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October 10, 2025
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He mea liʻiliʻi ka copper IUD, he mea like me T i hoʻokomo ʻia e kāu kauka i loko o kou kōpū e pale ai i ka hāpai ʻana. ʻO ia kekahi o nā ʻano hana pale hāpai lōʻihi loa i loaʻa, e hana ana no 10 mau makahiki ma hope o ka hoʻokomo ʻia ʻana. Hoʻokuʻu ka mea hana i nā mea liʻiliʻi o ke keleawe, e hana ana i kahi kaiapuni e kūʻē i ka sperm a pale i ka fertilization mai ka hana ʻana.
ʻO ka copper IUD (intrauterine device) he mea pale hāpai ʻole i ka hormone, ma kahi o ka nui o ka hapahā ke pelu ʻia. He kiʻi T-like ka mea hana i uhi ʻia me kahi uea keleawe lahilahi e hana maoli ana i ka pale ʻana i ka hāpai ʻana. ʻAʻole like me nā ʻano hana pale hāpai hormonal, ʻaʻole ia e hoʻololi i nā pae hormone maoli o kou kino.
Ua ʻike ʻia ka copper IUD ma kona inoa inoa ParaGard ma ʻAmelika Hui Pū ʻIa. Ua manaʻo ʻia he LARC (long-acting reversible contraceptive), ʻo ia hoʻi, hāʻawi ia i ka pale no nā makahiki akā hiki ke wehe ʻia i kēlā me kēia manawa āu e makemake ai e hoʻāʻo e hāpai. Ke hoʻokomo ʻia e kāu kauka, ʻaʻole pono ʻoe e noʻonoʻo e pili ana i ka pale hāpai i kēlā me kēia lā.
ʻO ka hoʻohana mua ʻana o ka copper IUD ʻo ka pale ʻana i ka hāpai ʻana no 10 mau makahiki. ʻOi aku ma mua o 99% ka maikaʻi i ka pale ʻana i ka hāpai ʻana, e lilo ana ia i kekahi o nā ʻano hana pale hāpai hilinaʻi loa i loaʻa. Nui nā wahine e koho iā ia no ka mea makemake lākou i ka pale lōʻihi me ka ʻole e hoʻomanaʻo i nā pila i kēlā me kēia lā a i ʻole nā injections i kēlā me kēia mahina.
Hiki nō hoʻi i ka copper IUD ke lawelawe ma ke ʻano he contraception pilikia inā hoʻokomo ʻia i loko o ʻelima mau lā ma hope o ka moekolohe ʻole. I kēia hihia, ʻoi aku ka maikaʻi ma mua o nā pila contraceptive pilikia. Eia kekahi, makemake kekahi mau wahine iā ia no ka mea ʻaʻole ia i loko o nā hormones, e kūpono ana no ka poʻe hiki ʻole a ʻaʻole makemake e hoʻohana i nā ʻano hana pale hāpai hormonal.
Hana ka IUD keleawe ma ka hoʻokuʻu ʻana i nā mea liʻiliʻi o nā iona keleawe i loko o kou ʻōpū a me nā paipu fallopian. He mea ʻawaʻawa kēia mau iona keleawe i ka sperm a me nā hua, e pale ana i ka fertilization mai ka hana ʻana. Hoʻopilikia pū ka keleawe i kou mucus cervical, e paʻakikī ai ka sperm i ka hiki ʻana i kahi hua.
Ua manaʻo ʻia he ʻano hana pale hāpai ikaika no ka mea e hāʻawi ana i ka pale mau me ka ʻole e koi ana i kekahi hana mai iā ʻoe. Hoʻokumu ka keleawe i kahi pane mumū i loko o kou ʻōpū ʻaʻole ia he mea ʻino iā ʻoe akā pale i ka hāpai ʻana. Inā hana ka fertilization (he mea kakaʻikahi loa), paʻakikī nō hoʻi ka IUD keleawe i ka hua i hoʻopaʻa ʻia e hoʻokomo i loko o kou paia uterine.
Ma mua o ka loaʻa ʻana o kahi IUD keleawe, pono ʻoe e kūkākūkā me kāu mea mālama ola e hōʻoia i kou kūpono. E hana lākou i kahi hoʻokolokolo pelvic a hiki ke hoʻāʻo no nā maʻi i lawe ʻia e ka moekolohe. ʻAʻole pono ʻoe e hoʻokē ʻai a pale i ka ʻai ʻana ma mua o ke kaʻina hana, a hiki iā ʻoe ke hoʻomau i ka lawe ʻana i kāu mau lāʻau maʻamau.
