Mena kāore anō koe kia rite ki te whakatū whānau, ki te mea rānei kua whai tamariki koe, ā, kāore koe e whakaaro ana ki te whānau anō, He mea tino nui kia mōhio koe ki ngā tikanga whakamahere whānau , arā, ngā tikanga ārai whānau (Whakahaere Whānau, Ārai Whānau rānei). Nā te mea, me kī kei te moe tāne koe, ki te moe tāne koe, ka taea e koe te hapu i ngā wā katoa. Nō reira, he mea tino nui kia whiriwhiria he tikanga ārai whānau e pai ana ki a koe. Nō reira, me kōrero taipitopito tātou mō tēnei, e tika ana?
He aha tēnei tikanga whakamahere whānau (Whakahaere whānau)?
Ki te kī māmā noa, ko te tikanga whakamahere whānau he tikanga e whakamahia ana e koe hei ārai i te hāputanga. Ka karangatia hoki tēnei he ārai whānau. He maha ngā momo tikanga rerekē. Ko te mea nui ko te mahi anake o ēnei tikanga mēnā ka whakamahia tika. Nō reira, he mea tika kia whai wā koe ki te mārama ki te mahi a ia tikanga me te whakamahinga. Mena kei te moe tāne koe, ā, kāore koe e ngana ana ki te whānau tamariki i tēnei wā, me whakamahi koe i te tikanga ārai whānau.
Ko tēhea tikanga te mea pai mōu me tō hoa?
I mua i te whiriwhiri i te tikanga whakahaere whānau pai rawa atu, he mea nui kia kōrerohia e koe me tō hoa rangatira. He mea pai hoki kia kōrero koe ki tō tākuta mō tēnei mea. Whakaarohia ēnei mea ina whiriwhiri koe i te tikanga e tika ana māu:
- He ngāwari te whakamahi? Kei te pēhea tō whakamarie ki tēnei tikanga?
- He pēhea te whai huatanga o tēnei rongoā hei ārai i te haputanga ? (Mēnā ka whakamahia tika)
- He ārai tēnei i ngā mate pāwera ira tangata (STI)?
- He aha tō tau me tō hauora whānui ?
- He mahere tāu mō te whānau tamariki ā muri ake nei?
- He aha ngā pānga taha, ngā mōrearea rānei ?
- E hia ngā wā e moe ai koe? E hia rānei ō hoa ?
- He aha te hiranga o te tūmataitinga? (Kei te hiahia koe ki te pupuri i te tikanga e whakamahia ana e koe kia huna?)
- He painga anō kei reira? Hei tauira, ko ngā mea pēnei i te iti o te toto i te wā paheketanga, te auau ake rānei o te huringa paheketanga .
He pēhea te mahi a ēnei tikanga ārai whānau?
He rerekē te mahi a ia tikanga ārai whānau. Anei ngā mea ka tupu:
- Ka ārai i te tūtakitanga o te parāoa me te hua manu.
- Ka ārai i te tukunga o te hua manu mai i tō whēkau .
- Ka kino te parāoa, ā, kāore e taea e rātou te kauhoe ki te hua manu.
- Ka whakamātotoru i te hūpē o te kaki o te kōpū, ā, kāore e taea e te parāoa te puta.
- Ka hurihia te arai o tō kōpū, ā, kāore e taea te whakatō i tētahi hua manu kua whakatōkia .
He aha ngā tikanga whakahaere whānau tino whai hua?
Ko te mea pono, ko te huarahi anake e 100% whai hua ana hei ārai i te hāputanga ko te kore rawa e moe tāne, wāhine rānei. Heoi, he uaua ki te tokomaha te pupuri i tēnei. Nō reira, he mea nui kia whakaarohia tētahi atu momo ārai whānau.
I te nuinga o te wā, ka whai hua anake te tikanga ārai whānau mēnā ka whakamahia tika, ka whakamahia tonutia. Nō reira, ko ngā tikanga ngāwari ki te whakamahi, ā, kāore e hiahiatia he tiaki auau, koia te mea tino whai hua. Ko ngā tauira o ēnei ko ngā whakaurunga ārai whānau, ngā taputapu ā-roto i te kōpū (IUD), me te pokanga whakamahere whānau tuturu (whakakorenga hapūtanga).
I tētahi atu taha, ko ngā tikanga pēnei i te Fertility Awareness Methods me te Pulling Out kei roto i ngā tikanga kāore i te tino angitu hei aukati i te hāputanga.
He maha ngā wā, he pai ake te whakamahi ngātahi i ngā tikanga ārai whānau e rua. Hei tauira, te whakamahi i te ure tāwhana me ngā pire ārai whānau. Pērā ai, ka tiakina koe mai i ngā mate tuku iho i te taatai (STI), te whakamahi i te tikanga ārai, me te tango rongoā homoni.
He aha ngā momo ārai whānau? (Ngā momo ārai whānau)
I mua i tō whiriwhiri i tētahi tikanga, me kōrero koe ki tō hoa rangatira me tō tākuta mō taua mea. Ka whai hua anake ngā tikanga ārai whānau mēnā ka whakamahia tika e koe. Nō reira, kia tino mārama koe ki te whakamahi i te tikanga i whiriwhiria e koe.
He maha ngā momo matua o ngā tikanga whakahaere whānau:
- Ngā Tikanga Ārai: Ka mahi ēnei tikanga mā te aukati i te parāoa kia kaua e tomo ki roto i tō kōpū. Me whakamahi koe i tēnei tikanga i ia wā ka moe tāne koe.
