LARC (Long-Acting Reversible Contraception) tih hi i hre tawh em? Kan sawi dawn nia!

Nitin i family planning pill ei tur hriat reng pawh i harsat em? A nih loh leh thla thum danah injection i ei tur chu i miss fo thin em? Hun engemaw chen fa neih hun sawn i ngaihtuah a nih chuan, vawi khat hman theih leh kum tam tak chhung lungkhamna awm lova hman theih dan tur chu engtin nge i ngaih? Chu chu vawiina kan sawi tur method chu a ni.

LARC chu eng nge ni? A awlsam zawngin...

LARC hi hun rei tak chhunga thawk thei reversible contraception tihna a ni . Hei hi ``Long-Acting Reversible Contraception'' tih tawifelna a ni. A awlsam zawngin, i doctor-in vawi khat a dah hnuah, hengte hian i hman chi a zirin kum thum atanga kum sawm chhung emaw, a aia rei emaw chhung naupai laka invenna a pe a ni.

Chungte chu chi hnih a awm a. Pakhat chu doctor-in i nausen pum chhunga a dah hmanrua a ni. A dang chu hmanraw te tak te, i kut vun hnuaia dah a ni. Heng hmanrua te thatna lian ber pakhat chu naute dang neih i duh chuan engtik lai pawhin device hi i la chhuak thei a ni. A lak chhuah hnuah i nau neih theihna chu a pangngaiin a awm leh ang.

Eng LARC method nge awm?

Kan sawi tawh ang khan LARC hman dan hi chi hnih a awm a, chungte chu intrauterine devices (IUDs) leh implants te an ni.

Nausen pum chhunga hmanrua (IUD) te .

IUD (Intrauterine Device) chu plastic hmanrua te tak te, ‘T’ letter ang deuha siam, i doctor-in i nausen pum chhunga a dah luh a ni. A chi hnih a awm a, chungte chu copper-containing IUD leh hormonal IUD te an ni.

Implant a ni

Hei hi matchstick ang vela lian plastic implant flexible tak a ni. I doctor chuan i kut chunglam chhunga vun hnuaiah a dah ang. Sri Lanka leh khawvel hmun hrang hranga hman tlanglawn ber chi chu `Nexplanon®` tih a ni. Kum thum thleng venhimna a pe a ni.

Heng hmanrua te hi awlsam taka hriatthiam theih nan a hnuaia table hi en la.

Heng hmanrua te hi engtiang chiahin nge a hlawk tak tak?

LARC hmanrua hi naupai venna hmanraw tangkai ber pakhat a ni. 99% aia tam an thawk tha hle. Ngaihtuah teh, he hmanrua hmang hmeichhia 100 zingah hian kum khat chhunga naupai theihna chance chu pakhat aia tlem a ni.

Family planning pills hi nitin dik taka ei chuan 99% zetin a hlawk thei. Mahse buaina chu a chang chuan pill ei hi kan theihnghilh thin. Chutiang theihnghilh a nih chuan pill-te thawhrimna tak tak chu 91% velin a tlahniam a ni. Mahse IUD emaw implant emaw i hman hian nitin ei tur i hriat reng a ngai lo va, chuvangin theihnghilh theihna a awm lo. Chuvang chuan an effectiveness a sang hle a ni.

LARC hi tu tan nge a inhmeh? Tu tan nge a inhmeh lo?

Hengte hi tute tan nge tha ber?

Naupai venna atana harsatna awm lo, hun rei tak chhunga hman theih tur i zawng a nih chuan LARC hman dan hi i tan a tha hle mai thei. A bik takin, .

• Nitin pills i ei theihnghilh chuan.
• Hun i hmuh harsat chuan thla engemaw zat danah injection la rawh.
• Tunah hian fa neih tumna nei lo, mahse nakin lawkah fa neih an duh mai thei tih ngaihtuah mi i nih chuan.

A awlsam zawngin, "set it once and forget about it for years" solution zawngtu tan chuan hei hi duhthlan tur tha tak a ni.

Heng hmanrua te hi hman loh hun tur

Hriselna lama harsatna thenkhatah chuan IUD emaw implant emaw hman a rem lo. I doctor chuan a enfiah ang che a, hemi chungchangah hian thurawn a pe ang che. Hengte hi a tha lo tlangpui:

• Naupai tawh i nih chuan.
• A chhan hriat loh vaginal bleeding a awm chuan.
• Cervical cancer emaw uterine cancer emaw i neih chuan.
• Tunah hian mipat hmeichhiatna hmanga kai theih natna (STI) i neih chuan.

Tin, LARC chi thenkhat hi damdawi lam harsatna bik nei tan chuan a tha lo hle bawk.

• Copper IUD: Copper emaw Wilson natna emaw allergy i neih chuan hei hi a tha lo.
• Hormonal IUD emaw Implant: Hengte hi thin natna na tak emaw, hnute cancer emaw i neih chuan (a nih loh leh a hlauhawmna sang tak i neih chuan) a tha lo.

Thisen zam i neih tawh chuan implant i lak hmain i doctor nen inbiakna neih hmasak phawt ang che.

Hengte hian taksa chhungah engtin nge hna an thawh?

Heng hmanrua te hian nausen pum chhungah sperm dam khawchhuah theih lohna boruak a siam a, fallopian tube-a kal thei lovin egg pakhat a fertilize thei lo.

• Copper IUDs: Hengte hian nausen pum chhungah inflammation na lo tak a siam a. Hei hian taksa tan a tichhe lo a, mahse he boruak hi sperm tan chuan toxic a ni. Tin, nausen pum chhunga lining pawh an tithianghlim a, chu chuan nausen pum chhungah egg a implant theihna a ti tlem hle a, fertilized pawh nise.
• Hormonal IUDs: Hengte hian copper IUD ang bawkin immune response a tichhuak bawk. Hei bakah hian zawi zawiin progestin hormone levonorgestrel an tichhuak bawk. He hormone hian cervical mucus a ti thim a, sperm chu a swim up a harsa zawk. Tin, uterine lining a ti thim a, ovulation (egg chhuah) pawh eng emaw chen a veng bawk.
• Implants: Hengte hian progestin hormone etonogestrel an tichhuak bawk. An hnathawh ber chu ovulate vek lo tura tihtawp hi a ni. Hormonal IUD ang bawkin i cervical mucus pawh an ti thim bawk.

LARC hman dan hian eng side effect leh complication nge a neih?

Birth control method dang ang bawkin LARC method hian side effect engemaw zat a nei thei a ni. Mahse hengte hi a pawi lo tlangpui. A bulpui ber chu i thlasik hun chhung (menstrual cycle) tidanglam thei an ni. Heng inthlak danglamna te hi eng nge ni tih chu i hman chi hrang hrangah a innghat ang.

Harsatna awm thei te pawh i zir ang u.

LARC hman dan hi a him hle a, harsatna pawh a awm tlem hle . An lo awm a nih chuan a hnuaia mi hi a thleng thei a ni:

• IUD hi nausen pum atang hian a chhuak thei (a bik takin thla hmasa lamah).
• IUD dah laiin uterine wall perforation (hei hi a tlem hle).
• Implant chu a dahna hmun aṭangin a chhuak thei (a tam zawkah chuan dah dik loh vang emaw, natna kai vang emaw a ni).
• Device dah hnuah infection a awm.

Heng hmanrua te hi eng ang pawhin hlawhtling mah se, naupai hi a awm tlem hle a nih chuan naupai hlauhawm tak anga ngaih a ni.