ʻO ka pill contraceptive kahi i keʻakeʻa i ka ovulation mahalo i nā homona like ʻole e hana ma ke axis hypalamalamic-pituitary, ka axis cerebral o ka mālama ʻana i nā ovaries, ʻo lākou iho ke kumu o nā huna hormonal like ʻole o ka pōʻaiapuni ovatory. Hiki ke hoʻihoʻi ʻia kēia hana ke pau ke kuʻi ʻana, me ka nānā ʻole i ka lōʻihi o ka hoʻohana. Eia nō naʻe, ke nānā nei mākou i kahi "palaualelo" ke hoʻomaka hou ka hana o ka axis hypalamalamo-pituitary a me nā ovaries (1). Hoʻololi nui kēia hanana i waena o nā wahine, me ka nānā ʻole i ka lōʻihi o ka lawe ʻana o ka pila. E loaʻa hou kekahi i ka ovulation ke pau ke kaapuni ma hope o ke kū ʻana o ka pila, ʻoiai i kekahi, e hala ana kekahi mau mahina no ka hoʻomaka hou ʻana o kahi pōʻaiapuni maʻamau me ka ovulation.

Ma mua, ua paipai kekahi mau gynecologists e kali iā 2 a i ʻole 3 mau mahina ma hope o ka hoʻokū ʻana i ka pila i mea e loaʻa ai ka ovulation maikaʻi a me ka uhi ʻana o ka uterine. Eia naʻe, ʻaʻole hoʻokumu ʻia kēia mau lā palena pau. ʻAʻole hiki i kahi noiʻi ke hōʻike i ka hoʻonui ʻana o ke alapine o nā abnormalities a i ʻole nā ​​hānau hāpai ʻole, a i ʻole nā ​​hāpai ʻana he nui i nā wahine i hāpai i ka wā i kū ai ka pila (2). No laila he mea pono e hōʻoki i ka pila mai ka manawa āu e makemake ai i ka hāpai ʻana. Pēlā nō, ʻaʻole kūpono i ka lāʻau e lawe i nā "haʻihaʻi" ʻoiai e lawe ana i ka pila i mea e mālama pono ai i ka momona.

Hana ʻia ʻo ka pila, ka mea e hoʻoulu ai i nā lula i hana ʻia e ka haʻalele ʻana o ke kahe (ma o ke kahe o nā homoni i ka hopena o ka ʻeke), masked ovulation disorders, kahi. e puka hou ke pau kāu lawe ʻana i ka pila. ʻO nā kumu maʻamau ka hyperprolactinemia, polycystic ovary syndrome (PCOS), anorexia nervosa a i ʻole ovarian ovarian ʻole (3).

ʻO kekahi o nā hopohopo nui o nā wahine e pili ana i ka pila ka hopena kūpono i ka momona, keu hoʻi inā lawe mau ʻia ia no nā makahiki he nui. ʻO ka hana ʻepekema naʻe ka mea e hōʻoiaʻiʻo ai i kēia kumuhana.

Ua mālama ʻia kahi noiʻi (4) i loko o ke kumumanaʻo o Euras-OC (Polokalamu ʻEulopa no ka nānā pono ʻana i nā kauka haʻi waha) a pili pū me 60 mau wahine e lawe ana i ka ʻōpū waha i hōʻike ʻia i ka mahina ma hope o ka hoʻōki ʻana o ka pila, 000% o lākou i hāpai. Kūlike kēia huahelu i ka momona maoli, hana ia e hōʻoia i ka pili ʻole o ka pila i ka momona a me nā manawa o ka hāpai keiki. Ua hōʻike pū ʻia kēia noi ʻana ʻaʻole ka hopena o ka lōʻihi o ka lawe ʻana i ka pila i nā manawa o ka hāpai keiki: 21% o nā wahine i lawe i ka pila ma lalo o ʻelua mau makahiki i hāpai i loko o hoʻokahi makahiki, hoʻohālikelike ʻia me 79,3% i waena o nā wahine i hoʻohana. ʻo ia no ʻelua mau makahiki a ʻoi paha.

Inā ʻaʻole he lohi ma waena o ka hoʻōki ʻana i ka pila a me ka hoʻomaka ʻana o nā hoʻokolohua hāpai ʻana, pono nui ʻia e nīnau aku i kāu gynecologist, ka loio a i ʻole ka palekeahine ma mua o ka hoʻokū ʻana i ka lāʻau. no ke kūkā kūkā manaʻo mua. ʻO kēia kūkākūkā ʻana, i ʻōlelo ʻia e ka Haute Autorité de Santé (5), e hoʻopili pū me:

• kahi ninaninau e pili ana i ka mōʻaukala, ʻoki lāʻau, mōʻaukala obstetrical
• kahi hoʻokolokolo hoʻokolokolo
• kahi smear kānana kānana kānana inā ʻoi aku ia ma mua o 2 a 3 mau makahiki
• nā hoʻokolohua keʻena hoʻokolohua: nā hui koko, ʻimi i nā aglutinins i kūlike ʻole, serology no ka toxoplasmosis a me ka rubella, a me ka kānana ʻana no ka maʻi HIV, hepatitis C, B, syphilis.
• folic acid kumukanawai (wikamina B9)
• hopu makaʻu no ka rubella, pertussis, inā ʻaʻole pili i kēia lā
• ka pale ʻana i nā pilikia ola: puhipaka, ʻalekole a me ka hoʻohana ʻana i ka lāʻau