- Ngā Rongoā me ngā Taputapu Homoni: Ka whakamahia e ēnei tikanga ngā homoni hei aukati i te whakaputa uri, hei whakarerekē rānei i te āhua o te kōpū me te cervix. Me tango ētahi rongoā homoni i ia rā (mō te wā poto), ko ētahi ka werohia e te tākuta ki raro i te kiri o tō ringa, ki roto rānei i tō kōpū (mō te wā roa).
- Pokanga Whakamahere Whānau Tuturu - Te Whakakorenga Ira: He pokanga tēnei hei ārai i te hāputanga tuturu. He pokanga whakakorenga ira ka taea te mahi ki ngā tāne me ngā wāhine.
- Ngā Tikanga Mōhiotanga ki te Whakatipu Hua: E mōhiotia ana ko te Whakamahere Whānau Taiao, e whakamahi ana ēnei tikanga i ngā tikanga taiao hei ārai i te hāputanga.
- Te ārai whānau ohorere: Ki te kore e angitu tō tikanga ārai whānau, ka taea e koe te whakamahi i ēnei tikanga hei tiaki i a koe mai i te haputanga. He rite tēnei ki te "kupenga haumaru" whakamutunga.
- Te kore moepuku: Te kore moe tāne me te wahine hei ārai i te haputanga.
Nā, kia tirohia tātou ia momo me ētahi atu taipitopito.
Ngā Tikanga Ārai
Ngā ure tāne (ngā ārai hapūtanga tāne)
- He aha tēnei? He uhi angiangi te ure tāne, he kirihou, he hiako hipi rānei. Ka mau ki runga i te ure e tū ana. Ka ārai tēnei uhi i te parāoa kei roto he parāoa kei roto kei roto kei roto i tō tara. Heoi, nā te mea ka ngawari te haehae o ngā ure tāne, kāore pea i te rite te whai huatanga ki ētahi atu tikanga ārai whānau.
- Me pēhea te whakamahi? Me whakamau te ure ki te ure e tū ana i mua i te moe tāne. Whakamahia he ure hou i ia moe tāne.
- Kei hea e taea ai e koe te tiki i ēnei? Ka taea e koe te hoko ure i ngā whare rongoā me ngā hūpāmakete.
- He pēhea te whai huatanga o ēnei? Ki te kakahuria e koe i mua i te tīmatanga o te moe tāne, ā, ki te kore e haehaetia, e 85% te whai huatanga o ngā ure tāne.
- He aha atu ngā mea me mōhio koe? Ahakoa ehara i te mea he 100% te whai huatanga, ko ngā ure tāne te huarahi pai rawa atu hei tiaki i a koe mai i ngā mate tuku iho i te taatai (STI). Whakamahia ngā hinu whakahinuhinu wai anake (hei tauira, KY Jelly®, Astroglide®) me ngā ure tāne. Ka taea e ngā hinu whakahinuhinu hinu (hei tauira, Vaseline®, Baby Oil) te pakaru o ngā ure tāne. Ki te pakaru te ure tāne, whakaarohia te whakamahi ārai hapūtanga ohorere.
Patu Parāoa
- He aha tēnei? Ko te patu parāoa he tiēre, he kirīmi, he pūwero rānei ka whakaurua ki roto i te tara. Ka ārai i te parāoa kia kaua e tae ki te hua manu. Ka kino ngā matū kei roto i te parāoa, ka uaua ai te kauhoe ki te hua manu. Kia whai hua ai tēnei, me whai tika koe i ngā tohutohu. Kei reira anō hoki he tiēre tara e wātea ana mā te whakahaunga (`Phexxi®`). Ka mahi mā te whakaheke i te pH o te tara, ka uaua ai te kauhoe a te parāoa.
- Me pēhea te whakamahi? Me whakauru te patu parāoa me te hinu whakapūkara ki roto i te tenetene 15-30 meneti i mua i te moe tāne. Ko te nuinga o ngā patu parāoa ka mahi mō te haora pea, ā, i muri i tēnā me pani anō. Me pani anō te patu parāoa i ia moe tāne, kaua hoki e horoia i muri i te moe tāne.
- Kei hea ahau e whiwhi ai? Ka taea te hoko i te patu parāoa mai i ngā whare rongoā me ngā hūpāmakete. Ka taea anake te hoko i te hinu whakapūkara e whakaiti ana i te taumata pH (`Phexxi®`) me te whakahaunga a te tākuta.
- He pēhea te angitu?E 70% noa iho te whai huatanga o te patu parāoa hei ārai i te hāputanga. Heoi, ko te patu parāoa e whakamahia tahitia ana me tētahi atu tikanga ārai ka eke ki te 94% te whai huatanga. Ko te hinu tara, e tohua ana e te tākuta, e 85% - 93% noa iho te whai huatanga.
- He aha atu ngā mea me mōhio koe? Kāore te patu parāoa e tiaki i ngā mate pāwera i te taatai (STI). Inaa, ka piki ake pea tō mōrearea. Nā te mea ka taea e ngā matū i roto i te patu parāoa te whakapataritari i tō tenetene, ka māmā ake te uru atu o ngā mate.
Diaphragm
- He aha tēnei? He taputapu porowhita te diaphragm, he mea hanga anō, he mea hanga ki roto i te tenetene hei ārai i te haputanga. Ka hipokina tō cervix, ā, ka ārai i te parāoa kia kaua e uru ki roto i te kōpū. Me whakamahi tonu koe i te patu parāoa wai, i te hinu ārai whānau rānei me te diaphragm.