Hiki i kāu kauka ke ʻōlelo aku e lawe i kahi mea hōʻoluʻolu ʻeha ma luna o ka counter e like me ka ibuprofen ma kahi o hoʻokahi hola ma mua o kāu manawa e kōkua ai i ka ʻeha. Manaʻo kekahi poʻe lawelawe e hoʻonohonoho i ka hoʻokomo ʻana i ka wā o kou manawa menstrual i ka wā e wehe nui ai kou cervix. Pono ʻoe e hoʻonohonoho i kekahi e hoʻokele iā ʻoe i ka home inā hopohopo ʻoe e pili ana i ka ʻeha a i ʻole ka manaʻo ʻana.
Hiki i ka IUD keleawe ke noho i kahi no 10 mau makahiki, akā hiki iā ʻoe ke wehe iā ia i kēlā me kēia manawa inā makemake ʻoe e hoʻāʻo e hāpai a i ʻole e ʻike i nā pilikia. ʻAʻole nalowale ka pono o ka mea hana i ka manawa, no laila ua pale like ʻoe i ka makahiki hoʻokahi e like me ka makahiki ʻumi.
Ma hope o 10 mau makahiki, pono ʻoe e wehe i ka IUD a hiki iā ʻoe ke koho e hoʻokomo koke i kahi mea hou inā makemake ʻoe e hoʻomau i kēia ʻano o ka mālama ʻana i ka hānau ʻana. Koho kekahi mau wahine e wehe i kā lākou IUD ma mua inā makemake lākou e hāpai, ʻike i nā hopena ʻaoʻao e hoʻopilikia ana, a i ʻole makemake wale nō e hoʻāʻo i kahi ʻano hana pale hānau ʻē aʻe.
ʻO ka hapa nui o nā wahine e ʻike i kekahi ʻano o ka ʻeha a me ka ʻike ʻana ma hope koke o ka hoʻokomo ʻana i ka copper IUD, he mea maʻamau loa ia. Hoʻomaikaʻi maʻamau kēia mau hōʻailona i loko o kekahi mau lā a i hoʻokahi pule. Hiki nō hoʻi ke loli kāu mau manawa ma hope o ka loaʻa ʻana o kahi copper IUD, e lilo pinepine ana i mea kaumaha a i ʻole ka lōʻihi ma mua.
Eia nā hopena ʻaoʻao maʻamau e hiki iā ʻoe ke ʻike:
Hoʻomaikaʻi pinepine kēia mau hopena ʻaoʻao ma hope o nā mahina mua i ka wā e hoʻoponopono ai kou kino i ka mea hana. Eia naʻe, inā lilo kāu mau manawa i mea kaumaha a ʻeha paha, e kamaʻilio me kāu mea mālama ola.
ʻOiai he kakaikahi, hiki ke loaʻa kekahi mau pilikia koʻikoʻi e koi ai i ka lāʻau lapaʻau koke:
Inā ʻike ʻoe i ka ʻeha nui, ke kahe nui ʻana, ke kuni, a i ʻole hiki ʻole ke ʻike i nā kaula IUD, e hoʻokaʻaʻike koke i kāu mea mālama ola.
ʻAʻole kūpono ka copper IUD no nā mea a pau, a e kōkua kāu mea mālama ola e hoʻoholo inā kūpono ia iā ʻoe. ʻAʻole kūpono paha nā wahine me kekahi mau maʻi olakino a i ʻole nā ʻano anatomical no kēia ʻano o ka mālama ʻana i ka hānau ʻana.
ʻAʻole pono ʻoe e loaʻa i ka IUD keleawe inā loaʻa iā ʻoe:
E noʻonoʻo nō hoʻi kāu kauka i kou mau kūlana pilikino, e like me ke loaʻa ʻana o nā hoa moe he nui (e hoʻonui ana i ka pilikia STI) a i ʻole inā ʻaʻole ʻoe i hāpai (e paʻakikī paha ka hoʻokomo ʻana).
