ʻO ka implant contraceptive he mea ia e hoʻopuka mau i kahi micro-progestogen i loko o ke koko. I loko o hoʻokahi o ʻelima wahine, ʻo ka implant contraceptive ke kumu o ka amenorrhea, no laila ʻaʻohe pono e hopohopo inā ʻaʻole ʻoe i ka manawa.

ʻO ka implant contraceptive ma ke ʻano o kahi lāʻau liʻiliʻi liʻiliʻi 4 knm ka lōʻihi a me 2 mm ke anawaena. Loaʻa iā ia kahi mea hana, etonogestrel, kahi hormone synthetic kokoke i ka progesterone. Mālama kēia micro-progestin i ka hoʻomaka ʻana o ka hāpai ʻana ma ke kāohi ʻana i ka ovulation a me ka hoʻololi ʻana i ka mucus cervical e pale ai i ka hele ʻana o ka sperm i ka ʻōpū.

Pehea e hoʻokomo ʻia ai ka implant?

Hoʻokomo ʻia ma lalo o ka anesthesia kūloko i ka lima, ma lalo o ka ʻili, hāʻawi mau ka implant i kahi liʻiliʻi o ka etonogestrel i ke kahe koko. Hiki ke waiho ma kahi no 3 makahiki. I nā wahine momona, ʻaʻole lawa ka nui o nā hormones no ka pale maikaʻi ʻana ma mua o 3 mau makahiki, no laila e wehe a hoʻololi ʻia ka implant ma hope o 2 mau makahiki.

I Farani, hoʻokahi wale nō subcutaneous progestogen contraceptive specialty i kēia manawa. ʻO Nexplanon kēia.

ʻO ka subcutaneous contraceptive implant ua kuhikuhi ʻia ma ke ʻano he laina lua, i nā wahine me ka contraindication a i ʻole intolerance i ka estrogen-progestogen contraceptives a me nā mea intrauterine, a i ʻole i nā wahine i paʻakikī i ka lawe ʻana i ka pila i kēlā me kēia lā.

ʻO ka maikaʻi o ka mole i hoʻohana ʻia kokoke i 100% a, ʻaʻole like me ka pill, ʻaʻohe pilikia o ka poina. Eia kekahi, ʻo ka huaʻōlelo Pearl, e ana i ka manaʻo (a ʻaʻole pono) contraceptive efficacy i nā haʻawina lāʻau, kiʻekiʻe loa no ka implant: 0,006.

Eia nō naʻe, ma ka hoʻomaʻamaʻa, ʻaʻohe ʻano hana contraceptive hiki ke noʻonoʻo ʻia he 100% maikaʻi. Eia naʻe, ua manaʻo ʻia ka hana kūpono o ka contraceptive implant ma 99,9%, no laila kiʻekiʻe loa.

I ka manawa hea ka pono o ka implant contraceptive?

Inā ʻaʻole i hoʻohana ʻia ka contraceptive hormonal i ka mahina i hala, pono e hoʻokomo ʻia ka implant ma waena o ka lā 1 a me 5 o ka pōʻai i mea e pale aku ai i ka hāpai ʻana. Inā hoʻokomo ʻia ka implant ma hope o ka lā 5 o ka menstruation, pono e hoʻohana ʻia kahi ʻano contraceptive hou (ka condom no ka laʻana) no 7 mau lā ma hope o ka hoʻokomo ʻana, no ka mea aia kahi pilikia o ka hāpai ʻana i kēia wā latency.

ʻO ka lawe ʻana i nā lāʻau lapaʻau enzyme (kekahi mau lapaʻau no ka epilepsy, tuberculosis a me kekahi mau maʻi lele) hiki ke hōʻemi i ka maikaʻi o ka implant contraceptive, no laila pono ʻoe e kamaʻilio me kāu kauka.

ʻO ka hoʻokomo pono ʻole ʻana o ka implant i ka wā hoʻomaha hiki ke hoʻemi i kona pono, a alakaʻi i kahi hāpai i makemake ʻole ʻia. No ka kaupalena ʻana i kēia pilikia, ua hoʻololi ʻia ka mana mua o ka implant contraceptive, i kapa ʻia ʻo Implanon, i ka makahiki 2011 e Explanon, i lako me kahi applicator hou i manaʻo ʻia e hōʻemi i ka pilikia o ka hoʻokomo hewa.