- Me pēhea te whakamahi? He rite te diaphragm ki tētahi taupoki iti, ki tētahi kapu rānei. Ka whakapikoa kia rua, ka panaia ki roto i te tenetene, kia kapi ai te cervix. Whakauruhia te diaphragm i mua i te moe tāne, i te haora, i te rua rānei i mua i te moe tāne. Tangohia i muri i te 6 ki te 24 haora i muri i te moe tāne. Mō te tiakitanga nui, pania he patu parāoa ki te taha o te diaphragm i mua i te moe tāne.
- Kei hea te tiki i tētahi? He rerekē te rahi o ētahi o ngā diaphragm. Nō reira, me toro atu koe ki te tākuta, me te whakamātautau tara hoki kia kitea ai te rahi tika māu. He mea nui kia whiwhi koe i tētahi diaphragm e tika ana te rahi. Mena ka ngaro, ka piki rānei tō taumaha neke atu i te 10-15 pauna, me whakahou pea tō diaphragm e te tākuta. Heoi, ko ētahi o ngā diaphragm, pērā i te `Caya®`, he rahi "kotahi te rahi e pai ana ki te nuinga", nō reira kāore e hiahiatia kia whakatikatikaina.
- He pēhea te whai huatanga? E 87% te whai huatanga o te diaphragm tara. Heoi, ki te whakamahia tika (me te patu parāoa) me te auau, ka taea te whai huatanga ki te 94%.
- He aha atu ngā mea me mōhio koe? Kāore te whakamahi i te diaphragm me te patu parāoa e tiaki i ētahi mate pāwera i te taatai (STI), tae atu ki te HIV (te huaketo e puta ai te AIDS).
Taupoki o te kaki
- He aha tēnei? He kapu rite te taupoki waha kōpū ki te tīra, he mea hanga ki te silicone, ki te rapa ngohengohe rānei, e piri pai ana ki runga i tō waha kōpū.
- Me pēhea te whakamahi? Tuatahi, pania te patu parāoa ki te diaphragm. Kātahi, whakauruhia te diaphragm ki roto i tō tenetene ka whakatakotoria ki runga i tō cervix. Ka āraia e te diaphragm tō cervix, ā, ka patua e te patu parāoa te parāoa. Ka taea e koe te whakauru i te diaphragm tae atu ki te ono hāora i mua i te moe tāne. Kaua e tangohia te diaphragm tae noa ki te waru hāora i muri i te moe tāne. Ka taea te waiho i te diaphragm ki tōna tūranga tae atu ki te 48 hāora. Whakamahia te diaphragm kia rite ki ngā tohutohu.
- Kei hea ahau e whiwhi ai?Hei whiriwhiri i te potae waha o te kōpū e tika ana māu, me toro atu koe ki te tākuta, me te tirotiro hoki i te tara. Pērā i te diaphragm, ka mahi anake mēnā ka uru pai.
- He pēhea te whai huatanga? E 78% te whai huatanga o te taupoki waha kōpū ki te ārai i te hāputanga. Heoi, ina whakamahia me te patu parāoa, ka taea te whai huatanga ki te 85%.
- He aha atu anō ngā mea me mōhio koe? Kāore te whakamahi i te potae waha kōpū me te patu parāoa e whakarato i te nui o te tiaki i ngā mate tuku iho (STI) pērā i ngā ure tāne.
Uremu Wahine
- He aha tēnei? He ngongo kirihou kua pania ki te hinu te ure tāne wahine. E rua ngā mowhiti ngāwari i ia taha. Kua kati tetahi pito o te ngongo.
- Me pēhea te whakamahi? I mua i te tīmatanga o te moe tāne, whakauruhia te ure ki roto i te tenetene. Ka taupokina te cervix e te pito kati o te ngongo, ā, ka taupokina te labia e te pito kē. Ka āraia e te ure te tomonga o te parāoa ki roto i te kōpū. Tangohia te ure i muri i te moe tāne.
- Kei hea e taea ai e koe te tiki? Ka taea te hoko ure wahine mai i ngā whare rongoā me ngā hūpāmakete, me te kore he whakahaunga a te tākuta.
- He pēhea te whai huatanga? Ahakoa ngā ure wahine, tata ki te 21% o ngā wāhine ka hapu i ia tau.
- He aha atu ngā mea me mōhio koe? He ārai ngā ure wahine i ngā mate tuku iho (STI), engari ko ngā ure tāne te ārai pai rawa atu.
Hautai
- He aha tēnei? He taputapu iti te hautai tara, he āhua tōnati kei roto, he patu parāoa kei roto. He ārai tēnei i waenganui i te parāoa me tō pūkahukahu.
- Me pēhea te mahi? Ka whakamakuku koe i te hautai ki te wai, ka whakauru ki roto i tō tara, ka whakanoho kia taupokina tō pūkahukahu. Ina mākū, ka tukuna he patu parāoa. He nui te patu parāoa o te hautai mō te 24 hāora pea. Ko te tikanga ka taea e koe te whakauru ki roto mō te 24 hāora i mua i te moe tāne. Me waiho tonu ki roto mō ngā hāora e ono i muri i te moe tāne. Ehara i te mea pai kia waiho he hautai ki roto i tō tara mō te neke atu i te 30 hāora.
