Chhungkaw ruahmanna siam dan thlan chu a châng chuan harsatna ang maiin a lang thei a ni lawm ni? Nitin pills ei thin kha i hre reng tur a ni a, thla thum danah injection i lak thin tur a ni... Heng zawng zawng nen hian nun hi a chang chuan a buaithlak thei a, heng thilte hi i theihnghilh thei bawk. Chuvângin, heng zawng zawng hi theihnghilh thei, vawi khat i hman theih a, kum tam tak chhûng rilru thlamuanna nei thei tûr chhûngkaw ruahmanna siam dân chungchâng hriat i duh em? Vawiin hian chutiang method chu kan sawi a ni.
A awlsam zawngin LARC chu eng nge ni?
English tawng LARC tih hi Long-Acting Reversible Contraception tihna a ni. Sinhala tawng awlsam takah chuan "long-acting, reversible birth control methods" tihna a ni. Hei hi a hming awmzia chu a ni. Heng hmanrua te hi i doctor-in a install tawh chuan i duh chi hrang hrang a zirin kum 3 atanga kum 10 emaw a aia rei emaw chhung naupai laka venhimna a pe a ni.
Heng hmanrua te thatna lian ber pakhat chu fa dang neih duh i tih chuan engtik lai pawhin device hi i paih thei a ni. I fertility chu a chhuah veleh a normal leh ang. Chuvangin "reversible" an ti a ni.
Mahse hetah hian hriat reng tur pawimawh tak a awm. Heng LARC hmanrua te hian naupai a veng chauh a ni. Condom angin sexually transmitted infection (STI) lakah an venghim lo che a ni. Chuvangin chutiang hlauhawmna a awm chuan condom hman a pawimawh hle.
LARC hman dan hi chi hnih a awm a, chungte chu:
Tunah hian Sri Lanka leh khawvela LARC hmanraw hman tlanglawn ber pahnih chu intrauterine devices (IUDs) leh implants te an ni.
| Thil hmanrua chi hrang hrang | A sawifiahna leh a awmna hmun | Present tense leh entirnan te |
|---|---|---|
| IUD (Nausen pum chhunga hmanrua) . Hei hi kan hmuiah "loop" kan ti thin. | Hei hi plastic hmanrua te tak te, T ang maia siam a ni a, doctor in vagina kaltlangin nausen pum chhungah a dah lut thin. Hei hi chi hnih a awm a, hormonal leh non-hormonal (copper) te an ni. | Copper IUD hmanga siam:Kum 10 thleng venhimna a pe. (Entirnan: Paragard) tih hi a ni. Hormonal IUD: Kum 3 atanga kum 7 chhung venhimna a pe. (Entirnan: Mirena, Kyleena, Skyla te an ni) |
| Implant (Nau neih dan tur ruahmanna siam) . | Hei hi plastic rod flexible tak, matchstick ang maia lian a ni. Doctor chuan i kut chunglam chhunga vun hnuaiah a dah ang. | Kum 3 thleng venhimna a pe thei . (Entirnan: Nexplanon) tih hi a ni. |
Hengte hian taksa chhungah engtin nge hna an thawh?
Heng hmanrua pahnih hian a bul berah chuan sperm chu egg a thlen loh nan a tikhawlo a, mahse an tih dan erawh a chi hrang hrangah a inang lo deuh thung.
- Copper IUD: Hemi chhunga copper hian nausen pum chhungah sperm a dam theih lohna tur boruak a siam a. A bik takin, sperm tichhe thei khawpa inflammation tlem a siam a ni. Tin, nausen pum chhunga lining (endometrium) pawh a ti thim a, chuvangin engtin emaw takin sperm pakhatin egg a zawm a nih pawhin nausen pum chhungah a implant thei dawn lo.
- Hormonal IUD: Hei hian copper IUD ang bawkin sperm tihlumna boruak a siam a. Hei bakah hian hormone (Levonorgestrel, progestin chi khat) tlemte chauh a tichhuak bawk. He hormone hian i cervical mucus a ti thick a , chu chuan sperm chu nausen pum chhunga tui luang lut a ti harsa zawk a ni. Tin, hmeichhe thenkhatah chuan uterine lining a ti thim a, ovulation pawh a then a titawp bawk.
- Implant: I kuta hmanraw te tak te hian i taksaah hormone (Etonogestrel, progestin chi khat) a chhuah tir a. A hnathawh ber chu ovary atanga egg chhuak chu tihtawp vek a ni . Chu bakah, hormone hian IUD ang bawkin cervical mucus a ti thim bawk.
LARC method hman hian eng nge a thatna?
Mi tam takin hengte hi an duh zawk chhan hrang hrang a awm.
- A hlawk hle: Heng hmanrua te hi 99% aia tam a hlawk . Nitin pills dik tak i ei chuan 99% zetin a thawk bawk. Mahse kan theihnghilh. Heng hmanruaah hian " theihnghilh" theihna tur hmun a awm loh avangin, a taka hman chuan hengte hi hmanraw tangkai ber berte an ni.
