He hana maʻamau anei ka hānai ʻana i ka hānau keiki?

ʻO ka hānai ʻana a me ka hoʻopaʻa ʻana kūlohelohe: he aha ka LAM, a i ʻole ka hānai wale ʻana?

ʻO ka hānai ʻana ma ke ʻano he pale ʻana

Ma lalo o kekahi mau kūlana, hiki i ka hānai umauma ke loaʻa ka hopena contraceptive a hiki i 6 mau mahina ma hope o ka hānau ʻana. ʻO kēia ʻano o ka hoʻopaʻapaʻa kūlohelohe, i kapa ʻia ʻo LAM (ke ʻano hana hānai a me ka amenorrhea) ʻaʻole hilinaʻi 100%, akā hiki iā ia ke hana no kekahi mau mahina inā e hoʻokō ʻia kēia mau ʻōlelo a pau i ka leka. ʻO kāna kumu: ma lalo o kekahi mau kūlana, hoʻopuka ka hānai ʻana i ka prolactin, kahi hormone e pale ai i ka ovulation, ʻaʻole hiki ke hāpai hou.

ʻO ke ala LAM, hiki ke hilinaʻi?

ʻO ka hilinaʻi ʻana i ka hānai ʻana ma ke ʻano he ʻano hoʻopaʻapaʻa hiki ke lilo i mea hoʻowalewale ... Akā e hoʻomanaʻo ʻoe e lawe ana i ka pilikia ... o ka hāpai hou ʻana. Inā ʻaʻole ʻoe makemake e hoʻomaka i kahi hāpai hou, ʻoi aku ka maikaʻi o ka huli ʻana i ka (re) lawe ʻana i kahi ʻano contraceptive hilinaʻi, e hāʻawi ʻia iā ʻoe e kāu pale keiki a kauka paha.

I ka manawa hea ʻoe e lawe ai i ka contraception ma hope o ka hānau ʻana?

He aha ka contraceptive i ka wā e hānai ai?

Ma keʻano laulā, ma hope o ka hānau ʻana, hoʻomaka ka ovulation ma kahi o ka pule 4 i ka wā ʻaʻole ʻoe e hānai, a hiki i 6 mau mahina ma hope o ka hānau ʻana ma muli o ke ʻano hānai. No laila, pono e kakali i ka hoʻi ʻana i ka contraception, inā ʻaʻole ʻoe makemake i kahi hāpai hou koke. Hiki i kāu pale keiki a kauka paha ke kauoha a pill micro-dosed, kūpono me ka hānai ʻana, ma waho o ka hale hānai. Akā ʻo ka mea maʻamau i ka wā o ke kūkākūkā postnatal me ka gynecologist i hoʻoholo ʻia ke ʻano o ka contraception. ʻO kēia koho, kahi kūkākūkā hahai, hiki ke huki i kahi ka nānā ʻana i ka gynecological hānau hānau. Hana ʻia ma kahi o ka pule 6 ma hope o ka hānau ʻana o kāu pēpē. Kākoʻo ʻia ʻo 100% e Social Security, hāʻawi iā ʻoe i ka manawa e nānā i nā ʻano hana like ʻole o ka contraception:

- nā pila

- ʻo ka contraceptive patch (ʻaʻole ʻōlelo ʻia kēia i ka wā e hānai ai)

– ke apo wahine

- nā hāmeʻa hormonal a i ʻole ke keleawe intrauterine (IUD - a i ʻole IUD),

– ka diaphragm, ka pāpale cervical

- a i ʻole nā ​​ala pale, e like me ka condom a me kekahi mau spermicides.

I ka manawa hea e lawe hou ai i ka pila ma hope o ka hānau ʻana?