- Kei hea ahau e whiwhi ai? Ka taea te hoko i te hautai me te kore he whakahaunga i te nuinga o ngā whare rongoā me ngā hūpāmakete.
- He pēhea te whai huatanga? Kei waenga i te 76% me te 91% te whai huatanga o te hautai ārai whānau ki te ārai i te hāputanga (kei runga i te pai o tō whakamahinga). Waihoki, he nui ake te whai huatanga o te hautai mēnā kāore anō kia whānau he pēpi.
- He aha atu ngā mea me mōhio koe? Mā te whakamahi i te hautai ka nui ake te mōrearea o ngā mate tara, ā, kāore e tiaki i ngā mate tuku iho i te taatai (STI).
Ngā Pūrere Hormonal me te Ārai Hapūtanga
Te Whakatō Whakaora Whānau
- He aha tēnei?He taputapu iti te Nexplanon®, he rite te rahi ki te rākau mati. Ka whakaurua e te tākuta ki raro i te kiri o tō ringaringa o runga. Ka tukuna tonutia he homoni e kiia nei ko te progestin. Ka taea te waiho ki tōna tūranga mō te toru tau pea, ā, muri iho ka taea te tango atu, te whakauru rānei i tētahi mea hou. He pai ki ētahi tāngata nā te mea kāore he mahi tiaki, kāore e whakararuraru i te moepuku, ā, ka taea te pupuri huna.
- Me pēhea te whakatakoto a ngā tākuta i tēnei? Ka whakatakotoria e te tākuta ki te tari. Tuatahi, ka whakangāwarihia te taha o roto o tō ringa o runga kia kore ai koe e mamae. Kātahi ka whakamahia he taputapu motuhake hei whakatakoto i te ngira ki raro i tō kiri. Ka hipokina te wāhi ki te takai. Ka tangohia hoki e te tākuta (kāore e taea e koe te tango i a koe anō).
- Kei hea ahau e whiwhi ai i tētahi? Me tuku mai he pire ārai whānau e te tākuta.
- He pēhea te whai huatanga? Tata ki te 100% te whai huatanga o ngā pire ārai whānau. Koinei te tikanga ārai whānau tino whai hua ka taea te whakakore.
- He aha atu ngā mea me mōhio koe? He mōrearea ngā pire ārai whānau, ā, kāore e whai hua mō te katoa. Ko te pānga taha tino kitea ko te toto koretake, engari he ngawari noa iho. Ka pai ake tēnei i muri i ngā marama 6-12, engari ka mutu pea te paheketanga o ētahi tāngata. Ko ētahi atu pānga taha ko te mamae o te ū me te ānini.
Pūrere I roto i te Kōpū (IUD)
- He aha tēnei? He taputapu iti, ngāwari, āhua 'T' te taputapu intrauterine (IUD) e whakanohoia ana ki roto i tō kōpū hei ārai i te haputanga. E rua ngā momo IUD:
- He IUD i hangaia ki te parahi.
- He IUD i hangaia ki te kirihou kei roto ngā homoni (progestin).
- Ka taea te waiho i te IUD kei roto he parahi, e kiia nei ko te ParaGard T380A®, mō ngā tau 10. Mā te parahi ka aukati i te parāoa kia kore e haere mā roto i tō tara me tō kōpū, kia kore ai e tūtaki ki te hua manu.
- Ko ngā IUD kei roto ko te progestin:
- `Mirena®` (e whitu tau te roa)
- `Liletta®` (e ono tau te roa)
- `Kyleena®` (e rima tau te roa)
- `Skyla®` (e toru tau te roa)
- Mā te whakamaroke i te hūpē o te kaki o te kōpū, ka uaua ai te parāoa ki te tae atu ki te hua manu. Ka whakaangawaritia hoki e ēnei IUD te arai o tō kōpū mā te whakamahi i ngā homoni, ka whakaiti i te toto o te paheketanga.
- Me pēhea te whakamahi? He momo ārai whānau ngā IUD, "tēnā ka taea, kātahi ka wareware". Ko te tikanga, ina whakaurua, ka warewarehia e koe nā te mea kāore he tiaki o ia rā, o ia marama rānei.
- Kei hea ahau e whiwhi ai i tētahi? Whai muri i te whakamātautau tara, ka whakaurua e te tākuta te IUD ki roto i tō kōpū. Ka taea anake te tiki mā te whakahaunga a te tākuta.
- He pēhea te whai huatanga? Tata ki te 100% te whai huatanga o te IUD.
- He mamae te wā e whakaurua ana he IUD?Kāo, kāore e mamae ina whakauruhia he IUD. Tērā pea ka pāngia koe e te mamae, e te mamae tuara rānei i muri i te whakaurunga e te tākuta. Pērā anō hoki mō te tango i te IUD - tērā pea ka pāngia koe e te mamae.
- He aha atu ngā mea me mōhio koe? He rerekē ngā pānga taha i runga i te momo IUD e whakamahia ana e koe. Ka taea e ngā IUD parahi te mamae me te taumaha o te paheketanga. Ko ētahi tāngata e pai ake ana ki ngā IUD parahi nā te mea kāore he homoni kei roto. Ko te pānga taha tino noa o ngā IUD progestin ko te toto koretake. Ka pai ake tēnei i muri i te 6-12 marama. Ka mutu pea te paheketanga o ētahi tāngata. Ka tangohia te IUD e te tākuta. Ki te hapu koe i a koe e mau ana i te IUD, he nui ake te tūponotanga he haputanga ectopic.