Nā ʻōlelo paipai ANSM

Eia kekahi, ma hope o nā hihia o ka hōʻino a me ka neʻe ʻana o ka implant (ma ka lima, a i ʻole ka kakaikahi i ka pulmonary artery) ma muli o ka hoʻokomo hewa ʻana, ua hoʻopuka ka ANSM (National Medicines Safety Agency) a me nā huahana olakino) i nā ʻōlelo aʻoaʻo hou e pili ana i ka implant. hoʻokomo:

• pono e hoʻokomo a wehe ʻia ka implant e nā limahana mālama ola i loaʻa ka hoʻomaʻamaʻa kūpono i ka hoʻokomo ʻana i ka implant a me nā ʻenehana wehe;
• i ka manawa o ka hoʻokomo ʻana a me ka wehe ʻana, pono e pelu ʻia ka lima o ka mea maʻi, ka lima ma lalo o kona poʻo i mea e pale aku ai i ke aʻalolo ulnar a pēlā e hoʻemi ai i ka pilikia o ka hiki ʻana;
• ua hoʻololi ʻia ka pūnaewele hoʻokomo, i makemake ʻia i kahi ʻāpana o ka lima i nele i nā kīʻaha koko a me nā aʻalolo nui;
• ma hope o ka hoʻokomo ʻana a i kēlā me kēia kipa ʻana, pono e palpate ka mea mālama ola i ka implant;
• ʻōlelo ʻia ka nānā ʻana i ʻekolu mahina ma hope o ka hoʻokomo ʻia ʻana o ka implant e hōʻoia i ka hoʻomanawanui maikaʻi ʻia a palpable;
• pono e hōʻike ka ʻoihana mālama ola i ka mea maʻi pehea e nānā ai i ke kū ʻana o ka implant iā ia iho, ma ka palpation maʻalahi a i kekahi manawa (hoʻokahi a ʻelua paha o ka mahina);
• inā ʻaʻole hiki ke palpable ka implant, pono e hoʻopili koke ka mea maʻi i kāna kauka.

Pono kēia mau ʻōlelo aʻoaʻo e kaupalena i ka pilikia o ka hāpai ʻana i makemake ʻole ʻia.

ʻO ka hihia o ka amenorrhea

Wahi a nā wahine, hiki i ka implant ke hoʻololi i nā lula. I loko o 1 i loko o 5 wahine (e like me nā ʻōlelo aʻoaʻo o ka lab), ʻo ka subcutaneous implant e hoʻoulu i ka amenorrhea, ʻo ia hoʻi ka nele o nā manawa. I ka noʻonoʻo ʻana i kēia hopena ʻaoʻao a me ka helu kūpono o ka implant, ʻaʻole pono e hana i kahi hoʻāʻo hāpai i ka wā ʻole o ka menstruation ma lalo o kahi implant contraceptive. I ka hihia o ke kanalua, he mea pono e kamaʻilio e pili ana ia mea i kāu kauka mālama ola kino, ʻo ia ka mea ʻoi loa ka ʻōlelo aʻo.

ʻO ka hihia o nā wā maʻamau

I nā wahine ʻē aʻe, hiki i nā manawa ke lilo i mea maʻamau, ʻokoʻa a i ʻole, pinepine a lōʻihi paha (ʻo ia hoʻi 1 i loko o 5 wahine), hiki ke ʻike ʻia ka ʻike (ke koko ma waena o nā manawa). Ma ka ʻaoʻao ʻē aʻe, ʻaʻole i kaumaha nā manawa. I loko o nā wahine he nui, ʻo ka ʻike koko e ulu ana i loko o nā mahina ʻekolu o ka hoʻohana ʻana i ka implant ka mea maʻamau e wānana i ka ʻaoʻao koko ma hope, ua ʻōlelo ʻia e ka lab ma kēia kumuhana.