ʻO ka hānai ʻana a me ka hoʻopaʻapaʻa waha

Nā wā a me ka hānai ʻana

Ma hope o ka hānau ʻana, ʻaʻole pono ka hoʻomaka ʻana o ka ovulation ma mua o ka lā 21. Hoʻi maʻamau kou manawa 6 a 8 mau pule ma hope o ka hānau ʻana. Kapa ʻia kēia ka hoʻihoʻi ʻana o nā diapers. Akā i ka wā e hānai ai ʻoe, ʻokoʻa! Hoʻoulu ka hānai ʻana i nā pēpē i ka huna ʻana o ka prolactin, kahi hormone e hoʻolōʻihi i ka ovulation, a no laila ka hoʻomaka ʻana o ka menstrual cycle. No laila, ʻAʻole hoʻi pinepine kou manawa a pau ka hānai ʻana a i ʻole i loko o ʻekolu mahina ma hope o ka hānau ʻana. Akā, e makaʻala i ka ovulation, e kū ana i 2 mau pule ma mua o ka hoʻomaka ʻana o ka menstruation, a he mea pono ia e manaʻo ʻia e kahi ʻano contraceptive.

Hiki iaʻu ke hāpai i ka wā e hānai ai?

ʻAʻole 100% hilinaʻi ʻo LAM, no ka mea he mea maʻamau ka hoʻokō ʻole ʻia o nā kūlana a pau. Inā makemake ʻoe e pale i kahi hāpai hou, ʻoi aku ka maikaʻi o ka huli ʻana i ka contraception i kuhikuhi ʻia e kāu kauka a kahu hānai paha. ʻAʻole kūʻē ka hānai i ka hoʻohana ʻana i ka contraception.

He aha ka pila i ka wā e hānai ai ʻoe?

Pehea e pale ai i ka hāpai ʻana i ka wā e hānai ai?

ʻElua ʻano o nā pila: nā lāʻau i hui ʻia et nā lāʻau progestin wale nō. Ua kūpono kāu kauka, pale keiki a kauka kauka paha e kuhikuhi i kēia ʻano hana hoʻopaʻapaʻa. E noʻonoʻo ʻia: ʻo kou hānai ʻana, ka pilikia o ka thromboembolism venous i ʻoi aku ka nui i nā pule mua o ka wā postpartum, a me nā ʻano maʻi i kū mai i ka wā hāpai (gestational diabetes, phlebitis, etc.).

ʻElua mau ʻano nui o nā pila:

- ka pill estrogen-progestogen (a i ʻole hui pū ʻia) aia ka estrogen a me ka progestin. E like me ka pale hoʻopaʻa hāpai a me ke apo vaginal, ʻaʻole ia e ʻōlelo ʻia i ka wā o ka hānai ʻana a me nā mahina 6 ma hope o ka hānau ʻana i ka wā e hānai ai i kāu pēpē, no ka mea, e hoʻemi ana ia i ka lactation. Inā ma hope e kuhikuhi ʻia e kāu kauka, e noʻonoʻo ʻo ia i nā pilikia o ka thrombosis, ka maʻi diabetes a me ka puhi paka a me ka momona.

- ka pill progestin wale nō aia wale nō kahi progestogen synthetic: desogestrel a i ʻole levonorgestrel. Inā loaʻa kekahi o kēia mau hormones ʻelua i nā mea liʻiliʻi, ua ʻōlelo ʻia ua microdosed ka pila. Inā hānai ʻoe, hiki iā ʻoe ke hoʻohana i kēia huaʻai progestin-wale mai ka lā 21 ma hope o ka hānau ʻana, ma ke kau ʻana mai kāu pale keiki a kauka paha.

No kekahi o kēia mau pila, ʻo ka ʻoihana mālama ola wale nō ka mea i ʻae ʻia e kuhikuhi i ke ala maikaʻi loa o ka pale ʻana inā ʻoe e hānai umauma. Loaʻa nā lāʻau lapaʻau i nā lāʻau lapaʻau, ma ke kau ʻana wale nō.

Pehea e lawe pono ai i ka pila i ka wā e hānai ai?

ʻO nā hua'ōlelo Microprogestogen, e like me nā hua'ōlelo'ē aʻe, laweʻia i kēlā me kēia lā i ka manawa paʻa. Pono ʻoe e makaʻala ʻaʻole e ʻoi aku ma mua o 3 mau hola no ka levonorgestrel, a me 12 mau hola no ka desogestrel. No ka 'ike: ʻaʻohe hoʻomaha ma waena o nā papa, hoʻomau kekahi ma ke ala mau me kekahi pā.

- Inā pilikia ka menstrual, mai ho'ōki i kāu contraceptive me ka ʻole o ka ʻōlelo aʻo a ke kauka, akā e kamaʻilio me ia e pili ana.

