen pum luhna kawngkhar a mucus chu a thick a, chu chuan sperm chu nausen pum chhunga tui luang luh a harsat phah a ni.
Hei hi he ring hian naupai lakah a venghim che a ni.
He damdawi hi i hman hmaa i doctor hnena i hrilh tur thilte:
He ring hi mi zawng zawng tan a tha lo. Chuvangin i doctor i biak hunah a hnuaia condition awm zawng zawng hi sawi tel ngei ang che . Hei hi i himna atan a pawimawh hle.
| Damdawi lam dinhmun chi hrang hrang | Thil awmdan i report tur |
|---|---|
| Thinlung leh thisen kalna kawngah harsatna a awm | Thisen sang, lung natna emaw tun hnaia heart attack, stroke, thisen kalna kawnga thisen zam, cholesterol emaw triglyceride level sang. |
| Ngawt | Breast, cervical, uterine, ovarian emaw liver cancer i neih emaw i neih tawh emaw a nih chuan. |
| Damdawi lam thil dang | Zunthlum, thin natna, kal natna, gallbladder natna, migraine lu na, lupus (SLE), Protein C/S tlakchhamna. |
| Nunphung leh thil dang | Meizial zu mi (a bik takin kum 35 chunglam) i nih chuan, tun hnaia nau i pai a, nau i pai a, operation i nei dawn emaw, i vaginal bleeding danglam tak i neih chuan. |
| Naupai leh allergy nei te | Naupai emaw, nau pai tum emaw, nau hnute i pek emaw, hormone emaw damdawi dang emaw ei tur dang emaw allergy i neih chuan. |
Engtin chiah nge he ring hi i hman?
Hei hi hman dan hi a awlsam hle a, mahse a kalphung dik tak zawm a pawimawh hle .
1. 3 weeks in, 1 week out: Doctor-in a tih angin ring chu vagina chhungah dah la. Hei hi kar 3 (ni 21) chhung a awm tur a ni .
2. Removal: Kar 3 chiah hnuah ring i dah ni vek khan la chhuak rawh (e.g., Pathianniah i dah a nih chuan kar 3 hnuah Pathianniah).
3. Kar khat chawlh: Kar leh (ni 7) chhung chu ring-free i nih a ngai ang . Hemi chhung hian i period (withdrawal bleeding) i nei ang.
4. Ring thar dah: Chawlh atanga kar khat chiah, a hmaa ring lak chhuah ni vek (kan entirnan, a tuk Pathianni) khan ring thar i dah tur a ni
Entirnan, i ring chu a chhuak ang tih i hriat chuan, a awm leh awm loh i rinhlelh chuan, en nghal rawh. Eng chen nge a chhuah tawh i hriat loh chuan naupai hlauhawmna i nei thei. Chutih lai chuan naupai test la, doctor nen inbia ang che.
Ring i bun tlai lutuk a nih chuan, a tlakchhiat chuan engtin nge i tih?
Hetiang method hlawhtlinna hi he cycle i zawm that danah a innghat a ni. Ring i dah tur ni i tlawh loh chuan, emaw, darkar engemaw zat a chhuak tawh a nih chuan naupai laka i invenna chu a tlahniam thei a ni. I doctor call nghal la, thurawn la rawh. Tin, a hrilh che hma loh chuan nau pai tihtlem dan dang, condom ang chi hman pawh a finthlak hle bawk.
He ring nena hman loh tur thil (Drug Interactions) .
Damdawi dang i ei hian he ring chhunga hormone te nen hian a inzawm thei a, a thatna a ti tlem thei a, a side effect a tipung thei bawk. Chuvangin i doctor hnenah damdawi, vitamin leh herbal product i ei zawng zawngte chu hrilh rawh.