- Harsatna tlem zawk: Doctor i hmuh hnu chuan kum tam tak chhung ngaihtuah a ngai tawh lo. Nitin inhriat nawn tir emaw, thla tin clinic kal emaw a ngai lo.
- Hun rei tak chhung atan sum khawlkhawm rawh:A tir lamah chuan install nan hian senso tlem hle mahse, kum tam tak chhung chu senso dang a awm loh avangin hun rei tak chhung chu hei hi a thatna a ni.
- Sex nun daltu a awm lo: Sex hman hunah naupai venna tur ngaihtuah thut a ngai lo a nih avangin rilru zalenna a awm.
Advantage bik dang a awm bawk
- Hormonal IUD leh implant thenkhat hian thlasik thisen chhuak nasa tak leh natna a tiziaawm thei a ni . Mirena IUD hi thisen chhuak nasa enkawlna atan pawm a ni bawk.
- Hengte hian endometriosis vanga natna awm pawh a tihziaawm thei bawk.
- Copper IUD hian invenna tel lova sex hman atanga ni 5 chhunga dah a nih chuan emergency contraceptive angin hna a thawk bawk .
Heng hmanrua te hi hman a tha lo lai hian eng dinhmun nge awm?
Hengte hi hmeichhe hrisel tu tan pawh a tlangpuiin a tha viau nachungin, hman loh tur a awm bawk.
Hetiang thutlukna i siam hma hian i doctor nen i hriselna chanchin sawipui la, i duh ber tur method i thlang hmasa phawt ang.
LARC hman dan hi a tlangpuiin a hnuaia thil awmteah hian hman a tha lo.
- Naupai tawh i nih chuan.
- Chhan hriat loh vaginal bleeding a awm chuan.
- Cervical cancer emaw uterine cancer emaw i neih chuan.
- Tunah hian active sexually transmitted disease (STI) i neih chuan.
Chu bakah, case bik thenkhat a awm bawk:
- Copper IUD hi copper allergy i neih emaw, Wilson natna i neih emaw chuan a tha lo .
- Liver natna na tak emaw, hnute cancer emaw i neih chuan (a nih loh leh a hlauhawmna sang tak i neih chuan) hormonal IUD emaw implant emaw hman hi a tha lo.
- Thisen zam (blood clotting disorders) i neih tawh chuan implant i lak hmain i doctor nen i sawiho ngei tur a ni.
Side effect leh complication te pawh kan hre em?
Damdawi lam thil dang ang bawkin, side effect tenau tak tak a awm thei. Mahse, lungngai suh, a tam zawkah chuan hengte hi thil pawi tak a ni lo. A pawimawh ber chu i thlasik hun inthlak danglamna hi a ni.
| Device chi hrang hrang | Side effect awm thei te |
|---|---|
| Copper IUD hmanga siam a ni | - Thlasik laiin thisen chhuak tam lutuk. - Thlasik laiin natna a pung . - Cancer ni lo ovarian cyst vei theihna a sang deuh. |
| Hormonal IUD hmanga siam a ni | - Thlasik mumal lo emaw thlasik chawlhsan vek emaw . - Hnute na. - Lu na, luak chhuak, mood inthlak danglam. - Cancer ni lo ovarian cyst vei theihna a sang deuh. |
| Implant a ni | - Thlasik mumal lo, rit emaw tlem emaw. A chang chuan thlasik hun a tawp thin. - Thlasik laiin spottting. - Mood a inthlak danglam thin. - Insulin resistance na lo tak a awm thei. |
Heng side effects te hi thla hmasa lamah a tam zawk fo a, taksain a hman thiam deuh deuh chuan hun kal zelah a tlahniam thin.
Harsatna lo awm thei thenkhat chu IUD chu nausen pum atanga a tlak chhuah te, a luh laiin nausen pum a hliam (a tlem hle), emaw, a dahna hmuna natna hrik a lo awm te hi a ni. Hengte hi a tlem hle nachungin, fimkhur a tha.
Take-Home Thuchah a ni
- LARC hi chhungkaw ruahmanna hmanraw tangkai ber, hassle-free , "set it and forget it" tih a ni.
- A chi hnih a awm a, chungte chu IUD (intrauterine device) leh implant, kut vun hnuaia dah a ni.
- Heng hmanrua te hian naupai a veng thei chauh a ni. Condom hi mipat hmeichhiatna hmanga kai theih natna (STI) laka invenna atan hman tur a ni .
- Type tin hian thatna leh that lohna an nei vek a. I hriselna dinhmun leh nunphung a zirin i tana hmanraw tha ber thlang turin i doctor nen inbia ang che .
- Heng zawng zawng hi engtik lai pawhin tihbo theih a ni. An lak chhuah veleh fa neih leh dan tur ngaihtuah theihna hun i nei ang.
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