- Hiki ke hoʻololi i ka hana ʻana o kāu pila, ka luaʻi, a me kekahi mau lāʻau lapaʻau. Inā kānalua, mai kānalua e nīnau.

- Maikaʻi: ma ka hōʻike ʻana i kahi ʻōlelo kuhikuhi no ka liʻiliʻi ma mua o hoʻokahi makahiki, hiki iā ʻoe ke hoʻololi i kāu contraceptive waha i hoʻokahi manawa no kahi mahina 1 hou.

E hoʻomanaʻo i ka manaʻo maikaʻi mau a e hoʻolālā i kekahi mau ʻeke o kāu pila ma mua i loko o kāu keʻena lāʻau lapaʻau. Pēlā nō inā hele ʻoe i kahi huakaʻi ma waho.

ʻO ka hānai ʻana a me ka hoʻopaʻapaʻa pilikia

Inā poina ʻoe i kāu pila a i ʻole ka moe kolohe ʻole, hiki i kāu kauka lapaʻau ke hāʻawi iā ʻoe he kakahiaka ma hope o ka pila. He mea nui e haʻi iā ia e hānai ana ʻoe i kāu pēpē, ʻoiai ʻo ia hoʻopaʻa hānau pilikia ʻAʻole i contraindicated i ka hihia o ka hānai. Ma ka ʻaoʻao ʻē aʻe, e nīnau koke i kāu kauka e nānā i kāu pōʻaiapuni a me ka hoʻomau maʻamau o kāu pila.

Nā hoʻokomo a me nā injections: pehea ka maikaʻi i ka wā e hānai ai?

Pill a implant paha?

Hiki ke hāʻawi ʻia nā mea hoʻoponopono ʻē aʻe iā ʻoe, me ka ʻole o nā contraindications, ʻoiai ʻoe e hānai ana.

- ʻO kahi implant etonogestrel, ma lalo o ke kino. He mea maʻamau ia no nā makahiki 3 inā ʻaʻole ke kaumaha a me ka momona. Eia nō naʻe, ʻo kēia ʻōnaehana ke kumu o ka haʻalulu menstrual a, i nā hihia liʻiliʻi, hiki i ka implant ke neʻe a hana i nā pilikia.

- L'injection contraceptive - hoʻokumu pū ʻia ka hormone - i lawelawe ʻia i kēlā me kēia hapaha. Akā pono e kaupalena ʻia kona hoʻohana ʻana i ka manawa, no ka mea aia nā hihia o thrombosis aaʻa a me ke kaumaha.

I ka manawa hea e kau ai i kahi IUD ma hope o ka hānau ʻana?

IUD a me ka hānai ʻana

IUDs, i ʻike ʻia ʻo nā mea hana intrauterine (IUDs) ʻelua ʻano: copper IUD a hormonal IUD. Inā hānai ʻoe a ʻaʻole paha, hiki iā mākou ke noi iā lākou e hoʻokomo koke ʻia. He 4 mau pule ma hope o ka hānau ʻana o ka wahine, a he 12 mau pule ma hope o ka pauku cesarean. ʻAʻohe mea kūʻē i ka hoʻomau ʻana i ka hānai ma hope o ka hoʻokomo ʻana i kahi IUD, a i ʻole IUD.

Loaʻa ka lōʻihi o kēia mau mea hana mai 4 a 10 mau makahiki no ka IUD keleawe, a hiki i 5 mau makahiki no ka IUD hormonal. Eia nō naʻe, i ka wā e hoʻi mai ai kou manawa, ʻike paha ʻoe ua ʻoi aku ka nui o kāu kahe inā loaʻa iā ʻoe kahi IUD keleawe i hoʻokomo ʻia, a i ʻole ʻaneʻane ʻole me kahi IUD hormonal. Manaʻo ʻia e nānā i ka hoʻokomo pono ʻana 1 a 3 mau mahina ma hope o ka implantation IUD, i ka wā e kipa aku ai i ka gynecologist, a e kūkākūkā i ka hihia o ka ʻeha i wehewehe ʻole ʻia, ke koko a me ke kuni.