| Heng hmingte hi hmang ho suh! | |
|---|---|
| He ring hi Hepatitis C damdawi thenkhat (Dasabuvir; ombitasvir; paritaprevir; ritonavir ang chi), vaginal lubricant oil emaw silicone emaw awmna nen hman loh tur a ni. | |
| Heng damdawi te hi i ei a nih chuan doctor hnenah hrilh rawh. | |
| Infection damdawi te | Antibiotics leh antifungals te chu Rifampin leh Griseofulvin te an ni. |
| Epilepsy/ seizures damdawi | Carbamazepine, Phenytoin, Topiramate te ang chi te hi a ni. |
| HIV/AIDS natna damdawi | Antiviral damdawi thenkhat. |
| Herbal atanga siam chhuah a ni | St. John-a rulhut a ni. |
| Thildang | Acetaminophen (Paracetamol), Warfarin, zunthlum damdawi, thyroid hormone, leh damdawi dang tam tak. |
*He list hi a kim lo. Chuvangin i ei tur zawng zawng hi i doctor hnenah hriattir rawh.*
Hman huna fimkhur tur thil
- Meizial zuk loh tur: Hetiang chi hormonal birth control i hman chuan meizuk hi a hlauhawm hle . Meizial zuk hian thisen zam leh stroke vei theihna nasa takin a tipung a, a bik takin kum 35 chunglam i nih chuan.
- Medical checkup: A hun takah doctor tlawh la, checkup la. Breast exam leh Pap smear ang chi thil hi skip suh.
- Mipat hmeichhiatna hmanga kai theih natna: 1.1.
- Skin spots: Hmeichhe thenkhat chuan an hmaiah brown spots (cholasma) an nei thei. Hetiang dinhmun hi ni chhuahnaah a zual thei hle. Chuvangin, ni laka inven la, sunscreen hmang rawh.
- Overdose: Eng emaw chhan vanga overdose i rinhlelh chuan National Hospital-a National Poisons Information Center emaw, damdawi in hnai ber Emergency Treatment Unit (ETU) emaw-ah kal nghal rawh.
- Vaginal ring hi cyclical birth control method a ni a, kar 3 chhung dah a ni a, kar khat chhung lakchhuah a ni a, chutah chuan a thar dah a ni.
- Hei hian naupai laka venghim mah se, mipat hmeichhiatna hmanga kai theih natna (STI) lakah pawh invenna engmah a pe lo va, HIV pawh a tel.
- Meizial zu leh kum 35 chunglam i nih chuan thisen zam i neih theihna a sang hle. Meizial zuk loh vek tur a ni.
- Damdawi, vitamin leh herbal product i ei zawng zawngte chu i doctor hnenah hrilh rawh.
- I rilru natna nasa tak, thawk harsa, ke na tak, lu na nasa tak ang chi side effect na tak i neih chuan doctor pan nghal rawh.
- Ring a tla chhuak emaw, ni ruat saah i dah theihnghilh emaw a nih chuan doctor rawn nghal rawh.
A pawimawh ber chu he ring hian naupai lakah chauh a veng che a ni. HIV (AIDS) ang chi mipat hmeichhiatna hmanga kai theih natna (STI) lakah a venghim lo che a ni. Condom ang chi barrier method hman a pawimawh hle.
Side effects beisei tur chu engte nge ni?
Damdawi dang ang bawkin he damdawi hian side effect a nei thei a ni. Ṭhenkhat chu a serious a, a then chu a common.
| Side effect na tak tak, doctor hnena hriattir nghal tur | |
|---|---|
| Thisen zam natna lan chhuah dan | Ke na, a hring, sen, thawk harsa, rilru na. |
| Stroke natna lan chhuah dan | Hmai, kut emaw, ke emaw-ah rang taka rilru hah emaw, chak lohna emaw, tawng harsa, lu na na tak, mit hmuh dan inthlak danglam. |
| Liver lama harsatna a awm | Pum dinglam chunglam na, vun emaw mit emaw a sen, zun dum, bawlhhlawh dum. |
| Symptom na tak dang a awm bawk | Allergic reaction (vun rawng, hnim hring, hmai/ hmui hring), migraine na zual, depression, vaginal na, thisen chhuak pangngai lo, Toxic Shock Syndrome (TSS) symptoms leh khawsik te. |
| Side effects awm fo mahse a awm reng chuan doctor hnenah hriattir tur a ni | |
|---|---|
| Hnute na emaw, tightness emaw | Luhai |
| Menstrual cycle mumal lo emaw, spotting emaw a awm | Tlemte chuan taksa rihna a pung |
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