Ka taea hoki te whakamahi i ngā IUD hei ārai whānau ohorere. Arā, i roto i ngā hāora 120 (5 rā) o te moe tāne me te wahine kāore i te tiakina. Inaa, he pai ake tēnei i te pire morning-after.
Ngā Pire Hormonal, Pāti, me te Mowhiti
- He aha ēnei? Ko te pire, te pākete, me te mowhiti he rongoā ka tangohia hei ārai i te hāputanga. Ka tangohia te pire i ia rā, ka whakaurua te mowhiti tara (`NuvaRing®`) kotahi i te marama, ā, ka whakawhitia te pākete (`Xulane®`) kotahi i te wiki. Ko te nuinga o ngā tikanga ārai whānau homoni kei roto ngā momo homoni e rua (`Estrogen` me te `Progestin`). Ko te mahi a ēnei tikanga katoa mā te aukati i te whakaputa uri.
- Me pēhea te whakamahi? Me tango e koe he pire i te wā kotahi i ia rā. He maha ngā momo pire. Ko ētahi he mea hanga hei whakaoho i tō paheketanga i ia marama, ko ētahi he mea hanga hei whakaroa i te wā i waenga i ngā paheketanga, hei whakamutu rānei i tō paheketanga. Ka whakawhiti koe i te mowhiti tara i ia marama, kia puta ai tō paheketanga. Ka tukuna e te pākete ārai whānau ngā homoni mā roto i tō kiri. Ka whakawhiti koe i te pākete kotahi i te wiki. Me whakamahi tika, me te auau hoki i ēnei tikanga katoa. Ki te wareware koe ki te whakamahi, ka taea e koe te paheketanga koretake, ā, ka hapu pea koe.
- Kei hea ahau e whiwhi ai? Ka taea anake te tiki i te ārai whānau homoni me te whakahaunga a te tākuta.
- He pēhea te whai huatanga o ēnei? Ka taea e ngā tikanga ārai whānau homoni whakakotahi te 99% te whai huatanga mēnā ka whakamahia tika. Heoi, nā te mea he tokomaha te hunga kāore e whakamahi tika ana, ko te ōrau angitu he tata ki te 91% noa iho. Ahakoa kāore i te rite te whai huatanga ki te IUD, ki te implant rānei, he nui ake te whai huatanga o ngā tikanga ārai whānau homoni pērā i te pire i ngā tikanga ārai pērā i te ure tāne.
- He aha atu ngā mea me mōhio koe? Tērā pea ka pāngia koe e ngā pānga taha iti i ngā marama tuatahi i muri i te tīmatanga o te pire. Hei tauira:
- Mamae/ngawari o te ū
- Whakapairuaki
- Ānini
- Te paheketanga koretake
- Ka whakanui ake ngā tikanga ārai whānau kei roto ko te estrogen te mōrearea o te toto totoka.Nō reira, kōrero ki tō tākuta kia kite ai mēnā he tika ngā tikanga ārai whānau kei roto te estrogen māu. He pai anō hoki ngā ārai whānau homoni. Hei tauira, he auau te paheketanga, he iti ake te toto, he iti ake te mamae o te paheketanga. Ko te hunga e whakamahi ana i ngā pire ārai whānau, tera pea ka iti ake te hakihaki me te PMS.
Pire Progestin Anake (Pire Iti)
- He aha ēnei? He pire ārai whānau ēnei, kotahi anake te homoni kei roto (te progestin).
- Me pēhea tā rātou mahi? Ka whakamātotoru ngā pire iti i te hūpē o te kaki, ka uaua ake te tae atu o te parāoa ki te hua manu. Ka whakangawari ngā homoni i roto i ngā pire i te arai o tō kōpū, ka whakaiti i te toto o te paheketanga. Kia tino whai hua ai te pire iti, he mea nui kia tangohia te pire i te wā kotahi i ia rā. Ka taea te tango i ngā "Pire iti" kei roto ko te progestin anake me te whakahaunga a te tākuta.
- He pēhea te whai huatanga o ēnei? Pērā i ngā pire ārai whānau whakakotahi, ka taea e ngā pire progestin anake te whai huatanga ki te 99%. Heoi, e 91% noa iho te whai huatanga nā te mea he tokomaha te hunga kāore e whakamahi tika ana.
- He aha atu ngā mea me mōhio koe? Ko te pānga taha tino kitea o ngā pire progestin anake ko te toto koretake, engari he ngawari noa iho tēnei. Ka pai ake tēnei i muri i ngā marama 6-12. He kōwhiringa pai te pire iti mō ngā wāhine e whāngai u ana, kāore rānei e taea te tango i te estrogen.
Depo-Provera® - Werohanga Whakawhanau
- He aha tēnei? Ko te Depo-Provera® he momo o te homoni progestin. Ka aukati i te whakaputa uri, ka whakamātotoru hoki i te hūpē o te kaki kia uaua ai te toro atu o te parāoa ki te hua manu.
- Me pēhea te whakamahi? He werohanga te werohanga ārai whānau. Ka hoatu e tō tākuta ki tō huha o runga, ki tō ringa o runga rānei. Mā te werohanga kotahi ka tiakina koe i te hāputanga mō te 12 wiki (e toru marama). Ka whakaaetia e ētahi tākuta kia werohanga koe i a koe anō ki tētahi putanga iti-horopeta (`Depo-Subq Provera 104®`) ki te kāinga.