Ma ʻAmelika Hui Pū ʻIa, loaʻa ka IUD keleawe ma lalo o ka inoa inoa ParaGard. ʻO kēia wale nō ka IUD keleawe i ʻae ʻia e ka FDA no ka hoʻohana ʻana ma US. Aia i loko o ParaGard he 380 millimeters square o ke keleawe i wili ʻia a puni ke kumu kūpaʻa o ka mea T-shaped.
Hiki i nā ʻāina ʻē aʻe ke loaʻa nā hōʻailona IUD keleawe like ʻole, akā ʻo ParaGard ka mea i aʻo nui ʻia a hoʻohana ʻia i ka honua. Ua loaʻa ka mea hana ma US mai ka makahiki 1988 a he moʻolelo lōʻihi o ka palekana a me ka pono.
Inā ʻaʻole kūpono ka IUD keleawe iā ʻoe, aia kekahi mau koho contraceptive lōʻihi e noʻonoʻo ai. Hana like nā IUD hormonal e like me Mirena, Skyla, a i ʻole Liletta akā hoʻokuʻu i ka progestin ma kahi o ke keleawe. ʻOi aku ka maikaʻi o kēia mau mea inā loaʻa iā ʻoe nā manawa nui no ka mea e hoʻomāmā pinepine lākou i nā manawa a i ʻole e hoʻōki loa iā lākou.
ʻO ka implant contraceptive (Nexplanon) kekahi koho lōʻihi e hele ana i kou lima a mau no ʻekolu makahiki. No ka poʻe makemake i nā ʻano hana pōkole, loaʻa pū kekahi nā pila hānau, nā pā, nā apo, a i ʻole nā injection. Hiki i kāu mea mālama ola ke kōkua iā ʻoe e hoʻohālikelike i kēia mau koho e pili ana i kou ola, ka mōʻaukala olakino, a me nā makemake pilikino.
Ma muli o kāu mau pono a me nā makemake, ʻoi aku ka maikaʻi o ka IUD keleawe ma mua o ka IUD hormonal. He kūpono ka IUD keleawe inā makemake ʻoe i ka mana hānau ʻole i nā hormones, hiki ke ʻae i nā manawa kaumaha, a makemake i ke koho lōʻihi loa i loaʻa. He koho maikaʻi nō hoʻi inā ua loaʻa iā ʻoe nā ʻike maikaʻi ʻole me ka mana hānau hormonal i ka wā ma mua.
ʻOi aku ka maikaʻi o nā IUD hormonal inā he mau manawa kaumaha a ʻeha paha kou, no ka mea, hoʻomāmā pinepine lākou i nā manawa a i ʻole e hoʻōki loa iā lākou. He 3-7 mau makahiki nō hoʻi lākou e mau ai ma muli o ke ʻano, he wā lōʻihi nō naʻe. Makemake kekahi mau wahine i nā IUD hormonal no ka mea hiki iā lākou ke kōkua me nā kūlana e like me ka endometriosis a i ʻole ke kahe ʻana o ke koko menstrual kaumaha.
He kūpono nā ʻano ʻelua i ka pale ʻana i ka hāpai ʻana, no laila e pili pinepine ka koho i ke ʻano o kou makemake i ke ʻano e pili ai i kāu mau manawa a inā makemake ʻoe e pale loa i nā hormones.
ʻAʻole paha ʻo ka IUD keleawe ke koho maikaʻi loa inā he mau manawa kaumaha a ʻeha paha kāu, no ka mea hiki iā ia ke hoʻonui i kēia mau hōʻailona. Hoʻokumu ka keleawe i kahi pane inflammatory i loko o kou ʻōpū e alakaʻi pinepine ai i ke kahe ʻana o ke koko menstrual kaumaha a me ka ʻehaʻeha hou. Inā he mau manawa kaumaha kāu i kēia manawa, hiki i kāu mea mālama ola ke ʻōlelo aku i kahi IUD hormonal ma kahi, e hoʻomāmā pinepine ai i nā manawa.
Eia naʻe, inā maʻamau kāu mau manawa a ua mākaukau ʻoe e ʻae i ka hiki ke kahe nui i mea e kūʻai ai i ka contraception hormone-free, hiki nō i ka IUD keleawe ke koho maikaʻi. Hiki i kāu kauka ke kōkua iā ʻoe e kaupaona i nā pōmaikaʻi a me nā pilikia e pili ana i kāu kūlana.