ʻO nā ʻano hana ʻē aʻe o ka contraception postpartum: nā ala pale

Inā ʻaʻole ʻoe e lawe i ka pila a hoʻolālā paha e hoʻokomo i kahi IUD, e makaʻala! Inā ʻaʻole ʻoe makemake i ka lua o ka hāpai ʻana me ka wikiwiki a ʻaʻole i hoʻomaka hou i ka moe kolohe, hiki iā ʻoe ke nānā i:

- nā condom kāne pono e hoʻohana ʻia i kēlā me kēia moe ʻana a hiki ke uku hou ʻia ma ke kau ʻana o ke kauka.

- ka diaphragm a i ʻole ka pāpale cervical, hiki ke hoʻohana pū ʻia me kekahi mau spermicides, akā mai ka 42 mau lā ma hope o ka hānau ʻana,

Inā ua hoʻohana mua ʻoe i ka diaphragm ma mua o kou hāpai ʻana, pono e loiloi hou ʻia kona nui e kāu kauka maʻi. Hiki ke kūʻai ʻia nā spermicides i nā lāʻau lapaʻau me ka ʻole o ka lāʻau lapaʻau. E kūkākūkā i kāu kauka lāʻau.

Contraception: hiki iā mākou ke hilinaʻi i nā ʻano kūlohelohe?

He aha ke ʻano o ka contraception kūlohelohe?

Inā mākaukau ʻoe e hoʻomaka i kahi hāpai ʻole ʻia, e hoʻomaopopo ʻoe aia nā ʻano hana kūlohelohe o ka contraception, akā me ka nui o ka hāʻule ʻole a pili i kekahi mau hana kiaʻi kaohi. Pono ʻoe e kali no ka hoʻihoʻi ʻana o nā lula (ma ka liʻiliʻi he 3 mau pōʻai) inā makemake ʻoe e hoʻopili iā lākou.

Nā ʻano hana hoʻopalekana kūlohelohe:

- O Keʻano pili kālā : ua hoʻokumu ʻia kēia ma ka nānā pono ʻana i ka ʻōpū o ka ʻōpū. ʻO kona helehelena: wai a elastic paha, hiki ke hāʻawi i nā hōʻailona i ka wā o ka ovulation. Akā, e makaʻala, he maʻamau kēia manaʻo no ka mea hiki ke loli ka ʻōpū o ka ʻōpū e like me nā kumu ʻē aʻe e like me ka maʻi maʻi.

- O hana hana huki : Ke kuhikuhi nei makou i ka helu hemahema o ke kaina withdrawal kiʻekiʻe loa (22%) no ka mea, hiki i ka wai pre-seminal ke lawe i ka sperm a ʻaʻole hiki i ka hoa ke hoʻomalu i kāna ejaculation.

- O ʻano mahana : Ua kapa ʻia ʻo ia ke ʻano symptothermal, e ʻōlelo ana e ʻike i ka wā o ka ovulation e like me nā ʻano like ʻole o ka mahana a me ke kūlike o ka mucus. Kaohi loa, pono e nana pono i kona wela i kēlā me kēia lā a i ka manawa paʻa. ʻO ka manawa e piʻi ai mai 0,2 a 0,4 ° C hiki ke hōʻike i ka ovulation. Akā ʻo kēia ʻano hana e pono ai ka haʻalele ʻana i ka moekolohe ma mua a ma hope o ka ovulation, no ka mea hiki i ka sperm ke ola no kekahi mau lā i loko o ka ʻāpana genital. No laila, ʻaʻole hiki ke ʻike ʻia ke ana wela, a pili i nā kumu he nui.

- O ʻO ke ʻano ʻo Ogino-Knauss : Aia kēia i ka hoʻomaʻamaʻa ʻana i ka wā ma waena o ka lā 10 a me ka 21 o ka pōʻaiapuni, kahi e pono ai e ʻike pono i kāu pōʻai. ʻO kahi pili pili ʻole ʻoiai ʻaʻole hiki ke ʻike ʻia ka ovulation i kekahi manawa.

ʻO ka pōkole, ʻaʻole mālama kēia mau ʻano hana hoʻohālikelike kūlohelohe iā ʻoe mai kahi hāpai hou, inā ʻoe e hānai ana a ʻaʻole paha.

Puna: Haute Autorité de Santé (HAS)