- Kei hea ahau e tiki ai? Me tohu e te tākuta te Depo-Provera®. Ka werohia e rātou te homoni māu i te tari. Mena kei te whakamahi koe i te putanga iti-horopeta, ka taea pea e koe te wero i a koe anō i te kāinga.
- He pēhea te whai huatanga? E 99% te whai huatanga o te werohanga Depo-Provera®. Heoi, tata ki te 6% o ngā wāhine ka hapu i ia tau nā te mea kāore i whiwhi i te werohanga i te wā tika.
- He aha atu ngā mea me mōhio koe? Ka taea e te Depo-Provera® te whakaputa toto koretake. Ko te hunga e whakamahi ana mō te neke atu i te tau ka mutu pea te paheketanga i a rātou e tango ana i te rongoā. Koinei pea te tikanga whakahaere whānau anake ka taea te whakanui i te taumaha. Ki te whakatauritea ki ētahi atu tikanga whakahaere whānau, he uaua ake te kī he aha te wā ka hoki mai ai tō momona i muri i te whakamutu i te Depo-Provera®.
Ngā Tikanga Mōhiotanga ki te Whakamomona - Te Whakamahere Whānau Taiao
Tikanga Rīwai
- He aha tēnei? Mā te Tikanga Rhythm koe e ako ki te tautuhi i te wā e whakaputa uri ai koe. Mā tēnei ka āwhina koe ki te whakatau i ō rā momona rawa atu, arā, ngā rā e tino tūpono ana koe ki te hapu. Ka karo koe i te moe tāne i ō rā momona.
- Me pēhea te mahi? Ka whakamahia e koe he maramataka hei aroturuki i tō whakaputanga hua, me te matapae i taua mea. Mō tēnei, me aroturuki koe i tō huringa paheketanga mō ētahi marama, kātahi ka taea e koe te matapae i tō huringa paheketanga.
- He pēhea te whai huatanga? Koinei tētahi o ngā tikanga ārai whānau kāore i te tino whai hua. Ahakoa te whakamahinga tika, e 75% ki te 88% anake te whai huatanga.
- He aha atu ngā mea me mōhio koe? Kāore e mahi te tikanga maramataka mēnā he rerekē ō huringa paheketanga. Ko ngā painga, kāore he pānga taha, ā, he iti te utu.
Tikanga Huka o te Kōpū
- He aha tēnei? Ko te aroturuki i te hūpē o te kōpū he tikanga tātari i te wai rere o te tara hei whakatau i te wā e tino momona ana koe. Ka karo koe i te moe tāne i te wā e momona ana koe.
- Me pēhea te mahi? Ka taea e koe te tirotiro i tō hūpē waha mā te whakamahi i tō maihao, mā te titiro rānei ki ō kākahu o roto. He pahekeheke te hūpē waha momona, he mārama, ā, he rite ki te mā o te hua manu te matotoru. Ki te matotoru, he kirikiri, kāore koe i te momona. Mā te ako i te huringa o tō hūpē waha puta noa i ia huringa paheketanga ka āwhina i a koe ki te matapae i te wā ka puta ai he hua manu.
- He pēhea te whai huatanga? Ka taea e te tirotiro i te kaki o te kōpū te eke ki te 88%. I te nuinga o te wā, tata ki te 75% te whai huatanga.
- He aha atu ngā mea me mōhio koe? He mahi roa, he mahi whakapau kaha hoki te aroturuki i te hūpē o te kōpū. E rua wiki pea te roa o tēnei mahi, ā, me karo koe i te moe tāne i ngā rā momona rawa atu. I ētahi wā, he uaua ki te whakatau ko tēhea te wā haumaru ki te moe tāne.
Tikanga Pāmahana Tinana Tuturu
- He aha tēnei? Ko te ine i te pāmahana o tō tinana taketake tētahi atu huarahi hei whakatau i te wā e whakaputa uri ana koe. Kia angitu ai tēnei, me whai inemahana koe e taea ai te ine i te iti rawa o te kotahi-tekau o te nekehanga.
- Me pēhea te mahi? Inehia tō pāmahana i ia ata i mua i tō ara ake i te moenga (ā, i mua hoki i tō tū ake). Ko te pāmahana o tō tinana i ia rā ka piki ake i raro i te haurua nekehanga i muri i tō whakaputanga hua. I muri i te pikinga o tō pāmahana, ka taea e koe te moe tāne me te wahine kāore he parepare mō te toru rā pea. E maha ngā huringa hei whakatau i te wā e puta ai tēnei pikinga i ia marama.
- He pēhea te whai huatanga? Kāore e whai hua ina whakamahia ko ia anake,Nā te mea he tohu noa tēnei kua puta te whakaputanga o te hua manu, ehara i te mea kua tata mai. Nā te mea ka taea e koe te hapu tae atu ki te rima ngā rā i mua i te whakaputanga o te hua manu, he tikanga tino kore pono tēnei.
- He aha atu ngā mea me mōhio koe? He nui te whakapau kaha ki te tuhi i tō pāmahana i ia ata i a koe e okioki ana. Ahakoa he iti ake te utu, kāore e rite te nui o te parenga ki te hāputanga ki ngā tikanga ārai, ki ngā tikanga whakawhanau homoni rānei.
Te kore e moe tāne, wahine rānei
- He aha tēnei? Ko te kore moe tāne anake te tikanga ārai whānau e 100% te whai hua. Ko te tikanga, kāore koe e moe tāne. Koinei anō hoki te huarahi anake hei tiaki i a koe mai i ngā mate tuku iho i te taatai (STD).