Inā ua huki wale ʻoe i kāu IUD keleawe a i ʻole ke manaʻo nei ua kipaku ʻia, ʻaʻole ʻoe e pale hou ʻia mai ka hāpai ʻana a pono ʻoe e hoʻohana i ka pale hānau ʻē aʻe koke. E kelepona i kāu mea mālama ola kino i kēia manawa e kūkākūkā i kāu mau koho a e hoʻonohonoho i kahi manawa e hōʻoia ai ua nalowale ka mea hana.
Mai hoʻāʻo e hoʻokomo hou i ka mea hana iā ʻoe iho, no ka mea, hiki i kēia ke hōʻeha nui. Pono kāu kauka e nānā iā ʻoe e hōʻoia i ka kipaku ʻia ʻana o ka IUD a ʻaʻole i koe nā ʻāpana i loko o kou ʻōpū. A laila hiki iā lākou ke kūkākūkā inā e hoʻokomo i kahi IUD hou a i ʻole e kōkua iā ʻoe e koho i kahi ʻano pale hānau ʻē aʻe.
Pono ʻoe e nānā i kāu mau kaula IUD i kēlā me kēia mahina ma hope o kou wā e hōʻoia ai aia nō ka mea hana ma kahi. Inā ua poina iā ʻoe ke nānā iā lākou no kekahi manawa, mai hopohopo - e nānā wale iā lākou i ka wā e hoʻomanaʻo ai ʻoe. E ʻimi a puni kou ʻāʻī me nā manamana lima maʻemaʻe e ʻimi i nā kaula, e like me ka laina lawaiʻa lahilahi.
Inā ʻaʻole hiki iā ʻoe ke ʻike i nā kaula, ua neʻe paha lākou i luna i kou ʻāʻī a i ʻole ua neʻe paha ka IUD. E kelepona i kāu mea mālama ola kino e nānā i ke kūlana me ka ultrasound. A hiki i kou hōʻoia ʻana ua kūpono ka IUD, e hoʻohana i ka pale hānau ʻē aʻe e like me nā condoms.
Hiki iā ʻoe ke wehe i kāu IUD keleawe i kēlā me kēia manawa, no kekahi kumu. ʻAʻole pono ʻoe e kali a hiki i ka pau ʻana a i ʻole e hāʻawi i ka hōʻoia no ka wehe ʻana. ʻO nā kumu maʻamau no ka wehe ʻana, ʻo ia ka makemake e hāpai, ka ʻike ʻana i nā hopena ʻaoʻao hoʻonāukiuki, a i ʻole ka makemake wale i kahi ʻano pale hānau ʻē aʻe.
ʻO ka wehe ʻana he mea wikiwiki a ʻoluʻolu ʻole ma mua o ka hoʻokomo ʻana. Hoʻi maʻamau kou momona i ka maʻamau ma hope koke o ka wehe ʻana, no laila e hoʻohana i ka pale hānau ʻē aʻe inā ʻaʻole ʻoe makemake e hāpai koke. Inā makemake ʻoe e hoʻomau me ka pale hānau IUD, hiki i kāu kauka ke hoʻokomo i kahi mea hou i ka manawa like.
ʻAe, hiki iā ʻoe ke hoʻi i kāu mau hana maʻamau a pau, me ka hoʻoikaika kino, ke ola ʻoe mai ke kaʻina hana hoʻokomo. Manaʻo ka hapa nui o nā mea mālama ola e kali i 24-48 mau hola ma hope o ka hoʻokomo ʻana ma mua o ka hoʻomaka hou ʻana i ka hoʻoikaika kino ikaika e ʻae i kou ʻāʻī e pani pono a e hōʻemi i ka pilikia o ka maʻi.
ʻAʻole e hoʻopilikia ka copper IUD i kekahi ʻano hoʻoikaika kino a i ʻole ka hana kino ke kau ʻia. Hopohopo kekahi mau wahine e pili ana i ka neʻe ʻana o ka mea hana i ka wā e hoʻoikaika ai, akā ʻaʻole hiki ke hana. Ua hoʻolālā ʻia ka IUD e noho i kahi i nā hana maʻamau a pau, me ka holo ʻana, ka ʻauʻau ʻana, ka hāpai ʻana i ke kaumaha, a me nā haʻuki pili.
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