Ki te mea kei te akiaki tetahi i a koe kia moe tāne, ā, kāore anō koe kia rite, kaua e tukua. He whakatau nui tēnei e pā kino ana ki te hinengaro me te tinana.
Te ārai whānau ohorere
Pire i muri i te ata
- He aha tēnei? Ko te ārai whānau ohorere he momo ārai whānau ka taea te whakamahi i roto i ngā hāora 120 (5 rā) o te moe tāne me te wahine. He tino whai hua ki te ārai i te haputanga mēnā ka whakamahia i roto i ngā rā e toru o te moe tāne me te wahine.
- Ko ngā pire whai hua o te ata i muri i te moe he `ulipristal` (ingoa waitohu: `ella®`). Ka taea anake te tiki mā te whakahaunga a te tākuta. He maha ngā kōwhiringa e wātea ana me te kore whakahaunga a te tākuta, kei roto katoa i ēnei he `levonorgestrel` (hei tauira, `Plan B One-Step®`, `Take Action®`, me te maha atu o ngā waitohu).
- Me pēhea tā rātou mahi? Ka mutu te whakaputa hua manu mō te wā poto (ka whakaroa i te whakaputanga hua) ka ārai i te hāputanga.
- Kei hea ahau e whiwhi ai? Ka taea te hoko i ngā pire `Levonorgestrel` i te whare rongoā tata ki a koe, kāore he whakahaunga. Ka taea anake te hoko i te `Ulipristal` (`ella®`) me te whakahaunga.
- He pēhea te whai huatanga? Ka taea e ngā pire ārai hapūtanga ohorere te whai huatanga tae atu ki te 90% mēnā ka tangohia i roto i ngā haora 72 o te moe tāne me te wahine. Heoi, kāore he pire e mahi mēnā kua puta kē te hua o te hua manu i a koe. Koia te mea nui kia tangohia wawe tonu i muri i te moe tāne.
Ngā IUD mō te Ārai Mate ohorere
- Ka taea te whakamahi i ngā IUD mō ngā ārai whānau ohorere? Ae, ka taea te whakamahi i ngā IUD kei roto he parahi (Paragard®) me ngā IUD progestin-anake (Mirena®, Liletta® rānei) hei ārai whānau ohorere mēnā ka whakaurua i roto i ngā hāora 120 (5 rā) o te moe tāne me te wahine kāore he ārai. Koinei te momo ārai whānau ohorere tino whai hua. Ko te painga o te whakamahi i ngā IUD mō ngā ārai whānau ohorere ko te tiaki i a koe mai i ngā hāputanga kāore e hiahiatia a muri ake nei i a koe e rapu ana i tētahi tikanga ārai whānau.
- Ka whakamātotoru ngā IUD kei roto te progestin mā te whakatōtō i te hūpē o te kaki, ka uaua ai te tae atu o te parāoa ki te hua manu. Ka whakangawari ngā homoni i te arai o tō kōpū, ka whakaiti i te toto o te paheketanga. Ka mahi te IUD parahi mā te aukati i te parāoa kia kore e tae atu ki te hua manu.
- Kei hea ahau e whiwhi ai i tētahi? Ka tohua, ka whakauruhia hoki ngā IUD e te tākuta.
- He pēhea te whai huatanga o ēnei? Mēnā ka whakauruhia i roto i ngā rā e rima i muri i te moe tāne me te wahine, ka tata ki te 100% te whai huatanga o ngā IUD ki te ārai i te hāputanga.
- He aha atu ngā mea me mōhio koe mō ngā ārai whānau ohorere? He mea noa te koretake o te paheketanga i muri i te tango i ngā ārai whānau ohorere. Heoi, ki te kore koe e paheketanga i roto i ētahi wiki i muri i te tango i ngā ārai whānau ohorere, me whakamātautau koe i te hāputanga. He mea tino nui te whakamahi i ngā ure, te kore rānei e moe tāne mō ngā rā e rima i muri i te tango i ngā ārai whānau ohorere, ki te kore ka hapu koe. Mena kei te tango tonu koe i ngā pire ārai whānau ohorere, kōrero ki tō tākuta mō ngā huarahi whai hua ake hei ārai i te hāputanga. Ko te painga o te whakamahi i ngā IUD hei tikanga ārai whānau ohorere ko te mahi kaha ki te tiaki i a koe anō mai i ngā hāputanga kāore e hiahiatia a muri ake nei.
Pokanga Whakamahere Whānau Tuturu - Whakakorenga Mate
Salpingectomy (tango i ngā ngongo fallopian)
- He aha tēnei? Ko te salpingectomy he pokanga e tango tūturu ana i ō ngongo fallopian. Mā tēnei ka ārai i te hua manu kia tae atu ki tō kōpū. Ka ārai hoki i te parāoa kia tae atu ki te ngongo fallopian, te wāhi e puta ai te whakamomona. He pai ake ki ngā tākuta tēnei pokanga i te here i ngā ngongo fallopian (arā, ko te here i ngā ngongo fallopian me te kore e tangohia katoatia). Nā te mea ki te hapu koe i muri i te herenga o ō ngongo, he nui ake te tūponotanga o te haputanga ectopic.
- Me pēhea te mahi? Ka whakahaerehia tēnei pokanga e te tākuta i a koe e noho ana i raro i te mate whakamoe. Ka tapahia e rātou kia rua, kia toru rānei ngā tapahi iti ki roto i tō puku, kātahi ka whakauruhia he taputapu e kiia nei ko te laparoscope. Mā roto i te laparoscope, ka taea e rātou te hiri i ō ngongo fallopian ka tangohia katoatia.
- E pēhea ana te angitu? E tata ana ki te 100% te angitu o tēnei pokanga.
- He aha atu ngā mea me mōhio koe? He pumau te whakawhānautanga wahine. Kaua e whakawhānautanga pumau mēnā kei te whakaaro koe ka huri pea tō whakaaro mō te whānau tamariki ā muri ake nei. Ahakoa he onge te whakakorenga, he mōrearea te pokanga, ā, he tino utu nui. Kāore e tiaki i ngā mate tuku iho i te taatai (STD).
Te Herenga o ngā Tubal
- He aha tēnei?Ko te herenga o ngā ngongo he tikanga e aukati ana i ō ngongo whakatō. Ka tapahia, ka herea, ka āraia rānei e te taote pokanga ō ngongo whakatō hei ārai i te haputanga. He rite tēnei tikanga ki te salpingectomy, engari kāore e tangohia katoatia ō ngongo whakatō. Ki te hapu koe i muri i te herenga o ō ngongo, he nui ake te tūponotanga o te haputanga ectopic.
- E pēhea ana te angitu? Kua tata te 100% te angitu o te herenga o ngā ngongo.
Te pokanga whakamoe tāne (Vasectomy)
- He aha tēnei? Ko te vasectomy he tikanga e hiri ana i te vas deferens, te ngongo e kawe ana i te parāoa ki te pūnaha whakaputa uri tāne. Ki te kore he parāoa, kāore e taea te hapu.
- Me pēhea te mahi? I te nuinga o te wā ka whakahaerehia tēnei tikanga e ngā tākuta i roto i te tari, i te rūma pokanga rānei, i raro i te mate whakamoe ā-rohe. Ka tapahia e tō taote pokanga he kōhao iti i roto i tō kiriuhi hei uru atu ki ngā ngongo e kawe ana i te parāoa. Kātahi ka herea, ka tapahia rānei ngā ngongo.
- He pēhea te angitu? Tata ki te 100% te angitu o te pokanga whakamoe tāne, engari ka taea hoki te kore e angitu. He mea nui kia mōhio koe kāore e whakarato i te tiaki tonu mai i te haputanga. Me whakamahi koe i ētahi atu ārai whānau mō ētahi marama i muri i te pokanga, kia taea rā anō e tō tākuta te whakaū kua kore he parāoa i roto i tō parāoa.
- He aha atu ngā mea me mōhio koe? Kāore te whakamoe i te ārai i ngā mate tuku iho i te taatai (STD). I ētahi wā, ka taea pea e tō tākuta te whakakore i te tikanga whakamoe tāne. He iti ake te mōrearea o ngā raruraru whakamoe tāne i te laparoscopic salpingectomy.
Ngā Pātai Auau mō te Whakahaere Whānau
He pēhea te angitu o "Pulling Out"?
Ko te "Tikanga Tango" te tukanga tango i te ure i te tara i mua i te putanga mai o te ure. Ko te tango i te ure i mua i te putanga mai o te ure he tikanga hei ārai i te haputanga, engari kāore e tino whai hua. Nā te mea he tino uaua ki te mahi. Ahakoa he iti noa te parāoa ka taea te hapu i te wahine. Mō te hunga e whakamahi ana i te "tango" hei tikanga ārai whānau anake, tata ki te kotahi i roto i te rima (20%) ka hapu i roto i te tau.
He aha te huarahi pai hei tiaki i a koe mai i ngā mate urutā (STI)?
Ko ngā ure tāne te huarahi pai rawa atu hei ārai i ngā mate tuku iho i te taatai. Heoi, ehara ngā ure tāne i te huarahi tino whai hua hei ārai i te hāputanga. Ka tino whai hua ngā ure tāne ina whakamahia tahitia me tētahi atu momo ārai whānau.
Hei whakamutunga, me kī atu ahau ki a koe... (Karere hei tango ki te kāinga)
Mā te ako atu mō ngā momo tikanga ārai whānau, ka taea e koe te whakatau ko tēhea tikanga te mea pai mōu. Whakaarohia ngā mea pēnei i te auau o te moe tāne me te wahine, tō hauora whānui, me ō mahere mō te whānau tamariki ā muri ake nei. Ko tētahi atu whakaaro nui ko te whai wāhitanga. Ko ētahi tikanga ārai whānau (pēnei i te pire) me tiaki i ia rā kia whai hua ai, ko ētahi (pēnei i te IUD) ka roa pea mō ngā tau, ā, ka taea te "mau me te wareware." Ko ētahi tikanga ārai whānau he māmā ake te huna, ā, ko ētahi he pai ake ki te pupuri i te āhua tūturu o te moe tāne me te wahine i ētahi atu.
Ko te mea nui ko te kōrero ki te tākuta mō ō whiringa ārai whānau. Ka taea e rātou te whakamārama ki a koe te mahi a ia tikanga ārai whānau, me ngā mōrearea me ngā painga o ia tikanga. Kia maumahara, he mea tino nui te whiriwhiri i te tikanga e tika ana māu mō tō hauora me tō oranga!
` Te whakamahere whānau, te ārai whānau, te ārai tamariki, ngā ure, ngā tikanga homoni, te IUD, te whakamoe tamariki











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